Massachusetts Department of Environmental Provided by MassDEP: Protection MassDEP File #: Bureau of Resource Protection Wetlands eDEP Transaction #:1211328 City/Town:NANTUCKET WPA Form 3 Notice of Intent Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A.General Information 1. Project Location: a. Street Address 101 MIACOMET AVENUE b. City/Town NANTUCKET c. Zip Code 02554 d. Latitude 41.25564N e. Longitude 70.11262W f. Map/Plat # 81 g.Parcel/Lot # 149 2. Applicant: Individual Organization a. First Name b.Last Name c. Organization NANTUCKET ISLANDS LAND BANK d. Mailing Address 22 BROAD STREET e. City/Town NANTUCKET f. State MA g. Zip Code 02554 h. Phone Number 5082287240 i. Fax j. Email
[email protected] 3.Property Owner: more than one owner a. First Name RACHAEL b. Last Name FREEMAN c. Organization NANTUCKET ISLANDS LAND BANK d. Mailing Address 22 BROAD STREET e. City/Town NANTUCKET f.State MA g. Zip Code 02554 h. Phone Number 5082287240 i. Fax j.Email
[email protected] 4.Representative: a. First Name RACHAEL b. Last Name FREEMAN c. Organization NANTUCKET ISLANDS LAND BANK d. Mailing Address 22 BROAD STREET e. City/Town NANTUCKET f. State MA g. Zip Code 02554 h.Phone Number 5082287240 i.Fax j.Email
[email protected] 5.Total WPA Fee Paid (Automatically inserted from NOI Wetland Fee Transmittal Form): a.Total Fee Paid 0.00 b.State Fee Paid 0.00 c.City/Town Fee Paid 0.00 6.General Project Description: THIS NOI IS BEING SUBMITTED TO IMPLEMENT AN INVASIVE SPECIES MANAGEMENT PROGRAM IN BURCHELL?S POND FOR THE NEXT 5 YEARS.