10D-015 104 water st con com310 CMR 10. `•C
Form 2
-_ Commonwealth
= = of Massachusetts
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A. oe
OEP F1e No. " '746—
(ro oe om aea ^v DES
Cty,Town Northampton
AcOhcant Brown
oate Reou" Free November L, _ 1 , 9 91
Determination of Applicability
Massachusetts Wetlands Protection Act, G.L. 9.131, §40
& NORTHAMPTON WETLANDS PROTECTION ORDINANCE
From Northampton Conservation Com issuing Authority
To Henry Brown Same
(Name of person making request) (Name of propery owner)
162 Main Street, P.O. Box 9
Acdr =ss Leed M 01053 Address Same
This ceterrnination is issued and deliverec as follows:
by hand deiivery to person making request on (date)
by certified mail, return receipt requested on November 19, 1991 (sate)
Pursuant to the authority of G.L c. 131, §40, the Northampton Conservation Commi ssi nn
has consicerec your request fcr a Determination of Applicability and its supporting documentation. and nas
made the following determination (check whichever is acpiicabie):
Location: Street Address 104 Water Street, L
Lot Number: ("AP ID #) 1OD 15
1 his Determination h r cr oedbeiow, posit includes all /part of the area described in your request, is an
Area Subject to Protection Under the Act. Therefore, any removing, filling, dredging or
altering of that area requires the filing of a Notice of Intent.
2. = The work described below, which includes all/part of the work described in your request, is within
an Area Subject to Protection Under the Act and will remove, fill, dredge or alter that area. There-
fore. said work requires the filing of a Notice of Intent.
Effective 11/10/89
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3. Z The work described below, which includes all, of the work descnoeginyour request. is within
the Buffer Zone as defined In the regulations, and will alter an Area Subject to Protection Under
the Act. Therefore, said work requires the filing of a Notice of Intent.
This Determination Is negative:
1 . r The area described In your request is not an Area Subject to Protection Under the Act.
2. The work described in your request is within an Area Subject to Protection Unoer the Act, but will
not remove, fill, oredge, or alter that area. Therefore, said work does not require the filing of a
Notice of Intent.
3. The work described in your request is within the Buffer Zone. as defined in the regulations, but will
not alter an Area Subject to Protection Under the Act. Therefore, saic work does not require the
filino of a Notice of Intent.
4. The area described In your request Is Subject to Protection Under the Act, but since the work
described therein meets the requirements for the following exemptlon.as specified in the Act and
the regulations, no Notice of Intent is required:
Issued by Northampton _ _ Conservation Commission
On this 18th day of
personally acpeared 42 14 v ?o
person described in, and who execute
the same as his/her free act and deed.
Notary Public
November 1991 . before me
6G =iy <L C/L _ , to me known to be the
J. the foregoing instrument, and a%�FMl;f � Wt heishb executed
NOTARY PUBLIC
r
M7 COMMISSION EXPIRES JAN. 10. 11006
'v
My commission expires
This Determination does not relieve the applicant from Complying with all other applicable lederal, state or local statutes. ordinances.
bylaws or regulations. This Delermmation snail be valid for three years form the sate of issuance
The applicant, the owner, any person aggrieved by this Determination, any owner of land abutting the land upon which the proposed work
IS to be oohs, or any ten residents of the city or town in whicn such land is located, are nereby notified of their right to reouest the Department
Of Environmental Protection to issue a Superseding Determination of Applicability, providing the reouest is made by certified man or nand
delivery to the Department, with the appropriate filino fee and Fee Transmittal Form as provioed in 310 CMR 10.03(7) within ten Oays from
the date of tssuanoe of this Determination. A copy of the reouest shall at the same time be sent by certified mail or hand delivery to the
con"rvation commission and the applicant.
2 -2A
This Determination must be signed by a majority of the Conservation Commission.
NINE COPIES OF C'"''LETE FILING TO THE NORTHAMPTON - - INSERVATION COMMISSION
ONE COPY OF COMP`,.,!E FILING TO DEP, Wetlands Diviy,/h, SPRINGFIELD
310 CMR 10.99 $20.00 CHECK PAYABLE TO: THE CITY OF NORTHAMPTON
Form 1
.o
Commonwealth
of Massachusetts
DEP Fne No. 246_
(To be prowoW by DEP)
City Iown Northampton
AOolican:
Request for a Determination of Applicability
Massachusetts Wetlands Protection Act, G.L. c. 131, §40
& NORTHAMPTON WETLANDS PROTECTION ORDINANCE
1. I, the undersigned, hereby request that the Northampton
Conservation Commission make a determination as to whether the area. described below, or work to
be performed on said area, also described below, is subject to the jurisdiction of the Wetlands
Protection Act, G.L. c. 131, §40.
2. The area is described as follows. (Use maps or plans, if necessary, to provide a description and the
location of the area subject to this request.) ATTACH LOCUS MAP SHOWING SITE LOCATION.
Location: Street Address /®hf 141A &W S T L ��yts 4.4 0
Lot Number: (MAP ID D !® D L.0 T /S
3. The work in said area is described below. (Use additional paper, if necessary, to describe the
proposed work.) Ad , `
C,JJ2clG /Z'�C 2a?" o: Cj/ 7 Goa
07 pis 7
2 X � �' J.,
IMP 73 ,fie
A2'051 W S.
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Ettective 11/10/89
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4. The owner(s) of the area, if not the person making this request, has been given written notification of this
request on (date)
The name(s) and address(es) of the owner(s):
Ile ✓�
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5. 1 have filed a complete copy of this request with the appropriate regional office of the Massachusetts
Department of Environmental Protection / V 9f (date)
DEP Western Regional Office
State House West, 4th Floor
436 Dwight Street
Springfield, MA 01103
6. 1 understand that notification of this request will be placed in a local newspaper at my expense in accor-
dance with Section 10.05(3) (b) 1 of the regulations by the Conservation Commission and that I will be
billed accordingly.
Signature mss/ Name Z
Address _ 'f" Tel. 7 1
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