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12-029F north farms road conservation310 CMR 10.99 P. N- ya VP3 Form 3 NINE COPIES OF THIS FORM, COMPLETE WITH PLANS, TO CONSERVATION COMMISSION TWO COMPLETE COPIES TO DEP, SPRINGFIELD commonwealth of Massachusetts Department of Defense united st at Notice Of Int e nt es. of America Under the 1Kassachusetts Wetlands protection Act, G.L. c. 131,. StO and Application for a Department of the Army Permit & NORTHAMPTON WETLANDS PROTECTION ORDINANCE Part I: General Information 1. Location: Street Address North Farms Road Assessor' , s Map ID, 1 9 - 9q 2. Project: Type Description Proyide handjcdp accessible p rkina at the i.aka ((InCPYxT -+-; n Q T- a anC� a ��}'i � P gl�hai4_accygicihlt�, trajl frnm the parking lot to the Lak 3. Registry: county Ham shire Current Book 1951 p age 261 Certificate (if Registered Land) - Ni /A 4. Applicant Office of Planning & Development Tal.413 -586 -6950 Attn: Wayne Felden Address C itv Nall 210 Main c{-, Nor thamipton. MA 01060 5. Property owner Conservation Commission, City of Northam to nTe1,413 -586 -6950 Address City Hall, 210 Main St., Northampton, MA 01 060 6. Representative Tel. Address �7. a. Have the Conservation Commission and the Department's Regional Office each been sent, by certified mail or hand deliver, 2 copies of completed Notice.of Intent, with supporting plans and documents? Yes ® No ❑ (9 COPIES TO CONSERVATION COMMISSION) b. Has the fee been submitted? Yes ® No ❑ c. Total Filing Fee Submitted N one i - d. City /Town Share of Filing Fee 0 State Share of Filing Fee 0 (sent to City /Town) (W of fee in excess of S25, sent to DEP) e. Is a brief statement attached indicating how the applicant calculated the fee? ❑ Yes No - No fee f. Permit requested unde -r Mass. Wetlands Protection Act (310 CMR 10) : L Northampton Wetlands Protection ordinance: !/ Effective 11/20/92 3 -1 DFp Pik No, 2462. (To be P -,A-i by DFF) aWrown Northampton Applicant Off i oP cif Pl ann i nO_ k ne velop. S. Rave all cb*.ainabla permit-, vaziances and anp_rvaln required by local by -law b ?en .:btai::ed? Yes No ❑ No other permits required obtained Applied tor: Not Applied For: 9. Is any portion of the site subject to a Wetlands strict' n order pursuant to G.L. c. 131, S40A or G.L. C. 130, 5105? Yes No V 10. List all plans and supporting documents submitted with this Notice of Intent. Identifying Number /Letter Title, Date Fitzgerald Lake Conservation Area GIS MAP Accessibility ImQrovPments - march 1Ag 11. check those resource areas within which work is proposed: (a) ® Buffer Zone (b) Inland: ® Bank* Land subject to Flooding ® Bordering vegetated Wetland* ❑ Bordering ® Land Under water Body i Waterway* ❑ Isolated *Likely to involve U.S. Army corps of Engineers concurrent jurisdiction. See General Instructions for completing Notice of Intent. 3 -2 12. Is the projezt within es Umated habitat which is indicated on the most recent Estimated Habitat Map of state- Listed Rare wetlands wildlife (if any) published by the Natural Heritage and Endangered species Program? Only applies. to projects along Conn. River, Oxbow, Mill River, YES f X1 NO the Conn. River flood - [ j plain, or the V.A. ITospital at Route 9. Date printed on Estimated Hahitat Map; Octeber- - if yes, have you sent a copy of the Notice of Intent to the Natural Heritage h , and Endangered species Program via the U.S. Postal service by certified or priority mail (or otherwise sent it in a manner that guarantees delivery within two days) no later than the date of the filing of this Notice of Intent with the conservation commission and the DEP regional office? YES [ X ] NO [ l If yes please attach evidence of timely mailing or other delivery to the Natural Heritage and Endangered species Program. Part Its Site Description Indicate which of the following information has been provided (on a plan, in narrative description or.calculations) to clearly, completely and accurately describe existing site conditions. Identifying Number / Letter (of plan, narrative or calculations) Natural Features gnil Ma= soils N/A Vegetation GIS MAP Topography GIS MAP Open water bodies(including ponds and lakes) GIS MAP Flowing water bodies(including streams and rivers) GIS MAP Public and private surface water and ground water supplies. on or within 100 feet of.site N / A Maximum annual ground water elevations with dates and GIS MAP location of test Boundaries of resource areas checked under Part 1, item 11 above .other Kan -made Features: N/`A Structures (such as buildings, piers, towers and headwalls) N/A Drainage and flood control facilities at the site and. immediately off the site, including culverts and open channels (with inverts), dams and dikes N/A subsurface sewage disposal systems •' N/ A Underground utilities 3 -3 GIS MAP G IS MAP GIS MAP Roadways and parking areas Pr rty bouncarie4, and rights -of -:ray other Part III: York Description Indicate which of the following information has been provided (on a plan, in narrative description or calculations) to clearly, completely and accurately describe work proposed within each of the resource areas checked in Part I, item 11 above. Identifying Number / Letter (of plan, narrative or calculations) Planview and Cross Section of: GIS MAP Structures (such as buildings, piers, towers and headwalls) N/A Drainage and flood control facilities, including culverts and open channels(with inverts), dams and dikes N/A subsurface sewage disposal systems & underground utilities N/A Filling, dredging and excavating, indicating volume and composition of material N /A Compensatory storage areas, where required in accordance with Part III, Section 10.57(4) of the regulations. wiIdli`e habitat restozarion or ren:icaticn areas N/A 1. 2. 3. 4. other Point Source Discharge Description of characteristics of discharge from point source (both closed and open channel), when point of discharge falls within resource area checked under Part I, item 11 above, as supported by standard engineering calculations, data and plans, including but not limited to the following: Delineation of the drainage area contributing to the point of discharge; Pre -and post - development peek run -off from the drainage area, at the point of discharge, for at [east the 10 -year and 100 -year frequency storm; Pre - and post- development rate of infiltration contributing to the resource area checked under Part I, item 11 above; Estimated water quality characteristics of pre- and post - development run -off at the point of discharge. 3 -4 Part IV: Mitigating Measures i. Clea. ',v. -4ap1ate!y srd accurately descr +!m, with reference to supporting plans and calculations where necessary (a) All measures and designs proposed to meet the performance standards set forth under each resource area specified in Part II or Part III of the regulations; or (b) Why the presumptions set forth under each resource area specified in Part II or Part III of the regulations do not apply. 3 � Resource Area Type: ■ Inland BANK Bank be crossed by 4' boardwalk /dock. Boardwalk will span bank with no contact. Boardwalk is narrow enough that vegetation will be able to grow underneath it and recieve adequate light. Resource Area Type: Inland Boardwalk will span B.V.W. and is narrow enough that vegetation will be able to grow underneath it. Only direct contact will be concrete bumpers or wooden piers apr. 6 feet on- center that support boardwalk. Identifying number or letter of support documents i Identifying number or letter of support documents 3 -5 Resource Area Type: Inland LAND UNDER WATER -lentif In number or letter o y of support documents Land under water will be spanned by boardwalk /dock. Only two 4" pipes will be in contact with the land under water. 2. Clearly, completely and accurately describe, with reference to supporting plans and calculations where necessary: (a) all measures and designs to regulate work within the Buffer Zone so as to ensure that said work does not alter an area specified in Part I, Section 10.020)(a) of these regulations; or (b) if work in the Buffer Zone will alter such an area, all measures and designs proposed to meet "- performance standards - for th_ adjacenr resource area, specified in Part I1 or ?art NI of these reou:aticnc_ Resource Area Type Bordered If Inland By 100 -Feet Discretionary Zone: Identifying number or letter of support documents Proper erosion control will be used to prevent constructing impacts. No on -going impacts are anticipated. 3 -6 Part V: Additional Information for a Department of the Army Permit 1. COE Application No. (to be provided by COE) 2. (Name of waterway) 3. Names and addresses of property owners adjoining your property: 4. Document other project alternatives (i.e., other locations and /or construction methods, particularly those that would eliminate the discharge of dredged or fill material into waters or wetlands). 5. 8h" x 11" drawings in planview and cross - section, showing the resource area and the proposed 'activity within the resource area. Drawings must be to scale and should be clear enough for photocopying. certification is required from the Division of water Pollution control before the Federal permit can be issued. certification may be obtained by contacting the Division of water Pollution control, 1 winter Street, Boston, Massachusetts 02108. where the activity will take place within the area under the Massachusetts approved coastal Zone Management Program, the applicant certifies that his Proposed activity complies with and will be conducted in a manner that is .:onsistent with the approved progrsm. Information provided will be used in evaluating the application for a permit and is made a matter of public record through issuance of a public notice. Disclosure of this information is voluntary; however, if necessary information is not provided, the application cannot be processed nor can a permit be issued. I hereby certify under the pains and penalties of perjury that the foregoing Notice of Intent and accompanying plans, documents and supporting data are ;true and complete, to the best of my knowledge. March 1, 1993 Signature of Applicant Date Wayne Feiden, for the Office of Planning & Development Signature of Applicant's Representative Date FORM "Exception to ENG Form 4345 approved by NCUSACE, 6 May 1982° NED 100 (TEST) 1 MAY 82 "This docuaent contains a joint Department of the Army and State of Massachusetts application for a permit to obtain permission to perform activities in United States waters. The Office of Management and Budget(OMB) has approved those questions required by the US Army Corps of Engineers. OMB Number 0702 -0036 and expiration date of 30 September 1983 applies ". This statement will be set in 6 point type. 3 -7