Northern Ave NOI April 2009 wpaform3
Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands
WPA Form 3 – Notice of Intent
Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key.
Note: Before completing this form consult your local Conservation Commission regarding any municipal bylaw or ordinance.
Provided by MassDEP:
MassDEP File Number
Document Transaction Number
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Northampton City/Town
A. General Information
1. Project Location (Note: electronic filers will click on button to locate project site): Northern Avenue
a. Street Address
Northampton
b. City/Town
01060
c. Zip Code
Latitude and Longitude: d. Latitude e. Longitude 25C
f. Assessors Map/Plat Number
12 & 17
g. Parcel /Lot Number
2. Applicant:
a. First Name b. Last Name
Tofino Associates, Inc. and Northern Avenue Homes, Inc.
c. Organization
31 Campus Plaza Road
d. Street Address Hadley
e. City/Town
(413) 256-0321
h. Phone Number
MA
f. State (413) 256-0130
i. Fax Number j. Email Address
01035
g. Zip Code
3. Property owner (required if different from applicant): Check if more than one owner
a. First Name b. Last Name
c. Organization
d. Street Address
e. City/Town f. State g. Zip Code
h. Phone Number i. Fax Number j. Email address
4. Representative (if any):
a. First Name b. Last Name
c. Company
d. Street Address
e. City/Town f. State g. Zip Code
h. Phone Number i. Fax Number j. Email address
5. Total WPA Fee Paid (from NOI Wetland Fee Transmittal Form): $6,300
a. Total Fee Paid
$3,137.50
b. State Fee Paid
$3,162.50 + $100.00 local fee c. City/Town Fee Paid
wpaform3.doc • rev. 02/21/08 Page 1 of 8
Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands
WPA Form 3 – Notice of Intent
For all projects affecting other Resource Areas,
please attach a narrative explaining how the resource area was delineated.
Provided by MassDEP:
MassDEP File Number
Document Transaction Number
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Northampton City/Town
A. General Information (continued)
6. General Project Description:
The proposed project consists of a duplex on Northern Avenue and 23 townhouse condominiums off
North Street, for a total of 25 new dwelling units, with associated stormwater management, site, utility and
road work. A portion of the project falls within the Buffer Zone of BVW. No alteration of any resource area is proposed.
7a. Project Type Checklist:
1.
Single Family Home
2.
Residential Subdivision
3.
Limited Project Driveway Crossing
4.
Commercial/Industrial
5.
Dock/Pier
6.
Utilities
7.
Coastal Engineering Structure
8.
Agriculture (e.g., cranberries, forestry)
9.
Transportation
10.
Other
7b. Is any portion of the proposed activity eligible to be treated as a limited project subject to 310 CMR 10.24 (coastal) or 310 CMR 10.53 (inland)?
1. Yes No If yes, describe which limited project applies to this project:
2. Limited Project
8. Property recorded at the Registry of Deeds for: Hampshire
a. County b. Certificate # (if registered land) Book 8428, Page 219
c. Book and Page
Book 8829, Page 341
d. Book and Page
B. Buffer Zone & Resource Area Impacts (temporary & permanent)
1. Buffer Zone Only – Check if the project is located only in the Buffer Zone of a Bordering
Vegetated Wetland, Inland Bank, or Coastal Resource Area.
2. Inland Resource Areas (see 310 CMR 10.54-10.58; if not applicable, go to Section B.3, Coastal Resource Areas).
Check all that apply below. Attach narrative and any supporting documentation describing how the
project will meet all performance standards for each of the resource areas altered, including standards requiring consideration of alternative project design or
location.
Resource Area
Size of Proposed Alteration
Proposed Replacement (if any)
a. b.
Bank
Bordering Vegetated
1. linear feet
2. linear feet
Wetland
1. square feet
2. square feet
c.
Land Under
1. linear feet
2. linear feet
Waterbodies and
Waterways
3. cubic yards dredged
wpaform3.doc • rev. 02/21/08 Page 2 of 8
Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands
WPA Form 3 – Notice of Intent
Provided by MassDEP:
MassDEP File Number
Document Transaction Number
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Northampton City/Town
B. Buffer Zone & Resource Area Impacts (temporary & permanent) (cont’d)
Resource Area
d. Bordering Land
Size of Proposed Alteration
Proposed Replacement (if any)
Subject to Flooding
1. square feet
2. square feet
e.
Isolated Land
3. cubic feet of flood storage lost
4. cubic feet replaced
Subject to Flooding
1. square feet
2. cubic feet of flood storage lost
3. cubic feet replaced
f.
Riverfront Area
1. Name of Waterway (if available)
2. Width of Riverfront Area (check one):
25 ft. - Designated Densely Developed Areas only
100 ft. - New agricultural projects only
200 ft. - All other projects
3. Total area of Riverfront Area on the site of the proposed project: square feet
4. Proposed alteration of the Riverfront Area:
a. total square feet b. square feet within 100 ft. c. square feet between 100 ft. and 200 ft.
5. Has an alternatives analysis been done and is it attached to this NOI? Yes No
6. Was the lot where the activity is proposed created prior to August 1, 1996? Yes No
Online Users: Include your document transaction number (provided on your receipt page) with all supplementary information you submit to the Department.
3. Coastal Resource Areas: (See 310 CMR 10.25-10.35)
Check all that apply below. Attach narrative and supporting documentation describing how the project
will meet all performance standards for each of the resource areas altered, including standards requiring consideration of alternative project design or location.
Resource Area Size of Proposed Alteration Proposed Replacement (if any)
a. Designated Port Areas Indicate size under Land Under the Ocean, below
b. Land Under the Ocean 1. square feet
2. cubic yards dredged
c. Barrier Beach Indicate size under Coastal Beaches and/or Coastal Dunes below
d. Coastal Beaches 1. square feet 2. cubic yards beach nourishment
e. Coastal Dunes 1. square feet 2. cubic yards dune nourishment
wpaform3.doc • rev. 02/21/08 Page 3 of 8
Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands
WPA Form 3 – Notice of Intent
Provided by MassDEP:
MassDEP File Number
Document Transaction Number
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Northampton City/Town
B. Buffer Zone & Resource Area Impacts (temporary & permanent) (cont’d)
Size of Proposed Alteration Proposed Replacement (if any)
f. Coastal Banks 1. linear feet
g. Rocky Intertidal
Shores 1. square feet
h. Salt Marshes 1. square feet 2. sq ft restoration, rehab., creation
i. Land Under Salt
Ponds 1. square feet
2. cubic yards dredged
j. Land Containing
Shellfish 1. square feet
k. Fish Runs Indicate size under Coastal Banks, inland Bank, Land Under the Ocean, and/or inland Land Under Waterbodies and Waterways, above
1. cubic yards dredged
l. Land Subject to
Coastal Storm Flowage 1. square feet
4. Restoration/Enhancement
If the project is for the purpose of restoring or enhancing a wetland resource area in addition to the
square footage that has been entered in Section B.2.b or B.3.h above, please enter the additional amount here.
a. square feet of BVW b. square feet of Salt Marsh
C. Other Applicable Standards and Requirements
Streamlined Massachusetts Endangered Species Act/Wetlands Protection Act Review
1. Is any portion of the proposed project located in Estimated Habitat of Rare Wildlife as indicated on
the most recent Estimated Habitat Map of State-Listed Rare Wetland Wildlife published by the Natural Heritage and Endangered Species Program (NHESP)? To view
habitat maps, see the Massachusetts Natural Heritage Atlas or go to http://www.mass.gov/dfwele/dfw/nhesp/nhregmap.htm.
a. Yes No
2008 (MassGIS)
b. Date of map
If yes, include proof of mailing or hand delivery of NOI to:
Natural Heritage and Endangered Species Program Division of Fisheries and Wildlife
Route 135, North Drive Westborough, MA 01581
If yes, the project is also subject to Massachusetts Endangered Species Act (MESA) review (321
CMR 10.18). To qualify for a streamlined, 30-day, MESA/Wetlands Protection Act review, please
complete Section C.1.C, and include requested materials with this Notice of Intent (NOI); OR
complete Section C.1.d, if applicable. If MESA supplemental information is not included with the NOI,
by completing Section 1 of this form, the NHESP will require a separate MESA filing which may take
up to 90 days to review (unless noted exceptions in Section 2 apply, see below).
wpaform3.doc • rev. 02/21/08 Page 4 of 8
Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands
WPA Form 3 – Notice of Intent
Provided by MassDEP:
MassDEP File Number
Document Transaction Number
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Northampton City/Town
C. Other Applicable Standards and Requirements (cont’d)
1. c. Submit Supplemental Information for Endangered Species Review *
1. Percentage/acreage of property to be altered:
(a) within wetland Resource Area percentage/acreage
(b) outside Resource Area percentage/acreage
2. Assessor’s Map or right-of-way plan of site
3. Project plans for entire project site, including wetland resource areas and areas outside of wetlands jurisdiction, showing existing and proposed conditions,
existing and proposed
tree/vegetation clearing line, and clearly demarcated limits of work **
(a) Project description (including description of impacts outside of wetland resource area & buffer zone)
(b) Photographs representative of the site
(c) MESA filing fee (fee information available at: http://www.mass.gov/dfwele/dfw/nhesp/nhenvmesa.htm)
Make check payable to “Natural Heritage & Endangered Species Fund” and mail to NHESP at above address
Projects altering 10 or more acres of land, also submit:
(d) Vegetation cover type map of site
(e) Project plans showing Priority & Estimated Habitat boundaries
d. OR Check One of the Following
1. Project is exempt from MESA review.
Attach applicant letter indicating which MESA exemption applies. (See 321 CMR 10.14,
http://www.mass.gov/dfwele/dfw/nhesp/nhenvexemptions.htm; the NOI must still be sent to
NHESP if the project is within estimated habitat pursuant to 310 CMR 10.37 and 10.59.)
2. Separate MESA review ongoing.
a. NHESP Tracking Number b. Date submitted to NHESP
3. Separate MESA review completed.
Include copy of NHESP “no Take” determination or valid Conservation & Management Permit with approved plan.
* Some projects not in Estimated Habitat may be located in Priority Habitat, and require NHESP review (see www.nhesp.org regulatory review tab). Priority Habitat
includes habitat for state-
listed plants and strictly upland species not protected by the Wetlands Protection Act.
** MESA projects may not be segmented (321 CMR 10.16). The applicant must disclose full development plans
even if such plans are not required as part of the Notice of Intent process.
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Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands
WPA Form 3 – Notice of Intent
Provided by MassDEP:
MassDEP File Number
Document Transaction Number
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Northampton City/Town
C. Other Applicable Standards and Requirements (cont’d)
2. For coastal projects only, is any portion of the proposed project located below the mean high water line or in a fish run?
a. Not applicable – project is in inland resource area only
b. Yes No If yes, include proof of mailing or hand delivery of NOI to either: South Shore - Cohasset to Rhode
Island, and the Cape & Islands:
Division of Marine Fisheries - Southeast Marine Fisheries Station Attn: Environmental Reviewer
838 South Rodney French Blvd. New Bedford, MA 02744
Online Users: Include your document transaction number (provided on your receipt page) with all supplementary information you submit to the Department.
North Shore - Hull to New Hampshire:
Division of Marine Fisheries - North Shore Office
Attn: Environmental Reviewer 30 Emerson Avenue Gloucester, MA 01930
Also if yes, the project may require a Chapter 91 license. For coastal towns in the Northeast Region,
please contact MassDEP’s Boston Office. For coastal towns in the Southeast Region, please contact MassDEP’s Southeast Regional Office.
3. Is any portion of the proposed project within an Area of Critical Environmental Concern (ACEC)?
a. Yes No If yes, provide name of ACEC (see instructions to WPA Form 3 or MassDEP Website for ACEC locations). Note: electronic filers click on Website.
b. ACEC
4. Is any portion of the proposed project within an area designated as an Outstanding Resource Water
(ORW) as designated in the Massachusetts Surface Water Quality Standards, 314 CMR 4.00?
a. Yes No
5. Is any portion of the site subject to a Wetlands Restriction Order under the Inland Wetlands Restriction Act (M.G.L. c. 131, § 40A) or the Coastal Wetlands
Restriction Act (M.G.L. c. 130, § 105)?
a. Yes No
6. Is this project subject to provisions of the MassDEP Stormwater Management Standards?
a. Yes. Attach a copy of the Stormwater Report as required by the Stormwater Management
Standards per 310 CMR 10.05(6)(k)-(q) and check if:
1. Applying for Low Impact Development (LID) site design credits (as described in
Stormwater Management Handbook Vol. 2, Chapter 3)
2. A portion of the site constitutes redevelopment
3. Proprietary BMPs are included in the Stormwater Management System.
b. No. Check why the project is exempt:
1. Single-family house
2. Emergency road repair
3. Small Residential Subdivision (less than or equal to 4 single-family houses or less than or
equal to 4 units in multi-family housing project) with no discharge to Critical Areas.
wpaform3.doc • rev. 02/21/08 Page 6 of 8
Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands
WPA Form 3 – Notice of Intent
Provided by MassDEP:
MassDEP File Number
Document Transaction Number
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Northampton City/Town
D. Additional Information
Applicants must include the following with this Notice of Intent (NOI). See instructions for details.
Online Users: Attach the document transaction number (provided on your receipt page) for any of the following information you submit to the Department.
1. USGS or other map of the area (along with a narrative description, if necessary) containing
sufficient information for the Conservation Commission and the Department to locate the site. (Electronic filers may omit this item.)
2. Plans identifying the location of proposed activities (including activities proposed to serve as a
Bordering Vegetated Wetland [BVW] replication area or other mitigating measure) relative to the boundaries of each affected resource area.
3. Identify the method for BVW and other resource area boundary delineations (MassDEP BVW
Field Data Form(s), Determination of Applicability, Order of Resource Area Delineation, etc.), and attach documentation of the methodology.
4. List the titles and dates for all plans and other materials submitted with this NOI.
Notice of Intent Plans for North Street Condominiums, sheets L1,L2a,L2b,L3a,L3b,L4,L5,EC1
a. Plan Title
The Berkshire Design Group
b. Prepared By April 14, 2009
d. Final Revision Date
Mark Darnold
c. Signed and Stamped by varies
e. Scale
f. Additional Plan or Document Title g. Date
5. If there is more than one property owner, please attach a list of these property owners not listed on this form.
6. Attach proof of mailing for Natural Heritage and Endangered Species Program, if needed.
7. Attach proof of mailing for Massachusetts Division of Marine Fisheries, if needed.
8. Attach NOI Wetland Fee Transmittal Form
9. Attach Stormwater Report, if needed.
E. Fees
1. Fee Exempt: No filing fee shall be assessed for projects of any city, town, county, or district of
the Commonwealth, federally recognized Indian tribe housing authority, municipal housing authority, or the Massachusetts Bay Transportation Authority.
Applicants must submit the following information (in addition to pages 1 and 2 of the NOI Wetland Fee Transmittal Form) to confirm fee payment:
5109
2. Municipal Check Number 5111
4. State Check Number
April 14, 2009
3. Check date April 14, 2009
5. Check date Northern Avenue Homes, Inc.
6. Payor name on check: First Name 7. Payor name on check: Last Name
wpaform3.doc • rev. 02/21/08 Page 7 of 8
Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands
WPA Form 3 – Notice of Intent
Provided by MassDEP:
MassDEP File Number
Document Transaction Number
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Northampton City/Town
F. Signatures and Submittal Requirements
I hereby certify under the 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. I understand that
the Conservation Commission will place notification of this Notice in a local newspaper at the expense of the applicant in accordance with the wetlands regulations,
310 CMR 10.05(5)(a).
I further certify under penalties of perjury that all abutters were notified of this application, pursuant to the
requirements of M.G.L. c. 131, § 40. Notice must be made by Certificate of Mailing or in writing by hand
delivery or certified mail (return receipt requested) to all abutters within 100 feet of the property line of the project location.
1. Signature of Applicant
April 15, 2009 2. Date
3. Signature of Property Owner (if different) 4. Date
5. Signature of Representative (if any) 6. Date
For Conservation Commission:
Two copies of the completed Notice of Intent (Form 3), including supporting plans and documents,
two copies of the NOI Wetland Fee Transmittal Form, and the city/town fee payment, to the Conservation Commission by certified mail or hand delivery.
For MassDEP:
One copy of the completed Notice of Intent (Form 3), including supporting plans and documents, one
copy of the NOI Wetland Fee Transmittal Form, and a copy of the state fee payment to the MassDEP Regional Office (see Instructions) by certified mail or hand
delivery.
Other:
If the applicant has checked the “yes” box in any part of Section C, Item 3, above, refer to that section and the Instructions for additional submittal requirements.
The original and copies must be sent simultaneously. Failure by the applicant to send copies in a
timely manner may result in dismissal of the Notice of Intent.
wpaform3.doc • rev. 02/21/08 Page 8 of 8
Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key.
To calculate filing fees, refer to the category fee list and examples in the instructions for filling out WPA
Form 3 (Notice of Intent).
Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands
NOI Wetland Fee Transmittal Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. Applicant Information
1. Applicant:
a. First Name b. Last Name
Tofino Associates, Inc. and Northern Avenue Homes, Inc.
c. Organization
31 Campus Plaza Road
d. Mailing Address Hadley
e. City/Town (413) 256-0321
h. Phone Number
(413) 256-0130
i. Fax Number j. Email Address
2. Property Owner (if different):
MA
f. State
01035
g. Zip Code
a. First Name b. Last Name
c. Organization
d. Mailing Address
e. City/Town f. State g. Zip Code
h. Phone Number i. Fax Number j. Email Address
3. Project Location: Northern Avenue
a. Street Address
B. Fees
Northampton
b. City/Town
The fee should be calculated using the following six-step process and worksheet. Please see Instructions before filling out worksheet.
Step 1/Type of Activity: Describe each type of activity that will occur in wetland resource area and buffer zone.
Step 2/Number of Activities: Identify the number of each type of activity.
Step 3/Individual Activity Fee: Identify each activity fee from the six project categories listed in the instructions.
Step 4/Subtotal Activity Fee: Multiply the number of activities (identified in Step 2) times the fee per category (identified in Step 3) to reach a subtotal
fee amount. Note: If any of these activities are in a
Riverfront Area in addition to another Resource Area or the Buffer Zone, the fee per activity should be multiplied by 1.5 and then added to the subtotal amount.
Step 5/Total Project Fee: Determine the total project fee by adding the subtotal amounts from Step 4.
Step 6/Fee Payments: To calculate the state share of the fee, divide the total fee in half and subtract
$12.50. To calculate the city/town share of the fee, divide the total fee in half and add $12.50.
Wpaform3.doc • Wetland Fee Transmittal Form • rev. 2/21/08 Page 1 of 2
Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands
NOI Wetland Fee Transmittal Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Fees (continued)
Step 1/Type of Activity Step 2/Number of Activities
Step 3/Individual Activity Fee
Step 4/Subtotal Activity Fee
Category 3(b) – each building 6 $1,050 $6,300
Step 5/Total Project Fee: $6,300
Step 6/Fee Payments:
Total Project Fee: $6,300
a. Total Fee from Step 5
State share of filing Fee: $3,137.50
b. 1/2 Total Fee less $12.50 City/Town share of filling Fee: $3,162.50
c. 1/2 Total Fee plus $12.50
C. Submittal Requirements
a.) Complete pages 1 and 2 and send with a check or money order for the state share of the fee, payable to the Commonwealth of Massachusetts.
Department of Environmental Protection Box 4062
Boston, MA 02211
b.) To the Conservation Commission: Send the Notice of Intent or Abbreviated Notice of Intent; a copy of this form; and the city/town fee payment.
To MassDEP Regional Office (see Instructions): Send a copy of the Notice of Intent or Abbreviated Notice of
Intent; a copy of this form; and a copy of the state fee payment. (E-filers of Notices of Intent may submit these electronically.)
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