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GIS_data_entry_formExecutive Office of Energy and Environmental Affairs / Division of Conservation Services GIS Data Entry Form Land Acquisition Programs 1. Contact Person: Wayne Feiden 2. Grant program: Planning & Sustainability 210 Main St., Northampton, MA 01060 X LAND (Formerly Self-Help) WFeiden@NorthamptonMA.gov PARC (Formerly Urban Self-Help) 413.587.1265 Conservation Partnership Drinking Water Supply Protection Land and Water Conservation Fund Landscape Partnership Conservation Land Tax Credit Other 3. Municipality: Northampton Project number: LAND #24 4a. Fee owner: City of Northampton, through its Conservation Commission Site name:Rocky Hill Greenwy 4b. Manager (if different from fee owner): _Northampton Planning & Sustainability_____ 5. *Conservation Restriction held by: Massachusetts Audubon Society__________ *Complete only if land is encumbered by a Chapter 184 section 31-33 Conservation Restriction. How was restriction obtained? : gifted exacted by regulation purchased 5. Assessor’s Information 44 030 (portion) 001 6. Registry Information Hampshire 2/28/2020 13551 75 246 100 7. Acreage: 8. Primary Use: (select one) Public Access: Conservation Public Recreation Public, residents only Both Conservation and Recreation Public, seasonal Water Supply Protection None Agriculture Other (please explain) Historic/Cultural Other The applicant must provide to the Executive Office of Environmental Affairs GIS Center materials that will accurately represent the site in the state’s open space data layer. These materials include: 1. A copy of a USGS topological map with the site accurately drawn on it. 2. A copy of the site plan and/or a survey plan if available (required for exacted conservation restrictions). The EEA GIS Center will attempt to add the site to the open space data layer using these materials but may request additional materials from the grantee if the materials provided are not at an appropriate scale or are not sufficiently clear to support conversion to digital data that conform to the EEA GIS Center’s data standards. Topographical maps can be purchased at many book stores, or can be printed by using OLIVER, MassGIS’s free and easy-to-use online map data viewer: http://tinyurl.com/oliverqusgsquadbase Please call Ben Smith at the EEA GIS Center 617.626.1076 with any questions or for assistance with this form. (map) (telephone number) (block) (lot) (deed book) (page) (plan book) (page) (name) (holder of the deed: Municipality, Land Trust, etc. ) (Conservation Commission, Parks Dept., Water Dept., etc.) (date recorded)