36_-248_letterAD 46 Maple Ridge Rd- abbreviated notice of intent310 CMR: DEPt— I'MENT OF ENVIRONN4ENTAL PRG r, ,CTION
10.99: continued
DEP He No.
Form 4 (To be provided by DEP)
Commonwealth
of Massachusetts City/Town Northampton
Applicant _ Hamilton. Scott
Abbreviated Notice of Intent
Massachusetts Wetlands Protection Act, G.L. c. 131, §40
To be used only for projects of minimum impact, as described in the General Instruction for Completing the Notice of
Intent.
1. Location: Street Address 46 Maple Ridge Drive
Lot Number Map 36/Lot 248
2. Project: Type Construction Description Septic System Repair
Registry: County Hampshire Current Book 3565 & Page 137
Certificate (if Registered Land)
Applicant Scott Hamilton Tel. 413-586-1173
Address 46 Maple Ridge Drive
Property Owner Same Tel.
Address
6, Representative Hill -Engineers Architects Planners Inc Tel. 413-684-0925
Address 50 Depot Street Dalton NIA 01226
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 [ X ] NO [ )
b. Has the fee been submitted? YES [ X) NO [ ]
c. Total Filing Fee Submitted $55 + $35 local
d. City/Town Share of Filing Fee S40+$35 State Share of Filing Fee $15
(Sent to Cityaown) ('/, of fee in excess of $25, seat to DEP)
e. Is a brief statement attached indicating how the applicant calculated the fee?
YES[X] NO [ ]
3. Have all obtainable permits, variances and approvals required by local by-law been obtained or applied
for? YES [ X ] NO [ )
Obtained Applied for. Not Applied For:
_Disposal Works
Construction
Permit
9. Is any portion of the site subject to a Wetlands Restriction Order pursuant to G.L. c. 131, §40A or G.L.
C. 130, §105? YES [ ] NO [ X]
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10.99: continued
10. List all plans and supporting documents submitted with this Notice of Intent.
Identifying
Number/Letter Title, Date
SPT -200-1 Sevtic System Repair June 30 1997
I. For work proposed within the Buffer Zone (as defined in Part I, Sections 10.02(2) and 10.04 of the
regulations) describe, with reference to supporting plans and calculations where necessary;
(a) The size, shape, type and location of the proposed work.
The proposed work involves the reconstruction of an existing soil absorption system partially
within (2) 100 foot buffer zones. The total affected area is approximately 600 square feet.
(b) Mitigating measures and designs to insure that the proposed work will not alter the resource area
which said Buffer Zone borders; or if it will alter said resource area, the mitigating measures and
designs proposed to meet the performance standard established for that resource area in Part Il or
Part III of these regulations.
Mitigating measures will be the installation of hay bales on the down slope end of any
construction as shown on above plan. Hay bales shall remain in place until area has stabilized
12. For work proposed within Land Subject to Flooding (as defined in Part III, Section 10.57(2) of these
regulation) describe, with reference to supporting plans and calculations where necessary:
(a) The size, shape, type and location of the proposed work-
(b)
ork
(b) Mitigating measures and designs proposed to meet the performance standards set forth in Part III,
Sections 10.57(4) and 10.60 of the regulations.
13. Is the project within estimated habitat which is indicated on the most recent Estimated Habitat Map of
State -Listed Rare Wetlands Wildlife (if airy) published by the Natural Heritage and Endangered
Species Program?
YES [ X ] NO [ ] Date printed on the Estimated Habitat 1b1ap
NO MAP AVAILABLE [ ] (if any) 1995-1996
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310 CMR: DEP-,,— rNIENT OF ENVIRONA4ENTAL PRG _ -,CTION
10.99: continued
If yes, have you sent a copy of the Notice of Intent to the Natural Heritage and Endangered Species
Program via the U.S. Postal Service by certified or priority mail (or otherwise sent 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 [ ]
If yes, please attach evidence of timely mailing or other delivery to the Natural Heritage and Endangered
Species Program.
I hereby certify under the pains and penalties of perjury that the foregoing Notice of Intent and accompanying
documents and supporting data are true and complete, to the best of my knowledge. plans,
(�
Signature oo�f Applicant
U��
Signature of Applicant's Representative
4/1/94
Date
-7 f 9�
Date
310 CMR - 401