Open Space Acquisition Eligibility Form
COMMUNITY PRESERVATION ELIGIBILITY
DETERMINATION FORM
The purpose of this form is to make sure that all project applications applying for Community
Preservation Act funding are eligible for funding. Please refer to Appendix-E in the
Community Preservation Plan when filling out this form. This form must be approved in
order for an application to be accepted.
Project Title: Priority Open Space Acquisition
Project Sponsor/Organization: Northampton Conservation Commission
Contact Name: Wayne Feiden, Director of Planning and Sustainability
Property Owner, if applicable: Details to follow in full application
Mailing Address: 210 Main Street, Room 11, Northampton MA 01060
Daytime phone #: 413-587-1265 Fax #: 413-587-1264
E-mail address: wfeiden@northamptonma.gov
CPA Program Area (check those that apply):
X Open Space � Historic Preservation
� Community Housing � Recreation
Project Purpose (check those that apply):
X Acquisition � Creation � Preservation
� Support � Rehabilitation/Restoration
Project Summary: Please provide a brief description of the project.
Acquisition of a priority open space project to be permanently preserved for open space
and outdoor recreation
For CPC Use Eligible: _____ Not Eligible: _____ Date: __________ Reviewer: ____________________