244 DEP WPA 2010 Massachusetts Department of Environmental Protection
Bureau of Resource., Protection-Wetlands Northampton
WPA Form - Request for Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. General Information
Important:
When filling out 1• Applicant:
forms on the Candace M. Clarke
computer, use Name E-Mail Address
only the tab key
to move your 244 Damon Road
cursor-do not Mailing Address
use the return Northampton MA Q1060
key. City/Town State Zip Code
(413)238-3154
rait Phone Number Fax Number(if applicable)
2. Representative (if any):
nen \
Firm
Contact Name E-Mail Address
Mailing Address
City/Town State Zip Code
Phone Number Fax Number(if applicable)
B. Determinations
1. I request the Northampton make the following determination(s). Check any that apply:
Conservation Commission
❑ a.whether the area depicted on plan(s) and/or map(s) referenced below is an area subject to
jurisdiction of the Wetlands Protection Act.
❑ b.whether the boundaries of resource area(s)depicted on plan(s) and/or map(s) referenced
below are accurately delineated.
• c.whether the work depicted on plan(s) referenced below is subject to the Wetlands Protection Act.
® d. whether the area and/or work depicted on plan(s) referenced below is subject to the jurisdiction
of any municipal wetlands ordinance or bylaw of:
Northampton
Name of Municipality
❑ e. whether the following scope of alternatives is adequate for work in the Riverfront Area as
depicted on referenced plan(s).
wpafpmt.00c Page 1 of a
,1 .
L
1
Massachusetts Department of Environmental Protection
Bureau Resource -Wetlands Northampton
City/Town
WPA of Form 1 - RequestProtection for Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
C. Project Description
1. a. Project Location (use maps and plans to identify the location of the area subject to this request):
244 Damon Road Northampton
Street Address City/Town
Map 19 Block 005, Lot 001
Assessors Map/Plat Number Parcel/Lot Number
b. Area Description (use additional paper. if necessary):
c. Plan and/or Map Reference(s):
Sewage Disposal System_Upgrade _ 6/27/10
Title Date
MA GIS Ortho Photo Map & U.S.G.S. Topo Map 6/27/10
Title Date
MA DEP Priorty Habitat Map, and MA DEP Wetlands Map
Title Date
2. a. Work Description (use additional paper and/or provide plan(s) of work, if necessary):
Construct upgraded sewage disposal system to replace failed system. I believe that the property is
more than 200'from the Connecticut River, and more than 100'from any associated BVW. Due to the
extreme drop to the floodplain measuring accurately is not possible.
wpafom,,Joc
Page 2 of 4
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands Northampton
cty/Town
WPA Form 1 - Request for Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
C. Project Description (cont.)
b. Identify provisions of the Wetlands Protection Act or regulations which may exempt the applicant
from having to file a Notice of Intent for all or part of the described work (use additional paper, if
necessary).
Presumption Concerning 310 CMR 15.000: Subsurface Disposal of Sanitary Sewage (Title 5).
See Attached.
3. a. If this application is a Request for Determination of Scope of Alternatives for work in the
Riverfront Area, indicate the one classification below that best describes the project.
❑ Single family house on a lot recorded on or before 8/1/96
❑ Single family house on a lot recorded after 8/1/96
❑ Expansion of an existing structure on a lot recorded after 8/1/96
❑ Project, other than a single family house or public project, where the applicant owned the lot
before 8/7/96
❑ New agriculture or aquaculture project
❑ Public project where funds were appropriated prior to 8/7/96
❑ Project on a lot shown on an approved, definitive subdivision plan where there is a recorded deed
restriction limiting total alteration of the Riverfront Area for the entire subdivision
❑ Residential subdivision; institutional, industrial, or commercial project
❑ Municipal project
❑ District, county, state, or federal government project
❑ Project required to evaluate off-site alternatives in more than one municipality in an
Environmental Impact Report under MEPA or in an alternatives analysis pursuant to an
application for a 404 permit from the U.S. Army Corps of Engineers or 401 Water Quality
Certification from the Department of Environmental Protection.
b. Provide evidence (e.g., record of date subdivision lot was recorded) supporting the classification
above (use additional paper and/or attach appropriate documents, if necessary.)
wpaforn-
=age 30+4
L1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands Northampton
WPA Form 1 - Request for Determination of Applicability City/Town
Massachusetts Wetlands Protection Act M.G.L. c. 131. §40
D. Signatures and Submittal Requirements
I hereby certify under the penalties of perjury that the foregoing Request for Determination of Applicability
and accompanying plans, documents, and supporting data are true and complete to the best of my
knowledge.
I further certify that the property owner, if different from the applicant. and the appropriate DEP Regional
Office were sent a complete copy of this Request (including all appropriate documentation)
simultaneously with the submittal of this Request to the Conservation Commission.
Failure by the applicant to send copies in a timely manner may result in dismissal of the Request for
Determination of Applicability.
Name and address of the property owner:
Candace M. Clarke
Name
244 Damon Road
Mailing Address
Northampton
City/Town —
MA 01060
State Zip Code
Signatures:
I also understand that notification of this Request will be placed in a local newspaper at my expense
in a ance with Section 10.05(3)(b)(1) of the Wetlands Protection Act regulations.
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Signature of Applicant Date
Signature of Representative(if any) Date
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=age 401 4
Presumption Concerning 310 CMR 15.000: Subsurface Disposal of Sanitary Sewage(Title 5).
A subsurface sewage disposal system that is to be constructed in compliance with the
requirements of 310 CMR 15.000 Subsurface Disposal of Sanitary Sewage (Title 5), or more
stringent local board of health requirements, shall be presumed to protect the eight interests
identified in M.G.L. c. 131, § 40, but only if none of the components of said system is located
within the following resource areas:
(a) Coastal:
1. coastal bank 2. coastal beach 3. coastal dune 4. salt marsh
(b) Inland:
1. wet meadows 2. marsh 3. swamp 4. bog
bordering on any creek, river, stream, pond, or lake
and only if the soil absorption system of said system is set back at least 50 feet horizontally from
the boundary of said areas, as required by 310 CMR 15.211 (Title 5), or a greater distance as
may be required by more stringent local ordinance, by-law or regulation. To protect wildlife
habitat within riverfront areas, the soil absorption system shall not be located within 100 feet of
the mean annual high-water line unless there is no alternative location on the lot which conforms
to 310 CMR 15.000 without requiring a variance as determined by the local Board of Health,
with less adverse effects on resource areas.
This presumption, however, shall apply only to impacts of the discharge from a sewage disposal
system, and not to the impacts from construction of that system, such as erosion and siltation
from the excavation, placement of fill, or removal of vegetation. Impacts from construction shall
be minimized by the placement of erosion and sedimentation controls during excavation, limiting
the placement of fill, confining the removal of vegetation to that necessary for the footprint of
the system, and taking other measures deemed necessary by the issuing authority.
The setback distance specified above shall be determined by measuring from the boundary of the
area in question, from the contour at the mean annual flood elevation in inland areas, or from the
top of a coastal bank or the contour at the highest spring tide elevation in coastal areas,
whichever is further from the water body.
The setback distance specified above shall not be required for the renovation or replacement (but
is required for the substantial enlargement) of septic systems constructed prior to the effective
date of 310 CMR 10.00, provided no alternative location is available on the lot and such work
has been approved by the local board of health or the Department, as required by law.
This presumption may be overcome only by credible evidence from a competent source that
compliance with 310 CMR 15.000: Subsurface Disposal of Sanitary Sewage (Title 5) or more
stringent local requirements will not protect the interests identified in M.G.L. c. 131, § 40.
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