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DEP WPA 2010 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands Northampton City/Town LL WPA Form 1 - 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 01060 key. City/Town State Zip Code (413) 238-3154 m Phone Number Fax Number(if applicable) 2. Representative (if any): . Ar% 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 Ad ® d. whether the area and/or work depicted on plan(s) referenced below is subject to the jurisdictiol 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). wpaformt dog Page I o'4 Lihik, Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands Northampton City-I-own WPA Form 1 - Request 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. wpaforml cbc Page 2 of 4 Massachusetts Department of Environmental Protection Northampton Bureau of Resource Protection - Wetlands WPA Form 1 - Request for Determination of Applicability CitylTown 1 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 dee, 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.) .pa'orn1.doc Page 3 of Massachusetts Department of Environmental Protection • - Bureau of Resource1Protection -RequestWetlandsDetermination of Applicability Northampton Form CitylTown WPA - for 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 Applicabilit! 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 accordance with Section 10.05 3)(b)(1) the Wetlands Protection Act regulations. r. f , Cr ,\k c, \r\_ SignaTGApplic r oit Date Signature of Representative(if any) Date wpafonnl.doc =age 4 of= 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. /1 1' ----- ---\\ • Approximately 230'from Property Line to River / sgovel- / ,,-- ---- % ' / / / / / 98'/ / / \ // j / TBM Nall In Shiner In Twin Sliver Maple �// / Assumed Elevation 100 / /// / / k� / / ----:---- / © 3 / / // / _- New 1500 gal 2 compartment \ / � // / . c Tarn ..------\ • "t1e' • _�'� /. // �A a�3 03,000 / ici it_ i ' /� '� Test Pit 2 Water line ,yF/ /Pdpp 10 /' , n' 8 Perc Test /009400 ' 103'--- --- \ ; i•{; O Existing Paved Driveway / ` .;; 'i,, 8 Parking Area Existing Sept Tank / �M ` 1. �? v •� 1 f• ill •,••SiQ° / Limit of Work area . . �:„ t Nay bales or sit fence \ •� µ 4 •,•, a\T\ Plt 1 .J`;s c;`i�';r / i / / Damon Road ----We'''. 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