12C-095 Determination of applicability ZieminskiForm 2
oeoe Fw No. 246 -
�. \ (Te br prtolilsi/tiy0llim)
Communwedlth C.Wyfr~ Nurtham+t,an
of Massachusetts
\ cwt Zieminski
ty
Determination of Applicability
Massachusetts Wetlands Protection Act, G.L. c. 131, §40
From_ t l i
To John Zier.iinski David A. Sullivan (Westfield)
(Name of person making request) (Name of property owner)
31 Olive Street, North a m pton c/o Borowski Real Estate
Address_ Address 88 Kine St.. Northampton
This determination is issued and delivered as follows:
M by hand delivery to person making requvat on (picked up by Applicant) 4/ 3/84 do ft)
U by certified mail, return receipt requested on - 4 000)
Pursuant to the authority-of G. L. c. 131. §40. the Conservation Coamiiasiog
has considered your request for s Determination of ApplicabiMty and Its suppo t V nantaflon, and two
made the following determination (check whichever is appNcable):
This Determination is positive:
O The area described below, which includes alt/pan of the area described in your reweet, is an Area
Subject to Protc,,tion Under the Act. Therefore, any removkV. fitllnp, dred&V or alMrbV of # at
area requires the filing of a Notice of intent.
2 U The work described below, which includes ad/part of the work described in your request. is within
ail Area Subject to Protection Under the Act and wig remove, 18. dredge or alter that area. There.
fore, said work requires the filing of a Notice of Intent.
2 -1
r _k
..001"
1 he work described below, which Includes all /part of the work described in your request, is within
the Buffer Zone as defined In the regulations, and will alter an Area Subject to Protechw Linder
the Act. Therefore, said work requires the filing of a Notice of Intent.
This Determination Is negative.
t . D The aroa described in your request is not an Area Subject to Protection Under the Act.
2. ❑ The work described in your request is within an Area Subject to Protection Under the Act, but wg
not remove, fill, dredge, or alter that area. Therefore, said work does not require the filing of a
Notice of Intent.
3. L� The work described in your request is within the Buffer Zone, as defined in the regulations, but wiM
not alter an Area Subject to Protection Under the Act. Therefore, said work does not require the
filing of a Notice of Intent., provided said work conforms to the plans submitted w> r r
the Request for a Determination of Applicability.
4. U The area described In your request is Subject to Protection Under the Act, but since the work
described therein meets the requirements for the following exemption,as specified in the Act and
the regulations, no Notice of Intent is required:
Issued by t h e No t c h an,p t on . _ Consetivo0fCommission
9 , /J_'
Si natures) t ' ��G �/�,, �%��/L � . ' /1ii� Z - 0 -
This Determination must be signed by a majority of the Conservation Commission.
On this__ ^ �_ _ day of /
personally appeared 1 &— before me
to me known to be the
Per §Qq described in, and who executed, the foregoing instrument, and acknowledged that he /she executed
t s e as his /her free art deed.
s �
otary Public
My commission expires
This Determurafrun noes not relieve the applicant from complying with all other applicable federal, state Or local statutes, ordinances,
by-taws or regulations This Determination shall be valid for three years form the date of issuance.
The applicant, the owner. any person aggrieved by this Determination. any owner of land abutting the land upon which the proposed
work is to be done, or any ten residents or the city or town in which such land is located, are hereby notified of their right to request the
Department of Environmental Quakily Engineering to issue a Superseding Determination of Applicability, providing the request is roads
by certified mad or hand delivery to the Department within ten days from the date of issuance of this Determination. A copy of the r
shall at the same time be sent by certified mail or hand delivery to the Conservation Commisswn and the applicant. equeat
2.2A
N%MVI
Form 1
Commonwealth
of Massachusetts
Ing
DEGE File No. 246_
(To t* provided by DEOE)
City/Town _ Northampton 1
Appllcant N �• 2-" j N It 1
Request for a Determination of Applicability
Massachusetts Wetlands Protection Act, G.L. c.131, §40
1. I, the undersigned, hereby request that the NOrtha
Conservation Commission make a determination as tow hether the area, described below or Work to be
performed on said area, also described below, is subject to the jurisdiction of the Wetlands Protection
Act, G.L. C. 131, §40.
2. The area is described as follows. (Use maps or plans, if necessary, to provide a description and the
location of the area subject W s is request.)
of CO��y
r•� 1/ �h✓1� NO &—I# koVe WCF' S10 1-716A.1 0,4-
Al Mss
3. The work in said area is described below. (Use additional paper, if necessary, to describe the
proposed work.)
T w D".d -b 4t-4 " dim
O ih C ►^or41 �&-% !'Orme.*- (0.� 4- t
'00a .
,-,
4. The owner(s) of tth�e�area, if not the person making this request, hr 'heen given written notification of this
request on _J—`� /3 / �`� • (date) ...�
The name(A) and address(es) of the owner(s): r
J�,9•✓rD A • SK c.0 v�
lJE3TFiELD MAJS
%, 13 oR Aw sic' 2 &wz- �L
/V o2 i M" pn ^s Ho%r r p /P 60
5. 1 have filed a complete copy of this request with the appropriate regional office of the Massachusetts
Department of Environmental Quality Engineering on 12– 5/ (date)
Northeast
323 New Boston Street
Woburn, MA 01801
Central
75 Grove Street
Worcester, MA 01605
Southeast
Lakeville Hospital
Lakeville, MA 02346
Western
Public Health Center
University of Massachusetts
Amherst. MA 01003
6. 1 understand that notification of this request will be placed in a local newspaper at my expense in accor-
dance with Section 10.05(3) (b) 1 of the regulations by the Conservation Commission and that I wig be
billed accordingly.
Signature _ Name :30 2 f GtMr "' ' � r
Address . U 3 I C)" O F ST' OP %Wfi' / D + ('Z K.s Tel. ` A3 J �y y0 0.7
01660
1 -2
,
Q fie
N O' tt' ar r ~.ff SJ•
r
O p p
•
NJ
- IA y O
Er
&I
I
f c n ,t
w e�
D
I
N...
4
i
M 1
� ;
N /
f
r`
I
41 N
r
1
i
Y'{
IN
/ PEAC. ?PST
R, J
fit►
a,• � i
l
!07 9S Cys-) MWWAMrSAAF ,ACNE-
t�
& 4 i
a�►1
r.�
t�
1�
�8