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GIS_data_entry_formExecutive Office of Energy and Environmental Affairs / Division of Conservation Services GIS Data Entry Form Land Acquisition Programs1. Contact Person: Wayne Feiden2.Grant program:Planning & Sustainability210 Main St., Northampton, MA 01060XLAND(Formerly Self-Help)WFeiden@NorthamptonMA.govPARC(Formerly Urban Self-Help)413.587.1265Conservation Partnership(telephone number)Drinking Water Supply ProtectionLand and Water Conservation FundLandscape PartnershipConservation Land Tax CreditOther3. Municipality: NorthamptonProject number: LAND #24(holder of the deed: Municipality, Land Trust, etc. ) 4a. Fee owner: City of Northampton, through its Conservation CommissionSitename:Rocky Hill Greenwy(Conservation Commission, Parks Dept., Water Dept., etc.) 4b. Manager (if different from fee owner): _Northampton Planning & Sustainability_____5. *Conservation Restriction held by:Massachusetts Audubon Society__________ *Complete only if land is encumbered by a Chapter 184 section 31-33 Conservation Restriction. How was restriction obtained? : gifted exacted by regulation purchased(block) (lot) (map) 5. Assessor’s Information44030 (portion)001(date recorded) (name) 6. Registry InformationHampshire2/28/2020(page) (plan book) (page) (deed book)1355175246 1007. Acreage:8. Primary Use: (select one)Public Access:ConservationPublicRecreationPublic, residents onlyBoth Conservation and RecreationPublic, seasonalWater Supply ProtectionNoneAgricultureOther(please explain)Historic/CulturalOtherThe applicant must provide to the Executive Office of Environmental Affairs GIS Center materials that will accurately represent the site in the state’s open space data layer. These materials include: 1. A copy of a USGS topological map with the site accurately drawn on it. 2. A copy of the site plan and/or a survey plan if available (required for exacted conservation restrictions).The EEA GIS Center will attempt to add the site to the open space data layer using these materials but may request additionalmaterialsfrom the grantee if the materials provided are not at an appropriate scale or are not sufficiently clear to supportconversion to digital data thatconform to the EEA GIS Center’s data standards.Topographical maps can be purchased at many book stores, or can be printed by using OLIVER, MassGIS’s free andeasy-to-use online map data viewer: http://tinyurl.com/oliverqusgsquadbasePlease call Ben Smith at the EEA GIS Center 617.626.1076 with any questions or for assistance with this form.