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JFK Field - Northampton Rec eligibility formt ` COMMUNITY PRESERVATION ELIGIBILITY DETERMINATION FORM The purpose of this form is to make sure that all proj a a pplying for Co_mmuniy 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 Project Title: JFK Middle School Playing Fields Rehabilitation Project Sponsor /Organization: Northampton School Department., Northampton Recreation Commission Central Services Department Contact Name: Jim Miller, Northampton High School Athletic Director; Ann -Marie Moggio, Recreation Director Dave Pomerantz Central Services Director Property Owner, if applicable: City of Northampton Mailing Address: 90 Locust St., Northampton, MA 01060 Daytime phone #: 413- 587 -1356 (Jim Miller) 413- 587 -1040 (Ann -Marie Moggio) Fax #: 413 - 587 -1045 E -mail address: jmillerCcbnorthampton -k12 us amoggioftorthamptonma gov CPA Program Area (check those that apply): Open Space Historic Preservation Community Housing X Recreation Project Purpose (check those that apply): Acquisition Creation Preservation Support X Rehabilitation/ Restoration Project Summary: Please provide a brief description of the project. Design and install irrigation system to playing fields, rehabilitate 90' baseball field with new sod and infield material For CPC Use Eligible: Not Eligible: Date: Reviewer: