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Bogs and Turtles Eligibility Form COMMUNITY PRESERVATION ELIGIBILITY DETERMINATION FORM The purpose of this form is to make sure that all project applications applying for Community Preservation Act funding are eligible for funding. Please refer to Appendix-E in the when filling out this form. This form must be approved in order for an application to be accepted. Project Title: 'Bogs and Turtles' Open Space and Affordable Housing Office of Planning and Sustainability Project Sponsor/Organization: Wayne Feiden, Director of Planning and Sustainability Contact Name: Tofino Associates Property Owner, if applicable: 210 Main Street, Room 11, Northampton MA 01060 Mailing Address: (413) 587-1263(413) 587-1264 Daytime phone #: Fax #: wfeiden@northamptonma.gov E-mail address: CPA Program Area (check those that apply): 44 Project Purpose (check those that apply): 44 Project Summary: Please provide a brief description of the project. CPA Funding is sought for a combination open space protection and affordable housing project. It will include protection of 115 acres of open space in an environmentally sensitive area, and creation of new lots that will be used for affordable housing. For CPC Use Eligible: _____ Not Eligible: _____ Date: __________ Reviewer: ____________________