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Broad Brook to Beaver Brook 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: 'Broad Brook to Beaver Brook' Open Space Acquisition Northampton Conservation Commission Project Sponsor/Organization: Wayne Feiden, Director of Planning and Sustainability Contact Name: Randall family 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): 4 Project Purpose (check those that apply): 4 Project Summary: Please provide a brief description of the project. CPA Funding is sought to acquire 18 acres of priority open space parcel for permanent protection. The parcel will provide a connection between the Beaver Brook and Broad Brook watersheds by linking North Farms Road with protected lands to the west. For CPC Use Eligible: _____ Not Eligible: _____ Date: __________ Reviewer: ____________________