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Division of
Forests & Parks
N...-1
Page / of
Notice of Intent / Forest Cutting Plan
(M.G.L. Chapter 132, sees. 40 - 46)
FOR D.E.M. USE ONLY _
ATTACHMENTS
Master Map Date Received S
Steep Slope Form(SS) -.-- Locus Map File Number
Wetlands Form Form Special Maps —
PLEASE PRINT OR TYPE
TOWN Jl6,1 rA WA" « ROAD
LANDOWNE /, c, nee; _ n ADDRESS �. �, ; - r t bi TEL `>
OPERATOR L as A ADDRESS p p TEL 5 -790
*HARVESTING LICENSE NUMBER r�� ;EST. DATE CUTTING TO BEGIN
AGENT /V' /� ADDRESS TEL
ACRES CUT ; VOL. CUT : BOARD FEET ✓ /mil ;CORDS 16,o C oyu�
TREE FARM NUMBER (OPTIONAL) /vl,,9
DESCRIPTION OF AREA TO BE CUT
1. FOREST TYPE: A �_ HdWC% B C D
2. ACRES: A 23 B C D
(ENTER APPROPRIATE STAND LETTER(S) FOR NOS. 3, 4, & 5)
3. PURPOSE(S) OF CUT: HARVEST A ;INTERMEDIATE ;AESTHETIC /RECREATION ;
SALVAGE ;WILDLIFE HABITAT IMPROVEMENT ;WATER MANAGEMENT ;OTHER
4. SOURCE OF REGENERATION: SEEDING FROM SURROUNDING /RESIDUAL STAND 09 ;PLANTING
SEEDING FROM CUT TREES ;ADVANCE GROWTH A ;DIRECT SEEDING ;
SPROUTS ;OTHER
5. HARVEST SYSTEM USED: SELECTION CUT ;SHELTERWOOD CUT .;SEED TREE CUT ;
COPPICE ;COPPICE WITH STANDARDS ;CLEARCUT ;SALVAGE CUT ;
SPECIAL HARVEST CUTTING (ATTACH EXPLANATION) ;INTERMEDIATE CUT
6. DESIGNATION OF TREES TO BE CUT: INDIVIDUALLY MARKED ;AREAS TO BE CLEARCUT
DESIGNATED BY MARKED TREES OR FLAGGING OF BOUNDARY ;OTHER (SPECIFY SPECIES,
DIAMETER, SIZE, & MARK BOUNDARY)
ETC.) /9' / /��p %'
7. ESTIMATED VOLUME BY SPECIES: BOARD FEET, CORDS OR PERCENTAGE (OPTIONAL)
WHITE PINE ASH HICKORY
RED PINE ASPEN SUGAR MAPLE
PITCH PINE BEECH RED MAPLE
HEMLOCK WHITE BIRCH RED OAK
SPRUCE YELLOW BIRCH WHITE OAK U /{if 3 ,C -
OTHER SOFTWOODS BLACK BIRCH OTHER OAKS
BLACK CHERRY OTHER
LOGGING AND ENGINEERING
8. MEASURES'PLANNED TO CONTROL EROSION (CHECK):
a. LAY OUT AND CLEAR ROADS IN ADVANCE
b. LAY OUT AND CLEAR MAIN SKID ROADS IN ADVANCE
C. WATER BARS
d. HAY IMPOUNDMENTS
e. SEEDING DISTURBED SOIL
f. REPAIRING RUTS
g. CULVERTS
h. BRIDGES
i. CROSS STREAMS AT RIGHT ANGLES
j. STOP SKIDDING DURING MUDDY CONDITIONS
k. OTHER:
ROADS LANDING
XXXXXXX
XXXXXXX
X
X
XXXXXXX
XXXXXXX
XXXXXXX
*SEE FOOTNOTES a., b., & d. ON THE REVERSE SIDE
File No. Page of
9. a. WIDTH OF BUFFER`wrRIPS ALONG PUBLIC WAYS: 50 P-r: --A_ ;100 FT.
b. WIDTH OF BUFFER STRIPS ALONG WATER BODIES: 50 FT. x_ ;100 FT.
C. PLAN TO CUT LESS THAN 50% IN BUFFER STRIPS: YES >( ;NO
SHOW LOCATIONS ON ANY SUPPLEMENTARY MAPS ATTACHED TO FORMS WL AND SS.
10. MEASURES TO CONTROL MUD ON PUBLIC HIGHWAYS:
a. GRAVEL OR MULCH ACCESS ROAD b. STOP TRUCKING DURING MUDDY CONDITIONS X
c. CLEAN MUD FROM HIGHWAYS '
11. ARE CRITICAL AREAS INVOLVED?
a. WETLANDS: YES NO IF YES, COMPLETE FORM WL.
b. STEEP SLOPES (OVER 30% FOR 200 FT.): YES ; NO IF YES, COMPLETE FORM SS.
12. CHECK IF LAND IS UNDER CHAPTER 61 or CHAPTER 61A
MANAGEMENT PLAN NO. ;EST. STUMPAGE VALUE ' $ N U
ARE BOUNDARIES WITHIN 50 FT OF CUTTING AREA PAINTED /BLAZED? YES NO
13. REMARKS/ COMMENTS: ,- eMf��v��.► 5 -13- lJr�
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14. SIGNATURE PE ON PREPA PLAN (IF OTHER T LANDOWNER):
Signature Date
15. LANDOWNER(s)
SIGNATURE (s) : Dat e A0, � Z �9 �
Date
I(WE) HEREBY CERTIFY THAT I(WE) HAVE THE LEGAL AUTHORITY TO CARRY OUT THE ABOVE
DESCRIBED OPERATION. FAILURE TO ACCURATELY UPDATE.THE MATERIAL HEREIN REQUIRED
AND PROVIDE OTHER RELEVANT INFORMATION CAN RESULT IN THE VOIDING OF THIS PLAN.
WARNING: THIS PLAN, ONCE SUBMITTED BY THE LANDv ^ vP ER AND.NOT DISAPPROVED BY THE
DIRECTOR, HAS THE FORCE OF LAW; AND FAILURE TO FOLLOW THE PLAN AND THE LOGGING AND
SKID ROAD STANDARDS OR FAILURE TO COMPLY WITH THE SLASH LAW (M.G.L. CHAPTER 48, SECS.
16 & 16A) MAY MAKE THE LANDOWNER AND /OR TIMBER HARVESTE R SUBJECT TO THE PENALTIES BY LAW.
FOR OFFICE USE
PLAN APPROVED DATE
PLAN DISAPPRO DATE
THIS APPROVAL IS OF ONLY THE CUTTING PLAN AND IN NO WAY DETERMINES THE RIGHT TO CARRY
OUT THE DESCRIBED OPERATION.
FILE(WORK ORDER) NO. /
EXPIRATION DATE ~L� �-
DIRECTOR'S AGENT - FORESTER
PLAN COMPLETION DATE EXTENDED TO
DATE
IMPORTANT: a. IT SHALL BE THE LANDOWNER'S RESPONSIBILITY TO INFORM THE DIRECTOR OR HIS
AGENT OF INFORMATION LEFT BLANK ON THE FORM INCLUDING THE OPERATOR'S NAME AND LICENSE
NUMBER AND ANY SUBSTANTIAL CHANGE IN THE DATE THE CUTTING IS TO BEGIN. FAILURE TO DO SO
MAY RESULT IN VOIDING THIS PLAN. b. PERSONS HARVESTING FOREST PRODUCTS COMMERCIALLY IN
MASSACHUSETTS MUST BE LICENSED UNDER SEC. 46, CH. 132 OF THE GENERAL LAWS, AND ARE HELD
RESPONSIBLE FOR COMPLYING STRICTLY WITH A SUBMITTED /APPROVED CUTTING PLAN. C. IF AN
AGENT IS APPOINTED, A WRITTEN AUTHORIZATION MUST ACCOMPANY THIS PLAN AND MUST BE SIGNED
BY THE AGENT AND THE PRINCIPAL (LANDOWNER). d. A LOCUS MAP AND MASTER MAP ARE REQUIRED
(SEE INSTRUCTIONS). —
4
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Wetlands
Massachusetts Forest Cutting Practices Act
Page of `7
- T AJJ;� 4 '" Division of Forests & Parks
r FORM WL
1. THE FOLLOWING WETLAND SITUATIONS EXIST: (check those used)
A. Stream crossings (indicate location(s) on map by number
Method of Crossing Is Structure
# Loc. on Mad Ford Bridge culvert Other(describe) permanent temporary
A -1
A -2
A -3
A -4
B. CROSSING of wetland areas (swamps, land subject to flooding, bordering
vegetative wetlands, etc.)
To Be Done When Ground Is:
# Loc. on ap Dry Frozen Special Provision (see #4 ) If crossing
B-1 is by a cause -
B -2 way, then de-
B scribe on a
B-4 separate sheet
C. LOGGING of wetland areas (swamps, land subject to flooding, bordering
vegetative wetlands, etc.)
To Be Done When Ground Is:
# Loc. on Map Dry Frozen Special Provision (see #4)
C -1 NOTE: Not ove
C -2 50% of Basal
C -3 I Area may be cu
C -4 a t 'one time.
2. MAPS In simple situations, wetlands and operations may be shown on the master
map. More complex situations may require a supplementary map to accompany this
form. In any event, the following items must be clearly shown:
A. All wetland areas in and around the area to be operated.
B. Filter strips 50 feet wide along all water bodies.
C. Portions of filter strips to be crossed by logging equipment (see 3 below)
D. Buffer strips of 50' or 100' along all water bodies (see cutting plan #9).
E. Location of truck roads, landings, or main skid roads (including stream
crossings by ford) located within the wetland areas.
F. Location of water control structures such as bridges, culverts, hay
impoundments and sections of roads needing water bars.
G. Is a supplementary map attached? Yes ; No X -
3. Specific reason(s) for operating logging equipment within filter strips:
4.. If crossing or logging of wetland areas is to be done by special provision see
I.B. or C. above), describe: a.) The special provisions; and b.) why the operation
is not feasible when soil is dry', frozen or otherwise stable.
NOTE: DO NOT REFUEL OR CLEAN ANY EQUIPMENT WITHIN 100 FEET OF A WETLAND AREA!
Date ; 4- L Landowner Signature
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** **771 7171 717171 7171 7171 7171 71 7171 71 7171 717171 717171 71717171 7171 7171 7171 717171717171 * * * **
File No.
APPROVED .�
DISAPPROVED Date DIRECTOR'S AGENT - FORESTER
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