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12-029J fitzgerald lake conservation310 cMR 10.99 Dorm 3 NINE COPIES OF THIS FORM, COMPLETE WITH PLANS, TO CONSERVATION COMMISSION TTAO COMPLETE COPIES TO DEP, SPRINGFIELD CoanonweaZ tb 3 A) of Xassacbusetts DEP 246 - (To be P+aridai by DEP) Clty(r Northampton Applicant Of f irp Qf E velop. Department of Defense Onited States. Notice of Intent of Amerjca Under the Kassachusetts Wetlands Protection Act, c. 131, 5,fo and Application for a Department of the Army Permit & NORTHAMPTON WETLANDS PROTECTION ORDINANCE Part I: General Information 1. Location: Street Address North Farms Road Assessor's Map ID - I 2. project: Type Description Provide h ndicao accessible Parki the parkinq lot to the Lake, 3. Registry: County Ha mpshir e C•,2 =rent Book 1951 page 261 Certificate (if Registered Land)_I" 4. Applicant Office of Planning & Deve Attn: Wayne Feiden Address C'i t-T, u =i i ') n TA-,; Te1.413- 586 -6950 t 5. property owner Conservation Commission, City of North o 586 -6950 Address City Hall, 210 Main St., NortharrTDton, MA 010601 6. Representati Addres (7. a. Have the conservation Commission and the Department been sent, by certified mail or hand deliver, 2 copies Intent, with supporting plans and documents? Yes ® No ❑ (9 COPIES TO CONSERVATION COMMISSION) b. Has the fee been submitted? Yes ® No ❑ C. Total Filing Fee submitted None - M un i . i pa_1 ayol i c-a d. City /Town Share of Filing Fee 0 State Share c (sent to City /Town) (S4 of fee in - -a. Is a brief statement ati fee? ❑ Yes a No r• Per zit requested under. Effective 11/20/92 Tel. Regional office each completed Notice.of Filing Fee 0 :ess of S25, sent to DEP) ached indicating how the appl cant calculated the No fee -Mass. Wetlands Protection Act (?10 C•IR 10) : LZ Northampton Wetlands Protect- Ordinance • !/ 3 -1 3. Have all obtainabla permit vamiarces and anprnvalc requ.red by local by -law b ?en :btai::ed? Yes No ❑ No other permits required Obtained Applied for: Not Applied For: 9. Is any portion of the site subject to a Wetlands strict' n order pursuant to G.L. c. 131, 540A or G.L. c. 130, 5105? Yes 1 No if 10. List all plans and supporting documents submitted with this Notice of Intent. Identifying Number /Letter Title, Date Fitzgerald Lake Conservation Area GIS MAP Accessibility Improvement, - Marc -h �ga� 11. Check those resource areas within which work is proposed: (a) ® Buffer Zone (b) Inland: ® Bank* Land Subject to Flooding ® Bordering vegetated wetland* ❑ Bordering ® Land Under water Body & Waterway* ❑ Isolated *Likely 'o involve U.S. Army Corps of Engineers concurrent jurisdiction. See General Instructions for Completing Notice of Intent. 3 -2 12. is the proja:t within esi.imated habitat which is indicated on the most recent Estimated Habitat Map of State - Listed Rare wetlands wildlife (if any) published by the Natural Heritage and Endangered Species Program? Only applies. to projects along Conn. River, Oxbow, rill River, the Conn. River flood - YES f X i NO I 1 plain, or the V_A_ hospital at Route 9, Date printed on Estimated Habitat Map: Oct6be- If yes, have you sent a copy of the Notice of Intent to the Natural Heritage and Endangered Species Program via the U.S. Postal Service by certified or S0J priority mail (or otherwise sent it in a manner that guarantees delivery within two days) no later than the date of the filing of this Notice of Intent with the conservation commission and the DEP regional office? YES [ Xl NO [ I If yes please attach evidence of timely mailing or other delivery to the Natural Heritage and Endangered Species Program. Part Its Site Description Indicate which of the following information has been provided (on a plan, in narrative description or calculations) to clearly, completely and accurately describe existing site conditions. Identifying Number /Letter (of plan, narrative or calculations) Natural Features Cnil Map soils r N/A Vegetation GIS MAP Topography GIS MAP Open water bodies(including ponds and lakes) GIS MAP Flowing water bodies(including streams and rivers) GIS MAP Public and private surface water and ground water supplies. N/A on or within 100 feet of.site Maximum annual ground water elevations with dates and GI MAP location of test Boundaries of resource areas checked under Part 1, item 11 above .other Man -made Features• NSA Structures (such as buildings, g Piers, towers and headwalls) N/A Drainage and flood control facilities at the site and i— diately off the site, including culverts and open N/A channels (with inverts), dams and dikes Subsurface sewage disposal systems •' N/A Underground utilities 3 -3 GIS MAP Roadways and parking areas G MAP Pr, r _t bouncari e4 . 3a3:. - aentm and rii hts -of -:Jay GIS MAP other Part III: work Description Indicate which of the following information has been provided (on a plan, in narrative description or calculations) to clearly, completely and accurately describe work proposed within each of the resource areas checked in Part I, item 11 above. identifying Number /Letter (of plan, narrative or calculations) Planview and Cross Section of: GIS MAP Structures (such as buildings, piers, towers and headwalls) NSA Drainage and flood control facilities, including culverts and open channels(with inverts), dams and dikes N / A subsurface sewage disposal systems & underground utilities N/A Filling, dredging and excavating, indicating volume and composition of material NZA compensatory storage areas, where required in accordance with Part III, Section 10.57(4) of the regulations. wildli`_e habitat restozarion or tep_ic3:icn areas Other Point source Discharge N / A Description of characteristics of discharge from point source (both closed and open channel), when point of discharge falls within resource area checked under Part I, item 11 above, as supported by standard engineering calculations, data and plans, including but not limited to the following: 1. 2. 3. 4. Detineation of the drainage area contributing to the point of discharge; Pre -and Post- devetopment peak run -off from the drainage area, at the point of discharge, for at Least the 10 -year and 100 -year frequency storm; Pre - and post -deve t opment rate of infittration contributing to the resource area checked under Part I, item 11 above; Estimated meter quatity characteristics of pre- and post- devetopim t run -off at the point of discharge. 3 -4 Part IV: Mitigating Measures i. Ctea.:v. - to.nletety s: d arcura'ely descr +`+e, with reference to supporting ptans and catcutations where necessary: (a) ALL measures and designs proposed to met the performance standards set forth under each resource area specified in Part II or Part III of the reputations; or (b) Why the presumptions set forth under each resource area specified in Part II or Part III of the regulations do not apply. S - Resource Area Type: identifying number or ■ Inland letter of support BANK documents Bank be crossed by 4' boardwalk /dock. Boardwalk will span bank with no contact. Boardwalk is narrow enough that vegetation will be able to grow underneath it and recieve adequate light. '=': Resource Area Type: Inland - Boardwalk will span B.V.W. and is narrow enough that vegetation will be able to grow underneath it. Only direct contact will be concrete bumpers or wooden piers apr. 6 feet on- center that support boardwalk. Identifying number or letter of support documents 3 -5 2. Clearly, completely and accurately describe, with reference to supporting plans and calculations where necessary: (a) all measures and designs to regulate work within the Buffer Zone so as to ensure that said work does not alter an area specified in Part I, Section 10-020)(a) of these regulations; or (b) if work in the Buffer Zone will alter such an area, all measures and designs proposed to meet 'I perf,)r::ance standards zsr.?t Hshea for th- adjacen* resource area, specified in Part I1 or ?ar: 1:1 cf these reguiaticna. Resource Area Type Bordered Identifying number or Inland By 100 -Feet Discretionary Zone: letter of support documents Proper erosion control will be used to prevent constructing impacts. No ongoing impacts are anticipated. 3 -6 Part v: Additional Information for a Department of the Army Permit 1. COE Application No. (to be provided by COE) 2. (Name of waterway) 3. Names and addresses of property owners adjoining your property: 4. Document other project alternatives (i.e., other locations and /or construction methods, particularly those that would eliminate the discharge of dredged or fill material into waters or wetlands). 5. 8h° x 11" drawings in planview and cross - section, showing the resource area and the proposed 'activity within the resource area. Drawings must be to scale and should be clear enough for photocopying. Certification is required from the Division of water Pollution Control before the Federal permit can be issued. Certification may be obtained by contacting the Division of Water Pollution Control, 1 Winter Street, Boston, Massachusetts 02108. Where the activity will take place within the area under the Massachusetts approved Coastal Zone Management Program, the applicant certifies that his proposed activity complies with and will be conducted in a manner that is .;onsistent with the approved program. Information provided will be used in evaluating the application for a permit and is made a matter of public record through issuance of a public notice. Disclosure of this information is voluntary; however, if necessary information is not provided, the application cannot be processed nor can a permit be issued. I hereby certify under the pains and penalties of perjury that the foregoing Notice of Intent and accompanying plans, documents and supporting data are ;true and complete, to the best of my knowledge. March 1, 1993 Signature of Applicant Date Wayne Feiden, for the Office of Planning & Development Signature of Applicant's Representative Date FORM "Exception to EMG Form 4365 approved by HQUSACE, 6 May 1982° ■ED 100 (TEST) 1 MAY 82 "This document contains a joint Department of the Army and State of Massachusetts apptication for a permit to obtain permission to perform activities in United States waters. The Office of Management and Budget(OMS) has approved those questions required by the US Army Corps of Engineers. OMs Number 0702 -0036 and expiration date of 30 September 1983 applies ". This statement wilt be set in 6 point type. 3 -7