Commonwealth of Massachusetts
Executive Office of EnvironmentalAffairs MEPA Office
Executive O f i e of Environmental Affairs
ENF
Environmental Notification Form
EOEA No.: /8 MEPA ~ n a l ~ s t A ; ( ; AZ ~ V U / L ) S
/&a
The information requested on this form must be completed to begin MEPA Review in accordance with the provisions of the Massachusetts Environmental Policy Act, 301 CMR 11.00.
Does this project meet or exceed a mandatory EIR threshold (see 301 CMR 11.03)? OYes Has this project been filed with MEPA before'? ) U Y e s (EOEA No. Has any project on this site been filed with MEPA before? a y e s (EOEA No. ) Is this an Expanded ENF (see 301 CMR ii.o5(7))requesting: OYes a Single EIR? (see 301 CMR 11.06(8)) a Special Review Procedure? (see 301CMR 11.09) OYes UYes a Waiver of mandatory EIR? (see 301 CMR 11.1I) a Phase I Waiver? (see 301 CMR 11.11) UYes
ElNo NNo KIN0 HNo [YINo
EN0
€N XO I
Identify any financial assistance or land transfer from an agency of the Commonwealth, including the agency name and the amount of funding or land area (in acres): None Are you requesting coordinated review with any other federal, state, regional, or local agency? uYes(Specify ) EVJo O List Local or Federal Permits and Approvals: Buildinq Permit - Hull Buildina De~artment: rder of Conditions - Hull Consewation Commission; C. 91 s. 10A Annual Permit Hull Harbormaster
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Revised 10199
Comment period is limited. For information call 617-626-1020
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Which ENF or EIR review threshold(s) does the project meet or exceed (see301 CMR 11.03): Land Water Energy ACEC Rare Species Wastewater Air Regulations
(XI Wetlands, Waterways, & Tidelands
Transportation Solid & Hazardous Waste Historical & Archaeological Resources
[Summaryof State Permits &
I
& Environmental lm~acts
I
I
I
I
Approvals
Order of Conditions Superseding Order of Conditions Chapter 91 License 401 Water Quality Certification MHD or MDC Access Permit Water Management Act Permit New Source Approval DEP or MWRA Sewer Connection1 Extension Permit Other Permits (includingLegislative Approvals) - Specify:
1 Acres of im~ervious area
1
4,400 sf
I
0
I
4,400sf
I
1 dependent use of tidelands or I
Gross square footage Number of housing units Maximum height (in feet)
I Vehicle trips per day 1 Parking spaces
Gallondday (GPD) of water use GPD water withdrawal GPD wastewater generation1 treatment Length of waterlsewer mains (in miles)
1
1 4
450 2
1
1
0 2
1
1
450 4 4
1
1
I
o
6,000