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Ferncroft Country Club Pond Restoration by Massachusetts

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									Commonwealth of Massachusetts
Executive Office o f Environmental Affairs                        MEPA Office

                                 Environmental
   ENF                           Notification Form
                                                                               to
                        The information requested on this form must be com~leted beain MEPA
                                                                                Act.
Review in accordance with the provisions of the Massachusetts ~nvironmental'~olic~ 501 CMR
11.oo.




  Does this project meet or exceed a mandatory EIR threshold (seesol CMR II.D~)?
                                                 OYes                                                        X No
  Has this project been filed with MEPA before?
                                                 OYes(E0EANo.                   )                            X No
                .
  Has anv Droiect on this site been filed with MEPA before?
         - .
                                                 a y e s (EOEA N      o          .                           X No
  Is this an Expanded ENF (see 301 CMR II.o~(~))
                                               requesting:
   a Single EIR? (see 301 CMR ii.o6(8))                ayes
   a Special Review Procedure? (see ~OICMR I1.09)      ayes
   a Waiver of mandatory EIR? (see 301 CMR 11.11)      ayes
   a Phase I Waiver? (see 301 CMR 11.11)               OYes
  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):=

  Are you requesting coordinated review with any other federal, state, regional, or local agency?
            X Yes (Specify: DEP 401 WATER QUALITY CERTIFICATION) U N o

  List Local or Federal Pernits and Approvals: USACE 404 WATER QUALlN PERMIT, NO. NAE-2007-
  1813: ORDERS OF CONDITIONS FROM THE TOWNS OF MIDDLETONAND TOPSFIELD, MADEP FILE
  NOS. 222-0597 AND 307-0583, RESPECTIVELY.


Revised 10199        Comment period is limited. For information call 617-626-1020




                          -*.,
                           ,,        ...   ,. .   ,,   ,, ,   ,,... ,..,   .,. , . .,".. , ,,,.
                                                                              ,                   8   ,.,,
    Which ENF or EIR review threshold(s) does the project meet or exceed (see 301 CMR 11.03):

       Land                               Rare Species       X Wetlands, Waterways, 8 Tidelands
       Water                              Wastewater            Transportation
       Energy                             Air                   Solid 8 Hazardous Waste
       ACEC                               Regulations           Historical 8 Archaeological
                                                                 Resources




                                                                                    Superseding Order of

                                                                                    Chapter 91 License
                                                                                 X 401 Water Quality
                                                                                    Cetiiication
Square feet of new bordering                                                        MHD or MDC Access
vegetated wetlands alteration                                                        Permit
Square feet of new other                                                            Water Management
wetland alteration                                                                   Act Permit
                                                                                    New Source Approval
Acres of new non-water                                                              DEP or M W A
dependent use of tidelands or                                                       Sewer Connection1
                                                                                    Extension Permit
                                                                                    Other Permits
                                                                                    (indudrng Legjslabve
                                                                                     Approvals) - Specify:



I
    Number of housing units
                                     NA                 NA
                                                                                 THE 401 WATER
                                                                                 QUALITY                     I
    Maximum height (in k e t )
                                                                I                CERTIFICATION FOR
                                                                                 DREDGING IS
                                                                                 CURRENTLY UNDER
                                                                                                             I
                                                                                 REVIEW BY MADEP.




    Gallonslday (GPD) of water use
                                                                             I
                                                                             1
                                                    I

    GPD water withdrawal
                                     NA
                                      ~   ~~            NA          NA
                                                                     -~
                                                    I
                                                                    ~   ~




    GPD wastewater generation1
    treatment                         NA                NA          NA
    Length of waterlsewer mains
    (in miles)


CONSERVATION LAND: Wlll the project involve the conversion of public parkland or other Article 97 public natural
resources to any purpose not in accordance with Article 97?
   Dyes (Specify                                            ) XNo

								
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