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P. 3 <br /> E. Has this project been filed with EOEA before? Yes No X <br /> IfYes,EOEANo. EOEAAction? <br /> F. Does this project fall under the jurisdiction of NEPA? Yes No X <br /> If Yes,which Federal Agency? NEPA Status? <br /> G. List the State or Federal agencies from which permits will be sought: <br /> Agency Name Type of Permit <br /> Department of Public Works Driveway Permit <br /> H._ Will an Order of Conditions be required under the provisions of the Wetlands Protection Act(Chap.131,Section 40)? <br /> Yes No X <br /> DEQE File No., if applicable: <br /> - <br /> L List the agencies from which the proponent will seek financial assistance for this project: <br /> Agency Name Funding Amount <br /> None <br /> PROJECT DESCRIPTION <br /> A. Include an original 8'/2 x11 inch or larger section of the most recent U.S.G.S. 1:24,000 scale topographic map <br /> with the project area location and boundaries clearly shown. Include multiple maps if necessary for large proj- <br /> ects. Include other maps, diagrams or aerial photos if the project cannot be clearly shown at U.S.G.S. scale. If <br /> available,attach a plan sketch of the proposed project. <br /> B. State total area of project: 34.6 — acres <br /> Estimate the number of acres(to the nearest 1/10 acre)directly affecte.'that are currently: <br /> 1. Developed . . . . . . . . . . . . . . . . . . . acres 4. Floodplain . . . . . . . . . . . . . . . . . . . . _acres <br /> 2. Open Space/Woodlands/Recreation J4.6acres 5. Coastal Area . . . . . . . . . . . . . . . . . . _acres <br /> 3. Wetlands . . . . . . . . . . . . . . . . . . . . . . _acres 6. Productive Resources <br /> Agriculture . . . . . . . . . . . . . . . . . . _acres <br /> Forestry . . . . . . . . . . . . . . . . . . . . _acres <br /> Mineral Products . . . . . . . . . . . . . _acres <br /> C. Provide the following dimensions, if applicable: <br /> Length in miles 1/10 Number of Housing Units 25 Number of Stories <br /> Existing Immediate Increase Due to Project <br /> Number of Parking Spaces. . . . . . . . . . . . . . . . . . . . . . . . . . . 0 15 ± <br /> Vehicle Trips to Project Site(average daily traffic). . . . . . . . . �— 400 <br /> 00 <br /> Estimated Vehicle Trips past project site. . . . . . . . . . . . . . . 11., 1-50 per da 200 <br /> D. If the proposed project will require any permit for access to local ors ate highways, please attach a sketch <br /> showing the location of the proposed driveway(s)in relation to the highway and to the general development plan; <br /> identifying all local and state highways abutting the development site; and indicating the number of lanes, pave- <br /> ment width, median strips and adjacent driveways on each abutting highway; and indicating the distance <br /> to the nearest intersection. <br />