SOW Attachment 09 - SHPO Notification Guide.pdf

PDF 17 KB Posted

Attached to
C1DA--523-432 Construct New Inpatient Pharmacy Federal contract opportunity
Solicitation number
36C77624R0004
Issued by
Department of Veterans Affairs Technology Acquisition Center Austin

About this file

This guidance document provides instructions for completing the Project Notification Form required by the Massachusetts Historical Commission for projects subject to review under 950 CMR 71.00. Key details include requirements to submit a separate form for each project with the street address and town, contact information for both the project and contact, all applicable funding sources and permits, a detailed project description with dates and photographs, and a copy of the relevant U.S.G.S. map with project boundaries clearly marked. The related federal contract opportunity is a pre-solicitation notice for construction of a new inpatient pharmacy at a Department of Veterans Affairs medical center, with an estimated award date still pending.

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Text version

Guidance for Completing MHC’s Project Notification Form (950 CMR 71.00, Appendix A) v Please make sure you type or print legibly the Project Notification Form (PNF) and fill out all sections of the form.

v Please submit a PNF for each project separately. This will facilitate MHC’s review of multiple project submissions.

vPlease include the street and number in the address line of the project area. Please be sure to specify the town name.

v Please make sure you fill out both the project address section and the project contact section. Please note that these two addresses may be the same in some cases. It is important for MHC to have a contact person in order to facilitate review, should questions arise.

v The funding, licensing, and permitting section must be completed in order for MHC to review the PNF. Be sure to list all funding, licensing and permitting involved with the entire project; this includes federally funded, licensed, and permitted projects, as well as state funded, licensed, and permitted projects. Some examples of common funding, licensing, and permitting agencies and funding sources are: Army Corps of Engineers; Federal Communications Commission;

Community Development Block Grants; School Building Assistance from the Massachusetts Department of Education; Department of Housing and Community Development; Department of Environmental Protection (permits such as sewer connection, wetlands, or Chapter 91 permits); Massachusetts Highway Department (curb cut permits), etc. There are many others.

v Please be sure to describe the proposed project in detail. Attach additional pages if necessary. If dates of construction on buildings or dates of alterations to a site are known, please be sure to include this information in your project description.

v Please include photographs of the proposed project site. If the project involves demolition or rehabilitation of a building(s), be sure to include photos of major elevations of the building(s).

Please also be sure to label photographs. Attach the most current project plans and elevations if available.

v Please be sure to include a photocopy of the pertinent section of the U.S.G.S. map with your submission. The MHC cannot review a PNF without a U.S.G.S. section map. You can purchase U.S.G.S. maps at local camping, hiking, and sporting goods stores, or download U.S.G.S. maps from the World Wide Web at www.topozone.com; or make a photocopy of U.S.G.S. maps at libraries.

v Do not use other maps instead of the U.S.G.S. map. However, additional maps such as plot plans or assessors’ maps may be included in addition to the U.S.G.S. section map.

v Boundaries of the project area should be specific. Do not circle a large plot of land on the U.S.G.S. map and indicate that the project falls within the circle.

This guidance document is offered to assist in compliance with M.G.L. Chapter 9, Section 26-27c, as amended by Chapter 254 of the Acts of 1988 (950 CMR 71.00)

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