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CERT Further Review Form

Please complete the form below if further review was required, as indicated in the “Overall Results” section of your CERT report, or if you have concerns with the proposed conservation conditions. Responses to the further review form below will be automatically emailed to the Environmental Review Team upon submission.

Further Review CERT Form

Please note: if you answer “Yes” to any of the impact/disturbance questions below, you must upload a map in the associated field below indicating the areas affected. View an example map here.

Further Review CERT Form
Name
Name
First Name
Last Name
Mailing address
Mailing address
City
State
Zip/Postal
What is the current land cover of your project area? Check all that apply.
Will any trees be removed as part of this project?
Will the project impact any wetlands, rivers, streams or lakes?
Will there be any temporary or permanent lighting of roadways, commercial buildings, facilities, and/or parking lots?
Will there be any soil disturbance (i.e.: grading, paving, excavating, piling materials, etc.) as part of the project?

Maximum file size: 12.58MB

Maximum file size: 12.58MB

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