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CERT Further Review Form

Prior to completing this form, upload your signed and dated CERT report into your project within CERT.

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

View an example map here for reference in the upload field below.

Please note: If the form will not accept your submission, please email project details to [email protected].

Further review form

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: 10MB

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