"Application for a Coastal Zone Act Permit" - Delaware

Application for a Coastal Zone Act Permit is a legal document that was released by the Delaware Department of Natural Resources and Environmental Control - a government authority operating within Delaware.

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Download "Application for a Coastal Zone Act Permit" - Delaware

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APPLICATION FOR A COASTAL ZONE ACT PERMIT
State of Delaware
Department of Natural Resources & Environmental Control
Office of the Secretary
Date of submission
Project name
Applicant’s name
APPLICATION FOR A COASTAL ZONE ACT PERMIT
State of Delaware
Department of Natural Resources & Environmental Control
Office of the Secretary
Date of submission
Project name
Applicant’s name
Table of Contents
Part 1.
Certification by Applicant……........…………………………………...…...…..x
Part 2.
Applicant Information and Site Identification…………….……………………x
Part 3.
Project Summary……………………….…………………………………...…..x
Part 4.
Project Property Record, and Evidence of Local Zoning and
Planning Approval…………………………………………………...…………x
Part 5.
Project Operations………………………………………...…………………….x
Part 6a. Environmental Impacts…………………………………………………………x
Part 6b. Environmental Offset Reduction Claim……………………………………..…x
Part 6c. Environmental Offset Proposed………………………………….……………..x
Part 7.
Economic Effects…………………………...…………………………………..x
Part 8.
Supporting Facilities Requirements…….………………………….…………..x
Part 9.
Aesthetic Effects…………………………………………….………………….x
Part 10. Effects on Neighboring Land Uses……………................……………………..x
Part 11. Attachments or Appendices (figures, tables, maps, forms, etc.)……………….x
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Permit Application Instructions
1.
Complete all parts of the application. For sections which are not applicable to
your project, do not leave blank; present a statement that clearly states why the
section is not applicable to your project.
2.
Because all applicants’ projects are different, this word document template will
provide you flexibility for needed space to answer the questions. Please insert
additional lines for text where needed for your application. If appropriate, attach
extra pages referencing each answer by the corresponding section and question
number.
3.
Submit eight complete hard copies of the permit application to:
Office of the Secretary
Department of Natural Resources & Environmental Control
State of Delaware
89 Kings Highway
Dover, DE 19901
In addition to the eight hard copies, submit a complete electronic “pdf” copy of
the permit application and a copy of the Offset Matrix in Microsoft Word format
on cd-rom.
4.
Comply, if required, or as requested by the DNREC Secretary, with
7 Delaware Code, Chapter 79, Section
7902. If requested, but not completed,
your application will not be considered administratively complete until this form
is reviewed.
5.
Be sure to include your permit application fee of $3,000; otherwise the
application will not be considered administratively complete. Make checks
payable to the “State of Delaware.”
6.
Be advised that the application for a Delaware Coastal Zone Act Permit is a
public document, which may be displayed at DNREC offices, public libraries, and
the web, among others. If this application requires you to place confidential
information or data in the application to make it administratively complete, note
the Delaware Freedom of Information Act
(29 Delaware Code, Chapter
100) and
DNREC’s Freedom of Information Act
Regulation, Section 6 (Requests for
Confidentiality), for the proper procedure in requesting confidentiality.
Note: This application template was last revised by DNREC on January 30, 2008. Please
discard any previous versions.
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PART 1
CERTIFICATION BY APPLICANT
Under the penalty of perjury pursuant to 11 Delaware Code §1221-1235, I
hereby certify that all the information contained in this Delaware Coastal Zone
Act Permit Application and in any attachments is true and complete to the best of
my belief.
I hereby acknowledge that any falsification or withholding of information
will be grounds for denial of a Coastal Zone Permit.
I also hereby acknowledge that all information in this application will be
public information subject to the Delaware Freedom of Information Act, except
for clearly identified proprietary information agreed to by the Secretary of the
Department of Natural Resources & Environmental Control.
_______________________________________
Print Name of Applicant
_______________________________________
Signature of Applicant
_______________________________________
Title
_______________________________________
Date
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PART 2
APPLICANT INFORMATION AND SITE IDENTIFICATION
2.1
Identification of the applicant:
Company Name:
Address:
Telephone:
Fax:
2.2
Primary contact: Please list the name, phone number and email of a preferred
contact within your company in case the DNREC needs to contact you regarding
this permit application.
2.3
Authorized agent (if any):
Name:
Address:
Telephone:
Fax:
If you have an authorized agent for this permit application process, provide
written authorization from client for being the authorized agent.
2.4
Project property location (street address):
2.5
In a separate attachment, provide a general map of appropriate scale to clearly
show the project site.
2.6
Is the applicant claiming confidentiality in any section of their application?
YES
NO
If yes, see instructions on page 3.
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