"Project Review Form" - Maryland

Project Review Form is a legal document that was released by the Maryland Department of Planning - a government authority operating within Maryland.

Form Details:

  • Released on June 21, 2013;
  • The latest edition currently provided by the Maryland Department of Planning;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Maryland Department of Planning.

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PROJECT REVIEW FORM
MHT USE ONLY
Date Received:
Log Number:
Request for Comments from the Maryland Historical Trust/
MDSHPO on State and Federal Undertakings
Project Name
County
Primary Contact:
Contact Name
Company/Agency
Mailing Address
MD
State
Zip
City
Ext.
Phone Number
Email
Project Location:
Address
City/Vicinity
Coordinates (if known):
Latitude
Longitude
Waterway
Project Description:
Agency
Project/Permit/Tracking Number
List federal and state sources
Agency/Program/Permit Name
Type
(if applicable)
of funding, permits, or other
assistance (e.g. Bond Bill Loan
of 2013, Chapter #; HUD/
CDBG; MDE/COE permit; etc.).
This project includes (check all applicable):
New Construction
Demolition
Remodeling/Rehabilitation
Excavation/Ground Disturbance
Shoreline/Waterways/Wetlands
State or Federal Rehabilitation Tax Credits
Other\Additional Description:
Known Historic Properties:
Subject to an easement held by MHT
This project involves properties (check all applicable):
Listed in the National Register
Included in the Maryland Inventory of Historic Properties
Designated historic by a local government
Previously subject to archeological investigations
Property\District\Report Name
Attachments:
All attachments are required. Incomplete submittals may result in delays or be returned without comment.
Aerial photograph or USGS Quad Map section with location and boundaries of project clearly marked.
Project Description, Scope of Work, Site Plan, and\or Construction Drawings.
Photographs (print or digital) showing the project site including images of all buildings and structures.
Description of past and present land uses in project area (wooded, mined, developed, agricultural uses, etc).
MHT Determination:
There are NO HISTORIC PROPERTIES in the area of potential effect
The project will have NO ADVERSE EFFECT WITH CONDITIONS
The project will have NO EFFECT on historic properties
The project will have ADVERSE EFFECTS on historic properties
The project will have NO ADVERSE EFFECT on historic properties
MHT REQUESTS ADDITIONAL INFORMATION
MHT Reviewer:
Date:
Submit printed copy of form and all attachments by mail to: Beth Cole, MHT, 100 Community Place, Crownsville, MD 21032
Revised 6/21/2013
PROJECT REVIEW FORM
MHT USE ONLY
Date Received:
Log Number:
Request for Comments from the Maryland Historical Trust/
MDSHPO on State and Federal Undertakings
Project Name
County
Primary Contact:
Contact Name
Company/Agency
Mailing Address
MD
State
Zip
City
Ext.
Phone Number
Email
Project Location:
Address
City/Vicinity
Coordinates (if known):
Latitude
Longitude
Waterway
Project Description:
Agency
Project/Permit/Tracking Number
List federal and state sources
Agency/Program/Permit Name
Type
(if applicable)
of funding, permits, or other
assistance (e.g. Bond Bill Loan
of 2013, Chapter #; HUD/
CDBG; MDE/COE permit; etc.).
This project includes (check all applicable):
New Construction
Demolition
Remodeling/Rehabilitation
Excavation/Ground Disturbance
Shoreline/Waterways/Wetlands
State or Federal Rehabilitation Tax Credits
Other\Additional Description:
Known Historic Properties:
Subject to an easement held by MHT
This project involves properties (check all applicable):
Listed in the National Register
Included in the Maryland Inventory of Historic Properties
Designated historic by a local government
Previously subject to archeological investigations
Property\District\Report Name
Attachments:
All attachments are required. Incomplete submittals may result in delays or be returned without comment.
Aerial photograph or USGS Quad Map section with location and boundaries of project clearly marked.
Project Description, Scope of Work, Site Plan, and\or Construction Drawings.
Photographs (print or digital) showing the project site including images of all buildings and structures.
Description of past and present land uses in project area (wooded, mined, developed, agricultural uses, etc).
MHT Determination:
There are NO HISTORIC PROPERTIES in the area of potential effect
The project will have NO ADVERSE EFFECT WITH CONDITIONS
The project will have NO EFFECT on historic properties
The project will have ADVERSE EFFECTS on historic properties
The project will have NO ADVERSE EFFECT on historic properties
MHT REQUESTS ADDITIONAL INFORMATION
MHT Reviewer:
Date:
Submit printed copy of form and all attachments by mail to: Beth Cole, MHT, 100 Community Place, Crownsville, MD 21032
Revised 6/21/2013