Maryland Coastal Consistency Request Form

First Name*
Last Name*
Email*
example@example.com
Name of Project or Activity*
Please include organization, nature of project and location (e.g., FLETC Solar Project, Cheltenham, MD)
Name of Requestor*
Name of Person Submitting Coastal Consistency Request
Phone Number*
Please enter a valid phone number.
Name of Contractor or Agency
Please provide name of contractor or receiving agency (if applicable)
Federal Agency*
County*
Address of Project or Activity*
Web-based Location of Project
(e.g., google maps link)
Federal Consistency Category - Please select the appropriate Federal Consistency Category:*

Subpart C - Federal Activity or Development Project (15 C.F.R. Part 930, Subpart C)Subpart D - Federal License or Permit Activity (15. C.F.R Part 930, Subpart D)Subpart E - Outer Continental Shelf Exploration, Development & Production Activities (15 C.F.R. Part 930, Subpart E)Subpart F - Federal Financial Assistance to State & Local Governments (15 C.F.R Part 930, Subpart F)
Summary Description*
Please describe the nature, areal extent and location of project or activity. Describe reasonable foreseeable effects on coastal resources and coastal uses.
Relevant Policy Area Checklists - Please select policy area checklists relevant to your project or activity

Core Policies (required for all projects and activities)The Chesapeake and Atlantic Coastal Bays Critical AreaTidal WetlandsNon-Tidal WetlandsForestsHistorical and Archaeological SitesLiving Aquatic ResourcesMineral ExtractionElectrical Generation and TransmissionTidal Shoreline Erosion ControlOil and Natural Gas FacilitiesDredging and Disposal of Dredge MaterialsNavigationTransportationAgricultureDevelopmentSewage Treatment
Supporting Documentation
Please list maps, diagrams, reports, letters and other materials below:
Attach Documents

Cancelof
Should be Empty: