Departmental action 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the location of your project. Fill in the street address, city/town, and zip code. Ensure you also include the check number and fee amount.
3. Next, provide information about the person or party making the request. Include their name, mailing address, city/town, phone number, state, zip code, fax number, and email address.
4. Identify the applicant as shown on relevant forms. Enter their name, mailing address, city/town, phone number, state, zip code, fax number, and email address.
5. Select the type of departmental action request you are submitting and indicate the corresponding fee.
6. On a separate sheet attached to this form, clearly state your objections to the determination or order being appealed.
7. Send a copy of this form along with payment to the Department of Environmental Protection via certified mail or hand delivery.

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