Fill - Free fillable ENVIRONMENTALANALYSIS(EVA)APPLICATION Planning&BuildingServicesDepartment PlanningDivision ForOfficeUseOnly FeesPaid Check#CreditCard Cash (Teton County Wyoming Government) PDF form

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ENVIRONMENTALANALYSIS(EVA)APPLICATION

Planning&BuildingServicesDepartment

PlanningDivision

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

200S.WillowSt.

P.O.Box1727

Jackson,WY83001

ph:(307)733‐3959

www.tetoncountywy.gov

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



EnvironmentalAnalysisApplication

1 Updated4/15/2019

ForOfficeUseOnly

FeesPaid

Check#CreditCard  Cash 

Application#

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APPLICABILITY This application should be used when applying for review of an Environmental Analysis. The purpose of the

environmentalanalysis is tocoordinatethe application ofall natural resource protectionstandards through identification of the

naturalresourcesonasite.

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WhenisanEnvironmentalAnalysisrequired?

An environmental analysis is required for all physical development, use, development option, or subdivision proposals that are

subjectto Division 5.1:General EnvironmentalStandards,Division5.2: Environmental Standards Applicable in SpecificAreas, or

Section7.1.2,PlannedResidentialDevelopment,unless

theprojectqualifiesforoneoftheexemptionslistedinSubsection8.2.2.B

oftheLDRs.Ifrequired,anenvironmentalanalysisapplicationmustbedeemedsufficientpriortosubmittalofanapplicationfor

thephysicaldevelopment,use,developmentoptionorsubdivisionproposed.

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DoIneedaPre‐ApplicationConference?

Yes,a

Pre‐ApplicationConferenceisrequired,exceptforupdatesorrevalidationsofpreviouslyapprovedEAs.

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Pre‐ApplicationConference#OriginalPermit#(forupdatesorrevalidations)____________________ 

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PROJECT

Name/Description:

PhysicalAddress:

Lot,Subdivision: PIDN:

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APPLICANT/OWNER

Name,Agency: Phone:

MailingAddress: ZIP:

E‐mail:

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QUALIFIEDENVIRONMENTALPROFESSIONAL

Name,Agency: Phone:

MailingAddress: ZIP:

E‐mail:

CountyHiredEnvironmentalProfessional?[]Yes[]No

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✔

EnvironmentalAnalysisApplication 2 Updated4/15/2019

DESIGNATEDPRIMARYCONTACT

 Applicant/Owner  EnvironmentalProfessional

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SUBMITTAL REQUIREMENTS Please ensure all submittal requirements are included. The Planning Department will not hold or

processincompleteapplications.

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 ApplicationFeeSeethecurrentlyadoptedPlanningFeeScheduleonthecountywebsiteformoreinformation.

_______ElectronicSubmittalAcompletedigitalfileoftheapplicationwithattachments/plans.

_______HardCopySubmittalAcompleteprintedfileoftheapplicationwithattachments/plans.

 NotarizedLetter ofAuthorizationA notarized letter ofconsentfrom thelandowneris required if the signatoryon this

applicationisnottheowner.PleaseseetheLetterofAuthorizationtemplateonthecountywebsiteforasample.

 Response to Environmental Analysis Pre‐Application Conference Summary Checklist During the pre‐application

conference,youwillbeprovidedwithasummaryandchecklistofapplicableLDRstandardsandrequirementsthatmust

beaddressedforasufficientapplication.

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Underpenaltyofperjury,IherebycertifythatIhavereadthisapplicationandassociatedchecklistsand statethat,tothebestof

myknowledge,allinformationsubmittedinthisrequestistrueandcorrect.Iagreetocomplywithallcountyandstatelawsrelating

tothesubjectmatterofthisapplication,andherebyauthorizerepresentativesofTetonCountytoenterupontheabove‐mentioned

propertyduringnormalbusinesshours,aftermakingareasonableefforttocontacttheowner/applicantpriortoente ring.

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SignatureofApplicant/OwnerorAuthorizedAgent Date

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NamePrinted Title/Role

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