ENVIRONMENTALANALYSIS(EVA)APPLICATION
Planning&BuildingServicesDepartment
PlanningDivision

200S.WillowSt.
P.O.Box1727
Jackson,WY83001
ph:(307)7333959
www.tetoncountywy.gov

EnvironmentalAnalysisApplication
1 Updated4/15/2019
ForOfficeUseOnly
FeesPaid
Check#CreditCard Cash
Application#
APPLICABILITY This application should be used when applying for review of an Environmental Analysis. The purpose of the
environmentalanalysis is tocoordinatethe application ofall natural resource protectionstandards through identification of the
naturalresourcesonasite.
WhenisanEnvironmentalAnalysisrequired?
An environmental analysis is required for all physical development, use, development option, or subdivision proposals that are
subjectto Division 5.1:General EnvironmentalStandards,Division5.2: Environmental Standards Applicable in SpecificAreas, or
Section7.1.2,PlannedResidentialDevelopment,unless
theprojectqualifiesforoneoftheexemptionslistedinSubsection8.2.2.B
oftheLDRs.Ifrequired,anenvironmentalanalysisapplicationmustbedeemedsufficientpriortosubmittalofanapplicationfor
thephysicaldevelopment,use,developmentoptionorsubdivisionproposed.
DoIneedaPreApplicationConference?
Yes,a
PreApplicationConferenceisrequired,exceptforupdatesorrevalidationsofpreviouslyapprovedEAs.
PreApplicationConference#OriginalPermit#(forupdatesorrevalidations)____________________ 
PROJECT
Name/Description:
PhysicalAddress:
Lot,Subdivision: PIDN:
APPLICANT/OWNER
Name,Agency: Phone:
MailingAddress: ZIP:
Email:
QUALIFIEDENVIRONMENTALPROFESSIONAL
Name,Agency: Phone:
MailingAddress: ZIP:
Email:
CountyHiredEnvironmentalProfessional?[]Yes[]No
EnvironmentalAnalysisApplication 2 Updated4/15/2019
DESIGNATEDPRIMARYCONTACT
Applicant/Owner EnvironmentalProfessional
SUBMITTAL REQUIREMENTS Please ensure all submittal requirements are included. The Planning Department will not hold or
processincompleteapplications.
ApplicationFeeSeethecurrentlyadoptedPlanningFeeScheduleonthecountywebsiteformoreinformation.
_______ElectronicSubmittalAcompletedigitalfileoftheapplicationwithattachments/plans.
_______HardCopySubmittalAcompleteprintedfileoftheapplicationwithattachments/plans.
NotarizedLetter ofAuthorizationA notarized letter ofconsentfrom thelandowneris required if the signatoryon this
applicationisnottheowner.PleaseseetheLetterofAuthorizationtemplateonthecountywebsiteforasample.
Response to Environmental Analysis PreApplication Conference Summary Checklist During the preapplication
conference,youwillbeprovidedwithasummaryandchecklistofapplicableLDRstandardsandrequirementsthatmust
beaddressedforasufficientapplication.
Underpenaltyofperjury,IherebycertifythatIhavereadthisapplicationandassociatedchecklistsand statethat,tothebestof
myknowledge,allinformationsubmittedinthisrequestistrueandcorrect.Iagreetocomplywithallcountyandstatelawsrelating
tothesubjectmatterofthisapplication,andherebyauthorizerepresentativesofTetonCountytoenterupontheabovementioned
propertyduringnormalbusinesshours,aftermakingareasonableefforttocontacttheowner/applicantpriortoente ring.
SignatureofApplicant/OwnerorAuthorizedAgent Date
NamePrinted Title/Role
click to sign
signature
click to edit