A copy of any official documentation proving the single family dwelling was in existence on August 10, 2004.
A copy of any official documentation indicating that the place of worship, public or private school, or hospital was in existence on
August 10, 2004.
Exemption 6: For any improvement, for non-residential purposes, to a place of worship owned by a non-profit entity, society or association, or
association organized primarily for religious purposes, or a public or private school, or a hospital, in existence on August 10, 2004, including, but
not limited to new structures, an addition to an existing building or structure, a site improvement, or a sanitary facility.
I hereby affirm that the subject property was in existence as of August 10, 2004 and that all proposed improvements are intended
and will continue to be used for single family dwelling purposes.
Applicant Initial:
For improvements to a place of worship, documentation showing that the entity, society or association, or association organized
primarily for religious purposes has non-profit status.
A site plan plan certified by a qualified licensed New Jersey professional showing all existing property improvements, including all
structures, grading, clearing, impervious surface and limits of disturbance, existing on the site on August 10, 2004; and all proposed
development including all structures, impervious surfaces, clearing limits, and limits of disturbance, including grading.
Exemption 7: For any activity conducted by a landowner in accordance with an approved woodland management plan issued pursuant to
Section 3 of the Farmland Assessment Act, N.J.S.A. 54:4- 23.3 or the normal harvesting of forest products in accordance with a forest
management plan approved by the State Forester.
A brief description of the total area of woodlands that is the subject of the approved woodland management plan and indication of
the length of time that the area has been in woodland management (may be submitted in this form).
A brief description of the activities for which the exemption is claimed (may be submitted in this form).
For a private landowner with an approved woodlot management plan:
A copy of the applicant's tax bill showing that the site has farmland assessment tax status under the New Jersey Farmland
Assessment Act, N.J.S.A. 54:4-23.1 et seq. if applicable.
A copy of the approved woodland management plan.
A description of the proposed improvements.
A copy of the forest management plan approved by the State Forester.
Exemption 8: For the construction or extension of trails with non-impervious surfaces on publicly owned lands or on privately owned lands
where a conservation or recreational use easement has been established.
A site plan certified by the appropriate qualified licensed New Jersey professional showing the proposed trail construction with
details including the location and width of existing and proposed trails and those off-site trails to which they connect, if any.
A written description of the non-impervious materials to be used.
For privately owned property, a copy of a deed for the property, including the language establishing the conservation or recreational
use easement on the property.
For a forest management plan approved by the State Forester:
Exemption 5: For any improvement to a single family dwelling in existence as of August 10, 2004, including but not limited to an addition,
garage, shed, driveway, porch, deck, patio, swimming pool, or septic system. (Such improvements include only those that maintain the use as a
single family dwelling; the exemption does not apply to or permit the creation of multiple dwelling units.)
Applicant Signature:
Owner Signature:
Date:
Date:
I, the undersigned, hereby certify that the information given herein is correct to the best of my knowledge.
I, the undersigned, hereby grant permission for the submission of this application for the property reference herein.
