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The Maryland Project Review Form serves as a crucial tool for assessing the impact of state and federal undertakings on historic properties. This form is designed to gather essential information about proposed projects, ensuring that they align with preservation standards set by the Maryland Historical Trust and the Maryland State Historic Preservation Office. When submitting the form, individuals must provide general project details, including the name and location of the project, as well as contact information for the primary point of contact. Additionally, a comprehensive description of the undertaking is required, which includes the type of work being proposed—such as new construction, demolition, or remodeling—and any relevant state or federal agencies involved. A key component of the review process is the identification of historic properties that may be affected by the project. The form prompts users to indicate whether the project involves properties designated as historic or included in the Maryland Inventory of Historic Properties. Supporting documentation, such as maps, site plans, and photographs, must accompany the form to provide a complete picture of the project's potential impact. Ultimately, the Maryland Project Review Form facilitates informed decision-making regarding the preservation of the state's cultural heritage while allowing for necessary development and progress.

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PROJECT REVIEW FORM

Request for Comments from the Maryland Historical Trust/

MDSHPO on State and Federal Undertakings

 

MHT USE ONLY

Date Received:

Log Number:

 

 

 

 

 

Submit hard copy of form and all attachments to:

 

 

Section A: General Project Information

Beth Cole, MHT, 100 Community Place, Crownsville, MD 21032

 

Project Name

 

County

 

 

This is a new submittal OR This is additional information related Project Log Number:

 

 

 

 

 

 

 

 

 

 

Section B: Primary Contact Information

 

 

 

Contact Name

Company/Agency

 

 

Mailing Address

 

 

 

City

State

Zip

 

Email

Phone Number

Ext.

 

 

 

 

 

Section C: Description of Undertaking

Location - Attach a map, preferably a section of a USGS quad, showing the location and boundaries of the project

Address

List all federal and state agencies / programs (funding, permits, licenses) involved in this project (e.g. Bond Bill Loan of 2009, Chapter #; Transportation Enhancement Grant; HUD/CDBG; MDE/COE permit; etc.).

Agency

Type

City/Vicinity

Project/Permit/Tracking Number

Agency/Program/Permit Name

(if applicable)

Proposed Work - Attach project description, scope of work, site plans / drawings

 

 

This project includes (check all applicable):

 

 

New Construction

 

Demolition

 

Remodeling/Rehabilitation

 

 

 

 

This project involves:

 

 

 

State or Federal Rehabilitation Tax Credits

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Properties subject to an easement held by MHT, MET, or another entity

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section D: Identification of Historic Properties

 

 

 

This project involves:

 

 

 

 

Properties designated as historic by a local government, listed in the National Register, or included in

 

 

 

 

 

 

 

 

 

Maryland Inventory of Historic Properties

 

 

 

 

 

 

 

 

 

 

 

 

 

Property/District Name

 

 

 

 

 

 

 

The subject property

 

has

 

has not

been the subject of previous archeological, architectural, or historical investigations.

 

 

Please describe

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attachments

Map

 

 

 

Project Description/Scope of Work

Site Plans/Drawings

Photographs - Attach prints or digital photographs showing the project site including images of all buildings and structures, preferably keyed to a site plan

Conditions - Attach a brief description of past and present conditions of the project area (wooded, mined, developed, agricultural uses, etc) including construction dates of buildings, if known.

MHT Determination MHT Reviewer:

 

Date:

There are NO HISTORIC PROPERTIES in the area of potential effect The project will have NO ADVERSE EFFECT WITH CONDITIONS

 

The project will have NO EFFECT on historic properties

 

MHT REQUESTS ADDITIONAL INFORMATION

 

The project will have NO ADVERSE EFFECT on historic properties

 

The project will have ADVERSE EFFECTS on historic properties

 

 

Form Attributes

Fact Name Details
Purpose of the Form The Maryland Project Review Form is designed to request comments from the Maryland Historical Trust and the Maryland State Historic Preservation Office on state and federal undertakings that may affect historic properties.
Governing Laws This form is governed by the National Historic Preservation Act and the Maryland Historical Trust Act, which aim to protect historic resources during project planning and execution.
Submission Requirements Applicants must submit a hard copy of the form along with all necessary attachments, including maps, project descriptions, and photographs, to the Maryland Historical Trust at the specified address.
Determination Outcomes The form allows for various determinations regarding the impact on historic properties, including no adverse effects, requests for additional information, or identification of adverse effects on historic properties.
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