Printable Maryland Template
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.
Maryland Preview
PROJECT REVIEW FORM
Request for Comments from the Maryland Historical Trust/
MDSHPO on State and Federal Undertakings
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MHT USE ONLY |
Date Received: |
Log Number: |
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Submit hard copy of form and all attachments to: |
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Section A: General Project Information |
Beth Cole, MHT, 100 Community Place, Crownsville, MD 21032 |
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Project Name |
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County |
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This is a new submittal OR This is additional information related Project Log Number: |
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Section B: Primary Contact Information |
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Contact Name |
Company/Agency |
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Mailing Address |
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City |
State |
Zip |
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Phone Number |
Ext. |
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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 |
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This project includes (check all applicable): |
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New Construction |
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Demolition |
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Remodeling/Rehabilitation |
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This project involves: |
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State or Federal Rehabilitation Tax Credits |
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Properties subject to an easement held by MHT, MET, or another entity |
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Section D: Identification of Historic Properties |
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This project involves: |
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Properties designated as historic by a local government, listed in the National Register, or included in |
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Maryland Inventory of Historic Properties |
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Property/District Name |
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The subject property |
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has |
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has not |
been the subject of previous archeological, architectural, or historical investigations. |
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Please describe |
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Attachments |
Map |
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Project Description/Scope of Work |
Site Plans/Drawings |
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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: |
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Date: |
There are NO HISTORIC PROPERTIES in the area of potential effect
The project will have NO ADVERSE EFFECT WITH CONDITIONS
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The project will have NO EFFECT on historic properties |
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MHT REQUESTS ADDITIONAL INFORMATION |
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The project will have NO ADVERSE EFFECT on historic properties |
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The project will have ADVERSE EFFECTS on historic properties |
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Form Attributes
| Fact Name | Details |
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| 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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