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121279 (3/99)9c SEER State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination of Insignificance Project Number N/A Date: May 29, 2013, This notice is issued pursuant to Part
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How to Fill Out Negative Declaration Form:

01
Start by obtaining the negative declaration form from the appropriate government or regulatory agency. This form is typically available on their website or at their office.
02
Read the instructions provided with the form carefully. It is important to understand the requirements and guidelines for filling out the negative declaration form accurately.
03
Begin by providing your personal details in the form such as your full name, contact information, and any other information requested in the designated fields.
04
Next, carefully review the project or activity for which you are submitting the negative declaration form. Understand the potential environmental impacts associated with the project and make sure you are confident that it qualifies for a negative declaration.
05
Fill in the project details such as the project name, location, and a brief description of its purpose or scope.
06
Evaluate the potential environmental impacts of the project and answer the questions or sections provided in the negative declaration form accordingly. Be honest and provide detailed information when necessary.
07
If required, attach any supporting documents or studies that provide evidence of the project's minimal environmental impact or the adequacy of mitigation measures implemented.
08
Review and double-check the completed form for any errors or omissions. Ensure that all sections are filled out accurately and legibly.
09
Sign and date the form, certifying that the information provided is true and accurate to the best of your knowledge.
10
Submit the completed negative declaration form to the appropriate government or regulatory agency according to their instructions. Keep copies of the form and any supporting documents for your records.

Who Needs Negative Declaration Form:

01
Developers or project proponents planning a project or activity that may have potential environmental impacts.
02
Government agencies or regulatory bodies that require environmental assessment for certain types of projects or activities.
03
Any individual or organization that wants to demonstrate that their project has minimal or no significant environmental effects, as determined by the relevant regulations or guidelines.
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Negative declaration form is a document filed by an individual or entity stating that they do not have any relevant information or activities to report.
Any individual or entity who is obligated to submit a declaration form but does not have any information or activities to report.
To fill out a negative declaration form, one must provide their basic information and confirm that they do not have any relevant information or activities to report.
The purpose of a negative declaration form is to allow individuals or entities to fulfill their reporting obligations when they do not have any information or activities to report.
The negative declaration form typically requires basic identifying information and a statement affirming that the individual or entity has no relevant information or activities to report.
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