Project Evaluation Request

Arizona Game and Fish Department
Notice: In order to obtain a review of your project, we require all of the information requested on this form to be provided. This review is free of charge. However, due to staff and budgetary constraints, we ask you to submit this form early in the process, as estimated turn around time is 30 days (if you need this review in less than 30 days, please include a needed by date and we will try to accommodate your request). This request is a preliminary review and further project review should include draft documents and a letter formally requesting further environmental review.
Project Evaluation Objectives:
Habitat Evaluation incorporates fish and wildlife resource needs or features in land and water development projects and land and water management planning efforts in Arizona.
Habitat Protection ensures habitat protection through environmental compliance and regulation, and to monitor the implementation and effectiveness of mitigation commitments for various land and water development projects and management planning activities in Arizona.
Instructions: The Following materials are required to process the request
·  Completed form
·  Map(s) delineating the project area (preferably a USGS quadrangle map)
·  Relevant attachments (other supportive documents, photographs, etc.) / Send to:
Arizona Game and Fish Department
Project Evaluation Program, WMHB
2221 West Greenway Road
Phoenix, Arizona 85023-4312
Fax 602-789-3928

Applicant Requesting Project Evaluation

/

Date of Request:

Name / Organization
Street Address / City / State / Zip Code
E-Mail Address / Telephone Number / Fax Number
Individual/Organization/Agency Proposing Project (if different from above)
Name
/ Organization
Street Address / City / State / Zip Code
E-Mail Address / Telephone Number / Fax Number
Location of Proposed Project *Remember to attach a topographic and/or plat map delineating the project area*
County(ies)
Township(s) / Range(s) / Section(s)
Proposed Project Information
Project Number or Site Name:
What is the proposed date you intend to begin work on the project?
Proposed Project Information (continued)
Please briefly describe the project and project activities.
Briefly describe current land uses and habitat types in the project area.
List any waterbodies such as rivers, intermittent streams, lakes, or wetlands within or near the project area. Xeric washes should also be described, along with any anticipated impacts as a result of the project.
List any reports that have been prepared to describe the habitat that will be affected by the proposed project (e.g. habitat reconnaissance surveys, wetland delineation, etc.)
List any other resources or reviews that relate to the proposed project (correspondence, other phases of the project, other alternatives, etc.)
List any permits, licenses, or regulatory approvals you have or plan on applying for, or have already received as part of this project.
Return as hard copy to AZ Game & Fish Dept., Project Evaluation Program-Habitat Branch, 2221 West Greenway Road, Phoenix, AZ 85023-4312 or via email to or fax 602-789-3928