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)3, <br />INTENT TO CERTIFY QUESTIONS & REQUIREMENTS <br />Any party interested in pursuing site certification must first complete the Intent to Certifyform <br />online (www.ncedis.com), and it must be submitted along with the required attachments that are <br />listed below for review by the Steering Committee. This form must be submitted through the <br />Buildings and Sites database, located under the Sites tab of the Buildings and Sites Data <br />Management Section. Click on the Certify link that is located to the far right of your site listing. <br />Sponsor Organization: <br />Site /Park Name: <br />Total Acreage Submitted for Certification: <br />1. Are you seeking certification as a site or a park? Site Park <br />2. Does the sponsor organization own the property? Yes No <br />If no, does the site have an established price and terms for the sale or lease of the property? <br />Yes No <br />3. Is the site located in one of the 20 coastal counties covered by Coastal Areas Management Act <br />(CAMA)? <br />Yes No <br />If yes, is the site located in an Area of Environmental Concern (AEC) established by the Coastal <br />Resources Committee? Note: Sites that are located in an Area of Environmental Concern <br />(AEC) are not eligible for certification as part of the North Carolina Certified Sites Program. <br />Yes No <br />4. Is the access road to the proposed site compatible with NCDOT standards for tractor /trailer <br />access? <br />Yes No <br />If No, please describe present road condition: <br />5. Is the site at least 10 buildable acres, or are half the sites in the park have 10 buildable acres? <br />Yes No <br />Buildable Acres is defined as the area of land that can be built upon with minimum <br />permitting issues. This means the total site excluding any property that cannot be built upon <br />due to wetlands, 100 -year flood plains, streams and buffers, and /or where development is <br />restricted by protective covenants, easements and right -of -ways. <br />6. Is the proposed site located in a designated critical area of a public water supply? <br />Yes No <br />N.C. Department of Commerce — Certified Sites Program <br />