Mountain House, CA · San Joaquin County
Environmental Information Form
Applicants submit this form with a development project or tentative map application so the Planning Division can evaluate the project’s potential environmental impacts.
What this form is
This questionnaire helps the Community Development Department’s Planning Division evaluate a proposed project and its potential environmental impacts. The form says its hazardous-waste site certification must be completed with a development project or tentative map application. It asks about project phases, other agency permits, school districts, site conditions, surrounding properties, potential noise or other impacts, and whether the site is on a hazardous-waste list.
Who needs it
Applicants for development projects or tentative maps complete the environmental questionnaire and hazardous-waste site certification.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; its hazardous-waste certification is made under penalty of perjury, and applicants or owners sign and date it.
How to submit this form
- 1
Download The Form
Download the Environmental Information Form PDF.
- 2
Complete The Questionnaire
Provide project details, environmental setting information, and the requested applicant or agent certification.
- 3
Complete The Hazardous-Waste Certification
Consult the most current hazardous-waste sites list, indicate whether the site is listed, and attach the complete list as instructed.
- 4
Sign And Date
Applicants or owners sign and date the certification; the form does not require notarization.
- 5
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Environmental Information Form for?
- It gives Mountain House’s Planning Division information to evaluate a proposed project and its potential environmental impacts.
- Who completes this form?
- Applicants for development projects or tentative maps complete the questionnaire and hazardous-waste site certification.
- Do I need a notary for the Environmental Information Form?
- No. The form is signed without a notary. Its hazardous-waste certification is made under penalty of perjury and signed and dated by applicants or owners.
- How do I submit the Environmental Information Form?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Environmental Information Form doesn’t need a notary — but if you have another Mountain House form that does, a commissioned online notary can help.