Sec. 371.6. Form and content of preliminary notice of intent

The preliminary notice of intent required by section 305(4)(b) of the Agriculture and Markets Law shall be in the following form and contain the following information:

(a) A statement at the top of the first page with the following language:

PRELIMINARY NOTICE OF INTENT TO UNDERTAKE AN ACTION

WITHIN AN AGRICULTURAL DISTRICT

(b) The name and address of the State agency, public benefit corporation or local government proposing to undertake the action.

(c) The identity, by county and number, of the agricultural district or districts affected by the proposed action.

(d) The identity of the municipality or municipalities within which the project, which is the subject of the action, will occur.

(e) A brief description of the proposed action, including: its purpose, the type of action proposed (e.g., the acquisition of land or any interest therein by eminent domain or purchase; construction, or the advance of public funds for construction); and the number of acres of land, or any interest therein, which is expected to be acquired from an actively operated farm or farms within an agricultural district or a parcel or parcels of land within an agricultural district.

(f) A brief narrative of the agricultural setting and the location of the project site, if known.

(g) A summary of any anticipated adverse impacts on farm operations and agricultural resources which are located within the district.

(h) The approximate date of commencement of the proposed action.

(i) The name, title, address and telephone number of the individual who is authorized to respond to department inquiries concerning the preliminary notice.

(j) The signature of the authorized individual, verifying that the information contained in the preliminary notice is truthful and accurate to the best of his or her knowledge, and date signed.