Notice Of Appeal Form

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C
P
OMMONWEALTH OF
ENNSYLVANIA
E
H
B
NVIRONMENTAL
EARING
OARD
N
A
OTICE OF
PPEAL
By filing this Notice of Appeal with the Environmental Hearing Board, you are
choosing to initiate a legal proceeding that asks the Board to review an action of
the Department of Environmental Protection. Please read the instructions
appended to this form in their entirety and follow closely the rules governing
filing a Notice of Appeal, located at 25 Pa. Code § 1021.51. Failure to follow
Board rules and orders may result in the dismissal of your appeal.
Pages 1 through 3 of the following form and any required attachments must
be received by the Environmental Hearing Board within 30 days after your
receipt of notice of the action of the Department that you are appealing. You
may mail, fax, or hand-deliver your Notice of Appeal to:
ENVIRONMENTAL HEARING BOARD
Rachel Carson State Office Building – 2
nd
Floor
400 Market Street, P.O. Box 8457
Harrisburg, PA 17105-8457
Fax: (717) 783-4738
You may wish to send your appeal to the Environmental Hearing Board by
certified mail, return receipt, so that you know your appeal was received within
the required time.
Attorneys
may
electronically
file
a
Notice
of
Appeal
at
A
(Revised 10-2015)
Rachel Carson State Office Building – 2
Floor| 400 Market Street, P.O. Box 8457 | Harrisburg, PA 17105-8457 | T: 717.787.3483 | F: 717.783.4738
nd

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