Follow the steps to fill out the form online:

1. Click ‘Get Form’ button to obtain the form and open it in your selected document editor.
2. Begin by filling out the 'A. Request Information' section. Provide the location of the project, including the street address, city or town, zip code, and check number along with the fee amount.
3. Next, identify the person or party making the request. Fill in their name, mailing address, city or town, state, zip code, and phone and fax numbers if applicable.
4. Input the applicant's details as shown on the Notice of Intent or other relevant forms. Include their name, mailing address, city or town, state, zip code, and phone and fax numbers if applicable.
5. Indicate the DEP file number assigned to the project in the designated field.
6. In the 'B. Instructions' section, check one of the boxes to specify the type of departmental action request you are filing (Superseding Order of Conditions, Superseding Determination of Applicability, or Superseding Order of Resource Area Delineation).
7. Prepare your payment. Include a check or money order for $100.00 for single-family house projects or $200.00 for all other projects, made payable to the Commonwealth of Massachusetts.
8. On a separate sheet attached to this form, state clearly and concisely the objections to the determination or order being appealed.
9. Send the completed form and payment to the Department of Environmental Protection at Box 4062, Boston, MA 02211, by certified mail or hand delivery.
10. A copy of the form must also be sent simultaneously to the Conservation Commission and the applicant, if they are not the one filing the appeal.
11. Finally, review all entries for accuracy. Users can save changes, download, print, or share the form as needed.

Get started now to complete your MA DEP Request for Departmental Action Fee online!