PENNSYLVANIA RIVERS CONSERVATION REGISTRY PETITION (to be typed on official letterhead of the public agency or river support group) The (insert name of municipality or organization) has recently completed a (insert the name of the river conservation plan) in accordance with the Pennsylvania Rivers Conservation Program and hereby petitions the Pennsylvania Department of Conservation and Natural Resources to include the following watershed, rivers or river segments on the Pennsylvania Rivers Conservation Registry. Name of authorized agency official (type or print) Signature of authorized agency official Date Date List the watershed, rivers and river segments that you are requesting be placed on the registry. (Please use physical landmarks to define these segments. Also attach maps or reference maps in the plan that define watershed /river corridor boundaries and termini. Use additional sheets if necessary.) The petition is supported by the following: 1. Copies of the Final River Conservation Plan and executive summaries. 2. Copies of notices, as advertised in local newspapers, of all public meetings and workshops. 3. Copies of minutes from public meetings or workshops. 4. Copy of a letter transmitting the Final Plan or Executive Summary Report to a municipality for review. 5. Copy of municipal and watershed resolution supporting the river conservation plan. Letters of support from fifty (50%) percent of the affected municipalities within the study area. (Applies only to river conservation plans not originally funded through the Pennsylvania Rivers Conservation Grants Program. Please identify these municipalities and append letters of support.)