Application for Small Camp Authorization

Small Camp Authorization Application
How large will the camp be?*

The camp will have 24 or less peopleThe camp will have more than 24 people
How long will the camp operate?*

The camp will operate 14 days or lessThe camp will operate more than 14 days
No Authorization Required

Due to the size of this camp and the length of its operation, no approval is needed from the Department of Environmental Conservation.

Operators are advised to follow the best management practices for small camps.
Incorrect Application

Due to the size of this camp, it does not qualify for the small camp authorization process and must go through standard permitting, plan reviews, and authorizations.

Refer to the Large Camps webpage for more information.

Small Camp Authorization Application
Application Instructions
1. Complete all required fields accurately and thoroughly

2. Review and submit the application

3. A confirmation email will be sent to the email address listed for the applicant

4. Staff from the Department of Environmental Conservation will follow up regarding approval and payment

Note: You can save your application as a draft and return to complete it at another time. To do this, click the "Save" button at the bottom of the application and be sure the email address listed is correct; the system will email you a link to complete your application later.

Regulatory Requirements
Review the Small Camps webpage

This camp is required to follow all requirements for small camps.
Acknowledgment*

I have reviewed and agree to follow the requirements for small camps.
Review 18 AAC 31.012(c)(10)

"A food establishment located within a national park, federal military installation, public health service hospital, or other federal facility where inspections and regulatory oversight are provided by the federal government."

Note: The federal government does not provide food safety inspections or regulatory oversight for national forests, wildlife refuges, Bureau of Land Management lands, and others.
Will the camp be located in a national park or military reservation?*

YesNo
*Please Note*

Alaska requirements for wastewater, drinking water, and solid waste apply to this camp.

All required Federal regulations and permits apply to this camp.

The Alaska Food Code does not apply to this camp because food safety inspections and regulatory oversight are provided by the federal government in these locations.

Federal food safety requirements must be met.
Will the camp be used for oil and gas activities within the boundaries of the North Slope Borough?*

YesNo
*Please Note*

This camp is regulated under Alaska Pollutant Discharge Elimination System (APDES) general permit #AKG426000 for wastewater treatment and disposal.

The wastewater system is subject to plan review and approval.

Alaska requirements for food safety, drinking water, and solid waste apply to this camp.

The $30 wastewater fee does not apply.
For the purpose of this application's wastewater regulations, "remote" is defined as an area that:
- Has no year-round access to a major road system (a system of connected roads with a total length of 100 miles or more); and
- Is at least 25 road miles away from the nearest community or paved highway.
Will the camp be located in a remote location based on the definition provided?*

YesNo
*Please Note*

This camp will be required to submit wastewater engineering plans for review and approval.

Visit the Engineered Wastewater Disposal Systems webpage for more information.

Physical Location of the Camp
Choose one of the following methods to provide the precise location of the camp as part of this application:*

Report latitude and longitude to at least 1/4 mileProvide a narrative and map (only if longitude and latitude are not determined at this time)
Latitude*
Longitude*
Convert Degrees, Minutes, Seconds to Decimal Degrees

This resource is provided by the Federal Communications Commission (FCC)
Please provide a narrative that describes the precise location of the camp. The narrative may reference the map that is uploaded with the application.*
Upload Location Map*

A map of the camp's vicinity is required; it must include any road systems and communities located within 50 miles of the camp
Cancelof
Please indicate the dates the camp will be operating in this location.

These dates will be used to determine the start and end dates for the authorization.
Start Date*

MonthDayYear
Is there a confirmed date for when the camp will stop operating in this location?*

Yes, the date the camp will be deactivated has been determined.No, the date the camp will be deactivated has not been determined.
End Date*

MonthDayYear
End Date*

MonthDayYear
All small camp authorizations expire on December 31 and must be renewed. A renewal notice will be mailed to the address on file.

To renew this authorization for the next year, the next year's annual fee must be submitted to the Department of Environmental Conservation. A new application is not required as part of the renewal process if there are no changes from the previous application.

Please contact the Permit Coordinator for more information.
Please provide any additional details about the timing and operation of the camp. (optional)*
This section is not required, but the Department appreciates any additional information, including details such as "The camp will be seasonal" or "The camp will operate December and January for the next three years", etc.

Camp Information
Type of Operation*

CommercialConstructionExploration or miningRecreationalResearch
Camp Name*
Nearest Community*
Camp Phone Number*
Camp Fax Number (optional)
Camp Email*

Confirmation Email
Camp Mailing Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Responsible Person On-Site*

First NameLast Name
Title of Responsible Person On-Site*
Responsible Person's Phone Number*
Responsible Person's Fax Number (optional)
Responsible Person's Email*

Confirmation Email
Add another responsible person on-site?*

YesNo
Responsible Person On-Site*

First NameLast Name
Title of Responsible Person On-Site*
Responsible Person's Phone Number*
Responsible Person's Fax Number (optional)
Responsible Person's Email*

Confirmation Email
Is this site leased or permitted?*

YesNo
Land Manager*

First NameLast Name
Agency or Organization*
Land Manager's Phone Number*
Land Manager's Email*

Confirmation Email

Business Information
Business or Corporation Name*
Alaska Business License Number or Alaska Mining License Number*
Owner or Corporate Officer*

First NameLast Name
Owner or Corporate Officer Title *
Add another owner or corporate officer?*

YesNo
Owner or Corporate Officer*

First NameLast Name
Owner or Corporate Officer Title*
Add another owner or corporate officer?*

YesNo
Owner or Corporate Officer*

First NameLast Name
Owner or Corporate Officer Title*
Business or Corporate Mailing Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Business/Corporate Phone Number*
Business/Corporate Fax Number (optional)
Business/Corporate Email*

Confirmation Email

Small Camp Authorization Application

Small Camp Authorization Application

Application Instructions

Summary of Regulations and Fees