18 C.F.R. § 4.401
(a) A notice of intent to construct a qualifying conduit hydropower facility submitted under this subpart must contain the following:
(b) Introductory statement. The introductory statement must be set forth in the following format:
BEFORE THE FEDERAL ENERGY REGULATORY COMMISSION
NOTICE OF INTENT TO CONSTRUCT QUALIFYING CONDUIT HYDROPOWER FACILITY
[Name of applicant] applies to the Federal Energy Regulatory Commission for a determination that the [facility name] is a qualifying conduit hydropower facility, meeting the requirements of section 30(a) of the Federal Power Act, as amended.
The location of the facility is:
State or Territory: County: Township or nearby town: Water source: The exact name and business address of the applicant(s) are: Applicant's Name: Address: Telephone Number: Email Address: The exact name and business address of each person authorized to act as an agent for the applicant(s) in this notice of intent are: Name of Agent: Address: Telephone Number: Email Address: [Name of applicant] is [a citizen of the United States, an association of citizens of the United States, a municipality, State, or a corporation incorporated under the laws of (specify the United States or the state of incorporation), as appropriate].
(c) Non-Federal Conduit Statement. The non-federal conduit statement must be set forth in the following format:
The [facility name] will use the hydroelectric potential of a non-federally owned conduit.
(d) Original facility statement. The original facility statement must be set forth in the following format:
The [facility name] has not been licensed or exempted from the licensing requirements of Part I of the FPA, on or before August 9, 2013, the date of enactment of the Hydropower Regulatory Efficiency Act.
(e) Description of proposed facility. Description of proposed facility must include:
(f) Drawings, maps, diagrams. Include a set of drawings/maps/diagrams showing the structures and equipment of the hydropower facility in relation to the existing conduit. Drawings of the facility must include:
(1) A Plan View (overhead view) drawing of the proposed hydropower facilities, which includes the following:
(2) A Location Map showing the facilities and their relationship to the nearest town, which includes the following:
(g) Verification. Provide verification using either a sworn, notarized statement set forth in paragraph (g)(1) of this section or an unsworn statement set forth in paragraph (g)(2) of this section.
(1) As to any facts alleged in the notice of intent to construct or other materials filed, be subscribed and verified under oath in the form set forth below by the person filing, an officer thereof, or other person having knowledge of the matters set forth. If the subscription and verification is by anyone other than the person filing or an officer thereof, it shall include a statement of the reasons therefor.
This (notice of intent to construct, etc.) is executed in the:
State of: County of: by: (Name) (Address) being duly sworn, depose(s) and say(s) that the contents of this (notice of intent to construct, etc.) are true to the best of (his or her) knowledge or belief. The undersigned applicant(s) has (have) signed the (notice of intent to construct, etc.) this __________day of ____________, 20____. By: Subscribed and sworn to before me, a ____________ [Notary Public, or title of other official authorized by the state to notarize documents, as appropriate] of the State of ____________this day of ____________, 20____. /SEAL/[if any] (Notary Public, or other authorized official) (2) I declare (or certify, verify, or state) under penalty of perjury that the foregoing is true and correct. Executed on ____________[date]. (Signature)
[Order 800, 79 FR 59111, Oct. 1, 2014, as amended by Order 857, 84 FR 7991, Mar. 6, 2019; Order 877, 86 FR 42715, Aug. 5, 2021]