17 Pa. Code § 45.83 – Application.

(a) An application for private wild plant sanctuary designation shall be concurred in by all parties with an interest in the land and submitted to the Department by the landowner on forms provided by the Department. The forms shall contain a space for the signatures of all parties with an interest in the land, indicating their approval for private wild plant sanctuary designation.
(b) An application for private wild plant sanctuary designation shall contain the following information:
1. (1) The name, address and phone number of applicant.
2. (2) The location of the area to be designated, including a copy of a U.S.G.S. 7½ minute quadrangle or part thereof with the location plotted thereon.
3. (3) The size of the area.
4. (4) A description of the area including:
  1. (i) Classified plant species existing on the site.
  2. (ii) Habitat description.
5. (5) Other current and planned uses of the area.
6. (6) Other information the Department may require.
(c) An application for private wild plant sanctuary designation shall be verified by the applicant with a statement that the information contained in the application is true and correct to the best of the applicant’s knowledge, information and belief.