Form Center

2. Nomination Information

   All nomination information is required for submittal

4. Property Name*

   Please input the name of the property

5. Tax Parcel ID(s)*

   Please input the Tax Parcel ID(s)

7. Proposed Purchase Type*

   1. Conservation Easement
   2. Full Fee Purchase

   Please select the appropriate proposed purchase type

8. Property Acreage*

   Please indicate the size of the property in acres

9. Is this within a city or town? If so, which?*

   Please indicate which city or town the property is located in if any. 

11. Nominator Name
13. First Name*
14. Last Name*
16. Phone *
17. Email*
19. Committed Match* Funding Available?*

    1. Yes
    2. No

    *Committed Match: Funds are available and have been committed to this project.

20. Committed Match Funding Amount?*

    Please enter the Committed Match Funding Amount in USD

22. Non tax parcel boundaries

    If proposed boundaries are not the tax parcels, please attach a map with proposed boundaries indicated.

23. Nomination Explanation*

    Please attach an up to one (1) page explanation of why you think the property is an excellent addition to Nassau County Conservation Lands. Please include any other maps or images which support your argument up to a further three (3) pages.

27. Land Owner Information

    Land Owner information is optional but appreciated for submittal

29. First Name
30. Last Name
32. Address1
34. Address2
36. City
37. State
38. Zip
40. Phone
41. Landowner E-mail

43. The Nassau County Conservation Lands Acquisition and Management Program is a willing seller only program that solely deals with lands willingly sold by participating landowners. Lands will not be condemned, nor landowners improperly compelled to enroll themselves in the program. Landowners participating in the nomination process may get extra points in the property rankings.

45. Land Owner Participation

    1. Yes
    2. No

    Is the landowner participating in the nomination?

47. As the landowner are you willing to donate a portion of the value of the sale of a conservation easement or of your property? Landowners donating a portion of the value may be able to achieve significant income tax deductions for their gift. Landowners donating a portion of the value may also be able to increase their ranking.

49. Property Sale Donation

    1. Yes
    2. No

    Are you willing to donate a portion of the Property Sale Value?

51. Sale Amount

    What is the amount you are seeking in the sale? (Staff will compare that amount to the property tax appraised value)

Leave This Blank:


53. 1. Receive an email copy of this form.
54. Email address

    This field is not part of the form submission.

55. Submit

* indicates a required field