I present the motivation, design, and latest results of the Observations of Redshift Evolution in Large Scale Environments (ORELSE) Survey, a systematic search for structure on scales greater than 10 Mpc around 20 known galaxy clusters at redshifts of z > 0.6. When complete, the survey will cover nearly 5 square degrees, all targeted at high-density regions, making it complementary and comparable to field surveys such as DEEP2 and COSMOS. I describe the large scale structures that have been photometrically and spectroscopically confirmed so far through this program. In particular, I focus on the multi-wavelength studies of the Cl 1604 supercluster at z = 0.9, which contains at least eight clusters and spans 10 Mpc by 100 Mpc. I will describe the filamentary structure of this supercluster, the galaxy properties as a function of environment, and the large population of (optically-innocuous) active galaxies detected through radio, mid-IR, and X-ray observations. The physical processes responsible for star-formation, starbursts, and nuclear activity in these intermediate-density regimes and the implications for galaxy evolution will be discussed.