Application for Long Term Permit 1

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					                                                                               Form # 62-312.900(7)
                                                                               Title: Application for Long-Term Permit
                                                                               Effective Date: October 16, 1984




                             Application for Long-Term Permit'
1.         Provide an explanation as to why the proposed work cannot be completed in a 10-year period or
           provide other reasons why the request for a long-term permit is applicable to the proposed work.



2.         Describe the proposed methods of construction and provide a schedule for specific dredging and
           filling activities including operation schedules, if applicable.



3.         If mitigation is proposed, describe techniques to be used and provide reasonable assurance that
           these techniques will be effective.



4.      If the proposed project has been reviewed by other governmental agencies or other sections of the
        Department, provide the following information as to the reviews:

Agency or Section                                Type of Review                                   Action Taken




5.      It the proposed project is presently being reviewed by other governmental agencies or other sections
        of the Department, provide the following information.

Agency or Section                               Type of Review                                  Date Submitted



6.      If a jurisdictional declaratory statement has been received for the project site, provide the date of
        issuance and the name under which it was issued.

Date Submitted                                  Name


7. Describe the local zoning designation for the project site and adjacent areas.



1
    This application is to be used in addition to DEP Form 62-312.900(1)




Form 62-312.900(7)
On-Line Document
Formatted 12/16/97 kag

				
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