Transcription of JOINT APPLICATION AND NOTIFICATION U. S. …
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JOINT APPLICATION AND NOTIFICATION U. S. …
ADEM form 166 8/19 (ADEM-COE JOINT APPLICATION ) Page 1 of 3 JOINT APPLICATION AND NOTIFICATION U. S. department OF ARMY, CORPS OF ENGINEERS alabama department OF environmental MANAGEMENT THIS form IS TO BE USED FOR PROPOSED ACTIVITIES IN WATERS OF THE UNITED STATES WITHIN THE POLITICAL BOUNDARIES OF THE STATE OF alabama . PLEASE TYPE OR PRINT IN INK : _____ / _____ / _____ month day year APPLICATION Number:_____ (Agency Use Only) INFORMATION:Name: _____Company: _____Mailing Address: _____Telephone Number and Email (during business hours):A/C ( ) _____Email: LOCATION:Street Address: _____City/Community: _____County: _____Name of Waterway: _____Latitude: _____Longitude: _____(Provide Lat/Long in decimal degrees, if available)Section _____ Township _____ Range _____County Parcel Identification Number (PID): _____ (PID is typically located on property tax receipt) OF AGENT, STATEMENT OFAUTHORIZATION.
adem form 166 8/19 (adem-coe joint application) page 1 of 3 joint application and notification . u. s. department of army, corps of engineers . alabama department of environmental management . this form is to be used for proposed activities in waters of the united states
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