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OINT PPLICATION ORM INSTRUCTIONS

JOINT APPLICATION FORM INSTRUCTIONS Rev. 8/12/16 Page 1 of 5 JOINT APPLICATION FORM INSTRUCTIONS Use this application to apply for Permits from all of the listed state and federal agencies. This form is for all projects that affect streams, waterways, waterbodies, wetlands, coastal areas, sources of water, and endangered and threatened species. This Joint Application Form has four pages. Incomplete, illegible or inaccurate information may delay your permit decision. Agencies may request additional information to complete your application. If you have any questions, refer to the Agency Contact Information on pages four and five of these INSTRUCTIONS .

For Erie, Niagara and Wyoming Counties. NYS DEC REGION 9 Sub-Office . Regional Permit Administrator 182 East Union, Suite 3 Allegany, NY 14706-1328 phone 716-372-0645 fax: 716-372-2113 email: dep.r9@dec.ny.gov For Allegany, Cattaraugus and Chautauqua Counties. NYS DEC REGION 1 . Regional Permit Administrator SUNY @ Stony Brook 50 Circle Road

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