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PERMIT NO. DATE ISSUED B. CURRENT PERMITTEE INFORMATION DEP Client ID if known Organization Name or Registered Fictitious Name Employer ID EIN Individual Last Name First Name MI Suffix Additional Individual Last Name Mailing Address Street City State ZIP 4 County Phone C. PERMIT INFORMATION Check here if applying for permit transfer. GENERAL OR INDIVIDUAL NPDES PERMIT FOR DISCHARGES OF STORMWATER ASSOCIATED WITH CONSTRUCTION ACTIVITIES FOR WHICH APPLYING AS TRANSFEREE/CO-PERMITTEE* PERMIT NO. D ...

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