Site Panel:
Site Number
Cross-ref Site#
Site Common Name
Project Address

Alternate Location Description

Lot/Phase/District
City

PIN #
Total Site Impacts (acres)
County

Island

Subdivision

Waterway

Waterway Type


Latitude/Longitude

Latitude
from
Deg
to
Deg


Longitude
from
Deg
to
Deg




Event Panel:
Event Code
Date of Request
from
to
Event Description

CRD Permit #

Corps Permit #

Vessel Name

Entity Legal Name

Project Manager

File Location

Impacted Waters

Total Cumulative Impacts (acres)

Total Authorized Impacts (acres)

Conclusion Date
from
 
to
 

Attachments
File Name


Applicant Panel:
Last
 
First
 
MI
 
Company
Contact Detail

Address - 1

Address - 2

City

StateLegend
Zip


Agent Panel:
Last
 
First
 
MI
 
Company
Contact detail

Address - 1

Address - 2

City

StateLegend
Zip


 

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