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Facility DEC ID: 9291100036 PERMIT Under the Environmental Conservation Law (ECL) IDENTIFICATION INFORMATION Permit Type: Air State Facility Permit ID: 9-2911-00036/00151 Mod 0 Effective Date: 06/15/2009
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How to fill out this permit modification represents

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01
To fill out this permit modification form, start by carefully reading the instructions provided. These instructions will guide you through the process of completing the form correctly.
02
Make sure you have all the necessary information and documents ready before starting to fill out the form. This may include details about the current permit, any proposed changes, and supporting documentation.
03
Begin by entering your personal information, such as your name, address, and contact details, in the designated fields. Ensure that the information provided is accurate and up to date.
04
Next, identify the specific permit that you are seeking to modify. This may involve providing the permit number, issue date, and any other relevant details that will help the authorities identify the permit you are referring to.
05
Describe the proposed modifications in detail. Clearly explain what changes you are requesting and why these modifications are necessary. Provide supporting evidence or documents, if required, to substantiate your request.
06
Mention any additional information that may be relevant to the permit modification. This could include any new circumstances, updated plans or designs, or any other factors that may impact the permit's validity or conditions.
07
Once you have completed filling out the form, review all the information provided to ensure its accuracy and completeness. Make any necessary corrections or additions before submitting the form.
08
Submit the completed permit modification form to the appropriate authority or department responsible for processing such requests. Follow any additional instructions or procedures that may be specified in the form or provided separately.

Who needs this permit modification represents?

01
Individuals or businesses who hold a permit and require specific changes or modifications to be made to the existing permit are the ones who need this permit modification form.
02
For example, a construction company that wants to modify their building permit to include additional floors or change the building's design would need to fill out this permit modification form. Similarly, a homeowner who wants to make alterations to their existing permit, such as adding a new structure or changing the land use, would also require this form.
03
Ultimately, anyone who holds a permit and needs to request modifications, adjustments, or changes to that permit should utilize this permit modification form to communicate their requirements to the relevant authorities.
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This permit modification represents a change or amendment to an existing permit.
Any individual or organization that holds the existing permit and wants to make a change or amendment to it is required to file this permit modification.
To fill out this permit modification, you need to provide the necessary information and details related to the proposed changes or amendments to the existing permit. This may include describing the modifications, submitting supporting documentation, and completing the required forms.
The purpose of this permit modification is to allow for changes or amendments to an existing permit in order to accommodate new conditions, requirements, or circumstances.
The specific information that must be reported on this permit modification will vary depending on the nature of the changes or amendments being made. Generally, you will be required to provide details about the proposed modifications, any supporting documentation, and any additional information requested by the regulatory authority.
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