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TOTAL LAND DISTURBANCE OF ONE ACRE OR GREATER AND SITES LESS THAN ONE ACRE BUT ARE PART OF A LARGER COMMON PLAN OR DEVELOPMENT OR SALE Mail to: FOR OFFICE USE ONLY Alabama Department of Environmental Management Water Division Post Office Box 301463 Montgomery, Alabama 36130-1463 NPDES PERMIT NUMBER RECEIPT NUMBER PLEASE COMPLETE ALL QUESTIONS. RESPOND WITH N/A AS APPROPRIATE. INCOMPLETE OR INCORRECT ANSWERS, OR MISSING SIGNATURES WILL DELAY PROCESSING. IF SPACE IS INSUFFICIENT, CONTINU.

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