Follow the steps to seamlessly complete the form online.

1. Press the ‘Get Form’ button to access the Pcn Albuquerque District Form and open it in your online editor.
2. In Box 1, enter the project name, your name as the applicant, your title, and your company or agency name. Provide your internal tracking number, mailing address, work and mobile phone numbers, email address, home phone, and fax number.
3. Specify your relationship to the property by selecting from options like owner, purchaser, or lessee. If applicable, explain any other relationship.
4. Certify your knowledge of the information provided, affirming its accuracy and the authority to undertake the proposed activities. Sign and date the certification.
5. If you are appointing an authorized agent, complete Box 2 with the agent's name, title, company or agency, email address, and contact information. Both you and the authorized agent must sign and date the certification.
6. In Box 3, if the property owner is different from the applicant, provide the owner's information.
7. In Box 4, list any known contractors involved in your project, including their contact details.
8. Fill in Box 5 with the site number and detailed location of the project including street address, waterbody names, and the project’s latitude and longitude coordinates.
9. Complete Box 6 by describing the nature of your activity, project purpose, and reasons for discharge into waters of the United States. Specify the anticipated impacts regarding area and type of waterbodies affected.
10. Proceed to Box 7 to indicate any relevant statutory authorities under which your project falls.
11. Assess if your activity requires permits and provide additional details as requested in subsequent boxes.
12. After completing all necessary sections, review your entries for accuracy and completeness.
13. Finally, save your changes, download a copy for your records, print as needed, or share the completed form with relevant stakeholders.

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