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START NOTICE HUDSON-ESSEX-PASSAIC SOIL CONSERVATION DISTRICT THIS FORM IS TO BE SUBMITTED TO PROVIDE THE REQUIRED 48 HOUR ADVANCE NOTICE OF THE START OF SOIL DISTURBING ACTIVITIES AND __ THE IMPLEMENTATION OF THE SOIL EROSION AND SEDIMENT CONTROL PLAN This project requires / does not require the NIDEP 5G3 (RFA) permit prior to groundbreaking. PROJECT NAME: Freq}, Cidoe SED em HUDSON-ESSEX-PASSAIC SCD 2511D#:__ QOU - F-Jivy PROJECT LOCATION: STREET ADDRESS: _/) Lidge Load MUNICIPALITY: _ (254 Grange PROJECT OWNER/APPLICANTS NAME: ADDRESS: PHONE #: FAX: E-MAIL: _ CELL# ON-SITE AGENT RESPONSIBLE DURING CONSTRUCTION or CONTRACTOR NAME: ADDRESS: PHONE #: FAX. EMAIL : CELL# PROJECT START DATE : — et (including DEMOLITION, CLEARING, LAND GRADING) This form must be provided to the District at least 48 hours in advance of any soil disturbing activity pertaining to a plan previously certified by this office. Failure to provide this notification is a violation of the New Jersey Soil Erosion and Sediment Control Act, ch.251, P.L 1975, and may result in additional fees. MAIL THIS NOTICE TO: HUDSOD EX-PASSAIC SCD 80 ORCHARD ST. BLOOMFIELD NJ 07003 Or send via FAX: (862) 333-4507 _ or EMAIL: information@hepscd.org