Please use the new numbers of the draft rules when possible.

PERMIT SYSTEM RULES REVISION
PUBLIC COMMENT FORM

 

Rule No. (if applicable) ________________

Topic: _______________________________________________________________________

Concern/Issue:_________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

 

Suggested Rule Revision:  ______________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

 

__________________________________________            ______________________________
     Print or Type Name                                                                         Signature

__________________________________________            ______________________________
     Address                                                                                          Phone Number

 

Please submit this form at a public meeting or mail to:
Attn:  Permit Rules
Hudson River-Black River Regulating District
737 Bunker Hill Road
Mayfield, NY 12117