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Application for a Brazos County Road and Bridge Department Oil and Gas Floodplain Development Permit

  1. CITY, STATE, ZIP CODE

  2. YOU WILL NEED TO PROVIDE PROOF OF CURRENT ADDRESS. CONTACT BRAZOS COUNTY 911 DISTRICT (979) 779-0911TO RECEIVE ADDRESS INFORMATION.

  3. CITY, STATE, ZIP CODE

  4. STRUCTURAL DEVELOPMENT ACTIVITY

  5. OTHER DEVELOPMENT ACTIVITIES

  6. MATERIAL BROUGHT IN?*

  7. REGULATORY ANALYST

  8. RIGHT OF WAY MANAGER

  9. SURVEYOR

  10. ENGINEER

  11. FIELD SUPERVISOR

  12. CONSTRUCTION MANAGER

  13. DRILLING COMPANY

  14. EMERGENCY CONTACTS

    TWO REPRESENTATIVES WITH SUPERVISORY AUTHORITY OVER ALL OIL AND GAS OPERATION SITE ACTIVITIES THAT CAN BE REACHED TWENTY-FOUR (24) HOURS A DAY.

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  16. This field is not part of the form submission.