Form DCR199-113 "Permission Form to Include Nutrient Management Planner Information in Statewide Directory" - Virginia

What Is Form DCR199-113?

This is a legal form that was released by the Virginia Department of Conservation and Recreation - a government authority operating within Virginia. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2001;
  • The latest edition provided by the Virginia Department of Conservation and Recreation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DCR199-113 by clicking the link below or browse more documents and templates provided by the Virginia Department of Conservation and Recreation.

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Download Form DCR199-113 "Permission Form to Include Nutrient Management Planner Information in Statewide Directory" - Virginia

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REPLY TO:
York Watershed Office
P. O. Box 1425
Tappahannock, VA 22560
Telephone: (804) 443-6752
FAX: (804) 443-4534
MEMO
To:
Virginia Nutrient Management Certified Planners
From:
David Kindig
Nutrient Management Certification and Training Coordinator
Subject:
Certified Planner Directory
Date:
March 8, 2001
Attention
With increased emphasis being placed on Nutrient Management Planning through legislation,
public concerns, and environmental organizations, DCR is receiving many requests for a list of
Certified Planners willing to write plans. This directory will be used to respond to those
requests. To be included in the current directory, please complete the information below (even
if you have done so in the past so that we may update our records.)
I DO NOT want to be listed in this directory as an active plan writer at this time.
Signed: ____________________________________________ Date: _______________
I WANT to be listed in the directory using the following information:
Name: _________________________________________________________________
Business Name (if applicable): _______________________________________________
(DCR 199-113) (4/01)
REPLY TO:
York Watershed Office
P. O. Box 1425
Tappahannock, VA 22560
Telephone: (804) 443-6752
FAX: (804) 443-4534
MEMO
To:
Virginia Nutrient Management Certified Planners
From:
David Kindig
Nutrient Management Certification and Training Coordinator
Subject:
Certified Planner Directory
Date:
March 8, 2001
Attention
With increased emphasis being placed on Nutrient Management Planning through legislation,
public concerns, and environmental organizations, DCR is receiving many requests for a list of
Certified Planners willing to write plans. This directory will be used to respond to those
requests. To be included in the current directory, please complete the information below (even
if you have done so in the past so that we may update our records.)
I DO NOT want to be listed in this directory as an active plan writer at this time.
Signed: ____________________________________________ Date: _______________
I WANT to be listed in the directory using the following information:
Name: _________________________________________________________________
Business Name (if applicable): _______________________________________________
(DCR 199-113) (4/01)
Address:________________________________________________________________
_________________________________________________________________
Phone Number (with best time to call): _________________________________________
Describe area you are willing to cover by county or geographic location: _______________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Please indicate if you are: ___ self-employed offering plan writing as a service; ___ work for company
providing this service; ___ available for hire as a plan writer; or ___ other (with explanation.) ______
______________________________________________________________________________
Other nutrient management related services provided: ____________________________________
______________________________________________________________________________
______________________________________________________________________________
Comments to be included with your listing: _____________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
After you have completed this form, please sign and date below to verify you want to be included in this
directory.
______________________________________________________________________________
Name
Date
Return this form to:
Ms. Susan Townsend
Dept. of Conservation and Recreation
P.O. Box 1425
Tappahannock, VA. 22560
(DCR 199-113) (4/01)
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