New Jersey Department of Agriculture Hydrologic Modeling Database – Data Entry Form

Project Site Details

Chpt. 251 Application Number:

Start Date (if known): ___

. Cuzan County

Street Address: 102 SAMS ROAD

JAMS ROAD

Municipality: Jackson

Block: 20101

Lot: 29&30

NJDEP Anderson Landuse Code (4 digits):

Landuse description: 1810

Site Centroid Location (NJ State Plane Feet):1

Northing: 457298 Easting: 553535

Project Contact Details

Applicant:_____

Address:___

Phone:_____

Email: ___

Post Construction Operation & Maintenance:2

Party Name: ___

Address: ___

Phone: _____

Email: ___

Party type: ___

SSCC 251 HDF1