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<br />DATE <br /> <br /> <br />APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT <br /> <br />(J:1 CFR J251 <br /> <br />OMB APPROV..\L l\/O. 0702.{)O;Jlj <br />Expires JV J{j/lC /986 <br /> <br />The Department of the Army permit program is authorized by Section 10 of the River and Harbor Act of 1899, Section 404 of the <br />Clean Water Act and Section 103 of the Marine, Protection, Research and Salictuaries Act. These laws require permits authorizing <br />activities in or affecting navigable waters of the United States, the discharge o'f dredged or fill material into waters of the United States, <br />and the transportation of dredged material for the purpose of dumping it into ocean waters. Information pl'Ovided on this form will be <br />used in evaluating the application for a permit. Information in this applicatidn is made a matter of public record -through issuance of a <br />public notice. Disclosure of the information requested is voluntary; however; the data requested are necessary in order to communicate <br />with the applicant and to evaluate the permit application. If necessary inforrfiation is not provided, the permit application cannot be <br />processed nor can a permit be issutld. <br /> <br />One set of original drawings or good reproducible copies which show the loc~tion and character of the proposed activity must be <br />attached to this application (see sample drawings and instructions) and be submitted to the District Engineer having jurisdiction over <br />the location of the proposed activity. An application that is not completed ill full will be returned. <br /> <br />1. APPLICATION NUMBER (To be assigned by CorpSI <br /> <br />3. NAME, ADDRESS, AND TITLE OF AUTHORIZED AGENT <br /> <br />None <br /> <br />2. NAME AND ADDRESS OF APPLICANT <br /> <br />Telephone,no. during business hours <br /> <br />A'C1301' 585 2779 <br />A/C ( ) <br /> <br /> <br />AIC ( <br />AIC ( <br /> <br />(Residence) <br />(Office) <br /> <br />Fred R. Harris <br />852 West Branch Road <br />Blue Harbor, Maryland <br /> <br />Telephone no. during business hours <br /> <br />Statement ot Authorization: thereby designet8 Bnd authorize <br />to ect In my behelf as my <br />agent In the 'processing of this permit application and to furnish, upon request, <br />supplement8.1 Information in support of the application, <br /> <br />4, DETAILED DESCRIPTION OF PROPOSED ACTIVITY <br /> <br />48. ACTIVITY <br />Build timber bulkhead and pier and <br /> <br />4b. PURPOSE <br />To provide boat access and prevent erosion of shoreline at <br /> <br />4c. DISCHARGE OF DREDGED OR FILL MATERIAL <br /> <br />Approximately 200 cubic yards of upland fill will be placed between new bulkhead and <br />existing shoreline. <br /> <br />ENG FORM 4345, Apr 83 <br /> <br />EDITION OF 1 OCT 77 IS:OBSOLETE <br /> <br />(Proponent: DAEN.CWO.N) <br /> <br />12 <br />