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<br /> APPUCATION FOR OEPARTMENT OF THE ARMY PERMIT OMS APPROVAL NO, 0702-4103&
<br /> (JJ CFR 325) Expir.s 30 June 1992
<br />PublIC r.pon,ng llwden lor 111.. COIIecIlOO 01 IOIOfmallOo Ii eotlf'nal8d 10 o_age 5 hours f)8f __ for IIle _Iy 01 cases, InclualOQ IIle IlIT1e IOf r_,og
<br />"ISUUC"""., .......cI\lOQ ....bog dale SOU<C8S, gillllenng and malOlaIrllng IIle dale _, and compIeong and r""-'g IIle COIIecIlOo 01 IOIOfma""",
<br />AppjICa""". IOf larger Of lTlOfe complex pr""",lS, Of Ihose 10 """"'!locally SllflSllNe areas, llflIlaile longer, Send COfI1menlS regarding 1I11S bYtllell .sbmale Of"'~
<br />olller _I 0111\I. COIIecIlOO a1lnlOfIllallon, IIlCluOlIlg _lIOns for reo:luclOg ... bYtden. 10 Washing"", Heallquaner. SeMces. OweclOfide IOf InformallOo
<br />O"",ollOns and Aeporta, 1215 Jenerson 0_ H'llh_. Sulle 1204, Monglan, VA 22202-04302; _10... 0II0ce 01 fllorrnallOn and ~ Ana.... Olftce
<br />ol Managemenl and Budget. WasIwIg"",. DC 20503,
<br />The O.par1me(1I 01 ,he Armv permll program IS aulllOf,zea by SeeIlOo 10 oIl1le AlVers and H",bOfS Act ol18911, See""" 404 01 al8 CIoan WOIer ACI and
<br />SectIon 103 olllle MarIne, ProleC""", Aesearen and Sanclualles ACL rhese law. r_. per"".. "'1IlOf1ZlOQ aclMIleS WI Of onecong navogioble wOler. olllle
<br />Unlled SidleS, !he discharge 01 liredged Of Ijl malenallnlO WOIer. olllle Unofeel SlaIes, and ... ltanajlOf1allOO 01 olredged maJe(oaIIOf al8 pyrPDSe 01 liumpoog "
<br />InlD OC.an wOlers. InlOfma""" PfOVoded on Ill.. IOfm woII be used WI evaluallt1g IIle 0jljlltCaIlQn IOf 0 perfTllL InformallOO WI II\Is OWllCallOo IS maoie a maner 01
<br />publIC rllCOfoi IIlrOuyh l....ar1C8 01 0 pullloc nollCe, 01SClosut. oIl1le WlIorIllallon r_ is valunlary; '-, IIle daIa r_feel are necesoary .n OIlier lD
<br />COfM1U1llCale wllI1the applocanl and '" ev_ the f)8ffTllt "W"".,~, If ~ IlIOrmoIIon is nol ~ IIle _ "W"".llOf1 cannol be prOC8Slied nor
<br />can 0 perm" be _,
<br />One sel 01 orogonal lirowtng. Of good rlljll'OduclbIe COOfO. whICh SOOw IIle _ and cl\aracler olllle prOilllllloi ac-.r'1y must be onached '" lI1iS OWllCallOO
<br />(see sample Clr.wmg. anCl m.l1uc/JOns) ancl be suIlmilIed '" ... 0l0lt1Cl e.- '-'II JUI__ _ ... IOcaIoon 01 ... prOilllllloi ac1MIy, An "PIll~.'oon
<br />lhat I. no. compIefeel WI lull ... be relumed.
<br />,. APPuCATION NUW8eA (To be __ by Cot".) 3, -. ACCAilili , NID mu: OF AUTHOAIZeo AGENr
<br /> T__ no. ""'1118 ___I
<br />2, NAME AND ACCAilili OF APPI.JCANr Ale I I (0__ ".llCw)
<br /> Ale I ) IO/Iice)
<br /> Q(1'11Ni.. aI ~ I..., dIIIignMe and "'Ihorile
<br /> 10 let In my
<br /> Tolop/Ione no. liUlong buoinoas hout, - IS mw -., ....._ Q/ Ihos 1*'" _ond 10
<br /> 'Wnllft, upon '..... ",,' ._.... infor,...hon IfIIA.1PPOR allhe appMc.a11Otl.
<br /> AlC( ) (AAJ>..... _) -l1JAE OF AI'PIJCANT DATE
<br /> AlC ( I 100lice)
<br />4 DeT AlI.EO DESCRIPTION OF PAClP06Eo AClMTY
<br />4.. ACTMTY
<br />4b PuAI'OSE
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<br />4c, I'1ISCH"JlGE OF DREDGED OR FUIolATEAW.
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<br />EDITION OF _ MIS 0lIlillLETE.
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<br />(PI'&4U'_11 CLCW-()N)
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<br />ENG FORM 4345, Aug 89
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