2008-01-04_HYDROLOGY - M1984108 - Laserfiche WebLink

Home Browse Search

Instructions For Preparing A Department of the Army Permit Application Blocks 1 thru 4 - To be completed by Corps of Engineers Block 5 -APPLICANT'S NAME. Enter the name of the responsible party or parties. If the responsible party is an agency, company, corporation, or other organization, indicate the responsible officer and title. If more than one party is associated with the application, please attach a sheet with the necessary information marked "Block 5". Block 6 -ADDRESS OF APPLICANT. Please provide the full address of the party or parties responsible for the application: If more space is needed, attach an extra sheet of paper marked "Block 6". Block 7 -APPLICANT PHONE NUMBERS. Please provide the number where you can usually be reached during normal business hours. Block 8 -AUTHORIZED AGENT'S NAME AND TITLE. Indicate name of individual or agency, designated by you, to represent you in this process. An agent can be an attorney, builder, contractor, engineer or any other person or organization. Note: An agent is not required. Blocks 9 and 10 -AGENT'S ADDRESS AND TELEPHONE NUMBER. Please provide the complete mailing address of the agent, along with the telephone number where he/she can be reached during normal business hours. Block 11 -STATEMENT OF AUTHORIZATION. To be completed by applicant if an agent is to be employed. Block 12 -PROPOSED PROJECT NAME OR TITLE. Please provide name identifying the proposed project (i.e., Landmark Plaza, Burned Hills Subdivision, or Edsall Commercial Center). Block 13 -NAME OF WATERBODY. Please provide the name of any stream, lake, marsh, or other waterway to be directly impacted by the activity. If it is a minor (no name) stream, identify the waterbody the minor stream enters. Block 14 -PROPOSED PROJECT STREET ADDRESS. If the proposed project is located at a site having a street address (not a box number), please enter it here. Block 15 -LOCATION OF PROPOSED PROJECT. Enter the county and state where the proposed project is located. If more space is required, please attach a sheet with the necessary information marked "Block 15". Block 16 -OTHER LOCATION DESCRIPTIONS. If available, provide the Section, Township, and Range of the site and/or the latitude and longitude. You may also provide a description of the proposed project location, such as lot numbers or tract numbers. You may choose to locate the proposed project site from a known point (such as the right descending bank of Smith Creek, one mile down from the Highway 14 Bridge). If a large river or stream, include the river mile of the proposed project site, if known. Block 17 -DIRECTIONS TO THE SITE. Provide directions to the site from a known location or landmark. Include highway and street numbers as well as names. Also provide distances from known locations and any other information that would assist in locating the site. Block 18 -NATURE OF ACTIVITY. Describe the overall activity or project. Give approximate dimensions of structures such as wingwalls, dikes, (identify the materials to be used in construction, as well as the methods by which the work is to be done), or excavations (length, width, and height). Indicate whether discharge of dredged or fill material is involved. Also, identify any structure to be constructed on a fill, piles, orfloat-supported platforms. The written descriptions and illustrations are an important part of the application. Please describe, in detail, what you wish to do. If more space is needed, attach an extra sheet of paper marked "Block 18". Block 19 -PROPOSED PROJECT PURPOSE. Describe the purpose and need for the proposed project. What will it be used-for and why? Also include a brief description of any related activities to be developed as the result of the proposed project. Give the approximate dates you plan to both begin and complete all work. Block 20 -REASONS FOR DISCHARGE. If the activity involves the discharge of dredged and/or fill material into a wetland or other waterbody, including the temporary placement of material, explain the specific purpose of the placement of the material (such as erosion control).