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Instructions For Preparing A <br />Department of the Army Permit Application <br />Block 21 -TYPES OF MATERIAL BEING DISCHARGED AND THE AMOUNT OF EACH TYPE IN CUBIC YARDS. <br />Describe the material to be discharged and amount of each material to be discharged within Corps jurisdiction. Please be <br />sure this description will agree with your illustrations. Discharge material includes: rock, sand, clay, concrete, etc. <br />Block 22 -SURFACE AREAS OF WETLANDS OR OTHER WATERS FILLED. Describe the area to be filled at each <br />location. Specifically identify the surface areas, or part thereof, to be filled. Also iriclude the means by which the <br />discharge is to be done (backhoe, dragline, etc.). If dredged material is to be discharged on an upland site, identify the <br />site and the steps to be taken (if necessary) to prevent runoff from the dredged material back into a waterbody. If more <br />space is needed, attach an extra sheet of paper marked "Block 22". <br />Block 23 - IS ANY PORTION OF THE WORK ALREADY COMPLETE? Provide any background on any part of the <br />proposed project already completed. Describe the area already developed, structures completed, any dredged or fill <br />material already discharged, the type of material, volume in cubic yards, acres filled, if a wetland or other waterbody (in <br />acres or square feet). If the work was done under an existing Corps permit, identify the authorization if possible. <br />Block 24 -NAMES AND ADDRESSES OF ADJOINING PROPERTY OWNERS, LESSEES, etc., WHOSE PROPERTY <br />ADJOINS THE PROJECT SITE. List complete names and full mailing addresses of the adjacent property owners (public <br />and private) lessees, etc., whose property adjoins the waterbody or aquatic site where the work is being proposed so that <br />they may be notified of the proposed activity (usually by public notice). If more space is needed, attach an extra sheet of <br />paper marked "Block 24". <br />Block 25 -INFORMATION ABOUT APPROVALS OR DENIALS BY OTHER AGENCIES. You may need the approval of <br />other Federal, State, or Local agencies for your project. Identify any applications you have submitted and the status, if <br />any (approved or denied) of each application. You need not have obtained all other permits before applying for a Corps <br />permit. <br />Block 26 -SIGNATURE OF APPLICANT OR AGENT. The application must be signed by the owner or other authorized <br />party (agent). This signature shall be an affirmation that the party applying for the permit possesses the requisite property <br />rights to undertake the activity applied for (including compliance with special conditions, mitigation, etc.). <br />DRAWINGS AND ILLUSTRATIONS -GENERAL INFORMATION <br />Three types of illustrations are needed to properly depict the work to be undertaken. These illustrations or drawings are <br />identified as a Vicinity Map, a Plan View, or a Typical Cross-Section Map. Identify each illustration with a figure or <br />attachment number. <br />Please submit one original, or good quality copy, of all drawings on an 8.5 X 11 inch plain white paper (tracing paper or <br />film may be substituted). Use the fewest number of sheets necessary for your drawings or illustrations. <br />Each illustration should identify the project, the applicant, and the type of illustration, (vicinity map, plan view, or cross- <br />section). While illustrations need not be professional (many small, private project illustrations are prepared by hand), they <br />should be clear, accurate and contain all necessary information. <br />2 <br />