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Application Procedure Checklist <br />a) Applicant ,Apptica *ion and project narrative <br />b) Excavated material: Application and project narrative <br />c Location Map: A <br />ci) Pro posed work awings: A`tached <br />a) Wetlands. NA <br />*; Agreement Statement: Provided below <br />g) Work completion certification: A report will be provided to the USACOE within a reasonable <br />timefrarne once the field work has been completed to document all activities. <br />United CompanieE of Mesa County dba Oidcastle SW Group Inc. agrees to the terms and conditions of <br />this permit: <br />Applicant Date <br />