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Download
a PDF version of the Department of the Army Application Form.
Click here to download the free Adobe Acrobat Reader.
Instructions for Preparing a Department of the Army Application
Blocks 1 through 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.
Block 7 - Applicant Telephone Number(s). Please provide the number where
you can usually be reached during normal business hours.
Blocks 8 through 11. To be completed if you choose to have an agent.
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 at site having a street address (not a box number), please enter
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 description of the proposed project location, such as
lot numbers, tract numbers, or 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 appropriate 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, or float
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.
Blocks 20 through 22. To be completed if dredged and/or fill material is
to be discharged.
Block 20 - Reason(s) 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).
Block 21 - Type(s) of Material Being Discharged and the Amount of Each
Type in Cubic Yards. Describe the material to be discharged and amount of
each material to be discharged withing Corps jurisdiction. Please be sure
this description will agree with your illustrations. Discharge material
includes: rock, sand, clay, concrete, etc.
Block 22 - Surface Area of Wetlands or Other Waters Filled. Describe the
area to be filled at each location. Specifically identify the surface areas,
or part thereof, to be filled. Also include the means by which the discharge
is to be done (backhoe, dragline, etc.). If dredged material is to be
discharged on an upland site, identify the site and the steps to be taken
(if necessary) to prevent runoff from the dredged material back into a
waterbody. If more space is needed, attach an extra sheet of paper marked
Block 22.
Block 23 - Is Any Portion of the Work Already Complete? Provide any
background on any part of the proposed project already completed. Describe
the area already developed, structures completed, any dredged or fill
material already discharged, the type of material, volume in cubic yards,
acres filled, if a wetland or other waterbody (in acres or square feet). If
the work was done under an existing Corps permit, identify the authorization
if possible.
Block 24 - Names and Addresses of Adjoining Property Owners, Lessees,
etc., Whos Property Adjoins the Project Site. List complete names and full
mailing addresses of the adjacent property owners (public and private)
lessees, etc., whose property adjoins the waterbody or aquatic site where
the work is being proposed so that they may be notified of the proposed
activity (usually by public notice). If more space is needed, attach an
extra sheet of paper marked Block 24.
Information regarding adjacent landowners is usually available through
the office of the tax assessor in the county or counties where the project
is to be developed.
Block 25 - Information about Approvals or Denials by Other Agencies. You
may need the approval of other Federal, state, or local agencies for your
project. Identify any applications you have submitted and the status, if any
(approved or denied) of each application. You need not have obtained all
other permits before applying for a Corps permit.
Block 26 - Signature of Applicant or Agent. The application must be
signed by the owner or other authorized party (agent). This signature shall
be an affirmation that the party applying for the permit possesses the
requisite property rights to undertake the activity applied for (including
compliance with special conditions, mitigation, etc.).
A PDF version.
Drawings
General Information
Three types of drawings - Vicinity, Plan, and Elevation - are required to
accurately depict activities.
Submit one original, or good quality copy, of all drawings on 8½ X 11
inch white paper (tracing cloth or film may be used). Submit the fewest
number of sheets necessary to adequately show the proposed activity.
Drawings should be prepared in accordance with the general format of the
samples, using block style lettering. Each page should have a title block.
See check list below. Drawings do not have to be prepared by an engineer,
but professional assistance may become necessary if the project is large or
complex.
Leave a 1-inch margin at the top edge of each sheet for purposes of
reproduction and binding.
In the title block of each sheet of drawings identify the proposed
activity and include the name of the body of water; river mile (if
applicable); name of county and state; name of applicant; number of the
sheet and total number of sheets in set; and date the drawing was prepared.
Since drawings must be reproduced, use heavy dark lines. Color shading
cannot be used; however, dot shading, hatching, or similar graphic symbols
may be used to clarify line drawings.
Vicinity Map
The vicinity map you provide will be printed in any public notice that is
issued and used by the Corps of Engineers and other reviewing agencies to
locate the site of the proposed activity. You may use an existing road map
or US Geological Survey topographic (scale 1:24,000) as the vicinity map.
Please include sufficient details to simplify locating the site from both
the waterbody and from land. Identify the source of the map or chart from
which the vicinity map was taken and, if not already shown, add the
following:
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Location of activity site (draw an arrow showing the exact location
of the site on the map).
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Latitude, longitude, river mile, if known, and/or other information
that coincides with Block 6 on the application form.
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Name of waterbody and the name of the larger creek, river, by, etc.,
that the waterbody is immediately tributary to.
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Names, descriptions and location of landmarks.
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Name of all applicable political (county, parish, borough, town,
city, etc.) jurisdictions
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Name of and distance to nearest town, community, or other identifying
locations
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Names or numbers of all roads in the vicinity of the site.
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North arrow.
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Scale.
Plan View
The plan view shows the proposed activity as if you were looking straight
down on it from above. your plan view should clearly show the following:
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Name of waterbody (river, creek, lake, wetland, etc.) and river mile
(if known) at location of activity.
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Existing shorelines.
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Mean high and mean low water lines and maximum (spring) high tide
line in tidal areas.
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Ordinary high water line and ordinary low water line if the proposed
activity is located on a non-tidal waterbody.
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Average water depths around the activity.
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Dimensions of the activity and distance it extends from the high
water line into the water.
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Distances to nearby Federal projects, if applicable.
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Distance between proposed activity and navigation channel, where
applicable.
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Location of structures, if any, in navigable waters immediately
adjacent to the proposed activity.
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Location of any wetlands (marshes, swamps, tidal flats, etc.)
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North arrow.
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Scale.
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If dredged material is involved, you must describe the type of
material, number of cubic yards, method of handling, and the location of
fill and spoil disposal area. The drawing should show proposed retention
levees, weirs, and/or other means for retaining hydraulically placed
materials.
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Mark the drawing to indicate previously completed portions of the
activity.
Elevation and/or Cross Section View
The elevation and/or cross section view is a scale drawing that shows the
side, front, or rear of the proposed activity. If a section view is shown,
it represents the proposed structure as it would appear if cut internally
for display. Your elevation should clearly show the following:
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Water elevations as shown in the plan view.
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Water depth at waterward face of proposed activity or, if dredging is
proposed, dredging and estimated disposal grades.
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Dimensions from mean high water line (in tidal waters) of proposed
fill or float, or high tide line for pile supported platform. Describe any
structures to be built on the platform.
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Cross section of excavation or fill, including approximate side
slopes.
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Graphic or numerical scale.
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Principal dimensions of the activity.
Notes on Drawings
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Names of adjacent property owners who may be affected. Complete names
and addresses should be shown in Block 5 on ENG Form 4345.
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Legal property description: Number, name of subdivision, block, and
lot number from plot, deed, or tax assessment.
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Photographs of the site of the proposed activity are not required;
however, pictures are helpful and may be submitted as part of any
application.
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While illustrations need not be professional (many small, private project
illustrations are prepared by hand), they should be clear, accurate,
and contain all necessary information.
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