Application Alteration Form PDF Details

Navigating through the complexities of altering floodplains, waterways, and wetlands in Maryland necessitates a meticulous approach, embodied in the Joint Federal/State Application for the Alteration of any Floodplain, Waterway, Tidal or Nontidal Wetland. This form is an essential first step for any individual or entity planning to make changes to Maryland's sensitive environmental areas. Applicants are required to provide detailed information, including applicant and agent details, a comprehensive project description, and specifics about the project location. This ensures a thorough assessment by relevant agencies, considering the environmental impact and adherence to state and federal regulations. The application process demands the submission of one original along with four copies, complete with required maps and plans, highlighting the importance of clarity and precision in proposals. Additionally, the form addresses aspects like project purposes, the need for any alterations, and measures to minimize impact, ensuring that each proposed alteration is scrutinized for environmental protection. The inclusion of sections on alternative site analysis and public need underscores a commitment to sustainable development practices. Moreover, considerations for adjacent property owners, historic properties, and additional information allow for a comprehensive evaluation beyond immediate environmental concerns.

QuestionAnswer
Form NameApplication Alteration Form
Form Length7 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 45 sec
Other namesmaryland application alteration, f you nontidal, application nontidal, maryland unemployment application form

Form Preview Example

JOINT FEDERAL/STATE APPLICATION FOR THE ALTERATION OF ANY FLOODPLAIN,

WATERWAY, TIDAL OR NONTIDAL WETLAND IN MARYLAND

FOR AGENCY USE ONLY

 

 

 

 

 

Application Number

 

Date Determined Complete

 

Date Received by State

 

Date(s) Returned

 

Date Received by Corps

 

 

 

 

 

 

Type of State permit needed

 

Date of Field Review

 

Type of Corps permit needed

 

Agency Performed Field Review

 

+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

Please submit 1 original and 4 copies of this form, required maps and plans to the Wetlands and Waterways Program as noted on the last page of this form.

Any application which is not completed in full or is accompanied by poor quality drawings may be considered incomplete and result in a time delay to the applicant.

Please check one of the following:

RESUBMITTAL: APPLICATIONAMENDMENT: MODIFICATIONTOANEXISTINGPERMIT:

JURISDICTIONALDETERMINATIONONLY APPLYINGFORAUTHORIZATION

PREVIOUSLYASSIGNEDNUMBER(RESUBMITTALSANDAMENDMENTS)

DATE

1.APPLICANT INFORMATION: APPLICANT NAME:

A.

Name:

 

 

 

B. Daytime Telephone:

 

C.

Company:

 

D. Email Address:

 

E.Address:

F.

City:

 

State:

 

 

 

 

Zip:

 

AGENT/ENGINEER INFORMATION:

 

 

 

 

 

 

 

 

A.

Name:

 

 

B.

Daytime Telephone:

 

C.

Company:

 

D. Email Address:

 

E.Address:

F.

City:

 

State:

 

 

 

 

Zip:

 

ENVIRONMENTAL CONSULTANT:

 

 

 

 

 

 

 

 

A.

Name:

 

 

B.

Daytime Telephone:

 

C.

Company:

 

D. Email Address:

 

E.Address:

F.

City:

 

State:

 

 

 

 

Zip:

 

CONTRACTOR (If known):

 

 

 

 

 

 

 

 

 

A.

Name:

 

 

B.

Daytime Telephone:

 

C.

Company:

 

D. Email Address:

 

E.Address:

F.

City:

 

State:

 

 

 

 

Zip:

 

PRINCIPAL CONTACT:

 

 

 

 

 

 

 

 

A.

Name:

 

 

B.

Daytime Telephone:

 

C.

Company:

 

D. Email Address:

 

E.Address:

F.

City:

 

State:

 

Zip:

PCA 13910

OBJ 4142

2.PROJECT DESCRIPTION

a.GIVE WRITTEN DESCRIPTION OF PROJECT:

Has any portion of the project been completed?

 

 

Yes

 

No

 

If yes, explain

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Is this a residential subdivision or commercial development?

 

Yes

 

No

If yes, total number of acres on property

 

 

acres

 

 

 

 

 

b.ACTIVITY: Check all activities that are proposed in the wetland, waterway, floodplain, and nontidal wetland buffer as appropriate.

A.

 

filling

D.

 

flooding or impounding

F.

 

grading

B.

 

dredging

 

 

water

G.

 

removing or destroying

C.

 

excavating

E.

 

draining

 

 

 

vegetation

 

 

 

 

 

 

H.

 

 

building structures

Area for item(s) checked:

Wetland

 

 

 

(sq. ft.) Buffer (Nontidal Wetland Only)

 

(sq. ft.)

 

 

 

 

 

 

 

 

 

 

 

 

 

Expanded Buffer (Nontidal Wetland Only)

 

(sq. ft.)

 

 

Area of stream impact

 

 

 

(sq. ft.)

 

 

 

 

Length of stream affected

 

 

 

(linear feet)

 

 

 

 

c.TYPE OF PROJECTS: Project Dimensions

For each activity, give overall length and width (in feet), in columns 1 and 2. For multiple activities, give total area of disturbance in square feet in column 3. For activities in tidal waters, give maximum distance channelward (in feet) in column 4. For dam or small ponds, give average depth (in feet) for the completed project in column 5. Give the volume of fill or dredged material in column 6.

 

 

 

Maximum/Average

 

Volume of fill/dredge

Lengt

Width

Area

Channelward

Pond

material (cubic yards)

h

 

 

 

 

 

(Ft.)

(Ft.)

Sq. Ft.

Encroachment

Depth

below MHW or OHW

1

2

3

4

5

6

A.Bulkhead

B.Revetment

C.Vegetative Stabilization

D.Gabions

E.Groins

F.Jetties

G.Boat Ramp

H.Pier

I.Breakwater

J.Repair & Maintenance

K.Road Crossing

L.Utility Line

M.Outfall Construction

N.Small Pond

O.Dam

P.Lot Fill

Q.Building Structures

R.Culvert

S.Bridge

T.Stream Channelization

U.Parking Area

V.Dredging

1.

 

New

2.

 

Maintenance

3.

 

Hydraulic

4.

 

Mechanical

W.Other (explain)

d.PROJECT PURPOSE: Give brief written description of the project purpose:

3.PROJECT LOCATION:

a.LOCATION INFORMATION:

A. County:

B. City:

D.State stream use class designation:

E.Site Address or Location:

C.Name of waterway or closest waterway

F.Directions from nearest intersection of two state roads:

G.Is your project located in the Chesapeake Bay Critical Area (generally within 1,000 feet of tidal waters or tidal wetlands)?:

YesNo

H.County Book Map Coordinates (Alexandria Drafting Co.); Excluding Garrett and Somerset Counties:

Map:

 

Letter:

 

Number:

 

(to the nearest tenth)

I.FEMA Floodplain Map Panel Number (if known):

J.

1.

 

latitude

2.

 

longitude

b.ACTIVITY LOCATION: Check one or more of the following as appropriate for the type of wetland/waterway where you are proposing an activity:

A.

 

Tidal Waters

F.

100-foot buffer (nontidal wetland

H.

 

100-year floodplain

B.

 

Tidal Wetlands

 

 

 

of special State concern)

 

 

 

(outside stream channel)

C.

 

Special Aquatic Site

G.

 

In stream channel

 

I.

 

River, lake, pond

 

 

(e.g., mudflat,

1.

 

 

Tidal

2.

 

 

Nontidal

J.

 

Other (Explain)

 

 

vegetated shallows)

 

 

 

 

 

 

 

 

 

 

 

 

D.Nontidal Wetland

E.25-foot buffer (nontidal wetlands only)

c.LAND USE:

A.Current Use of Parcel Is: 1. Agriculture: Has SCS designated project site as a prior converted cropland?

Yes

 

No

2.

 

Wooded

3.

 

Marsh/Swamp

4.

 

Developed

5.Other

B.

PresentZoningIs: 1.

 

Residential

2.

 

 

Commercial/Industrial

3.

 

Agriculture

4.

 

Marina

5.

 

Other

C.

Project complies with current zoning

 

 

 

Yes

 

No

 

 

 

 

 

 

 

 

THE FOLLOWING INFORMATION IS REQUIRED BY THE STATE (blocks 4-7):

4.REDUCTION OF IMPACTS: Explain measures taken or considered to avoid or minimize wetland losses in F. Also check Items A-E if any of these apply to your project.

A.

 

Reduced the area of

B.

 

Reduced size/scope of

C.

 

Relocated structures

 

 

disturbance

 

 

project

D.

 

Redesigned project

E.Other

F.Explanation

DescribereasonswhyimpactswerenotavoidedorreducedinQ. AlsocheckItemsG-Pthatapplytoyourproject.

 

 

 

G.

 

Cost

K.

 

Parcel size

N.

 

Safety/public welfare issue

H.

 

Extensive wetlands on site

L.

 

Other regulatory

O.

 

Inadequate zoning

I.

 

Engineering/design

 

 

requirement

P.

 

Other

 

 

 

constraints

M.

 

Failure to accomplish

 

 

 

 

J.

 

 

Other natural features

 

 

project purpose

 

 

 

 

 

Q.Description

5.LETTER OF EXEMPTION: If you are applying for a letter of exemption for activities in nontidal wetlands and/or their buffers, explain why the project qualifies:

A.

 

No significant plant or

B.

 

Repair existing structure/fill

 

wildlife value and wetland impact

C.

 

Mitigation Project

1.

Less than 5,000

D.

 

Utility Line

 

 

square

 

 

 

 

 

 

feet

1.

 

 

Overhead

2.

 

In an isolated nontidal

2.

 

 

Underground

wetland less than 1 acre in size

E.Other (explain)

F.Check here if you are not applying for a letter of exemption.

IF YOU ARE APPLYING FOR A LETTER OF EXEMPTION, PROCEED TO BLOCK 11

6.ALTERNATIVE SITE ANALYSIS: Explain why other sites that were considered for this project were rejected in M. Also check any items in D-L if they apply to your project. (If you are applying for a letter of exemption, do not complete this block):

A.

 

1 site

B.

 

2 - 4 sites

C.

 

 

 

5 or more sites

Alternative sites were rejected/not considered for the following reason(s):

 

 

 

 

 

 

D.

 

Cost

H.

 

Greater wetlands

L.

 

 

 

Other

 

 

 

 

 

impact

 

 

 

 

 

 

E.

 

Lack of availability

I.

 

Water dependency

 

 

 

 

 

 

F.

 

Failure to meet project

J.

 

Inadequate zoning

 

 

 

 

 

 

 

 

purpose

K.

 

Engineering/design

 

 

 

 

 

 

G.

 

Located outside

 

 

constraints

 

 

 

 

 

 

 

 

general/market area

 

 

 

 

 

 

 

 

 

M.Explanation:

7.PUBLIC NEED: Describe the public need or benefits that the project will provide in F. Also check Items in A-E that apply to your project. (If you are applying for a letter of exemption, do not complete this block):

A.

 

Economic

C.

 

Health/welfare

E.

 

Other

B.

 

Safety

D.

 

Does not provide public

 

 

 

 

 

 

 

 

 

benefits

 

 

 

 

F.Description

8.OTHER APPROVALS NEEDED/GRANTED:

A. Agency

B. Date

 

C. Decision

D. Decision

E. Other

 

 

 

Sought

1. Granted 2. Denied

 

Date

 

Status

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.MITIGATION PLAN: Please provide the following information:

a.Description of a monetary compensation proposal, if applicable (for state requirements only). Attach another sheet if necessary.

b.Give a brief description of the proposed mitigation project.

c.Describe why you selected your proposed mitigation site, including what other areas were considered and why they were rejected.

d.Describe how the mitigation site will be protected in the future.

10. HAVE ADJACENT PROPERTY OWNERS BEEN NOTIFIED?:

A.

 

 

Yes

B.

 

No

Provide names and mailing addresses below (Use separate sheet, if necessary):

 

 

 

 

 

 

 

a.

 

 

b.

 

 

c.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11.HISTORIC PROPERTIES: Is your project located in the vicinity of historic properties? (For example: structures over 50 years old, archeological sites, shell mounds, Indian or Colonial artifacts). Provide any supplemental information in Section 13.

A. Yes B. No C. Unknown

12.ADDITIONAL INFORMATION: Use this space for detailed responses to any of the previous items. Attach another sheet if necessary:

Check box if data is enclosed for any one or more of the following (see checklist for required information):

A.

 

Soil borings

D.

 

Field surveys

G.

 

Site plan

B.

 

Wetland data sheets

E.

 

Alternate site analysis

H.

 

Avoidance and

C.

 

Photographs

F.

 

Market analysis

 

minimization analysis

I.Other (explain)

CERTIFICATION:

I hereby designate and authorize the agent named above to act on my behalf in the processing of this application and to furnish any information that is requested. I certify that the information on this form and on the attached plans and specifications is true and accurate to the best of my knowledge and belief. I understand that any of the agencies involved in authorizing the proposed works may request information in addition to that set forth herein as may be deemed appropriate in considering this proposal. I certify that all Waters of the United States have been identified and delineated on site, and that all jurisdictional wetlands have been delineated in accordance with the Federal Manual for Identifying and Delineating Jurisdictional Wetlands. I grant permission to the agencies responsible for authorization of this work, or their duly authorized representative, to enter the project site for inspection purposes during working hours. I will abide by the conditions of the permit or license if issued and will not begin work without the appropriate authorization. I also certify that the proposed works are consistent with Maryland's Coastal Zone Management Plan. I understand that none of the information contained in the application form is confidential and that I may request that additional required information be considered confidential under applicable laws. I further understand that failure of the landowner to sign the application will result in the application being deemed incomplete.

LANDOWNER MUST SIGN:

 

DATE:

WHERE TO MAIL APPLICATION

Maryland Department of the Environment

Water Management Administration

Regulatory Services Coordination Office

1800 Washington Boulevard, Suite 430

Baltimore, Maryland 21230

Telephone: (410) 537-3762

1-800-876-0200

BEFORE YOU MAIL… DON’T FORGET…

SIGN AND DATE THE APPLICATION. THE LANDOWNER MUST SIGN.

FIVE (5) COPIES OF ALL DOCUMENTS (APPLICATION, PLANS, MAPS, REPORTS, ETC.) MUST BE RECEIVED TO BEGIN OUR REVIEW.

INCLUDE FIVE COPIES OF A VICINITY MAP (LOCATION MAP) WITH THE PROJECT SITE PINPOINTED.

SEND AN APPLICATION FEE OF $750 ALONG WITH A COPY OF THE FIRST PAGE OF THE APPLICATION TO MARYLAND DEPARTMENT OF THE ENVIRONMENT, P.O. BOX 2057, BALTIMORE, MD 21203-2057. PLEASE REFER TO OUR WEBSITE http://www.mde.state.md.us/wetlands FOR FURTHER INSTRUCTIONS.

SAMPLE PLANS MAY BE OBTAINED BY PHONE (1-800-876-0200)

OR E-MAIL acunabaugh@mde.state.md.us.

Revised 7/10

SUPPLEMENTARY INFORMATION TO BE INCLUDED ON PLANS, DRAWINGS, OR VICINITY MAPS

In addition to the information indicated on the previous pages, you should include the following on the 8 1/2 x 11 site plans and any blueprints you have submitted:

1.Delineation of any wetland buffers or expanded buffers, clearly marked and differentiated.

2.Location of mitigation area, if proposed on the same site as the project.

Note: If you are proposing a complex project you may wish to submit engineering blueprints of your project with the application form to expedite review.

Mitigation Location Map: If you are proposing that nontidal wetland mitigation be done at a different location than the proposed project, you should submit a map showing the location of the mitigation site in relation to the proposed nontidal wetland losses.

WETLAND DELINEATION

Wetlands should be identified according to methods described in the publication Federal Manual Identifying and Delineating Jurisdictional Wetlands. Copies of the manual may be obtained by calling the U. S. Government Printing Office at 202-783-3238 and requesting document #024-010-00-683-8 at a cost of $7.50. Wetlands must be shown on all plans submitted with the application. All wetlands on site must be delineated and shown on the overall site plan. 8½ x 11 inch plans with topography showing relation of the wetlands and project impacts must be submitted. Copies of the wetland reports and data sheets used in making the determination be included with your application submittal.

 

Regulatory Agencies

Federal Permits

State Authorizations

U.S. Army Corps of Engineers

MD Dept. of the Environment

Baltimore District

Water Management Administration

Attention: CENAB-OP-R

Tidal Wetlands Division

P. O. Box 1715

1800 Washington Blvd, Ste 430

Baltimore, MD 21203-1715

Baltimore, MD 21230

Telephone: (410) 962-3670

Telephone: (410) 537-3837

Coastal Zone Consistency

MD Dept. of the Environment

Statement

Water Management Administration

 

Nontidal Wetlands and Waterways

MD Dept. of the Environment

Division

Water Management Administration

1800 Washington Blvd, Ste 430

Wetlands and Waterways Program

Baltimore, MD 21230

1800 Washington Blvd, Ste 430

Telephone: (410) 537-3768

Baltimore, MD 21230

 

Telephone: (410) 537-3745

 

How to Edit Application Alteration Form Online for Free

You could work with maryland obj application instantly using our PDFinity® online PDF tool. FormsPal is committed to providing you the perfect experience with our editor by regularly introducing new functions and upgrades. Our tool is now even more user-friendly as the result of the latest updates! Currently, filling out PDF files is easier and faster than ever. With just a couple of simple steps, you can begin your PDF journey:

Step 1: Hit the "Get Form" button in the top area of this webpage to open our PDF tool.

Step 2: With this handy PDF editing tool, you can do more than merely fill out blank form fields. Express yourself and make your forms look great with customized text added, or adjust the file's original input to excellence - all accompanied by an ability to insert any type of graphics and sign the document off.

This PDF will require specific data to be filled out, hence ensure you take some time to provide what is asked:

1. Whenever completing the maryland obj application, be certain to incorporate all of the important blank fields within its relevant form section. It will help to facilitate the work, allowing for your details to be processed promptly and accurately.

Stage number 1 in filling out alteration plan waterway wetland

Step 3: Check everything you have typed into the blank fields and then press the "Done" button. Right after registering a7-day free trial account here, you'll be able to download maryland obj application or send it via email directly. The form will also be available from your personal account with your every modification. FormsPal guarantees risk-free document tools with no data record-keeping or sharing. Feel comfortable knowing that your data is in good hands with us!