Eng Form 4345 PDF Details

The Eng 4345 form, officially known as the Application for Department of the Army Permit, serves a critical role in the regulatory framework governing various projects that could impact waters of the United States, including wetlands. Administered by the U.S. Army Corps of Engineers under the authority of multiple federal laws such as the Rivers and Harbors Act and the Clean Water Act, this comprehensive document requires applicants to provide detailed information about their proposed activities. This information is vital for evaluating the potential environmental impacts and ensuring compliance with federal regulations. The form mandates the submission of specifics such as the project's nature, purpose, and location, as well as any dredged or fill material to be discharged, showcasing the government's efforts to balance development needs with environmental protection. Additionally, it incorporates a privacy act statement and outlines the consequences of providing false information, underscoring the seriousness with which the process is approached. The requirement for public reporting, inherent to the form's submission process, reflects a commitment to transparency and public involvement in decision-making. By demanding that applicants not only describe their proposed actions but also justify them, the Eng 4345 form plays an indispensable part in conserving aquatic ecosystems while allowing for necessary economic development.

QuestionAnswer
Form NameEng Form 4345
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesfeb 2019 eng form 4345, form 4345, eng form 4345 feb 2019, eng form 4345

Form Preview Example

U.S. ARMY CORPS OF ENGINEERS

APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT

(33 CFR 325)

OMB APPROVAL NO. 0710-0003 EXPIRES: 31 AUGUST 2012

Public reporting for this collection of information is estimated to average 11 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of the collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters, Executive Services and Communications Directorate, Information Management Division and to the Office of Management and Budget, Paperwork Reduction Project (0710-0003). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to either of those addresses. Completed applications must be submitted to the District Engineer having jurisdiction over the location of the proposed activity.

PRIVACY ACT STATEMENT

Authorities: Rivers and Harbors Act, Section 10, 33 USC 403; Clean Water Act, Section 404, 33 USC 1344; Marine Protection, Research, and Sanctuaries

Act, Section 103, 33 USC 1413; Regulatory Programs of the Corps of Engineers; Final Rule 33 CFR 320-332. Principal Purpose: Information provided on

this form will be used in evaluating the application for a permit. Routine Uses: This information may be shared with the Department of Justice and other federal, state, and local government agencies, and the public and may be made available as part of a public notice as required by Federal law. Submission of requested information is voluntary, however, if information is not provided the permit application cannot be evaluated nor can a permit be issued. One set of original drawings or good reproducible copies which show the location and character of the proposed activity must be attached to this application (see sample drawings and/or instructions) and be submitted to the District Engineer having jurisdiction over the location of the proposed activity. An application that is not completed in full will be returned.

(ITEMS 1 THRU 4 TO BE FILLED BY THE CORPS)

1. APPLICATION NO.

2. FIELD OFFICE CODE

3. DATE RECEIVED

 

 

4. DATE APPLICATION COMPLETE

(ITEMS BELOW TO BE FILLED BY APPLICANT)

5. APPLICANT'S NAME

First -

Middle -

Last -

Company -

E-mail Address -

6.APPLICANT'S ADDRESS: Address-

City -

State -

Zip -

Country -

7. APPLICANT'S PHONE NOs. w/AREA CODE

 

a. Residence

b. Business

 

c. Fax

8. AUTHORIZED AGENT'S NAME AND TITLE (agent is not required)

First -

Middle -

Last -

Company -

E-mail Address -

9.AGENT'S ADDRESS: Address-

City -

State -

Zip -

Country -

 

 

 

10. AGENTS PHONE NOs. w/AREA CODE

 

 

a. Residence

b. Business

 

c. Fax

STATEMENT OF AUTHORIZATION

11. I hereby authorize,

 

 

to act in my behalf as my agent in the processing of this application and to furnish, upon request,

supplemental information in support of this permit application.

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE OF APPLICANT

 

DATE

NAME, LOCATION, AND DESCRIPTION OF PROJECT OR ACTIVITY

12. PROJECT NAME OR TITLE (see instructions)

13.NAME OF WATERBODY, IF KNOWN (if applicable)

15.LOCATION OF PROJECT

Latitude: ◦N

Longitude: ◦W

16. OTHER LOCATION DESCRIPTIONS, IF KNOWN (see instructions)

State Tax Parcel ID

Municipality

Section -Township -

14.PROJECT STREET ADDRESS (if applicable) Address

City -

State-

Zip-

 

 

 

Range -

ENG FORM 4345, OCT 2010

EDITION OF OCT 2004 IS OBSOLETE

Proponent: CECW-OR

17. DIRECTIONS TO THE SITE

18. Nature of Activity (Description of project, include all features)

19. Project Purpose (Describe the reason or purpose of the project, see instructions)

USE BLOCKS 20-23 IF DREDGED AND/OR FILL MATERIAL IS TO BE DISCHARGED

20. Reason(s) for Discharge

21. Type(s) of Material Being Discharged and the Amount of Each Type in Cubic Yards:

 

Type

Type

Type

Amount in Cubic Yards

Amount in Cubic Yards

Amount in Cubic Yards

22. Surface Area in Acres of Wetlands or Other Waters Filled (see instructions) Acres

or Linear Feet

23. Description of Avoidance, Minimization, and Compensation (see instructions)

ENG FORM 4345, OCT 2010

24. Is Any Portion of the Work Already Complete?

 

Yes

 

No IF YES, DESCRIBE THE COMPLETED WORK

25. Addresses of Adjoining Property Owners, Lessees, Etc., Whose Property Adjoins the Waterbody (if more than can be entered here, please attach a supplemental list).

a. Address-

 

 

City -

State -

Zip -

b. Address-

 

 

City -

State -

Zip -

c. Address-

 

 

City -

State -

Zip -

d. Address-

 

 

City -

State -

Zip -

e. Address-

 

 

City -

State -

Zip -

26. List of Other Certificates or Approvals/Denials received from other Federal, State, or Local Agencies for Work Described in This Application.

AGENCY

 

TYPE APPROVAL*

 

IDENTIFICATION

 

DATE APPLIED

 

DATE APPROVED

 

DATE DENIED

 

 

NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* Would include but is not restricted to zoning, building, and flood plain permits

27.Application is hereby made for permit or permits to authorize the work described in this application. I certify that this information in this application is complete and accurate. I further certify that I possess the authority to undertake the work described herein or am acting as the duly authorized agent of the applicant.

SIGNATURE OF APPLICANT

 

DATE

 

SIGNATURE OF AGENT

 

DATE

The Application must be signed by the person who desires to undertake the proposed activity (applicant) or it may be signed by a duly authorized agent if the statement in block 11 has been filled out and signed.

18 U.S.C. Section 1001 provides that: Whoever, in any manner within the jurisdiction of any department or agency of the United States knowingly and willfully falsifies, conceals, or covers up any trick, scheme, or disguises a material fact or makes any false, fictitious or fraudulent statements or representations or makes or uses any false writing or document knowing same to contain any false, fictitious or fraudulent statements or entry, shall be fined not more than $10,000 or imprisoned not more than five years or both.

ENG FORM 4345, OCT 2010

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This document will require specific information to be filled out, hence you need to take the time to enter exactly what is expected:

1. Complete your application for permit coe with a selection of major blanks. Gather all the required information and make certain absolutely nothing is omitted!

Stage no. 1 in completing eng form 4345

2. Just after this selection of fields is completed, proceed to type in the applicable details in all these - PROJECT NAME OR TITLE see, NAME OF WATERBODY IF KNOWN if, PROJECT STREET ADDRESS if, LOCATION OF PROJECT Latitude N, Longitude W, OTHER LOCATION DESCRIPTIONS IF, State Tax Parcel ID, Municipality, Address, City, State, Zip, Section, Township, and Range.

Filling in section 2 in eng form 4345

3. This subsequent section should be rather straightforward, DIRECTIONS TO THE SITE, Nature of Activity Description of, and Project Purpose Describe the - all these fields will have to be completed here.

How to fill in eng form 4345 portion 3

4. Filling out Reasons for Discharge, Types of Material Being, Type Amount in Cubic Yards, Type Amount in Cubic Yards, Surface Area in Acres of Wetlands, Acres, Linear Feet, and Description of Avoidance is key in this section - make sure you take your time and take a close look at each field!

Completing part 4 in eng form 4345

Those who use this form often make errors when filling in Type Amount in Cubic Yards in this area. Ensure you review whatever you type in here.

5. Because you reach the end of your document, you'll notice several more requirements that need to be satisfied. Notably, Is Any Portion of the Work, Yes, IF YES DESCRIBE THE COMPLETED WORK, Addresses of Adjoining Property, a Address, City, b Address, City, c Address, City, State, State, State, Zip, and Zip should be filled in.

eng form 4345 writing process detailed (portion 5)

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