How to Fill Out Eng Form 4345

Eng Form 4345 at a glance

What it is: Eng Form 4345 is the Application for Department of the Army Permit.

Who signs: 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.

What to bring and attach to Eng Form 4345

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). Submission of requested information is voluntary, however, if information is not provided the permit application cannot be evaluated nor can a permit be issued.

A filled-in Eng Form 4345 example: a homeowner applies for a boat dock permit

Eng Form 4345 example filled out, example: a homeowner applies for a boat dock permit
Jane Sample files Eng Form 4345 to request an Army permit. She plans a boat dock 20 feet long and signs herself, so the authorized agent blocks stay empty. She has no company, so Company stays empty. The picture shows her filled form, and none of its entries is real. The Corps fills Items 1 thru 4, so Items 1 thru 4 to be filled by the Corps stays empty. The dock needs no dredged or fill material, so Dredged and/or fill material to be discharged stays empty. The dock work has not started, so IF YES, DESCRIBE THE COMPLETED WORK stays empty. She lists one adjoining owner, so the other lines of Addresses of adjoining property owners, lessees, etc. stay empty. The dock has no other approvals, so List of other certificates or approvals/denials stays empty. Only Jane signs block 27, so Signature of Agent and its Date stay empty.

How to fill out Eng Form 4345, box by box

Items 1 thru 4 to be filled by the Corps

Eng Form 4345 example filled out, items 1 thru 4 to be filled by the Corps

Items 1 thru 4 are to be filled by the Corps: 1. Application No., 2. Field Office Code, 3. Date Received and 4. Date Application Complete.

Applicant's name, address and phone

Eng Form 4345 example filled out, applicant's name, address and phone

Under 5. Applicant's Name, fill in First, Middle, Last, Company and E-mail Address.

Under 6. Applicant's Address, fill in Address, City, State, Zip and Country.

Under 7. Applicant's Phone Nos. w/Area Code, fill in a. Residence, b. Business and c. Fax.

Authorized agent and the statement of authorization

Eng Form 4345 example filled out, authorized agent and the statement of authorization

Under 8. Authorized Agent's Name and Title (agent is not required), fill in First, Middle, Last, Company and E-mail Address.

Under 9. Agent's Address, fill in Address, City, State, Zip and Country.

Under 10. Agent's Phone Nos. w/Area Code, fill in a. Residence, b. Business and c. Fax.

Statement of Authorization, 11: the applicant fills in the agent after 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. Sign under Signature of Applicant and Date.

Name, location and description of project or activity

Eng Form 4345 example filled out, name, location and description of project or activity

Under Name, Location, and Description of Project or Activity, fill in 12. Project Name or Title (see instructions).

Fill in 13. Name of Waterbody, if known (if applicable), and 14. Project Street Address (if applicable): Address, City, State and Zip.

Under 15. Location of Project, fill in Latitude and Longitude.

Fill in 16. Other Location Descriptions, if known (see instructions): State Tax Parcel ID, Municipality, Section, Township and Range.

Directions, nature of activity and project purpose

Eng Form 4345 example filled out, directions, nature of activity and project purpose

Fill in 17. Directions to the Site, 18. Nature of Activity (Description of project, include all features) and 19. Project Purpose (Describe the reason or purpose of the project, see instructions).

Dredged and/or fill material to be discharged

Eng Form 4345 example filled out, dredged and/or fill material to be discharged

Use Blocks 20-23 if dredged and/or fill material is to be discharged. Fill in 20. Reason(s) for Discharge.

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

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

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

Is any portion of the work already complete

Eng Form 4345 example filled out, is any portion of the work already complete

24. Is Any Portion of the Work Already Complete? Yes No. If yes, describe the completed work.

Addresses of adjoining property owners, lessees, etc.

Eng Form 4345 example filled out, addresses of adjoining property owners, lessees, etc.

Fill in 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): for each of a. to e., Address, City, State and Zip.

List of other certificates or approvals/denials

Eng Form 4345 example filled out, list of other certificates or approvals/denials

Fill in 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 Number, Date Applied, Date Approved and Date Denied. *Would include but is not restricted to zoning, building, and flood plain permits.

Application is hereby made: Signature of Applicant and Signature of Agent

Eng Form 4345 example filled out, application is hereby made: Signature of Applicant and Signature of Agent

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." Sign under Signature of Applicant and Date, or it may be signed by a duly authorized agent under Signature of Agent and Date if the statement in block 11 has been filled out and signed.

More rules for Eng Form 4345

For use of this form, see 33 CFR 325. The proponent agency is CECW-COR.

Common questions about Eng Form 4345

Where do I file it?

Submit the application to the District Engineer having jurisdiction over the location of the proposed activity. An application that is not completed in full will be returned.

Is there a penalty?

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 shall be fined or imprisoned not more than five years or both.

Sources

[1] Eng Form 4345 (OCT 2024), Application for Department of the Army Permit, U.S. Army Corps of Engineers (the Official source link on this page).

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?Yes
Fillable fields106
Avg. time to fill out45 sec
Other namesfeb 2019 eng form 4345, form 4345, eng form 4345 feb 2019, eng form 4345