Form Pfbc Dd01 PDF Details

The Pfbc dd01 is a form that is used to request an exemption from the payment of federal estate taxes. This form can be used by the executor of an estate or the beneficiary of an estate, and must be filed with the Internal Revenue Service within 9 months of the date of death. There are a number of grounds on which an exemption may be claimed, including portability, unlimited marital deduction, and charitable deduction. The form must be accompanied by supplemental documents outlining the reason for the exemption claim.

QuestionAnswer
Form NameForm Pfbc Dd01
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesdrawdown application and permit to draw off water from impoundments form

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PFBC DD01

COMMONWEALTH OF PENNSYLVANIA

Page 1

Rev 2-06

FISH AND BOAT COMMISSION - DEPARTMENT OF ENVIRONMENTAL PROTECTION

 

APPLICATION TO DRAW OFF WATER FROM IMPOUNDMENTS

Submit one copy of the completed application to the Pennsylvania Fish and Boat Commission, Division of Environmental Services, 450 Robinson Lane, Bellefonte, PA 16823 Telephone (814) 359-5180.

This application will be reviewed jointly by the Pennsylvania Fish and Boat Commission (PFBC) and the Department of Environmental Protection (DEP) Bureau of Waterways Engineering, and if acceptable, a permit will be issued under the PFBC Fishing and Boating Regulations, 58 Pa. Code, §51.81.

General Information

1.

Name of Applicant (owner or lessee):

 

 

 

 

 

Telephone Number:

-

-

 

Is the applicant:

owner

lessee

 

 

 

 

 

Fax Number:

-

-

 

 

 

If not owner, provide owner name:

 

 

 

 

 

E-Mail address of owner:

 

 

 

(Note: If owner is not dam permittee, Transfer of Dam Permit is required; Please

 

 

 

 

 

 

 

 

 

 

 

call 717-787-8568 to obtain Transfer of Dam Permit Forms.)

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

Contractor/consultant name if conducting drawdown for permittee:

 

 

Contractor telephone:

-

-

 

 

 

 

 

 

 

 

 

 

Contractor E-Mail:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Address of Applicant:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

Name of Impoundment:

 

 

 

 

 

 

 

DEP ID. No. D

-

 

 

 

 

5.

County Location:

 

 

 

 

 

 

 

 

Municipality:

 

 

 

 

 

 

ATTACH A MAP (USGS topo map, PennDOT County Highway or

 

 

 

 

 

 

 

 

 

 

 

 

 

equivalent map of a suitable scale to locate your impoundment)

 

 

 

 

Check one:

City

Borough Township

 

 

 

 

 

 

 

 

 

 

5.

Type of Impoundment (Check)

 

Natural

or

Man-made

 

 

 

 

 

 

 

 

6.

Name of receiving stream: (If unnamed, indicate “unnamed tributary to

 

 

Creek”

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.

Is the impoundment open to public fishing? (check)

Yes or

No

 

 

Stocked by PFBC? (check)

Yes or No

8.

Does the impoundment contain fish or other aquatic organisms? (check)

Yes

or

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Specific draw down information

 

 

 

 

 

 

9.

Proposed dates of draw down

 

From:

 

 

 

 

 

To:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. Impoundment area (acres):

 

Maximum depth (feet):

 

 

 

 

Depth of drawdown:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(feet below normal pool)

 

 

 

 

 

 

 

 

 

 

 

 

 

11. Drawdown method – (check)

Valve Gate

Stoplog

Siphon

Pump

Other (specify)

 

 

 

12.If fish are to be transferred, state: A. Destination water: B. Method of transfer:

 

13.

Purpose of drawdown

 

 

A. Construction, maintenance or elimination

 

 

 

B. Construction or maintenance

 

(CHECK)

 

 

(CHECK)

*1.

Dam or spillway repairs

 

 

8.

Ice damage prevention or control

 

*2.

Dam, Spillway, or outfall structure

 

 

9.

Install fish habitat structure or cover

 

 

 

repair/modification

 

 

 

 

 

*3.

Dredging – Indicate number of acres:

 

 

10.

Other (explain)

 

*4.

Pond elimination and backfill

 

 

 

 

 

*5.

Construction or maint. of shoreline structures

 

 

 

C. Fish or other aquatic life management

 

 

 

 

 

(CHECK)

*6.

Beach renovation

 

 

11.

Eliminate unwanted fish species

 

 

*7. Dock Construction or Maintenance

 

 

12.

Permit predation on overabundant forage species

 

 

*IMPORTANT: Complete DEP Supplement on

 

 

13.

Aquatic vegetation control

 

 

reverse side if project purpose includes any of

 

 

14.

Other (explain)

 

 

items 1 through 7.

 

 

 

 

 

Applicant certification and signature

The applicant (a) is responsible for any damages incurred as a result of this drawdown.

(b) Certifies the truth of the above statements.

Applicant Signature: _________________________________________ Date:

_____________________

Print Name:

___________________________________

 

PFBC DD01

COMMONWEALTH OF PENNSYLVANIA

Page 2

Rev 2-06

FISH AND BOAT COMMISSION - DEPARTMENT OF ENVIRONMENTAL PROTECTION

 

APPLICATION TO DRAW OFF WATER FROM IMPOUNDMENTS

DEP SUPPLEMENT

Many activities related to reservoir drawdowns require separate DEP and/or U.S. Army Corps of Engineers approval(s) prior to beginning the activity(s). The information provided on or attached to this supplement will be used by the appropriate DEP office to process the necessary state and/or federal authorizations or to determine additional permitting requirements. Providing the information described on this form will allow DEP to complete this review and approval or screening procedure while the drawdown application is being processed.

Often, the applicant has already submitted documentation for the proposed activity to a DEP office. The applicant should still complete this supplement to the drawdown application, indicating what information was sent, and to which office.

The primary purpose of this supplement form is to simplify the submission, review, and approval of minor projects requiring written state or federal authorization. This form and the information attached are not intended to replace state and federal requirements for obtaining individual permits for major projects. The appropriate DEP office having jurisdiction over the proposed activity will generally provide the applicant with a request for additional information, the necessary authorization to proceed with the work, or a determination that an individual permit(s) is required.

Specific Project Information

The following information to be provided for each type of activity does not need to follow any particular format but should provide sufficient detail to allow DEP to establish appropriate jurisdiction, waiver or general permit eligibility, small project eligibility, appropriateness of authorization by letter, or the need for full state or federal permits.

Previously

Attached Submitted

Dam or Spillway Repairs

Engineering plans & specs

Color photos Dam or Spillway Modification

Conceptual plan & scope of work

Color Photos Dredging/Disposal of Accumulated Sediment

Color photos

Dredging plan

Disposal plan Pond Elimination and Backfill

Site plan & dimensions of dam & pond

Drainage area

Previously

Attached Submitted

Construction or Maintenance of Bulkhead, Retaining Wall, or Other Shoreline Structures

Plan view

Cross-section

Details Beach Renovation

Plan view

Cross-section Dock Construction or Maintenance

Dock plan & design

Cross-section