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4 <br /> APPLICATION COMPLETENESS CHECKLIST <br /> A lication No: 33522 ®New or ? Re-submittal Date Received: 11/5/2004 <br /> Reviewed B : Dana Field Com lete: ? Yes ®No Date: 12/16/2004 <br /> ote: Please address issues specified in Comments <br /> Items re aired for com leteness Comments <br /> ~lpplicant/property owner information (Block 1) <br /> Name Address ®Phone A ent A ent - not a livable NA <br /> Project location information (Block 2) <br /> T.R.S ®'/<,'/< sec (eg., AB) ®Tax lot <br /> City ®County <br /> Lat/lon Waterwa ? River mile rivermile NA <br /> Proposed project impacts (Block 3) <br /> Activity type <br /> Brief description <br /> .Fill amts in waters or wetlands (cy) ~ ' <br /> Fill impact area (acres) <br /> Removal amts in waters or wetlands (cy) <br /> Removal.impact area (acres) <br /> Dis osal area location <br /> project Details (Block 4) <br /> Purpose and need <br /> Description of project <br /> Material entry into wetland/waterway NA <br /> Location map* <br /> Cross-section drawings*: -Please provide existing and proposed contours or <br /> ? Existing and proposed elevations cross sections includirig pathways , <br /> ? Hydrology data (e.g., OHW) NA <br /> Plan view drawing*: <br /> ® Project footprint <br /> ? Proposed contours already noted. <br /> ®Staging areas NA <br /> ® Jurisdictional limits by resource type <br /> ? Proposed impacts identified Please show removal area location <br /> ®Temporary impacts NA <br /> ? Location of cross section(s) Please provide on site plan <br /> Hydrological characteristics: `Contours are needed to show if/how sports field fill <br /> ? Description of proposed changes and paths may affect hydrology of adjacent wetlands <br /> ? Measures to avoid and minimize or creek. <br /> effects of the Chan es <br /> Itematives (Block 5) <br /> ®Yes Less than 0.2 acres wetland <br /> ijmpact or < 250 cy <br /> Alternative sites ®Alternative designs <br /> Measures to minimize im acts <br /> <br /> Additional Information (Blocks 6, 7, 8 & 9) <br /> ® Adjoining property owners' names (include <br /> wetland mitigation site, if applicable) <br /> ®Addresses or Labels <br /> ? Previous State or Corps of Engineers issues NA <br /> ®City or County planner review and signature <br /> ? Coastal Zone Certification NA <br /> Signature of applicant <br /> Si nature of A ent NA <br /> <br />