1987 JAN-JUN-ZBA APPEALS - Laserfiche WebLink

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' Part V:Additional Information for a Department of the Army Permit -- 1. COE Application No. 2. (Name of waterway) (to be provided by COE) _.. _. _- _ _ 3. Names and addresses of property owne_rs,adjoining your property - -- Z 4. Document other project alternatives(i.e.. other locations and/or construction methods, parti:.u:= i;r those that would eliminate the discharge of dredged or fill material into waters or wetlands). 5. 8'h" z 11 " drawings in planview and cross-section, showing the resource area and the proposed activ- ity within the resource area. Drawings must be to scale and should be clear enough for photoco;ging. Cerrifration is required from the Denson of Water Poajtiori Control before the Federal petmr, can be izued. Cerl7catjon may be obtained by contacting the Drown of Water PolIL;r r Contrd 1 Winter Sbtret Boston. MassarnLisetts 02108. Where the activity will take pace within the area under $re Massachusetts appro ed Coastal Zone Managerthent Program the appk:arrt certres that hs proposed activity cony wish and willbe M-ducted n a manner that is Consistent with the 8XTDo ed program. Information pro ided will he used in eva}uatrg the appfration for a pefrnC and is made a mother of pubic record through issuance of a putn�-- notice. D5r-bsure of the information is wFunta y hone er if ne-cessary nfomhatio6 Is not provided, the appfcaton carra. be processed nor car. a permit be issued. 1 hereby certify under the pains and penalties of perjury that the foregoing Notice of Intent and accompanying plans,documents and supporting data are true and complete,to the best of my knowledge. Signature of/Applicant Date 2 -I Sig.nat6retf Applicant's Representative Date FORM -E... Ptie. tc LNG Term e3e: .rp..'d b1 HQCSACE. E Hr; 19DC". Fg JOB (TEST)'Tbi. do<.mmt eenum. . jei.t LeP^tmrnt of tie Axm1 .nd Sut. e! Y....A...u. .PPLra ier 1 MAY 82 hire . yoma et:.ie prrn.n..ei ➢refer . .rv.it ir. ie Uatrd Sut.. ..ur. Ter Off,,. of H....rm.nt .nd S.d..t WYE) V... .ppx c•rd tin.. ....bc n. r.c ural b: ti. US Arm1 C.". of Eneinr.x. OY.E N..r.irx 0102-LC7r .n! oe•r.n<• ]C S.etre.ire 19!3 .pt Le•". Til• �� •btrmrrt .ill b. .n in f "ml t". 3-6