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MPIS-Bull Shoals AR

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					MULTIPLE PROJECT INFORMATION SHEET FOR WATERWAYS AND WETLANDS                                                                                                                                                                                        ***UPDATED March 2010***
Applicant:     City of Bull Shoals, Arkansas                                  Email Address: bullshoalspwd@suddenlinkmail.com                                                     COE Regulatory Action #
Contact:       Bill Stahlman                                                 Mailing Address: P.O. Box 390                                                                        DISASTER # (indicate State#, Federal# or NONE): _____________________________                            1975
Phone #:       (870) 656-7297                                                                 Bull Shoals, AR 72619
                                                                             APPLICANT PURPOSES                                                                                                                       CORPS OF ENGINEER PURPOSES
                                                                                                            Damage Description &                                  Has emergency       Will more                                        Preconstru
                                                                                                                                               Increase in size
                   Location of Project                                                                    Current Distances, Size, etc                             work already      permanent                         Nationwide         ction
Project ID #                                                                                                                                       or major                                         Permit Required
                (road number or name &          Latitude    Longitude         Water Body                                                                             started/        repairs be                          Permit #      Notificatio          If no, Justification for why
 from map                                                                                                                                       modification?                                          Yes or No
                    "near" address)                                                                 (road crossing washout, bank erosion,                           complete?        required?                         3, 12, 13, 14   n Required
                                                                                                                                                  Yes or No
                                                                                                             utility line washout)                                  Yes or No        Yes or No                                         Yes or No
                                                                            Music Creek or                     culvert replacement -
                          CR23                  36.2079      -92.0504                                                                                No                Yes              Yes
                                                                         Unnamed tributary of…             25 ft long, 14 inch diameter
     0
               Interseptor lines adjasent to                             1/4 Miles North of White   Flood Eroded sewer line easement approx.
                                               36.36848°N   92.58294°W                                                                               No                No               Yes
                      Rivercliff Drive                                             River                           1200 foot
2011-00134


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Additional information                                                                                                                                                            Corps of Engineer District Point of Contacts
* Please complete form on the computer and email to ADEQ and the Point of Contact for the Corps of Engineers for your area.                                                       Little Rock     Jason Gramlich (501) 324-5296                      Jason.V.Gramlich@usace.army.mil
* This form is to be used for DISASTER projects ONLY when submitting to the Corp of Engineers.                                                                                    Memphis         Tim Davis           (901) 544-0734                 Timothy.L.Davis@usace.army.mil
* Nationwide Permits (NWP) are required to follow conditions that are applicable for that specific NWP.                                                                           Vicksburg       Tony Lobred         (601) 631-5470                 Anthony.R.Lobred@usace.army.mil
* This form is to be used for routine and disaster projects submitted to ADEQ but DO NOT include routine and disaster projects on the same form.
* An ADEQ fee is required for routine projects. Contact ADEQ for the fee schedule.                                                                                                Arkansas Department of Environmental Quality (ADEQ) Point of Contact
* Emergency work activities are those needed to restore critical services and are routinely performed within 72 hours following the disaster event.                               N. Little Rock  Jason Hooks     (501) 682-0028               Hooks@adeq.state.ar.us
* Emergency work activities should be reported within 7 days.

				
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