| Name of Dam: |
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| Select One: |
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| Name of Owner: |
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| Address: |
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| Home Phone: |
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| Office Phone: |
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| Fax Phone: |
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| Owner's Contact Person: |
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| Address: |
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| Home Phone: |
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| Office Phone: |
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| Fax Phone: |
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| Location of Dam: |
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| Include in description the
Parish, Section, Township, Range, etc. |
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Description of Proposed Dam,
Enlargement, Alteration, Repair or Removal (OR Existing Dam):
[Include a description of appurtenant structures] |
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| Pertinent Data: |
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| River or Stream: |
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| Type of Dam: |
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| Purpose: |
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| Nearest Downstream City: |
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| Name: |
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| Population: |
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| Distance (Miles): |
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| * Height
of Dam: |
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| * Maximum
Capacity: |
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*Note: The height of the
dam is established with respect to the maximum storage potential
measured from the natural bed of the stream or watercourse at the
downstream toe of the barrier, or if it is not across a stream or
watercourse, the height from the lowest elevation of the outside limit
of the barrier, to the maximum water storage elevation. For
determining project size, the maximum storage elevation is considered
equal to the top of the dam elevation. |
| (PROVIDE THE FOLLOWING
INFORMATION ONLY IF READILY AVAILABLE) |
| Drainage Area (sq. miles): |
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| Average Annual Rainfall (inches): |
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Elevation of Top of Normal
Pool (ft. MSL): |
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| Area of Impoundment at Normal Pool (acres): |
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| Maximum Area of Impoundment (acres): |
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| Average Depth of Impoundment (ft.): |
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| Maximum Depth of Impoundment(ft): |
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| Top of Dam Elevation (ft. MSL): |
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Principal Spillway Crest Length(ft.):
[If Multi-Stage, Provide Additional Crest Length(s) & Elevations] |
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Emergency Spillways(s):
[Crest Length(s) & Elevations] |
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| Spillway Design Flood: |
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| Surcharge Elevation for Design Storm (ft. MSL): |
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| Surcharge Elevation for 200 Year Storm (ft.
MSL): |
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Description of Existing and
Proposed Watershed Development:
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Description of Existing and
Proposed Downstream Channel Development:
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Other Pertinent Information:
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| Submitted by: |
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| Company Name (if applicable): |
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| Address: |
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| Phone: |
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| Fax: |
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| Email: |
(required) |
