p p l c t 我 o n f o r d e p a r t m e n t o f t h e r m y p e r m 我 t（ a p p l i c a t i o n f o r d e p a r t m e n t o f t h e a r m y p e r m i t）.docVIP

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p p l c t 我 o n f o r d e p a r t m e n t o f t h e r m y p e r m 我 t（ a p p l i c a t i o n f o r d e p a r t m e n t o f t h e a r m y p e r m i t）.doc

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p p l c t 我 o n f o r d e p a r t m e n t o f t h e r m y p e r m 我 t（ a p p l i c a t i o n f o r d e p a r t m e n t o f t h e a r m y p e r m i t）

WETLAND AND RIPARIAN PROJECT TRACKER FORM for Mitigation and Restoration Projects in the San Francisco Bay Region of the California Water Board Items in green type are required. Two brackets [ ] represent a checkbox; check a checkbox like this: [x]. For text responses, add text after the colon, on the next line if necessary. Separate multiple items (such as sponsors) with semicolons. Provide all dates as mm/dd/yy. 1. Completed by [ ] Applicant [ ] Water Board staff [ ] SFEI [ ] Other 2. Date of submission: 3. Corps File No: 4. Date of Permit: 5. Water Board Record No: 6. Certification Letter Site No: OR Board Order No. (WDR only): 7. BCDC Record No: 8. Date of BCDC Action: 9. CA DFG Record No: 10. Date of CA DFG Action: MITIGATION/RESTORATION GENERAL PROJECT INFORMATION (information on the development or impacting project should be provided in the section titled Developed/Impacted Site Information below) 11. Project name (include any alternative names): 12. Project county(ies): 13. Project location Latitude: Longitude: Decimal degrees of approximate center of project; NAD83 datum if possible PERMITTEE INFORMATION 14. Permitee name and/or organization: 15. Mailing Address: 16. Email: 17. Phone: CONTACT FOR PUBLIC INQUIRY 18. Contact Name: 19. Organization Name: 20. Mailing Address: 21. Email: 22. Phone: 23. Other Sponsoring Organizations (List All Known): MITIGATION /RESTORATIN PROJECT TIMING AND DESCRIPTION 24. Estimated Project Dates Estimated Construction Start Date: Estimated Construction End Date: Estimated Monitoring Start Date: Estimated Monitoring End Date: 25. Expected or actual permit approval dates Regional Water Board: USACE: BCDC: 26. Project types (see definitions to right) Check one type: [ ] Mitigation [ ] Non-mitigation AND Check all you think apply: [ ] Creation [ ] Restoration [ ] Preservation [ ] Enhancement [ ] Other (please describe): Definitions for Wetland