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Eng 4345 application Form: What You Should Know

Application for permit or permits to authorize the work described in this application. I certify that this information in this application is true and correct to the best of my knowledge. All information provided will be used in my evaluation of this application. I sign as requested above. I acknowledge receipt of this application and agree to be bound by the terms and conditions of this application in compliance with the rules and regulations of the U.S. Department of Defense, the Army Corps of Engineers and all relevant laws and regulations. Furthermore, I have read and understand “AR 5100-5-11.12(f)(1) (b).” and the other instructions regarding this application and its signature requirements. This application is for a permit to conduct a work to construct a temporary and permanent facility or structures, to be located at Camp Shelby, Savannah, Georgia, to perform maintenance on a structure of the Department of the Army, the Army Corps of Engineers, and to repair and rebuild the following military water and wastewater treatment facilities: water distribution pump station #5 on Camp Shelby; water distribution pump station #8; water distribution pump station #14 on Camp Shelby; water distribution pump station #9 on Camp Shelby; water distribution pump station #15 on Camp Shelby; and water distribution pump station #16 on Camp Shelby. I hereby certify that the information provided on this application is true and correct, to the best of my knowledge. ALL information provided will be used in my evaluation of this application. I have read and understand “AR 5100-5-11.12(f)(2) (b).” and the other instructions regarding this application and its signature requirements.

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