HomeMy WebLinkAbout160302-fhpermitapp-KnutsonCreekJuly 2008
FH#______________
(Office Use Only)
ALASKA DEPARTMENT OF FISH AND GAME
FISH HABITAT PERMIT APPLICATION
SPECIFIC INSTRUCTIONS
NOTE: Provide as much information as possible. If you need assistance, please contact the
nearest ADF&G Division of Habitat office. The ADF&G reserves the right to require
additional information for the proper protection of fish and game.
Step A: Provide your name, address, and telephone number and the name, address, and
telephone number of the contractor who will be doing the work, if known.
Step B: Describe the type of project (e.g., bridge, culvert, utility line placement, impoundment
structure, bank stabilization, channelization, low water crossing, log removal, etc.) and
the purpose of the project. A brief description of alternatives considered would be useful
but is not required. Attach additional sheets as necessary. Back to Form
Step C: 1. Name of the waterbody in or adjacent to which the project will occur.
2. For Anadromous Stream numbers, refer to the Atlas to the Catalog of Waters
Important for Spawning, Rearing or Migration of Anadromous Fishes.
3. a. Provide plans (or field sketch) showing the following as a minimum: access to
the site, plan view showing all project features and dimensions, or crossing/fording sites;
material removal plans should also include, at a minimum, the following: 50' contour
lines; nearby watercourses and lakes; location of facilities (i.e., screening, washing, and
crushing plants, and commercial and private buildings); aliquot parts identified in order
they are to be mined; site where fuel will be stored; a cross section view of the material
site showing current land and water elevations and bank slopes and final excavation
grades and slopes; and project expansion sites (scale no greater than 1 in. = 400 ft.)
b. Provide specifications, if available; and
c. Provide a current aerial photograph, if available. Back to Form
Step D: Indicate the time of year when project construction will occur. Is the project temporary or
permanent?
Step E: 1. Provide information if applicable on how you will divert the stream.
2. Indicate if channelization will occur.
3. Provide information, if applicable, on how you will alter or modify the banks of the
stream.
4. List all vehicles or equipment by type and size that will be used in the stream.
5. Provide information, if applicable, on what type and amount of material will be
removed from the floodplain, bed, stream, or lake.
6. Provide information, if applicable, on any material you will deposit in the floodplain,
stream, or lake.
July 2008
-2-
7. Provide information, if applicable, on any blasting you intend to do in the floodplain,
stream, or lake.
8. Indicate if temporary fills will be required.
9. Indicate if ice bridges will be required.
Step F: What precautions will be taken to insure that fish and other aquatic organisms are
protected from adverse impacts? Outline plan for restoring, rehabilitating, or re-
vegetating the site if channel or bank alterations occur. What precautions will be taken to
maintain State Water Quality Standards? Back to Form
Step G: Provide the waterbody characteristics at the site of the project.
Step H: Provide available hydraulic information for the types of projects indicated. For information
on selecting a culvert size that will ensure fish passage, consult ADF&G permitters or
references available at Division of Habitat offices.
July 2008
-3-
FH#______________
(Office Use Only)
GENERAL WATERWAY/WATERBODY APPLICATION
ALASKA DEPARTMENT OF FISH AND GAME
Division of Habitat
Office Locations
A. APPLICANT
1. Name:
2. Address (Mailing):
Email Address:
Telephone: Fax:
3. Project Coordinator/Contractor:
Name:
Address:
Email Address:
Telephone: Fax:
B. TYPE AND PURPOSE OF PROJECT:
C. LOCATION OF PROJECT SITE
1. Name of River, Stream, or Lake:
or Anadromous Stream No:
2. Legal Description: Township Range
Meridian Section USGS Quad Map
3. Plans, Specifications, and Aerial Photograph. See specific instructions
July 2008
-4-
D. TIME FRAME FOR PROJECT: TO (mm/dd/yy)
E. CONSTRUCTION METHODS:
1. Will the stream be diverted? Yes No
How will the stream be diverted?
How long?
2. Will stream channelization occur? Yes No
3. Will the banks of the stream be altered or modified? Yes No
Describe:
4. List all tracked or wheeled equipment (type and size) that will be used in the stream
(in the water, on ice, or in the floodplain):
How long will equipment be in the stream?
5. a. Will material be removed from the floodplain, bed, stream, or lake? Yes No
Type:
Amount:
b. Will material be removed from below the water table? Yes No
If so, to what depth?
Is a pumping operation planned? Yes No
6. Will material (including spoils, debris, or overburden) be deposited in the floodplain,
stream, or lake? Yes No
If so, what type?
Amount:
Disposal site location(s):
7. Will blasting be performed? Yes No
Weight of charges:
Type of substrate:
8. Will temporary fills in the stream or lake be required during construction (e.g., for
construction traffic around construction site)? Yes No
9. Will ice bridges be required? Yes No
July 2008
-5-
F. SITE REHABILITATION/RESTORATION PLAN: On a separate sheet present a site
rehabilitation/restoration plan. See specific instructions
G. WATERBODY CHARACTERISTICS:
Width of stream: Depth of stream or lake:
Type of stream or lake bottom (e.g., sand, gravel, mud):
Stream gradient:
H. HYDRAULIC EVALUATION:
1. Will a structure (e.g., culvert, bridge support, dike) be placed below ordinary high
water of the stream? Yes No
If yes, attach engineering drawings or a field sketch, as described in Step B.
For culverts, attach stream discharge data for a mean annual flood (Q=2.3), if
available.
If applicable, describe potential for channel changes and/or increased bank erosion:
2. Will more than 25,000 cubic yards of material be removed? Yes No
If yes, attach a written hydraulic evaluation including, at a minimum, the following:
potential for channel changes, assessment of increased aufeis (glaciering) potential,
assessment of potential for increased bank erosion.
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED ON OR IN CONNECTION WITH
THIS APPLICATION IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND
BELIEF.
__________________________________________ ___________________________
Signature of Applicant Date