Get Appendix B: Self-verification Notification Form - New England District - Nae Usace Army

Filling out the Appendix B: Self-Verification Notification Form is an essential process for individuals or organizations planning projects in Maine under the jurisdiction of the U.S. Army Corps of Engineers. This guide will provide detailed instructions on how to complete the form online, ensuring you include all necessary information for successful submission.

Follow the steps to complete the form accurately and effectively.

1. Click the ‘Get Form’ button to obtain the self-verification notification form and open it for editing.
2. Begin by filling out the 'State Permit Number' field, providing the unique number assigned to your state permit. If this is not applicable, write 'none'.
3. Next, enter the 'Date of State Permit' to indicate when your state permit was issued.
4. In the 'Permittee' section, provide your full name, followed by the complete address including city, state, and zip code. Include your phone number(s) and email for contact purposes.
5. If applicable, fill out the 'Contractor' and 'Consultant/Engineer/Designer' sections with the respective names and contact information just as you did with the permittee.
6. Proceed to describe the 'Project Location/Description' including the address, latitude and longitude coordinates, and the name of the waterway involved in the project.
7. In the 'Work Description' section, provide a brief overview of the work that will be performed, ensuring clarity and accuracy.
8. Indicate the 'Proposed Work Dates' by filling in the start and finish dates for your project.
9. Record the areas of impact for wetland and waterway, as needed, ensuring to leave those fields blank if not applicable.
10. Select all relevant categories under 'Appendix A', circling the appropriate numbers that pertain to your project type.
11. Finally, confirm your understanding and agreement to comply with the terms by signing and printing your name as the permittee in the designated area.
12. Review the completed form for accuracy, then save any changes you've made. You can download, print, or share the document as needed.

Take the next step in your project planning and start completing the Appendix B form online today.