South Dakota Game, Fish and Parks

Application to Alter Lakeshore or BottomLands

  1. APPLICANT CONTACT INFORMATION:

Name:______

Complete Mailing Address:______

______

______

Phone Number:______

  1. NAME OF WATERBODY / WATERBODIES IMPACTED:

______

  1. PROJECT LOCATION:

County:______Township:______Range:______Section:______

Lot #:______Block:______Subdivision:______

______

4. HOW TO GET TO THE SITE: Attach a simple site locator map. If needed, include on the map written directions to the site from a known location or landmark. Include highway and street names and numbers.

  1. PURPOSE OF PROJECT: What do you propose to do and why is it needed?

______

6. PROPOSED TIMELINE: Approximate Start Date:______Projected End Date:______

  1. PROJECT DESCRIPTION: Describe in detail what you plan to do and how you plan to do it. This is the most important part of your application. If space is not adequate, attach separate sheet. Enclose project plans and/or diagrams.

______

  1. FOOTPRINT OF IMPACT: Indicate total amount (in acres or square feet) of wetlands or water body area(s) to be filled, drained, inundated or excavated; and/or indicate length of stream or river affected (in linear feet).

______acres, or ______square feet, and/or ______linear feet.

  1. Type and Estimated Amount of Materials to Be Placed Into or Excavated From the Wetland or Water Body: List each type of material (rock, sand, clay, concrete, etc.) to be filled or excavated, and estimate amount in cubic yards.

FILLING EXCAVATING

Type of Material Estimated Amount in Cubic Yards Type of Material Estimated Amount in Cubic Yards

  1. SEQUENCING CONSIDERATIONS: What alternatives to this proposed project have you considered that could have avoided or minimized impacts to wetlands or water? List two alternatives (one of which may be the “no-build” alternative) and explain why you chose to pursue the option described in this application over these alternatives.

______

  1. PORTION OF WORK ALREADY COMPLETED: Is any portion of the work already completed? If yes, describe the completed work on a separate sheet of paper.
  1. ADJOINING PROPERTY OWNERS: List below complete names and mailing addresses of adjacent property owners whose property also adjoins the wetland or water body where the work is being proposed.
  1. STATUS OF OTHER APPROVALS: List below any other permits, reviews or approvals related to this proposed project.
Agency Type of Approval ID Number Date Applied For Date Approved Date Denied
  1. SIGNATURE OF APPLICANT: I am applying for state authorization to conduct the work described in this application. I am familiar with the information contained in this application. To the best of my knowledge and belief, all information is true, complete, and accurate.
Signature of Applicant______Date______

Completed application forms may be sent to:

South Dakota Department of Game, Fish and Parks

Attn: Aquatic Resource Coordinator

523 East Capitol Avenue

Pierre, SD 57501

Additional Application Help

Applicants please note that a permit for lakeshore alteration issued through the South Dakota Game, Fish and Parks does not eliminate the requirement that you obtain any other applicable Federal, state, tribal or local permits for your project.

Section 5: Purpose of Project: Indicate briefly what you propose to do and why it is needed. Include, if appropriate, a brief description of any related activities or benefits occurring as a result of the proposed project.

Section 7: Describe in Detail what you plan to do and how you plan to do it. Include in your written description any of the following elements that apply to your project.

•Whether your project will include such activities as construction, filling, draining,

dewatering, removing, excavating or repair.

•Whether you will be constructing something, such as an access path, bridge, culvert,

dam, ditch, seawall, dock, riprap or road.

•The proposed dimensions of any structures, such as wingwalls or dikes, as well as what

the structures would be made of and what method(s) would be used to do the work.

•Whether you will be dredging or discharging (placing fill material) into a wetland or other water body (including the temporary placement of material). If so, explain the specific purpose of the placement of the material (such as erosion control) and indicate how it will be done. If dredged material is to be discharged on an upland site, identify the site, and indicate the steps that will be taken to prevent runoff from the dredged material back into the water body.

•Your description must also include a detailed overhead view that clearly depicts the work to be undertaken. This should include property boundaries and/or lot dimensions; location and extent of shoreline, wetlands and water; location and dimensions of proposed project, structure or activity- include length, width, elevation and other measurements as appropriate; points of reference; locations of inlet or outlet structures; indication of north; and location of spoil and disposal sites (if applicable).