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Application Submitted

Your 310 Permit application has been received by the Bitterroot Conservation District.

Please save your application number for your records. A staff member will be in contact with you.

Joint Application — 310 Permit (NSLPA)

This application is for the NSLPA 310 Permit processed by the Bitterroot Conservation District. Complete Sections A–E and G. Fields marked * are required.

ℹ Before you begin: The applicant is responsible for obtaining all necessary permits and landowner permission before beginning work. Incomplete applications will delay processing.

Permits Being Applied For

NSLPA 310 Permit (Conservation District) SPA 124 Permit (FWP) 318 Authorization / 401 Certification (DEQ) Navigable Rivers Land Use License (DNRC) Section 404 / Section 10 (USACE) Floodplain Permit

A. Applicant Information

Landowner has consented to the project

Applicant (party responsible for project)

Full Name *

Daytime Phone

Email *

Mailing Address

City, State

Zip

Physical Address (if different)

City, State

Zip

Landowner Name (if different from applicant)

Landowner Name

Daytime Phone

Mailing Address

City, State

Zip

Contractor / Company Name (if applicable)

Contractor / Company Name

Daytime Phone

Mailing Address

City, State

Zip

B. Project Site Information

1. Name of Stream or Waterbody *

Project Address / Location

Nearest Town

County

Geocode

Township

Range

Section

¼ Section

Latitude

Longitude

Driving Directions to Site

2. Project is within Sage Grouse designated area (attach consultation letter if required) 3. This is a State Navigable Waterway

4. Current Condition of Project Site (describe vegetation, bank condition, slope, height, nearby structures, wetlands)

C. Project Activity Information

1. Type of Project (check all that apply)

2. This is an Annual Maintenance Permit application

3. Purpose / Goal of the Proposed Project *

4. Proposed Project Plan — describe how it will be accomplished

5. Alternatives Considered — why was the proposed alternative selected?

6. Natural Resource Benefits / Potential Impacts

6a. Erosion, sedimentation, turbidity, contaminants — and minimization measures

6b. Fish and aquatic habitat impacts — and protection measures

6c. Floodplain, wetlands, riparian habitat impacts — and minimization

6d. Flooding potential upstream and downstream

6e. Changes to water flow, bed, and banks — and minimization

6f. Vegetation protection, removal minimization, revegetation, and weed control

D. Construction Details

1. Proposed Start Date

Proposed End Date

Is any portion of the work already completed?

If yes, describe previously completed work

2. Project Dimensions (length and width)

3. Materials (quantity, source, type — soil/fill type, cubic yards, culvert size, rip-rap size, etc.)

Note: Do not purchase materials until all permits are issued — quantities may be modified during permitting.

4. Equipment (list all equipment and describe how it will be used on bank and/or in water)

All equipment used in water must be CLEANED, DRAINED, AND DRY.

Equipment from out of state?

Crosses Continental Divide to site?

Enters Flathead Basin?

G. Signature Requirements

The statements contained in this application are true and correct. The applicant possesses the authority to undertake the work described herein or is acting as the duly authorized agent of the landowner. By submitting your name below, you affirm that you are the applicant and are responsible for all information in this application.

Applicant Print Name *

Date *

Landowner Print Name (if different from applicant)

Contractor Print Name (if applicable)

Applicant Electronic Signature *

Please sign below using your mouse, finger, or stylus. This e-signature is legally binding under the Montana Uniform Electronic Transactions Act (UETA).

✍ Sign here

📎 Required Attachments (E): Please mail or deliver the following to the Bitterroot Conservation District along with a copy of this submission: plan/aerial view drawings, elevation/cross-section views, site photos, and a vicinity map. If requesting a Maintenance 310 Permit, include an Annual Plan of Operation.

Your application will be received securely by the Bitterroot Conservation District staff.