Dam Safety Information Request

To order publications or make an inquiry, complete the information below and submit this form. If you do not have e-mail capabilities, then print this form, fill it out and mail the request to the address below.

Required Fields (*)

Requestor Information:
Owner	Consultant	Homeowners Association
Industry	Reporter	Attorney
Other
Name *			E-mail

Phone *			Fax

Company Name

Mailing Information:

Address *			City *

State *			Zip Code *

Description of the Dam:
Name of Dam

County			Height

Use of the Dam:
Ag Exempt			Mine Tailings
Recreation			Water Supply
Other

Type of Information:
Ag Exempt Form			COE Phase I Report
Dam Safety Pamphlet			EAP Booklet
Check box for Eng Analysis of Dams Eng Analysis of Dams
FEMA Pamphlet			Inventory Form
Check box Information from the Correspndence File Information from the Correspondence File
Maintenance and Operation			Topographic Map
Rules and Regulations
Permit Application:
Registration	Construction
Safety
Certification Form:
Registration	Construction
Safety
Checklist:
Reg. Permit - Earth Dam
Ind. Water. Ret. Dam
Con. Permit - Mod. Existing Dam
Con. Permit - Ind. Water. Ret. Dam
Con. Permit - New Dam
Safety - Earth Dam
Safety - Ind. Water. Ret. Dam

Additional Information