1. PROPOSED
      2. CHANNEL RELOCATION OR CHANNEL REALIGNMENT OF
      3. NAME OF STREAM
      4. AT OR NEAR
      5. TOWN, TOWNSHIP & COUNTY

NOTE: Use of U.S.G.S. quadrangle map(s) is
recommended.
NOTES:
1. Minimum recommended side slope ratio is
1.5 Horizontal: 1 Vertical.
2. Show any other cross-sections needed to
adequately describe the scope of work.
3. Existing and proposed 100-year floodplain
limits may vary. Limits for both conditions
should be shown.
(If Required)
REGISTERED PROFESSIONAL
ENGINEER’S CERTIFICATION
“I
(Name)
do hereby certify pursuant to the penalties of 18 Pa. C.S.A. Section.
4904 to the best of my knowledge, information and belief, that the
information contained in the accompanying plans, specifications
and reports has been prepared in accordance with accepted
engineering practice, is true and correct, and is in conformance
with Chapter 105 of the rules and regulations of the Department of
Environmental Protection.”
PROPOSED
CHANNEL RELOCATION OR
CHANNEL REALIGNMENT OF
NAME OF STREAM
AT OR NEAR
TOWN, TOWNSHIP & COUNTY
PROFESSIONAL
ENGINEER’S
SEAL
(if Required)

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