REQUEST AN ASSESSMENT * Required First Name* Last Name* Email Address* Confirm Email Address* Company Title Address City StateChoose StateAlaskaAlabamaArkansasArizonaCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyomingZip code Phone* Shapefile or kmz/kml of the impact site; or impact HUC(s)/Watershed(s) will suffice, if the project details can't be shared (250Mb Limit)Max. file size: 250 MB.Impact HUC/Watershed USACE District Full impact assessment or approximate acres being impacted by habitat type Type of Impact Conversion Temporary Permanent Type of USACE permit Individual Permit Nationwide Permit Project name/summary Permit number USACE project manager/analyst Permit agent CommentsCAPTCHAEmailThis field is for validation purposes and should be left unchanged.
