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For Re lacement Plans usin credits from the State Wetland Bank: C�i�Approved for <br /> Bank Account# Bank Service Area County Withdrawal(sq.ft:or nearest.Ol <br /> acre <br /> Replacement Plan Approval Condit�ons. In addition to any conditions specified by the LGU, the <br /> approval of a I,1Vetland Reulace e t is conditional upon the following: <br /> ❑ Finaacial Aasurance: For prnject-specific replacement that is not in-advance, a fmancial <br /> assurance specified by the LGU must be submitted to the LGU in accordance with MN Rule <br /> 8420.0522,Subp.9(List amount and type in LGU Findings). <br /> ❑ Deed Recordtng: For project-specific replacement, evidence must be provided to the LGU that <br /> the BWSR "Declaration of Restrictions and Covenants" and "Consent to Replacement Wetland" <br /> forms have been filed with the county recorder's oi�ice in which the replacement wetland is located. <br /> ❑ Credit Withdrawal: For replacement consisting of wetland bank credits, confirmation that <br /> BWSR has withdrawn the credits from the state wetland bank as specified in the approved <br /> replacement plan. <br /> Wetlands may not be impacted untll all applica6le conditions have been metl <br /> LGU Authoriud Si ature: <br /> Signing and mailing of this completed form to the appropriate recipieirts in accordance with 8420.0255, <br /> Subp.5 provides notice that a decision was made by the LGU undar the Wetland Conservation Act as <br /> specified above. If additional details on the decision exist,they have been provided to the landowner and <br /> are availabla from the LGU u on uest. <br /> Name Title <br /> Brandon Wisner Compliance Officer <br /> Date Phona Number and�mail <br /> I3 /(� (952)641-4505 <br /> �. �/ � 7 bwisnerQ,minnehahacreek.org <br /> gIIS DEG1�lUN ONLY APPLIF4 T 'THE MINNESOTI� VyE'I'LAND CONSERVATION_ACT <br /> Additional approvals or permits from local, state, and federal agencias may be required. Check wrth all <br /> appropriate authorities before commencing work in or near wctlands• <br /> Applicants prooeed at their own risk if work authorized by this decision is started bofore the time period <br /> for appeal(30 days)has expired.If this decision is reversed or revised under appeal,the applicant may b� <br /> responsible far restoring or replacing all wetland impacts. <br /> This decision is valid for three years from the date of decision unless a longer period is advised by the <br /> TEP and specified in this notice of decision. <br /> 3.APPEAL OF T'HIS DECISION <br /> pursuant to MN Rule 8420.0905, any appeal of this decision can only be cotntnenced by mailing a <br /> petition for appeal,including applicable fa,within thirty(30)calendar days of the date of the mailing of <br /> this Notice to the following as indicated: <br /> Check one: <br /> � Appeal of an LGU staff decision. Send ❑Appeal of LGU governing body decisian. Send <br /> potition and$0 fee(if applicable)to: petition and$500 filing fee to: <br /> Minnehaha Creek Waterahed Diatrict Executive Director <br /> 15320 Minnetonka Blvd Minnesota Board of Water and Soil Resources <br /> Nlinnetonka,MN 55391 520 Lafayette Road North <br /> Page 2 of 3 <br /> BWSR Forms 7-1-10 <br />