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Project Name and/or Mumber: 2090 Shoreline Drae,Orono—AE 14446 <br /> PART 4NE: Applicant Information <br /> tf appikarrt is an entity(oompany,government entity,partnership,etc.),an authorized contatt person must be identifled. if the <br /> applicant is using an agent(consultant,lawyer,nr other third party}and has authorized them to act on their behaif,the agent's <br /> contact informatian must also be provided. <br /> Appltcant/LandoMmer Name: Martha Head <br /> Malltng Address: 2090 Shoreline Drive,Wayzata,MN SS391 <br /> Phone: 612-79d-7989 <br /> Hnail Address: Meadmyers�aol.com <br /> � Authorir�ed CoMact(do not somplete If same as abave): Kenneth�aucher-Egan,Field&Nowak,Ine. <br /> Ma[ling Address: 1229 Tyler Street NE,Suite 100,Minneapalis,MN 55413 <br /> Phone: 612-456-3300 <br /> E-mall Address: ken.faucher�enfsurvey.corn <br /> AgeM Name: Ben Hodapp,Anderson Engineering of MN,LLC <br /> Mailtng Address: 136051"Avenue North <br /> Phone: 763-412-4000 <br /> E-matl Addresa: bhodapp�ae-mn.com <br /> PART TWO: Site Location Information <br /> Courrty: Hennepin City/Townshiq: Orono <br /> ParcellD and/or Address: 2090 Shoreltne�rtve <br /> L�gal Descriptton(Sectlon,Zownship,Range}: 515,T117N,R23W <br /> �J�nB ldec(rnal degrees): �4•�B'45.15"N/93°34'a9.84"W <br /> Attach a map shawtng the locadon of the sibe in relation to local strea�ts,roads,highways. <br /> Appro�dmate sfze of site(acres)or 1f a linear project,length(faet): 3.7 acres <br /> If you know that your proposal will require an individuaf Permit from the US.Army Corps af Engineers,you must provide the <br /> names and addresses of atl property owners adjacent to the project site. This inf�ormation may be provided by attaching a list to <br /> your application or by using blotk 25 of the Application for Uepartmerat of the Arnny permit which can be obtained at: <br /> http:I/www.mvp.usace.army.mit/P�rtals/57ldocs/reAulatorv/ReAulatorvDocs/en�form 4345 2d12oct.ndf <br /> PART THREE: General Project/Site information <br /> ff this application is related to a deiineatian appraval,exemption determination,jurisdictional determination,or other <br /> correspondence subcnitted pMor to this applica#ion then describe that here and provide the Corps of Engineers project number. <br /> Describe the pro�ect that is being proposed,the project purpose and need,and stheduie for impiementation artd completion.The <br /> project description must fully deuribe the nature and scope of the proposed activity includEng a description of all project elements <br /> that effect aquatic resources(wetland,(ake,tributary,etc.)and must also include plans and cross section or profile drawings <br /> showing the location,character,and dimensfons of all proposed acti�ities and aquatic resource impacts. <br /> See wetland delineation report <br /> Mi�nesota IMeragency Water Resource Applitatian Form February 2d14 Page 3 of 5 <br />