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For Re lacement Plans usin credits from the State Wetland Bank: <br /> Bank Account# Bank Service Area County Credits Approved for <br /> Withdrawal(sq. ft. or nearest.O 1 <br /> acre <br /> Replacement Plan Approval Conditions. In addition to any conditions specified by the LGU, the <br /> approval of a Wetland Replacement Plan is conditional upon the following: <br /> ❑ Financial Assurance: For project-specif'ic replacement that is not in-advance, a financial <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 Recording: 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 off'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 BWSR has withdrawn the credits from the state wetland bank as specified in the approved 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 until all applicable conditions have been met! <br /> LGU Authorized Si ature: <br /> Signing and mailing of this completed form to the appropriate recipients in accordance with 8420.0255, <br /> Subp. 5 provides notice that a decision was made by the LGU under 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 available from the LGU u on ues� <br /> Name Title <br /> Brandon Wisner Compliance Officer <br /> Signature Date Phone Number and E-mail <br /> � 1/13/Z014 (952)641-4505 <br /> bwisner@minnehahacreek.org <br /> THIS DECISION ONLY APPLIES TO THE IVIINNESOTA WETLAND CONSERVATION ACT. <br /> Additional approvals or permits from local, state, and federal agencies may be requved. Check wrth all <br /> appropriate authorities before commencing work in or near wetlands. <br /> Applicants proceed at their own risk if work authorized by this decision is started before the time period <br /> for appeal(30 days)has expired.If this decision is reversed or revised under appeal,the applicant may be <br /> responsible for restoring or replacing all wetland impacts. <br /> This decision is valid for threa 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 THIS DECISION <br /> Pursuant to MN Rule 8420.0905, any appeal of this decision can only be commencad by mailing a <br /> petition for appeal, including applicable fee,within thirty(30)calendar days of the date of tha mailing of <br /> this Notice to the following as indicated: <br /> Check one: <br /> � Appeal of an LGU staff decision. Send ❑Appeal of LGU governin�body decision. Sand <br /> petition and$0 fee(if applicable)to: petition and$500 filing fee to: <br /> Minnehaha Creek Watershed District Executive Director <br /> 15320 Minnetonka Blvd Minnesota Board of Water and Soil Resources <br /> Minnetonka,MN 55391 520 Lafayette Road North <br /> St. Paul,MN 55155 <br /> RVVSR Forms 7-1-10 Page 2 of 3 <br />