|
Project Name and/or Number. '
<br /> i
<br /> ! PART ONE: Applicant lnfarmation
<br /> if applicant is an entity(company,government entity,paRnership,ett.},an authorized contact person must be identified. If the
<br /> � appiicant is using an agent{consulCant,lawyer,or other tfi(rd party)and has authorized them to act on their behalf,the agenYs
<br /> � contad information must aiso be provided. �
<br /> Appiicani/Landowner Name: Property Resources Development Corp,5usan Seela�d
<br /> Mailing Address: bS51 fiying Cioud Drive,Eden Prairie,MN 55344
<br /> Phone: 612-991-18Z3
<br /> E-mail ACd�esS: Susan.seeland�,vprc.bz
<br /> Dt�.��e�; ', S+cx,�a�. �Cm 1'.;,c, t-�,��hc�+�i j. �.�,-,d Qres�d��
<br /> w�2-��t'-�Is�'3� tagSi �1�/:nG �(�c�d On�e ��e.+-� �Przii��� MN SS�ti��/'.
<br /> Authorized Contact(do not compiete if same as abovej` Jenniier Haskamp �
<br /> Mat�ing Atidre35: Swanson-Haskamp Consuiting,2A6 Albert Si.Suite 2A,St.Pau�,MN 55105
<br /> Phone: 651-342-4193
<br /> E-mail Addt'ess: j4iaskamp�Dswansonhaskamp.com
<br /> Agent Name: Bopray E�vironme�tai Services LLC,Kelly Bopray
<br /> Ma1ling Address: N7831920"'St�eet,River falis,W!54D22
<br /> Pho�e: ti5307-4577
<br /> E•m3il Address_ kjhnpray�yahoo.com
<br /> PART TWO: Site Location Information
<br /> � County: Nen»epin Cltyf Townsttjp: Medina and Orono
<br /> Parcel ID andf or Address: 2H-1?s�3-�4-00+�: ti 28-1?8-23-3]-4U43
<br /> Legal Deuription(5edion,Township,Range}: w1/2,Sec.28,T1�8N,R23w
<br /> lat/Long{decimal degrees):
<br /> Attach a map showing the location of the siie in re(ation to local sireeis,roads,highways.
<br /> Approxlmate size of stte(acres)or if a linear projecC,length(feet): 113 acres `
<br /> I
<br /> !f you know that your proposai will require an individual Permit from the U.S.Army Corps of Engineers,you musi provide the
<br /> names and addresses of ali property owners adja�ent to the project site. This information may be provided by attaching a iist to
<br /> your applicarion or by using block 25 of the Application for Departmeni of the Army permit which can be obtai�ed at:
<br /> hr*.n l/U�u�va mvp��„�c�,armv.mill�'ur;_il<1S1/ti(�cs/re�i�i;,tt�ry(Regulatnryimr.s/�rnglu�r?�_4345_2i)].I�,i.a.F�di
<br /> PART THREE: General Praject/Site Information
<br /> If this application is related to e delineation approval,exemption determination,jurisdictionat determination,or other �
<br /> correspondence submitted prior to this application then describe that here and provide the Corps of Engineers project number. �
<br /> �
<br /> Describe the projeQ that is being propased,the projeci purpose and need,and schedule for imptementation and completio�.The �
<br /> project description must tully describe the nature and scope of the proposed activity inciuding a descr"sption ofi all project eiemenu ':
<br /> that effect aquatic resourtes(wetland,lake,tributary,etc.)and must also include plans and cross sec[ion or profile drawings
<br /> stiowing the location,character,and dimensions of a�l proposed activities and aquatic resource impacts.
<br /> I7{�is a��plication i:,fo:the delsneation approva!and a prc application eneeting ior a conservation deveiopment project �
<br /> � ihere wi3i be some minor wetland impacts and sign+ficant weiland and upland re.storatio�and preservaiion as part of ihe �
<br /> proposed pro}eci
<br /> �
<br /> , Mlnnesota Interagenry Wat¢r Hesaurce Apptication Form February 2014 Page 3 Of 11
<br />
|