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Project Name and/or Number: SER#2015-007-03—1025 Springhill Road,Orono <br /> PART THREE: General Project/Site Information <br /> If this application is related to a delineation approval,exemption determination,jurisdictional determination,or other <br /> correspondence submitted prior to this application then describe that here and provide the Corps of Engineers projed number. <br /> Describe the project that is being proposed,the project purpose and need,and schedule for implementation and completion.The <br /> project description must fully describe the nature and scope of the proposed activity including a description of all project elements <br /> that effect aquatic resources(wetland,lake,tributary,etc.)and must also include plans and cross section or profile drawings <br /> showing the location,character,and dimensions of all proposed activities and aquatic resource impacts. <br /> The owner wants to knaw where the approved edge is located before starting the planning process.As soon as approval is <br /> received they will move forward with their project. <br /> PART FOUR: Aquatic Resource Impactl Summary <br /> If your proposed projed involves a dired or indirect impact to an aquatic resource (wetland, lake, tributary, etc.) identify each <br /> impact in the table below. Include all anticipated impacts, including those expected to be temporary. Attach an overhead view <br /> map, aerial photo, and/or drawing showing all of the aquatic resources in the project area and the location(s) of the proposed <br /> impacts.Label each aquatic resource on the map with a reference number or letter and identify the impacts in the following table. <br /> County,Major <br /> Aquatic Type of Impact Duration of Existing Plant <br /> Aquatic Resource Overall Size of Watershed�1, <br /> ID as noted on Resource Type (fill,excavate, Impact Z Community <br /> ( Size of Impact Aquatic and Bank Servi <br /> (wetiand,lake, drain,or remove Permanent(P)0 3 Type(s)in Impa <br /> overhead view) 1 Resource , Area�of Impact <br /> tributary etc.} vegetation) Temporary(T) Area <br /> Areas <br /> 'If impacts are temporary;enter the duration of the impacts in days next to the"7". For example,a project with a temporary access flll that would be removed <br /> after 220 days would be entered"T(220)". <br /> Zlmpacts less than 0.01 acre should be reported in square feet. Impacts 0.01 acre or greater should be reported as acres and rounded to the nearest 0.01 acre. <br /> Tributary impads must be reported in linear feet of impact and an area of impact by indicating first the linear feet of impact along the flowline of the stream <br /> followed by the area impact in parentheses). For example,a project thaY impacts 50 feet of a stream that is 6 feet wide would be reported as 50 ft(300 sq/ft). <br /> 'Thls is generally only applicab�e if you are applying for a de minimfs exemption under MN Rules 8420.0420 Subp.8,otherwise enter"NJA". ' <br /> �Use Wetlond Plants pnd P/ont Community Types of Minnesota and Wisconsin 3rd Ed.as modified in MN Rules 8420.0405 Subp.2. <br /> � SRefer to Major WatersF►ed and Bank Service Area maps In MN Rules 8420.0522 Subp.7. <br /> If any of the above identified impacts have already occu�red,identify which impacts they are and the circumstances associated <br /> with each: <br /> PART FIVE: Applicant Signature <br /> ❑ Check here if you are requesting a pre-anplication co�sultation with the Corps and LGU based on the information you have <br /> provided. Regulatory entities will not initiate a formal application review if this box is checked. <br /> By signature below,I attest that the information in this application is complete and accurate. I further attest that I possess the <br /> authority to undertake the work described herein. <br /> Signature: `''"`"��'`" d Date: May 15, 2015 <br /> I hereby aut�orize Svobod�cological Resources to act on my behalf as my agent in the processing of this application and to <br /> furnish,up�l� reque ,supp�emental information in support of this application. <br /> �( i <br /> ,, <br /> 1 The ter `impact"as in is joint application form is a generic term used for disclosure purposes to identify <br /> activities that may requ appr 1 from one or more regulatory agencies. For purposes of this form it is not meant to <br /> indicate whethe�or not those activities may require mitigation/replacement. <br />