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' APPLICATION FOR WITHDRAWAL OF WETLAND CREDITS <br /> FROM THE MINNESOTA WETLAND BANK <br /> Return Original to BWSR—Transaction may not be processed without required signatures <br /> 1.PROPOSED USER OF CREDITS 2.Impact Site Information <br /> ' County Hennepin Major Wtrshd No.20 <br /> Name(s)Spring Hill Golf Club Bank Service Area 7 <br /> ' Address:725 County Rd. 6 Location: '/4 SE'/4 Sec 26,Twp.118,Rge 23 <br /> Size of Wetland Impact:0.42 acres <br /> City Wayzata State MN ZIP 55391 Wetland Types Impacted: 3 <br /> Wetland Plant Communities impacted 3: shallow marsh <br /> Day Phone (612)812-0374 <br /> Required Replacement Ratio:2:1 WCA/local/COE/NRCS <br /> Amount to be replaced using Bank Credits:.043 <br /> Email Address timj@springhillgc.com Amount replaced on site: 0.41 <br /> Project Name: Spring Hill GC 13`h hole <br /> ' Attach replacement plan if additional detail is needed. <br /> 3. OWNER/SELLER OF CREDITS 4.Regulating Authority(ies)Approving <br /> Account No. 1410 Watershed No. 18 the Use of Wetland Bank Credits <br /> Replacement Plan approved by(check all that apply): <br /> County:Hennepin Bank Service Area 7 <br /> ❑ Local WCA LGU: (Print agency name) <br /> Name of Seller:Michael and Melanie DeLuca Local Permit# <br /> ❑U.S.Army Corps of Engineers: Permit# <br /> Todd Ullom (Name of Authorized Representative) ❑MN Dept.of Natural Resources: Permit# <br /> (Signature of Seller/Authorized Representative) <br /> El Natural Resources Conservation Service:Permit# <br /> ❑Other authority involved: <br /> 5.CREDITS PROPOSED TO BE WITHDRAWN FROM ACCOUNT NO. <br /> ' Credit Acres Wetland Wetland Plant Community Cost <br /> Sub-Group withdrawn Type (per acre) <br /> A 0.42 4 Deep Marsh $45738 <br /> B 0.42 U Upland buffer $45738 <br /> [Pick One] <br /> [Pick One] <br /> Totals: <br /> 1 acre=43,560 sq.ft. FEE TOTAL:Total credits x fee-per-credit(see Fee Schedule)_ $2,490.99 <br /> Enclosed transaction fee,payable to"Board of Water&Soil Resources." <br /> Letters signify credit sub-groups,which represent wetland areas with different wetland characteristics. <br /> ' 2Circular 39 types: 1, IL,2,3,4,5,6,7,8,R,U(for Upland Buffer). <br /> 3 Wetland plant community type:shallow open water,deep marsh,shallow marsh,sedge meadow,fresh meadow,wet to wet-mesic prairie, <br /> calcareous fen,open bog or coniferous bog,shrub-carr/alder thicket,hardwood swamp or coniferous swamp,floodplain forest,seasonally <br /> flooded basin,or upland buffer.See lVelland Plants and Plant Communities ojMinnesota and Wisconsin(Eggers and Reed,1997) as <br /> ' modified by the Board of Water and Soil Resources,United States Army Corps of Engineers. <br /> Page I of 2 <br /> BWSR Form:wca-bank-01-withdrawal.doc <br /> Revised 1/5/2011 <br />