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Project Name and/or Number: <br /> Attach a map of the existing aquatic resources,associated delineation report,and any documentation of regulatory review or <br /> approval.Discuss as necessary: <br /> For actions involving construction activities,attach construction plans and specifications with all relevant details. Discuss and <br /> provide documentation of a hydrologic and hydraulic analysis of the site to define existing conditions,predict project outcomes, <br /> Identify specific project performance standards and avoid adverse offsite impacts.Plans and specifications should be prepared by <br /> a licensed engineer following standard engineering practices. Discuss anticipated construction sequence and timing: <br /> For projects involving vegetation restoration,provide a vegetation establishment plan that includes information on site <br /> preparation,seed mixes and plant materials,seeding/planting plan(attach seeding/planting zone map),planting/seeding <br /> methods,vegetation maintenance,and an anticipated schedule of activities: <br /> For projects involving construction or vegetation restoration,identify and discuss goals and specific outcomes that can be <br /> determined for credit allocation.Provide a proposed credit allocation table tied to outcomes: <br /> Provide a five-year monitoring plan to address project outcomes and credit allocation: <br /> Discuss and provide evidence of ownership.or rights to conduct wetland replacement/mitigation on each site: <br /> Quantify all proposed wetland credits and compare to wetland Impacts to identify a proposed wetland replacement ratio. Discuss <br /> how this replacement ratio is consistent with Corps and WCA requirements: <br /> By signature below,the applicant attests to the following(only required if application Involves project-specific/permittee <br /> responsible replacement): <br /> • All proposed replacement wetlands were not: <br /> • Previously restored or created under a prior approved replacement plan or permit <br /> • Drained or filled under an exemption during the previous 10 years <br /> • Restored with financial assistance from public conservation programs <br /> • Restored using private funds,other than landowner funds,unless the funds are paid back with interest to the individual <br /> or organization that funded the restoration and the individual or organization notifies the local government unit in <br /> writing that the restored wetland may be considered for replacement. <br /> • The wetland will be replaced before or concurrent with the actual draining or filling of a wetland. <br /> • An irrevocable bank letter of credit,performance bond,or other acceptable security will be provided to guarantee successful <br /> completion of the wetland replacement. <br /> • Within 30 days of either receiving approval of this application or beginning work on the project, I will record the Declaration of <br /> Restrictions and Covenants on the deed for the property on which the replacement wetland(s)will be located and submit proof <br /> of such recording to the LGU and the Corps. <br /> Applicant or Representative: Title: <br /> Signature: Date: <br /> Minnesota Interagency Water Resource Application Form February 2014 Page 9 of 11 <br />