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Project Name and/or Number: 3635 Togo Road <br /> PART ONE: Applicant Information <br /> If applicant is an entity(company,government entity,partnership,etc.),an authorized contact person must be identified. If the <br /> applicant is using an agent(consultant,lawyer,or other third party)and has authorized them to act on their behalf,the agent's <br /> contact information must also be provided. <br /> Applicant/Landowner Name: Mary Schommer <br /> Mailing Address: 3635 Togo Road,Wayzata, MN 55391 <br /> Phone: 952-463-7516 <br /> 1 E-mail Address: Tigerlily2246@aol.com <br /> Authorized Contact(do not complete If same as above): Ralph Kempf <br /> Mailing Address: 3675 Togo Road,Wayzata,MN 55391 <br /> j Phone: 612-382-8230 <br /> E-mail Address: Ralphkempf99@gmail.com <br /> Agent Name: Lucas Mueller <br /> Mailing Address: 7900 International Dr.Suite 550 Minneapolis,MN 55425 <br /> Phone: 952-426-0699 <br /> E-mail Address: Lucas.mueller@is-grp.com <br /> I <br /> PART TWO: Site Location Information <br /> County: Hennepin City/Townshlp: Wayzata <br /> Parcel ID and/or Address: 3635 Togo Road <br /> Legal Description(Section,Township,Range): S17/T117N/R23W <br /> Lat/Long(decimal degrees): 44.938061/93.614994 <br /> Attach a map showing the location of the site in relation to local streets,roads,highways. <br /> Approximate size of site(acres)or N a linear project,length(feet): 2.5 ac. <br /> If you know that your proposal will require an individual Permit from the U.S.Army Corps of Engineers,you must provide the <br /> names and addresses of all property owners adjacent to the project site. This information may be provided by attaching a list to <br /> your application or by using block 25 of the Application for Department of the Army permit which can be obtained at: <br /> 1 <br /> httD:/Iwww.mvp.usace.army.mil/PortaI 7/docs/regulatory/Regulatq!yDocs/engform 4345 2012oct adf <br /> i <br /> PART THREE: General Project/Site Information <br /> iif 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 project number. <br /> Describe the project that is being proposed,the project purpose and need,and schedule for implementation and completion.p on.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. J <br /> Please see attached wetland delineation report for project details. <br />