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Signing and mailing of this completed form to the appropriate recipients in accordance with 8420.0255, <br /> Subp. 5 provides notice that a decision was made by the LGU under the Wetland Conservation Act as <br /> specified above. If additional details on the decision exist,they have been provided to the landowner <br /> and are available from the LGU upon request. <br /> Name Title <br /> Heidi Quinn Permitting Technician <br /> Si:nature Date Phone Number and E-mail <br /> 11/14/2018 952-641-4504 <br /> hquinn@minnehahacreek.org <br /> THIS DECISION ONLY APPLIES TO THE MINNESOTA WETLAND CONSERVATION ACT. <br /> Additional approvals or permits from local, state, and federal agencies may be required. Check with all <br /> appropriate authorities before commencing work in or near wetlands. <br /> Applicants proceed at their own risk if work authorized by this decision is started before the time period <br /> for appeal(30 days)has expired. If this decision is reversed or revised under appeal,the applicant may be <br /> responsible for restoring or replacing all wetland impacts. <br /> This decision is valid for three years from the date of decision unless a longer period is advised by the TEP <br /> and specified in this notice of decision. <br /> 3.APPEAL OF THIS DECISION <br /> Pursuant to MN Rule 8420.0905,any appeal of this decision can only be commenced by mailing a petition <br /> for appeal,including applicable fee,within thirty(30)calendar days of the date of the mailing of this Notice <br /> to the following as indicated: <br /> Check one: <br /> • Appeal of an LGU staff decision. Send ❑ Appeal of LGU governing body decision. <br /> petition and$100 fee to: Send petition and$500 filing fee to: <br /> Minnehaha Creek Watershed District Executive Director <br /> 15320 Minnetonka Blvd Minnesota Board of Water and Soil Resources <br /> Minnetonka,MN 55345 520 Lafayette Road North <br /> St. Paul,MN 55155 <br /> 4. LIST OF ADDRESSEES <br /> • SWCD TEP member: Stacey Lijewski-stacey.lijewski@co.hennepin.mn.us <br /> ® BWSR TEP member:Ben Carlson-ben.carlson@state.mn.us <br /> ❑ LGU TEP member(if different than LGU Contact): <br /> • DNR TEP Becky Horton-becky.horton@state.mn.us <br /> • DNR Regional Office(if different than DNR TEP member):,Jason Spiegel <br /> Jason.spiegel@state.mn.us <br /> ❑ WD or WMO(if applicable): <br /> ® Applicant(notice only)and Landowner(if different):North Shore Meadows LLC, <br /> AAAdams@cbburnet.com <br /> Members of the public who requested notice(notice only): Christine Mattson- <br /> CMattson@ci.orono.mn.us; Melanie Curtis-mcurtis@ci.orono.mn.us; Travis Fristed- <br /> travis.fristed@is-grp.com; Lucas Mueller-lucas.mueller@is-grp.com <br /> ® Corps of Engineers Project Manager(notice only): Justin Berndt- <br /> Justin.T.Berndt@usace.army.mil <br /> ❑ BWSR Wetland Bank Coordinator(wetland bank plan applications only) <br /> BWSR Forms 7-1-10 Page 3 <br /> of 3 <br />