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.NA-02620-02 12.14.00 <br /> 4. Mitui alocal tate/Federa1,AppliCation formsior Water/Wetland,Projects <br /> F x i*• *' r . z z—`4x,� ,rJa e�' s, .a .ti .t , <br /> ','t;04 <br /> �ov nt a it ppro al�1 ^su tto�e+sora Hands Conservatton r ± p <br /> >A% °3 31�r 'r+h �s) 5 aq �`�- �['+ 4 +'' � '), <br /> '«.= k hcattcm orMinnesn a�epa mentz.of.Naturaj.Resource 1*.in tTo Work n Publicf' a Y;: <br /> � .'�. s g� v �•, t r .s.�..� k t � loo- A�y uyaaq <br /> k j�k�p t on'for nnesat ?ollutton Control l encylean er"Act(CWA)Section 1 Certif}catton. 4.' <br /> #y 1; ' .a•H+.^5^5�."t, v: i¢s�".` tkkri} r ,.M r r Tra t- itd ,,5 wYgpxrP t3IA:! yF�- 5 iai .-.; p$ , ) z <br /> 3 tA ,, <br /> • <br /> ss'x y k, `}�> t .z ,„ r.'r. .`�w '• `' ,. " �' -. f GY" GVY.r }`sem7-"x V,• <br /> -!*"'41;;-0`4712 "r): ,4Application for Department of the,ArmyPermit(33 CFR 325) ' <br /> Use these application forms to apply to 1)the appropriate Local Government Unit(LGU),2)the Minnesota Department <br /> of Natural Resources(DNR),and 3)the U.S.Army Corps of Engineers(COE)for authorization of any proposed water/ <br /> wetland project affecting lakes, rivers, streams or wetlands that may fall within the jurisdiction of any(or all)of these <br /> three agencies. If 401 certification is required from the Minnesota Pollution Control Agency(MPCA), the COE will forward <br /> these application forms to the MPCA for processing.You do not need to send this application to the MPCA. <br /> This application packet includes the following: <br /> ■ PART 1: BASIC APPLICATION must be filled out by all applicants(pages 1-3,plus requested attachments). <br /> •APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT(page 4)must also be completed(non-shaded blocks <br /> only), signed and submitted by the applicant or agent, along with Part 1,to complete the Federal(U.S.Army Corps <br /> of Engineers)component of the application process using these forms. <br /> • PART 2: REPLACEMENT PLAN SUPPLEMENT must be filled out by applicants who need to develop a replacement <br /> plan for wetland mitigation(pages 5-8,plus requested attachments). <br /> ■ INSTRUCTIONS(Instructions 1-4)are provided to assist with completion and mailing of the application. <br /> Before beginning work on your project,you must receive all required approvals from your LGU,the DNR and the <br /> U.S. Army Corps of Engineers(COE).If you have not received a reply after 45 days,or if you wish to confirm the status <br /> of your application at any time,contact the agencies directly(see Instructions,page 4). Proceeding with work before <br /> all required authorizations are obtained may result in fines or other penalties. <br /> If you have questions or need assistance with filling out these forms,contact your local Soil and Water Conservation <br /> District(SWCD)office,your LGU,your regional DNR office,or your COE regulatory field office(see Instructions, <br /> page 4). <br /> NOTE 1: If you believe that your project may be subject to Watershed District regulation, local Planning and Zoning <br /> jurisdiction, or any other locally implemented or enacted controls besides those of your LGU, contact the appropriate <br /> office(s)directly in addition to your LGU,the DNR and the COE. <br /> NOTE 2: If you are a Federal Farm Program participant,and if your project affects a wetland or water body on agricultural <br /> land, your eligibility for USDA benefits may be affected. In addition to your LGU,the DNR and the COE, contact your <br /> local Natural Resources Conservation Service(NRCS) office to request and complete the appropriate form before initiat- <br /> ing any activity. <br /> A QUICK LOOK AT THE PERMIT APPLICATION PROCESS <br /> l Send copiesof these completed application forms 4.When the review process is complete,your application <br /> to your LGU,your regional DNR office,and your COE will either be approved,approved with changes or conditions, <br /> regulatory field office. withdrawn,or.denied.You will be informed of the decision. <br /> 2.Any of the agencies may make initial contact with you 5.For information about laws,rules and regulations that direct <br /> to a)inform you that it has no jurisdiction over your project; this process,the,website www.revisor.leg.state.mn.us includes <br /> b)request additional information needed;or c)inform you complete State of Minnesota waters and wetlands laws and <br /> of applicable fees. rules,and the website www.mvp.usace.army.mil provides <br /> information on U,S.Army Corps of Engineers regulations. <br /> 3.When your application is considered complete and <br /> appropriate fees have been received(if requested), 6.For information on the appeals process,contact the appro- <br /> your application will be distributed for appropriate agency priate agency(see Instructions,page 4). <br /> review and public comments. <br />