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r ‘,'"4 Minnesota Wetland Conservation Act Application for Approval of Wetland Type arid Boundary 1. Project/Site Information Project/Site Name: 945 Willow View Dr. Local Government Unit: Orono Location (address and/or T, R, Sec.): Willow View Addition Lot 8, Blk 1, A portion of Section 28, T118N, R23W 2. Applicant Information Applicant Name: Tim & Amy Hubbard Address: 945 Willow View Drive City, State, Zip: Long Lake, MN 55356 E-mail: ajhubbard@mchsi.com Phone: 952-473-2250 3. Agent/Consultant Information Company Name (if applicable): Svoboda Ecological Resources Contact Person: Frank Svoboda Address: 25580 Nelsine Drive City, State, Zip: Shorewood,MN,55331 E-mail: franks@gpsinnovations.com Phone: 952-471-1100 4. Description of Request Check all that apply: Cl Wetland Boundary (must attach wetland delineation report) O Wetland Type (Eggers & Reed and/or Circular 39 type) 5. Signature By signature below, the applicant requests a determination from the Local Government Unit under Minnesota Rules 8420.0225 on the submitted wetland boundary and type information in this application. The applicant also affirms that they are the owner of the subject property or have permission from the landowner to purs e this dete,minat n. 4r/1 Applicant or Authorize. ,aent ignature Date Important Notes: • The applicant may be required to submit multiple copies of the report/information to the LGU. The LGU may require the applicant to submit copies directly to Technical Evaluation Panel Members. Check with your LGU regarding their submittal requirements. • The LGU decision must be made in compliance with Minnesota Statutes, section 15.99. For LGU use only Date Received: Page 1 of 1 BWSR Wetland Boundary/Type Application Form 11/10/08