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� <br /> G. ' <br /> i Project Name�r�d/ar Number: 2t�14-022-03 <br /> ; <br /> ' PART FouR: aquat� urc I pact� summary <br /> !t your propased prajeet involves a dire�t ar indirect impact ta an aquatit r�sourct (wetland, i�ice, Eributary, etc.} identify each <br /> ' impact in the tabte be4ow. Inciude at� �ntici�ated impacu, irscfuding those expeeted to be t�mpor��s. Attaeh an overhead view <br /> rnap, aerial ph�to, and/or dr�wing showir►�ali of the aquatic resources �n th� pr��ect area �nd ch� iacation(sj of the prQposed <br /> impacts.Labei each aq€�atic resource on the map with a reference number or I�tter�n�identify the impacts in the failowing table. <br /> _...___A-uatic TYp$o�impact Durat6#n�f i w-._.__._ �cYstirt�A�ars# Couetty, a�Qr� <br /> /�q�st�c Resouru � {flll,excaua�, s tmp�et Eluerstt Sixe es# Wate ci . f <br /> Rescurce Type � i Co�rsnnuru�+j ; <br /> i0(as nated on drairs,or Permanent(P) Siz�af impact Aquatic and Bank ; <br /> � (wetE�nd.(�ke. � � T (sj°sn <br /> averhead view� remove I o�Temparary R��+ce � 5�vice Area tt� <br /> ' tributary e�c.) � impaet Area of{m act Are�� <br /> ve�etatia�t} (T} P � <br /> Wetl�nd� Wetiand Remove T{180) �.�acre NjA Type2lN�tlarsd 2Qf7 E <br /> ; `' <br /> � vegetatia� Meadow � <br /> , � <br /> . � <br /> ; ` I <br /> ; i <br /> ______J_.�__ � j <br /> xtf imp�cKs are ternporary,e�t�tr the duration of the impscb in days ne�t tt►the"7". For exam�e,a project with a temporsry acce3s filt tE�at � <br /> � <br /> a�auEd be removed aft+�r 220 ciays wouid be entered'7(22flp". � <br /> ��mpacts tess than t7.Ai acre shou{d be r�posted in square feet, tmpacts O.OI acrg or gr�ater shauld be reported as acres and rounded xo the ': <br /> nearest Q.Ql atre. Trihutary impacts must b�reported in#inear teet af impact and an arsa af impact by indicating�irst the Pinear feet oE impact j <br /> afon�the flowline ofi the sMearn fal4owed by ths aw'ea impact in parenthesssj. For example,a pro;��ct that impsccfis 5tl f�et of e stream chat is 6 ; � <br /> f+�er wisfe woutd be reoc�rted�s Sb ft{3tH?square feet}. ( <br /> �t'h€s is generally oniy applicabCe if you ere applyrr�far a de minimis eacsm�strorr under MN Rulss 8�20.0420 Sub�t.8,�therwise enter"N jA", � <br /> 4Us�Wetfand Ptanrs�nd Pf�nt Cammunity 7y�s af Minntsaio ond UVisconsla 3'�Ed.as mc,�c[itied in MN Itules 842t7.04�5 Subp.2. ' <br /> �R�f�r tcs Major Watershed artd Bank Service Area maps ir�MN Ru{es 8A20.A522 5ubp.7. ( <br /> b If any o#the above iaentified impa+ets haue airea�y�ccurr�d,ic3entif�which impacts they are and the circcsrrsst�nce�assoc3ated j <br /> wfth eaeh: i} <br /> II <br /> I <br /> � <br /> � <br /> � PART ��VE: Ap II � igr'ta`tf�r� � I <br /> i ����� <br /> ` � Check here if you are requestin�a�pre-applic�t��n conswltation with€h�Co�ps and lGl!t�a�ed on the inform�E�an yc�u have <br /> pravided. Re�ulatary entities wiit not�n�tiate a f�rrr��l applicatiaa review if this box is cfieck��1. <br /> { <br /> � <br /> 6y signature�edow,t attest that th�#nfarn�aLion ln�this appttcation is camplet�and accurate. t further attest that!possess the <br /> authority ta ursd�r� ke the wa ri herein.� <br /> ��, <br /> , ��r ��_,. � , <br /> .� . �„„,,:,,,. <br /> �-�--`*" `"�; ✓ �� E $ <br /> i � ; � � E <br /> � �� <br /> a �`}3 g3 k L°� ��'`� F �,� „' ,� <br /> i Si nature�� � ;����°�:�� �. #� '�� �: �.� `� .�-r <br /> � 8 •� � TM ..�1 <br /> _�; ,��._.f �� � �� <br /> !hereby suthari�e Brfan�itte ta aM an rny bel�alf as my agent i�n the processin�of this appticatfan and ta fumish,upon request, <br /> supplemet�tai(nfarmaticsn ir�suppart csP th�s��}��ticatian. <br /> i The t�rm"impac�#"ss t►s�d in this joint applicaYidn farm is s�eneric t�rm used for disci�s�tre�pttrpor.�s t+�identity <br /> artheities that may rtqu`r approva!from onc or rnore ragul�to�r agencies. �or pur rsi ttais fcrm it is nat maant to � <br /> ��� indic#a�t�vr�ieth�r or not tha�se�ctivitics msy req�ire mtttgatictti/r�l nrt. ; <br /> Mlnn�s+�ta Interagency Water Resaurce Appiicatic�n��rrr�February 201+� Page 5 c�f 12 <br />