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For Re lacement Plans usin credits from the State Wetland Bank: Bank Account# Bank Service Area County Credits Approved for Withdrawal(sq. ft. or nearest .O 1 aci•e Replacement Plan Approval Conditions. In addition to any conditions specified by the LGU, the approval of a Wetland Replacement Plan is conditional upon the following: ❑Financial Assurance: Far project-specific replacement that is not in-advance,a financial assurance specified by the LGU must be submitted to the LGU in accordance with MN Rule 8420.0522, Subp. 9 (List amount and type in LGU Findings). ❑ Deed Recording: For project-spec�c replacement,evidence must be provided to the LGU that the BWSR "Declaration of Restrictions and Covenants" and "Consent to Replacement Wetland" forms have been filed with the county recorder's office in which the replacement wetland is located. ❑ Credit Withdrawal: For replacement consisting of wetland bank credits,conf'u-mation that BWSR has withdrawn the credits fi•om the state wetland bank as specified in the approved replacement plan. Wetlands may not be impacteci until all applicable conditions have been met! LGU Authorized Si ature: Signing and mailing of this completed form to the appropriate recipients in accordance with 8420.0255, Subp. 5 provides notice that a decision was made by the LGU under the Wetland Conseivation Act as specified above. If additional details on the decision exist,they have been provided to the landowner and are available from the LGU u on re uest. Name Title Courtney Hall Wetland Specialist Signatur� Date Phone Ntunber and E-mail � � ~ ' (952)473-2855 �(}Z�1,�� J �'� chall@minnehahacreek.org THIS DECISION ONL APPLIES TO THE NID�NESOTA WETLAND CONSERVATION ACT. Additional approvals or permits fi•om local, state, and federal agencies may be required. Check with all appropriate authorities before conunencing wark in or near wetlands. Applicants proceed at their own risk if work authorized by this decision is started before the time period for appeal (30 days)has expired. If this decision is reversed or revised under appeal, the applicant may be responsible for restoring or replacing all wetland impacts. This decision is valid for tlu•ee years fi•om the date of decision unless a longer period is advised by the TEP and specified in this notice of decision. 3. APPEAL OF THIS DECISION Pursuant to MN Rule 8420.0905, any appeal of this decision can only be cormnenced by mailing a petition for appeal,including applicable fee,within thirty(30)calendar days of the date of the mailing of this Notice to the following as indicated: Check one: � Appeal of an LGU staff decision. Send ❑ Appeal of LGU governing body decision. petition and $0 fee(if applicable)to: Send petition and$500 filing fee to: Minnehaha Creek Watershed District Executive Director 15320 Minnetonka Blvd Minnesota Board of Water and Soil Resources Minnetonka,MN 55391 520 Lafayette Road North St. Paul, MN 55155 BWSR Forms 7-1-10 Page 2