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BWSR NOD Form – November 12, 2019 3 <br />Optional or As Applicable: <br />☒ Corps of Engineers: usace_requests_mn@usace.army.mil <br />☐ BWSR Wetland Mitigation Coordinator (required for bank plan applications only): <br />☐ Members of the Public (notice only): ☐ Other: <br /> <br />Signature: <br /> <br /> <br /> <br /> <br />Date: <br /> <br />This notice and accompanying application materials may be sent electronically or by mail. The LGU may opt to send a <br />summary of the application to members of the public upon request per 8420.0255, Subp. 3. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />6/6/2023