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- u- <br />a complete copy <br />vhich <br />trict, <br />project <br />he box on the back <br />id all supporting <br />;horeland Man age- <br />k ******* <br />watershed district. <br />county <br />ype name) <br />iq77 <br />* * ** * * * * <br />artment of Natural <br />equested permit. <br />or disapprove the <br />d. It is requested <br />or the <br />s including <br />1 **.. <br />w-221 <br />D. <br />E. <br />F. <br />Any possible effects of the proposed project on the water resource, <br />navigation, fish and wildlife, conservation, pollution, and the <br />general public interest. <br />Any recommended modifications in the proposal or other alternative <br />way of achieving the desired objective which would reduce undesirable <br />effects. <br />Any pertinent factual data available concerning the water body or the <br />proposed project. <br />Reasons for any local objections. <br />Please comolete this form and return to the address shown in the lower left corner of <br />A <br />this page within 15 days, if possible, or inform the department if additional time is <br />needed. <br />SECTION II (TO BE COIdPLETED BY CITY, TOWNSHIP, WATERSHED DISTRICT OR COUNTY) <br />The applicant named on the opposite side of this form submitted a copy of his water permit <br />application on It has been reviewed and the following comments <br />are submitted for consideration by the Department of Natural Resources. <br />(Attach additional sheets if necessary)Dated <br />Gov't Official's name <br />RETURN TO:(print or type) <br />DEPARTMENT OF NATURAL RESOURCES <br />Division of Waters, Soils 5 Minerals <br />Regulations Unit <br />Centennial Building <br />St. Paul, MN 55155 <br />Signature <br />Title <br />Address <br />K- S4. <br />Rev. 74 <br />(vrint <br />quarter section(s) <br />county(ies) <br />Iftre <br />ikk <br />applies pursuant <br />public watcr(s) n <br />herewith and made <br />IT IS PROPOSED TO <br />(check <br />THE FOLLOWING: L <br />(check) L <br />Explain why this <br />1. Anticipated c <br />2. Unavoidable I <br />bcl <br />3. Alternatives <br />pe <br />1. Describe the <br />2. Describe th< <br />3. Describe th< <br />4. Describe ty <br />5. ENCLOSE SKh