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BWSR Forms 7-1-10 Page 2 of 2 <br />Signature: _____ ____________ Date: ______6/30/15_____________ <br /> <br /> <br />3. LIST OF ADDRESSEES <br /> SWCD TEP member: Stacey Lijewski – stacey.lijewski@co.hennepin.mn.us <br /> BWSR TEP member: Ben Meyer – ben.meyer@state.mn.us <br /> LGU TEP member (if different than LGU Contact): <br /> DNR TEP member: <br /> DNR Regional Office (if different than DNR TEP member): Brooke Haworth - <br />brooke.haworth@state.mn.us <br /> WD or WMO (if applicable): <br /> Applicant (notice only) and Landowner (if different): Tim Skelly – tim.skelly@claconnect.com <br /> Members of the public who requested notice (notice only): Ben Carlson (Kjolhaug <br />Environmental Services) – ben@kjolhaugenv.com, Christine Mattson (City of Orono) – <br />cmattson@ci.orono.mn.us <br /> Corps of Engineers Project Manager (notice only): Melissa Jenny – <br />melissa.m.jenny@usace.army.mil <br /> BWSR Wetland Bank Coordinator (wetland bank plan applications only) <br /> <br /> <br />4. MAILING INFORMATION <br /> For a list of BWSR TEP representatives: www.bwsr.state.mn.us/contact/WCA_areas.pdf <br /> For a list of DNR TEP representatives: www.bwsr.state.mn.us/wetlands/wca/DNR_TEP_contacts.pdf <br /> Department of Natural Resources Regional Offices: <br />NW Region: <br />Reg. Env. Assess. Ecol. <br />Div. Ecol. Resources <br />2115 Birchmont Beach Rd. NE <br />Bemidji, MN 56601 <br />NE Region: <br />Reg. Env. Assess. Ecol. <br />Div. Ecol. Resources <br />1201 E. Hwy. 2 <br />Grand Rapids, MN 55744 <br />Central Region: <br />Reg. Env. Assess. Ecol. <br />Div. Ecol. Resources <br />1200 Warner Road <br />St. Paul, MN 55106 <br />Southern Region: <br />Reg. Env. Assess. Ecol. <br />Div. Ecol. Resources <br />261 Hwy. 15 South <br />New Ulm, MN 56073 <br />For a map of DNR Administrative Regions, see: http://files.dnr.state.mn.us/aboutdnr/dnr_regions.pdf <br /> For a list of Corps of Project Managers: www.mvp.usace.army.mil/regulatory/default.asp?pageid=687 <br /> or send to: <br /> <br />US Army Corps of Engineers <br />St. Paul District, ATTN: OP-R <br /> 180 Fifth St. East, Suite 700 <br /> St. Paul, MN 55101-1678 <br /> For Wetland Bank Plan applications, also send a copy of the application to: <br />Minnesota Board of Water and Soil Resources <br /> Wetland Bank Coordinator <br /> 520 Lafayette Road North <br /> St. Paul, MN 55155 <br /> <br />5. ATTACHMENTS <br />In addition to the application, list any other attachments: <br /> Complete delineation report <br /> <br /> <br />