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N � <br /> Signature Date Phone Number and E-mail <br /> �`�,•�_y__� ��� 8/12/15 (952)6�41-0504 <br /> ��K� ie� ebrownQmianehahacreek.org <br /> THIS I?ECISION ONLY APPLIES TO THE MINNESOTA WETLAND CONS �RVATION ACT <br /> Additional approvals or pennits from local, state, and federal agencies may be required. Check with all <br /> appropriate authorities before commencing work in or near wet�ands. <br /> Applicants proceed at their own risk if work authorized by this decision is started before the time period <br /> for appeal (30 days) has expired. If this decision is reversed or revised under appeal,the applicant may be <br /> responsi'ble far restoring or replacing a11 wetland impaets. <br /> This decision is valid for tbree years from the date of decision unless a longer period is advised by the TEP <br /> and specified in this notice of decision. <br /> 3.A,PPEAL OF THIS DECLSION <br /> Pursuant to MN Rule 8420A905, any eppeal of this decisian can only be commenced by mailing a petition <br /> for appeal,including applicable fee,within thirty(30)calcndar days of the date of the mailing of tlus Notice <br /> to the follawing as indicated: <br /> Check one: <br /> � Appeal of an LGU staff decision. Send ❑Appeal of LGL'governing body decision. <br /> petition and$0 fee(if applicable)to: Send pefiition and$5�filing fee to: <br /> Minnehaha Creek Wstershed Diatriet Executive Director <br /> 15320 Minnetonka BIvd Minneaota Board of Water and Soil Resources <br /> MinneMnka,lYIN 55345 520 Lafayette Road North <br /> St.Pau1, NiN 55155 <br /> 4.LIST OF ADDRESSEES <br /> � SWCD TEP member: Stacey I.ljewsld—atucey.lijewskt�a co.hennepin.mn.ue <br /> � BWSR TEP membcr:Ben Meyer—ben.meyer�st�tte.mn.us <br /> ❑ I,GU TEP member(if different than LGU Contact): <br /> � DNR TEF member:Kate Drewry—kate.drewry u(�state.mn.u� <br /> � DNR Regional Office(if different than DNR TEP member): Brooke Haworth- <br /> brnoke.hawortltQatste.mn.ns <br /> ❑ WD or WMO(if appIicable}: <br /> � Applicant(notice only)and Landowner(if different): Irwin Jacobs— <br /> mbsteadman�cbburnet.00m,City of Ornno—jloflusQdorono.mnus <br /> � Members of the public who requested notice(notice only):Fr�nk Svoboda(SER)— <br /> frankeQ�gpefnnovations.com,Christlne 11�Iatt�on{City of Ornno)—cmittson�c.�.orono.mn.us <br /> � Corps of Engineers Project Manager{notice only): 1�Ielissa Jenny— <br /> melissa.m jenny aQusace.armyanil <br /> ❑ BWSR Wetland Bank Coordinator(wetland hank plan applicadons only) <br /> 5.MAILING INFORMATIQN <br /> ➢For a Iist of BWSR TEP representatives: www.bwsr.state.mn.us/aboutbwsr/workaieaslWCA areaspdf <br /> ➢For a list of DNR TEP representatives:www.bwsr.state.mn.us/wetlands/wca/DNR TEP contacts.pdf <br /> ➢ artment of Natural Resources Re 'onal Offices: <br /> NW Re '�on: �gian Ceatral RegZon: Southem ReQ'lon: <br /> Re .Env.Assess.EcoI. Re .Env.Asscss.Ecvl. Re .Env.Assess. R .Env.Assess.Ecal. <br /> BWSR Forms 7-i-IO Pagc 3 <br /> of 3 <br />