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� f � 1 <br /> For Re lacement Plans usin credits from the State Wetland Banlc: <br /> Bank Account# Bank Service Area County Credits Approved for � <br /> Withdrawal(sq.ft.or nearest.O1 <br /> ' acre) <br /> Replacement Plan Approval Conditions. In addition to any conditions specified by the LGU, the <br /> approval of a Wetland Replacement Plan is conditional upon the following: <br /> • ❑ Financial Assurance: For project-specific replacement that is iiot in-advance, a financial <br /> assurance specified by the LGU must be submitted to the LGU in accordance with MN Rule <br /> 8420.0522, Subp.9(List amount and type in LGU Findings). <br /> ❑ Deed Recording: For project-specific replacement, evidence must be provided to the LGU that <br /> the BWSR "Declaration of Restrictions and Covenants" and "Consent to Replaceinent Wetland" <br /> forms have been filed with the county recorder's office in which the replaceinent wetland is located. <br /> ❑ Credit Withdrawal: For replacement consisting of wetland bank a�edits, confirmation that <br /> BWSR has withdrawn the credits fi•om the state wetland bank as specified in the approved <br /> replaceinent plan. • <br /> Wetlands may not be impacted until all applicable conditious have been met! <br /> , LGU Authorized Signature: <br /> Signing and mailing of this completed form to the appropriate recipients in accordance with 8420.0255, . <br /> Subp:5 provides notice that a decision was made by the LGU under the Wetland Conservation Act as � � <br /> specified above. If additional details on the decision exist,they have been provided to the landowner and <br /> are available fiom the LGU u on re uest. <br /> Name Title <br /> Catherine Bach ' District Technician <br /> Signatu e Date Phone Number and E-mail <br /> 11/14/11 (952)641-4504 <br /> cbach@minnehahacreek.org <br /> � THIS DECISION ONLY APPLIES TO T'HE MINNESOTA WETLAND CONSERVATION ACT. <br /> Additional approvals or pei7nits fi•om local, state, and federal agencies may be requii�ed. Check with all <br /> appropriate authorities before commencing work in or near wetlands. <br /> Applicants proceed at theu• 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 appeat,the applicant may be <br /> responsible for restoring or replacing all wetland impacts. <br /> This decision is valid for three years from the date of decision unless a]onger period is advised by the <br /> TEP and specified in this notice of decision. <br /> 3.APPEAL OF THIS DECISION <br /> Pursuant to MN Rule 8420.0905, any appeal of this decision can only be commenced by mailing a <br /> petition for appeal, including applicable fee,within thirty(30} calendar days of the date of the mailing of <br /> this Notice to the follovVing as indicated: � � . <br /> Check one: <br /> ❑ Appeai of an LGU staff decision. Send ❑Appeal of LGU governing body decision. Send <br /> petition and$_fee(if applicable)to: petition and$500 filing fee to: <br /> Executive Director <br /> ' Minnesota Board of Water and Soil Resources <br /> 520 Lafayette Road North <br /> BWSR Forms 7-1-10� Page 2 of 3 <br />