MCWD Notice of Wetland Conservation Act Decision-2003

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� � � � � Note: This approval�S not efjective until the stgnatures below are complete. No work should begln until the 3(1-day appeal window has lapsed, or, ln the event of an appeal, until the appeaY has been,fYnalized FUR LGU USE ONLY A.)LGU has receiveci adequate documentation for claim ofNo-Loss or Exemption,and appmves this certificate as outtined above. , 3 This certificate expires (Date) U z ' tgnature {Date) �" ➢ If this certificate applies ta 8420.0122,Subp. 1 or Subp.2B,then Item B below shall be completed and signed by the LGU. ➢ if not,the LGU shalt write "Not Applicable" in signahtre block below and the certificate is complete. B.)LGU has received evidence of recordin�of Declaration of Restrictions and Covenants far impacted Wetland Under Agricultural Exemption(BWSR Farm B): (Caunty where record d (Date recorded} (Document#assigned by recarder) �GU f�fficiaf Si re Date *APPROVAL OF THIS CERTIFICATE ONLYAPPLIES TO THE WCA. Permits from local,state, and federal agencies may be required. Check with the appropriate authorities before commencing work in or near wetlands. The Combined Project Application form can be used for this purpose. Notice of the above decision must be mailed to the following parties within 10 working days of the decisior�: I. Landowner/Applicant 2. Members of the Technical Evaluation Panel 3. Watershed District or W�tershed Management Organization(If Applicable) 4. Deparhnent of Natural Resources Regional Office 5. DNR Wetlands Coordinator @ Ecological Services Section 500 Lafayette Road,Box 25 St. Paul,MN 551 SS 6. Corps of Engineers Project Manager @ Department of the Army, Corps of Engineers, St. Paul District ATTN: CO-R, 19U Fifth Street East St,Paul,MN 55101-163$ 7. Members of the public who have requested to receive notice. ,U� � ��pp3 ��I�� � ,..- . Page 3 of 3 waldron_exemption (April 2003)