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Project Name�d/or Number: 10�&1090 H�Rage lane,Orono,MN <br /> PART FOUR: Aquatic Resource Impactl Summary <br /> If your proposed project involves a d�ect or indirect impact to an aquatic resource(wetland, lake, tributary,etc.) identify each <br /> impact in the table below. Include all anticipated impacts, including those expected to be temporary. Attach an overhead Wew <br /> map,aerial photo, and/or drawing showing all of the aquatic resources a�the project area and the location(s)of the proposed <br /> (mpacts.Labei each aquatic resourae on the map with a reference number or Istter and identify the impacts in the folbwing table. <br /> Aquatic �e of ImpacL Ouration of Existing PIaM County,Maja <br /> Aquatk Resou� Resource e (fi���excavate, Impact Overaii Size ot ���� Watershad#, <br /> 10(as noted on TMp drain,or Permanent(P� Si�e of impact� Aquatk � and Bank <br /> overhead view) �Wetland,lake, remove or Temporary Resource� ���s)in ���a# <br /> tributary etc) Impact Area° <br /> vegetation) (nl of Impact Area <br /> �If impacts are temporary;enter the duration of the impads in days next to the"T°'. For example,a projed with a temporary access fip that <br /> would be removed after 220 days would be entered"T(2�0)". <br /> =Impacts less thao 0.01 acre should be reported in square feet Impacts 0.01 atre or greater should be reported as acres and rounded to the <br /> nearest 0.01 acre. Trtbutary impads must be reported in linear feet of impact and an area of impad by tndicati�Brst the Iinear feet of impact <br /> ab�the flowline of the stream fdlowed by the area impact in parentheses). For ex�nple,a proJect that impacts 50 feet of a meam that is 6 <br /> feet wide would be reported as 50 ft(300 square feet). <br /> �TMs ts generally ody applicable If you are applying for a de minimis exemption under MN Rules 8420A420 Subp.8,otherwise enter"N/A". <br /> Wse Wetlond Plants ond PIuM Community Ty�s�Minnesota and IANsaonsln 3'�Ed.as rrwdifled tn MN Rules 8420.0405 Subp.2. <br /> SRefer to Major WaCershed and Bank Servke Area maps in MN R�es 8420.0522 Subp.7. <br /> If any of the above identlfied impactx have already oaurred,identify whkh impacts they are and the circumstances associated <br /> with each: <br /> 'The tenn`"�mpactp as used M this�int app�ication form is a geneNc ternn used for discbwre purposes to ideMify <br /> activities that msy requtre approvai from one or more reguiatory agencies. For purposes of thls form it is not meant to <br /> indicate whether or not those acthrities may requ�e mitigation/repiacement. <br />