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� <br /> For Re lacement Plans usin ccedits fi•om the State Wetland Bank: <br /> Bank Account# Bank Service Area County Credits Approved for <br /> Withdrawal(sq. ft. or nearest <br /> .O 1 acre <br /> Replacement Plan Approval Conditions. In addition to any conditions specified by the LGU, tlie <br /> approval of a Wetland Replacement Plan is conditional upon the following: <br /> ❑Financial Assurance: Foi•pi•oject-specific replacement that is not in-advance,a financial asstu•ance <br /> specified by the LGU miist be submitted to the LGU in accordance with MN Rule 8420.0522, Subp. 9 <br /> (List amount and type in LGU Findings). <br /> ❑Deed Recording: For project-specific replacement, evidence must be provided to the LGU that the <br /> BWSR "Declaration of Restrictions and Covenants" and "Consent to Replacement Wetland" forms <br /> have been filed with the county recorder's office in which the ceplacement wetland is located. <br /> ❑ Credit Withdrawal: For i•eplacement consisting of wetland bank credits, confirmation that BWSR <br /> has withd��awn the credits from the state wetland bank as specified in the approved replacement plan. <br /> Wetlands may not be impacteci until all applicable conditions have been met! <br /> LGU Authoc•ized Si nature: <br /> Signing and mailing of this completed fot•m to tlle appi•opriate recipients in accoi•dance with 8420.0255, <br /> Subp. 5 provides notice tliat a decision was made by the LGU under the Wetland Conservation Act as <br /> specified above. If additional details on the decision e.cist,they have been provided to the landowner <br /> and are available fi•om the LGU upon re uest. <br /> Name Title <br /> Courtney Hall Wetland Specialist <br /> Signature Date Phone Number and E-mail <br /> (952)473-2855 <br /> �"�2� � chall@minnehahaa•eek.org <br /> THIS DECISION ONLY APPLIES TO THE MINNESOTA WETLAND CONSERVATION ACT. <br /> Additional approvals oi• permits fi•om local, state, and federal agencies may be required. Check with all <br /> appropriate authorities before commencing work in or neac wetlands. <br /> Applicants proceed at their own risk if worlc authorized by tllis decision is started before the time period <br /> foi•appeal (30 days)has expired. If this decision is reversed or revised under appeal,the applicant�nay be <br /> responsible for restoring or replacing all wetland impacts. <br /> This decision is valid for three yeacs from the date of decision unless a longer period is advised by the TEP <br /> and specified in this notice of decision. <br /> 3. APP�AL OF THIS DECISION <br /> Pucsuant to MN Rule 8420.0905,any appeal of this decision can only be commenced by mailing a petition <br /> foc appeal, including applicable fee,within thirty(30)calendar days of the date ofthe mailing of this Notice <br /> to the following as indicated: <br /> Check one: <br /> � Appeal of an LGU staff decision. Send ❑ Appeal of LGU governing body decision. <br /> petition and $0 fee(if applicable)to: Send petition and$500 filing fee to: <br /> Minnehaha Ci•eek Watershed District Executive Director <br /> 15320 Minnetonka Blvd Minnesota Board of Water and Soil Resources <br /> Minnetonka,MN 55391 520 Lafayette Road North <br /> St. Paul, MN 55155 <br /> BWSR Forms 7-1-10 Page 2 <br /> of 3 <br />