MCWD Wetland Delineation - Laserfiche WebLink

Home Browse Search

• Project Name and/or Number: 649 Ferndale Road,Orono—AE 14636 PART FOUR: Aquatic Resource Impact15ummary If your proposed project involves a direct or indirect impact to an aquatic resource (wetland, lake,tributary, etc.) fdentify each impact in the table below. Include all anticipated impacts, including those expected to be temporary.Attach an overhead view map, aerial photo, and/or drawing showing all of the aquatic resources in the p�oject area and the location(s) of the proposed impacts.Label each aquatic resource on the map with a reference number or letter and identify the impacts in the following table. Type of Impact Duration of County,MaJor Aquatk Existing Plant Aquattc Resource Resource Type ��tl,excavate, Impact Overall Si�of �mmun watershed li, ID(as noted on drain,or Permanent(P) Size of Impact2 Aquatic � and Bank (wetland,lake, Type(s)in overhead view) remove or Temporary Resource 3 Service Area# tributary etc.) Impact Area° vegetation) (�1 of Impact Areas 31f impacts are temporary;enter the duration of the impacts in days next to the'"f". For example,a project with a temporery access fill that would be removed after 220 days wouid be entered"T(220)". zimpacts less than 0.01 acre should be reported in square feet. Impacts 0.01 acre or greater should be reported as acres and rounded to the nearest 0.01 acre. Tributary impacts must be reported in linear feet of impact and an area of impad by indicating flrst the linear feet of impact along the flowline of the stream followed by the area impact In parentheses). For example,a project that impacts 50 feet of a stream that is 6 feet wide would be reported as 50 ft(300 square feet). 9This fs generalfy only applicable if you are applying for a de minimis exem�ltion under MN Rules 8420.0420 Subp.8,otherwise enter'N/A". •Use Wetlond Plonu and P/ant Community Types of M/nnesota ond Wisconsln 3'�Ed.as modified in MN Rules 8420.0405 Su bp.2. SRefer to Major Watershed and Bank Servlce Area maps In MN Rules 8420.0522 Subp.7. If any of the above identified impacTs have already occurred,identify which impacts they are and the circumstances associated with each: PART FIVE: Applicant Signature ❑ Check here if you are requesting a ere-an�liration consultation with the Corps and LGU based on the information you have provided. Regulatory entities will not initiate a formal application review if this box is checked. By signature below,I attest that the information in this application is complete and accurate. I further attest that I possess the authority to undertake the work d ribed rei Signature: Date:��" I hereby authorize Anderson Engineering of MN, lC to act on my behalf as my agent in the processing of this application and to furnish,upon request,supplemental information in support of this application. 'The term"impacY'as used in this jofnt application form�S a generic term used for disclosure purposes to tdentify activRies that may requfre approval from one or more regulatory agencies. For purposes of thls form it is not meant to indicate whether or not those acthrRies may require mitigation/replacement. Minnesota Interagency Water Resource Application Form February 2014 Page 4 of 5