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Signature: _������ Date: �! `{ l � � <br /> 3. LIST OF ADDRESSEES <br /> � SWCD TEP membec•: Stacey Lijewski—stacey.lijewski@hennepin.us <br /> � BWSR TEP member: Ben Meyer—ben.meyer@state.mn.us <br /> ❑ LGU TEP membei•(if different than LGU Contact): <br /> � DNR TEP Becky Hoi•ton- becky.horton@state.mn.us <br /> � DNR Regional Office(if different than DNR TEP member): <br /> ❑ WD or WMO(if applicable): <br /> � Applicant(notice only)and Landowner(if different): JHG Properties,LLC,Jim Gilbert <br /> � Members of the public who requested notice(notice only): bhodapp@ae-mn.com; lcjusten@ae- <br /> mn.com;jhgilbert@lawgilbert.com; cmattson@ci.orono.mn.us; mcurtis@ci.orono.mn.us <br /> � Corps of Engineers Project Manager(notice only): Ryan Maltei•ud - <br /> Ryan.M.Malterud@usace.army.mil <br /> ❑ BWSR Wetland Bank Coordinator(wetland bank plan applications only) <br /> 4. MAILING INFORMATION <br /> ➢For a list of BWSR TEP representatives: www.bwsr.state.mn.us/contact/WCA_areas.pdf <br /> ➢For a list of DNR TEP representatives:www.bwsr.state.mn.us/wetlands/wca/DNR_TEP contacts.pdf <br /> ➢De artment of Natural Resources Re ional Offices: <br /> NW Re�ion: NE Region: Central Re�n: Southern Region: <br /> Reg.Env.Assess.Ecol. Reg.Env.Assess.Ecol. Reg.Env.Assess.Ecol. Reg.Env.Assess.Ecol. <br /> Div.Ecol.Resources Div.Ecol.Resources Div.Ecol.Resources Div.Ecol.Resources <br /> 2115 Birchmont Beach Rd.NE 1201 E.Hwy.2 1200 Wamer Road 261 Hwy. 15 South <br /> Bemid'i,MN 56601 Grand Rapids,MN 55744 St.Paul,MN 55106 New Ulm,MN 56073 <br /> For a map of DNR Administrative Regions,see:http://files.dnr.state.mn.us/aboutdru•/dnr_re�ionspdf <br /> ➢For a list of Corps of Project Managers: www.mvp.usace.army.mil/re�ulatory/default.asp?pageid=687 <br /> or send to: <br /> ➢ <br /> US Army Corps of Engineers <br /> St.Paul District,ATTN:OP-R <br /> 180 Fifth St.East, Suite 700 <br /> St. Paul,MN 55101-1678 <br /> ➢For Wetland Banlc Plan applications, also send a copy of the application to: <br /> Minnesota Board of Water and Soil Resources <br /> Wetland Banlc Coordinator <br /> 520 Lafayette Road North <br /> St. Paul,MN 55155 <br /> 5. ATTACHMENTS <br /> In addition to the applicatiov, list any other attaclunents: <br /> � Complete delineation report <br /> ❑ <br /> ❑ <br /> BWSR Forms 7-1-10 Page 2 of2 <br />