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Bank Account# Bank Service Area County Credits Approved for <br /> Withdrawal(sq.ft.or nearact.O 1 <br /> acro <br /> Replacement Plan Approval Conditlons. In addition to any conditions specified by the LGU, tha <br /> appmval of a Wetland Reglacement Plan is conditional upon the following: <br /> ❑ Financial Assnrance: For project-specific replacement that is not in,advance, a financial <br /> assurance specified by the LGU must be submitted to tho LGU in accordance with MN Rule <br /> 8420.0522,Subp.9(List amount and type in LGU Findings). <br /> ❑ Deed Recording: For project-spe,cific replacement, evidence must be provided to the LC3U that <br /> the BWSR "Declaration of Restrictions and Covenants" snd "Consent to Replacement Wedand" <br /> forms have boen filed with the county recorder's office in which the replacemont wetland is located. <br /> ❑ Credit Withdrawal: For replacement consisting of wafland bank credits, confirmation that <br /> BWSR has withdrawn the credits from the state wetland bank as specifiad in tho approved <br /> replacement plan. <br /> Wetlands may not be impacted until all applicable conditions have been metl <br /> LGU Authorized Si ature: <br /> Signing and mailing of this completed form to the appropriate recipients in accordance with 8420.0255, <br /> Subp.5 provides notice that a decision wss made by the LGU under the Wetland Conservation Act as <br /> specified above. ff additional details on the decision exist,they have been provided to tha landowner and <br /> are available from the LGU u on est. _ <br /> Name Title <br /> Catherine Bach Diatrict Technician <br /> Signature Date Phone Number and E-mail <br /> 12/14/12 (952)641-4504 <br /> cbachQ,minnehahacreek.org <br /> THIS DECISION ONLY APPLIES TO TI� MINNESOTA WETLAND CONSERVATION ACT <br /> Additional approvals or permits from local, state, and federal agencies may be required. Check with all <br /> appropriate authorities before commencing work in or near wetlands. <br /> Applicants proceed at their own risk if work authorized by this decision is started before the time period <br /> for appeal(30 days)has expired.If this decision is reversed or revised under appeal,the applicant may be <br /> responsible for restoring or replacing all wetland impacts. <br /> This d�ision is valid for three years from the date of decision unless a longer pariod is advised by tha <br /> TEP and specified in this notice of decision. <br /> 3.APPEAL OF TffiS DECISION <br /> Pursuant to MN Rule 8420.0905, any appeal of this decision can only be commenced by mailing a <br /> petition for appoal, including applicable fee,within thirty(30)calendar days of the date of the mailing of <br /> this Notico to the following as indicatod: <br /> Check one: <br /> � Appeal of an LGU staff decision. Send ❑Appeal of LGU governing body decision. Send <br /> patition and$0 fee(if applicable)to: petition and$500 filing fee to: <br /> Minnehaha Cr�k Watershed District Executive Director <br /> 18202 Minnetonka Blvd Minnesota Board of Water and Soil RR�esources <br /> Deephaven,MN 55391 520 I.afayette Road North <br /> St. Paul,MN 55155 <br /> BWSR Forms 7-1-10 Page 2 of 3 <br />