Laserfiche WebLink
Project Name and/o�Number: 14114 Anderson Reda-2625 North Shore Drive,Orono <br /> PART FOUR: Aquatic Resource Impacti Summary <br /> If your proposed project involves a direct or indirect impact to an aquatic resource(wedand, lake,tributary,etc.) idenMy each <br /> Impact in the table befow. Include all anticipated impacts,including those expected to be temporary.Attach an ovefiead view <br /> map, aerial photo,and/or drawing showing all of the aquatic resources in the project area and the location(s)of the proposed <br /> impacts.Label each aquatk resource on the map with a reference number or letter and identify the impacts in the following table. <br /> Aquatic ��Impad Duntion of E�dsting Plant County,MaJor <br /> Aqustic Resource Resouroe (flll,excavate, Impact Overall Size of Wate�ed#, <br /> ID(as noted on � drain,or Permanent(P� Sir.e of lmpact= Aqustk COmm�� aed Bsnk <br /> overhead view) �Wetland,lake, remove or Temporary Resource' Type(s)in, ����# <br /> t�ibutary etc.) 1 Im act Area <br /> vegetation) (T) p of Impact Area <br /> 11f impacts are temporary;enter the duration of the impacts in days next to the"T'". For example,a project with a temporary access flll that <br /> would l�removed sher 220 days waald be entered'T(2201". <br /> �Impacts less than 0.01 acre should be reported in square fee� Impacts OA1 acre or greater ahouid be reporbed as ecres and rounded to the <br /> nearest 0.01 acre. TMbutary Im�must be reported in Nr�ear feet of impact and an area of impect by indkating flrat the Iinear feet of impact <br /> along the flowvline of the stream foAaived by the area Impsct in parentheses�. For example,a project that impacts 50 feet of a stresm that is 6 <br /> feet wide would be reported as 50 ft(300 square feet). <br /> aThfs is generally only applicable if you are applytng for a de minimis exemptfon uraler MN Rules 8420.0420 Subp.8,otherwise eMer"IV/A". <br /> 4llse WeNand Plants and Plant Community Types of MMnesota and Wfsconsin 3nd Ed.as modifled In MN Rules 84Z0.0405 Subp.2. <br /> sRefer to Major Watershed and Bank Servioe Area maps in MN Rul�8420.0522 Subp.7. <br /> If any of the above identified impacts have aiready occurred,identify which impacts they are and the circumstances assodated <br /> with each: <br /> PART FIVE: Applicant S�gnature <br /> ❑ Check here if you are requesting a are-acolication consultatbn with the Corps and LGU based on the information yau have <br /> provided. Regulatory entRies will not initfate a formal application review if this box is checked. <br /> ey signature below,I attest that the information in this appiication is complete and accurate. 1 further attest that I possess the <br /> autho�ity#o dertake the e bed herein. <br /> Signature: Date: ` � !�� . <br /> 1 hereby a aize An� ngtneering of MN,LLC to act on my behaff as my agent in the processing of this application and to <br /> fumish,upon request,supplemental information in support of this application. <br /> 1 The term"impact"�used tn this Joint applicallon form�a geneNc term usad for discl�ure purposes�identlfy <br /> acdvttles that may�equlre approval from one or more regulstory s�encies. For purposes of this form tt is not meant to <br /> Mdicate whether or not those activitles may require midgation/repla�me�t. <br /> Minnesota Interagency Water Resource Appiication Form February 2014 Page 4 of 5 <br />