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� • � . � - ADDENDUM - g� —�G3„3v Notice to Applicants for DNR Permit to Change The Course, Current or Cross-Section of Protected Waters The Department of Natural Resources(DNR)and the Pollution Control Agency(PCpJ are working together to avoid duplica- flon In state agency permit review of proposed activ(ties affecting protected waters in Minnesota.The attached form was prepared by the DNR and the PCA to minimize your work in contacting state agencies for project approval. Please complete this form by placing an'X'in the appropriate box or boxes.If your project does not involve any of the actlons I(sted on this form,place an'X'in the box affer item 9. If your proJect will involve any of the actions listed for boxes 1 through 8,a copy of your DNR permit appiication w(II be forwarded to the PCA for their review.If a separote PCA permit or approval is required,you will be so notified by the PCA. Place an'X'in the oppropriate box(es): ❑ 1. The pro)ect will inyolve the deposition of asphalt,concrete;cut vegetation or other solid waste as fill material. ❑ ,2. The pro)ect will Involve excayation,of materials from protected waters through the use of any device which removes moterlais by pumping or s�ction action(ie.hydraulic dredging). ❑ 3. The proJect wfll involve excavation of more than 1,000 cubic yards of material from the beds of the following waters: . ❑ Lake Pepin of the Mississippi River(River Miles,763 to 787 USCE charts). ❑ Pool#2 in the Mississippi River from Lock&Dam#1 (the Ford Dam)to Lock&Dam#�2(Hastings-River Mites 725 to 814 USCE charts). ❑ Minnesota River from Savage to its mouth at the Mississippf River(Mile 844 USCE River chart.) •� ❑ Duluth Superfor Harbor and the St. Louls Bay area of the St.Louis River extending to Spirit Lake. � The Fafrmont chain of lakes including Budd,Siseton,Hall and Amber Lakes in Martin County. ❑ Albert Lea Lake,Freeborn Counry. ❑ Warroad River Upper Harbor Areo extending from the mouth of the Warroad River to CSAH No. 11. ' _[] Red�RNer ofthe North from Wahpeton fo the Canadian border. ' , ❑ • 4. The project will involve excavation and/or fill in protected waters for construcflon of utility lines carrying any materials except treated water fn a Iiquid or semi-solid state,including but not limited to petroleum or petroleum products. chemicals,sewage or coal slurries. ❑ 5. The pr'oject will involye construction of.docks,piers or wharves which wlll involve new fuel handling facilities. ❑ 6. The proJect will invol,�e new construction,reconstruction or repair of structures for generation of hydroeiectric power. ❑ 7. The project will involve construction of new ancillary facilities for sanitary sewers,boat pumpouts,on-site waste treatment or holding tanks. ❑ 8.` 7F�e proJect will Involve tPie on-site disposal by 6urning of vegetation to be removed during project construction. � 9. The project will not involve any of the above. Appl(cant Name(type or print) Applicant Signature Carl T. Johnson f . . . . . �f.�t.� � ;- �"v.-v-� Applicant Address . 3105 North Shore Drive i�ayzata, I�:n. 55391 , � ` For additional informadon and assistance, � contact tlie appropriate Regional Office or the � 'Division of Waters in St.Paul. �-- �g?°3`��:1 > Re lon 1 2115 Birchmont Beach Road N.E. Re lon 4 Box 756,H' hwa �� i— -- � 9 Bemidji,MN 56601 9 .New Ulm,MN yp"��Outh �7� --_ 2 (218)755-3973 (507)359-60 �� q�j � ��F c� � "' � '– Reglon 2 1201 East Highway 2 Reglon 5 2300 Silver C Rd��.�F �� a --- Grand Rapids,MN 55744 Rxhester,M 590 � � - (218)327-4416 (50�285•743 �; �� CC _ �, �� Reglon 3 7601 Minnesota Drive Reglon 6 1200 Warner Ro��%: � ��, Brainerd,MN 56401 St.Paul,MN 551 �' �, (218)828-2605 (612)772J910 '�6'l�/y` ��`�� [ " � • .. Centrel 500 Latayetle Road �� , Printed on Rec cled Po r onio. St.Paut,MN 55155-A032 Y � (612)296-4800 4 � Contains 1096 postconsurner woste• . . . - � This lnformation is available in an altemative format upon request. �1994 State oi Minnesota,Department oi Natural Resources 4