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• <br /> For Replacement Plans using credits from the State Wetland Bank: <br /> Bank Account# Bank Service Area County Credits Approved for <br /> Withdrawal(sq.ft.or nearest.01 <br /> . acre) <br /> Replacement Plan Approval Conditions. In addition to any conditions specified by the LGU, the <br /> approval of a Wetland Replacement Plan is conditional upon the following: <br /> O Financial Assurance: For project-specific replacement that is not in-advance, a fmancial <br /> assurance specified by the LGU must be submitted to the LGU in accordance with MN Rule <br /> 8420.0522,Subp.9(List amount and type in LGU Findings). <br /> ❑ Deed Recording: For project-specific replacement, evidence must be provided to the LGU that <br /> the BWSR "Declaration of Restrictions and Covenants" and "Consent to Replacement Wetland" <br /> forms have been filed with the county recorder's office in which the replacement wetland is located. <br /> ❑ CreditWithdrawal: For replacement consisting of wetland bank credits, confirmation that <br /> BWSR has withdrawn the credits from the state wetland bank as specified in the approved <br /> replacement plan. <br /> Wetlands may not be impacted until all applicable conditions have been met! <br /> LGU Authorized Signature: <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 was made by the LGU under the Wetland Conservation Act as <br /> specified above. If additional details on the decision exist,they have been provided to the landowner and <br /> are available from the LGU upon request. <br /> Name Title <br /> Catherine Bach District Technician <br /> Signature. Date Phone Number and E-mail <br /> (1 <br /> ,`i IV*" ! �! 12/28/10 952-641-4504 <br /> ("'`�'�t�� r cbach@minnehahacreek.org <br /> THIS DECISION ONLY APPLIES TO THE 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 decision is valid for three years from the date of decision unless a longer period is advised by the <br /> TEP and specified in this notice of decision. <br /> 3.APPEAL OF THIS DECISION <br /> Pursuant to MN Rule 8420.0905, any appeal of this decision can only be- commenced by mailing a <br /> petition for appeal, including applicable fee,within thirty(30)calendar days of the date of the mailing of <br /> this Notice to the following as indicated: <br /> Check one: <br /> ® Appeal of an LGU staff decision. Send 0 Appeal of LGU governing body decision. Send <br /> petition and$ fee(if applicable)to: petition and$500 filing fee to: <br /> Minnehaha Creek Watershed District Executive Director <br /> 18202 Minnetonka Blvd Minnesota Board of Water and Soil Resources <br /> Deephaven,MN 55391 520 Lafayette Road North <br /> St.Paul,MN 55155 <br /> BWSR Forms 7-1-10 Page 2 of 3 <br />