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Print Form H US Army Corps of Engineers St.Paul District Request for Corps of Engineers Wetland Delineation Review Please enter the following general information about the property under review: Name of property owner 'Win a- 41404Property Address (No. & Street,City,State,Zip Code) -2 3.5-o I rte .a go.v..C) Pe"..,./g3} /.-tp.1 5f '5 , Lat. Long. (decimal degrees) County Kr„fri _,,7 Location: $w 1/Section 'j4- Township 11OW Range 234, — Size of review area 49j. acre(s) By submission of this wetland delineation report I am requesting that the U.S. Army Corps of Engineers, St. Paul District provide me with the following(check only one box): 7 Wetland Delineation Concurrence. Concurrence with awetland delineation is a written notification from the Corps concurring, not concurring, or commenting on the wetland boundaries delineated on a property. Under this request. the Corps will not address the jurisdictional status of the wetlands on the property,only the boundaries of the resources within the review area. ❑ Preliminary Jurisdictional Determination. A preliminary jurisdictional determination is a non- binding written indication that there may be waters of the United States, including wetlands, on a parcel or indications of the approximate location(s)of waters of the United States or wetlands on a parcel. Preliminary_jurisdictional determinations are advisory in nature and may not be appealed. `v., Approved Jurisdictional Determination. An approved jurisdictional determination is an official Corps determination that jurisdictional waters of the United States or navigable waters of the United States, or both,are either present or absent on the property. An approved jurisdictional determination precisely identifies the limits of those waters on the project site determined to be jurisdictional under the Clean Water Act or Rivers and Harbors Act. Approved jurisdictional determinations can be relied upon by the affected party fora period of five years. An approved jurisdictional determination may be appealed through the Corps' administrative appeal process. In order for the Corps to process your request, the wetland delineation must be prepared in accordance with the 1987 Corps of Engineers Wetland Delineation Manual, any approved Regional Supplements to the 1987 Manual, and the Guidelines for Submitting Wetland Delineations in Minnesota and Wisconsin (http://www.mvp.usace.army.mil/regulatory/). Requester Date 35/2$120/3 Name(typed) 41,,tog, e-e>/o s4.1