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Jan. 05 2001 3: 36PM SCHOELL & MRDSON, INC. 952-546-9065 • p. 3 <br /> 20'd 1d101 <br /> - rb/J�V WII��Wf/w...u�]I •v i -• �J <br /> ( (Date) lit[; 0 I p <br /> Signature of Applicant) <br /> rin <br /> ore:Arty approval is not effective turiii signatures below are complete. No work should begin until the I S-day.apittrwinclow has <br /> apsed,or,in the event of an appeal,wafii the appeal has been finalized• I' <br /> FOR LGU USE ONLY <br /> • .)LOU has received adequate documentation for claim of No-Loss or Exemption,and approves this certificate as outlined above. <br /> &AA' /���• 121/5-lea This certificate expires (Date) <br /> LOU Official Signature) (Date) <br /> OIs certificate for an exemption under M.R.8420.0122,Subpart I or Subpart 2,Item B?LOU sign below. <br /> te'lf tiny signature above is sufficient,and certificate is complete. LGU write Not Applicable in signature block below. <br /> :.)LOU has received evidence of recording of Declaration of Restrictions and Covenants for Impacted Wetland Under Agriculture <br /> .tion(BWSR Form.B): <br /> • <br /> County where recorded) (Date recorded) (Document#assigned by recorder) <br /> LOU Official Signature) ifiA (Date) <br /> *APPf OVAL OF THIS CERTIFICATE ONLY APPLIES TO THE NWCA. permits from local, state,and federal agencies may b- <br /> • equtred Check with the appropriate authorities before commencing work in or near wetlands. The Combined Project Applicatio, <br /> ern can be used for this purpose <br /> ithin 10 days of the decision,notice of the above decision most be mailed to: <br /> I . downer/Applicant <br /> I embers of the Technical Evaluation Panel <br /> i•epartment of Natural Resources Regional Office <br /> 'NR Wetlands Coordinator @ <br /> Ecological Services Section <br /> 500 Lafayette Road,Box 25 <br /> SL Paul,MN 55155 • <br /> orps of Engineers Project Manager @ <br /> Department of the Army,Corps of Engineers,St. Paul District <br /> ATTN: CO-R, 190 Fifth Street East <br /> St.Paul,MN 55101-1638 <br /> I embers of the public who have requested to receive notice. • <br /> • <br /> • <br /> • <br /> Certificate orNo-Loss or Exemption(2000) <br /> Page 2 or 2 <br /> 20'20'd £0ii POE 2i9 S318S all ES:91 0002-6Z-03Q <br />