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�r 'a,� •+�- _-��!'+r�'T <br /> Signature: � ��� Date: 9/9/15 <br /> 3. LIST OF ADDRESSEES <br /> � SWCD TEP member: Stacey Lijewsld—stacey.lijewski@hennepin.us <br /> � BWSR TEP member: Ben Meyer—ben.meyer@state.mn.us <br /> ❑ LGU TEP member(if different than LGU Contact): <br /> ❑ DNR TEP member: Kate Drewry-kate.drewry@state.mn.us <br /> � DNR Regional Office(if different than DNR TEP member): Brooke Haworth - <br /> brooke.haworth@state.mn.us <br /> ❑ WD or WMO(if applicable): <br /> � Applicant(notice only)and Landowner(if different): Kirk&Pam Moore- <br /> kirk.m.moore@columbiathreadneedle.com <br /> � Members of the public who requested notice(notice only): Christine Mattson- <br /> cmattsonCci.orono.mn.us,Ben Carlson (Kjolhaug Environmental Services)—ben@kjolhaugenv.com <br /> � Corps of Engineers Project Manager(notice only): Melissa Jenny— <br /> melissa.m.j enny@usace.army.mil <br /> ❑ BWSR Wetland Bank Coordinator(wetland bank plan applications only) <br /> 4. MAILING INFORMATION <br /> ➢For a list of BWSR TEP representatives: www.b���sr.state.mn.us%contact,'WCA areas.pdi� <br /> ➢For a list of DNR TEP representatives: www.bwsr.state.mn.us/w�etlandsi���ca/DNR TEP contacts.pdf <br /> ➢Department of Natural Resources Regional Offices: <br /> NW Region: NE Re�ion: Central ReQion: Southern ReQion: <br /> Reg.Env.Assess. Ecol. Reg.Env.Assess.Ecol. Reg. Env.Assess.Ecol. Reg.Env.Assess.Ecol. <br /> Div. Ecol.Resources Div.Ecol.Resources Div.Ecol.Resources Div.Ecol.Resources <br /> 2115 Birchmont Beach Rd.NE 1201 E.Hwy.2 1200 Warner Road 261 Hwy. 15 South <br /> Bemid'i,MN 56601 Grand Ra ids,MN 55744 St.Paul,MN 55106 New Ulm,MN 56073 <br /> For a map of DNR Administrative Regions, see: http:/,%files.dnr.state.mn.us/aboutdnridnr re�;ions.pdf <br /> ➢For a list of Corps of Project Managers: w��w.mv�usace.anny.mil%regulatoryidefault.asp?pa�eid=687 <br /> or send to: <br /> ➢ <br /> US Anny Corps of Engineers <br /> St. Paul District,ATTN: OP-R <br /> 180 Fifth St. East, Suite 700 <br /> St. Paul,MN 55101-1678 <br /> ➢For Wetland Bank Plan applications,also send a copy of the application to: <br /> Minnesota Board of Water and Soil Resources <br /> Wetland Bank Coordinator <br /> 520 Lafayette Road North <br /> St. Paul, MN 55155 <br /> 5. ATTACHMENTS <br /> In addition to the application, list any other attachments: <br /> � Complete delineation report <br /> ❑ <br /> ❑ <br /> BWSR Forms 7-1-10 Page 2 of 2 <br />