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Signature: Date: <br /> 3. LIST OF ADDRESSEES <br /> � SWCD TEP member: Stacey Lijewski—staceylijewski@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 ar 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 /> cmattson@ci.orono.mn.us,Ben Carlson (Kjolhaug Environmental Services)—ben@kjolhaugenv.com <br /> � Corps of Engineers Project Manager(notice only): Melissa Jenny— <br /> melissa.m.jenny@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: ��������.b��-sr.statc.mn.us/contact'VVCA areas.pdi� <br /> ➢For a list of DNR TEP representatives: www.b�sr.state.mn.us/wetlands/wca/DNR TEP contacts.pdf <br /> ➢Department of Natural Resources Regional Offices: <br /> NW Re�ion: NE Re�ion: Centra]Re�ion: Southern Region: <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/aboutdnr�dnr ret�ions.pdf <br /> ➢For a list of Corps of Project Managers: www.invp.usace.arnlv.mil/re�ulatorv�default.asp'?pa�eid=687 <br /> or send to: <br /> ➢ <br /> US Army 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 SS155 <br /> 5. ATTACHMENTS <br /> In addition to the application, list any other attachments: <br /> � Complete delineation report <br /> D <br /> 0 <br /> BWSR Forms 7-1-10 Page 2 of 2 <br />