HomeMy WebLinkAboutMn Wetland Conserv. Act Notice of application/decision Minnesota Wetland Conservation Act
Notice of Application
Local Government Unit(LGU) Address
Minnehaha Creek Watershed District 15320 Minnetonka Blvd
Minnetonka,MN 55345
1. PROJECT INFORMATION
Applicant Name Project Name Date of Application
Application Number
April Wysocki 2770 Rainey Road 4/22/15 W15-15
(Incomplete)
5/13/15
(Complete)
Ty e of A plication(check all that ap ly):
� Wetland Boundary or Type ❑No-Loss ❑ Exemption ❑ Sequencing
❑ Replacement Plan ❑ Banking Plan
Summary and descri tion of ro osed project(attach additional sheets as necessary):
April Wysocki has applied for wetland boundary &type confirmation for the wetlands located
at 2770 Rainey Road in the City of Orono, Hennepin County, Minnesota (0411723430014).
Legal description: Section 4, Township 117N, Range 23W.
A wetland delineation was conducted by Anderson Engineering on April 15, 2015. A complete
delineation report and WCA application was submitted to MCWD on May 13, 2015. One
wetland was delineated on site and classified as a Type 3 shallow marsh. The wetland overlaps
with a DNR Public Water and an NWI-mapped wetland.
The delineated wetland boundaries will be reviewed in the field by MCWD staff.
2. APPLICATION REVIEW AND DECISION
Signing and mailing of this completed form to the appropriate recipients in accordance with 8420.0255, Subp. 3
provides notice that an application was made to the LGU under the Wetland Conservation Act as specified above.
A copy of the application is attached. Comments can be submitted to:
Name and Title of LGU Contact Person Comments must be received by (minimum 15
Beth Brown business-day comment period):
Permitting Technician 6/3/2015(4:30PM)
Address(if different than LGU) Date,time,and location of decision:
15320 Minnetonka Blvd A decision will be made following the review
Minnetonka,MN 55345 of the application and completion of the
comment eriod.
Phone Number and E-mail Address Decision-maker for this application:
(952)641-4504 � Staff
ebrown minnehahacreek.or ❑ Governin Board or Council
BWSR Forms 7-1-10 Page 1 of 2
��;�.�� $�
Signature: Date: 5/13/15
3. LIST OF ADDRESSEES
� SWCD TEP member: Stacey Lijewski-stacey.lijewski@co.hennepin.mn.us
� BWSR TEP member: Ben Meyer—ben.meyer@state.mn.us
❑ LGU TEP member(if different than LGU Contact):
� DNR TEP member: Kate Drewry—kate.drewry@state.mn.us
� DNR Regional Office(if different than DNR TEP member): Brooke Haworth -
Brooke.haworth@state.mn.us
❑ WD or WMO(if applicable):
� Applicant(notice only)and Landowner(if different): April Wysocki—countrycupboard@me.com
� Members of the public who requested notice(notice only): Ben Hodapp(Anderson Engineering)-
bhodapp@ae-mn.com,Marc Cottingham(Anderson Engineering)—mcottingham@ae-mn.com,
Melanie Curtis(City of Orono)—mcurtis@ci.orono.mn.us
� Corps of Engineers Project Manager(notice only): Melissa Jenny-
Melissa.M.Jenny@usace.army.mil
❑ BWSR Wetland Bank Coordinator(wetland bank plan applications only)
4. MAILING INFORMATION
➢For a list of BWSR TEP representatives:www.bwsr.state.mn.us/contact/WCA areas.pdf
➢For a list of DNR TEP representatives:www.bwsr.state.mn.us/wetlands/wca/DNR TEP contacts.pdf
➢De artment of Natural Resources Re ional Offices:
NW Re�ion: NE Re�ion: Central Reeion: Southern Re�ion:
Reg.Env.Assess.Ecol. Reg.Env.Assess.Ecol. Reg.Env.Assess. Ecol. Reg.Env.Assess. Ecol.
Div.Ecol.Resources Div.Ecol.Resources Div.Ecol.Resources Div.Ecol.Resources
2115 Birchmont Beach Rd.NE 1201 E.Hwy.2 1200 Warner Road 261 Hwy. 15 South
Bemid'i,MN 56601 Grand Ra ids,MN 55744 St. Paul,MN 55106 New Ulm,MN 56073
For a map of DNR Administrative Regions,see: http•//files dnrstate.mn.us/aboutdnr/dnr re i�ons.pdf
➢For a list of Corps of Project Managers:www mvp usace.armv.mil/regulatorv/default.asp?pa�eid=687
or send to:
➢
US Army Corps of Engineers
St. Paul District,ATTN:OP-R
180 Fifth St. East, Suite 700
St. Paul, MN 55101-1678
➢For Wetland Bank Plan applications, also send a copy of the application to:
Minnesota Board of Water and Soil Resources
Wetland Bank Coordinator
520 Lafayette Road North
St. Paul, MN 55155
5.ATTACHMENTS
In addition to the application, list any other attachments:
� Complete delineation report
❑
❑
BWSR Forms 7-1-10 Page 2 of2
�
Joint Application Form for Activities Affecting Water Resources
in Minnesota
This joint application form is the accepted means for initiating review of proposals that may affect a water resource(wetland,
tributary,lake,etc.)in the State of Minnesota under state and federal regulatory programs.Applicants for Minnesota Department
of Natural Resources(DNR)Public Waters permits MUST use the MPARS online permitting system for submitting applications to
the DNR. Applicants can use the information entered into MPARS to substitute for completing parts of this joint application form
(see the paragraph on MPARS at the end of the joint application form instructions for additional information).This form is only
applicable to the water resource aspects of proposed projects under state and federal regulatory programs;other local
applications and approvals may be required.Depending on the nature of the project and the location and type of water resources
impacted,multiple authorizations may be required as different regulatory programs have different types of jurisdiction over
different types of resources.
Regulatory Review Structure
F deral
The St. Paul District of the U.S.Army Corps of Engineers(Corps)is the federal agency that regulates discharges of dredged or fill
material into waters of the United States(wetlands,tributaries,lakes,etc.)under Section 404 of the Clean Water Act(CWA)and
regulates work in navigable waters under Section 10 of the Rivers and Harbors Act. Applications are assigned to Corps project
managers who are responsible for implementing the Corps regulatory program within a particular geographic area.
State
There are three state regulatory programs that regulate activities affecting water resources. The Wetland Conservation Act
(WCA)regulates most activities affecting wetlands. It is administered by local government units(LGUs)which can be counties,
townships,cities,watershed districts,watershed management organizations or state agencies(on state-owned land).The
Minnesota DNR Division of Ecological and Water Resources issues permits for work in specially-designated public waters via the
Public Waters Work Permit Program(DNR Public Waters Permits). The Minnesota Pollution Control Agency(MPCA)under Section
401 of the Clean Water Act certifies that discharges of dredged or fill material authorized by a federal permit or license comply
with state water quality standards.One or more of these regulatory programs may be applicable to any one project.
Required Information
Prior to submitting an application,applicants are stronelv encoura¢ed to seek input from the Corps Project Manager and LGU staff
to identify regulatory issues and required application materials for their proposed project.Project proponents can request a pre-
application consultation with the Corps and LGU to discuss their proposed project by providing the information required in
Sections 1 through 5 of this joint application form to facilitate a meaningful discussion about their project. Many LGUs provide a
venue(such as regularly scheduled technical evaluation panel meetings)for potential applicants to discuss their projects with
multiple agencies prior to submitting an application.Contact information is provided below.
The following bullets outline the information generally required for several common types of determinations/authorizations.
• For delineation approvals and/or jurisdictional determinations,submit Parts 1,2 and 5,and Attachment A.
• For activities involving CWA/WCA exemptions,WCA no-loss determinations,and activities not requiring mitigation,
submit Parts 1 through 5,and Attachment B.
• For activities requiring compensatory mitigation/replacement plan,submit Parts 1 thru 5,and Attachments C and D.
• For local road authority activities that qualify for the state's local road wetland replacement program,submit Parts 1
through 5,and Attachments C,D(if applicable),and E to both the Corps and the LGU.
Minnesota Interagency Water Resource Application Form February 2014 Page 1 of 6
+
Submission Instructions
Send the completed joint application form and all required attachments to:
U.S Army Corps of Engineers.Applications may be sent directly to the appropriate Corps Office. For a current listing of areas of
responsibilities and contact information,visit the St.Paul District's website at:
http://www.mvp.usace.armv.mil/Missions/Re�ulatorv.asqx and select"Minnesota"from the contact Information box.
Alternatively,applications may be sent directly to the St. Paul District Headquarters and the Corps will forward them to the
appropriate field office.
Section 401 Water Quality Certification:Applicants do not need to submit the joint application form to the MPCA unless
specifically requested. The MPCA will request a copy of the completed joint application form directly from an applicant when they
determine an individual 401 water quality certification is required for a proposed project.
Wetland Conservation Act Local Government Unit: Send to the appropriate Local Government Unit. If necessary,contact your
county Soil and Water Conservation District(SWCD)office or visit the Board of Water and Soil Resources(BWSR)web site
(www.bwsr.state.mn.us)to determine the appropriate LGU.
DNR Public Waters Permitting:In 2014 the DNR will begin using the Minnesota DNR Permitting and Reporting System(MPARS)for
submission of Public Waters permit applications(https://webaqqsll.dnr.state.mn.us/mpars/qublic/authentication/losin).
Applicants for Public Waters permits MUST use the MPARS online permitting system for submitting applications to the DNR. To
avoid duplication and to streamline the application process among the various resource agencies,applicants can use the
information entered into MPARS to substitute for completing parts of this joint application form. The MPARS print/save function
will provide the applicant with a copy of the Public Waters permit application which,at a minimum,will satisfy Parts one and two
of this joint application. For certain types of activities,the MPARS application may also provide all of the necessary information
required under Parts three and four of the joint application. However,it is the responsibility of the Applicant to make sure that
the joint application contains all of the required information,including identification of all aquatic resources impacted by the
project(see Part four of the joint application). After confirming that the MPARS application contains all of the required
information in Parts one and two the Applicant may attach a copy to the joint application and fill in any missing information in the
remainder of the joint application.
Minnesota Interagency Water Resource Application Form February 2014 Page 2 of 6
Project Name and/or Number: 2770 Rainey Road-Wayzata
PART ONE: Applicant Information
If applicant is an entity(company,government entity,partnership,etc.),an authorized contact person must be identified. If the
applicant is using an agent(consultant, lawyer,or other third party)and has authorized them to act on their behalf,the agent's
contact information must also be provided.
Applicant/Landowner Name: April Wysocki
Mailing Address: 2770 Rainey Road,Wayzata, MN 55391
Phone: 651-955-8403
E-mail Address: countrycupboard@me.com
Authorized Contact(do not complete if 5ame as above):
Mailing Address:
Phone:
E-mail Address:
Agent Name: Ben Hodapp
Mailing Address: 13605 15t Avenue North,Suite 100, Plymouth,MN 55441
Phone: 763-412-4005
E-mail Address: bhodapp@ae-mn.com
PART TWO: Site Location Information
County: Hennepin City/Township: Wayzata
Partel ID and/or Address: 2770 Rainey Road,Wayzata,MN 55391
Legal Description(Section,Township,Range): 4,117N,23W
Lat/Long(decimal degrees): 44.965952,93.593187
Attach a map showing the location of the site in relation to local streets,roads,highways.See Figure 1 in enclosed
wetland delineation report.
Approximate size of site(acres)or if a linear project,length(feet): 3.22 acres
If you know that your proposal will require an individual Permit from the U.S.Army Corps of Engineers,you must provide the
names and addresses of all property owners adjacent to the project site. This information may be provided by attaching a list to
your application or by using block 25 of the Application for Department of the Army permit which can be obtained at:
h�tp://www.mvn.usace.armv.mil/Portals/57/docs/resulatorv/Re�ulatorvDocs/en�form 4345 2012oct pdf
PART THREE: General Project/Site Information
If this application is related to a delineation approval,exemption determination,jurisdictional determination,or other
correspondence submitted prior to this application then describe that here and provide the Corps of Engineers project number.
Describe the project that is being proposed,the project purpose and need,and schedule for implementation and completion.The
project description must fully describe the nature and scope of the proposed activity including a description of all project elements
that effect aquatic resources(wetland, lake,tributary,etc.)and must also include plans and cross section or profile drawings
showing the location,character,and dimen5ions of all proposed activities and aquatic resource impacts.
Please see attached wetland delineation report.
Minnesota Interagency Water Resource Application Form February 2014 Page 3 of 6
Project Name and/or Number: 2770 Rainey Road-Wayzata
PART FOUR: Aquatic Resource Impactl Summary
If your proposed project involves a direct or indirect impact to an aquatic resource (wetland, lake, tributary, etc.) identify each
impact in the table below. Include all anticipated impacts, including those expected to be temporary. Attach an overhead view
map, aerial photo, and/or drawing showing all of the aquatic resources in the project area and the location(s) of the proposed
impacts.Label each aquatic resource on the map with a reference number or letter and identify the impacts in the following table.
Type of Impact Duration of County,Major
A uatic Existing Plant
Aquatic Resource 4 (fill,excavate, Impact Overail Size of Watershed#,
Resource Type Z Community
ID(as noted on drain,or Permanent(P) Size of Impact Aquatic and Bank
(wetland,lake, Type(s)in
overhead view) remove or Temporary Resource 3 4 Service Area#
tributary etc.) 1 Impact Area 5
vegetation) (T) of Impact Area
NA NA NA NA NA NA NA NA
llf impacts are temporary;enter the duration of the impacts in days next to the"T". For example,a project with a temporary access fill that
would be removed after 220 days would be entered"T(220)".
zlmpacts less than 0.01 acre should be reported in square feet. Impacts 0.01 acre or greater should be reported as acres and rounded to the
nearest 0.01 acre. Tributary impacts must be reported in linear feet of impact and an area of impact by indicating first the linear feet of impact
along the flowline of the stream followed by the area impact in parentheses). For example,a project that impacts 50 feet of a stream that is 6
feet wide would be reported as 50 ft(300 square feet).
3This is generally only applicable if you are applying for a de minimis exemption under MN Rules 8420.0420 Subp.8,otherwise enter"N/A".
'Use Wetland Plants and Plant Community Types of Minnesota and Wisconsin 3'd Ed.as modified in MN Rules 8420.0405 Subp.2.
SRefer to Major Watershed and Bank Service Area maps in MN Rules 8420.0522 Subp.7.
If any of the above identified impacts have already occurred,identify which impacts they are and the circumstances associated
with each:
Part Four is not applicable. No wetland impacts are proposed.
PART FIVE: Applicant Signature
❑ Check here if you are requesting a pre-aaqlication consultation with the Corps and LGU based on the information you have
provided. Regulatory entities will not initiate a formal application review if this box is checked.
By signature below, I attest that the information in this application is complete and accurate. I further attest that I possess the
authority to undertake the work described herein.
Signature: Date:
I hereby authorize Anderson Engineering of MN,LLC to act on my behalf as my agent in the processing of this application and to
furnish,upon request,supplemental information in support of this application.
1 The term"impact"as used in this joint application form is a generic term used for disclosure purposes to identify
activities that may require approval from one or more regulatory agencies. For purposes of this form it is not meant to
indicate whether or not those activities may require mitigation/replacement.
Minnesota Interagency Water Resource Application Form February 2014 Page 4 of 6
. . . i
� . .
+Tliis i�g��erdly On�v E�ppl;l�xhlc if yov an:applying for 8 dc minimis cxcmptio�undcr MN Ruks 84ZU.(�2U Subp.R,othc[wisc c[rtcr"N/A".
SUse Wi:tl�nd!'Innts�rnd PlnndCumnitinllV 7�e�ufMinne.culrr nnd Wi,rcY�ns'in 3 Fd.tIS tilOQlflCtl i0 MN Ruks 842U.U4(/$Subp.2.
Ncfct to Major Watcrshed:utd Henk Se[vice Arca mAps in MN RukA lG42(1.0522 S�ihp,7.
If�Iny of the above identified impactr have alraudy occurred,identify whicir impaets lhcry arn and tho circumstnncee ftseociutaf with
each:
PART F1VE: Applicant Signature
Chcck hero if you are request�ng a rne-annlication eonsuftalion with the Corps aud LGU based on the infornu►tion you hnve
provided. Regulpiory q�titics will not initiate a forcmt applicution review if this boz is�feCked.
Ay cign.lture below,l at(pt lhat tho informatian in this application is complete a�aeCurEue, 1 furtlwr aitest Ihat[possCss lh.e
aulhority ro undertnke the work.dr�cribed hcroin.
� � � �� ��J�
� �
16cnby sutl�or'v.e And�o�F;ngiaeerin$of MN,LLC to act on my bchalf p���t�1t fn the procsaaing oT tt►i�appiication
and to furn:oh,upoe requeat,sa�plemmMl iniorroatian in auppoiK of this appliration.
Project Namo andlor No►nber.Z�I�IO R.Y�IRC)'ROpd-WRyLBtH
Attachment A►
Request for Delineation Review, Wetland 'Pype Determination, or
Jurisdictional Determination
l3y submission o£tha enclosed wetlund delintation roport,I am requesting thatthe U.S Army(:orps of Engineers,St,Paiil District
(Corp9)and/or the Wetlpnd Got�Be�vation Acl Lcn:al Gnvemment[Jnit(LC'riJ)provide me wiYh tha fotlowing(check all that n}Wly):
wo+mna�r,�c�n���
Deli�ation C'nncurnence. Conc�er►ce with a delineation is a written notificution from the Corps nnd a docisian from ihe I.CU
caicwnng,not coneutring,or commdiring on the boundnties of the aquaric resourc�delioeated on Ihe properry.Delsnc�atirni
cnnc�urmces are g�Crslly v:ilid for Gve yeara unle.,s site ccmditions ei�mge.Uedor this request alone.the Gorps will pol stddress the
junsdictionnl stmus of Ihc aqualic resources on the proQeriy,only lhe boundarios of the r�source�within Ille review ar�i(ihclu�iing
wetlands,�ribucanea,lekes,atc.),
p*elimiYNt'y Juritdictional Detarminttfon,A prr.2iminary jutisdictivnr►]deter�unAliOtt(PJD)is a non-hinding wrilten indic0.tion
frorn the Corps thsl wntnts,including u�etlqnds,identified on a�rcal rc�ay be watera of tho llnikd 3tatae.For putposes of
camputatiai of impncis atd Compensxtary mitigstion requirements,u petmil dccision made on the husis oP u P3D wil)lreat ali wuicrs
�nd wetlands in Uid rBview urcx:�v if they are jurisdictional wpltrs of the U,S,P)Ds are adviapry in nalut'�and mity nol!u appcalcd
Approved Juri4dictionel tlete�r►ination.An approved jurisdictionul detenninalicm(AJD)is�a�cisd Corps determi�ntion lhat
jurisdictiqnnl�vs�texs of tho United States nro�ithtar pres5ejttt cm ubsont on the pmperty.A,tU�can genorTlly ba relied upon by the
sd'I'ected pariy for Sve,yzsus.A�a AJD mary be appealed t}vough the C'o+'ps�dministrAtive appeal procese.
ln o�dcc for the Corps end LGU to process your request,the wertsu�d deliaonticm muyt bc prepa�d in accordance with the 1��87 CoYys
af Engineers Wetlued Delineation Manual,qny approvzd RCgiunu!3upplements tq�he 19R'1 MxnuAl,And the Ciutc�llnes,Jor
3rebmllring I9eNand Ikltneallons lnMtnnexuta(2013).
h_ttp:/h�tiv��c mvo.uchca.:uynl�.tviVMixsi uns/Rc�;til,uory/Delin�'sl�!<mJ�(�uid:t�cc.;�u�
P%ject Nome and/or Numbe�r:z770 Raieey Road-Wayzeta
Z /Z ����a � �Z�OT 5i0Z'ZZ'�dx
9NIa33NI9N3 NOS?J3QNti 060bbLbE9t 9Z�0L 9L0z/ZZ/b0 Q311I3�321
Project Name and/or Number: 2770 Rainey Road-Wayzata
Attachment A
Request for Delineation Review, Wetland Type Determination, or
Jurisdictional Determination
By submission of the enclosed wetland delineation report,I am requesting that the U.S.Army Corps of Engineers,St.Paul District
(Corps)and/or the Wetland Conservation Act Local Government Unit(LGU)provide me with the following(check all that apply):
�Wetland Type Confirmation
�Delineation Concurrence. Concurrence with a delineation is a written notification from the Corps and a decision from the LGU
concurring,not concurring,or commenting on the boundaries of the aquatic resources delineated on the property.Delineation
concurrences are generally valid for five years unless site conditions change.Under this request alone,the Corps will not address
the jurisdictional status of the aquatic resources on the property,only the boundaries of the resources within the review area
(including wetlands,tributaries,lakes,etc.).
❑Preliminary Jurisdictional Determination.A preliminary jurisdictional determination(PJD)is a non-binding written indication
from the Corps that waters,including wetlands,identified on a parcel may be waters of the United States.For purposes of
computation of impacts and compensatory mitigation requirements,a permit decision made on the basis of a PJD will treat all
waters and wetlands in the review area as if they are jurisdictional waters of the U.S. PJDs are advisory in nature and may not be
appealed.
❑Approved lurisdictional Determination.An approved jurisdictional determination(A1D)is an official Corps determination that
jurisdictional waters of the United States are either present or absent on the property.AJDs can generally be relied upon by the
affected party for five years.An AJD may be appealed through the Corps administrative appeal process.
In order for the Corps and LGU 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(2013).
http://www.mvp.usace.armv.mil/M issions/Re�ulatorv/DelineationJDGuidance.asqx
Minnesota Interagency Water Resource Application Form February 2014 Page 5 of 6
I� Project Name andfor Number: 2770 Rainey Road-Wayzata
Attachment B
Supporting Information for Applications Involving Exemptions, No Loss
Determinations, and Activities Not Requiring Mitigation
Complete this p8rt if you maintain that the identified aquatic resource impacts in Part Four do not require wetland
replacement/compensatory mitigation OR if you are seeking verification that the proposed water resource impacts are either
exempt from replacement or are not under CWA/WCA jurisdiction.
Identify the specific exemption or no-loss provision for which you believe your project or site qualifies:
Provide a detailed explanation of how your project or site qualifies for the above.Be specific and provide and refer to attachments
and exhibits that support your contention.Applicants should refer to rules(e.g.WCA rules),guidance documents(e.g.BWSR
guidance,Corps guidance letters/public notices),and permit conditions(e.g.Corps General Permit conditions)to determine the
necessary information to support the application.Applicants are strongly encouraged to contact the WCA LGU and Corps Project
Manager prior to submitting an application if they are unsure of what type of information to provide:
Minnesota Interagency Water Resource Application Form February 2014 Page 6 of 6
Minnesota Wetland Conservation Act
Notice of Decision
Local Government Unit(LGU) Address
Minnehaha Creek Watershed District 15320 Minnetonka Blvd
Minnehaha, MN 55345
1. PROJECT INFORMATION
Applicant Naine Project Na�ne Date of Application
April Wysocki 2770 Rainey Road Application Number
4/22/15 W15-15
(Incomplete)
5/13/15
(Complete)
� Attach site locator map
Type of Decision:
� Wetland Boundary or Type ❑No-Loss ❑ Exemption ❑ Sequencing
❑ Replacement Plan ❑ Banking Plan
Technical Evaluation Panel Findings and Recommendation(if any):
❑ Approve ❑ Approve with conditions ❑ Deny
Summary(or attach):
2. LOCAL GOVERNMENT UNIT DECISION
Date of Decision:
� Approved ❑ Approved with conditions (include below) ❑ Denied
LGU Findings and Conclusions(attach additional sheets as necessary): �
April Wysocki has applied for wetland boundary& type confirmation for the wetlands located
at 2770 Rainey Road in the City of Orono, Hennepin County, Minnesota (04ll 723430014).
Legal description: Section 4, Township 117N, Range 23W.
A wetland delineation was conducted by Anderson Engineering on April 15, 2015. A
complete delineation report and WCA application was submitted to MCWD on May 13, 2015.
One wetland was delineated on site and classified as a Type 3 shallow marsh. The wetland
overlaps with a DNR Public Water and an NWI-mapped wetland.
MCWD reviewed the boundaries in the field on May 21, 2015. MCWD was in agreement with the
boundaries of the wetland on-site and approves the wetland boundaries and type as delineated in the
field and documented in the delineation report. This decision is valid for five years. A future project
located on this property may require a pennit from the MCWD.
BWSR Forms 7-1-10 Page 1
of 3
For Re lacement Plans usin credits from the State Wetland Bank:
Banl�Account# Bank Service Area County Credits Approved for
' Withdrawal(sq. ft. or nearest
.O 1 acre
Replacement Plan Approval Conditions. In addition to any conditions specified by the LGU, the
approval of a Wetland Replacement Plan is conditional upon the following:
❑Financial Assurance:For project-specific replacement that is not in-advance,a financial assurance
specified by the LGU must be submitted to the LGU in accordance with MN Rule 8420.0522, Subp. 9
(List amount and type in LGU Findings).
❑Deed Recording: For project-specific replacement,evidence must be provided to the LGU that the
BWSR "Declaration of Restrictions and Covenants" and "Consent to Replacement Wetland" forms
have been filed with the county recorder's office in which the replacement wetland is located.
❑Credit Withdrawal: For replacement consisting of wetland bank credits,confirmation that BWSR
has withdrawn the credits from the state wetland bank as specified in the approved replacement plan.
Wetlands may not be impacted until all applicable conditions have been met!
LGU Authorized Si ature:
Signing and mailing of this completed form to the appropriate recipients in accordance with 8420.0255,
Subp.5 provides notice that a decision was made by the LGU under the Wetland Conservation Act as
specified above. If additional details on the decision exist,they have been provided to the landowner
and are available from the LGU u on re uest.
Name Title
Beth Brown Permitting Technician
Signature Date Phone Number and E-mail
c�R"l"_ _ $�'�` 6/3/15 (952)641-4504
�• ebrown@minnehahacreek.org
THIS DECISION ONLY APPLIES TO THE MINNESOTA WETLAND CONSERVATION ACT.
Additional approvals or permits from local, state, and federal agencies may be required. Check with all
appropriate authorities before commencing work in or near wetlands.
Applicants proceed at their own risk if work authorized by this decision is started before the time period
for appeal (30 days)has expired. If this decision is reversed or revised under appeal,the applicant may be
responsible for restoring or replacing all wetland impacts.
This decision is valid for three years from the date of decision unless a longer period is advised by the TEP
and specified in this notice of decision.
3.APPEAL OF THIS DECISION
Pursuant to MN Rule 8420.0905,any appeal of this decision can only be commenced by mailing a petition
for appeal,including applicable fee,within thirty(30)calendar days of the date of the mailing of this Notice
to the following as indicated:
Check ne:
� Appeal of an LGU staff decision. Send ❑Appeal of LGU governing body decision.
petition and$0 fee(if applicable)to: Send petition and$500 filing fee to:
Minnehaha Creek Watershed District Executive Director
1532d Minnetonka Blvd Minnesota Board of Water and Soil Resources
Minnetonka,MN 55391 520 Lafayette Road North
St. Paul, MN 55155
BWSR Forms 7-1-10 Page 2
of 3
4. LIST OF ADDRESSEES
� SWCD TEP member: Stacey Lijewski—stacey.lijewski�a;co.hennepin.mn.us
� BWSR TEP member: Ben Meyer—ben.meyer@state.mn.us
❑ LGU TEP member(if different than LGU Contact):
� DNR TEP member: Kate Drewry—kate.drewry@state.mn.us
� DNR Regional Office(if different than DNR TEP member): Brooke Haworth-
brooke.haworth@state.mn.us
❑ WD or WMO(if applicable):
� Applicant(notice only) and Landowner(if different): April Wysocki—
countrycupboard(ri me.com
� Members of the public who requested notice(notice only): Marc Cottingham(Anderson
Engineering)—mcottingham(d,ae-mn.com,Ben Hodapp(Anderson Engineering)—bhodapp@ae-
mn.com,Melanie Curtis(City of Orono)—mcurtis@ci.orono.mn.us
� Corps of Engineers Project Manager(notice only): Melissa Jenny—
melissa.m.jenny@usace.army.mil
❑ BWSR Wetland Bank Coordinator(wetland bankplan applications only)
5. MAILING INFORMATION
➢For a list of BWSR TEP representatives: www.bwsr.state.mn.usiaboutbwsr/workareasiWCA areas.pdf
Y For a list of DNR TEP representatives: www.bwsr.state.mn.us/wetlands/���ca/DNR TEP contacts.pdf
➢Department of Natural Resources Regional Offices:
NW Region: NE Region: Central Re i�on: Southern Region:
Reg.Env.Assess.Ecol. Reg.Env.Assess.Ecol. Reg.Env.Assess. Reg.Env.Assess. Ecol.
Div.Ecol. Resources Div.Ecol.Resources Ecol. Div.Ecol.Resources
2115 Birchmont Beach Rd. 1201 E.Hwy.2 Div.Ecol.Resources 261 Hwy. 15 South
NE Grand Rapids,MN 1200 Warner Road New Ulm,MN 56073
Bemid'i,MN 56601 55744 St.Paul,MN 55106
For a map of DNR Administrative Regions, see: http://i7les.dnr.state.mn.us/aboutdnr dnr_re�ions.pdf
➢For a list of Corps of Project Managers: ��ww.invp.usace.ai7nv.mil!re�ulatoryidefault.asp'?pageid=687
or send to:
US Anny Corps of Engineers
St. Paul District,ATTN: OP-R
180 Fifth St. East, Suite 700
St. Paul, MN 55101-1678
➢For Wetland Bank Plan applications, also send a copy of the application to:
Minnesota Board of Water and Soil Resources
Wetland Bank Coordinator
520 Lafayette Road North
St. Paul, MN 55155
6. ATTACHMENTS
In addition to the site locator map,list any other attachments:
� Approved wetland boundaries
❑
❑
BWSR Forms 7-1-10 Page 3
of 3
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,� ANDERSON AndersonEngineenngofMinnesota,LLC LOCATION - FIGURE 1
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� ENGINEERING s��ie,00
�•• Plymouth,MN 55441 D E LI N EATI O N
ENGINEERING • ARCHITECTURE • LAND SURVEYING 763-412-4000(o) 763-412-4090(�
ENVIRONMENTALSERVICES • LANDSCAPEARCNITECTURE www.ae-mn.com AEComm.#13984 Date:4/7/2015 By:JLA