HomeMy WebLinkAboutMN Wetland Conserv Act Notice of application . t
Minnesota Wetland Conservation Act
Notice of Applimflon
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
Dion Buhman 1560 Tanglewood Road Application Number
7/21/2013 W13-24
Type of Application check all that apply):
®Wetland Boundary or Type ❑No-Loss ❑Exemption ❑Sequencing
❑Replacement Plan ❑Banking Plan
Summary and description of proposed project attach additional sheets as necessary):
Dion Buhman has applied for a wetland boundary&type approval for the property located at 1560
Tanglewood Road in the City of Orono. The application was received on July 21,2013. The delineation was
performed by Jacobson Environmental on June 24,2013. The boundary 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
Steve Christopher business-day comment period):
Regulatory Program Manager August 20,2013(4:30 PM)
Address(if different than LGU) Date,time,and location of decision:
15320 Minnetonka Blvd A decision will be made following the field
Minnetonka,MN 55345 review and completion of the comment period.
Phone Number and E-mail Address Decision-maker for this application:
(952)641-4506 ®Staff
schristopher a@minnehahacreekorg ❑Governing Board or Council
Signature:�`� Date: 7/30/2013
BWSR Forms 7-1-10 Page 1 of 2
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3.LIST OF ADDRESSEES
® SWCD TEP member:Stacey Lijewski—Stacey.lijewski@co.hennepin.mn.us
® BWSR TEP member:Lynda Peterson—lynda.peterson@state.mn.us
❑ LGU TEP member(if different than LGU Contact):
❑ DNR TEP member:
® DNR Regional Office(if different than DNR TEP member):Melissa Doperalski—
Mclissa.Doperalski@state.mn.us
❑ WD or WMO(if applicable):
® Applicant(notice only)and Landowner(if different):Dion Buhman,1560 Tanglewood Road,Orono,
MN 55356
® Members of the public who requested notice(notice only):
Consultant:Jacobson Environmental(Wayne Jacobson)-jacobsonenv@msn.com
City of Orono:Christine Mattson—cmattson@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.Qdf
➢For a list of DNR TEP representatives:www.bwsr.state.mn.us/wetlands/wca/DNR TEP contacts.pdf
Department of Natural Resources Regional Offices:
NW Region: NE Region: Central Re¢ion: Southern Region:
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
Bemidji MN 56601 Grand Rapids,MN 55744 St.Paul MN 55106 New Ulm,MN 56073
For a map of DNR Administrative Regions,see:ho://files.dnr.state.mn.us/aboutdnr/dnr regions.pdf
➢For a list of Corps of Project Managers:www.=.usace.g=.mil/re ug latory/default.asR?2 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:
® Wetland Delineation Report
El
BWSR Forms 7-1-10 Page 2 of 2
WATER RESOURCE PERMIT APPLICATION FORM
Use this form to notify/apply to the Minnehaha Creek Watershed District(MCWD)of a proposed project or work which may fall within
their jurisdiction.Fill out this form completely and submit with your site plan,maps,etc...to the MCWD at:
15320 Minnetonka Blvd.Minnetonka,MN 55345.
Keep a copy for your records.
YOU MUST OBTAIN ALL REQUIRED AUTHORIZATIONS BEFORE BEGINNING WORK.
1.Name of each property owner: f
Mailing Address: 15lo()TM, tVOi ity: OQ4P"O State:M^, Zip:
Email Address: Phone: Fax:
2.Property Ow epresentative on-nation (not required)(licensed contracto ar ct,engineer,etc...)
Business Name: Repr ,tative Name: t4 n1� �j—
Business Address: City: .�,thy State: AAN Zip13VLW
Email Address: hone: Fax:
3. Project Address: 1� � , City:d�
State: ,/1,/ Zip: Qtr Section(s): Sectio (s): Township(s): Range(s):
Lot: _Block: Subdivision: ) PID:2L fi
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4. Size of project parcel (square feet or acres): °1d-
Area of disturbance(square feet): '01CO Vo mne of excavation/fill (cubic yards): ?—I—
Area of existing impervious surface: C?j Wo-'3 Area of proposed impervious surface:
Length of shoreline affected(feet): Waterbody(&bay if applicable): '
5.Type of permit being applied for(Check all that apply):
EROSION CONTROL ❑ WATERBODY CROSSINGS/STRUCTURES
❑ FLOODPLAIN ALTERATION ❑ STORMWATER MANAGEMENT
❑ WETLAND PROTECTION ❑ APPROPRIATIONS
❑ DREDGING ❑ ILLICIT DISCHARGE
❑ SHORELINE/STREAMBANK STABILIZATION
6.Project purpose(Check all that apply):
M SINGLE FAMILY HOME ❑ MULTIFAMILY RESIDENTIAL(apartments)
❑ ROAD CONSTRUCTION ❑ COMMERCIAL or INSTITUTIONAL
❑ UTILITIES ❑ SUBDIVISIONS(include number of lots)
❑ DREDGING ❑ LANDSCAPING(pools,berms,etc.)
❑ SHORELINE/STREAMBANK STABILIZATION ❑ OTHER(DESCRIBE):
7.NPDES/SDS General Storrnwater Permit Number(if applicable):
8.Waterbody receiving runoff from site:
9.Project Timeline: Start Date: �' Completion Date:
Permits have been applied for: City-10 County MN Pollution Control Agency DNR COE
Permits have been received: City County MN Pollution Control Agency DNR COE
By signing below,I hereby request a permit to authorize the activities described herein.I certify that I am familiar with MCWD
Rules and that the proposed activity will be conducted in compliance with these Rules.I am familiar with the information
contai d in this application and,to the best of my knowledge and belief,all information is true,complete and accurate. I
unde and that roceeding with work before all required authorizations are obtained may be subject to federal,state and/or local
a ' s ive, 'vi d/or cruninal penalties.
nature of Each Property O n Date
I/2 55113