The URL can be used to link to this page

Home My WebLink About2020-113 1235LymanAvewetland delineation report WETLAND DELINEATION REPORT 4/30/2020 Jacobson Environmental, PLLC jacobsonenv@msn.com 2020-113 1235 Lyman Ave Delineation Orono, MN Jacobson Environmental, PLLC www.jacobsonenvironmental.com Environmental Consultants Wayne Jacobson, P.S.S., W.D.C., P.W.S., A.F.S. ------------------------------------------------------------------------------------------------------------ 5821 Humboldt Avenue North, Brooklyn Center, MN 55430 (612) 802-6619 Cell Email: jacobsonenv@msn.com Wetland Delineation-Mitigation-Permitting-Monitoring-Banking-Functional Analysis-T & E Surveys Phase I Environmental Assessments-EAW’s-Soil ID-Soil Analysis & Delineation-Environmental Referrals Pond & Lake Weed Control & Fish Stocking-Tree Surveys-Natural Resource Management Plans 1 Table of Contents 1.0 SUMMARY ............................................................................................................................................... 2 2.0 METHODS ................................................................................................................................................ 2 2.1 EXISTING INFORMATION REVIEW ....................................................................................................... 2 2.1.1 Antecedent Precipitation ............................................................................................................. 3 2.1.2 National Wetlands Inventory ....................................................................................................... 3 2.1.3 Web Soil Survey ........................................................................................................................... 3 2.1.4 Public Waters Inventory ............................................................................................................... 3 2.1.5 Topographic Map ......................................................................................................................... 3 2.2 FIELD DELINEATION ............................................................................................................................. 3 2.2.1 Vegetation .................................................................................................................................... 4 2.2.2 Hydric Soils ................................................................................................................................... 5 2.2.3 Cautions Used in Applying the Field Indicators of Hydric Soils .................................................... 5 3.0 RESULTS................................................................................................................................................... 6 3.1 WETLAND BASIN DESCRIPTIONS ......................................................................................................... 6 4.0 CONFIRMATION OF JURISDICTIONAL STATUS ........................................................................................ 6 5.0 CERTIFICATION ........................................................................................................................................ 6 Appendices Appendix A Antecedent Precipitation Data Appendix B Sample Data Sheets Appendix C Site Photographs Appendix D Wetland Type and Boundary Approval Forms Figures Figure 1 Site Location Map Figure 2 National Wetland Inventory Map Figure 3 Soils Map Figure 4 Public Waters Inventory Map Figure 5 Delineation Map Figure 6 Topographic Map Figure 7 Hydric rating Map Jacobson Environmental, PLLC www.jacobsonenvironmental.com Environmental Consultants Wayne Jacobson, P.S.S., W.D.C., P.W.S., A.F.S. ------------------------------------------------------------------------------------------------------------ 5821 Humboldt Avenue North, Brooklyn Center, MN 55430 (612) 802-6619 Cell Email: jacobsonenv@msn.com Wetland Delineation-Mitigation-Permitting-Monitoring-Banking-Functional Analysis-T & E Surveys Phase I Environmental Assessments-EAW’s-Soil ID-Soil Analysis & Delineation-Environmental Referrals Pond & Lake Weed Control & Fish Stocking-Tree Surveys-Natural Resource Management Plans 2 1.0 SUMMARY Jacobson Environmental, PLLC (JE) visited the project site at PID #’s 02-117-23-21-0005 and 02-117-23- 21-0006 on 4/28/2020. The site was approximately 3.51 acres in size, and was located at Section 2, T117N, R23W, Orono, Minnesota. See Figure 1 for a Site Location Map. The purpose of the investigation was to identify areas within the project boundary meeting the technical criteria for wetlands, delineate the jurisdictional extent of the wetland basins, and classify the wetland habitat according to the 1987 U.S. Army Corps of Engineers Wetland Delineation Manual and the 2010 Regional Supplement to the Corps of Engineers Wetland Delineation: Midwest Region. Wetlands are areas that are saturated or inundated with surface and or groundwater at a frequency and duration sufficient to support, and that under normal circumstances do support, a prevalence of vegetation typically adapted for life in hydric soil conditions. Examples of wetlands include seasonally flooded basins, floodplain forests, wet meadows, shallow and deep marshes, shrub swamps, wooded swamps, fens, and bogs. Wetland boundaries were determined through a routine analysis of the vegetation, soils and hydrology which must all show wetland characteristics for an area to be delineated as a wetland. One wetland basin was delineated within the project area, which is summarized below and shown on Figure 5. Basin ID Circular 39 Cowardin Eggers & Reed Dominant Vegetation Size (acres) 1 Type 3 PEM1C Shallow marsh Tartarian Dogwood, Green Ash, Lake Sedge and Reed Canary Grass 1.97 All figures and appendices referenced by this report are presented at the end of the text. This wetland delineation was performed by Jacobson Environmental, PLLC under the direction of Wayne Jacobson, Minnesota Professional Soil Scientist #30611, Society of Wetland Scientists – Professional Wetland Scientist #1000, University of Minnesota / BWSR Wetland Delineator, Certified #1019, American Fisheries Society – Associate Fisheries Scientist #A-171. 2.0 METHODS 2.1 EXISTING INFORMATION REVIEW Jacobson Environmental, PLLC www.jacobsonenvironmental.com Environmental Consultants Wayne Jacobson, P.S.S., W.D.C., P.W.S., A.F.S. ------------------------------------------------------------------------------------------------------------ 5821 Humboldt Avenue North, Brooklyn Center, MN 55430 (612) 802-6619 Cell Email: jacobsonenv@msn.com Wetland Delineation-Mitigation-Permitting-Monitoring-Banking-Functional Analysis-T & E Surveys Phase I Environmental Assessments-EAW’s-Soil ID-Soil Analysis & Delineation-Environmental Referrals Pond & Lake Weed Control & Fish Stocking-Tree Surveys-Natural Resource Management Plans 3 Prior to field delineation, Jacobson Environmental reviewed the following information: 2.1.1 Antecedent Precipitation The previous three month’s precipitation data obtained from the Minnesota State Climatology Office suggest that the sampling period occurred under wet conditions. Antecedent precipitation data can be found in Appendix A. The growing season in this area is approximately from mid-April to mid-October, when the air temperature averages above 28 degrees F. This delineation was completed during the growing season. 2.1.2 National Wetlands Inventory The National Wetlands Inventory (NWI) identified PEM1C/FO1A wetland complex within the property boundary (Figure 2). 2.1.3 Web Soil Survey The National Resource Conservation Service Web Soil Survey (Figure 7) identified the following soils: Soil Hydric Rating Lester-Kilkenny complex, 6 to 10 percent slopes, moderately eroded 5 Lester-Kilkenny complex, 16-22 percent slopes 5 Muskego and Houghton soils, 0 to 1 percent slopes 100 2.1.4 Public Waters Inventory The Minnesota Department of Natural Resources Public Waters Inventory shows that no public waters exist on the property (Figure 4). 2.1.5 Topographic Map A topographic map with aerial photo overlay was obtained from Hennepin County (Figure 6). This map was reviewed for suspected wetland areas based on topography and vegetative cover. 2.2 FIELD DELINEATION The wetlands on the subject property were delineated using the routine determination methodology set forth in the 1987 U.S. Army Corps of Engineers Wetlands Delineation Manual and the 2010 Regional Supplement to the Corps of Engineers Wetland Delineation: Midwest Region as follows: Jacobson Environmental, PLLC www.jacobsonenvironmental.com Environmental Consultants Wayne Jacobson, P.S.S., W.D.C., P.W.S., A.F.S. ------------------------------------------------------------------------------------------------------------ 5821 Humboldt Avenue North, Brooklyn Center, MN 55430 (612) 802-6619 Cell Email: jacobsonenv@msn.com Wetland Delineation-Mitigation-Permitting-Monitoring-Banking-Functional Analysis-T & E Surveys Phase I Environmental Assessments-EAW’s-Soil ID-Soil Analysis & Delineation-Environmental Referrals Pond & Lake Weed Control & Fish Stocking-Tree Surveys-Natural Resource Management Plans 4 1) The vegetative community was sampled in all present strata to determine whether 50% of the dominant plant species were hydrophytic using the 50/20 method. 2) Soil pits were dug using a Dutch auger to depths of 18”-40”, noting soil profiles and any hydric soil characteristics. 3) Signs of wetland hydrology were noted and were compared to field criteria such as depth to shallow water table and depth of soil saturation found in the soil pits. Transects were established in representative areas of each wetland. Each transect consisted of one sample point within the wetland and one sample point in upland. Other areas which have one or more of the wetland vegetation, soils, or hydrologic characteristics present, or where questionable conditions exist may also have been sampled. Data sheets for each sample point are available in Appendix B. Wetland classifications discussed in the text are set forth in Wetlands and Deepwater Habitats of the United States (FWS/OBS Publication 79/31, Cowardin et al. 1979) and Wetlands of the United States (USFWS Circular 39, Shaw and Fredine, 1971.) Additionally, plant community types as named by Eggers and Reed (1998) are given. Wetland edges were marked with orange numbered pin flags. 4-foot wood lath marked with orange “wetland boundary” flagging tape or flagging tied on vegetation may be used if site conditions warrant. Sample points are marked with orange numbered pin flags. Any wetlands or sample points were mapped using GPS. 2.2.1 Vegetation The plant species within the parcel were cataloged and assigned a wetland indicator status according to: Lichvar, R.W., D.L. Banks, W.N. Kirchner, and N.C. Melvin, 2016. The National Wetland Plant List: 2016 Wetland Ratings, Phytoneuron 2016-30: 1-17. In the text of this report and on the enclosed data forms, the plant indicator status follows the plant’s scientific name unless a status has not been assigned. The hydrophytic plant criterion is met when more than 50 percent of the dominant species by the 50/20 rule for each stratum (herb, shrub/sapling, tree, and woody vine) were assigned an obligate (OBL)1, facultative wet (FACW), and/or facultative (FAC) wetland status. 1 OBL=Obligate Wetland, occurs an estimated 99% in wetlands. FACW=Facultative Wetland, has an estimated 67%-99% probability of occurrence in wetlands. FAC=Facultative, is equally likely to occur in wetlands and non-wetlands, 34%-66% probability. FACU=Facultative Upland, occurs in wetlands only occasionally, 1%-23% probability. UPL=Upland, almost never occurs in wetlands, <1% probability. NI= No Indicator, insufficient information available to determine an indicator status. Positive or negative sign previously indicated a frequency toward higher (+) or lower (-) frequency of occurrence within a category. Jacobson Environmental, PLLC www.jacobsonenvironmental.com Environmental Consultants Wayne Jacobson, P.S.S., W.D.C., P.W.S., A.F.S. ------------------------------------------------------------------------------------------------------------ 5821 Humboldt Avenue North, Brooklyn Center, MN 55430 (612) 802-6619 Cell Email: jacobsonenv@msn.com Wetland Delineation-Mitigation-Permitting-Monitoring-Banking-Functional Analysis-T & E Surveys Phase I Environmental Assessments-EAW’s-Soil ID-Soil Analysis & Delineation-Environmental Referrals Pond & Lake Weed Control & Fish Stocking-Tree Surveys-Natural Resource Management Plans 5 With the 50/20 rule, dominants are generally measured by absolute % cover in each stratum which individually or collectively account for more than 50% of total vegetative cover in the stratum, plus any other species which itself accounts for at least 20% of the total vegetative cover. 2.2.2 Hydric Soils A hydric soil is a soil formed under conditions of saturation, flooding, or ponding long enough during the growing season to develop anaerobic conditions in the upper part. If a soil exhibits the indicators of a hydric soil or is identified as a hydric soil the hydric soil criterion is met. The break between hydric and non-hydric soils was determined by excavating soil pits along transects crossing the wetland/upland eco-tone and evaluating the soil colors, textures, and presence or absence of redoximorphic indicators (i.e., mottles, gley or oxidized rhizospheres). Hydric Soil Indicators for the Midwest Region were noted as presented in the National Technical Committee for Hydric Soils Field Indicators of Hydric Soils in the United States version 8.1 (USDA NRCS 2017) if present at each sample point. Upper soil profiles were also compared to the mapped or inclusionary soil series found in the sample area for soil identification purposes. 2.2.3 Cautions Used in Applying the Field Indicators of Hydric Soils There are hydric soils with morphologies that are difficult to interpret. These include soils with black, gray, or red parent material; soils with high pH; soils high or low in content of organic matter; recently developed hydric soils, and soils high in iron inputs. In some cases, we do not currently have indicators to assist in the identification of hydric soils in these situations. If the soil meets the definition of a hydric soil, the lack of an indicator does not preclude the soil from being hydric. The indicators were developed mostly to identify the boundary of hydric soil areas and generally work best on the margins. Not all the obviously wetter hydric soils will be identified by the indicators. Redoximorphic features are most likely to occur in soils that cycle between anaerobic (reduced) and aerobic (oxidized) conditions. Morphological features of hydric soils indicate that saturation and anaerobic conditions have existed under either contemporary or former hydrologic regimes. Where soil morphology seems inconsistent with the landscape, vegetation, or observable hydrology, it may be necessary to obtain the assistance of an experienced soil or wetland scientist to determine whether the soil is hydric. To clarify, when investigating hydric soils in this area, one must consider the following:  Many of these soils have black or gray parent materials.  Many of the soils have a high organic matter content.  The hydric soil margin is typically higher than the wetland boundary margin on the site.  Not all the obviously wetter soils will be identified by the indicators.  Many of the hydric soils are Mollisols which are classic problem hydric soils in many cases. Jacobson Environmental, PLLC www.jacobsonenvironmental.com Environmental Consultants Wayne Jacobson, P.S.S., W.D.C., P.W.S., A.F.S. ------------------------------------------------------------------------------------------------------------ 5821 Humboldt Avenue North, Brooklyn Center, MN 55430 (612) 802-6619 Cell Email: jacobsonenv@msn.com Wetland Delineation-Mitigation-Permitting-Monitoring-Banking-Functional Analysis-T & E Surveys Phase I Environmental Assessments-EAW’s-Soil ID-Soil Analysis & Delineation-Environmental Referrals Pond & Lake Weed Control & Fish Stocking-Tree Surveys-Natural Resource Management Plans 6 3.0 RESULTS 3.1 WETLAND BASIN DESCRIPTIONS Basin 1 Basin 1 was an approximately 1.97-acre, Type 3, PEM1C, shallow marsh wetland. The basin was dominated by Tartarian Dogwood, Green Ash, Lake Sedge and Reed Canary Grass. Hydrology indicators included A1 (surface water), A2 (high water table), A3 (saturation), D2 (geomorphic position) and D5 (fac-neutral test). Wetland soils met indicators A1 (histisol). Adjacent upland was typically dominated by Green Ash, Northern Red Oak, American Basswood and Common Buckthorn. Primary hydrology indicators were not observed at the upland sample point, but hydric soil indicators were found in the upland sample point soil. The wetland boundary followed a change in vegetation from wetland to upland plant communities, as well as a slight change in topography. The basin was shown as a PEM1C wetland on the NWI map (Figure 2) and was located within an area mapped as Muskego and Houghton soils (RATING=100) by the Web Soil Survey (Figure 7). Sample data sheets 1-UP, 1-WET in Appendix B correspond to this basin. 4.0 CONFIRMATION OF JURISDICTIONAL STATUS Jacobson Environmental is submitting this report to the client and regulatory agencies to request a wetland boundary and type determination. We have enclosed an official WCA Approval of Wetland Type and Boundary form in Appendix D along with a USCOE wetland delineation concurrence request. 5.0 CERTIFICATION I certify that this wetland delineation meets the standards and criteria described in the 1987 U.S. Army Corps of Engineers Wetland Delineation Manual and the 2010 Regional Supplement to the Corps of Engineers Wetland Delineation: Midwest Region. This was a Routine On-Site Determination and the results reflect the conditions present at the time of the delineation. I certify that this report has been prepared in accordance with regulatory standards. Thank you for the opportunity to provide wetland services on this important project. Jacobson Environmental, PLLC www.jacobsonenvironmental.com Environmental Consultants Wayne Jacobson, P.S.S., W.D.C., P.W.S., A.F.S. ------------------------------------------------------------------------------------------------------------ 5821 Humboldt Avenue North, Brooklyn Center, MN 55430 (612) 802-6619 Cell Email: jacobsonenv@msn.com Wetland Delineation-Mitigation-Permitting-Monitoring-Banking-Functional Analysis-T & E Surveys Phase I Environmental Assessments-EAW’s-Soil ID-Soil Analysis & Delineation-Environmental Referrals Pond & Lake Weed Control & Fish Stocking-Tree Surveys-Natural Resource Management Plans 7 If any wetland impacts are planned for this project, permits would be necessary from the LGU and other agencies. 4/30/2020 Figures Figu re 2 NWI Map = Bi.Soil Map-Hennepin County, Minnesota (Figure 3 Soils Map) Map Scale: 1:1,200 if printed on A porbait (8.5" x 11") shet. 01530m 0501m2m3m Mapprojection:WebMenator Comercoodinates:WcS84 Edgetics:UTMZonel5NWGSS4 3 nh ttt A Natural Resources Conservation Service Web Soil Survey National Cooperative Soil Survey 412812020 Page 1 of 3 USDA: Sj.")|fl lMrap niray liorlt he verllf,cil at tlhis seaalle" 440 58',40',N o H i Ei,"'[. f'I a $ *" o',,',, 454A0 = rLyman'Av@ aa !-f, { T,l l / v' -/ffir. rti50A Soil Map-Hennepin County, Minnesota Figure 3 Soils Map Map Unit Legend Map Unit Symbol Map Unit Name I Acres in AOI Percent of AOI L41C2 Lester-Kilkenny complex, 6 to 1 0 percent slopes, moderately eroded 0.7 10.9% L41E Lester-Kilkenny complex, 16 to 22 percent slopes 2.9 48.2% L5OA Muskego and Houghton soils, 0 to 1 percent slopes 2.4 40.9% Totals for Area of lnterest 6.0 100.0% ust)\ NaturalResources - Conservation Service Web Soil Survey National Cooperative Soil Survey 412812020 Page 3 of 3 Figure 4 PWI Map Map layers hen nepin_county_parcels PWI Basins - PWI Watercourses0 50 100 150 LJ$an Nle E Figure 5 Delineation Map I . ,/.' l,''/ \irI \ \ -?o t i i \\ -----.\__.--- EEtrill-] hennepin-county-parcels. Sample Point I ffii. " Hydric Rating by Map Unit-Hennepin County, Minnesota (Figure 7 Hydric Soil Rating Map) 4.58€'N Map Scale: 1:1,200 if printed on A portait (8.5" x 11") sheet. N o "t"*A reetl\ o 50 1m r& 3ool\ Map prcjectjm: Web Mercator Comercoordinates: WGS84 Edgetjcs: UTM Zone 15N WGSB4 Web Soil Survey National Cooperative Soil Survey 412812020 Page 1 of 3 440 58 40',N 44" 58',32', N U.st)A NaturalResources-- ConservationService / ? L a $ *'o',,',, 45&40 B wfiEoe@ I rliLl '\ \ Mfl@ So'![ t{ap r".tay n.it [ocr iiatfu at tlits] scatc. Hydric Rating by Map Unit-Hennepin County, Minnesota Figure 7 Hydric Soil Rating Map Hydric Rating by Map Unit Rating Options Agg reg ation Meth od : Percent Present Component Percent Cutoff: None Specified Tie-break Ru/e: Lower Map unit symbol Map unit name Rating Acres in AOI Percent of AOI L41C2 Lester-Kilkenny complex, 6 to 10 percent slopes, moderately eroded 5 o.7 10.9% L41E Lester-Kilkenny complex, 16 to 22 percent slopes E 2.9 48.2% L5OA Muskego and Houghton soils,0to 1 percent slopes 100 2.4 40.9% Totals for Area of lnterest 6.0 '100.0% uSDz\ NaturalResources-- ConservationService Web Soil Survey National Cooperative Soil Survey 412812020 Page 3 of 3 Appendix A Antecedent Precipitation Data Minnesota State Climatology Office State Climatotogy Office - DNR Division of Ecotogical and Water Resources homelcurrentconditionsljournal lpastdatalsummarieslagricultureIothersiteslaboutr.Gl Precipitation Worksheet Using Gridded Database Precipitation data for target wetland location: county: Hennepin township number: 117N township name: Excelsior range number: 23W nearest community: Long Lake section number: 2 Aerial photograph or site visit date: Tuesday, April 28,2020 Score using 1981-2010 normal period values are in inches A'R' following a monthly total indicates a provisronal value derived from radar-based estimates. first prior month: March 2020 second prior month: February 2020 third prior month: January 2020 estimated precipitation total for this location:?,vgt 0,5q 0,ft there is a30Yo chance this location will have less than:1.24 0.40 0.49 there is a30o/o chance this Iocation wil! have more than:1.97 O.BB '1.09 type of month: dry normal wet VJ*'t-Alornnl Norn*l monthly score U3 zq 2y).="f lx2=2 multi-month score: 6 to 9 (dry) 10 to 14 (normal) '15 to 18 (wet)t5--t^tg,l Other Resources:. retrieve daily precipitation data. view radar-based precipitation estimates. view weekly precipitation maps. Evaluating Antecedent Precipitation Conditions (BWSR) Minnesota State Climatology Office State Climatology Office - DNR Division of Ecological and Water Resources home |current conditions |journal |past data |summaries |agriculture |other sites |about us Nearest Station Precipitation Data Retrieval Minnesota's precipitation data archive is searched for data closest to a selected target location for each month. Values from the site closest to the target location are returned below after clicking the retrieve monthly data or retrieve daily data buttons. The precipitation data are made up of measured rainfall and the measured liquid content of snowfall. Temperature, snowfall, and snow depth data from National Weather Service reporting stations are no longer retrieved from this application. To obtain those data, see our newest data retrieval tool (May 2014). National Weather Service precipitation data continue to be available from this application. Obtaining data for legal purposes Guide for column headers in the data table target location: Hennepin-Excelsior-Long Lake 117N 23W S2 (latitude: 44.97102 longitude: 93.55357) click to select target location years: 2020  to 2020  number of missing days allowed per month: 3 retrieve monthly data retrieve daily data results: Target: T117 R23 S2 mon year cc tttN rrW ss nnnn oooooooo pre (inches) dis Jan 2020 10 116N 23W 15 NWS CHAN_NWS .78 7 mi. Feb 2020 10 116N 23W 15 NWS CHAN_NWS .59 7 mi. Mar 2020 10 116N 23W 15 NWS CHAN_NWS 2.88 7 mi. Apr 2020 10 116N 23W 15 NWS CHAN_NWS 2.96 7 mi. May 2020 m 999 mi. Jun 2020 m 999 mi. Jul 2020 m 999 mi. Aug 2020 m 999 mi. Sep 2020 m 999 mi. Oct 2020 m 999 mi. Nov 2020 m 999 mi. Dec 2020 m 999 mi. Where indicated: Missing values are shown as 'm'. Days on which precip accumulated in the gage are shown as '-'. 'TTTT RR SS' is the 'public land survey(PLS)' or 'legal' location of the observed data. Section values greater 36 are SECTIC 'TIC' locations plus 100. 'NWS ID' the National Weather Service Cooperative station number. Note that the 'PLS' will always be correct for precipitation data while the 'NWS ID' will always be correct for the temperature data. If no PLS info is supplied the the 'NWS ID' number applies to all shown data. State Climatology Office - MnDNR - Ecological and Water Resources Appendix C Site Photographs Basin 1 1-UP 1-WET Ditch facing East Appendix D Wetland Type and Boundary Approval Forms Minnesota Interagency Water Resource Application Form February 2014 Page 3 of 11 Project Name and/or Number: 2020-113 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: William J Paul Houston Mailing Address: 1235 Lyman Ave Orono, MN 55391 Phone: E-mail Address: Authorized Contact (do not complete if same as above): Eric Kvam Mailing Address: Phone: 952-738-2463 E-mail Address: ekvam@outdoorexcapes.com Agent Name: Wayne Jacobson, WDC, PSS Jacobson Environmental Mailing Address: 5821 Humboldt Ave N Brooklyn Center, MN 55430 Phone: 612-802-6619 E-mail Address: jacobsonenv@msn.com PART TWO: Site Location Information County: Hennepin City/Township: Orono Parcel ID and/or Address: 02-117-23-21-0005, 02-117-23-21-0006 1235 Lyman Ave Orono, MN 55391 Legal Description (Section, Township, Range): Section 2, T117N, R23W Lat/Long (decimal degrees): Attach a map showing the location of the site in relation to local streets, roads, highways. Approximate size of site (acres) or if a linear project, length (feet): 3.51 acres total 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: http://www.mvp.usace.army.mil/Portals/57/docs/regulatory/RegulatoryDocs/engform_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 dimensions of all proposed activities and aquatic resource impacts. Minnesota Interagency Water Resource Application Form February 2014 Page 4 of 11 Project Name and/or Number: 2020-113 PART FOUR: Aquatic Resource Impact1 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. Aquatic Resource ID (as noted on overhead view) Aquatic Resource Type (wetland, lake, tributary etc.) Type of Impact (fill, excavate, drain, or remove vegetation) Duration of Impact Permanent (P) or Temporary (T)1 Size of Impact2 Overall Size of Aquatic Resource 3 Existing Plant Community Type(s) in Impact Area4 County, Major Watershed #, and Bank Service Area # of Impact Area5 1If 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)”. 2Impacts 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”. 4Use Wetland Plants and Plant Community Types of Minnesota and Wisconsin 3rd Ed. as modified in MN Rules 8420.0405 Subp. 2. 5Refer 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 FIVE: Applicant Signature Check here if you are requesting a pre-application 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 Jacobson Environmental 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.