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M1 Transaction Form to Withdraw Credits <br />BOARD OF WATER <br />AND SOIL RESOURCES Minnesota Wetland Bank Program <br />If the layout of this form looks incorrect,click on View,Edit Document,then save it to your computer. <br />1. Credit User This space for BWSR use only. <br />Name:Susan Polka, PE Organization:City of Arden Hills <br />Address: 1245 Hwy 96 W Email:spolka@cityofardenhills.or <br />9 <br />Phone:612-289-1175 LGU File#:17-109R t'1-Oq°L <br />Consultant:Shawn Williams -WSB &Associates, Inc. <br />2. Wetland Impact Information <br />To be completed for the project impacting wetlands and with which this withdrawal is intended to replace. <br />Project Name:Old Snelling Ave Trail Impact Size(acres):0.03 <br />Impact County:Ramsey Impact Wetland type:Fill <br />Impact Major Watershed/BSA: 20 /7 Replacement Ratio::2:1 <br />Sec/Twp/Range: Sec. 28, T3ON,R23W <br />Projects with multiple locations should use the most central location in relation to the project as a whole. <br />Are Federally authorized credits required for this impact'JYes 14 No <br />Corps Regulatory File Number: MVP-2017-01673-LMG <br />Comments:Per USACE meeting on 11/28/2017, no mitigation will be required from USACE <br />3. Credits to be Withdrawn To be completed by the seller of the credits(account holder) <br />Account Information <br />Account: 1618 County: Anoka Bank Service Area: 7 <br />Credit Credit <br />Wetland Type/Plant Community Type Federally Cost per Credit <br />Subgroup Approved? Amounts <br />B Shallow Marsh No 578.408 0.06 <br />Per Credit Withdrawal Fee by BSA Enter the Withdrawal Fee for Total Credits: 0.06 <br />BSA 1 $520 BSA 6 $1,083 the BSA of the account: (withdrawal Fee x total credits) <br />BSA 2 $371 BSA 7 $1,992x1.992 I Withdrawal Fee: $119.52 <br />BSA 3 $725 BSA 8 $2,577 Easement Stewardship Fee: (Easement Stewardship feex total credits) <br />BSA 4 $1,412 BSA 9 $2,628 302 Stewardship Fee: $18.12 <br />BSA 5 $685 BSA 10 $3,099 Total Fees: $137.64 <br />Please make checks payable to the Minnesota Board of Water and Soil Resources.BWSR does not accept cash. <br />BWSR fee policy:http://www.bwsr.state.mn.us/wetlands/wetlandbanking/fee and sales data/Wetland Banking Fee Policy Effective Junel 2017.pdf <br />BWSR form updated 5/31/2017 Page 1 of 2 <br />Disclaimer:All transactions in the Wetland Bank system are public information