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Project Name:Old Snelling Avenue Trail and Utility Improvements <br />Confirmation email will be emailed to the user,seller,and regulatory representative when the transaction is complete. <br />If anyone else should be notified please indicated their emails below: <br />spolka@wsbeng.com jstremel@wsbeng.com <br />4. Regulatory Authorization <br />By signing below,the identified agency and authorized representative hereby certifies that they have:a)verified that <br />the subject wetland credits are deposited in the account of the owner/seller,b)approved a wetland replacement plan or <br />similar agreement under their jurisdiction,and c)approve the proposed use of the wetland bank credit described above. <br />WCA LGU/Agency: ea*. LSI) LGU Representative: “ie-k ^r`"`-e''' <br />Email Address: e.1kow-e-"-`/(---°``.kejs'e":" .6 <br />Affj <br />Sign re Date <br />For NRCS, DNR,etc.as applicable <br />Agency Name and Location:Representative: <br />Email Address: <br />Signature Date <br />5. Credit User Signature <br />By signing below the proposed credit user attests that he/she owns or has purchased the credits identified in this form <br />and has received approval from the regulatory authority(ies). <br />Signature Date <br />6. Account Holder Signature <br />By signing below I,the seller and holder of the aforementioned account in the State of Minnesota Wetland Mitigation <br />Bank,certify that: <br />1) The credits described in this transaction form have been sold to the credit user or will be used for my own project; <br />2) I have received payment in full from the buyer(if applicable); <br />3) The credits described in this transaction form have not been sold or used in any way to mitigate wetland losses <br />other than for the project and location identified in the wetland impact information block on the previous page; <br />4) The credits described in this application should be withdrawn from my account;and <br />5) I will not have a negative balance of credits after the subject credits are debited from my account. <br />Name/Representative:Patricia L Preiner Email Address: P1954R@AOL.com <br />12/1/2017 <br />Signature Date <br />Send complete forms and fee payments to: <br />Wetland Bank Administration <br />Minnesota Board of Water and Soil Resources <br />520 Lafayette Road North <br />Saint Paul,MN 55155 <br />BWSR form updated 5/31/2017 Page 2 of 2 <br />Disclaimer:All transactions in the Wetland Bank system are public information