07-23-2002 PTRC Agenda - Laserfiche WebLink

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11.ADJOINING PROPERTY OWNERS: For projects that require a COE standard individual permit,attach list of ADJOINING PROPERTY OWNERS that includes complete names and mailing addresses of adjacent property owners whose property also adjoins the wetland or water body where the work is being proposed.NA 12, PORTION OF WORK ALREADY COMPLETED: Is any portion of the work already completed? NO If YES,attach DESCRIPTION OF WORK COMPLETED and provide permit numbers if applicable. 13.STATUS OF OTHER APPROVALS: Attach STATUS OF OTHER APPROVALS LIST,including any other permits,reviews or approvals related to this proposed project that are either pending,or have already been approved or denied. See HELP 13. See Attachment 14.STATE EAW AND EIS REQUIREMENTS: Are state Environmental Assessment Worksheets or Environmental Impact Statements required for this project? (if not known,see HELP 14.) ®not required ❑ yes;indicate status below 15. SPECIAL CONSIDERATIONS: Are you aware of any special considerations that apply directly or indirectly to either the impact site(s)or the replacement site(s)? (Examples:the presence of endangered species,special fish and wildlife resources,sensitive surface waters,calcareous fens,or waste disposal sites) See HELP 15. ❑ not aware of any special considerations ®yes;attach a list of SPECIAL CONSIDERATIONS and include brief descriptions of each consideration listed 16.ARCHAEOLOGICAL OR CULTURAL RESOURCE DETERMINATIONS: Are you aware of any archaeological or cultural resource determinations or surveys concerning the project or replacement site that are already completed or in process by the State Historic Preservation Office(SHPO)or others? Yes If YES,please explain below or attach a copy of any determinations or surveys. If NO,and if project will use federal or state-aid funds,contact SHPO for a determination. See HELP 16. See Attachment 17. HOW PROPOSED REPLACEMENT WILL BE ACCOMPLISHED: A.Wetland banking? NO X YES If YES,check appropriate option(s)below: ® 1.BWSR Road Replacement Program (this option available only for repair,rehabilitation,reconstruction or replacement of existing county,township or city roads) ❑ 2. State Wetland Bank(Complete Application for Withdrawal of Wetland Credits Form and include with your application. Copies of this form are available from your LGU,or download a copy from www.bwsr.state.mn.us. B. Project-specific replacement? X NO YES C.Mitigation considerations? List important site-specific wetland functions,if any,and describe options considered for mitigation of these functions onsite. See Attachment 18. DESCRIPTION OF REPLACEMENT WETLAND(S)CONSTRUCTION:ATTACH PLAN SHEETS(Complete this section only if you marked"YES"in Section 17B.)See HELP 18 and attach this description on a separate sheet of paper labeled DESCRIPTION OF REPLACEMENT WETLAND CONSTRUCTION. 19.ADDITIONAL INFORMATION REQUIRED FOR PROJECT-SPECIFIC REPLACEMENT(Required only if you marked "YES:in Section 17B): See HELP 19. i 3