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02-21-23-WS
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02-21-23-WS
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Project Name and/or Number: 1700 Highway 95 Site <br />PART ONE: Applicant information <br />If applicant is an entity (company, government entity, partnership, etc.), an authorized contact person must be identified. If the <br />applicant is using an agent (consultant, lawyer, or other third party) and has authorized them to act on their behalf, the agent's <br />contact information must also be provided. <br />Applicant/Landowner Name: North Heights Lutheran Church <br />j Mailing Address: 1700 W Highway 96 Arden Hills MN. 55112 <br />Phone: 651-797-7800 <br />E-mail Address: John.oldfield@nhlc.org <br />Authorized Contact (do not complete if same as above): John Oldfield Dir. of Finance <br />Mailing Address: 1700 W Highway 96 Arden Hills MN. 55112 <br />Phone: 651-797-7801 <br />E-mail Address: John.oldfield@nhlc.org <br />Agent Name: Adam Cameron, Kjolhaug Environmental Services <br />Mailing Address: 2500 5hadywood Road 4130, Orono MN 55331 <br />Phone: 952-401-8757 Ext. i#106 <br />E-mail Address: Adam@kjolhaugenv.com <br />PART TWO: Site Location information <br />County: Ramsey City/Township: Arden Hills <br />Parcel ID and/or Address: 213023110008 <br />Legal Description (section, Township, Range): S:21 T:30N R:23W <br />Lat/Lung (decimal degrees). - <br />Attach a map showing the location of the site in relation to local streets, roads, highways. <br />Approximate size of site (acres) or if a linear project, length (feet): 41.20 <br />If you know that your proposal will require an individual Permit from the U.S. Army Corps of Engineers, you must provide the <br />names and addresses of all property owners adjacent to the project site. This information may be provided by attaching a list to <br />your application or by using block 25 of the Application for department of the Army permit which can be obtained at: <br />http://www,mvp_usace.army,mil/Portals/57/docs/regulator /RegulatoryDocs/engform 4345 2012oct.pdf <br />PART THREE: General Project/Site information <br />if this application is related to a delineation approval, exemption determination, jurisdictional determination, or other <br />correspondence submitted prior to this application then describe that here and provide the Corps of Engineers project number. <br />Describe the project that is being proposed, the project purpose and need, and schedule for implementation and completion. The <br />project description must fully describe the nature and scope of the proposed activity including a description of all project elements <br />that effect aquatic resources (wetland, lake, tributary, etc.) and must also include plans and cross section or profile drawings <br />showing the location, character, and dimensions of all proposed activities and aquatic resource impacts. <br />Wetland delineation report submitted for panning. <br />
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