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For Renlacement Plans using credits from the State Wetland Bank: <br />Bank Account # <br />Bank Service Area <br />County <br />Credits Approved for <br />Name <br />Title <br />Phil Belfiori <br />Withdrawal (sq. ft. or nearest .01 <br />Signature <br />Date <br />6;7/2017 <br />Phone Number and E-mail <br />763-398-3071 <br />acre) <br />Replacement Plan Approval Conditions. In addition to any conditions specified by the LGU, the <br />approval of a Wetland Replacement Plan is conditional upon the following: <br />❑ Financial Assurance: For project -specific replacement that is not in -advance, a financial <br />assurance specified by the LGU must be submitted to the LGU in accordance with MN Rule <br />8420.0522, Subp. 9 (List amount and type in LGU Findings). <br />❑ Deed Recording: For project -specific replacement, evidence must be provided to the LGU that <br />the BWSR "Declaration of Restrictions and Covenants" and "Consent to Replacement Wetland" <br />forms have been filed with the county recorder's office in which the replacement wetland is located. <br />❑ Credit Withdrawal: For replacement consisting of wetland bank credits, confirmation that <br />BWSR has withdrawn the credits from the state wetland bank as specified in the approved <br />replacement plan. <br />Wetlands may not be impacted until all applicable conditions have been met! <br />LGIT Authori7.ed Sie-naihire: <br />Signing and mailing of this completed form to the appropriate recipients in accordance with 8420.0255, <br />Subp. 5 provides notice that a decision was made by the LGU under the Wetland Conservation Act as <br />specified above. If additional details on the decision exist, they have been provided to the landowner and <br />are available from the LGU upon request. <br />Name <br />Title <br />Phil Belfiori <br />Administrator <br />Signature <br />Date <br />6;7/2017 <br />Phone Number and E-mail <br />763-398-3071 <br />/ <br />pbelfiori@ricecreek.org <br />Additional approvals or permits from local, state, and federal agencies may be required. Check with all <br />appropriate authorities before commencing work in or near wetlands. <br />Applicants proceed at their own risk if work authorized by this decision is started before the time period <br />for appeal (30 days) has expired. If this decision is reversed or revised under appeal, the applicant may be <br />responsible for restoring or replacing all wetland impacts. <br />3. APPEAL OF THIS DECISION <br />Pursuant to MN Rule 8420.0905, any appeal of this decision can only be commenced by mailing a <br />petition for appeal, including applicable fee, within thirty (30) calendar days of the date of the mailing of <br />this Notice to the following as indicated: <br />Check one: <br />® Appeal of an LGU staff decision. Send ❑ Appeal of LGU governing body decision. Send <br />petition and $0 fee (if applicable) to: petition and $500 filing fee to: <br />Nick Tomczik Executive Director <br />4325 Pheasant Ridge Dr. NE #611 Minnesota Board of Water and Soil Resources <br />Blaine, MN 55449 520 Lafayette Road North <br />St. Paul, MN 55155 <br />BWSR Forms 7-1-10 Page 2 of 3 <br />