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<br />Revised 2/05 <br /> <br />ENVIRONMENTAL ASSESSMENT WORKSHEET <br /> <br />Note to preparers: This form is available at http://www.eob.state.mn.us. EA W <br />Guidelines are also available at the web site. The Environmental Assessment Worksheet <br />provides information about a project that may have the potential for significant <br />environmental effects. The EA W is prepared by the Responsible Governmental Unit or its <br />agents to determine whether an Environmental Impact Statement should be prepared. The <br />project proposer must supply any reasonably accessible data for - but should not complete <br />- the final worksheet. If a complete answer does not fit in the space allotted, attach <br />additional sheets as necessary. The complete question as well as the answer must be included <br />if the EA W is prepared electronically. <br /> <br />Note to reviewers: Comments must be submitted to the RGU during the 30-day comment <br />period following notice of the EAW in the EQB Monitor. Comments should address the <br />accuracy and completeness of information, potential impacts that warrant further <br />investigation and the need for an EIS. <br /> <br />1. Project title Centerville Downtown Redevelopment <br /> <br />2. Proposer Beard Group <br /> <br />3. RGU City ofCenterville <br /> <br />Contact person: Ron Mehl <br />Title: Development Principal <br />Address: 750 2nd Street NE, Suite 100 <br />City, state, ZIP: Hopkins, MN 55343 <br />Phone: 952-930-0630 <br />Fax: 952-930-0631 <br />E-mail: ronm@beardgroupinc.com <br /> <br />Contact person: Dallas Larson <br />Title: Administrator <br />Address: 1880 Main Street <br />City, state, ZIP: Centerville, MN 55038-9794 <br />Phone: 651-429-3232 <br />Fax: 651-429-8629 <br />E-mail: dlarson@centervillemn.com <br /> <br />4. Reason for EA W preparation (check one) <br /> <br />EIS scoping _ Mandatory EA W --X....... Citizen petition _ RGU discretion <br />Proposer volunteered _ <br /> <br />If EA W or EIS is mandatory give EQB rule category subpart number and subpart name: <br /> <br />The project is a mixed use residential/commercial development project. An EA W is required <br />under 4410.4300, subpart 32 Mixed Residential and Industrial-Commercial Projects. <br /> <br />5. Project location <br /> <br />County Anoka <br />_1;4 NW % Sections 23 <br /> <br />City Centerville Township <br />Township 31N Range 22W <br /> <br />2 <br />