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*1 *NWi Kar-bidNi Ito I 8� gt*Pr V% 610 <br />-Ine <br />alohone Nol <br />01 (6 <br />I AF I" 14%1&%- 9;Zd4C 4eW9M2&da=MI=:=Z <br />(Aff an -A t " rA n, f rhafto r I Nn f <br />g o r E nlwe <br />s r Ti %iOlLeZE! <br />OIV12e' <br />OLdUILIZZL <br />lull <br />Purpose <br />of Project: <br />Re d,uce <br />erosion <br />of alp <br />pel.s., <br />Location <br />of Pro Ject-Address*,, <br />MO Snellknq <br />Avenue <br />North, <br />St. Paul <br />MN 55113 <br />llunic,ipality' <br />or <br />Townshipn <br />RosevilleLkjiza.111116 <br />NE I/ 4 <br />ol f NE 3/4, <br />of Section <br />4 � <br />Townab <br />i <br />Range <br />23 <br />Call 483-0634 <br />if <br />assistance <br />in, <br />completing <br />this <br />form <br />is required. <br />Please <br />itttach <br />drawings, <br />plans <br />and other <br />data <br />as out, <br />lined <br />in <br />"Rice Creek <br />Watershed <br />District <br />Permit <br />Information <br />Brochure <br />available <br />upon <br />request, <br />Mail <br />or <br />5el. ,i'ver <br />this form <br />along <br />with <br />a $60 <br />fee ($101 <br />administrative <br />fee <br />S50 <br />and <br />for <br />'address <br />two inspections) <br />and two, <br />sets <br />of appropriate <br />exh3olbits <br />to <br />the <br />above <br />. <br />Enginele,rinig <br />review <br />fees <br />vi'll <br />be billed <br />final <br />actim. <br />41 <br />A field <br />01 <br />inspection <br />fee <br />on this <br />* er <br />, pmill <br />t sha <br />, b c <br />e <br />harged <br />to cov <br />er at <br />l <br />c ua cosl <br />related <br />to a, field <br />inspection <br />including <br />the <br />investigation <br />of <br />the area <br />affected <br />by the <br />proposed, activity, <br />analysis <br />of' the <br />proposed <br />activity, <br />services <br />of a cloinsultaint <br />and <br />in addit,ion, <br />a <br />fee will <br />be charged <br />for <br />any <br />equireld <br />r i <br />subsequent <br />monitoring <br />of the, <br />proposed <br />activity." <br />M*S*Aa <br />112oBBo <br />'3ubd,,. <br />20 lying ,n,g <br />for <br />this permit <br />to RCWD <br />does not <br />preclude <br />your <br />applying <br />I <br />.,or any <br />agencies <br />necessary <br />permits <br />that <br />may <br />be required <br />from <br />other governmental <br />ALR-TR <br />Revised <br />1/1/9 <br />