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n I <br />�� ��� Lt ���„��-c�-� �z <br />� �l� �7ID `� <br />Version 2/49 — cditorial corrections May, 05 <br />ENVYRONIV�NTAL 1���ES�MENT VV ORKSHEET <br />Noie to preparers: T3�is for� a�d ��W Guidelincs are ava�lable at E�ttp://wmv.eQb.statc.mu.us. The <br />Environmentaf Assessment Worlcshcct provides information aUou# a project that may have the potentiai for <br />significant environmenta] effects. The EAW is �repared by the Responsib[e Governmental Unit or its <br />agents to determine whether an Environmental Impact Staten-►ent should be prepared. The project proposer <br />must supply ai�y reasonably accessibie data for — but should not com�lete — the final worksheet. Ff a <br />complcte answer does not fit ia� the space allotted, attach additionai sheets as necessary. The complctc <br />question as well as the answer m�st Ue uicluded if the EAW is prepared electronically_ <br />Note to reviewers: Comments must Ue s�bmitted to the RGU durin� the 30-day coinment period following <br />notice af the EAW in the LQB Monitor. Comments should address the accuracy and completeness of <br />information, potential impacts that wa�•rant further investigation and the need for an EIS. <br />1. �roject title <br />Proposer Cent Venfures <br />Contact person John Livingston <br />Title Partner <br />Address I660 Highway 100 S, 5uite 5�0 <br />City, state, ZIP St_ Louis Park, MN 55416 <br />Pl�one (612) 272-1246 <br />Fax (612)395-5530 <br />B-m ail livin gston@cognoscente. biz <br />4_ Reason for EAW preparaiion (check one) <br />EIS scopiug Mandatory BAVJ Cifizen pe#ition <br />X Proposer volunteered <br />RGU <br />Cantact perso37 <br />Title <br />Address <br />City, state, ZIP <br />Phone <br />Fax <br />�-mail <br />RGU discretion <br />If EAW or EIS is mandatory give EQ13 xule category subpart number NA and subpart name <br />5. Project location County Ramsey City/"I'ownship Rosevilfe <br />� �/, '/4 Section `Fownship Range <br />Legal Descripiion: � <br />Lots Four(�l), 1'ive (5), Sixteen (1 b) and Seve�zteert (17J. Block B, Tia�in �iew al! according to tlze plat <br />thereof on file and of recot'd in tl�e office of the Register of Deeds irr and for Ranuey Courrty, Minnesola, <br />subject to easernents of record (Tax parcel #) 04-029-23-33-0002 <br />Ai#ach each of the following #o #he EAW: <br />• County map showing the general location of thc projcct; Previously provided Ciry staff. <br />• U.S. Geological Survey 7.5 minute, 1:24,000 scalc map indicating project boundaries <br />(photocopy acceptable);1'reviously proi�ided City staff. <br />• Sitc plan showing all sig�vficant project and natural feat�res_ Previously submitted to Ciry staff. <br />6. Description <br />a. Provide a project summary of 50 words or Iess to be publisl�ed in the EQB Moniror. <br />Develop a 120 extended .stay hotel and a 5, OOQ square foot higlz c�uality - eat ia� restaurant on a site <br />used for empty t��ailep storage. The developrrtent ia�ill result irr a reduction of the impervious su�face. <br />b_ Give a complete description of the proposed project and related new consiruction_ Attach additional <br />sheets as ncccssary. Emphasize const�ruction, operation metl�ods and features that will cause physical <br />manipuJation of the environment or wi11 produce wastes. Include modifications to existing equipment or <br />iridusiziaJ processes and significant demolition, recnoval or re�nodeling of existing sirucYures. Indicate <br />the ti�ning and duration of construction activities. <br />