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1 <br />� <br />' <br />1 <br />' <br />' <br />' <br />; ;�, • <br />�, -, <br />, -- ',� <br />_ - �,, <br />','• `-- , _ - - <br />�� ���-,.Aquatic EcoSolutions, Inc. <br />�- Ecological Solutions to Environmental Challenges <br />Lakes • Slzeams • Riparian • Wetlands • Watersheds <br />�i4TA Ft)R`M <br />ROU'i[N� 1i1tETl.AhiQ DETERMIi�iATl4i�i <br />(19$i COE1111etlar�tis Defin�atinrt Manuall <br />}�roj�ec�iSite: �'-Z7 O t�a...s s a ` �- <br />ApplicantlOwrter: T � � S� � `.t ��. , <br />'investigator: • [�a. S /�:•r�"'a� <br />r <br />, : <br />Da Normal Circutnstances exist on the si#e? - <br />Is.the site significat�#Iy disturk�ed:{A#ypical �ituaiior�j? <br />ls _tt�� area a poten#ial Pr+�bfem Area (explain on back)7 <br />IICf!�'Tk7'tAi� � . . . ' � ' <br />tlfs t�r <br />_���p�,�— <br />-----�....M., , <br />l'es No <br />Yes No � <br />Yes Nt� <br />Qate: <br />:Caaniy. � <br />St�iE�: <br />Commuflity t0: <br />Tcans°ect 1D:. <br />Ptot 1€3: <br />P.O. Box 270430 <br />Golden Valley, MN 55427 <br />Telephone: (763) 545-0912 <br />2ti <br />� <br />Dominant Plant Sper.ies (Scienfitic Name) Common Name Stratum = °� Cover <br />1 • �}j.t.: G� ,,,,,.,- n :T � .� �� i�P�,-� t/� (� �� —'� $c � <br />•--- <br />2. � �t ca .�.� � V y � ,. <br />i"l �/�r �c�.,f �o.r 12' 2,c� <br />3. <br />4. , , —..,� <br />5. <br />6. ' . <br />7. <br />. <br />8: , ; <br />9. � <br />1t3. <br />11':. <br />12: <br />-�` <br />Percent of Dorriinant Species that are �SL, FACW or FAC (excluding FAC-). ���• <br />Rerriarks: <br />ri�C7LCJGY <br />Fiecorded Data (Descnbe in Remar� <br />� Stream; Lake, ur Tde Ga�ge <br />�ieriai F?hbtQgraphs <br />� C3tfieir <br />No Recorded Data i4vailabie <br />Field �bservaiions: <br />Depih..ta Sur€ace Water . �_ (n.} <br />t�ep� ta Free Vliater in i?it; �_ ,(�n,) <br />Depth to Saiurated Soil: )C, (in.j <br />Remarks: <br />as a pe�centage: 6 = <br />Wettand Hydrology"Indi�flrs: <br />Primary tndieators; <br />� tnu�adated <br />� Sattrrat�d irt Upper 12" <br />' 1t�ater Marks <br />� Drift i.in�s. <br />� S�iment Deposits <br />_ f3rainage Patfems in We!lands <br />5= 75•9S°fo; 4= 5Q-75a/o; 3= 25-50°Io; 2= <br />� <br />0 <br />Secondary ir�dicators{2 or ts�ore required}: <br />Oxi�aed R�ot Channeis (Elpper 92"� <br />VWafer-Stain�d LeaVes <br />Lncat Survey Data <br />FAC-i�euf�ai ie$t <br />Oiher (F�cplain in Ftemarks) <br />� <br />215Ui-30%o�weC <br />