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-ADDENDUM- Notice to Applicants for DNR Permit to Change The Course, Current or Cross Section of Public Waters or Public Waters Wetlands \. The Department of Natural Resources (DNR) and the Pollution Control Agency (PCA) are woMting together to avoid duplica- tion in state agency permit review of proposed a(.1ivities affecting public waters or public waters wetlands in Minnesota. The attached form was prepared by the DNR and the PCA to minimize your work in contacting state agencies for project approval. Please complete this form by placing an "X" in the appropriate box or boxes. If your project does not involve any of the actions listed on this form, place an "X" in the box after. item 9. . If your project will involve any of the actions listed for boxes 1 through 8. a copy of your DNR public waters work permit application will be forwarded to the PCA for their review. If a separate PCA permit or approval is required. you will be so notified by the PCA. Place an "X" in the appropriate box(es): o 1. The project will involve the deposition of asphalt. concrete, cut vegetation or other solid waste as fill material. o 2. The projed will involve excavation of materials from public waters or public waters wetlands through the use of any device which removes Materials by pumping or suction action (i.e. hydraulic dredging). o 3. The projed will involve excavation of more than 1.000 cubic yards of material from the beds .of the following waters: D Lake Pepin of the Mississippi River (River Miles 763 to 787 USCE charts). o Pool #2 in the Mississippi River from Lock & Dam #1 (the Ford Dam) to Lock & Dam #2 (Hastings-River Miles ns to 814 USCE charts). o Minnesota River from Savage to its mouth at the Mississippi River (Mile 644 USCE River chart). D Duluth Superior Harbor and. the 51. Louis Bay area of the S1. Louis River extending to Spirit Lake. D The Fairmont chain of lakes including Budd. Siseton, Hall and Amber Lakes in Martin County. D Albert Lea Lake. Freeborn County. D Warroad River Upper Harbor Area extending from the mouth of the Warroad River to CSAH No. 11. D Red River of the North from Wahpeton to the Canadian Border. . o 4. The projed will involve excavation and/or fill in protected waters for construdion of utility lines carrying any materials except treated water in a liquid or semi-solid state. including but not limited to petroleum or petroleum products, chemicals. sewage or cool slurries. o 5. The project will involve construction of docks, piers or wharves which will involve new fuel handling facilities. o 6. The project will involve new construction. reconstruction or rePair of structures tor generation of hydroelectric power. o 7. The project will involve construction of new ancillary facilities for sanitary sewers, boat pumpouts. on-site waste. D 8. The project will involve the on-site disposal by burning of vegetation to be removed during project construction. l' 9. The project will not involve any of the above. Applicant Name (type or print) Midland Hills Country Club Applicant Address 2001 Fulham Street St. Paul, IvlN 55113 This information is available in an alternate format upon request For additional information and assistance. please contact the appropriate Regional Office or DNR Waters in St. Paul Region 1 2115 Blrchmont Beach Road N.E. Region 4 261 Highway 15 South BemidJI. MN 56601 New Ulm. MN 56073-8915 (218) 755-3973 (507) 359-6053 Region 2 1201 East Highway 2 Region 5 2300 Sll\l81' Creek Rd. N.E. Grand Rapids, MN 55744 Rochester, MN 55906 (218) 327-4416 (507) 285-7421 Region 3 1601 Mnnesota Drive Region 8 1200 Warner Road Brainerd. MN 56401 St. Paul. MN 55106 (218) 828-2605 (651) 772-7910 Central 500 Lafayette Rd. otftce Sl Paul, MN 55155-4032 (651) 296-4800 @'I994 State of Minnesota, Department of Natural Resources 4