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glp~p.pr~ ~ LOCAL STATE FEDERAL WATER RESOURCE PROJECT NOTIFICATION I APPLICATION FORM - <br />t}sg }his forth to notify/apply to the U.S. Army Corps of Engineers, the Minnesota Department of Natural Resources, and your Luca! Government Unit of a proposed <br />yyatef/YVenartd project or work which may fall within their jurisdiction. These agencies should advise you of their jurlsc~ction or pertnft requifgments within 45 days. <br />Some LGU`s may also require submission of their own appticatlan forms. Rll out. this form conTpletety and mail a copy, with plans, maps, etc. to each of the agencies <br />listed on the reverse of the forth. Keep a copy for your records. YOU MUST OBTAIN ALL REQUIRED AUTNORIZATKNtS BEFORE BEGINNING WORK. <br />AGENCY USE ONLY: LGU NUMBER: MDNR NUMBER: CORPS NUMBER: <br />I. Applicant's Name (last, First, M.1.) Authorized Agent, if any Area. Code, Telephone <br /> C' of Roseville Mr. Mark Lobertneier, P.E. 612 490-2028 <br /> <br /> Address (Street., RFD, Box Number, City, State, Zip Code) <br /> 2660 Civic Center Drive, Roseville, MN 55113 <br /> <br />II. Location of ro osed ro~ect attach drawin stwwin how to et to site <br /> COUNTY QUARTER SECTION(s) SECTION(S) No. TOWNSHIP(s) No. RANGE(s} No. Lot Block Subdivision <br /> Ramse NW'/. of NE'k 11 29N 23W <br /> FIRE No., BOX No., OR PROJECT ADDRESS NAME OF WATERBODY AFFECTED and NUMBER (IF KNOWN) <br /> Protected Water #208W <br />Ill. ESTIMATED PROJECT COST: 566,000 LENGTH OF SHORE AFFECTED (in feet): <br />IV. VOLUME OF FILL OR EXCAVATION (Cubic Yards): (NOTE: You may substitute dimensions) <br /> AREA FILLED OR EXCAVATED IS 1.3 Acxes, OR 10,500-excavation uare Feet <br />V. TYPE OF WORK AND AREA (CHECK ALL THAT APPLY): ^ ACCESS PATH O BRIDGE O CULVERT ^ DAM <br /> ^ CONSTRUCT ^ DRAIN EXCAVATE ^ OocK ^ RIPRAP O SANDeLANICET <br /> D FILL ^ REMOVE ^ REPAIR <br /> ^ LAKE ^ SHORELINE O WATERWAY WETLAND <br /> OTHER (DESCRIBED): <br /> WETLAND TYPES} AND ACREAGES) PROPOSED TO BE FILLED/DRAINED: None <br /> Attach applicable drawings, plans, and ASCS crop photos. include a description of any proposed compensatory mitigation. Important: Identify anv <br /> disposal and borrow areas. Describe the work below: how it would be done; what equipment would be used. <br /> Project involves excavating NURP Ponds within existing wetland. All excavated material will be disposed of off-site. A backhoe will be used. Winter <br /> construction is antici ated. <br />VI. PROJECT PURPOSE (why is this project needed-what benefits will it provide?): <br /> The project was recommended as the highest cost/benefit ratio 8MP for improving water quality in Lake Owasso. The pond system is designed to remove <br /> 70 K of hos horns r ear. <br />VII. ALTERNATIVES (describe any other sites or methods that could be used to achieve the purpose of your project while avoiding or minimizing wetland/waier <br /> impacts: Attach additional sheets, if needed). <br /> The only other feasible option for achieving 70 Kg removal target was raising the normal water level in the ditched-wetland. However, adjacent properties <br /> are too low to tolerate a change in the permanent pool of the wetland. <br />VIII. OA'fES: Proposed start of actively: Proposed completion: <br /> February 15, 1995 March 15, 1995 <br /> Identi an corn leted work on an attached drawin <br />IX ADJOINING PROPERTY OWNERS (Attach listrf more than two} <br />_ Name Address- City State Zip <br /> City of Roseville Parks Department The entire project lies within City park. No changes to the wetland abutting private properties is <br /> <br /> antici ted. <br /> <br />X. PERMITS have been received (enter an f, or already applied for (enter an ~ from: A DNR A ARMY CORPS OF ENGINEERS CouNTv <br /> A TowN/CITY WATERSHED DISTRICT A MN POLLUT70N CONTROL AGENCY <br /> Has an archaeolo teal surve of the r 'ect site been done? No If so, b whom: <br />I hereby notify the recipients of this form of the project proposed herein and request that I be advised of any permits or other determinations concerning this <br />project that i must obtain. I understand that proceeding with work before all required authorizations are obtained may subject me to Federal, State, and/or local <br />administrative, civil and/or criminal penalties. ~ / ~J <br />.(YJ ` DATE: [ Z ~ ~o <br />Signature of erson Proposing Project or Agent <br />«< PLEASE CAREFULLY READ AND COMPLETE BACK OF FORM »> <br />