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-ADDENDUM- Notice to Applicants for DNR Permit to Change The Course, Current or Cross-Section of Protected Waters The Department of Natural Resources (DNR) and the Pollution Control Agency (PCA) are working together is cvoid duplica- tion In state agency permit review of proposed activities affecting protected waters in Minnesota. The ettoched tore. was prepared by the DNR and the PCA to minimize your work in contacting state agencies for project cpprovei. Please complete this form by placing an 'X' in the appropriate box or boxes. If your project does noY involve cny 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 permit applicatior, volt be forwarded to the PCA for Their review. If a sepcrote PCA permit or approvoi is required. you will be sc notified by the ?CA. Place an 'X' In the appropriate box(es): .~ 1..The project will involve the deposition of aspholt, concrete, cut vegetation or other solid waste as fill mererial. 2. The project will involve excavation of moterials hom protected waters through the use of any device which removes materials by pumping or suction action fie. hydraulic dredging). 3. The project will involve excovation of more than 1.000 cubic ycrds of material from the beds of the follo:~nng waters: ^ Lake Pepin of the Mississippi River (River Miles 763 to 787 USCE charts}. ^ Pool #21n The Mississippi River from Lock & Dam ~ 1 (the ford Dam) to Lock & Dcm m2 (Hastings -River N::es 7?8 to 814 USCE chorts). ^ Minnesota River from Savage to its mouth at the Mississippi River (Mile 844 USCE River chori.) ^ Dulutf7 Super.or Harbor and the SL Louis Bay area of the 5i. Louis River extending to Spirit Lake. ^ The Fcirmont chain of Jokes inducing Budd. Siseton. Halt and Amber Lokes in Martin County. ^ Albert Leo Lake, Freeborn County. ^ Wo«ood River Upoer Harbor Area extending from the mouth of the bVarroad River to CSAH No. 11. ^ Red River of the North from Viahpetcn to the Cenadion border. 4. The project will involve 2xcavetior. end/or fill in protected waters for construction of uti6y !toes coryina any materiels except trected wcter i.~~ a !iq~~d Cr semi-solid stele, ?ncarding but not limited to pe; aieum or petroleum products. chemicals, sewage cr coci s,u:res. 5. The protect will involve construction of docks, piers or wharves which will involve ne:v fuN handling taciii:ies. 6. The project will invcive nrw ccnstruc'ion, rer orstructi:.n or rope!; of strictures for generation of hydroelectric powr;:. ?. The eroject will invoP.e construction of nevi ancifkary fcciisties for senitory sewer;, baat pumpours. on-s'e waste treattnellt cr holding tanks. 8. The prdjecr ~.vill irn~ol•re the en si ~ disoacl h~~ burning of vegetction to be remwpd during project ccnsruction. 9. The project will net inva'~.'e ern; of `re aoae-~. Applicant Name (type or print) Appii~ nt Signeture Applicant Address ~I S VA~1 D`~~~ ~i ~ ( MAPLE\~cOD ~ MN 55121y For additional information and assistance, contact the appropriate Reeional Oflice or the Division of Waters in St. Paul. Reglan 1 2115 Birchmonl Beach Road N.E. Region 4 Box 756, Highway t S South Bemidji, MN 56fi01 New Ulm, MN 56073 (218)755-3973 (507)359-6053 peglon 2 1201 East Highway 2 Grand Rapids, MN 557a4 (218) 327-4d 16 Region? 7601 Minnesota Drive 6rainerd, MN 56001 (218)828-2605 Region S 2300 Silver Creek Rd. N.E. Rochester, MN 55903 (507) 265.7430 Region 6 1200 Warner Road SI. Paul, MN 55106 (6121772-7910 Central 500 Lalayet;e Road lA aHice SI. Paul, MN 55155-d 032 Printed on Recycled Poper (612) 296 4800 ® Contains l0%postconsLimsrwaste nformation is available in an alternative format upon request. ©1994 State of Minnesota, Department o1 Natural Resources