(12) 1:St 2.~~ C'.~:.~pplJCai, SC2i_ , u"r~l federal I~~:,~r:ritJ <. „`~i c. "1`~CO~'a?S r~~7llllc; ~ for t:;.. 2Cil`Jliy.
<br />r-c1 t .,~.JLL' T _~T~Q~'!iSi_f'w C^/, U.1 !~1 C~~.; ,n, 5 ~,-L LCr~ i',.~>~.s
<br />--'~'SL~ - --
<br />(13) rats.:h cth~r necessary in~orm~tion.
<br />PfO~'id~ L`1;; f0i1;~1~;li:g 1nFofIlla~tOR 0i CGS ~'c;L>><r C~rnt,il; ~~v'~t~~ri~"~ Sll!e:
<br />T''i': rerlacerrent be accorr._~~lished ti'ia x'etlar~ bar,C-ing _ }~'S ~/ 1Y'0
<br />~f Y%•S u; ay corr.~,lete ite;ra 2, 3 and S)
<br />(1) Tim~tahle: protect Svill begin on ~ / 7 / 9 7('~to,'Dav/'Y'r) and be completed
<br />(?.) size ~, 3a _ acres and type _ lr z Circular 39, 55 F~jNWI of w~c1~d that
<br />will result from successful completion of the replacementJbanking plan;
<br />(3) ure location of the replacement wetland: _ 2~..-,XV county, 6'L WI~'~O w2tersh~i
<br />(name) anal public land survey and/or UTh: coordinates of approximate v-'etland center:
<br />( ~) a revert aerial ptlotograplr or accurate map of L`re replacement site is attached?
<br />(5) a soils rnap of Lhe replacement site is attached? / .Yes No (~~ch ~~
<br />(6) the size surface water drainage into the rep'acement wetland is __ acres.
<br />(7) a.) tlra locations of any surface draining into or out of ilre wetlands are noted?
<br />/ Yes No,
<br />b.) is the repl•3celner.t wetland is within tle fIoodi:lain of a watercourse?
<br />Yes ~_ No; if Yes, Liz distaa;.~ and direction to the
<br />datercourse is fe;a ir_ a _. direction.
<br />(8) ,l~~s evid~nc~ of otivn;;.s`:ip or rights to t~a replacement site by tl:e applica.-:t(s) been
<br />dernorstra.ted? / Yes No.
<br />(9) a~~acl: scale draw;ngs sh:,:ving plan and pro9le vie';ys of the replacement wetland an:.' fi.ti~i
<br />photo-: eference points for monitoring purposes. ~~ 7TH ch
<br />(l~) d~$critre hew the replaC2r'.'lent 5.'eLanil Siall be con~irlicied, for en£~T'.i;,le, eXCa`;at10n Or
<br />restoration by blocking r.n existing tile; Lie type, size,, 2nd speci.`'icatio:rs o: outlet structures;
<br />elevations, relative to i~l°an Sea Level or estabi isced bench mark, of key feabsr s, for
<br />exa:r!ple, sill, elnergerc,; overflow, and stn:ctrrr e:;:ight; anti best management practice, that ~
<br />will be irrpiPmented to prevent erosion or site c~~gradation;~/e~~~ ~i.~,» c~~•i/ be G{x
<br />~, ~7 , .
<br />C s?• Cuii'lr~./ /~~'~~.~ ~ ov:clrrt b ~XCGVd!/cc't ty-~ /i1~'Te'i."n l/
<br />,<.r.' c.i'L
<br />(11) for created wetlands only, list addluon~' sots i•:_fornlation seficient to
<br />determine the capability of fire site to produce and maintain w~.Lnd characteristics
<br />C 14 y ~i'n i a- ~~/~ s 'T //. ~',~ n rc ~'ss~it/
<br />(12) ~Ias a mo-;itorir,g plan ham; been developed and attacll~d? __ i'es / No
<br />(13) attach otl: ~r necessary ir:`ormatior..
<br />(1~'~) Swo:~r Statements:
<br />~` (A~~li.a_t~ s .~s by ~.gnaure b~,~o`,v that:
<br />(i) tre rep lccement v,2tland ~=; as not pre;•i~usly restored or created under a prior
<br />approved replace,_:cnt pl~ur; AND,
<br />
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