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L.CC:.L - JT.`- T c - r~°_DER.;L 1;`/.~-ER RcS :URCc YRCJEi.T i'~~CT!r1r%.TICN ,^,aPPLiCA'iCiJ t'CRF.1 <br />. .;i .il_ _ .., <br />Use this `orm ro nohF/!apply ro the U.S. Army Corps of Engineers, :..e P,linneso[a Department of `laturai Resources, and your Local Gov°nnr-•enr Un:t <br />,f a ,pn;oosad niater'~:~~rland orolect or ~+vorl< ~nihroh may fall ow thin ,heir junsdicNon. These agen=.ies should advise you of their junsdiction or cermir <br />r~qu:r~m~;r,ts vrlth:n ~~ days. Snme LGU's may also reruire submasron of their awn applicacon `arms. Pill out [his form completely and mail a copy. <br />rr:th plans, maps, etc. to earh of the agenaes listed on the reverse of the form. Keep a copy fcr your rer-ords. YOU MUST OBTAIN ALL RE^.UIREp <br />A'JTHORIZA T IONS eE=CAE BEGINNING `~'JGRK. <br />AGE`IC'! USE OPiLY. LGU NUMBER: <br />MDNR NUMBER: ~/ ~C~/ CORPS NUMBER: <br />A;;cil~:.rr.t s .•"L~m~ 'Last, First, :41.1.1 AuthonzeC %.gent, ~F env Area Code, Teleor,ene <br />u,t n~tR_~;~ho,-;A~ Gerald J. Johnson - Project Coordinator 16121772-7955 <br />I ,,,:cr:oo iStr ,RFC. B~~x Numoer, C.ry. State, Z:o CoCel i <br />1200 Warner Road, St. Paul, MN 55106 ~ <br />,:. ~, ;,:::Ors ~.~ ')~~:C~,s~~] .^, n;~9CC lat'a4h 'rd~p/Inr] sh0 :wing ..^.O~+v i0 'y'ei is Srt?1 <br />~~-r ~.. F, o.a <br /> COi_'y`r QUA.RTE.R ~ECTION(sl SECTICNSisi .Va. TCL'JI`JSHIP;sI ?10. RA':CE`.si No. Lot. Blocs, SubCrns:or <br /> Ramsev SW1 36 T30N R23W <br /> F;r,E ..,.. BO;< `IO., OR PRG..E_. aCCRESS NA?,1~ CF ~'JATERBCCY AFP_CTE~ arc ,• E3 !IF ;<?JOWN) i <br /> Lake Owasso (62-56) <br />I!I!. E~'i?,1ATED PRO..cCT COST. S 15,00 ~=`JGTii OF SHORE AFF?=T=., in ~-eti: 10 <br />iV. VOL'JP,1E CF FILL CR E;<CA'•/ATICN (Cubic Yards(: 30 IrVO~c: You maysucsrrrure dirnen ;cnsi <br /> ,,. Ll, FILLED OR E;<CAVATED IS Acres. OR Square =_,. <br />`J. T`(P°_ CF WORK AI`1C AREA (CHECK ALL Ti-!.\T 9?PLYI: ^ ACC.SS P-7H = ?AtCG'c ^ CUUIER7 _ C=.'.t <br />" <br /> cT <br />^ CONSTRUCT ^ CRAIiV a E:{CAVATE ^ DOCK ~ i1 iPRAP ^ SANDBLANK <br /> ^ FiLL ^ REMOVE ^ REPAIR <br /> ^ LAKE g'i SHORELINE ^ WATERWAY ^ WETLAND <br /> oTHERtoEscRIBE): Excavate approx. 30 cubic feet of shoreline material to install shore- <br /> based wet well component of permanent buried aeration system. <br /> WETLAND TYPE(SJ AND ACREAGES) PROPOSED TO 3E FILLED/DRAINED: <br /> Attach applicable dra~+wngs, plans, a.^.C A.SCS crop photos. Include a description of any propcsed compensatory mitigation. Important: ICenti`v <br /> env drsonsai and borro~~rareas. Oescnbe the ~.vork below: how it would be dcne; what equipment would be used. Work t0 be <br /> comleted by certified/bonded construction or excaation firm. <br />VI. PROJECT PURPOSE (wmy i5 this project needed--who[ benefits wdl :t provide?J: t~SSUre the survival of muskelluge that <br /> inhabit the lake as it is used a source for pure strain muskellunge eggs. The proposed <br /> aeration system will also provide a winterkill free environment for resident game fish. <br />VII ALTER~~IATiV'cS ldescnbe any other sates or methods that cocld be used to achieve the ourpcse or your project while avoiding or mir.rmrzmg <br /> ~.VGiland:bVB(er Im~p8Ct5. AiiaCh addittOnal sheets, if neededJ. This location is the only alternative in that it is <br /> one of the few pacels in public ownership. Other aeration systems were considered by both <br /> DNR-Fisheries and Ramsey County Hydrologists. The consensus was to propose the system doses' <br /> above. <br />VIII. DATES: Proposed start of activity: Proposed completion: <br /> Fall 1998 Fall 1998 <br /> (Identify any completed work on an attached drawing) <br /> <br />~ IX. ADJOINING PRDPERTY 0`AJNcRS (Attach list if more than [wol <br /> Name Address City State Zip <br /> Ramsev ounty 3377 North Rice Street St Paul i~i1 5516 <br /> <br /> <br />X. PER;VIITS nave been recervetl (enter an Rl or already applied ror (enter an Ai from: _ CNR _ ARn,t'( CORPS OF ENGINEERS _ COUNTY <br /> _ TCwNrCIT'r _ WaT"cRSF+ED DISTRICT _ MN POLLUTION CCN7ROl. AGENCY <br /> '-as an archaeological survey of the project site been done? veS If so, by ~+vhom: SHIPO (approved t0 proceed) ~' <br />..-r _ ,nom <br />I hereby notif•/ the recipients of thes form of the project proposed herein a ?equest j~at I be-advised of any permits or other determinations concerning) <br />this project that 1 must. obtain. I understand that proceeding with work b ni;e all required authorizations are obtained may subject me to Federal, State, <br />and; or local administrative, civl and/or criminal penalties. ~ i~j L ~r~g '-% <br />c~,, -~ <br />c~ t, <br />.. _.,. ~ DATE: <br />.. _ - t' ~ <br />Signature of Person Proposing Project or Agent "'-- ?'y \ "{ "`i " ~ <br />< < < PLEASE CAREFULLY READ ~AND~ COMPLETE BAC'~. F FORM > > > <br />.: -~ ~ ~~ <br />~~ <br />