Laserfiche WebLink
(, <br />~ er ~' ' ~ A ~1~ ® etr a ' <br />star A r °a ° e e 't ®' ut a '® F® <br />r Te r a~° a ate ° <br />N®TE: T Pe °t ® Y applies ~ the f®I~® g C® Vices: ®a, C ex, I9®ta, <br />e epm, ey, S~$t Hl <br />General Permit 2000-6117 requires that the Department be notified five days before the start of any <br />temporary water appropriations covered by that permit. Please fill in the items listed below and fax this <br />form to the Area Hydrologist at 651-772-7977. The form can be mailed to DNR ~Taters, 1200 ~Tarner <br />Road, St. Paul, NIN 55106. You can also call the Area Hydrologist (651-772-7910) and provide the <br />information requested on this form. <br />Applicant Name: <br />Contact Person: <br />Address: <br />City/State/Zip Code: <br />Telephone: <br />FAX: <br />one ~~t esc~pti®n <br />Name (of basin, flooded azea, or pond): DNR ID # (If applicable) <br />Describe purpose of proj <br />Current Basin and Receiving Basin jNater Surface Elevations: <br />Basin OHBV elevation (if lrnown) or Proposed Elevation of water at end of project: <br />(®ver Please) <br />