2005-01-27_AgendaPacket - Laserfiche WebLink

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G .I ]! 8. ADDITIONAL INFORMATION REQUIRED FOR PROJECT-SPECIFIC REPLACEMENT (Required only if you marked Box B or Box C in Section 14): For projects involving at least some project-specific replacement; include the following. additional information: ® Two drawings to state of the replacement wetland. Include both overhead. view and profile (side view or cross-sectional view). See What to Include on Plans (Instmctions, Page 3) for a detailed description of what should be included in these drawings. Without drawings, your application will be considered incomplete. ® For created replacement wetlands, include additional soils information (if available) that indicates [he capability of the site to produce and maintain wetland characteristics. Note is For replacement wetlands located on pipeline easements, you need to receive endorsement of your project from both the easement holder and the Minnesota Department of Public Safety's Office of Pipeline Safety. Before start of construction, the owner of any utilities must be notified. The Iandowner or contractor is responsible for giving this notice by calling "Gopher State One-Call" at 652-454-0002 (Twin Cities Metro Area) or 1-500-252-1166 (a11 other locations). Note 2: For extensive or complex projects supplementary information may be requested at a later dated from one or more of the responding agencies. Such information may include (but not be limited to) the following: topographic map, water table map, soil borings, depth soundings, aerial photographs, environmental assessment and/or engineering reports. 19. SIGNED AFFIRMATION: FOR PROJECTS INVOLVING REPLACEMENT BY WETLAND BANKING ONLY. To the best of my knowledge and belief, all information in Part II is true, complete and accurate; and I affirm that the wetland losses will be replaced via withdrawal from an account in the State Wetland Bank. FOR PROJECTS INVOLVING ETTHERPRQJECT-SPECIFIC REPLACEMENT ONLY OR A COMBINATION OF WETLAND BANKING AND PROJECT-SPECIFIC REPLACEMENT: Part A: The replacement wetland. I affirm that the replacement wetland was not: Previously restored or created under a prior approved replacement plan or permit; AND Drained or filled under an exemption during the previous 10 years; AND Restored with financial assistance from public conservation programs; AND Restored using private funds, other than landowner funds, unless the funds are paid back with interest to the individual or organization that funded the restoration; and the individual or organization notifies the local government unit in writing that the restored wetland may be considered for replacement. Part B: Additional assurances (check a21 that apply): ® The wetland will be replaced before or concurrent with the actual draining or filling of a wetland. ^ An irrevocable bank letter of credit, performance bond, or other acceptable security has been provided to guaratitee successful completion of the wetland replacement. ^ The wetland losses will be replaced via withdrawal from an account inthe State Wetland Bank. Part C. For projects involving any project-specific replacement: Within 30 days of either receiving approval of this application or beginning work on the project, I will record the Declazation of Restrictions and Covenants on the deed for the property on which the replacement wetland(s) will be located; and I will at the same time submit proof of such recording to the LGU. To the best of my knowledge and belief, all information in Part 11 is true, complete and accurate; and I affirm all statements in Part A and C, as well as checked assurance(s) in Pa j~. ,~ 'J j ~ ~~~2~~~ ~ ~j`'~/ Signature or applicant or agent Date FOR LGU USE ONLY Replacement plan is (check one): ^ Approved ^Approved with conditions (conditions attached) ^ Denied LG U o, fftcial signature Date . LGU has receive evidence of title and proof of recording of Declaration. of Restrictions and Covenants for Replacement Wetland: County where recorded Date Document # assigned by recorder LG U official signature Dare Minnesota LocaUState/Federal Application Forms for Water/Wetland Projects Page 5