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A)rPv/ <br />03-07—' 18 08:15 FROM— Lajieplace et reat 218-245-1380 T-053 PO003/0003 F-079 <br />City Authorization: tined c Date Received; 7:1 Permit No; 1(Q z- <br />Lower Rum River Watershed Management Organization <br />("LRRWMO") <br />Andover -Anoka —Goon Rapids —Ramsey <br />2015 First Avenue • Anoka, MN 55303 <br />PERMIT APPLICATION <br />The $100.00 application fee and the $700.00 escrow deposit must accompany this permit application. <br />Applications for projects ittvoiving wetlands and/or involving a Wetland Replacement Piens must include an additional $75 application fee plus an escrow deposit as determined in accordance with Attachment D. <br />1'erniits are to ha processed nt tha saute time as the site plan, preliminary plat or other city land use nr building <br />application submitted to the city In which the work or project is located. <br />Projcr±t Namet Riverside Counseling Center <br />Address/Location: South sine of Highway 10, approx. a 1/2-mile east of Sunfish Lake Blvd. to Anoka <br />Project Description/Purpose Resldenllei/Commercial Redevelopment <br />Dennis Medved, Riverside Counseling Center <br />Nam orAlm/feant (Site Owner or property Owner) <br />1814 South Ferry Street <br />Adr1rtss <br />Anoka, MN 55303 <br />City, State, zip <br />(783) 421-5590 (763) 427-6876 <br />Plume lksa <br />den nis antakeplacecenter.com <br />Eynon <br />Dennis Cornelius Ammon <br />Applicant's Contact Orcanfzation Name <br />5555 Maine Avenue+, Suite250 <br />Address <br />Inver Grove Heights, MN 55076 <br />City, State, Ziu <br />(651) 379.9090 (851) 379.9091 <br />Phone Fax <br />dcom oi@amconcons tructitn#. earn <br />Emil <br />Submittal Renttirementa <br />Complete applications are to be subinittad as per attachments A (Permit Requirements),13 (Office Procedure), <br />C (L R.WMO Permit Standards). Protects involving wetlands and/or involving a Wetland Replacement Plan <br />have special 'smite requirements and require submittal of four copier: (4) and an electronic copy of all wetland - <br />related submittal materiaJ6, <br />PROJECT SUBMITTALS (check all that apply): <br />ElGRADING ?LAIsli Including existing and proposed contours and boundaries of all weticpds and surface watern. <br />tJ STORM SEWER/ DRAINAGE PLAN: Inctuding ell permanent drriiar+ge features and all permanent water quality <br />features. <br />Q STORM DRAINAGE CALCULATIONS: Design computations as required by Rho LRILWMG (see Attachment Q. <br />EkGRIQN CONTROL PLAN: Including all temporary mensurss proposed to retain ail sediment on site. <br />M1TIGA.TION PLAN*TWETLANA DETERMINATION; Quality level of mitigated watland(s) shalt Is determined <br />by the LRRWMO. <br />LI REQUEST FOR EX.EMPTION UN DER TUE WETLAN» CONSERVATION ACT (WCA) <br />OMER <br />*NOTE: Pont copies of permit subwiltals are required f or projects involving wee'iand replacerneal plans. <br />Comprehensive Watershed Management plan <br />Lower Rum River Watershed Management Organization <br />October 2011 <br />