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City Authorization: ,!% r''( Date Received:/�/7/ Permit No: /� / <br />Lower Rum River <br />atershed Management Organization <br />("LRRWMO") <br />Andover —Anoka —Coon 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 involving wetlands and/or involving a Wetland Replacement Plans must include an <br />additional $75 application fee plus an escrow deposit as determined in accordance with Attachment D. <br />Permits are to be processed at the same time as the site plan, preliminary plat or other city land use or building <br />application submitted to the city in which the work or project is located. <br />Project Name: Pearson Property <br />Address/Location: S9 T32N R25W Ramsey, MN <br />Project Description/Purpose: Wetland Delineation Review <br />Stephen Bona Melissa Barrett Kjolhaug Env. Serv. <br />Name of Applicant (Site Owner or Property Owner) Applicant's Contact Organization Name <br />14015 Sunfish Lake Blvd NW 26105 Wild Rose Lane <br />Address Address <br />Ramsey, MN 55303 Shorewood, MN, 55331 <br />City, State, Zip City, State, Zip <br />(651) 271-4951 (952) 401-8757 <br />Phone Fax Phone Fax <br />Stephen.bona@gmail.com Melissa@kjolhaugenv.com <br />Email Email <br />Submittal Requirements <br />Complete applications are to be submitted as per attachments A (Permit Requirements), B (Office Procedure), <br />C (LRRWMO Permit Standards). Projects involving wetlands and/or involving a Wetland Replacement Plan <br />have special notice requirements and require submittal of four copies (4) and an electronic copy of all wetland - <br />related submittal materials. <br />PROJECT SUBMITTALS (check all that apply): <br />nGRADING PLAN: Including existing and proposed contours and boundaries of all wetlands and surface waters. <br />ElSTORM SEWER/ DRAINAGE PLAN: Including all permanent drainage features and all permanent water quality <br />features. <br />n STORM DRAINAGE CALCULATIONS: Design computations as required by the LRRWMO (see attachment C). <br />ElEROSION CONTROL PLAN: Including all temporary measures proposed to retain all sediment on site. <br />n MITIGATION PLAN*/WETLAND DETERMINATION: Quality level of mitigated wetland(s) shall be determined <br />by the LRRWMO. <br />REQUEST FOR EXEMPTION UNDER THE WETLAND CONSERVATION ACT (WCA) <br />n OTHER <br />*NOTE: Four copies of permit submittals are required for projects involving wetland replacement plans. <br />Comprehensive Watershed Management Plan <br />Lower Rum River Watershed Management Organization <br />October 2011 <br />B-2 <br />