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i <br />LowerRum River Watershed'M anaOrganization <br />A4LRRW " <br />Andove r—AnokaRamsey <br />2015 First. Ave n ue m R An oka, M N 5530 3f <br />PERMIT APPLICATION <br />T100: application fee and the $700.00 escrow deposit must accompany this permit application. <br />Applications for projects Juvolving r edands and/or involving a Wetland l oplacement Plans must hiclude an r <br />t <br />additional $75 appklcation fee plus an escrow deposit as d tei inod in acccrdanoe with LRRWMO <br />A.tt cluneni C. <br />Pem&s are to be processed at the same time as the site plan, pxelhiraary plat or other city land use or building <br />application submitted to the city in which the works or projeot is located. <br />The p rirnit and supporting documentation mast bo submitted to the LRRWMO by the THMTHURSDA <br />'OF THE MOM T -BE ON T19E )FOLLOWING PXGULARLY SCHEDULEDMONTHLY LRRWl O <br />AMTIKG AGMDA.. A PERMIT NUMBER WILL NOT BE ASSIGNED AIL Cam' AUTHOIUZATION <br />IS RECEIVED, <br />Frojwt Name: e-S a <br />Address/Locatiom6�y- <br />Project Bescirl io �t nl�'iacirposc: <br />.. . <br />T <br />Complete applications arc to be submitted as per LRRVMO attaohtnents A Permit Requirements), B ( f cio <br />Procedure), C (Fees, Doposit, and Sureties for Welland Conservation Act). Projects iuvolving wetlands andlcr <br />involving a Wetland Replacement plan have special notice requir eats and require su mittal of four cop41 <br />ies' <br />(4) and an electronic Copy of all wcHand-related submittal matoi.Jal� <br />PROZ CT S VBMffTALS(check all that apply)., <br />13-GRADINGFLAN: Including oxi tin atd proPosddd contours -6nd l undar'ies of all wetlands and surface waters. <br />TOPM SEw W UI fNA E PLAN; Jo9luding all. pemiancat drainage Teaturei and all perm2nent water quality <br />fea hire . <br />T RM DRAINAGE CALCULATIONS: Design computations as required by tho LRRWMO. <br />EROSION CONTROL PLAM Including all temporary measures proposed to rota�i all sediment on site. <br />MITIGATION -PLAN*/WETLAND DE, TERMINAT'II ; Quality level of miti8ated wetlands shall be detennined <br />-,by the LRRW11 O, <br />nwic, sr FOR ME M-PTION UNDE, TWe, WETLAND CONSERVATION ACT (W A) <br />1 3 <br />`r)"R <br />*NOM re copfes ofpermll siobviittal are rear iredfurp,0j'O'ett involving elfond replacem ent plans. <br />npr�l�e��9v�-���t�irsh�d- l�Jt�riag�nr��inf RI�>� <br />LgV6f' 1Aira RIver'Wk40�0)it.d Management Orgarill tion <br />