Agenda - Council Work Session - 02/28/2023

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Project Name and/or Number: amsey COR Wetland Analysis PART FOUR: Aquatic Resource Impact' Summary If your proposed project involves a direct or indirect impact to an aquatic resource (wetland, lake, tributary, etc.) identify each impact in the table below. Include all anticipated impacts, including those expected to be temporary. Attach an overhead view map, aerial photo, and/or drawing howing all of the aquatic resou roes i n the project area and the Io ation(s) of the proposed ir�p acts. Label each aquatic resource on the map with a reference number or letter and identify the impacts in the following table. Aquatic Type of impact Duration of Existing Plant County,, Major Aquatic Resource Resource Type (fill} excavate, Impact Overall Size of Community ni Watershed , ID (as noted on drain, or permanent (P) Size of Impact Aquatic Type(s) in and Bank (wetland, lake, r r Resource � er�4 Area # overhead view) remove orTempo � � tributary etc.) 1 Impact Area 5 vegetation) (T) of Impact Area 'If impacts are temporary; eater the duration of the impacts in days next to the "T". For example, a project with a temporary access fill that would be removed after 220 days would be entered "T (2 0)"x 2lmpacts less than 0.01 acre should be reported in square feet. impacts 0,01 acre or greater should be reported as acres and rounded to the nearest 0.01 acre. Tributary impacts must be reported in linear feet of impact and an area of impact bV indicating first the linear feet ofimpact along the f owline of the stream followed by the area impact in parentheses). For example, a project that impacts 50 feet of a stream that is feet vide would be reported as 50 ft (300 square feet). 3This is generally only applicable if you are a pplyi ng for a de minim is exemption under MN Pules 84 0,0420 Subp. 8, otherwise enter "N/A". 41jse Wetland Pion is and Flag t Community Types of Min neso to rind Wisconsin 3 rd E d . as mod if i ed i n M N R u I e s 84 2 0.040 5 Su b p. 2. r efer to Major Watershed and Bank service Area maps in MN Rules 8420.0522 5ubp. 7. . If any of the above identified impacts have already occurred, identify which impacts they are and the circumstances associated with each: NIA PART FIVE: Applicant Signature El heck here if you are requesting a pre -application, consultation with the Corps and L LB based an the information you have provided. e u latory entities will not i vitiate a formal application r vievw if this box is checked. By signature below, I attest that the i nforrnation in thi s application i s cornpl etc and accu rate. I f urther attest that i possess the authority to undertake the work described herein+ Sign a tu re: 1�.Z.- � I%.- Date: I hereby authorize Bolton & l eak.. Inc to act on my behalf as my agent in the processing of this application and to furnish, upon request* supplemental information in support of this application. 1, The ter "Impact" as used in this joint application form is a generic term used for disclosure purposes to identify activities that may .requite approval from one or more regulatory agencies. For purposes of this form it Is not meant to Indicate whether or not those activtties may require m Iti atinn/replacement. Page 2