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Project Name and/or Number: Ramsey COR Wetland Analysis <br />PART FOUR: Aquatic Resource impact' Summary <br />if your proposed project involves a direct or indirect impact to an aquatic resource (wetland, lake, tributary, etc.) identify each <br />impact in the table below. Include all anticipated impacts, including those expected to be temporary. Attach an overhead view map, <br />aerial photo, and/or drawing showing all of the aquatic resources in the project area and the location(s) of the proposed impacts. <br />Label each aquatic resource on the map with a reference number or letter and identify the impacts in the following table. <br />Aquatic <br />Type of Impact Duration of Existing Plant County, Major <br />Aquatic Resource Resource Type (fill, excavate, Impact overall Site of Watershed <br />(wetland, lake, #, <br />z <br />ID (as noted on drain, or Permanent (P) Size of Impact Aquatic 3 Type(s) <br />T s Community in and Bank <br />overhead view} remove or Temporary <br />Resource <br />tributary etc.} � Impact Area Service Area # <br />5 <br />vegetation) (T)of Impact Area <br />'Llf impacts are temporary; enter the duration of the impacts in days next to the "T". For example, a project with a temporary access fill that <br />would be removed after 220 days would be entered "T (220)". <br />Zlmpacts 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 <br />nearest 0.01 acre. Tributary impacts must be reported in linear feet of impact and an area of impact by indicating first the linear feet of impact <br />along the flowline of the stream followed by the area impact in parentheses). For example, a project that impacts 50 feet of a stream that is 6 <br />feet wide would be reported as 50 ft (300 square feet). <br />3This is generally only applicable if you are applying for a de minimis exemption under MN Rules 8420.0420 Subp. 8, otherwise enter "N/A". <br />4Use Wetland Plants and Plant Community Types of Minnesota and Wisconsin 31d Ed. as modified in MN Rules 8420.0405 Subp. 2. <br />-1 Refer to Major Watershed and Bank Service Area maps in MN Rules 8420.0522 Subp. 7. . <br />If any of the above identified impacts have already occurred, identify which impacts they are and the circumstances associated <br />with each; <br />NIA <br />PART FIVE: Applicant Signature <br />[:] Check here if you are requesting a pre -application consultation with the Corps and LGU based on the information you have <br />provided. Regulatory entities will not initiate a formal application review if this box is checked. <br />By signature below, I attest that the information in this application is complete and accurate. I further attest that I possess the <br />authority to undertake the work described herein. <br />Signature: - Date. C) .7L 6 - Z-07- <br />I hereby authorize Bolton & Menk, Inc to act on my behalf as my agent in the processing of this application and to furnish, upon <br />request, supplemental information in support of this application. <br />The term "impact" as used in this joint application form is a generic term used for disclosure purposes to identify <br />activities that may.require approval from one or more regulatory agencies. For purposes of this form it is not meant to <br />indicate whether or not those activities may require mitigation/replacement. <br />Page 2 <br />