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Home My WebLink AboutMN DNR_14000300224000_Wetland_Department of LAND AND RESOURCE MANAGEMENT OTTER TAIL COUNTY Government Services Center • 540 West Fir Fergus Falls, MN 56537 Ph; 218-998-8095 Otter Tail County’s Website: www.co.ottertail.mn.us & February 20, 2007 Tony DeMars Emmons & Olivier Resources 4517 Minnetonka Blvd Suite 306 St Louis Park MN 55416 RE: Wetland Road Crossing, Blue Heron Bay Cluster, Dead Lake (56-383) Dear Mr. DeMars, Enclosed you will find my approval for the proposed wetland crossing. Please ensure that you have obtained all other necessary permits/approvals prior to beginning work.V Please contact me if you have any questions. Sincerely, V Kyie Westg^^d Wetland Specialist Cc; Jim Erickson, Blue Heron Bay Darren NewvUle, EOT SWCD John Overland, BWSR • 'J- NA-026O20-03B (V.2.02 lor MS WORD) 09/01/04 Minnesota Local/State/Federal Application Form for Water/Wetland Projects For Internal Use Only Date Initial Application ReceivedApplication No.Field Ofllce Code Date initial Application Deemed Complete PART I: BASIC APPLICATION "See HELP" directs you to important additional information and assistance in Instructions, Page I. 1. LA^DOWNER/APPLICANT CONTACT INFORMATION (See Help I) Name: Jim Erickson, Blue Heron Bay Land Co. Complete mailing address; 3701 Abbott Avenue South, Minneapolis, MN 55410 Phone; 612-325-3009 1 A. AUTHORIZED AGENT (See Help I A) (Only if applicable; an agent is not required) Name: Tony DeMars, Emmons & Olivier Resources Complete mailing address; 4517 Minnetonka Boulevard, Suite 306, St. Louis Park, MN 55416 Phone: 952-351-9229 2. NAME, TYPE AND SIZE OF PUBLIC WATERS or WETLANDS IMPACTED (Attach Additional Project Area sheets if needed) Name or I.D. # of Waters Impacted (if applicable; if known); Wetland G (Check all that apply): OLake dRiver ^Wetland type d 1 d IL 02 d3 d4 d5 d6 07 dS Indicate size of entire lake or wetland (check one): 0 Less than 10 acres (indicate size: 50,046 sf) acres d 10 to 40 acres d Greater than 40 3. PROJ ECT LOCATION (Information can be found on property tax statement, property title or title insurance): Project street address: ‘A Section: NE Section; 20 Township#: 135 Range#: 40 Subdivision: City (if applicable);Fire #; County: Otter Tail Watershed (name or #) 56, Otter Tail River UTM location: NLot #: Gov'tLot 5 Block; 5152436.98319 E 288973.847482 Attach a simple site locator map. If needed, include on the map written directions to the site from a known location or landmark, and provide distances from known locations. Label the sheet SITE LOCATOR MAP. 4. TYPE OF PROJECT: Describe the type of proposed work. Attach TTPE OF f’/?OJ£C7’sheet if needed. The Blue Heron Bay Land Company, LLC is proposing a cluster development consisting of residential housing, a community center and three marinas on a 257-acre parcel. The project would entail 252 square feet of wetland fill in one basin to construct an access road. 5. PROJECT PURPOSE, DESCRIPTION AND DIMENSIONS: Describe what you plan to do and why it is needed, how you plan to construct the project with dimensions (length, width, depth), area of impact, and when you propose to construct the project. This is the most important part of your application. See HELP 5 before completing this section; see Wliat To Include on Plans (Instructions, page I). Kn&cYi PROJECT DESCRIPTION s\iesx. Please refer to the Technical Memorandum, Wetland 'G' Crossing (January 18,2007) acres or 252 square feet drained, Riled or excavated.Footprint of project; 6. PROJECT ALTERNATIVES: What alternatives to this proposed project have you considered that would avoid or minimize impacts to wetlands or waters? List at least TWO additional alternatives to your project in Section 5 that avoid wetlands (one of which may be “no build” or “do nothing”), and explain why you chose to pursue the option described in this application over these alternatives. Attach PROJECT ALTERNATIVES sheet if needed. Please refer to the Technical Memorandum, Wetland 'G' Crossing (January 18,2007) 7. ADJOINING PROPERTY 03VNERS: For projects that impact more than 10,000 square feet of water or wetlands, list the complete mailing addresses of adjacent property owners on an attached separate sheet (See HELP 7) 8. PORTION OF WORK COMPLETED; Is any portion of the work in wetland or water areas already completed? Q Yes 0No. If yes, describe the completed work on a separate sheet of paper labeled WORK ALREADY COMPLETED. (See HELP 8) 9. STATUS OF OTHER APPROVALS: List any other permits, reviews or approvals related to this proposed project that are either pending or have already been approved or denied on a separate attached sheet. See HELP 9. 10. I am applying for state and local authorization to conduct the work described in this application. I am familiar with the information contained in this application. To the best of my knowledge and belief, all information in Part I is true, complete, and accurate. I possess the authority to undertake the work described, or I am acting as the duly authorized agent of the applicant. T •T 1 •"Signature of agent (if applicable)Signature of applicant (Landowner)Date This block must be signed by the person who desires to undertake the proposed activity and has the necessary property rights to do so. If only the Agent has signed, please attach a separate sheet signed by the landowner, giving necessary authorization to the Agent. Minnesota Local/State/Federal Application Forms for Water/Wetland Projects Page I APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT(33CFR32S)OMB APPROVAL NO. 0710-003 Expires Dec 3L 2004 The public burden for ihis collection of infonnation is estimated to average 10 hours per response, although the majority of applications should require 5 hours or less. This iiKludes the liiiK for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of Ihis collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Ser\ ice Directorate of Infonnation Operations and Reports, 1215 Jefl'erson Davis Highway, Suite 1204. Arlington. VA 22202-4302: and to the Office of Management and Budget. Paperwork Reduction Project (0710-0003), Washington. DC 20503. Respondents should be aware that nouviihsianding any other provision of law. no person shall be subject to any penalty for failing to comply with a collection of infonnation if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to either of these addresses. Completed applications must be submitted to the District engineer having jurisdiction over the location of the proposed activity. PRIVACY ACT STATEMENT; Authorities. Rivers and Harbors Act, Section 10, 33 USC 403: Clean Water Act. Section 404. 33 USC 1344: Marine Protection. Research and .Sanctuaries Act. 33 USC 1413. Section 103. Principal purpose: Information provided on this form will be used in evaluating the application for a pennit. Routine uses; This information may be shared with the Department of Justice and other Federal, state, and local government agencies. Submission of requested infonnation is voluntary; however, if infonnation is not provided, the pennit application cannot be evaluated nor can a pennit be issued. ITEMS 1 THROUGH 4 TO BE FILLED IN BY THE CORPS I . APPLICATION NO,2. FIELD OFFICE CODE 4. DATE APPLICATION COMPLETED3. DATE RECEIVED YOU DO WOT NEED TO COMPLETE ITEMS 6-10 and 12-25 in the SHADED AREAS. All upplicants must complete non-shaded items 5 and 26. If an agent is used, also complete items 8 and I 1. This optional Federal form is valid _____________________________for use only when included as part of this entire state application packet._____________________________ 8. AUTHORIZED AGENT’S NAME AND TITLE (an agent is not required) Tony DeMars 5. APPLICANT’S NAME James Erickson t 6. APPLICANT’S ADDRESS 9. AGENT’S ADDRESS 7. APPLICANT’S PHONE NO.10. AGENT’S PHONE NO. 11. STATEMENT OF AUTHORIZATION (if applicable; complete only if authorizing an agent) I hereby authorize Tony DeMars request, supplemental information in support of this permit application. to act on my behalf as my agent in the processing of this application and to furnish, upon APPLICANT’S SIGNATURE:DATE: 12. PROJECT NAME OR TrTLE (see instiuctians) 13. NAME OF WATERBODY. IF KNOWN (if appUcable)14. PROJECT STREET ADDRESS (if appUcable) 15. LOCATION OF PROJECT 16. OTHER LOCATION DESCRIPTIONS, IF KNOWN (see instnictions) 17. DIRECTIONS TO THE STTE V 18. NATURE OF ACnVITY 20. REASON(S) FOR DISCHARGE19. PROJECT PURPOSE 21. TYPES OF MATERIAL BEING DISCHARGED AND THE AMOUNT OF EACH TYPE IN CUBIC YARDS ?•'' 22. SURFACE AREA IN ACRES OF WETliuiDS OR OTHER WATERS inXED NO IF YES. DESCRIBE COMPLETED WORK.23. IS ANY PORTION OF THE WORK ALREADY COMPLETE? YES 24. ADDRESSES OF ADJOINING PROPERTY OWNERS. 25. LIST OF OTHER CERTIFICATIONS OR APPROVALS/DENIALS RECEIVED FROM OTHER FEDERAL, STATE OR LOCAL AGENCIES FOR WORK DESCRIBED IN THIS APPUCATION. 26. Application is hereby made for a permit or permits to authorize the work described in this application. I certify that the infonnation in this application is complete and accurate. I further certify that I possess the authority to undertake the work described herein or am acting as the duly authorized agent of the applicant. Signature of agent jif any)■u—f r -DateSi^ature of applicant The application must be signed by the person who desires to undertake the proposed activity (applicant), or it may be signed by a duty authorized agent if the statement in Block 11 has been filled out and signed. 18 U.S.C. Section 1001 provides that: Whoever, in any manner within the jurisdiction of any department or agency of the United States knowingly and willfully falsifies, conceals, or covers up with any trick, scheme, or disguises a material fact or makes any false, fictitious or fraudulent statements or representations or makes or uses any false writing or document knowing same to contain any false, fictitious or fraudulent statements or entry, shall be fined not more than $10,000 or imprisoned not more than five years or both. EDITION OF FEB 94 IS OBSOLETE.(Proponent: CECW-OR)ENG FORM 4345, Jul 97 Minnesota Local/State/Federal Application Forms for Water/Wetland Projects Page 2 FOR LGU USE ONLY; □ No WCA Jurisdiction )Sl Exempt: No. _3_ (per MN Rule 8420,0122) □ No Loss: ____(A.B... ,G, per MN Rule 8420.0220) HD Replacement required - applicant must complete Part [l Determination for Part 1: COMPLETE THE SECTION BELOW ONLY IF REPLACEMENT IS NOT REQUIRED: Application is (check one); PTApproved Comments/Findings: HDApproved with conditions (conditions attached)□ Denied W\Cc.Vs ^■k^ \ r\ t V ^ 0^c n iTl* LGU official signatj&e Date Name and Tide 5 For Agricultural and Drainage exemptions (MN Rule 8420.0122 Subps. 1 and 2B), LGU has received proof of recording of restrictions (per MN Rule 8420.01 IS): County where recorded Date Document # assigned by recorder LGU official signature Date Minnesota Local/State/Federal Application Forms for WaterAVetland Projects Page 3