MN WCA Application 11-18-20101. Project/Site Information
Project/Site Name: TH 41 Underpass Trail Local Government Unit: City of Chanhassen
Location (address and /or T, R, Sec.): T1 16N R23W Section 4, Section 9, Section 3, Section 5
2. Applicant Information
Applicant Name: Mr. Martin Walsh, Parks Director
Carver County Parks and Recreation Address: 11360 Hwy 212, Suite 2
City, State, Zip: • Chaska, MN 55318
E -mail: mwaish @co.carver.mn.us
Phone: 952 466 -5252
3. Agent/Consultant Information
Company Name (if applicable): SRF Consulting Group
Address: One Carlson Parkway North, Suite 150
E -mail: jolson @srfconsulting.com
Phone: 763 475 2429
4. Description of Request
Check all that apply: 0 Wetland Boundary (must attach wetland delineation report)
E]Wetland Type (Eggers & Reed and /or Circular 39 type)
5. Signature
By signature below, the applicant requests a determination from the Local Government Unit under
Minnesota Rules 8420.0225 on the submitted wetland boundary and type information in this application.
The applicant also affirms that they are the owner of the subject property or have permission from the
landowner to pursue this determination.
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Applicant or Authorized Agent Signature
November 18, 2010
Date
Important Notes:
• The applicant may be required to submit multiple copies of the reportlinformation to the
LGU. The LGU may require.the applicant to submit copies directly to Technical Evaluation
Panel Members. Check with your LGU regarding their submittal requirements.
• The LGU decision must be made in compliance with Minnesota Statutes, section 15.99.
For LGU use only
Date Received:
Contact Person: Jeffrey W. Olson
City, State, Zip: Plymouth, MN 55447 - 4443
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BWSR Wetland Boundary/Type Application Form 11/10/08