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withdrawal_transaction_forms_Avienda_LGUSigned_2018_10_02MI Transaction Form to Withdraw Credits BOARD OF WATER AND SOIL RESOURCES Minnesota Wetland Bank Program 1,14 the lavout of th's form looks 'In-Conrect, di.i.-k on Ifiew, Editl Document. t-hen cave H-to yoi-ir computer 1. Credit User This space for BWSR use only. Name: Mark Nordland Organization: Level 7 Development, LLC Address: 8315 Cascade Drive, Email: MNordIand@It.Iife Eden Prairie, MN 55344 Phone: (612) 812-7020 LGU File #: 07-01WRP Consultant: Melissa Barrett, Kjolhaug Environmental 2. Wetland Impact Information To be completed for the project impacting wetlands and with which this withdrawal is intended to replace. Project Name: Aviencla Impact Size (acres): 4.5878 Impact County: Carver Impact Wetland type: 1, 2, 3, 5 Impact Major Watershed/BSA: -33— /-9— Replacement Ratio: 2:1 Sec/Twp/Range: Sec 23, T116, R23 *Projects with multiple locations should use the most central location in relation to the project as a whole. Are Federally authorized credits required for this impact? (fe-s"**N No Corps Regulatory File Number: MVP-2015-03075-RMM Comments: USACE permit required 0.9972 shallow open water credits from bank #1494 for compensatory mitigation. 3. Credits to be WithdrawnTo be completed by the seller of the credits (account holder) Account Information Account:1494 County: Blue Earth Bank Service Area: 9 Credit Subgroup Wetland Type/Plant Community Type Federally Approved? Cost per Credit Credit Amounts A Type 5/Shallow Open Water Y $50,000 4.9341 Per Credit Withdrawal Fee by BSA Enter the Withdrawal Fee for BSA 1 $520 BSA 6 $1,083 the BSA of the account: BSA 2 $371 BSA 7 $1,992 $2,,628 BSA 3 $725 BSA 8 $2,577 Easement Stewardship Fee: BSA 4 $1,412 BSA 9 $2,628 $302 BSA 5 $685 BSA 10 $3,099 77 Total Credits: 4.9341 (Withdrawal Fee x total credits) Withdrawal Fee: $12,966.81 (Easement Stewardship fee x total credits) Stewardship Fee. $1,490.10 Total Fe!eJS-.$14,456.91- Please make checks payable to the Minnesota Board of Water and Soil Resources. BWSR does not accept cash. BWSR fee POliCY: htti)://www.bwsr.state.mn.usLwetiands/wettandbanking/fee and sales data/Wetland -banking —Fee -Egligy_Effective 1une1 2017 pdf BWSR form updated 5/31/2017 Page 1 of 2 Project Name: Avienda If anyone else should be notified please indicated their emails below: 4. Regulatory Authorization By signing below, the identified agency and authorized representative hereby certifies that they have: a) verified that the subject wetland credits are deposited in the account of the owner/seller, b) approved a wetland replacement plan or similar agreement under their jurisdiction, and c) approve the proposed use of the wetland bank credit described above. For NRCS, DNR, etc. as applicable Agency Name and Location: Representative: Email Address: ature Date S. Credit User Signature By signing below the proposed credit user attests that he/she owns or has purchased the credits identified in this form and has received approval from the regulatory authority(ies). Signature Date 6. Account Holder Signature By signing below 1, the seller and holder of the aforementioned account in the State of Minnesota Wetland Mitigation Bank, certify that: 1) The credits described in this transaction form have been sold to the credit user or will be used for my own project; 2) 1 have received payment in full from the buyer (if applicable); 3) The credits described in this transaction form have not been sold or used in any way to mitigate wetland losses other than for the project and location identified in the wetland impact information block on the previous page; 4) The credits described in this application should be withdrawn from my account; and 5) 1 will not --,nth— kninn— of rraefitc =kftnr tka ci ihiart rrorlitc nrm Ankitnd frnm my mr-rni Int Disclaimer: All transactions in the Wetland Bank system are public information Name/Representative: Email Address: Signature Date Send complete forms and fee payments to: Wetland Bank Administration Minnesota Board of Water and Soil Resources 520 Lafayette Road North Saint Paul, MN 55155 BWSR form updated 5/31/2017 Disclaimer.- All transactions in the Wetland Bank system are public information 07iflm M11 Transaction Form to Withdraw Credits BOARD OF WATER AND SOIL RESOURCES Minnesota Wetland Bank Program if the layout ofL this form looks incorrect , dick on View, Edit Document, then Save It to,�(ou,rcompute,r' I - T 11 1 1�' - - I 1. Credit User This space for BWSR use only. Name: Mark Nordland Organization: Level 7 Development, LLC Address: 8315 Cascade Drive, Email: M Nord land@lt.life Eden Prairie, MN 55344 Phone: (612) 812-7020 LGU File #: 07-01WRP Consultant: Melissa Barrett, Kjolhaug Environmental 2. Wetland Impact Information To be completed for the project impacting wetlands and with which this withdrawal is intended to replace. Project Name: Avienda Impact Size (acres): 4.5878 Impact County: Carver Impact Wetland type: 1, 2, 3, 5 Impact Major Watershed/BSA: —33— /-9— Replacement Ratio: 2:1 Sec/Twp/Range: Sec 23, T116, R23 *Projects with multiple locations should use the most central location in relation to the project as a whole. Are Federally authorized credits required for this impact? /Ie—sN No Corps Regulatory File Number: MVP-2015-03075--RMM Comments: USACE permit required 0.9972 shallow open water credits from bank #1494 for compensatory mitigation. 3. Credits to be WithdrawnTo be completed by the seller of the credits (account holder) Account Information Account: 174 County: Rice Bank Service Area: 9 Credit Subgroup Wetland Type/Plant Community Type Federally Approved? Cost per Credit Credit Amounts C Type 4/Isolated Y $87,120 0.0257 D Upland/Unknown Y $87,120 1.7158 Per Credit Withdrawal Fee by BSA BSA 1 $520 BSA 6 $1,083 BSA 2 $371 BSA 7 $1,992 1 BSA 3 $725 BSA 8 $2,577 BSA 4 $1,412 BSA 9 $2,628 1 BSA 5 $685 BSA 10 $3,099 Enter the Withdrawal Fee for the BSA of the account: $2,628 Easement Stewardship Fee: $302 Total Credits: 1.7415 (Withdrawal Fee x total credits) Withdrawal Fee: [ $4,576.66 (Easement Stewardship fee x total credits) Stewardship Fee: $525.93 Total Fees: $5,102.5 Please make checks payable to the Minnesota Board of Water and Soil Resources. BWSR does not accept cash. BWSR fee policy: http://www.bwsr.state.mn.us/wetiands/wetiandbanking/`fee and sales data/Wettand Banking Fee Policy Effective Junel 2017.pdf BWSR form updated 5/31/2017 Page 1 of 2 Project Name: Avienda If anyone else should be notified please indicated their emails below: IMelissa@kjolhaugenv.com 4. Regulatory Authorization By signing below, the identified agency and authorized representative hereby certifies that they have: a) verified that the subject wetland credits are deposited in the account of the owner/seller, b) approved a wetland replacement plan or similar agreement under their jurisdiction, and c) approve the proposed use of the wetland bank credit described above. For MRCS, DNR, etc. as applicable Agency Name and Location: Representative: Email Address: nature Date S. Credit User Signature By signing below the proposed credit user attests that he/she owns or has purchased the credits identified in this form and has received approval from the regulatory authority(ies). nature Date 6. Account Holder Signature By signing below 1, the seller and holder of the aforementioned account in the State of Minnesota Wetland Mitigation Bank, certify that: 1) The credits described in this transaction form have been sold to the credit user or will be used for my own project; 2) 1 have received payment in full from the buyer (if applicable); 3) The credits described in this transaction form have not been sold or used in any way to mitigate wetland losses other than for the project and location identified in the wetland impact information block on the previous page; 4) The credits described in this application should be withdrawn from my account; and 5) 1 will not 6--- -manthin 6n1=nra of rraditc nffnr tkm ci ikiart rraditc mra e4akitad from my nrrr%1 int Disclaimer.- All transactions in the Wetland Bank system are public information Name/Representative: Email Address: Signature Date Send complete forms and fee payments to: Wetland Bank Administration Minnesota Board of Water and Soil Resources 520 Lafayette Road North Saint Paul, MN 55155 BWSR form updated 5/31/2017 Disclaimer: All transactions in the Wetland Bank system are public information MI Transaction Form to Withdraw Credits BOARD OF WATER AND SOIL RESOURCES Minnesota Wetland Bank Program 'f the iaYout of this '-s in, ctL, d1icon 'Vie1 w, Edlit Documeq then save it to youl, compute-er, 1. Credit User This space for BWSR use only. Name: Mark Nordland Organization: Level 7 Development, LLC Address: 8315 Cascade Drive, Email: M Nordland@lt. life Eden Prairie,, MN 55344 Phone: (612) 812-7020 LGU File #: 07-01WRP Consultant: Melissa Barrett, Kjolhaug Environmental 2. Wetland Impact Information To be completed for the project impacting wetlands and with which this withdrawal is intended to replace. Project Name: Avienda Impact Size (acres): 4.5878 Impact County: Carver Impact Wetland type: 1, 2, 3, 5 Impact Major Watershed/BSA: —33— /-9— Replacement Ratio: 2:1 Sec/Twp/Range: Sec 23,, T116, R23 *Projects with multiple locations should use the most central location in relation to the project as a whole. Are Federally authorized credits required for this impact? /1—eN No lsl.� Corps Regulatory File Number: MVP-2015-03075-RMM Comments: USACE permit required 0.9972 shallow open water credits from bank #1494 for compensatory mitigation. 3. Credits to be WithdrawnTo be completed by the seller of the credits (account holder) Account Information Account:1605 County: Stevens Bank Service Area: 9 Credit Subgroup Wetland Type/Plant Community Type Federally Approved? Cost per Credit Credit Amounts A Type 4/Deep Marsh Y $107,811.00 2.5 Per Credit Withdrawal Fee by BSA Enter the Withdrawal Fee for BSA 1 $520 BSA 6 $1,083 the BSA of the account: BSA 2 $371 BSA 7 $1,992 $2.,628 BSA 3 $725 BSA 8 $2,577 Easement Stewardship Fee: BSA 4 $1,412 BSA 9 $2,628 $302 BSA 5 $685 BSA 10 $3,099 Total Credits: 2.5 (Withdrawal Fee x total credits) Withdrawal Fee: 1 $6,570.00 (Easement Stewardship fee x total credits) Stewardship Fee: $755.00 s. Total Fee . $7,325.00 Please make checks payable to the Minnesota Board of Water and Soil Resources. BWSR does not accept cash. BWSR fee policy: http://www,bwsr.state.mn.us/wetlands/­­wetiandbanking/­fee and sales data/Wetland Banking Fee Policy Effective Junel 2017.pd BWSR form updated 5/31/2017 Page 1 of 2 Project Name: Avienda If anyone else should be notified please indicated their emails below: Melissa@kjolhaugenv.com 4. �4ulatorV441chonzavon By signing below, the identified agency and authorized representative hereby certifies that they have: a) verified that the subject wetland credits are deposited in the account of the owner/seller, b) approved a wetland replacement plan or similar agreement under their jurisdiction, and c) approve the proposed use of the wetland bank credit described above. r � WCA LGU/Agency: 4 t LGU Representative: l FA Email Address:12, s T Signature Date For NRCS, DNR, etc. as applicable Agency blame and Location: Representative: Email Address: ignature Date 5. Credit User Signature By signing below the proposed credit user attests that he/she owns or has purchased the credits identified in this form and has received approval from the regulatory authority(ies). Signature Date 6. Atcount Holder, By signing below I, the seller and holder of the aforementioned account in the State of Minnesota Wetland Mitigation Bank, certify that: 1) The credits described in this transaction form have been sold to the credit user or will be used for my own project; 2) 1 have received payment in full from the buyer (if applicable); 3) The credits described in this transaction form have not been sold or used in any way to mitigate wetland losses other than for the project and location identified in the wetland impact information block on the previous page; 4) The credits described in this application should be withdrawn from my account; and 55) I will not havo - noamtiuo hnlnnro of rroriitc nftor tho ci ihiort rrorlite nro rlohitorl frnm my nrrni int Disclaimer; All transactions in the Wetland Bank system are public information Name/Representative: Email Address: ature Date Send complete forms and fee payments to: Wetland Bank Administration Minnesota Board of Water and Soil Resources 520 Lafayette Road North Saint Paul, MN 55155 BWSR form updated 5/31/2017 Page 2 of 2 Disclaimer: All transactions in the Wetland Bank system are public information