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For LGU Use Only Project Name: Project Identification No.:'' Minnesota Wetland Bank Plan Application PART B: WETLAND BANK PLAN SUPPLEMENT GENERAL INSTRUCTIONS TO APPLICANTS To seek approval for the establishment of a wetland bank, applicants must complete and submit both Part A (Scoping Document) and Part B (Bank Plan Supplement) of this application package. An approved wetland bank application does not guarantee the success of a wetland bank project, nor does it guarantee how many wetland credits will result from the project. Approval of both Part A and Part B constitutes an approved Wetland Bank Plan Application. Instructions for completing a Wetland Bank Application and how to submit it for review can be obtained from the BWSR web site at (www. bws r.state.m n. u s ) Project Name: Woolen's Park Wetland Bank County: Anoka The following supporting documents are required components of Part B of the Minnesota Wetland Bank Plan Application. Please refer to each respective appendix for specific details of the information required. Appendix 1 - Design and Construction Plan Requirements Appendix 2 - Vegetation Establishment and Management Plan Requirements Appendix 3 - Summary of Existing Wetlands and Credits Expected Appendix 4 - Monitoring Plan Requirements The applicant is responsible for providing all information required in the Wetland Bank Plan Application, which includes all required information from the appendices listed above. These appendices may include supplemental reports, maps, plans, drawings, narratives, figures, and other information. Part B of the Wetland Bank Plan Application will be considered incomplete if it is not signed or if any appendix, or a component of an appendix, is not completed and submitted to the Local Governmental Unit administering the Wetland Conservation Act (WCA LGU). Do not proceed with your project until you have received approval of your completed Wetland Bank Plan Application from your WCA LGU. Wetland bank sites that are restored or created prior to WCA LGU approval of a completed Wetland Bank Plan Application are not eligible for deposit into the State Wetland Bank. APPLICANT'S AFFIDAVIT The undersigned Applicant hereby applies to the designated Local Governmental Unit administering the Wetland Conservation Act (WCA LGU) to establish the above- described wetland banking credits with the intention of ultimately depositing such credits in the Minnesota Wetland Bank. As a condition for the deposit, the Landowner /Applicant represents, acknowledges and attests as follows: 1. I hold, or will hold prior to restoring or creating the wetland bank, a fee simple or other sufficient interest in the real property described above on which the proposed wetland bank project will be established. Any property interest held by the landowner /applicant must include the rights to restore the bank site in accordance with the enclosed plans, specifications, and supporting documents, as well as granting of a perpetual conservation easement to the State of Minnesota (State) in accordance with item (2) below. 2. I agree to grant, convey and warrant to the State a perpetual easement, which must include provisions for reasonable access, prepared by the State prior to any request to deposit eligible credits that result from the successful implementation of the approved bank plan. 3. I understand that the sale of any portion of or interest in the real property prior to granting and recording of a perpetual easement to the State could jeopardize the establishment of an account in the State Wetland Bank unless I as the seller have reserved the rights and interests sufficient to protect the interests of the applicant and the State. 4. I agree to provide at my cost a legal description of the easement boundary, including a description for a legal access that is acceptable to the state as part of conveying the perpetual easement to the State. I also agree to establish and maintain visible monuments such as signs, fence posts and/or survey posts at prominent locations along the easement boundary. (V. 1.0 for MS WORD) 6/14/06 Page 1 of 2 Wetland Bank Plan Application Form — Part B • •