07/15/2004 Env Bd Packet - Laserfiche WebLink

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• ENVIRONMENTAL ASSESSMENT WORKSHEET • • Note to preparers: This form is available at www.mnplan.state.mn.us. EAW Guidelines will be available in Spring1999 at the web site. The Environmental Assessment Worksheet provides information about a project that may have the potential for significant environmental effects. The EAW is prepared by the Responsible Governmental Unit or its agents to determine whether an Environmental Impact Statement should be prepared. The project proposer must supply any reasonably accessible data for — but should not complete — the final worksheet. If a complete answer does not fit in the space allotted, attach additional sheets as necessary. The complete question as well as the answer must be included if the EAW is prepared electronically. Note to reviewers: Comments must be submitted to the RGU during the 30 -day comment period following notice of the EAW in the EQB Monitor. Comments should address the accuracy and completeness of information, potential impacts that warrant further investigation and the need for an EIS. 1. Project title: PHEASANT HILLS PRESERVE 12`h ADDITION 2. Proposer: Contact person Title Address City, state, zip Phone Fax E -mail Ed Vaughan Ed Vaughan Owner 1432 Pheasant Hills Drive Lino Lakes, MN 55038 651- 490 -0459 651- 426 -5053 4. Reason for EAW preparation: (check one) ❑ EIS scoping ❑ Mandatory EAW ❑ Proposer volunteered 3. RGU Contact person Title City Address City, state, zip Phone Fax E -mail City of Lino Lakes Jeff Smyser City Planner 600 Town Center Parkway Lino Lakes, MN 55014 (651) 982 -2425 (651) 982 -2499 jsmyser@ci.lino-lakes.mn.us Q Citizen petition ❑ RGU discretion If EAW or EIS is mandatory give EQB rule category subpart number: 5. Project location: County: Anoka City/Township: Lino Lakes West 1/2 of NW 1/4 Section 27 Township 31 Range 22 Attach each of the following to the EAW: • County map showing the general location of the project; • U.S. Geological Survey 7.5 minute, 1:24,000 scale map indicating project boundaries (photocopy acceptable); • Site plan showing all significant project and natural features. The following maps, plans, and exhibits are attached: Figure 1 Site Location Map Figure 2 Land Use Plan Figure 3 USGS Topographical Map Figure 4 Soils Map Figure 5 Aerial Photograph Figure 6. Flood Insurance Rate Map Environmental Assessment Worksheet Page 1 Pheasant Hills 12th Addition