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• Environmental Assessment Worksheet Nature's Refuge Conservation Development Lino Lakes, Anoka County, Minnesota Draft Document – September 25, 2006 Page 1 ENVIRONMENTAL ASSESSMENT WORKSHEET Note to preparers: This form is available at httn: / /www.eub.state.mn.us. EAW Guidelines will be available in Spring 1999 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 Nature's Refuge Residential Subdivision 2. Proposer Contact person: Title: • Address: City, state, ZIP: Phone: Fax: E -mail: • 3. RGU: Contact person: Title: Address: City, state, ZIP: Phone: Fax: E -mail: Oakwood Land Development John Peterson President 1611 County Hwy 10 N.E. Spring Lake Park, MN 55432 763 -780 -4996, 763 - 286 -3389 (cell) Oakwood @ens.net City of Lino Lakes Jeff Smyser City Planner 600 Town Center Parkway Lino Lakes, MN 55014 -1182 651- 982 -2425 651- 982 -2499 jsmyser@ci.lino-lakes.mn.us Contact person: Title: Address: City, state, ZIP: Phone: Fax: E -mail: 4. Reason for EAW preparation (check one) EIS scooping (Mandatory EAWI Citizen petition Richard S. Carlson Development Richard Carlson President/Owner 7671 Central Avenue N.E. Fridley, MN 55432 763 - 786 -1218, 612 -703 -3575 (cell) Carlsonfrdly @aol.com RGU discretion Proposer volunteered If EAW or EIS is mandatory give EQB rule category subpart number and subpart name: The applicable mandatory EAW category is in Minn. R. 4410.4300, Subp. 19 Residential Development D: "250 unattached units or 375 attached units in a city within the seven - county Twin Cities metropolitan area that has adopted a comprehensive plan under Minnesota Statutes, section 473.859..."