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Project Name and/or Number: Centerville Road and Birch Street Turn Lane Project <br />PART ONE: Applicant Information <br />If applicant is an entity (company, government entity, partnership, etc.), an authorized contact person must be identified. If the <br />applicant is using an agent (consultant, lawyer, or other third party) and has authorized them to act on their behalf, the agent's <br />contact information must also be provided. <br />Applicant/Landowner Name: City of Lino Lakes (Diane Hankee) <br />Mailing Address: 600 town Center Parkway; Lino Lakes, MN 55014 <br />Phone: 651-982-2430 <br />E-mail Address: Diane.hankee@ci.lino-lakes.mn.us <br />Authorized Contact (do not complete if same as above): <br />Mailing Address: <br />Phone: <br />E-mail Address: <br />Agent Name: WSB & Associates, Inc. (Alison Harwood) <br />Mailing Address: 701 Xenia Ave 5, Ste 300; Minneapolis, MN 55416 <br />Phone: 763-231-4847 <br />E-mail Address: aharwood@wsbeng.com <br />PART TWO: Site Location Information <br />County: Anoka City/Township: Lino Lakes <br />Parcel ID and/or Address: Approximately 900 feet west and 500 feet south of the Centerville Rd/Birch St intersection <br />Legal Description (Section, Township, Range): 526, T31N, R22W <br />Lat/Long (decimal degrees): -93.055, 45.145 <br />Attach a map showing the location of the site in relation to local streets, roads, highways. <br />Approximate size of site (acres) or if a linear project, length (feet): <br />If you know that your proposal will require an individual Permit from the U.S. Army Corps of Engineers, you must provide the <br />names and addresses of all property owners adjacent to the project site. This information may be provided by attaching a list to <br />your application or by using block 25 of the Application for Department of the Army permit which can be obtained at: <br />http://www.mvp.usace.army.mil/Portals/57/docs/regulatory/RegulatoryDocs/engform 4345 2012oct.pdf <br />PART THREE: General Project/Site Information <br />If this application is related to a delineation approval, exemption determination, jurisdictional determination, or other <br />correspondence submitted prior to this application then describe that here and provide the Corps of Engineers project number. <br />A wetland delineation for the Fire Station property was submitted and approved the RCWD (LGU). A wetland delineation for the <br />turn lane areas along Centerville Road and Birch Street was completed in October 2014 and is anticipated to be approved in Spring <br />2015, pending field review. No RCWD or COE project numbers have been assigned to this project. <br />Describe the project that is being proposed, the project purpose and need, and schedule for implementation and completion. The <br />project description must fully describe the nature and scope of the proposed activity including a description of all project elements <br />that effect aquatic resources (wetland, lake, tributary, etc.) and must also include plans and cross section or profile drawings <br />showing the location, character, and dimensions of all proposed activities and aquatic resource impacts. <br />