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BWSR NOD Form – November 12, 2019 4 <br /> <br />Appeals & Regulatory Compliance Coordinator <br />Minnesota Board of Water & Soils Resources <br />520 Lafayette Road North <br />St. Paul, MN 55155 <br />travis.germundson@state.mn.us <br /> <br />Does the LGU have a local appeal process applicable to this decision? <br />☐ Yes1 ☒ No <br />1If yes, all appeals must first be considered via the local appeals process. <br /> <br />Local Appeals Submittal Requirements (LGU must describe how to appeal, submittal requirements, fees, etc. as applicable) <br /> <br />Notice Distribution (include name) <br />Required on all notices: ☐ SWCD TEP Member: Jay Riggs, Washington Conservation District, 455 Hayward Avenue North, Oakdale, MN 55128, <br />jriggs@mnwcd.org ☒ BWSR TEP Member: Ben Meyer, Mn Board of Water and Soil Resources, 520 LaFayette Road N., St. Paul, MN 55155, <br />ben.meyer@state.mn.us <br />☒ LGU TEP Member (if different than LGU contact): Rachel Juba, City of Hugo, 14669 Fitzgerald Ave. N., Hugo, MN <br />55038, rjuba@ci.hugo.mn.us Liz Finnegan, City of Hugo, 6900 137th St. N., Hugo, MN 55038 <br />lfinnegan@ci.hugo.mn.us <br />☒ DNR Representative: Kelly Pharis, Minnesota Department of Natural Resources, 1200 Warner Rd., St. Paul, <br />MN 55155, kelly.pharis@state.mn.us Dan Scollan, Minnesota Department of Natural Resources, 1200 Warner <br />Rd., St. Paul, MN 55155, Daniel.scollan@state.mn.us <br />☒ Watershed District or Watershed Mgmt. Org.: Patrick Hughes, Rice Creek Watershed District, 4325 Pheasant <br />Ridge Drive, Suite 611, Blaine, MN 55449-4539, phughes@ricecreek.org <br />☒ Applicant: Todd Ganz, Integrity Development, 13635 Johnson St. NE., Ham Lake, MN 55304, <br />tdganz@gmail.com <br /> ☒ Agent/Consultant: Kelly Bopray, Bopray Environmental Services, LLC., N7831 920th St., River Falls, WI 54022, <br />kjbopray@yahoo.com <br /> <br />Optional or As Applicable: <br />☒ Corps of Engineers: Daryl Wierzbinski, United Sates Army Corps of Engineers, Duluth Office, 600 South Lake <br />Avenue, Suite 211, Duluth, MN 55802, daryl.w.wierzbinski@usace.army.mil ☐ BWSR Wetland Mitigation Coordinator (required for bank plan applications only): ☐ Members of the Public (notice only): ☐ Other: <br /> <br />Signature: Date: <br /> <br />This notice and accompanying application materials may be sent electronically or by mail. The LGU may opt to send a <br />summary of the application to members of the public upon request per 8420.0255, Subp. 3.