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2010-01-28 US Army Corp of Eng Application FormFrom, TO; Dept. of the Army St Paul district Corps of engineers FILE NUMBER: 2009-04532-ADB Michael Potter 1165057hstne Albertville, Mn 55301 Thank You for taking the time to review my application for an after the fact permit. My hope is that we are able to resolve the issues involving LOT 1 Block 2 POTTERS COMMERCIAL PARK located in Albertville, MN. I acknowledge that I have made mistakes on this project as it pertains to regulations, permits required and procedures and ask for your understanding and forgiveness. I have filled out the permit application along with attachments. If I missed anything please accept my apology. It was not intentional. If you have additional questions of me or additional information needed please call me @ 763 497-3131 [H] or at 763 242-203 8 [C] Again Thank You, Michael Potter NA-026620-03B (V.2.02 for MS WORD) 9/17/2007 Minnesota Local/State/Federal Application Form for Water/Wetland Projects For Internal Use Only LApplication No. Field Office Code Date Initial Application Received Date initial Application Deemed Complete PART I: BASIC APPLICATION "See HELP" directs you to important additional information and assistance in Instructions, Page 1. I. LANDOWNER/APPLICANT CONTACT INFORMATION (See Help]) Name: #111 ,ier P. ftev Phone: i 6,3 (107— 3/31 Complete mailing address:1l6SO N A A/6c,-ta/f2 /v SS�U IA. AUTHORIZED AGENT (See Help 1A) (Only if applicable; an agent is not required) Name: Phone: Complete mailing address: 2. NAME, TYPE AND SIZE OF PUBLIC WATERS or WETLANDS IMPACTED (Attach Additional Project Area sheets if needed) Name or I.D. # of Waters Impacted (if applicable; if known): (Check all that apply): ❑ Lake ❑ River Circular 39 Wetland type: ❑ 1, ❑ 1L, 0 2, [13, ❑ 4, [15, ❑ 6, ❑ 7, ❑ 8 Wetland plant community type': ❑ shallow open water, ❑ deep marsh, ❑ shallow marsh, 0 sedge meadow, ❑ fresh meadow, ❑ wet to wet-mesic prairie, ❑ calcareous fen, ❑ open bog or coniferous bog, ❑ shrub-carr/alder thicket, ❑ hardwood swamp or coniferous swamp, ❑ floodplain forest, ❑ seasonally flooded basin Indicate size of entire lake or wetland (check one): ❑ Less than 10 acres (indicate size: ) JX 10 to 40 acres ❑ Greater than 40 acres 3. PROJECT LOCATION (Information can be found on property tax statement, property title or title insurance): Project street address: Fire #: City (if applicable): VtQrfk % % %a Section: IV O Section: 6 Township #: l a Q A) Range #: oZ 3 0 County: too yg %l`t Lot #: Block: Subdivision: Watershed (name or #) UTM location: 9 J .5- E Attach a simple site locator map. If needed, include on the map written directions to the site from a known location or landmark, and provide distances from known locations. Label the sheet SITE LOCATOR MAP. 4. TYPE OF PROJECT: Describe the type of proposed work. Attach TYPE OF PROJECT sheet if needed. 540 V,st'o-►, VO-(TWS COrnMtrCl ,lark- -r� - n�s1� �i/%.;.� r-6«�P,:��y tow ::r, d16�CK 4;L- 5. PROJECT PURPOSE, DESCRIPTION AND DIMENSIONS: Describe what you plan to do and why it is needed, how you plan to construct the project with dimensions (length, width, depth), area of impact, and when you propose to construct the project. This is the most important part of your application. See HELP 5 before completing this section; see What To Include on Plans (Instructions, page 1). Attach PROJECT DESCRIPTION sheet. Footprint of project: acres or)-?/ S 6 4uare feet drained, filled or excavated. 6. PROJECT ALTERNATIVES: What alternatives to this proposed project have you considered that would avoid or minimize impacts to wetlands or waters? List at least TWO additional alternatives to your project in Section 5 that avoid wetlands (one of which may be "no build" or "do nothing"), and explain why you chose to pursue the option described in this application over these alternatives. Attach PROJECT ALTERNATIVES sheet if needed. 7. ADJOINING PROPERTY OWNERS: For projects that impact more than 10,000 square feet of water or wetlands, list the complete mailing addresses of adjacent property owners on an attached separate sheet. (See HELP 7) 8. PORTION OF WORK COMPLETED: Is any portion of the work in wetland or water areas already completed? XYes ❑No. If yes, describe the completed work on a separate sheet of paper labeled WORK ALREADY COMPLETED. (See HELP ) 9. STATUS OF OTHER APPROVALS: List any other permits, reviews or approvals related to this proposed project that are either pending or have already been approved or denied on a separate attached sheet. See HELP 9. 10. I am applying for state and local authorization to conduct the work described in this application. I am familiar with the information contained in this application. To the best of my knowledge and belief, all information in Part I is true, complete, and accurate. I possess the authority to undertake the work described, or I am acting as the duly authorized agent of the applicant. Signature of applicant (Landowner) Date Signature of agent (if applicable) Date This block must be signed by the person who desires to undertake the proposed activity and has the necessary property rights to do so. If only the Agent has signed, please attach a separate sheet signed by the landowner, giving necessary authorization to the Agent. 'See Wetland Plants and Plant Communities of Minnesota and Wisconsin (Eggers and Reed, 1997) as modified by the Board of Water and Soil Resources, United States Army Corps of Engineers. Minnesota Local/State/Federal Application Forms for Water/Wetland Projects Page 1 APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT (33 CFR 3251 OMB APPROVAL NO.0710-003 Expires Dec 31, 2004 The public burden for this collection of information is estimated to average 10 hours per response, although the majority of applications should require 5 hours or less. This includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Service Directorate of Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302; and to the Office of Management and Budget, Paperwork Reduction Project (0710-0003), Washington, DC 20503. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to either of these addresses. Completed applications must be submitted to the District engineer having jurisdiction over the location of the proposed activity. PRIVACY ACT STATEMENT: Authorities: Rivers and Harbors Act, Section 10, 33 USC 403; Clean Water Act, Section 404, 33 USC 1344; Marine Protection, Research and Sanctuaries Act, 33 USC 1413, Section 103. Principal purpose: Information provided on this form will be used in evaluating the application for a permit. Routine uses: This information may be shared with the Department of Justice and other Federal, state, and local government agencies. Submission of requested information is voluntary; however, if information is not vrovided the aermit a;. 4,lication cannot be evaluated nor can a permit be issued. ITEMS 1 THROUGH 4 TO BE FILLED IN BY THE CORPS I . APPLICATION NO. 12. FIELD OFFICE CODE 1 3. DATE RECEIVED 14. DATE APPLICATION COMPLETED YOU DO NOT NEED TO COMPLETE ITEMS 6-10 and 12-25 in the SHADED AREAS. All applicants must complete non -shaded items 5 and 26. If an agent is used, also complete items 8 and 11. This optional Federal form is valid for use only when included as part of this entire state ai)iAication ^acket. 5. APPLICANT'S NAME � f � 0 6. APPLICANT'S ADDRESS 7. APPLICANT'S PHONE NO. 8. AUTHORIZED AGENT'S NAME AND TITLE (an agent is not required) 9. AGENT'S ADDRESS 10. AGENT'S PHONE NO, 11. STATEMENT OF AUTHORIZATION (if applicable; complete only if authorizing an agent) I hereby authorize to act on my behalf as my agent in the processing of this application and to furnish, upon request, supplemental information in support of this permit application. APPLICANTS SIGNATURE: DATE: 26. Application is hereby made for a permit or permits to authorize the work described in this application. I certify that the information in this application is complete and accurate. I further certify that I possess the authority to undertake the work described herein or am acting as the duly authorized agent of the applicant. &6 4J �� 1 a Signature of applicant VDate Signature of agent (if any) Date The application must be signed by the person who desires to undertake the proposed activity (applicant), or it may be signed by a duly authorized agent if the statement in Block 11 has been filled out and signed. 18 U.S.C. Section 1001 provides that: Whoever, in any manner within the jurisdiction of any department or agency of the United States knowingly and willfully falsifies, conceals, or covers up with any trick, scheme, or disguises a material fact or makes any false, fictitious or fraudulent statements or representations or makes or uses any false writing or document knowing same to contain any false, fictitious or fraudulent statements or entry, shall be fined not more than $10,000 or imprisoned not more than five years or both. ENG FORM 4345, Jul 97 EDITION OF FEB 94 IS OBSOLETE. (Proponent: CECW-OR) Minnesota Local/State/Federal Application Forms for Water/Wetland Projects Page 2 FOR LGU USE ONLY: Determination for Part 1: ❑ No WCA Jurisdiction ❑ Exempt: No. _ (per MN Rule 8420.0122) ❑ No Loss: _ (A,B,...G, per MN Rule 8420.0220) ❑ Wetland Boundary or type ❑ Replacement required — applicant must complete Part II COMPLETE THE SECTION BELOW ONLY IF REPLACEMENT IS NOT RE UIRED: Application is (check one): ❑ Approved []Approved with conditions (conditions attached) ❑ Denied Comments/Findings: LGU official signature Date Name and Title For Agricultural and Drainage exemptions (MN Rule 8420.0122 Subps.1 and 213), LGU has received proof of recording of restrictions (per MN Rule 8420.0115): County where recorded Date Document # assigned by recorder LGU official signature Date Minnesota Local/State/Federal Application Forms for Water[Wetland Projects Page 3 PART II: REPLACEMENT PLAN SUPPLEMENT For assistance in completing Part 11, contact your Local Government Unit or a professional consultant 11. DESCRIPTION OF WETLAND IMPACTS: Complete the chart below: 1) Use one row of boxes for each wetland impact; 2) If your project has more than one wetland impact, reference your overhead view (part of Section 5) to this chart by identifying and labeling "first impact" and "second impact" on your overhead view; 3) If you are identifying only one wetland type within a given wetland impact area, use the first dotted line and leave the others blank; 4) If you have chosen to identify more than one wetland type within a given wetland impact area, use the extra dotted lines to indicate each wetland type, and identify predominant vegetation and size of impacted area for each separate wetland type within that impact area; 5) If you do not have access to some of this information, call your LGU or S WCD office for assistance. (Photocopy chart for more impacts, if needed.) DESCRIPTION OF WFTI 1lNn IMpertTC Wetland impact (as noted on overhead view) _ Watershed name or number (if known) Watershed and Bank Service Wetland plant community type' Predominant vegetation in impacted wetland area Size of area impacted (in acres or square feet) Existing land use in project area (check all that apply) Ph�lo+r'S ❑ First 1V a�r`}'� / l.X o_�Idtt�@� _ //�� l-F-- - - ✓J,±wc�rn4 c�c� �� '® F FHou Commercial Industrial impact -�O� - ❑ Parks/recreation areas e�fQwl ❑ Highways and p - - - ---- - - - - --------------- ---------------- associated rights -of -way ❑ Forested ❑ Farmsteadslagricultural -1 ❑ Vacant lands ❑ Public and semi-public (schools/gov't facilities) Second ❑ Airports impact ----------------- ------------------ - - - - -" -" ""- "-_" "El Extractive (gravel pits/quarries) ----------------- ------------------ ------------------ ---------------- ❑ Other: 'If you are identifying only one wetland type within a given wetland impact area, use the first dotted line and leave the others blank. If you have chosen to identify more than one wetland type within a given wetland impact area, use the extra dotted lines to indicate each separate wetland type, and identify predominant vegetation and size of impacted area for each separate wetland type with that impact area. TOTALS OF AREA(S) IMPACTED FOR EACH WETLAND TYPE ON CHART (indicate acres ❑ or square feet JK) Wetland plant community type': Shallow open water: Deep marsh: Shallow Marsh: Sedge meadow: 7�,C6 Fresh wet meadow: Wet to wet mesic prairie: Calcareous fen: Open bog or coniferous bog: Shrub carr or alder thicket: Hardwood swamp or coniferous swamp: Floodplain forest Seasonally flooded basin 12. SPECIAL CONSIDERATIONS: Are you aware of any special considerations that apply to either the impact site(s) or the replacement site(s)? ❑ Yes �[ No (Examples: the presence of endangered species, special fish and wildlife resources, sensitive surface waters, or waste disposal site.) If YES, list and describe brie y. 13. SHORELAND IMPACT ZONE: Please identify each wetland impact site noted in Section 15 that is within 1000 feet of a lake or 300 feet of a river. IVistl4 'See Wetland Plants and Plant Communities of Minnesota and Wisconsin (Eggers and Reed,1997) as modified by the Board of Water and Soil Resources, United States Army Corps of Engineers. Minnesota Local/State/Federal Application Forms for Water/Wetland Projects Page 4 14. HOW PROPOSED REPLACEMENT WILL BE ACCOMPLISHED: Indicate how proposed replacement will be accomplished (check only one box below and continue as indicated): XA. Wetland banking credits only Complete Application for Withdrawal of Wetland Credits Form and include with your application. Copies of this form are available from your LGU, or download a copy from www.bwsr.state.mn.us Skip to Section 19, page 6 (You do not need to complete Sections 15-18). ❑ B. Project -specific replacement only Continue with Section 15 below. ❑ C. A Combination of wetland banking and project -specific replacement. If using project specific replacement that will result in surplus wetland credits that you propose to deposit in the state wetland bank for future use, then you must submit a wetland banking application directly to your LGU before or concurrently with submittal of this form. Also, Complete Application for Withdrawal of Wetland Credits Form and include with your application. Copies of this form and the wetland banking application is available from your LGU, or download a copy from www.bwsr.state.mn.us Continue with Section 15 below. 15. DESCRIPTION OF REPLACEMENT WETLAND(S) CONSTRUCTION (Complete this section only if you marked Box B or Box C in Section 14 above): Describe in detail how replacement wetland(s) will be constructed. If several methods will be used, describe each method. Details should include the following: 1) type of construction (such as excavated in upland, restored by tile break, restored by ditch block or revegetated); 2) type, size and specifications of outlet structures; 3) elevations relative to Mean Sea Level or established benchmarks or key features (such as sill, emergency overflow or structure height); 4) what best management practices will be implemented to prevent erosions or site degradation; 5) proposed timetable for starting and ending the project; and 6) a vegetation management plan. Write this description on a separate sheet of paper labeled DESCRIPTION OFREPLACEMENT WETLAND CONSTRUCTION. 16. SURPLUS WETLAND CREDITS: If using project -specific replacement (Box B or Box C in Section 14 above), will the replacement result in any surplus wetland credits that you wish to have deposited in the State Wetland Bank for future use? ❑ Yes ❑ No. If yes, submit a Wetland Banking Application directly to your LGU before or concurrently with submittal of this form. Copies are available from your LGU, or download a copy from www.bwsr.state.mn.us 17. DESCRIPTION OF REPLACEMENT WETLANDS: Complete the chart below: 1) Use one row of boxes for each wetland replacement site; 2) If your project has more that one wetland replacement site, reference your overhead view (part of Section 5) to this chart by identifying and labeling "first replacement site" and "second replacement site" on your overhead view; 3) If you are identifying only one wetland type within a given replacement site, use the first dotted line(s) and leave the others blank; 4) If you have chosen to identify more than one wetland type in a given replacement site, use the extra dotted lines to indicate each separate wetland type, and identify type(s) of replacement credits and "restored or created" for each separate wetland type with that replacement site; 5) If you do not have access to some of the information, or if you do not know your replacement ratio, call your LOU or SWCD office for assistance. Photocopy chartfor more wetland replacements, if needed) DESCRIPTION OF REPLACEMENT WETLANDS Identify Watershed County Section, Wetland Type(s) of replacement credits Restored Wetland name or Township, Plant (in acres or square feet) or replacement number Range Community created? site (if known) Type' New Wetland Public Value Indicate (as noted on Bank Service Credits (NWC) Credits (PVC) R or C overhead view) Area Name of 1 0�2 P�tr�,�/c�se b�l �n ---------------- 3� �� - - First -� - - - ------------------------ ------------- replacement site r1r O�e� LlietiGrJ amr'1 ---------------- ------------------- ------------------------ ------------- Name of Second ---------------- ------------------------------------ ------- ------------- replacement site- - - - - - - - - - - - - - - - - - - If you are identifying only one wetland type within a given wetland impact area, use the first dotted line and leave the others blank. If you have chosen to identify more than one TOTAL NWC TOTAL PVC wetland type within a given wetland impact area, use the extra dotted lines to indicate each separate wetland type, and identify predominant vegetation and size of impacted area for REQUIRED REPLACEMENT RATIO' each separate wetland type within that impact area. �j (If known) aC � 1j Wetland plant community type: Shallow open water: Deep marsh: Shallow Marsh: Sedge meadow: Fresh wet meadow: Wet to wet mesic prairie: Calcareous fen: Open bog or coniferous bog: Shrub carr or alder thicket: Hardwood swamp or coniferous swamp: Floodplain forest Seasonally flooded basin * See Wetland Plants and Plant Communities ofMinnesota and Wisconsin (Eggers and Reed, 1997) as modified by the Board of Water and Soil Resources, United States Army Corps of Engineers. Minnesota Local/State/Federal Application Forms for Water/Wetland Projects Page 5 18. ADDITIONAL INFORMATION REQUIRED FOR PROJECT -SPECIFIC REPLACEMENT (Required only if you marked Box B or Box C in Section 14): For projects involving at least some project -specific replacement, include the following additional information: ❑ Two drawings to scale of the replacement wetland. Include both overhead view and profile (side view or cross -sectional view). See What to Include on Plans (Instructions, Page 3) for a detailed description of what should be included in these drawings. Without drawings, your application will be considered incomplete. ❑ For created replacement wetlands, include additional soils information (if available) that indicates the capability of the site to produce and maintain wetland characteristics. Note 1: For replacement wetlands located on pipeline easements, you need to receive endorsement of your project from both the easement holder and the Minnesota Department of Public Safety's Office of Pipeline Safety. Before start of construction, the owner of any utilities must be notified. The landowner or contractor is responsible for giving this notice by calling "Gopher State One -Call" at 652-454-0002 (Twin Cities Metro Area) or 1-800-252-1166 (all other locations). Note 2: For extensive or complex projects supplementary information may be requested at a later dated from one or more of the responding agencies. Such information may include (but not be limited to) the following: topographic map, water table map, soil borings, depth soundings, aerial photographs, environmental assessment and/or engineering reports. 19. SIGNED AFFIRMATION: FOR PROJECTS INVOLVING REPLACEMENT BY WETLAND BANKING ONLY. To the best of my knowledge and belief, all information in Part II is true, complete and accurate; and I affirm that the wetland losses will be replaced via withdrawal from an account in the State Wetland Bank. FOR PROJECTS INVOLVING EITHER PROJECT -SPECIFIC REPLACEMENT ONLY OR A COMBINATION OF WETLAND BANKING AND PROJECT -SPECIFIC REPLACEMENT: Part A: The replacement wetland. I affirm that the replacement wetland was not: Previously restored or created under a prior approved replacement plan or permit; AND Drained or filled under an exemption during the previous 10 years; AND Restored with financial assistance from public conservation programs; AND Restored using private funds, other than landowner funds, unless the funds are paid back with interest to the individual or organization that funded the restoration; and the individual or organization notifies the local government unit in writing that the restored wetland may be considered for replacement. Part B: Additional assurances (check all that apply): ❑ The wetland will be replaced before or concurrent with the actual draining or filling of a wetland. ELAn irrevocable bank letter of credit, performance bond, or other acceptable security has been provided to guarantee successful completion of the wetland replacement. The wetland losses will be replaced via withdrawal from an account in the State Wetland Bank. Part C. For projects involving any project -specific replacement: Within 30 days of either receiving approval of this application or beginning work on the project, I will record the Declaration of Restrictions and Covenants on the deed for the property on which the replacement wetland(s) will be located; and I will at the same time submit proof of such recording to the LGU. To the best of my knowledge and belief, all information in Part II is true, complete and accurate; and I affirm all statements in Part A and C, as well as checked assurance(s) in B. 0 Signature or applicant or agent FOR LGU USE ONLY Replacement plan is (check one): ❑ Approved Date []Approved with conditions (conditions attached) LGU official signature Date ❑ Denied LGU has receive evidence of title and proof of recording of Declaration of Restrictions and Covenants for Replacement Wetland: County where recorded Date Document # assigned by recorder LGU official signature Date Minnesota Local/State/Federal Application Forms for Water/Wetland Projects Page 6 L--* t .S 1 Wort a Pk r APe ► Plot 3 4P V 0' r: . CID 1AAfej ,.elm F . - 4 Plot 1 a + i 40 � F Yellow is proposed fill area --A• Red is wetland area Two red areas total 17,560 square feet . Nw- - MVP-2009-04532-ADB OM LMIC WMS Server 2008 FSA Orthophoto US Army Corps 0 95 190 380 570 760 of ingineors Feet C3 q�- F OTTE •� Abnn..rl cwasr al me Rw%4 aI lM Nw %4 *f Soc.6, T, IIO, 23 wrlPA! Co. MO—A! --2B2.4B- --23232-- q 0 I a d '4 e a• ;i �o 8 n� I 9 588 °34'16'E -- 2T5.00-- COMMERCIA PAF K Seale-esI caner Of See. 3t Jr. at, R.2t W,4Af Cb of"* —Of gern llae of lee Nw 34 f el/a* Nw14 elSee.6 S 89 e15'59"E ! ° C. S. A. H. R Nu 3T a. (60th Street N.C.; 200. DO zm. 23 300.32� 4, = I M NB9•S9'W� •a �a `o 2 a la 304.80_ s� i °�-225.00 •- 304_BO h __�� m� ,v /••N89'1559iY� �41 6 i z�.�'� t �PI*:wope EosNarwl f y'g�S�: OUrLOr A r% � �1 daAaops faWawwf - - � }00- se� I f pP. w �• Sn°90'0� 4 $89e50$B"W ��,. �• SMIA—.0 Cerwer r1 fte Nw %4 �!y' el Iwt AM' l4 Of See.6 D so Soo 200 _ 300 GRAPHIC SCALE DI FEET Q Oeaarco boa Yeaarrcwl Se! N.L.S. No.T439 O OeAOfrr free. iVewurv-r feraa 011W.11ra Of Ws- peed p rsrlsm !s'AoscA as the prof Of Wee- Nava Essas.s MEYER-ROHLfN,AYC ENGINEERS-I.M0 SURVEYORS � o 59 F y 4 a. C 1 ( Sw✓A ITN 01 Mr A7F % 0I IwO &wk. of see. DRAINAGE AND UTILITY EASEMENTS ARC SN( . THUS: 1 DEING IOFEET IN WIDTH. UNLESS OTHERWISE INDICATED. C.NO ' AO174MG LOT LINES, AND ZO FEET IN WIDTH AND AOJOININ. STREET LUTES AND PLAT BOUNDARY, AS 50OWN ON THE PLA #5 Project Purpose, Descriptions and Dimensions; The purpose is to finish Lot 1 Block 2 Potters Commercial Park Lot 1 Block 2 is planned to used as a Mini storage, the first part is to do soil Corrections that involve excavating and filling the remaining 17,560 sq. ft. When Approvals are obtained I expect to do soil this calendar year and start building in the 2011 construction season. The lot is 216' by 277' same as before this lot conforms to City of Albertville standards as it pertains to min. road frontage, lot size and surrounding Subdivisions. The excavation will involve removal of about 3ft top soil down to a clay base and filled in lifts to required elevation. See attached plat drawing. All erosion control measures will conform with the standards directed by the Corp of Engineers and local authorities. #6 Project Alternatives The alternatives to this lot are limited based on local codes and the fact that the lot is over half constructed already. This layout avoids wetlands to some extent by using the existing haul road built during the construction of the freeway while meeting local codes with the end result being a lot that is functional, usable, and conforming. In this unique set of circumstances based on the fact this was previously approved and partially constructed the best way to proceed is to finish the project. Already wetland credits were approved and purchased on this site with the same layout and design as Included in the original permit request. The scope, size, and end use of this lot have not changed from when I was Granted a permit in 1988 Beacon - Wright County, MN Map ��lJl'V 1 U'F S} Pfl �V X 77 ''.ii-aeuaaa�Maa.:'; .i =:.i'..� ist�nn�,��c•1, �!; _ AIWe Y►%I� S53b1 - bQr �_:.. r . '501 e, SU� sh �e1l.e �ian2 , Wv 15o0 )1 Summary Parcel ID 101800062200 Sec/Twp/Rng 6-120-23 Property Address Page 1 of 1 n �ivo3u+-aua -- -. :bn.TT{rrrF:� r=--.. �Eenrn;c•r � ' �f .. � ^ `, I -kph AILf— : QYY1 I S (Sli d i 1�G�P,Ir44 ke ' �r.. it ':11 Y. fl RII'i271!i off, a i.11•I �i -_�• -_- I� y b 5q — Ci�C� ,' 1i:Sf.�:nl•!+]?�''::.il !p'gQ0�C2303 .. �_-.. _.ii �: 0 Alternate ID N/A Class 233 - COMM LAND & SLOGS Acreage 0.00 District Brief Tax Description Sect-06 Twp-120 Range-023 UNPLATTED LAND ALBERTVILLE2 DES IN BK312-834 (Note: Not to 6e used on legal documents) Last Data Upload: Owner Name MICHAEL 3 & HEIDI B POTTER Owner Address MICHAEL 3 & HEIDI B POTTER 11650 57TH ST NE ALBERMLLE, MN 55301 Jon oe 12-1 g'- fl- A1�'v*' III 411; S'001 NW1/4EX W16RDS OF S30RDS OF N32RDS EXC E46OFT EX TR 7:00:56 AM a--r C6mn-)W1 twht m � h1 bf-r'AImins 1 IJT d'l qa http://beacon. schneidercorp.com/Application.aspx?AppID=187&LayerID=2505&PageTyp... 1 /26/2010 # 8 PORTIONS OF WORK COMPLETED Work already completed on this site referred to as Lot 1 Block 2 Potters commercial Park. Areas in the southeast part that included 6,500 sq. ft. that was previously filled with wetland credits purchased. With another 4252 sq. ft. in the same area already filled. See Attached map. Pr I IF 4@r A-1 v I m— Ir Ile Plot 3 • LEI Plot Or OP r . Y"L Yellow is proposed fill area Red is wetland area Nk. Two red areas total 17560 square feet Ok 4"If -W4 lk MVP-2009-04532-ADB LMIC WMS Server 2008 FSA Orthophoto US Army Corps 0 95 190 380 570 760 of anghiserm, Feet C)4, #9 STATUS OF OTHER APPROVALS There is a pending filling and grading permit with the city of Albertville That is on hold until the Corp of Engineers issues are resolved. Enclosed is a copy of said permit. In the past i have applied for and received numerous permit for filling and grading on this property. Any questions on this matter please call the City of Albertville at 763 497-3384 ■ OCT a 1 20 BUNd :n'g,li N-Pections • ADMINISTRATIVE PERMIT APPLICATION 5975 Main Ave NE Case No: q 01A P.O. Box 9 Base Fee: 0t) Albertville, MN 55301-0009 Escrow Amt: , 000 Pd. (763) 497-3384 fax (763) 497-3210 Date Filed:_ Its-- I -LQ Please read carefully and answer all questions thoroughly. Only complete applications will be accepted after validation by the City Clerk and prior to acceptance of required processing fees/deposits. Type of Request(s): Essential Services (> 33kv) Home Occupation Land Excavation, Grading X Land Filling STAFF MEETING DATE: PROJECT PLANS DUE DATE. - Swimming Pool Temporary Outdoor Seasonal Sales Other PLANNING COMMISSION DATE: CITY COUNCIL DATE: Address of Subject Property- CQUh�tW Name of Business: Legal Description of Property (attach additional sheet if necessary): Lot: Block _Plat# Subdivision: PID# Owner: Name. %mac ¢�. iYott ,,- _ AddressVA '-- City. _41h.--m Y)e. _ State. 4,1,1 Zip. S'S 3 4' 1 Telephone (Home). 743 Y47-. 131(Business)%3 ;?Vole 293 iF (Fax) Applicant (If other than the owner): Owner: Name. _ Address. _ City. Telephone (Home). Description of Request(s)_ State. _ (Business) Zip. (Fax) S-sf �ln ��jy 0 �f �ll4°Gf'GP� l Q �.3� �lJd:?Sf��7v1� �i�� ♦�C4(� V°i4�� plef,�, Description of Request(s): EFFECTS OF THE PROPOSED USE: List impacts the proposed use will have on property in the vicinity, including, but not limited to traffic, noise, li ht, smoke/odor, parking, and describe th steps taken to miti ate or eliminate the impacts: D l -u ri�tja-rcvAl s► e s a v r-� Reason W4 Request Should Be Granted: 1 — Aid Tr} 1-V4- rd -s CoM i2h.f ■4y,-, t� Vr a ► ��. Existing Use of the Property / Nature of Facility or Business: If a request for planning/zoning action on the subject site or any part thereof has been previously sought, please describe it below: What? When? Project Name, if applicable: P0ftQ-(--5 oi'n 1 hereby apply for the above consideration and declare that the information and materials submitted with this application are in compliance with City Ordinance and Policy Requirements and are complete and accurate to the best of my knowledge. I understand that the application will be processed for the next available meeting agenda after review of the information submitted to determine if any other data is needed and after completion of a staff report. I understand that all City incurred professional fees and expenses associated with the processing of this request are the responsibility of the property owner and/or applicant and should be promptly paid. If payment is not received from the applicant, the property owner acknowledges and agrees to be responsible for the unpaid fee balance either by direct payment or a special assessment against the property. If the property fee owner is not the applicant, the applicant must provide written authorization by the owner to make application. Signature(s) of Owner(s): A/44d Date: Signature of Applicant(s): Date: Date: Date: Approved _ Deniedby the Planning Commission on: Date: Approved Denied by the City Council on: Date: Distribution City Planner: City Engineer: Building/Zoning Official: Public Work/Parks: Fire Dept.. - Other 2