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Project Name and/or Number: <br /> PART FIVE: Applicant Signature <br /> ❑ Check here if you are requesting a pre-application consultation with the Corps and LGU based on the information you have <br /> provided. Regulatory entities will not initiate a formal application review if this box is checked. <br /> By signature below, I attest that the information in this application is complete and accurate. I further attest that I possess the <br /> authority to undertake the work des bed herein. <br /> Signature: ,i -~ <br /> Date: <br /> I hereby authorize Ken Arndt to act on my behalf as my agent in the processing of this application and to furnish,upon request, <br /> supplemental information in support of this application. <br /> Attachment A <br /> Request for Delineation Review, Wetland Type Determination, or <br /> Jurisdictional Determination <br /> By submission of the enclosed wetland delineation report, I am requesting that the U.S.Army Corps of Engineers,St. Paul District <br /> (Corps)and/or the Wetland Conservation Act Local Government Unit(LGU) provide me with the following(check all that apply): <br /> ®Wetland Type Confirmation <br /> ® Delineation Concurrence. Concurrence with a delineation is a written notification from the Corps and a decision from the LGU <br /> concurring, not concurring,or commenting on the boundaries of the aquatic resources delineated on the property. Delineation <br /> concurrences are generally valid for five years unless site conditions change. Under this request alone,the Corps will not address <br /> the jurisdictional status of the aquatic resources on the property,only the boundaries of the resources within the review area <br /> (including wetlands,tributaries, lakes,etc.). <br /> n Preliminary Jurisdictional Determination.A preliminary jurisdictional determination (PJD)is a non-binding written indication <br /> from the Corps that waters,including wetlands, identified on a parcel may be waters of the United States. For purposes of <br /> computation of impacts and compensatory mitigation requirements,a permit decision made on the basis of a PJD will treat all <br /> waters and wetlands in the review area as if they are jurisdictional waters of the U.S. PJDs are advisory in nature and may not be <br /> appealed. <br /> ®Approved Jurisdictional Determination.An approved jurisdictional determination(AJD)is an official Corps determination that <br /> jurisdictional waters of the United States are either present or absent on the property.AJDs can generally be relied upon by the <br /> affected party for five years.An AJD may be appealed through the Corps administrative appeal process. <br /> In order for the Corps and LGU to process your request,the wetland delineation must be prepared in accordance with the 1987 <br /> Corps of Engineers Wetland Delineation Manual,any approved Regional Supplements to the 1987 Manual,and the Guidelines for <br /> Submitting Wetland Delineations in Minnesota(2013). <br /> http://www.mvp.usace.army.mil/Missions/Regulatory/DelineationJDGuidance.aspx <br />