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2. 
4. MITIGATION FORM
   Please use this form to apply for the following services: Shoreland Mitigation, Small Mitigation Projects, Stormwater Management, Construction Site Erosion Plans and Plan Reviews.
6. CONTACT INFORMATION
8. Date:
   Date:
10. Owner*
11. Agent (if applicable)
13. Address1
15. Address2
17. City
18. State
19. Zip
21. Email Address *
25. SITE INFORMATION
27. Waterbody
28. Parcel Address
30. Township
31. Fire Number
32. Phone
34. Legal Description
36. Gov. Lot
37. Or
38. 1/4
39. 1/4;
41. Section
42. Town
43. Range
44. (E) (W)
48. Type of Assistance Requested
    (Choose All That Apply)
50. Small Mitigation Project

    1. Small Mitigation Projects will be billed out at $50/hr

    Services provided may include a site visit(s), compilation of supporting documentation, development of a certifiable plan or written review, and final certification of completion report provided to the landowner and the Zoning Department.
52. Residential Shoreland Mitigation and Stormwater Management Plan

    1. $450.00
54. Residential Shoreland Mitigation & Stormwater Management Plan Review

    1. $250.00
56. 135 - Non-Metallic Mining Reclamation Plan Review & Inspection

    1. $250.00
58. Rip Rap Design, Permit Preparation, Construction Check(s), and Final Inspection Report

    1. $500.00
60. Special Notes
64. The Bayfield County Land and Water Conservation Department aims to complete plans and reviews within 10 business days of receiving the completed application, fee, and/or site plan. Notice will be given to the landowner and the Zoning Department if this timeline cannot be met.
66. Office Use Only:
67. Completed Application Date
68. Amount Received
Leave This Blank:


70. 1. Receive an email copy of this form.
71. Email address

    This field is not part of the form submission.

72. Submit Submit and Print

* indicates a required field