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(1.‘ 16. 95 (19: 19 FAX 612 479 1212 IIEN(K ASSOC. TV _ V1002 ()02 <br /> -- - <br /> ,,. . . MINNEHAHA CREEK WATERSHED DISTRICT f 1-ZII-orntE us,h aly -----T <br /> 15500 Wayzata Boulevard <br /> Suite 611 Twelve Oaks Center rmit Al-_-,p4ic-atikA Ho <br /> .,- <br /> Wayzata, Minnesota 55391 3at.,-.Ft -1 <br /> t 1 c <br /> A.— ° 1 <br /> APPUCATION FOR PERMIT - FORM A <br /> SEE REVERSE SIDE FOR INSTRUCTIONS (i'-i-j- ) <br /> ._. <br /> 1. OWNER: wooDRT I",r. COUNTRY r I.E.IR P. OWNER'S 11 <br /> REPRESENTATIVE" MRF--- BERQij -,ST <br /> ------- <br /> 1,.ini ca 7 y-pol <br /> MARK ALBRECHT- CLUB MANAGER 150 SOUTH PROADWY <br /> ii <br /> 200 WOODHILL ROAD WAYZATA MN WAYZATA M1,7.... <br /> rropown. -12-7:3-7333 vicv Y-6'.-41 Cr44'"4 476-E:r.r.'0 ca,± 5 5•kri <br /> ----- ------ --------73-71---. -Air,— ' 11 <br /> owners sigletum: frt4Lie... Azz-4.4z, 1 _ r. 1 .. P.E, c R.L.S. c LA. e)DTHER <br /> - — <br /> • . _ --- __, <br /> 3 Project Location: <br /> C' ORONO County HE2TNE-PI-N 1/4 Sec. rit\i/SE <br /> r <br /> 4. Pro'ed Addres ; Sec. 2---- <br /> 1 <br /> Township 117 knner <br /> _______ <br /> 5. Permit Requestuti For: (Check all appropriate boxes) II ' <br /> B. LI Stormwater Management Plan C. 0 Floodpiain Atteration 1 <br /> G Commercial [1 0 Weiland Meration <br /> 1-1 Industrial E-_ 17 Dtedginq <br /> GI Institutional or Highway F, 0 Shoreline/Bank Improvement <br /> 0 Resklb,ntial G. U Stream/Lake Crossings <br /> NOTE: A+ •Iicants La inq Sandblankets Must Use Application For Perrnit - Form R <br /> - -- , ---- - - -- .. . <br /> 6. Describe the Project: -1 <br /> ROADWAY REHABILITATION - ADDING CUL,-DE-SAC FOR EMERGENCY VFHTCLE TURNARrUND <br /> .1101)....r.••••...*,.. 1. <br /> WIDF,NING ROADWAY PPONI 19' T(7) <br /> (It this project requires municipal approval or review, attach documentation of municipal review) <br /> 7. Body of water, stream or wetland affected by runoff from this site! ,s1, - -7., j21,... _r) AT 'THP rrPNER. (77 <br /> ,l1:i.J•I'Y Pn;''D 1'.-; & ry‘ fl!I T 1 T. RD. <br /> Distance from project _.1,2;z:_k ELT_ _____ _. <br /> PROBABLE DISCHARGE TO LAKE MINLZT':)NKA' THROUGH CT3LVF2RT c.. sP,RpAGE: <br /> 8. Schedule for construction, implementation of temporary erosion control, substrimititriekittapliMigrf*Pirrestoration- <br /> WA I Ei--(SHEu DISTRICT <br /> atioxi_caLamizajm LTE ,ZAJ:cy:5.7 <br /> FINAL BITUM:NnUS WEAR BY NO1EMBET.-: I . <br /> ..-__ . <br />