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NA-02622'02 <br />Rev. 12/01 . <br />. Ib^OEPARTMfNT OF <br />)^(7^tEsoir^ <br />^ NATURAL RESOURCES <br />ame (i <br />K.Y <br />Government Lot(s) <br />V 4 <br />w. tsTumto mojOT COST <br />5coo~fc.MoeO <br />MHEF CXnAMTMW OF nOJECT <br />4 <br />USE A TYPEWRITER OR A B All POINT Win WH lN COWrLtl INC Irufwi ir luu Aitc mm i inu. . r»».u wwi owwi** - :• i*: ..A ^ :U:<S <br />PERMIT APPUMTION <br />TO WORK M raOTECTa WATERS SR WETU•• <br />(WGUI0M6 DM SAFETTI. <br />p- ► Please read instructions belore attempting to complete this application.^'^ . <br />flfiEfUSE ONLY. <br />■ f J I ^ <br />cpimwc;^: <br />v.rv <br />*? ** * <br />Authorized Agent (lfappIicabW_Jj| j Y OF'-f <br />'Vv <br />LO^^: W- 5539 f <br />Quarter Section(s) Sections(s ^f)Ur Range(s Lot, Block. Sub-Division <br />County <br />A-?.. <br />Project wHI aWeet Lake, Wetland orJ/V^cw^ <br />V-H r <br />(name & number.^-- 41 knowni-*-^^--^ <br />PROPOSED^PROJECT-r^yT^v^’* <br />/• <br />:□ drainj^C'D construct » \ <br />□ remove i~t D other (specify) <br />O abandon " ‘ ■ <br />□ install <br />•-* »: <br />* - ' -TV . vr: -. •. * v.v , *r <br />r - <br />ir ^ <br />IM. PROJECT AREA <br />^ani^,-r --j; *i>•■ K -i*-*^*- <br />□ lake <br />□ wharf <br />■ T'_____-, . .- I I »------mm »wm ■—— ■ i ■— <br />□ bridge ’**r^ obstruction V' <br />□ harbor □ watercourse t ^ ... <br />□ riprap D sand blanket <br />□ channel □ permanent dock ; <br />* ?* - . ; . -1- V . > *♦,\ ■ O'" » <br />/o <br />" **, <br />ZnoAjfs A OAV <br />.• V A 4^*. ; Q <br />,«■ -• <br />inCITION (Explain why this project is needed-----------------A A .i <br />ENYIROmimM. IMPACT (^ticipaM aji imRoidable but dettimental Affect^ <br />W/Tii <br />i»jh <br />angps to the water ag^g|^e|^land^w^ <br />r * -*# ^ • <br />. . . ij. - • V V^v* i'.^V -•• .• -'■ • • •- •v--‘.:r^ <br />«•' .•: <br />•:v,^^ -ik ^ .• <br />ALTEIWATIVES (Other alternatives to the action proposed) <br />^wirwUL-. <br />V #me: <br />________________________ <br />twraby BMicawoHcaUoii pwxuant to Mhw <br />L imilarts) in accvdanca with all supportiRg i <br />rM-‘r* <br />Slitutas Chaplw 105.42 and all suppoding fiilas for a permit to wQrtc in V allacMhe above namad praladad <br />_ ^ ^ __R_«_____»• —..R. lAA^u ‘ oA !■ Tw* wiIjMM wir A wvi1Mm4 wnH wtstAMimfifw hrsi A a <br />: ee:;5is^?s^,’•rev- T.i <br />I ^ <br />.. .*.. .^. j«j > <br />« »1IWI <br />• ' : ; Distribution!'r:'.--•... V-r ^.v-- -v--vwiMonr <br />jIA m ^AmfORir^mfR <br />Blue: SWCD <br />• • • • _•_ * w •.-•-•». • <br />3oHS4>t^ <br />2SS5 W. *1^ <br />St. PmtU, <br />PUm».6f2-6S <br />August i <br />city of <br />Box 66 <br />Crystal <br />Attn: Mr <br />Re: Filr <br />Gre{ <br />Dear Jei <br />We have <br />there ii <br />1. 1 <br />2. <br />3. <br />If you <br />Yours V <br />BONESTB <br />Glenn H <br />GRC:li <br />2559c