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> » <br />i ‘4 <br />NA-O20ii2-U<i <br />Rev. 12/81 <br />DEPARTMENT OF <br />PERMIT APPLICATION <br />TU WORK IN PROTECTED WATERS OR WETLANDS <br />(INCLUDING DAM SAFETY) <br />PART A OFFICE USE 0 <br />p.A. Na <br />^ NATURAL RESOURCES <br />Please read instructions before attempting to complete this application. <br />□SWCO aCAJ <br />□w.o. ail <br />I. <br />i <br />» <br />Applicant's Name (Last. First, M.l.) <br />UULICB, tfllllca J. <br />Authorized Agent (if applicable) <br />John Nohla 612-541-9344x560 <br />Address (Street, RFD, Box Number, City, State, Zip Code) <br />Telephone Number&area code <br />( 612 ) 471-8103 <br />mfuisum jToxn <br />Government Lot(s) <br />2 <br />Quarter Section(s)Sections(s) <br />8 <br />Township(s) <br />117N <br />Ra.ige(s)Lot, Block, Sub-Division <br />Fire No., Box No. or Project Address <br />1535 Bohns Point Road* Va^itata <br />County <br />Hennepin <br />Project will affect Lake, %. Hand or Watercourse <br />^?f*krKwnT^‘ Lake Minnetonka <br />i <br />I <br />□ fill <br />□ drain <br />□ remove <br />□ abandon <br />□ install <br />□ excavate <br />(^construct <br />□ other (specify) <br />nr. EsmiATEO project cost <br />*2*. wo. <br />□ dam <br />□ lake <br />□ wharf <br />□ bridge <br />□ harbor <br />□ riprap <br />□ culvert <br />□ wetland <br />□ shoreline <br />□ obstruction <br />□ watercourse <br />□ sand blanket <br />a shore-protection <br />□ other (specify) <br />4: <br />f,. <br />A <br />-1If <br />□ channel □ permanent dock <br />,4' <br />V. <br />I <br />¥ <br />. <br />LAMTUm OF PROJECT <br />«j*K ;• ♦ <br />of aluiplnum retaining wall co fSAtch axletlng half of lag <br />prorvont aroaion and pro tact shoreline. <br />4 • I *»*and to ■ -i' <br />Ji <br />JUSTtnCATtON (Explain why this project is needed) <br />For harbor shoreline erosion protection. <br />■W <br />BnmONMBITAL IMPACT (Anticipated changes to the water and related land resources, Inc jiding unavoidable but detrimental sf^te) <br />eonstruetioti disruption but post-construction vill iarpbre shorallso orosioo. <br />• I Ok • <br />AUBMATRIES (Other alternatives to the action proposed) <br />lip rap <br />mg <br />MAY 19 1986 <br />region VI <br />—lAAATCM—anmHCKMprol <br />«ilBr(s) In accordance with all supporting maps, plans, and other information submitted with this appjlcation. The information submitted and sialemanis made <br />concatning this application are true and correct to the best of my knowledge. «, ^ <br />STATE OF <br />;.sM——Y <br />Subscribed sworn to before mb this <br />COUNTY OF <br />Signat^e of Owner Q^uth^edAyent .( "Date ^ <br />Date <br />______ ■ .V. / ~SigRiime of Notary <br />Distribution: <br />White: DNR <br />Blue: SWCO <br />Green: Watershed District <br />Goldertrod: City or County <br />Pink: Army Corps of Engineers <br />Canaiy: Applicant