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npi-- 'V ■■ ■■.. ^ <br />V 71- <br />Rev. 12/61 Kinnesrta Conservation Oepertirent <br />01 VI SI ON OF WATERS <br />k <br />APPLICATION FOR PERMIT FOR V.'ORK IH THE BEDS OF PUBLIC WATERS <br />Under A*. S. A., Chanter 105 and annlicable statutes. <br />* I t * t <br />V’ ..(•(» '■ <br />To:RECF.r^FO <br />AUG 2 ;9i3 <br />C0W.1I SSI ONER OF CONSERVATION, <br />Centennial Office Building, <br />St. Paul 1, Minnesota <br />Division Of WATERS <br />The applicant herein is the ovmer of land described as <br />Director <br />$ <br />Re/.ortt <br />Deputy <br />•Ground W.• <br />Secretary m Surface WJ 1 <br />Permit#1 Drafting • 1 * <br />Impection <br />Drainage <br />'^x <br />'»ll I • 11»''’ <br />{ <br />Section \ <br />IGovercmeat lot or Xract'^^al section) <br />, Township_ViIW • Eanise _ <br />gA-e-<^ <br />which is riparian to 'frr. <br />_ County, <br />and applies herewith for a JermiVto work in'the bed(s) of the public waters named above, <br />all in accordance with the data which follcv.s and the maps and plans attached hereto and <br />made a part hereof. <br />IT IS PROPOSED TO: I v|Excavate. I iFill. f 1 Construct. I I Change. I I Remove. <br />I I Abandon, LH) Other (specify)_______________________________________ <br />THE FOLLOWING: □ Dike, EDChanjiel, n Breakwater. I [Revetment. <br />Obstruction, I I Da.m. LZJBridge, | iCulvert, | I Pier, <br />Boat House, I I Hangar, [pother (specify)____ <br />I ~l Harbor, <br />I I V/harf, <br />FOR THE PURPOSE OF: [H) Beach improvement, I I Navigation improvement, I I Shore <br />protection, I 1 Safety measure. Lake improvement, | "1 Public Crossing <br />I 1 Private crossing, ( |Flood control, ( 1 Erosion control, | )Power <br />development, []]]] Other (specify)_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br />CONSTRUCTION DATA <br />CHANNELS <br />Existing <br />I1 SHORE IMPROVEMENT <br />Proposed <br />Length (feet) ----- -________ <br />Bottom width (feet) - - -_ _ _ _ _ <br />Side slopes (ratio) - - -_ _ _ _ _ <br />A.verege depth (feet)- - -________ <br />Maximum depth of excavation (feet) <br />Gradient {%) ----- -________ <br />Proposed <br />Distance lakeward (feet) - - - <br />Distance along shore (feet)- - <br />Depth of excavation (feet) - - <br />Muck & silt - <br />Gravel & sand - - <br />Rock & stone- - - <br />Maximum depth of v/ater (feet)- - - <br />Material to <br />be removed <br />(cubic yards) <br />.. x/ <br />Fa^v'm.snt is er:closed in an amount of <br />PLEASE READ BEFORE FILLIKG OUT APPLICATION <br />Detailed plans ISee Form V71-51) must accompany all applications except those for worlt listed below <br />for which a location plat or sketch, only, is required. <br />1. Peach sanding - six inch maxiTur. thickness. <br />2. Approach channels, not exceeding 16 feet in width, to boat houses, harbors and piers. <br />3. Piers. ^ <br />4. Shore protection works not requiring filling on lake or stream beds. <br />U <br />THE OBJECTIVES <br />. t <br />fi <br />A.-S <br />THE FOLLOWING <br />nSketch <br />]Plat <br />[pother (spe <br />The applicant decl <br />herein are a true <br />“.application and in <br />-""of* the correctness <br />State of Minnesota <br />County of. <br />On this_^^day < <br />who being first di <br />application, acknc <br />that the statemen <br />according to k«-i 1