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11A-Ue U[L UL <br />tel <br />Y. <br />h. <br />WI. <br />VM. <br />IX. <br />Rev. ivol PtHMII APPLICATION <br />PART A OFFICE USE 0 LY. <br />DEPARTMENT OF TO WORK IN PROTECTED WATERS OR WETLANDS P.A. NO. <br />rrIATURAL(INCLUDING DAM SAFETY) RESOURCES <br />QSWCD QC/C <br />► ► Please read instructions before attempting to complete this application <br />10WO. QUSCOE <br />Applicant's Name (Last, First, M.L) Ar thorized Agent (if applicable) Telephone Number&areacode <br />ULRICH, William J. �-John Noble 612-541-9344r.560 612) 471-8103 <br />Address (Street, RFD, Box Number, City, State, Zip Code) <br />1535 Bohm Point Road, Wayzata, I11 55391 <br />Government Lot(s) <br />Quarter Section(s) <br />Sections(s) <br />Townships) <br />Range(s) <br />Lot, Block, Sub -Division <br />2 <br />E <br />117;i <br />Fire No., Box No. or Project Address <br />ounty <br />Project will affect Lake, Wetland or Watercourse <br />Bohnc Point Road, -Fayiata TliennSpAn <br />riarn1535 <br />t f k ownumber, t' Lake nnetonka <br />II. PROPOSED PROJECT <br />III. PROJECT AREA <br />❑ fill ❑ excavate <br />❑ dam ❑ culvert <br />15d shore -protection <br />❑ drain Q construct <br />❑ lake ❑ wetland <br />❑ other (specify) <br />❑ remove ❑ other (specify) <br />❑ wharf ❑ shoreline <br />❑ abandon <br />�7 bridge ❑ obstruction <br />❑ install <br />l3 harbor ❑ watercourse <br />❑ riprap ❑ sand blanl:t <br />❑ channel ❑ permanent dock <br />IV. ESTIMATED PROJECT COST <br />$29,460.00 <br />BRIEF EXPLANATION OF PROJECT <br />Installation of aluminum retaining wall to match excist! .g <br />half of lagoon and to <br />prevent erosion and precect shoreline. <br />JUSTIRCATION (Explain why this project is needed) <br />For harbor sho.eline erosion protection. <br />ENY IONMENTAL IMPACT (Anticipated changes to the water and related land resources, <br />incipeling unavoidable but detrimental effacts) <br />it <br />Some co_if;tructiou disruption but pot t-ce:utruetion will i=rpbve shoreline erosion. <br />ALTERNATWES (Other alternatives to the action proposed) <br />blip <br />ltip rap <br />REGION V1 <br />I hereby make application pursuant to Minnesota statutes Chapter 105 42 and all supporting rules for a permit to work in or affe&W#JfiAF&0d protected <br />water(s� in accordance with all supporting maps plans, and other information submitted with this application The information submitted and statements made <br />concerning this application are true and correct to the best of my knowledge. <br />STATF Of <br />COUNTY OF <br />Subscribed and sworn to nefore me this / <br />Of <br />My cw nffal on expires .�----x <br />fSrpuature of Notary / l <br />S gnat a o1 Owner or uthon ed ent Date t. <br />Sig e. lease Date <br />Distribution <br />White <br />DNR <br />Blue. <br />SWCD <br />G►een. <br />Watershed District <br />Goldenrod <br />City or Country <br />Pink: <br />Array Corps of Engineers <br />Canary <br />Applicant <br />