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JUN-06-2003 13�34 MINNEHAHA CREEK WATERSHED 6124710682 P.03iO3 <br /> Permit# - 3 _ Z� <br /> ' Sandblenk�t Permlt and Sand Source Exhlbit Form <br /> FasT TRACK PERM�r <br /> MINFIEHANA CRE6K W�TERShIED DISTRICT(MCWa) � <br /> 1820Z MINN�'TQNKA RL.Y/D. Ph: $S�-�71-0g90 <br /> DLEPHAVEN, MN 5�3�1 �alC: e�-471-G�62 <br /> � � � resitle at�°�f,�,_�'�:Q1d.l�� ���� <br /> v�Q �/ ��f � tGty) <br /> �� 2�} � (�1����.,requeet approval to in�t�l)a sernndbl�nket on prc,peKy desoribed <br /> a&_,��'1t1.� , loCated{n_���a�j �.+/N' <br /> lS�ro�t addroe�) IYVNNn�tu C�dr bounda►h;a1 (Oourtp) <br /> �I-I/�-�3 .o?y����,�-a� C' <br /> �Peppyrar ID�k(PIaNJ) � <br /> ❑I h�ve cont�cted w�tt�__ 50D • T LAK ST. <br /> t� ' <br /> IOR MN 55331 <sn�.oa�� <br /> {�y,�o,�P` to inet�ll oleen sand 1rom the <br /> followinQ svurce .. �,. � <br /> (�PP��o�1 tAddraeo) (CI4'.8P? <br /> �-� or►., <br /> d 1 wlll ins1a11 Me ae�dblenkat irom 1ha foHowing source <br /> , <br /> . (�v6M <br /> � � <br /> (Am►��s) lohY.6�e,DA) . (P►bn�) <br /> My sharaline is,��f,�t and the dimen�ions ot th�a piopoaed san�bianket�re: S� X <br /> ��.�.,X�_, Sandblanket d�ns+ons vanrwt ex�ed n lengkh of 5{�'(ot 5096 of shoreGne), <br /> � wtdth of t0' and a depth of s•, If th,s p�j� ��utres munidpa) approv�t or r�rneW� pleflee ati��h <br /> docauneniation uf the muniv�pal appr�vai with ihia appNrsdon. , <br /> I under�tar�d that(f this eppl(ceibq is not mmpleieJy fillad out, or!f!fiail fo submk the required e�ct►ibits, ihe <br /> appHcation is i�campJete e�d wifl b� retpmed. !t will r�ot be rev(ew�aq by MCyyD s1aR un�l compl�te, gy <br /> ai�ning this eppliva#Jon, I agroe and unde�tanb that ihe olstdet may ento� tho properry at reasanable hvurs <br /> �a conduqt an Inspec�on to dstenriina wB�ether lne lem,s of th�parm�fi�bving m�t. I Iurther undetstAnd that <br /> IF I vlolato the terms enq conaitfons of ih� permft that ls lssu�besed upon ihls appliaa�qn, the dl�trlct shall <br /> conduct a iie�d hup�oUan of tfie prvject pQ�MCWD RutQ ,�� provkJad wlth thle applla�don, I undarstand the <br /> Dtstrict will chat�a f�es t� cover the �cbuel �cst� of fleld inspeol�ons, lrrdudlnA invastigaiion of the ares <br /> � afiect�tl by Ihe woric, ar�elysfs e} Ehe ws,rk, inoludin� 1he s�nr�oe9 qf Isg�� GOW�8e1 �d enelneers, end eny <br /> �ubsequont monitoring oP the vuarlc,The DIs�I�Y��taual ooete are dogmea ta bep��aocruing wi�S�t�►ihe Distriot <br /> issues notice of vlolation tfl PB tte �,ve �eaq a�d wndo�st�nd MEIAID Tp���al Guid�llne� For <br /> oanc�l�nkate. <br /> ---.�-_-_ � a o � <br /> � 8ubso. and swcm to befw�rne ar�thl� �� day p�f �� . <br /> , ��-�-�-�. <br /> Natary publ'�c \. ROSEMARIE E E3p�pITU <br /> NOTqpY pU6Llp—MINNESOTA <br /> �Y��M-E�(PIREO 1/31/Ep06 <br /> roved by: p <br /> , <br /> � <br /> . ��iv�� ,;���v o � �oo� <br /> REC.. . <br /> � � <br /> �, TnTAi P r� <br /> s <br /> � <br />