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- .Qlease cali (612)476-7970 if assistance in compieting this torm ts required. In submitting this form,the applicant <br /> ac�cnowledges all requi�ements for permit approval as determined by the published rules dated May, 199i. <br /> INSTRU�T70NS FOR COMPLETING PER�fliT' APPLICATION <br /> 1. Owner- Property ownet's name, address, business hours,telephone number and <br /> signature. <br /> 2. Ownet's Representative - Person authorized to ad on the owners behaff duri�g the permitting <br /> process (ndude name, address, zip code, business hours, telephone <br /> number.) Chedc a{�propriate box if registered as a professional engineer, <br /> land surveyor, architect or landsca�e architect. <br /> 3: Permit Requested For- Check aJl boxes that apply. The letters refer to applicable MCWD <br /> Rules dated February 20, 1986. <br /> 4. Projed Location - Seff-explanatory. <br /> 5. Describe the Project - Descnbe the major aspeds of the project. <br /> 6. MCWD Rules require the project to have received necessary municipal reviews and/or prelimi�ary approvals prior <br /> to submitting applications for an MCWD peRnit. <br /> 7. Lisi the name or Minnesota Department of Natural Resources Protected Waters inventory number of the body of <br /> " water receiving runoff from this project site. Also indude the length of travel of such runoff to the affeded water <br /> body. <br /> _8. List scheduled dates requested. <br /> Permit approvals are va(id fo�a period of one year. If construction and site restoration are not complete within one year <br /> of peRnit issuance, an extension of the permit must be requested from the District. <br /> The a{�plicant should be aware that it remains.their responsibility to obtain necessary permits that may be required from <br /> other govemmental agencies. <br /> A copy of the MCWD Rules should be requested and understood by the Owner of the property on which the project is <br /> {ocated before submitting a permit applicatio�. MCWD Rules are available by calling (612) 476-7970. <br /> INSPECTION/ANALYSIS/MONITORING FEES <br /> A site inspection and monitoring by District staff will be performed where the activity involves <br /> • a commerciaVndustriaVmulti-family residential development. <br /> • a single family residential devebpment greater than 5 acres or of any size 'rf within the Minnehaha Creek <br /> subwatershed. <br /> • any alteration of a floodplain or wetland. <br /> dredging within the beds, banks or shores of any protected water or wetland. <br /> • a violation. <br /> • any project which in the judgement of Districi staff should be ins�ected due to p�ojeci bcation, scope, or <br /> construction techniques. <br /> In these cases,the applicant shall pay to the District a fee equa!to the actual casts of fie{d inspection of the wotic, including <br /> investigation of the area affeded by the worfc, anatysis of the work, and any subsequent monitoring of the woric, which in <br /> the case of a violation shall be at least $35. <br /> Standard Fee Schedule (houriy rate)' <br /> District Council: $125 <br /> District Engineer. 129 <br /> District Asst. Engineer. 67 <br /> District Administrator 40 <br /> 'Fee schedule as of January t, 1994. Fees subject to change. <br />