Laserfiche WebLink
JAN-24-2003 14�29 MINNEHAHA CREEK WATERSHED 6124710682 P.02ia2 <br /> Permit#d3- 035 <br /> SHORELINE EROSION PROTECTION '- F�4ST TRACK PERMIT <br /> MINNEHAWA CREEK WATERSHED pISTRICT (MCWD) <br /> GRAY FRESHWATER CEN7ER <br /> 2500 SHADYWOOD ROAD ;Ph: 952-471-0590 <br /> EXCELSIOR, MN 55331 !Fax: 952-471-0682 <br /> 1 <br /> I,�,;,�,���s r��' reside at_�OQ� ��� ____ <br /> (Property Owner) {Stre Address) � <br /> ��¢�� ,�L__ ss3s�, 3��)y�G. � <br /> ) (state) (Zp) � (Pho��� request approval to install �iprap <br /> shoreline erosion protection on property described as ��4.��1)„rrA�sl,�c p.r;uc _, located in <br /> ' (Street address) <br /> ����_� _,_.�"n�1��__�__,______�__ ___, The riprap installation <br /> (Within the Clry boundaries) (County) (Property►D�� [pID#]) <br /> will consist of�,a o along the shoreline of_��� _ ___,,�T S�a � _ in full <br /> (Lineal feet) (Lake) ; (8ay) <br /> accordance with the Minnehaha Creek Watershed District j Shoreline Protection Guideline for <br /> riprap placement required for issuance of a Fast Track General Permit. I have contracted with <br /> YU�1� be se�c�fed by <br /> co,n�e��,� Q��d. ' <br /> � _(—)� <br /> (Name of Company) r (Street address) ^(Ciiy)' (Zip) �Y (Phone) <br /> ___ � _, to perform the work who is familiar with the technical <br /> (Bond Number) <br /> requirements and has fulfilled the bonding requirements of th,e watershed district{see p2�ge <br /> two). I have read and understand the requirements of the MCWD relating to Shoreline Erosion <br /> Pr t ction. <br /> � �� � e1s ���c�,S�r�f)�-�_�..La� � a a�a 3_ <br /> (Slgnature of Property Owner} � (Date) � � <br /> Subsc�ibed and swvrn to before me on this_����--c�day of -�.��� � �_, 20� <br /> -� �.�� -- <br /> � N ublic r PEGGYL„CAVINESS <br /> NOTARY PUBLIC-MIIWIESOTA <br /> MYj��a�;�DIroSJ�t1,31,200) <br /> Approved by• Date <br /> i <br /> Distribution: _Proparty Owner _Contrac;tor _Munldpality _DNR �District File <br /> � <br /> Page 1 of 2 ' i7�� �".7/-.��`�, <br /> I jr�,�' � � ,�� .,. `.. .� ., . . <br /> ' '!I h• <br /> � <br /> i e !,;: ��N � .. � � <br /> � ' <br /> ! LJ1J�t��:.:iu i.i L..r�- <br /> I <br /> IIYIIIII II��1III�N���I����M' <br /> TOTAL P.02 <br />