HomeMy WebLinkAboutMCWD permit JUN-28-2004 10�20 FROM TO 9522494616 P.04/04
�' .. � . � ° �����`�
:r J�`'` � 1, 2004 �
� �� � ~��
� � ermi
' SHORELINE EROSION PROTECTION -� FAST TRACK PERMIT
MINNEHAHA CREEK WATERSHED DISTRICT(MCWD)
GRAY FRESHWATER CENTER '
2500 SHADYWOOp ROAD Ph: 952�71-0590
EXCELSIOR, MN 55331 Fax: 952-471-0682
R• �� h�r
I, �•.��rcl� �t�� _reside at 2 od� S4� o�ol �
(PropeRy Owner� (Street Add s) '
. . -� wa�,;� � S5S9/ �
' '����`�'" � ��)�=�[��equest approval to install riprap
��YI (Statel (ZiP) (Phone)
shoreline erosion protecfion on property described as 2d0o S'�,� uu�w� i� '
�.._._.^ _,located in
• (Street e dross) �
drd'�� -- . �+^"e Q 1 '� _, � — -.23_;l,po 01 The riprap installation
(Within the City boundaries) (Gourity) (Propariy ID# (PI�#J�
will consist of�s"32 alon �the shoreline of �H K�.� k ,_Cr ys ;�in full
9 �.�._�
(Lineai feet) (Lake) (Bay)
. accordance with the Minnehaha Creek Watershed District Shoreline Protection Guideline for
riprap placement�equired for issuanc� of a Fast Track Genera) Permit. ! have conttacted with
�oc,k,� �.i-� l�hc. �55U �.v�orelin� 'Dr, nn �� a.5'L/�7►�3�3
(Name of Company) � (Street addro�) (Clty) (Lp) �phpne�
3�g��� ,to perform the work who is familiarwith the technical
(Bond Number)
' requiremerrts and has futfilled the bonding requirements of the watershed disirict(see page
iwo). I have read and unde�stand the requirements af the MCWD relating to Shoreline Erosion
Protection. .
����^�- � � �
(Signeture of Propeily Ownar �' 10/I (o�(�3
(Date)
� Subscribed and swom t before me on ihis ��o �' day of��lA�JI_ ,�`�20�
� • ' "
NOta PubliC . SHERYL A.LATTERNER •
' WOTARY PUBuO�MINN�OTA
�. MY COMMIS�ION EXPIR6i t.31-8005
. �
Approved by:_ �/,yM� �'
e �.� .1 Date
DisWbu6on: ,Properiy Owner ^,Conbackor _Munldpality �DNR �D�trict File
Page 1 of 2
Tf1Tf11 D fAil