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HomeMy WebLinkAboutMCWD permit JAN-18-2002 10�51 MINNEHAHA CREEK WATERSHED 6124710682 P.02/02 . . � o�l . . �� - .�t� ...� - .—..�.. � SHORELINE EROSION PR � C F CK PERMIT -- ,b . MINNEHAHA CREEK WATERSHED �ISTRICT .1 GRAY FRESHWATER CEN7ER � Ph:��°�71-0590 2500 SHADYWOOD ROOD FAX: 471•0682 EXCELSIOR, MN 55331 reside at 1+� �'1 5�"A�,..� `�'� �' ��"�' ,�q��� (Str�et Add�ess) (Property Owner) . . �]_ �� _ � '`(`�1nn S S 3�i I _. - a o request approval to install (City) (State) (ZiP) (Phone) riprap shoreline erosion protection on prope�ty described as �am•-- , located in (street address) �� , _ a3_ . The rip rap instaliation (�thin the City boundaries) � (Counly) (PID#) will consist of . 135 along the shoreline of_�`��-�Go� , C'J o�S 'f� in full (lineal feet) (Lake) (Bay) accordance with the Minnehaha Creek Watershed District Shoreline Protection Guideline far �ip�ap placement required for issuance of a Fast Track General Permit. I have contracted with �8153 PRIEST I�.AANE G � (Address) ' � (Phone) � � � ,� , to perform the work who is familiar with the technical requi�ements (6ond umbe�) and has ulflled the bonding uirements of the watershed district (see reverse�. I have read and undecs�and the require en . o the MCWD relating to Shoreline Erosion Protection. / , r ___ � � : ��'� (Sign re f e Owner (Date) Subs ribed and sworn to before me on this 18{�' day of i�.�`�.Y..b•r -• 2001- . . � �.;;�;;'3. JAMES HAROLD SMITH �„�Y� NOTARY PUBLIC.IAINNESOTA \ MY CAI�d�ISSWN E7fPIR&6151-2� Nota Public ' A roved B : -�• Date: v PP Y I � Distribution: _ProhcrcY Owne� _ �oT _N�unic�p�uy _DNR Dist�ict ile