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HomeMy WebLinkAboutMCWD permits s� Received � LAKE SHORELINE STABIL14VION _ PERMIT APPLICATION F MINNEHAHA CREEK WATERSHED DISTRICT (MCWD) 15320 MINNETONKA BLVD. Ph: 952471-0590 MINNETONKA, MN 55345 Fax: 952-471-0682 1. Property owner information: $� � Name of each property owner: ��t1� `'' Nu� &!)I A� � Mailing Address:76,C) -Toak 11, _rx A. City: C&Ad Le�t-& State: My Zip: Email Address: G� r f�! �� � t (—L Phone: 2. Contracting company information: `C U!k%A,�g `alk Business Name: !Representative Name: Business Address: C.061,6State:N_ti_Zip:S 357 Email Address: p )YL Phone: Ongoing performance bond with MCWD: ❑Yes ❑No Bond Number. 3. Project Details: Project address: Gb I o��a t� City: L LAUe Statey Al -Zip: S3 County: Pii��1(J 1 n Property ID number(PID):_ Type of Project: ❑Vegetative restoration ❑ Bioengineering XRiprap ❑Retaining wall In-kind replacement: XYes ❑No Erosion intensity score(if not in-kind replacement): Located on lake: �CkV Length of shoreline affected: JC�o (lineal feet) Describe any existing structure along shoreline: Access to project site by: Vice ❑ Barge ❑Upland corridor Financial assurance bond acquired: XYes ❑No (If not an ongoing performance bond please fill out next page) By signing below, 1 hereby request a permit to authorize the activities described herein. I certify that I am familiar with MCWD Rules and that the proposed activity will be conducted in compliance with these Rules. I am familiar with the information contained in the application and,to the best of my knowledge and belief,all information is true,complete and accurate. 1 understand that proceeding with work before all required authorization are obtained may be subject to federal,state and/or local administrative,civil and/or criminal penalties. Z— I Signature f pr perty owner or contracting representative Date Page 1 of 2 3 ip fasl � k Received By: 40 4 �r u u�`3 t C1' I I , t I k G C-_, _ e r r ' i C-� t r ,; DATE ' L 1 NO. 519 RECEIVED FROMY Q V d v DOLLARS QR RENT � ACCOUNT CASH - y2- CHECK FROM � lTO PAYMENT OMONEY ORDER BAL DUEO CREDIT CARD BY 3-11 INTEGRITY L1.0 75�54�fJE119 - p LAN©$CAPE 11i65HWY`I .. 87 r � -WACONIA,MN 558 '-: �} ~� M MINNESOTA " WES K -" - 11:09 190 54441 00 179 701I' 0626' - s1• F, - _ ,�,�' fray` -�`` (^� �.' is• 1 «; �;, �'. "y'�'�`',r�� zt?s' Tc� ?�.• ��`1 �� `• aC'� !� � --�• �� t i ''4° yam- „y!t � •sr'' . - ;+ t - _ Via•-�aN` - �_.K , •x •ate t;,_ �, -�- ; �. , .% - .� .�^ ,t��#t a r � ap Alt* T _ Of iLL JF F ! ter,. -. _ % �, 'Y - { � - 't �_.�• A - W �� y � - LST ' � ,. _ 3.`•; A Al ' 'fi1V�' j.� L. n L ��• fill i tv"1A ;� " t � �;4 ;rzs 7 w Jy �Y � •y. •_ �" � ^-�4-..Yr.:k:'iN.,x3-•..L+'s.d,/-.j.�cf'C�-g�.^. a'e. F E, 4• .t. ;., td,.y�-���"�' Y �y7 } o ,. 8 Y owt MINNEHAHA CREEK WATERSHED DISTRICT QUALITY OF WATER ��� QUALITY OF LIFE � Pursuant to Minnesota Statutes Chapter 103D, and on the basis of statements and information contained in the permit application, correspondence, plans, The Minnehaha Creek maps, and all other supporting data submitted by the applicant, and made a part Watershed District is hereof by reference, PERMISSION IS HEREBY GRANTED to the applicant named below for use and development of land in the Minnehaha Creek committed to a leadership Watershed District. role in protecting, improving and managing Issued to: Nancy Bordson Permit No: 13-219 the surface waters and Location: 760 Tonkawa Road Orono affiliated groundwater Purpose: Erosion Control—Single Family Home resources within the Date of Issuance: 06/13/2013 Date of Expiration: 06/13/2014 District,including their relationships to the By Order of th Board of Managers ecosystems of which Steve Christopher they are an integral part. District Technician We achieve our mission This permit is not transferable without District approval, and is valid to the date of through regulation, expiration. No activity is authorized beyond the expiration date. If the permittee requires more time to complete the project, an application for renewal of the capital projects, permit must be received by the District at least 30 days before expiration. education,cooperative The applicant is responsible for compliance with all District Rules and for the endeavors,and other action of their representatives, contractors, and employees. programs based on Conditions: Project to be completed as described in plans submitted to the sound science, MCWD office on June 05, 2013 according to the provisions of this permit. innovative thinking,an • Properly install and maintain all required erosion control informed and engaged measures until the disturbed areas are re-stabilized • When the site is re-stabilized and the MCWD staff has constituency,and the performed a final inspection, all silt fences must be removed cost effective use of public funds. (Statement concerning fees for inspections, violations, etc... on following page) e Inspection/Analysis/Monitorina Fees A site inspection and monitoring b District staff will be performed where the p g Y I, activity involves: • a commercial/industrial/multi-family residential development • a single family residential development greater than 5 acres or of any size if within the Minnehaha Creek subwatershed • any alteration of a floodplain or wetland • dredging within the beds, banks or shores of any protected water or wetland • a violation • any project which in the judgment of the District staff should be inspected due to project location, scope, or construction techniques In these cases, the applicant shall pay to the District a fee equal to the actual costs of field inspection of the work, including investigation of the area affected by the work, analysis of the work, and any subsequent monitoring of the work, which in the case of a violation shall be at least $35. Standard Fee Schedule District professional staff $ 57.74* District interns $ 36.44* District clerical staff $ 42.16* Consulting Senior Engineer $ contracted rate Consulting Engineer/Technician $contracted rate District Counsel $contracted rate Application fee $ 10.00 Copy costs $ .25 + actual staff time Color copy costs $ 1.00 + actual staff time * Hourly