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HomeMy WebLinkAboutMCWD permits JAN-04-2001 16:48 MINNEHAHA CREEK WATERSHED 6124710682 P.03iO4 • MINNEHAHA CREEK WATERSHED DISTRICT DEC 0 8 2000 Permit S 00- SHORELINE EROSION PROTECTION-FAST TRACK PERIIIIT MINNEHAHA C 1 DISTRICT GRAY R CENTER Ph: 471-0590 2500 EHADYWOOD ROAD FAX: 471.0652 "CELOM UN 58331 at 10q 0 I�o-nk a W a oa.a (Pn*" ) IOft"Aden) �yt"O, . ]020_ S b4s 6 , -1-1 t - $ s I request approv al to instal, (eft) cam) (ZIP) ted) riprap shoreline eroson protection on property deecribed as 55 r 1000W in %. (street address) px,.crg _, 1�- � _,o$ I I'i a3 i 3 00 13 .The rip rep inStaUetlOn (UVItMn*0 CW bougies) (Cary) (PIDO) 2 c r wpl consist of_lip along the ahorellne of �a� �OY.WA in iup pines,feet) (Bay) ac dwm with the M'mneheha Creek Watershed Osflrict Shoreline Protection Guideline for r1prop Placement required for issuance of a Ft*Track General Permit. I have contracted wM CONCEPT LANDSCAPING 3153 PRIEST LANE (Nems of Company) (Address) (Phone) gym_ to perform the work who is fat ftr with the tedmical requirenwAs MOM poraw) and hes WNW the bonding rlequM ments of the walshad district(No reverse). I have read and undarsttwW the requirements of the MCWD rsM"to Shoreline Erosion Protectlon. (swimmor ftPah►owner) fog) Subscribed and swum tD befotie me on this !5}I= day of ©e. . 200v vwv Aoftk Arm JAMES FIAROI.D SMRH QllfYw�l� NOTM A MY CONiMIS=NI$SION D�IHES 141� N Public ■ Appr+W By: Dane: • ..._r"�P�Y OYMa — � .Mimi tY _ Dina f ik JAN-04-2001 16:48 MINNEHAHA CREEK WATERSHED 6124710682 P.02iO4 SANDBLANM P Wff & SAND SOURCE EXMIT FORM AMNULAM CREEK WA DISTRACT -PERMff 00 41(a I, oy11 s.Qo� �B'WiAsiding at ) n y o T'o-rt f�4 U/� ss3S6 Propelty owner AMMU City,State,Zip -LI-I I - 'S 9 5 I . or PID# OS-I 1 -a3 i 3 00 13 Phone county Tawnsidp,section,Rath On=property tax statement) own and occupy the above single family residence and wish to install a sandblankat on W)►k d- - -Yl�l•c WA.4 ..CONCEPT LANDSCAPING Lake&Day ^..:..,3158 PRIEST LANE MOUND. MN 65364. ; I have contracted with mclat col� or addnas to install clean sand from the following source: city,state,zip 5 Q.,,�.� _ ��..ae,S� , yN 8 --1 r-�S ,or. supplier address phone ❑ I will install the P"dbh=ket myself from the following source. , suppticr addre a phone. if this project requires municipal approval or review,please attach documentation of the municipal approval with this application. My shoreline is I 10 feet and the dimensions of the proposed satidblan)W are. Sip (Length) x I " (Width) x (Depth). Sandbhmket dimensions cannot exceed a length of 50' (or 50%of shoreline),a width of 10'and a depth of 6A. I understand that if this application is not completely filled out, or if I fail to submit the required exhibits, the application is incomplete and will be returned. It will not be reviewed by MCWD staff until complete. By signing this application, I agree and understand that the District may enter the property at reasonable hours to conduct an inspection to determine whether the terms of the permit are being met. I furtherl understand that if I violate the terms and conditions of a permit that is issued based upon this application, the District shall conduct a field inspection of the project per MCWD Rule J, provided with this application. I understand the District will charge fees to cover the actual costs of field inspections,including investigation of the area affected by the work,analysis of the work, including the services of legal counsel and engineers,' and any subsequent monitoring of the work. The Districts actual coats are deemed to begin accruing when the District issues notice of the violation to the permittee. I have read and understand the MCWD Technical: Guidelines for sandblankets. Sig tore of property owner Date Subscribed and sworn to ore this Z-s+L day of 0 a't 00 . ■ JAMES I %SMITH u NOTARY ?.IWN "F=A COMMISSION EXPIRES 1414= Nota Public MF mmmm"AAAA AAA y o/ Approved d Accepted by Date Tames Haffher. i)islrinf Trr1,s„�ian .r