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HomeMy WebLinkAbout2001 - MCWD permit MAR-19-2001 15 1�v,�4�+ �� MINNEHAHA CREEK LJATERSHED _ 61.24710682 P.02102 - :"11 I ° Ir111 INEFTCREEK WATERSHED DISTRICT ate'"` _ I °.- 'f '••'al•,4I Li_W. I,?u kd�nSate.6 + KC,A, .y Owner Address City,State,Zip . ..c3.3 Qsa - 471 - g 188, 41(,..„— .6 PID 21- t 17 Phone County Township,Section,RangeZ i'�8 (from grope tax statement) own and ocrupy the above single family residence and wish to install a sandblanket on VI 41e.,a. - 1.,Tuo,. )3R 7 Ulm&Bay p0 I have contracted with e 0-1\ i e -s a,Y.�l a chat 3/-3 �,,,�,a J. — o`.--� � S : contractor address `_ __,, 9 se.412- I I g to install clean sand from the following source: city,state,zip phone ) 11 e ecn S w„,.ci4, supplier address C...)144)4.4 , 4y 8 -417 S or: phone ' ❑ 1 will install the sandblanket myself from the following source. supplier ' :mums— phone - phone If this project requires municipal approval or review,please attach documentation of the municipal approval with this application. My shoreline is 1 oo+ feet and,the dimensions of the proposed sandblanket are: --S° (Length) x I 0 (Width) x C,< (Depth).- Sandblanket dimensions cannot exceed a length of 50' (or 50%of shoreline),a width of 10'and a depth of 6". 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 further underatartd that if 1 violate the terms and conditions of a the District shall conduct a field inspection of theproject per�nit that is issued based upon this application, 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 an subsequent monitoring of the work. The District's actual costs are deemed to begin accruing when 7. - 1. 1- - ti •;-« • . : of the violation to the permittee. I have read and understand the MCWD Technical. u 7 rr Pt • . els. Signature of mPeery owner Af1,4 l Z� z.,p Date Subscribed and sworn to before me this I omaC day of It•Ap,,c,e.9 D 1 . C',--7-- ,,A(S.0--Y",'I'A-(1 i,('6 " �i"+,i:� JULIA M.RAIDER "' a a"' NOTARY PUBLIC-MINNESOTA Notary Public ;�R;w};1 : ;:I��". My Commission Expires 141-2005 A2 . .ed == ,,("4 Accepted by bra 0 Ia es HAfner. ilicir;n} Te 41ran;A„ Date - - ----- . . ., Tn-rni -- - TnTni 0 0-1 MAR-19-2001 15 14 MINNEHAHA CREEK WATERSHED 6124710682 P.01/02 MiHuoflaJia Creek = �__ . ._.. Watershed District Improving Quality of zap; Quality ofLife Gray Froshwaler Center Hwys.15&19,Navarre Mail: 2500 Shadywood Road Excelsior,MN 55531-9578 Phone:(012)471-0590 —. FAX MEMO SHEET Fax:(612)471-0682 Phone: 471-0590 Fax: 471-0682 Erma: ` admin minnehahacreekorg Web Site: SATE: 3/9 � www.minnehahacreekorg / n /►' To: FAX No: 2z,(9- /-f6 ff��, a� Board of Managers FROM: ry -/A�/ Pamela G.Blixt James Calkins RE: [ (—o75 Lance Fisher Monica Gross �• "-'' Thomas W.LaBounty Number of Pages including cover memo: �-- Scott Thomas Malcolm Reid MESSAGE: PMied on mypaper ce i aTing tl$6aHJD%D iconeumm.aAe.