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Home My WebLink About2003-2004 - MCWD erosion control permit DEC-18-2003 17 24 MINNEHAHA CREEK WATERSHED 6124710682 P.02/02 Creek . :� ,i..;� Watershed utstr�iut Mtnnehalha F„,,,„ Improving Quality 0.f Water, Quality of Life Established in 1967 correspondence, plans, Minnesota Statutes Chapter 103D, and on the basis of statements Mail. Pursuant to permit application, in the the applicant, all of which are 19202haeMNMinnetonka 553919and information other hesupporting up contained g data submitted by Creek maps, and all hereof supp byreference, PERMISSION ISfHa HEREBY M nnehaDhao the peepha95,MNmade a part Phone,(952)¢71'p590 applicant named below for use and development o Fax:(952)471.0682 Watershed District. Permit No: 03-614 Small: Issued to: Brenshell Homes admin®minnehahacreek.org Location: 865 Willow View Drive Orono We site: Rule g: Erosion Control WWw.minnehahacreek.org pur•ose: Date of Issuance: 12/16/03 Date of Expiration: 12/16/04 By Order of the Board of Managers Board of Managers Renae Clark District Technician Pamela Blixt James Calkinsiration. No activity is date. If the permittee requires more time to complete Fisher This permit is not transferable. and is valid to the date ofexp Lance Fis and the expirationpermit is Susan Goetz authorized bey an application for renewal of the required. complete the project, Monica GrossBance with all DistrictRules and for the Richard Miller The applicant is responsible for comp and amp action of their representatives, contractors, plans submitted to the Scott Thomas completed as described in to the provisions Conditions: Project to be MCWD office on December 15, 2003 according of this permit. MCW D Rule B, • Properly install and maintain all required erosion control measures until the disturbed areas are restabilized in color • Silt fence must be orangestaff has • When the site is reabland the all silt fencesmustbe removed performed a finalinspection, • Statement concerning fees for inspections, violations, etc... on reverse) '� PAnhd on re�yded pSDOr cgnlalnlnp t.: a Ieas130%poo' roumorway�e JUL-16-2004 10 52 P.03/04 Existing owner information: For the purposes r-.f r is form the" ".ring owner"will refer Thy erson or party wishing to transfer the permit. Name(last, ftrst, MI) G• J"1/ Comp„Name(if applicable) 'ie..�.c,,l !�/��l Uk • ��J 0/ ,w, Pr - Address (Street, RFD, Box#, City State.Zip) _ cam- Cc , Phone Number(include arca code)/Email Address(if avail. ,le)/Fax.Number(if available) 2. The following information must be given to the New Owner for review prior to permit transfer application: • Copy of the MCWD approved erosion control plan under the existing permit. • MCWD-supplied Fact sheet on Sediment and Erosion Control. 3. All approved/required erosion and sediment control measures indicated on the MCWD approved erosion control plan must be installed and functioning according to MCWD approved standards prior to permit transfer application. 4. I understand that permit transfer is not complete until the new owner has received a permit,and that until such time that permit tjansfer is complete, I am the party responsible for implementing and following the conditions of the permit. /l[.1 tnical 5. I understand that submission of this application does not guarantee permit transfer and more information may be requested. I hereby certify that to the best of my knowledge and belief all information contained in this document and accompanying attachments are true,complete,and accurate. i am aware that there are significant penalties for submittin else i prmati 6-- 21' 0 Exi Own kens Date For Office Use Only Approved By: Title: District Technician, Date of Issuance: Date of E piration: Based on Plans Received on: Conditions • The'permit holder is respdmsi ile for;corn liance With all.MCWD Rules and for the action(s)of their representatives,, pontradtors,and employees, • All erosion and sediment control measures must be effectively installed and maintained according to MCWD guidelines as laid out by current I3istrict Rules artd.Policies until all disturbed soils are peri»atnently stabilized- ' • • All temporary erosion and sediment control measures must be removed following final inspection by MCWD Staff after all disturbed soils have been permanently stabilized. • District staff or their representatives may enter lots for the purposes of enforcing and determining compliance with District Rules. • MCWD may charge fees folr actual time for inspections,legal services, monitoring,analysis, and any supporting work according to the current MCWD Fee Schedule which may be subject to change. • Page 2 of 2 rr? QgWnk 111HSNR S 89STSPOZS6 Sb=0I b00Z/90/LB JUL-16-2004 10 51 P.02/04 Application for Permit Transfer Use this form to apply to the Minnehaha Creek Watershed District(MCWD)for proposed transfer of an existing MCWD Fast- Track Permit to a new property owner. Fill out this form completely and mall to MCWD, 16202 Minnetonka Blvd,Deephaven. MN 55391, with all required accompanying documents. Keep a copy for your records. For questions call (952)471-0590. Project informatio -: ( / I. Permit number: irj b I �t (example 03-001) 2. Project location: a. Address i(0 1....)a-i.-u41....)a-i.-u4iik:lA,) ��,� b. City c. Property TD # 2 �l.' 1/ 9 I-3 -L /r - New owner information: For the purposes of this form the"new owner"will refer to the person or party requesting the permit be transferred to them. Name(last,first, MI) Corriony Name Of applicable) 1 Y2/� / • (O i �/JI tIAA) v l C'Y+� �l,ll.' j x'1,1 15,, Address (Street, RFD, Box#, City, State.Zip) _ q,5 L - Y /- Il 70 Aix/)6417(0 Azj/5I• C0•^1 Phone Number(include area code)/Email Address (if available)/Fax Number(if available) 2. Have)Au received a copy of the MCWD approved erosion control plan from the existing owner? _YES NO 3. Have_you received from the existing owner and reviewed a fact sheet on Sediment and Erosion Control? VYES .-NO 4. Are all approved/required erosion and sediment control measures indicated on the MCWD approved erosion conA plan installed and functioning according to MCWD approved standards? YES NO Request inspection by MCWD Staffs 4-Please note that requesting an inspection by staff will delay transfer of permit process until after such dine that an inspection can be completed. Inspections typically occur within two weeks of receiving request. . 5. Will you be using the current MCWD approved erosion control plan for this permit? ✓YES NO'ir *Attach a copy of your signed and dated proposed erosion control plan if you answered NO. Permit will not be transferred until the new proposed erosion control plan has been approved by MCWD i staff_ 6. I understand that permit transfer is not complete until I have received a permit,and I hereby give permi sion CO the 1 existing owner to enter my !or/property for the purpose of erosion and sediment control repair/i • ' n in order to comply with the conditions of the permit until such time that permit transfer is complete. Inui91 7. I understand that submission of this application does not guarantee permit transfer and more information may be requested. I understand that not answering yes to any of the above questions may delay issuance of the new permit. I hereby certify that to the •-st of ray knowledge and belief all information contained in this document and accompanying attachments ar ../•.,complete,and accurate_ I am aware that there are significant penalties for submitting false info, .cion. /f . . r . w� ! ‘0'_1 New Owner Signat Date Page 1 of 2 TO 29b'd S3WOH 113HSNSZIS 896T90On6 85 :60 b90Z/90/L0