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HomeMy WebLinkAbout1999 - MCWD shoreline erosion permit OC:T-11-1999 10:51 MINNEHt,,IHR CREEK t,I TERSHEti 6124710682 F'.02 05 99 -- v-v3 1%/INNEI3AIIA CREEK WATERSHED DISTRICT Gray Freshwater Foundation Ph: 471-0590 2500 Shadywood Road, Excelsior, MN 55331 Fax: 471-0682 SHORELINE EROSION PROTECTION- FAST TRACK PERMIT I, f r J ...-t-' . r _ S a - ^residing at g 30 Ci.-2/�.D J�m.2i,�rre. �.-/ti-- (Property Owner) (Street Address) O�� r7'l ,�5 Yr . PH: y9- ,r �k, request approval to install (-City) (State,Zip) riprap shoreline erosion protection on property described as - �i13. ) located in (Street Address" ilk ��� 7 -_.1/7--/? I/ 081.2' . The rip rap installation City) 77 iie.J • 0 ( ��� (County) (FIDS located on tax statement) will consist of /,...5—,? along the shoreline of 1717- 42, , jD,t,,„< 4e,, in full accordance with (Lineal feet) (Lake) (Bay) the Minnehaha Creek Watershed District Shoreline Protection Guideline for riprap placement required for issuance of a Fast Track General Permit. I have contracted with Nei-o-.1 .1).PORTABLE - (Phoria l , \ (Name of Compan:.C- r O MPANY (Address) .500 LVL I:F ST EXCELSIOR.MN FF;i•4t , to perform the work who is familiar with the technical requirements and has (133ood Number) 474-945+1 fulfilled the bonding requirements of the watershed district(see reverse) . I have read and understand the ` requirements of the MCWD relating to Shoreline Erosion Protection. 1 1 A,.1. L .4",,,, -,_ - - b oc--t- c -c. tel- :_ f eK errgi tall; r. �, fR,C.T .^/A-i.- ..-. 1c i.. Imo. �.rse-f,.. +y�TJ �i�')�snr (Date)... : O C T �' 1°.-199 Subscribed and sworn to before me on this (o -_ day of 10 7._ , 19 99 4; y� • ,1}iti ...,f. , �o 1 1,4:-........z.,•a —_ '-MINNESOTA I Y $. ary Public , - ..�...`.�...,...y,'.,;Fire5 Jan.INI 1 j j L;".`.i. r Jan. 3Y. Approved Ey: ' '' U 9 17 ' .. . ies Haf- -r, District Technician (1.-":11(1.-":1(1.-":11.,) // Distribution: Property Owner Contractor Municipality DNR District hil,, Ite L,&e r-s r. nazuxa .Jt,rtutac.-i is. aae..A irtspeecsun (..n.-rrte prvjeec per ivr wc� muse j, provtaea wtrn tuts apps icarnon. 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 District's actual costs are deemed to begin accruing when the District issues notice of the violation to the permittee. I have read and understand the MCWD Technical C.:u'delines for sandblankets. *A 1L4) fc, ©C'T L at (=D(=DJ,' 9 I ex* Date .scribed arid sworn to before me this day of �.t 199 --� JUDITH E. NICCiIM t � �l .`'__ i ASY PUSLIC-MINNESOTA 1 j lid,. HENNEPIN COUNTY i r, i _: My Gomm. Expires Jan. 31, 2000 ,.., e.tary Public . .. /6X(/ '? • Ap;red and cepted by Date ja _ -Iamner, District Technician sande -Mar 97 OCT-11-1999 10: f l I NtIEHHHA CREEK I.J iTEF°SHEL: r 1 4 r 1�=�r F'.�=�5i 05 SANDI3LANKET PERMIT & SAND SOURCE EXHIBIT FORM MINNEHAI--IA CREEK WATERSHED DISTRICT PERMIT 97 — 2-2-Y ' MJ LST> .SS esiding at x,31 /? at.)fi4e 'Froperty Owner Address ��J}I City,State,Zip or Ptf# Phone County Township,Section,Range (from property tax statement) own and occupy the above single family residence and wish to install a sandblanket on a 271 .,41.jer IL A j Lake&say. l'J [ have contracted with MINNET�;i; P,ORTA8LE at contra*-! lCCU A address 500W LAKE ST to install clean sand from the following source: city,state,zip 474-9454 supsQs►sr_�� _ Lldr,. �... , Q J ILI�S� or: : address phone ED I will install the sandblanket myself from the following source. supplier address phone If this project requires municipal approval or review, please attach documentation of the municipal approval with this application. My shoreline is I-5-3 feet and the dimensions of the proposed sandblanket are; 54 (Length) x lo (Width) x (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, Ry 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 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 District's actual costs are deemed to begin accruing when the District issues notice of the violation to the permit-tee. I have read and understand the MCWD Technical Gu'delines for sandblankets_ Date 'scribed and sworn to before me this _ day of (2. 19 2 ,- 1�M�`~,•~r,~••U4i'..'•„�..M'” JUDITHHE. NiCCUM � ABY PUBLIC-MINNESOTA � HENNEPIN COUNTY .41/4_7 / �.� Y l omr1. Expires Jan, 31, 2000 irtary Public • 40' Ap r• ed and ;ce ted by l --T--- ja Hafner, District Technician Date se�siif •Mar'J7 TOTAL P.05