HomeMy WebLinkAboutMCWD permit �_ �C V
Permit #�
SHORELINE EROSION PROTECTION — FAST TRACK PERMIT
MINNEHAHA CREEK WATERSHED DISTRICT (MCW�)
18202 Minnetonka Bivd.
Deephaven, MN 55391 Ph: 952-471-0590
Fax: 952-471-0682
I,l.,i�'� v•� V�LU'(ll? reside at �� �v �-�--' � e �Y �� U>�� �(�' �x�J�O
(Property Owner) (Street Address)
_ �a��.Un� , 1�IPv _�����, �J�Z)o�y�1-y�d� request ��pproval to install riprap
' �Ciryj (Statej (Zipj (Phone)
shorelinP erosion protection on property described as ` V v ���� ,'�I��� , located in
(Stree ddress)
0���f1� �►�?Cl� ; ,��- I I '� -�3 - � �"6CX.�/ The riprap installation
�thin the Ciry boundaries) (County) (Property ID# [PID#))
will consist of�db� along the shoreline of �� (1 Y1�7a����1, L�u�r �c��C� �OUf�n full
(Lineal feet) (Lake) (Bay)
accordance with the Minnehaha Creek Watershed District Shoreline Protection Guideline for
�rjpl� la em nt required for issuance of a Fast Track General Permit. I have contracted with
�Nr�r�e�pnica�or�bl�Dredginq
(—)
(�Farnenf;�Q,rr���y�)5��`9 (Street address) (City) (Zip) (Phone)
C�i��ISW� MfV
(�14749,4�, to pertorm the work who is familiar with the technicai
(Bond Number)
requirements and has fulfilled the bonding requirements of the watershed district (see page
two). I have read and understand the requirements of the MCWD relating to Shoreline Erosion
Protection.
F�02�✓1�
(Signature of Property wner) 1u (Date)
a
�uusci�ueo ariu sv��rn to i�eTore me on mis � day ot , 20�
_ ^
�
N ta Public ����-:.Heidi Lynn Basil-Niccum
;� �= Notary Public
.,w, ` Minnesota
�,�.. ,s
-� .
' - ,
Approved by: ��- �'� % '' Date �`f� ` ��
Distribution: _Property Owner _Contractor _Municipality _DNR _District File
Page 1 of 2
�-_: f ,n r,-: —
�
� i' �
L' I �i' i I�� �'.
APR � � �
� 201i