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HomeMy WebLinkAboutMCWD permit . , � p � � � � U � AUG 0 2 2010 Permit#�� - 2 �3 SHORELINE ER�JSION PROTECTION - FAST TRACK PERMIT MINNEHAHA CREEK WAT�RSHED DISTRICT(MCWD) 18202 Minnetonka Blvd. Deephaven, MN 55391 Ph: 952-471-0590 Fax: 952-47'1-0682 _ I,TIC.T ��a�c�s�p� resideat _ - _ _ '-{blz l�f�e l. (�Q. Pro e Owner ���� �� �� i Y ( p �'h+ ) (Street Address) � c2�.1 �� �1I� �'�� f(.Q �323 re uest a rovat to instaN ri ra � �� ��._.� q pR P P (City) {State) (Zip) (Phone) shoreline erosion protection on property described as ��b ��5 � ��'^ � , located in � (Street address) _C�(�Z�'� , �1�1f� a�-t 17 -;�?,-�y -0��U The riprap instailation (Wlthin the City boundaries) (Couaty (Property tD# [PlQ#�) wiil cons'rst of ��� atong the shoreline of �r t�hn c�r�1L� , �t-4-� �-{�� in full {Lineat f+eet) (Lake� (Ba � accordance with the Minnehaha Creek Watershed District Shoreline Protection Guideline for riprap piacement required,�j�� of a Fast Track Genera! Permit. I ha�ee c:oMracted with �ortabie Dredgin� {Name of CompanY) Qe�g�a(�������, (City) (Zip) �)(P ne)I� S� r � � �� �`� �--`� ,td9��o��t���ork who is fami(iar with the technical (Bond Number) requireme�rts and has fulfilled the banding requirements of the watershed distr�ct(see page two). 1 have read and understand the requieements of the MCVIID �elating to SEtoreiine Erasian Protection. _7- Z � � Zocb {Signature of Prope Owne (Date) Subscribe nd sworn to 6efore me on this Ir�ew�'�A.day of _ � U � �/ , 20�� --,--- .:�, Thomas cum ry �:�; :4=: c. Nic NOtB �[]b�1C'—"'�— ;�.���, NotaryPubHc -:�;., �` --- ., ::.,.�yCommi ^�i7. t Approved by: � ��� �Z'�--- = p� r "Z L Disfrlbution: _Property Owner Contrac;tor _,Munidpa�ty �DNR _Dtstrid We Page 9 of 2