HomeMy WebLinkAboutMCWD permits AUG-05-2009 09�20 P.02i02
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SHORELINE ER0:61�N PROTECTfaN — Fle►ST TRACK PERMIT
II�NNEHAHA CREEK WA'f�RSIiED DlgTRfCT(MCWD)
18202111�n�eronka Blvd.
peephaven,1YM15�881 Ph; 96'!�?1-0880
Fsx:85Z 477-0662
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OCT-15-2007 11� 16 P.02iO4
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C�LEeRATING 40 YEARS OF
IMPROVING QUALITY OF WATER, QUALITY OF LIFE
October 15, 2007
The Minnehaha Creek StoneWood, LLC
wotershed Oistrict is Attn� Dan Toleno
7407 Wayzata Blvd
committed to a Minneapolis, MN 55426
leadership role in RE; MCWD P��rmit application #07-427: 1500 BOhlls Pt Rd, OI'0�0
protectin�, irnproving Dear Mr. Toleno:
and managing the
Your application f��r a Minnehaha Creek Watershed Disirict Permit was received on
sur�ace warers c,rid 10/12/07_ The application does not contain all required information and is incomplete
at this time.As specified in District Rules, review of ynur application will commence
affilinted grpundwcter once it is complet�:. Delay in submitting requested information may delay the
resources within tl�e scheduling of this application to a meeting agenda and/or the issuance of your
permit. Tho following information or materials were not present in your application:
District, including their
• Permit application with complete contact information of Property Owner including
relationships to the name, mailing address information at a minimum. Please include phone#/email
address if available.
Pr,.nsystems of which fhey . Permit applica�tion 151 page: faxed copy has signature but not dated and 2"d page
❑re an integr�l pprt. not signed or clated by property owner,
We achieve our mission Other: The MCWD would like to remind the applicant that construction is not to be4in
on site until a perrnit has been issued and received. Submittal of application materials
tF�rourh r�gulation, does not guarantee permit issuance. Applicants that begin work before a permit has
ru�iCa(projects, been issued run the risk of formal enforcement action. �ormal enforcement action to
which a permittee may be subject includes issuance of a stap work order, crirninal
eduCnt�on, cu�perative misdemeanor prosecution, and fees for additional inspections and legal costs. '
endeovors, and nther- Furthe�review of your application, including the materials requested herein, may
result in a request for additional information necessary for the MCWD to determine
progroms bosed nn that the application is complete and complies with MCWD requirements. If you have
sound science, any questions please call me at(952)a71-0590.
inriuvative thinking, an Sincerely,
infonned und engaged � -�""` �"��
canstituency, ond the �9ela Hammers
pistriCt Technician
cost effecb've use of
Enclosed: Site plan with MCWD silt fence extension and rock/gravel drive
pub(ic funds, clarification requirements
16202 Minnetonka Boulevard, DeephaNen, MN 55391 • 952-471-0590 • Fax:952-471-0682 • www.minnehahacreek.otg
OCT-15-2007 11�16 P.03iO4
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WATER RESOURCE PERMIT APPLZCATIO.K--COMBINED J�INT NOTIFICATION FOR1V�
Use this form to notify/apply to the Minnehaha Clreek Wate[shed Disttict(MCWD),their cngineering consultants,and the DNR of a
proposed project or work which may fall within their jurisdiccion.These ageneies should advise you of their jurisdiction or permit
requiremenCs within 15 days.Fill out this forru completely and mail with your site plara,maps,etc,..to the MCWD, 18202 Minnetonka
Boulevard,Deephaven,MN 55391.Ke�p a e�opy for your rccords_
YOU MUST OBTAIN ALL RE UIRED AUTHORIZATIONS l3E�ORE BEG�NNING WORK.
1.Property Owner Name(rirst,Last): DI�J
Mailin�Address: City: Sta,te: Zip:
Emai) Address: Phone: Fax:
2.Location of proposed project(Atl;ach map with directions to site):
Project Address: %b�l� $ptfi/l�S �o%uf �t7 C;ty: ��iuo
County: �� , Qtr Section(s): Section(s): Township s): Ran e(s):
Lot: Hloc : Subdivision: PID: ��1� Z-� - -�ci j
3. Size of site: �`3,�QS �. . Area of excavation (or fill): ,���'7 sq ft,or acres
Volume of excavation or fill : �� cubic ards Len th of shoreline aFfected: g feet
4. Typc of permit being applied for(Check all that apply):
�c]EROSION CONTROL QVi/�TLAND AL'�'�Rr'�T10N
❑STORMWATER MANAGEMENT OWATERBODY CROSSING
❑FLOODPLAIN ALTERATION ❑ SHOR�LINE/S'i'R�,AMBANK IMPROVEMENTS
❑DREDGING
❑OTHER ESCRJ�E :
5. Project Purpose (Check all that apply):
�SINGLE FAMILY HOME ❑MULTI FAMILY R�SIDENTIAL NOUSrNG(apartments,etc.)
COMM�RCIAL CONSTRUCTION ❑ 1NSTITUTIONAL CONSTRUCTION (churches,schools,etc.)
❑ROAD CONSTRUCTION ❑ SUBDTVTSTONS(inoludc number of lots)
❑UTILITIES ❑ LANDSCAPING(pools,bertns, etc.)
❑DREDGING ❑ SHORELINE STABIL,('LAT10N(lakescaping,bioengineering)
❑ OTHER DESCRIBE :
6. Alternatives (Describe any other sites or methods that could be used ta �void or minimize impacts to water
bodies to achieve the project purposcdl.Attach additional sheet if needed.)
7.Pro'ect Timeline Start Date: �, T (; � Com letian Date: - f
8. Applicants Repr�sentative (Licen.se contractor, engineer, etc...) _,_,.
Business Naane: .ST0�.1(s'1•.1�� _�� ��_� Representative Name: �,4�N /O L�s`Ai0
Business Address: 4 City: � State:��Zip: 55 26
Email Address: �� � Phone:�J,��-6�! �,3'�� Fax: jZ-� -
9.Names and addresses of adjoining property owners (Attach list if necessary)
Permits have been a�plied: City County�MN Pollution Control A�encyODNR�COE�
Permits have been received: Cit �Count OMN Pollution Control A enc �DNR COED
I he[eby notify the recipients of this form of t'he project proposed herein and request I be advised of any pennits or other
deterrninations co�cerning this project that I must obtain.I understand that proceeding with work before all required authorizations
a[e obtained may be subject to Federal,State.and/or local administrative,civil and/or crirninal penalties.
Si nature of Pro e Owne� Uat�; , " �.
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OCT-16-2007 13�33 P.02ia2
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CELEBRATING 40 YEARS OF
IMPROVI�NG QUACITY Of WATER, QUALITY OF LIfE
Pursuant to Minnesota Statutes Chapter 103D, and on the basis of statements
and information contained in the permit application, cor�espondence, plans,
Thp. Minneh�ho C.reek maps, and all ��ther supporting data submitted by the applicant, and made a part
hereof by reference, PERMISSION IS H�REBY GRAN7ED to the applicant
wate�sned o�sn;�r�s , named below 1�or use and development of fand in the Minnehaha Creek
committed to o watershed District. �
' leadership ro(e i»
prot¢cting, impraving Issued to: Robin &Trudi Parker Permit No: 07-427
and managing the Location: 15�00 Bohns Point Road. Orono .
surface waters and purpose: . Rule B: Erosion Control
affilioted gmundwater
resources within the
Date of Issuance: 10/16/07 Date of Expiration: 10/16/08
Distnct, includin9 their By Order of the Board of Managers
relationships to the
�-t-r✓
ecosystems of which they. Ange a Hammers .
District Technician
are an integml part.
We achieve our mission This permit is i�ot transferable without District app�roval;and is valid to the date of
expiration. No activity is authorized beyond the expiration date. If the permittee
khrough regulation, requires more time to complete the project, an application for renewal of the
capita!projects, permit must b�; received by the District at least 30 days before e�piration.
education, cooperot�'ve The applicant is responsible for compliance with all District Rules and for the
endeovors, ond other action of their re�,resentatives, contraCtors, and ernployees.
programs based on Conditions: Project to be completed as described in plans submitted to the
sou�d sdence, MCWD office on October 12, 2007 according to the provisions of
. this permit..
innovative thinking,o,► . Properly install and maintain all re.quired MCWD Rule B,
in�rmed and en9aqed erosion control measures until the disturbed areas are
restabilized
constituency, ond the • When the site is restablilized and the�MCWD staff has
� performed a final inspection, all silt fences must be removed
cost effective use of
public funds.
(Statement ccmcerning fees for inspections, violations, etc... on following page}
iB20z Minnetonka.Boulevard, Deephaven, MN 55391 • 952-471-0590 • Fax:952-471-0682 • www.minnehahacreek.org
OCT-15-2007 11�16 P.04iO4
INSTF�CICTYONS—PLEASE READ CAREFULLY
A copy of this form,with capies of all plans,drawings,ete... ma�+need to be sent ao an agency indicated below...Please check
the appropriate spaces below to show everywhere you are sending this form.Remember to keep a copy for your records.
❑MINNESOTA POLLUTION CONTIrOL AGENC'Y(MPCA)for NPD�S phas�11 permit
0 The LOCAL GOVERNMENTA�.UNiT(LGU),city,county or water managennent organization
O 1VIINNESOTA D�PARTMENT OF I�fAT[TR.AL RESOURCES(MDNR)Regional Office
DUS ARMY CORPS OF ENGINEERS�(ACOE)at Dept.of the Army,Corps of.Engineers,St.Paul District
ATfN:CO-R, 190 Fifth St.Easc,St.Paul,MN 55101-1638
Note:The above Agencies may provide a c��py of your completed form to the Minnesota Pollution Control Agency(MPCA),
MPCA water quality requircmcnts may apply to your proposcd projtct.
ATT�NTION�from USDAI;Any activity inctudang drainage,dredging,filling, leveling or other manipulations,including
maintenance,may affect a land uscr's eligibility for USDA benefits under the 19851 ood Securiry Ace as amcnded.Chcck with
your loeal USDA office to request and complete Form AD-1026 prior to initiating activity.
Applicativn is hereby made for a permi�co�uthorice the activities described herein.I cenify that I am familiar wi[h the
information contained in this application and have re�d both pages of the application�and that to the best of my knowledge and
belief sueh information is true,complete and accurate. I furtl�er certify that I possess the authority to undertake the proposed
activity or I am acting as the duly suthorized agenl of Che applieanl.
_�=:��
Signature vf Applicant(Property Owner) Date Signature of Agent Date
NOTE: The application must be signed by the property owner where the proposed activity is to occur_The application may be
signed by a duiy authorized agent if a letter bearing the original signature of the properiy owner is submitted stating that the
agent noted in the permit application is the authorized agent of the landowner for all matters relating to the permit_Please
provide authorized agent infotmation belov�r:
.� AA
Agent's Name&Title:�u ���f�/Ud ��fd�TF(�l /!/�/1�(�rS�
Agent's Address: 1'l�� �� i�L�p� � �//UR.f�al-�S,�'�//1/i �".�1��
Agent's Telcphonc:������,,,�_
18 U.S.C. Section ]001 provides that: Whoever,in any manner within jurisdiction of any department or agency of the United
States knowingly and willfully fals�es,conceals or covers up by any trick,scheme,�r device a material fact or makes any
false,f ctitious or fraudvlent stfitements or representations or makes or uscs any false writing document knowing same to
contain any false,fictitious,or fraudulenC sxatement or entry,shall be fined not more than$.10,000 or imprisoned not more[han
five years,or hoth.
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