HomeMy WebLinkAbout1986-10-16 MNDNR Permit, Dredging Pg2 #87-6119V.
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DEPARTMENT Of
NATURAL RESOURCES
PERMIT APPLICATIC ,1Lad "i
10 WORK IN PROTECTED WATERS WEflfi*1 U
IleCf.ufaflG DAM SAFETY) REGION VI
Please read instructions before attemptutq to complete this application IKATERS
OFFICE USE ONLY
P A NO
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O W D 0 LtSCOE
Aq)�ggllcant s Name (Last, First. M I I Authorized Agent (it appircable) Telephone N.� tiberaarrau
t"ETE�le$ r 0 oic-D ►zE Geo R617
Address (Street, RFD, Box Number. City, State. Zip Code)
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LOCATION OF PROPOSED PROJECT (BE SURE TO INCLUDE SKETCH SHOVVITJG Iiov. 1O GET TO THE- SITE)
Government Lot(s)
O ivyer S`e
No
Townshis)No.
Range(s)
ot. Block, SubdivisionISection(s)
NCL,S/V/J;
�tt4on(s)
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A
Fire No.. Box No. or Peet Address
44 (PS f-aami 4A�r_ (,An/LVN'
County 1 �/1
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Pr1,tectwdlaflect Lakr OWellanoor❑Watercourse
numlWrM/NNi57VAJk-,1-
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TYPE OF WORK PROPOSED (CHECK ONE)
IV. TYPE OF PROJECT (CHECK ONE)
excavate ❑ repair
>Csrorehne ❑ shore -protection ❑ obstruction ❑ dam
❑ fill C remove
--- channel ,:J harbor C bridge G other
• drain ❑ abandon
❑ sand blanket ❑ permanent dock Cl culvert (specify)
❑ construct ❑ other (specify)
❑ riprap C wharf
❑ install
ESTNNATED ""CT COST S %SQp
VI. LENGTH OF SHORELINE AFFECTED (IN FEET)
VOLUME OF MATERIAL FILLED OR EXCAVATED (IN CUBIC YARDS) •7tj
BRIEF EXPLANATION OF PROJECT: (EXPLAIN WHAT PROJECT CONSISTS OF AND HOW WORK WILL BE DONE)
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Or— SACk- 140E . 411 5PO/C A4A79414L- WI!! SE 4eMiiCtiff4� FA0V`N4
61 T-E By SA re(l F Aovr� /ti Ae/ 41P6.4"✓c�l, '44e a.
PURPOSE OF PROJECT: (Explain thy this project is needed)
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ENtNOMMEIRAL IMPACT (Anticipated changes to the water and related lano resources, including unavoidable but detrimental effects)
$4-047 70e_i%A 3�- 7HE Z>eeob41 A/
ALTERMATWES (Other alternatives to the action proposed)
/VOtJF_
XN. I hereby make application pursuant to Minnesota Statutes Chapter 105 42 and all supporting rules for a permit to work in or affect the above named protected
water(s) in accordance with all supporting maps. plans. and other information submitted with this application The information submitted and statements made
concerning this application are true and correct to the best of my knowledge
n
STATE OF
COUNTY Of
l44a1.:xix&42.9—
Subscribed and sworn to betor me this
Srqn re
Agent
Date
�✓le
S1gn1ture o
see
Date
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Distribution
day of
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DNR
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SWCD
My commission expires'
l ,r.ur NOTARY FUSLIC
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Green
Watershed District
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Goldenrod
Pink:
City or County
Army Corps of Engineers
Signatur t Notary
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Canary
Applicant