HomeMy WebLinkAboutMCWD permits � . __ o ��
��
, /'q Q tr�j
�n '' a
e a Zo�2
Permit # 17�- I
SHORELINE EROSION PROTECTION — FAST TRACK PERMIT
MINNEHAHA CREEK WATERSHED DISTRICT (MCWD) ^ u
18202 MINNETONKA BLVD. Ph: 952-471-0590 (2 �� 1
DEEPHAVEN, MN 55391 Fax: 952-471-0682
�,IYiI�{ �oZ�4k. resideat 1� Z2� ���( ���i.�OW L`� '
(Property Owner) (Street Address)
C�1�.a. , � ss��.��, ��L> 3 zs 3s.�� , ��5�,y�y-s��� ,
(Ciry) (State) (Zip) (Phone) (Fax) ,
request approval to install riprap shoreline erosion protection
(email)
on property described as /��� V�'��S { � , located in ����d
(Street address) (Within the City boundaries)
V�.V� /?-//�- 23-/I •-000�. The riprap installation ,
(County) (Property ID# [PID#]) '
will consist of!�� atong the shoreline of U���"�� C��S�a ` in full
(Linear feet) (Lake) —�(Bay) ,
accordance with the Minnehaha Creek Watershed District Shoreline Protection Guideline for
riprap placement required for issuance of a Fast Track General Permit. I have contracted with '
�t��t�. Pv�d' U�C�(A�V V� �r(.�J Uc.s� ��.1[e l-.�' �j(CQ I S�f �� y7y-9yss�
(Name of Company) (Street address) (City) (Zip) (Phone) ,
�/'r
/' c I� , to perform the work who is familiar with the technical �
(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.
��� ; � � l/y l�z.-
(Signature of rope y er) l a.� (Daie)
, / � !�,
Subscribed and s rn to before me on this ` day of ��r C "` , 20�� ',
r �.r- '°� Thomes C.Niccum
U IC '�, �€ NOtary PubllC
� � Mlnneaota
;.,�
Approved by: Date
Dlstribution: V Pro�erly Ovmer �Contractor ,1(.Municipallty _DNR �Disirict File
P�c�e 1 of 2
,
AUG-27-2001 10�38 MINNEHAHR CREEK WATERSHED 6124710682 P.02i02
SANDSLANK�T P�RN�T�c SANi) SOURGE �l'�' FORM
C�F�VitAT�SH.FD DLSTRICT
�wuro� -��.�5
I, ��t�� m S e�te�► rcaiding at 1(o b�_�1301.,.,�.,�_ pfz�' ��sl� �� S�391
�rt3►�= a�d�aa -- —- - --- en3►,stetc.z�p
�lz �z.� - y'l:S. 1�..,-�- , or PID# !7' !4� - a'� �1 0 0 0 �
Ph�e C�,mty 'lbvimaluP,S«�S Ra�a (fia�pr�ty tes atate�r�en�l
i
awr�and ovau�py tha abo�ve si�g�e fsmily residcnc�e�a w;sh to�ixutau a�dblanbe
m.�� -� �� ° ��� ����
� � D��B� GON�EPT�LANpSCAPING AUG 2
• 3153 PRIEBT LANE 2 2001
❑ Y�78VC QDYltCBC�Wl�l M�UND�_MN 55�64 81t
coatra�or aa�sss
t�a ixistall c�,n�nd urce:
�Y���.�P P�
�YY�Pan 5.,,�,� C,�.a,a.�C�- �{�8 -�f 16 S� 4r:
s�pp6er .' � . edA�� .. � photre �
❑ I wi ' e I rny�clf _the fo?luwing�au�c.
�
mpplicr
addr�se pho�� '
if this project requires muiticip�I appmval or r�vi.ew,please ai.tactt da�timentation of the municigal appravaI
wikh this application. N[y shoreline is �� ke�and the dinne�tsiort�of the propos�d aa�ndblank�t a.re:
� - � •�
y � U�q�h) x 1 0 (1Nidth) x � (Ue�pth).S�ndblanWet climettsions canno!exceed a
l,e�gth of 50' (or 5096 af slwre].ix�c),a width of 10'and a dcptlh of 6'°.
I nndecstand that if this app�tt'ton is net compLetely filled aatt, ar if 1 f�il to submit the required exhibi[s,
the applic�tion is inc�tn.�l�te atud w.t�l be retvrned. It will nat be rcview+ed by MCWD�staff until camplcte.
Sy sig�i.t�g thia sppaic�ttian, I sygt�et axld uttdetstsnd thst the D�ietrict may r„nter the ptoperty at reason�ble
hoat8 t� conduct an i��peeti,cm to determit�e wh�ther the iterms of the permi� e�re bei=t,g mat_ I futt�er
undCratand�that if I vi,ol�t+e the fierms and cottdit�ons of a permit that ia issue�d bssed upon this �.gplica#ion,
the Dngtriat�hnll c,o�d�af a field inspectio�.uf the p�ject per,M�CWU ibai�e J, pmvidcd with this application.
I un�e�and th,e Disirict will c�atAe fecs tv caver the aclual cx�st,s of fi�eld inspertions,itu�luding invrst�tion
of the area�'ectod by the work,analysis of�he w�nrk, inchidiit�g khe�eivi+ces of legat co�unsel and eng�neers,
end any sub�equent nwnitoacing of th,e work The District's,aa�tuai costs s�e deemecl ao begin �ccruinX when
#he �istciet i�saes�ee of fhe violation to the penmittee, i ha�ve n�ad and understand the I�(CWD Te�:4�nieal.
Gaidelin �ets.
S' af r Date
S`ubxeribed airid av►�orn to fore mc this d I''� day of,Q��a��. ��;�� JAMES HAROLD SMITH
� ' NOTARYGUL'LIGt�uNNESOTA
��` MY COMMI55fON EXPIfiE$1�9���
w
N P'12�311C
4 •
� ,.
Appraved and Accepted by . Oat !
iames (-Iafi+e►.r, ni4it�irf T�rl+niniarn . .
...� -._._' . .