HomeMy WebLinkAboutMCWD permits JUN-06-2003 13�34 MINNEHAHA CREEK WATERSHED 6124710682 P.02iO3
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Permit #Q3._Z�3
SHORE�:iNE EROSI�N �ROTECTION — F�tST TRACK PERMIT
MINNEFIAHA CREEK W�e►TER3�pED DISTRIC7(MCWD)
18202 Minn�tonka Blvd.
Deephaven, MN 55391 Ph: 952-471-0590
Fax: 952•477-0682
��- reside at �-T2�-,�o �,Q�(�.c i'✓,� ,�d.E
(Property Owne� (Street J�ddreas)
,��Y zA�7''f� , l�r✓. .,�,�,�`�..1,((�l„�) - �equest appravai to install riprap
(CttY) (State) (ZiP) (Phone)
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shoreline ernslon protection on properly described as S�/►'1 L2 ��ocated in
N �O^ � �S�address)
._�1'� ���' �'��2�. The riptap installation
4 ( �thln the Cil}r boundaries) (County) (Property 1D# (PID#�)
�will consist Qf�QJ�along fhe shoreline of f�I-k.�_,__l..A�i�in/�� in full
(Lineal taet) (Lake) (8eN)
acwrdanoe with the Mlnnehaha Cr+eek Watershed Di�trict ShoreUne Pro�ec�tion Guideline for
� �iprap placement required far issuance of a Fast Track General Permit. I have vontr�cted with
MINNETONKA PORTABLE DAEDGING
(Neme • � (Street eddress) (City) (Zip) ��(phone)
�'���to perForm the work who Is familiar with the technical
�: (Bond N �
�' requiremenis and h�s fuffill�d the bonding requlreaterits of the'watershed distr9ct(see page
� iwn). I hav�read and under�t�nd the requi�r�ts oof the MGWD relgting to Shoreline Erosion
� Protection.
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.- ro�a� .
' Subsalbed and swom to before rne an this�� day of ,20.�
OCAnI PUbUC . NOTA Y PUBLIC-M NPI1l�3(JM
NY COMM.FJ�PIRES 1/91f201� t
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� Approved by: Da� �
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� Dbtrlbut6on: ,_Properqr Owrrer �Cantrector �Muni�a6qr _DNR �Dlefrir.t F�e
PaBe 1 of 2 �
� ��9�M !9 � Z�03
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JUN-06-2003 13�34 MINNEHAHA CREEK WATERSHED 6124710682 P.03iO3
Permit# - 3 _ Z�
' Sandblenk�t Permlt and Sand Source Exhlbit Form
FasT TRACK PERM�r
MINFIEHANA CRE6K W�TERShIED DISTRICT(MCWa) �
1820Z MINN�'TQNKA RL.Y/D. Ph: $S�-�71-0g90
DLEPHAVEN, MN 5�3�1 �alC: e�-471-G�62
� � � resitle at�°�f,�,_�'�:Q1d.l�� ����
v�Q �/ ��f � tGty)
�� 2�} � (�1����.,requeet approval to in�t�l)a sernndbl�nket on prc,peKy desoribed
a&_,��'1t1.� , loCated{n_���a�j �.+/N'
lS�ro�t addroe�) IYVNNn�tu C�dr bounda►h;a1 (Oourtp)
�I-I/�-�3 .o?y����,�-a� C'
�Peppyrar ID�k(PIaNJ) �
❑I h�ve cont�cted w�tt�__ 50D • T LAK ST.
t� '
IOR MN 55331 <sn�.oa��
{�y,�o,�P` to inet�ll oleen sand 1rom the
followinQ svurce .. �,. �
(�PP��o�1 tAddraeo) (CI4'.8P?
�-� or►.,
d 1 wlll ins1a11 Me ae�dblenkat irom 1ha foHowing source
,
. (�v6M
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(Am►��s) lohY.6�e,DA) . (P►bn�)
My sharaline is,��f,�t and the dimen�ions ot th�a piopoaed san�bianket�re: S� X
��.�.,X�_, Sandblanket d�ns+ons vanrwt ex�ed n lengkh of 5{�'(ot 5096 of shoreGne),
� wtdth of t0' and a depth of s•, If th,s p�j� ��utres munidpa) approv�t or r�rneW� pleflee ati��h
docauneniation uf the muniv�pal appr�vai with ihia appNrsdon. ,
I under�tar�d that(f this eppl(ceibq is not mmpleieJy fillad out, or!f!fiail fo submk the required e�ct►ibits, ihe
appHcation is i�campJete e�d wifl b� retpmed. !t will r�ot be rev(ew�aq by MCyyD s1aR un�l compl�te, gy
ai�ning this eppliva#Jon, I agroe and unde�tanb that ihe olstdet may ento� tho properry at reasanable hvurs
�a conduqt an Inspec�on to dstenriina wB�ether lne lem,s of th�parm�fi�bving m�t. I Iurther undetstAnd that
IF I vlolato the terms enq conaitfons of ih� permft that ls lssu�besed upon ihls appliaa�qn, the dl�trlct shall
conduct a iie�d hup�oUan of tfie prvject pQ�MCWD RutQ ,�� provkJad wlth thle applla�don, I undarstand the
Dtstrict will chat�a f�es t� cover the �cbuel �cst� of fleld inspeol�ons, lrrdudlnA invastigaiion of the ares
� afiect�tl by Ihe woric, ar�elysfs e} Ehe ws,rk, inoludin� 1he s�nr�oe9 qf Isg�� GOW�8e1 �d enelneers, end eny
�ubsequont monitoring oP the vuarlc,The DIs�I�Y��taual ooete are dogmea ta bep��aocruing wi�S�t�►ihe Distriot
issues notice of vlolation tfl PB tte �,ve �eaq a�d wndo�st�nd MEIAID Tp���al Guid�llne� For
oanc�l�nkate.
---.�-_-_ � a o �
� 8ubso. and swcm to befw�rne ar�thl� �� day p�f �� .
, ��-�-�-�.
Natary publ'�c \. ROSEMARIE E E3p�pITU
NOTqpY pU6Llp—MINNESOTA
�Y��M-E�(PIREO 1/31/Ep06
roved by: p
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