HomeMy WebLinkAbout2003-MCWD permit ze'd �d101
Permit #.A� d,j � Z �?
L,� SHORELINE EROSION PROTECTION-FAST TRACK PERMIT �_]
MINNEH�4HA CREEK WA�'ERSHED DISTRICT �
cEzaY FRESHWATER cErvrER Ph: 471-0590
� 2500 SHADYWOOD ROOD � F�4X: 471-0682
EXCELSIOR, MN 55331
�, ���� {'- ��`�c► reside at �r3�c-•�'.yCe c����
(P or pe�rty Owner) (Street Address) �
����� , �= s"���/ , ,�'.sz������'�j request approval to install
(City) (State) (Zip) (Phone)
riprap shoreline erasion protection on property described as -���� ��''�� «�+ , located in
(street address)
Q'�°as�o , - ,��,,�w�� ��y ,�o `f7�.� Y�G�3�. The rip rap insfiallation
(Within the City boundaries) (County) . (PID#)
will consist nf �� ' along the shoreline of �Jl.�,o���`�� , in full
(lineal feet) (Lake) (6ay)
accordance with the Minnehaha Creek Watershed District Shorefine Protection Guideline for
riprap placement required for issuance of a Fast Track General Permit. f have contracted with
.,��G'���liT/�',��� � ���� d3�`l r��o����'E' ��'f'�1- f-j'7Y-'��f
(Name of Company) (Address) {Phone)
, to perform the work who is familiar with the technical requirements
(Bond Number)
and has fulfilled the bonding requirements of t#�e watershed dis�rict (see reverse). I have read
and understand the uiremen�s of the MCWD relating to Shoreline Erosion Protection.
� ��� �� ��
ignature of Property Owner) (Date)
Subscribed and swom to before me on this ��''�' day of �I(�- , 200 3
n SHERYL A.LATTERNER ■ !
r ' , NOTAFY PUBUGMItaNESaTA
�� AeYCOMMISSiON EXPIRE31.�14006
N tary Pub ic ■� ■
Approved By: ^�e_� � ����� Date: �
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