HomeMy WebLinkAbout2003- MCWD permits OCT-02-2003 14�02 MINNEHAHA CREEK WATERSHED 6124710682 P.02i02
-�10.;,��.l,Y,� � Permit#�3-�q
SHORELINE ERO�SION PROTE TION �- FAST TRACK PERMIT
MINNEHAHA CREEK WA7ERSHED DISTRICT (MCWD)
GRAY FRESHWATER CENTER
2500 SHADYWOOD ROAD Ph: 952�71-0590
EXCELSIOR, MN 55331 Fa�c: 952�71-066Z
�
�, 1(�u�,�•_ 4�,,,,,�S resideat.3�, Pa -�
(Property Owner) U � (Street Address)
p„� , r�l S�� i ,(� :- ��� request approval to install riprap
(Gh+� �'��) (ziP� (Phone)
shoreline ervsion protectioi�an property descnbed as �arr�- ,located in
(3�t address)
_..��
�_�� ,do �1� a3 ti 3 oQS..�. The riprap insha�ation
(Within the City boundaries) (County) (Property!D# [PlDf�j)
�uill�eensist of_�along the shoreline of �'1�Ic� ,_� Ca�.,�.��- in full
(lineal teet) (1�a�1 �8aY1
acoordanoe with the Minnehaha Creek Watershed Dislrict Shoreline Protection Guideline for
riprap placement required ter issuance of a Fast Track General Permit. I have contracfi,ed with
C _ 37b�p��..,...��— (Z;P) ��)�Phone)
3�153 PRIEST LA JE MC3U�Ja. MN 55364
f��C�U�J D, M N 55�64 _.�p pe�rm the woilc who is familiar with the technical
� {Bond Number)
requiremenfs and has fulfilled tt�e bonding requirements of the watershed district(see page
finro). I have read and understand the requiremerrts of the MCWD relating to Shorelfne Erosion
Protection.
(signature M ropeity ) (Date)
� Subsatbed and sworn to befo me on this �' of ��b� �20 n 3
�-�����-�� �
�� JAMES HAR�LD SMITH
�' ���� NOTARY PI1DLiFMINNE50TA
NO�ery PubGC � _ � ��'�co�eMiss�oN ExaiAes�at�
■
APProved by. Date ;� ,� b
Distribu�lon: _Property Owu�er _Contrector _Munlclpaffty _DNR _Dlstrfct Fde
Page 1 of 2
TOTAL P.02
THp!-i=�-�:�_��=�t=� 1?� 1�=� f�1Ih•lhJEHHHA t_REEI<:: I,.JHTER.'=;HEL.� ��1�4�1�=�r��_� F'.�=�1,'��1
Permit # 00- �//
�T SMQR��.fNE EROSIDN PR07EC�'IdN-FAST TR.laCK P�RMIT I
MlNNEHAHA Gf2EEK WA�"�RSH�U I�fSTRtCT
GRAY FRESHWATER G�NTER Ph: �71-059Q
2500 SHADYW04D ROQD FAX: 479-a682
EXCELSIUR, MN 55331
i, ����,,� �;.�.ri-r,�.� ��k reside at�,�.� r �a�.� Pp �r` � .
(Property Owner) �— (Street Address}
c.'�,J..6.� , -�,„. . .�s3� r �'7! - OD�.� request approval to in�t�11
(City) (State) (Zip} (f'hone)
riprap shorelir�a �rosion protectian on property described as��y� Ca�� en . , iocated in
(street address)
�J�m o , ,�o t�-I a� �4� o o Sa . The rip rap installation
(Within the City bounda�ies} (County� (PID#}
wifl consist of 1ao� along the shor�line of ^yY���a_ _ _ . , ('anrm� in tulf
(lineal feet} {L2ke} (Bay)
accordance with the Minnehaha Creek Wafiershed District Shorelin� (�rotection Guideline for
riprap placem�nt required for issuance of a �ast Track General Permiti. I hav� cantr�cted with
�rn�:.<-�$ L.a��sc.o���-�. � 31 S 3 b • � �-.a.rt- ��o K.,.-� , �f 7 z,�l�..��._. . �
— {f�ame aP Company) (Address} {Phone}
�►. ,S� , to perForm tt�e wark who is f�mifiar with the technical requirements
(Ban Number}
and has fulfilled th� banding requirem�nts of the wate�sh�d district tsee reverse). 1 have read
and understand the req irements of the MCWD relating to Shc�refine Erosian Protection_
��� �
(Signature o Praperty Ownor} (D�fE)
Subscrib d �nd sworr� to befpre me on this � � day of 2���
_ r-T;-,�,:_i_� -
� el ti�v� � _ , =:i�,.T
:aMES �!!TH
riorAAY GI
Notar,y Pubfic • _ r '� ' p# !�'i��
a� ,,. ;^•
..... ._,..�... - �� -
/approved By: � . �� Date: � ..p
i .., -----_�--�
Distribution� ,..,,Prope�ry Owrter _�otttraclor _Municipalsry _DNR _District f•ilc
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._THtJ-1=�-�t_u_u_� 1�:Gr� f�l I h IhJEHHHA �:_F'EEE<.: I.1IATERSHEL:� ��1���14=�r�2� F'.�_�1:'t_�1
,
51�NI)�3��AN'KEZ` PE�.�'�' 8c St1ND SQLJRCE F�ISIT F�F._I1i�:�
NfYIVI�I�EH,AHt1 CREEK W.A.'I'�RSHEl7 DYS'�RIC'T
I�F-,RNiIT�oa-� o�o
i �'f1�V� �� e ��.� resi�jin� at 3� f �a�� �� � � ___, _.Q/w-►cc SS391 --
ti .
4'ri:�?Ct'[Y Cl�ultCr Addr�„s C=ity,StRtt, 7_ij?
�r� � - �o �� . ���- , �,z ��r��# aorr � a� �� a� sQ
Phottc Coutit}� Tt�wtishlE�,SC�:tiott, Rsngz (fttitit ptl7Exrty tax alnlemctlt)
own artd accupy ihe ak�ove siiiglc family residence �nd wis�i to iristall a s3k1C��1�ril:et Otz
� ��cL ^ � ctn�rti�� G03�S3pPR�STSLAANE G
(�keRcsay N1pUND, MiV 55�i
� o sc.,.}�.�.--�at '�f 5 � ,ft c�z..a�S.
�J I �tave contraeted ��itli �.trn���o� �- ✓`�'
�1i�[itIriC1�1Y (i�/�d�1:S:;
�o ���L ���Cd'-} , f-F 7 z -` I �6 _ to ir�sf;�ll clean Szr�d frotzz ttte follo��-ing sou;
rity,Sl�ft�.,Zip pho�le
-�(�„�,2,Qsh S a� �, a.a-�� , . �{�{�-'�1 7 � , or:
supplicr address �'tion�
L� I �Aritl ii}bt��Il tlle s�nf'l�lanket rnyself irotn t�te followit�.g sourc;c:, ,___..
�� � supplic r
/ �
t1C�!'�ts � E,}Z�nc
If this t�r�,jec:t rcquires murlieipal ap�,r.o�ral or rc.vicv�r, Plezse att:sc��� cit�cuxttentatio�l oi r�,{- �z,.t�rlicipal appr
��rlt}'1 f�11S a�7�'�IIC1fIOt1. NIy SFIOf`eilll(: 1S __,I.z-� fCCf �IZC3 E�lt. C�1C1'1Z11S10Y15 OE fEl�. �?l.`c7F?OSC.C� S:3ri��L7��2'1�:C1 L3J'�-
-�O � ��.z.Yl,yf�'l} X 1 U ' ��[t�t�l� 3t � 1'_— �n��t}l�. S£1fiC��Jliitt�:�t C�1 iTl�2lS10Y1� c:<iilili7t �:;CezL� �1
let't`f�l 4F �4�� (oz' �O�iv ot 5lrtot�eline),a wi.dtlZ of I O' �nd a dcplh ot f-,".
[ ur�dcrstand that lf t�liS 3�3�7�,1CfitiOIl iS f10t co��lplefely fiiled out, pt' i£ f fail to �ubmi! l��e r.'e��uired e�h
the applicaiion is incom�lete and will �e retuerled. [t will noE l�c: reviewed �y h�1C1�FL} st<iff until c.am;
B}! signing this �.ppli.catioi�, I a�xr.G and u�tdersta.nd that thc C?isErict may �I1tCL' ��lC: �?tOF�e.Yty at re:tso;
hours to cond�tct an inspeetiort to deterrnine whe:Ehcr thc te.rms of t�ie pi:rmiE 3Yc E.7z.lk"l� rrtet. I fu
�':,�
uriderstand tkl��k li i v1018.fL fI1E iziitl5 3Yi� l':OilaL1IJI1: Of �3 J�1Zf'Itilt t�i'tl� LS I$S1-1t.'C� �L�S?� L':�C�1'i rhi� :if%j'il�-�
the District shall conduct a field inspection of t��e. project pe�• MC-WL7 Rule,J, pr�vided wit�� thi: applie�
1 ui�derstand thc L�istrict will chargc fc:es to eover tlle ��et�ial eosts af field inspectiorts, islclur,�in� irivesti;�,
�_�f the area �ffectcd by the �vork, ana.lysis of tlle woxk, includin�y the services of leg:�i c:oun�e� akld e.n�ir
:ind at�.y SLi�iSZc�LI{�nt 1Tt{�t�I�OClll� C1f t�lC- W'i7t•k.- The District's actual costs at'c: c�e-emed to be,�Lt1 �C:�I"L11Y1�; �
the District issu�s noLice ��f thc vic�lati.�n lo tEte permiEEee. I h�avc re_ai� <ind undc:islarid lhe. ML:Vf�} Tec:F-
Guidelir�es for sar�dt�lan t,_
/��,�,.._.. -- ---
5i;�rtatut�e of propci-ty o � li;Y 1_?:i�C ���
vn,1n��.1L}-;q1 q,+� C��,...
��� y �ao c� ���,�TF;=•,�;-�: �:.,��.�
Stzbs�ri�ed at�d s��ortt lc� hefor•e ttte t}iis da o _,._� `
_ .__.,,,, .
` + .lAME3 HAROLD SMtTH f ,1 A PJ � � L��p��
��}iJg�1C.Aa HNE$0'�A
Not Public � -- �'��+r�sissanos y_ • 1.
, � • �� n,.:._ '�r�.. :.... • ''.; I,_.
� , �`n"J 2e. r /�/a�1�0
,
A roved d Accepted by Date
,►atnes Hafner, L7zstrict Tec.hnician
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