HomeMy WebLinkAboutMCWD permit C.YJ O IV1U1
Permit #��- �1
SHORELINE ERO;SION PROTECTfON � FpST TRACK PERMIT
MINNEHAHA CREEK WATE�iSHED DISTRIC7 (MCWD)
18202 Minnetonka Blvd.
Deephaven, MN 55391 Ph: 952�171-0590 .
Fax: '95Z-471-0682
I,�i�a � ���'�t��re4side at l�vn�T ��aricf� /�v � ��
(Praperty Owner) (Street Address)
('� �Q.�;, �l�l� ' , �1/U S5�`Z�, (�� Sc�` �r�quest approval to install riprap
(Clry) (State) (Zip) (Phone)
shoreline eroslon protection on property described as S�' � � �rr e, lacated In
sStreet addr 5)
(�r my�� �.��n " �,r (��'il�• Z3-53-C�;� . The riprap installation
�thin the City boundaries) (Co ty) (Property Ip# �PID#))
will cansist of�along the shoreline of �`��!�� , /��► I'��V'� in full
(l.ineal faet) (�ake) (eay)
accordance with the Minnehaha Creek Watershed District Shvreline Protection Guideline for
�i��i u�r d for issuance of a Fast 7rack General.Permit. I have contracted with
e�o� �'�'"g c—> Y�/fl.�
(N ��� � (Straet address) (City) (Zip) (Phone)
4'I�� _, to perform the work who is familiar with the technical
(Bond Number)
�equirements and has fuffilled�he bonding requirements of the w�tershed district(see page
two). I have read and underst�nd the requirements of the MCWD relating to Shoreline�rosion
Protection.
' ��-- 2�- ��
5ignelure M Property Own�er) (Dale)
Subscribed and swom to before me on th� 2� day vf d��obee , 206�.
thomos C. Nlacum
Not�ry PuhNc
Jsxmy91.2012
/
Approved by: � Date ` �y D�
DlstribuUon: _Property Owner _ConUaCfor T,Nlunlclpahty _DNR O,l�trlct.�ile• „ �, �
i,l� •i' �� � I;� l
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� OCY 2 � 1007 ,,
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