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HomeMy WebLinkAboutMCWD permit JUL-25-2003 16�30 MINNEHAHA CREEK WATERSHED 6124710682 P.03iO3 . �E��'��� ,.rr1�r �� � ��,�� Permit #Q3- � 5 � SHORELINE EROSION PROTECTION — FAST TRA,CK PERMIT MINN�HAHA CREEK WATERSHED DISTRICT (MCWD) GRAY FRESHWATER CENTER 2500 SHADYWOOD ROAD Ph: 952�71-0590 EXCELSIOR, MN 55331 �Fax: 952-�71-0662 I,���'� �l��_reside at��,; r'l�C,-�r�L�1�S�__.�'41113�f-' �flf1? (Property Owner) (Street Address) � ��_��.� , '1�_ �-��, (��Z^�7f� request approval to install riprap (Ciry) (State) (zip) (Phone) shvreline erosion protection on property described as!�(QS_��)�SS p� �a. ,located in (Street address) C�.�fJ�b ,_�,��i N ,_I r'I I�—�a,�-L���_ The riprap installation (Within the Clcy boundaries) (County) (Property ID# [PID#]) will consist of�_afong the shoreline of����Y ^,_� ST ��„in full (Lineal feet) (Leke) (Bay) accordance with the Minnehaha Creek Watershed District Sho�line Protection Guideline for riprap placement required for issuance of a Fast Track GEneral Permit. I have contracted with ��- 1��-�- t,�c , 3��o m-ea�a� !-�, �ae��o�- ��s� ����&3�3 (Name of Company) (Street address) (Cfty) ^ (Zip) (Phone) 3�gg'�q ,to perform the work who is familiar with the technical (Bond Number) requirements and has fuffilfed the bonding requirements of the watershed district(see page two). I have read and understand the requirements ofthe MCWD relating to Shoreline Erosion Protection. ___����b3 ignature oF�operty�wner) � (Dato) Subscribed and swor o before me on this 1 ' � day of \_ _ �" — ,20 D� �� NOt Pubfic -,,� SHERYLA.LATTERNER NOTARY PUBUGMINNESOT4 ;� MY COMMISSIpN E7�IRE91�1•2o0fi �emeeeee Approved by: �rP. Date � � � Dietribution: _Property Owner _Comr�elnr _Municipallry _DNR _Distnct Fle Page 1 of 2 TOTAL P.03