HomeMy WebLinkAboutMCWD permits APR-24-2002 13�35 MINNEHAHA CREEK WATERSHED 612471a682 P.02iO3
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1Vl C�EEK WATEB.SI�D l?LSTIUCI' -
� "" PERMIT�Q_I �
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Proper'ty Owtter .. AQdTtEs City,StaFt,Zip
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Pl�ane CouidY 'row����4 R�S� (from p�vperty lex slnle�cr�t� �
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own attd vaaitpy the above sir�gXe l�mi�y�aidenoe an,d wish tn install a sandb�ankct an �
ll'1 r� • — �f.� �'P�r�
u�oe et esy •
�I ktavo oorttt acted with ae
Mlnnetonka Portable D g ng ��� .� �
to install cican satid from t(te fa[lowin,g sour�
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oe s�or, �
- a�d,sa.� (� rn, .L�1 r,�,�z�,� , rgdr � � /�1/✓' y��� �/�T�or.
supplier addmss phonc
❑ I will install the sandbl�nk�et myself fmm the follawing saurce_
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add�eas phonc
If this projecE ret{uit�es munieipal appc�wal or review,plesse at�ls�ch docum,enEation of the municipal appra
with this application. My slioreline is.�_Fcet and th�e dimensions of Ehe proposed sandblartkct are:
�_ (Ler�gth) x _ .�6 (Width) x,�._._ (Dcpth).Sandbtank;�t dimensionR cannot exceed a
length of 50' (or So96 oF shoreline),a width of 10'and a depth oF 6". �
I undetstand that if this applica.ti�on is nvt campletely filled out, ar if I fail to submit the t�eQuired exhi�
the applieatiori is iacomplebe attd will be return�.,It will not be reviewed by MCWD sraff until oompl�
By signi�t�g fihi8 applicatio�t, Y agree and �deratatt�cl that th�e District �y enter thc property at �easone
hovrs to eanduct an in.specti,or► to deternaine whether thc terms of the permit are being met. I furt
andersFa.nd'th�t iE I violate the ternis.and eox�dittioxts af a permit th�t is issued. basr.d upo� this applicati
rhe Distri,ct a�all'eimduct a field istspeetion of t!u projeet per MCWD Rule j, proovided with this applicati
I understsnd fke Distriet wt�1.charge fees tn ooycr the�ctual oc�s of tield inspeetions,includir�g investigai
of the area affcctr.cl by thc work,analysis of the work, i�cludiqg the se,rv' le�gal coun�el :nd er�gine
, and any subsequent moniboring of the vwrk Th� District's actual co6sls�,neu� to beg�n aceruing w:
the DisErict issues n ' e af thc viol�tion to thc permittee_ i have tead and understand the Mc�WD Te�hn
ide � es�or san lanke
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Su,bscribed and sworn t�o befo me this ��_�ay of���.200,?+- �ud�n E�
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Approvcd and Rcc�pted by pa
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APR-24-2002 13�36 MINNEHAHA CREEK WATERSHED 6124710682 P.03iO3
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- Pernnit# 00-
SHORELINE EROSION PROTECI'ION-FAST TRACK PERMi�
MINNEHAHA CREEK WA"fERSHED DIS7RICT
• GRAY FRESHWATER CENTER Ph: 471-0590
2500 SHADYWOOD ROOD FAX: �T1-0682
EXCELSIOR, MN 55331 �, �:�
� Ay'�s���� reside at �/QS_ �G�_�o�___� • � ,
(ProPe�tY Owner) (Sb�et,44dress)
17��t1.�✓17 , /1'I�. S5'�� , 5���5� request a�proval fio install
(C[ty) (3tat�) (7J� �—(Phon�)
riprap shoreline erosion p�bec�io�on prop�riy described as Sft�t . locabed in
(street addr�ess�
�QJI N� . ���N. , �/ • •�/�Y{0� e rip rap installation
(VlRthin 1he City b�nderies) (CcuntY) (PfD#) -
will oonsist of S� along.the shoreline of Cl1�]�¢. , � ST in futl
���et) �I�ce) t a�r)
acoot�dan�vWith the Minnehaha Creek 1Nab�rsh�d District Shoreline Protection �uidelins fur
ripr�ep placement r�equlred for issuance of a Fast Track t3enerai Pennit. l have contracted with
Minnetonke Portabl�predging
,
�1 ' (Addr�ss) � (Ptane), �
�xcel I ,�' 1 .
r'
4749454 ,i�o petfomn the wortc who is tamiliar with the technical requiremerrts
(Bond Nur�e�
ancl has fuifilled the bonding requirements of the wetershed district (see r1everse). I h�ve read
and nd�the requirem of the MCWD relating bo St;w�elfne Erosion Protec�on.
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si�of owner) (�ete)
Su6scribed a�d swom t�before me on, � �'� day of �11 R � , 200�
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ry Public , �1°'�' ��
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Approved By: Qate:
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Distrl uhoa Pcoparty Owner , ntractOt _ umc�pa iry DN Di ,�`��,�'�';��9"�"�'"�`
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. : APR 19 2002� .; �
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TOTAL P.03