HomeMy WebLinkAboutMCWD permit JUN-10-2004 16�53 FROM TO 9522494616 P.06/07
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SHORELINE EROSION PROTECTION — FAST TRAC IT `'
MINNEHAHA CREEK WATERSHED DISTRICT(MCWD) �
(3RAY FRESNWATER CENTER
2500 SHADYWOOD ROAD Ph: 952�L71�0590
F.aCCELSIOR, MN 55331 Fax: 952-471-0682
�, char� Slh7p$o� reside at.����J�
(Properly Owner) (Street Ad�ress) ��—" "
���-- .—z—�—U�d �1�� �—,q�2�2`r�q�est approval to install ripra
�C<<Y) (State) R�P) (Phorie) P
shoreline erosion protection on property described as�„�o�. rj�`�� ����located in
�i�1.i.Pii.f.. - ��l IV � r �����!1'���
(W'dhin the Cit�r boundaries) (Counry) (Property ID# [p�p#�� "'''"�'' The riprap installation
will consist of�_along�the shoreline ofl�T�� , ��Ph��h� in full
(Lineal feet) {Lake) (gaY)
accordance with the Minnehaha Creek Watershed District Shor+eline Protection Guideline for
riprap placement required fvr issuance of a Fast Track General Permit. i have contracted with
������ , 45� S�Y►�r'CLlJ1G ��. S�Jrin� �.��ys� '7�34�
(Name of Compamr) (Stteet address) (City) �( p.7'i ) � (Phone)
3Q$S`��_,to perForm the work who is familiar with the technical
(eorid Number)
requiremenfs and has fi,ifiiled the bonding requirements of the watershed district(see page
twa). i have read and understand the requirements of the MCWD relating to Shoreline Erosion
Protection.
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(slgnabxe of Propeny Ownerj " --�!`—�pa��-�---_
Subsc►ibed and swo o befare me on this 7� _ day of�Lt��L� _ ,20��
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A1Y COMM13310N E%PIR6i 1,91d006
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Approved by: Date
DisWbuticn: ,_ProPerq�Owner _Contractor _Municipality _DNR _Dlsrrid File '
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