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MCWD permit
LaEC-1�-1G99 �4�58 MINhJEHAHA rREEK i,�JATERSHED bi24�10682 P.�1���1 ���'�?q0 1VIIl�EHA�IA C�E� VV'ATEItS�D D�STRICT �ray Freshwater Fow�,dation - Suite 3"� • pb; 47Y..p�g� �500 S��d�►wood Road, �xcelsior, MN 5533�. Fax: 4'�1-4682 SI�UI�LLINE �ROSION FR,OT�CT�OIv- FA.ST 'TRACK PERMIT Ghart�s I, ���.� �►'v�-�Ll�e� residiag at N(e� k.t nd�Vt �1/P,,f'�.Glf, C�ropa y o�n�) (scrnct aaa�? . �4`p�� , 1�'�� ��� FH: 4`l5"d81� request approva! to inst�it � (Ciryj• � (stete,ZiP� ' ripr$p �areline erosion protection on property descn'bed as. +��5 t��r+of-e.c� 1�v�,�t.�t�e, , l�Cate� 4i� �1�('1-Y1 Q ('�.Yl.{'1-�.{'�.i'� ��r� f17.�� �A�)'�/ Ti1C fl� �'gp !ll3tSl��.t3091 {Cit7+) (Cowity) -- (F'IDN located on tax stata�t) . will consist of �7 along the s6orel#ne t�f M�.�.�'�� , _ N o- A'Yr� , in fuI1 accardance with (Linaa�feet) (La1ce) (&eY) the Minnehaha Creek Watershed District Si�areline Protection Guideliae for ripcap placement requic�� far issu�nee af a Fast Tra�ck Generai Permit, I hav�contrac�ed with T�aC,�2-r J��� l�iC �`1�0 �t�ea.c[au� l�n �Xc�t�a'a�-, �7u��q3�1 (1�Tan3e of Com,�r►Y) (�►dd[�ss) -- -- (Phone) ��}�8�� „�, to perform the wqrk who is familiar with tha technical requiremeats and has t�oc�a rruma�r� fulfilded the bonding cequirements�f the watershed district{see reverse) . i h�ve reacf and und�rstand the re irernents of"the MCWD relating to Shoreline Erosion Protectian. �a.Y � �- �� ���ac�o•� � c�i. - 17E'C: 19�'� -v ���� .r� . Subscribed and sworn to be�'ore me oa this �a�- day of , ,;,,,�T��;;�,�_�,`��j,�r�� T �nn�v�nnnnr���1,� M GZ a��z�x_�� s�E�. `�,,��� D E C 1 �� �999 � �rar�anr�c- tiy con�mre��o�+•a�,aa�ao I'Votary Pu ic x � ��, � r�-�_ ;:...�. ._:• : � �.� ��t `�a�-=I� ;i...� ,.� .,Fd'/ .arw� Appraved By: � J es Hafner; istnct echnician (Dxt�) � Distribution: Pmp�rty Ownet Contractor Mtutiicipelity DMt District Fiie/Engin�rs i'ast TOTHL P.�1 L:�Ei=:-1^-1�=�qq 1�;�q hIIFlhJEHHHA i:F:EEE� l.�.I�=iTEF::=HEL? r�1��3�1�ir��_� F'.�1:•'�=�1 S.A�DSLAN�T PERMIT �C SANll SUUKt.:� .t..�-n��stj rvxlvi �NNEHAHA CRE�K WA'I'��,SHE�.7 DIS'�CT . PEa�vu•r�� 9q____—��.:� td�le5 � C�,'U.{G�C. �,r'� •f.�- rc�siding�t �(n 5 �•i�G�� f�/� , �V 0�D, Yl N 5�3� � n�� Ciry,statc,zip property wncr ��f�-�7 S I U F��-��� or PID## C)6 � 117' _ a��/ 01 v i Phune Ct�urily � Township,5ecrioty Rttngt (Prom�roperty tax xEafemer►ty o�uxl and oceupy the abave sulgle fa.mily residence �nd wish to inst�ll a s���rtdbla�aket on M i n.�-e�n bt� 1�o � �n� . �.&�:C cE:�IIyr � I h3ve cc�ntracted with �a�`�`� �� at ���U ���`�a�� � �, ` ^�r cuntrac ar .�ddress _ C. 1��� 7��Y ��'v �'��"' { , ���� ���� ,� t� install c:lcai� ,<irid from the f�ll�ti�ing suuz ce: i:ity,:t�t�.t.iy �hanr �1`1� ! � +�iJ1"C�l.�"� P J Par k �� 'i`������-� y �{p�— ���-(]'--� oI': supplicr ;�ci�.iress phonc �] I wz11 install tSie s�3rtdb�axt�c:t ntyselF 1ro�n t��e followitt� soL�Yc:e• s`=� ��I ' �r � � ,�ddress phone �p� �p If thi,s prc�ject reauires munic�pal approva}��review; please at#�ch doctiment3tion of the m�.rnici �.1 a� rava with this applxeation. ��ty shorelxne is�feet and the ciin�.ensions of the proposed ,a�dUla�nl��t �t�^e: ��� (LGit�th) � �.�.� {.Widt�t.) � �r�`� (Depth}. Sandk�l.i•rik�t C�IttlC21511�215 et�i121C�# �•2:ceeG1 3 lertgtlt of 5C�' lc.,r �c7°�� of shoreliz�e},�width of 1(.�' arid�. d.ept�1 of F,". 1 LlklC��xSti3YlL� �ll�1.t if t�iis applicatian is �tot completely fil.�ec� ot�t, ox� i# I fail to su�mii tlae required exhibits,. the applic��tinn is inc�c�m��le_te atid wi11 }�c returiled. It will not be zeview��i by MCwn st�.ff �xntil coniplite. By sigiun� tklis �ippSicafii�n, I a�;ree and ux�derstand t�iat the District �z2ay eittcr tk�e. �roperty at ruasonaUle hout�s tc� condu4t ar1 insp4ctioil to dete.rxntne whetk�er #he iex'rns �f tkie per�ttit az'e b�-iri S met. � ftxrthe.z' t.tnderst:ind t�1��t if I vi�l�i.fe: tlle terms anci conclitiotts of a ��ermit t11at is i.ysuerl base.d upon lhis a�plicati��t1, the �istrict sha11 conduct s� tie�d inspec-ki�,n of thc project �er MCWD �u.le,i, provided wit11 this ap�liG�itiat�. I ux►dersta7ld tlle L�istrzct vv'i11 ch�r�e fees to cov�r the actu3.l c:��is of ficld it�spections, it�clu�-�i�i� it�.uest�gatidn �f the area affectec� by thc worlc, analysis cf the wot'!�, includin� t�le scrvi�es of 1c�;�i1 c�uxisr:l and en��incers, aild siny SEIk7SeC(tl�Clt 1'CL02lItOX'IXL?, OE t�l� W�12'�. TI'1e i^listri�t'S �.ctual �oSts at�e deC2ltea t� be�,�in �Zcert.tiri� whe.n tiie DIStT1Ct ISSLL�S X1Lt1(:(: Ot L}:1� VLb�4ltl.vY1 tc� the �ie.rn�i{fe.c;. I have rr�ad atld Liride�'St�ln�� t}Ze MLVJL7 Tec'.hnical. ' �dclines r'or satidk�lankcts. (� • � • � MlNI�lEI-,Af-[,A CREEK � ��M,qTrF�SH�C' ,F�ISTPPCT 5i�nahxre of propexty wner Date �ubscri�ed �rtc�sworn tt+before ine: this ��clay of �G 1`j� `� . QE� � � 1Q4�? ,wnnnti,�n„rmn. � r Q s�ryt A. 1..attemer �, :; ; , -; -L- �•��i`�.c,�J �►wv aueuc-w�ssarr�► �� ��n �, � . �-�°,r u . , ' �� . ,,. ��:..�, N tary �'ti ;ic: M1p Co�kx�i.�rp�+�as Jan.3t.20op •yti�Vyvyyw.n/y�nnnn.^Y,r�nN M r��. f7'�cr � /� 9 Ap raveci and ecepted y n�-t� ��It1CS H�lfx1ex,,District Technieian ::a«<it •ns:���s TLiTHL F'.�=�1