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Home My WebLink AboutMCWD permit MINNEHAHA CREEK WATERSHEQ DISTRICT QUALITY OF WATER Q U A L I T Y O F L I F E Pursuant to Minnesota Statutes Chapter 103D, and on the basis of statements and information contained in the permit application, correspondence, plans, maps, and all other supporting data submitted by the applicant, and made a part hereof by reference, PERMISSION IS HEREBY GRANTED to the applicant named below for use and development of land in the Minnehaha Creek Watershed District. c� - a� �� Issued to: G � G Holdinq Co. L. P. Permit No: 16-489 Location: 1122 LQma Linda Ave. Orono Pur�ose: Erosion Control-Sins�le Famil�Hc�me Date of I�suancec 9/19/2016 D te of Ex iration: 9/19/2017 By de of the Board of Manage Raehel orkin Permitting Technician This permit is nat transferable without District approval, and is valid to the date of expiration. No activity is authorized beyand the expiration date. If the permittee requires more time to complete the project, an application for renewal of the permit must be received by the District at least 30 days before expiration. The applicant is responsible far compliance with all District Rules and for the action of their representatives, contractors, and employees. Conditions; Project to be completed as described in plans submitted to the MCWD office on September 13�', 2016 according to the provisions of this permit. • Properly install and maintain all required erosion control measures until the disturbed areas are re-stabilized • Notify MCWD in writing upon cc�mpleting installation of perimeter and sedimentation controls • When the site is re-stabilized:and the MCWD staff has performed a final inspection, all p�rimeter control must be removed (Statement concerning fee5 for inspections, violations, etc... on following page) We collaborate with public and private partners ro protect and improve/and and water for current and future generations. 15320 Minnetonka Boulevard,Minnetonka,MN 55345 • (952J 471-0590 • Fax:(952)471-0682 • www.minnehahacreek.org MINNEHAHA CREEK WATERSHED DISTRICT QUALITY OF WATER Q U A L I T Y O F L I F E Inspection/Analvsis/Manitorins� Fees A site inspection and monitoring by District staff will be performed where the activity involves: • a commercia�ndustrial/multi-family residential development • a single family residen#ial development greater tMan 5 acres or of any size if within the Minnehaha Creek subwatershed • any alteration of a floodplain or wetland • dredging within#he beds, banks or shores of any protected water or wetland • a violation • any projeet whieh in the judgment of the District staff should be inspected due to project location, scope, or construction techniques In these cases, the applicant shall pay to the District a fee equal to fhe actual costs of field inspection of the work, including investigation of the area affected by the work, analysis of the work, and any subsequent monitoring of the work, which in the case of a violation shall b� at least$35. Standard Fee Schedule District professional staff $ 65.51* District intems $ 40.35* District clerical staff $ 46.69* Consulting Senior Engineer $ contraeted rate Consulting Engineer/Technician $ contracted rate District Counsel $ contracted rate Applicati�n fee $ 10.00 Copy casts $ .25 + actual staff time Color copy costs $ 1.00 + actual staff time * Hourly We collaborate with public and private purtners to protett and improve land and water for current and future generations. 15320 Minnetonka Bowlevard,Minnetonka,MN 55345 • f952)47i-Q590 • Fax:(952)471-0682 • www.minnehahacreek.org . Qi�'14i/Q� � mi�'u-Gh�. l.N'�-�w��i'�0� d�+n'�; .. , •• _. ' � � I / � q'�13( :''trencnmarr�.• � �' Top of m�hde 941.0 \ I `,`� $��$ $' 914_-3E b_'j_$ w� S.� W HI:O S. / g�_ ' �\ � /� ,�i ��_Approx.�t/an of/s�a� / xe�o.s+ � ` � 1 . .��s +� �Edge�of bLt. rood sanit sewar s�rv�+e �l �14'C.M.�? . 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' \ R�� Print Form ' ` AUG � ;.� ?_016 WATER RESOURCE PERMIT APPLICATION FOR1V��r OF �,F� (� Use this form to notify/apply to the Minnehaha Creek Watershed District(MCWD)of a proposed project or work w ic �may all within their jurisdiction.Fill out this form completely and submit with your site plan,maps,etc.to the MCWD at: 15320 Minnetonka Blvd. Minnetonka,MN 55345. Keep a copy for your records. YOU MUST OBTAIN ALL REQUIRED AUTHORIZATIONS BEFORE BEGINNING WORK. 1. Name of each property owner: _(� � -r � c.-1 i�„c•� �� j �t' Mailing Address:'� o;�� i��.�Y �I� '� S��.ck1� City: j�(1 �)S State: l�l;t! Zip: �'��p; Email Address: �'�c. � ^ l ^�;,,� •,- �.� c �.� Phone:l.:�a .'`Ft��, ••'�,�l C Fax: 2. Property Owner Representative Information (not required) (licensed contractor architect en ineer etc...) BusinessName:�c:��n-.�\��,v�:��.�C'iur,'. y.t�l �-- RepresentativeName: ��lii i-��Q.r tt i Business Address:�5�3 '}�;vryc�-'i�-i �;p`' ,�1 City: '�`(� ��5 State:('��^,I Zip: 'j`_i'--1 �`` Email Address: ' �� p��-��,��N;,�,,,,.�r�f�,i�r,�.Phone: � 13� -�3 ""+'} -�36=j- 1 Fax: 3. Project Address: �1�..� t�4iY��•, 'i.�� ;� c� �12- City: rt; ^�t� State: �1� Zip:5 r 56�1 Qtr Section(s): Section(s): Township(s): Range(s): Lot: ti+�, !� Block: Subdivision: j.�4 md; �.,�Nc��=� PID: 0�3 - �� J.'s-�.i - C�C��, 4. Size of project parcel (square feet or acres): I�,� 6U ; Area of disturbance (square feet): �� , Volume of eXcavation/fill (cubic yards): '�� Area of existing impervious surface: �t� Area of proposed impervious surface: `� �;�,S S Length of shoreline affected (feet): �' O— Waterbody(& bay if applicable):�,�ke{�'�(v,� c�t�.� _. j�c: �'rr� 5. Type of permit being applied for(Check all that apply): EROSION CONTROL ❑ WATERBODY CROSSINGS/STRUCTURES ❑ FLOODPLAIN ALTERATION ❑ STORMWATER MANAGEMENT ❑ WETLAND PROTECTION ❑ APPROPRIATIONS ❑ DREDGING ❑ ILLICIT DISCHARGE ❑ SHORELINE/STREAMBANK STABILIZATION 6. Project purpose (Check all that apply): SINGLE FAM[LY HOME ❑ MULTI FAMILY RESIDENTIAL (apartments) ❑ ROAD CONSTRUCTION ❑ COMMERCIAL or INSTITUTIONAL ❑ UTILITIES ❑ SUBDIVISIONS (include number of lots) ❑ DREDGING ❑ LANDSCAPING(pools, berms, etc.) ❑ SHORELINE/STREAMBANK STABILIZATION ❑ OTHER(DESCRIBE): 7. NPDES/SDS General Stormwater Permit Number(if applicable): 8. Waterbody receiving runoff from site: Lc� k. �(`ti i N N�'o�vk�� 9. Project Timeline: Start Date: 3 C p �� 11�� Completion Date: �7 1� �� Permits have been applied for: City �County �MN Pollution Control Agency 0 DNR 0 COE � Permits have been received: City 0 County �MN Pollution Control Agency 0 DNR �COE � r By signing below, I hereby request a permit to authorize the activities described herein. I certify that I am familiar with MCWD Rules and that the proposed activity will be conducted in compliance with these Rules. [am familiar with the information contained in this application and,to the best of my knowledge and belief,all information is true,complete and accurate. I understand that pro 'ng with work befare all required authorizations are obtained may be subject to federal, state and/or local administra� civ and%'pr cr' inal alties. Signature of Each Property Owner Date EROSION CONTROL SUPPLEMENTAL INFORMATION FO1�CE�VED INSPECTION PLAN REQUIREMENTS AUG 2 3 Zp 16 1. Routine Inspections: • Once every seven days during active construction C�N�F ORONO • Within 24 hours of a half inch or more precipitation Z. Completed Field Inspection Reports: • Reports available within 24 hours of request until MCWD determines project is complete& stabilized Failure to submit requested inspection information will result in a site inspection and may be subject to reimbursement for MCWD staff time. Who will inspect your site regularly? NAME: �J 0� e. A�.- ORGANIZATION: '� T�f� ��`� PHONE: 61 a-��a-��Q►1 ALTERNATE PHONE: ��1 a��'-3 ��( EMAIL: ��0!�.��Q� ��R�l r�ove�loty � C.t?l'� Where is the concrete washout location? �-OFF S3TE OR CONTAINED ON TRUCK ❑ INDICATED ON SITE PLAN(with required impermeable liner) ❑ N/A What is the final stabilization method? (seed,sod,etc.): S�b 6 inches of topsoil must be added/replaced prior to final stabilization Will protective fencing for retained vegetation be installed? �l. YES ❑ NOT APPLICABLE ❑ OTHER(describe) I certify that I am familiar with the requirements of the MCWD Erosion Control Rule and that the proposed activity will be conducted in comptiance with this rule. �0'��Y9�i 1 1��1�1D �{O�ib�v1 eb {��!��6 Signature of Applicant or Authorized Agent Date ��!?�„�/ ' V '�ri'� _ MINNEHAHA CREEK \ lv"- "" �:. WATERSHED DISTRICT ��. GUAUTY OF WATEQ,QUALITY OF UFE - 20561 • , t�bank. BLOOMINGTON OFFICE DOVETAIL RENOVATION, INC. 3503 HENNEPIN AVENUE S. �8�22�2016 MINNEAPOLIS, MN 55408 ��_Z�g�p PH.612-377-3077 Min�zelial:a Creek WaterslaedDist ***�*x****$10.00 PAY TO THE t ORDER OF � DOLLARS Minnehaha Creek Watershed Dist 15320 Minnetonka Blvd Minnetonka,MN 55345 - �F°r� � � �_-7 �.,....�.._,_M�� SPE-G CGq� � Iq F MEMO Memo: Minnehaha Creek Watershed Dist F��qQ ��Q � � � _ . ��'0 2056 �ii' i;09 ��000 2 2�: 104784 �03756��' DOVETAIL RENOVATION,�n,c. 2 0 5 61 Record#: 11801 Check#: 20561 Date: 08/22/2016 Description: Minnehaha Creek Watershed Dist Amount: 10.00 Vendor# p Payee: Minnehaha Creek Watershed Dist Address 15320 Minnetonka Blvd Minnetonka, MN 55345