HomeMy WebLinkAboutMCWD permit JAN-24-2003 14�29 MINNEHAHA CREEK WATERSHED 6124710682 P.02ia2
Permit#d3- 035
SHORELINE EROSION PROTECTION '- F�4ST TRACK PERMIT
MINNEHAWA CREEK WATERSHED pISTRICT (MCWD)
GRAY FRESHWATER CEN7ER
2500 SHADYWOOD ROAD ;Ph: 952-471-0590
EXCELSIOR, MN 55331 !Fax: 952-471-0682
1
I,�,;,�,���s r��' reside at_�OQ� ��� ____
(Property Owner) {Stre Address) �
��¢�� ,�L__ ss3s�, 3��)y�G. �
) (state) (Zp) � (Pho��� request approval to install �iprap
shoreline erosion protection on property described as ��4.��1)„rrA�sl,�c p.r;uc _, located in
' (Street address)
����_� _,_.�"n�1��__�__,______�__ ___, The riprap installation
(Within the Clry boundaries) (County) (Property►D�� [pID#])
will consist of�,a o along the shoreline of_��� _ ___,,�T S�a � _ in full
(Lineal feet) (Lake) ; (8ay)
accordance with the Minnehaha Creek Watershed District j Shoreline Protection Guideline for
riprap placement required for issuance of a Fast Track General Permit. I have contracted with
YU�1� be se�c�fed by
co,n�e��,� Q��d. '
� _(—)�
(Name of Company) r (Street address) ^(Ciiy)' (Zip) �Y (Phone)
___ � _, to perform the work who is familiar with the technical
(Bond Number)
requirements and has fulfilled the bonding requirements of th,e watershed district{see p2�ge
two). I have read and understand the requirements of the MCWD relating to Shoreline Erosion
Pr t ction.
� �� � e1s ���c�,S�r�f)�-�_�..La� � a a�a 3_
(Slgnature of Property Owner} � (Date) � �
Subsc�ibed and swvrn to before me on this_����--c�day of -�.��� � �_, 20�
-� �.�� --
� N ublic r PEGGYL„CAVINESS
NOTARY PUBLIC-MIIWIESOTA
MYj��a�;�DIroSJ�t1,31,200)
Approved by• Date
i
Distribution: _Proparty Owner _Contrac;tor _Munldpality _DNR �District File
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Page 1 of 2 ' i7�� �".7/-.��`�,
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TOTAL P.02