HomeMy WebLinkAboutMCWD permit e� _ _ ,
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Permit - �
SHORELINE EROSION PROTECTION - FAST TRACK -� �
MINNEHAHA CREEK WATERSHED DISTRICT (MCWD)
18202 Minnetonka Blvd.
Deephaven, MN 55391 Ph: 952-471-0590
Fax: 952-471�0682
I,��iZ�i���}�. V��5� reside at ���� �D�Q'h c����. iJC�VC�
(Property Owner) (Street Address)
D'�(��Q , t Y�� ��, (�� ��y`���3t request approval to instail riprap
(City) {State) (Zip) (Phone)
shoreline erosion protection on property described as �� � �- , located in
����Q �f.', V�,� , Q��1� 7 - �.3�S3�OL,ess)
/� The riprap instailation
�thin the City boundaries) (County) (Property ID# [PID#j)
will consist of � � along the shoreline of �� V�� , �'��-s�a � in full
(Lineal feet) (Lake) (Bay)
accordance with the Minnehaha Creek Watershed District Shoreline Protection Guideline for
riprap placement required for issuance of a Fast Track General Permit. i have contracted with
M��,� P�r� p c��.���s� ,5�ao w��� `�-� �� v��3� I , ��� /�y���isf�
(Name of Company) (Street address) (City) (Zip) (Phone)
��� � �— , to pertorm the work who is familiar with the technical
(Bond Number)
requirements and has fulfilled the bonding requirements of the watershed district(see page
two), I have read and understand the requirements of the MCWD relating to Shoreline Erosion
Protectio�� � �.
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(Sign re of Pr� ner) �I (Date)
Subscri �wotr ` re me on this�day or ���e , ZUl �
;,,, �", Thpma� _^ �
, :�� � �, Nfr:uum
-- otary Public a • :F N�t�ry PubI1G
'•,,,�,,,,,° Mtinti��ata
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MY�0�'��ft�pJ1�J�nuary at,2412
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Approved by: �_ ' Date � 2 � !
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DislribuNon: _Properly Owner _Contractor _Municipality _DNR _D(strict File
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