HomeMy WebLinkAboutMCWD permit AUG-24-2097 09�12 P.02i02
Permit#0�_31�d
� SHOREL#NE EROSION PROTECTION — FAST TRACK PERMIT �
MINNEHA�iA CREEK WATERSNED DISTRICT (MCWD)
18202 Minnebonka Blvd.
eephaven� MN 55391 Ph: 952�71-0590
. � Fax:,852�471-06$2
�� ��,�1�I`'.0''�.,, reslde at �rt r � r r.
rop�Y ) (stre• Adrres,$)
� � � �� , � request approval to fnstall riprap
(�i�) (State) (a�P� ( ho�e)_
� shoreline erosio� protection on property described as�����:b�3�v��� located in
, � 1 cstreet�ddress��i��
�'o�'� �� 7 �23 43
(Within the City bamdaries)� (� ) � (Property�ID# [PID#]) P�P InStellBtion �
� will consist o(�along the shoreline of , 'w`�-� , C,�l" S� _in full
, {Lineal feet) , (Lake) , �gey� .
accvrdance with the Minnehaha Creek Wate�shed District Shoreline Protection Guideline fo�
riprap placement required for issuance of a Fast Track General Permit, I hav�tracted wtthh
� � .
.. � ��- , '�1�� ��•c ��- ��„ � �_s-
(Name of Company) ( et addreas) (City). 5 , p) (Phon�
��N �' ,to perform the work who is familia�with the tschnical
(Bond Number) •
requiremerrts and has fulfilled th�bonding requirements of the watershed district(see page
two): I have read and understand the requiremerrts of the MCWD reiafing to Shorelin�Erosion
Protection_ ,
iynature of Prop Own ��r�
I )
Subscribed and swarn to before Me on this ��day of , 200"J
�- i1yL�tJ •
No Pu61i SFIERYL•a LATTERN�
. IIdrANKR�lLlC-MN�ESOTA
. I�I�iab�B�IwJ1��1��10
Approved by: �_r�'�.�-, ,� Date��
Distribudon: _Properry Owner Conbador _JNuniapality DNR _D�61a File
� Page1of2 �0� � .
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TOTAL P.02