HomeMy WebLinkAboutMCWD permit AUG-09-2004 16�09 P.02/04
. Permit # -
SNORE�INE EROSION PROTECTIQN — FAST TRACK PERMIT
MINNEHAHA CREEK WATERSHED pISTRICT(MCWD)
GRAY FRESIiWATER CENTER
2500 SHADYWOOD ROAD Ph: 952-471�0590
EXCELSIOR; MN 55331 Fax: 952-471-0682
i,�'�� a,�r n e �s�ae ac�1�.�� h �r i�e �
(Property Oumer) (3treet Address)
�r4n0 ►"�N 5�39j � 9°�a-�-l��rauesta
` '---- — � — _ q pproval fo install�i ra
���Y) �State) (ZiP1 (Phone) p P
shoreline erosion protedion on property described as �d �CNth Sh,o�'[. Q��`'�-
���p��j _ p �,.,t��et ad�s
,locatea in
�r��'�'-` -��� e riprap installation
(W'dhln tfie qry bounda�ies) (Cou�ty) (p�operty ID# (PtD#
l�
will consist of 1� along the shoreline of_.LYj�(�_�1���, r tG,Q, �
' (Linesl feet) ���� �Day _,._in fuil
accotdance with the Minnehaha Cre�k Wate�shed District Shoreline Protection Guideline for
riprap placement requi�ed for issuance of a Fast Tradc General Permit. I have coptra�ted with
po�C, (.a�� ��✓b vha�,lt�ne, Ari v�, �P n'�' k�`� ��3g�
pa�y) � ���83y3
(Name of Com (Street address) (G�y) ��p��
9� � cPh�,o�
(Bond Number) ' �tD pertarm the work who is familiar w�ith the technical
requirements and has fuffilled the bonding'requirements of the waterehed district(see page
two). I have read and understarxi the requirements of the MCWD rela'ting to Shoreline Erosion
Protection.
� cs►��n,re ,��y o�,�„a'�.,..—,� � ` �7 d� Q� .
� (oate) `—'_
Subscribed and sworn before me on this^��day of�� �
Q `_,20 O.
Nota p,ub(ic - • `
' , , 3WEP4YlA.lA�EPiNER
NOTARV PUeuG�11M�ESOTA .
' ' • MY CONM186WN fe7�IRE$1-04,20?S
Approved by: �
. �
Date
� �isLibution: P
_ ropsriY Owner _Condaclar _MunicipditY, _nNR _DlsUir,�Flle
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