HomeMy WebLinkAboutMCWD permit MAR-2-!-2001 15:00 MINNEHAHA CREEK WATERSHED 6124710682 P.01/02
Ifthwehaka Creek wwa
-tershed Riot-met
Raw,
Improving QW4 ofmater, Quality Of Life
Gray FreAwaler Center
Hwye.15&19,Navarre
Mefl:
26W Shadywood Road
6welelor,MN 55331-9578
Ptrone:(s12)471-0500 ._. . FAX McMO SHEET
Fay(612)471.0882 ,
Phone: 471-0590 Fax: 471-0682
Emal-
aftb@Mhi*Wmmek.org DATE:
Web sue:
wYwvmltmehehacreekorg .
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To: LY f C�
FAX No: 2L� CI `�'� � � lp
Board of Managers FROM:
Pamela G.BOA
.�m�calWrrs RE: L-ev M l 0`7 q
Lance Fisher
Monica arms
mmm W laeounly_ Number of Pages including cover memo:
Sootllhonras
Malcolm Reld .MESSAGE'
MPR 2' 2001 15:00 MINNEHAHA CREEK WATERSHED 6124710682 P.02i02
5ANUt51.AIV1.CL t ru vui cc aru.4,-1 wvxnw," —•.••-L— ----�--
MAR ihgNNIUjAM EEK CRWATER'SMM DISTRICT
res.ding at {Va Oa S , /u 0�!u
'
properw Owner Addrtsa city,state,Zip-
95�
Phone Co-vasty U Township,Scctiory Rage (from Property tax stalemrnt)
own and,occupy the above single fancily residence and wish to install a sandblanket on
tie&aay 1
1 have contracted with �6o nl C �,•-JSP a,,,M� at :ddrcw
�r , I S's"3 k y , - Sa -,q,7.2 -4119 to install clean sand from the following source:
city,stntq zip phone
or.
T supphe* Phone
❑ I 11 i the t yse the following source_ --
suppli�r
P�
if this project requires municipal approval or review,please attach documentation of the municipal approval
with this application. My shoreline is ► 4 0 feet and the dimensions of the proposed sandblanket are:
�o ' Qzngth) x 10 (Width) x (Depth). Sandblanket dimensions cannot exceed a.
Length of 50' (or 50%of shoreline),a width of U)'and a depth of 6".
1 understand that if this application is not completely filled out, or if I fail to submit the required exhibits,
the application is incomplete and will be returned. It will not be reviewed by MCWD staff until complete.
By signing this application, I agree and understand that the District may enter the property at reasonable
hours to conduct an inspection to determine whether the terms of the permit are being met. I further
understand that if I violate the terms and conditions of a permit that is issued based upon this application,
the District shall conduct a field inspection of the project per MCWD Rule J, provided with this application.
I understand the District will charge fees to cover the actual costs of field inspections,including invcst�sort
of the area affected by the work,a talysis of the work, including the services of legal counsel and engineers,
and any subsequent monitoring of the work The District's actual costs are deemed to begin accruing when
the District issues notice of the violation to the permittee, i have mad and understand the McrWV Technical.
Guidelines for sandblankets.
v0/
Sign ure of pro erty owner Date
=.Sudsto before me this day of Iff lie 0
` GEORGE W, JONAS
140 r1 F,1 'rl'GI IC MINti�SOTR
Notary li _I
d
3 Z2 Q
A proved arld Accepted by Da c
Tames Hafner. D1.4riet TPr�nini�n