HomeMy WebLinkAboutMCWD permits FEB-11-2003 11�34 MINNEHAHA CREEK �ATERSHED 612471�682 P.02iO3
Permit #� 03— og4
^_ SHORELINE EROSION PRQTECTION-FAST TRACK PERMIT ��
MINNEHAMA CREEK WATERSHED DISTRICT
. GRAY FRESHWATER CENTER Ph: 471-0590
2500 SHApYWOOD ROOD FAX: 471-0682 �
EXCELSIOR, MN 55331 �
I, �rwl v1 �!'VI i�V1 reside at a�0� . Pa,irlt l.Q�
(Property Owner) ' (St�eet Address)
� l�rOn� , F4�1�I 5'�35b , AS�Ji�"75-159 U request approval to install
� (City) (State) (Zip) (Phone) � .
riprap shoreline erosion protection on property desc�ibed as 5c�"1 �O�.rl�.L.QY1�. , located in
(street address)
� Dr'O1�0 , �-�i� , � . The rip rap fnstallation
(Within the City boundariesj (County) (PfD#)
� will consist of _ ��U along the shoreline of M�YU'��'�'�Ca. , �1U r�fl•VI'r) in fuli
(lineal feet) (Lake) (gey)
accordance with the Minnehaha Creek Watershed District Shoreline Protection Guideline for
� '. riprap placement required for issuance-of a Fast Tcack General Permit. I have contracted with
Dor,�� I�'4�- .��q� ��eadaw� k�ccu�icN , asalu� ���9��
(Name of Company) (Address) (Phone)
3 q$g�q , to perform the work who is familia�with the technical requirements
(Bond N.
and has il e bo � g requirements of the watershed district (see �everse). I have read
and un t r rements of the CWD relating to Shoreline Erosion Protection.
. a/7 /03
(S nature of Property Ownerj (Date)
Subscribed and swom to befare me on this 1�' day of �ruQ,h./ , 200,�
.
. � .
/y, - SHERYL q,LqTTERNER
/ 1'� ' , NOTNRY PU9UC�MINNB90TA
`'�� NY coM�ItsBroN ExPIR[S latdpos
otary Pu lic •
.
Appraved E3y: �C,1 „1,�_ _ � � Date: Z �1 �0 3
Distribution: _�roperry wner _Contractor _Municipaliry r,DNlt _ �smct i e
RECfiIV�D FE6 1 0 2003
FEB-11-2003 11�35 MINNEHAHA CREEK WATERSHED 6124710682 P.63/03
J1ilrL171aturAl.� t i.au�u i w �rn..L vv vs..... .�.�.........�� •. .•_._._
MIrf�JEHA�IA, CREEK WATERSI-�D DISTRICT
-�: v — Obo
.
j, F Y w+n �YV�i� _—residing at 5Dr1 �.�rK �.ou� , �oY�Q�I�I N 5�3�570 � --
prnpe�ty O!�vn,er Add:+ess C'ty,Statc'TaQ� .
r2 5� 5�0. ���.IrW�(JI 1� ' , Or PID# .
. Phonc County TownsydQ,secrion,itsi� tfi�n P�vpz�h'.�x sta t�
own and occupy the abave sin,�le family residence'and wish to i�.stall�a sandblankct on ' � , ' '
. , , . .. . . ,
M��rw��e�anl�ca., Nov�,_�vr►^ � . . . . �
Lnkc Bt Bay . : (
�nr�e.-� I-+� at 3�aa Mtadav�;� � � � � � � �
' '�, I have contracted with , ' � '
� sddicss �.
�XC�C�IS►(3V'� 1���) �331 � , ��./U'ly-7�13� ;.to install clean sand from�tkc followin�, sou ::>: . .
�ty,state,ztp , p� ' . �. ' , a
'�NrYI (�lUl-f�_I-Q,1r ' �3 I 'Pc�X K fl�/� �(�.X�'1IDItirOf � NIN_, °15?-� �1�7-2`7�-U,or: .
— ��� . ..a� : phonc ,
❑ I will insta.11 the sandblankel�mys�l�from the following�aurce. _ � �� , �� : ,
• . . supPi�'T • .
� ,, .
_ ' ' •� .' , .
• acldrtss .'' phona ' ' • ' ' . ' . . .' .
If thi.s pxoject requir�s municipal approval or review,plcase�attach documentatiori�of th�.riiunicipal approval
Y
wiEh this application. My shoreline is ��� fee��and the dim.ensions of the prc��i;d;�s�3ndblan�et are:
� . .. . ... :..
.•.:r �.:
�j'p� ���h� Y /_D (���f�) X G (pepth). Sandbl.ar►kc:t dimensions•�cannot�exceed a
length of 50' (or 5096 of shoreline),a width of I O'and a depth of 6". � � �
I understand that if this application is nat completely filled out, or if I fail to�submii the requ' d exhibits,.
the application is incomplete and will be returned Jt will not be reviEwed.by MCWD staff unt completC.
Sy signir�g this applieation, I agree and und�rstand that th� I7is�trict may enter the px�operty at easonable
hours to conduct �t insp�otion to determine whcther the t�rms af the permit are being met I fur�her
understa.nd�that if I violate the terms and conditions of a permit that is issued bAsed upon this application,
the District shall eonduct a field inspeetion of tlie project per MCWD Ru1e J, provided'with this applieation.
I understand thc District will charge fees to cover the actual cos�ts of field inspecfiox�s, includit�g i�vestti,gatior.
of the area affeeted by the w�ork,analysis of the work, including the sex�vic:cs of legal courisel and englneers,
and any subsequent monitorin,g of thc work The District's actuai costs are dcemed to begin accruing when
tkte ' ' su�s tice of the v�ol.a#ion to the permittee_ I have read and understand the MCWD Teehnical
C,ui anlrets. �
��� �C�3
Sxgnature of property owner Date
Subscx�ibed and sworn to before mc this �� day vf �� � �v3
�µ � .
��7 SNERYL A.LATTERNER
a , NOTARY PUBUC�MINI�SQTA
MY COMMIS$�qV E�{PIRE3131•2p05
'otary Pu ic ■ .
����-� � � �_�.��.�.—
Approved and A�cepled by Q�p0� Date
��er,District T�chniciiut � ,��� 1 ��ai-n�:as
�w �Bd�.t ��C�1V�
TI"IT/�I 1'Y I'9�!