|
OC:T-11-1999 10:51 MINNEHt,,IHR CREEK t,I TERSHEti 6124710682 F'.02 05
<br /> 99 -- v-v3
<br /> 1%/INNEI3AIIA CREEK WATERSHED DISTRICT
<br /> Gray Freshwater Foundation Ph: 471-0590
<br /> 2500 Shadywood Road, Excelsior, MN 55331 Fax: 471-0682
<br /> SHORELINE EROSION PROTECTION- FAST TRACK PERMIT
<br /> I, f r J ...-t-' . r _ S a - ^residing at g 30 Ci.-2/�.D J�m.2i,�rre. �.-/ti--
<br /> (Property Owner) (Street Address)
<br /> O�� r7'l ,�5 Yr
<br /> . PH: y9- ,r �k, request approval to install
<br /> (-City) (State,Zip)
<br /> riprap shoreline erosion protection on property described as - �i13. )
<br /> located in
<br /> (Street Address"
<br /> ilk ��� 7 -_.1/7--/? I/ 081.2' . The rip rap installation
<br /> City)
<br /> 77 iie.J • 0
<br /> (
<br /> ��� (County) (FIDS located on tax statement)
<br /> will consist of /,...5—,? along the shoreline of 1717- 42, , jD,t,,„< 4e,, in full accordance with
<br /> (Lineal feet) (Lake) (Bay)
<br /> the Minnehaha Creek Watershed District Shoreline Protection Guideline for riprap placement required for
<br /> issuance of a Fast Track General Permit. I have contracted with
<br /> Nei-o-.1 .1).PORTABLE - (Phoria l
<br /> , \
<br /> (Name of Compan:.C- r O MPANY (Address)
<br /> .500 LVL I:F ST
<br /> EXCELSIOR.MN FF;i•4t , to perform the work who is familiar with the technical requirements and has
<br /> (133ood Number) 474-945+1
<br /> fulfilled the bonding requirements of the watershed district(see reverse) . I have read and understand the `
<br /> requirements of the MCWD relating to Shoreline Erosion Protection.
<br /> 1 1 A,.1. L .4",,,, -,_ - - b oc--t-
<br /> c -c. tel- :_ f eK
<br /> errgi
<br /> tall; r. �, fR,C.T
<br /> .^/A-i.- ..-. 1c i.. Imo.
<br /> �.rse-f,.. +y�TJ �i�')�snr (Date)...
<br /> :
<br /> O C T �' 1°.-199
<br /> Subscribed and sworn to before me on this (o -_ day of 10 7._ , 19 99
<br /> 4; y�
<br /> •
<br /> ,1}iti
<br /> ...,f. , �o 1 1,4:-........z.,•a —_ '-MINNESOTA I
<br /> Y
<br /> $. ary Public , - ..�...`.�...,...y,'.,;Fire5 Jan.INI 1 j
<br /> j L;".`.i. r Jan. 3Y.
<br /> Approved Ey: ' '' U 9
<br /> 17 '
<br /> .. . ies Haf- -r, District Technician (1.-":11(1.-":1(1.-":11.,) //
<br /> Distribution: Property Owner Contractor Municipality DNR District hil,,
<br /> Ite L,&e r-s r. nazuxa .Jt,rtutac.-i is. aae..A irtspeecsun (..n.-rrte prvjeec per ivr wc� muse j, provtaea wtrn tuts apps icarnon.
<br /> I understand the District will charge fees to cover the actual costs of field inspections, including investigation
<br /> of the area affected by the work, analysis of the work, including the services of legal counsel and engineers,
<br /> and any subsequent monitoring of the work. The District's actual costs are deemed to begin accruing when
<br /> the District issues notice of the violation to the permittee. I have read and understand the MCWD Technical
<br /> C.:u'delines for sandblankets.
<br /> *A 1L4) fc, ©C'T L at (=D(=DJ,' 9
<br /> I ex* Date
<br /> .scribed arid sworn to before me this day of �.t 199 --� JUDITH E. NICCiIM
<br /> t � �l .`'__ i ASY PUSLIC-MINNESOTA 1
<br /> j lid,. HENNEPIN COUNTY i
<br /> r, i _: My Gomm. Expires Jan. 31, 2000
<br /> ,..,
<br /> e.tary Public
<br /> . .. /6X(/ '?
<br /> •
<br /> Ap;red and cepted by Date
<br /> ja _ -Iamner, District Technician sande -Mar 97
<br />
|