Permits - Permit# 10-144 - 2468 Black Lake Road - 1/1/2010RECE"®
MAY 2. R 2010
Permit # 10 - 1 `4 q
SHORELINE EROSION PROTECTION — FAST TRACK PERMIT I
MINNEHAHA CREEK WATERSHED DISTRICT (MCWD)
18202 Minnetonka Blvd.
Deephaven, MN 55391 Ph: 952.471-0590
Fax: 952.471-0682
I, M WK A .,, ,ec reside at a4 t.$ C' 1" Lakes 'R&
(Property owner) (Street Address)
MA 56 3)9q, 015z yj i - S 33� request approval to install riprap
(City) (State) (Zip) (Phone)
shoreline erosion protection on property described as So^V_4_ , located in
(Street address)
S a,.�e- 1-13.3 t 7-no zo The riprap installation
(VYWhin the City boundaries) (County) (Property ID # IPID#))
will consist of 1 o' along the shoreline of -M E-k& , AR a.& in full
(Lineal feet) (Lake) (Bay)
accordance with the Minnehaha Creek Watershed District Shoreline Protection Guideline for
riprap placement required for issuance of a Fast Track General Permit. I have contracted with
Concept Landscaping 3153 Priest Lane Mound 55364 (952 ) v2-4„s
(Name of Company) (Street address) (City) (Zip) (Phone)
on file , to perform the work who is familiar with the technical
(Bond Number)
requirements and has fulfilled the bonding requirements of the watershed district (see page
two). I have read and understand the requirements of the MCWD relating to Shoreline Erosion
Protection.
Signature of Property owner) (Date)
Su bsc ' d and sworn to bef re me on this z t day of y , 20%o .
JAMES HAAOLD SMITH
4 Notary Public Notary PublicMinnesota
My Comm. Expires
Approved by: lj � Date bJ Wo
Distribution: _Property Owner _Contractor _Municipality _DNR _District File
Page 1 of 2