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<br />RICE CREEK HATERSHED DISTRICT ~}J I Do not 1. 1.n. <br />SUITE 177, i\RDEN PLA7.A ~ de '1 ! PEP.!'!IT APPLICATION :ff 0 -{2s <br />3585 !'lORTH LEXINGTO~J Av'E~\!UE ,D 1 t--- Received eJ - 15' - 3 0 <br />ARDEN HILLS, HINNESOTA 55ll2pC Notice Sent <br />cc: City of New Brighton _ Agenda." - .,;J 7 - 80 <br />E.A. Hickok & Assoc., Engr. Inspected ' <br />'File <br /> <br />To be comlJleted <br />O\vner : 40 ~, h 1 <br />Address: \ ~ '5 <br />City: r'AIM1'i <br /> <br />PER.~IT <br />by the applicant <br /> <br />lJ.J~L.sc....H <br />ARoi'\flI <br />1-\ e.\ <:- t \s \ fv} N 5'5' II 3 <br />((Zip Code) <br /> <br />l~ <br /> <br />/ <br /> <br />J~r <br /> <br />APPL!CATION <br /> <br />Date ~-I$ -~O <br />Phone &. 4-5 - I ~ <1 7 <br /> <br />~r <br /> <br /> <br />Permit Application For Approval of Remarks <br /> <br />()Land Development Plans <br /> <br />GlGrading, Sediment-Erosion Control <br />Plan <br /> <br />()Stormvater Management Plan <br /> <br />G>fiual Site Drainage Plan <br /> <br />()Flood Plain Development <br /> <br />()Use and/or ADDropriation <br />of Public Waters. <br /> <br />()Bridge or Culvert Construction <br /> <br />()Wetland Alteration <br /> <br />()Riparian Improvement-Shoreline <br />Setback <br /> <br />()Private Drainage System <br /> <br />()Other (explain in Remarks) <br /> <br />Name of Project: S.h~ck.mf:\'-.l St2.f\'K \l..ous~ <br /> <br />Purpose of Project: R~~-\-llQ\\\~ <br /> <br />Location of Project--Address :.-S~~A\<.~ ,).. f\'\I~S'SS'~P; 8\JO <br /> <br />Municipality or Tmvnship: Nn BR'<'-,,\, +~\\-\ ffi,,_ <br />49.Y-/1- ..-I' .5c.,p /,/W \J <br />3,; of Section / ~ Tm.;nship ,3('} Range ';.3 <br /> <br />Call 483-0634 if assistance 'in comoleting this form is required. Please <br />attach drawings. plans and other data as outlined in "Rice Creek Watershed <br />D is t r i c t Ru 1 e s an d Re gu 1 a t ion s". ,Nti-i-l~-Gi.-:,.,."Jc l-i.\1T'.I'"' th i'S',~ f 0 rm-'al{'fl\~'\..;i'th~ <br />S,/./'\--.-f)-t'\' ~ '. . f' '~c;-'-''''--'''' . l ., . .,.' l' .~ ,.J <br />';".:~X~::i.:';::'<f-~1~!f1.:~;~I:~.~T:-:::S2}!~",'!: :.l:.S';';;.sp.Rxqpr.:J,.,':; t 12..,_€:,:-;.1). \I.l,L S ,...t.9..t nQ ".,.<:i;~:_ ~r9,?;:,~,,"avGgy~ . <br /> <br />IIA field inspection fee on this permit shall be charged to cover actual costs <br />related to a field inspection including the investigation of the area affectec <br />by the proposed activity, analysis of the oropos~d activity, services of a <br />consultant and in addition, a fee will be charged for any required subsequent <br />'monitoring of the pronosed activity.'~ M.S.A. 112.88, Subd. 2. Applying for <br />this permit to RCWD does not preclude YOllr a~plying for any necessary permits <br />that may be required from other goverm1wntal agencies. <br /> <br />A8-78 <br />