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CONSTRUCTION DATA (also attach sketch or drawing) <br />Channelling Existing Proposed <br />Total length (feet) - - - - - - - <br />Length in lake/stream (feet)- - - <br />Bottom width (feet) - - - - - - - <br />Side slopes (ratio) - - - - - - - <br />Average depth (feet)- - - - - - - <br />Alterations along shore <br />Distance along shore (feet)- - - - - <br />Distance waterward (feet)- - - - - - - <br />Thickness of fill material (feat)- - - <br />NA-02622-01 <br />(W-S4) <br />(Rev 74) <br />Proposed <br />Gradient W - - - - - - - - - - - Depth of excavation (feet) - - - - - -4�8 f t, <br />1. Describe type of excavation equipment to be used, if known: <br />Scrapers and dragline. <br />2. Describe location (include nup) and characteristics of spoil disposal site proposed: <br />Spoils are to be disposed of in adjacent park lands and residential areas <br />shown on the attached overall concept plan. <br />3. Would maintenance excavation be necessary? (check) JV YES i= NO Explain: <br />Routine cleanout will be necessary near storm sewer outlets at the pond. <br />4. Volume of material to be removed initially (cubic yards): Muck or silt 1 4 Q.00 r v <br />Sand or gravel 50,000_a Rock or stone <br />ATTACHMENTS 0 $15.00 filing fee, ® photographs, )W other (speoify)plgnns. hydrologic acid - eny3.ronm ntal <br />Applicant declares that information submitted herewith and statements made herein are a true and correct reports. <br />representation of the facts, and that the filing of this application and information with the <br />Commissioner of Natural Resources is prima facie evidence of the correctness thereof. <br />COMPLETE APPLICATION SUBMITTED TO: <br />(1) City of Moundsview <br />z�ol° ig way,8 p <br />Moundsvi <br />street & poet office <br />(2) Rice Creek W. D. <br />Name of watershed tract <br />(3) 5horeland Management Administrator <br />of County <br />State of Minnesota } <br />ss. <br />County of ) <br />on this day of <br />Dated.this 5 y e 19 80 <br />Signer] Da a Cremers <br />Aiithorixed.Agent iappticant) <br />Kraus -Anderson of St. Paul <br />eases <br />2510 Minnehaha Ave. So. <br />Address Minneapolig <br />City Minneapolis, <br />State <br />Minnesota lip code 55404 <br />AFFIDAVIT <br />Phone 721-4877 <br />19 &W before me personnally appeared <br />Dale L. Cremers --I <br />who being first duly sworn and to me known to be the person who executed the foregoing <br />application, acknowledgedDthat `-�W executed the same as own free act and deed and <br />that the statements, maps, plans, documents, and other supporting data are true and correct according <br />to best knowledge and be 'e <br />ptANE M. GEARS / �G <br />-!. NpTAW PUSUC . MINNESOTA <br />14EN11EMN C0 Notary Public _*&unty <br />* 1984 commiubw FBAs <br />my My commission expires � 19 0 <br />