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CONSTRUCTION DATA (also attach sketch or draring) <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 />HA-02622-01 <br />(W-54) <br />(Rev 74) <br />Proposed <br />Thickness of fill material (feat)- - - <br />Gradient (%)- - - - - - - - - - - Depth of excavation (feet) - - - - - -4 — 8 _� t. <br />1. Describe type of excavation equipment to be used, if known: <br />Scrapers and dragline. <br />2. Describe location (include nap) 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) lW YES Q 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 yardq): Muck or silt 1 4 0.000 cy __ <br />Sand or gravel 50,000 Sy Rock or stone <br />ATTACHMENTS KV $15.D0 filing fee, ® photographs, $% other (specify) 1 n 3 hydrologig and enyJrgnMpntal <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 ffof Moundsview <br />NN <br />Z�lcklig�iway0 s p <br />Moundsvi <br />street S post office <br />(z) Rice Creek W. D. <br />Name of watersh distmct <br />(3) Shoreland Management Administrator <br />of County <br />State of Minnesota ) <br />ss <br />County of ) <br />r <br />on this S day of <br />Dated this 5 y e 19 du <br />signed Da a L. Cremers <br />Aiithorized.Agent (applicant) <br />Kraus -Anderson of St. Paul <br />eases <br />2510 Minnehaha Ave. So. <br />Address MinneaRglis <br />City Minneapolis, <br />State <br />Minnesota lip code 55404 <br />AFFIDAVIT <br />Phone 721--48 7 Z _ <br />Dade L. Cremers <br />19 (J L/ before me personnally appeared "" <br />who being first duly sworn and to me <br />known to be the person who executed the foregoing <br />application, acknowledge D that `�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 'ee <br />DIANE M. GEARS <br />NOTARY PUBLIC • MINNESOTA <br />HENNEPIN COUNTY 1484 Notary Public / unty <br />MY Cummilsim E�Ira 1 / L / 19 y� <br />My commission expir / O <br />