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Home My WebLink AboutPermits \'0-- S~e4~ ~\b~~ , .,.....-- 1,.]. ~ - ()~ 05-0\ Minnesota Pollution Control Agency , L I.. The Honorable Jack Haugen Mayor, City of Prior Lake 16200 Eagle Creek Avenue SE Prior Lake, Min.'1esota 55372-1787 Dear Mayor Haugen: Enclosed is the Sanitary Sewer Extension Permit Number 46493 for the construction and operation of a Sanitary Sewer Extension System to be located in Prior Lake, Minnesota. Please carefully review the Permit, including any Special Conditions, General Conditions (No. 1-20) and information relative to plans and the Permit Application. If you have any questions, please contact the Customer Assistance Center at (651) 297-2274, or 800-657-3864. Sincerely, ~dY~!!& Metro Unit Municipal Wastewater Section Municipal Division GLE:jeh Enclosures: Sewer Extension Permit General Conditions cc: Frank Boyles, City Manager Marcus A. Thomas, Bolton & Menk, Inc. Roger Janzig, Metropolitan Council-Environmental Services 520 lafayette Rd. N.; Saint Paul, MN 55155-4194; (651) 296-6300 (Voice); (651) 282-5332 (TTY); www.pca.state.mn.us St. Paul. Brainerd. Detroit Lakes · Duluth · Mankato · Marshall · Rochester · Willmar Equal Opportunity Employer. Printed on recycled paper containing at least 20 percent fibers from paper recycled by consumers. Minnesota Pollution Control Agency PERMIT FOR THE CONSTRUCTION AND OPERATION OF A DISPOSAL SYSTEM CITY OF PRIOR LAKE Scott County Pursuant to authorization by the Minnesota Pollution Control Agency (MPCA), and in accordance with the provisions of Minn. Stat. chs. 115 and 116, plans are approved and a Permit is hereby granted to the above-referenced Permittee for the construction and operation of a Sanitary Sewer Extension in Prior Lake, Minnesota. The facilities are further described in the application designated as: "City Project No. 05- 01", which was received at the Agency on April 7, 2005, and proposed by Bolton & Menk, Inc. The application indicates that the project will include: . 15 Existing Homes; . 3 Commercial: a Mall, an Office Bldg., and a Florist. It is the Permittee's responsibility to assure compliance with any special conditions and the general conditions that are required by this Permit. This includes taking all necessary measures needed to comply, including, but not limited to, the notification of contractors or others who may be carrying out this work. PERMIT NUMBER: 46493 2 2 ~ Z g;j~ Gary L. Eddy ~upervisor - ...,., ( Metro Unit Municipal Wastewater Section Municipal Division DATED: 520 lafayette Rd. N.; Saint Paul, MN 55155-4194; (651) 296-6300 (Voice); (651) 282-5332 (TTY); www.pca.state.mn.us St. Paul · Brainerd · Detroit lakes · Duluth · Mankato · Marshall · Rochester · Willmar Equal Opportunity Employer. Printed on recycled paper containing at least 20 percent fibers from paper recycled by consumers. 16. The Agency, its officers, employees and agency review and comment upon engineering reports and construction plans and specifications regarding this permit solely for the limited purpose of determining whether such report, plans and specifications will enable the facilities subject thereto to reasonably comply with the regulations and criteria ofthe Agency. 17. This permit has not been reviewed by the U.S. Environmental Protection Agency and is not issued pursuant to Section 402 of the Federal Water Pollution Control Act Amendments of 1972. 18. The plans for this project have been approved with the reservation stated in the attached sheet entitled "Information Relative to Review of Plans and Permit Applications." 19. The Permittee shall comply with all rules, regulations and requirements of the Minnesota Environmental Quality Board prior to construction of the proposed project. This permit is not effective until the Permittee completes all applicable environmental review (Environmental Assessment Worksheet or Environmental Impact Statement) which may be required for the project. 20. This permit authorized the Permittee to perform the activities described herein under the conditions set forth. In issuing this permit, the State/Agency assumes no responsibility for any damage to permits, property or the environment caused by the activities of the Permittee in the conduct of its actions, including those activities authorized, directed .or undertaken pursuant to this permit. To the extent the state/agency may have any liability for the activities of its employees, that liability is explicitly limited to that provided -in the Torts Claims Act, Minnesota Statutes 3.736. ---------------- - Minnesota Pollution Control Agency Information Relative to Review of Plans and Permit Applications November 15, 2004 The review of plans and specifications for sewage, industrial waste, or other waste disposal systems and application for permits is made in accordance with the authority conferred by law (Minn. Stat. ~ 115.07). Approval of plans and permits is based upon the assumption that the information provided by the applicant is correct and that all necessary legal requirements have been or will be satisfied. Plans for sewage, industrial waste or other waste disposal systems are examined with regard to the design features with apply to operation and maintenance of the treatment works and sewer system, the degree of treatment to be provided, the effectiveness and reliability of the system or methods employed, and compliance with applicable standards systems. The bulletin entitled Recommended Standards for Wastewater Facilities., 1197 Edition, and supplements thereto, as well as other information are used in examination of the design, operation and maintenance aspects of the proposed system. Sewer plans are recommended for approval on the basis that the system is to collect only domestic sewage and such industrial or other waste as may have been provided for in the design. Foundation or footing drains to collect ground water and roof drains or other surface water conduits should not be connected to the sanitary sewer system. Adequate field supervision and inspection by a qualified representative of the owner should be provided at all times during construction to assure that the project is constructed in compliance with the approved plans and specifications. The Agency assumes no responsibility for the integrity of structures or physical features, or for the reliability, durability or efficiency of specific items of propriety equipment or material. All applicable federal, state and local laws, regulations or ordinances must be followed in the design, location and construction of proposed sewer systems or treatment works. The Agency reserves the right to withdraw its approval of plans in construction is not undertaken within a reasonable period after issuan~e of the permit. Gopher State 651-454-0002 APPLICATION FOR OBSTRUCTION PERMIT ON COUNTY HIGHWAY RIGHT OF WAY SCOTT COUNTY PUBLIC WORKS 600 Country Trail East Jordan,~ 55352-9339 Phone 952-496-8346 Fax 952-496-8365 Permit No. Traffic Signal Locates 952-496-8346 Permit Fee - $95.00 48 hrs before digging MUST BE REGISTERED WITH SCOTT COUNTY TO OBTAIN PERMIT Name of Applicant Address r I r_ I. A- !;g- I' I I " 2.00 c::a.j e. ~ i!e.r. ve.. \...i+\f of Pr\or L", ~e.- Prior l.4\te. ,MN 55372 Name of Contractor Address .. h. n .~ . "L +- '>'\C 1J.l51 S.b..y-cOG\c- f'.oc'~ North wes+ Asi\a.l I ~. .; ho..i.:.Vi)e.e, fvtN S5374 Contact Person Phone " 5'1 - 4~ 7 ~ " $>32- LAU; P"rr le( Fax ~ 52 - '11.{ 7 - 42' 3 Gopher One Call ID# Phone 't52 - "'",7 - ct,Uz. Fax '5 2. ~ 4"17 - Lf2b3 _if. ! II~[." Phone ~2. - J..;J.i5 - 1003 Fax crG2 - 4/.f5' 1056 .......;l~.ll!nnll.. Nature of Work ~torlh ~t'wer ~ lV(;\hrmll\if\ re.movo.l · rQ~1 Qc..e.Wlen+ Location (Ties to Right-of-Way, Road Stationing, & Dimensions) ~te..rsectioM: 1111l1l1l;" ~ CSAH!l1.( .'lc\ Co.nJ'1~"" C\~ Size and Kind of Structure (Show Elevation Detail of Proposed Work) IS '. RcJ:> c.t. 5 Slorm Sewe..(" QJ ConJ~ C.v"e. ~(\J 8" r)lp c..t. 52. w~+e(lV'1tit;'l Work to Start On (date) Duration of Job 1 Will Detouring of Traffic be Necessary? M rANJ (I 21>05 t-ut.(-;{ S'rk Loo5 (No work allowed prior to permit being approved.) If yes, a traffic plan must be submitted with plans. County Roads Involved c..sAH 44 SECT. 411 3" RANGE 2.2 TWP 115 (;\ f FrClnk 1,'-' DNo ;aYes Attach Detailed Site Drawing Showine All Dimensions from Right-of-Way and Existin2 Improvements. (I) (We) the undersigned, hereby apply for a permit from Scott County for the above. (I) (yVe) understand and accept the terms and conditions of the regulations of the Commissioner of Transportation and that the approval of the County must be obtained for issuance of this permit. On completion of the installation, persons doing such work must notify the Scott County Highway Engineer that work has been completed and is readyJor inspection and acceptance. The applicant shall - c;~:;;gumtiO~Ofill Oili~gov=~U;; ~ Date . Applicant ignature C ~ !>/Iklos- ~/JW\/ ? Date f (ofctor's Si~ " ,... ... ';!il;,i~'ll:mli;;ili~lliil:ill:;1I111~1'!m;~illlfr;i;1;i;~;l:l;?;;;:l;:;;; i;;:!r:r.__"l..IIM;::I~I::lrii ;dt\:~:fJ]~.~;}~;:~'~) :.'~, ~'-";~":::')'~:!~:~;'~:.'j.,.,,; :~~":~:\"':_:f.'::ti2:1f;Um;j'2(~1~0~ In accordance with this application an Obstruction Permit is granted to the applicant to place, construct, and "thereafter maintain" on, or across, or under the Right-of-Way of the above described Right-of-Way and in the location as shown by the above application with the attached conditions and requirements: Scott County Ordinance 22, Management of the Public Right-of-Way, Section 119: The excavation, backfilling, patching and restoration, and all other work performed in the right-of-way shall be done in conformance with Minnesota Rules 7819.1100, 7819.5000 and 7819.5100 and shall conform to MnDOT standard specifications and other applicable local requirements, in so far as they are not inconsistent with the Minn. Stat. ~ 237.162 and 237.163. Date mk-w:\word\pennits\permit fonns\utilitypennicnew _obstruction.doc Authorized Si~ature for Scott County HiJdlway Department SCOTT COUNTY HIGHWAY DEPARTMENT Public Works Division 600 Country Trial East Jordan, MN 55352-9339 Phone: 952-496-8346 Fax: 952-496-8365 INSTRUCTIONS FOR COMPLETING APPLICA nON FOR OBSTRUCTION PERMIT, Note: An incomplete application will delay processing. * Allow up to 2 weeks for processing. 1. Print, in ink only, or type the application. Be sure to sign both this instruction sheet and the application form at the bottom. Submit the original forms only. Faxed copies will not be accepted. 2. Complete each item on the application. If an item does not apply, print "N.A." in the blank. 3. No work under this application is to be started until the application is approved and the permit is issued. 4. Prior to construction, the permittee shall notify the County Inspector at 952-496-8487 and again after completion for final inspection and approval by the County Highway Department. 5. No changes or alterations may be made at any time without written permission from the County Highway Department. 6. It is the responsibility of the contractor to notify Gopher One ~?!_ .~tility locations for any work be4tg performed within the Scott County right.:.of-way, and obtain all other necessary municipal permits. \,. 7. Where work on traveled roadways is necessary, traffic must be protected, and the proper signage or barricades must be placed in accordance with the standards of the Scott County Highway Department. I, We, have agreed to all requirements and any special provisions included in this instruction sheet. All work commencing will be done to the satisfaction of the Scott County Highway Department. Dated: ~I/"Io) f I Applicant's Signature/~ P mk-w:\word\pennits\pennit fonns\utilitypenniCnew _obstruction. doc CITY OF PRIOR LAKE. TELEPHONE (952) 447-4230 16200 EAGLE CREEK AVENUE S.E. . PRIOR LAKE, MN 55372-1714 No.062379 '. Invoice Date 5/3105 Amount $95.00 Check #62379 Total $95.00 .~, _. ~ -- '-,-'"- ..., -.. . --,.__~ ~.-,.. W'''',_.''''_ ..~ -". . ~ "-.'-' '" -'", ~ "':' "',' ._.~~....__,.,,( \..",,~,.,,'~".-.C".-"'~' ~> "':0-'- ';:-~.'" .~".._,-_,.. ~.,..,.''';..' PURCHASE ORDER CITY OF PRIOR LAKE, MINNESOTA (952) 447-4230 Fax: 447-4245 NO. 05-617 IMPORTANT. This no. MUST appear on all packages, packing slips, shipping papers, invoices & correspondence. The Center of the Lake Country INVOICE TO: City of. Prior Lake 16200 Eagle Creek Ave. S. E. Prior Lake, Minnesota 55372 SHIP TO: (Same as "Invoice To" unless otherwise noted below) PURCHASE FROM: SCOTT CQUNTY Scott County PUblic Works bUU country IraII tast -Jordan, Mrj 55352 HIGHWAY DEPT. IMPORTANT QUOTE nuS ORDER NUMBER ON INVOICE DATE 01:1/17/01:1 ~ Qt1A1ol HI ~ . DESCRu- lION UNIT PRICE TOTAL REMARKS' Aoolication/Obstruction Permit Proi. #05-01~ 2005 Imorovernents I I 95.00 TOTAL ORDER 95.00 ORDERED BY: SENG THONGVANH, CIVIL ENG. APPROVED BY: ~~/ TO BE USED FOR: Dept. Acct. #: #501-48358-515 DEPARTMENT HEAD APPROVED BY: CITY MANAGER CASH 0 CHARGE 0 REMARKS: NOTE: The City is not subject to penalty for late payment on bills. White. Vendor Yellow. Receiving Pink. Accounting & Purchasing 111\ I V iO~ 1 OI'-J & 1'/11 I'-J 1<., II'-JC. Consulting Engineers & Surveyors 12224 NicolletAvenue · Burnsville, MN 55337-1649 Phone (952) 890-0509. FAX (952) 890-8065 May 16, 2005 Darin Holmgren Scott County Highway Department Scott County Public Works 600 Country Trail East Jordan, MN 55352 Re: Scott County Application for Obstruction Permit Prior Lake City Project No. 05-01 Dear Mr. Holmgren: Please find enclosed the completed Application for Obstruction Permit on County Highway Right of Way and the required application fee in the amount of$95.00. This permit has been submitted as directed, as a result of the detouring required by the work to be performed. Please refer to the Scott County Application for Utility Permit, dated March 28, 2005. Since this contract has not yet been executed, the permit will be signed by the Contractor when the project is let. Please contact me at (952) 890-0509 if you have any questions or comments. Sincerely, BOLTON & MENK, INC. Kentfid;:~ Design Engineer Ene. cc: BMI File F:'- Civil\PLAK\T1621543\Permits\Scott Co obstr transm.doc MANKATO, MN · FAIRMONT, MN · SLEEPY EYE, MN · BURNSVILLE, MN · WILLMAR, MN · CHASKA MN · AMES, IA www.bolton-menk.com An Eoual Oooortunitv Emolover os...o/ ~ Metropolitan Council, , Environmental Services April 15,2005 Larry Poppler Assistant City Engineer City of Prior Lake 16200 Eagle Creek Ave. Prior Lake, MN 55372-1787 ~l~ @ ,", i APR 2 2 _ 'L ,-, I' ,I U I[~ -~\I'I' Ls q j~ d : ~ 2005 II -~j ~ i I ; \ By , Re: City Project No. 05-01, Prior Lake Dear Mr. Poppler: The Metropolitan Council Environmental Services (MCES) Division has reviewed your application for a sanitary sewer extension for the above project. This project is in accord with your comprehensive sewer plan (CSP) and consistent with the Metropolitan Urban Service Area. The plans submitted with your sanitary sewer extension permit application indicate this project is near MCES Interceptor (7120) west of Highway 13 and south of Pleasant Street. To insure the integrity of our interceptor, prior to initiating this project, final plans should be sent to Scott Dentz, Interceptor Engineering Manager (651-602-4503) at the Metropolitan Council Environmental Services for review and comment. With this understanding, we will file this project as part of your CSP and inform the Minnesota Pollution Control Agency that we have no objection to the installation of these facilities. If you have any questions or require any additional information, please feel free to call me at 651- 602-1116. If{p Donald S. Bluhm Manager, Municipal Services Section Wastewater Services Department DSB:RWJ:EAS sood/word/sewer .ext.1tr/priorlake. 041505 cc: Jan Hjellming, MPCA Bill Moeller, MCES Scott Dentz, MCES Metro Info Line 602-1888 www.metrocouncil.org 230 East Fifth Street . St. Paul, Minnesota 55101-1626 · (651) 602-1005 · Fax 602-1138 · TTY 291-0904 An Equal Opportunity Employer JUN' 1. '7 1GO~ .. c<:;--- u \ II') \ J'\f-~ ,A s Mn/OOTTP-1723 (SHORT FORM PERMIT) (4-01) o Q.~ District -'1:J C.S. 7J)L) / Pennit #J.,/ oS - tJG- c.; 5 / ;t' . /.~ T.H. -~ APPUCANT TELEPHONE ADDRESS (Street, City, State, Zip) 16200 Eagle Creek Ave. S.E. Prior Lake, MN 55372 ADDRESS (Street, City, State, Zip) 1451 Stagecoach Road Shakopee, MN 55379 City of Prior Lake PARTY PERFORMING WORK (952) 447-9832 TELEPHONE Northwest Asphalt, Inc. (952) 445-1003 LOCATION OF PROPOSED WORK (SPEOFY ROAD INI'ERSECTION OR LANDMARK) Highway 13 in Prior Lake Cityffownship Scott County 0.3 Miles Northeast of C.S.A.H. 44 SURFACE TO BE DISTURBED (Check An'-r.:ate Boxes) DRoadway0ShoulderDConcreteDBituminous Ooravel l!1Turf onl~ther gr:.ardrail METIIOD OF INSTALLATION/CONSTRUCTION NATURE OF WORK Construct conc. sidewalk and ped. ramp, relocate guardrail behind new walk and ped ramp at SE comer TH 13 & Candy Cove DEPTH OF EXCAVATION BELOW SURFACE NUMBER & SIZE OF EXCAVATIONS 12" WORK TO START ON OR AFTER 1 WORK TO BE COMPLETED ON OR BEFORE at grade concrete pour with road reconstruct IS TRAFFIC DETOUR NECESSARY? no July 1, 2005 November 1, 2005 I, We, the undersigned, herewith accept the terms and conditions of the permit requirements of the Commissioner of Tran~}'v.;.,.tion and agree to fully comply therewith to the satisfaction of the Minnesota Department of Transportation. It is agreed that no work in connection with this application will be started until the application is approved and the permit issued. It is further understood that this permit is issued subject to the <opp.uval of local city, village or borough authorities having joint supervision over said street or highway and subject to applicant's compliance with the rules and regulations of the Minnesota Environmental Quality Board and any other affected governmental agencies. (IF YES, TRAFFIC CONTROL PLAN IS REQUIRED) any and all claims for damages, actions or causes of action arising out of the work to be done herein and the continuing usage, constructing, reconstructing, maintaining and using of said utility/miscellaneous work under this application and permit for construction. (P I, 'of oS- Dated By L^~J2"" Po PPL.~t'L. Name - Prinl or Type Furthermore, except for negligent acts of the State, its agents and employees, the applicant or his agents or contractor shall assume all liability for, and save the State, its agents and employees, harmless from, ~_ >>{J DO NOT WRITE BELOW THIS LINE PERMIT NOT VALID UNLESS BEARING SIGNATURE AND NUMBER AUTHORIZATION OF PERMIT SEE REVERSE SIDE FOR GENERAL INFORMATION AND REQUIREMENT It is .....".....sly understood that this pennit is conditioned upon replacement or restoration of the trunk highway to its original condition or to a satisfactory condition In consideration of the applicant's agreement to comply in all respects with the regulations of the Commissioner of Transportation covering such operations, permission is hereby granted for the work to be performed as descnbed in the above application, said work to be p...fvuued in accordance with special provisions as hereby stated. SEE ATTACHED SPECIAL PROVISIONS I-I-()~ Date All Wolk To Be Compleled by C:Lf/- · I ~orized Mn/DOT Signature ,."c. DEPOSIT REQUIREMENTS ~ ~oD~nR~Wred ~ o DeposiIR~WredintheAmounlof$ - V Date Deposil Received Deposillo be returned upon satisfactory completion of all work. 7-2<[j-oS Date of Authorized Signature DISTRIBUTION Ori~ to Area Maintenance Engineer ~licanl - Subarea Supervisor Roadway Regulations Supervisor DEPOSIT TYPE Cashier's Check # Certified Check # Money Order # Bond # DATE WORK COMPLETED (The date when the work is comDleted must be reported to the local Mn/DOT Roadwav Re1[ulations Sll11ervisor.) Page 1 af2 , ., .' EXPLANATION This application form shall be used for installations of utility service connections that do not cross the trunk highway roadbeds, for miscellaneous guys and anchors, imd for performing miscellaneous work on the highway right of way. Utility applications for overhead and und",.&v.md installations and extensions thereto shall be made on Form 2525 and submitted to the Utilities and Agreements Engineer, State Transportation Building for issuance. PERTINENT REGULATIONS Safety I. Where work on or near the traveled roadway is necessary, proper signs, channelizing devices, warning lights, and barricades shall be erected to protect traffic, employees, and pedestrians. All traffic control devices and methods shall conform to the Minnesota Field Manual on Temporary Traffic Control Zone Layouts, Minnesota Manual on Uniform Traffic Control Devices (MMUTCD}, Minnesota Standard Sign Manuals Parts I, 11, and ill and the "....."...~ate provisions of Standard Specification 1710. 2. Ifwork to be done lies within a municipality or platted town, permission must be obtained from such village, town, or city. 3. Excavations must be cribbed when necessary, depending upon type of soil, in order to prevent cave-ins. All excavations, trenching and/or jacking and boring pits shall be shored or sloped in accordance with OSHA requirements. 4. No guys or stays or any structure are to be attached to trees on trunk highway right of way. 5. Und",.&v.md construction must be so constructed as not to harm or unnecessarily destroy the root growth of specimen trees. PERTINENT REGULATIONS Roadway I. Installation of pipe under concrete or bituminous pavements shall be done by jacking or boring or other "pp' u .ed methods. 2. When open trenching or excavating in existing roadways, all subgrade, base, and surfacing materials shall be replaced with the same type, depth, and density of materials that were removed. 3. All backfill must be placed in 6" or less layers and thoroughly tamped and material must be flush and even with the adjacent surface when finally in place. 4. If pavement or roadway is damaged, same shall be restored to a condition as good or better than the original condition. 5. All pavements shall be replaced in accordance with State specifications. 6. If settlement occurs or excavation caves in so that replaced materials settle (bituminous mat or concrete base), same shall be restored to a condition as good or better than the original condition. 7. Unless adequately protected by a traffic barrier, there shall be no work within the clear zone, nor shall pipe materials, equipment or other\::- objects as determined by the State, be stored within the clear zone as &;"'uuined by the Department and as defined by the latest edition of AASHTO's "Guide for Selecting Locations, and Designing Traffic Barriers." 8. No poles, anchors, anchor braces, or other construction shall be placed on the roadway shoulder or within ~e prescribed clear zone. 9. No driving onto highway from ditch or driving on shoulders will be permitted where damage will occur. 10. No foreign material such as dirt, gravel, or bituminous material shall be deposited or left on the road during any construction activities. LIMITATIONS 1. No liIgs shall be used on equipment traversing road which will damage the road surface. 2. Roadside shall be cleaned up upon completion of all work. 3. If Department of Transportation shall make any improvements or change on all or any part of its right of way upon, over, under, or along the highway, then and in every case the applicant herein named shall after notice from the Commissioner of1,'ransportation or Commissioner's authorized agents proceed to alter, change, vacate, or remove from trunk highway right of way said works necessary to conform with said changes without cost whatsoever to the State of Minnesota. 4. Drainage on the trunk highway right of way shall be done under Form 30795-02 available at the District! Area Maintenance office. 5. After work on a project is completed said persons doing such work must notify the Area Maintenance Engineer or his authorized representative in which district the work is being p...Gu....ed that such work has been completed and ready for final inspection and acceptance by the State of Minnesota. 6. Cutting and trimming o(trees within the right of way and removal of resulting stumps require prior ".....v..al of the Area Maintenance Engineer or his authorized representative. NOTE: Certified Check or Bond may be required to insure proper restoration of highway surfaces and to cover payment for any damage to highways or State property. Additionally, any expense incurred by the Minnesota Department of Transpu& ;"":':on above the posted deposit will be assessed against the 'applicant. In the event that the construction has not been started by the "WORK TO BE COMPLETED ON OR BEFORE" date, this permit becomes nuD and void and deposit refunded. MnlDOT TP-I723 (SHORT FORM PERMI1) (4-01) Page 2 of2 M-US-05- 9518 C.S.7001 T.H.13 City of Prior Lake THIS PERMIT IS SUBJECT TO THE FOLLOWING CONDITIONS: The applicant, or their contractor, shall notify Mr. Jeff Dierberger, Mn/DOT Roadway Regulation Inspector, at 651-582-1451 at least 48 hours prior to starting construction so State inspection may be arranged, and for approval of all highway materials prior to their placement. All work authorized by this pClluit shall meet Mn/DOT specifications. This pCHuit authorizes the applicant to construct sidewalk, ped ramp and relocate the existing guardrail in the SE comer ofT.H.l3 and Candy Cove in the city of Prior Lake as shown on applicant's plan sheet. The applicant shall be responsible for all maintenance of said sidewalk. The applicant shall provide in-house inspection at all times while working on trunk highway right of way. The applicant shall furnish, install and maintain all required traffic control devices according to the Minnesota Field Manual on Temporary Traffic Control Zone Layouts (January 2004)(see web page @ www.dot.state.mn.us/trafficeng/). while performing the construction authorized by this pcuuit. Due to the Twin City rush hour restrictions~ no work involvinf!; interference with or causin2 a distraction to traffic will be allowed from 6:00 AM to 9:00 AM~ or from 3:00 PM to 6:00 PM. unless authorized by the MN/DOT Permit Office at 651-582-1443. If the temporary traffic control zone is to remain in one place for more than 3 days or involves a detour, road closure or a situation where the typical layouts do not apply, the applicant shall prepare a specific Traffic Control Plan for approval by Mn/DOT prior to start of any construction. All persons while performing authorized work on Mn/DOT Right of Way shall be required to wear an Mn/DOT approved High Visibility Safety Vest and Soft Cao/Hard Hat. Any authorized night work requires all personnel to wear an MnlDOT approved full night safety suit (pants andjacket). It shall be the responsibility ofthe applicant to utilize the "Gopher State One Call" excavation notice system -as required under Minnesota Statute Chapter 216D, 48 hours prior to performing any excavation (Phone 651-454-0002 Twin Cities Metro Area or Toll Free 1-800-252-1166). .... .. '" M-US-05- 9518 C.S.7001 T .H.13 City of Prior Lake The applicant shall contact the owners of the in-place utilities and make all arrangements for their relocation or revisions as required due to the construction authorized by this pcuuit. No material shall be deposited on the traveled roadway. All areas disturbed by the applicant shall be restored with a minimum of 6" of topsoil (according to Mn/DOT Standard Specification 2105 Table 1 Topsoil Borrow), then sodded or seeded. Seed or sod should be the same as/or compatible with the existing turf cover. If the areas are to be seeded, a Mn/DOT seed mixture comparable to the ex.:isting turf along with Type 1 Mulch and Disk Anchoring shall be used according to Mn/DOT Specification 2575. All areas disturbed during construction within State right-of-way shall be restored to original or better condition. The applicant shall perpetuate all existing drainage. The applicant is required to preserve all existing survey monuments. IfMn/DOT dekuuines that monuments have been disturbed or destroyed during construction activities, the applicant shall accept full responsibility for all costs incurred in the re-establishment of the monuments. It is expressly understood that this permit is issued subject to the applicant's compliance with the Rules and Regulations of the Minnesota Environmental Quality Board and any other affected Governmental Agencies. Winter work shall be considered :from November 1 through April 15, work during tliisperiod shall be on a day-to-day basis at the discretion of the Roadway Regulation Supervisor. All work authorized by this pcuuit and the restoration of the State's right of way shall be satisfactorily completed by 1-1-06. The applicant or his contractor shall notify the pcuu.it office at 651-582-1443 for fmal inspection. ,... ~ I ., SJ9ICUT. RDIC7.C.....\fIEP\ACE" .....,\.... , '1I'\M<<lUS SURJ'N:! AS ..","'..... l ", \ 1IY ENClNttR (l'tP.) ! .' ( , , I I , .~""""~)f $AWCUT, ROUCM AND ~" ,~ ." __ .,' .". . IlIlIVEWAY AS illlREC1ED \ ~ 8'f . . .."'. (TYP.): " .~'\.'\.,,'" \ WASHED AGGRtG41t ~ ... ";/' \. 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'. ..f;)!2' ...- ~=:::::::::=:=; ~;:~:::~:=~-::_:~::; ~-:::::. - ~ ~ - ~ ~ 14+00 15+00 ....._,=::~ ~=:.~:.=:~:~.:.~.~-:~.~.~.:::...: :",~~co" "'.. .._..;.~,,_..__. ld; C>>d>> 16+00 -..............., ------ :.:.::::::~~_.._... ._~~ 17+00 ~Hm_ .... ......-......... .:......~,~....~. (JI' .. ...~~ .~:'~i<~ 18+! ... CD + o o '" o + - o i o I N i i - I j + ' i 8 . ; . , ; i I! 1 , i '" '" + o 0<0 N 01 ~ OJ (I) O::x:: "TIm ~~ ~ 01 ... j i i j ! j 1\ i \ I' I [ 'i i! -L\,_' i rill i i,1Jj'ii [! ! 1 ! ! j 1 . . .' . i ; ~ i ~ [ i i i I. I "-T-TuT-- ------------"1 [-----'--- -,-- ! I I ! 1 , , I I I j i I I II ! I ! I ! II II :!: .I,G " , ''', , , 'e I " ' " , 1\/' PA i I I t i . !! ----+-- i , i I' I ! C1 ~ ~~ \ ~ ~ ~ ~ 1 ! Ii! r _ _ _________ _ ____ __ _____ _ _ ___ _____ . --------------, __u_____- Iii I! I I 1 i I II! I I Ii' _.- ....--I~ I~ <0 <0 ()1 01 o (Jl 'l\BOL TON & MENK. INC. e:.....,. ( " II . , _ - ~ _ ...,., M. _ __ -- -- -.. REVISION NO.1 DESCRlPJIOH I I I I I 1 ! I - J._.._.._ _'___ __ ._._J III <0 U o <0 (.H 01 <0 "'" o . I HEREBY CERTIFY THAT THIS PI.AN. SPECIFICATION. OR REPORT WAS PREPARED BY ME OR UNDER MY DIRECT ~~~I ~J::LY PlAN BY: DESIGN BY: ~NDE LAWS Of' THE STATE Of' LS _ n Ai -. . AI. '''.J..~, CHECKED BY: PROJ. NO. ~'-'~ MAT T1121&43 . ~hW"~ ~ PL AS BULT BY: DATE: DATE: UC.NO..-Zltil CANDY COVE TRAIL SE STREET AND STORM SEWER CITY PROJ. NO. 05-01 u r;~x ..1 2 1.\105 MniDOT TP-30795-02 (4-0 I) MINNESOTA DEPARTMENT OF TRANSPORTATION APPLICATION FOR DRAINAGE PERMIT 05'-01 (I> District /)1 Pennit# /)-1)6- CJ04/ I e.s. 1;tJC / T.H. /--3- R.P. (DO NOT COMPLETE THIS SECTION FOR OFFICE USE ONLY) ATTACH A SKETCH OF THE PROPOSED WORK AND RELATION TO TRUNK HIGHWAY. SUCH SKETCH SHALL BE DRA WN TO SCALE WHEN REQUIRED BY THE ENGINEER. PRINT OR TYPE APPLICATION. SIGN IN SPACE PROVIDED. SUBMIT TO LOCAL OFFICE OF THE MINNESOTA DEPARTMENT OF TRANSPORTATION. APPUCANT TELEPHONE ADDRESS (Street, City, State, Zip) 16200 Eagle Creek Ave. SE City of Prior Lake (952) 447-9832 Prior Lake, MN 55372 PROPERTY OWNER TELEPHONE ADDRESS (Street, City, State, Zip) 16200 Eagle Creek Ave. SE City of Prior Lake (952) 447-9832 Prior Lake, MN 55372 PROPERTY OWNER TELEPHONE ADDRESS (Street, City, State, Zip) Highway 13 in Prior Lake CityffoWDship Scott County TYPE OF DRAINAGE DTil';-Outlet 0 Open Ditch AREA TO BE DRAINED o Parallel Installation ~ Other Storm sewer outlet 2.33 Acres LEGAL DESCRIPTION OF PROPERTY WORK TO START ON OR AFTER LOCATION OF PROPOSED DRAINAGE WORK Intersection of Candy Cove Trail SE & TH 13 May 16, 2005 I, We, the undersigned, herewith accept the terms and conditions of the permit requirements of the Commissioner of Transportation and agree to fully comply therewith to the satisfaction of the Minnesota Department of Transportation. It is agreed that no work in connection with this application will be started until the application is approved and the permit issued. It is further understood that this permit is issued subject to the approval of local city, village or borough authorities having joint supervision over said street or highway and subject to applicant's compliance with the rules and regulations of the Minnesota Environmental Quality Board and any other affected governmental agencies. Furthermore, except for negligent acts of the State, its agents and employees, the applicant or his agents or contractor shall assume all liability for, and save the State, its agents and employees, harmless from, (SPECIFY ROAD INTERSECTION OR LANDMARK) 0.3 Miles Northeast CASING SIZE AND TYPE of Intersect. TH 13 & CSAH 44 PIPE SIZE AND TYPE N/A 15" RCP WORK TO BE COMPLETED ON OR AFTER November 1, 2005 any and all claims for damages, actions or causes of action arising out of the work to be done herein and the continuing usage, constructing, reconstructing, maintaining and using of said drainage facility under application and permit for construction. sllo(f)..) ~~ If:fc:MJ8~LAo~W~1 ()I)v~ By J::eI)_ l1;:f6 ~ry Name-PrintorType , ~ -f"'l~ <....A-C..e Si~ I~CL.( Dated PERMIT NOT VALID UNLESS BEARING SIGNATURE AND NUMBER DO NOT WRITE BELOW THIS LINE SEE REVERSE SIDE FOR GENERAL INFORMATION AND REQUIREMENT AUTHORIZATION OF PERMIT It is expressly understood that this permit is conditioned upon replacement or restoration of the trunk highway to its original condition or to a satisfactory condition. In consideration of the applicant's agreement to comply in all respects with the regulations of the Commissioner of Transportation covering such operations, permission is hereby granted for the work to be performed as described in the above application, said work to be performed in accordance with special provisions as hereby stated: SEE ATTALI1ED SPECIAL PROVISIONS /-1-0 , Date All Work To Be Completed by 4A.~~,,;- 7-);z-tJr Dak of Authorized Signature DISTRIBUTION DEPOSIT TYPE Original to Area Maintenance Engineer . 4licant Subarea Supervisor Roadway Regulations SupelVisor DEPOSIT REQUIREMENTS ~o Deposit Required .,. D Deposit Required in the Amount of $ - V · Date Deposit Received Deposit to be returned upon satisfactory completion of all work. Cashier's Check # Certified Check # Money Order # Bond # DATE WORK COMPLETED (The date when the work is como!eted must be reported to the local MnlDOT Roadwav Re/(ulations Suoervisor.) Page 1 of2 "" 't',t ".l VI, ~~ ~ MINNESOTA LAW REGULATING DRAINAGE WORK The State-law is_as-[ollows: 160.20 DRAINAGE Subdivision I. Connecting drains to highway drains. When the course of natural drainage of any land runs to a highway, the owner of the land shall have the right to enter upon the highway for the purpose of connecting drain or ditch with -any drain or ditch constrncted along or across the highway, but before making the connections, shall first obtain a written permit for the connection from the road authority having jurisdiction. The connections shall be made in accordance with specifications set forth in the permits. The road authority shall have power to prescribe and enforce reasonable rules and regulations with reference to the connections. The highway shall be left in as good condition in every way as it was before the connection was made. Subd. 3. Installing drain tile along or across highway. When the course of natural drainage of any land runs to a highway, the owner of the land who has been granted a permit as provided in subdivision 4 may install drain tile along or across the highway right-of-way along the general course of the natural drainageway, provided further that there will be no diversion of drainage waters away from the natural receiving drainageway inunediately downstream from the highway. Any installations shall be made in accordance with specifications set forth in the permit and any rules that apply to the installations. When any installation is made pursuant to this subdivision the highway shall be left in as good condition in every respect as it was before the installation was made. Subd. 4. Conditions (a) A road authority may accept applications for permits for installation of drain-tile along or across the right-of-way under its jurisdiction. The road authority may adopt reasonable rules for the installations and may require a bond before granting any permit Permits for installation along a highway right-of-way must ensure that the length of the installation is restricted to the minimum necessary to achieve the desired agricultural benefits. A permit must not allow open trenches to be left on the right-of-way after installation of the drain tile is completed. A road authority that &""'" a permit for drain tile installation is not responsible for any damage to that installation resulting from the action of the authority or any other permittee utilizing the right-of-way. (b) A person who installs draiit tile along or across a highway right-of-way without obtaining a permit as provided in this section is guilty of a misdemeanor. (c) The commissioner shall take no action under this section which will result in the loss of any federal aid for highway constrnction in the state. (d) For the purpose of this section, "highway" means any highway as defined in section 160.02 which is located outside the corporate limits of a home rule charter or statutory city. SPECIFICATIONS AND PERMIT REQUIREMENTS I. All constrnction details shall be entered on Form TP30795-02 or supplemental sheets as required. 2. 'Installations shall be in accordance with Specification 2502 of the Minnesota Standard Specifications for Constrnction. 3. Where work on or near the traveled roadway is necessary, ..."...... signs, channelizing devices, warning lights, and banicades shall be erected to protect traffic employees, and pedestrians. All traffic control devices and methods shall conform to the Minnesota Field Manual bn Temporary Traffic Control Zone Layout Minnesota Manual on Uniform Traffic Control Devices (MMUTCD), Minnesota Standard Sign Manuals Parts I, II, and III and the appropriate provisions of Standard Specification 1710. 4. Allowable materials for longitudinal installations shall be: Corrugated metal pipe (Std. Plate 3040) Reinforced concrete pipe (Std. Plate 3000) Thermoplastic pipe (Spec. 3245) 5. Connections offield tile to allowable longitudinal installations. shall be made a minimum of three feet beyond the highway right of way line using an inspection tee. (Std. Plate? 143) . 6. All. c~ings shall be}ack~ or bored. 7. All system installations shall be at a minimum of three feet below existing ground. 8. No installations will be permitted in the shoulder or mslope of the roadway. 9. The owner, his successor or assigns, shall maintain the installation in perpetuity. 10. If drainage work to be done lies within the limits of any city, village or watershed district, permission must be obtained from the local governing authority involved. If drainage work to be done involves county, judicial, or group drainage systems, permission must also be obtained from the authority involved. If any drainage is diverted from the owner's property he shall have written approval from the landowners upon whom it is discharged. II. The applicant shall comply with all rules and regulations of the Minnesota Environmental Quality Board and any other affected governmental agencies. 12. The applicant shall furnish, install and maintain an approved culvert marker post at outlet of drainage tile. 13. The drainage work shall not interfere with any existing utility facilities on the trunk highway right-of-way. 14. Removal of trees or shrubs within the right of way requires prior approval of the Area Maintenance Engineer or his authorized representative. 15. No equipment will be permitted to operate on or across the roadway which will damage the roadway or shoulder surface. 16. Certified Check or Bond may be required to insure proper restoration of highway surfaces and to cover payment for any damage to highways or State property. Additionally, any expense incurred by the Minnesota Department of Transportation above the posted deposit will be assessed against the applicant. In the event that the construction has not been started by the "WORK TO BE COMPLETED ON OR BEFORE" date, this permit becomes null and void and deposit refunded. 17. The State reserves the right to remove or repair, with its own forces but at the expense of the applicant, any tile outlet which is not maintained and causes damage to adjacent right-of-way. Applicant must obtain a permit to do maintenance work on the drainage system covered by this permit. _ 18. If the Minnesota Department of Transportation shall make any improvements or change on all or any part of its right-of-way upon, over, under or along the trunk highway, then and in every case the applicant herein named shall, after notice from the Commissioner of Transportation or Commissioner's authorized agents, proceed to alter, change, vacate or remove from trunk highway right-of-way, said works necessary to conform with said changes without cost to the State of Minnesota 19. After work on a project is completed the applicant must notify the Area Maintenance Engineer or authorized representative that such work has been complete and is ready for final inspection and acceptance. 20. Issuance of this permit is subject to the provisions of Chapter I03B of the Minnesota Statutes. MnlDOT TP-30795-02 (4-01) Page 2 of2 M-D-05-9041 C.S.7001 T.H.13 City of Prior Lake THIS PERMIT IS SUBJECT TO THE FOLLOWING CONDITIONS: The applicant, or their contractor, shall notify Mr. Keith Van Wagner, MnlDOT Roadway Regulation Supervisor, at 651-582-1443 at least 48 hours prior to starting construction so State inspection may be arranged, and for apl-l1oval of all highway materials prior to their placement. All work authorized by this permit shall meet Mn/DOT specifications. This pl;;lwit authorizes the applicant to install a 15-inch RCP storm sewer outlet in the SW quadrant ofT.H.13 & Candy Cove Trail SE in the city of Prior Lake as shown on applicant's plan sheet(s). The appliCant shall provide in-house inspection at all times while working on trunk highway right of way. The applicant shall furnish, install and maintain all required traffic control devices according to the Minnesota Field Manual on Temporary Traffic Control Zone Layouts r (January 2004)(see web page @ www.dot.state.mn.us/trafficeng/). while performing the construction authorized by this pl;;luIit. Due to the Twin City rush hour restrictions. no workinvolvine; interference with or causin!! a distraction to traffic will be allowed from 6:00 AM to 9:00 AM. or from 3:00 PM to 6:00 PM. unless authorized bv theMN/DOT Permit Office at 651-582-1443. If the temporary traffic control zone is to remain in one place for more than 3 days or involves a detour, road closure or a situation where the typical layouts do not apply, the applicant shall prepare a specific Traffic Control Plan for approval by MnlDOT prior to start of any construction. All persons while performing authorized work on Mn/DOT Right of Way shall be required to wear an Mn/DOT approved High Visibility Safety Vest and Soft Cao/Hard Hat. Any authorized night work requires all personnel to wear an Mn/DOT approved full night safety suit (pants and jacket). It shall be the responsibility of the applicant to utilize the "Gopher State One Call" excavation notice system as required under Minnesota Statute Chapter 216D, 48 hours prior to performing any excavation (Phone 651-454-0002 Twin Cities Metro Area or Toll Free 1-800-252-1166). M-D-05-9041 C.S.7001 T .H.13 City of Prior Lake The applicant shall contact the owners of the in-place utilities and make all arrangements for their relocation or revisions as required due to the construction authorized by this P~lH...it. No material shall be deposited on the traveled roadway. All areas disturbed by the applicant shall be restored with a minimum of 6" of topsoil (according to MnJDOT Standard Specification 2105 Table 1 Topsoil Borrow), then sodded or seeded. Seed or sod should be the same as/or compatible with the existing turf cover. If the areas are to be seeded, a Mn/DOT seed mixture comparable to the existing turf along with Type 1 Mulch and Disk Anchoring shall be used according to Mn/DOT Specification 2575. All areas disturbed during construction within State right-of-way shall be restored to original or better condition. The applicant shall perpetuate all existing drainage. , ,,- \' The applicant is required to preserve all existing survey monuments. IfMn/DOTdet(ll1uines that monuments have been disturbed or destroyed during construction activities, the applicant shall accept full responsibility for all costs incurred in the re-establishment of the monuments. It is expressly understood that this P~l11Iit is issued subject to the applicant's compliance with the Rules and Regulations of the Minnesota Environmental Quality Board and any other affected Governmental Agencies. Winter work shall be considered from November 1 through April 15, work during this period shall be on a day-to-day basis at the discretion of the Roadway Regulation Supervisor. All work authorized by this P~lHIit and the restoration of the State's right of way shall be satisfactorily completed by 1-1-06. The applicant or his contractor shall notify the P~l11.dt office at 651-582-1443 for final inspection. I I ill. II III I! I' ' i I III ! i i I I I II I I I I I I I I II ill I i I II ii, I I ' III I I' i I 1 : ' . I 1,1. I ! , 1 I_~ I I I I I I '" o + o o ~ + o i 01 , I I I i ; ! ~ . II I! i I I! , i I I " ~ II ; + ....l.........._.._ I! o OtO !'oJ (J1 I' I III I I I, I ~ ! , I Il i I _....: I I I I I I I I - -..-----___---1- . . , I I --'0......._ ...L -!... _.L. _ __ _~ __:... _ LIT J j II . ! ,i ! ,..:. ,...l.~-._L_.J....M -.....__L _,,_,-.0..... ___ to to ~ ~ o 01 to .,.. o '1}\.. BO~":..,& ~::NK. INC. -....... '-' ...- hI.... _... . . -..r....~... -.. REVISION NO'j llESCRlPTlON to .,.. ,01 . to 01 o to (J1 (J1 ~ co (f) o :r:' ."", ~~ ~ (]I CANDY COVE TRAIL SE STREET AND STORM SEWER CITY PROJ. NO. 05.01 I HEREBY CERTIfY THAT THIS PLAN, SPECIFICATION. . OR REPORT. WAS PREPARED BY ME OR UNDER ,lit DIRECT ~~g~~u~~n:..' ~~~LY PlAN BY: DESIGN BY: ~UNDE J"5. LA. WS OF. TIlE..... STATE OF' . LSICWL. ~ J -. . Ale. ~...,.. "-<.,. CHECKEl).BY: PRO.l. NO. ..., ~~ " .lotAl T1121&43 '1lt:JIl.-^.... THQ/oIAS.P.E. AS....T BY:Do\TE: D.\TE: U-:UC.NO.: .' 214l1l1 . .' I I I . I o~ -Of Gopher State 651-454-0002 APPLICATION FOR OBSTRUCTION PERMIT ON COUNTY HIGHWAY RIGHT OF WAY SCOTT COUNTY PUBLIC WORKS 600 Country Trail East Jordan, MN 55352-9339 Phone 952-496-8346 Fax 952-496-8365 Permit No. CJ/ ~ Permit Fee - $95.00 Traffic Signal Locates 952-496-8346 48 hrs before digging MUST BE REGISTERED WITH SCOTT COUNTY TO OBTAIN PERMIT Name of Applicant . Address r I /"_ I. 1 ~.,- I '''1.00 C:O~ e '-I<ee.t:. ~ve c: c.;+'1 ()~ f>r\or LOI~e.- Prior ~\te. , MN 55372- i \f..~ Name of Contractor 1\{V' j Address.. h. 0 " I ~ N ^ J. II :r L,..,.-. 1~51 5~cOC\c.. ~ "'7 orf~wes+ tiS,\CU't, \'\c J ~ho..kDt)U- MN S537'l Contact Person Phone t.t 52. - 4117 - 't f32- L~u7 Po~ple( Fax ct52 - "ILl7 - 42'3. GopherOneCallID# Phone ct52 - "1"17 - 't8~Z Fax '52.' 4lf7 - 42~ .:~IIIIIJ [ ... ~1 Phone <t52 - 4~5 - ioo3 Fax Of 52 - '-It.f 5 r '05 (:, Nature of Work ~tortn ~~we(" ~ w~hr(y)Cll;(l re.mova.1 · f"pl Qc.e.Wlellt Location (Ties to Right-of-Way, Road Stationing, & Dimensions) p~e.tsec\-ion.s: ilAtlll'l\ . CSAH 4"1 4,..G\ C~'t Cove. ., CHH Size and Kind of Structure (Show Elevation Detail of Proposed Work) IS 01 R~ CJ. 5 norrn Sewer Q,~ Coo J... C."e <Md 8" rHP c-r. 5"2. w~t~tn tit;" Work to Start On (date) Duration of Job ( Will Detouring of Traffic be Necessary? Mow, (I 1..1>05 Lul.f-i( S'rk '2.005 (No work allowed prior to permit bein2 approved.) If yes, a traffic plan must be submitted with plans. County Roads Involved ~SA,., l(t/ SECT. '-/'1 3'=- RANGE 22. TWP 115 ~f FrtA""'I~ DNo )2Yes Attach Detailed Site Drawin2 Showin2 All Dimensions from Ri2ht-of-Way and Existin2 Improvements. (I) (We) the undersigned, hereby apply for a permit from Scott County for the above. (I) (We) understand and accept the terms and conditions of the regulations of the Commissioner of Transportation and that the approval of the County must be obtained for issuance of this permit. On completion of the installation, persons doing such work must notify the Scott County Highway Engineer that work has been completed and is ready for inspection and acceptance. The applicant shall also comply with the regulations of all other governmental a S;//fo j/JS" Date .- ~ l>~- Date In accordance with this application an Obstruction Permit is granted to the applicant to place, construct, and "thereafter maintain" on, or across, or under the Right-of-Way of the above described Right-of-Way and in the location as shown by the above application with the attached conditions and requirements: Scott County Ordinance 22, Management of the Public Right-of-Way, Section 119: The excavation, backfilling, patching and restoration, and all other work performed in the right-of-way shall be done in conformance . Minnesota Rules 7819.1100, 7819.5000 and 7819'.5100 and shall conform to MnDOT standard S(::2peificatiO other app . local requirements, in so far as they are not inconsistent with the Minn. stat. ~ 237.162 and 237.163. illl/3h~ /J (::: Date . AuthoriM Si~ature for Scott COlmty Hi~hway Department mk -w:\word\permits\permit fonns\utilitypennit_Jiew _obstruction.doc ~' SCOTT COUNTY HIGHWAY DEPARTMENT Public Works Division 600 Country Trial East Jordan, MN 55352-9339 Phone: 952-496-8346 Fax:952-49~365 INSTRUCTIONS FOR COMPLETING APPLICATION FOR OBSTRUCTION PERMIT, Note: An incomplete application will delay processing. * Allow up to 2 weeks for processing, 1. Print, in ink only, or type the application. Be sure to sign both this instruction sheet and the application form at the bottom. Submit the original forms only. Faxed copies will not be accepted. 2. Complete each item on the application. If an item does not apply, print "N.A." in the blank. 3. No work under this application is to be started until the application is approved and the permit is issued. 4. Prior to construction, the permittee shall notify the County Inspector at 952-496-8487 and again after completion for final inspection and approval by the County Highway Department. 5. No changes or alterations may be made at any time without written permission flvUl the County Highway Department. 6. It is the responsibility of the contractor to notify Gopher One for utility locations for any work being performed within the Scott County right-of-way, and obtain all other necessary municipal permits. 7. Where work on traveled roadways is necessary, traffic must be protected, and the proper signage or barricades must be placed in accordance with the standards of the Scott County Highway Department. I, We, have agreed to all requirements and any special provisions included in this instruction sheet. All work commencing will be done to the satisfaction of the Scott County Highway Department. Dated: !jf~I/OS-- Applicant's Signature: -Z P ~-- mk-w:\word\pennits\pennit fonns\utilit)..c"....iCnew_obstruction.doc lli\ )-OFTf\~ Minnesota Department of Transportation ;p- 0 S- - Q~ I~ IUe; if U fVJ ~ rrJ t MAY I 2 2005 II LJ' Transportation Building 395 John Ireland Boulevard Saint Paul, Minnesota 55155-1899 By ~"''''''''''''"''''''''''''':''-''''''''~.''''''--.....;:.l 651-296-8655 MailStop 678 May 10, 2005 MR LARRY POPPLER ASST CITY ENGINEER CITY OF PRIOR LAKE 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE, MN 55372 In Reply Refer To: Your Reference. CITYPROJ # 05-01 C.S.7001 (T.H.13) SCOTT County CANDY COVE TRAIL AND FRANKLIN TRAIL IN CITY OF PRIOR LAKE CITY OF PRIOR LAKE Permit No. M-UL-2005-8917 DEAR MR LARRY POPPLER A permit has been prepared based on your application dated March 25, 2005 for installation of a 8" SANITARY SEWER & 8" WATERMAIN at the above referenced location. However, you have NO AUTHORITY TO ACT UNDER THIS PERMIT until you have received it. The permit has been forwarded to MR. KEITH VANWAGNER, ROADWAY REGULATIONS SUPERVISOR, at 1500 W CO RD B2 , ROSEVILLE, MN, 55113-3174 telephone number 651-582-1443. You MUST obtain it from him/her at his/her office and discuss with the person named in the Special provisions any rules, regulations, or special provisions which may require explanation before any work is performed on your project, or it may be sent to you if arrangements have been made with this office. Said permit or a copy thereof shall be provided to your construction forces or your contractor to assure that the installat:;ion will be made in accc.rdance "lith the Rules and Regulations, the special Provisions, and the Sketches contained in the Permit. This Permit must be in the possession of your contractor while working on the highway right of way. Sincerely, / ~ ~ · Z:::;"""'A-utK/J:;- /~ .a::u C/" CC: Marilyn Remer, P.E. PATRICK HUGHES, D.E., ROSEVILLE utilities Engineer SUE MULVIHILL, A.D.E.M., ROSEVILLE ~ L. LEITNER, C.O. PERMITS An equal opportunity employer . , Page 4 STATE OF MINNESOTA DEPARTMENT OF TRANSPORTATION Utility Permit Reference: Control Section 7001 T.H. 13 Attn: MR LARRY POPPLER ASST CITY ENGINEER In accordance with Minnesota Statues Section 161.45, Minnesota Rules Section 8810, and this application a Utility Permit for construction is granted to: CITY OF PRIOR LAKE to place, construct and thereafter maintain a: 8" SANITARY SEWER, " 8" WA TERMAIN on or across, the right of way of Trunk Highway No. 13 in the location shown on the sketch which is a part of the application, or in a location specified by the Department of Transportation in the attached Special Provisions. Recommended for approval: /J1 ? tl/-i DistricUDivision Representative ' Dated ~ (I) ).ojs- S-c;--o~ (Date) Commissioner of Transportation Transportation Building St. Paul, Minnesota 55155-1899 Approved by: ,,~ ""0'-/ Marilyn Remer, P.E. Utilities Engineer Division Engineer Federal Highway Administration (Date) Permit No. M UL 2005 __$ 9 \-:L COPIES: Utilities Engineer Applicant District Engineer Pat Hughes - Metro Assistant District Engineer Maintenance Sue Mulvihill- Metro Amount of Surety Bond Required d Project engineer " .' " proVISIOns of the permit. If a check' is fumished, any moneys remaining over and above such expense shall be returned to the applicant. Subp. 6. Uabllity. Except for the negligent acts of the state, its agents, and employees, the utility shall assume all liability for, and save the state, its agents and employees, harmless from, any and all claims for damages, actions, or causes of action arising out of the work to be done herein and the continuing uses by the utility, including but not limited to the placing, constructing, reconstructing, maintaining, and using of said utility under this application and permit for c.....~:. ",ction. Subp. 7 No easement. The work permit or permit for coostrudion as issued does not in any way imply an easement on private property. statutory authority: MS 1161.45 8810.3400 STANDARDS FOR WORK CONDUCTED UNDER PERMIT. Subpart 1. Trees, brush, and vegetation. At the time of construction of the utility and at the times of subsequent maintenance, prior approval shall be obtained from the distrid engineer or his authorized . ...........antative for the cutting and trimming of trees within the trunk highway right-of-way. Wherever trees are cut the resulting stumps shaH be removed unless otherwise provided in the special provisions of the permit for construction. Any holes caused by stump removal shall be backfilled, the area leveled, and aU materials associated therewith disposed of outside the trunk highway right-of-way. The utility shall advise the distrid engineer or his authorized representative at least 48 hours in advance of its intent to start lIJ clearing and grubbing operations so that the proper supervision can :r: be provided. (.) I- ,~ Burning or disking operations and/or the use of chemicals to control lIJ or kill trees, brush, and other vegetation is prohibited without prior l}l approval from the assistant distrid engineer, maintenance. o ..J ~ Subp. 2. Waterways. All waterways and lines of drainage shall W remain operative. Subp. 3. Topsoil and sod. Wherever topsoil and sod are disturbed they shall be replaced and maintained Sc.1:~f..ctorily until the turf is established. Subp. 4. Existing utility facilities. The utility facility and installation shall not interfere with any existing utility facilities on the trunk highway right-of-way. Subp. 5. Warning devices. When necessary, barricades, waming devices and flagmen shall be provided by the utility during all phases of their construction and maintenance operations on the trunk highway right-of-way. Subp. 6. Restoration to original condition. Upon completion of an installation, the utility shall restore the trunk highway right-of-way to its original condition. The utility shall then notify the office of the assistant distrid engineer, maintenance, or project engineer of the completion of the work so that inspection can be made to determine its acceptability. Subp. 7. Conformity. The installations shall be made in conformity with all applicable laws, rules, and codes covering said installations. All installations shaD be made in _w..~w....ity with rules of governmental agencies for the protection of the public Statutory Authority: MS 1161.45 8810.3500 AERIAL UNES. There shall be only a single pole line on the trunk highway right-of-way on either side of the center line thereof, unless otherwise authorized in the special provisions of the permit for construction. , . P~ge 3 .. Longitudinal installations on noninterstate trunk highways shall normally be located in the outer five feet of the right-of-way. At crossings of the non;..l",,~lc.~ trunk highway, poles shall be placed at a minimum of 30 feet from the shoulder lines of the through roadbeds unless right-of-way widths are prohibitive to such location. Unless dearly indicated on the permit for construction sketch, the location of all brace poles, anchors, and anchor poles within the limits of the trunk highway right-of-way shall be approved by the district engineer or his authorized representative prior to actual installation. In those instances in which a utility is issued a permit or permits for construction on both sides of the trunk highway right-of-way in a given area such permit is conditioned upon the utility Sl:."",.. JentIy providing joint use to other utiUties upon reasonable terms mutually agreeable to the utilities. Statutory AuthorIty: MS 1161.45 8810.3600 UNDERGROUND UNES. All crossings of the roadbeds of the trunk highway shall be made by boring inside a casing or ......;..r pipe, or by jacking, unless this procedure is modified in the special provisions of the permit for construction. The auger shall not lead the casing or carrier pipe by more than one inch. Open trenching shaD be restricted to the area from five feet beyond shoulder to the right-of-Way line except as modified in the special provisions of the permit for construction. When pipes with bells and flanges are installed, the crossings of the roadbeds of trunk highway shaH be made by boring inside a conduit, as provided in the preceding paragraph, of jacking a conduit of sufficient diameter to permit threading the carrier pipe through it. All voids caused by jacking or boring shall be filled by pressure grouting. The grout material shall consist of a sand-cement slurry of at least two sacks of cement per cubic yard and a minimum of water to assure .....;;..ioctory placement. The und""'....,~lJnd utilities shall be so installed as virtually to preclude any necessity for disturbing the roadbeds to perform maintenance operations. Underground installations shall be accomplished without damaging or destroying the principal root structure of specimen trees. Statutory Authority: MS 1161.45 NOTE: As used in Minnesota Rules, Utilities Equipment, part 8810.3100 Definitions, Subpart 1, interstate highways shall include all Interstate Highways and Federal Aid Freeways. CERTIFICATE OF COMPLETION OF UTILITY INSTALLATION FOR THE STATE OF MINNESOTA, DEPARTMENT OF TRANSPORTATION m [f 1.;~ r.~:;~ n fli.7 re r;: li, Lt, II I r, I r: 1111 MAY 1 3 2;05~ m UT20050273 May 10, 20 ~ TO: KEITH VANWAGNER ROADWAY REGULATIONS SUPERVISOR 1500 W CO RD B2 P.O. Box ROSEVILLE, MN 55113-3174 Telephone No. 651-582-1443 ~ I hereby certify that has completed LAKE Company as M-UL-2005-8917, PRIOR LAKE. Utility - Municipality - Contractor - Owner installation of 8" SANITARY SEWER & 8" WATERMAIN for CITY OF PRIOR described in and in accordance with Trunk Highway Permit No. C.S.7001, T.H.13, at CANDY COVE TRAIL AND FRANKLIN TRAIL IN CITY OF Dated day of 20 utility - Municipality - Contractor - Owner By The work covered by the permit has been satisfactorily completed. Date Assistant Engineer, District Maintenance For utility Permits Only: Bond Number in the amount of $ will remain in effect a minimum period of year(s) from the date of completion of the utility installation, at which time the bond will be released if in the opinion of the Area Maintenance Engineer the installation is satisfactory. Where approved changes are made in the installation contrary to the application sketches, 2 copies of "as built" sketches must be submitted with the signed certificates. THE CONTRACTOR IMMEDIATELY ON COMPLETION OF THE INSTALLATION SHALL SIGN AND RETURN TWO COPIES OF THE CERTIFICATE OF UTILITY INSTALLATION TO THE ASSISTANT DISTRICT ENGINEER, MAINTENANCE AT THE ADDRESS NOTED ABOVE. Mn/DOT TP-02525-03 (7-00' ~ j STATE OF MINNESOTA DEPARTMENT OF TRANSPORTATION APPLICATION FOR UTILITY PERMIT ON TRUNK HIGHWAY RIGHT OF WAY INSTRUCTIONS 1. Complete only page one (no photocopies) TO 2. Sign completed form . APPLICANT 3. Include 4 (four) sets of sketches County Scott T.H. No. 13 SEC. 36 TWP. 115 o New Facility!!2l Replacement Facility Cityff ownship Prior Lake Application is hereby made for permission to place. construct and thereafter maintain a Sanitary sewer and appurtenances & stonn sewer and appurtenaces from: south side of Intersection of TH 13 and Candy Cove Trail to: south side of Intersection of TH 13 and Franklin Trail 40 feet from center line on the South I. AERIAL CONSTRUCTION (Check appropriate box) o Single pole 0 Other o H-Frame o Single pole & H-Frame o Steel tower [l Existing pole line Voltage . along L"0ZC{--J::J.) 'Z. -7~3 SUBMIT 1 (ONE) COMPLETED FORM WITH 4 (FOUR) SETS OF SKETCHES TO: Pa!:l8 1 Utilities Engineer - MS 678 Minnesota Department of Transportation Transportation Building 395 John Ireland Blvd. Sl Paul. MN 55155-1899 RGE. 22 Company Project No. City ProJ.#05-01 Agreement No. . _ State Project No. Trunk Highway No. 13 o Open wire . 0 Cable o Not Applicable Number of ConductorS Minimum height of conductor: ft. along highway ____.__...___ fl. at crossings over highway II. UNDERGROUND CONSTRUCTION Direct Buried__ ~anitary Sewer and Stonn Sewer Voltage Number of Conductors-Type CONDUIT ~PE PV~Hmta~ Max. Oper. Pres. DIP-sanitary WaD thickness . per specs Grade SDR 35 Class Size Depth Number RCP-storm o Steel pipe o Multiple tile C Clay tile = V' Sectional concrete ~ Ductice Iron o Other . 0 Plastic Type per specs ... 8- 15' and 12' 2 5 15- .!111rade 1 METHOD OF INSTALLING UNDER ROADBEOS Not Applicable ,," , "....... ,.",""~,,~," ,___',0.... .".. .",..., . .._u " , _._~_~. _.., " ,.. '''''' _.".. ~,.. ,. . "._..,,~~-_.. ,', ". ".... ,,,.,,~,, .".11 ~,~~_..~" '..-.'- '-'. III. EXTENT & LOCATION OF TREE TRIMMING ANDIOR CLEARING: East and west boulevards of Canc!Y Cove Trail, south of TH 13 ""'_..."......._~"...." ,'" ;.--.------....-- ,~'....." IV. side of the trunk highway as shown on the attached sketch LIGHTING Mounting Height ~ Mast Arm Length 4~- + . ~~ 'Ii Type of Lamp . I~ ,...~ ~ 1; -r ~ ,... Watts I~ ___ ~n ~ Poles Not App/~/e ~..'" -.--: QJ' Size of Conductors ~o U...,...... ~ CJ~ ~ "',Q- .... ~.:lI..2'.. .~ Will Facility be attached to a bridge? No -- Size of Conductors, Cable Depth CASING Not Applicable Wall thickness Grade Class Size . ..." ..-_._. ..,",""~......"._..._~."...." -".~".."...,~...,"~ Work to start on or after May 1, 2005 and to be completed on or :...:.".<.:> November 1, 2005 V. The applicant. in canying on all of the work mentioned above or referred to in its application and in the Permit for construction issued therefore. shall strictly conform to the tenns of the Permit, and the Rules of the State of Minnesota as set forth in Minnesota Rules 1983 as of July 31. 1983 together with the Special Provisions. all of which are made a part hereof. The applicant specifically agrees to be bound hereby. The applicant shall also comply with the regulations of all other govem. ..... ,:':'1 agencies far the protection of the public. The work shall be accomplished in a manner that YJiIl not be detrimental to the highway and that will safeguard the public_ Applicant City of Prior Lake Name of UtiHty making application Address 16200 Eagle Creek Ave. S.E. City Prior Lake State MN . Zip 55372 T I hen (952) 447-9832 eep e By _Larry Poppler Asst. City Engineer. Name (Print or Type) TiBe 31a~ /os- Signed ~t?c-- . _. __ - .I , Pursuant to Minnesota StaMes. Section 101.4:>. the following Rules have been promulgated by the Confmissioner of Transportation (see reverse side). Dated ,. . '-.I MINNESOTA RULES 1983 Adopted as of July 31,1983 UTILITIES EQUIPMENT 8810.3100 DEFINITIONS. Subpart 1. Interstate highways. Under this order 'nterstate highways. shan mean all trunk highways which are a part of the interstate system. Subp. 2. Nonl\; ,..:".18 highway. Under this order .noninterstate highways. shall mean aU trunk highways which are not a part of the Interstate system. Subp. 3. Trunk highways. Under this order "trunk highways. shaH mean all trunk highway including those which are a part of the interstate s~. . Subp. 4. Utility. Under this order .utility" shaD mean and include aU privately, publicly, or cooperatively owned communication lines and facilities, any systems, lines, and facilities for the distribution and transmission of electrical energy, oil, gas, water, sewer, steam, and ather pipe Iines,'raiiways, ditches, flumes, or other structures which under the laws of this state or the ordinance of any viHage or city may be COnstructed, placed, or maintained across, along or on trunk highway right..of-way. Dependent upon the meaning intended in the CO(ltext, .utility" shaD also mean the utility company, inclusive of any wholly owned subsidiary. Statutory Authority: MS t161.45 8810.3200 PURPOSE AND SCOPE. Subpart 1, Purpose. The purpose of parts 8810.3100 to 8810.3600 is to carry out the mandate of the legislature and to effectuate that mandate as set forth in the laws of Minnesota .1959, chapter 500, article II, section 45 (Minnesota Statutes, section 161.45) with reference to the placing, constructing, reconstructing, and maintaining of utilities a..."""", along, upon or under the right..of-way of trunk highways. Subp. 2. Scope. The scope of parts 8810.3100 to 8810.3600 is confined within the framewor1< of and consistent with the laws of Minnesota 1959, chapter 500, article II, section 45. Statutory Authority: MS t161.45 8810.3300 PERMITS. Subpart 1. Construction. Except as otherwise permitted, utility construction and relocation on trunk highway right..of-way shall not be commenced until an application for a permit for construction, has been made and such permit granted. The permit for construction sketch shall show the Iv.....tiv.. of the proposed utility with reference to pertinent features such as the right..of-way lines, curb lines, trunk highway center line, etc. A copy of the sketch shall be provided for each copy of such permit. Prints of trunk highway right..of-way maps available upon request from the Road Plans Information Office, Department of Trans~rtation Building, Saint Paul, Minnesota 55155. Subp. 2. Maintenance. The utility shall obtain a work ", ,it from the office of the .....,;..;..nt district engineer, maintenance, prior to performing service and maintenance operations on the interstate highways and shaH also obtain a work permit prior to p, f., '.,. service and maintenance operations on the noninterstate highways when such operations require opening and disturbing the surface of the right..of- way thereof. In all other instances the utility shall notify the office of the assistant district engineer, maintenance. prior to pe i. ing service and maintenance operations on the non intc.o ..;"le highways which interfere with the normal flow of traffic thereon. However, the company may pe.'y.... service and maintenance operations on the trunk highways including.~ " 'ng and disturbing the SLn,,"~<, of the right..of-way without a work permit in those instances where an emergency exists that is dangerous to the life or Page 2 }o safety of the public and which requires immediate repair. The utility upon knowledge of such an emergency shall immediately notify the State Patrol Division. The utility shall take all necessary and reasonable safety measures to protect the traveling public and shall cooperate fully with the State Patrol Division to that end. The utility in such an event will request a wor1< permit from the office of the assistant district engineer, maintenance, not later than the second wor1dng day thereafter when a work pennit would ordinarily have been required but for the emergency. Subp. 3. Orders to make improvements. If at any time the state of Minnesota, acting through its ww............;ooer of transportation, shaM deem it necessary to make any improvements or changes on all or any part of the right..of-way of trunk highway which affect a utility located on trunk highway right-of-way, then and in such event, the owner of the utility shaD within 15 days after written notice from the .. issioner of transportation or his duly authoriZed agent, proceed to alter, change, vacate, or remove said utility from the trunk highway right..of-way so as to conform to said trunk highway changes and as directed by the commissioner of tran..",u, ;"oon. Such work shaH be done without any cost whatsoever to the state of Minnesota except as otherwise provided by law or agreement and shall be completed within the date s,.<...i1:ed in said written . . .:: ~~, which date shaU be reasonable under the circumstances. The utility shall assume all liability arid save the state of Minnesota harmless from any and all claims of damage of any nature whatsoever occasioned by reason .of not having removed said utility within the time specified in said notice. Notwithstanding the provisions of parts 8810.3100 to 8810.3600, the state may reimburse a municipality for the cost of the first relocation of a municipally owned utility located within the limits of a municipal street at the time that the street was taken over by the State as a trunk highway, when such reloca~ is required by construction or reconstruction of the trunk highway. Subp. 4. Along i :,.",....J highways. Utilities along interstate highways shall be located outside the .yy..;...;I-of-a......,...., lines except as outlined below. Where the control..of-a.....,,,,,,, lines coincide with the right..of-way lines, the utilities shall generally be located on private property. Where the w..;..J.of-a............ lines and right..of-way lines do not coincide, utilities may in general be located in the area between them. All utilities shall be serviced and maintained without access from the ramps, loops, and through traffic roadbeds. Utilities may be serviced from frontage roads and roads other than another interstate highway which ~....... either over or under the interstate highway. At aerial crossings of an interstate highway, supporting poles may be located on interstate highway right-of-way if they are a minimum of 30 feet beyond the shoulders of all through traffic roadbeds; however, in no event shall they be located in a median unless its width is 80 feet or more. Manholes and other points of access to underground crossings may be permitted on the interstate highway right..of-way only when located outside the shoulders of the through traffic roadbeds, loops, or ramps. The restrictions of this subpart shall not apply to utility lines which service facilities required for operating the interstate highway. There may be extreme cases where, under ":':":;Y..w..;",ylled conditions, a utility may be permitted inside the control-of-access lines along an interstate highway. In each case there must be a showing that any other utility location is extremely difficult and unreasonably costly to the utility consumer, that the installation on the right..of-way of the interstate highway will not adversely affect the design, construction, stability, traffic safety, or operation of the interstate highway and that the utility can be serviced without access from through traflic roadbeds, loops, or ramps. Subp. 5. Deposit, bond, or undertaking. The commissioner of transportation may require the utility, or its contractor, to furnish a deposit in the form of a certified check, a surety bond or WY'f'yrate undertaking in favor of the state of Minnesota, comm:""":.. . <.. of transportation, for any expense incurred by the state in the -repairing of damage to any portion of the trunk highway right..of-way caused by wort< performed under a work permit or a permit foryw..";" .JCtion, including any out of the ordinary engineering supervision and :. '<>to <.!:tion expense provided by the state. In those instances wherein a deposit is required, the amount of the deposit shall be specified in the special SPECIAL PROVISIONS: UT20050273 PAGE 1 This permit is issued to CITY OF PRIOR LAKE for an 8 inch sanitary sewer on TH 13 as follows: STATION TO STATION DISTANCE FROM CENTERLINE 878+95 40 feet east to the East R/W line 868+10 868+30 40 feet east to the East R/W line together with an 8 inch watermain as follows: 868+95 65 feet to 75 feet as shown on the attached sketch(es) provided the installation does not affect existing signs, lights and markings. (CANDY COVE TRAIL AND FRANKLIN TRAIL IN CITY OF PRIOR LAKE ) The installation authorized in this permit will be inspected by MR. KEITH VANWAGNER, ROADWAY REGULATIONS SUPERVISOR, 1500 W CO RD B2, ROSEVILLE, MN, 55113-3174, telephone number 651-582-1443. The applicant or its contractor shall notify him/her at least two days prior to starting the installation. He/she shall approve all highway materials prior to placement, and the total installation must meet with his/her satisfaction. The applicant shall provide in-house inspection at all times while on trunk highway right of way. The proposed installation shall be field staked by the applicant as to location and elevation, and the same shall be approved by the State's inspector prior to the start of the installation. Two-way traffic shall be maintained at all times. No material shall be deposited on the traveled roadway. No above ground valve or regulator shall be placed on the highway right of way. It shall be the responsibility of the applicant to utilize the "Gopher State One Call" excavation notice system as required under Minnesota Statute Chapter 216D, 48 hours prior to performing any excavation (phone 651-454-0002 Twin Cities Metro Area or Toll Free 1-800-252-1166) . The applicant shall coordinate the proposed installation with the existing facilities of others in the area. All excavations, trenching and/or jacking and boring pits shall be sheeted and/or shored as per OSHA Requirements. No unsheeted trench shall be left open overnight. SPECIAL PROVISIONS: UT200S0273 PAGE 2 A detailed plan shall be submitted to, and approved by, the Assistant District Engineer - Maintenance for any dewatering or pumping operations. All installation procedures for Plastic pipe shall be in accordance with ASTM-D-2774 (Pressure pipe) or ASTM-D-2321 (Non-Pressure Pipe) . Material removed from the trench shall be used for backfilling, insofar as it is suitable. No rock shall be replaced in the trench, but shall be removed from the site by the applicant. Backfilling shall consist of approved material and shall be tamped mechanically (maximum 12 inch layers) to secure satisfactory compaction. The shoulders and roadways disturbed by these operations shall be repaired immediately with suitable and approved material, such replacement to conform to existing grades. Drainage and slopes shall be satisfactorily restored. The applicant must restore any settlement. All base and surface courses damaged during trenching operations shall be restored in a condition as good or better than before operations began. If replaced material settles, it shall be restored to its original condition by the applicant. All entrances shall be satisfactorily restored by the applicant. All curb or sidewalk disturbed shall be satisfactorily restored by the applicant. All plants or trees removed or damaged shall be replaced in kind by the applicant. All tree trimming or clearing shall have prior approval of the Assistant District Engineer - Maintenance. All elm, oak and pine timber, stumps, roots and debris, together with the bark and byproducts with adhering bark of elm tree origin shall be disposed of according to Minnesota state and local law. All wounds. to oak trees located on projects south of the 46 degree parallel shall be avoided during April, May and June in order to prevent the spread of oak wilt. If it is necessary to complete utility work near oak trees during those months; any resulting wounds, including exposed root ends, shall be immediately treated with an asphaltic base wound dressing. All specimen trees and other plants that are designated to remain shall be protected against damage by fencing when necessary. Temporary fencing shall be placed prior to starting any utility work. No material shall be stored, or any construction operation carried on inside the dripline of any tree except as designated by the Assistant District Engineer-Maintenance. Fencing shall remain in its original position until all work is completed or until designated for removal by the Assistant District Engineer-Maintenance. Specimen tree roots exposed and damaged shall immediately be cut off cleanly inside the damaged area. Topsoil shall be immediately placed over the exposed area. All drainage structures removed or damaged shall be restored by the applicant to as SPECIAL PROVISIONS: UT20050273 PAGE 3 good or better condition than before operations began. All drainage tile lines shall be located and staked as to location and elevation. Any damage to tile lines caused by the construction operations shall be repaired by the applicant. It is expressly understood that this permit is issued subject to the applicant's compliance with the rules and regulations of the Minnesota Environmental Quality Board and any other affected governmental agencies. Unless adequately protected by a traffic barrier, there shall be no work within the clear zone, nor shall pipe materials, equipment and other objects as determined by the State, be stored within the clear zone as determined by the Department and as defined by the latest edition of AASHTO'S "ROADSIDE DESIGN GUIDE" (2002) . If portable concrete jersey barriers are required they shall be placed in accordance with The 2001 Minnesota Manual on Uniform Traffic Control Devices" Portable Concrete Barrier Placement and End Treatments" Figure 6f-6 (Sheets 1 and 2) . The applicant shall furnish, install and maintain all required traffic control devices according to the "Minnesota Field Manual on Temporary Traffic Control Zone Layouts" (January 2004) (see website @ http://www.dot.state.mn.us/trafficeng/). while performing the construction authorized by this permit. If the temporary traffic control zone is to remain in one place for more than 3 days or involves a detour, road closure or a situation where the typical layouts do not apply, the applicant shall prepare a specific Traffic Control Plan for approval by Mn/DOT prior to start of any construction. The applicant is required to preserve all existing survey monuments. If Mn/DOT determines that monuments have been disturbed or destroyed during construction activities, the applicant shall accept full responsibility for all costs incurred in the re-establishment of the monuments. Within 30 days upon completion of the installation, the applicant must furnish to the Assistant District Engineer-Maintenance the Certificate of Completion Form (furnished with permit) and a set of "AS-BUILT" plans as stated on the Certificate of Completion. Work during the period of November 1 through April 15 shall be considered as winter work and shall be done on a day to day basis at the discretion of the Assistant District Engineer - Maintenance. No work which will restrict or interfere with traffic shall be performed between 12:00 Noon on the day preceding and 6:30 A.M. on the day following any consecutive combination of a Saturday, Sunday, and a Legal Holiday without the written permission of the Assistant District Engineer - Maintenance. Conditions may require temporary measures to control erosion and sedimentation. Installation of temporary erosion measures shall be carried out concurrently with the operation or as soon thereafter as practicable. Temporary erosion controls are SPECIAL PROVISIONS: UT20050273 PAGE 4 short-lived devices such as straw bale structures, silt curtains, sediment traps or other means to temporarily protect the overall work prior to restoration of the worksite. The Assistant District Engineer - Maintenance will decide when these measures are required according to Section 2573 of the Standard Specifications for Highway Construction of the Minnesota Department of Transportation, dated SEPT. 5, 2000. All areas disturbed by the applicant shall be restored with a minimum of 6" of topsoil (according to Mn/DOT Standard Specification 2105 Table 1 Topsoil Borrow), then sodded or seeded. Seed or sod shall be the same as/or compatible with the existing turf cover. If the areas are to be seeded, a Mn/DOT Seed mixture comparable to the existing turf along with Type 1 Mulch and Disk Anchoring shall be used according to Mn/DOT specification 2575. The applicant or its amount of $ rlJ Transportation. T contractor shall furnish a certified check or surety bond in the , in favor of the State of Minnesota, Commissioner of ~ ~ 400' to the INCH S 1/2 SEe. 36 T //5 R. 22 m. .. HOIlPlU"" If Heal" U III:' "'!:1 IJ J:f ::on ca.." ;Ut....S I.'h~r.;.; n:; ~.:~.:.1 zra. J.a t,~,,";'J I,; n C! !: .:l C;1I ,G. ~.;i~~.( 14:&.'';.~.; ~J ;;:.;: '. I " I. Ii;r .:.i .:';1:'&.1 I..J l.I ,... &;C;;aL,IU lo:A;a '""l.::l.:.I. PRIOR LAKE ~ \ .. ; us C~LVlr 1ST oz. "I ~. ". . ~. 1t\~1 \~ \\ \ "- \.:' 1 + ~l,) I .+ oS QQ .'" ."f' 00 '''ACT H PI.Z-Z71. 0 = Ul.,c. / ,/V/ CfJ/6LE FIRST ,.j" " ~OO'N 10..:". \ \\ 10 \ 1".0:> - , ~ P. se.IR. c i" 'I , \ '" \ iD.w.M ';. "".~ \ ... ~ ~ 3 >- " 2 ~ PM. I Z J 4 OAl<W :>011 . 7 HI"'L~ . 2NO . R.L.S. 7'ACT 13 c ZOI 1.4wRE..ea: K4FaU"H /"'Z.UIA ZOI .~) INDEflENOENT SCHOOL OIST.. 71' INO(POtOE"r SCHOOL ''''2'' PIST.' 71' ) .... ~ I C~NT~R 4DD'N 'J -' a ,""07 ~ Z C :. I~""", SCHOOL O.S' , 71. GATEWAY z i ow ~ : [iJ! CENTEf-' 2ND ' mou ~ i.~ UlQI _ :fO rM \ rr --...l-.. I I l~DGEWOOD~ \ 1ST AOO'N 1ST .... . . )/. '104.)$ I04.U 104.>> J04~S i50I MM"u 104.35 ~ zu.n o' i :: 'W4Z8 to: ~ 2 ... ~ :: Z<UIO '~:. zo:u~ :~:c ~ .'~ ~ ~ .: ....1' .. a'lH lS4).. ~ zou " .13 -- IUIAS _ 10 .. . N ......... 'ICHA .. ::: 4fif ----- R~VISED FEBRUARY 1991 WILLIAM J. SCHMOKEL . COUNTY SURvEYOR KOT T cou.ry. MtN_notA OEC. J'~ NNf. I'.' rt. .,., OCT ".S MOV. ,'14 JUl.Y "8. JAH. tleJ SlEPt. "7' F~ 197' oMIt 1.7' -'PfI. IS71 JUl.., ,." SOT. .,.M 5 36 -115 - 22 ~ " co /IJ UI 853.18 1If2 81 co "" o co UI UI co ... o co ... UI 'co Ul o co UI UI co 0) o "/1 I I I ! I ',/ .41'" · ..... I 1/ 1: 'i.' ST6 :';llllII. 1/ ' r t-.l.... I r" I /1.1?1~,t7\~,cy;t -i i- ----T 1/ l]~ I , u';'{ I~. u r-/--- - J-~Ai/~.. 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II j . ,!: I I I I ~, I I Ii I I ~2 \ ' :f I I I I : i I ! Iii I j II I ~: .11 -Ill~" ! 'I' I I II ! Ii: " 'I 1 I ' : " , ; 1 'I. t : I. ' , , i i : I: I ~ I II I',. ~II:\ ~ l' '! I!~ i i Iii iil il 1,'1\ jiil~lglll!.I,.II'il~ I ill,,! I ! i! ,I, ';~ti ~I ' ~! ~ 11~F; tlll! ~i I j~ t! I ! I I II " II I, I., i ! 'I \' ~,""r'I.1 ~1,:1~' II; I !l,;l,~llj I i I ! i I ,.r' If' i ,\ I. " :1' I ! ~k! " 11,11 II11I III '\ :111 !~I,'III I ,'I--r ifIi1s"5P.1I,- Ii'" Ii II ill' 1,1 'II tIE ' I 1 I Q: ,-, ill, !! Ii II , ~ I,! i rli '! II' i ~ 't I ! I I ii, i i I I . I ! I i II ~i:l1 .. I ! i i 'I: I ! ! , ! I 1 1 I! ", T' I II1I " I I I! i! i; 1 \ ! I ., I' I ,_ _,'.~I__ll,'.,_;1 I . . I . I" . i I l,_LL.J,_,_ I! i I j I ! i ; i J_ i! I! ,j , , I co ..... o co N o co "" Ul co N U1 co "" o co ..:. U1 ~(J) 0::1: .,,1T1 ~~ ~ FRANKLIN TRAIL SE SANITARY SEWER AND WATERMAIN CITY PROJ. NO. 05-01 ~' ~ % ~ ~ ~ ~ ~ ~ ~ ~ ~. ...~ ~ ~ ~ ~ ~ ~ ~' Y/////////////~ 'SEE SHEET 'I I I..... ~ J ; .. I if , , I, ~ : S " I ~!!I I~I -f'- ! 1 I@~~ :; " tIS. ~ - ~ III i I j:~ ~1-~1r~ II ~I I' Gl\ Ii I: I !~,' I- S ~li a i-~ ~I_ ~ 'l~~ ~~/- ---.~~ 'ore-- 8l " ".~.." III ~ '" ' ~ li4N "\ ~ . "'......---......:.---; I i 22' BIT. PRIVATE DRIVE ( r l\lo~"1 NI~ ~llll 1 Iii'l~ gal' >Iii IS ~~ !l ~~; I'~I : I; ~IG: I ~i ; II!IJ~ I I ~ I I I I I I I I I I I ! I I · Ll ~ '.. :-1- /' ... ~ ~ :!l ~ ~ a ~ 0 IS II EI ...... s i ~ Il II ! 0 I I. ... 8 III "'BOLTON .. MENI<. INC. . "'-, .., , _.. -... .....Dr... _.. -.. -.. -.. H'\P All'HI1.1,1M.'I\ f.P\llCp02IIO.J.dwIJ Q3-U-2lI05 ..1..... . ".. '" I . HEREBv "CERTIFY' THAT THIS PLAN, SPECIFICATION, OR REPORT WAS PREPARED BY ME OR UNDER IIf DIRECT SUPERVISIDN AND THAT I AM A DULY LICENSED PROFESSIONAl. ENGINEER UNDER THE lAWS OF tHE STATE OF lIlNNESOTA. REV1SION NO. DESCRIP1lON PLAN BY: DESIGN BY. LS ICUL CHECICED BY: PROJ. NO. MAr Tl121&4.1 AS BULl BY. OI.TE: lIARCUS A. THOltlAS. P.E. DATE: uc.NO.: 21141111 SCALE: 400' to the INCH \>" ~~ PRIOR LAKE I ~(.~ D ~ ----==- ~ I ~~~~~:.: !!~t:~ 'J I' - . n I ....-......' '-..... ~ R.\.'S, ) - '''ACT C~LVI~ .ER"LE'S I 1ST I AD~'N' \'!> TRACT H ~ ~'<}. ' ~ #' QQ ~ 'l' R.L.S. 13 TRACT ( - PLZ.27loa :: 257121- LAWAE ~CE ttAFERWAN PL.! .278.6. 2.' ~ . r.t$4Q.7 It: .. GATEWAY CJNTER ... ~ JOO'N " i I' 1'. ~X42. ,. ~ ~ 1ST CENTEf2ND z ~ -rev ~ Zllll' 223817 ;~m ~ 393.. \ LOOGEWOOO-1 1ST AOO'N ZS'M4Z Il REVISED FEBRUARY 1991 S //2 36 T: //5 R. 22 SEe. , ~ c?>. ~:V' ,,,or.'. ~,\.\. :. . / \ \\ 10 \1"'.' ~ P. SSf: JR. g H . H. BRAD'; . It!.. 9 1I..~ ~ -"'ae_n 2 , . CENl'EHNIAL ST. ~ I.....'" ....... z _"t{r I 17.._n~ , '~~'t. i: .. \ ~-<;. ';" oj D. AANDT V<"'''" ~JV II ;. ~ '411 U$.:s.. - \~ ~ ~ 3 ~ 'O~ AD )'N ~ I t I 4 OAi<W)OII 7 HU..L~ PAIlK 2N) ,/V/ ct'B\..E F \RS1' ,../' " ~ J. SIMEN ~ ----1) p.OO' N 1011.)91 INDEPENDENT SCMOOL 0151.. 71' lNOe:PENDrNT SCHOOL GIST' "It Q,' . . '13 2018'1' ~::::7': rill I' . 'OMrIUIIOM If ""... II III:' Im,:1 ,. 1:;( ::on '-l'." CHI...! ,.",~II;.. 11:': ~~~ :;I:.r.... IMa t~:',,';'4 I: I) t! t .:J C;U tGI :.;i~l;:;.( I":~'~.~~ A:.J i~:i t.l:JS. I U Ii Ii;r .:_t..:';I~.E I~J LI I'" &:C::ILJU lo.:AL:.I C;G1c:u. .. ; ". >- .,. 104." lo..n 104..l' 104,.l:i ,.;;l IO....l~ 10...,):I""iS4.J'i Q :z PL2. PI. 2 ....::;.: PL2' .. ~ .. ALMA PICHA .. 2OO1Il0 . .. 27'A !03~~ 219' ": .'. g Ut( ~")6t ~ N .. ------ 'D :.8H .,. 0" INOEPE~DENT OIST.' 719 OCHOG<. 158299 WillIAM J, SCHMOKEl . COUNTY SURVEYOR SCOT T COUNTY. NINNUOTA DEC. 1990 ....N(. .,et FE8 198' OCT 1985 ..oY. 1984 JULY "8" JAN. 198' SUT. 197' F~8 191t JAR ,.7. APA. 1.7. .IVU' .,71 SEPT. "" S 36 - 115 - 22 ,'" .., o -( 8 I~ <0 "" ()l <0 ... o co ... ()l co UI o co (JI ()l co 0) o I SEE SHEET ~ + 8 IS l!l I r .., .., + o Oeo /IJ ()l e , . '" <0 "" o <0 "" UI co ~ o co ~ Ul co (JI o eo ()l .()l ~ .... ~ ... ~!:I III ,3 '11\ElOL TON 6. MENK. INC. ~r, a. _ III _ III IUIPf I'C, III __ III -..r.1II _11I-'_ .~ (J) o:I: '""1m .~ ~ .~ CANDY COVE TRAIL SE I HEREBY CERTIFY THAT THIS PlAN, SPECIFICATION, OR "u-...." WAS PREPARED BY ME OR UNDER IolY DIRECT SUPERVISION AND THAT I NA A DULY LICENSED PROfESSIONAL ENGINEER UNDER THE LAWS OF THE STATE Of" l.IINNESOTA. REVISION NO. DESCRIPTION CITY PROJ. NO. 05-01 MARCUS A. l'HOMAS. P.E. , MTE: UC.NO,: 26499 PIAN BY: DESIGN BY: LS ICMI. CHECKED BY: PROJ. NO. MAT . Tl121543 AS BULl BY: MTE: STREET AND STORM SEWER . - co co co co 'co 'co 'co 'eo - N /IJ "" UI ... ... UI (11 0 (11 0 U'I 0 (11 0 , I SEE SHEET .....1 ; + ' 8 ID + 8 ... 0{ 8 UI + 0' c CIl + c c' : ' ~i 8 e * B '" eo N o co N U'I 'co 'U1 10 co lI'l (11 co ~ o co , ... ,(11 J .. eo 2;:! (11 I ~ CIl o 'I HEREBY CERTIFY THAT THIS PLAN, SPECIFICATION, OR "'" w", WAS PREPARED fS'( hiE OR UNDER MY DIRECT SUPERVISION AND THAT I AM A DULY LICENSED PROFESSIONAL ENGINEER UNDER THE lAWS OF' THE STATE OF' MINNESOTA. "'BOLTON ... MENI<. INC. e--. I ,I' III _... _.... _m:.... __... .-LE.... _... -.- .~ (J) O~ "Tl1'Tl .~ ~ "'\) CANDY COVE TRAIL SE. SANITARY SEWER AND WATERMAIN CITY PROJ. NO. 05-01 REVISION NO. DESCRIPTION Io!ARCUS A. TIiClMAS, P.t. DATE: LIC.NO,: 2MlIlI PLAN fS'(: DESIGN fS'(: LS ICML CHECKED BY: PRO.I. NO. MAT T1621l143 AS BULl BY: DAlE: - , " PROPEJnY UNE \ :.-------/~ I / CONS1RUCT WATEImGHT ~ It ,. PE SAN. ~ It PLACE PIPE TO NORTH / CCNTROL POINT ,~ ::~=:= / ELEV-.JO.aa \ \ EOP STA 8+00.00 :~7 / , . "(/ CREUCM: It IlEPtACE SUAF'ACE AS DIRECTED BY ENGINEER (TYP.) - REUCM: NtD IlEPtACE 20 IF .... TO FACILITAtE SNITMY snER CON$1RUC1lClN FAI 20 IF .. DIP .. rA .. SI.KVES IlI.ET PR01EC1ION (TYP,)~ APPROll1UAtE / CON$1RUC1lClN IJUIIS (TYP.)'"",- \ 1U ,~ \'\. _ _ ~ _ ;.l.:~ ___~__ :.-*_ ~ _ ' Iii W :I: ;:; f / ~ ________.1 .. '" ... - f CI) , · - -'../ 'IF/" I I T\:. '- j::)., :t_w_m ~ ,,-,>- , ;-- '1' r<-tffit ~.------' ----------~~ - -------------- p- LOT // (, ( - - - _I - - "'PI"'Snr"3lJ' I. N.'"'' ..,..~ IISTALL .. $Nt llELOW ,,! ~ REUCM: NtD REPlACE E-47'U. ...1 ... 24. RCP STORM CROSSIIlG a , .11 IF IS. RCP STORU, :.. RECONNECT IIlTO BOTH PROTECT .. -..c DURING PROTECT .. STORM snER DURING 9.:/1 I C8'.. '".". ""1RUCT C8 $Nt snER COHSTRUCTION J SANl'AR'I snER COHSTRUCTION $/ . 1 INER1'S. SALva NtD IlEIGTALL REUCM: .. $Nt UN '1153 . .. , , . ' , , , ' ,2 CATCH BASIl CAS1ItGS. CONS1RUCT WATEImGHT ~"",",",',',,',"~""""""'~ [ t::~ REUCM: .. $Nt MH '"152 llIlIJCH(AI) It lP.ITIl[,W ~, ~ m~!!! F It I LOT 1 .. PE $Nt ~ ' IN'" '" ..... P\IC $OR 2tI WYE ~ Nll.O 10 IF .. P\IC $OR 2' ~ C" '''1'' ~ .. DIP snER SER\IICE ~ ~ .. ~...".,.'.'.J .......... .......... FRNIC1M 1RM. 1YPICAL SECTION 1URF RES1'ORA1ION AREA '..... CABLE ARST AOON. o JO IlO HORIZ. 1""1......._- , SCALE FEET 038 VERT. r"!w.- _ - , SCALE FEET \ \ 935 m........................m..................... ............_..................... --------. ...+8M-934.01 ... ... """ "" "~,_1lit E~SiDE~~~~._" ,,',", ,-",fRANKUN,.,OPPOSIlE"", _ ----NORDlGJ\1EGENTER- 930 925 ~. """"'...- O;;;;::;:::::~~J:J _::~.~ ITl'Il"""'"' on m......................................................., .... _.._,._,__,.. _"",.._"......"..,'... ..,J..lI2.1JII ..5.., "'..,..I"''I't''''-. ,M..,.. 920 915 910 34+00 35+00 36+00 37+00 38+00 39+00 d I ~ I. ~ z ,If i W.. 2f1 ~ ~.II .. ~I Z" _I o. I ~ ~"I ~ o ~ ~ &i ~ i li~!~ - .. &i &i ~ ~~Ii! I t; .. il!~ ~ :Ii i 15515 8 ~~~c~~ ~ !!.!.f5~i5lii l:l j!:li;~_ w a ~~::>>-~~ ~It:~!:)~ ! ~l!5~~ ~~ . !5z~ ~:5 02~ Zll.Wc . r;;3fil S~...~ I.aJI.6. end: , "'-l....zw ~ wfrll&JD..LaJO%t :t:D..~:)uz _ _UJQ.U):::J:;) fIl f ;: ...; I o:g1 ~ i ~. ~i <~ III i 1!1 ~ 935 .... w 0 00 a: an ...J wZ 0 ~ ::< . w::E 0 I- 00 a: ~ z >-w a :::i a:~ ~ ~3: g: z - ~ zc ~ <Cz - u. 00< 0 930 -' 925 :3 ~ I W .... U' . ~ J.. I&l ....... :5 1-' C"I ZIII ItI W" 01 a:~~~~ o~~.., a: ll. l::l :g Sl Wll:ziD a..OU201 u.~~lt.ir!. Offig~~ ~~8~~ _C)N_u OZeoll::I: W_ll.ll. 920 915 ! 910 SHEET ? OF ?? 1;\ I iOJ I Of'J & 1'-/1 J f"..J I<. , Consulting Engineers & Surveyors 1515 East Highway 13 · Burnsville. MN 55337-2917 Phone (952) 890-0509. FAX (952) 890-8065 I f"..J C. March 28, 2005 Darin Holmgren Scott County Highway Department Scott County Public Works 600 Country Trail East Jordan, MN 55352 Re: Scott County Application for Utility Permit Prior Lake City Project No. 05-0 I Dear Mr. Holmgren: Please find enclosed the completed Application for Utility Permit on County Highway Right of Way. I have also enclosed two half-size copies of the traffic control plan, two half-size plan sheets of the work to be performed within the County Right of Way on Candy Cove Trail and Franklin Trail, two copies of Layout 32 from the MMUTCD, and the required application fee in the amount of$95.00. Also included is a work zone speed limit documentation form, since the traffic control plan will reduce the speed limit on CSAH 44 from 45 mph to 30 mph. Since this contract has not yet been executed, the permit will be signed by the Contractor when the project is let. Please contact me at (952) 890-0509 if you have any questions or comments. Sincerely, BOLTON & MENK, INe. ~/ ~{7 A- Kent Louwagie, E.!. T. Design Engineer Enc. cc: BMI File F:~CiviI\PLAK.\T1621543\Pennits\Scott Co transm,doc MANKATO, MN · FAIRMONT, MN · SLEEPY EYE, MN · BURNSVILLE, MN . WILLMAR, MN · CHASKA, MN · AMES, IA www.bolton-menk.com An Equal Opportunitv Emp/over Traffic Signal Locates 952-496-8346 APPLICATION FOR UTILITY PERMIT ON COUNTY HIGHWAY RIGHT OF WAY SCOTT COUNTY PUBLIC WORKS 600 Country Trail East Jordan,~ 55352-9339 Phone 952-496-8346 Fax 952-496-8365 Gopher State 651-454-0002 48 hrs before digging MUST BE REGISTERED WITH SCOTT COUNTY TO OBTAIN PERMIT Name of Applicant Address C \ A S E" C I ,.." . L' 1&:.200 E~Ie. r~~1t ve. 1+-'1 or rrlor "'ke. Prior LAke MN 55372 Name of Contractor Address Contact Person Levr., PooJ)l~ r I II Phone '52 - "I1.{7- '8.12 . Fax "52.' 4'1' - 1./263 Gopher One Call ID# Permit No. Permit Fee - $95.00 CSAH/CR 4L{ Phone '152 - "~7 ~ '18..32- Fax 't52 - ql/7 - 42h3 Reg,# Phone Fax Reg. # Nature of Work j County Roads Involved S+or~ Sfwe( + wQ}~'m";tl f~mOVA' t fepf4G&1ttnt C~A'" '-Il./ Location (Ties to Right-of-Way, Road Stationing, & Dimensions) SECT, J;,t€(~c.t;ons: ~~Iifl 9 CsAu "Ill "lid G-,J'1 ~Ife.. qAH 4'1 ?J6 Size and Kind of Structure (Show Elevation Detail of Proposed Work) 18" R.c.P CL. 5 Sform ~wef' A} Cv,d'1 COve. ~ 8" b,P q. sz WcJdJ'YIQ.;i"\ ,,+ Fr~kl;" Work to Start On (date) Duration ofJob ' Will Detouring of Traffic be Necessary? D No ~Yes fVtcut I I '2005 u.flf; I ~pt. 2t:/)5 If yes, a traffic plan must be submitted with plans along (No work allowed prior to permit being approved.) with an Obstruction Permit Application. - I Attach Detailed Site Drawing Showing All Dimensions from Right-of-Way and Existing Improvements. RANGE Z2 TWP 115 (I) (We) the undersigned, hereby apply for a permit from Scott County for the above. (I) (We) understand and accept the terms and conditions of the regulations of the Commissioner of Transportation and that the approval of the County must be obtained for issuance of this permit. On completion of the installation, persons doing such work must notify the Scott County Highway Engineer that work has been completed and is ready""for inspection and acceptance. The applicant shall also comply with the regulations of all other governmental agencies. ']I]c/-~ ~e ~lIJilll'Signature Date Date Contractor's Signature FOR OFFICE USE ONLY In accordance with this application a Utility Permit is granted to the applicant to place, construct, and "thereafter maintain" on, or across, or under the Right-of-Way of the above described Right-of-Way and in the location as shown by the above application with the attached conditions and requirements: Scott County Ordinance 22, Management ofthe Public Right-or-Way, Section 119: The excavation, backfilling, patching and restoration, and all other work performed in the right-of-way shall be done in conformance with Minnesota Rules 7819.1100, 7819,5000 and 7819.'5100 and shall conform to MnDOT standard specifications and other applicable local requirements, in so far as they are not inconsistent with the Minn. Stat. S 237,162 and 237.163, Date mk-w:\word\perrnits\perrnit forms\utilityperrnicnew _utility ,doc Authorized Signature for Scott County Highway Department SCOTT COUNTY HIGHWAY DEPARTMENT Public Works Division 600 Country Trial East Jordan, MN 55352-9339 Phone: 952-496-8346 Fax: 952-496-8365 INSTRUCTIONS FOR COMPLETING APPLICATION FOR UTILITY PERMIT Note: An incomplete application will delay processing. * Allow up to 2 weeks for processing. 1. Print, in ink only, or type the application. Be sure to sign both this instruction sheet and the application form at the bottom. Submit the original forms only, Faxed copies will not be accepted. 2. Complete each item on the application. If an item does not apply, print "N.A." in the blank.. 3. No work under this application is to be started until the application is approved and the permit is issued. 4. It is the responsibility of the contractor to notify Gopher One for utility locations for any work being performed within the Scott County right-of-way, and obtain all other necessary municipal permits. 5. No foreign material such as dirt, gravel, or bituminous material shall be left or deposited on the roadway during the installation of utilities. 6. Prior to construction, the permittee shall notify the County Inspector at 952-496-8487 and again after completion for final inspection and approval'by the County Highway Department. 7. No changes or alterations may be made at any time without written permISSIOn from the County Highway Department. 8. The area will need to be mulched and seeded and any necessary erosion control installed after the work has been completed. 9. In the event that the construction has not been started within one year of the permit approval date, this permit becomes null and void. I, We, have agreed to all requirements and any special provisions included in this instruction sheet. All work commencing will be done to the satisfaction of the Scott County Highway Department. Dated: J/30/0 -=> I Applicant's Signature% R.. mk-w:\word\permits\permit forms\utilitypermicnew _utility.doc WORK ZONE SPEED LIMIT DOCUMENTATION FORM Road Name Road Authority Existing Speed Limit C.$.A',tI. Sc.o++ 45 44 Coun+&f Control Section Posted Work Zone Speed Limit 30 Whereas it is necessary to perform maintenance/construction roadwork in a safe and efficient manner, therefore, the following changes in maximum speed limits shall be made to the described roadway sections. Changes authorized herein are in accordance with Minnesota Highway Traffic Regulation Act, Minnesota Statutes Chapter 169.14, Subd. Sd. LOCATION t",h!rsed-;on of MN TIf 13 I"f.ersec./-ior. J h'.st.. Po,,,/- RooJ FROM G\.,.,d , CS A H Ll4 TO ~""c1 CSA f4 Ll4 Signature Time/Date Installed Signature Time/Date Removed LOCATION FROM TO Signature Time/Date Installed Signature Time/Date Removed '- LOCATION FROM TO Signature Time/Date Installed Signature Time/Date Removed LOCATION FROM TO Signature Time/Date 'Installed Signature Time/Date Removed Use fixed physical features such as intersections and bridges or the distance from these features to describe from/to locations. Reference Points (mileposts) may be used if accurately identified. DO NOT USE signs, poles, barricades, or temporary devices. Stationary Posted Speed Limit Prior to Work Starting :','7<_);';; ,;u;.,,~(},< D5:.wi ;4s,-:'Sip; , 55;' 60 - 65 Spacing of Advance Warning Signs (A) meters feet 80130 IQO em: I80 i~ 230 ~7sO 300 1000 Spacing of Taper Channelizing Buffer Decision Length Devices Space Sight (L (0) '" , (B" ," Distance meters ,feet meters feet metersteClt metersfeef 60 200 10 25; 2585 170550 J.J.lL350 ...lL1.5;0 .'~'70() 180 600 1550 85280 270 ;900 210;7oo 15 '50 100335 370 1200 250 800 15501 I65 MIS 4301400 ~.}: ..t: - JO ~ -~ NOTES: 1. For nighttime and Intermediate Term operations, Type A flashers are required on advance warning signs unless PCMS's and flashing arrowboards are used. * - Required for speeds greater than 40 mph. . - Channelizing Device. Cones or tubular markers may be used only for daytime operations - Channelizing device. ~. /~ t !/~ " '>- ,,\ ...:l j_m~ 1 '5 ~.'7 -:. - OPTIONAL~ .;. _ ~ _ :.. _ _se~ ~te.! ~ DOUBLE LANE CLOSURE MULTI-LANE UNDIVIDED ROAD 6K.41 Layout . 32 January, 2004 ~fll! .._'II I!~ -_"_ rrl; -'tr-=.~ eii=-':~~~' .,-- .- . - _.....(l~ N(......''::' dN '-. ~I I I-- I 1717 '-I- _~:' _ 133HlS_ - - - ' _ - - - - - .,...-JO HI09~! 'H'\fS':) .<<~::- - -- -~TF-=-- .... ~ 'L,_), ' "l l~<<\ ,- ,j ~t.~ UI iJ! ;'1;; r, \ ,~." :_~EI~H~~ ~!~ :t~:'~ ~ ,::_~, 3~ I i ~ Ic?;C ~91 ~ i;.;fi1 ~c {/ ~'I I~t ~ ',; jI-i ~ ~ ; % t1 ~ ~ '~~, ~ ~"'I/l 2 i~ ~' : ... ~ ~ I" i! ~ '1>>1; .. ~ · S', = ;," "' ~ ~ i ; i s ; ia; :- ~ ; :,! -iinl ~///////~ e ~~MllI :, (;, J~ d' >>lA~ ... \ / ,', ~ ~'I f :', Ii ' W:t,::, ';~:-f~I~,=~~--~~ \ i ...~ lL~' F'''' - '~_~~.:...=" ~~~ '~ ( _,___~____ \ ~ UlIIil! i':] 't' ~ \ ~: C ~:~i~~1) SE \ ~ ~~ C ::~' . ~' '"" /~~~I ,I( A- I " j .:'. "'. ' - , 'f I i. j ~~ ~ t> fr; ~il~ I. i r1;;- '~:1)(-' // / 1~ ~ 111' ~ p-~ ~ (j ,L 1.'" ",,--- /rol l~ii ~ g 1/1 ( , Ill. I' n ~l;; '2 ~g~ II e /1 i t: J.Sl I \ ~." ~ "\i1 ~ lA~J ~ jPljj ~J j t : ~ /tq i r 3" I !~:;f '~a ~Q G I~g ~I CH;~i j~ i ~ ~ 1~: \1 11 ,~ ~:: B B ;~: . ii :I~ij I ~ I ; : d -i~ t n ;P ~ al II!.jl i / :.': '- . ,1"'1 ~ ~i ~Iil~ II ! ,! - Ii 'l~r'~ - L T ~aa~ -I II r 0- ~ i!o.m", 1 j ; ';, -r-: (J) .... a IhI~I":'" /-Ail"1"'r ' ~' i ~IOhlJ ! ,/,r -, ~ ~' 0 ~ ~:~5 ~ ~ ;' \~L 1 ., i i i8~ ) ~ / , .' \ i 1-' to ... o to 01 01 co Ol 01 to ... 01 to 01 o to Ol o -I i !" ~ 0 to ... 01 a ~ to 01 o to 01 01 to Ol o to Ol 01 i i! i~ -2 i!t;, -1 1-' _' I- I \ ---' ~ . g ,.. o l!l \ - 0 \ \ I \ \ ~Ii \ \ 8a \ 0'" I" >~ \ . ~I \ \ " \\ ~ ~ 2! z " ~ I \ \ \ \ CH "'BOLTON & MENK. INC. ~I I' a. , ~... ........,... aaP'f M. 1M 'ft.1.MllIt. 1M ......u.... CHllSWA, _ -.s... CITY OF PRIOR LAKE EI':lGINEERING DEPARTMENT , 6200 EAGLE CREEK AVE. S.E. PRIOR lAKE, UN 55372 PH:952/447-9830 FAX:952/447-4263 H:\PIAK\T1B21M3\plona\2.&43S1RIOO'_ 03-17-2_ ':22 pm I, HEREBY CERTIFY THAT THIS PIM. SPECIF'ICAnON. OR REPORT WAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION AND THAT I NA A DULY LICENSED PROF'ESSIONAL ENGINEER UNDER THE LAWS OF' THE STATE OF' MINNESOTA. 'V (J) O::r: ."fT1 'V ~ 'V CITY PROJ. NO. 05-01 CANDY COVE TRAIL SE STREET IMPROVEMENTS REVISION NO, DESCRIPllON DATE: MARCUS A. THOMAS. P.E, L1C,NO.: 26499 PIM BY: DESIGN BY: LS KML CHECKED BY: PROJ, NO. MAT T1621543 AS BUILT BY: DIlTE: r{~.~ iYPi&LsEm I - '.1 ' b 11 8"~r"~D~ENTER ~ I RaIOYE J8 Lf' IHP SAIl 10 [AST ~ i FROIoI INP "" I I IS12. CONSTRucT ~ , , 8UI.J<HEAD IN IlOWNS1R[AU PIPE. ~ I INSTALL lIS Lf' IS. P'o'C SDR ~ ~~ SAIl FROM INP MH 10 "" .A. AT ); ~ I 2.& RaIOYE AND RECONSTRucT ~ ~ IHYERT OF "" IIISI2 ~ 15950 ~: I TO FlOW [AST. ~ ~ I~ ~""\'''\.\.\.'''\.''i CONSlRUCT BUUCHEAD, ~ j FlU. IS7 IJ' IS. VCP IlEUClYE .t REPI.ACE 20 IJ' SAIl llETWEEN CUR8 .t CUT1[R AROUND ,~ /"" IIISI2 AND SAN UtI IIISI2. If IoIH IIIS13 WITH $NI) LOWER IMP WAl'" " W1H. l.ll' SEPARATION. (SEE DETAIL) :;;'l ~ ~ ~ ~ IHP SAN MH IIISI3 CONSlRUCT BUI.ICHEAO IN uPS1REAU PIPE (! \1 j t ~ 925 NORTHRUP CORP. UPPER FFE=948.57 LOWER FFE=938.68 I , / I ~......-.n_~ I d I , , ~ J , ,\ / 1) ! ' I I , I ~, Ii I f I ; Q I / w. gl , / f / ~. ~f !' : I / " c.nf};? , / :1 i" f ~. / II r ~~ / I ~ / ::: I of;l ~ ~ I ~ o ~ m a: ~ ~ CSAH 44 PATCH SECTlON (TYP) c.nl-... -I/o> ::010 "',-1 "',.:I: -I I eni ",; , (Jl LOT 1 CON1ROl. POM lill N.'8lJ44I.'.340 G '---'~-r - - ,- - -l' "~.--.Q:.-,,-- ,.~ - - .. APPROX. STA 28+40 IlEUClYE INP (N .t BOX CONSTRUCT IlUl.ICH[AI) IN IS- WMN 10 BE .' ,., lED UNllER SIIlEWALK FoIrI I tAIS.(N.tBOX 1'" """-r 10 I/IIP .... 1110 IJ' IS. DP Cl. !l2 .... I'ARIarliiLOr o ~ 110 0 3 & HORIZ. r"'\.o.-_- , VERT. 1"'"10....-_- I SCAlE FEET SCAlE FEET H:\PIAIC\Tl62154J\EP\RCpOlllOJ.dwg 03-22-2D05 1:011 om 950 ... r ~_~'::.~.::~,__..::::._~= ...__. :':::~:::="~:~M~,;t~;i-~':="='=::: =:SfilAPHCREBASE::::: ,."TOP.WE BOLl-.,.", '" SE"OUAD.160T ..,."FRANKlIN"" ~~ 945 f..~~:~~~.:.:=.~=::~::::::=. .....-.......--.-.........-. .-.-..-..-... ......- .........-.....-....-.....- .... 940 935 ", ......-...-.:.;:... .........................;;,;....H.... .....-........ ......._......::~_.~. ~;::.:.o;;...- ............---.-....- ... .- .....-....--...-.... :::,"~=~::;;:::~- . "mmm.. m.m."-.m:,::::':":-::.,;:=;~,,~_,,;:: 935 ~~=~~~~~!-i~~~;;~;1~~~~-~~=-" 930 930 925 ~~"< II P S. IICP'SW . G.t"l =1J I ~ .1-937....7 {4") W . - .. . _ 1-936.9Z (8") E . . !-936.83 (8") S _ t..' . :.~!....~ .SAIl. 1 , IJ'-S- Pile' SAN . i.a .. '- ~.~X l~. ;N~ .~.:;;~=m ~;5~~~_mmm ..-.. , INP2".: --"sfi'CRl """"',j;o9.~ji; , -:a 920 ---V+oo 920 -, 28+00 29+00 30+00 31+00 _ ~o 33+00 34+00 35+00 ~ 0'" z~ .. ~ a a~ ~ olE... .. ~ ~ ~ 0 ~ ~!.l ~~ ~ 11. ~::II ~ ~ . !!;~ la... ~ o:;)~o :=3 )-OWW D.~::lE<~< !!!!l!ffi~~l;l i:~~_ww ifl;::>$~i: ~a::25.:~~ ~~~~~!'l ffiz~ ~:s uS ~a...w ~~S~si:g WlL~lkll)a:lI) ffiUD..LLfZW~ :~f~g~j ~~ o .: :z: 0 ..z -< g III :> u i ~ 950 945 ,... w 0 (J) a: Lb ...J wZ 0 ~ 3:< . w:E 0 t- (J) a: Z Z >-w -; - a:f- 0 ...J <: a: ~ i5 3: a.. Z _ ~ zO ~ LL <:Z - (J) <r:. 0 940 w ~ I.i SHEET ? OF ?? PRIOR LAKE STANDARD PLATES The 'allowing City 0' Prior Lake standard plates sholl apply on this project. PLA TE NO. I DESCR I PT ION 200 ISTANDARD IIANHOLE FOR SANITARY SEIER 201 lSANITARY SERVICE CONNECTION 202 lOUTS IDE DROP IIANHOLE 204 ITYPICAL SERVICE CONNECTION FOR p, V. C. SANITARY SEllER 205 'SANITARY SEIER CLEAN-DUT 301 ICONCRETE THRUST BLOCKING 302 !CONCRETE THRUST BLOCKING 303 IGATE VALVE BOX INSTALLATION 304 ITYPICAL HYDRANT INSTALLATION FOR VALVE BOX IN BOULEVARD 305 ~IATER SERVICE CONNECTION 305 ~IATERlIAIN INSULATION UNDER STORll SEIER 307 'IATERlIAIN INSULATION 402 !STANDARD CATCH BASIN FOR STORlI SEIER 403 ICONCRETE ENCASED CASTING 404 ITRASH GUARDS FOR CONCRETE APRONS 405A ~SEDllIENT TRAP IIAN-tOLE 405B I SED IIIENT TRAP lIANHOl..E 409 1ST ANDARD STORlI SEIER lIANHOLE 503 ~TYPICAL CURB AND GUTTER AT CATCH BASINS 507 IIIOUNTABLE CONCRETE CURB AND GUTTER liOlI 'RESIDENTIAL CONCRETE ENTRANCES 510 'TYPICAL BARRICADE 511 ITRAFFIC SIGN 512 ITI'PICAL STREET SIGN 602 IS I L T FENCE REOU IRElIENTS STANDARD PLATES '" Tho 'allowing standard plates, approved by the IIlnn..oto Deportment 0' Transportation, ,sholl apply on this project. PlATE NO. I DESCRIPTION 3000L IREINFORCED CONCRETE PIPE 3oo6G IGASKET JOINT FOR R. e. PIPE 30070 'SHEAR REINFORCEMENT FOR PRECAST DRAINAGE STRUCTURES 31000 'CONCRETE APRON FOR REINFORCED CONCRETE PIPE 4005L - IIIANHOLE OR CATCH BASIN 40llE ,IPRECAST CONCRETE BASE 40201 !IIANHOI.E OR CATCH BASIN COYER 4022A !lIANHOLE OR CATCH BASIN COVER 410BF IADJUSTING RINGS 4180.1 ~IIANHOLE OR CATCH BASIN STEP 7000E ! INTEGRANT CURBS 703511 !CONCRETE WALl( .. CIA! RETURNS AT ENTRANCES 7100c ICONCRETE CURB .. GUTTER ~ CONC. DWY APRON. 5' WALIC - 6' WIDE ~~~ , ~,:.....- "I'':;'~~ .:,;~ Cl.ASS 5 AGCREGATE SURFACING ..--~'~,."'<..." ..., SLOPE TO MATCH llRIYEWAY - T" (SEE X-SEC'S) ~ - 7. CONe. SIDEWAU< (2531) - 4. AGGREGATE BASE Pl.ACED CL 5 (2211) : (INCIDENTAL TO WAU<) - .,. CONe. APRON (2531) - 4- ...,.. "'[ BASE PlAC~ CL 5 (2211) (INCIDENTAl. TO CONCRETE) ~~NnY COVF WAI K TYPICAl ~FcnON AT t)RIVFWA~ ~Ol JTH OF CFNTFNNIAI !=IT_ ~ CONe. DWY APRON, 6' WIDE . lIS IlAX (l'tP) ~ f1fl1 , I I I I , I I BITUIlINOUS DRIVEWAY PATCH SEE DETAIL SLOPE TO MATCH DRIVEWAY (SEE X-SEC'S) lI".... ~ - 7' CONe. APRON (2531) - 4. AGGREGATE BASE PlACED CL 5 (2211) (INCIDENTAl. TO CONCRETE) ~DY COVE WAlK TYPiCAl SECTION AT PRIVFWAYS NORTH OF CENTFNNIAI ST_ 1.5. TYPE 41 WEAR COURSE (2340) BITWINOUS TACf( COAT (23a7) 1.li. TYPE 41 BINDER COURSE (2340) BlTUlllNOUS TACf( COAT (23a 7) J. TYPE J I BASE COURSE (2340) 8. AGGREGATE BASE PlACED CL 5 (2211) 5UBGRADE PREPARATION (2112) .c.S.A.H. 44 BITUMINOUS PATCH ~I/. //1 ," " " "" ~""" (~CtJ - 2. TYPE 41A WEAR COURSE (2.l4O) - BlTUIIINOUS TACK COAT (2357) 2. TYPE JIB BASE COURSE (2.l4O) 8. AGGREGATE BASE Pl.ACED CL 5 (2211) SUIlGRADE PREPARATION (21 12) . SECTION SHOWN IS IIINIlIUII REQUIRED. MATCH EXISTINC PAYElIENT SECTION. SmJMINOUS PATCH PI FA..<;ANT STREFf I // /.~// ," "" "'''' 0.,,'" . ". ." .' . .' - - -. - .. : .-. .... " ,'" ,>.' ',,', "'/ <, " ~:,~::,: '~<I":'I:~'>' "- ......-- - 2. TYPE 41A WEAR COURSE (2340) - BITWINOUS TACK COAT (23a7) 2. TYPE 31 B BASE COURSE (2340) 8. AGGREGATE BASE Pl.ACED CL 5 (2211) SUBCRADE PREPARAnOll (2112) BITUMINOUS DRIVEWAY PAVEMENT - 6. CONC. DWY PAYElIENT (2531) J. r-....-'"E BASE. CL. 5 (2211) (INCIDENTAL TO DRJIIEWAY PAYElIENl) SUBCRADE PREPARAnON (2112) (INCIDENTAJ..) ,CONCRETE DRIVEWAY PAVEMENT d I ~ t z .I. '1IlI g Z '~I ~ W.. ,I ~ ~4:If 0 II ~I Zf"c If. . o I ~ I- I Z J 0 o ~ ~ W ...J (3 en ~ 6 z w a:: < en ...J ~ W o 5 ~ ci!2 z z~.. ~5a5~ ~"f:: WI .. 0; .. ~ ~ lii e ~ ~!!.I ~i ~ D.. 6 !fl I I ~ a .... ~~ !' f;l :: .. !!;~ ~ iii ~ 0::>0::0 !i D..~?i~~l!! J !!!"'0::~6~ ~....~ ZUl ~ ': ....15~-"'~ ;; ~ ;!D.. ....~.... ""- g !i ....ll!:5~0... g fr ....Ci)O UI _ l;:o~OUl~ ::> ..;:: i~ &1 f ffiz~ oS ~ yO zEt:: -c lii~oQD..':i!""- :: w-t!~S""'5 fr~ifw~Et::fa ~~~~~~~ ~ _UH\..II):J~3 ..- 0 I It) 0 d z a en a:: ...J a. ~ ~ w (.) 0 .., CD ~ I W ~ ~ L&i ~ <(~ui ~ -I W' 01 a:~~~~ air ..,&.; <(:lC1t) - Q. .., It) 0 a:~~z:3 a.. O~Ol (!).., I u..~..J..;,... affi~5~ >- w C'f I-ZOIXIt) _ 5~ Q Ii'! ()ZlDlX:I: W_Q.Q. SHEET ? OF ? - .-.) CJ) o:J: ,,/T1 .-.) ~ .-.) ",~ -,,:. - 0..... z~!3 >j;P5 I o!-' 'I z...... ~o...... o c'-- >l :'l .... ;!I 0 r-%~ ~i~' oE aO ::I' ~ ;~~ 8 ~~ ~-.~ % %0 !~~ J ; -.;0 !!o ~ r ~ ~ ili~ . ;5 ~8i I I I U r ~r- !i I ~% o%~ fl I :!lill ~~ L___ ~ 8~ p~ I I >z g~ln I I ~ I I %0 :tPl ....-j ~~ilI ;'T ~;o .~ r-o tfJ 0>2 "Oi ~::l ~~~ io oi %~o I .~ I a~ c:n:!l~ I ~~ I :to ~6~ I 0 ~~ I j~ I CJ ~I-' -.' ~; ~J:1 ~ ~ ~: I ~o aj :!l~ Elf ~ ,,; -....... ~i 08 ~~ ~-. ~ 0 0 -. ---r ( ] ~ J J C ~ o ;Ii f!l ~ Q G 8 "'88 11\BOL TON .. MENI<" INC. c--. ( " . I " _ III ._. III !UIPr m. III _ III ~III _III -.. H:\PI.AIC\TlI2154.5\p1ana\211l431lWFlC.dw, 03-28-2005 .:04 pm I HEREBY CERTIFY THAT THIS PLAN, SPEC1F'ICAT10N, OR REPORT W/oS PREPARED BY ME OR UNDER MY DIRECT SUPERIIlSION AND THAT I AM A DULY LICENSED PROF'ESSIONAl ENGINEER UNDER THE LAWS OF' THE STATE OF' MINNESOTA. CITY OF PRIOR LAKE ENGINEERING DEPARTMENT 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE, UN 55372 PH:952/447 -9830 FAX:952/44 7 -4263 C.S.A.H. 44 TRAFFIC CONTROL PLAN STAGE 1 CITY PROJ. NO. 05-01 REVISION NO, DEScRIPTION MARCUS A. THOMAS. P,E. DATE: REG.NO,' 26499 PLAN BY: 'DESIGN BY: LS KML CHECKED BY: PROJ. NO. MAT Tl&2154~ /oS BUU BY: DATE: I~ a I ; i l"1 " ] J [ ~ o at! ti ,lJ g~ z~f> >;;I~~ z..... 11::0..... iC'"'v.! ~a "-:i!~ ';1~~. ;~ ~;~ i~~ ;~ ~~~ ;I! l"1~ ~S5 .~ 1..- ~~ ~~i ~ill ""Ii! lA~~ g~ Ei ~~lA ~!iJ ~ilt iilifig "-0 to o);c ;v~ ~5 ~g~ Ie! oZ :i!ii10 :",F ~~ iii~~ ~~ %f) );6); ~~ ~~ ~Ig l~ ~t ~~ I!! ~~ ~ l ~~ ;~ l"1 al l"1c ... :I\: O:ll ~ lIli a8 ill'" ~ ~~ l"1"- o ;Ii ~ S Q 8 ~ '" PI !:I 8 "'ElO~"'t," ~::~,K. INC. -..." ,,'" ILEIPV M.... _... ~... -... -.. REVISION No.1 OESCRIPnON H:\PIAlC\T1121543\plofta\21li43_,... 03-21-200& .:04 pm I HEREBY CERTIfY THAT THIS PlAN, SPECIFICATION, OR REPORT WAS PREPARED BY ME OR UNDER I,IY DIRECT SUPERVISION ANO THAT I AM A DULY lICENSED PROFESSIONAl ENGINEER UNDER THE LAWS OF THE STATE OF MINNESOTA. 'V (J) o:C "TIm ..., ~ 'V DATE: C.S.A.H. 44 TRAFFIC CONTROL PLAN STAGE 2 CITY PROJ. NO. 05-01 MARCUS A. THOMAS, p.r. REG.NO.' 26499 PlAN BY: I DESIGN BY: LS IQ,(L CHECKED BY: PROJ. NO. loIAT I T1li21543 AS BUIlT BY: DATE! I I ' Iv I ' I I r-j' I I I I I I -( I ] ~) ft .1. ~! ,,', ~OI ~ J ~ ~! " "'I~ .. 8j ~ . o ;~ &1 ,lJ 1t\Pl.AK\T1S21li4l\p_\2t54.5l1W'FJC.dw9 03-21-2005 5:14 pm . I HEREBY CERTIfY THAT THIS PlAN. SPECIfiCATION. OR REPORT WAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION AND THAT I AM A DULY UCENSED PROFESSIONAl ENGINEER UNDER THE LAWS OF THE STATE OF MINNESOTA. .v CJ) 0:1: "TJfT1 .v ~ , ." DATE: C.S.A.H. 44 TRAFFIC CONTROL PLAN STAGE 3 CITY PROJ. NO. 05-01 I.IARCU5 A. THOMAS. P.E, REG,NO.' 26499 PlAN BY: DESIGN BY: LS K/,\L CHECKED BY: PROJ. NO. MAT , T162154J AS BUilT BY: DATE: ", 'I;-\'f>~C;~';:;mT,;~.il<~.f.f:V'-""":,, -:,'~;- . 8~ Z~~ .;;I~~ ~~I' ~i~ ~~i~ iit S;;-~ i~'< ~ !!~ PI ~ i!i 8m~ !!~ i!~ ",g2 _~Oo PI . Oln ~r- Z~ ~8i ~i'I ;~ ~~~ 8~ >~ 8~~ j~ il=m :!I~a ~o to a~C '110 ~6 ~~~ i~ OZ i!~0 ;... :!IS;: iiI:!I~ ~:l: !2p ~"'6~ -~ 1111I ~ ;:t ~Z !~ ~IS l~ ~; ~= I ~i I; Ox O~ :;:I mC ......... ~ PlZ 08 ;u'" ,., ~ ... Ij 5 i ~ o 6 z i PI ~i ...... c ~ ~ ~ Q '" 8 o "';:1 !:l 8 1\BOL TON & MENI<,. INC. ConeuIlInt I , II r " - III r_. III SIEP't PE. III __ III ~III _III -... REVISION NO. DESCRIPTION .~\ I I' '01 I OI'J & ~ J I'J J< , Consulting Engineers & Surveyors 1515 East Highway 13 · Burnsville, MN 55337-2917 Phone (952) 890-0509. FAX (952) 890-8065 II'JC. March 28, 2005 Minnesota Pollution Control Agency ATTN: Sanitary Sewer Extensions, REM, Metro 520 Lafayette Road St. Paul, MN 55155-4194 Re: City Project No. 05-01 Prior Lake, MN To Whom It May Concern: Please fmd enclosed a permit application, a design certification form, one copy of the construction plans, a Hudson map showing the project location, and the application fee in the amount of $240.00 for the above referenced project. The project will be completed in accordance with the City Engineers Association of Minnesota, Standard Utilities Specifications. Please contact me at (952) 890-0509 if you have any questions or need additional information. Sincerely, BOLTON & MENK, INC. ~// . KentLoUWagie~ Design Engineer .... Ene. cc: Roger Janzig, MCES BMI File F:\.. Civil\PLAK\T1621543\Permits\MPCA transm,doc MANKATO, MN · FAIRMONT. MN · SLEEPY EYE, MN · BURNSVILLE, MN · WILLMAR MN · CHASKA, MN · AMES, IA www.bolton-menk.com An Eaual Oaoortunltv Em%ver ~ ~ PERMIT APPLICATION and TRANSMITTAL FORM/or SMI1ARY SEWER EXTENSIONS AND/OR CHANGES Minnesota Pollution Control Agency NEW orocess for 2002! COMPLETE APPliCATION BY PRINTING OR TYPING. PLEAsE MAKE A PHOTOCOPY FOR YOUR RECORDS. 1. Title of Project (plans and Specs): City Project No. 05-01 Developer/Owner: City of Prior Lake Developer/Owner Address: 16200 Eagle Creek Ave SE City: Prior Lake State: MN Zip: 55372-1714 2. Permittee: Contact person: City of Prior Lake Larry Poppler, P.E. Scott County: Title: Assistant City Engineer Phone: (952) 447-4230 Phone: (952) 447-9832 3. Wastewater Treatment Facility (WWTF): Blue Lake Is the proposed sewer project in accord with the City or District Comprehensive Sewer Plan? IZI Yes 0 No 4. Specification of Current WWTF I) Average wet weather design flow (A WW) 2) Annual average daily flow (past 12 months) 3) Average design flow (if A WW not available) 4) Annual average influent CBOD5 (past 12 months) 42 27.72 32 226 5. Estimated Flow Increase Initial Project: 0 MGD Basis for estimate:. Reconstruction and re-routing of existing utilities MGD MGD MGD mgIL MGD Ultimate: 0 6. Estimated BOD 5 Increase Initial Project: 0 #/day Basis for estimate: Reconstruction and re-routing of existing utilities Ultimate: 0 7. Location of Proposed Project: Township Township #: 115N City: Prior Lake Address (or nearest intersection): Facility is located in the quarter of the SW Scott of #/day quarter of section 36 County Range #: 22 East or West: W State:~MN Zip: 55372 MN Trunk Highway 13 and County State Aid Highway 44 - See attached Hudson map 8. Nature of Area to be Served by the Proposed Project Residential: Number of New Homes: 0 Number of Existing Homes: 15 Cv......erciallIndustrial (Describe): 3 - A mall, an office building, and a florist Other (Describe): 9. Technical Agent or Consulting Engineer: Marcus A. Thomas, P.E. Name of firm or organization: Bolton & Menk, Inc Mailing Address: 1515 East Highway 13, Burnsville, MN 55337-2917 Phone: (952) 890-0509 Title: Project Engineer Fax: (952) 890-8065 10. Has the project been reviewed in a previous Environmental Assessment Worksheet (EA W)? 0 Yes 1:81 No If yes, note the name of the project reviewed in the EA W, the responsible gOv,;,......Iental unit, and the date of the negative declaration: Name of the Project Reviewed in EA W: Date: Responsible Governmental Unit: Date: Date of the negative declaration: 11. Determination for the need of an EA W: Is the ultimate design flow for the proposed project greater than 1,000,000 gpd? 0 Yes IZI No If yes, the preparation of an EA W is mandatory for this project. Permit Application and Transmittal Form for Sanitary Sewer Extensions and/or Changes (wq-wwprm7-15) Page 1 of2 MAY 03 CERTIFICATION AND SIGNATURE Federal regulations (Section 309(c)(2) of the Clean Water Act and State regulations (Minn. R. 7001.0070) require the authorized signer to be one of the following: A. For corporation, a principal executive officer of at least the level of vice president; B. For a partnership or sole proprietorship, a general partner or the proprietor, respectively; or C. For a municipality, State, Federal, or other public facility, either a principal executive officer or ranking executive official. D. If the operator of the facility is different than the owner, both the operator and the owner according to items A to C. "I certify under penalty of law that this document and all applicable design documents were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person, or persons, who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment." PRINTED NAME TITLE AUTHORIZED SIGNATURE DATE PRINTEDNAME Larry P. Poppler, P.E. TITLE AUTHORIZED SIGNATURE ~;2,. / /'(AUTHORIZED CITY REPRESENTATIVE) Assistant City Engineer DATE '3 I? I / 0 S- PRINTED NAME Marcus A. Thomas, P .E. Reg No, 26499 AUTHORIZED SIGNATURE -/,/l/ (,t.,(,~, 14 '( tU_'tt-i ~.,- DATE V It (OS- (ENGINEER) STATE TAX I,D. # FEDERAL TAXI.D. # REMEMBER! ... · DO NOT submit plans and specifications with this application unless required! You must first complete the form and checklist titled: Desilm Certificatje.lfi for SanitarY Sewer Extension Plans and Soecifications to determine if plans and specifications need to be submitted. · No project construction may begin until you are in receipt of the required permit(s) issued by the MPCA and as defined by law under Minn. Stat. g 115.07, subd.3. · The project information packet you submit must contain ALL of the following items or it will be immediately returned: 1. This completed and properly signed Application Form. 2. The completed form and checklist titled: Design (:~~1jfication for 5;anitarv Sewer Extension Plans and Soecifications. 3. Plans and specifications (ONLY ifrequired). 4. The required application fee ($240). Please make your check payable to the Minnesota Pollution Control Agency. · Forms are available on the MPCA's web site at: WWW.Dca.state.mn.us. You can also contact the MPCA's Customer Assistance Center at (651) 297-2274 (Metro or outside MN) or toll free at (800) 646-6247 to request forms or ask questions. · Send the project information packet to: Minnesota Pollution Control Agency, 520 Lafayette Road, St. Paul, Minnesota, 55155-4194 ATTN: Sanitary Sewer Extensions, REM, Metro. Permit Application and Transmittal Form for Sanitary Sewer Extensions and/or Changes (wq-wwprm7-15) Page 2 of 2 MAY 03 Minnesota Pollution Control Agency Design Certification for Sanitary Sewer Extension Plans and Specifications MPCA USE ONLY Application Number SE# ~ Fast Track? YES NO Permittee: City of Prior Lake Title of Plans and Specifications: City Project No. 05-01 Location of Project (major intersection): Intersection ofT.H. 13 & C.S.A.H. 44 All sanitary sewer extensions shall be designed according to the latest version of the following recommendations, specifications, and guidelines (specific MPCA guidelines take precedence over other documents): Recommended Standards for Wastewater Facilities, Great Lakes - Uooer Mississiooi River Board of State and Provincial Public Health and Environmental ManalZers. (Ten States Standards) Standard Utilities Specification, City Emnneers Association of Minnesota. Design Flow and Loading Determination Guidelines, Minnesota Pollution Control AlZencv Fast Track Review Process · Answer questions no. 1-44 below · If both questions no. 23 and 46 are answered YES or NA: . sign the Fast Track Certification Statement if applicable;", . attach this completed form to the Sanitary Sewer Extension Permit Application; and . do not submit plans and specifications (plans and specifications for some projects may be required to be submitted for review as part of a random audit to verify compliance with applicable standards). Detailed Review Process (This orocess mav reauire additional time for comoletion) · Answer questions no. 1-44 below · If either question no. 23 or 46 are answered NO: . do not sign the certification statement below; . sign the Statement for Detailed Review; . attach a copy of this completed form to the Sanitary Sewer Extension Permit Application; . provide justification for not following the specified recommendations; and . submit plans and specifications for review and approval. Design Certification for Sanitary Sewer Extension Plans and Specifications Form (wq-wwprm7-13) Page 1 of4 JUL 02 Design Flow: 1. What is the per capita per day design flow? 100 2. If the design flow is less than 100 gallons per person per day, is the total based on an analysis of actual existing per capita flow to the treatment facility? 3. What is the design peakin~ factor? Sewer Pipe: Yes No NA I8l 0 ~ D D ~ D o 0 [2] 0 0 [2] 9. 0 0 ~ 10. 0 0 [2] 11. [2] 0 12. [2] 0 0 13. [2] o o [2] 5. Are all sewers designed without an overflow or bypass point? 6. Are all W"Rvity sewers at least 8 inches diameter? (Answer NA only if there are no gravity sewers) 7. Are all sewers sufficiently deep to receive wastewater from basements and to prevent freezing or is insulation provided for sewers that are not placed at a depth to prevent freezin~? 8. If there are sewers that cross or enter any water body, has the Department of Natural Resources been contacted to determine if they will require a permit for construction? (Answer NA only if there are no sewers located in a water body? Do the design plans and specification contain specific size and location requirements for reaction blocking or pipe restraint to withstand water hammer and other cyclic reversal of stresses associated with lift station operation? (Answer NA only if there are no pressure sewers) Is there an air relief valve shown at all high points in force mains? (Answer NA only if there are no pressure sewers) Are grinder pumps or other solids removal equipment included for any force main that is less than 4 inches in diameter? (Answer NA only if there is no pressure sewer) Are all sewers designed with mean velocities when flowing full, of at least 2.0 feet per second, based on Manning's formula using and "n" value ofO.013? Is the slope of 8-inch diameter gravity sewer at least 0.40%; IO-inch diameter sewer at least 0.28%; 12-inch diameter sewer at least 0.22%; 14-inch diameter sewer at least 0.17%; IS-inch diameter sewer at least 0.15%; 16-inch diameter sewer at least 0.14%; and IS-inch diameter sewer at least 0.I2%? The pipe diameter and slope shall be selected to obtain the greatest practical velocities to minimize settling problems. Oversizing sewers to achieve flatter slopes should not be done. If proposed slopes are less than those listed above, what is the depth of flow and velocity of flow at the average wet weather flow and peak hourly wet weather flow for affected pipe sections? A WW flow (mgd) = Depth of flow = (ft.) Velocity = (ips) PHWWflow (mgd)= Depth of flow = (ft.) Velocity= (ips) If sewer grades are less than those listed above, sedimentation problems, frequent sewer maintenance, and backups may result. All sewers with a slope less than the minimums listed above be cleaned at least once per year to ensure problems to not develop and to develop a site specific maintenance interval. (Answer N/A only ifno gravity sewer.) Are individual service connections to the sewer designed to be water tight and do not protrude into the sewer? Are all gravity and pressure sewer pipes and water supply pipe separated horizontally by at least 10 feet and vertically by at least 1.5 feet when crossing? [2] For gravity sewers only, if it is not practical to maintain a 10 feet horizontal separation, is water main in a separate trench or on an undisturbed earth shelf located on one side of the sewer and at an elevation so the bottom of the water main is at least 18 inches above the top of the sewer? o For gravity sewers only, if it is impossible to obtain the proper horizontal and vertical separations, are both water and sewer pipe constructed of slip-on or mechanical joint pipe complyin~ with public water supply design and construction standards? 14. 15. Design Certification for Sanitary Sewer Extension Plans and Specifications Form (wq-wwprm7-13) Page 2 of4 JUL 02 Sewer Pipe (Continued): ~ No NA ~ D D 16. Are all manholes at least 48 inches in diameter? (Answer NA only if there are no manholes.) ~ D D 17. Are all manholes constructed to prevent surface water run off from entering through the cover? ~ D D 18. Are drop manholes used at locations where the sewer pipe enters the manhole at an elevation of 24 inches or more above the manhole invert? (Answer NA only if sewer pipes enter at an elevation less than 24 inches) ~ D D 19. Is the spacing between manholes 400 feet or less or if the spacing is greater than 400 feet, do operation and maintenance personnel have access to adequate cleaning equipment that can accommodate the spacing? (Answer NA only if all pressure sewer.) D D ~ 20. Will a leakage test be performed to demonstrate watertightness of the sewer pipes? What test method will be used? ~ D 0 21. Will a deflection test be performed on all plastic gravity sewer after the pipe has been in place for at least 30-days? (Answer NA only if televising or other method is used instead.) D ~ 22. Will sewer line televising be performed? (Answer only as YES or NA) D ~ D 23. Have questions #5 through #22 been answered as YES or NA? Lift Stations: Yes No NA D ~ D D D D D D D D D 0 D D D D D 0 0 D 0 0 0 0 0 0 D D D D D D 0 0 D 0 0 D.D Does the project include any work on a lift station? (If NO, go to question No. 46 and answer NA) 24. Will the lift station be fully operational and accessible during a 25 year flood? 25. Will the lift station structural, electrical and mechanical equipment be protected from physical damage during at 100 year flood? 26. Where high ground water conditions are anticipated, has the buoyancy of the lift station structure been considered and adequate provisions made to protect the structures? (Answer NA only ifhigh ground water conditions are not anticipated.) 27. Are wet wells and dry wells completely separated and common walls are gas tight? (Answer NA only if no dry well is included) 28. Are multiple pumps provided such that with any unit out of service, the remaining units have capacity to handle the design peak hourly wet weather flow? 29. Are all pumps capable of passing spheres of at 3 inches in diameter? 30. Are all pump suction and discharge openings at least 4 inches in diameter? 31. Are all electrical components in raw wastewater wet wells in compliance with National Electrical Code requirements for Class I Group D, Division 1 locations? 32. There are no bypass or overflow pipes from the wet well? 33. Are suitable shutoff and check valves placed on the discharge line of each pump? 34. Are check valves located between the shutoff valve and the pump? 35. Are check valves placed in the horizontal position, except ball valves which may be placed vertically? 36. Are shutoff and check valves for submersible pump lift stations located in a separate valve pit? If a separate valve pit is not provided, are all valves easily accessible for maintenance? 37. If a drain line is provided between a valve pit or dry well and a wet well, is the drain line equipped with a gas and water tight valve or extended below the low water level in the wet well to prevent entry of hazardous cases to the valve pit? (Answer NA only if a drain line is not included) 38. If continuous wet well ventilation is provided, are at least 12 complete air changes per hour provides? (Answer NA only if submersible pump lift station) 39. If intermittent wet well ventilation is provided, are at least 30 complete air changes per hour provided? (Answer NA only if submersible pump lift station) Design Certification for Sanitary Sewer Extension Plans and Specifications Form (wq-wwprm7-13) Page 3 of4 JUL 02 Lift Stations (Continued): Yes ~ M o 0 40. o 0 41. o o o o o o o o 42. 43. If continuous dry well ventilation is provided, are at least 6 complete air changes per hour provided? (Answer NA only if submersible pump lift station) If intermittent dry well ventilation is provided, are at least 30 complete air changes per hour for 10 minutes and 6 complete air changes per hour thereafter provided? (Answer NA only if submersible pump lift station) Are provisions for flow measurement provided? Type: Are a sufficient number of running time meters provided to record when each pump is running and when multiple pumps are running at the same time? Is an appropriate alarm system provided to indicate power failure, pump failure, unauthorized entry, or other malfunction? Type of alarm: Are provisions included for emergency operation to prevent the bypassing or backup of sewage? Emergency pumping capability may be accomplished by connection to at least two independent utility substations, or by provision of portable or in-place electrical generation, or by portable pumping equipment? Type: Have Questions #24 through #46 been answered as YES or NA? o o 44. 45. 46. Fast Track Certification Statement (Do not submit plans and specifications) "I have answered Checklist items No. 23 and No. 46 above as YES or NA and hereby certify that the design plans and specifications for this project, to the best of my knowledge, conform to the requirements listed above. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment. I hereby certify that this plan, specification, or report was prepared by me or under my direct supervision and that I am a duly Licensed Professional Engineer under the laws of the state of Minnesota. o o ~ Typed or Printed Name: Registration Number: Phone Number: '- Statement for Detailed Review (Plans and specifications must be submitted) "I have answered NO to Checklist item No. 23 or No. 46 because the design does not conform with all of requirements in the above listed standards, specifications, and guidelines" Signature: Date: Address: Signature: ':j11tU...~ A- (~e.v1-- Date: if/I/or List of standards, specifications, and 2uideline not complied with (attach additional pages if needed): Section Number Justification for variation Question 15 At north end of Candy Cove Trail, the existing horizontal separation is approximately 7'. Reconstruction of sanitary sewer at the same line and grade will not allow a new alignment in order to develop the required 10' separation. Watermain will not be reconstructed, but will be at least 18" above new sewer. I I I Design Certification for Sanitary Sewer Extension Plans and Specifications Form (wq-wwprm7-13) Page 4 of 4 JUL 02 ~ IiI I I I :1 ~\ ,'I ---.-.-....-... .- -. ' '-----=- ",.' ........ ":....-~.~ 500 I l'l!. 1 2 VALLEY VIEW RD "'0 ~ "'-'" ~ ~;: a <<:0 :5 a uo ..... U'l '" N ~ SEE MAP 473 5 1500 3 4 ,A ;: z o 0:: ,.. 0:: ::> <D 0:: W ..... 140TH ~ 1~OOO NW' :0:. z " r 0:: \), o 0 '" ~ li-!ox R~ ~ ~O~ 't~c:l:~ ~~ ~ ,c,~ ~ U ~ cT,l'IlOGt w ~ ~l.vstic z, ~ ~:. ~>-- ::.: ~J[DS. ..~"', 10 ~f.:-(1' ",oui- , Lake, 77 ~ "<~3 ,I'll ' 1(' w~ !vIYsr,C LA 83,' Wilds ' 1(1: CIA Nfii ,,",5' v, "-:!'\ Golf ... ~,-oS LA ~ /" Club ~1iIY$T1C LAKE CASINO ~SIDI ~~, ~REE ~.o OAK~ LA NW IRNw q'SoQ- ORNW o ' ~ ~ o 15000 """'- SANTEETRNWc:. := '5 C\I ,... DAI(OTJl~ u:ORIOJ ;5 0 ~ _ l';~;,,~~ ~RPJ S 18~ LUll! Piltr! ~B '--; ~ w ~~ COllrlT~' ell,!...... ~ q. t? DAKOTA ~ ~ ~ .AKOTAH SPORT ~ TR r-/lN e:D_~ ')TA~ z ftow..q,q &FlTNESSA, ~AAKPlNW gT,.S~ ~ '0 " TRAIL OF < ~ ;3 g ~ DREA'!Wf ;:-- :\ g ~ I"' 154TH _~NW '-'~ / ~ 8z 00:: :::,(3 t , . SHJ .KOPEE f ~;T~ ~:'k~;.J... ' ~ re:l<; , WES1 i/OOOLAND TER NY, OTHEnAY CIR NW ~ MCl<ENNr ER91PO .... :D '" '" '" '" '" := ) ( ~) '-1 I Pik. wI<. , s~P All:Sr A WOOD DUCK TR ' GL z w \ I~ SHAKOPEE <<01W OR NW ~ " '" ~ 3 :0 ';1 SI 'EETGRASS erR NW ~ .." WEST WOODLAND _, \ 29TH /..n....v.....\ .....r ~ & AVE 2900 S z ,--140,TH~ NW %\ ,~1..00u <<'~ ~ ~ 'b 1, ~ o 0:: -" 55379 r') J 8 ( ,.. ffi\ &J"3 ex: "'>0 0l'l6! !E ~u ~ u ,.. '" w OS w :E ~ 6 ;". " " 8 ~ ~ en en '<t' a.. <( 2 W w en " i:':: 35TH c o 0:: ~ G~ o o 0) 0) 0) ..... w !70TH > <<: c 0:: o "- OJ z :'S SEE MAP 527 (.) 2 :r: @ Spring en --- .s~ LAKE'TWP SEE MAP 527 (.) :! :r: @ UT20050273 CERTIFICATE OF COMPLETION OF UTILITY INSTALLATION FOR THE STATE OF MINNESOTA, DEPARTMENT OF TRANSPORTATION May 10, 2005 TO: KEITH VANWAGNER ROADWAY REGULATIONS SUPERVISOR 1500 W CO RD B2 P.O. Box ROSEVILLE, MN 55113-3174 Telephone No. 651-5a2-1443 I hereby certify that has completed LAKE Company as M-UL-2005-a917, PRIOR LAKE. utility - Municipality - Contractor - Owner installation of a" SANITARY SEWER & a" WATERMAIN for CITY OF PRIOR described in and in accordance with Trunk Highway Permit No. C.S.7001, T.H.13, at CANDY COVE TRAIL AND FRANKLIN TRAIL IN CITY OF Dated day of 20 utility - Municipality - Contractor - Owner By The work covered by the permit has been satisfactorily completed. Date Assistant Engineer, District Maintenance For Utility Permits Only: Bond Number in the amount of $ will remain in effect a minimum period of year(s) from the date of completion of the utility installation, at which time the bond will be released if in the opinion of the Area Maintenance Engineer the installation is satisfactory. Where approved changes are made in the installation sketches, 2 copies of "as built" sketches must certificates. contrary to the application be submitted with the signed THE CONTRACTOR IMMEDIATELY ON COMPLETION OF THE INSTALLATION SHALL SIGN AND RETURN TWO COPIES OF THE CERTIFICATE OF UTILITY INSTALLATION TO THE ASSISTANT DISTRICT ENGINEER, MAINTENANCE AT THE ADDRESS NOTED ABOVE. side of the trunk highway as shown on the attached sketch LIGHTING Mounting Height Mast Arm Length Type of Lamp Watts Poles Not Applicable - - Size of Conductors Mn/DOT TP-02525-o3 (7-00) STATE OF MINNESOTA DEPARTMENT OF TRANSPORTATION APPLICATION FOR UTILITY PERMIT ON TRUNK HIGHWAY RIGHT OF WAY INSTRUCTIONS 1. Complete only page one (no photocopies) TO 2. Sign completed form APPLICANT , 3. Include 4 (four) sets of sketches County Scott T.H, No. 13 SEC. .1!.TWP, 115 RGE.22 DNew Facility~ Replacement Facility CityfTownship Prior Lake Application is hereby made for permission to place, construct and thereafter maintain a Sanitary sewer and appurtenances & storm sewer and appurtenaces from: south side of intersection of TH 13 and Candy Cove Trail to: south side of intersection of TH 13 and Franklin Trail 40 feet from center line on the South I. AERIAL CONSTRUCTION (Check appropriate box) D Single pole D Other D H-Frame D Single pole & H-Frame D Steel tower n ExistinQ pole line Voltage along D Open wire D Cable D Not Applicable Number of ConductorS Minimum height of conductor: ft. along highway ft. at crossings over highway II. UNDERGROUND CONSTRUCTION Direct Buried _ ~anita!l Sewer and Storm Sewer Voltage Number of Conductors-Type CONDUIT TYPE PVC-sanitary RCP-storm Max. Oper, Pres. DIP-sanitary = Steel pipe ~ Plastic Wall thickness per specs per specs _ Multiple tile Type Grade SDR 35 ":J Clay tile Class 5 ~ Sectional concrete Size B" 15" ~ Ductice Iron Depth 15' and 12' ~rade .:J Other Number 2 1 METHOD OF INSTALLING UNDER ROADBEDS Not Applicable III. EXTENT & LOCATION OF TREE TRIMMING ANDIOR CLEARING: 19a~tl!l1.c!,,!filst bouleYI!r.c!~(1f Candy Cove Trail, south of TH 13 IV. 05'0\ Pa!:le 1 SUBMIT 1 (ONE) COMPLETED FORM WITH 4 (FOUR) SETS OF SKETCHES TO: Utilities Engineer - MS 678 Minnesota Department of Transportation Transportation Building 395 John Ireland Blvd. St. Paul, MN 55155-1899 Company Project No, .QJly Proi.#05-01 Agreement No, State Project No. Trunk Highway No, 13 Will Facility be attached to a bridge? No Size of Conductors, Cable Depth CASING Not Applicable Wall thickness Grade Class Size Work to start on or after May 1,2005 and to be completed on or before November 1, 2005 Applicant City of Prior Lake Name of Utility making application Address 16200 Eagle Creek Ave. S.E. Prior Lake V. The applicant, in carrying on all of the work mentioned above or referred to in its application and in the Permit for construction issued therefore, shall strictly conform to the terms of the Permit, and the Rules of the State of Minnesota as set forth in Minnesota Rules 1983 as of July 31, 1983 together with the Special Provisions, all of which are made a part hereof. The applicant specifically agrees to be bound hereby. The applicant shall also comply with the regulations of all other governmental agencies for the protection of the public, The work shall be accomplished in a manner that will not be detrimental to the highway and that will safeguard the public. City State MN Zip 55372 T I h (952) 447-9B32 e ep one By Larry Poppler Asst. City Engineer litie Dated '"3(~S"/oS- Name (Print or Type) ,Signed , ,~ (?c-- Pursuant to Minnesota Statutes, Section 161.45, the following Rules have been promulgated by the Cortl"missioner of Transportation (see reverse side). .. SCALE: 400' to the INCH ~'" :'.,:\ '~ PRIOR LAKE (J~ 0 ~Q::::- --;:-=:- ~ , S~'v" b.' :~L~ ., \~ i · ~~ R.\.'S, R.L.S. TItACT C S 1/2 SEe. 36 I 1/5 R. 22 Till I' . COllll..IIOI If .ICO... AI Ill:' U'~:,l .. I~f ::0" nl'" CHI....' ..,h;I.;.; ,.:.: ~~.;.., ~.r.... lo:a (;i.:....;.4 I.: n c! t .:l e :LY fGI :.~i.~t.:;;.( ..t:il';.~.i &:.) i;:, (..)~ I " Ii Ii~r .:..;..:.;I:...! .~J L' .... .:,,;;ar..I.... ...:~ C:"ClU. I , ~ \ \ h ; "" " i .z '?J' ~~. ,,,~,. ", \,\.. ~ I \~ fill ACT " /' /' /'/ f\RS1 192.n 'UL .. \9'" SASS l; ,~, ~ ;:; =. ",lliAoY fl..!. ..oa.Ct CEH~ ST. '\ \\ \10 ~ 1"',01 2\, ~~ SEJR.~ " . .\ Z . \ ...,D \ \~ ~ ~ ,ff 'ARk I . S . OAl<W )011 . T HILL~ . 2NP A ::iJ. S'MEN 0; ~) t>-OO'N ....J . J\>-v ~."'s !~'<'\~' V(,,) ,-y~ - j: -, ~o.'_T 19!o.. ,. 1011.391 INDlPlNDENT SCHOOL 0I5T. II 71! INDEPENDENT SCHOOl.. OIST.. 71t 158299 = ~ t9~G1 I .. GATEWAY C~NTER .l ~., IND!PlND[NT SCHOOL GIST' 11' 1ST jDD'N " z ' ~"lll'ls--"I!lil=llil- . :'........ CENTEf2NO ~ ,.;... m 9 ~ .nls' USI31 ~ '1WJ,"i.\,~~ _~ \ LOOGEWOOO~ 1ST ADO'N w ~ >- ... )" 104." 104.1$ 10".3$ t04.3:J '10 to....):) 10-4.:)3 10-4.,)3 Q ::z: .. ~ .. P\.2' " 20U7' 2OSIIO '~i:A Z03:i~ ;~:c ~;: ~ ALMA PICHA " t'rtE "4)61 g .. ::I N t N 10 ~ .,1 )93 f' WILLIAM J. SCIlMOKEL . COUNTY SURVEYOR SCOTT COUNTY. MINNESOTA DEC. 1990 olUN( 1'.9 ftl 1989 OCT 198$ IfOY. 19&4 JULY 1ge4 JAM. 198) SEPT. 1979 F~8 1911 JAH. 1979 APR. 1971 JULY 1.77 .PT. I'll '" S 36-115-22 REVISED FEBRUARY 1991 I HEREBY CERTIFY THAT THIS PLAN, SPECIFlCAOON, OR "<.ru" , W/oS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION AND THAT I NA A DULY UCENSED PROFESSIONAL ENGINEER UNDER THE lAWS OF THE STATE OF MINNESOTA. co "" o co "" ()1 eo ... o co ... ()1 co (]I o co (]I (]I 'CO 0) o (C) UI ,0 (C) "" ()1 to ~ o (C) ~ ,(]I to ()1 o co ()1 I (]I CANDY COVE TRAIL SE .'\l (J) O:t ."f'Tl .~~ "'\l 8 I of '" : E 3 ell MARCUS A. THOMAS. P.E. DATE: UC.NO.: 26499 .~. "'BOt -r:O,"t ". ~~NK. INC. _... _... _Dr.... -... -..L'" -... -." REVISION NO. DESCRIPTION PlAN BY: DESIGN BY: LS KMl CHECKED BY: PROJ. NO. MAT T1621&43 /oS BULl B'i: DATE: ----~--------- - ---