HomeMy WebLinkAboutExcavating & Filling Permit
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CITY OF PRIOR LAKE
APPLICATION FOR
EXCAVATING/FILLING PERMIT
Permit No.
99& -of
Date b
I J 7 / 79
447-4230
Address:
APplicanl~ Ghe ~
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Property Owner: MeA C~ e-"L
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Phone # 61) !ijoJ-oS60
Address:
Contractor:
Phone #
Address:
Consultant Engineer/Surveyor
Address:
Phone
#
Location of Property:
Legal Description:
Will the excavation or filling be in a: Watercourse X
Purpose for the proposed excavating or filling: lo..;JI III)
Wetland
Sh,H'C.); h ~_
Upland
, 1/6/';9
Completion date:
f)/yf-
Estimated start date:
What is the type of material to be removed or deposited:
In what manner will the material be removed and/or deposited? 6obc,a;;f- / [Ai}, e..e I ba yli eIIII
What highway, street, or other public way will material for removal or depositation be hauled or carried?
What, if any, street, avenue, lane, alley, highway, right of way, thoroughfare or public ground will be obstructed? Va It e...-
IT SHALL BE THE RESPONSffiILITY AND THE BURDEN OF THE APPUCANT TO DEMONSTRATE TO THE SAnSFAC'l10N OF THE CITY
ENGINEER FOR THE CITY OF PRIOR LAKE THAT THE PROPOSED EXCA V AnON AND/OR FILUNG COMPUES WITH THE OVERALL CITY
OF PRIOR LAKE STORM WATER MANAGEMENT PLAN. SAID BURDEN SHALL INCLUDE THE FURNISHING OF A REPORT WITH SUPPORT-
ING CALCULA nONS OF A REGISTERED PROFESSIONAL ENGINEER.
Will proposed excavation or depositon affect the City of Prior Lake overall storm water management plan? Yes _ No _ If
yes, show proposed effect.
SUBMISSION REQUIREMENTS:
v (A) Completed application form <B1Completed legal description tel Map or plat of the proposed filling or excavating showing location and amount of material
proposed to be removed of deposited. with a description of the a~ (D) The depth or heights to which such removal or deposition is proposed throughout the
area and the proposed angle of all slopes to be shown on a 2' contour map at a scale of I .. = SO' or larger: The proposed and origiria1 contouR shall be shown in-
cluding all property within ISO' of proposed excavation or deposition and shall be signed by an engineer or surveyor registered in the State of M;l1IIeSOta (E)
Erosion control plan (F) Affect on existing utilities (G) Protection of site by erection of suitable fence, guard or barricade (H) Application fee (I) Bond. lettef of
credit. or deposit of monies in a sum sufficient to pay the cost of restoring a site. The extra ordinary costs of repairing. highways, streets or other public way.
along designated routes of travel and to pay such expenses as the City may incur by reason of doing anything required to be done (1) Public liability insuranc:e.
Amount of bond Letter of credit,
S . ~ ~. Zrz::.?
Permit fee :f) Signature of applicant
Permit deposit
City Engineer
liability insurance provided
Date G / J I /1'
Date ~/")/~/~f
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Minnesota Department of Natural Resources
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~51-77:2 -79/7
DNR Information: 651-296-6157 · 1-888-646-6367 · TIY: 651-296-5484 · 1-800-657-3929
An Equal Opportunity Employer
Who Values Diversity
{\ Printed on Recycled Paper Containing a
.., Minimum of 10% Post-Gonsumer Waste
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June 21, 1999
City of Prior Lake
16200 Eagle Creek Ave. SE
Prior Lake, MN 55372
To whom it may concern:
This letter is to inform you that I am satisfied with and approve of the landscape work
performed by my next door neighbor Mel Chez.
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Robert Worra
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LEGAL DEoc:RIPrION
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All that part of Govenment Lot Three (3) I Section Thirty (30) I Tamship One
Hundra:1 fifteen (115) I Range Twenty-One (21) I described as follOrlS: Beginning
at a point on the West line of "Boudin's Manor", which point is 17.0 feet
North and 30.0 feet West of the Nart:lJo\1est comer of IDt No. 56 of said
"Boudin's Manor"1 t:hea:e1 SOUtl:west at right angles to the said West line of
BOldin's M:mor a distance of 235.0 feet1 thence; SOUtbrlest at an angle of 103
degrees 56 minutes a distance of 85.0 feet1 thet:ce1 Northeast at an angle of
74 degrees 23 minutes a distance of 255.6 feet1 to the West line of said
''Boudin's Manor"1 then::e1 Nortl1/I1est along said West line of Baldin's Manor a
distance of 75.0 feet to point of beginning, acoording to the United States
GoITemarent SUrvey' therEC1f am. situtate in Scott Camty, Minnesota.
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