HomeMy WebLinkAboutExcavating & Filling Permit
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CITY OF PRIOR LAKE ~ fh/tv -7 c
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APPLICATION FOR
EXCA V ATING/FILLING PERMIT
Permit No.
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Date ~~--=ti
447-4230
Applicant City of Shakopee Public Utilities Commssion
Address: 1030 East Fourth Ave.. Shakopee. MN 55379
Property Owner: Ray C. Peterson
Phone' 445-1988
Phone'
Address:
13901 Canterbury Rd.. Prior Lake. MN
To Be Determind
Phone'
Contractor:
Address:
Consultant Engineer/Surveyor Schoell & Madson. Inc.
Address: 10580 Wayzata Blvd!, Mi nnetonka, MN 55305
Location of Property: 13901 Caterburv Rd.. Prior Lake. MN
Legal Description: NW 1/4 SE 1/4 & S 1/2 SE 1/4 Section 21. Twp 115. Rnq. 22
Will the excavation or filling be in a: Watercourseyes-ditch Wetland No Upland yes
Purpose for the proposed excavating or filling: Constr.uct;access and parki.ng pad area _ for temporary
electrial substatioQ, Driveway will be removed and returned to original contourswben
Phone ,546-7601
temporary substation is no longer required which is anticipated to be fall 2000.
Estimated start date: May 1999 Completion date: June 1999
What is the type of material to be removed or deposited: Fill for driveway will be from on-site
excavation. Gravel for surfacino will be hauled in.
In what manner will the material be removed and/or deposited? Typi ca 1 earthmovi no eoui oment
What highway, street, or other public way will material for removal or depositation be hauled or carried? Co. Rd. 83
What, if any, street, avenue, lane, alley, highway, right of way, thoroughfare or public ground will be obstructed? no
obstruction is anticipated,
IT SHALL BE THE RESPONSIBILITY AND THE BURDEN OF THE APPUCANT TO DEMONSTRATE TO THE sAnsFAcnoN OF THE CITY
ENGINEER FOR THE CITY OF PRIOR LAKE THAT THE PROPOSED EXCA V AnON AND/OR FlWNG 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 llf
yes, show proposed effect.
SUBMISSION REQUIREMENTS:
(A) Completed application form (B) Completed legal description (C) 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 area (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" =50' or larger: The proposed and origirial contoun shall be shown in-
cluding all propeny within I SO' of proposed excavation or deposition and shall be signed by an engineer or surveyor registered in the State of M;11IIeIOfa ,(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. letter 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 ways
along designated routes of travel and to pay such expenses as the City may incur by reason of doing anything required to be done (J) Public liability insurance.
Amount of bond Letter of credit, eposit of money $800 ~iability insurance provided
Permitfee {'50~ Signatureofapplicant t<17(,t.rlef.. 11-1&;(, Date 1-/~-'79
Permit deposit City Engineer Date4 -/~ -1 j