HomeMy WebLinkAboutExcavating & Filling Permit
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CITY OF PRIOR LAKE
APPLICATION FOR
EXCAVATING/FILLING PERMIT
Permit No.
L1 '1- is ~
Q9c -t)1
Date --3-J -15..J q 9
447-4230
Applicant
Address:
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rj~rj,~.
L~ "'-62 t-V\
Phone # 440 -- j, 1'3S
,
Property Owner: V~K 'f- A1~jnY"1~ -'-.i J1.~/.J/Vt Phone# .yj/P-/7..:JL-}
Address: :3'jl73 ~//L'~ g~dr;j, r;, ,5, vv:
Contractor: R~4J t!-' yo ~ A1 Ll ~ ,!) Y\ yo Y "'I C t!> '" Co Y ~ f-~ r..~ , Tn c. Phone # ~?~_ ~ /9.:3
Address: >5"96C? Ct:'. /f'd. /?"t:J -' c.. ~ /6 joy, t:I , A1 '-'1, .5"53.2.:(
Consultant Engineer/Surveyor
Address:
Location of Property: J~7..g rv;'//~ "V 88 a c.. j, Tr. S. J.-y;'
Legal Description: r.,.:a~ T /)" ~-:J/~"~ ved A aYld .. fLAyve y ~. .39"
Will the excavation or filling be in a: Watercourse Wetland Upland
Pur;>ose for the proposed excavating or filling: J'? '" fl 1 a r.. '" -'J:;.$ 1;'''', : ~ ~... _ L.. 5" ia /1
r /vr I.A /~ 'V dVJ've -;a vt~ \A/~/kv\/;;;J Y bh< ~ _41__2
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Phone
#
Estimated start date:
9-99
Completion date:
c 0 l-1. c::. yo e f-~
9-99
What is the type of material to be removed or deposited:
In what manner will the material be removed and/or deposited? -/-v I ~ .I"'.. k
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 wiU be obstructed? HA H . It!>
IT SHALL BE THE RESPONSIBILITY AND THE BURDEN OF THE APPUCANT TO DEMONSTRATE TO THE SAnSFACTION OF TIlE CITY
ENGINEER FOR THE CITY OF PRIOR LAKE THAT THE PROPOSED EXCA V A nON 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.
WiU proposed excavation or depositon affect the City of Prior Lake overall stonn water management plan? Yes _ No vIf
yes, show proposed effect.
SUBMISSION REQUIREMENTS:
(A) Completed application fonn (8) Completed legal description (Cl 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' COnlour map at a scale of I" = SO' or larger: The proposed and origiriaJ contours shall be shown in-
cluding all propeny within ISO' of proposed excavation or deposition and shall be signed by an engineer or surveyor registered in the State of M;nneaoca (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 (1) Public liability insurance.
Amount of bond rjJ Letter of credit, L or de A liability insurance provided
4:: 06 .U-C td q /.5ICfCJ CJ...ec' ~ , .
Permit fee j' SD --- Signature b~ applicant . Date 7'- /5- ~
Permi'deposit ~ City Engineer ' nale i Ij 7 f-f
Pennit is valid if signed by City Engineer.
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Survey For:
Marge Lincoln
3473 Willow Beach Trail ~
Prior lake, MN 55372
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DELMAR H. SCHWANZ
LAND SURVEYORS. INC.
R"lIIO,_ Un.,., U... 01 no. S'lIfe of Mln...."'.
14750 SOUTH ROBERT TRAil
ROSE MOUNT. MINNESOTA 55088 ~~/42~178'
651
SURVEYOR'S CERTIFICATE
WILLOW BEACH TRAIL SW
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. APPROVED
PLANNING DEPT
Si9~ DaI8~Wi
I hereby certify Ihllllhil lurvey, plan. or report wal
prepered by me or under my dlrecllupervll'on and
Ihlll I 11m I duly Reglllered land Surveyor under
the rawI of Ihe Stale of Minnelota.
Dated
09-15-99
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196/18
B99123
B99123A = Plot File
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August 23, 1999
Marge Lincoln
3473 Willow Beach Trail SW
Prior Lake, MN 55372
SUBJECT:
APPLICATION FOR. EXCA V ATlNGiFILLING PERMIT
3473 WILLOW BEACH 'fRAIL SW
Dear Mrs. Lincoln:
In aCCordance with the Prior Lake City Code, a /lTlldinglexeavation penn it is required for any
removal, storage, Or ""eavation of earth material Or to fill or raise the existing sllrfuce /ll"Ildes
within the City Whicb exceed 500 square fee, or 50 cubic J'ards of ma1eriaI. I bave enclOSed a
vennit fonn wbicb lists submission requirement>, inclUding a $50 penuit fee and a deposit of
$1,500 per disturbed acre. If Your landscaping contractor detennines that a pennit is oecessary,
the venni' can be submitted to me for review and approval.
If you have any questions, please call me at 447-9832.
Sincerely,
J~tt~-H
Sue McDennott, P.E.
Assistant City Engineer
City of Prior Lake
16200 Eagle C'eek Ave. S.B., Prio, Lake, l\finuesoJa 55372'1714 I Ph. (612) 447"4230 I Fax (6 I 2) 447-4245
G.___ AN EQUAL0PPoRl1JNJjy --OYER