HomeMy WebLinkAboutExcavating & Filling Permit
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CITY OF PRIOR LAKE
APPLICATION FOR
EXCA V ATING/FILLING PERMIT
Permit No. OO,))-/~ Date q I 2'1 I 00
447-4230
Applicant ~~L~rt~~ LLL
Address: 11Sil:> . t~ laJLe.,'m~ 5<;-,?--,1J-.
Property Owner: ~\t- &~~) l JL~
Address: :J1lP~ ~~. v1;)'\b ~. Yn-6Y ~IIY1N 5501~
Contractor: \= ~\f'j ~ Xl it' \[~ /llL-
Address: 11~s b. 11=)~ if,. Vr~Dr ~;rn~ Ef631;;)-;
Consultant Engineer/Surveyor I?Jr-DW() ~ty)(enhh\~ \f"'\c...
Address: J l~ - )~'6 0>Je..~. * 'DO St. t:JbV-<d Yn~ 5lo?:b?:>
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Location of Property: ('bfrtr 0\ \=","v \-\lUD~a and-Y\'"lbr~Shff.
Legal Description: ~ ~ hi' r\
Phone iqEk)..)I.N1.fX)~
Phone i q5;)..)'-N1-~
Phone # {q5~)4t.J'1-~
Phone #(:;f)D)dE4-/~
Will the excavation or filling be in a: Watercourse
Purpose for the proposed excavating or filling: ~Q.re...
Wetland Upland )(
tot ~ ~L b~;~ 7;~1~
Estimated start date: '~.h1HY ZQ/2.1xxJ Completion date: -,f~~tx.r W} 2t::t:D
What is the type of material to be removed or deposited: ~11 rr\ aJtJ ~ ~
8(X:) c,,-/
In what manner will the material be removed and/or deposited? -b!f.---h-u..cX.
What highway, street, or other public way will material for removal or depositation be hauled or carried?Uw~ 13J~\~ ~~.~_ ,
lar~ooa
What, if any, street, avenue, lane, alley. highway. right of way, thoroughfare or public ground will be obstructed?
~e/
IT SHALL BE THE RESPONSIBILITY AND THE BURDEN OF THE APPUCANT TO DEMONSTRATE TO THE SATISFACTION OF THE CITY
ENGINEER FOR THE CITY OF PRIOR LAKE THAT THE PROPOSED EXCA V A TION AND/OR FILUNG COMPUES WITH THE OVERAU. CITY
OF PRIOR LAKE STORM WATER MANAGEMENT PLAN. SAID BURDEN SHALL INCLUDE THE FURNISHING OF A REPORT WITH SUPPORT.
ING CALCULATIONS 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:
(A) Completed application fonn (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 lhe
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 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 Minneaota .(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.
. 00
one): 'ab' ity.insurance provided
Date~
Date~
Letter of credit,
Amount of bond
Permit fee :$ I q ~. ':>0
Permit deposit
City Engineer
Permit is valid if signed by City Engineer,
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CREEKSIDE ESTATES LEGAL DESC.
SECT -02 TWP-114 RANGE-022
W1/2 SW1/4 LYING N OF LINE COM SW
COR, N ALONG W LINE 2080.5' TO POB,
S 88-51-30 E TO ELINE & THERE TERM.
EX SPRING BROOK PARK EX SPRING
BROOK PARD 2ND EX PRIORWOOD
TOWNHOMES EX .65A
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(') 1111 CREEKSIDE ESTATES
:rH~ =~~A
GRADING AND EROSION
CONTROL PlAN
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CITY OF PRIOR LAKE
APPLICATION FOR
EXCAVATING/FILLING PERMIT
Permit No,
a:x;. - It
Date \ 0 I 30 I 0 ()
447-4230
Applicant -U-~ l.tL-. (p", ~
Address: J )<:R S- E' b4... ~ V
Property Owner: .i" fI--~
u ~ (L~
n~~1-
r" C~ _L{t, > ~7?)j
Phone# ~I ~ -
Phone #
Address:
Contractor:
s 4 t/1.,~
Phone #
Address:
Consultant Engineer/Surveyor
Address:
# .fl.l c,\.- 01. cJO
~
Location of Property:
r:-~
Legal Description:
Will the excavation or filling be in a: Watercourse -J1.....L2- Wetland
Purpose for the proposed excavating or filling: P ~ I" ~
f1 Q Upland y~
{.'It-ILdcJl 7~ ~__
What is the type of material to be removed or deposited:
~~
JI1h-~O-o {
(;/~ &J", V~~P1
It V1 V <.. (~
Estimated start date:
10
c::> S- ~- <!) CJ Completion date:
In what manner will the material be removed and/or deposited?
C
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?
IT SHALL. BE THE RESPONSmlLITY AND THE BURDEN OF THE APPUCANT TO DEMONSTRATE TO THE SATISFACTION OF 'mE crrY
ENGINEER FOR THE CITY OF PRIOR LAKE THAT THE PROPOSED EXCA V A TION AND/OR FILUNG COMPUES WITH THE OVERALL crrY
OF PRIOR LAKE STORM WATER MANAGEMENT PLAN _ SAID BURDEN SHALL INCLUDE THE FURNISHING OF A REPORT WITH SUPPORT-
ING CALCULATIONS 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:
(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 throuJhout 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 ISO' of proposed excavation or deposition and shall be signed by an engineer or surveyor registered in the State of MillllelOCa .(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 anythingi:!ir to ~ d~ (1) Public liability insurance.
t 00 CfJ~1
Amount of bond Letter ~dit, or eM t of m ne '000'-- iability insur ce provided
Permit feet:EV \ ,,81 ~~~ture of applicant Date
Date IO/jO/OO
Permit deposit
(gu p \ '\\Cr--.) S
CD tZ ("0<; \ eV' Co~ \,
9'fa.J.( ~ eo-,\\
\~~~O~ .
City Engineer
Permit is valid if signed by City Engineer,
4-0 ~ \ V\. P \o..Q eft or -to
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