HomeMy WebLinkAboutExcavating & Filling Permit #11-G-09 w R
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�`"""�"°"'� "EXHIBIT A"
FOR CITY USE ONLY
EXCAVATING AND GRADING PERMIT PERMIT# �- ��
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Applicant: �� ��1'1��/�/C� LJ��Vti1�' L���✓/J''��� Phone # �� t�Z� ���
ProjecUDevelopment Name if Applicable:
Address:
opert O�e� O ab � �'fiGt �'e �t1 Phone # �z- ys� yyyy
Address: �
3 88 �/�
Contractor: '��fL /YI/1'rirOf►✓�C C't� �S���N r' Phone # � �� /v �
Address: '�0 I � 12/ Z�x� "�tL .�P Q/LLLl�L LN1Gf y1�N ��a �z ssm y
ss37Z
Consultant Engineer/Surveyor: Phone #
Address:
Emergency Contact (24 hr): Phone #
Location of Property:
Legal Description:
Will the excavation or filling be in a: Watercourse Wetland Upland
Purpose for the proposed excavating or filling:
Estimated start date: 9 1 Z- 11 Completion date:
What is the type of material to be removed or deposited? �59 �LfSM�K� .
What is the quantity of material to be removed or deposited� — M�
What is the total area disturbed for excavation or filling? t 00
In what manner will the material be removed and/or deposited? S 1� � M
What highway, street or other public-way will material for removal or deposition be hauled r earried? �
What, if any, street, avenue, lane, alley, highway, right-of-way, thoroughfare or public ground will be obstructed? oN�,
IT SHALL BE THE RESPONSIBILITY AND THE BURDEN OF THE APPLICANT TO DEMONSTRATE TO THE SATISFACTION
OF THE CITY ENGINEER FOR THE CITY OF PRIOR LAKE THAT THE PROPOSED EXCAVATION AND/OR FILLING
COMPLIES WITH THE OVERALL CITY OF PRIOR LAKE STORM WATER MANAGEMENT PLAN. SAID BURDEN SHALL
INCLUDE THE FURNISHING OF A REPORT WITH SUPPORTING CALCULATIONS OF A REGISTERED PROFESSIONAL
ENGINEER.
Will proposed excavation or deposition affect the City of Prior Lake overall storm water management plan? Yes No �,
If yes, explain proposed effect
SUBMISSION REQUIREMENTS:
(A) Completed application form
(B) Map or plat of the proposed filling or excavating showing location and amount of material proposed to be removed or
depoSited, with a description of the area
(C) 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 1"=50' or larger. The proposed and original contours shall be
G:\Admin\PW Desi�n Manuan2007 PWDM UPDATE�EXHIBIT A APPLICATION FOR EXCAV & FILLING.doc
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"�"� "EXHIBIT A"
shown including all property within 200' of proposed excavation or deposition and shall be signed by an engineer or
surveyor registered in the State of Minnesota
(D) Erosion control plan
(E) Affect on existing utilities
(F) Application fee
(G) Amount of 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
(H) Public liability insurance
CONDITIONS OF APPROVAL:
(1) Applicant must call the Engineering Department for erosion control inspection at (952)447-9830 prior to earth moving
activities.
(2) Maximum 4:1 slopes are allowed in "maintained" areas except approved by City Engineer. Maximum 3:1 slopes are
allowed adjacent natural resources.
(3) Slopes greater than or equal to 3:1 shall have approved erosion control Best Management Practices installed
immediately after finished grading.
(4) Minimum grade for drainage swales shall be 2% or greater.
(5) Removal or depositing of material greater than 400 cubic yards requires a conditional use permit, unless it is part of a
preliminary plat application.
(6) Applicant is responsible for obtaining and meeting the conditions outlined by other permitting agencies including but not
limited to the following: DNR, Corps of Engineer, Prior �ake/Spring Lake Watershed District, Scott County, MN/DOT,
MPCA.
(7) Applicant is responsible for a!I damages to other property or facilities as a result of work covered by this permit.
(8) Applicant must call the Engineering Department for final grading inspection at (952)447-9830 prior to release of grading
security.
(9) Additional Conditions:
THE UNDERSIGNED HEREIN CERTIFY THAT THEY HAVE READ SECTION 706 OF THE CITY CODE AND ACCEPT THE
TERMS AND CONDITIONS TO THE ISSUANCE OF THIS PERMIT AND AGREE TO FULLY COMPLY THEREWITH TO THE
SATISFACTION OF THE CITY OF PRIOR LAKE ENGINEERING DEPARTMENT OR ITS DESIGNATED AGENT.
Applicant: Date
Property Owner: Date
FOR CITY USE ONLY
AUTHORlZATION OF PERMIT
Financial Guarantee Amount $ 2 S�0 � Financial �uarantee Type (Letter of Credit, Bond, or Cash)
Permit Fee $ /L`70� � p
Liability Insurance provided? � Yes❑ No (Insurance Certificate must name the City of Prior Lake as an additional insured parry)
In consideration of agreement to comply in all respects with the regulations of the Ciry of Prior Lake covering such operations,
and pursuant to authorization duly given by said City of Prior Lake, permission is hereby granted for the work to be done as
described in the above application and submitted drawings, said work to be done in accordance with this application and
submitted drawings.
ENGINEERING OFFICIAL �%�� Date I d' y" ��
Permit is valid if signed by City Official
Permit Expiration Date �'�� �� � Planning Dept. Initials �
G:Wdmin�PW Design Manua112007 PWDM UPDATE�EXHIBIT A APPL[CA7'ION FOR EXCAV & FILLING.doc
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Property Information
Parcel ID: 250310011 Year Built:
Taxpayer Name: STUTELBERG CHAD D& Last Sale Date:
Taxpayer Address1: 5388 FAIRLAWN Last Sale Value:
Taxpayer Address2: PRIOR LAKE, MN 55372 Deeded Acreage: 0
Property Addressl: GIS Acreage: 0.04682
Property Address2: Zoning Classification:
School District: 719 Legal Description: SubdivisionName FAIR
LAWN SHORES Lot 001 SubdivisionCd 25031
COM SW COR, NE 32', NW TO PT ON LINE
48' N OF SW COR, S 48' TO POB.
Estimated Land Value: $300 Plat Name: PLAT-25031 FAIR LAWN
Estimated Buildings Value: $0 Block:
Total Estimated Market Value: $300 Lot: 001
Home Style: Unique Well & Boring No.:
Prime Square Footage: Well Depth Drilled:
Bedrooms: Well Date Drilled:
Bathrooms:
This drawing is neither a legally recorded map nor a survey and is not Map Scale nf
intended to 6e used as one. This drawing is a compilation of records,
information, and data located in various city, county, and state offices, and 1 inch = 25 feet �
other sources affecting the area shown, and is to be used for reference W E ,
puryoses only. Scott County is not responsible for any inaccuracies herein '' �--" -
contained. If discrepancies are found, please contact the Scott County Map Date ��p���.
s�r�e ottioe. g/7/2011 S
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I m �p q � �..�. Proposed Bttuminous Orlveray = 7f0 sq. !f.
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shoMn herean.
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SCALE IN FEET r deacn'ption, w tha exr:tenca of any eosements or enevmeroneee.
FlELD UATA COLLEC7E0 B/30/2005
FILE _],Q]yy BOOK yqy_ PAGE �5_
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This drawing is neither a legally recnrded map nor a survey and is not Map Scale N
intended to 6e used as one. Thls drawing is a compilation of records, � ineh = 15 feet �
information, and data located in various city, county, and state offces, and .
other sources affecting the area showq and is to be used for reference W E y"'!!�
purposes only. Scott County is not responsible for any inaccuracies herein Ma Date ��
contained. If discrepancies are found, please contact the Scott County p ��������
Surveyors Office. 9�7�201 1 S
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SURVEY PREPARED FOR llalley Surveying Ci�.� P. A. ,
ROGER AAGARD SUITE 120 FRANKLIN TRAfL OFFICE CANOOMtNIUM
5388 FAIRLAWN SHORES TRAIL 16670 FRANKLIN TRAIL S.E.
PRIOR LAKE , MN 553�2 PRIOR LAKE. MINNESOTA 55372
TELEPHONE (612) 447-2570
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�•xi:,tiny ic�pervioua covaraye = 35.50 �` � o o , z
PROPOSED IMPERVIOUS COVER4GE = 35.5 % /9 �> ` �o M1 Qa �� � F
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NOTE TO REM41�� AT A 35 5•e COVERAGE THE OWNER MVST � _ �� `+ `r ^.
REMOVE 112 50 FT. OF IMPERVIOUS GOVER4pE (EXISTING ) � �' _ � ° • � 3 � ,
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nj�.iCnik i'ION AS PROVIUED: Q
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:>tartin; at a point 1G ,`.eet no[th ai , .+oi•:t �.� ... :.rr�l.�i ii�❑ �� Section �„ l)L5CRIPTIUN UF P.RUPCItTY AS �UNVIsYBU:
Townshi� 1L' ,[tan �e 22, vhich said ioicit ce� .^,aid :.outh ! ine o� aai.d sectio^ �s
riist�nt �9.OS� chair:� ��:•t ^: th� .^,t�n�+ mcrnn�c•t .t `h� ::euthr.cat an.er oP :�aic: 'triat �x�rt of Govr,rnment Lot 2, Section 'l5, ibwnship 115� [kin9e 22� Scott c;ounCy�
secticxi 2S; thence ca,t b0 feeC; thoncF an�tr. 15.`• i•^^.= t^ !hc '.a%:ik cL Prior Lalce: [linnesota de3cribed a� tollr.�•�a:
thence VfApSCP.CS f nlonq the bank of said Prior Wke, to ��oint Cue North oi aaic
¢�ctii�:, %)1�IC. L�7c:lCf? soat.h 1%7 Yr.e.•. to th� p'_:ce .f be�_�inr.in cr.8 :situated in beginninq at the 9017tIlwP.O cornr.r of LoC 1, CAIRLAWN 5[IORtS, Scott CAUnty�
r,�t :, ,t ::,.: ;'er�ien �.�, Tn•.m:;�:.p �L`�, ;:a.;:.a )7 Sco�t Cour,�; •'�i�;iesota. P]innenota; thence nouthrrly along the 3outhArly Axtension oL the went line oE
�:d Lut 1, to the south line of said Section 25; thonce westerly along eaid
^V2r.r.i t ' : sout!i lina a diat'�nce of 98.92 feet to the easC lin� of the plat of [�7rYNE &
HAR.2rEi'S 1ST AUDI;IOti, Scott County, ttinnesota:; thence northerly along aaid east
.�ll thir. ;r:rt oi :�r.tion 25, :c+wn::hi? 1]5, t:an 22, si=aatr.9 •.•ithin the� line to the �hore line of• Prioc I.ake; thence noYtheasterly along eaid 3hoCe line
�ollowinc. toouu:�.ci�^a; ?eF.•.i�� Che nocGM 1°r�� o.: th^ al��eva ?.-�.riFed "1Yect A" anc to it3 inCersection with the northerly extansion of the w�3t line oi sa3d Lot 1;
thc• �h�,.e eF P�iac f.a!:.� r.n.t heC����e�� r'�•� .1•:rPhw�c� ^%tcr.:zonv o" t`u i:ist ine slr.et FAIHLAWN SHORFS: Chence srn�therly alorxJ oaid we3t lino to a point distanC 4f3.00
; i i.;i-.s af r.he -tr�ce �:o�.cr:�Fd "2re<;: ;" ta th: �hcre c: ezi? Pcior Lakr. feet northerly of the southwc+�t corner of said Lqt 1; thenee srn�th�i�tecly to a
poinl: �x1 Che southenstPrly linP oE said Lot l, di�tant 32.00 fcet northeasteCly
Aod :skartiny •:"_ a�n_'_nC Yr f.o�t Pinrth �`. � p.:nt cn tha acr_t`� :ir.r: c.'. .i_ction "e�, of Aiid southwest corner; thence 3outhwe3terly along c+aid aoutheasterly lin� to
iownnhi� 115, danye 22, Scott �ount;, Minne�oY.r.. •:hich e��?d ::+nt :n :�aid south the F�oint of beginninq.
line oL ;aid Section i3 di3tant 49.99 chains vest of the �outhnact corner ot „
Section 75; :i�•�r�:= t..a"_ ;i0 ;:�nt; thi�rce at : i�vhC a:�r.r3 :,r.tth ;Z feet to. the Excep>tin� fran the above the follrn+iny dPncribed propecty:
:south line of Section 2S; thence Westecly alony the �outh line o[ Section 2h, a
::iet.na^ n� h:� �er.0 `hr•nce zC r:c�c n:�y.2•'. ['nrth �::.sc.�nr, af :`.� Leet to: the Thal �Jart oE Government Lot 2r �'cCion 25i Town3hip 115, Range 22� ScoOt Countyr
�lace oE beyimm�g, all located in C� :•�r.nr��vt 60! :, ^.°ctior 25. T�nm�hip 115, Minn��soG1, deesceibed ae Lollrn�^:
. 1:anc7A ?.'l., ucott County, riinneaota.
. Cortrtxenciny at the �outhwastecly corn�c oi Lot 1� plat of FA:RLAt+1N SHORES� Scott
A�� t1�•�= ��rt o; [,ot ., ulak ��E FA.2LT:':7 - COF.L�. J:�°t C�r:: t•_. Minne:.cta, Counly� Minne,ota; thence Nocth alotuj the weat line oi a.Zid f.ot 1: a di�t8nce oE
d�•.•r.ri�:xf i: tnl'.rn+a: 188.Q0 feet to Che actual point oi beyinninq nf L'ne tract o: land to Ee
1 de3cr.ibed: thence deflectin9 to che le:t at an anhle oE 17 degreees 90 minuten 00
Ba�!inrin<� nt -he :+�utl•.ve:.t�rly mr��r oP� ;k id i•nt :• k'���cr r.c,�rh^:�tr.rly ilnny seconds a distflnce of 53 feet mare oc leas to the shom line of Pcior Lake;
i:�i�� •a���:tti�•r. �;• 1 :��P .,%�id Lo� 1, �'i>t�i�c = o: :.".'..(Y.: 2-�: e'hr.•;r.r. northwo �terl;� thence eagterly alonq 3aid 9hore line to it� i.nteCnpetiwi w:th tha noCtherly
.".o r: �in� an Fh? �•�•: t lir.e of .'�: Lot '.. di• ��nt 't`.�.U•", ,:c:t �arth�rly o,`: eaia nxtenasion oi said we�t line of said Lc�t 1; thFnce aoutherly alon9 �aid line to
nouthwe3terly corner; thancva ,outhr.c!y °_'.n:ui 3�:� %'.".. ...• •_ =i::�-1ce of �iF.�C the aEorementionrd actual point of be�c�inning. ��
fee.t to the point o: �Jinnin.;. �� �
�xceptinry irom the abcme the follrn�ing denccibrx3 �roperty:
That �rt of Govecnment Lot 2, ;ection 25, ':nwn.ship 115, :tan.�e 2?., Scott Camty, . • �
Ptinnee�ata, de�cribed a: follows: I
Conmenciny at the southwPSterly corneC of Lot 1� plat oi c'1IRLAl•1N .iHOFtL•:S� :�coCt
County� ttinne3ot�; thence Nnrth nlony th� weat line oi e�aid Lot 1; a distance of REV 8/16/98 TO SHOW PROPOSEO ,
18d.0U .'eet to the actual point nf bectinninc� of the tract oY land to '� gMPERV OU4� URf4CE �N O�RGH 9
desccibed; thence detlectin� to the lei: at an angle �E 17 deqcee3 40 minutea OC
seconds a distance of S3 feet moY^ r�c lPt+es to the ahore 1?ne o� Prior Lr�ce; � M�Y �� ����y
thance easteYly along said shorn line to its in:ersr.ction with the northerly ���� ��� w � �
exCension o: caid west line of aaid Lot 1; thencw 3outhPrly along 3aid linn t� ��� ���� ��� ��
the aLorementioned actu3l point of beginning. � d � � `� �
�.a.. n.» ww� d �a
ao �°' ./� ,
o eo ,. � . � J � ,
� :i.Y.' L.{ .:!i./.♦..�'�. '
SGALE IN FEET / � M'r � 5w` �� �� �, ��
O OMOfM I►On enOnUmMf Ctt. 1
• Danotls i►011 IfqnW►Mnt fou�d
. . FILE NO 8355 � IIO PA3H �
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