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Home My WebLink AboutExcavating & Filling Permit #12-G-05 Q� rar� h � 1� "��' "EXHIBIT A" FOR CITY U3E ONLY EXCAVATING AND GRADING PERMIT PERMIT # /�-� DATE rJ � Ap'IicaM: �"a,n�� c�.�t� �^ ��i � f � � � 1�c�� P � # 9��-��f.� �� Project/Developmerrt Na if Applicable: Address: � � � • � r G � Property Owner: ��+ Phone # Address: C'� Corrtrador. / . � Phone # � /�_ �� ( �� Q � � . 2 Address: � Consultant Engineer/Surveyor: Phone # Address: , , �, � ��e Q Emergency Corrtact (24 hr): ��rn Phone # �(� � � -� /�� Location of Pro '� �rtv� �'� . Legal Description: � '�" � Will the excavation or filling be in a: Watercourse W tland Upland � � Purpose for the prop�ed exqvating or filling: � � r /� - / Estimated start date: /` � 7 ��"" Com lefion date: �� What is the type of material to be removed or deposited? 1 � f� What is the quantity of material to be removed or deposited? What is the total area disturbed for excavation or filling? In what manner will the material be removed and/or deposited? - What highway, street or other public-way will material for removal or deposition 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 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 FUI2NISHING 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 pla�? Yes Nof� If yes, explain proposed effect SUBMISSION REQUIREMENTS: (A) Completed application form (B) Map or plat of the proposed filling or excavating showing loqtion 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: Wdmin�PW Dosigu Manua1�20U7 PWDM UPDATE�IIBTI A APPLICATION FOR EXCAV !k FII.LING.�c 1 o � rai � � �7 "�"a'°"� "EXHIBIT A" shov►m induding all property within 200' of proposed exqvation 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 U�e cost of restoring a site. The e�ctra 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 Departmerrt for erosion control inspection at (952�47-9830 prior to earth moving activities. (2) Maximum 4:1 slopes are allowed in 'maintained° areas exoept 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 Managemerrt Practices installed immediately after finished grading. (4) Minimum grade for drainage swales shall be 2°k or greater. (5) Removal or depositing of material greater than 400 cubic yards requires a conditional use permit, uMess 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 Lake/Spring Lake Watershed District, Sc�tt County, MN/DOT, MPCA. (7) Applicant is responsible for all damages to other property or facilities as a result of w�ork covered by this pem�it. (8) Applicant must call the Engineering Departmerrt for finat grading inspedi� at (952�47-9830 prior to release of grading security. / /� / /� (9) Additional Conditions: �i✓ ��`� o f a �� !✓�./�v� �s .- s in�..r� �i z �,ci.<.L o-�eJ S 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 THEREIMTH TO THE SATISFACTION OF�THE TY OF PRIOR LAKE ENGINEERING DEPARTMENT OR ITS DESIGNATED AGENT. Appliqnt: 'L_ Date � Z Property Owner. � Date 7 FOR CITY USE ONLY AUTHORIZATION OF PERMIT Finanaal Guararrtee Amount $� �• d� Financial Guarantee Type (Letter of Credrt, Bond, or Cash) Permit Fee $ Liability Insurance provided? O YesO No (Insurance Certificate must name the City of Prior Lake as an additional insured party) In oonsideration of agreement to comply in all respects with the regulations of the City of Prior Lake �vering such operations, and pursuarrt to authorization duly given by said City of Prior Lake, permission is hereby grarrted for the w�ork to be done as described in the above application and submitted drawings, said w�ork to be done in aocordance with this application and submitted drawings. . ENGINEERING OFFICIAL Date /1� Permit is valid if signed by City Official Pertnit Expiration Date � 2��- Planning Dept Initials ��^ G:�Admie�PW D�ign Mmw1�2007 PWDM UPDATEIHQ�BR A APPL[CA170N FOR EXCAV 8c FII,I,IN(}.doc 2 , du r �y ,°�.;c, rGS..'f'J.-. !� �� f t «k �f3 ? , r �,, r: c f^�c^ a c j a i .. R . • , l,r. rr' <",. °"F �T,�r��- , f . q 1^� V.� ��" ��^ , e �,.. a. ��' � �l�`"'� P'� '� ? 7+� . ,.� � r ` � r . ,A „ ' �` � ; �s r�. . /,��, , � � i-� �.._ . =� SS �; ' �-r - , 4 �e .✓�...'; t !,• ,�W ��r ,,,,,_o:7z�� £cs,�• ' �f�_� _ �, �, . �. a � � ff �' c c. � r '` � '� - '�' �". � � - � .�' �n ��'�;. #,r.le� ? : � �a Q L �,�r �?'�� ',�� -----�-�--�-. � , 0� , o �� . . .. �F � �. �<. �' ' �? � �•�>�� ^ - � ;>t�:.� � � . � � 6 �, l.� � a� { ,� �Q�� :� �� s � � � 4 '°P o � -�.. � p ?c3 � ea a ts � - � q �� 3 i f . V . . �i ^T � . � �. T'�� ,. Y � ir° .�^ C` �':`.' 7'�.G�As�� A F � §+�' f f +`^" �► � �•. � . / J �i 4.. 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