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Home My WebLink AboutExcavating & Filling Permit - #13-G-01 Microsoft Word-EXHIBIT A APPLICATION FOR EXCAV&FIL... http://www.cityofpriarlake.com/documents/excavating.pdf �� P&ip$ i� tp �'' "EXHIBIT A" FOR CITY USE ONLY EXCAVATING AND GRADING PERMIT PERMIT# �3� -01 DATE y-J-j,j Applicant; �r;vf � K n " �b�^�n , L.A l�n inf � �G��- �d�f Phone# J� ' ) � ' ProJscUC?evelopment Name if Applicable: �/u L 1� hcr� � Address: M-� �y� !� UnMe✓'("f AVP. N � �V �riiv� �f P� I ln y� 3�� Property Owner: „ �r � P r f i Phone# Address: �`) l�6 S �i��tn,u'+ �iP � Priav� l. �tKP ��v, SS� 7.,1 Contractor: 1"( h h F � G U�r ' f $ Vn Phone#��- ��'��,� Address: ��' � �� Consultant Engfneer/Surveyor: D c r Phone# � 5 � ' �� "b�� Address: � � r� � Emergency Contact(24 hr).�ct� I�i u I� Phone# b ��-��7 Y 1 �� Location of Property: l « ,1�, �v� V` r �- ^`�k G'� rp� �^�'c,^ Legal Description: uf�� rc �� •+ T� �� ' � � � Will the excavation or filling be in a: Watercourse�ri��-�0.�;C i,1�+`�'�� Wetland Upland Purpose for the proposed excavating ar ffll_ i g r,�l Nr�F �e� arr v+,H�,'� Estimated stark date:�%�r,��)1� Comple#fon d : �,�/�.��D�, What Is the type oi materfal to be removed or deposited? �-�- � u � ^ u ' What is the quantity af material ta be remo�ed or deposited? � J � I S"C What is the total area disturbed for excavation or filling? � � In what manner wili the material be removed and/or depasited7 4 P ke� What highway, street or other publio-way will material for removal or depositio be hau ed or carried. What, if an ,street,ave ue,lane,alley,highway,right-of-way,thoroughfare or public ground will be obstructed? p,�a T �s�`n �✓�A+� �f t IT SHALL BE THE RESPONSCBILITY AND THE BURDEN OF THE APPLICANT TO QEMONSTRATE TO THE SATISFACTION OF THE CITY ENGINEER FOR THE CITY OF PRIOR LAKE THAT THE PROPOSED EXCAVATION AND/OR FILLING COMPLIES W1TH THE CIVERALL Cl�"Y OF PRIOR LAKE STORM WATER MANAGEMENT PI.AN. SAID BURDEN SHA�L INCLUDE THE FURNISHING CiF A REPORT WITH SUPPORTING CALCULATIONS QF A REGESTERED PROFESSIONA� ENGtNEER. Will proposed excevation or deposition ai#ect the City of Prior Lake overall storm water management plan? Yes No )C Ifi yes,explain proposed�ifect � SUBMISSION REQUIREMENTS: (A) Completed application form (B) Map or piat of the praposed filling or excavating showing location and amount of material proposed to be removed or deposited,wfth a descrlptian ot the area (G) The depth or heights to which such removal or depasltion 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"=5Q'or larger. The proposed and original contours shaii be G'�Admtm'YU Uesi¢n&lauual?Oa1 Y46US4 UYUAih'.rXtill311 AAYYLiCAl"lO:V tOK�1iCAV&FlLLLVG.doc 1 1 of 2 3/28/2013 11:42 AM Microsoft Word-EXHIBIT A APPLICATION FOR EXCAV&FIL... http://www.cityofpriorlake.com/documents/excavating.pdf Of r�°d w �t� "'�*_�''' "EXHIBIT A" shown inciuding all property within 200' ot proposed excavatfon or deposition and shall be slgned by an englneer or surveyor registered In the State of Minnesota (D) Erosion controi plan (E) Affec#an existing utilities (F) Appiication fee (G) Amount of Letter of Credit, or deposit of monies in a sum su1`ficient 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 requlred to be done (H) Public liability insurance CONDITIONS OF APPROVAL: (1) Applicant must caii the Engineering Department for erosion control inspection at(952)447-9830 prior to earth moving activities. (2) Maximum 4;1 slopes are allowed in "malntained" areas except approved by City Engineer. Maximum 3:1 slopes are allowed adjacent natural resources. (3) Slopes greater than or equal to 3:1 shatl have approved erosion control Best Management Practices installed immediately aRer flnished 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 applicatlon. (6) Applicant is responsible for obtaining and meeting the conditions outlined by other permitting agencies including but not limited to the fotlowing: DNR, Corps of Engineer, Prior Lake/Spring Lske Watershed District, Scott County, MN/DOT, MPCA. (7) Applicant is responsible for all damages to other property or facilities as a result o#work covered by this permft. (8) Applicant must call the Engineering Depa�tment for finai grading inspection at(952)447-9830 prior to release of grading security. (9) Additional Conditlons: THE UNDERSIGNEO 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 CITf OF PR{OR LAKE ENGINEERING DEPARTMENT OR ITS DESIGNATED AGENT. APplicant: M. �4 ��,�f �u�P� �ate 3� Property Owner: Date FOR CITY USE ONLY AUTHORlZATION OF PERMIT Financfal Guarantee Amount$ Financial Guarantee Type (Lette�ot Gredit.Bond,or Cash) Permit Fee$ Liability Insurance provided?O Yes�No(Insurance Certificate must name the City of Prior�ake as an additional insured party) in consideration of agreement to comply in all respects with the regulations of the City of Prior Lake covering such operations, and pursuant to authorization duly given by said Cfty of Prior Lake, permission is hereby granted for the work to be done as descrlbed in the above application and submitted drawings, said work to be done in accordance with this application and submitted drawings. ENGINEERING OFFICIAL Date `I"�� Permit is valid if signed by City Official Permit Expiratlon Dats 7� ('13 Plann(ng Dept.Initials S�� G'�Admml'l�lles�e�,aAlanual?001 Y14'llM Uf'llAit'YkH1H1t AAf'YL1CAl10N kOK1:hCAV�t1LLLVG.doc 2 2 of 2 3/28/2013 11:42 AM Minnesota Dirt Works, Inc. 2540 West County Road 42, Suite 105 Burnsville,MN SS337 Contact: Tom Bermel Phone: 952-955-8118 Fax: 952-955-8119 uote To; PLSL Watershed District Job Name: Jackson TraiI Culvert Replacement Ms.Emily Javens Shakopee,MN Phone: 952-978-2169 Date: 3119/13 Fax: C: 320-979-0084 See attached letter. ITEM DESCRIPTION QUANTITY UNIT UNIT PRICE AMOUNT Bid Form Dated 1/3/13 1 Mobilization 1.00 LS 1,100.00 1,100.00 2 Remove 3b"CMP Culvert 30.00 LF 20.00 G00.00 3 42"RC Pipe 16.00 LF 130.00 2,080.00 4 42" RC Pipe Apron w/Trash Guard 2.00 EA 2,260.00 4,520.00 5 Granular Bedding 20.00 CY 18.50 370.00 6 Randorn Riprap Cl N w/Geotextile Fabric 44.00 CY 75.00 3,300.00 7 Aggregate Base Class 5 15.00 CY 60.00 900.00 8 Erosion Controi Blanket Cat 3 70.00 SY 6.00 420.00 9 State Seed Mix MnDOT 250 2.OU LBS 5.00 10.00 Total Bid $13,300.00 GRAND TOTAL $13,300.00 / Page 1 of 1 i � 2500 West County Road 42, Suite 105 Burnsville,IvIl�( 55337 Ph:952-955-8118 F:952-955-8119 Jackson Trail Culvert Replacement-Shakopee, MN Scope Letter for Prior Lake/Spring Lake Watershed District Date: Mazch 19, 2013 Submitted herewith for your review is this scope letter and the bid form related to the above referenced project. Price is based on a site visit conducted on 11/IO/11 and plans by Emmons&Olivier dated 1/3/13. Inclusions: • Mobilization& de-mobiliza.tion. • Remove&dispose of existing 3b"culvert. • Furnish 16' of new 42"RCP pipe with aprons and sand bedding. • Install 1 b' of new 42"RCP pipe and aprons. • Furnish&install Class 5. � • Furnish&insta.11 fabric and rip rap. • Seed and blanket as shown. Exclusions: • Surveying or testing of any kind. • Winter conditions/road restrictions. Inclement weather. • Bonds, permits, fees. • Anti-seepage collar. Silt fence or biologs. • Import or export of any soils except those specifically listed. If you ha.ve any questions please ca11 me on my cell. Thank you for asking us to quote this work and we hope you will find our pricing acceptable. We would like to be able to do the work but in any case wish you the best of luck as you proceed. Sincerely, � -�r�� Tom Bermel Mizuiesota Dirt Works, Inc. C: 612-385-b896 " tbermel mndirtworks.com �