The URL can be used to link to this page

Home My WebLink AboutGrading Permit �. � ��c��, City of Prior Lake RECEIPT � � � � �� 4646 Dakota Street SE �,. �� '�"� Prior Lake MN 55372 �� '�'' 952-447-9840 ,. ¢tfi,,��n;r�ci��' , Receipt: 2187 Received Of: Date: 07/14/15 Todd Holm Customer: Todd Holm �eceipt ltem Receipt Description GL Number Tota) Grading Permit 15-G-27/16276 lakeside Ave Zoning&Subdivision Fees 100.00 Receipt Total 100.00 TENDERED: Checks 5159 100.00 Tota1:100.00 ' i � m "EXHIBIT A" ��c��-��'ry�� `� � �� M�.�� : � �.. ,� � ��, � � �� ,. �� '�'`� �� a � � � � ,�,�.�� .aY�, �� o � � .. ""`FOR CITY USE ONLY � - ,w _ � — �" PERMIT# � �- �. ;�f��4��.,� - w,- DATE , ,x�� ;�;� EXCAVATING & GRADING PERMIT � ` �,�„�� "�" , � �_ �.�... Applicant: � ��' �`� �� '.�„� . ��"'� � �, Phone: � �� '�� .� � �" � Project/Development Name ifApplicable: �� w� •� �"�'�` �� . • � � � � ,, ,w � � �� ' °�� _ �� " �� ,.k �. , � � _�..a �� ... �..�,� ��" Address; �� ""�. ,°� � � „ p Y � m �a " �„�"�„ ��. � � � _ . � �� .� �� ^� Phone: .: Pro ert Owner: _ .� '" � ° � .�.�'� �.��,. m � �� ..�"� � �� . Address: ��m� ��.� �� ::. ��.��;'��". �� „� ��...� �� ..��,.m .� , ��.-, _ Contractor: � . .�„ ^"ro °� .� _� �,�,,�. � �,�.�, � � ,..� Phone: � ��, � .. �� .��,� � �a. ��.� � �. �.�.p .� �: .��, . �� „� � ��,. � �� ,�� :� Address: � ��. � w�._�.. �,�.. ,,:. � �,��"�.w��. � � � �� ... �� Consultant Engineer/Surveyor: Phone: Ad d ress . �° � �. Emergency ContacC (24 HR)�: �.�� +�� „� �,� �"�,.��.. ` � � �� ;�� "� �� "�N � � "�A �Phone: �;�� Location of the Property: Legal Description: Will t e excavation or illing be in a: Watercourse Wetland Upland , Purpose for the proposed excavating or�filling: ��,�� •� �� ;��...� ' ��• �,��,�, ,�� u ,� `��• Estimated startdate: ��-� � �� Completion date: What is the type of material to be removed or deposited? �° � � � What is the quantity of material to be remaved or deposited? � `�'��'�IT �°� �µ� What is the total area disturbed for excavation or fillin �"�� g? ,�"""` � �,� ,. In what manner will the material be removed and/or deposited?�� ' What highway, street or other public-way will material for removal or deposition be hauled or carried? ' What, if any, street, avenue, lane, alley, highway, right-of-way,thoroughfare or public ground will be ob tructed? ', � � � .� � , 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 ° "EXHIBIT A" 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' ar larger. The proposed and original contours shall be 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. Effect 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: , A. Applicant must call the Engineering Department for erosion control inspection at (952) 447-9830 prior to earth moving activities. B. Maximum 4:1 slopes are allowed in '.'maintained" areas except approved by City Engineer. Maximum 3:1 slopes are allowed adjacent natural resources. C. Slopes greater than or equal to 3:1 shall have approved erosion control Best Management Practices installed immediately after finished grading. D. Minimum grade for drainage swales shall be 2%or greater. E. Removal or depositing of material greater than 400 cubic yards requires a conditional use permit, unless it is part of a preliminary plat application. F. 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,Scott County, Mn/DOT, MPCA. G. Applicant is responsible for all damages to ather property or facilities as a result of work covered by this permit. H. Applicant must cal)the Engineering Department for final grading inspection at(952) 447-9830 prior to release of grading security. I. Additional Conditions: THE UNDERSIGNED HEREIN CERTIFYTHATTHEY HAVE READ SECTION 706 OFTHE CITY CODE AND ACCEPTTHE 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 � �'" � ,�M � �_.�.. � �� , Property0wner: �'�� ^"� ,�^��""�� n�� ' �� Date "` �"'� �� , � , � . ` "EXHIBIT A" IfViP�RTANT- BEFtJRE STARTIf�G 1!1/ORK EXCAVATOR AND OPERA70R'S f�OTICE This notice is to inforrn excavators and operators they mus�comply with Sections 216D.03 to 216D:07 of MINNESOTA STA,TUTES Call Gopher State One Call (800) 252-1166 or 651-454-0002 Or go to www.�opherstateonecall.or� Smart Phone: http://mnticketentry.korterraweb.com FOR CITY USE ONLY AUTHORIZATION OF PERMIT Financial Guarantee Amount$ Financial Guarantee Type (Letter of Credit, Bond or Cash) Permit Fee$ �� Liability Insurance provided? ❑ Yes ❑ No (Insurance Certificate must name the City of Prior Lake as an additional insured party) In consideration of agreement to comply in all respects with the regulations of the City of Prior Lal<e covering such operations, and pursuant to authorization duly given by said City of Prior Lal<e, permission is hereby granted for the worl<to be done as described in the above application and submitted drawings, said worl<to be done in accordance ', with this application and submitted d�,rawings. ' �:,W�V � �� .� � � �.__ ENGINEERING OFFICIAL " �W�"'� Date ,W'�� Permit is alid if signed by City Official PERMIT EXPIRATION DATE(90 days from approval date) ��`� °"��°°-�,��' �lanning Dept. Initials "EXHIBIT A" . � ��..�� ..... � �.....m,. � �,.��.....�.._..�.__�.._. ��.��...,_ .�� ;' �' ��;�.�.�- �.�� ..._�m�...�, �� ._�_�.�� . �� ti ��.. _.�,w.�,.�.�. ��".. ,�.�� _.�� , ��..��_ .�.__.��.m__.��._._....._.�._�.__�w ��.�..�.��._�� .m� � ��.��.....