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HomeMy WebLinkAboutGrading Permit _. -� ���r� ;.. City of Prior Lake ` �` � � 4646DakotaStreetSE RECEIPT � � Prior Lake MN 55372 �" �: ���� � � `�� 952-447-9840 .`,<"°t{�vr:t:���'`�' :,,.. Receipt: 2330 Received Of: Date: 07/24/15 Peter Guidarelli Customer: Peter 6uidarelli 4631 Hummingbird Trl NE Prior Lake MN 55372 Receipt item Receipt description GL Number 1'otal Grading Permit 15-G-28/4631 Hummingbird Tr Zoning&Subdivision Fees 100.00 Receipt Total 100.00 TENDERED: Checks 8344 100.00 Total:100.00 "EXHIBIT A" ���,'�t � a. �� I ���'"� � A'�� ���`'k�, ��; ���{� FOR CITY USE ONLY �" ' �PEftMIT# � � � _.. DATE "`� '�°�rA�rcxs�5'�'.'°� EXCAVATING & GRADING PERMIT � � ; �°"� �'��� Applicant: Phone: � � Project/Development Name if Applicable: p Address: �� �'+ � I � C`� �' � Property Owner: � �� �� � �`' �� '� Phone: ��, �`°� ���{ �� Address: � —• Phone: Contractor: Address: � _ _ _ ___ _ _ __ _. - �- _ __ _ Phone: Consultant Engineer/Surveyor: Address: �'"' Emergency Contact(24 HR): � Phone: Location of the Property: Legal Description: Will the excavation or filling be in a: Watercourse Wetland Upland Purpose for the proposed exc�vating or fiiling: � "�'" , � �� �.- Estimated start date: C mpleti n date: What is the type of material to be removed or deposited? C7 W„ ���� .� �C �' � What is the quantity of material to be removed or deposited? What is the total area disturbed for excavation or filiing? � �' ���� �" �' t"�' � � � �.>`��' � 1�;.m�. �f�" In what manner will the material be removed and/or deposited? � � ' ublio-wa will material for removal or deposition be hauled or carried. vu��r�i'v� !it�.��� W h a t h i g h w a y, s t r e e t o r o t h e r p Y . What, if any, street, avenue, lane, alley, highway, right-of-way,thoroughfare or public groun d wi l l be o bs truc te d? 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 PRQP05ED EXCAVATION AND/OR FILLING COMPLIES WITH TNE 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 Lal<e verall s orm water managem�ent pl�?Yes� N�o_ If yes, explain proposed effect �9� l �" �' , � y �''� `� �'"° � ��'�'�c'j'i��..�"" `.�` (���»:�(� �"���� 1"6 ��,�t-�� �� � � L� � z � . _ � .1 1 ��-,.� ., � � (��-4 r�t��.�-�e'�° r��-� "EXHIBIT A" u�moom��mwu�momo�omw�wu�m�um��m� u�m�mw�mmmoiaw�m�omumwu�w�umwmu�uu�u�uwumi�imouum�mu�o�umu�u�u�mmm�uuumwuu�m .� �.___� � ���..w_....��..�,»._�._..��..�.,�V��� I�I��,�_��.�.._.,���..� _,..�.'��� ��u � � � ���tl� ��N ��'�� �'��a������� ������m���°�����c���r��������� a����������������s����r�m������R� ���������s����s��������n�������������°�����`�'�`�D�"�� �..���������°�������� ���� ��c������-n�.����m���:�...��a�-���� �r�������nr. �;,���z�s�k�t�c���c���p�r� � 5����'������: M�t�:�r�amro�ac9ce��ra�r�.ko���rr����.c�r� � us�ummmwm�mowmmum�mumm�wwm�omwm�mWwmuww�mm�mumwimmw�wum��ummu�muwww ow�muu�uuwimwmmmmmu�w��uwmuuuumommomww�wwu�o m uuuuwuw��u�uuu�uwwuwww�wuu�u miwwmmmwuumuuu FOR CITY USE ONLY AUTHORIZATION OF PERMIT Financial Guarantee Amount$ Financia) 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 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 �'�"��"��� Permit is valid if signed by City Official PERMIT EXPIRATION DATE(90 days from approval date) /� '���"'/.� Planning Dept. Initials � � � "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' or 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 other property or facilities as a result of work covered by this permit. H. Applicant must call the Engineering Department for final grading inspection at (952) 447-9830 prior to release of grading security. I. Additional Conditions: THE UNDERSIGNED HEREIN CERTIFYTH ST ERMITAAND AGREE TO FUL Y C�OMPLY HEREWITH TO THE SATIS ACTION OF CONDITIONS TO THE ISSUANCE OF THE CITY OF PRIOR LAKE ENGINEERING EPARTM T OR ITS DESIGNATED AGENT. . , ��-- Date ��� . Applicant: - � � 1� Date ^.—.— Property Owner: —' —