HomeMy WebLinkAboutGrading Permit 15-G-32 __
;,, � ��t�� g City of Prior Lake
.<` �� �` ` 4646 Dakota Street SE R E C E I PT
`��`� �� �<� Prior Lal<e MN 55372
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952-447-9840
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Receipt: 2599
Received Of: Date: 08/19/15
Premiere One Landscape Customer: Premiere One Landscape
Receipt Item tteceipt Description GL Number Total
Grading Permit 15-G-32/5512 Candy Cove Trl
Zoning&Subdivision Fees 100.00
Receipt Total 100.00 '
TENDERED: Checks 3606 100.00
Total:100.00
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"EXHIBIT A"
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`:�'fr,�n��o��'��` �,��, PERMIT# �'' ���
DATE °�� •��,
EXCAVATING & GRADING PERMIT � ,,�'���
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Applicant: ��� G ����,oro �few���,r� �v� l�o�� T S Phone: �.5� '�o�j• � �
Project/Development Name if Applicable:
, Address: .��-.��ft�S S �.S/�.. C..t,��c��,�' �py� "��� �j�--
Property Owner: rGtC Y �,-�-a/t �.PjVI�-Vr Phone: CO�Z r 7 l�- 7 S�yy
Address: S S�2 C��� COtr� �i^m; l ,S'� .�Z'' �y 7 ���o
Contractor: w{��,,�.J ���,,,,,' ��/� � Phone: ` 4 �� 'I
� r 9s 2C�'��i�3�tl
Address: y� �Z �5�" � M :, 'f" �L'��i �/l/� :� 4l�
Consultant Engineer/Surveyor: ` - Phone:
Address:
Emergency Contact(24 HR): �,�-,�t_ �j.,�..,a� Phone: ��? •(�•,�_3�/�
LocationoftheProperty: ��„IG� �;��,jt ��y��.� /�,Y� � �",�'r2 �"�,.,,.�/� d�
g p i � � '� S!�`Z 70/7� / "��f $ L
L:e al Descri tion:
Will the excavation or filling be in a: Watercourse Wetland land
Purpose for the proposed excavating or illin ei ('
Estimated start_date: � � Completion date: — b<S'-
What is the type of materia to be removed o deposited? �t
What is the quantity of material to be removed o e osited �-►-e 1 b Gubi c. '`�e�r �
What is the total area disturbed for excavation o illing. o „i -- H �-
In what manner will the material be removed and/or eposited. � �,�e „ �
What highway, street or other public-way will material for removal o eposrtio be hauled or ca ried? �J�„ti Ta�'�'�
What, if any, street, avenue, lane, alley, highway, right-of-way;thoroughfare or pubfic ground will be obstructed? ���
�
IT SHALL BE THE RESPONSIBILITY AND THE BURDEN OF THE APPLICANT TO DEMONSTRATE TO.TNE SATISFACTION OF THE '
CITY ENGINEER FOR THE CITY OF PRIOR �AKE THAT THE PROPOSED EXCAVATION AND/OR FILLING COMPLI�S 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 depositior� afFect the City of Prior Lal<e 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 siopes 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 controi 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 Lal<e/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 worl<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 CERTIFY THATTHEY HAVE READ SECTION 706 OF THE 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 PRIO LAKE ENGINEERING DEPARTMENT OR ITS DESIGNATED AGENT.
. �
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Applicant: �r-j G Si��✓� �i/'{.��,a-c. ��2 S�S Date _��0—ls
Property Owner: Date
"EXHIBIT A"
I(1fIPORTAIVT— BEF�RE STARTI111C; ln/ORiC
EXC�4V�►T�R AND OPERATOR'S IVOTICE
This notice is ta inform excavators and operators they mus�compiy wi�th
Sections 216D.03 to 216D:07 of MIIVNESOTA STATUTES
Call Gopher State One
Call (S00) 252-1166 or 651-454-0002
Or go to www.�opherstateonecall.or�
Smart Phone: http://mnticketentrv.lcorterraweb.com
FOR CITY USE ONLY
AUTHORIZATION OF PERMIT
Financial Guarantee Amount$ Financial Guarantee Type
(Letter of Credit, Bond or Cash)
Permit Fee$ � �a � �A
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 Lalce covering such
operations, and pursuant to authorization duly given by said City of Prior Lal<e, permission is hereby granted for the
wori<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 w Date `� � "��
Permit is vali if signed by City Official
PERMIT EXPIRATION DATE(90 days from approval date) ��'"°""� '�� Planning Dept. Initials
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