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Home My WebLink AboutGrading Permit 15-G-30 _ — _ ��;�� City of Prior Lake �'`,� > � 4646DakotaStreetSE RECEIPT �� ` �� Prior Lake MN 55372 � �'- 952-447-9840 , �� ,x '��''�'t,,'�� . -:�-.c �..--� Received Of: Receipt: 2469 Drawn By Nature Date: 08/05/15 Customer: Drawn By Nature v f�ecetp�ltern '.Recetpt#3escrlpf�on Grading Permit ��` � � �GLJ�tUrriber � �.��a� Grading Permit#15-G-30 � �� Zoning&Subdivision Fees 200.00 Receipt Total 200.00 � TENDERED: Cash , 200.OG Total:200.00 1 �� I i - ! f � � � I i � ( I _ i I � I DA7E TIME r�� CITY OF PRIOR LACE SCHEDULED� �— ------- INSPECTION NO � ADDRESS CONTR. OWNER PHONE NO. PERMIT NO. � � O PLUMBING RI �EwGRADIFILLING � ❑ FOOTING p {NECH RI ❑ COMPLA�NT � ❑ FOUNDATION ❑ FIREPLACE RI � � ��NG ❑ WATER HOOKUP � F�REPLACE FINAL ❑ INSULATION ❑ SEWER HOOKUP � GASLINE AIR 7ST ❑ FINAL ❑ PLUMBItdG FINAL a ❑ SITE INSPECTION ❑ MECH FINAL � � . COMMENTS: � � � � n � h � � r � � � ❑ WORK SATISFACTORY,PROC D ORRECT ACTION AND PROCEED ❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING � � Owner/Contr. Inspector:� a9 T� CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFET'Yf IXSHOT/ "EXHIBIT A" F:�� #��,.,ti � °� �� g�U �� FOft CITY USE ONLY '�,°?�r,��,c+,t",�"`� PERMIT# .�'�,�.m. �;,�.�;;�� µ DATE EXCAVATWG & GRADING PERMIT , � Applicant: ,�� "� P'hone; �P� �. �` �� " �(,.� 't��y Project/Development Name if Applicable: Address: Property Owner: ��%�t I I� ��1� C�, Phone: �t�„� � ��.l�� t��`"�� Address: ��"�� `�� ' A � m � � �-� ��, �C m�� 1��° �1�� . � Contractor: ��" �t ��,P � �"� �,��a��'�'�f��e� Phone: "� (�- m "�'�� ""��"�� Address: �`�� La�r`t�'� �"��"��! 4,��6�� t�� . �� ConsultanfEngineer/SuCveyor: Phone: ___ __ Address: Emergency Cantact(24 HR): °�� ?,� � Phone; �C�`"� - �� °�'�� Location of the Property: l�'�� ;`p�y �- �� ,p �°p� ��,�� ,�� '�/'�� "�°,�. �� Legal Description: I Will the excavation or filling be in a: Watercourse Wetland Upland '"�` Purpose for the proposed excavating or filling: �c� �•� �� c:;��, Estimated startdate: ( �/�l./ �.,`� ~-�� Completion date: �;" �.0 �~ � � What is the type of material to be removed or deposited? �'� �� ° � What is the quantity of material to be removed or deposited? �� q�,, ��, What is the total area disturbed for excavation or filling? `��0�1� �� In what manner will the material be removed and/or deposited? %� �a��y p, �" �°..y� �L;��,�""` 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 obstructed? IT SHALL BE THE RESPONSIBILITY AND THE BURDEN OF THE APPLICANTTO DEM,ONSTRATE 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 REFORT WITH SUPPORTING CALCULATIONS OF A REGISTERED PROFESSIONAL ENGINEER. Will proposed excavation or deposition affect the City of Prior Lalte overall storm water management plan?Yes� No Ifyes, explain proposed effect � �1b'�� d�e�a �� C`�� p"�"' �.p�r q,��(` ��p�-pr�� r',r� ��T'�, C��eg�,� �r�`�'. I "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 inciuding 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 contro) 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. Remova) 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 fina)grading inspection at (952)447-9830 prior to release of grading security. I. Additional Conditions: THE UNDERSIGNED NEREIN CERTIFYTHATTHEY HAVE READ SECTION 706 OF THE CITY CODE AND ACCEPTTHf TERMS AND CONDITIONS TO THE ISSUANCE OF THIS PERMIT AND AGREE TO FULLY COMPLY TNEREWITH TO THE SATISFACTION OF THE CITY OF PRIOR LAKE E INEERING DEPARTMENT OR ITS DESIGNATED AGENT. �.-.,M � " � .�_ � � Applicant: Date Property Owner: Date � I � "EXHIBIT A" " �� ' �� . � � ��ta � �� "��;��s��°��t��w��a,��re��m°��r��wvm��m 5�^��ir�r��.��.��.�'�7��'��"��'��'�� IQW�� .�.��a��"�a'�-��°��3� ��vuu�ar.��d��rs3��r��c��.c�r� ��°��, ht��:�.��r��ick��r�fir�.ks�rt�rr��v�b,�c�� w!wuwmuwwuwuuuuuuuuuuuuuuuuuuummw.�wmuwuw�u�mwiw�w�w wwwwuuuwiwuuww��wwummuumu �umwu�u�wmw�uuwmuwmwmwumm�uw�uoi FOR CITY U5E ONLY AUTHORIZATION OF PERMIT Financial Guarantee Amount$ Financial Guarantee Type (Le�ter 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 wark to be done as described in the above application and submitted drawings, said work to be done in accordance with this application and submitted d awings. � 'w � �,.. ENGWEERINC OFFICIAL °'� �„�°"�"""�°�"�� Date �" �� '� "�w� Permi i�s valid if signed by City Official PERMIT EXPIRATION DATE(90 days from approval date) � � ""' ��"�� Planning Dept. Initials � II