HomeMy WebLinkAboutGrading Permit 15-G-31 ,�.� �������a.,, City of Prior �ake RECEIPT
4646 Dakota Street SE
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f� `�°� 952-447-9840
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Received Of: Receipt: 2663
Date: 08/26/15
Brock Howard Customer: Brock Howard
Receipt ltem ' Receipt Description GL Number Totial
Grading Permit 15-G-31/3234 Kent St
Zoning&Subdivision Fees 100.00
Receipt Total 100.00
TENDERED: Checks 2219 100.00 '
Total:100.00
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"EXHIBIT A"
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'� � FOR CITY USE ONLY
4��,hn���.s�' PERMIT# �„�� °�,3 f''
- P DATE ,����
EXCAVATING & GRADING PERMIT
Applicant: �`����. � w„�r�,. t'� Phone:
Project/Development Name if Applicable:
Address: �,� � � ���+ �� � �-
Properky Owner: . t" ���v ���+���.� � Phone: ���'�,. �� � .�,.�`��
Address:
Contractor• �f�.�. � �' , �- �" � �- � �� � �"�p (
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. � .,� ����;��..� �c�,. �r u,�_� �r�m d� Phone:
Address:
Consultant Engineer/Surveyor: Phone:
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 excavating or filling: ��� c���„ -�-��� �-���.����� �,���
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Estimated start date: �ffi"���„� Completion date: � ����°��,�'
What is the type of material to be removed or deposited? ���, � �� �� ��,a.Tym �, „�
What is the quantity of material to be removed or deposited? �u ��� �� M
What is the total area disturbed for excavation orfilling? �� ��.�.�° '
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? ���`� �� �°~�s���.� ��.
What, if any,street, avenue, lane, alley, highway, right-of-way,thoroughfare or public ground will be obstructed?
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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 WITN THE
OVERALL CITY OF PRIOR LAKE STORM WATER MANAGEMENT PLAN. SAID BURDEN SHA�L 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_ I
If yes, explain proposed effect
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"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 ofthe area
C. The depth or heights to which such removal or deposition is proposed throughout the area and the propased
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. ,4pplicant 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 Lal<e 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:
TNE UNDERSIGNED HEREIN CERTIFYTHATTHEY HAVE READ SECTION 706 OF THE CITY CODE AND ACCEPTTHE TERMS AND ,
CONDITIONS TO TNE ISSUANCE OF THIS PERMIT AND AGREE TO FULLY COMPLY THEREWITH TO THE SATISFACTION OF
THE CITY OF PRIOR LAI<E ENGINEERIMG DEPARTMENT OR ITS DESIGNATED AGENT.
Applicant: Date
Property Owner: � c�� �.�:. �w ����..��� Date �'„ `"~c"� `""C ,..�
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"EXHIBIT A"
IMPORTANT- BEFORE STARTING WORK
EXCAVATOR AND OPERATOR'S NOTICE
This notice is to inform excavators and operators they must comply with
Sections 216D.03 to 216D.07 of MINNESOTA STATUTES
Cal)Gopher State One
Call(800)252-1166 or 651-454-0002
Or go to www.�opherstateonecall.or�
Srraart Phone: http://mnticketentry.korterraweb.com
FOR CITY USE ONLY
AUTHORIZATION OF PERMIT
w���.u��. ,��
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 Lal<e 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 worlc to be done in accordance
with this application and submitted drawings.
ENGINEERIN6 OFFICIAL � '� -�— ��`" Date °�` � �
Permit is alid if 'igned by City Official
PERMIT EXPIRATION DATE(90 days from approval date) '��� �d� ����� Planning Dept. Initials
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:IUN AS YBDVIDED: � , � .:�� • .. ' 'i t sz6�
Block 29,� SP�nB i,sice ToWusite,e �o�yPthe.0 tE�th�'tlie �nd.�C+*in.o 1J2 A:f ti2e � � �� � �
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• itit3t Lot 'i,Y $lOceC 2�,Sgrin,p LsKe.Tttwn6s.Gta Fxa.Gpti.og xberefrot0 ttsltt . ?
:sig aester�.Y o£ �Yte foilo�i.-Lg described .t3zie: ,. � �
�8 a� �he c�rthwest corner of Lot A, -B2oak 23, �Fx'� �atcg Tn�rnsi,te; � �
:au:rty, t3innesaEa thence aorth aloAg the norfit�erly e�cEecis�an uf the .�
r .Llsse of said Lot 4, a distatiee of:16.04 �a6rt to tbe eat�ls ].irie oY I.ot
� 29, of sa2d plat;. ttsencs detlec}ttinB 9:0.;,:�t#;''.I�f`t a� en aagle af 30 �
t76 ma.nutes 00 geoands a daete�ue� of 'SY}��ie�.-siore ar ].eas to the ' li
ie o� Prior La7ce aud there �ermivati[�. . . , � � :• .
>etbe,: tt3th Lot h: BI.ack 24 ahd��.Qa�et-•o£?..�ia:.��13�i'v<lv3.aa�b4t+rer�,t1�e f
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