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Home My WebLink AboutExcavating Permit 15-G-36 1� � �u��"�� „�. , �°� ��'"f„ � ; �"� w�:�° ��µ� � , .� �� . � "EXHIBIT A" .��°'"° �� r,�� raitc%, .�„ �`°� t��;` � � ��` °� �., F` � FOR CITY USE ONLY °:"�t�;��stti�ri.' PERMIT# �� "�.�� ' s� DATE � � �� EXCAVATItVG & GRADING PERMIT Applicant: � �`�t��.. � �"��.��,��.. Phone: �'��.. .� �� ' ��.�� Project/Development Name if Applicable: Address: ��"'��'�.�M e�� w. ,�� .�,� �� ..� � .. � �� Property Owner: ��,, � �.� ��^��.�m `� �"�. Phone: ��. � �,�M� �� Address: ��"�w��",� ^��, � �"��W� Contractor: "��"�� Phane: .�_............... Address: Consultant Engineer/Surveyor: Phone: ' Address: I 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: � �� :�;�~°�w�� ,. � �^�� Estimated start date: ��^�� "'�, �, mpleti��h dat��.�.� ��" What is the type ofi material to be removed or deposited? �""'�� ,``�°'�`� What is the quantity of material to be removed or deposited? �� °��.�� What is the total area disturbed for excavation or filling? �"��'��.�� "��°� In what manner will the material be removed and/or deposited? �w��;��;; 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? i IT SHA�L BE THE RESPONSIBILITY AND THE BURDEN OF THE APPLICANT TO DEMONSTRATE TO THE SATISFACTION OF THE � CITY ENGINEER FOR THE CITY OF PRIOR LAI<E TNAT THE PROPOSED EXCAVATION AND/OR FI�LWG COMPLIES WITH THE OVERALL CITY OF PRIOR LAKE STORM WATER MANAGEMENT PLAN. SAID BURDEN SHALL INCLUDE THE FURNISHING OF a A REPORT WITH SUPPORTING CALCULATIONS OF A REGISTERED PROFESSIONAL ENGINEER. � f Will proposed excavation or deposition affect the City of Prior Lake overall storm water management plan?Yes_ No_ If yes, explain proposed efifect a � � . � "EXHIBIT A" SUBMISSION RE4UIREMENTS: 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 depasit 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 ta 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 allawed 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. I 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 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�LA EN,C�.�NEERIN,�.D �A, ENT OR ITS DESIGNATED AGENT. � � ' � � r Applicant: � � �"' f �^m �-�...�.._ Date f i Property Owner: � � Da�e ! � f I A � "EXHIBIT A" m�m�mimuuuu�mummumwiuu�wrrauwmw !�u�wu�mmw�wu�wiww�mimuuuumwtiw�u�uu �mranm��m��moro�mo�momu�m uumi �mw�m�m�mre�m�i�uwuu�muoimmmmmwu�uw� u�uuuuuuuu�mmuumwm�ium�uw�uuumwuuuuuuuumuuuuuum�uu��uuuu�u� � �� .� .��.��,� ��w�' � ��" �"��"�� ' �.'"��'� �'�� "� � II�� II��"�'°�!�i�� I��"� � ��„m�� m�,�;G��s��m�u� �+��r��°��.��u�� w��:�auP��q�ii.�re��°�sd��r a�u�� '��.��.�,��:"� �:��°��w��U'�Illl��d��.�� `��'� �;;�n(��w��ao��":�� 'ft' ��'�� .°�&�(��JE-��,.��'�� u"�„c��r��ra�r.��ph��°�t�t��c�N�;��° ��°u�r��"�G��°.��°��a t�t��;�fa�r�t��t�r��r�.8��sr��°r��.�ca� i w�w�uwww�uuw��uw�u�uuuummmu�wwuw�.muwmumw�wmwwww�wuu�wwiomumimummmmuuuuummwu mmuummumuwmiiuw�uuuuuuuuuuuuuoumouwuw�uuumuuuWmw.uu uoioiou�mwu�uumww�wuwr,uww , i noupiiiioiuuuuuuimwwµ FOR CITY USE ONLY I AUTHORIZATION OF PERMIT Financial Guarantee Amount$ '"�' Financial Guarantee Type � �� (Letter of Credit, Bond or Cash) Permit Fee$ ��µ�`�� 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 Lal<e 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 dr 'ngs. � � �� d" ��.r ��_, ,��. ENGINEERING OFFICIAL „��' '" Date �� ermit i valitl if signed by City Official PERMIT EXPIRATION DATE(90 days from approval date) Planning Dept. Initials I ( � 1 s�`� �7�� 4'" 4646 Dakota�treetke RECEIPT ��" �'a Prior Lake MN 55372 `� ° ''� 952-447-9840 ,z °:,.. ,��f��r�� ;,�, Receipt: 3288 Received Of: Date: 10/30/15 Nick Neubauer Customer: Nick Neubauer 14795 Maple Trai)SE Prior Lake MN 55372 ' Receipt ltem ' tteceipt Description GL Number Total Grading Permit 15-G-36/14795 Maple Trail S Zoning&Subdivision Fees 200.00 Receipt Total 200.00 TENDERED: Cash 200.00 Tota1:200.00 '