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Home My WebLink AboutGrading permit 15-G-37 � �� r�� City of Prior Lake �'� �� `�� 4646 Dakota Street SE �� ,� � Prior Lake MN 55372 '� �'' 952-447-9$40 ; , � ,.' '��t�r��' Received Of: Receipt: 3342 Date: 11/06/15 Richard Keeney Customer: Richard Keeney 16102 Lakeside Ave SE Prior�ake MN 55372 )teceipt item Receipt Description GL Number Tota1 Grading Permit 15-G-37/16102 Lakeside Ave � Zoning&Subdivision Fees 100.00 Receipt Total 100.00 TENDERED: Cash 100.00 Tota1:100.00 ° �r �. � „EXHIBIT A•' ' r�.. �� raalc��i`( �`�'.�-� r+; ;�: � ��' � o�� FOR CITY USE ONLY �� h �°,°�,�rn��`:�, �� PERMIT# " DATE � , � ""�"" EXCAVATING & GRADING PERMIT ,, / r g �-7r /��. Applicant: � 1 � �`'�� `` �(�yl Phane: �c�- !J �'— {/ !i�" Project/Development Name if Applicable: �' =ar rin �''� �� .-�t� ' Address: �� 2 �CP ��i�� -vP � ..._.� Property Owner: ��C- (�"`�� '�j'`� Phane: �� /@/'��,��"�` r �� `Z Address: 5��'` � Contractor: Phone: Address Consultant Engineer/Surveyor: Phone: Add ress: Emergency Contact(24 HR): Phone: Location of the Property: �� ,�; �� , L �f�" �� "� Legal Description: Will the excavation or filling be in a: Watercourse Wetland Upland � Estimated start date: ��t' g, �� 4�� '� Purpose for the proposed—�a ing or fillin �v°- Completion date: � What is the type of material to e removed or deposited? c� r `��d �w-� �s c a�.e� C ''�h What is the quantity of material to be removed or deposited? dL �� d� ' �,�c� What is the total area disturbed for excavation orfilling? �p�t bC� � �`Cr��r �;� �� In what manner will the material be removed and/or deposited? � (��.��at� 'S` What highway,street or ather public-way will material for removal or deposition be hauled�or carried? C„ta�"'c grs�(� �- "�� 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 DEMONSTRATE TO THE SATISFACTION OF THE CITY ENGINEER FOR THE CITY OF PRI�R LAKE THAT THE PROPOSED EXCAVATION AND/OR FILLING COMPLIES WITH THE OVERALL CITY OF PRIOR LAKE STORM WATER MANAGEMENT P�AN. SAID BURDEN SHALL INCLUDE THE FURNISHING OF � A REPORT WITN SUPPORTING CALCULATIONS OF A REGISTERED PROFESSIONAL ENGINEER, � Will proposed excavation or deposition affect the City of Prior Lalce 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 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 contro) plan E. Effect on existing utilities F. Application fee G. Amount of�etter 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 contro) 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�al<e/Spring Lal<e Watershed District,Scott County, M n/DOT, M PCA. 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 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 COMP�Y THEREWITH TO THE SATISFACTION OF THE CITY OF PRIOR LAK ENGINEERIN EPART . NT OR ITS DESIGNATED AGENT. Applica nt: „��. � Date � �� ' Property Owner: m.. � .�,...�.... Date � �,�r � � � � � � "EXHIBIT A" [ ��`��T-� �EF��E S��Z�'tl�� L�a°��Z�( i . � ��1��33E� �� P��t°�R'S � �`l�� This r��ic�is fia in��rrr��xc�va�c�rs�nd aper��c�rs�hey mu�t ccamp�y v�rit€� S�e�ians 216�.0�t�r 21.6�.07 c��tifl��l�SC3 t'�5�`A�"UT'�5 � �a�0 t�a�pher st��Cin� � �� Y��y '�� c��i {sar�) as��.�.r��s�-��-��€�� . C3r go�a www.gopherstateonecall.or� � 5mar�Ph�ne: http:/Imnticketentry.korterraweb.cam ( � i � FOR CITY USE ONLY � AUTHORIZATION OF PERMIT 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 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 Lal<e, 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�pplication and submitted drawings. , ENGINEERING OFFICIAL �__�-y----'� � Date �� , �J � Permit is valid if signed by City Official PERMIT EXPIRATION DATE(90 days from approval date) �- / � 1 � Planning Dept. 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