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Home My WebLink AboutExcavating & Grading Permit 16-G-2 't "EXHIBIT A" rxx . CL%0 & la 44- �ZZo 2/ , f FOR CITY USE ONLY PERMIT# ' DATE 2-/g-/6 EXCAVATING & GRADING PERMIT 5 .4.ay e LA \\ dike s -41F; -•?;97) %Applica ,/ e_C ,i'0/YI /1 15SC.40I4 Phone 6501 - 2--) 6'3& gProject/Development Name if Applicable: 774A 477( °Address: 30,31 - /'/9 '''6 Cr f/P/)“-VA/1.,Ey/ Mn 5 /2-- r oProperty Owner: J(„r AT//U � f/4N'4 /I,4 M 31� 7Phone: /.2 .bit—77&4 Address: ,3 e'Rb5 Sr A(k, �i��c2 A /�1/16-6-g7')-- •Contractor: ‹.---S- p c.. t,w1 1.15 Phone: C 52_ - 541-3 - 6 3 Fe) Address: Consultant Engineer/Surveyor: Phone: Address: °Emergency Contact (24 HR)`. M71 k �Rr t Sell 6.9-74 27.) Phone: q_s, - ‘ 9 - � -(1 7-- ',Location of the Property: /77--9'c/ _s“.,I Ei -rre StO F/Llorc LI< I4'lkr CS-.3? D-- Legal Description: Will the excavation or filling be in a: Watercourse Wetland Upland V Purpose for the proposed excavating or filling: L4nc‘S c 6z,p i j1 Estimated start date: 41141/ ,-,2_ 141 a Clomp etion date: 4 — 3 4,9/CS What is the type of material to be removed or/deposited? /t; // GKSf 02e` c,' I1/tne,q! G S What is the quantity of material to be removed or deposited? /art` /L F/ ( 73e l r r r) 730v—e-Qae E. 4 US What is the total area disturbed for excavation or filling? -4,4Cie G� '2/) 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? What, if any, street, avenue, lane, alley, highway, right-of-way,thoroughfare or public ground will be obstructed? /Ic,,c) 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 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 deposition affect the City of Prior Lake overall storm water management plan?Yes_ No V If yes,explain proposed effect ot "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 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. 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 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 final grading inspection at (952)447-9830 prior to release of grading security. I. Additional Conditions: t))(raz- y2cc�(s) /1-) >L `/F AiC>"2-- j 7 C-L_ ASk k-0f=C fe />4C K i f 3 1--1 LC 5 - ,4 ,4 cc_ t.L:.4 C L C'c'u 72 Lt c r D 3v S p �+fa i w�l 115 c ri r ( ( nt4�'E i c LA-4 e/' / 7/31 1( apt b NO Y Y' e x Cece�c�l VF:" tai /l erI 4i, S c THE UNDERSIGNED HEREIN CERTIFY THAT THEY HAVE READ SECTION 706 OF THE CITY CODE AND ACCEPT THE TERMS AND CONDITIONS TO THE ISSUANCE OF THIS PERMIT AND AGREE TO FULLY COMPLY THEREWITH TO THE SATISFACTION OF THE CITY OF PRIOR LAKE ENGINEERING DEPA • ENT OR ITS DESIGNATED AGENT. Applicant: ' `' /L.t �1 iDate Property Owner: Date "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 Call Gopher State One Call (800)252-1166 or 651-454-0002 Or go to www.gopherstateonecall.org Smart Phone: http://mnticketentry.korterraweb.com FOR CITY USE ONLY AUTHORIZATION OF PERMIT Financial Guarantee Amount$ Financial Guarantee Type (Letter of Credit, Bond or Cash) Permit Fee $ /00100 Liability Insurance provided? ❑ Yes' f4(o (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 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 drawings. ENGINEERING OFFICIAL Date 2 Permit is valid if signed by City Official PERMIT EXPIRATION DATE (90 days from approval date) 3-7-19-16 Planning Dept. Initials a "EXHIBIT A" _ ,44J / 3k• 4,-L, k,i',-_- ) i3cozi::.,Q 0.14I-Ls iQor To r:4-,1,-- , - --- . 33 I -c*D,= 11/4 Hill4Yr, *191-C PAVP-A it/41-14AAry6 Ar-r ri, 1364:...74r:i:11....7.: ,0111)//::A:Co/664 4.-rh:0_6:7131 4- --.,... Z.=21"174-79-" -----1, ---- ------- ----- R=161,60 't 6L10 ; IF 59.91 \ -------__ - _ _ • ‘ • -„, . ..., . 1 • . 1 7 ,,_ f D I P f- • ', • . , \ • , . • • - . - \ . ------„,..„,„. • .. • „ OD 03 • -. ;- .c-‘1.1F\\S- ' ' 1,-' . ., ' - '' • . , ------ - 7 . . . . . .., • ria'25 — ' --- 20 B O. 52 c4-r AA 9 `4 fLOOR mAtt4 L 1.1 :31 03 '11.0 Gc+?1 Gb a n AK20.91-4°°R igri 1 9 4 Z. EXISTING kl i2.4 GARAGE 7 aIv tis.1L3.6W..:°T .,-- V (jtCr 4' ' wi 0 woo°wrairk 1" ?PSI° .• 1--2-1151-r5 84 GAS E ' • :, OS-1)"1"D fit 40.4tv f I, . lik kr--• 11\ i , • •0 ' 11P ttilklwerlt-e tr,--r- It . , 1 lira vs +.1116.444 0 • 114*ow., q I . \\ 1 • Apo'Itloy...,45)1.- I A; - I _if b.-_ - . ..,.. -‘,...--:• 1:1111044444 A,4040:Ibte1/4.074 re line•lb•.4. 4162.409 a'f F-0 1 104- ' i P 5'1\5 4+8'A511 Ct te I ....0:111%,11,P111,34:414•24AZ,.47:44>V* • il? to lorlmirectrot170.._:.'4.- or m*4,7 ••• ..€14.3 ichketilkitalk.„VVV.,,, H- 904 904 36 --f-GDE 0, WATLR ---- -- _ ! t PRIOR LAKE IR f City of Prior Lake RECEIPT 4646 Dakota Street SE Prior Lake MN 55372 n` tr 952-447-9840 `tt1v/ Fc ReceivedReceipt: 4225 Of: Date: 02/22/16 Spectrum Landscaping Customer: Spectrum Landscaping 4931 149th Ct Saint Paul MN 55124 Receipt item Receipt Description GL Number Total Grading Permit 16-G-2/4633 Lords St NE Zoning&Subdivision Fees 100.00 Receipt Total 100.00 TENDERED: Checks 5229 100.00 Total:100.00