HomeMy WebLinkAboutExcavating & Grading Permit 16-G-16 "EXHIBIT A" 3q5
• FOR CITY USiiGNLY
PERMITS I /W G —
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DATE II, IZ
EXCAVATING&GRADING PERMIT
Applicant: #1 ,46t Latters 1X/f Phone: i/7-22/-/G5'-,
Project/Development Name if Applicable:
Address: 355-5
,x/ 1�y,� 1�(- l .S�✓Property Owneerqr: 1 RC1"`l et— `ur'/wf-se 4 Phone:n � 611? X 22/-&5-4)
Address: 37_3 �kgfl S Com Sri/ FrY1A LI rn Lvu /-1-z nu)L . coni
Contractor: Phone:
Address:
Consultant Engineer/Surveyor: Phone:
Address:
Emergency Contact(24 HR): Phone:
Location of the Property:
Legal Description: LOT 1/j gee K Z/ Ai'2LLc "L /7741/
Will the excavation or filling be in a: Watercourse Wetland Upland
Purpose for the proposed e cayating or filling: 44-9//,44/6
Estimated start date: 7///JI/C! Completion date: 7//,17/Co
What is the type of material to be removed or deposited? SfN/l/Caw tee k1 BL4Ck - 6/L
What is the quantity of material to be removed or deposited? yb C/
What is the total area disturbed for excavation or filling?fei00 SF
In what manner will the material be removed and/or deposited? &Se-kr 7d pef10E/ Yu,wP/�t f',a --s?a 40,40_7-
What highway,street or other public-way will material for removal or deposition be hauled or carried?J/5tiN/2,{.S/6t V0.
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 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 X
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 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,MPGA.
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 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 PRA
OR LAKE ENA EERING DEPARTMENT OR ITS DESIGNATED AGENT. �7 /
Applicant: �r /Date 7 -//,
Property Owner: A. L.„6 -- Date 7-7 -/L,
"EXHIBIT A"
IMPORTANT-BEFORE STARTING WORK
EXCAVATOR AND OPERATOR'S NOTICE
This notice is to inform excavators and operators that' ,=_,at co .,.o with
Sections 2160.03 to 2160.07 of MINNESOTA STATUTES
Call Gopher State One
Call(300)252-1166 or 651-454-0002
Or go to www.gopherstateonecall.org
Smart Phone: htto://mnticketentry.korterrasveb.com
FOR CITY USE ONLY
AUTHORIZATION OF PERMIT
Financial Guarantee Amount/9 $ Financial Guarantee Type
Permit Fee$ L OV (Letter of Credit,Bond or Cash)
Liability Insurance provided? D Yes Jo (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 - /3- rC
Permit is valid if signed by City Official
PERMIT EXPIRATION DATE(90 days from approval date) /0 —/3 _/4ianning Dept.Initials
M s
CERTIFICATE OF SURVEY v 32- 5275- 13
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DESCRIPTION
I hereby certify that this survey, plan, or Lot 11, Block 2,
report was prepared by me or under my direct MAPLE GLEN 5TH ADDITION
supervision and that I am a duly Licensed Scott County, Minnesota
Land Surveyor under the Laws of the State
of - a, Plat bearings shown
M,, o Denotes iron monument set, or see note.
' g' rl1`_— /` Ray H. Brandt • Denotes iron monument found
Date 02iAugust 2013 Reg. No. 8140
Existing El. Proposed-
BRANDT ENGINEERING & SURVEYING, LLC
1713 Southcross Drive West, Suite A
3urnsville, MN 55306
(952) 435- 1966 M32-5275-1J
. „ 4a
City of Prior Lake RECEIPT
,0),*. ,,,,71, 1,.. 4646 Dakota Street SE
Prior Lake MN 55372
952-447-9840
4.0°ll'''.y,ESts"4
Received Of: Receipt: 6152
Michael Luurtsema Date: 07/12/16
Customer: Michael Luurtsema
3353 James Court SW
Prior Lake MN 55372
Receipt Item Receipt Description GL Number Total
Grading Permit 16-G-16/3353 James Court SW
Zoning&Subdivision Fees 200.00
Receipt Total 200.00
TENDERED: Checks 3959 200.00
Total:200.00
Susan Zick
From: Dale Stefanisko
Sent: Friday,July 08, 2016 8:33 AM
To: Susan Zick
Subject: FW: 3353 James Ct SW- Grading Permit Application
Attachments: Grading Permit App.pdf; Lot Survey.pdf
fyi
From: Mike L[mailto:mluurts@gmail.com]
Sent: Friday,July 08, 2016 6:47 AM
To: Dale Stefanisko<dstefanisko@CityofPRIORLAKE.com>; Nathan Briese<NBriese@CityofPRIORLAKE.com>
Subject: 3353 James Ct SW-Grading Permit Application
Dale and Nathan,
Attached is the grading permit application that Dale directed me to submit. I apologize for not submitting this
in advance of the project starting. When I researched whether a permit was required, I assumed that it wasn't
because the wall is less than 48" tall. Dale explained that a grading permit is required because we are disturbing
more than 500sf of turf to install the wall. I also attached a site survey, that I marked up to show the silt fence
and retaining wall locations.
A brief description of what we are doing: We have a steeply sloped backyard, that has been problematic to
maintain. It's very difficult to mow safely, and during large rain events the hillside erodes. Our solution is to
install a small retaining wall toward the bottom of the hill, and raise the grade slightly to create a more gradual
slope. This should allow us to safely maintain the slope, and prevent washout during large rain events.
Please let me know if a hard copy of this application is required, and if so, where should I submit it? I can drop
it off this morning on my way to the office if necessary.
Thanks gentlemen, and have a good weekend.
Thanks,
Mike Luurtsema
612-221-1650
1