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HomeMy WebLinkAboutExcavating & Grading Permit 16-G-27 V- "EXHIBIT A" io &m S iegq A4 L. iitj g, 0 FOR CITY USE ONLY J PERMIT# --- DATE q. /9. /& 1 . EXCAVATING & GRADING PERMIT / cupt �3 1-\ a 4 —Z /12—_, �j 77 Applicant: S ` �W v\.__ `^- 6` 3 e `S Phone: ZQ 251 0 Z 3 Project/Development Name if Applicable: Address: ) H 1 1 0 Ap Ave_ M t Property Owner: S 110•.v.)1\_ vii€ r 5 Phone: 313 --z- 2_37? Address: II-1110 Asper. A U E NE Contractor: 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: I e )e_\ IPC.0(L yc.fc( Estimated start date: 10 — I — 2_0 )iA Completion date: III` I - Za// What is the type of material to be removed or deposited? top Sb What is the quantity of material to be removed or deposited? J b cu y re45 What is the total area disturbed for excavation or filling? Sbc-+ 170•N In what manner will the material be removed and/or deposited? Z,0 to-- cturnp What highway,street or other public-way will material for removal or deposition be hauled or carried? As?e1\ Aue- What, if any,street, avenue, lane,alley, highway, right-of-way,thoroughfare or public ground will be obstructed? 'Ncx•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 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 traveland 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: 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 PRIO' ENG EERING DEPARTMENT OR ITS DESIGNATED AGENT. Applicant: � ___..__.. Date 7- 7- ZC'/� . Property Owner: �—i'" -- v Date "EXHIBIT A" IMPORTANT- BEFORE STARTING WOR EXCAVATOR OR AND OPERATORS 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)2524166 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$ /40®e®® 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 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 submitt-• drawings. _. ENGINEERIN FFICI A. ,, ',& Date 9// //6 " ; it%if.. 'd'f '411c1 by City Official PERMIT EXPIRATION DATE(90 days from approval date) / /,q/( Planning Dept. Initials SURVEYOR'S: CERTIFICATE ' :GRAND OAKS DEVELOPMENT COMPANY • . Sz._I7z .4 '-' 's � ,; ...... 82 ' 172 M 0 -, ri, `NTge5203"H, • �Cti t) s ,;;( ... aro �, 2T2y4 tt...`41�- q or o (t. V a /, "_61 44.---7 '' 4-7,-;:N>...\\ —._ N ...fir jT 2 .\ o � ca , f.� 4, \s. '',....„,_,/!_Y 1) �`` 4aO., ORA/NAGEB UTILITY / hfrEASEMENT PER PLATS\--"� • N 2 i� 3,523 �� c �� 140 nO �- • .511°°6t�o k ... • -e— DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 50 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 997.5 FEET X0000 DENOTES EXISTING ELEVATION PROPOSEDFLOOR = 994.7 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOPEST OF FOUNDATION = 998.2 FEET I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT COMPANY THAT THIS IS A TRUE AND CORRECT • REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: • Lot 2,Block 2 SAND POINTE 2ND ADDITION, according to the recorded plat thereof, Scott County, Minnesota. AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. AS SURVEYED BY ME THIS 21ST DAY OF SEPT. 1982. - SIGNED: JAMES R. HILL, INC. BY: 4Z•elei...e - HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NO. 12294 -• PROJECT NO. . BOOK / PAGE JAMES R. 'HILL, INC. 8226e Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Btootnington,Mn. 55431 812-884-3020 t - . rt ., City of Prior Lake 0 ` *P 4646 Dakota Street SE RECEIPT °I.. r Prior Lake MN 55372 t 61,' 952-447-9840 Receipt: 6913 Received Of: Date: 09/19/16 Shawn Lamers Customer: Shawn Lamers 14110 Aspen Ave NE Prior Lake MN 55372 I�e pt lteT '1 it >:'• ,1pt Descriptiona L Number .Total Grading Permit 16 " -24/14110 Aspen Ave NE f n /_/ 111 Zoning&Subdivision Fees 100.00 `r lJ Receipt Total 100.00 TENDERED: Checks 199 100.00 Total:100.00 Susan Zick From: Nathan Briese Sent: Monday, September 19, 2016 9:33 AM To: Susan Zick Subject: Re: Excavating Permits Shawn lemers is good to go. l 111111.1=1.1.1.1.1111110111111111111111 Sent from my iPhone On Sep 19, 2016, at 9:30 AM,Susan Zick<szick@cityofpriorlake.com>wrote: 1) Z1=0.11 2) Shawn Lamers, 14110 Aspen Ave NE 160 cubic yards to level backyard? (he sent check with application) 3) <image001.png> Susan Zick Development Services Assistant City of Prior Lake 14646 Dakota Street SE I Prior Lake, MN 55372 Direct: 952.447.9830 I Main: 952.447-9800 1