AF-LA - 43939�
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Receipt # -- ��
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Fee: $ �
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CITY OF FRIDLEY
LAND ALTERATION PERMIT
��- !1�
Effective June 8, 1995
APPLICANT �Q✓� / �'.S�/� �32 — � C N � � L�:l �� y Tel. # � �� °'g ��?
Address � l � 2 cl' � `�� �l� � � �� ` �
,G��e �� L J�1�, 3'5��� °l
PROPERTY OWNERS
NAME S�� G 1� S�� c� t! t�'- Tel. #
Address
NAME
Address
Tel. #
LEGAL D�SCRIPTION OF P1tOPERTY ' .
Lot Block Addition C U�� E�
�.ddress: �( X X � G'� L � C C-h/�2�A �- A (:� � > � c. -- �g`�J �h�'0.� %Je i� -LG . '!
DESCRIPTION OF LAND ALTERATION
Value of Work: $ Starting Date: � Completion l�ate:
5ource and Composition of Fill:�,S' ��� .� L� c1 d�f �17� �-
. _,�
PURPOSE OF LAND ALTERATION
7Tc� L E-v �L �'�o� �--�7-v So �o �s � �� /.� � /�� �'L`��
ATTACHMENTS TO APPLICAT[ON
t �,
Tl�e following plans, drawings, calcuiations, bonds and/or statements may be required by the Public Works
Department:
] Half-section map or sketch of property showing all adjacent property indicating the existing buildings
and/or structures.
� Grading plan showing existing and proposed �nished contours and evaluations.
[� ] Drainage plan showing existing and proposed drainage structures, stabilization walls, retaining walls,
cnbbing, dams, or other. protective items.
[ I] Calculations for and approximate quantities of egcavation and/or fill required.
Signed statement from the properiy owner accepting respons�bility for the operation and grantui�
permission for land alteration/mining operation.
Statement to be attached to deed advising of potential need for soil tests prior to any construc�on
on lots where additional fill material has been placed
Rice Creek Watershed District Appraval.
Soil Borings
Other
STIPULATIONS
READ BEFORE SIGNING APPLICA�'ION
1. . A surety bond or certified check in the amount �of $-� - � � (5% of value of work to b�
coffipleted) must be submitted after approval of application and prior to any work commencing. This
bond or check is to en`sure satisfactory � performance �and compliance with the below state�
stipulations. The surety bond or check shall be kept active until the completion of work and/or
expiration of permit and can only be released by written notification of the City after a satisfactory
final inspection has been performed by the City.
2. All access and street frontage of the land alteration site must be controlled by a fence, a minimum
of four (4) feet in height All entrances must have gates that are capable of being locked.
3. Only rock, sa.nd, gravel, dirt, or snnilar natural earth fill is permitted. No concrete, asphalt, oa�
demolition wastes will be permitted as fill unless a demolition landfill permit is first obtained from
Anoka County.
4. Operations shall be limited to daylight hours and shall not interfere with the�health and safety �f
surrounding residents and the premises shall be maintained at all times so as not to crea�e �
nuisance.
- �. _
�-.
Slipulations Continued
5. Any explosives �ised must be done sv in accordance with Ctiapter 212, subsections 212.07.SA, .�I3,
.SC, .SD, and .SF. of the Fridley City Code and any other applicable standards, e.g. Federal, State,
Industrial, etc.
6. At the end of each season's operations and no later than the last day of December each year, the
site is to be left in a neat and orderly condition, with maximum slopes of 2:1 with no overhang or
vertical banks and with a level bottom.
7. On the Friday of each work week, or when required by the City, material from this operation that
is found to exist on City streets shall be cleaned to the City's satisfaction by the applicant
8. Upon completion of land alteration operations, the land must be left according to the plans and
contours submitted with this application and planted with suitable vegetation to prevent erosion.
9. Upon completion of land alteration operations or elcpiration of this permit, an inspection will be
made by the City of the premises and adjoining streets. Any damage found to have been caused by
these operations will be corrected by the applicant upon notification by the City.
ApplicanYs
Signaturs
`
Property Owner's
FOR CITY USE ONLY
Date• � /— ��' � �
Date: � ( ° � �' � �
Date: i /'- � � � ,�
R�coffimended for Approval y: Date:
Approved By: I�atea J� � ��
�`ERMIT EXPIRATION. DATE: � � � �
�
LAND ALTERATION PLAN-CHECKING FEES
�0 Cubic Yards or Less . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . No Fee
51 to 100 Cubic Yards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 15.00
101 to 1,000 Cubic Yards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 22.50 �
1,001 to 10,000 Cubic Yards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 30.00
10,001 to 100,000 Cubic Yards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 30.00
for the �rst 10,000 cubic yards plus $15.00
for each additional 10,000 Cubic Yards or
fraction thereof.
100,001to200,000CubicYards ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, $165.�
for the frst 100,000 cubic yards plus $9.00
for each additional l0,OQ0 cubic yards or
fraction thereof.
200,001 Cubic Yards or More . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $255.00
for the first 200,000 cubic yards plus $4.50
for each additional 10,000 cubic yards or
fraction thereof. .
LAND ALTE�tATIO�N GRADING PERMIT FEES �
50 G�bic Yards or I.ess . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . $ 40.00 ....
51 to 100 G�bic Yards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4750 '
101 to 1,OQ0 G�bic Yards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �
47.50 �
for the fust 100 cubic yards plus $10.50 for
each additional 100 cubic yards or fraction
• thereof.
1,001 to 10,000 Cubic Yards . . . . . . . . e . . . a . e . . . . . . . . . . . . . . . . . . . . . . . . . $167.00
for the fust 1,000 cubic yards plus $9.00 for
. each additional 1,OQ0 cubic yards or
� fraction thereof.
10,001 to 100,000 Cubic Yards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $273.00
� for the fust 10,000 cubic yards plus $40.50
for each additional 10,000 Cubic Yards or
fracfion thereof.
100,001 Cubic Yards or more . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $662.50
for the �rst 100,000 cubic yards plus $22.50
for each additional 10,000 cubic yards or
fraction thereof.
Apr-14-99 09:54A Pioneer Engineering 1
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�AND SURVEYORS • GiV�� Enc,mcuio
2422 Enterpri�e Oriva
Mendoto Heiqhls, MN 95120
(612) 681-1914 FAX:681-9488
� L�ND pLANNERS • LANDSCAPE ARCMITECIS 62S Hiqhwa 10 N.E.
eng neer ng e�o,��. �N �s434
* ,* (612) 783-1880 FAX:783-1883
* �[ �
certifica te ot' survey ior: PREFERRED B U�LDERS
House Address: �
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* eoo.o Denates Ex(stfng Efavotion �owest Floor Elevotion: 898.3
o�.o.� Denotes Proposed Elevctlon �op of Block ElevetJon: 9ab.�i
..—••.. Denotes �rait�r�ge Flow i�lt�ct[oq- _
�� �9�ROt09 Dratnage dc Ut(flty Eosement G�r�g� Slab E1ero-�at#�a:-�.:Q.6._ iat door)
NOTE: P�oposed buAdnq aila q►o0�nq_ia in octordonte rith lhe
��+ Denetes Monument qrodinq plons approve0 by the c(Ir enqineu.
-� Denotes Offset Jron Beorings shown are ossumed NOTE: Controelor mu�l �►��r ai d�meo:�oo� e a►��e.or d��9�•
LOT' . ,2 , BLOCK = EVERETT ADDIT�ON
ANOKA COUNTY, MINNE50TA
We hereby cerlity lhot this survey, plon or �eport was prepored by me or under my direcl supervision ond thot I a duiy ►icensed
Lond Surveyor under the tows o( tha Stote of MinnBSOto. Ooted this 1 3T� day of � A.D. 19�
Signed: PIONEER ENGINEERING, P.A.
Scale: 1 � = 34� gY �
Robert B. Sikich, L.S. Reg. No. 14 91 or
155d 19134500 MLH Terrence E. Rothenbocher, L.S. Reg. No. 20595
1'-_ .