AF-LA - 41673r �.
�s- 3��Z
Receipt # � �7 �.'.a
Fee: $
CITY OF FRIDLEY
LAND ALTERATION PERMIT
Effective 10/7/93
57
APPLICANT ��'1 �% � � U �U ��� Tel. # � 2� 1 a-'1 � �►
Address � � 1 j �` � 1 �- +vt � �' �' �. N t fie� � � 1 �., $ `�.� �. � 0 7 �e✓
PROPERTY OWNERS
NAME � �i � � � �✓%a r��s � �v� �5�� Tel. # q � a�.�
Address _ �Gc'� �' � �-���
NAME Tel. #
Address �
' , • • • r ra� � T t��u�croTtiniAAT l�T. DDl1DTi pTV . � . . . .
Lot � Block � Addition ���'���- � x� S
�3 -�3� - 2�1 - 2� - O O� I .
�
+� • ,
DESCRIPTION OF LAND ALTERATION � . �
Value.of Work: .$ � ��X #���0 Starting Date: �o � � Completion Date: �� �� . �
Source and Composition of Fill:� C � h ��c� � - u I° ��$ � � � � � � !��'� � 3
�� .� — , �"a � �_ a�� g � � /� � � ��l�?'� C/ � e� � � � ��.�. �� .� Cr�e2.�� w�
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� PURPOSE OF LAND ALTERATION
P`� � � � � � � �"� [d'/ �'w.� d' � �O I'°�
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AITACHMENTS TO APPLICATION
The following plans, drawings, calculations, 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 finished contours and evaluations.
[] Drainage plan showing existing and proposed drainage structures, stabilizati�n walls, retaining walls,
cn'bbing, dams, or other protective items.
[] Calculations for and apprommate quantities of exca.vation and/or fill required.
[ J Signed statement from the property oa�vner accepting responsibility for the operation and granting
permission for land alteration/mining operation.
[] Statement to be atta.ched to deed advising of potential need for soil tests prior to any construction
on lots where additional fill material has been placed.. � . .
[� �] �� Rice Creek Watershed Dis�rict Approval. ' . � . � � . . . � ,
[ ]. Soil Borings
[ ] Other
STIPULATIONS
READ BEFORE 5IGNING APPLICATION
1. .� suret� bond �or certified ct�eck in the amount of �$ � 0 4' �� � _(5% of v.alue .of ,woxk to be
� completed) must be submitted after approval of application and prior to any work commencing: This
bond or check is to ensure sa.tisfactory performance and compliance with the below stated
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. A11 access and street frontage of the land alteratio� 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, sand, gravel, dirt, or similar natural earth fill is permitted. No concrete, asphalt, or
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 of
sunounding residents and the premises shall be maintained at all times so as not to create a
nuisance.
�
�:
Stipulations Continued
5. Any explosives used must be done so in accordance with Chapter 212, subsections 212.07.SA, .SB,
.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 oompletion of land alteration operations or expiration of this permit, a� 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.
Applicant's
Property Owner's Signature
Property Owner's
FOR CITY USE ONLY
Date:� :/4 % � %?
16 /�' � �
Date:
Date: l� l � �3
Recommended for Approval B: Date:
Approved By: Date: �� / 101� .%� '�_
�
PERMIT EXPIRATION DATE:
.�
_� _
LAND ALTERATION PLAN-CHECKING FEES
50 Cubic Yards or I.ass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 first 10,000 cubic yards plus $15.00
for each additional 10,000 Cubic Yards or
fraction thereof.
100,001 to 200,000 Cubic Yards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $165.00
for the first 100,000 cubic yards plus $9.00
for each additional 10,Q00 •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 �I.TERATIOl'iT G�.RA�ING PERI.VIIT FEES � � • ' . '
50 Cubic Yards or Less . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 40.00
S1 to 100 Cubic Yards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 47.50
101 to 1,000 Cubic Yards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 47.50
for the first 100 cubic yards plus $10.50 for
each additional 100 cubic yards or fraction
� thereof. �
. . . l,oai to� ia,000�Cubic �Yards : . _ . � �.. . . ... �. . . . . . . . . : . . . . : . �. . . . . . . . . . . $167:00 . . . -
�� for the first 1,000 cubic yards plus $9.00 for
each additional 1,000 cubic. yards or
fraction thereof.
10,001 to 100,000 Cubic Yards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $273.00
for the first 10,000 cubic yards plus $40.50
for each additional 10,000 Cubic Yards or
fraction thereof.
100,001 Cubic Yards or more . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $662.50
for the first 100,000 cubic yards plus $22.50
for each additional 10,000 cubic yards or
fraction thereof.
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'� LANDSCAPE PRODUCTS 1915 Arboretum Blvd � Box 98
�ctoria, Minnesota 55386
Speclallztng fn Landscape 7lmbers, Concrete Retaining Wall Systems, Fencing, and Decking (612) 443-2808
Slnce 1975 FAX (612) 443-2017
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