AF-LA - 46649'`� �, � 5 z � !a � �,I,w � �� �;� ,
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Receipt # � ���
Fee: $ /���� C��41C �60����
i�e�,�. '� Fe e � � �c�, r.� �
45��.�y ���� ��°°� CITY OF FRIDLEY
LAND ALTERATION PERMIT
APPLICANT � YPR�(SS D&�S-[. oPi`t �r�" 8r �i��ac�-v Go .
�,� Ne... 64
Effective 10/7/93
Tel. # 78�/ -d o �C3
, Address S' �' 3 S C 6�lan,�i �� Q G..v ��!� M�1 c-� y.3 y
PROPERTX OWNERS
NAl`� CYP�'&SS ��V�Gor°ryi�a�& 2���9"Y ro � Tel. #� tH-d o�3
Address 5��''� �
NAME %3rPo.rso� .Q�c�so� � Tel. #
Address
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c E� � �ft�f � �2 . � . .
LEGAL D�ESCRIPTION OF PROPERTY � ' '
Lot �— 3 Block l� Addition �� L L �'d ��� / n�"�� d:es �. �(�� i
z�l_ �p-Z,�- .3�- �� 13 �
DESCRIPTION OF L,AND ALTERATI4N
�Va1ue of Work: $ 9 9. o a a Starting Date: 9 Z c Completion Date: � o� � s
Source and Composition of Fill: /Zasc�v�e.� � C c.da� s�aN.r� (N �7, Soo c Y) 1=i�� O�+�T
DN—S/� G'2�o�n1G ��►+ a o omo G Yi �'xcfav�ar�otil
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PURPOSE OF LAND ALTERATION
C Q��9'1� S�6 —'uNli' Tdw�/HaHS6 PR oJ �CP —�/LLl�l�Np T�w�NOi"IErS
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ATTACHMENTS 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 �nished contours and evaluations.
[ J Drainage plan showing existing and proposed dra.inage structures, sta.bilization walls, ret�ining walls,
cnbbing, dams, or other protective items.
[] Calculations for and approximate quantities of excavation and/or fill required.
[] Signed statement from the property owner accepting responsibility for the operatian and granting
permission for land alteration/mining operation. � �
[] Statement to be attached 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 Distnct Approval.
[ ] Soil Borings
� ) Other _ �`i•.Q� �� �.'te ,c;,�.�1,�c �.,f�.� ,�' 1,�� l, /`�f � ��'72 �S�
/'`PCCa-cl�.-rc, �� PG�pvc.� � � �
✓ ✓
�%'� ��'eo /�'c.7�e� Seue� d- STIPULATIONS , / �/
J � � S� rr�. �/°�'� e.�-^ � r.�s �G //�cl cos� cler th ,, j� ers�. •"�
READ BEFORE SIGNING APPLICATION
1. .� surety. bond or..certified check in t.�ie amount of $��o o O -(�%, of value. of vitork to be
completed) must be submitted after approval of applieation and prior to any work commencing. This
bond or check is to ensur� sat�sfactory perforanance and complianc� with th� belaw stated
stipulations. The surety bond or cheak 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 Ci�y.
2. All access and street frontage of the land alteration site must be controlled by a fence, a minunum
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 lunited to daylight hours and shall not interfere with the health and sa.fety of
surrounding residents and the premises shall be maintained at all times so as not to create a
nuisance.
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StIPl11c1tlOI1S COII1]IIUP,C�
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 shaIl; 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 expiration 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 noti�ication by the City.
� lic��t's ' ir� �
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' P,.operty Sign,
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Property Owner's S gn
FOR �ITY �JSE��iONI;Y'
Recommended for Approval By:
Approved By:
PERMIT EXPIRATION DATE: �%�� � _
Date: � �
Date: � �j' / !
Date: � '� �
Date:
Date: ���
���i � ��, y.�� � .. � � ��4 5�.� , �4.. / s� �-�_- a�.� .;� �i� .s ��-. � f s��� i/ � 2
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LAND ALTERATION PLAN-CHECKING FEES
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SOCubicYardsorLess ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, NoFee
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.
100,001 to 200,000 Cubic Yards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $165.00
for the first 100,000 cubic yards plus $9.00
� for each additional 10,000 cubic yards or
fraciian ihereof.
200,001 Cubic Yards or More . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $255.00
� for the 5rst 200,000 cubic yards plus $4.50
for each additional 10,000 cubic yards or
fraction thereof.
� LAND AI:TERATION� G�tADING PERMrT FEES� .
50 Cubic Yards or Less . . . . . . . . . . . . . . . . . . . . . . . $ 40.00
51 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.
.1,001 to 10,000 Cubie Yards� . . . . . . . . � : . . . � . . . . � . . . . . . : . . . . . . . . . . . . . . $ �67.00 � . � .
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 l0,OQ0 cubic yards or
fraction thereof.
9/09/94
DESCRIPTION OF MARKETABLE AREA (after plat is recorded)
Lots 1,2 and 3, Block 1; HILLWIND TOWNHOMES according to
the plat on file and of record in the Office of the County
Recorder, Anoka County, Minnesota.
Subject to easements of record.
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