Excavation Permit Utility Installation Permit No. 2018-027, UID # 1519
App. Status: Restoration Required
City of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369

Kelly Matzke (612-968-3615)
 

APPLICANT

Applicant:
Name:
jane Brown
Company:
Telcom Construction
Company Phone:Local Phone:
(320365 - 0086
(320365 - 0086
Email Address:
jane.brown@telcomconstruction.com
Mailing Address:
PO BOX 189
Clearwater mn 55320

PROJECT

Nature of Work:
Service Installation
Surface to be disturbed:
Boulevard
Work to start on or after: 03/20/2018
To be completed on or before: 08/06/2018
Applicant Project No.: 17229100

INSTALLATION / CONSTRUCTION

Provide a detailed work description:
Plow 250 feet of 1s fiber, including two bores under driveways at 10862 and 10882 Lancaster LN N from ped to house.
Attach detailed plan sheet:
Size and kind of pipe:
1s fiber
Depth from surface: 36"- 48"
Length of utility construction: 250
Method of installation:
Other
If other is selected, please provide additional information:
Plow and bore
Machine excavation: Yes
Development: New

LOCATION

Location/Address: 10892 Lancaster LN N
Mark the installation/construction
location on the map:
Mark the location of the installation
How to use:
1. Use only one option (dot, line, or polygon)
2. Made a mistake? Click on feature and press delete key.
Will traffic control be necessary? No
Will any excavation be taking place on Hennepin County right-of-way? No

Terms

ACTIVATION REQUIRED
  • Contact Kelly Matzke at (612) 968-3615 at least 24 hours prior to construction to activate permit. Failure to contact Mr. Matzke to activate permit prior to work being started shall be considered a violation of the permit and grounds for dismissing contractor from the job site.

GENERAL
  • Article IV. [url=https://www.municode.com/library/mn/maple_grove/codes/code_of_ordinances?nodeId=COOR_CH28STSIOTPUPL_ARTIVPURI-WMA]Public Right-of-Way Management Ordinance[/url] will be enforced for work being done in the right-of-way.

  • All excavations taking place in right-of-way must conform to [url=https://www.revisor.mn.gov/statutes/?id=216D]Minnesota Statute Chapter 216D. Excavation Notice System[/url].

  • All rules and regulations for locates must conform to the most current [url=http://www.gopherstateonecall.org/images/GSOCHandbookOnlineVersion.compressed.pdf]Gopher State One Handbook[/url].

  • Flagging or painting of route required by City of Maple Grove prior to calling in Gopher State One Call ticket.

  • All properties affected by excavation and construction must be notified in writing prior to beginning work.

  • The permit issued does not in any way imply an easement on private property or grant a right to encroach on private property.

  • A City of Maple Grove right-of-way approved permit shall be on site at all times and available upon request by any City official.

  • Safety vests must be worn by all people occupying the right-of-way.

CONSTRUCTION
  • All underground utilities must be placed a minimum of 36” and 48” maximum below finished top of curb elevation.

  • New ground structures must be placed near existing structures at a minimum of at least five feet away from hydrants.

  • Vehicles, equipment, and materials are not allowed on any sidewalk or trail unless prior approval has been granted by a City of Maple Grove official.

  • Notify Kelly Matzke at 612-968-3615 of any changes or revisions made to right-of-way permits that have already been approved by the City of Maple Grove.

  • Street crossings must be installed perpendicular to the road to avoid future potholing in street.

  • Plowing and pneuma gophering are not acceptable forms of excavation allowed in the City of Maple Grove.

  • Core drilling in street or trail requires approval prior to doing work.

  • All open trenches and holes must be backfilled before leaving work site at the end of the day.

  • All flags from locates must be removed and picked up immediately once excavation has been completed.

  • Inclement weather shall be reason for delay of the project start or suspension of the project as determined by the City of Maple Grove.

TRAFFIC CONTROL
  • All permit applications requiring traffic control shall conform to the most recent version of the Minnesota Manual on Uniform Traffic Control Devices [url=http://www.dot.state.mn.us/trafficeng/publ/mutcd/index.html] Minnesota Manual on Uniform Traffic Control Devices[/url], including the Temporary Traffic Control Zone Layouts Field Manual [url=https://www.dot.state.mn.us/trafficeng/publ/fieldmanual/fieldmanual.pdf] Temporary Traffic Control Zone Layouts Field Manual[/url], and be approved by the Transporation Operations Engineer.

  • The City of Maple Grove only allows traffic control to occur during off peak hours, which is between 9:00am-3:00 pm Monday thru Friday.

  • Traffic control on weekends requires prior approval from Transportation Operations Engineer John Hagen. John can be reached via email at [url=mailto:jhagen@maplegrovemn.gov]jhagen@maplegrovemn.gov[/url] or 763-494-6364

RESTORATION
  • Restoration must conform to [url=https://library.municode.com/mn/maple_grove/codes/code_of_ordinances?nodeId=COOR_CH28STSIOTPUPL_ARTIVPURI-WMA_S28-105RERI-W]Section 28-105. Restoration of Right-of-Way [/url].

  • Restoration Requirements on Soft Surfaces:
    a. Turf: Hydroseeding is required unless otherwise directed by Right-of-Way Technician.
    b. Soil: Six inches of topsoil is required on all boulevards that are damaged.
    c. Sprinklers: Restore to prior condition with like materials and equipment.
    d. Pet Fences: Check for continuity after repair.
    e. Landscaping: Restore to original with like materials.

  • Removal/Restoration Requirements on Hard Surfaces:
    a. Bituminous: Shall be removed and restored in a timely matter to its original or better condition.
    b. Concrete: Shall be removed and restored in a timely matter to its original or better condition.
    c. Driveways: Notify Right-of-Way Technician of any damage and address with homeowner.

  • All disturbed areas during excavation must be restored to their original condition within 30 days.

  • Damage on boulevards due to vehicles and equipment must be restored and treated the same way that excavation damage is restored.

  • Work completed in winter months must notify City with plans for restoration to take place in the spring.

  • Once restoration has been completed, contact Kelly Matzke at (612) 968-3615 or change status on permit software so an inspection can be completed in a timely manner. Failure to notify the City will result in all permits with the City of Maple Grove being put on hold until notification takes place.

ADDITIONAL INFORMATION
  • All contractors, including subcontractors, must be registered with the City of Maple Grove to do work in the right-of-way. Contractors doing work in the right-of-way that are not registered with the City will be considered in violation, and will be dismissed from the work site until registration is completed.

  • Absolutely no removal of bituminous or cement is allowed during winter working months without approval.

Invoice #1249 (03/07/2018)

Charge Cost Quantity Total
Non-Taxable
added 03/07/2018 11:00 AM

Excavation permit fee per occurance

$130.00 x 1 $130.00
added 03/07/2018 11:00 AM

In addition to excavation permit fee (per lineal foot)

$0.20 x 250 $50.00
Grand Total
Total $180.00
Payment 03/07/2018$180.00
Due$0.00

Approvals

ApprovalSignature
ApplicantJane M. Brown - 03/07/2018 11:00 AM
0a39ea38f58b2c76fc5f101b8efb9778
29f69bf8e2f93cf84b3cb9627860f20d
#1 Approved ByKelly Matzke - 03/20/2018 8:34 AM
b3ae22103bd5ee748fa426d8971fd647
afb6c19911e7ccbed76b56a15114455a
Application has been approved. All signatures have been obtained.

Public Notes

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    Internal Notes

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