Excavation Permit Utility Installation Permit No. 2019-245, UID # 3190
App. Status: Approved
City of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369

Kelly Matzke (612-968-3615)
 

APPLICANT

Applicant:
Name:
Shawn Niess
Company:
CenturyLink
Company Phone:Local Phone:
(651312 - 5389
(651312 - 5389
Email Address:
shawn.niess@centurylink.com
Mailing Address:
425 Monroe Street
Anoka MN 55303
Additional email address to notify: becky.richter@centurylink.com

PROJECT

Nature of Work:
Other
Surface to be disturbed:
Boulevard
Work to start on or after: 08/07/2019
To be completed on or before: 02/03/2020
Applicant Project No.: N,577436

INSTALLATION / CONSTRUCTION

Provide a detailed work description:
Beginning from MH 1313-HH15 in S corner of Co Rd 10 and Co Rd 101, directional bore approx 829 feet of 1.25" duct and fiber to customer conduit. Place 1 30x48x36: handhole then pull approx 123 feet of 1.25" duct with fiber through customer conduit to building.
Attach detailed plan sheet:
Size and kind of pipe:
1.25" duct
Depth from surface: 36"- 48"
Length of utility construction: 952
Method of installation:
Directional Bore
Machine excavation: No
Development: New

LOCATION

Location/Address: 18450 70th Way N
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? Yes

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. Public Right-of-Way Management Ordinance will be enforced for work being done in the right-of-way.

  • All excavations taking place in right-of-way must conform to Minnesota Statute Chapter 216D. Excavation Notice System.

  • All rules and regulations for locates must conform to the most current Gopher State One Handbook.

  • 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 Minnesota Manual on Uniform Traffic Control Devices, including the Temporary Traffic Control Zone Layouts Field Manual Temporary Traffic Control Zone Layouts Field Manual, 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 jhagen@maplegrovemn.gov or 763-494-6364

RESTORATION
  • Restoration must conform to Section 28-105. Restoration of Right-of-Way.

  • Restoration Requirements on Soft Surfaces:

    1. Turf: Hydroseeding is required unless otherwise directed by Right-of-Way Technician.
    2. Soil: Six inches of topsoil is required on all boulevards that are damaged.
    3. Sprinklers: Restore to prior condition with like materials and equipment.
    4. Pet Fences: Check for continuity after repair.
    5. Landscaping: Restore to original with like materials.
  • Removal/Restoration Requirements on Hard Surfaces:

    1. Bituminous: Shall be removed and restored in a timely matter to its original or better condition.
    2. Concrete: Shall be removed and restored in a timely matter to its original or better condition.
    3. 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.

HENNEPIN COUNTY RIGHT OF WAY
  • Since all or partial work will be completed in the Hennepin County Right of Way, you are also required to submit an application to Hennepin County.

Invoice #2794 (08/02/2019)

Charge Cost Quantity Total
Non-Taxable
added 08/02/2019 4:44 PM

Excavation permit fee per occurance

$160.00 x 1 $160.00
added 08/02/2019 4:44 PM

In addition to excavation permit fee (per lineal foot)

$0.20 x 952 $190.40
Grand Total
Total $350.40
Payment 08/02/2019$350.40
Due$0.00

Approvals

ApprovalSignature
ApplicantBecky Richter - 08/02/2019 4:44 PM
b8e1d38fdbfe2f8f907cd731af4b58e7
7d860054ed1e4c497dde1fec4f9d22b3
#1 Approved ByKelly Matzke - 09/10/2019 11:40 AM
2835cbc4a888bce03b8ed701c8a43dbe
235b00a4a3b3b673725ba5bf3736855a
Application has been approved. All signatures have been obtained.

Public Notes

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    Internal Notes

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