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Excavation Permit Utility Installation Permit No. 2021-EP015, UID # 4282
App. Status: ActivatedCity of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369

Kelly Matzke (612-968-3615)
 

APPLICANT

Applicant:
Name:
Chong Vang
Company:
Comcast
Company Phone:Local Phone:
(651) 387 - 4842
(651) 387 - 4842
Email Address:
chong_vang@comcast.com
Mailing Address:
4255 Lexington Ave N, Suite 100
Arden Hills MN 55126
Additional email address to notify: ssandkamp@usi-universal.com

CONTRACTOR

Contractor:
Name:
Nick Sarantos
Company:
Universal Services
Company Phone:Local Phone:
(651) 775 - 1713
(651) 775 - 1713
Email Address:
nsarantos@usi-universal.com
Mailing Address:
12151 120th St. S
Hastings MN 55033

PROJECT

Nature of Work:
Main Installation
Surface to be disturbed:
Boulevard
Work to start on or after: 02/17/2021
To be completed on or before: 12/31/2021
Applicant Project No.: Comcast JB-558739

INSTALLATION / CONSTRUCTION

Provide a detailed work description: 
Pulling fiber through existing conduit, place new vault/pedestal.
Attach detailed plan sheet:
Size and kind of pipe: 
1.5" HDPE
Depth from surface: 36"- 48"
Length of utility construction: 4
Method of installation:
Hand Dig
Development: Existing

LOCATION

Location/Address: 63rd Ave. N, Wedgewood Rd.(Yucca Ln.)
Mark the location of the installation
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TRAFFIC CONTROL

Will traffic control be necessary? Yes

TRAFFIC CONTROL PLAN

Attach Traffic Control Plan:

Invoice #3764 (02/05/2021)

Charge Cost Quantity Total
Grand Total
Total $0.00
Due$0.00
Action: Print  

SPECIAL PROVISIONS

It is assumed that the proposed work will not impact pedestrian traffic along the existing sidewalks/trails. If the proposed work will impact any pedestrian facilities, an updated traffic control plan will need to be submitted and approved.

Any proposed work and/or traffic control placed within County right-of-way (i.e. - Bass Lake Road) will need approval by Hennepin County.

Approvals

ApprovalSignatureOptions
ApplicantChong Vang - 02/05/2021 4:02 PM
b4f29c6bcbc9eba431f3f55cb8e8e423
dd85b99550eb49f2374943bb4dc6814d		 
#1 Right of Way Technician ApprovalKelly Matzke - 02/09/2021 9:18 AM
926fdb9cf42de37d59d8aaa16ea55560
b3c3d173b1e4b097853276589be8f5c9		 
#2 Traffic Operations Engineer ApprovalJohn Hagen - 02/09/2021 10:45 AM
c7733a0be5ca799f18300923387f8f2b
6ab446cf49935942ab40604f503da372		 
Application has been approved. All signatures have been obtained.
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