City of Maple Grove

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Excavation Permit Utility Installation Permit No. 2021-EP065, UID # 4420
App. Status: ApprovedCity of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369

Kelly Matzke (612-968-3615)
 

APPLICANT

Applicant:
Name:
Fong Yang
Company:
Xcel Energy
Company Phone:Local Phone:
(763) 228 - 6699
(763) 228 - 6699
Email Address:
fong.yang@xcelenergy.com
Mailing Address:
825 Rice Street
Saint Paul MN 55117

CONTRACTOR

Contractor:
Name:
Brian Gordon
Company:
Michels Pipeline
Company Phone:Local Phone:
(612) 363 - 6913
(612) 363 - 6913
Email Address:
bgordon@michels.us
Mailing Address:
14450 Northdale Blvd
Rogers MN 55374

PROJECT

Nature of Work:
Main Installation
Surface to be disturbed:
Gravel
Work to start on or after: 07/01/2021
To be completed on or before: 03/31/2022

INSTALLATION / CONSTRUCTION

Provide a detailed work description: 
Joint trench backbone for new subdivision.
Attach detailed plan sheet:
Size and kind of pipe: 
4" PVC conduits
Depth from surface: 36"- 48"
Length of utility construction: 4200
Method of installation:
Directional Bore
Hand Dig
Open Trench
Joint Trench (Xcel Energy)
Other
If other is selected, please provide additional information: 
Installing new 45/2 pole in ROW for new subdivision.
Development: New

LOCATION

Location/Address: 10036 Nathan Ln, Maple Grove
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TRAFFIC CONTROL

Will traffic control be necessary? No

Invoice #3902 (03/24/2021)

Charge Cost Quantity Total
Non-Taxable
added 03/24/2021 10:53 AM

Excavation permit fee per occurance

 $160.00 x 1 $160.00
added 03/24/2021 10:53 AM

In addition to excavation permit fee (per lineal foot)

 $0.20 x 4,200 $840.00
Grand Total
Total $1,000.00
Payment 03/24/2021$1,000.00
Due$0.00

Approvals

ApprovalSignature
ApplicantFong Yang - 03/24/2021 10:54 AM
a9955520cd085fb083b757d72434b60b
e5307aa1f228f7493a6d72e2d317487e
#1 Right of Way Technician ApprovalKelly Matzke - 05/03/2021 8:11 AM
3d4903f5aea342591b3390946b3ae9ba
f8c1cb6179ba6db4575c2095cd576591
Application has been approved. All signatures have been obtained.

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