Excavation Permit Utility Installation Permit No. 2022-EP308, UID # 5642
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:
Alexys Ann Erickson
Company:
Triple E Water and Sewer
Company Phone:Local Phone:
(763207 - 8068
(763207 - 8068
Email Address:
lexy@eee-ws.com
Mailing Address:
5232 Hanson Ct N
Crystal MN 55429

CONTRACTOR

Contractor:
Name:
Alexys Ann Erickson
Company:
Triple E Water and Sewer
Company Phone:Local Phone:
(763207 - 8068
(763207 - 8068
Email Address:
lexy@eee-ws.com
Mailing Address:
5232 Hanson Ct N
Crystal MN 55429

PROJECT

Nature of Work:
Service Installation
Surface to be disturbed:
Bituminous
Boulevard
Work to start on or after: 08/17/2022
To be completed on or before: 08/29/2022
Applicant Project No.: 4090

INSTALLATION / CONSTRUCTION

Provide a detailed work description:
14820 91st Ave N Replace sanitary sewer service line from house to city main via directional drill with excavation at city main with a depth of 17.5' 14840 91st Ave N Replace sanitary sewer service line from house to city main via directional drill with excavation at city main with a depth of 17.5'
Attach detailed plan sheet:
Size and kind of pipe:
4" HDPE
Depth from surface: Other, I will describe below
If other is selected, please provide additional information: 17
Length of utility construction: 80
Method of installation:
Other
If other is selected, please provide additional information:
directional Bore
Development: Existing

LOCATION

Location/Address: 14820 91st Ave N
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TRAFFIC CONTROL

Will traffic control be necessary? Yes

TRAFFIC CONTROL PLAN

Attach Traffic Control Plan:

Terms

DEFINITIONS
  • Public right-of-way. "Public right-of-way" means the area on, below, or above a public roadway, highway, street, cartway, bicycle lane, and public sidewalk in which the local government unit has an interest, including other dedicated rights-of-way for travel purposes and utility easements of local government units. A public right-of-way does not include the airwaves above a public right-of-way with regard to cellular or other nonwire telecommunications or broadcast service.

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
  • (1) Article IV. Public Right-of-Way Management Ordinance will be enforced for work being done in the right-of-way. (2) All excavations taking place in right-of-way must conform to Minnesota Statute Chapter 216D. Excavation Notice System. (3) All rules and regulations for locates must conform to the most current Gopher State One Handbook. (4) Excavations taking place in the Maple Grove city limits in the Hennepin County right-of-way requires permits from the City of Maple Grove and Hennepin County. (5) All properties affected by excavation and construction must be notified in writing prior to beginning work. (6) The permit issued does not in any way imply an easement on private property or grant a right to encroach on private property. (7) A City of Maple Grove Excavation Permit shall be on site at all times and available upon request by any city official. (8) Safety vests must be worn by all people occupying the right-of-way.

CONSTRUCTION
  • (1) All underground utilities must be placed a minimum of 36" and 48" maximum below finished top of curb elevation. (2) Any placement of utilities, including but not limited to cabinets, boxes, and pedestals must conform to city code. (3) Absolutely no removal of bituminous or concrete is allowed without prior approval from the City of Maple Grove. (4) Core drilling is not allowed in street, sidewalk, or trail without prior approval from City of Maple Grove. The City of Maple Grove does not allow core drilling to take place in ped ramps. (5) Vehicles, equipment, and materials are not allowed on sidewalks, trails, or ped ramps at any time unless the contractor performing work has exhausted all other alternatives, including, but not limited to lane closures, boulevard parking, etc. If it has been determined that all alternatives have been exhausted, permission must be obtained from City representative before proceeding to use sidewalks, trails, or ped ramps. (6) Any changes or revisions to the Excavation Permit after approval must be resubmitted and approved before proceeding with work in the right-of-way. (7) Street crossings must be installed perpendicular to the road to avoid future potholing in street. (8) Plowing and pneuma gophering are not acceptable forms of excavation allowed in the City of Maple Grove. (9) All open trenches and holes must be backfilled before leaving work site at the end of the day. (10) All flags from locates must be removed and picked up immediately once excavation has been completed. (11) 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
  • (1) All permit applications requiring traffic control shall conform to the most recent version of the Minnesota Manual on Uniform Traffic Control Devices, including the Temporary Traffic Control Zone Layouts Field Manual, and be approved by the Transportation Operations Engineer. (2) 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. (3) All traffic control devices must be removed from the job site promptly upon completion of work. (4) 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
  • (1) Restoration must conform to Section 28-105. Restoration of Right-of-Way. (2) 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. 3) 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. (4) Restoration Requirements in areas where core drills were approved. (a) Bituminous: Core drills in bituminous paths are replaced at width of path (example: 8 foot wide path is replaced 8'x8' per core). (b) Concrete: Core drills in sidewalks require a minimum of two panels to be replaced per core to assure base has been properly reestablished. (5) All disturbed areas during excavation must be restored to their original condition within 30 days. (6) Damage on boulevards due to vehicles and equipment must be restored and treated the same way that excavation damage is restored. (7) Work completed in winter months must notify City with plans for restoration to take place in the spring.

ADDITIONAL INFORMATION
  • (1) 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. (2) Absolutely no removal of bituminous or concrete is allowed during winter months.

MISCELLANEOUS
  • By submitting this application, I (applicant/company) hereby acknowledge that I must adhere to all provisions of City of Maple Grove Code and all applicable ordinances, including statute 237.162 and 237.163 in addition to the terms and conditions which are attached to this document. The applicant shall also comply with the regulations of all other governmental agencies for the protection of the public.

Invoice #5125 (08/17/2022)

Charge Cost Quantity Total
Non-Taxable
added 08/17/2022 9:55 AM

Excavation permit fee per occurance

$160.00 x 1 $160.00
Grand Total
Total $160.00
Payment 08/17/2022$160.00
Due$0.00

Approvals

ApprovalSignature
ApplicantAlexys A. Erickson - 08/17/2022 9:56 AM
2415c9d27998dd7e34ffac78807e4fd5
4f4b1ec134e70615de1159a9892053ff
#1 Right of Way Technician ApprovalKelly Matzke - 08/19/2022 2:52 PM
cc57d882f6a70986d464e1fbe05504ca
856d88c4dceba8ee69a07961998b6045
#2 Traffic Operations Engineer ApprovalJohn Hagen - 08/19/2022 2:53 PM
2828b209efd4a7788fbd6b4777b82a96
9c3572678f2936434e581e5c12245c50
Application has been approved. All signatures have been obtained.

Public Notes

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    Internal Notes

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