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Excavation Permit Utility Installation Permit No. 2023-EP026, UID # 5929
App. Status: ApprovedCity of Maple Grove
Engineering Department
12800 Arbor Lakes Parkway
Maple Grove, MN 55369

Kelly Matzke (612-968-3615)
 

APPLICANT

Applicant:
Name:
Kim Rakotz
Company:
Comcast
Company Phone:Local Phone:
(651) 269 - 6712
(651) 269 - 6712
Email Address:
kimberly_rakotz3@comcast.com
Mailing Address:
4255 Lexington Ave N.
Suite 100
Arden Hills MN 55126

CONTRACTOR

Contractor:
Name:
Nick Sarantos
Company:
Universal Services, Inc
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
Service Installation
Surface to be disturbed:
Boulevard
Work to start on or after: 03/06/2023
To be completed on or before: 03/06/2024
Applicant Project No.: Comcast JB0001379608

INSTALLATION / CONSTRUCTION

Provide a detailed work description: 
Comcast Job # JB0001379608 - Underground Fiber Installation: Pulling fiber through existing Comcast conduit, directional boring for placement of new 2" HDPE conduits, installing 5 new fiber vaults.
Attach detailed plan sheet:
Size and kind of pipe: 
2" HDPE - SDR11
Depth from surface: 36"- 48"
Length of utility construction: 1341
Method of installation:
Directional Bore
Development: Existing

LOCATION

Location/Address: 9200 Forestview Ln N
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TRAFFIC CONTROL

Will traffic control be necessary? Yes

TRAFFIC CONTROL PLAN

Attach Traffic Control Plan:

Invoice #5427 (02/17/2023)

Charge Cost Quantity Total
Non-Taxable
added 02/17/2023 10:54 AM

Excavation permit fee per occurance

 $160.00 x 1 $160.00
added 02/17/2023 10:54 AM

In addition to excavation permit fee (per lineal foot)

 $0.40 x 1,241 $496.40
Grand Total
Total $656.40
Payment 02/17/2023$656.40
Due$0.00

SPECIAL PROVISIONS

It is assumed that the proposed work and/or staging area will not impact pedestrian traffic along the existing sidewalks/trails. If the proposed work will do so, a revised traffic control plan will need to be submitted and approved.

Approvals

ApprovalSignature
ApplicantScott T. Sandkamp - 02/17/2023 10:55 AM
f9379fe5ac1618725b269bb5ae83404c
43edba3931756e6c7c228eadb558111f
#1 Right of Way Technician ApprovalKelly Matzke - 03/06/2023 1:38 PM
b5f458459d35b783423949458fd8fcb3
34bdab0390eee68f753f8d603eddbee6
#2 Traffic Operations Engineer ApprovalJohn Hagen - 03/06/2023 1:38 PM
a0fedbc23c3d30286764cc1e8463feb8
b5d5f53f0cf863e39ae1bd7a655939e3
Application has been approved. All signatures have been obtained.

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