HomeMy WebLinkAboutMaple Beach Resort_37000320180000_Conditional Use Permits_06-11-2003(o-)^-20O5
931L03
OFFICE OF COUNTY RECORDER
OTTER TAIL MINNESOTA
I hereby certify that
this instrument #__
was fiied/recorded in this office
for rec^d on the day of
2003 at_Sl30aiTi/^mN
Wendy LUMetc^lf, County Reorder
by: ^
j-O ■ lX>cP^ recording fe^-^
^ weii certificate
THE ABOVE SPACE IS RESERVED FOR THE COUNTY RECORDER
APPLICATION FOR CONDITIONAL USE PERMIT
COUNTY OF OTTER TAIL
121 W JUNIUS SUITE 130, FERGUS FALLS, MN 56537
(218)739-2271
“‘COMPLETE THIS APPLICATION IN BLACK INK***
/ . Receipt Number /
/!"A/AJ PAlJi^ ~ daytime phone
^55^sa sr. PjhA/y\o ‘fyiAi S(^67iL
Application Fee
PROPERTY OWNER
ADDRESS
/-1 (^nLAKE NUMBER LAKE NAME LAKE CLASS
TOWNSHIP /34 RANGE ^lUJi^T TOWNSHIP NAME<3^SECTION
235,?;^ ^Vff^ M m2,7-<^oc- sa-o m - OOPPARCEL NUMBER E-911 ADDRESS
LEGAL DESCRIPTION PART GL 2 COM NE COR LOT 23 BLK 1 STONY BAR ESTATES W 1254' N 154.2' TO BG E 1056'TO SHORE LN NWLY ALONG SHORE LN TO W LN GL 2 S TO BG EX TRS EX PLATTED
N
CONDITIONAL USE PROJECT REQUESTED (Please circle the appropriate request)
(1) Topographical Alteration (ji)c2nm2ci2us^ (3) Cluster Development (4) Extractive Use (5) Industrial Use
(6) Forest Land Conversion (7) Miscellaneous
EXPLAIN YOUR REQUEST (gUvlfmndj)
do Yx^i'fiLcsh ‘b I \ 5 ^<x v[ kd~i^c^
CbttcuJiecP kind Prapev
periY\;f fw under !o^. (5ci3 dispense'' H ^
PtnaJiexL io ck. Doc<. c2i> /-.v»<£_^ io:i\ be bu,^uU^ uhder^roHKci ^ ex(^f/> p
I UNDERSTAND THAT APPROVAL OF THIS REQUEST APPLIES ONLY TO THE UM OF THE LAND. J
Lidi'o locc't'eT Ic or\
VO he re .-h rtens on fh(Z.
I ALSO UNDERSTAND THAT OTHER PERMITS MAY BE REQUIRED, IT IS MY RESPONSIBILITY TO
CONTACT LAND & RESOURCE MANAGEMENT REGARDING THIS MATTER.
SIGNATURE OF PROPERTY OWNER DATE
APPLICANT MUST BE PRESENT AT THE HEARING(Applicant Will Receive Notification As To The DateATime Of Hearing)
BK-0600-006 305,909 • Victor Lundeen Co., Printers • Fergus Falls. MN • 1-800-346-4870
Date Of Planning commission Hearing
Planning Commission Motion
June 11, 2003:
Motion: A motion by Boyer, second by Maske to approve as presented.
7^
Chaifman/otter Tail County Planning Commission
County Board Action
Approved As Recommended
Denied As Recommended
Other
Chairman/Otter Tail County Board of Commissioners Date of Final Action
L & R Official / Date 'CONDITIONAL USE PERMIT#
Permit(s) required from Land & Resource Management
Yes (Contact Land & Resource Management
Copy of Application Mailed to Applicant And MN DNR __
^ Ci.
No
\J&R Official / Date ^
A U^sj^/
;
OTTER TAIL COUNTYi.
Conditional Use Permit #Owner’s Name ^ ii)ft>.Vt3
6Veyys^ U$S€^_______________________
Sec. 3^ Twp. Range Twp.Name ^clcc^Location: Lake No.
3~7-c?oc?- 32^-01 ?<D~ooQ
^ 2~ • ■ •
Work Authorized; cms^^cA si^ iiooq (CllcV) T Q/tf(W) So^(^ of
jo Vv/(y<fi-r 4-k<l^c ^ U(/rf>>. (9^:> u/tCT G-g-
-h (N (f^oo<C » U<\g$ /o ^
1 f-f h;»a5 rVt ctocic'.
-••:C; 6-4(03 Expires;Issued:
Land and Resource Management Olficial
1. Earthmoving shall be done between
2. Entire area shall be stabilized within 10 days of the completion of any earthmoving.
3. Owner is legally responsible for all surface water drainage that may occur.
4. No fill shall enter or be taken from the beds of a public water without a valid permit from the State of Minnesota Department of
Natural Resources.
5. If the terms of this permit are violated the entire permit may be revoked and the owner may be subject to legal prosecution.
6. This card shall be placed in a conspicuous place not more than 4 feet above grade on the premises on which work is to be done,
and shall be maintained there until completion of such work.
7. NOTIFY DEPARTMENT OF LAND AND RESOURCE MANAGEMENT, TELEPHONE (218) 739-2271, WHEN AUTHORIZED
WORK HAS BEEN COMPLETED.
&
!I
BK-1099-046
208.111 • Vidor LtrtMT Co., Pfirtwt • Fergui F«Bi. MX • l-BOO-348-4870
OTC Board of Commissioners’ Minutes
June 17, 2003
Page 4
split and SE% & Lot 3 ex plat ex tr, Section 1 of Otter Tail Township; Buchanan Lake
(56-209).
Preliminary Plat - “The Highlands’’/Daryl & Marie Tysdal, Dan Sillerud:
Motion by Lee, second by Mosher, and unanimously carried to approve the Preliminary Plat
known as “The Highlands” consisting of 30 lots for single family residential use with
conditions as recommended by the Planning Commission. The property is described as E1/2
SW% ex trs, WA SE% ex tr NW% SW% ex trs & GL 3 ex trs & ex platted. Section 20 of
Aurdal Township; Non-Shoreland.
Preliminary Plat - “Ellingson’s Addition’YDr. R. P. Ellingson:
Motion by Mosher, second by Froemming, and unanimously carried to approve the
Preliminary Plat known as “Ellingson’s Addition” consisting of 7 lots for single family
residential use with conditions as recommended by the Planning Commission. The property
is described as pt NWVi com SE cor...(7.95 acres) & E 260’ of S 1162’ of SE% NW% (6.94
acres). Section 3 of Clitherall Township; West Battle Lake (56-239).
Conditional Use Permit - Robert & Loreli Westby:
Motion by Mosher, second by Block, and unanimously carried to amend Conditional Use
Permit #6033 to allow a maximum of a 3’ x 5’ sign as recommended by the Planning
Commission.
Conditional Use Permit - “Babe’s Resort”/Todd Colliton & Thomas W. Hanson:
Motion by Nelson, second by Froemming, and unanimously carried to deny a Conditional Use
Permit to mount a gutted out single engine airplane on a storage building as recommended
by the Planning Commission. The property is described as Pt of GL 5..., Section 2 of
Perham Township; Little Pine Lake/Mud Lake (56-142/56-222).
Conditional Use Permit-Zion Evangelical Lutheran Church:
Motion by Lee, second by Block, and unanimously carried to approve a Conditional Use
Permit to build a new church on parcel 17-000-2203-01-006 per the revised request and with
acknowledgement that the drainage easement conditions recommended by the Planning
Commission had been met through the purchase agreement presented by the church. The
property is described as Pt GL 5 & 6...(5.69 Acres), Section 22 of Dunn Township; Elbow
Lake/Franklin Lake (56-774/56-759).
Conditional Use Permit - Ann & Gene Davis (Lessee: Paul Evenson):
Motion by Lee, second by Nelson, and unanimously carried to approve a Conditional Use
Permit to construct a site for an above ground gas tank for the sale of gas to water traffic on
Lake Lida as presented. The property is described as Pt. of GL 2...(14.59 Ac), Section 32 of
Lida Township; Lake Lida (56-747).
Conditional Use Permit - Fred & Mary Manuel:
Motion by Lee, second by Mosher, and unanimously carried to remove dirt/fill from in front of
walkout basement to the west of the house as presented in their modified request and with
conditions as recommended by the Planning Commission. The property is described as
Lakewood Point Lot 3 BIk 1, Section 2 of Dunn Township; Little Pelican Lake (56-761).
Planning Commission,
June 11,2003
Page 4
Ann & Gene Davis (Lessee: Paul Evenson) - Approved As Presented:
A Conditional Use Permit Application stating; “Construct site for an 1100 gallon gas tank
(above ground) for the sale of gas to water traffic on Lake Lida (proper permit to bore
under St. Hwy. 108 is available for viewing at Land & Resource Mgt. Office). Gas
dispenser will be attached to a dock. All lines will be buried underground, except where it
runs on the dock.” The property is described as Pt of GL 2 ...(14.59 AC), Section 32 of
Lida Township; Lake Lida (56-747), GD.
Gene Davis & Paul Evenson represented the Application.
Motion: A motion by Boyer, second by Maske to approve as presented. Voting: All
Members in favor.
Fred & Mary Manuel - Approved With Conditions:
. A Conditional Use Permit Application stating: “Permit requested to move 150 cubic yards
of dirt from in front of walkout basement to west of house as detailed on scaled drawing
(drawing available for viewing at Land & Resource Mgt. Office). The cut will be 60’ wide
by 50’ long by 80’ with a maximum depth of 4’. The fill will be 72’ long by 65’ wide with a
maximum depth of 2’. Both the cut & fill will blend in with the existing terrain.” The
property is described as Lakewood Point Lot 3 BIk 1, Section 2 of Dunn Township; Little
Pelican Lake (56-761), RD.
Fred & Mary Manual represented the Application. Mr. & Ms. Manual requested the
Commission consider a modification to their request. They requested to landscape
(install a 3 to 1 slope) in order to eliminate the retaining walls.
Motion: A motion by Schwartz, second by Maske to approve the revised request as
described at the meeting, with the following conditions: 1. The Applicant must provide
Land & Resource Management a drawing of the revised plan for their review and
approval. 2. Appropriate erosion control measures must be implemented. 3. Land &
Resource must verify that there are not any wetlands onsite. 4. The existing boathouse
must be removed. Reasons for approval include they own the adjacent lot which allows
the reshaping, the aesthetics will be improved as viewed from the lake and that the
majority of the fill will be placed in the area for the driveway. Voting: All Members in
favor, except Zimmerman (stated that the house is not designed to fit the lot).
Dead Lake Township - Approved As Presented:
A Conditional Use Permit Application stating: “Widen existing roads (Govern Road and
Govern Trail) to provide 30’ subgrade with 3:1 inslopes within public right-of-way.
Aggregate base and bituminous paving. Approximately 4,000 cubic yards excavation.
On-site wetlands inspection conducted on Friday, May 16, 2003 with Kyle Westergard,
OTC Land & Resource Mgt., and Shelley Becklund, EOT SWCD. One page Public Road
Maintenance Notice Form was filed on May 19, 2003 with BWSR.” The request includes
Govern Road from 360*^ St., S & W through cul-de-sac (0.4 mile) & Govern Trail from
Govern Road, E through cul-de-sac (0.6 mile). Sections 25 & 26 of Dead Lake Township;
Dead Lake (56-383), NE.
Jeff Stabnow (Project Engineer) represented the Application.
Motion: A motion by Bergerud, second by Boyer to approve as presented, reason for
approval being that the sight distance will be improved. Voting: All Members in favor.
OTTER TAIL COUNTY PLANNING COMMISSION
NOTICE OF PUBLIC HEARING
APPLICANT: Ann & Gene Davis
23532 St. Hwy 108
Pelican Rapids, MN 56572
Lessee: Paul Evenson
835 1®'St SW
Pelican Rapids, MN 56572
HEARING DATE/LOCATION: June 11, 2003 at 8:30 P.M. **
Commissioner's Room,
Otter Tail County Courthouse
(Use Law Enforcement Entrance, West side of Courthouse)
121 W Junius
Fergus Falls, MN 56537
CONDITIONAL USE PERMIT APPLICATION REQUEST (AS STATED BY THE APPLICANT):
Construct site for an 1100 gallon gas tank (above ground) for the sale of gas to water traffic
on Lake Lida (proper permit to bore under St. Hwy. 108 is available for viewing at Land &
Resource Mgt. Office). Gas dispenser will be attached to a dock. All lines will be buried
underground, except where it runs on the dock.
LAKE NAME/NUMBER/CLASS: Lake Lida (56-747), GD
E-911 ADDRESS: 23532 State Hwy 108
LEGAL DESCRIPTION: Pt of GL 2 ...(14.59 AC), Section 32 of Lida Township
** Weather Conditions may change the Hearing date and time. If bad weather occurs, please listen to the local Fergus
Falls Radio Stations or contact the Land & Resource Management Office, by 4:30 p.m., for possible rescheduling of the
Hearing.
The above Applicant has made Application to the Otter Tail County Planning Commission
for a Conditional Use Permit as per the requirements of the Shoreland Management
Ordinance of Otter Tail County. Details of the Application are available for viewing at the
Land & Resource Management Office, 121 W Junius Suite 130, Fergus Falls, MN 56537.
Any comments regarding this request may be expressed at the Hearing or mailed to the
Land & Resource Management Office at the above address.
INDIVIDUALS REQUIRING SPECIAL ACCOMMODATIONS SHOULD CONTACT THE
LAND & RESOURCE MANAGEMENT OFFICE PRIOR TO THE HEARING.
Bert Olson May 28, 2003
Chairman Planning Commission Mailing Date
f
/320 . '^o/sns o n
y
'\
1 Ii
\✓
! !C2£p 11
I I
. iI
-L//?/?^^ /!4/
(Z3)
i' ^so-.‘ I Sol Ii. '-.Ui so 'So/7
oc r• • • /£}0
\y to^->^ord O. f '/drna 3c.r!^Ison^l(■
Q
(Tg)y
'\\
*«1 i J
> ^
V /\V{
i \
V'\V/2/V.
'I
K
;/(J52)v»
yV-0, i/26 /^//7^/tr /^(fCrS a r?.•\
X'(7^-u^s
i Q
V *
/lo feet.inch(es) equalsfeet, or.grid(s) equalsScale:
Please use this sheet for the required scale drawing of your proposal. Be sure to include lot dimension, water
frontage, and setbacks from RW, lake, lot lines, sewage system, top of bluff, existing structures and all imper
vious surface.
Required impervious surface coverage calculation (See definition in Shoreland Management Ordinance)
%X 100 =
Total Lot Area
(FT2)
Total Impervious
Surface Onsite
(FT2)
w X
wd
U I
S
Site of IldO 75h^
C'x S 'x jh ). s;ze
Jpo'
Signature Dated
304.678 • Victor Lundeen Co., Printers • Fergus Falls, MN • 1-800-346-4870BK — 0500 — 029
May 15 ’05 y:ziy K.ui/u^
■ «M
Minnesota Department of Transportation
RW Permits
1000 West Highway 10
PH; 218-847-1587
FX: 218-847-1544
MiiDOT District 4
Promt James UtechtPAUL 0/ENSONTk
PagM: 2 INCLUDING THIS ONEFax: 218-863~422S
BMe: May 15.2003nwMw; 218-731-1838
Utility Permit 4A-UL-2003-1198 CC:Rm
□ Urgant 0 For Ravlaw □ Plaasa Commant □ Plaaaa Ra|>ty □ Ptaasa Racyda
Paul, this is regarding Utility Permit 4A4JL-2003>11d8. There is a $2,000 deposit
needed. This can be in the form of a Money Orcter, Cashier's Check; Certified
Check, or Surety Bond, made out to the State of Minnesota-Commissioner of
Transportation. I am including a sample Surety Bond. The deposit is returned to you
when the project is compile and all affected Right-of-Way is restored to MnDOTs
satisfaction. Please mail the deposit to MnDOT RW Permits, 1000 West Highway 10,
Detroit Lakes, MN 56501. If you have questions or comments you can contact me at
218-847-9321.
dangerous to the life or safety of the public and which requires
immediate repair. The utility upon knowledge of such an emergency
shall immediately notify the State Patrol Division. The utility shall take
all necessary and reasonable safety measures to protect the traveling
public and shall cooperate fully with the State Patrol Division to that end.
The utility in such an event will request a work permit from the office of
the assistant district engineer, maintenance, not later than the second
working day thereafter when a work permit would ordinarily have been
required but for the emergency.
MINNESOTA RULES
1983
Adopted as of July 31, 1983
UTILITIES EQUIPMENT
8810.3100 DEFINITIONS.
Subpart 1. Interstate highways. Under this order "interstate highways"
shall mean ail trunk highways which are a part of the interstate system.
Subp. 3. Orders to make improvements. If at any time the state of
Minnesota, acting through its commissioner of transportation, shall deem
it necessary to make any improvements or changes on all or any part of
the right-of-way of trunk highway which affect a utility located on trunk
highway right-of-way, then and in such event, the owner of the utility
shall within 15 days after written notice from the commissioner of
transportation or his duly authorized agent, proceed to alter, change,
vacate, or remove said utility from the trunk highway right-of-way so as
to conform to said trunk highway changes and as directed by the
commissioner of transportation. Such work shall be done without any
cost whatsoever to the state of Minnesota except as otherwise provided
by law or agreement and shall be completed within the date specified in
said written notice, which date shall be reasonable under the
circumstances. The utility shall assume all liability and save the state of
Minnesota harmless from any and all claims of damage of any nature
whatsoever occasioned by reason of not having removed said utility
within the time specified in said notice. Notwithstanding the provisions
of pans 8810.3100 to 8810.3600. the state may reimburse a municipaliU'
for the cost of the first relocation of a municipally owned utility located
within the limits of a municipal street at the time that the street was taken
over by the State as a trunk highway, when such relocation is required
by construction or reconstruction of the trunk highway.
Subp. 2. Noninterstate highway. Under this order "noninterstate
highways" shall mean all trunk highways which are hot a part of the
interstate system.
Subp. 3. Trunk highways. Under this order "trunk highways" shall
mean all trunk highway including those which are a part of the Interstate
system.
Subp. 4. Utility. Under this order "utility" shall mean and include all
privately, publicly, or cooperatively owned communication lines and
facilities, any systems, lines, and facilities for the distribution and
transmission of electrical energy, oil. gas. water, sewer, steam, and
other pipe lines, railways, ditches, flumes, or other structures which
under the laws of this state or the ordinance of any village or city may be
constructed, placed, or maintained across, along or on trunk highway
right-of-way. Dependent upon the meaning intended,in the context,
"utility" shall also mean the utility company, inclusive of any wholly
owned subsidiary.
Statutory Authority: MS §161.45
8810.3200 PURPOSE AND SCOPE.
Subp. 4. Along interstate highways. Utilities along interstate
highways shall be located outside the control-of-access lines except as
outlined below. Where the control-of-access lines coincide with the
riaht-of-way lines, the utilities shall generally be located on private
property. Where the control-of-access lines and right-of-way lines ao
not coincide, utilities may in general be located in the area between
them. All utilities shall be serviced and maintained without access from
the ramps, loops, and through traffic roadbeds. Utilities may be serviced
from frontage roads and roads other than another interstate highway
whicn cross either over or under the interstate highway. At aerial
crossings of an interstate highway, supporting poles may be located on
interstate highway right-of-way if they are a minimum of 30 feet beyond
the shoulders of all through traffic roadbeds: however, in no event snail
they be located in a median unless its width is 80 feet or more.
Manholes and other points of access to underground crossings may be
permitted on the interstate highway right-of-way only when located
outside the shoulders of the through traffic roadbeds, loops, or ramps.
The restrictions of this subpart shall not apply to utility tines wnich
service facilities required for operating the interstate highway.
Subparti. Purpose. The purpose of parts 8810.3100 to 8810.3600 is
to carry out the mandate of the legislature and to effectuate that
mandate as set forth in the Laws of Minnesota 1959. chapter 500, article
II. section 45 {Minnesota Statutes, section 161.45) with reference to the
placing, constructing, reconstructing, and maintaining of utilities across,
along, upon or under the right-of-way of trunk highways.
Subp, 2. Scope. The scope of parts 8810.3100 to 8810.3600 is
confined within the framework of and consistent with the Laws of
Minnesota 1959, chapter 500, article II, section 45.
Statutory Authority: MS §161.45
8810.3300 PERMITS.
Subpart 1. Construction. Except as otherwise permitted, utility
construction and relocation on trunk highway right-of-way shall not be
commenced until an application for a permit for construction has been
made and such permit granted. The permit for construction sketch shall
show the location of the proposed utility with reference to pertinent
features such as the right-of-way lines, curb lines, trunk highway center
line. etc. A copy of the sketch shall be provided for each copy of such
permit. Prints of trunk highway right-of-way maps available upon
request from the Road Plans Information Office, Department of
Transportation Building, Saint Paul, Minnesota 55155.
There may be extreme cases where, under strictly controlled conditions,
a utility may be permitted inside the control-of-access lines along an
interstate highway. In each case there must be a showing that any
other utility location is extremely difficult and unreasonably costly to the
utility consumer, that the installation on the right-of-way of the interstate
highway will not adversely affect the design, construction, stability, traffic
safety, or operation of the interstate highway and that the utility can be
serviced without access from through traffic roadbeds, loops, or ramps.Subp. 2. Maintenance. The utility shall obtain a work permit from the
office of the assistant district engineer, maintenance, prior to performing
service and maintenance operations on the interstate highways and
shall also obtain a work permit prior to performing service and
maintenance operations on the noninterstate highways when such
operations require opening and disturbing the surface of the right-of-way
thereof. In all other instances the utility shall notify the office of the
assistant district engineer, maintenance, prior to performing service and
maintenance operations on the non interstate highways which interfere
with the normal flow of traffic thereon. However, the company may
perform service and maintenance operations on the trunk highways
including opening and disturbing the surface of the right-of-way without
a work permit in those instances where an emergency exists that is
Subp. 5. Deposit, bond, or undertaking. The commissioner of
transportation may require the utility, or its cohtractor, to furnish a
deposit in the form of a certified check, a surety bond or corporate
undertaking in favor of the state of Minnesota, commissioner of
transportation, tor any expense incurred by the state in the repairing of
damage to any portion of the trunk highway right-of-way caused by work
performed under a work permit or a permit for construction, including
any out of the ordinary engineering supervision and inspection expense
provided by the state. In those instances wherein a deposit is required,
the amount of the deposit shall be specified in the special provisions of
the permit. If a check is furnished, any moneys remaining over and
normally be located in the outer five feet of the right-of-\way. At
crossings of the noninterstate trunk highway, poles shall be placed at a
minimum of 30 feet from the shoulder lines of the through roadbeds
unless right-of-way widths are prohibitive to such location.
., aoove such expense shall be returned to the applicant.
Subp. 6. Liability. Except for the negligent acts of the state, its
agents, and employees, the utility shall assume all liability for, and
save the state, its agents and employees, harmless from, any and all
claims for damages, actions, or causes of action arising out of the work
to be done herein and the continuing uses by the utility, including but
not limited to the placing, constructing, reconstructing, maintaining,
and using of said utility under this application and permit for
construction.
Unless clearly indicated on the permit for construction sketch, the
location of all brace poles, anchors, and anchor poles within the limits
of the trunk highway right-of-way shall be approved by the district
ehgineer or his authorized representative prior to actual installation.
in those instances in which a utility is issued a permit or permits for
construction on both sides of the trunk highway right-of-way in a given
area such permit is conditioned upon the utility subsequently providing
joint use to other utilities upon reasonable terms mutually agreeable to
the utilities.
Subp. 7 No easement. The work permit or permit for construction as
issued does not in any way imply an easement on private property.
Statutory authority: MS §161.45
Statutory Authority: MS §161.458810.3400 STANDARDS FOR WORK CONDUCTED UNDER
PERMIT.
8810.3600 UNDERGROUND LINES.
Subpan t. Trees, brush, and vegetation. At the time of construction
of the utility and at the times of subsequent maintenance, orlor
approval shall oe ootained from the district engineer or ms autnorizeO
representative for the cutting and trimming of trees within the trunk
nighway rigni-of-way. Wherever trees are cut the resulting stumps
shall be removeo unless otherwise orovioed in tne special provisions
of tne permit for construction. Any holes caused by stump removal
snail oe backfiliec. tne area leveiec. and all materials associatec
therewith disoosed of ouisioe tne trunk highway rignt-ot-way. The
utility snail aovise the oistrict engineer or his authonzeo reoresentative
at least 48 hours in aovance of its intent to stan clearing and grubbing
ooeraiions so that tne prooer suoervision can oe provioec.
All crossings of the roadbeds of the trunk highway shall be made by
boring inside a casing or carrier oioe. or by jacking, unless this
orocedure is modified in the soecial provisions of the permit for
construction. The auger shall not lead tne casing or carrier oipe by
more tnan one Inch. Open trenching snail be restricted to tne area
from five feet OeyonO shouloer to the right-of-way line except as
modified in tne soecial provisions of tne permit for construction.
Wnen oioes with oells and flanges are installed, the crossings of tne
roadoeos of trunk hignway snail be maoe by oorinc inside a conoui:.
as orovidec in tne orecedmg paragraph, of jacking a conduit of
sufficient oiameter to oermit threading the earner oipe through it.
-j. Burning or disking operations and/or tne use of chemicals to control or
~ kill trees, orusn. and other vegetation is prohioiteo without prior
— aoproval from tne assistant district enoineer. maintenance,LLi
Subp. 2. Waterways. All waterways and lines of orainage snail
m remain operative.
All voios causeo by jacking or boring shall oe filled by oressure
grouting. Tne grout material snail consist of a sano-cement siurr\' of at
least two sacks of cement per cubic yard and a minimum of water to
assure satisfactory placement.
C
The underground utilities shall be so installed as virtually to oreciuoe
any necessity for disturbing the roadbeds to perform maintenance
ooerations.
rr^ Subo, 3. Topsoil and sod. Wherever tobsoil and sod are disturbed
— they snail oe reoiaced and maintained satisfactorily until tne luri is
estabiisned.
Underground installations snail be accomolisned without damaging or
oestroving tne orincioai root structure of soecimen trees.Suop. 4. Existing utility facilities. The utility facility and installation
shall not interfere with any existing utility facilities on tne trunk hignway
right-of-way.Statutory Authority: MS §161.45
Subo. 5. Warning devices. When necessary, barricades, warning
devices and flagmen shall be provided by the utility during all phases
of their construction and maintenance operations on tne trunk hignway
right-of-way.
NOTE:
Subp. 6. Restoration to original condition. Upon completion of an
installation, the utility snail restore the trunk highway right-of-way to its
original condition. The utility shall then notify the office of the assistant
district engineer, maintenance, or project engineer of the completion of
the work so that inspection can be made to determine its acceptability.
As used in Minnesota Rules, Utilities Equioment, part 8810.3100
Definitions. Suopan 1, interstate highways shall include all Interstate
Highways and Federal Aid Freewavs.
Subp. 7. Confonnity. The installations shall be made in conformity
with all applicable laws, rules, and codes covering said installations.
All Installations shall be made in conformity with rules of governmental
agencies for the protection of the public.
Statutory Authority: MS §161.45
8810.3500 AERIAL LINES.
There shall be only a single pole line on the trunk highway right-of-way
on either side of the center line thereof, unless otherwise authorized in
the special provisions of the permit for construction.
Longitudinal installations on noninterstate trunk highways shall
Page 4 ,
STATE OF MINNESOTA
DEPARTMENT OF TRANSPORTATION
Utility Permit
T.H.Reference: Control Section.
Attn:
In accordance with Minnesota Statues Section 161.45,
Minnesota Ruies Section 8810, and this application
a Utility Permit for construction is granted to:
to place, construct and thereafter maintain a:
in the location shown on the sketch
which is a part of the application, or in a location specified by the Department of Transportation in the attached Special
Provisions.
on or across, the right of way of Trunk Highway No.
.day of..20.Dated thisRecommended for approval:
District/Division Representative Commissioner of Transportation
Transportation Building
St.Paul., Minnesota 55155-1899
(Date)
Approved by:
By,
Division Engineer
Federal Highway Administration
Utilities Engineer
(Date)
COPIES:
Utilities Engineer Applicant
District Engineer.Permit No.
Assistant District Engineer-
Maintenance ___________Amount of Surety Bond Required
Project engineer
MPh'D-t)! TP-02525-03 (7-00)Page 1
SUBMIT 1 (ONE)
COMPLETED FORM
WITH 4 (FOUR) SETS OF
SKETCHES TO;
STATE OF MINNESOTA
DEPARTMENT OF TRANSPORTATION
APPLICATION FOR UTILITY PERMIT ON
TRUNK HIGHWAY RIGHT OF WAY utilities Engineer - MS 678
Minnesota Department of Transportation
Transportation Building
395 John Ireland Blvd.
St. Paul. MN 55155-1899
1. Complete only page one (no photocopies)
2. Sign completed form
3. Include 4 (four) sets of sketches
INSTRUCTIONS
TO
APPLICANT
_Trunk Highway No. SEC.
Replacement Facility City/Township
RGE.Company Project No.TWP.County
New Facility
Application is hereby made tor permission to place, construct and thereafter maintain a
Agreement No.
-h Do LUC, y- ^ n -LL
along or across Trunk Highway No.u tiu^Lj /Of< fIf
A 33L,/ ^//5^from
j/50to
.(east. west, north or south) side of the trunk highway as shown on the attached sketch.teet from center line on the
LIGHTING
Mounting Heigh:_
Mast Arm Length
Type of Lamp__
Watts________
j 1. AERIAL CONSTRUCTION (Check appropriate box)
□ Single pole
□ H-Frame
□ Single pole & H-Frame
Zi Steel tower
□ Other _____________
Z Open wire
Z Cable
Z Vertical
j
_ Cross-arm
Non-Breakaway.Poles-BreakawayVertical & cross-arm
Size of ConouctorsNumper of Conductors[ Voltage
1 Minimum height of conductor:_fl. at crossings over highway.ft. along highway
Will Facility oe ^ached to a bridge?Z Yes /f VII. UNDERGROUND CONSTRUCTION' j^Direct buried No
i Voltage Size of Conductors, CaOle i DepthNumoer of Conductors—Tyoe U :I 3 ^ (u m / n a21^!
CASINGCONDUIT
,^^<(^lastic
□ Steel pipe
□ Sectional co
Other____^
Wall thickness
Z Steel pipe
Z Multiple tile
Z Transite
Z Clay tile
□ Sectional concrete
□ Ductice Iron
Max. Operating Pressure
Wall tnickness
Grade
Class
Size_
St)Q !\
Type.Wc
rfsjm J)' 3o35
57)/? IIGrade.
D3c3S4£rjriClassDepth_
Number Size□ Other
METHOD OF INSTALLING UNDER ROADBEDS (if open trench, explain why necessary) Directional Boring
□ Jacking Boring Pneuma Gopher Open trench u Other
III. EXTENT & LOCATION OF TREE TRIMMING AND/OR CLEARING;
IV.
Work to start on or after Applicant
- Name o1 Utility making applicationJ O
H'lunr),
and to be completed on or before.Address
The applicant, in carrying on all of the work mentioned above or referred to in its
application and in the Permit for construction issued therefore, shall strictly conform
to the terms of the Permit, and the Rules of the State of Minnesota as set forth in
Minnesota Rules 1983 as of July 31, 1983 together with the Special Provisions, all
of which are made a part hereof. The applicant specifically agrees to be bound
hereby. The applicant shall also comply with the regulations of all other
governmental agencies for the protection of the public. The work shall be
accomplished in a manner that will not be detrimental to the highway and that will
safeguard the public.
Q ...... /k/)/}lU
V.City
Zip ^State.
h£/_
a,. ~V/)-UL
Telephone
TitlePrint or TypeName1
pA >y/;?a! 1SionaturePO
vr 1-;
R^j}:ds
imo3i p 1R&;3 PFTROLLUM.APR, 23.2003 2:00PM
R &R Petroleum Equipment Sales, Inc.
511S Hwy 81 North
Fargo, No. OaK. 58102-7401
Phora: 701-293-1707
Fax; 701-29W310PROPOSAL
Page 1 04/22/2003
CUSTOMER LOCATION
Evensons
835 1ST ST SW
PELICAN RAPIDS, MN 56572
Thank you for giving us this opportunity to present you with this proposal to supply and install the following
equipment...
1,000 Gallon double wall skid tank to include
152 U.L Horizontal Double Wall Tank
1)
Morrison tank gage with overfill alarm
Morrison 3 gallon spill bucket with 2" Cap and Adaptor
1-1/4" Vent pipe with cap
Proper labeling
Double Wall Flex Pipe from tank to pump to include
APT Double Wall Suction Pipe
1-1/2" Normally Closed solenoid valve
Male ends for piping
Transition Sumps
Dispenser to include
Gilbarco Single Product Single suction pump
OPW 11-a Automatic nozzle with swivel and Break a way
Western model 500 pulser
Warning decals
Hose reel to include
Cox 5^ X 30' spring rewind reel
Vi" X 30' curb pump hose
Card Reader System with network capabilities to include
OPW Fueling Systems “Systems 2" Reader
Pump Controller Board
Bank Card Networking
Receipt Printer
Site Controller
1)
1)
1)
1)
‘ Fiu.
f Pae^^io^sLi \/\tvac^
^ ? i^HV ujeTlai^o imflf^cT r>^^T
0 (g) UHir€ c^A/n^
(le\ ^ 0>rr\(r\i<xcv\L Lots
^ yi/suj£^ ^Jjljaj
TiP6^ oF Corr\/n (actfii,
^ fi>r<^ r^pST PfiiiT, is
- /’iffC-i'iS ^y.<r/}(3it pm.
?
&C fh'Jewta
KTiif^r
D ^o^iTH antes ^*40 Ftcc
di’, 7 Lots ^ 9 eUL$ ( /Z^SI 3AciLLali)
^ ^^\euJ£Ji iliilo-^
@ TH6 H\<^i)L^r/CS
K^i\ 3oU>lS^ 2 6Ui%
. ($£>' ^ of ftu. foA dooic - <^/
(iutUT LJfTHltJ P<^^0$ic fmj
^ tJl^usa Ujulo2
)L At.u PG PigiO
r)aa~-> frJX){<3 Uirs'^ - ujogOcq j \-)!(Su ^ (yi'^f
^ S,onru P'^O (€ U>rs) - /9<S rt£U> j Finr/Od'i
^ Ptcctis TV L£iti6 I
^ p Afi£HsACM 77) Cgu^t'I */
^ EUji^CSOyj's f^£)C l\^*J pj, ^ATTie
^ diSiOiirirtfiit. AAi^kloT^ ^Ylt . ^<S>Avn«(i»4)^t (Yiidfit.AA'e S/<S^/3
^ \J\PI^£0 YcjiDloS
-JlTi
L f PttiS j h~>L4a
p6: 1 L^vk ^ I &UL
^ I l£TT£d
■f ^\tuJLO Ot*''^!Ctv“ (2>TH(rll
7 f ff ^
lfj~ /l^rfO
^ UJiLU
/£/.)i ~mC
^ LJi*iy'i~2f0<,\T’»'^ .
^ fpjHO
^ f\jF6j)S CHL'Ot-Sfii-oT^ sn*£
TXf■jr ^LoPiuc TE^RAitJ (l-i. liy-f>Rj>e0iio
(2)f^6: pufAfi at^ LAtii)
^sjiYujeo C^jujoi
>1 iiP<ST^ R’P pFofpJi^ OpoL \
^ Hi)i-J uiLL
r^ot^ '■
Lioa£l6uiO^ 2l0rJ lM'nt£’t4P
P6: Y/£tu
^ \^\eojco TMUcTHti oP P^I\hIo}
^ / uri£^%
3
f:i) la mias "' y
(@ DffilO LAiif TLjp
. JlOP l^oAO P(li>'^er
OenoL‘ ptCUCAP^ mPrJuCL
pi‘, l^F^CdAfiM^C PUTt^ATaP
^ mer aujp£Q. p>r^in- ^lii}o2
^ H£ fr F£'-2'S)ArJ !rJ /V,w£) H*A^ LJii.^
'-Lirru/j/y^^ /v/(j
ii) ^ U/IU. f'A/ Ph
Rdo^UrAS
% \]i£uj£0 Ljnjoj
* n>P
pPoe,Lt.f^ luP'F r*\
■J"
<39
@/>^..: AV' J
^ .J, i*Ji'1,11.0 ci> P^P'r/If- /}
pfia ~C-<.~ tL^ fVi Pl ; i '..jj- rn