Agenda - Council Work Session - 02/23/2021

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Lower Rum river 11014.010401111400.1 \Al M 0 Permit # GRADING, STORMWATER MANAGEMENT AND EROSION/ SEDIMENT CONTROL PERMIT APPLICATION A $100.00 application fee and additional $700.00 escrow deposit must accompany this permit application. Permits are to be processed at the same time as the site plan, preliminary plat or other city land use or building application submitted to the city in which the work or project is located. The permit application and supporting documentation must be submitted to the LRRWMO by the THIRD THURSDAY OF THE MONTH TO BE ON THE FOLLOWING REGULARLY SCHEDULED MONTHLY LRRWMO MEETING AGENDA. A PERMIT NUMBER WILL NOT BE ASSIGNED UNTIL CITY AUTHORIZATION IS RECEIVED. Project Name: Address/Location: _ Project Description/Purpose: Name of Applicant (Site Owner or Property Owner) Applicant's Contact Organization Name Address Address City, State, Zip City, State, Zip Phone Fax Phone Fax Email Email Submittal Requirements Completed Grading, Stormwater Management and Erosion/ Sediment Control permit applications are to be submitted as per LRRWMO attachments G1 (Permit Requirements) and G2 (Office Procedure) included with this application. Note that projects involving potential wetland impacts and/or involving a Wetland Replacement Plan require a separate permit application and are subject to additional requirements. PROJECT SUBMITTALS (check all that apply): U GRADING PLAN: Including existing and proposed contours and boundaries of all wetlands and surface waters. o STORM SEWER/ DRAINAGE PLAN: Including all permanent drainage features and all permanent water quality features. o STORM DRAINAGE CALCULATIONS: Design computations as required by the LRRWMO. o EROSION CONTROL PLAN: Including all temporary and permanent measures proposed to retain all sediment on site. n OTHER Andover - Anoka - Ramsey • 2015 First Avenue • Anoka, MN 55303 B-1