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EA190249 - NRMP - Stormwater Management Permit - Issued Date 04/25/2024 PERMIT City of Eagan , a , , Permit Type: "P 3830 Pilot Knob Rd ,��;�� % ,•', Permit Number: EA190249 Eagan, MN 55122 EAGAN (651)675-5300 waterres@cityofeagan.com * E R 1 9 0 2 4 9 Date Issued: 4/25/2024 Site Address: 1187 Kittiwake Cir Lot: 49 Block: 1 Addition: Duckwood Estates PID:10-21900-01-490 Use: * 10 — Z 1900 - 0 1 - 490 * Comments: Please call Water Resources at(651)675-5300 for inspections. Before construction begins,an inspection is required to verify that the erosion and sediment control measures shown on the plan have been installed accordingly. Fee Summary: Erosion&Sediment Control Deposit $1,300.00 6501.2257 Total: $1,300.00 Contractor: Owner: - Applicant - Jerzy Szoka 3684 Bridgewater Dr Eagan MN 55123 This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after started. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature F For Office Use J J� I fit I a a� Stormwater Management Permit#: I Building Permit#: C I EAGAN I I I I I Escrow Deposit: I 3830 PILOT KNOB ROAD i EAGAN,MN 55122-1810 I j (651)675-5300 i waterresa-cityofeagan.com Staff: I t-------------------------t STORMWATER MANAGEMENT PERMIT Date: 04/04/2024 Site Address: 1187 Kitiwake Cr Eagan Mn. 55123 Description of Project:Remove burn structure, foundation to remain Area of Land Being Disturbed (acre):0•0 Start Date: 4/14/2024 Completion Date: 4/14/24 Applicant Correspondence Preference(select one):Standard Mail❑or Electronic Mail❑✓ ❑ Please submit a Land Disturbance and Stormwater Pollution Prevention Plan with this application. Name: Jerzy Szoka Phone: 612.227-7457 Address/City/Zip: 3864 Bridgewater Dr Ptop+ r y wrt r Contac,: Jerzy Email: 525Excel@gmail.com Applicant is: Owner ✓ Contractor Name: Excel Homes Inc Mn. License#: BC763546 Address: 3864 Bridgewater Dr C;ty; Eagan t ' r '°r Mn 55123 . 612.227-7457 State: Zip: Phone. Contact: Jerzy Email: 525Excel@gmail.com Erosion and Sediment Control Performance Security The City requires an escrow deposit to secure performance of erosion and sediment control(ESC)requirements, including proper installation and maintenance. The security shall pay for any City costs or expenses to bring the site into compliance with the stormwater management permit,including any engineering,legal,or administrative expenses; inspections;and necessary work by City contractor(s). The City may extract from the security escrow. The escrow deposit will be released only upon inspection and written notice of conformance by the City. The following escrow deposits include two(2)required City inspections,initial and final. Existing Single-Family Residential Lot(addition,demolition, pool, retaining wall,etc.) $1,300/lot New Single-Family Construction $3,900/lot Multi-Family or Commercial Construction(new,addition,demolition) $6,500/acre* *Maximum of$15,600 Erosion and Sediment Control Reinspection Fee(for as needed City reinspections after the two(2)included) $115/trip Security Amount: 11300 The applicant assumes all responsibilities for installation and maintenance of pollution prevention practices on this site. Any violations of City Code identified by the City shall be addressed within 48-hours of service of the notification. The applicant understands that failure to maintain pollution prevention practices within the time allotted by the City notification,will result in enforcement action to correct site deficiencies that are in violation of Sec.4.34. The issuance of this permit constitutes a right-of-entry of the City or its contractors to enter upon the construction,site for the purpose of completing ordinance enforcement and/or completing corrective work. I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit, but only an application for a permit,and work Is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans, The undersigned accepts full responsibility for compliance with the Stormwater Management Ordinance of the City of Eagan and agrees to comply with the Stormwater Pollution Prevention-Plan or equivalent in full, x Jerzy Szoka x, - --2� 4/4124 Applicant's Printed Name Applicat,f' Signature 5�.... Date xJerzy Szoka x 414124 Owner's Printed Name Owner's Sign re Date Performance Security Release The following information will determine to whom the escrow deposit will be returned. Security will be returned in the form of a check. Name: Jerzy Szoka Address/City/Zip: 3864 Bridgewater Dr Phone: 612.227-7457 Emai1: 525EXCel@gmail.Com Amount: Permit Number: 4 Yet 8 w a r t 3 s S• r -t '". s "'" { '�-�t`t rs I NV t�SS. ` z 11�U�tPt 7 :x ,w� 6x+ t 1. q 'ttt ^'z tY x X } 4 r, ,y `tea *' r v ky '.t'r r Tt ', a'rvd.'* f14' r *0lil00w ti" E [sW 'w �r Rh p�6 :� y � � :ry�L� { r � � �r a�"y�. t• t;.� �+tt � 3 e < .u' 1 'S- r 'K i 'x�,�'<r* a�'t fP'^ i�y(r��, ai ,Yv tl � �,•CieC�"` `I�t +M# �147x( r Lw...j yam'., •L,� 4 L d ' +i�� E R t""� trt Mx L'Ati �:' i p .iwd a ¢ rty r t A�' r �" ��L a " a` olq 4 r s