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2005-06-15 Watermain Crossing& NA E:—= r-,.j T<, i Consulting Engineers & Surveyors 12224 Nloollet Avenue a Burnsville, MN 55337-1649 iPhone G52) 890-0509 a FAX (952) 890-8065 N % 72 A *06 Fax Only Original to Follow MANKATO FAIRMONT SLEEPY EYE BURNSVILLE CHASKA WILLMAR, MN AMES, IA An Equal Opportunity Employer License No. _144-06. Utility's ID. STATE OF MINNESOTA APPLICATION FOR LICENSE TO CROSS PUBLIC LANDS & WATERS (SUBMIT 4 COPIES OFF THE APPLICATION AND ATTACHMENTS) 7le appjic*nt herein applies pursuant to M.S. 84.415, U.S. 103G, and Minnesota Rules Chapter 6135 and other applicabie statutes for a flcense to Cross PUBLIC LANDS cr 'A/ATEFZS describe:j below, in aDcordance vib all maps, plans, specifications and other supporting dat6 subr,*tedMth this applicaticri and4 made apart he of. of 0 send license to Utility. Agent for UlftyklcenseR J? Send license 1(i Agent. LN�,,,e Citv of A.'Lbert,;.,j_11e Bolton &Menk, Inc. Address (Malling and Locaf!,;m) Agent 1\,1,?:firgAcdrass 5975 Main Avenue INE i 2633 Shadow Lane, Suite 200 I 1,aT ;—M I I Chaska, MN 55318 Contact Person 7eleFhone No. Agent's Contact Person Taleoinone No, La Yr_,sa 763-497--3384 Mark Kasrna 612--617-2446 h L711_17Y: (mark-approPri3te box, ELECTRIC: LTrarismission 131)istribLAion Speci5OVoltageorRafing: PIPELINE: z Gases JP Ltulds 0 Solids in sLspersion Spec"{y Pik D] CONIX01 LI'ICA70NI: nTelephone 0 Cable TV 7? Other (specify) 8 inch 11. LICENSE OPTIONS: z 50 year o 25 year APPLICA71 ON FEE $500 (,)C (elterliv& 71 U13) NG ACTION YVILL BE TAKEN 01 this 2ppliC2407) until the applicatior fee is sutmitted. ApplicsVor, fees ers not retndable, even ifth-� m application is withdrawn or deod, The LICENSE FEEA`I! be calcu iatec by the Department. DO NOT S LBM IT LICENSE FEE wit the application. Ill. CROSSING(S): oLand 20 Water DO NIOTCONISINE land & watercinss,res on the same applicatorE. lfi the tabi,, b€low, number QonseoLCValy and describe fully each ",ssingapplied for. VWP0;?7A1Y7N07E- On 8 Y_.Ilx 1, ;"gaper; attach, a separate plan erd cross-sGctionsheetfo I- each crossing, photos optional, Also include re ,,lam.tion plans foram site. (Reclamation plans are not neaded for low impact crossings). Nc. Govt. Lot or 114 V4 Sec 0 Two Rnq County Wate, Name or Crossing Method I Right of ?Imy DNR Lan:! UrtV :)�,ar Under Low Viidth Lergth ftpaa SW 1/4 of ,1412 1/ 4 36 12:N 24W �VTright IMud. Leke X 1 T\TA NA Lind erwat eater crossings are subject to inspection and mon itching fees, For Low Impact; indizate a method of ccrstructon using these code numbers: 9, 13oring crjacking 'Low irnpact water crossing applications roq,uIre Jess ONR review than those of land.) Z Attach to &idge condui, 4. Plow into roadbad im Mtf Ef,DL.-rCDNI ak MF—=t*--JK, CITY OF ALBERTVILLE Consulting Engineers & Surveyors ,) LAKE WATERMAIN CROSSING AANKATO, WN FAIRIVION7, MINI S,EEF'y EYE, IVIN WILLMAR, IVIN PROJECT LOCATICN MAP PURNSVILE, MN CHASKA., MN AMES, IA 005 FIGURE NO. 1 m fV• E!t'i�IFltJrllv�'.' EriTAL PR_~ �j��Ja A 1'Pisca"It is res y I'Vinresota Da P°n�rbla fo ensue SrRpC?I0N & p adhered = Partment of That a f desi ESI^ o. Vdhera N2trd" Resourc 9n canst uctio,n kNp1'Ir subm tied with this cGnftiCts or discre^ -es Rules Ch personn, J after t3 h e are familiar wi,h drscrepa 'Ctes a°Plicaticn explainin ncies occu, r 135. ? e a td folio have b e g in d , a 'd the guidaiines Quidelires as f cted fir, v✓ there , ' ne n �rracted ore etah t., t cant ouire:, PProved b , car, acts or discr . ct be foloaJey Chapter mu its of This proPoaej 1 the ePancies, r , 2 v✓i fitter t Must be standardsc crossing ce.??pli� pe°art+Went of ilra, R ti license mill net be Pale" �t must , or Route s with all Ofthe tiu,css. ed until, pesian. he envi- nmentaa ai` ° Standards Fropne`7 Cro, lords as listed in , 5135.11p4• Attache 9 does cam t t tlnresota Rut V. d IS cn y PYwiththe as6,35.i1GG CER�FICATiOrI. � xP(anaticn offh environment Applicant e Conflict or discre a! standards declares that as listed„ c f fne facts, the infer, Panay, n ltlinn� 5ot� faci and that t� efion subrnittg Rules e evide C he fiiirg of this a d herein nv of the CorrP �Ppiicafio, and state 1,}g0 and fvtln ¢, F moss thereo,`, nand irfor�atio Merfs made herein, 7,117n ahachmentsa- n"�ai2Rules Piioant a al tewrth the arewhi^h e,•o Chapter 35 . 9 eAs to Conf ;r, Carr;mtssiore- a true and,°Ppicant s tiv'll b ors a Part. and ac'difior, orso, t+th end be bound b ate �"al Rsresenation Sibnat r he h Y the ter°fs p,r ma ) e , st) Cense aaPlied for. this s a; M.S. 54.g15, 1 Title ppiication and all 1 Apptiean s ` Sin e' GC�f� i rrti 1 Submit , t Date r nsihJer (4) copies cP the Statewide or th nt 7T"cation List ry and attachments for _ the appropriate DNR of icras 2rd DNR Region Processing with 5500 S and D �n ,,. fee (effective ; , ion i . ON iv, of Lands and r ' 1/G3, fo the N'R 1 Dtvr Lar'-"hwesN Nenerafs t•tfilit Please A pep 21 s and Mu�arala Y License C e the attached ®ircitrno�t �e +on 2 tIl19e1lidii, MN each Road NE DNP L-,ds hesat PAN Contacts to detmr. (218) 755-4©6601 -01 E. H.� Mlrlera!s Fie ions m)�e Grand '"`aY 2 DNR 1218} ;Ra 4393 4N $1744 Land, and Mtnet 200 Warn— pis fie ion 4 . m-r Rd n A� / !� / �^t P l n<, �. JR lane+s rrd Alin LINF()RLrcTIU + (B51) qa 558136 261 His yy,� erais nn wrii#en come-'$ LR RApPLIU�1'Tr included with the aponde N JJrn; ,%4N se4+th Ppir non from the 6�1i— y�� p fS37; 359 3G7t cafion ant mill b If nep'ded, envlra ecorne epartrnent of nmental and a Part of Hatura( Reso Construction"archecto the license record, urces reiating to this ,t Jical revie ws andards are so-' must be c® proposed prc :act must be 1%5 rjr. L out it the &,,,,,r ntpleted befor AND I N 1`cP�ch,�NST,UC7IpN I r sod Ruies Cha er c A lr a license Can be an. ISS{� SSLr P 6 i 3 acted FU. NSF SINC,,0, rS'I'CCURgG Applicant r "rSaECTlCIUN RMwILL �`c�I�rIN refer the Rules for Site 3° t T k acifir, r • he site Ai-t Y �r r 07.S 3r-4C;.RTt,R' TJl tE ,� evu'raments strew n Prnfile for the Plan and cross secilor P NRCES ` : lI` mbeo over, articular r should in SARw_gElroRR r APPLIC',,4 Photos are need tines. brld cssin } s,te, ratherthar lu le al; i alien rr� LICF_tl Wei fui, was, e information SF,s P but do rot take thetC- sho. !d Je included IV site" Gmwin essay to e f�isa state if ttris is Place Dist 9 Dis desarib `he inst o re ofia sits Plan skatch,nce of mowers fro, fanC ambankhe fiend surface foirtcludir, d ~Ia p aco7 ant ar uPArads n sire 9 the land 4(an °`an existi andsr.7a3, N`''�rsurr the dart.- iy e;Eacl ossino she n9 tins, and show n' bed should ba it tided. damaged a what slaps will Je aka' e a „la's impact co the existing (i^o ea immedlatel - nstruc s after c r .a minirn<< 0omman ons ruction,, edam, tran method" practice aSe during Conshu snot used requir otherrtsthods Will bon dams coon, and s a reclama e con damage control and recta w-+a1 ste. tron plan S'dered, oration are Ps Wifi be taken : r C rid' why use of sedi„ a e .t'aiitze the t ten, trapa,.si't fences riPrap +gulch, and Hber blankets, but y