1992-10-08 MPCA Permit
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Minnesota Pollution Control Agency
Celebrating our 25th anniversary and the 20th anniversary of the Clean Water Act
October 8, 1992
. ."
The Honorable James Valsh
Mayor, City of Albertville
City Hall
Albertville, Minnesota 55301
Dear Mayor Valsh:
Enclosed is a copy of Permit Number 17968 for the construction and operation of
a sanitary sewer extension system to be located in Albertville, Minnesota.
Please carefully review the permit including any Special Conditions, General
Conditions (No. 1-20) and information relative to plans and the permit
application. Please let us know if you have any questions regarding these
documents. If you do have questions, you may contact me at the address listed
below or call me at (612) 296-7762.
Sincerely,
/JJ~O~
Donald K. Perwien, P.E., Staff Engineer
Compliance Unit 1
Municipal Section
Vater Quality Division
DKP:mbo
Enclosures: Sewer Extension Permit
cc: City Council c/o Linda Houghton, Clerk-Treasurer
Meyer-Rohlin, Inc.
520 Lafayette Rd.; 81. Paul, MN 55155-3898; (612) 296-6300; Regional Offices: Duluth - Brainerd - Detroit Lakes - Marshall- Rochester
Equal Opportunity Employer. Printed on Recycled Paper
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Minnesota Pollution Control Agency
Celebrating our 25th anniversary and the 20th anniversary of the Clean Water Act
PERMIT FOR THE CONSTRUCTION AND OPERATION OF
A DISPOSAL SYSTEM
CITY OF ALBERTVILLE
Vright County
Pursuant to authorization by the Minnesota Pollution Control Agency (MPCA), and
in accordance with the provisions of Minnesota Statutes, Chapter 115 and 116,
plans are approved and a permit is hereby granted to the above-referenced
Permittee for the construction and operation of a sanitary sewer extension in
Albertville, Minnesota.
The facilities will consist of 624 linear feet of 8 and 10-inch sanitary sewer
pipe.
The facilities are further described in MPCA approved plans and specifications
designated as:
"1992-3 Improvement Project (Utilities & Street Improvements, Psyks 5th
Addition)" received September 4, 1992, prepared by Meyer-Rohlin, Inc. for the
city of Albertville.
It is the Permittee's responsibility to assure compliance with any special
conditions and the general conditions that are required by this permit. This
includes taking all necessary measures needed to comply, including, but not
limited to, the notification of contractors or others who may be carrying out
this work.
SPECIAL CONDITION
No connections are permitted to this sewer extension, except the ten residences
previously allowed in Phase I of Sewer Extension Permit No. 17492, until the
city submits a written request to the MPCA and receives written approval from
the MPCA. The MPCA will not grant written approval until the city completes
construction that will increase the capacity of the wastewater treatment
facility.
PERMIT NUMBER: 17968
J n F. McGuire, P.E., Supervisor
Compliance Unit 1
Municipal Section
Vater Quality Division
DATED: October 8, 1992
520 Lafayette Rd.; St. Paul, MN 55155-3898; (612) 296-6300; Regional Offices: Duluth - Brainerd - Detroit Lakes - Marshall- Rochester
Equal Opportunity Employer' Printed on Recycled Paper
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Minnesota Pollution Control Agency
Celebrating our 25th anniversary and the 20th anniversary of the Clean Water Act
Septembe~ 30, 1992
The Honorable Jim Valsh
Mayor, City of Albertville
City Hall
Albertville, Minnesota 55301
Dear Mayor Valsh:
RE: Albertville Municipal Vastewater Treatment Facility
NPDES Permit No. MN 0050954
Sewer Extension Permit No. 17968
The Minnesota Pollution Control Agency (MPCA) will be sending the City of
Albertville Sewer Extension Permit No. 17968 for Psyks Fifth Addition, under
separate cover. The Permit contains the following special condition:
No connections are permitted to this sewer extension, except the 10
residences previously allowed in Phase I of sewer extension permit no. 17492,
until the city submits a written request to the MPCA and receives written
approval from the MPCA. The MPCA will not grant written approval until the
city completes construction that will increase the capacity of the wastewater
treatment facility.
Mr. Norm Gartner indicated during a phone conversation that construction of this
extension is necessary to allow connection of 10 residences, previously approved
in phase I of Sewer Extension Permit No. 17492. The MPCA will take enforcement
action if the city allows any other connections, without receiving MPCA
approval.
Feel free to contact me at (612) 297-3365 with questions regarding this letter,
or the Sewer Extension Permit.
Sincere ~ ~
~- (, ~
Fa e E. Sleeper
Municipal Section
Vater Quality Division
FES:ach
cc: Mr. Norman Gartner, Meyer-Rohlin, Inc.
520 Lafayette Rd.; St. Paul, MN 55155-3898; (612) 296-6300; Regional Offices: Duluth - Brainerd - Detroit Lakes - Marshall- Rochester
Equal Opportunity Employer' Printed on Recycled Paper
~ ~ Please read instructions before attempting to complete this application.
I. Applicanrs Name (Last. First, M.I.) Authonzed Agent (if applicable)
City of Albertville Meyer-Rohlin Inc.
Address (Street. RFD, Box Number, City. State. Zip Code)
1111 Highway 25 North, Buffalo, MN 55313
II. LOCATION OF PROPOSED PROJECT (BESURE TO INCLUDE SKETCH SHOWING HOW TO GET TO THE SITE)
Government Lot(s) Quarter Section(s) Section(s) No. Township(s) No. Range(~) No. Lot. Block. Subdivision
swt 1 120N 24W
Fire No., Box No. or Project Address Project will allect 0 Lake. RlWelland or o Watercourse
Psyks Fifth Addition Wright l~,a~~~~umbp.r. 86-414W
III. TYPE OF WORK PROPOSED (CHECK ONE) IV. TYPE OF PROJECT (CHECK ONE)
o SWCD 0 C/C
OW,D. DUSCOE
~,.
.--- --- --- -..- .- - - -- -
__ __ ____ _._._..__._ __ __.__. ___. _.__ __ __0--
"NA - 02622-05
-' Rev. 12/91
rf DEPARTMENT OF
!MWJ[1i~@1Tto\
NATURAL RESOURCES
PERMIT APPLICATION
TO WORK IN PROTECTED WATERS OR WETUNDS
(INCLUDING DAM SAFml
Telephone Number &area code
(612 ) 682-1781
o excavate
5l: fill (rip-rap)
o drain
o construct
o install
V. ESTIMATED PROJECT COST $ 1500.00
, 0 repair
o remove
o abandon
o other (specify)
o shoreline o shore-protection o obstruction o dam
o channel o harbor o bridge o other
o sand blanket o permanent dock o culvert (specify)
~ riprap o wharf
VI. LENGTH OF SHORELINE AFFECTED (IN FEET):
o
VII. VOLUME OF MATERIAL FILLED OR EXCAVATED (IN CUBIC YARDS): 30cy (rip-rap erosion cont 01
VIII. BRIEF EXPLANATION OF PROJECT: (EXPLAIN WHAT PROJECT CONSISTS OF AND HOW WORK WILL BE DONE)
A sedimentation pond is to be constructed" adj acent,. to ' the, wetland. The
outfall line will be constructed up to th,e,' edge' 'o-f- the -~wetland with
the rip-rap installed in the wetland. A concrete free flow skimmer will
be constructed at the pond outlet. All work shall be done with scrapers,
backhoes, and dozers. All disturbed areas will be seeded.
IX. PURPOSE OF PROJECT: (Explain ~ this project is needed)
To provide water quality treatment prior to the drainage system discharging
into the wetland. The pond provided sedimentation removal, floatable
solids removal, and some nutrient uptake in the aquatic vegetation;
x. ENVIRONMENTAl IMPACT (Anticipated changes to the water and related land resources. including unavoidable but detrimental effects)
The only long-term impact will be the loss of wetland over the area
of the ri ra,
XI. ALTERNATIVES (Other alternatives to the action proposed)
none
X II. I hereby make application pursuant 10 Minnesota Statutes Chapter 1 03G.245 and all supporting rules for a permit 10 work in or affect the above named protected
water(s) in accordance with all supporting maps. plans, and other information submitted with this appflCation. The information submitted and statements made
concerning this appfication are true and correct to the best of my knowledge.
STATE OF
Signature 01 Owner or Authorized Agent
/I
Signature 01 Leasee
Date
,4E,
COUNTY OF
Subscribed and sworn to before me this
day 01
t9_
Distribution:
White: DNR
Blue: SWCD
Green: Watershed District
Goldenrod: City or County
Pink: Army Corps of Engineers
Canary: Applicant
My commission expires
I Signature 01 Notary
_. '4 "
NA-02659-03
Rev. 03/92
PERMIT FEES
Use this sheet to determine the fee for your permit application. Fees must
be paid with a check or money order payable to the "Department of
Natural Resources". CASH CANNOT BE ACCEPTED.
Fee for the construction or repair of a dam
Fee for the placement of riprap shore protection
Fee for the placement of fill to recover shoreland lost to erosion
or other natural forces
$75.00
$75.00
$75.00
Fee for all other projects
Minimum Fee:
Project Cost: $
1500.00
xl% =
See Below*
A) $75.00
B) $15.00
C) $ 0
Length of Shoreline Affected:
o feet x 75 cents per foot =
For channel excavation projects, the shoreline affected is the
difference in length between the existing channel and the new
channel.
Volume of Material Filled or Excavated:
30 cubic yards x 75 cents per cubic yard =
For channel excavation projects, the volume is only the
material filled or excavated in protected waters.
Maximum Fee:
D) . $ 22 . 50
E) $500.00
*DETERMINE YOUR FEE AS FOILOWS:
- IfB, C, and D are all less than $75.00, the fee if $75.00. ****
- If B, C, or D is more than $75.00 but less than $500.00, the fee is
the largest amount of B. C. or D.
- If B, C, or D is more than $500.00, the fee is $500.00.
ATIENTION TOWNSHIP ROAD, BRIDGE, OR CULVERT PROJECTS
If you are a Minnesota Township applying for a permit to construct, reconstruct or replace a
township owned road, bridge, or cufvert, the maxImum fee for your application cannot exceed
.$100.00. Use the worksheet to calculate your application fee, but do not submit more than $100.00
with your application.
-NOTICE-
Your application will not be processed unless the appropriate fee is submitted. Applications sent
with no fee or inadequate fee will be considered withdrawn after 30 days and no further action will
be taken.
AIL FEES ARE NONREFUNDABLE
~ NOTICE -
WATERS OF THE UNITED STATES
You should be aware that projects which will involve drainage, excavation, fill or impoundment of wedands or waters of the United Slates, even those wedands oulside
of the jurisdiction of the DNR, om: require an individual permit from the U.S. Army Corps of Engineers. Persons proposing such projecls should conlact the Regulatory
Branch, U.S. Army Corps of Engineers, 1421 U.S. Post Office and Custom House, Sl Paul, MinneSOla 55101.1479 (telephone: (612) 220-0375) for further information.
- ADDENDUM -
NOTICE TO APPLICANTS FOR DNR PERMIT TO CHANGE THE COURSE,
CURRENT OR CROSS-SECTION OF PROTECTED WATERS
The Department 01 Natural Resources IDNRl and the Pollution Control Agency lPCAI are working together to avoid duplication in state agency permit review 01
proposed activities aHecting 'protected waters in Minnesota. The an ached lorm was prepared by theDNR and the PCA to minimize your work in contacting state
agencies lor project approval.
Please complete thiS lorm by plaCing an 'X" In the approp"ate box or boxes. If your proJect does not.nvolve any of the actions listed on this lorm. place an "X"
in the box aher item g.
II your project will involve any 01 the actions listed lor boxes 1 through 8. a copy 01 your DNR permit application will be lor warded to the Pollution Control Agency
(PCAllor their review. II a separate PeA permit or approval is reQUlled. you will be so notllied by the PCA. ..'
Place an "X" in the box. il applicable.
1. The project will Involve the depoSition olasphall. concrete. cut vegetation or other solid waSle as 1111 matellal. 0
2. The project will involve excavation 01 materials Irom protected waters through the use 01 any device which removes matenals by pumping or suction action
{i.e. hydraulic dredging I. 0
3. The project will involve excavation 01 more than 1.000 cubic yards 01 materiallrom the beds 01 the lollowing waters:
a. Lake Pepin on the Mississippi RiverlRlver miles 763 to 787 USCE Charts!. 0
b. Pool #2 in the Mississippi Riverlrom Lock & Dam '1 (the Ford Dam) to Lock & Dam =2 IHastings.R,ver miles 725 to 814 USCE Chartsl. 0
c. Minnesota River Irom Savage to its mouth at the Mississippi River (Mile 844 USCE River chart!. 0
d. Duluth Superior Harbor and the St. Louis 8ay area 01 the St. Louis River ~xtending to Spirit Lake. 0
e. The Fairmont chain 01 lakes including Budd. Siseton. Hall. and Amber Lakes in Martin County. 0
I. Albert Lea Lake. Freeborn County. 0
g. Warroad River Upper Harbor Area extending Irom the moutto 01 the Warroad River to CSAH No. 11. 0
h. Red River 01 the North Irom Wahpeton to the Canadian border. 0
4. The project will involve excavation and/or lill in protected waters lor construction 01 utility lines carrying any materials except treated water in a liquid or
semi.solid state. including but not limited to petroleum or petroleum products. chemicals. sewage or coal slurries. 0
5. The project will involve construction o! docks. piers or wharves which will involve new luel handling lacilities. 0
6. The project will involve new construction. reconstruction or repair 01 structures lor generation 01 hydroelectric power. 0
7. The project will involve construction 01 new ancillary lacilities lor sanitary sewers. boat pumpouts. on.site waste treatment or holding tanks. 0
8. The project will involve the on.site disposal by burning 01 vegetation to be removed durin9 project construction. 0
9. The project will not involve any of the above. )ill
Applicant name
. (type or print)
Applicant
address
Norman P.Gartner /.?
,;-;
Meyer-Rohlin, Inc., 1111 Hwy. 25 North, Buffalo, MN 55313
DIVISION OF WATERS
ADMINISTRATIVE REGIONS
REGION 1
Regional Hydrologist
DNR - Division of Waters
2115 Birchmont Beach Road N.E.
Bemidji, MN 56601
(218) 755-3973
REGION 2
Regional Hydrologist
DNR - Division of Waters
1201 East Highway 2
Grand Rapids, MN 55744
(218) 327-4416
REGION 3
Regional Hydrologist
DNR . Division of Waters
1601 Minnesota Drive
Brainerd, MN 56401
(218) 828.2605
REGION 4
Regional Hydrologist
DNR . Division of Waters
Box 756, Highway 15 South
New Ulm. MN 56073
(507) 359.6053
4
REGION 5
Regional Hydrologist
DNR . Division of Waters
P.O. Box 6247
Rochester, MN 55903
(507) 285-7430
REGION 6
Regional Hydrologist
DNR . Division of Waters
1200 Warner Road
S1. Paul, MN 55106
(612) 772-7910
,.
.. Dr.Nge Projects:
A protected water or wetland cannot be legally drained unless the area being drained is replaced by an area of equal or greater natural resource value.
If you are applying to drain a weIland. you will be asked to submit a State Water Bank Program application to determine your eligibility for State Water Bank
Compensation. A Slate Water Bank applicauon must be submlned before the permit application can be consIdered complete.
Please direct any Questions you may have to the RegIonal HydrologIst at the DNR RegIonal Office serving you.
III. Bridge and CUvert Projects.
If you are proposing to construct. reconstruct. or relocate a bridge or culvert you will be asked to submit additional hydrologic.'hydraulic information. If you have
any Questions regarding bridge and cull/ert projects. please contact the Regional HydrologIst.
IV. Dams lOam Safety Projects):
If yOU are proposing 10 construct, enlarge. alter. remove. abandon or conduct malor repair on a dam you may be asked to submit additional information. For
further information on dam safety requirements. contact the Dam Safety UM. Division of Waters. Department of Natural Resources. 500 Lafayene Road. St.
Paul. Minnesota 55155-4032 telephone: (612) 296-4800. .~,
V. Utility Crossngs:
Minnesota Statutes. Chapter 84.4 15 and M,nnesota Rules Part 6135 prohIbits utality passage over. under or across protected waters unless a license has been
previously obtaIned from the commISSIoner of Natural Resources. Utalities Include telephone. telegraph. and electric power lines. cables or conduits. under.
ground or otherWIse. or maIns or pipelines for gases. liqUIds. or solids In suspension. PrOjeCts requitIng a utality crossong license will not require a protected waters
permIt.
Further Information concerning utIlity crossings can be obtained by contactIng: Department of Natural Resources. Real Estate Management. 500 Lafayene
Road. St. Paul. Minnesota 55155-4030. telephone (612) 296-4097.
SUBMITTING APPLICATION
Make sure that you furnish all information that is requested and sign and notanze the application form. Forms that are incorrectly filled out. or lack requested infor.
mation. will cause delay an your application.
After you have completed the application. keep the last copy (canary) and the ins(ruction sheet for your records. and forward the remaining copies with five (51 sets
of all supporting maps, plans. specifications. etc. to the DNR Regional Office serving you. Mailing addresses can be found on the last page. BE SURE TO INCLUDE
ALL APPliCATION FEES WITH YOUR APPlICATION.
):.
QUESTIONS
y,'
If you have any questions on the procedure for making application. please contact the DNR Regional Office serving you. The address and telephone nI.Bllber of each
DNR office can be found on the last page. ' ,
SEE MAP ON OTHER SIDE OF
THIS PAGE
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For additional information and assistance.
contact the appropriate Regional Office or the
Division of Waters in St. Paul.
MINNESOTA
DEPARTMENT OF
NATURAL RESOURCES
DIVISION OF WATERS
REGIONAL OmCES:
R",o. 1 2115 Birchmonl Beach Road NE. Bemidjl, MN 56601-
(218) 755.3973
Rqloo 2 1201 East Highway 2. Grand Rapids. MN 55744
(218)3274416
Rqloo 3 1601 Mlnnesola Drive. Brainerd. MN 56401
(218) 828.2605
R"'o. 5
Rqlo. 4 Box 756. Highway 15 Soulh. New U1m. MN 56073
(507) 354.2196
P.O. Box 6247. Roche..er. MN 55903
(5011 285.7430
1200 Warner Road. SL Paul. MN 55106
16121296.7523
DNR Building. Box 32. 500 Lafayene R.i.. SL Paul. MN 55155.4032
(6121 2964500
Resto. ,
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WORKS IN PROTECTED WATERS
NOT REQUIRING PERMITS
INFORMATION SHEET
APPLICATION FOR A PERMIT TO WORK
~ IN PROTECTED WATERS OR WETLANDS
INNESOTA
Department 01 \"~' Natural Resources
DIvISion 01 Waters
: i
PLEASE READ CAREFULLY
Statutory Authority
Minnesota Statutes, Section 103G.245 makes it unlawful for the Slate, any person, partnership, assciation, private or public corporation, county, municipality or other
political subdivision of the state, to change or diminish the course, c:urrentor cross-section of any protected waters orwetiands without a written permit previously
obtained from the commissioner of Natural Resources.
- WARNING -
PROCEEDING WITHOUT A PERMIT
Any work In protected waters or wetlands whIch reQUlles a permIt cannot legally be started until a permIt and a Noi,ce of Permit Card have been issued by the
Department of Natural Resources. Any work In protected waters or wetlands WIthout a permIt IS a mIsdemeanor and IS punishable by tines up to $ 700 and/or 90
days In jail. The Commissioner also has the authority to require restoration of any work done WIthout a permit or beyond the w()l1(. authorized by a penn;t and shall
assess double the additional applicatIon fees. as well as the actual cost for any field inspectIon.
You should also ~ aware that other federal. state and local permIts may be requIred. whIch are your responSIbility to obtain.
WHO APPLIES
Apphca:lon must be made on the anached form and submlned to the Department of Natural Resources RegIonal Office for the area where the proposed project is
located lsee map on last pagel.
1. Applocation must be submlned by the rlpanan (shoreline) owner of the land on whIch the pro,ect is proposed. except:
a. A governmet'll agency. public utlht\,. or corporation authorIzed by law to conduct the prOject may apply .f the property rightS acquired or to be acquired are
fully described In the applicatIon. An autroOrlzed agent should be ,dentlfled on the apphcatlOn in Part I and SIgn tn Part XII.
b. A holder of appropriate property nghts such as a ~ase or easement may applv provided that thl! appfocation IS countersigned by the owner and llCComDanied
bv a copy of the lease or other agreement. A permIt will be Issued for the term of the lease only.
c.' A prospective lessee of state.owned lands may apply for a permIt tn his 'her own name after a lease has been ,cQuested from the Department responsible for
the affected lands. The lease request and the perlTllt apphcatlon Will be processed concurrentlv.
FEES
Minnesota Law requires the Commissioner of Natural Resources to collect certain fees for the processing of protected waters pennits. No pennit
tan be processed until aU applkation fees han been paid. Fees'must be paid by theck or money order made payable to "Department of Natural
Resourtes". Cash payments tannot be 8(tepted. Applitation fees tan only be refunded when it is determined that no pennit is required for lhe
proposed project.
Applitation Fee
All pennit applitations must be 8rtompanied by an applitation fee based on lhe following list:
Type of Pennit Applied For
Build or Repair Dam Under Minnesota's Dam Safety Rules.
Install Riprap Shore Protection or plate raUlo recover shoreland lost to erosion
~
$75.00
$75.00
All other projects
$75.00 minimum up to $500 maximum
based on project's rost and size
(Seeenc:Josed fee takalation sheet)..
.NOTE: Be sure to specify the actual rost of the project, the amount of shoreline to be affected and the amount of fill or otavation In the lake or
stream bed In your applitation. These paramelers will be used to delennine the lotal applitation fee for your project. No permit Will be Issued
until aU fees are received.
Field InsPtttion Fees'
The Department will tharge for cosl of rleld inspedions for any project which: (I) requires an environmental assessmenl worksheet (EA W) or an
environmenlal impart stalemenl (EIS) pursuant to Minnesota Sfatules Seclion I I'D; (2) is undertaken wilhoul . permit applitation; or (3) is
undertaken in extess of an issued permit. The Inspection fee willlnc:lude Ihe rosts of necessary surveys and will be based upon the amaal rost of
the inspection. The tost of rleld Inspections will be lhe adual rost of the field Inspection, but not less lhan $100.00.
(OVER)
Part VII.
Part VIH.
Part IX.
Part X.
Part XI.
Part XII.
Appftcation Instructions
"
"
Each section below corresponds to the appropriate section on the application lorm. u~ black ball point pen. place lorm on hard surlace, and press firmly.
"
Part I.
Part I!.
Applicant's Name and Address.
Location 01 Proposed ProJect: The application must include the location of the project described by Govemment Lot, parcel. Quarter section. sec.
tlon. township number. range. and county as shown on the abstract 01 IItle. lithe project is in a planed area. the lot and block number and the
subdivision name must be reported. The lire no,. box no,. or address 01 the project sIte. must be indicated and a location map ncluded in order to
assist in locating the premises. Include the name and number (il known I of the lake. wetland or watercourse involved. -
Type 01 Work Proposed: Please check the appropriate boxlesl. See the Additional Information Required section 01 these instructions regarding
supporting inlormation to be submined WIth the application,
Project Area: Please check the appropriate box (est.
Estimated Project Cost: What is the!!!!!!! estimated cost 01 this project' Include the cost of all materials. services. equipment purchase or rental,
and labor expended for the portion 01 the project actuaIy affecting protected waters.
Length of Shoreline AHected: Indicate the total number of feet of shoreline that will ~ affected by the proposed project. PrOjects that affect both
sides of a water~ourse must include the shoreline aHected on both sides. "
Part IH.
Part rv.
Part V.
Part VI.
Volume 01 Material Filled or Excavated: Indicate the total number 01 cubic yards of any material to be filled or excavated in protected waters.
Calculate volume by multiplying the shoreline affected by the thickness or depth of the material. then multiplying by the distance the project ex-
tends waterward. One (1) cubic yard equals twenty. seven (27) cubic feel. lithe proposed project does not involve fill or excavation. place "none"
in this space.
Brief Explanation of Project: Briefly describe the proposed prOJecl. How will the work be done? What types of equipment or materials will be used?
Purpose of Project: Explain why this project is necessary. Be specilic as to what the objectives 01 the project are. Replies such as "lake improve-
ment" or "navigation improvement" are too vague to be of help In assessing the merits 01 the application. "more space is needed to fully explain,
or to supply other applicable information. anach extra EXHIBITS lplans. sketches. photos. etc.t.
Environmental Impact: Complete this section by IndicatIng: proposed changes in land and water leatures. character. or Quality. and also eHects
that are, or may be harmful but unavoidable (i.e. loss 01 wildlile habnat, increased downstream flooding. etc.). For large or very complex projects
Minnesota Statutes Chapter 1 160 may require an Environmental Impact Statement lEIS!. or EnVironmental Assessment Worksheet lEAWl belore
a permit can be issued.
Altematives: Describe any and all possible alternatIves to the proposed prOJecl. (Anach additional sheets if necessaryl.
Notarization: Notarization is required. No applicatIon can be conSIdered complete unless properly notarized by a licensed Notary Public.
Additional Information Required
I. AdcitionII Pro;ect Data . For AU Projects:
Before your application can be considered complete. the following inlorma!,on and anachments must be included.
A. General Attachments: The lollowing data is required In support 01 a permIt applicatIon.
1. Ground Level Photols) showing:
a. Water conditions at the project site.
b. . Upland conditions.
c. Aquatic vegetation. if any.
d. Proposed spoil disposal sIte (if applicablel.
2. Plat Maps. mandatory if proposed project is on pr"perty WIthin a plaited area. The property boundaries of all ad)C/lnong land owned by the applicant r.
the project area should be indicated on the plat or submtlted as a separate map.
3. Sketches!Engineering Plans. The applrcant must anach a detarled sketch or engIneering plan dIsplaYIng the follOWIng ,"Iormatlon:
a. Cross-sectionallside-viewl sketch. This sketCh should display the follOWIng Inlormahon as II pertams to ,our proJect (include specific dImensions
where possible):
11 Water level f1u::tuations (present. highest. and lowest levels I.
21 Wate! depth.
31 Lake bed elevation or stream bed slope.
41 Location and dimenSIons cf proposed pro/eet'structure lIength. WIdth. elevatIon. de;llh. side slope. flC.l.
51 Location and dimensions 01 any aquatic vegetatIon.
61 Identify and label lake bed and stream bed conditIons and materials.
b. Tap view loverhead) sketch. Indicate the follOWIng (include dImenSIons where poSSIble):
11 Property boundaries and lot dimensions.
21 Shoreline and water location.
31 Dimensions 01 proposed projectllength. WIdth. elevatIOn. etc.l.
41 Points of reference (existing houses. structures, docks. etc.l. Be sure to Indicate whoch doreclion IS "North"
51 Extent and location of any aquatic vegetation.
61 Location of spoil and disposal sites (if applicable).
4. location Map. Sketch a map that WIll clearly provide directions for how the project site may be reached (indicate township, range. section. highways.
landmarks. etc.t.
5. Equipment -Indicate the type of machInery (bulldozer. dredge. etc.l thaI will be used to construct your proJect.
6. lease Agreement. Mandatory if applicant is not the landowner.
7. Aerial Photo(sl. Mandatory for watercourse realignment proposals.
B. Additionallnlormation . Any additional information that you leel will further explain your project is helplul and should be included.
B. Extensive or Complex Projects. For extensive or complex projects. the Department may request supplementary InformatIon including but not limited to the
following: Topographic map, water table map. soil borings, depth soundings. aerial photographs, environmental assessment, and/or engineering reportS.
Additional information will be required.
2
~ STATE OF
WJWJ[g~@Lf'~
DEPARTMENT OF NATURAL RESOURCES
PHONE NO.
nMSION OF WATERS, P.O. BOX 370, ST. CLOUD, MN 56302 FILENO.
(612) 255-4278
September 16, 1992
Meyer-Rohlin, Inc.
Attn: Norman Gartner, P.E.
1111 Hwy 25 N.
Buffalo, MN 55313
Dear Norm;
PSYKS FIFfH ADDmON; PERMIT REQUIREMENTS; CITY OF ALBERTVILLE
Thank you for sending me the plans and specifications for Psyks Fifth Addition, to be located
in the southwest comer of Albertville. The street and utility plans indicate that a stormwater
outfall will be placed into the bank of Unnamed Wetland No. 86-414w. It is my opinion that
a "Work in Protected Waters" permit will be needed from the DNR for this project. The
necessary application forms are attached for your use. Please note that the fee calculation
should be based on the cost and size of only that part of the work being done in the wetland.
The sedimentation pond designed as part of the project seems to satisfy the requirements of
our permit rules. However, further review of this issue will be done after receipt of the
necessary application. I will contact you if I receive any adverse comments on this plan.
Please feel free to contact me if you have any questions.
Sincerely;
//
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Dale E. Homuth
Area Hydrologist
ENCLOSURES
cc: City of Albertville /
Dave Hills, Regional Hydrologist
Traci Hanson, Area Conservation Officer
AN EQUAL OPPORTUNITY EMPLOYER
MINNESOTA POLLUTION CONTROL AGENCY
GENERAL CONDITIONS FOR SANITARY SEWER EXTENSION PERMITS
GENERAL CONDITIONS:
1) Material, labor and equipment for temporary erosion control measures and
the acceptable maintenance thereof shall be provided during the life of the
project, to effectively prevent water pollution through the use of berms,
dikes, dams, sediment basins, fiber mats, netting, gravel, mulches,
grasses, slope drains, and other erosion control devices or methods.
Surface cover materials shall be anchored to reasonably prevent their
entering waters of the State by erosion or rising water levels.
2) Temporary pollution control measures shall be included for all construction
activity associated with the project where such work is necessary, for
example borrow pit operations, haul roads, equipment storage, and plant or
waste disposal sites.
3) The temporary pollution control provisions contained herein shall be
coordinated with any permanent erosion features to the extent practical to
assure economical, effective, and continuous erosion control throughout the
construction and post-construction period.
4) The surface area of erodible earth material exposed by clearing and
grubbing, excavation, borrow and fill operations shall be minimized and
immediate permanent or temporary control measures shall be taken to prevent
contamination of adjacent streams and other water courses, lakes, ponds,
and areas of water impoundment. Cut slopes shall be stabilized by methods
. such as seeding and mulching as the excavation proceeds to the extent
considered practicable. Slopes shall be graded properly to minimize
erosion.
5) The Applicant will be required to incorporate all permanent erosion control
features into the project at the earliest practicable time. Provisions
should be made for continual checking and maintenance of all control
measures, particularly during periods of rainfall, to ensure maximum
effectiveness. Temporary pollution control measures will be used to
correct conditions that develop during construction that were not foreseen
during the design state; that are needed temporarily to control erosion
that develops during normal construction practices, but are not associated
with the permanent control features on the project.
6) The Applicant will control the area of excavation, borrow and embankment
operations commensurate with his progress with finish grading, mulching,
seeding, and other such permanent erosion control measures. Should
seasonal limitations make such coordination unrealistic, temporary erosion
control measures shall be taken to the extent feasible.
7) Oil and other liquid substances capable of polluting water of the State
will be stored in accordance with the requirements of MPCA Miscellaneous
Water Quality Rules Chapter 7100.0010 - 7100.0090 (formerly Minnesota Code
of Agency Rules 6 MCAR 4.8004) (formerly WPC-4).
-2-
8) Stream Bank Stabilization shall be utilized if it is needed to prevent
erosion, and shall be constructed of materials which will not pollute
waters of the State.
9) If an effluent will result from the project the Contractor shall submit to
the MPCA plans, for approval, to provide for the following:
a) Water from dewatering operations including effluents from construction
activities shall only be discharged when the effluent complies with
the applicable water quality and effluent standards. Dewatering shall
be performed using well points where feasible and practical, all other
dewatering shall be performed so as not to result in increased
turbidity in the receiving water. This may require the use of
desilting ponds to reduce suspended solids. When the MPCA requires,
permits must be obtained.
b) A Disposal System Permit shall be obtained by the Contractor from the
MPCA prior to any hydraulic dredging or tunneling, or other activity
including an effluent which may contain potential pollutants.
10) This permit shall not release the permittee from any liability or
obligation imposed by Minnesota or Federal statutes or local ordinances and
shall remain in force subject to all conditions and limitations now or
hereafter imposed by law. The permit shall be permissive only and shall
not be construed as stopping or limiting any claims against the permittee
for damage or injury to persons or property, or any waters of the state
resulting from any acts, operations or omissions of the permittee, its
agents, contractors or assigns for damage to state property, or for any
violation of the terms or conditions of this permit.
11) No assignment of this permit shall be effective until it is executed in
writing and signed by the parties thereto and thereafter approved by the
Agency.
12) No major alterations or additions to the disposal system shall be made
without the written consent of the Agency.
13) the use of the disposal system shall be limited to the treatment and/or
disposal of the sewage, industrial waste, other waste materials or
substances described in the plans and/or permit application and associated
material filed with the Agency.
14) The Agency may modify, suspend, or revoke in whole or in part, this permit
after giving notice and providing an opportunity for a public hearing or by
taking direct enforcement action, or any just cause including failure:
(a) to comply with the terms stated herein, or (b) to comply with Agency
water quality regulations and standards presently in force. Nothing herein
shall prohibit the Agency from exercising its emergency powers.
-3-
15) The permittee acknowledges that nothing contained herein shall prevent the
future adoption by the Agency or its predecessors of any pollution control
regulations, standards, orders or statutes more stringent than those now in
existence or prevent the enforcement and application of such regulations,
standards, orders or statutes to the permittee.
16) The Agency, its officers, employees and agents review and comment upon
engineering reports and construction plans and specifications regarding
this permit solely for the limited purpose of determining whether such
report, plans and specifications will enable the facilities subject thereto
to reasonably comply with the regulations and criteria of the Agency.
17) This permit has not been reviewed by the U. S. Environmental Protection
Agency and is not issued pursuant to Section 402 of the Federal Water
Pollution Control Act Amendments of 1972.
18) The plans for the project have been approved with the reservations stated
on the attached sheet entitled "Information Relative to Review of Plans and
Permit App1ication."
19) The permittee shall comply with all rules, regulations and requirements of
the Minnesota Environmental Quality Board prior to construction of the
proposed project. This permit is not effective until the permittee
completes all applicable environmental review (Environmental Impacts
Statement or Environmental Assessment Worksheet) which may be required for
the project.
20) This permit authorizes the Holder to perform the activities described
herein under the conditions set forth. In issuing this permit, the
state/agency assumes no responsibility for any damage to persons, property
or the environment caused by the activities of the Holder in the conduct of
its actions, including those activities authorized, directed or undertaken
pursuant to this permit. To the extent the state/agency may have any
liability for the activities of its employees, that liability is explicitly
limited to that provided in the Torts Claims Act, Minnesota Statute 9
3.736.
MINNESOTA POLLUTION CONTROL AGENCY
Water Quality Division
INFORMATION RELATIVE TO
REVIEW OF PLANS.AND PERMIT APPLICATIONS
June 1, 1992
The review of plans and specifications for se~age, industrial waste or other
waste disposal systems and application for permits is made in accordance with
the authority conferred by law (see MS, Section 115.07). Approval of plans and
permits is based upon the assumption that the information provided by the
applicant is correct and that all necessary legal requirements have been or will
be satisfied.
Plans for se~age, industrial waste or other waste disposal systems are examined
with regard to the design features which apply to operation and maintenance of
the treatment works or sewer system, the degree of treatment to be provided, the
effectiveness and reliability of the system or methods employed, and compliance
with applicable standards systems. The bulletin entitled Recommended Standards
for Wastewater Facilities, 1990 Edition, and supplements thereto, as well as
other information are used in examiriation of the design, operation and
maintenance aspects of the proposed system.
Sewer plans are recommended for approval on the basis that the system is to
collect only domestic sewage and such industrial or other waste as may have been
provided for in the design. Foundation or footing drains to collect ground
water and roof drains or other surface water conduits should not be connected to
the sanitary sewer system. Adequate field supervision and inspection by a
qualified representative of the owner should be provided at all times during
construction to assure that the project is constructed in compliance with the
approved plans and specifications.
The Agency assumes no responsibility for the integrity of structures or physical
features, or for the reliability, durability or efficiency of specific items of
propriety equipment or material. All applicable federal, state and local laws,
regulations or ordinances must be followed in the design, location and
construction of proposed sewer systems or treatment works.
The Agency reserves the right to withdraw its approval of plans if construction
is not undertaken within a reasonable period after issuance of the permit.