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H�,i�iNEPIN COUNTY TRANSPORTATION DEPARTMENT Operations Division — Permits Office 1600 Prairie Drive Medina, MN 55340-5421 Phone: (612) 745-7600 Fax: (612)478-4002 . RIGHT-OF-WAY CONSTRUCTION PERMIT � • If the concrete pavement replacement is within three feet of a construction joint, the removal shall include all pavement to the joint. � A minimum of 72 hours curin� time is required prior to placement of traffic on patch. • Reference shall be made to"Hennepin County Concrete Repair Plate A"requirements for proper rebar placement. RESTORATION: • The right-of-way shall be left in original or better condition. • Restoration shall be continuous with job progress. � Urban boulevards shall be sodded and rural ditch areas shall be seeded, conforming to MnDOT Specification 2575 unless othenvise directed by Hennepin County. • A minimum of 3"depth of topsoil meeting MnDOT Spec. No. 3877 shall be placed in either application. � The permittee shall be responsible for maintenance of any failures due to settlement, erosion, lack of vegetation growth, rutting, or other job related problems for a period of three years after completion of project and Hennepin County has received Notice of Work Completion. • The applicant shall be responsible for immediate replacement of any damaged sign within county right-of- way. COMPLIANCE: Failure to comply with any permit provision shall nullify this permit. LI�L11T.4TIONS: If the roadtivay surface has beeft replaced within the previot�s five year perio�l the applicartt sltall not distt�rb this netiv surface, including "potholing"for conflicti�ig utilities. Furthermore, if Hennepin Coz�nty shall make any improvement or change on all or any part of its right of way z�pon, over, t�nder or alo�ig a county road, and such change or improvement requires the moving or changing of public zrtility facilities in strch right of way, tlren, in that event, the applicant herein shall, after notice in writing by Hennepin Coa��tty, alter, change, vacate, or remove from the county road that part of its facilities necessary to conform to the irnprovement at its own cost and withozrt any o � PERMIT APPROVED qg Paul B. Backer, P.E. Hennepin Countv Permit Engineer CALL 745-7600 PRIOR TO CONSTRUCTION! See attached special provisions. SPECIAL PROVISIONS ■ ■ ■ ■J ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ VERBAL `1 CLIENTS: PERMIT NUMBER CSAH: LOCATION: MUNICIPALITY: 27��7 19 1910 CO RD 19 ORONO MEGAN AND JIM McMANUS NOTICE OF WORK COMPLETION Be advised that all work including restoration authorized under this permit was completed on �'_�`�;..� /'1� k and is ready for final inspection. ApplicantRepresei:tative: (r ':� l �"�( !�-(�i� i(.-S 1�i1�L ��-�- ��(�. i�`l[i.t,_.�� (Print: ame) (SignatLre) .; This page mtr.st be faxed or mccile� to the Per/l1ltS Off C2 bL�ithin ?4 houis of tivork completion 3of3