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Home My WebLink About2016-01529 - modification of porch to garage L ' CITY OF ORONO * 2 0 1 6 — 0 1 5 2 9 * � � 2750 KELLEY PARKWAY DATE ISSUED: 02/17/2017 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 440 BROWN RD S PIN : 03-117-23-42-0012 LEGAL DESC : STRONGHOLD : LOT 003 BLOCK 001 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CO1�iSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTNITY : 434-RESIDENTIAL VALUATION : $ 30,000.00 NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STATE) MODIFICATION OF PORCH TO A GARAGE APPLICANT PERMIT FEE SCHEDULE 490.12 STATE SURCHARGE(VALUATION) 15.00 REVISION LLC TOTAL 505.12 153 E LAKE STREET Payment(s) WAYZATA,MN 55391- CHECK 13103 505.12 (952)540-7150 Minnesota State License#:BUIL-BC639027 OWNER SULLIVAN,TIMOTHY&AMY 440 BROWN RD S WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is r le fo assuring all required inspections aze requested in n an w' the State Building Code.This permit may be revoked at �me f d cause. , 'L �G � �c /7/ /� Applicant P ee Signature Dat ssued B ignature Date CITY OF ORONO �j'`� �fD BUILDING PERMIT APPLICATIO , FOR NEW STRUCTURES OR ADDITIONS �O�O Mailing Address: Permit number. �G�� - �� L PO Box 66 Crystal Bay, MN 55323-006 Date received: �s � , �, ,, Street Address:� �� eceived by: �Z "(Z- � y�, G� 2750 Kelley Parkway ��;� �� Plan review fee: `qKfSHO�� Orono, MN 55356 ( � �o��-�;�sz Main: 952-249-4600 ��, Total Fee: Fax: 952-249-4616 www.ci.orono.r4in.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: Job Site Address: ��(,� i3�;��,v� �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes o If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APP ICANT INFORMATION: Name: ��'��,iU'✓� State License# �tja Expiration Date: Phone: cell - office - �(lp� -L{t,�Ol:� Mailing Address: / � T Cit :(..V - ZIP: N ' � Contact Person: �(�L �.�,�,e1,, Applicant is: Contrac� r / Homeowner �c��ieo�e> Email and/or Fax: r�i C_lc-, (�v� �� C �� 11'1 r1'I,L��iVI PROPERTY OWNER INFORMATION: �In Name: T�wi � ►aw�:� �;,,�:1,�c1c:.�/1 Phone (day): � Address: H`1� i3r�� 12.� city: l.�r�rt� ziP: 5��i� Email and/or Fax }'� �u i�, V�tY�n�1�a�C:, ��ry�Q; I. Ci'�'v� ' SU�ii Vqr�.,Q��y 1� � �1i�1(:� �, ll`w� ARCHITECT/ENGINEER INFORMATION: Name: Phone (day): Address: City: ZI P: Email and/or Fax: PROJECT INFORMATION: Descri tion of pro�ect: 1.Type of Project 2. Proposed Use 3.Structure Type 4. Sewage Disposal& Water Supply ❑ New Construction ❑Single Family with �Accessory Bldg./Garage ❑Addition attached garage ❑ Deck ❑ Public Sewer ❑Accessory Building ❑ Single Family with ❑O�ce/Commercial ❑ Relocation Y�oDIFY aoQct-4 detached garage ❑ Residence ❑ Private Sewer �'bther: (specify) 'R�qpF2,AqE ❑ Multiple Family/Condo ❑ Retaining Wall(s) ❑ Public 4-feet or greater ❑ Public Water **Any earth movement may also require ❑Commercial ❑Storage MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑Other: (speCify) ❑Other(specify) 15320 Minnetonka Blvd Minnetonka,MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) � �%'i(�(j[� Q��TE� a�c � � zo�s Last Updated: January 2016 cinr oF oRONo STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) a. Length(ft.)= Zi7i Number of bedrooms= 2. Occupancy: b.Width(ft.)= �Z,� Number of garage stalls: 3. Occupant Load: Areas in spuare feet Attached = c. Basement= Detached= 4. Type of Construction: d. 1 S'Story = e.2"d Story= 5. Code Edition: f. '/z Story = g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable ❑ ❑ Buildin Permit EscrowA reement and Fees ❑ ❑ Plan Review Fee ❑ ❑ Com leted A lication Form ❑ ❑ Pro osed Buildin Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'/z x 11 set � ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements ❑ � Surve —2 full size, to scale meetin ALL surve re uirements ❑ ❑ Hardcover Calculations ❑ ❑ Se tic S stem Certification ❑ ❑ Minnehaha Creek Watershed District(MCWD) Permit or Documentation from MCWD statin no ermit is re uired ❑ ❑ Landsca e Walls and/or Retainin Wall Plans ❑ ❑ Stormwater Pollution Prevention Plan SWPPP ❑ ❑ Access Permit ❑ ❑ Data Privacy Advisory Form APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so,the staff has no alternative but to reject it until it is complete; • Acknowledges the Escrow Agreement is completed and signed; • Understands some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the information,the application may not be issued. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. ApplicanYs Signature: �yp Date: �'Z��Z� � �,.: Owner's Signature: Date: ��'�� Last Updated: January 2016 �� CITY OF ORONO ' PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS 'Address: � ,V�VrVn 1�v1 S Permit No.: ��Y/ ' 0��2-� Description of work: �(�� hQ�,�� Date Rec'd: �2•'Z•��,0 � � Septic review by: -.uc-�� Date Approved: �;//Si l� Zoning review by: Date Approved: �' � � Building review by: Date Approved: � /� G y Grading review by: Date Approved: LL�C )h� Zoning District: � �� Zoning File#: Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA Zoning: Lot Area: 25 SF AC Width: Structural Coverage: ��' SF �� °/a Survey Submitted: � Yes �No�l� Da ca �:�,!i1� �evised date(?): �rh4��v._. r�t�y� Landscape plan submitted? 0 Yes Landscap�er: _ 0 No/ None proposed � Pro osed Setbacks: _� Front(L e) Rear(S t) ( N S E W ,`�� `��`"'- "l �Buildings Wetland � Side � -�-�n Buildinq Heipht Analvsis: Distance Between First Floor and defined Top of � � � Roofl See "buildin hei ht" definition ; a First Floor Elevation from buildin pians : (b) Highest Existing ground level (per survey) or 10' �� above lowest round level, whichever is lower: Difference between b and c : (d) Defined Buildin Hei ht(a -(d): �e� Shoreland District MCWD Permit Average Lakeshore Setback gluff Met? 0 Yes �No Permit Number: � � � � Yes � No N/A � Ye No N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and s % and s � 0 Yes No 0 Yes No 1 2 3 4 � �� '-- Type(s): Type(s): Updated: October 2016 v:\forms�plan review checklist 10-2016.docx � r Fees to be Char ed YES NO Permit . Plan Review State Surcharge Investigation Fee SAC—Number of SAC Units Other(specify) S uare Foota e $ er S uare �oota e Basemet�� .y . y : X "_ $ 1� Floor X •_ $ 2nd FI00� X = $ Garage X = $ Estimated Construction Value: $ ,��i��l�"l�' � Orono Inspections Required Work Requiring Separate Permits Footing � Site � Plumbing � Grading/Filling � Poured Wall 0 Silt Fence/Erosion Control � Mechanica� 0 Fire 0 Foundation Survey � Hardcover Removal � Fireplace � Water Connection 0 Framing 0 Other(specify) 0 Masonry 0 Sewer Connection � Waterproofing/Drain tile 0 Mfg. � Lawn Irrigation � Foundation Waterproofing 0 Other(specify) � Landscaping Framing 0 Insulation s-Built Survey Final � Lathe Required State Permits � Other(specify) 0 Well Electrical REMARKS (in-house): � Ir �.(,�V I ' Z �'�7. OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: �See Builder Acknowledgement Form 0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2016 v:\forms�plan review checklist 10-2016.docx , . Christine Mattson From: Christine Mattson Sent: Friday, February 17, 2017 11:25 AM To: nic@revisiomm�.com Cc: 'tmsullivanmd@gmail.com'; 'sullivan.amyk@gmail.com'; Rachel Dodge; Monica Fadness; 'Permitting' Subject: 440 Brown Road S/#2016-01529 Attachments: Escrow Agreement 2016-01529.pdf Nic, Per our telephone conversation two remaining items are needed before the permit can be issued: 1. A copy of an erosion control permit from the MCWD or documentation from them stating this proposed project does not trigger their permitting requirements. (MCWD permit#16-521 is for the detached accessory structure which we don't have an application for.) 2. A copy of an updated escrow agreement is attached. This combines the variance escrow with this project. No additional escrow money is needed at this time,just a signature from one of the property owners. , As I mentioned, I'm leaving around noon for the day and our office is closed on Monday. If you are able to bring in documentation from the MCWD and a signed copy of the escrow agreement before 4:30 pm today we can issue the permit. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway � Orono I MN I 55356(physical addressJ PO Box 66 I Crystal Bay � MN � 55323-0066(mailing address) '� 952.249.4620 � g 952.249.4616 � cmattson@ci.orono.mn.us � � www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE W/LL BE CLOSED: Monday, February 20,2017 1 Christine Mattson From: Adam Edwards Sent: Thursday, February 16, 2017 3:50 PM To: Christine Mattson Subject: RE:440 Brown Road S/2016-01529 Chris, I've reviewed the subject grading plan and stamped it approved with revisions: 1. The Certificate of Survey was annotated to indicate perimeter erosion control measures(silt fence, bio logs,etc.) down gradient from proposed work. Measures must be installed by the Contractor and inspected by the City prior to any work. Contractor must provide a minimum 24 hour notice prior to inspection. 2. The plan shows top of wall and bottom of wall elevations for a wall that is not depicted and would not be allowed in that location. Adam From:Christine Mattson Sent:Thursday, February 16, 2017 10:19 AM To:Adam Edwards<aedwards@ci.orono.mn.us> Subject:440 Brown Road S/2016-01529 Adam, We have had many iterations of this application before you have seen it. The wetland was delineated which has a 35' setback from hardcover/structures. Proposed retaining walls and walking path which were within the 35'setback have been removed from the survey despite the top and bottom of wall elevations remaining. Please review and provide comments. Thank you! Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway I Orono � MN � 55356(physical address) PO Box 66 � Crystal Bay I MN � 55323-0066(mailing address) '� 952.249.4620 I 8 952.249.4616 �cmattson@ci.orono.mn.us � �D www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Monday, February 20,2017 1 Christine Mattson From: Christine Mattson Sent: Wednesday, February 15, 2017 1025 AM To: nic@revisiomm�.com Cc: 'tmsullivanmd@gmail.com'; 'sullivan.amyk@gmail.com'; Frank Cardarelle (cardarellels@aol.com); alex@revisiomm�.com; Melanie Curtis Subject: 440 Brown Road S/#2016-01529 Hi Nic, I'm following up on the voice mail I left you. The survey's submitted are not printed to scale and I cannot accurately verify setbacks. Before you submit updated survey's though, it appears some of the retaining walls and possibly stepping stones may with within 35'of the delineated edge of the wetland. According to Citv Code Section 78-1605(c) no structures or hardcover can be within 35'of the delineated edge of a wetland. Since the survey is not to scale I cannot accurately determine at this time. Please review and submit updated information for our review. Please note our engineer has not reviewed the survey,so additional comments may be forthcoming. Contact me if you have any questions. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway I Orono � MN � 55356(physical addressJ PO Box 66 � Crystal Bay � MN I 55323-0066(mailing addressJ '� 952.249.4620 � 8 952.249.4616 � cmattson@ci.orono.mn.us � �] www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Monday, February 20,2017 1 Christine Mattson From: Christine Mattson Sent: Thursday,January 26, 2017 2:35 PM To: 'nic@revisiomm�.com' Cc: 'tmsullivanmd@gmail.com'; 'sullivan.amyk@gmail.com'; 'Frank Cardarelle (cardarellels@aol.com)'; Melanie Curtis Subject: RE: MCWD W17-01 No-Loss Decision 440 Brown Rd, Orono Attachments: Survey Requirements -August 2015.pdf Nic, I was a little premature in sending my last email. When having the survey updated, please make sure all proposed additions/changes are shown on the survey along with the proposed landscape plan (i.e. retaining walls, patios,stairs,etc.). Attached is a copy of the City's survey requirements. Please note our engineer has not reviewed the survey so there may be additional comments forthcoming. Also, please confirm with the MCWD if your project triggers their permitting requirements and requires an erosion control permit. I am out of the office tomorrow returning on Monday,January 30tn Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway I Orono I MN � 55356(physical addressJ PO Box 66 � Crystal Bay � MN I 55323-0066(mailing addressJ '� 952.249.4620 � 8 952.249.4616 �cmattson@ci.orono.mn.us � � www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Monday, February 20,2017 From:Christine Mattson Sent:Thursday,January 26, 2017 2:12 PM To: nic@revisiomm�.com Cc: 'tmsullivanmd@gmail.com'<tmsullivanmd@gmail.com>; 'sullivan.amyk@gmail.com'<sullivan.amyk@gmail.com>; Frank Cardarelle(cardarellels@aol.com)<cardarellels@aol.com>; Melanie Curtis<MCurtis@ci.orono.mn.us> Subject: MCWD W17-01 No-Loss Decision 440 Brown Rd, Orono Nic, i We received the approved wetland delineation from the MCWD(copy attached). Please have the delineated edge shown on the survey and submit two full-size copies so we can continue our review. Please don't hesitate to contact me if you have any questions. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway � Orono I MN � 55356(physica/addressJ PO Box 66 I Crystal Bay I MN I 55323-0066 (mailing addressJ '� 952.249.4620 ! 8 952.249.4616 � cmattson@ci.orono.mn.us � � www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Monday, February 20,2017 z Christine Mattson From: Christine Mattson Sent: Thursday,January 26, 2017 2:12 PM To: nic@revisiomm�.com Cc: 'tmsullivanmd@gmail.com'; 'sullivan.amyk@gmail.com'; Frank Cardarelle (cardarellels@aol.com); Melanie Curtis Subject: MCWD W17-01 No-Loss Decision 440 Brown Rd, Orono Attachments: SullivanOronoLevel1 DelineationReport&NoLossAppl.pdf;W17-01 (signed).pdf Nic, We received the approved wetland delineation from the MCWD(copy attached). Please have the delineated edge shown on the survey and submit two full-size copies so we can continue our review. Please don't hesitate to contact me if you have any questions. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway I Orono 0 MN � 55356(physical addressJ PO Box 66 � Crystal Bay � MN � 55323-0066 (mailing addressJ '� 952.249.4620 E 8 952.249.4616 � cmattson@ci.orono.mn.us � �] www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Monday, February 20,2017 1 Christine Mattson From: Christine Mattson Sent: Friday, December 30, 2016 2:39 PM To: 'nic@revision�mn.com' Cc: 'tmsullivanmd@gmail.com'; 'sullivan.amyk@gmail.com'; 'alex@revisiomm�.com'; 'john@revisiomm�.com'; Melanie Curtis Subject: 440 Brown Road South/#2016-01529 Attachments: letter.pdf; Escrow Agreement 2016-01529.pdf Nic, Attached is a copy of the letter and enclosure being mailed today. Please don't hesitate to contact me if you have any questions. Christine Mattson Planning Assistant City of Orono 2750 Kelley Parkway Orono : MN ' S5356 (physical addressJ PO Box 66 ", Crystal Bay ; MN : 55323-0066 (mailing addressJ S' 952.249.4620 � 952.249.4616 � cmattson@ci.orono.mn.us ' � www.ci.orono.mn.us Office Hours: Monday- Friday 8 am to 4:30 pm OUR OFFICE WILL BE CLOSED: Monday,January 2, 2017 Monday,January 16, 2017 1 . � ��0 C ITY OF ORONO � � Street Address: Mailing Address: Telephone(952)249-4600 �. G1 2750 Kelley Parkway P.O.Box 66 I Fax (952)249-4616 l,q �, Orono,MN 55356 Crystal Bay,MN 55323 www,ci.orono.mn.us xESHO� December 30, 2016 Nic Smolen Revision, LLC 153 E Lake Street Wayzata, MN 55391 Re: Building Permit Appiication#2016-01529 440 Brown Road South � On December 20, 2016 the City received a building permit application for an addition to the house. Staff conducted a preliminary review based on the information provided and recommends the following items be submitted or revised in order for your application to be considered complete and for the plan review to continue: 1. Wetland. Based on our available information, it appears there is a wetland within the subject property. This wetland appears to be located within 150 feet of the proposed project. Because Orono City Code requires a 35-foot setback from any wetland for structures or hardcover,the location of the wetland must be indicated on the survey.Setbacks from the veri�ed with wetland delineation information. Level 2 Delineation is required. A Level 2 delineation must include the exact surveved boundarv of the wetland shown on the certificate of survey. 2. Certificate of Survey. Once the wetland delineation has been completed and approved by the Minnehaha Creek Watershed District the delineated wetland edge should be shown on an updated survey. The setback for structures and hardcover is 35' from the delineated edge of the wetland. Our engineer has not reviewed the survey,so additional comments may be forthcoming. 3. Escrow & Escrow Agreement. Permits involving grading and/or review by the City's engineer require submittal of an escrow and an escrow agreement. The purpose of the escrow is to guarantee reimbursement to the City for out-of-pocket costs incurred during the review of your plans. Additionally this escrow will guarantee conformance with City Code Chapter 79 relating to erosion control and stormwater. The required escrow amount for this project is $2,500. We currently hold $2,500 in conjunction with the variance application. Please have the property owners sign the updated escrow agreement. No additional escrow money is needed at this time. December 30,2016 440 Brown Road 5 Page 2 of 2 4. Minnehaha Creek Watershed District (MCWD). Your project may trigger the Minnehaha Creek Watershed District's (MCWDs) permitting requirements; please contact the MCWD directly at 952-471- 0590 regarding your project. Please note,the City of Orono will not issue a building permit without a copy of the MCWD permit or documentation stating the proposed project does not trigger any of their permitting requirements. Please feel free to contact me at 952.249.4620 or by email at cmattson@ci.orono.mn.us if you have any questions on the above requirements. Sincerely, CITY OF ORONO �'w C ristine Mattson Planning Assistant c via email Nic Smolen Tim &Amy Sullivan Alex Lang John Daly Roger Peitso, Building Official � encfosure „ `s�”" �� .'�+. N '� �� . �'�`�.,. � �� ..� ' , . .�,. . � . , .. _ . .°�<.��s4 �♦ � . "`. . '„< �. ��` ` 'r t� �� ' t . ��.� r.�; •*�..., . . . � -____�., �' «y � + �. � ,� \ r,� ,� �'" ,�� . °,� .�'� " . 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R " . !d ��" .... ,�.��F`,y,��r�_-..�' .��.m..� 'a':: .. c �I� ... �� :�.� ��a�L � I� oiscla�mer: Y:. � . . .. , -... . • � . : . 7his d�awing is neither a legally rerorded map nor a BO LTO N urvey and is not intended to be used as one 7his drawing is a mmpilation of records,information,and data 0 79 Feet +. & M E N K �ocated in various ciry,counry,and state offices,and othe� s affecting the area s�own,and is to be used for reference purpos only.The Ciry of Orono is not �O Boiton&Menk,lnc-Web G15 12/30/2016 9:17 AM Real People.Real 5olutions. �P��+nia��,a��,«��.a��P�nP.P��„�ra��aa Christine Mattson From: Nic Smolen <nic@revisiomm�.com> Sent: Friday, February 17, 2017 7:04 PM To: Jack Distel; Christine Mattson Subject: Re: MCWD permit 16-521:440 Brown Rd, Orono Thank you for your timelines response on this, Nic Smolen Project Manager Revision,LLC 153 East Lake St. Wayzata,MN 55391 Lic#BC639027 612-751-3452 cell 612-462-4000 office www.revsiomm�.com From:Jack Distel<Jdistel@minnehahacreek.org> Sent: Friday, February 17,2017 2:18:57 PM To:Christine Mattson (Orono) Cc: Nic Smolen Subject: MCWD permit 16-521:440 Brown Rd, Orono Hi Christine, Attached you should find the erosion control permit 16-521 for 440 Brown Rd, Orono and the updated home plans. The modified home plans do not require changes to the original permit as the proposed square footage of the home addition and the fill required during construction is below our threshold for an erosion control permit. Best, Jack Distel District Representative Minnehaha Creek Watershed District 15320 Minnetonka BLVD Minnetonka, MN 55345 952-641-4581 i � � Builder Acknowledgement Form Permit #2016-01529 / 440 Brown Road S Builder Representative Name: /VIC, �oYy/U��'w Permit Conditions: Initials Erosion control mechanisms must be installed and inspected by the City prior to any land disturbing activities. The contractor must provide a minimum of a 24 hour notice prior to ,r/� inspection. �y Erosion control shall be installed and maintained throughout the entire project and must , /S remain until vegetation has been established. �� Advisory Comments Any changes to the exterior/landscaping improvements, i.e. patios,grading, sidewalks, retaining walls,etc. not currently shown on the approved survey and landscaping plan will require a ' � separate Zoning Permit application to be submitted and approved prior to the work N� commencing. Any retaining walls that are over 4-feet in height or tiered walls not separated by twice of the � height of the lower wall require engineered plans and a building permit to be submitted and approved prior to construction. � w:\street files\brown road s\440\builder acknowledgement form 2016-01529.docx � MINNEHAHA CREEK WATERSHED DISTRICT QUALITY OF WATER `� QUALITY OF LIFE Pursuant to Minnesota Statutes Chapter 103D, and on the basis of statements and information contained in the permit application, correspondence, plans, maps, and all other supporting data submitted by the applicant, and made a part hereof by reference, PERMISSION IS HEREBY GRANTED to the applicant named below for use and development of land in the Minnehaha Creek Watershed District. LO�� ' �� 5�..�\ Issued to: Timothv &Amy Sullivan Permit No: 16-521 Location: 440_Brown Road South, Orono �'� Purpose: Erosion Control- Buildina Addition �� Date of Issuance: 10/6/2016 Date of Ex iration: 10/6/2017 By Order of the Board of Managers� Rachel Workin � Permitting Technician This permit is not transferable without District approval, and is valid to the date of expiration. No activity is authorized beyond the expiration date. If the permittee requires more time to complete the project, an application for renewal of the permit must be received by the District at least 30 days before expiration. The applicant is responsible for compliance with all District Rules and for the action of their representatives, contractors, and employees. Conditions: Project to be completed as described in plans submitted to the MCWD office on September 19th, 2016 according to the provisions of this permit. • Properly install and maintain all required erosion control measures until the disturbed areas are re-stabilized � Notify MCWD in writing upon completing installation of perimeter and sedimentation controls • When the site is re-stabilized and the MCWD staff has performed a final inspection, all perimeter control must be removed (Statement concerning fees for inspections, violations, etc... on following page) We collaborate with public and privare parrners ro protect and improve land and water for currenr and future generations. ........................................................................................................................................ .............................................. ............................................................................................................................. ... ........... ................. _...._........ ............... ...................... .... .. ..... ................................................................................................................................. .................................. .......................................... 15320 Minnetonka Boulevard,Minnetonka,MN 55345 • (952)471-0590 • Fax:(952)471-0682 • www.minnehahacreek.org MINNEHAHA CREEK �, WATERSHED DISTRICT QUALITY OF WATER �`" QUALITY OF LIFE _Inspection/AnalvsisiMonitorinq Fees A site inspection and monitoring by District staff will be pertormed where the activity involves: • a commercial/industrial/multi-family residential development • a single family residential development greater than 5 acres or of any size if within the Minnehaha Creek subwatershed • any alteration of a floodplain or wetland • dredging within the beds, banks or shores of any protected water or wetland • a violation • any project which in the judgment of the District staff should be inspected due to project location, scope, or construction techniques In these cases, the applicant shall pay to the District a fee equal to the actual costs of field inspection of the work, including investigation of the area affected by the work, analysis of the work, and any subsequent monitoring of the work, which in the case of a violation shalt be at least $35. Standard Fee Schedule District professional staff $ 65.51* District interns $ 40.35'' District clerical staff $ 46.69'` Consulting Senior Engineer $ contracted rate Consulting Engineer/Technician $contracted rate District Counsel $ contracted rate Application fee $ 10.00 Copy costs $ .25 + actual staff time Color copy costs $ 1.00 + actual staff time * Hourly We collaborare with public and privare partners ro protecr and improve land and water for current and future generations. ..................................................... ................................................................................................................................. ..................................................................................................................................................................................... ... ........................................................................................................... .. .................................................................. 15320 Minnetonka Boulevard,Minnetonka,MN 55345 • (952)471-0590 • Fax:(952)471-0682 • www.minnehahacreek.org Minnesota Wetiand Conservation Act Notice of Decision Local Government Unit(LGU) Address Minnehaha Creek Watershed District 15320 Minnetonka Blvd Minnetonka,MN 55345 1. PROJECT INFORMATION Applicant Name Project Name Date of Application Tim Sullivan 440 Brown Rd,Orono Application Number 1/24/17 W17-01 T e of Decision: ❑ Wetland Boundary or Type �No-Loss ❑ Exemption ❑ Sequencing ❑Replacement Plan ❑Banking Plan Technical Evaluation Panel Findin s and Recommendation if an : ❑ Approve ❑Approve with conditions ❑Deny Summary(or attach): 2. LOCAL GOVERNMENT UNIT DECISION Date of Decision: 1/26/17 � Approved ❑ Approved with conditions(include below) ❑Denied LGU Findings and Conclusions(attach additional sheets as necessary): Tim Sullivan has applied for a WCA No Loss Decision for proposed home repair and excavation of sediment from a deepwater habitat at 440 Brown Rd in the City of Orono, Hennepin County, Minnesota. Legal description: Sections 3, Township 117N, Range 23W. A Level 1 wetland delineation was conducted by Kjolhaug Environmental Services on January 9th, 2017. One deepwater waterbody with a Type 2, Fresh(Wet) Meadow fringe was identified on site. A Level 1 wetland delineation was deemed appropriate because an on-site review by Kjolhaug and MCWD on September 16�', 2016 identified an abrupt wetland-upland transition zone. MCWD finds that the proposed home repair meet the criteria of conditions of 8420.410 and criteria of 8420.0415 Subp. A: "an activity that will not impact a wetland" as there is no wetland within the home repair project area. MCWD finds that the proposed excavation of material from the deepwater area meets the criteria of conditions of 8420.410 and criteria of 8420.0415 Subp. A: "an activity that will not impact a wetland" as the proposed removal of sediment is from a deepwater waterbody. Excavation is not allowed within the area delineated as Type 2 Fresh(Wet) Meadow. BWSR Forms 7-1-10 Page 1 of 3 This decision is valid for five years. Any proposed changes to the project that are outside of the scope of this exemption and no-loss decision may not begin without approval from the MCWD. These projects or a future project located on this property may require a permit from the MCWD. For Replacement Plans using credits from the State Wetland Bank: Bank Account# Bank Service Area County Credits Approved for N/A N/A N/A Withdrawal (sq. ft. or nearest .01 acre) Replacement Plan Approval Conditions. In addition to any conditions specified by the LGU, the approval of a Wetland Replacement Plan is conditional upon the following: ❑Financial Assurance: For project-specific replacement that is not in-advance,a financial assurance specified by the LGU must be submitted to the LGU in accardance with MN Rule 8420.0522, Subp. 9 (List amount and type in LGU Findings). ❑ Deed Recording: For project-specific replacement, evidence must be provided to the LGU that the BWSR "Declaration of Restrictions and Covenants" and "Consent to Replacement Wetland" forms have been filed with the county recorder's office in which the replacement wetland is located. ❑ Credit Withdrawal: For replacement consisting of wetland bank credits,confirmation that BWSR has withdrawn the credits from the state wetland bank as specified in the approved replacement plan. Wetlands may not be impacted until all applicable conditions have been met! LGU Authorized Si nature: Signing and mailing of this completed form to the appropriate recipients in accordance with 8420.0255, Subp. 5 provides notice that a decision was made by the LGU under the Wetland Conservation Act as specified above. If additional details on the decision exist,they have been provided to the landowner and are available from the LGU u on re uest. Name Title Rachel Workin Permitting Techncian Signature Date Phone Number and E-mail � ; � 1/26/17 (952)641-4518 " ` rworkin@minnehahacreek.org THIS DECISION ONLY APPLIES TO THE MINNESOTA WETLAND CONSERVATION ACT. Additional approvals or permits from local, state, and federal agencies may be required. Check with all appropriate authorities before commencing work in or near wetlands. BWSR Forms 7-1-10 Page 2 of 3 Applicants proceed at their own risk if work authorized by this decision is started before the time period for appeal (30 days) has expired. If this decision is reversed or revised under appeal, the applicant may be responsible for restoring or replacing all wetland impacts. This decision is valid for three years from the date of decision unless a longer period is advised by the TEP and specified in this notice of decision. 3. APPEAL OF THIS DECISION Pursuant to MN Rule 8420.0905, any appeal of this decision can only be commenced by mailing a petition for appeal,including applicable fee,within thirty(30)calendar days of the date of the mailing of this Notice to the following as indicated: Check one: � Appeal of an LGU staff decision. Send ❑ Appeal of LGU governing body decision. petition and $0 fee(if applicable)to: Send petition and$500 filing fee to: Minnehaha Creek Watershed District Executive Director 15320 Minnetonka Blvd Minnesota Board of Water and Soil Resources Minnetonka, MN 55345 520 Lafayette Road North St. Paul, MN 55155 4. LIST OF ADDRESSEES � SWCD TEP member: Stacey Lijewski � BWSR TEP member: Ben Meyer ❑ LGU TEP member(if different than LGU Contact): � DNR TEP member: Becky Horton ❑ DNR Regional Office(if different than DNR TEP member): ❑ WD or WMO (if applicable): � Applicant(notice only) and Landowner(if different): Tim Sullivan � Members of the public who requested notice(notice only): Rob Bouta (Kjolhaug); Christine Mattson(City of Orono); Melanie Curtis (City of Orono) � Corps of Engineers Project Manager(notice only):Ryan Malterud ❑ BWSR Wetland Bank Coordinator(wetland bank plan applications only) 5. MAILING INFORMATION ➢For a list of BWSR TEP representatives: www.bwsr.state.nui.us/aboutbwsr/workareas/WCA_ai-eas.pdf ➢For a list of DNR TEP representatives: www.bwsr.state.mn.us/wetlands/wca/DNR TEP�contacts.pdf ➢De artment ofNatural Resources Re ional Offices: NW Region: NE Re�ion: Central Reeion: Southern Re,gion: Reg. Env. Assess. Ecol. Reg. Env. Assess. Ecol. Reg. Env. Assess. Reg. Env. Assess. Ecol. Div. Ecol. Resources Div. Ecol. Resources Ecol. Div. Ecol. Resources 2115 Birchmont Beach Rd. 1201 E.Hwy. 2 Div. Ecol. Resources 261 Hwy. 15 South NE Grand Rapids,MN 1200 Warner Road New Ulm,MN 56073 Bemid'i,MN 56601 55744 St. Paul,MN 55106 For a map of DNR Administrative Regions, see: http://files.dnr.state.mn.us/aboutdnr/dnr re�ions.pdf ➢For a list of Corps of Project Managers: ��v��.mvp.usace.anily.mil/re u� latory/default.asp?pageid=687 or send to: US Army Corps of Engineers St. Paul District, ATTN: OP-R BWSR Forms 7-1-10 Page 3 of 3 , ' 180 Fifth St. East, Suite 700 St.Paul,MN 55101-1678 ➢For Wetland Bank Plan applications, also send a copy of the application to: Minnesota Board of Water and Soil Resources Wetland Bank Coordinator 520 Lafayette Road North St. Paul,MN 55155 6.ATTACHMENTS Level l Delineation and No-Loss Application ❑ BWSR Forms 7-1-10 Page 4 of 3 Sullivan Property City of Orono, Hennepin County, Minnesota Modified Level 1 Wetland Delineation Report and No-Loss Application Prepared for Timothy Sullivan 440 Brown Road South Orono, Minnesota by Kjolhaug Environmental Services Company, Inc. (KES Project No. 2016-148) January 24, 2017 Sullivan Property City of Orono, Hennepin County, Minnesota Modified Level 1 Wetland Delineation Report and No-Loss Application TABLE OF CONTENTS Title Page 1. WETLAND DELINEATION AND APPLICATION SUMMARY..................................1 1.1 Wetland Delineation.......................................................................................................... l 1.2 No-Loss Application......................................................................................................... 1 2. OVERVIEW...........................................................................................................................2 3. METHODS.............................................................................................................................2 3.1 Wetland Delineation..........................................................................................................2 4. RESULTS...............................................................................................................................3 4.1 Review of NWI, Soils, Public Waters and NHD Information..........................................3 4.2 Wetland Delineation..........................................................................................................4 4.3 Historical Review of the Excavated Pond.........................................................................6 4.4 Request for Wetland Boundary and Jurisdictional Determination...................................6 5. NO-LOSS APPLICATION...................................................................................................6 5.1 Minnehaha Creek Watershed District...............................................................................7 5.2 U.S. Army Corps of Engineers.........................................................................................7 6. CERTIFICATION OF DELINEATION.............................................................................7 TABLES Table l. Wetlands delineated on the Sullivan Property......................................................... l Table 2. Soil types mapped on the Sullivan property............................................................3 Table 3. Soil profile of the pond bottom................................................................................5 Table 4. Aerial photo history of pond location......................................................................6 FIGURES 1. Site Location 2. Existing Conditions 3. USGS Topography 4. National Wetlands Inventory 5. Soil Survey 6. Level 1 Wetland Delineation with Onsite Setback Measurement APPENDICES A. Joint Application Form for Activities Affecting Water Resources in Minnesota B. Property Boundary Survey C. Historical Aerial Photography Sullivan Property City of Orono, Hennepin County, Minnesota Modified Level 1 Wetland Delineation Report and No-Loss Application 1. WETLAND DELINEATION AND APPLICATION SUMMARY 1.1 Wetland Delineation • The 2.5-acre Sullivan Property was inspected on September 16, 2016 and January 9, 2017 for the presence and extent of wetland. • The National Wetlands Inventory(NWI) shows one PUBGx(Palustrine unconsolidated bottom, intermittently exposed, excavated) wetland located on the eastern part of the property. • The soil survey shows that soil types on the property are classified as predominantly non- hydric. • The DNR Public Waters Inventory shows no public waters onsite. DNR Public Waters Wetland 27-858W is located about 300 feet east of the property boundary. • The National Hydrography Dataset(NHD) shows no NHD waters or flowlines onsite. The nearest NHD Waterbody is the DNR Wetland that is located about 300 feet east of the property. • One wetland/deepwater habitat was delineated on the site and is summarized below. Table 1. Wetlands delineated on the Sullivan Property ID Wetland T e Dominant Vegetation Circular 39 Cowardin E ers and Reed Type 2/ Wet meadow/Deep open water, Reed canary 1 Deepwater PEMB/L1UB4x excavated grass/Open water Habitat 1.2 No-Loss Application • The proposed sediment removal meets no-loss criteria listed under Minnesota Rules Part 8420.0415, A., because removal of sediment from a deepwater habitat is"an activity that will not impact a wetland." • The proposed sediment removal is not regulated under Section 404 of the Federal Clean Water Act because the excavation will be conducted with an excavator or backhoe. 1 Sullivan Property Modified Level 1 Wetland Delineation Report and No-Loss Application 2. OVERVIEW The 2.5-acre Sullivan Property was inspected on September 16, 2016 and January 9, 2017 for the presence and extent of wetland. The property is located in the NE '/ of the NE '/ of the SE '/ of Section 3, Township 117 North, Range 23 West, City of Orono, Hennepin County, Minnesota. The site address is 440 Brown Road South, Orono, MN (Figure 1). The property corresponds to � Hennepin County PID 03-117-23-42-0012. The site includes mature woodland, a home, driveway, lawn, and an excavated pond. The excavated pond straddles the eastern property boundary (Figure 2). Most of the Sullivan Property drains toward the pond (Figure 3). The pond/wetland boundary roughly corresponds to the 970 contour and most of the home is located above the 980 contour. The pond has no natural or created outlet. The site falls within the Minnehaha Creek Watershed District (MCWD). Surrounding land use includes a mix of woodland, wetland, lawn, and rural residential homes. One wetland was delineated on the site. Appendix A of this report includes a Joint Application Form for Activities Affecting Water Resources in Minnesota, which is submitted in request for: (1) a wetland boundary and type determination under the Minnesota Wetland Conservation Act(WCA), and (2) delineation concurrence and an Approved Jurisdictional Determination (AJD) under Section 404 of the Federal Clean Water Act. 3. METHODS 3.1 Wetland Delineation Kjolhaug Environmental (KES) confirmed with MCWD staff on January 5, 2017 that a Level 1 Wetland Delineation would be acceptable for this project. The Level 1 routine method was modified to include a field review for site inspection and building setback measurement. Wetlands were identified using a hybrid Routine Determination method as discussed below. Routine Determination methods are described in the Coms of Engineers Wetlands Delineation Manual (Waterways Experiment Station, 1987) and the Regional Supplenlent to the Corps of En�ineers Wetland Delineation Manual: Midwest Region(Version 2.0) as required under Section 404 of the Clean Water Act and the Minnesota Wetland Conservation Act. This Wetland Delineation was completed to allow setback measurement for a home remodeling project. Whereas Routine Level 1 delineations do not require site inspections, Routine Level 2 delineations include field data collection and marking of wetland boundaries. This delineation involved a hybrid of the two methods. The wetland edge was reviewed in the field on September 16, 2016 and the setback was measured in the field on January 9, 2017. Approximate wetland boundaries were mapped on aerial photography. The Level 1 inethod and a site inspection was deemed an appropriate method for this project because the location of most of the wetland boundary was not critical and because the wetland 2 Sullivan Properiy Modified Level 1 Wetland Delineation Report and No-Loss Application boundary in the area near the setback measurement was found to be quite abrupt during the September 16, 2016 field review. Wetland boundaries were identified as the upper-most extent of wetland that met criteria for hydric soils,hydrophytic vegetation, and wetland hydrology. Because this delineation used a modified Level 1 method and the ground was frozen during the January 9, 2017 site visit, detailed data on soils, vegetation, and hydrology were not collected in the field. The building setback from the wetland edge was measured in the field. The wetland boundary was interpreted and mapped using 2016 aerial photography, field knowledge, soils mapping, and Lidar topographic mapping. 4. RESULTS 4.1 Review of NWI, Soils, Public Waters and NHD Information The National Wetlands Inventorv (NWI�(Minnesota Geospatial Commons 2009-2014 and U.S. Fish and Wildlife Service) shows one PUBGx(Palustrine unconsolidated bottom, intermittently exposed, excavated)wetland located on the eastern part of the property(Figure 4). This wetland is more accurately classified as a PEMB/L1UB4x(Palustrine, emergent, saturated/Lacustrine, limnetic,unconsolidated bottom, organic, excavated)basin. The Soil Survev (USDA NRCS 2015) showed that soil types on the property ranged from predominantly non-hydric to hydric. Soil types mapped on the property are shown on Figure 5 and listed in Table 2. Table 2. Soil types mapped on the Sullivan property S mbol Soil Name % H dric H dric Cate o L41C2 Lester-Kilkenny complex, 6-12%slopes,eroded 5 Predominantly non-hydric L41E Lester-Kilkenny complex, 18-25%slopes 5 Predominantly non-hydric The Minnesota DNR Public Waters Inventorv (Minnesota Department of Natural Resources 2015) shows no public waters onsite. DNR Public Waters Wetland 27-858W is located about 300 feet east of the property boundary. The National Hvdro�raphv Dataset(U.S. Geological Survey 2015) shows no NHD waters or flowlines onsite. The nearest NHD Waterbody is the DNR Wetland that is located about 300 feet east of the property. 3 Sullivan Property Modified Level 1 Wetland Delineation Report and No-Loss Application 4.2 Wetland Delineation The property was evaluated for wetlands during field observations on September 16, 2016 and January 9, 2017. The landowner sampled soils from the pond bottom on October 3, 2016. One wetland/deepwater habitat was identified and delineated on the property(Figure 6). The following description reflects conditions observed at the times of the field visits. Herbaceous vegetation was actively growing at the time of the field visit on September 16. A property boundary survey prepared by Frank R. Cardarelle Land Survey is included in Appendia�B. The one delineated Wetland is a Deepwater habitat with a narrow Type 2 (PEMB) wet meadow and boulder toe fringe. It is located in the eastern part of the property. The wetland/deepwater habitat is classified as a PEMB/L1UB4x (Palustrine, emergent, saturated/Lacustrine, limnetic, unconsolidated bottom, organic, excavated)basin. The L1UB4x part of the basin corresponds to the deepwater habitat and covers about 15,140 square feet(0.3456 acre). The PEMB wet meadow fringe covers about 3,350 square feet(0.0769 acre) and ranges from about 3 to 20 feet wide. The deepwater habitat consists of open water. The wet meadow fringe is dominated by reed canary grass with boulders at the water's edge in some locations. The reed canary grass transitions to open water with steep side slopes. The adjacent upland was dominated by manicured lawn on the northwest and southwest sides of the wetland, and to mixed maple woodland on northeast and southeast sides of the wetland. The wetland boundary corresponded to a rise in elevation and a transition from reed canary grass and open water to upland plant communities with 6 to 12% slopes. This wetland is an excavated depression with no visible inlets or outlets. No other areas with hydrophytic vegetation or wetland hydrology were observed on the site. No other areas were shown as hydric soil on the soil survey or as wetland on the NWI map. Most of the basin is classified as a deepwater habitat because the substrate sample from the wetland center indicated it was excavated to a depth of more than 6.6 feet around the time the house was constructed. The landowner, Tim Sullivan, sampled soils of the pond bottom on October 3, 2016. The resulting soil profile is shown in Table 3. The sample was taken in the central part of the pond. At that location,the pond contained about 4 feet of water, underlain by approximately 6 feet of mucky/silty sediment. At a depth of approximately 6 feet, the mucky/silty substrate abruptly transitioned to gleyed blue-gray clay loam. 4 Sullivan Property Modified Level 1 Wetland Delineation Report and No-Loss Application Table 3. Soil profile of the pond bottom Depth Below General Sample Photograph Bottom Description 1 0-2 feet Black silty mucky �;��,,�� ,,,�, � soil with lots of � leaves and some � �� ,,.� fine sand � ;�,� �f t , R •�'� , � w �� . �� ' ,`y .v "�.��\�... [ �� . 2 2-6 feet Black silty mucky „� soil with few leaves � - - .4 d 9: �. � � � �� '�� .� ` � � ` � ,�. � 3 6 feet+ Abrupt transition to "`�� -�� ; gleyed blue-gray v�-p'� clay loam with '=�� . b� some sand "�z�� ,� � � � 4.�� , '� ;y � � T : "� �y��. .� .� -, '��-�.,. , �h r �, a.� ; `Y �� r, . ''�� t..::s_. ., �� ,. ? �, ' - * ,,�. � . � }.�'�.. ,� �_ , j�: i *��,:`. � s.�� , y�' ,3� ,, ,}'` �' y'a�b; �� 3`y � 1�. �. �. ,, �,�� :�} ' �. � ;�*.� �*. ��. r ., .=., .qM. 5 Sullivan Property Modified Level 1 Wetland Delineation Report and No-Loss Application 4.3 Historical Review of the Excavated Pond An anecdotal history, site conditions observed in the field, and historical aerial photography indicate that the wetland basin was previously excavated. During an onsite pre-application meeting with the MCWD on September 16, 2016, Tim Sullivan explained how the original homeowner told him that the wetland previously existed as a grassy wet meadow containing debris and old appliances. The previous owner removed the debris and excavated the wetland to create the pond that exists today. Hennepin County property information shows that the home was built in 1986. The wetland excavation likely occurred around that time. Evidence supporting the excavated wetland determination includes: 1. NWI mapping, which is based on 1980s color infrared aerial photography, shows the wetland as a PUBGx, and"x" indicates excavated. 2. The 1974 Hennepin County Soil Survey(based on field work in 1960s) shows the wetland as a symbol that means "small depression,poor to very poorly drained." 3. Aerial photographs from 1937, 1945, 1956, 1960, 1962, 1967, 1971, and 1994 (8 years) don't show the open water area until 1994 (Table 4,Appendix C). Table 4. Aerial photo history of pond location Aerial Photo Date Condition Observed at Pond Locallon 5-Ju1-1937 Scattered trees,no o en water Unknown-1945 Trees with o enin s, small area of otential wetland/seasonal floodin 7-Ma -1956 Mostl wooded,no o en water 8-Ma -1960 Mostl wooded, small de ression, ossibl with seasonal floodin 3-Ma -1962 Mostl wooded, small de ression, ossibl with seasonal floodin 4-Dec-1967 Wooded,no ice or o en water 9-Nov-1971 Wooded,no o en water 11-Oct-1994 Open water area covering an area about 4-6 times larger than the area of ossible seasonal floodin observed durin 1960-62 4.4 Request for Wetland Boundary and Jurisdictional Determination Appendix A of this report includes a Joint Application Form for Activities Affecting Water Resources in Minnesota, which is submitted in request for: (1) a wetland boundary and type determination under the Minnesota Wetland Conservation Act(WCA), and(2)delineation concurrence and an Approved Jurisdictional Determination(AJD)under Section 404 of the Federal Clean Water Act. 5. NO-LOSS APPLICATION The landowner would like to remove accumulated sediment down to the blue-gray clay layer, which corresponds to the depth of the original excavation. Excavation of sediment with an excavator or backhoe will restore the deepwater habitat to the previous maximum pond depth of approximately 10 feet, which existed following the original excavation. 6 Sullivan Property Modified Level 1 Wetland Delineation Report and No-Loss Application The only water resource to be affected by excavation will be the deepwater habitat. The narrow Type 2 wetland fringe will be avoided. The excavation will be conducted during winter conditions to minimize disturbance and sedimentation. No-loss criteria and eligibility are discussed in the Joint Application Form for Activities Affecting Water Resources in Minnesota(Appendia�A). 5.1 Minnehaha Creek Watershed District Removal of accumulated sediment from the deepwater habitat is eligible for no-loss certification under the Minnesota Wetland Conservation Act. Sediment removal was discussed with the Minnehaha Creek Watershed District during an onsite pre-application meeting on September 16. 2016. Samples subsequently obtained from the pond bottom showed approximately 6 feet of mucky/silty sediment. At a depth of approximately 6 feet, the pond substrate abruptly transitioned to gleyed blue-gray clay loam. The proposed sediment removal meets no-loss criteria listed under Minnesota Rules Part 8420.0415,A., because removal of sediment from a deepwater habitat is "an activity that will not impact a wetland." 5.2 U.S. Army Corps of Engineers The proposed sediment removal is not regulated under Section 404 of the Federal Clean Water Act because the excavation will be conducted with an excavator or backhoe. The excavated material will be loaded on trucks and hauled to a location where it can be deposited on upland and used as black dirt. The activity will not result in a discharge of dredged or fill material into waters of the United States. 6. CERTIFICATION OF DELINEATION The procedures utilized in this delineation are based on the U.S. Army Corps of Engineers 1987 Wetlands Delineation Manual, as required under Section 404 of the Clean Water Act and the Minnesota Wetland Conservation Act. This wetland delineation was prepared in compliance with the regulatory standards in place at the time the work was performed. Delineation completed by: Rob Bouta. Senior Environmental Scientist/Ecolo� Minnesota Certified Wetland Delineator No. 1081 Date: Januarv 24, 2017 7 Sullivan Property Modified Level 1 Wetland Delineation Report and No-Loss Application FIGURES 1. Site Location 2. Existing Conditions 3. USGS Topography 4. National Wetlands Inventory 5. Soil Survey 6. Level 1 Wetland Delineation with Onsite Setback Measurement .,. , .,i.. (4tOp . . � .. �.�I.. ..' . ,...��i.r�.� :•a • ✓"r � �'-^n �" � ....;.. . _>. �P ...��.. • , G : x .,,.... ....�� . .. � . ... �� .,��:.1`�� . .... ' � . iy,�nP'�� . .,� . �t.w� �W..�.... ... ' • ww'4��o+u .. .� r.. , __ - � .. -U_� _ !4 _ .-.�� _ p :, .. --_--� _ '- �' 1 "' _ :a � - � ^� �qa -_- --= -= Site Location 3 . 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' � �. . ` +' �� x ;� ,��"�' h�'"�. �yv�n i 'r t. ti F� , : ; �As < ,�:,y �4 1 p.. � r . a ' .+�.. , n �,:� �''.. .�. `� - . . i,� •., E. . ., '�'f x -. . 4 ' ak. 4".. w�, Mu. ` �-�.'� , . � • �, r :�... t . .� , , � ,. , _ r+ - .. : .. :..'..'�,. : Figure 2 - Existing Conditions N 0 100 Sullivan Property (KES 2016-148) 1 � � � Feet � Project Boundary Orono, Minnesota -� ,� Note: [3oundaries indicated Tu� on this figure are approximate JOJ�17t`1UG ENVIRONMENT'AL SERVICES COMPANY and do not constitute an �w tiy so��e:nt��eso�a�Na�zoi3� official survey product. � r - �,�` � ' ' -� � � -_ . - - - � , � _�ll� �- � ` �f ' • \� 1 �:� �L,`__- � � � Y� _"' ...1� ;� � ' r•�—— �, .�- '�•-• �- � i� � i i �� 'R��` � i+ � ^_ �J 1• , 4..� ; � rr;F��~ ��-�h� `�r � �`�1 ��L�.• ti!11. �..�. •� � � , y i J 4 � �� J i � 1 T �y •`� , ��•• �� ( •y'�_L�J � 1 �' �� r �� ' �iiW � � �-dz�i�r �'�ti� � � _ � , �+�� r � r � �r �� ♦ f - � � _ 1 � — �L�� • �� ti � � _ ti..�- .1.1��• .�.�..�� . � � � r' � 1 � � ti_� ��' y� ~�+~,, �'' � � + � _ I � � _ .. � � � : /. r � � . f� • � 1`�1i` ' r +_1 +J_� " + '� � ' � � � �'� ti � �� y � i�� ''�, � ''..�� = '•'r' � r '�,��. �,� � T L �r � r r i�. 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'� Z ,�� , 0 r � p� � � • `'` r 1 ��* �� S'`–�y'�`r�,� rf' ,—s'� ; � i.. "4�y j••� _' � � .� � � ' �_+ 1 1~r 'r l r • � ' I, ` ,y-1� �r y _� •�,�; `` �� •' � � •� 1'•.-' ��y `� ,; f�—`�+-., ��1�-� �..�. '"r ti' ~ '��'a� � 4 �1 1 � "' Figure 3 - USGS Topography N 0 400 Sullivan Property (KES 2016-148) I I Orono, Minnesota _ Feet � Project Boundary 2 ` � Note:Boundaries indicated 1lJ�LI7.liUl.T ENVIRONMENTAL SERVICES COMPANY on this figure are approximate �,�� and do not constitute an +�1� so�rce:ntiooesota nnR official survey product. E� * ' # �A' �, ' c,�Lrt*R,w, � '� � � �" , �' �h�,* m4 ��' �'`�' � ��,�;q� I �4 In*f A• 5 ,xy° �g� nt "`i �as�«t�� h �=t"� _ . " � � � .` . ♦�. I � �i& '4 �e �r.� '' . . '4;... �� . ` � ,� ,r ?�,. , ,,.- { .,• - �� s �� g. .� �� w�'�y,j'�� `7`��`�; 'R�` .�'��.K�' �'k�" ��r,',� •1Gr"'�s,.-x y- , y� ' . � '�` ~''�•,� � ..�� ; a�,qZ.�` 14 �� ,„'l` 4rT *, '{,+�e - �t ,,'`J, � ::�� t. 6 . 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PEM9C ' ��' � -� PUBG� ;� # � PEM1C� '�° Figure 4 - National Wetlands Inventory N 0 150 Sullivan Property (KES 2016-148) � Orono, Minnesota � � Feet � � Note: Boundaries indicated KJOLIII'1UG ENVIRONMENT'AL SERVICES COMPANY on this figure are approximate �� and do not constitute an ��y Source:Minnesota DNR(2013),USFWS Off C111 SUrvCy pt'OduCt. L41C2 L41 E '„�,, W ,��'��« _. � „�i� �- ,:i( L41C2 � 1 -79A �' L41 C2 ~# � r L23A. -� �`'� �� , '`�, L37B ; � L36A � ,.� ax, :� � W �. ��a �. ��.' �M � L41C2 L41E , � L16A � i;' ` , '`+�,;: See narrative for soil series information. Figure 5 - Soil Survey N 0 150 Sullivan Property (KES 2016-148) ' � � � � Hydric/Predominantly Hydric Orono, Minnesota Feet "' 2 ` � � Non-Hydric/Predominantly Non-Hydric Note: [3oundaries indicaced KJOLl11`1UG ENVIRONMENTAL SERVICES COMPANY on this tigure are approximatc �,�,�,� � P2rti811y Hyd�lC and do not constitute an �� source:usnA,Nacs official survey product. :�� .. . , >� a � *. w,. �.�ae,� , ..C�I�p ai 1 Q ��` �� s_i � ` .:� �._.�� . 3� a �.k � '�S'� ��, 's e� ,. I � �. ��: � Footing to Wetland Edge l e � £�'��" y�, `�� "`� ( , 36 Feet �h �� ,� � '� �� .,�:a ��Y f °'�� i� ,>,.�, r . � ^*� k .�, a��„�,�� w. • � ' ,� x ' ` .�,,�� .. #..:� ,.ir. � . � . �19� . ao � ..''�• � � '��r.: �� \O � �� r�� O�f . �"� , ��,oi^, �� "�' �� 'y ._ 980 t� l, ... �� a'` `fl� .a R� r ��,�t. � . . : a° .�'"�. �� e. - ..�.� �� ..;F � y . , . �..�, '*A �-, �� ,� � ?i �� „'� �, ��i�� •VO � "'� �� _ . r, ' , , � �,:�` �v > �. � . _ �f ' � ' x „�,€, - r.. ' � . , � � �� .., y; x.� �� , ,� � ��' `.�°'. ;.�.� �~ �.- -� � - �v a ti .�� . � �� '^� � a� �� "� . � , � . � � � � � � ..,� _ _ ��_ ' ;�.o'� � � �� `�`� µ� ,� + �� FooUng to Wetland Edge a� � '� � '��`�� ,� � �� ..��:_�° 35 Feet � . �� - � : � r � �." � ��'' ��t Narrow Type 2 PEMB ��<, `° � �`i`"�� t�`�._, Wetland Fringe with .= �� ,� �, ` ,,� �d Boulder Toe ��,�� u �� ` t,,� ,;�' � ,�` � -�:' j� � _ � � ""�'��.., // �'�.�� f�� r�' �� t'.'-",:as'(` ��Y a .� /// / ' ��w'"i� '•�o��a� � 9��} �- ' �..w-.'d" �'..�� . ...;... '4 -.,. f �� .. .�::�� / . � ..;: �� , A .�..6.'7'-� � ' �" :;. ,. . , ��:-"'`' - � '� � ,. �: , � t� � � � �.. '� ',�,� �; `�A�,. �� . � �� ,,cP>.� r ..d�. � .,��'_ � � � aha / �,, � � �" � � � s V.�V ��.� F �� r t � ��J �/��.µ�'� ,�{' � ��'.. � �;�� ,`. ` ,;, �� `�� :s�`,t� ` , � ,,.,� � : r,} � �--' � . . A� � ,�� j'/ p ��"'� � � . , �� k��/ �/" "/� �� ' "a � r �r}'�'e3�� k � rt .�� Y� . �. �:. � :':� py .t:��.. r,� ;: �,� , ��, �� . ,;,. e p BHx N , : � �,w .� �� {� � _ - �%�' D e water Habitat L1 U �, .,� ^�� (Non-Wetland) =� �� i� �� ;�,� �, � �� : M �� Y 9g� . :ei Figure 6 - Level 1 Wetland Delineation with Onsite Setback Measurement N 0 40 Sullivan Property(KES 2016-148) � � Feet Q Project Boundary f--► Onsite Setback Measurement Orono,Minnesota `` � Deepwater Habitat Hennepin County Lidar Note:Boundaries indicated 1lJOLL7t`lUG ENVIRONMENTAI.SERVICES COMPANY on this figure are approximatc �-v...� Wetland Fringe and do not constitute an +��ti suurce:I�sGs offtCial Survcy product. Sullivan Property Modified Level 1 Wetland Delineation Report and No-Loss Application APPENDIX A Joint Application Form for Activities Affecting Water Resources in Minnesota Project Name and/or Number: Sullivan Property Joint Application Form for Activities Affecting Water Resources in Minnesota PART ONE: Applicant Information If applicant is an entity(company,government entity, partnership,etc.),an authorized contact person must be identified. If the applicant is using an agent(consultant, lawyer,or other third party) and has authorized them to act on their behalf,the agent's contact information must also be provided. Project Name: Sullivan Property Applicant/Landowner Name: Timothy Sullivan Mailing Address: 440 Brown Road South,Orono,MN 55391 Phone: (507)202-5363 E-mail Address: tmsullivanmd(a�mail.com Authorized Contact(do not complete if same as above): Rob Bouta,Kjolhaug Environmental Services Co. Mailing Address: 26105 Wild Rose Lane,Shorewood,MN 55331 Phone: (612)581-0546 E-mail Address: RobB(rr�kiolhau�env.co�n Agent Name: Rob Bouta,Kjolhaug Environmental Services Co. Mailing Address: 26105 Wild Rose Lane,Shorewood,MN 55331 Phone: (612)581-0546 E-mail Address: R<�bB(n kjolhaus�en�°.com PART TWO: Site Location Information County: Hennepin City/Township: Orono Parcel ID and/or Address: PID: 03-117-23-42-0012/Address:440 Brown Road South,Orono,MN 55391 Legal Description(Section,Township, Range): NE % of NE '/ of SE '/ of Section 3,T117N,R23W Lat/Long(decimal degrees): 44.970664,-93.568578 Attach a map showing the location of the site in relation to local streets,roads,highways. See Figure 1 Approximate size of site(acres)or if a linear project, length(feet): 2.5 acres If you know that your proposal will require an individual Permit from the U.S.Army Corps of Engineers,you must provide the names and addresses of all property owners adjacent to the project site. This information may be provided by attaching a list to your application or by using block 25 of the Application for Department of the Army permit which can be obtained at: http://www.mvp.usace.army.mil/Portals/57/docs/re�ulatory/RegulatoryDocs/en�form 4345 2012oct.pdf PART THREE: General Project/Site Information If this application is related to a delineation approval,exemption determination,jurisdictional determination,or other correspondence submitted prior to this application then describe that here and provide the Corps of Engineers project number. Describe the project that is being proposed,the project purpose and need, and schedule for implementation and completion.The project description must fully describe the nature and scope of the proposed activity including a description of all project elements that effect aquatic resources(wetland, lake,tributary,etc.) and must also include plans and cross section or profile drawings showing the location,character, and dimensions of all proposed activities and aquatic resource impacts. The home on the property is being repaired and the garage is being remodeled. The wetland delineation was completed to demonstrate compliance with municipal setback requirements. The wetland/deepwater habitat has a narrow wetland fringe and the landowner is also proposing to remove accumulated sediment from the isolated deepwater habitat. Minnesota Interagency Water Resource Application Form February 2014 Page 1 of 4 Project Name and/or Number: Sullivan Property PART FOUR: Aquatic Resource Impact15ummary If your proposed project involves a direct or indirect impact to an aquatic resource (wetland, lake, tributary, etc.) identify each impact in the table below. Include all anticipated impacts, including those expected to be temporary.Attach an overhead view map, aerial photo, and/or drawing showing all of the aquatic resources in the project area and the location(s) of the proposed impacts. Label each aquatic resource on the map with a reference number or letter and identify the impacts in the following table. Aquatic Aquatic Type of Duration of Overall Size County, Major Resource ID Resource Type Impact(fill, �mpact Size ofz q g y Watershed#, of A uatic Existin Plant Communit excavate,drain,or ImpBCt and Bank (as noted on (wetland,lake, Permanent(P)or Resource 3 Type(s)in Impact Area4 remove 1 (square feet) Service Area# overhead view) tributary etc.) Temporary(T) (square feet) vegetation) of Impact Areas Wetland/ Hennepin Co. Excavated Fresh wet meadow/ Mississippi Wetland 1 Deepwater Excavate Permanent 15,140 18,490 Deepwater habitat River Metro Habitat (20)Bank Service Area 7 Total l 5,140 18,490 llf impacts are temporary;enter the duration of the impacts in days next to the"T". For example,a project with a temporary access fill that would be removed after 220 days would be entered"T(220)". zlmpacts less than 0.01 acre should be reported in square feet. Impacts 0.01 acre or greater should be reported as acres and rounded to the nearest 0.01 acre. Tributary impacts must be reported in linear feet of impact and an area of impact by indicating first the linear feet of impact along the flowline of the stream followed by the area impact in parentheses). For example,a project that impacts 50 feet of a stream that is 6 feet wide would be reported as 50 ft(300 square feet). 3This is generally only applicable if you are applying for a de minimis exemption under MN Rules 8420.0420 Subp.8,otherwise enter"N/A". 4Use Wetland Plants and PIanY Community Types of Minnesota and Wisconsin 3`d Ed.as modified in MN Rules 8420.0405 Subp.2. SRefer to Major Watershed and Bank Service Area maps in MN Rules 8420.0522 Subp.7. If any of the above identified impacts have already occurred, identify which impacts they are and the circumstances associated with each: No impacts have alreadv occurred. PART FIVE: Applicant Signature ❑ Check here if you are requesting a pre-application consultation with the Corps and LGU based on the information you have provided. Regulatory entities will not initiate a formal application review if this box is checked. By signature below, I attest that the information in this application is complete and accurate. I further attest that I possess the authority to undertake the work described herein. /►� . � � Signature: Date: 2 Z S� � l 7 I hereby authori olhaug Environmental �ervices to act on my behalf as my agent in the processing of this application and to furnish,upon request,supplemental information in support of this application. 1 The term"impact"as used in this joint application form is a generic term used for disclosure purposes to identify activities that may require approval from one or more regulatory agencies. For purposes of this form it is not meant to indicate whether or not those activities may require mitigation/replacement. Minnesota Interagency Water Resource Application Form February 2014 Page 2 of 4 Project Name and/or Number: Sullivan Property Attachment A Request for Delineation Review, Wetland Type Determination, or Jurisdictional Determination By submission of the enclosed wetland delineation report, I am requesting that the U.S.Army Corps of Engineers,St. Paul District (Corps)and/or the Wetland Conservation Act Local Government Unit(LGU) provide me with the following(check all that apply): �Wetland Type Confirmation � Delineation Concurrence. Concurrence with a delineation is a written notification from the Corps and a decision from the LGU concurring, not concurring, or commenting on the boundaries of the aquatic resources delineated on the property. Delineation concurrences are generally valid for five years unless site conditions change. Under this request alone,the Corps will not address the jurisdictional status of the aquatic resources on the property,only the boundaries of the resources within the review area (including wetlands,tributaries, lakes,etc.). � PreliminaryJurisdictional Determination.A preliminaryjurisdictional determination(PJD) is a non-binding written indication from the Corps that waters, including wetlands, identified on a parcel may be waters of the United States. For purposes of computation of impacts and compensatory mitigation requirements, a permit decision made on the basis of a PJD will treat all waters and wetlands in the review area as if they are jurisdictional waters of the U.S. PJDs are advisory in nature and may not be appealed. �Approved Jurisdictional Determination.An approved jurisdictional determination (A1D) is an official Corps determination that jurisdictional waters of the United States are either present or absent on the property.�l1Ds can generally be relied upon by the affected party for five years.An A1D may be appealed through the Corps administrative appeal process. In order for the Corps and LGU to process your request,the wetland delineation must be prepared in accordance with the 1987 Corps of Engineers Wetland Delineation Manual,any approved Regional Supplements to the 1987 Manual,and the Guidelines for Submitting Wetland Delineations in Minnesota(2013). http:i/www.mvp.usace.army.mil/Missions/Re�ulatory/DelineationJDGuidance.aspx Minnesota Interagency Water Resource Application Form February 2014 Page 3 of 4 Project Name and/or Number: Sullivan Property Attachment B Supporting Information for Applications Involving Exemptions, No Loss Determinations, and Activities Not Requiring Mitigation Complete this part if you maintain that the identified aquatic resource impacts in Part Four do not require wetland replacement/compensatory mitigation OR if you are seeking verification that the proposed water resource impacts are either exempt from replacement or are not under CWA/WCA jurisdiction. Identify the specific exemption or no-loss provision for which you believe your project or site qualifies: The proposed sediment removal is eligible for no-loss certification under the Minnesota Wetland Conservation Act. Specifically,the proposed sediment removal is eligible under the No-Loss Criterion set forth under Minnesota Rules Part 8420.0415,A,"an activity that will not impact a wetland." T'he proposed sediment removal is not regulated under Section 404 of the Federal Clean Water Act because the excavation will be conducted with an excavator or backhoe. The excavated material will be loaded on trucks and hauled to a location where it can be deposited on upland and used as black dirt. The activity will not result in a discharge of dredged or fill material into waters of the United States. Provide a detailed explanation of how your project or site qualifies for the above. Be specific and provide and refer to attachments and exhibits that support your contention.Applicants should refer to rules(e.g.WCA rules),guidance documents(e.g. BWSR guidance,Corps guidance letters/public notices),and permit conditions(e.g.Corps General Permit conditions)to determine the necessary information to support the application.Applicants are strongly encouraged to contact the WCA LGU and Corps Project Manager prior to submitting an application if they are unsure of what type of information to provide: Removal of accumulated sediment from the deepwater habitat is eligible for no-loss certification under the Minnesota Wetland Conservation Act. Sediment removal was discussed with the Minnehaha Creek Watershed District during an onsite pre-application meeting on September 16.2016. Samples subsequently obtained from the pond bottom showed approximately 6 feet of mucky/silty sediment. At a depth of approximately 6 feet,the pond substrate abruptly transitioned to gleyed blue-gray clay loam. The proposed sediment removal meets no-loss criteria listed under Minnesota Rules Part 8420.0415,A.,because removal of sediment from a deepwater habitat is"an activity that will not impact a wetland." The only water resource to be affected by excavation will be the deepwater habitat. The narrow Type 2 wetland fringe will be avoided. The excavation will be conducted during winter conditions to minimize disturbance and sedimentation. The landowner would like to remove accumulated sediment down to the blue-gray clay layer,which corresponds to the depth of the original excavation. Excavation of sediment with an excavator or backhoe will restore the deepwater habitat to the previous ma�cimum pond depth of approximately 10 feet,which existed following the original excavation. The proposed sediment removal is not regulated by the U.S.Army Corps of Engineers under Section 404 of the Clean Water Act because it will not involve the discharge of dredged or fill material into waters of the United States. Sediment removal will be accomplished using an excavator or backhoe with a sealed bucket. The excavator will load the bottom sediment onto trucks and it will be hauled to a site where it can be used and deposited on upland. The black soils from the bottom sediments will likely be used as top dressing on fill or mixed with topsoil. Minnesota Interagency Water Resource Application Form February 2014 Page 4 of 4 Sullivan Property Modified Level 1 Wetland Delineation Report and No-Loss Application APPENDIX B Property Boundary Survey ..��-,� Nrv Nasin3a �o,��,,�„a.9 �' �•nv.wv a,aw 3�N30/S3N NViI 177nS ; `�' �' S Ob'OM NMOd�6 O�ti „��,�, .(3�21nS 11YY?/3d 9NlO�/l8 " �S ��q d 6 � gro � �8 �� F aaa�„�aa; �� $ �� `Y � � e ��RF��§8 �� g� s� �� ffi � �� g �� a 's- �� ; � � s��ar N.81.ff.PO N � ..`_.., . �� .,�. � :, ��.. �` �. _�t,�.�_------� `�_ .._--- ��'..----��--�-� ._--�------------ _4� � - \\ \ I� "'; t yy.r ��i � i!�4.�ti, t�, �. � �� \.,� \ ,9 '� i o i , ` ��\�a� o � i i -1 v a a�?.` tio i i i ^"I '°`+}?4��`�',r�� . 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I � � �� pLlW1SI1lTlQ�OYDf116'�ICd�1�IlAr.K � � � � r � �• MlN�Ol�RIMa�lOirK�MDI�qYl11Y I Y %�'Oi`, f' ' ____�L J_____��L�J � � 1�11i�A1fOI1RR1GT0'aI�IMMY�IIM �.____________________�-�--�-�-___J L_______-__ ______L�J l_J _. _______________-_ ___ _ _ • � IYLL r�M P XI' T fQG � �� V id1L X � �q11E '� YHOT�I11� � Y 1�� I AODRION IGI�NI�EtY1K Q p�M[1UL�R1�OR O�IM'11� 4CIUt+�1 COI1101NIr.l lf.YYY M IlOYl�lf �wnee�xw�an��smnuera+ne �� RECEIVE �.�.�..�.,.�.,��.,� ,�2 11D1!'MD��Ol�AYNMPr.KO/M'�11�A1 ��=,.�"` 3 FFdA�T ELEvAtION 4 POND ELEvAtION s BUILDINCs SEGtION YDW Omf IlO��B11�M!NCL00!Ttl1[N rwwwcnrswowor��w.w lCALE�V4'.I'-O' lCN.l.V4•.I'-O' ECALE.V4'.I''p � - ��°�K°��.�� DEC 1 � ?_L►16 ��a�� .��.� CITY OF ORONO INSPECTION NOTICE DATE TIM CITY OF D��d CALLED-IN SCHEDULED 2'o1U'��0 PERMIT NO. IZ��iS• D/J eZ q COMPLETED ADDRESS y40 (3�ow.� 12�- -s, OWNER/CONTR. RC✓�s�d�. ❑SITE INSPECTION ❑MECHANICAL RI ❑ REINSPECTION ❑CONC SLABS ❑MECHANICAL FINAL ❑ FOLLOW-UP �OOTING Ls4�et,y� ❑ INSULATION ❑COMPLAINT OURED WALL ❑ RATED ASSEMBLY ❑ FIREPLACE ❑ FOUND. DRAINAGE ❑ BUILDING FINAL ❑SPRINKLER SYSTEM ❑ FRAMING ❑SEPTIC INSTALL ❑ � ❑SHEATHING ❑SEPTIC FINAL ❑ ❑ PLUMBING RI ❑S&W HOOKUP ❑ � ❑ PLUMBING FINAL �GAS LINE MANOMETER ❑ o COMMENTS: Z — �Q � � � �ra5��c Cantr�L ,Div✓r�eh ' f��+�, _ ��i�l��t�' Q�h5 Z. J o — -,�a r� ,� r�Gti i v /��c — � — �wc / rCl.�4 i ��1�� .rc�s-�,:,� ,' � a e•, ja� � � 0 � ��L �' G�4� - � 0 `" �, � .�� a'rec�' d Q � Z w � w ¢ � C� � FURTHER CORRECTIONS MAY BE REQUIRED ❑ PERMIT FINALED W ❑ WORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN p �-4'ARRECT WORK& PROCEED U ❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING � CORRECT UNSAFE CONDITION IMMEDIATELY. ❑ STOP ORDER POSTED. CALL INSPECTOR ❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS. TO SCHEDULE YOUR INSPECTIONS PLEASE CALL: (763) 479-1720 Metro West Inspection Services Inc. Owner/Contr. on site: � Inspector: M.- ESCROW AGREEMENT AGREEMENT made this 1�� day of ��bMW W�, 20�, by and between the CITY OF ORONO, a Minnesota municipal corporation ("City")and Timothy& Amy S�Illivan ("Owner(s)"). RECITALS A. The undersigned are the Owner(s) of the Subject Property and hereby agrees to and consent to the terms and conditions of this Escrow Agreement. B. Owner has: (check one) � Filed a zoning application#16-3872 � Filed an application for a Building Permit#2016-01529 ❑ Agreed to comply with Orono City Code Section 78-1432 regarding accessory structures. ❑ Filed an Individual Sewer Treatment System (ISTS) permit application. ❑ Requested to do work within public Right-of-Way ❑ Filed a request for a Temporary Certificate of Occupancy ❑ Other ("Application") on land situated in the City and located at i''O .S' (the"Subject Property"); and C. The City is willing to review or monitor the Application only if the Owner agrees to reimburse the City for the actual costs expended by the City on behalf of, or on account of, the Owner. NOW THEREFORE,THE PARTIES AGREE AS FOLLOWS: 1. DEPOSIT RE�UIRED. Contemporaneously with the execution of this Escrow Agreement, the Owner shall deposit$2,500("Escrov�')with the City necessary to secure coverage of the total costs associated with review, approval, and monitoring of the Application. Any Escrow shall be held in a special escrow account and shall be credited to the Owner. 2. PURPOSE OF ESCROW. • Zoninp. The purpose of the Escrow is to guarantee reimbursement to the City for expenditures including but not be limited to staff time, at the rates established by the City Council, in excess of that covered by the standard application fees, engineering consultant and legal consultant expenses incurred by the City in reviewing and approving the Application and all other city staff administrative and consultant services performed in the processing of said review and approval. ■ Building/Zoninp. The purpose of the escrow is to guarantee completion of the site plan as approved and the provision of the as-built survey as required by the Building official. ■ Accessorv Structure. The purpose of the Escrow is to guarantee reimbursement to the City for expenditures including but not limited to staff time, at the rates established by the City Administrator, engineering and legal consultant expenses incurred by the City in removing an accessory building if the Owner fails to perform the obligations in Orono City Code Section 78-1432 and all other City staff administrative and consultant services pertormed in removing the accessory building, including land stabilization. • ISTS. The purpose of the Escrow is to guarantee reimbursement to the City for expenditures including but not be limited to staff time, at the rates established by the City Council, in excess of that covered by the standard application fees, engineering consultant and legal consultant expenses incurred by the City if Owner for any reason is unable or unwilling to honor the requirements of Chapter 58 of the Orono City Code, and all other city staff administrative and consultant services performed in relating to the Application. The City may also reimburse itself for all engineering and legal expenses associated with the construction, removal, alteration, or repair of the ISTS if the Owner fails to do so. ■ Temporarv Certificate of Occupancv. The purpose of the Escrow is to guarantee completion of exterior improvements (driveway, grass, etc.) that cannot be accomplished due to weather conditions. January 2017 1 3. MONTHLY BILLING. The City will monthly forward to the Owner a statement and bill for the expenditures incurred by the City for staff and consultant services. Such statements shall be due and payabie within 15 days for receipt by the Owner. No statement will be sent if there are no expenses incurred in the period since the most recent statement. The City shall itemize all time, services, and materials billed to any Owner and said time, services, and materials shall be in accordance with the rules, regulations, and fees as promulgated and adopted by the City Council. 4. DISBURSEMENT FROM ESCROW ACCOUNT. In the event the Owner does not make payment the City as required under paragraph 3, the City may draw from the Escrow without further approval of the Owner to reimburse the City for eligible expenses the City has incurred. The City shall periodically notify the Owner of the draws the City has made and the nature of the expense for which the reimbursement is being made. 5. REIMBURSEMENT OF ESCROW. The Owner shall reimburse the Escrow fund for any deficits caused if the amount actually expended by, or billed to,the City exceeds the escrow fund balance. 6. RIGHT OF ENTRY. ■ Zonina. This section is not applicable. • Buildin4. This section is not applicable. ■ Accessory Structure. The Owner hereby grants the City, its agents, employees, o�cers and contractors the right to enter the property to remove the accessory building(s) should the Owner not complete the removal obligations in Orono City Code Section 78-1432. ■ ISTS. The Owner hereby grants the City, its agents, employees,officers and contractors the right to enter the property to perfortn all work and inspections deemed appropriate by the City in conjunction with replacement of the septic system, including but not limited to constructing or completing any and all of the agreed upon improvements should the Owner not complete those improvements by the date agreed upon. ■ Temqorarv Cert�cate of Occupancv. This section is not applicable. 7. Nd INTEREST PAID. All accrued interest, if any, shall be paid to the City to reimburse the City for its cost in administering the Escrow account. 8. CLOSING ESCROW. When the review has been completed or the project has been completed, the balance of the Escrow, if any, shall be retumed to(check one): �F Owner ❑ Applicant ❑ Other Name: Timothy&Amy Sullivan Street Address/PO Box: 440 Brown Road S City/State/ZIP: Wayzata, MN 55391 9. CERTIFIED UNPAID CHARGES. If the Application is abandoned by Owner,or if the eligible expenses incurced by the City exceed the amount in Escrow, the City shall have the right to certify the unpaid balance to the Subject Property pursuant to Minn. Stat. §§415.01 and 366.012. IN WITNESS WHEREOF,the unde►signed have executed this Agreement as of the day and year first above written. CITY OF ORONO: OWNER(s): BY: �V�Pl'l�li/ ��'�� BY: � � �• � �J 61^eG�Y n � January 2017 2 �-�'� �' C� � DATE TIME I/ CITY OF ORONO CALLED IN L INSPECTION NOTICE SCHEDULED ' , `� � %�_ :��`� PERMIT NO. %(�!" ��Z�� COMPLETED ADDRESS �t L�t� �71�e L..�,,,� W'�1 IC C`I . .� OWNER TELEPHONE NO. � �� ( ��c-� CONTRACTOR (��' v ! � [ C�,y-"l � DESCRIPTION 1�`^ . 'I ,��, � I � ty ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ �E�TIC INSTALL'"7 2 OWNERICONTNACTOR TO MEET Y�OU: � YES_NO c�i� COMMENTS: C c/ c. �-2 � �`0�0� �G - � W 4 c o Fr�.µ� �a�.�T� ��eo n � � D�fGi,li�a c-�✓� — �� --- - 0 � W °� --� n0 �•� �r4�c dQ c.�� t� r ��5- Q 2 Ga<< �vr I�S�G�l6�' fl YL ��Sc � U/'�,�PI� 1�«.' � W � [�K '�C$ �°O"I.�i r✓L GL � J W � RK TISFACTORY:PROCEED ❑PROJECT COMPLETE � O CORRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOF�WILL REfURN ❑STOP OHDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector: White CopyAnapector's Flle Ca�ary CopylSite Notice G � � onre nME CITY OF ORONO CALLED IN --� INSPECTION NOTICE SCHEDULED �—� /O•3 d PERMtT NO. COMPLETED ADDRESS �yo ��n �� 01NNER TE PHONE NO. 95a -5 S/D'7/SD co�ac�roR Q,tll�l.0✓1 LC.0 �ol�. � DESCRIPTION +erl�t�P� • 'Ir� � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINCa OD FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ COMPLAINT r INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL ? O�WN�KTRACTOR TO MEET YOU:_YES_NO � . � COMMENT� ��/ec.\ ,�r" ;�Di'a v�5� �c.�.L � i�14G 175� • o ' S�-,�r�� - .t Ga ,P�t. -O�C �. r � �its2i d'7 /w10✓!C a//e�rS CP�s+*.�� W OC � . iVLt�� (/✓ ✓�!"�S✓f��d r �'��/ �!_5�� 1CG�I�tta.Ci I�! � � J W O WORK SATISFACTORY:PFiOCEED ❑PROJECT COMPLETE � ❑OORRECT WORK 8 PROCEED O ISSUE CEFiTIFlCATE OF OCCUPANCY W � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERINO PERMANENT ❑CORRECT UNSAFE OONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL REl11RN ❑STOP ORDER P�TED.CALL INSPECTOR O qTATION ISSUED /' �j[iSPECiION REDUIRED.CALL TO ARRANGE ACCESS. �� CsM tor u�e next�spect�on z�t hours�n advanoe. (952) 249-4600 on site: � Cop�rAnpector's FlN Gmry C�opyf811�NMIa