RPCBW Signed PermitRETURN PERMIT APPLICATION TO: s : • • p r r
Riley Purgatory Bluff Creek Watershed District
18681 Lake Drive Eastfi1T�UDr 13Ai
Chanhassen, MN 55317
Phone: 952-607-6512
www.RPBCWD.orgATE#P'R3�?A
1. Name of primary property owner: Justin Schmidt
Mailing Address: 2902 Corporate Place Chanhassen, Minnesota 55317 United States
Email Address: JSchmidt@tt.Life Phone:952-229-7862 Fax:
2. Property Owner Representative Information (not required) (licensed contractor, architect, engineer, etc...)
Business Name: ELfering & Associates Representative name: Kristina ELfering
Business Address: 10062 Flanders Court NE Blaine, Minnesota 55449 United States
Email Address: kelfering@elferingeng.com Phone: 763-780-0450 Fax: 763-780-0452
3. Project Address: 2970 Water Tower Place Chanhassen, Minnesota 55317 United States
PID: 250780010 Project Name: Life Time Parking Addition
Project Description: Life Time is proposing to construct a parking lot in the location of an existing outdoor training
facility. Storm water requirements WILL be met with an underground system. Minor parking stall additions are also
proposed on their complex located to the north on PID 254280020, 254280030, and 254280010.
4. Size of project parcel (square feet or acres): 2.68
Area of disturbance (square feet): 2.51 Volume of excavation/fill (cubic yards): 1490
Area of existing impervious surface: 0.602 Area of proposed impervious surfaces: 2.022
Length of shoreline effected (feet):0 Waterbody: Bluff Creek
S. Type of permit(s) being applied for: Rule C - Erosion and Sediment Control Rule 1 - Stormwater Management
6. NPDES/SDS General Stormwater Permit Number: 7. Waterbody receiving runoff from site: Storm Pond
8. Project Timeline: Start Date: September 2, 2019 Completion Date: November 1, 2019
Permits applied for: City Permits received: None received
Submittal Requirements
Complete applications must be submitted and received 30 business days prior to the regular Board of Managers meeting,
generally the first Wednesday of each month (check website for exact meeting days). Applicants must submit a paper copy and an
electronic copy of all required information as specified by District's Rules (see website for complete rules or contact the District
office for a copy).
Applicant Signature
"I understand that, as the permittee, I am legally accountable to ensure compliance with the terms and conditions of the permit. I
understand that I am not authorized to begin the project until I have received the permit. If the project is modified, I will obtain
approval by the Riley Purgatory Bluff Creek Watershed District before I continue with the project. I authorize the District, and its
agents, employees, officers, and contr#ctors, to enter the project site to perform any inspections of work authorized by the permit
or any apptica4le taw. I certify that Iave thoroughly read and understand the information in this application"
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Signature of Ea Property dwnei Date