ST. LOUIS COUNTY, MN
PLANNING AND ZONING DEPARTMENT
Government Services Center
Government Services Center
320 West 2nd Street, Suite 301
201 South 3rd Avenue West
Duluth, MN 55802
Virginia, MN 55792
(218) 471-7103
(218) 471-7103
LAND ALTERATION PERMIT APPLICATION
Your Contact Information.
If the information is not correct, you may need to update your contact information using the 'Maintain Contact Information' option once you have filled out this application.
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General - This application is used to apply for a Land Alteration Permit. Applicants will need to attach the appropriate worksheet(s) in order to process. Incomplete applications will be returned. Note that the 'clock' does not begin until after payment has been processed for the application. For more information, see our website at:
www.stlouiscountymn.gov/BuildingStructures
725-0048-00270
Enter Applicant Information
Landowner
Richard F. Samec
6244 Juneau Lane North
Maple Grove
MN
55311
(612)805-2888
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Mailing Address Information.
This address can default from the address you selected. If the values defaulted are not correct, please enter the correct information.
Richard F. Samec
6244 Juneau Lane North
Maple Grove
MN
55311
(612)805-2888
rfsamec@yahoo.com
Site Information
If there is no site address, the application will be forwarded to 911/Communications to assign one.
Yes
7841 Lake Leander Rd.
Britt, MN 55710
No
US Forest Service
US Forest Service
MN DNR, Area Hydrologist
MN DNR, Area Hydrologist
MN DNR Land and Minerals
MN DNR Land and Minerals
St. Louis County - Duluth
St. Louis County - Duluth
Government Services Center
320 West 2nd Street, Suite 301
St. Louis County - Virginia
St. Louis County - Virginia
Do you have written authorization from the leased property owner?
If Yes, you must attach written authorization form.
How is the property accessed?
Enter Project Information.
If you answered 'Yes' to any of the questions below, it is required that you submit a copy of a septic permit to construct or certificate of compliance approval or municipal/sanitary district approval when applying for a land use permit.
Is this project on a parcel less than 2.5 acres?Yes
Is this project within 300 feet of a stream/river or 1,000 feet of a lake?Yes
LAND ALTERATION
Land Alterations: Filling, grading, or excavating, on shore land property requires a land alteration permit if the activity that you are planning exceeds certain limits.
Reduce sharp berm to gentle berm 50 yards; will be grass (see Item A on attached sketch)
Reduce sharp berm to gentle berm 50 yards; will be grass (see Item B on attached sketch)
Mill feed resurface of existing drive path 50 yards (see Item C on attached sketch)
Raise and make level existing drive path - max fill 16"; will be grass (see Item D on attached sketch)
Raise and level existing yard area- max fill 8" 100 yards; will be grass (see Item E on attached sketch)
Install gravel swale to focus existing drainage from south to north - no fill (see Item F on attached sketch)
MATERIAL REMOVAL
Use the Add Response buttons to list the type and number of trees and shrubs to be removed.
Types and Number of Trees
small tree <5" dia.
Type and Number of Shrubs
0
9,999
Gravel
300
Qty of trees slated for removal as per review with contractor are limited to hazard or dead and/or small trees which obstruct the use of mechanical equipment in fill areas.
EROSION CONTROL PRACTICES
Indicate the following erosion control measures that will be used (before, during and after) as part of your project.
Contract will leave required erosion control measures in place. Contractor is to perform all work.
AUTHORIZING AGENCIES
Do you have approval from the following agencies? If Yes, please attach the appropriate approval form.
No
No
No
By submitting this application, I certify and agree that I am the owner or the authorized agent of the owner of the above property, and that all uses will conform to the provisions of St. Louis County. I further certify and agree that I will comply with all conditions imposed in connection with the approval of the application. Applicants may be required to submit additional property descriptions, property surveys, site plans, building plans, and other information before the application is accepted or approved. Intentional or unintentional falsification of this application or any attachments thereto will make the application, any approval of the application and any result invalid. I authorize St. Louis County staff to inspect the property to review the application and for compliance inspections. Furthermore, by submitting this application, I release St. Louis County and its employees from any and all liability and claims for damages to person or property in any manner or form that may arise from the approval of the application or any related plans, the issuance of any resulting permit or the subsequent location, construction, alteration, repair, extension, operation or maintenance of the subject matter of the application.
If your name, contact information or email address have changed, you should update your contact information in the portal by selecting 'Maintain Contact Information' at the top of this page.
I have read and agree to the statement above.
