HomeMy WebLinkAbout9.a. Shafer Contracting/Lance Johnson:Mineral Extraction Permit Renewal CITY OF ROSEMOUNT
� EXECUTIVE SUMMARY FOR ACTION
City Council Meeting Date: December 21, 1999
AGENDA ITEM: Shafer Contracting/Lance Johnson: Mineral AGENDA SECTION:
Extraction Permit Renewal New Business
PREPARED BY: Rick Pearson, City Planner AGEND , � � ����,,. �
�
ATTACHMENTS: Various maps,Draft Conditions of Operation APPROVED BY:
for 2000; Planning Commission minutes(11-
23-99); Conespondence /
Applicant: Shafer Contracting Co.
Location: 1.4 miles north of County Road 38, 1/4 mile west of County Road 71.
Property Owner(s): Lance Johnson
Area in Acres: 35 total
Comp. Plan Desig: Agriculture(pending)
Current Zoning: Agriculture
Plan. Comm. Action: Recommendation of Approval (Unanimous)
SUMMARY
Scott Spisak has requested the renewal of the mineral extraction permit on Lance Johnson's property. This is a
request based upon the routine annual review and renewal of the current permit and is unrelated to the previous
request for expanding the scope of the permit.
In 1999, 2,532 cubic yards were reported to have been removed from the pit area,which was about half of the
volume from the previous year, 1998.
The Police indicated that no complaints were received regarding the property in the past year.
PLANNING COMMISSION PUBLIC HEARING—NOVEMBER 23, 1999
One neighboring property owner attended the public hearing and expressed his concerns about illegal dumping
on the surrounding property owned by Koch Refining Group. A gate securing the entrance at County Road
71was removed the previous year on the orders of Mr. Johnson. The Planning Commission suggested that a
new gate be installed at the entrance to Mr. Johnson's property if not at the entrance to the County Highway.
Mr. Mattson, President of Shafer Contracting indicated his willingness to comply with the gate and all of the
draft conditions of operation for 2000.
RECOMMENDED ACTION:
Motion to renew the mineral extraction permit for the Lance Johnson property subject to the attached draft
conditions for 2000.
CITY COUNCIL ACTION:
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Mineral Extraction Permit
� 2000 Conditions For Mineral Extraction Permit Renewal
LANCE J. JOHNSON
A. That Lance J. Johnson(hereinafter"the Property Owner") signs a written consent to these
conditions binding himself and his successors,heirs or assigns to the conditions of said permit.
B. That this permit is granted for the area designated as Phase 3 on Eachibit A which is attached
hereto as one of the exhibits.
C. That the term of the permit shall extend from January 1, 2000 until December 31, 2000 unless
revoked prior to that for failure to comply with the permit requirements. A mining pernut fee
of$330.00 shall be paid to the City of Rosemount.
D. That all required pernuts from the State of Minnesota, County of Dakota and City of
Rosemount(hereinafter"City") or any of their agencies be obtained and submitted to the City
prior to the issuance of the permit. That failure by the Property Owner to comply with the
terms and conditions of any of the permits required under this paragraph shall be grounds for
the City to terminate said mining permit.
E. That the final grading for the permit area shall be completed in accordance with the attached
grading plan labeled Exhibit B, or as approved by the City Engineer, and any other conditions
as may be imposed by the City from time to time.
F. All gravel trucks and other mining related traffic shall enter and exit the mining area from Rich
Valley Boulevard. It shall be the Property Owner's responsibility to obtain any access pernuts
or easements necessary for ingress and egress. The location of the accesses and/ar easements
for ingress and egress shall be subject to approval by the City, as well as the County Highway
Department or the Minnesota Department of Transportation if applicable or if any changes
occur relative to the mining process. The current location of the access driveway is indicated
on the Phasing Plan,Exhibit A.
G. That a plan for dust control shall be submitted to and subj ect to approval by the City. The
Property Owner shall clean dirt and debris from streets that has resulted from extraction or
hauling operations related to the Mineral Extraction Permit. After the Property Owner has
received 24-hour verbal notice, the City will complete or contract to complete the clean-up at
the Property Owner's expense. In the event of a traffic hazard as determined by the Public
Works Director or Rosemount Police Department,the City may proceed immediately to
complete or contract cleanup at Property Owner's expense without prior notification.
H. That the surface water drainage of the mining area shall not be altered so as to interfere,
contaminate, or otherwise effect the natural drainage of adjacent property.
I. That no topsoil shall be removed from the site and that the Property Owner shall take necessary
measures to prevent erosion of the stockpiled topsoil. The location of the stockpiled topsoil
shall be indicated on Exhibit A the Phasing Plan.
J. Any costs incurred now or in the future in changing the location of existing public or private
utilities including but not limited to pipelines, transmission structures
and sewer infrastructure located within the permit area shall be the sole obligation and expense
of the Property Owner.
2000 Mining Permit
Lance J.Johnson
Page 2 of 4
K. That all costs of processing the permit, including but not limited to planning fees, engineering
fees and legal fees, shall be paid by the Property Owner prior to the issuance of the permit.
That the Property Owner reimburse the City for the cost of periodic inspections by the City
Public Works Director or any other City employee for the purpose of insuring that conditions
of the permit are being satisfied. That the Property Owner agrees to reimburse the City for any
other costs incurred as a result of the granting or enforcing of the permit.
L. That the daily hours of operation for the mining area shall be limited to 7:00 a.m. to 7:00 p.m.,
subj ect,however,to being changed by the City Council.
M. That the Property Owner deposit with the Planning Department a surety bond or cash escrow
in the amount of Five Thousand Dollars per acre ($5,000.00/acre) for any active phase in favor
of the City for the cost of restoration, regrading and/or revegetating land disturbed by mining
activities and to ensure performance of all requirements of this agreement and City ordinances
by Property Owner. The required surety bonds must be:
(1) With good and sufficient surety by a surety company authorized to do business in the
State of Minnesota with the right of the surety company to cancel the same upon thirty
(30) days written notice to the permit holder and the City.
(2) Satisfactory to the City Attorney in form and substance.
(3) Conditioned that the Property O�vner will faithfully comply with all the terms,
conditions and requirements of the permit; all rules,regulations and requirements
pursuant to the permit and as required by the City and all reasonable requirements of
the Public Works Director or any other City officials.
(4) Conditioned that the Property O�vner will secure the City and its officers harmless
against any and all claims, or for which the City, the Council or any City officer may be
made liable by reason of any accident or injury to persons or property through the fault
of the Property Owner.
(5) The surety bond or cash escrow shall remain in effect from January 1, 2000 until July
30, 2001.
Upon thirty(30) days notice to the permit holder and surety company,the City may reduce or
increase the amount of the bond or cash escrow during the term of this permit in order to insure
that the City is adequately protected.
. 2000 Mining Permit
Lance J.Johnson
Page 3 of 4
N. That the Property Owner furnishes a certificate of comprehensive general liability
insurance issued by insurers duly licensed within the State of Minnesota in an
amount of at least Five Hundred Thousand and no/100 (�500,000.00)Dollars for
injury or death of any one person in any one occurrence,bodily injury liability in an
amount of at least One Million and no/100 ($1,000,000.00) Dollars and damage
liability in an amount of at least Two Hundred Fifty Thousand and no/100
($250,000.00)Dollars arising out of any one occurrence. The policy of insurance
shall name the City as an additional insured and shall remain in effect from March
24, 1999 until March 24, 2001.
O. That no processing or mixing of materials shall occur on the site and construction of �
any ponding areas or wash plants shall require additional City Council approval and
notification of adjacent property owners, except as approved by the Dakota County
Environmental Health Department as incidental to a sand and gravel mining
operation at which time such activities will be enclosed with snow or cyclone
fencing or as approved by City staff.
P. That the Property Owner shall hold the City harmless from all claims or causes of
action that may result from the granting of the permit. That the Property Owner
shall indemnify the City for all costs, damages or expenses, including but not limited
to attorney's fees which the City may pay or incur in consequence of such claims.
Q. That the Property Owner comply with such other requirements of the City Council
as it shall from time to time deem proper and necessary for the protection of the
citizens and general welfare of the community.
R. Complete mining and reclamation is required in all phases before any additional
mining is authorized. Modifications or expansion of the mining areas must be
approved in writing to the City. Property Owner shall submit to the City semi-
annually a written report indicating the amount of material extracted from the site
for the prior six-month period.
S. That the Property Owner shall incorporate best management practices for controlling
erosion and storm water runoff as specified by the Minnesota Pollution Control
Agency and the United States Environmental Protection Agency.
T. The Property Owner must have a copy of the Dakota County Soil and Water
Conservation District mining application completed and on file with the City of
Rosemount Planning Department prior to the approval of the Mineral Extraction
Permit.
U. Reclamation requires the replacement of the entire stockpile of topsoil to the mined
area, reseeding and mulching necessary to re-establish vegetative cover for
2000 Mining Permit •
Lance J.Johnson
Page 4 of 4
permanent slope stabilization and erosion control,provided also that the minimum
depth of topsoil shall not be less than two inches after reclamation. Topsoil for
reclamation shall conform to specifications on file with the City. No restored slopes
may exceed a gradient of 25%or four to 1 (4:1).
V. The Property Owner must show how materials stockpiled for recycling will be
processed and inform the City of all stockpiled materials.
W. All recycling must be completed with the completion of the current phase. No
recycling processes shall be allowed to continue into subsequent phases.
X. The Property Owner may not assign this permit without written approval of the City.
The Property Owner will be responsible for all requirements of this permit and all
City ordinances on the licensed premises for the permit period unless the Property
Owner gives sixty(60) days prior written notice to the City of termination and
surrenders permit to the City. The Property Owner shall identify all Operators prior
to their commencement of mineral extraction-related activities in the pit area. The
City shall have the authority to cause all mineral extraction activities to cease at any
time there is an apparent breach of the terms of this Permit.
Y. The Property Owner must install angat at the entrance to the property where the
mining operation is locate o�-z�-�oc-,h P-et�e�ea�-Gr-o�wi�ling to-parti�ipat�,-the
gax�sa�be l.acated-close����-C--annt�*�oad�#�:
IN WITNESS WHEREOF,Lance J. Johnson,the Property Owner,
hereby consents and agrees to the foregoing conditions of said mining permit and has
hereunto set his hand this day of , 1999.
LANCE J. JOHNSON
STATE OF MINNESOTA )
) ss
COUNTY OF DAKOTA )
The foregoing instrument was acknowledged before me this day of
December, 1999,by Lance J. Johnson,the Property Owner.
Notary Public
��._-;�
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Planning Commission
Regular Meeting Minutes November 23, 1999
rsuant to due call and notice thereof,the Regular Meeting of the Planning Commission
wa uly held on Tuesday,November 23, 1999. Chairperson Bill Droste called the
meet to order at 6:55 p.m. with members Jay Tentinger and Jeffery Weisensel p esent.
Commi 'oner Kim Shoe-Corrigan was absent. Also in attendance was City P er
Rick Pears .
There were no a ditions or corrections to the agenda.
MOTION by Weise el to approve the November 9, 1999 Regul Planning
Comrnission Meeting ' utes. Seconded by Tentinger. Aye • entin�er,Droste, and
Weisensel. Nays: 0. Mot n carried.
De artment Announce nts
Commissioners noted the actions take by the rty Council on November 16, 1999 and
discussed revisions to the Comprehensiv P .
MOTION by Droste to recess the m ting. tion carried unanimously.
Chairperson Droste opened the oard of Appeals djustments.
Public Hearin : S livan Variance Conti ued from 11-9-99
Mr. Pearson indica d the Sullivans, through their attorney B ce Malkerson,requested
the public heari on their variance request be continued to Dec ber 14. The applicant
has waived th 60-day approvaUdenial requirement.
MOTIO by Droste to continue the public hearing to December 14, 19 . Seconded by
V�%eise el. Ayes: Droste,Weisensel, and Tentinger. Nays: 0. Motion c 'ed.
C ' erson Droste closed the Board of Appeals and Adjustments and reconven d the
anning Commission hearing.
Public Hearin�: Shafer Contracting/Lance Johnson Mineral
Extraction Permit Renewal
Chairperson Droste opened the public hearing on the application by Shafer Contracting
for renewal of a Mineral Extraction Permit. The recording secretary has placed the
Planning Commission •
Regular Meeting Minutes
November 23, 1999
Page 2
Affidavit of Publication and Affidavit of Mailing and Posting of a Public Hearing Notice
on file with the City.
. Mr. Pearson presented the request by Shafer Contracting for the routine renewal of the
mineral extraction permit on Lance Johnson's property. There have been no complaints
concerning this mining operation. Mr. Pearson requested the terms and conditions of
operation be changed removing the language concerning tax reporting to Dakota County,
changing the hours of operation to 7:00 a.m.-7:00 p.m. to conform with the zoning
regulations, and changing the bond amount to $5,000 per acre.
Chairperson Droste opened the floor to the applicant. Scott Spisak was available to
answer questions. Mr. Spisak indicated the recommended changes to the terms and
conditions of operation are acceptable.
Chairperson Droste opened the floor to the public.
Charlie Koehnen, 12255 Rich Valley Blvd., commented that, ever since Mr. Johnson
removed the gate to the property,people have been driving onto the property and
dumping materials. He requested that Mr. Johnson be required to re-install the gate so
people would not have access to the property for dumping.
Lance Johnson indicated the previous operator had put in the gate, and he is not willing to
re-install it.
George Matson,President of Shafer Contracting, indicated he did not have a problem
with a gate provided it is approved by the property owner.
Commissioners discussed the gate issue,including the appropriate location for a gate.
There was a minimum expectation for the gate to be located at the entrance to the
Johnson property. If Koch is willing to participate,the gate could then be located closer
to CR#71. � .
MOTION by Droste to close the public hearing. Seconded by Weisensel. Ayes:
Weisensel, Tentinger, and Droste. Nays: 0. Motion carried.
MOTION by Tentinger to recommend that the City Council renew the mineral extraction
permit for the Lance Johnson property subject to the draft conditions for 2000,with the
following modifications: 1)Paragraph Y pertain'ing to tax reporting requirements to
Dakota County be deleted; 2)Paragraph L be changed to reflect operation times of 7:00
a.m. to 7:00 p.m.; 3)Paragraph M be changed to require a$5,000/acre bond; and 4) a
new paragraph requiring the installation of a gate at the entrance to the 7ohnson property
where the mining operation is located or,if Koch is willing to participate, the gate can be
located closer to CR#71. Seconded by Droste. Ayes: Tentinger, Droste, and
Weisensel. Nays: 0. Motion carried.
. Planning Commission
Regular Meeting Minutes
November 23, 1999
Page 3
There being no further business to come before this Commission,upon MOTION by
Droste and upon unanimous decision,the meeting was adjourned at 7:42 p.m.
Respectfully submitted.
Dianne G. Quinnell
Recording Secretary
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- - ."P.O:.Box 981:-� •
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_ -- December 6, 1999 ` � �
. Thomas D. Burt � _ ��������
" �Gity Administrator`-
� Ci of Rosemount: D�C`.' 7 1999 - _
_ ri, _ : _
= Rosemount,MN 55068 ; _ -
. . _ _ �'Y OF ROS���ii��ii
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DearlVlr: Burt: , _ _
_ I am in receipt of a letter from Michael R. Ring of the Dakota County Attorney's
- � office dated December 3, 1999,with a copy to you. I now ask that you supply to me the :.
� -: . : .
� , __ following: .. . ,. _ - . _ _ _
� 1. Copies of all written information of any kind,including that generated by -
third parries,supplied by the City of Rosemou.nt or any of its representatives .
- to the Dakota.County Attorney's o�ce or received by the City-of Rosemourit
from the Dakota County Attorney's office or any other person concerning the .
: - . subject of Michael Ring's letter. � .
2. Copy of the Notice of Claim form.required to file a claim against the City of �
Rosemount;a copy of the statute setting forth the procedure for filing such a .
� ` claim and the name of the city offcial who is to receive such a notice.
3. Proposed year 2000 Mining Permit for my property as to be submitted.to the
� ; City Council on December 21, 199.9. _
� ` 4: Statement why the final approval for my permit was not placed on the next '
� regularly scheduled council meeting'agenda which is December 7; 1999, as it
� � � � always has been in the past. ; - . _
' S: List of all property owners in Rosemount who own land for_which there were �.
� � ; active mining permits,and the names of the operators under said permit for . _
the year 1997, 1998, 1999, and 2000.
� 6. A copy of each of the perinits set forth iri paragraph 5. , . , _
7. All:written information received by the City of Rosemount or any of ifs ,
� representatives from Koch Industries concerning 1)my property,2)my
r _ � � mining permit,or 3)access to my property: Also a statement setting forth any_ .
� � oral,contacts by Koch�vith the City of Rosemount or its.representatives . :.:
� conceming those same three items. , .
Mr. Thomas:D;Burt . : . , . _ : .
� December.6;1999 : ', - . -
� . � � Page Two � - �
� This is the first time I have ever received an inquiry like this from the Courity �
� Attorney's office in the more than 25 years I have been involved in the ownership of tlus �
_ :, ; propeity..It arrived.witlun days after Shafer exercised its constitutional,and statutory right_ ' _
. . to contest through the judicial process certain actions of tlie`City Gouncil.�On'the face of�._
� it;and`further assuming Shafer and I have been singled out,�it appears�that``your"actions - .
are punitive and retaliatory and would seem to support Shafer'.s.contention that#he Gity's
actions are arbitrary and capricious.
To date,.I have not joined in that action. However,in view of this, I will lie _ .
� consulting with a lawyer to determine�i�hether I should join in that action or initiated an � _
- =independent acfion in the United States District Court for,among other things,a violation ; :
. of my civil rights:and interference with my property rights. I will be at your off ce on
� Thursda.y,December 9, 1999,at.10:00 a.m.to pick up copies of all of the foregoing . _ :
-__`_ items. : _ � - _
� Respectfully Submitted,
C�yz�e . - " .
: Lance J. Johnso -
cc: Faegre&Benson � - � _
, . ,
. .
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. .. - . . . .. . ,. � . , : . . � � � ' ' ' i'.
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s � �. , ��.
SHAFER, MINNESOTA 55074
December 6, 1999
Mr. Michael R. Ring
Assistant Dakota County Attorney
Dakota County Judicial Center
1560 Highway 55
Hastings, MN 55033-2392
Re: Your File C-97-388
Aggregate Removal Tax-
Lance Johnson Property-
Rosemount, Minnesota
Dear Mr. Ring:
Mr. Lance Johnson has forwarded to us a copy of your December 3, 19991etter to him
inquiring about aggregate removal and tax reporting for his property in Rosemount.
Since September 25, 1998, we have been the exclusive operator on Mr. Johnson's
property. We have filed tax reports and paid taxes for all materials removed through the
fourth quarter of 1999. The reports that we filed are true and correct. We only removed
material in the fourth quarters of 1998 and 1999.
Should you have any further questions about our aggregate removal operations or
reporting for Mr. Johnson's property, please call me at (651) 257-5019.
. Yours very t�zly,
�����\/�� SHAFER CONTRACTING CO., INC.
DEC ' 7 1999 �,
. -,
CtTY�� R�S���Ui�l'� B .
Scott S is k
cc:"Mr. Thomas D. Burt
,
City Administrator of City of Rosemount '
Mr. Lance Johnson � �..
An Equal Opportunity Employer
l
OFFICE OF DAKOTA COUNTY ATTORNEY .
JAMES C. BACKSTRONI ;.,`_��:,
COUNTY ATTOR\EY . '��-
Dakota Count}•Judicial Center Telephone
t 560 High�vay 5� {65 l 1-�33•�-�38
Hascinbs. `tinnesota 55033-2392 FAX: �G�I i 438--�500 ICrim:rial Di��isioc��
Cl�arles.�. Diemer. Chief Depui�� F.-��: iGs��-�38--�-����C����I Di��ison•
Karen A.Schaffer, First Assistan[ F,�X: l65 t i-�3s-�-�9� Uu��e::ite:.�.c::z���z Di��ision,.
E-mail: ac�orne��Cco dako:a m:� ��s
• , December 3, 1999
MR LANCE JOHNSON
1402 SCHOONER WAY
WOODBURY MN 55125 '� t' � -
RE: Aggregate Removal Tax Reporting per Minn. Stat. § 298.75
Our File No.: C-97-388 �
Deaz Mr. Johnson:
In calendai year 1998 and for the first quarter of 1999 the Dakota County Auditor has received �
aggregate removal tax reporting forms from Shafer Contracting and others for a�aregate removed
from a gravel pit belonging to you in the City of Rosemount. The first quarter and second quarter
reports filed for 1999 by Shafer Contracting sho�v that no aravel has been removed from your pit.
The City of Rosemount and others in the vicinity of�-our land, however, have inquired of the County
as to whether the aggregate tax is beina paid for materials being removed from the pit on your
property. Since we have no reports of aQgregate beinQ removed from your property, tii•e can only
assume that no report is necessary under subd. 2 oi tilinn. Stat. § 298.7� or that there is a willful
failure to file a report by yourself or others operatina the pit on your land.
Please contact me at your earliest convenience to discuss completion of the aggregate removal tax
reporting form and payment of any ta.�es owing for the materials removed from your property. For
your convenience, I am enclosing with this letter a copy of Minn. Stat. § 298.7�, the aQaregate
material removal; production tax statute. This statute explains the reporting requirements as �vell as
penalties for nonreporting.
V ours, .
���������
� � �E� �d 19s9
. n ��7Y�r� �-� T ���.���,���1
g ������UiV
Assistant Dakota County Attorney �EC o ig9�
MRR:smm �fTY OF R����nvLi�i
c: Thomas D. Burt, City Administrator of Cit}•of Rosemount _ � � .
LCf�'SC47r383 cri�•il 1)i�•i-Si����
C;fi��iin.� rv�Sum .lu���•>>il�•��ncl I'r�>n•��Ii•.�•��•n'i�•i•ti Ui��iSiuii l:i� �.ti1��55rti. hieaci
I'hilli{>t�. I'rukc������vic�. I1c�.ui t)un;iici 1:.t.r:��c•.i:�•cui .
c)(fic�c�lar.a.scr c:cminiunit)•Itcl��ticn��Din•ctc>r
�'ictinV�vitncss Cu��rctinatc�r �cxnr<i�.Z�i�rl uiane.�ncir:snn
Patricia Ronken
� • . - —--._ _�...,�...... ..--�>
s ' L�a ��c,
�a�'e� . ,
SHAFER, MINNESOTn 55074
November 4, 1999
Mr.RicR��rson ;
'� , �F�'�' � ,. , . � . -r . �•�. . +�•e;..�
City of semourit�
2875 145`'`'Street West
Rosemount,MN 55068-4997
Re: Lance Johnson Property
Mining Pernut
Dear Mr.Pearson:
As required by the permit,I am enclosin;a copy of our aggregate tax payment for the fourth quarter,
the only quartzr that we removed material from the pit this yeaz.
Yours very truly,
SHAFER CONTRACTING CO.,INC.
` '-
By: � �
scott A. i ak
SAS:js
Enclosure
cc: Mr.Lance Johnson
.
: . � - - _ ._ . -. -
. . . . . . . . . .. . ........ � . . . : . . ..
, . . . ,.. ,
An Equal Opportunity Employer
.
1999
DAFEQTA CdU�TY
OFFICE OF T't-{E COUtVTY AlJdll"C7�
�G�F2���T'� R���i�\/AL T��' R��C�R�I�dG �OF�fVI
(Please type oc print)
1. Name of Operator: shafer Contractin Co. , Inc.
2. Address: P. . -�
Shafer, Minnesota 55074
3. Reporting period covered by this report (check one):
__ January 1 — Marcf� 31 April 1 —June 30
_ Jul;� 1 — September 30 X October 1 — December 31
SCHEDULE A
(Piease complete the foilowing schedu(e. Use additional sheets if necessary and attach
to this form.)
City or township of pit location,
quarry, or deposit from which
aggregate was removed (include Owner of pit, quarry, or Total Cu. Yds/Tons
prope�ty ID or parcel number). deposit removed
Lance J. Johnson Pit Lance J. Johnson 2,532 C.Y.
Complete line 4 and/or line 5:
4.Total number of cubic yards �f aggregate removed during this reporting period:
2,532 cubic yards X $ .10 = $253.20
Amount of tax
S.Total number of tons of aggregate removed during this reporting period:
tonsX $ .07 =
Amount of tax
_ . �
.�.�,, .__ _ _.. _ _ _.__ _._._ _ _ __ *:
'� � 70912
SHAFER CONTRACTING CO. INC.
79-46
SHAFER, MINNESOTA 55074 November 3, 19 99 759 Z2� •
i
i
Dakota Count Treasurer-Auditor
i I PA RDER OF APPle Vallevy Minnesota� 55124 �� - . g 253.20
� -
�� SHAFER COMR'G Ir"" ;�';' �';j.►t {r ,•�••�� ��mly C,4�:;� i
�! --G0.l�rG.— � ,,� .i.. .}�.. ,,��� nu�� � D O L L A R S :I
.�
SHAFER CONTRACTING CO. INC.
FIRSTAR BANK WISCONSIN
MADISON,WI 53707 �
� GRANTSBURG OFFICE
� ti-,n.-s-�---� �,,� ,
I
;� �'
�-., -
DETACH AND RETAIN THIS STATEMENT
SHAFER CONTRACTING CO. INC. r�E ATTACHED CHEGK IS IN PAYMENT OF ITEMS DESCR�BEO BELOW.
SHAFER, MINNESOTA SSO7C �F NOT GORREGT PLEASE NOTIFV US PROMPTLY. NO REGEIPT DESIRED.
DELUXE - FORM DVCP-3 V-2
DATE DESCRIPTION AMOUNT
11/3/99 4th Qtr. Gravel Tax $253.20
� :
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