HomeMy WebLinkAboutEXCAVATION PERMIT - 16-00601 - 70 K Street - Sewer LineExcavation Permit
Public Works �: ! R I .11 L 1IAV
35 North East johnm@rexburg.org Phone: 208.359.3020 x2313
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022
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Time Received:
Date Issued:
AUTHORIZATION IS HEREBY GIVEN
Starting Date & Time: 9AM Tues 9/6
Area of Street Repair: City Sewer
No.
Contractor: Advanced Home Service Phone No. 2087459406
To make an excavation in the public right of way at70 K Street, Rexbur for the
purpose ofSewer line replacement from house to city connections Location of
excavation: x asphalt street _ alley _ in lawn _ behind sidewalk _undeveloped
Refund to: Amount Refunded:
CONDITIONS OF PERMIT:
1. No excavation shall be made in any city street or right of way without first obtaining an excavation permit and
paying the required fees.
2. This permit is good for 30 calendar days afterissuance.
3. Contractor is to carry a minimum of $500,000 in general liability insurance to cover possible damages that may be caused
by the excavation or any accident caused by the work.
4. The permit fee within the public right of way is $1000 for any excavation that will disturb less than 30 square yards of
asphalt surfacing. A fee of $100 will be retained from the permit fee to cover city inspection costs.
5. For excavations that will disturb more than 30 square yards of asphalt surfacing, the permit fee will be determined by the
city on an individual basis.
6. The contractor is to notify the city prior to placing backfill material and final asphalt placement. If these
conditions are acceptable to the city engineer, $900 of the permit fee will be refunded within 30 calendar days of
completion.
7. If stated conditions are not met, the city may hold the permit fee for one year from final asphalt placement. In the event
repairs are needed, the contractor will be responsible for the repairs. If contractor fails to make the repairs, the city may do
the repairs and retain the permit fee and permit holder is responsible for any cost overruns.
8. The contractor is to notify Dig Line at 1-800-342-1585, at least two (2) business days in advance of an excavation.
9. The contractor shall famish and maintain all barricades, signs, and flagmen as required by the Manual on Uniform
Traffic Control Devices (MUTCD).
10. Existing asphalt pavement shall be saw cut toprovide a vertical surface.
11. Excavation and backfill work shall be completed in accordance with the requirements of Sections 300 and 800 of the
ISPWC (Idaho Standards for Public Works Construction). See summary attached.
12. All excavated material shall be stockpiled for re -use or immediately removed from the site if it is unacceptable for re-
use as backfill. Keep excavated material safely away from the trench and from the traveled roadway.
13. Excavations made in all streets shall be backfilled with 3 feet of flowable fill, 4 inches of 3/4 inch crushed aggregate road
base, and 2 'h inch minimum thickness of plant mix pavement surface or equal to the existing material thickness,
whichever is greater.
14. Existing asphalt pavement shall be `tacked" prior to new asphaltplacement.
15. Final repair of asphalt surfaces is to be completed within 10 calendar days of the initial excavation. In the winter, a
temporary cold mix paving most be placed and maintained by the contractor until final paving is completed as soon as
weather permits in the spring.
In making application for this permit, I hereby agree to the above conditions of the permit and applicable City Ordinances.
Contractor: KIP SALAS
Address: PO Box 249, Rigby ID By: Sherri Caspers
Approved this day of
201_;
Issued by:
Office of the City Clerk
Office Use Only: Receipt Codes: [ I $900=SDEP [ 1$100=SMISC Revised 9/24/2015
Backfill Material Requirements
Backfill material shall meet the above gradation requirements and be placed in 12 inch maximum loose lifts
and compacted to 95% of maximum density in accordance with AASHTO T 99.
1/2 inch Class III Plant Mix Pavement shall be compacted to between 92% and 95% of maximum density in
accordance with mix design.
Asphalt surfacing must extend 1 foot beyond the trench sides in all directions or a minimum of 4 feet in width,
whichever is greater. Minimum asphalt thickness shall be 2 %2 inches or equal to the existing material
thickness, whichever is greater
Final surface deviation must be within +/- %2" or less of surrounding surface conditions unless approved by City
of Rexburg Engineer.
Damages caused by the excavation must also be repaired at contractors' expense.
Excavation Permit Summary
Q ✓
Obtain Permitpriorto starting excavation
❑ ✓ Notify Dig -line at 1-800-342-1585
❑ ✓ Provide Insurance
❑ ✓ Backfilled with flowablefill
❑ ✓ Notify city prior to backfilling, or loose refund
❑ ✓ Compact all backfill- see attached specifications
❑ ✓ Fill and compact tip of trench with approved gravel
❑ ✓ Notify city prior to paving, or loose refund
❑ ✓ Paving surface to be completed within 10 days, or city will complete
❑ ✓ Paving to be done according to attached specifications
❑ ✓ Fix surface repair if it fails or the trench settles
Office Use Only: Receipt Codes: [ ] $900=SDEP [ ] $100=SMISC Revised 9/24/2015
3" Minus
3/4" crushed Road Base
(Type I
3 in.
100
1 in.
100
3/4 in.
90-100
3/8 in.
No.4
25-60
40-65
No. 8
30-50
No. 200
0-12
3-9
Backfill material shall meet the above gradation requirements and be placed in 12 inch maximum loose lifts
and compacted to 95% of maximum density in accordance with AASHTO T 99.
1/2 inch Class III Plant Mix Pavement shall be compacted to between 92% and 95% of maximum density in
accordance with mix design.
Asphalt surfacing must extend 1 foot beyond the trench sides in all directions or a minimum of 4 feet in width,
whichever is greater. Minimum asphalt thickness shall be 2 %2 inches or equal to the existing material
thickness, whichever is greater
Final surface deviation must be within +/- %2" or less of surrounding surface conditions unless approved by City
of Rexburg Engineer.
Damages caused by the excavation must also be repaired at contractors' expense.
Excavation Permit Summary
Q ✓
Obtain Permitpriorto starting excavation
❑ ✓ Notify Dig -line at 1-800-342-1585
❑ ✓ Provide Insurance
❑ ✓ Backfilled with flowablefill
❑ ✓ Notify city prior to backfilling, or loose refund
❑ ✓ Compact all backfill- see attached specifications
❑ ✓ Fill and compact tip of trench with approved gravel
❑ ✓ Notify city prior to paving, or loose refund
❑ ✓ Paving surface to be completed within 10 days, or city will complete
❑ ✓ Paving to be done according to attached specifications
❑ ✓ Fix surface repair if it fails or the trench settles
Office Use Only: Receipt Codes: [ ] $900=SDEP [ ] $100=SMISC Revised 9/24/2015