HomeMy WebLinkAboutEXCAVATION PERMIT - 19-00513 - 846 W. 7TH S. REPAIR CORRODED HIGH PRESSURE RISER
Excavation Permit
Public Works
35 North 1 East johnm@rexburg.org Phone: 208.359.3020 x2313
st
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022
Time Received: ____________ Starting Date & Time: _________________
Date Issued: _______________ Area of Street Repair: ________________
AUTHORIZATION IS HEREBY GIVEN TO ____________________ Phone No. ___________
JHD632.1298
Contractor: ________________________________________________ Phone No. ___________
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To make an excavation in the public right of way at ____________________________________ for the
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purpose of _______________________________________________________________ Location of
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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 after issuance.
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 furnish 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 to provide 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 ½ inch minimum thickness of plant mix pavement surface or equal to the existing material thickness, whichever is greater.
14. Existing asphalt p
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 must 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: ________________________________ Address: _____JHD_______________________ By:
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________________________________________
Approved this ________ day of ____________, 20___ Office of the City Clerk
Issued by: ________________________
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Backfill Material Requirements
3/4" crushed Road Base
3" Minus (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 met 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 ½ inches or equal to the existing material
thickness, whichever is greater
Final surface deviation must be within +/- conditions unless approved by City
of Rexburg Engineer.
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Excavation Permit Summary
Obtain Permit prior to starting excavation
Notify Dig-line at 1-800-342-1585
Provide Insurance
Backfilled with flow able fill
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
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