HomeMy WebLinkAboutEXCAVATION PERMIT - 19-00440 - Intersection of 7th N. and Stonebridge St.- Sewer tie inClick to Submit
Excavation Permit Application
Public Works
35 North lsf East kelihd@mxburg.org Phone: 208.359.3020 x2320
Rexburg, ID 83"0 www.rexburg.ong Fax: 208.359.3022
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MY,BURG
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ion Date: 6111119
Applicant / Contractor Name: Jerome Bowen Construction
Mailing Address: PD Box 475 City: Rexburg State: ID yip: 83440
Primary Phone (O Home 9 Work ❑ Cell): (206)35"gM Email: markQeromebowenconsLmm
Alternate Phone (E] Home ❑ Work 9 Cell): (208)2514015
Approximate address of excavation: Intersection of 7th N and Stonebridge St
Describe an of excavation in right of way: We are tying into the manhole on the north aide of this Interaction and running the
sewer line north.
purpose of excavation: Sewer Is In.
Location of excavation: N Street ❑ Alley ❑ Sidewalk ❑ Undeereloped/Lanciscape Area
Date to begin planned excavation: 6`13/19
Refund Name (if different from above):
Refund Mailing Address (if different from above):
Phone Number:
1. No excavation shall be made in any city street or right ofwey without fust obtaining an excavation permit and paying the requiredfees.
2. This permit is good for 30 calendar days after issuance.
3. Contractor is to carry a minimum of$500,000 in geoeml liability insurance to cover possible damages that may be caused by the
excavation or my accident caused by the work.
4. The permit fee within the public tight ofway is $1000 for any excavation that will distant, less than 30 square yards of asphalt surfacing. A
fee of $100 will be retained from the permit fee to cover city inspection coats.
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 ofthe permit fee will be refunded within 30 calendar days ofcompletion.
7. If stated conditions are not meq the city may hold the permit fee for one year from final asphalt placement. In the event tepahs are needed,
the contractor will be responsible for the repairs. If connector fails to make the repairs within 7 days, the city may do the repave and retain
the permit fee and pamtit holder is responsible for any cost ovemms.
I. The connector is to notify Dig Line at 1-800-342-1585, at least two (2) business days m advance of an excavation.
9. The contractor shall furnish and maintain all barricades, signs, and flagmea as required by the Manual on Uniform Traffic Centel Devices
(MUPCD).
10. Existing asphalt pavement shall be saw cut to provide a vertical surface.
11. Excavation and backfill work shall be completed m accordance with the requirements of Sections 300 and 800 ofthe ISPWC (Idaho
Standards for Public Works Construction). See summary attached.
12. All excavated material shall be stockpiled for reuse or immediately removed from the site if it is mecceptable for m -use as backfill. Keep
excavated material safely away from the trench and from the trawled roadway.
13.lemmu tious made in all streets shall be backfilled with 3 feet of flowable fill, 4 inches of 3/4 inch crashed aggregate mad base, and 2 1/2.
inch minimum thickness ofplant mitt pavement surface or equal to the existing material thickness, whichever is greater, unless otherwise
approved by the city public works director.
14. Existing asphalt pavement shall be `Racked' prior in new asphalt placement.
I S. Final repair of asphalt surfaces is to be completed within 10 calendar days of the initial excavation.
16. In the winter months (Nov 1 -Mar 31), no excavation permits will be approved, except in the case ofemergeocy as deemed necessary by the
city public works director. [twiner excavation allowed a temporary cold mix paving meet be placed and maintained by the contractor
until final paving is completed as soon as weather permit in the spring.
In making application for this permit, I eby agree to the above conditions of the permit and applicable City Ordinances.
Signature: Print Name: Mark McNabb
Signed Date: 6111119
•Applicant (mill be notified ofpermit application approval and request for deposit to be sabnottteedd�bva
�beefore excavation can begin.
�� l 4 ac, p r'��� Revised 7/19/2018