HomeMy WebLinkAboutEXCAVATION PERMIT - 22-00168 - 160 E 1st N REPLACE SEWER PIPE TO CITYExcavation Permit Application
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Public Works 8 'x REXBURCT
35 North Ist East keithd@mxburg.org Phone: 208.359.3020 x2320 A-,. m,A r....... ••.... -;y
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022
Applicant:
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Mailing address:
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Contact phone:
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Email:
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Refund recipient name (if diff ut from applicant):
Contractor:
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Utility company:
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Excavation address:
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Ese. date:
Describe area of excavation right of way; /14
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Purpose of excavation:
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Location of excavation:
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CONDITIONS OF PERMIT:
I. No excavation within city right of way limits shall take place prior to the issuance of an excavation permit.
2. Property owners must be made aware of work happening adjacent to their parcels. An "Acceptance of Surface Repairs" form
must be signed by the property owner(s) prior to the excavation work being completed. (See Attachment A)
3. This permit expires 30 days after the issue date. Any work started and not completed within 30 days will be assessed a $100
weekly inspection fee until work finalized. N
4. The contractor is responsible for carrying a minimum of $500,000 general liability insurance coverage for possible damages
during excavation or other accidents.
5. The public right of way fee is $1,000 for any work that will disturb less than 30 square yards of asphalt surfacing. A $100 portion
of this fee will be retained by the city for initial inspection costs.
6. Excavation work which disturbs more than 30 square yards of asphalt surfacing must be individually assessed by the city for
additional fees. ;
7. All utilities must be placed a minlmrrm of 4 feet below the finished grade unless specifically authorized otherwise in writing.
8. The contractor is responsible for contacting the city prior to placing backfill material and/or asphalt in city street locations. A city
representative will then assess and, if acceptable, the excavation fee less inspection costs will be refunded within 30 calendar days
of completion.
9. If permit conditions are not met the city will hold fees for 1 year from final asphalt placement. If repairs are required,. the
contractor will be responsible for completing all repairs. ff repairs -are not made within 7 days, the city will complete repairs. The
permit fee will be retained and any additional costs will be the responsibility of the permit holder.
10. The contractor must notify Dig Line at 1-800-342-1585 it least two (2) business days in advance of the excavation date.
11. The contractor is responsible for furnishing and maintaining all barricades, signs, and flagmen as required by the Manual on
Uniform Traffic Control Devices (MUTCD).
1.2. Existing asphalt pavement shall be saw cut prior to placement of asphalt to provide a vertical surface.
13. Excavation and backfill work is to be completed in accordance with the requirements of Sections 300 and 800 of the Idaho
Standards for Public Works Construction (ISPWC). (See Attachment B.)
14. All�bxeavated material, if acceptable for re -use shall be stockpiled or if not acceptable be immediately removed from the site.
Excavated material needs to be kept a safe distance fi•om trenches or traveled roadways.
15. All street excavations must be backfilled with 3 feet of flowable fill, 4 inches of% inch crushed aggregate road base, and 2 %z
inches minimum thickness of plant mix pavement surface or equal to the existing material thickness, whichever is greater. No
exceptions unless pre -approved by city public works director.
16. Existing asphalt pavement shall be `lacked" prior to new asphalt placement.
17. Final repair of asphalt surfaces must be completed within 10 calendar days of the initial excavation.
18. No excavation permits will be approved from November 1"- March 31"except in the case of an emergency which must be
approved by the city public works director. Winter excavation requires atemporary cold mix paving to be placed and maintained
by the contractor until the final paving is completed no later than May 111.
In completing this ap I' ation for an excavation permit, I hereby agree to all the above conditions as well as all applicable
City of Re ces.
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*A licant will be notified ofpetmrit application approval and request for a deposit to be submitted before excavation can begin.
Revised 10/7/2019
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