HomeMy WebLinkAboutEXCAVATION PERMIT - 22-00334 - E 1st N & Millhollow - Install Fiber CableExcavation Permit �`"""�
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Public Works REURG
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35 Northbn,I t8344t johnmC�rexburg.org Phone: 208339.3020 x2313 An . famtl�'ro aanary
Rlnxbwg, ID 83440 wwwmburg.org Fax: 208359.3022
Starting Date & Time: _
Area of Street Repair:
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Time Received:
Date Issued
AUTHORIZATION IS HEREBY GIVEN TO Km Service COmpan}l_LLCPhone No, (208) - 521-2980
Contractor: Km Service Company LLC Phone No. MZ) -521-29 0
TO make an excavation in the public right of way at -East 1st North & MIII HOIIOW €or the
purpose of Directional Bore & olacing 1 - 2" pvc for a fiber cable Location of
excavation: _asphalt street alley_ in lawn _X behind sidewalk _undeveloped
Refund to: Amount Refunded:
CONDITIONS OF PERMIT:
1. No excavation shall be made in any city shut or right of way without first obtaining an excavation permit and
paying the required fees.
2. Thispermitisgood for 30 calendar days after issuance.
3. Contractor is to cavy aminimum of$500,000 in general liability insurance to cover possible damages that may be caused
by the excavation or any accident caused by the wort:.
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 erzcavations that will disturb more than 30 squareyards 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 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 one needed, the contractor will be responsible for the repairs. If contractor fails to make the repairs, am city may do
the repairs and retain the permit fee and permit bolder is responsible for any costoverrms.
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 fiunish and maintain all barricades, signs, and flagmen w required by the Manual on Uniform
Traffic Control Devices (MUTCD).
10. Existing asphalt pavement shall be saw not topmvide a vertical surface.
11. Excavation and backfill work shall be completed in accordance with the requirements of Sections 300 and 800 ofthe
ISPWC (Idaho Standards for Public Works Construction). See summaryanached
12. All excavated material shall be stockpiled fnr ruse or immediately removed from the site if it is unacceptable for re-
use as backfill. Keep excavated material safely away from the bench and from the traveled roadway.
13. Excavations made in all strects shall be backfilled with 3 feet of flowable fill, 4 inches of 3/4 inch crushed aggregate road
bare, and 2 y inch minimum thickness ofplant mixpavemcnt surfam or equal to the existing material thickness,
whichever is greater.
14. Existing asphalt pavement shall be `tacked" prior to new asphaltplamment
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 mointoined by tho contractor snot Gnat paving is completed as soon as
weather permits in the spring,
In making application far this permit, I hereby agree to the above conditions of the permit and applicable City Ordinances.
Address: 1418 West Colorado Idaho Falls ID 83402 By:
Approved this day of
201;
Issued by
Office ofthe City Clerk
Office Use Only: Receipt Codes: [ 1$900=SDEP [ 1$100=SMISC Revised 9/24/2015
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