HomeMy WebLinkAboutEXCAVATION APPLICAITION - 22-00335 - 870 N 2nd E - Install CableClick to Submit
Excavation Permit Application a• 4,� CITY a_N
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35 North Ist East keithd®rexburg.org Phone: 208.359.3020x2320 't"`°Lni FuNu?YQNNmant4'
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022
Application Date: 04107/2022
Appheant/ Contractor Name: TRACK LITILITIE LLC I BREANNA HODGE
Mailing Address: 441 W CORPORATE DR City: MERIDIAN State: ID Zip. 83642
Primary Phone (❑ Home 9 Work ❑ Cell): 208-362-1780 Email: breanna.hodg8@trackutlWasliccom
Alternate Phone (❑ Home ❑ Work R Cell): 208.817-6348
Approximate address of excavation: 870 N 2nd E, Rexburg, ID 83440
Describe area Of excavation in right of way: Along E side of N 2nd E behind ROW line, CTL Is proposing to place 2 new BD5 PEDs. Cust.
All murk mlge d peMbg lot We xa pleca i6' N 69 de"n, PEO i=. We All men dill, beck on ".grg QXABLE, 16 N a 5 detl.gng PED. Tench to new PED. for 1g' W de4s6ng PED
Purpose of excavation: Place new PEDs,tranch 10' 8 place new 400- able between new PEDs and remove old PED 1236.
Location of excavation: ❑ Street ❑ Alley ❑ Sidewalk a Undeveloped/Landscape Area
Date to begin planned excavation: 0411412022-05/14/2022
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 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 ofcompletion.
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 within 7 days, the city may do the repairs and retain
the permit fee and permit holder is responsible for any cost overturns.
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 Manuel 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 reuse or immediately removed from the site if it is unacceptable for reuse 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 rad base, and 2 %.-
inch minimum thickness of plant mix 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 "tacked" prior to new asphalt placement
15. 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 of emergency as deemed necessary by the
city public works director. If winter excavation allowed, 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.
Signature: Breanna Hodge
Signed Date: 04/07/2022
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gw:zszam+a.iwaw Print Name: Breanna Hodge
*Applicant will be notified ofpermit application approval and miluestfor deposit to be submitted before excavation can begin.
r" '/' V Revised 7/19/2018
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