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Home My WebLink AboutEXCAVATION PERMIT - 22-00865 - 324 E 3rd S - REPAIR SEWER LINEM NOV 11 20Axcavation Permit Application ;.a..emr<. CITY OP Public Works a _ RMURG 'ar re�wM l r.a au rr p% 35 North Ist East keithd@rexburg.org Phone: 208.359.3020 x2320 AmWW kmily C,mm, t6Y Rexburg, ID 83440 www.rexburg.org Fax 208.359.3022 Applicant: DR Heating and PlumbingDate; 1 11/922 Mailing address: 418 N 4014E #4, Rigby ID, 83442 Contact phone: 208-356-9331 Enna. I infoQdrheatingandplumbing.com Refund recipient name (if different from applicant): I Joshua B Mum e Contractor: DR Heating and Plumbing Phone; 208-356-9331 Utility company: Phone: Excavation address: 324 E 3rd S Rexburg, ID 83440 Exc. date: 11/162022 Describe area of excavation right of way: I Frern the house to the city morn Purpose of excavation: Install new sewer line Location of excavation: 0 Street 0 Alley 0 Sidewalk 0 Undeveloped/Landscape Area CGINDI LIGNS OF YEttlyllT: 1. 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. 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 minimum 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. If 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 at least two (2) business days in advance of the excavation date. 11. The contractor is responsible for famishing and maintaining all barricades, signs, and flagmen as required by the Mammal on Uniform Traffic Control Devices (MUTCD). 12. 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 excavated material, if acceptable for reuse shall be stockpiled or if not acceptable be immediately removed from the site. Excavated material needs to be kept a safe distance from 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 xh 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 "tacked" 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 l" — March 3l" except in the case of an emergency which must be approved by the city public works director. Winter excavation requires a temporary cold mix paving to be placed and maintained by the contractor until the final paving is completed no later than May 1". In completing this application for an excavation permit, I hereby agree to all the above conditions as well as all applicable City of Rexburg ordinances. 11/09/2022 be notified ofpermit application approval and request for a deposit to be submitted before excavation can begin. H 1 Revised 10/7/2019 On this _ day of Printed Property Owner Name On this day of (Attachment A) Acceptance of Surface Repairs —20—L , the parcel owner of the property located at in Rexburg, Idaho, approve surface repairs to my property completed by the noted contractor. Date Acceptance of Surface Repairs Contact Number —20-1, , the parcel owner of the property located at in Rexburg, Idaho, approve surface repairs to my property completed by the noted contractor. Printed Property Owner Name Signature Date Contact Number On this _ day Printed Property Owner Name Acceptance of Surface Repairs 201, the parcel owner of the property located at Rexburg, Idaho, approve surface repairs to my property completed by the noted contractor. Date Number Revised 10/7/2019 (Attachment B) Backfill Material Requirements Backfill material shall meet 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 IH 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 V2 inches or equal to the existing material thickness, whichever is greater Final surface deviation must be within +/-'/" or less of surrounding surface conditions unless approved by the City of Rexburg Engineer. Damages caused by the excavation must also be repaired at contractors' expense. Excavation Permit Summary ✓ ❑ Obtain Permit prior to starting excavation ✓ ❑ Notify Dig -line at 1-800-342-1585 ✓ ❑ Provide hlsmance ✓ ❑ Backfilled with flowable fill ✓ ❑ Notify city prior to backfilling, or loose refund ✓ ❑ Compact all backfill- see attached specifications ✓ ❑ Fill and compact the 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 ✓ ❑ Notify parcel owner ✓ ❑ Return signed parcel owner acceptance form to the city Revised 10/7/2019 3" Minus 3/4" crushed Road Base e I 3 in. 100 1 in. 100 3/4 in 90-100 3/8 in. No.4 25-fi0 40-65 No. 8 30-50 No. 200 0-12 3-9 Backfill material shall meet 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 IH 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 V2 inches or equal to the existing material thickness, whichever is greater Final surface deviation must be within +/-'/" or less of surrounding surface conditions unless approved by the City of Rexburg Engineer. Damages caused by the excavation must also be repaired at contractors' expense. Excavation Permit Summary ✓ ❑ Obtain Permit prior to starting excavation ✓ ❑ Notify Dig -line at 1-800-342-1585 ✓ ❑ Provide hlsmance ✓ ❑ Backfilled with flowable fill ✓ ❑ Notify city prior to backfilling, or loose refund ✓ ❑ Compact all backfill- see attached specifications ✓ ❑ Fill and compact the 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 ✓ ❑ Notify parcel owner ✓ ❑ Return signed parcel owner acceptance form to the city Revised 10/7/2019