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HomeMy WebLinkAboutDOCS - 23-00131 - 65 S Center St - FIBER INSTALL / REXBURGy Blackfoot Communications r Bore and place 1 - 1 114" Innerduct = 620' Placel latl�U ,c,e�= 4 Place a 12 Fiber Cable in the innerduct T 1020' Dig Line # E'" Excavation Permit Application CITY x Public Works „ ---- — (�'� A 35 North isf I opt xBR kelthd@rexburg.org Phone: 208,3.59.3020 x2320 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022 •" `•=j Aturri `i Amply ""•' „}r,, ApplieantrContractur: KM Service Company LLC Marg Address: 1418 W Colorado Date: 3-20-23 City: IDAHO FALLS State: ID Zip. 83402 Primary Phone (ORome D Work ERCell) 208 52'(:208 /BRETT Email: kMS Excavation Address: 65 S CENTER —-�ieecompanv �ahoo.com Description; WILL BE PLACING A FIBER LINE S ENTERTHROUGH THE PARKING LOT TO W 1ST THEN EAST FOR 350' TO H E BANK AI 65Location of Excavation: © Street Q Alley O(Sidewalk Iq Undeveloped/Landscape Area Purpose of Excavation: EI :R SF VICE ` Exc. Date• 3-23-23- 4-3-23 Refund Recipient Name (if different from alcove): Phone #: Refund Recipient Address: 1418w Colorado city: IDAHO FALLS State: ID zip: 83402 CONDITIONS OF PERMIT: 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 ofwork happening adjacent to theirparcels. An "Acceptance of Surface Repairs" form must be signed by the property owner(s) prior to the excavation work being signed off by the City. (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 $ I00 weekly inspection fee until work finalized. 4_ The contractor is responsible for carrying a miniinwn Of $500,000 general liability insurance coverage for possible damages during excavation or other accidents_ A certificate of liability is required and roust be submitted via email at customerservices@,rexbur oar . 5. The public right of way fee is $1,200 for any work that will disturb less than 30 square yards of asphalt surfacing_ A $200 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 completion- fee less inspection costs will be refunded within 30 calendar days of compl 9. Ifpernait conditions are not met the city will hold fees for I 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 furnishing and maintaining all barricades, signs, and flagmen as required by the Manual on Uniform Traffic Control Devices (M-fJTCD). 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 (1SPWC). (See Attachment B.) 14. All excavated material, if acceptable for re -use shall be. stockpiled or if not acceptable be immediately removed fronn the site Excavated material needs to be kept a safe distance from trenches or traveled roadways. l 5. All street excavations must be backfilled with 3 feet of Plowable fill, 4 inches of Y4 inch crushed aggregate road base, and 2 % inches minimum thicknesseit p plant Ariz pavement surface or equal to the existing material thickness, whichever is greater. No exceptions unless pre -approved by city public works director_ 16- ]Rx'sting asphalt pavement shah 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 I' — March 3 I1 except in the case of an emergency which must be approved by the city public works director. Winter excavation requires a until the final paving is completed no later than May I . temporary cold mix paving to be placed and maintained by the contractor In completing this application for an excavat Rexburg ordinances. ion permit, l hereby agree to all the above conditions as well as an applicable City of t�uvlq_ 3-20-23 Appuoant sig'au", Date 4PPlio will be nohfted ofpermit application approval and request for a deposit N be sabmitted before excavation can begin_ Revised 12/2/2021 (Attachment BI Backfill Material Rc uirements 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 AASHTfl T 99. 1/2 --inch Class III Plant Mix Pavement shall be compacted to between 92% and 95% of nlaximnm density in accordance with mix design. Asphalt surfacing must extend l 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 % 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 't Obtain Permit prior to starting excavation Notify Dig -line at 1-800-342-1585 Provide Insurance Backfilled with Plowable fll 1 Notify city prior to backfilling, or loose refund ✓ (X Compact all backfill- see attached specifications ✓ IX Fill and compact the tip of the 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 v' Q Return signed parcel owner acceptance form to the city Revised 12/2/2021 314" crushed Road Base 3" Minus T e r 3 in. 100 I in. 100 314 in, 90-100 3/8 in - n_No.4 No. 4 25-6fl 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 AASHTfl T 99. 1/2 --inch Class III Plant Mix Pavement shall be compacted to between 92% and 95% of nlaximnm density in accordance with mix design. Asphalt surfacing must extend l 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 % 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 't Obtain Permit prior to starting excavation Notify Dig -line at 1-800-342-1585 Provide Insurance Backfilled with Plowable fll 1 Notify city prior to backfilling, or loose refund ✓ (X Compact all backfill- see attached specifications ✓ IX Fill and compact the tip of the 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 v' Q Return signed parcel owner acceptance form to the city Revised 12/2/2021