A-6.2 CalTrans Encroachment Permit 0221NUS0094.pdf

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WREKA

UNITED STATES DEPARTMENT OF" AGRICULTURE

F"OREST SERVICE

Shasta-Trinity National Forest

PACIF"IC SOUTHWEST REGION 5

SHASTA-TRINITY NATIONAL F"OREST

Great American Outdoor Act (GAOA)

Trinity River NRA Water System Repair

Stoney Point Campground Waterline Replacement

LEGEND

0 INTERSTATE HIGHWAY

8 U.S. HIGHWAY

§ STAT£ HIGHWAY

® PRIMARY FOREST ROUT£

(ffJ COUNTY ROAD

N

State of California

* Project Area

ARIZONA

0' y

--z_

STATE OF CALIFORNIA

INDEX MAP

E

Legend

* District Ranger Office

* Supervisor's Office Redding

INDEX TO SHEETS

Sht # Dwg ID Sheet Name

1 T-1 Title Sheet

2 SP-1 Location Plan

3 SP-2 Site Plan

4 SP-3 Trench Section and Details

5 SP-4 Details

6 SP-5 Miscellaneous Details

Facilities En ineer

03/12/2021

DATE

Forest Engineer

03/15/2021

Scale: None SHASTA-TRINITY NATIONAL FOREST

U.S. DEPARTMENT OF AGRICULTURE

FOREST SERVICE

SHASTA-TRINITY NATIONAL FOREST

REDDING, CALIFORNIA

GAOA Trinity River NRA Water System Repair [ Title Sheet

PROJECT LOCATION MAP

Scale: None

Print Date: 12-30-2019

: DESIGNED: F. Perrin DAT£: Mar 2021

DRAWN: _F_. P_er_rin___ DAT£: Mar 2021

CHECKED: K. Nolan DAT£: Mar 2021

District Ranger

Forest Supervisor

DAT£ REVISION BY C DRAWING ID )xx xx xx xxxx xx T -1

>----------,>-------------+-------l ( Sheet 1 of 6 )

0221-NUS-0094

04/12/21

(See Sheet 4 of 6)

All trenches and excavations shall be backfilled with slurry in accordance with Standard Typical Trenching Detail EP2,.

04/12/21 s130929

Line

STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION

ENCROACHMENT PERMIT

TR-0120 (REV. 6/2000) Permit No.

In compliance with (Check one): Dist/Co/Rte/PM

02-TRI-003-44.4 to 44.8 (Lt) Your application of March 15, 2021

Date Utility Notice No. of April 12, 2021

Fee Paid Deposit Agreement No. of $ EXEMPT $

Performance Bond Amount (1) Payment Bond Amount (2) R/W Contract No. of $ $

Bond Company

Bond Number (1) Bond Number (2)

TO:

Shasta-Trinity National Forest 3644 Avtech Parkway Redding, CA 96002

Attn: Kelly Nolan Phone: 530-598-9315

Customer Reference No.

, PERMITTEE

and subject to the following, PERMISSION IS HEREBY GRANTED to:

Install 1,980-feet of 2.5" water line, by trenching, longitudinal to Highway 3, in the southbound dirt shoulder, from post mile 44.4 to 44.8, and one transverse crossing in an 8" steel casing at post mile 44.4, near Stoney Point Campground in Trinity County. Abandon existing water line in place.

PERMITTEE RESPONSIBILITY: It is understood and agreed by the Permittee that utilizing this permit shall constitute an acceptance of the provisions of this Permit and all attachments.

GENERAL SPECIFICATIONS:

NOTIFY STATE’S REPRESENTATIVE: At least five working days before starting any work (ten days if any lane closures or traffic control will be necessary), notify Permit Inspector Steve Veatch, telephone 530-949-7759, at 1657 Riverside Drive, Redding, CA 96001, who will arrange a mandatory pre-construction meeting and for inspection and approval of the work covered by this permit.

(Continued) THIS PERMIT IS NOT A PROPERTY RIGHT AND DOES NOT TRANSFER WITH THE PROPERTY TO A NEW OWNER.

The following attachments are also included as part of this permit (Check applicable): In addition to fee, the permittee will be billed actual costs for: Yes No General Provisions

Yes No Underground Utility Provisions Yes No Review Yes No Special Provisions Lane Closure Schedule, T9, T13, EP1, EP2, Redlined Plans, Appendix A (Avoidance and Minimization Measures).

Yes No Inspection

Yes No A Cal-OSHA permit, if required: Permit No. Yes No Field Work Yes No As-Built Plans Submittal Route Slip for Locally Advertised Projects

(If any Caltrans effort expended) Yes No Storm Water Special Provisions

Yes No The information in the environmental documentation has been reviewed and is considered prior to approval of this permit.

This permit is void unless the work is completed before December 31, 2021 .

This permit is to be strictly construed and no other work other than specifically mentioned is hereby authorized.

No project work shall be commenced until all other necessary permits and environmental clearances have been obtained.

1 – Permittee APPROVED:

1 – Veatch 1 – Maintenance Supervisor

DAVID MOORE, District Director, District 2

BY:

1 – File TE ANTHONY PASCAL, District Permit Engineer, District 2

Name: Shasta-Trinity National Forest Permit No.: 0221-NUS-0094 Date: April 12, 2021

ADA Notice For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 445-1233 or TTY 711, or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.

STANDARD SPECIFICATIONS AND STANDARD PLANS: Reference to Standard Specifications shall pertain to the 2018 State of California Standard Specifications and Revised Standard Specifications, including all amendments.

Reference to the Standard Plans shall pertain to the 2018 State of California Standard Plans and Revised Standard Plans, including all amendments. The Standards are located at the following internet web page address:

https://dot.ca.gov/programs/design/ccs-standard-plans-and-standard-specifications

Any reference to “Contractor” and “Engineer” in the Standard Specifications is amended to read as “Permittee” and “State’s Representative” respectively. Any reference to measurement and payment in the Standard Specifications shall not pertain to this permit.

GENERAL PROVISIONS: Permittee’s attention is directed to the General Provisions attachment of this encroachment permit with special attention to items 13, 14, 15, and 26. In case of conflict between the General Provisions and the provisions set forth in this encroachment permit, the encroachment permit provisions shall take precedence over and shall be used in lieu of the General Provisions.

FUTURE MOVING OF FACILITIES: Permittee shall, at Permittee’s expense, rearrange permitted facilities at the request of the State for construction, reconstruction, or maintenance work on the highway or facility performed by or for the State.

COOPERATION: Attention is directed to Section 5-1.20, “Coordination with Other Entities,” and Section 5-1.36, “Property and Facility Preservation,” of the Standard Specifications. Work allowed by this encroachment permit may conflict with concurrent Caltrans or encroachment permit projects. Permittee shall coordinate all work with State’s Representative. Such coordination may result in work delays and/or relocation of the permitted work, the costs of which shall be borne entirely by Permittee.

LIABILITY FOR DAMAGES: Permittee shall be liable for damage to the State highway or facility caused by his operation.

PROTECTION OF SURVEY MONUMENTS: Your attention is directed to Section 5-1.36, “Property and Facility Preservation” of the Standard Specifications and to Section 8771, “Monuments,” of the Business and Professions Code.

Permittee shall physically inspect the work site and locate survey monuments prior to beginning work. Monuments shall be referenced or reset in accordance with the Business and Professions Code.

TIME EXTENSION: Permittee is advised that any request for time extension shall require a full reevaluation of the original application. Such a reevaluation may conclude with further mitigation, at Permittee’s expense, to comply with upgrades in highway design policies. A time extension application must be received by the State prior to the expiration date of the current permit.

TERMS OF PERMIT: Any failure on the part of Permittee or his contractor or agent to abide by the terms of this permit or the directions of State’s Representative shall be just cause for immediate stoppage of the work and revocation of the permit.

WORK HOURS: No work shall be performed during inclement weather, on weekends, on designated holidays, or after 3:00 P.M. on the day preceding designated holidays, unless specifically authorized or directed by State’s Representative.

See “TRAFFIC CONTROL” section in this permit for additional time restrictions for work requiring lane closures.

EQUIPMENT ON ROADWAY: All equipment used on the paved surface of the State highway shall be rubber tired or rubber tracked, unless authorized by State’s Representative, and shall comply with the legal weight requirements for operation on a State highway. If operating equipment outside of work zone, all vehicles require appropriate CA licensing and meeting the moving vehicle code requirements.

https://dot.ca.gov/programs/design/ccs-standard-plans-and-standard-specifications

HUMAN REMAINS: If human remains are uncovered, all work shall immediately stop and Permittee shall immediately notify the local Coroner, as required per Health and Safety Code Section 7050.5, and notify State’s Representative.

PROSECUTION OF WORK: Once work authorized by this permit is begun, it shall be diligently prosecuted to completion. Should suspension of work be necessary for any reason, trenches and excavations shall be closed (backfilled and compacted), and the area graded, obstructions removed, and erosion control measures installed to the satisfaction of State's Representative.

CONDITION OF WORK SITE: When the permitted work is complete, the area within the State right of way shall be left in a neat and non-erodible condition to the satisfaction of State’s Representative. All surplus material and debris shall be disposed of in a lawful manner outside the State right of way. Permittee shall not track mud and debris onto the paved portion of the highway. Any soil inadvertently tracked shall be removed. Use of water to clean the surface of the roadway or pavement will not be allowed.

PUBLIC SAFETY: Permittee shall provide for the safety of traffic and the public in conformance with Section 7-1.04, “Public Safety,” of the Standard Specifications and these provisions.

Except for installing, maintaining and removing traffic control devices, whenever work is performed or equipment is operated in the following work areas, Permittee shall close the adjacent traffic lane unless otherwise provided in the Standard Specifications and these special provisions:

Approach Speed of Public Traffic (Posted Limit) (Miles Per Hour)

Work Areas

Over 45 Within 6 feet of a traffic lane but not on a traffic lane 35 to 45 Within 3 feet of a traffic lane but not on a traffic lane

The lane closure provisions of this section shall not apply if permanent or temporary railing or barrier protects the work area.

The approach end of temporary railing (Type K) installed in accordance with the requirements in this section "Public Safety" and in Section 7-1.04, "Public Safety," of the Standard Specifications shall be offset a minimum of 15 feet from the edge of the traffic lane open to public traffic. The temporary railing shall be installed on a skew toward the edge of the traffic lane of not more than one foot transversely to 10 feet longitudinally with respect to the edge of the traffic lane.

If the 15-foot minimum offset cannot be achieved, the temporary railing shall be installed on the 10 to 1 skew to obtain the maximum available offset between the approach end of the railing and the edge of the traffic lane, and an array of temporary crash cushion modules shall be installed at the approach end of the temporary railing. Temporary crash cushion modules shall be of sizes, quantity and placement as determined by State's Representative.

Suspended loads or equipment shall not be moved nor positioned over public traffic or pedestrians.

WATER POLLUTION PREVENTION: The California State Water Resources Control Board (SWRCB) has adopted the National Pollutant Discharge Elimination System (NPDES) General Permit for Storm Water Discharges Associated with Construction Activity (Order No. 2009-0009-DWQ) (hereafter called General Permit). The goal of this permit is to prevent the discharge of pollutants associated with construction activity from entering surface and underground waters of the State. Permittee shall comply with all applicable requirements of the NPDES permit. As the project proponent, the permittee is the Legally Responsible Person (LRP) as defined in the General Permit.

MITIGATION AND MONITORING: Permittee shall be responsible for ensuring that all mitigation and monitoring requirements, as proposed in the lead agency’s environmental document, are fulfilled and that all regulatory agency coordination and permit requirements are completed prior to beginning construction.

COPY OF PERMIT ON SITE: A copy of this encroachment permit shall be kept at the project site at all times.

AS-BUILT PLANS: After completion of the permitted work and prior to acceptance by Caltrans, Permittee shall submit standard unit (US) as-built plans to the Caltrans District 2 Permit office. As-built plans shall be tied to points that are compatible with the Caltrans datum for the area. If no datum exists, permanent reference points shall be set that can be used to accurately locate the facilities. A responsible member of Permittee’s staff shall sign the as-built plans.

AS-BUILT INFORMATION AND DATA: The utility owner or permittee shall provide actual utility location data to the District Permits Engineer, including three dimensional GIS coordinates and descriptors, and a diagram or plan of the installation(s) showing post mile and offset distances from the centerline of the highway to the point of connection, vault, access point, angle point and any other location determined by the State’s Representative, prior to the close of the permit.

The location data shall be submitted as an electronic file (DGN file format or other Caltrans accepted vector file format) tied to points that are compatible with the State’s datum for the area.

COMPLETION OF WORK: After completion of the authorized work, Permittee shall immediately complete and mail the attached Notice of Completion postal card.

MAINTENANCE OF FACILITIES:

MAINTENANCE OF FACILITIES: Permittee shall, at Permittee’s expense, maintain any facilities constructed or permitted under this encroachment permit.

MAINTENANCE ENCROACHMENT PERMIT: All routine and emergency maintenance work required for facilities located within the State right-of-way will require a separate encroachment permit.

UTILITIES:

CONFLICTS WITH UTILITIES: Permittee shall be responsible for the relocation or adjustment of any utility required as the result of work authorized by this permit. If existing public or private utilities conflict with the construction of project, permittee will make necessary arrangements with the owners of such utilities for their protection, relocation or removal of such facilities. Total costs for such protection, relocation or removal shall be borne by permittee in compliance with the terms of the Highway Encroachment Permits, Case Law, Public Utility Regulations and Property Rights.

Permittee shall require any utility company performing relocation in the State’s right of way to obtain a State Encroachment Permit prior to the performance of said relocation work.

UTILITIES ON AS-BUILT PLANS: Any relocated utilities shall be correctly located and identified on the as-built plans.

NOTIFICATION OF U.S.A.: Permittee shall call Underground Service Alert at least two working days prior to performing any excavation deeper than one-foot or other work close to any underground pipeline, conduit, duct, wire, or other structure. The regional notification center phone number is 1-800-642-2444.

NOTIFICATION OF CALTRANS: Caltrans is not part of USA Underground Locate; therefore, prior to beginning any work, Caltrans electrical supervisor Jimmie Munday, shall be notified at 530-225-3469 to locate electrical connections and Karen Law at 530-225-3042 or Bill Sutherland at 530-225-3245 to locate all underground count stations.

TRAFFIC CONTROL:

PRIOR APPROVAL: Work that will interrupt the normal flow of public traffic is not authorized without prior approval. Permittee shall submit lane closure information in conformance with the “ADVANCE NOTIFICATION FOR LANE OR SHOULDER CLOSURES” section in this encroachment permit and receive approval from State’s Representative prior to any lane closure.

TRAFFIC CONTROL RESTRICTIONS: During active construction operations, the road may be closed and public traffic stopped for periods not to exceed five minutes, unless otherwise authorized by State’s Representative. After each closure, all accumulated traffic shall be allowed to pass through the work zone before another closure is made. Traffic control measures shall not be placed during inclement weather or when the roadway is icy or frozen.

LANES OPEN TO PUBLIC: A minimum of one paved traffic lane not less than 12 feet wide and adjacent paved shoulder shall be open for use by public traffic. Only one lane closure is allowed at any one time. When work is not actively in progress, all lanes shall be open to public traffic.

TRAFFIC CONTROL SYSTEMS: When personnel or vehicles or work encroach within the highway traveled way (ETW, white edge stripe), traffic shall be controlled in compliance with the attached Standard Plan T13 entitled ”Traffic Control System for Lane Closure on Two Lane Highways”. Additional advance flaggers may be required as determined by the State’s Representative due to sight distance concerns and/or road connections within the traffic control system. All side driveways shall be signed. Lane closures shall be limited to 1 mile in length. Portable Changeable Message Signs shall be used in each direction. Portable transverse rumble strips are not required if work duration occupies a location for less than four hours, posted speed limit is below 45 mph, work is of an emergency nature, or work zone is in snow or icy conditions.

SHOULDER CLOSURES: Whenever vehicles or equipment are parked on the shoulder within 6 feet of the highway traveled way (ETW, white edge stripe), or work is performed within 20 feet of the ETW, the shoulder area shall be closed with fluorescent traffic cones or portable delineators placed on a taper in advance of the parked vehicles or equipment and along the edge of traveled way at 25-foot intervals to a point not less than 25 feet past the last vehicle or piece of equipment.

A minimum of 9 cones or portable delineators shall be used for the taper. A W20-1 (ROAD WORK AHEAD) or W21- 5b (RIGHT/LEFT SHOULDER CLOSED AHEAD) or C24 (CA) (SHOULDER WORK AHEAD) sign shall be mounted on a crashworthy telescoping flag tree with flags. The flag tree shall be placed where directed by the Engineer, and the sign shall be a minimum size of 48” X 48”. The State’s Representative may require traffic to be controlled in compliance with Traffic Control System T13 instead of by shoulder closure by reason of the safety of the traveling public or Permittee’s workers. Should State’s Representative observe any deviation from these plans, all work will be suspended until satisfactory steps have been taken to ensure compliance.

ADVANCE NOTIFICATION FOR LANE OR SHOULDER CLOSURES: By noon Monday, Permittee shall submit a schedule of planned lane and shoulder closures for the following week period, defined as Saturday through the following Friday. If Monday is a designated holiday, the schedule shall be delivered on Tuesday. Permittee shall submit a completed copy of the attached Permit Closure Schedules form by fax to the Caltrans District 2 Encroachment Permit office at fax number (530) 225-3097. If a fax is unavailable, the schedule may be called in by voice telephone at

(530) 225-3400.

NOTIFICATION FOR LANE OR SHOULDER CLOSURES: Permittee shall notify the Caltrans District 2 Encroachment Permit office by telephone at (530) 225-3400 at the time a lane or shoulder closure is installed, and again when the closure has ended. Permittee shall provide the following information; Permittee’s name, encroachment permit number, location (county, route and post mile limits), direction of closure (e.g., southbound, eastbound, full road), and the time when installing or ending the closure. For weekends and after hours, Permittee shall leave a message at the above telephone number, with the details as indicated. Permittee shall also notify Encroachment Permits office if a scheduled closure is cancelled. Permittee MUST call to report status each day a closure has been requested.

TRENCHING AND EXCAVATIONS:

LOCATION OF FACILITY: The location of the proposed facility shall be staked and the location approved by State’s Representative prior to any excavation. State’s Representative can direct an alternate placement location of the facility as long as there are no other problems with moving the facility from the planned placement, for such issues as environmental concerns, constructability, or conflicting facilities. Such changes shall be shown on the as-built plans.

TRENCHING REQUIREMENTS: Trenches or excavations shall be excavated and backfilled with slurry in accordance with the attached Standard Typical Trenching Detail EP2, and at the direction of the State’s Representative. All disturbed areas and facilities shall be restored to original condition and to the satisfaction of the State's Representative.

OPEN EXCAVATIONS: When work is not actively in progress, trenches and excavation within 20 feet of the edge of traveled way (ETW, white edge stripe) or 10 feet from the edge of pavement (EP), whichever is greater, shall be closed (backfilled and compacted) in compliance with the attached Open Trench Signing and Marking, EP1 drawing. All disturbed areas and facilities shall be restored to original condition and to the satisfaction of State’s Representative.

TRENCHING ACROSS DRIVEWAYS: Trenching or excavating across, adjacent to, or within the paved portion of State’s highway will be permitted. Adequate provisions must be made for the protection of all vehicles and personnel.

Existing pavement shall be saw cut to a neat line prior to excavation. All trenches through pavement shall be backfilled with slurry and T-capped per attached Standard Typical Trenching Detail EP2.

BACKFILLING PAVED AREAS: Trenches or excavations in the paved roadway shall be backfilled with a non-shrink slurry backfill design mix conforming to Section 19-3.02E of the Standard Specifications, two sack, portland cement concrete. Asphalt concrete (AC) should be either ½-inch or ¾-inch, Type A, Maximum Medium and match existing depth of AC, but not be less than 6 inches, or as directed by the State’s Representative. An approved PCC washout facility shall be required if slurry backfill is used.

BACKFILLING UNPAVED AREAS: Trenches or excavations in the unpaved highway shoulder shall be backfilled with Class 2 Aggregate Base, or material approved by State's Representative. Native material shall not be used to backfill trenches unless specifically approved by the State’s Representative. Backfill material shall be placed in 8-inch lifts at optimum moisture and be compacted to 95% relative compaction. Trenches outside the unpaved highway shoulder area shall use the same backfill method and be compacted to 90% relative compaction. At the discretion of State’s Representative, backfilling to paved areas specifications as outlined above may be required.

Compaction testing may be required, as directed by the State’s representative. Costs for compaction testing shall be borne by the Permittee.

PROTECTION OF EXISTING FACILITIES: Existing curb, gutter and sidewalk, drainage pipe, structures and signs shall be protected from damage. All regulatory signs that are disturbed by Permittee’s operation shall be temporarily reset at a location directed by State’s Representative. All signs shall be placed back in their original location as soon as the work is complete. The cutting of any drainage pipe shall not be permitted.

REMOVAL OF TREES: Permittee shall not remove or trim any trees within the right of way.

DRAINAGE:

EXISTING DRAINAGE: Existing drainage courses and flow patterns shall be maintained during and after construction.

Water shall not pond on State right of way. State’s Representative may direct additional grading and/or placement of granular material or of rock slope protection and appropriate engineering fabric to ensure proper drainage and prevent soil erosion.

March 15, 2021

ADA Notice

December 31, 2021

Appendix A - Avoidance and Minimization Measures

In addition to the resource protection measures to be implemented by the Forest Service as identified in the agency’s NEPA Documentation for the Trinity Unit Campground Water and Septic Systems Repair 2020 Project (Appendix B), the following measures shall be implemented for work occurring with Caltrans’ right-of-way:

Special-Status Species Implementation of the following measures would ensure that construction activities would have no effects on Indian Valley brodiaea, thread-leaved beardtongue, and English Peak greenbriar:

Potential effects on Indian Valley brodiaea, thread-leaved beardtongue, and

English Peak greenbriar shall be avoided by having a contractor-supplied biologist conduct a pre-construction survey of the project limits in the spring. If these species are present and would be affected by the proposed work, the biologist shall coordinate with the NRA Botanist to determine appropriate measures to be implemented to avoid impacts on these species or to ensure that any impacts are less than significant.

Migratory Birds Implementation of the following measures would ensure that vegetation removal and construction activities would have no impact on nesting birds:

To avoid disturbing nesting birds, tree and shrub removal shall be restricted to the period between October 1 and January 31. If this is not practicable, a contractor-supplied biologist shall conduct a pre-construction survey for nesting birds within 3 days prior to removing trees and shrubs. If an active nest is discovered, the resident engineer shall be notified immediately and all work within 100 feet of the nest shall cease. Work within the buffer zone may proceed only after a contractor-supplied biologist has determined that the nest is no longer active.

Invasive Species Implementation of the following measure would avoid/minimize the introduction or spread of invasive and/or noxious weed species:

United States Forest Service policy guidelines to prevent the introduction/spread of invasive species at project sites shall be implemented.

Disturbed Upland Habitats Implementation of the following measure would minimize impacts to upland habitats:

Upon completion of work, disturbed upland habitats shall be restored to pre-construction conditions.

Appendix B U.S. Forest Service Avoidance and Minimization Measures

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