7-C10 - Traffic Control Application rev 04.2023.pdf
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- Solicitation number
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- Lancaster County, Pennsylvania
About this file
This is a Traffic Control Permit Application form from the City of Lancaster, Pennsylvania Department of Public Works, Bureau of Engineering. The document serves as the standard permit application for contractors and project managers who require traffic control measures during construction or maintenance work within Lancaster city limits. The application requests comprehensive project information including the applicant company name and representative contact details, proposed work dates and hours, specific work location with nearest intersections, on-site supervisor information, and a detailed description of the work to be performed. Applicants must submit a traffic control diagram or labeled sketch as a mandatory component of the application. The permit is valid for 60 days unless otherwise noted. Critical to the application process is the requirement that all permit holders must notify multiple city departments and agencies at least 24 hours prior to work commencement, including the Lancaster City Police Department, Lancaster City Fire Department, the School District of Lancaster, Solid Waste and Recycling Dispatch, and Public Works, with failure to comply potentially resulting in permit revocation or work suspension.
The application identifies numerous conditional requirements that may apply depending on the nature and scope of the proposed work, including Traffic Control Consultant engagement, Certified Flaggers, notification of the Reading Red Rose Transit Authority, EMS/Emergency Facility notification, Variable Message Board deployment, potential PennDOT or Highway Occupancy Permit requirements, and resident and business notification via letters, flyers, or door hangers. Additional requirements may include work hour restrictions, date-specific restrictions, media notification via press release, public or neighborhood meetings, applicant responsibility for roadway and sidewalk snow removal, and submission of pre-work photographs of roads, sidewalks, and properties. The application form contains designated fields for city office use only and includes contact information for relevant departments: Bureau of Engineering at 120 North Duke Street, Lancaster, PA 17608, with phone (717) 291-4764 and email Engineering@cityoflancasterpa.gov.
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Text version
TRAFFIC CONTROL PERMIT APPLICATION
Permit Number:
Approval Date:
Permit Expiration: 60 days unless noted Approved By:
Other Notes:
ALL PERMIT HOLDERS ARE REQUIRED TO MAKE THE FOLLOWING NOTIFICATIONS AT LEAST
24 HOURS PRIOR TO THE START OF WORK. FAILURE TO DO SO MAY RESULT
IN REVOCATION OF PERMITS AND FIELD WORK BEING TERMINATED OR SUSPENDED.
THE FOLLOWING REQUIREMENTS WILL APPLY IF CHECKED:
DEPARTMENT OF PUBLIC WORKS – Return this application to:
BUREAU OF ENGINEERING
Address: 120 North Duke St. / P.O. Box 1599, Lancaster, PA 17608 Phone: (717) 291-4764 / E-mail: Engineering@cityoflancasterpa.gov Webpage: www.CityofLancasterPA.gov/Engineering
Notify LCPD at (717) 735-3332 (Desk & Patrol Sergeants) constructionparking@cityoflancasterpa.gov X REQ'D Notify LCFD at (717) 989-3647 X REQ'D Notify SDOL at (717) 291-6106 mlshields@sdlancaster.org X REQ'D Notify Solid Waste & Recycling Dispatch at (717) 291-4744 SWHotline@cityoflancasterpa.gov X REQ'D
Resident & Business Notification Required: letters/flyers/door hangers X REQ'D
Notify Public Works 24 hours in advance at (717) 291-4764 and (717) 291-4725 Parking Space Rental Required from LPA 48 hours in advance, (717) 299-0907 Traffic Control Consultant Required Certified Flaggers Required Notification of RRTA Required, (717) 397-5613 Notification of EMS/Emergency Facility Required Notification of School District(s) and/or Bus Services Required Variable Message Board Required with messages per City direction Notification of PennDOT or Highway Occupancy Permit is required Work Hours Restricted to:
Date Restrictions Apply:
Media Notification Required via Press Release Public/Neighborhood Meeting Required Applicant responsible for roadway and/or sidewalk snow removal Applicant to submit road, sidewalk, and property photos prior to work Coordination required:
*** THIS SECTION FOR CITY OF LANCASTER OFFICE USE ONLY ***
CDelong@cityoflancasterpa.gov mailto:Engineering@cityoflancasterpa.gov http://www.cityoflancasterpa.gov/Engineering mailto:ConstructionParking@lancasterpolice.com mailto:VPaige@cityoflancasterpa.gov mailto:mlshields@sdlancaster.org mailto:SWHotline@cityoflancasterpa.gov
**ALL ITEMS LISTED BELOW ARE REQUIRED**
THIS APPLICATION MUST INCLUDE A TRAFFIC CONTROL DIAGRAM OR LABELED SKETCH
Applicant (Company):
Applicant (Representative Name)
Applicant Mailing Address:
Representative Phone Number:
Representative Email Address:
Email Address/Fax to Return
Permit: Date(s) of Proposed Work
Hours of Proposed Work:
Location of Work (nearest address):
Name of On-site Supervisor:
On-site Supervisor Cell #:
Description of Work:
(Brief Narrative)
Nearest Intersections:
(nearest road names)
Applicant Comments:
(optional)
Tiffany DiMaio Highlight
Tiffany DiMaio Highlight
Tiffany DiMaio Highlight
Tiffany DiMaio Highlight
THE FOLLOWING REQUIREMENTS WILL APPLY IF CHECKED:
| Permit Number: |
| Approval Date: |
| Approved By: |
| Other Notes 1: |
| Other Notes 2: |
| undefined: |
| Work Hours Restricted to: |
| Date Restrictions Apply: |
| Coordination required 1: |
| Coordination required 2: |
| Applicant Representative Name 1: |
| Applicant Representative Name 2: |
| Representative Phone Number: |
| Representative Email Address 1: |
| Representative Email Address 2: |
| Permit Dates of Proposed Work: |
| undefined_2: |
| undefined_3: |
| undefined_4: |
| undefined_5: |
| undefined_6: |
| undefined_7: |
| Location of Work nearest address 1: |
| Location of Work nearest address 2: |
| Location of Work nearest address 3: |
| Location of Work nearest address 4: |
| Location of Work nearest address 5: |
| Location of Work nearest address 6: |
| Location of Work nearest address 7: |
| Check Box1: Off |
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