CountyEncroachmentPermit.pdf

Director of Public Works

Encroachment Offic

No. 11-88-D5

SISKIYOU COUNTY DEPARTMENT OF PUBLIC WORKS

ENCROACHMENT PERMIT

YREKA, CALIFORNIA

Date 5-26-2011 PTO: USFS Klamath National Forest

Ken Stagg 1312 Fairlane Rd Yreka, CA 96097 530-841-4536 In compliance with your request of 5-25-2011 And subject to all the terms, conditions and restrictions written and printed as General Provisions on the reverse of this form and Specific Provisions listed below and attached.

PERMISSION IS HEREBY GRANTED To: place a new waterline adjacent to Siskiyou County Road: South Fork Road # 2H002.

Contractor must notify this department at least 48 hours prior to beginning work.

Backfill for the portion of the utility trench that is in the roadway shall be backfilled with Class II aggregate base compacted to 95% relative density.

Flaggers with standard traffic control signage shall be present whenever men and/or equipment are in the right of way.

Restoration of the paved surface shall be done by placing three inches of A/C in trenches with straight edges to facilitate a professional looking aesthetically pleasing finished product

All work to be done in accordance with the general provisions on the reverse side. When work is completed please notify this department..

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

This permit shall be void unless the work herein contemplated shall have been completed on or before 11-26-2011 .

SISKIYOU COUNTY

DEPARTMENT OF PUBLIC WORKS

PO BOX 1127

YREKA, CALIFORNIA

842-8250

Scott Sumner

General Provisions Definition. This permit is issued under Chapter 5.5 and 6 of Division 2 of the Streets and Highways Code. The term encroachment is used in this permit as defined in Chapter 6 of said code. Except as otherwise provided for public agencies and franchise holders, this permit is revocable at any time.

Acceptance of Provisions. It is understood and agreed by the Permittee that the doing of any work under this permit shall constitute acceptance of the provisions.

Prior Right. It is understood and agreed that the County has prior right to the use of it's rights of way.

Notice Prior to Starting Work. Before starting work on which an inspector is required, or whenever stated on the face of this nem*, the Permittee shall notify the director of Public Works or other designated employee of the Road Department. Such notice shall be given at least three days in advance of the date work is to begin.

Permission from Property Owners. Whenever necessary to secure permission from abutting property owners, such authority must be secured by the Permittee prior to starting work.

Keep Permit on the Work. This permit shall be kept at the site of the work.

Protection of Traffic. The Permittee shall cause to be placed, erected, and maintained all warning signals, lights, barricades, signs, and other devices or measure essential to safeguard travel by the general public over and at the site of work authorized herein.

Minimum Interference With Traffic. All work shall be planned and carried out so that there will be the least possible inconvenience to the traveling public except for the specific work permitted.

Clean up Right of Way. The Permittee shall, at all times, during the progress of the work keep the highway In as neat and clean a condition as is possible and upon completion of the work granted herein, shall leave the highway In a thoroughly neat, clean, and usable condition.

Storage of Material. No material shall be stored within eight(8) feet from the edge of pavement or traveled way.

Standards of Construction. All work shall conform to recognized standards of construction.

Borrow and Waste. Only such borrow and waste will be permitted and within the limits as set forth on the face of this permit.

Supervision. All the work shall be done subject to the supervision of, and to the satisfaction of the Director of Public Works.

Permittee must provide notice and obtain County approval of any assignments to perform work under this permit.

Future Moving of Installation. It is understood by the Permittee that whenever construction, reconstruction or maintenance work on the highway may require, the installation provide for herein shall, upon request of the Director of Public Works, be immediately moved by, and at the sole expense of the Permittee.

Liability for Damages. The Perrnittee is responsible for all liability for personal injury or property damage which may arise out of work herein permitted, or which may arise out of failure on the a Permittee's part, to perform his obligations under this permit in respect to maintenance. In the event any claim or such liability Is made against the County of Sisklyou, or any department, officer, or employee thereof, Permittee shall defend, Indemnify and hold them and each of them harmless from such claim. Further, Permittee, shall obtain a similar provision in its contract with any contractor to perform the work herein permitted, which indemnification and hold harmless shall include not only the Permittee but also the County of Siskiyou, any department, officer or employee thereof.

Making Repairs. If the County shall so elect, repairs to paving which has been disturbed shall be made by It's employees and the expense thereof shall be borne by the Permittee, who shall purchase and deliver on the highway the materials necessary for said work a as directed by the Director of Public Works.

All payments to laborers, inspectors, etc., employed by the County for or on account of the work herein contemplated, shall be made by said Permittee forthwith on receipt of written statement approved by the Director of Public Works. The County may elect to require a deposit before starting repairs, in an amount sufficient to cover the estimated cost thereof.

Care of Drainage. If the work contemplated shall interfere with the established drainage, ample provisions shall be made by the Permittee to provide for it as may be directed by the Director of Public Works.

Maintenance. The Permitted agrees to exercise reasonable care to maintain properly this encroachment and to exercise reasonable care in inspecting for and immediately repairing and making good any injury to any portion of the highway which occurs as a result of the maintenance of the encroachment in the highway or as a result of the work done under this permit, including any and all Injury to the highway which would not have occurred had such work not been done or such encroachment not placed therein.

Maintenance shall include, but not be limited to, cleaning and keeping free from debris all structures included as a part of this encroachment.

No assignment of maintenance responsibility may be made without approval of the County.

Crossing Roadway. Service and other small diameter pipes shall be jacked or otherwise forced underneath pavement without disturbing same.

Pavement or roadway shall not be cut unless specifically permitted on the face hereof. Service pipes will not be permitted inside of culverts used as drainage structures.

Depth of Pipes. There shall be a minimum of 36 inches of cover over all pipes or conduits.

Baddilling. All excavations shall be backfilled and mechanically compacted Immediately after work therein has been completed. No portion of the excavation shall be compacted by ponding or jetting. Back filling material shall comply with Section 14 of the State Standard Specifications.

Maintain Surface. The Permitted shall maintain the surface over structures placed hereunder as long as necessary.

Restoration. All pavement, curb, gutter, sidewalk, borrow ditches, pipes, head walls, road signs, trees, shrubbery, and/or other permanent road facilities impaired by or as a result of construction operations at the construction site, or at other ground occupied by materials and/or equipment, shall be restored immediately to a condition as good as or better than existed prior to the construction.

Completion. Immediately following completion of construction permitted herein, Permittee shall fill out and mail in "Notice of Completion Card" provided by the County.

Responsible. The County will not be held responsible for any damage to any underground or other facilities, that have been caused during the course of the County's normal maintenance procedures. The County will not assume any responsibility, at any time, should any provisions of this permit not be complied with.

27. Sight Visibility The Permitted shall maintain roadside vegetation adjacent to driveways and/or road connections to ensure adequate sight distance.

Note:

Special provisions pertinent to your project will be specified on your permit. Do not start work until you receive your approved permit.

SISKIYOU COUNTY DEPARTMENT OF PUBLIC WORKS

TRENCHING, PUSHING OR BORING

All work will be done in accordance with the plans and specifications on file in the Department of Public Works office.

All excavation within 8' of edge of the traveled way of asphalt shall be backfilled with class 2 base rock and compacted to a relative density of 95 % using mechanical compaction equipment.

Service and other small diameter pipes shall be directionally bored or otherwise forced underneath the pavement without disturbing same. Pavement or roadway shall not be cut unless specifically permitted on the face of the permit. Services pipes shall not be permitted inside of culverts used as drainage structures.

When permitted, cutting of asphalt shall be replaced with 3" of hot mix asphalt compacted to a relative density of 95 %.

All services, present or future, will be installed at the time of construction.

Roadway surface, shoulders, and gutters shall be restored to the original condition. All excess material, if any, will be hauled away.

Only equipment with rubber tires will be allowed on roadway.

Waterlines will be placed inside a metal or plastic conduit. If plastic water line is used, it shall have a working pressure of 160 PSI minimum.

All lines will be placed at thirty-six (36") inches minimum below surface, including gutter.

No ditch will be left open ovemight and all cleanup work will be done that day.

No manholes or pedestals will be allowed in unpaved shoulder area or ditch section of the roadway. In general, utilities should be placed as far from the centerline of roadway as possible.

All county cross drains shall be tunneled under without damage.

Proper signing, warning markers and traffic control will be in place and maintained when working in and about the county roadway. Signing will be new or in good condition as per State of California, Manual of Traffic Controls 1992.

One-way traffic will be maintained at all times during working hours, and two-way traffic at night, weekends, and Holidays.

The permittee agrees by the acceptance of this permit to immediately repair and make good any injury to any portion of the county road as a result of the maintenance of the permit. This includes any and all injury to the county road which would not have occurred had such work not been done or such encroachment not placed therein.

Notify this department 24 hours before beginning construction at (5301842-8250 This permit is issued in accordance with Article 1460 of the Streets and Highways Code and no warranty is made or implied with regards to the ownership of the underlying fee title to the real property involved. Permittee is advised to determine ownership of the real property involved and obtain written permission from the owner to enter onto and occupy real property.

The owner or contractor will deposit with the County of Siskiyou the sum of $ N/A _ to be used to cover the cost to the county for reviewing the proposed work.

The owner or contractor will furnish to the County of Siskiyou, before starting the work, a $ N/A bond guaranteeing adequate and complete restoration of the county road, and guaranteeing the work for a period of one year after acceptance.

20. Liability- contractor shall show proof of liability insurance in the amount of $ 500,000. The comprehensive general liability insurance will include the County of Siskiyou as additional named insured.

SISKIYOU COUNTY

DEPARTMENT OF PUBLIC WORKS

305 BUTTE STREET

YREKA, CALIFORNIA

Scott Sumner Director of Public Works