HomeMy WebLinkAbout1971-036 Permit - COA - 855 Clay Street
JACKSON COUNTY
Medford, Oregon
PIPELINE OR UTILITY INSTALLATION PERMIT
Mr. A. A. Alsing
NAME Dept. of Public Works Date May 26, 19 71
Cit H 11
ADDRES shTana Oregon 97520 Phone 482-3211
This permit is granted to you subject to the terms and conditions stated below, and on reverse side, and not
otherwise; and the violation of any of said terms or conditions will constitute sufficient cause for cancellation of this
permit. ANY WORK STARTED ON THE CONSTRUCTION OF ANY PORTION OF THE PIPELINE OR UTILITY INSTALLATION
DESCRIBED BELOW SHALL CONSTITUTE YOUR ACCEPTANCE OF THE PROVISIONS OF THIS PERMIT.
Description of installation -_InOtall 4" Lateral Sewer Line from 855 CLAY STREET
and a V4" Water Service to cross CLAY STREET to connect with main
water line.
Location of installation See attached sketch.
(Road, Section, Township & Range
TERMS AND CONDITIONS OF THIS PERMIT:
1. This permit is granted for use only on roads under the jurisdiction of the Jackson County Court and is not
valid upon any federal highway, state highway, city or town street, or any road not on the county road system of
Jackson County.
2. Proper barricades and warning signs must be maintained at all times during construction by the holder of this
permit so as to insure the safety of the motoring public.
3. Backfill over any portion of the pipeline or utility installation described above that lies within a constructed road-
bed shall be thoroughly tamped to prevent settlement. The top 12 inches of backfill shall be crushed gravel. Balance
of backfill• shall be as stated in special conditions below.
4. Jackson County assumes no liability for any damage which may be caused to the pipeline or utility crossing
described above due to routine road maintenance or road improvement. It shall be the responsibility of the holder of
this permit to provide for the construction of the pipeline or utility described above in such a manner as to have suf-
ficient depth and length so as not to interfere with normal road maintenance operations.
5. The holder of this permit shall hold the County of Jackson harmless and blameless from any damages that may
be caused by the installation or maintenance of the above-described pipeline or utility crossing.
6. Special conditions All excavations on shoulders to be backfilled as per
Item #3 above and excavations within roadway to be backfilled entirely
with 3/4-0 rock and asphalt replacement to be with hot mix asphalt.
Please read provisions listed on reverse side.
This permit is revocable at any time, and will be strictly adhered to and no work other than that specifically men-
tioned above is hereby authorized.
This permit shall be void unless the work herein contemplated shall have been completed before
'y---2.6-............ 19--7-0----. Expires 19--------•
Inspected and Approved Approved by Jackson County Court
H./FJ pe Inspect r
By Ric rd Cam,//
'
Date -
Rob-.ll~~r(U~t J...-2°J-t/--~t ensen,Direct-r__of
By - Public Works ~t x
I. Earth backfill over pipe shall not exceed six (6) inches in depth. Unless otherwise specified in special
conditions.
2. All excess rock or dirt to be removed from traveled portion of the road by brooming, or washing as
directed.
3. Final cleanup to be completed within a reasonable period.
•.J - 3-
4. Cable or pipe shall be covered at a depth of thirty (30) inches minimum.
5. Any pavement cut (asphalt pavement to be sawed) will be replaced to depth of three (3) inches with
hot-mix asphalt within three (3) working:days_from the date of completing trench opening.
6. No litter, debris, boulders, or waste will be permitted to accumulate.
7. The Jackson County Engineer's Office is to be notified in writing, or by telephone (773-6211 - Ext.
251 or 252) three (3) days prior to starting of work.
8. No less than r/2 of the roadshall be in good repair and open to the traveling public at all times. Unless
adequate detour is provided.
9. All work areas to be replaced to an "as good as, or better than" condition as existed prior to this install-
ation. Holder of this permit to be responsible for any trench settlement for two years following install-
ation.
10. Nothing herein contained shall in any way limit the rights granted a telephone utility under
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