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HomeMy WebLinkAbout1971-040 Permit - COA APPLICATION AND PERMIT TO OREGON STATE HIGHWAY COMMISSION OCCUPY OR PERFORM 1-4531 OPERATIONS UPON A Permit Number: SP'r72 STATE HIGHWAY Form E-457 (Revised 7.69) Name and Address of Applicant: Applicant hereby applies to the Oregon State Highway Commission for permission F to perform the following operations upon the right of way of the osHD Ashland City of Ashland Maintenance Station City Hall Highway, No. - Jackson - county, b near Ashland, Oregon 9752 Ashland - d as shown on the map or plan attached hereto and by this reference made a part hereof. ❑ Construct, operate and maintain a pole line. Highway Ref. Map No. ❑ Construct, operate and maintain a buried cable. ❑ Erect and maintain a non-commercial sign. Miscellaneous operations and/or Construct, operate and maintain a pipe line. facilities as described. POLE LINE, BURIED CABLE OR PIPE LINE TO BE CONSTRUCTED ALONG OR ACROSS SAID HIGHWAY AT: Mile Mile ENGINEERS Side of Hwy. or DISTANCE FROM BURIED CABLE OR PIPE Span Post to Post Station to Station Angle of XING. Centerline R/W Line Depth Size and Kind Length 'i.Ciii(iJ 2:i'j.'78 j'SC C.•.h :•y+li C ;G DT':QLTG ?7UCC~ AE6L• vOL) T )e:uL '.T)-T n 3;.GCP PPG ft f TO13' U: J-W: i ii::T L' u!: '(r j . C!T] SLC. T4 1r SIGN TO BE-ERECTED ON SAID HIGHWAY AT: Engineers Distance from Distance from Side of Mile Post Station Highway Centerline Shoulder Highway Remarks DESCRIPTION AND LOCATION OF MISCEL ANEOUS OPERATIONS AND/OR FACILITIES Constructs operate, and maintain ai'So-sanitary sever line across the Oregon State Highway Ashland Maintenance Station property as shown in attached sketch. Recommended for approval: Analatant District eer Division Engineer This permit is issued by the Commission subject to the terms and provisions contained herein a d/or attached hereto; this permit is accepted and approved by/applicant subject to sai~d7 terms and provisions. Applicant: Ct 14 D}' 5r/ia-ors.. OREGON STATE HIGHWAY COMMISSION By: - ~~yGp/~~i'~✓ Sta ig'hZvay n ~i• C!/o y: - Assts* _ _ FICE ENGIflMI Date of Application: Effectiv ate: 2lJ r' GENERAL PROVISIONS The appropriate General Provisions contained in "Oregon State Highway Commission, GENERAL PROVISIONS, for Pole Line, Buried Cable, Pipe Line, Non-Commercial Signs, and Miscellaneous Operations and/or Facility Permits, July, 1969," as supplemented and modified by the following Special Provisions, shall apply to this permit, and by this reference are made a part hereof. It shall be the obligation of. the applicant to obtain said General Provisions from the Commission and to iiet mine which of the vaPious p'rovision' a e°applicable before commencement of work under said permit. SPECIAL PROVISIONS ; 1S:s4 G~39BC ~'7~TC:i 'II.C''J'6T.~.1 ?a :?po u Tu srr TC11cq ^ci:E,'Cp' 1? o$heosectio"n=of h'xghway n~ol'vedj liar n©t"'been" desig`nated''asTa=Freeway)` ~o~ '4"3F' 2. The section of highway involved gdoes note require a permit from the United States Forest Service. 3. General Provision V, A regarding insurance 94&H/shall note apply during the initial in- stallation of facilities. 4. General Provision V, B regarding bond 7mp3k/shall not* apply during the initial installa- tion (3f-facilities. Bond in the amount of $ is required. 5. General Provision VI, H s23Otshall note apply to the following crossings of the highway: a. ( ) All crossings covered by this permit. b. ( ) Crossings as shown on the attached Exhibit Map. If applicable, trenching nearer than feet from the toe of the fill slope or outer edge of surfacing will not be permitted. 6. General Provision VI, H jlkftk/shall not* apply to the following crossings of intersecting roads or streets, road approaches or driveways: a. ( ) All such crossings covered by this permit. b. ( ) Crossings as shown on the attached Exhibit Map. If applicable, trenching nearer than feet from the toe of the fill slope or outer edges of the surfacing will not be permitted. 7. Open cutting of the paved or surfaced portion of the highway under General Provision VI, I jobs not* permited. 8. Applicant will connect the sections of the existing 4811 culverts in a manner satisfactory with the District Engineer. ~X 'ir3LJ d7fll' I`r.J COL' 4.1 s':i:) ^Ti... 1car; i • Strike out word or words not applicable. N r a_ I I I i S. P. R. R. R/W LINE r i r WI I I I lil V I I I~ \ \ SOUTHERN PACIFIC RAILROAD S55° OWE sic ME:_- I I 1 I MISTLETOE ROAD GRADED GRANITE 00 < Q Q , S. P. R. R. R/W S55° 09 E N 0. - - r` CL- STA. 3+50 Q > = O_0 M.H. STA. 0+00 NO.2 vii O O I 1 SEWER OFFSET 7' FROM S•P.R.R. R/W 1 \It~dJ\ EXISTING 10 SEWER ~a OREGON STATE H I G I - - - - - i - - - - - - - - i HAMILTON CREEK i i MH STA. 6+75 3 NO. 3 0~ C~ ,yam i i CASCADE WAY DEPARTMENT PROPERTY