HomeMy WebLinkAbout1984-024 Water Service Connect.EXHIBIT A
Highway District Engineer
2692 N. Pacific Highway
Medford, OR 97501
Gentlemen:
Under terms and conditions in Blanket Permit No. 22455 , the City of
Ashland hereby applies for permission to install a service connection or service
connections in accordance with the following conditions:
Water Service X
Pipe Size and Kind:
Highway:
Mile Post:
Station: 49+30
Sewer Service
1" Copper
Rogue Valley Highway No. 63
2O.45758
Service Address: 1209 Siskiyou Boulevard
II
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Pipe shall be driven or bored under the surfaced portion of the
highway.
Pipe shall not cross the surfaced portion of the highway.
Open cutting of surface is required.
%he work area shall be protected by traffic control devices conforming to and
placed in accordance with the latest provisions of the Manual on UnifOrm Traffic
Control Dev{ces for Streets and Highways, U.S. Department of Transportation,
Federal Highway Administration.
Approved:
City of Ashland
Date JO/z'/ /7 , 19~_~_~
NOTE: ~hen available attachment of a sketch map showing installation details is
desirable.
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L.H.
LEE ST
6"CONC. 5E-wER 1952
LH
SCALE 1"=50'
"~ ~ , I WATER SERVICE
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200 Antelope Road
~fnite City, Oregon 97503
UTILITY INSTALLATION PERMIT
cc: John Jensen
NAME CITY OF ASHLAND
(Contracting Agency or Owner)
ADDRESS City Hall Ashland, OR 97520
DATE June 11 , 19 84
PHONE 482-3211
This permit is granted to you subject to the General Conditions stated below and the
Special Conditions attached. Violation of any of said conditions will com~titute sufficient
cause for permit canCellation. ANY WORK ON ANY PORTION OF THE INSTALLATIO~ DESCRIBED BELOW
WIIHOUI A VALID PERMII CONSTIIUIES A VIOLAIION OF O.R.S. 374.305.
Description of installation Install 1780' of 8" water line 2' off edge of oil mat
on west side of road from Highway 66 to 1780'+ north boundary of Tolman Creek park property
L'ocation'~6f installation
TOL}~N CREEK ROAD - Highway 66 north 1800'+
GENERAL CONDITIONS:
1. This permit is granted for use only on roads under the jurisdiction of the Jackson
County Board of Commissioners 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. The Jackson County Department of~ Public Works is to be notified a mlnimumof 24 hours
prior to starting work within a qounty road right-of-way (776-7268 or 826-3122).
3. As .provided in O.R.S. 758.010 the. Public Works Department, acting on Behalf of the
County Board of Commissioners, ma~ designate where utilities may be located within a
County road right-of-way and may prder the location of such facility changed if deemed
expedient. ·
4. Permittee shall be responsible for all damages caused by any operations associated
with the utility installation. All damaged areas shall be restored to an"as good as,
or better than" condition as existed prior to the utility installation.
5. Permittee agrees to hold the County of Jackson harmless and blameless from any damages
that may be caused by the installation, maintenance, ~r operation of the abeve-described
utility.
6. Permittee shall be responsible for restoration and maintenance of all areas adversely
affected by the utility installation for a period of two (2) years after completion
of the project.
By acceptance of this permit, permittee agrees to be responsible for all permit conditions,
including the attached Special Conditions, and said responsibility shall survive the
ter~nation of this permit.
ACCEPTED: J~ /~ ~ . , 19
/
(~[uthoriz~ed' R~p~es~ntative) -
(Title)
E~I~TION DATE: Dec. 31~ 1984 sdw
COb~LETION DATE:
APPROVED: July 5 , 19 84
~ - (Authorized- Represent at ive)
~o~_0 ASSISTANT DIRECTOR
For:
(Title)
Robert J. Carstensen
Director of Public Works
Revised 12-04-81 WJG/sdw
MISCELLANEOUS CONDITIONS (Continued) -
Be
Backfill Compaction by
Water Settlement Method (Continued)
4. Areas showing failing compaction tests shall receive
further attention without undue delay. Further attention
may involve additional water settlement, dewatering,
other compactive method or removal of the backfill material.
In no case shall the main excavation phase proceed until
the failing section has been corrected unless otherwise
approved by the County Public Works Director.
Ce
Pavement Replacement
Immediately prior to patching the trench with asphaltic concrete
the existing pavement shall be neatly cut with a pavement saw or
other approved breaker. All cracked or ravelled pavement shall
be removed without creating abrupt jogs in the cut line.
Pavement trimming, finishing of the gravel surface, tacking the
edges and pavement replacement shall be performed only under the
immediate supervision of the Public Works Director or his
authorized representative. Unless otherwise approved by the
Director, all trenches within a paved, travelled way shall be
resurfaced with asphaltic concrete within 10 calendar days
after testing and approval of the backfill. The finished
surface of the new pavement, when tested with a 10-foot
straightedge, shall not vary from the testing edge by more
than 1/4 inch at any point. The top course of asphalt shall
be constructed only by workmen thoroughly familiar with asphalt
finishing work.
On longitudinal trenches, unless otherwise approved by the
Director, the existing pavement shall be removed and replaced
to full paving machine width (normally 10 feet). Drag boxes
or other pull-type asphalt spreaders will not be permitted
{or longitudinal trench pavement replacement.
De
Manhole and Valve Box Adjustment
Manholes, valve boxes and similar structures shall be raised
to finish grade after paving is completed. The structure
surface shall be no greater than 1/4 inch higher or lot;er than
the surrounding surface when tested with alE-foot straightedge.
Class "C" asphaltic concrete may be used to fill in the void
around the structure unless otherwise directed by the Engineer.
If the Engineer so requires, concrete collars shall be constructed
in accordance with the department's standard drawing "CONCRETE
COLLARS FOR MANHOLES, VALVE BOXES, ETC.". Usually, concrete
will only be required (a) when it is impractical to maintain
adequate working temperature for asphaltic concrete and (b) where
the structure configuration fails to provide adequate support
to prevent being displaced by traffic.
10.
ADDITIONAL SPECIAL CONDITIONS
1) Compliance with the attached signing detail sheet
2) 12" of 3/4"-0 rock in shoulder trench, compacted
SPECIAL CONDITIONS - 7