HomeMy WebLinkAbout1981-030 Utility Permit - Tolman Creek Rd
JACKSON COUNTY
Medford, Oregon
PIPELINE OR UTILITY INSTALLATION PERMIT
CALL ONE NUMB'ER
779-6676
FOR UTILITY tOeA TIONS
24 HOURS BEfORE YOU DfG
NAME CITY OF ASHLAND
ATTENTION: Roger Balbo
ADDRESS City Hall ARhland, OR
Date
May 18
,19~
91520
Phone
This permit is granted to you subject to the terms and conditions stated below, and on reverse side, and not other-
wise; anQr#1e vio~ation ()f. any of said terms or condi~iol)S will constitute sufficien\ cause for cancellation of this permit.
ANY WORK STARTED ON THE CONSTRUCTION OF ANY PORTION OF THE PIPELINE OR UTILITY INSTAllATION DE-
SCRIBED BELOW SHALL CONSTITUTE YOUR ACCEPTANCE OF THE PROVISIONS OF THIS PERMIT. "
Description of installation Repair of sanitary sewer lateral in shoulder
TERMS AND CONDITIONS OF THIS PERMIT:
. . .
1. This permit is granted for use only on roads under the jurisdiction of the Jackson County Board of Commis-
sioners 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 cons~ucted 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 and damage which may be caused to .the pipelin~ or utllity crossing de-
scribed 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 sufficient 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
This permit is revocable at any time, and will be strictly adhered to and no work other than that specifically mentioned
above is hereby authorized.
This permit shall be void unless the work herein contemplated shall have been completed before hh...h...........................
h...h.h......hh..........h...h............. ..h.hh...____.., 19h....h__h.
Inspected and Approved
By .....h...........................................................................h................
f Commissioners
Date . ............ ..... ..... ..... .... ... .h.... ............. .......... ....... ..hh.__..._.............
For:
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1. Earth bacldhl 'OVer pipe shall not exceed Six (8) Inche$ In depth. Unlet8 otherwise specified in 8pecial
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2. All exc818 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.
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· Cable. or pipe shall be covered at a depth of thirty (30) inches minimum.
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Any pavement cut (asphalt pavement to be:1:) will be replaCed to depth of three (3) Inches with hot-
ml~ Mphalt _ wl'!ln three (3) working days fro the date' ~f co,-"pletlng trench openir,lg. , 'J ' .
No litter, deb~ '~~ld.rs,!Cor wat. wlilJbe -~ ed to accumulat.,. .. .,
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