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Right-Of-Way Construction Permit Application

  1. CANYON

  2. RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION

  3. APPLICANT (please print or type)

  4. CONTRACTOR (if different from applicant)

  5. FACILITIES OWNER (utility company)

  6. SITE INFORMATION

  7. From

  8. To

  9. WORK DESCRIPTION

    check all that apply

  10. Utility

  11. Type

  12. Purpose

  13. Method

  14. Affected Area

  15. INDICATE THE PROPOSED WORK AND EXISTING UTILITIES ON ATTACHED DRAWINGS, SKETCHES OR ENGINEERING PLANS OF THE SITE. DEFINE THE ENTIRE WORK AREA, INCLUDING ANY REQUIRED TRAFFIC CONTROL PLAN.

  16. FOR LOCATES CALL: (allow 48 hrs for completion)

    DIG TESS- 1-800-344-8377/ CITY OF CANYON- 806-655-5011

  17. GENERAL REQUIREMENTS

  18. Application for right-of-way construction permit must be submitted to the Public Works Department a minimum of five (5) business days prior to proposed start of construction. No fees will be assessed for the permit, unless it is lost. If the permit is unavailable at the job site during final inspection of the work, it will be determined to be lost and will require a fee of $25.00 for replacement. The work will not be approved until the Applicant presents a valid permit at final inspection.*

  19. Applicant/Contractor's proof of insurance is attached or is on file with the City of Canyon Public Works or Planning and Development Departments. Insurance requirements will be evaluated on a case by case basis.*

  20. (if not already on file with the City of Canyon)

  21. Three (3) copies of plans/drawing(s)/sketch(s) illustrating the proposed work must be filed at the time of application with the Public Works Department showing all proposed improvements and their locations and elevations relative to all existing public and private utilities/infrastructure affecting the issuance of this permit. Upon completion of work, Applicant will have 60 days to furnish "as Built" drawings to the Public Works Department indication deviations or changes made to the original plans.*

  22. Confirmation that all affected underground utilities have been located (Dig Tess confirmation number and verification of "on the ground" markings) will be required prior to issuance of a permit*

  23. Applicant/Contractor to give City of Canyon Public Works Department at least 48 hours notice prior to start of construction.*

  24. A permit will be valid for 90 days from the issuance date below. If the Applicant fails to act upon the permit within this time, an extension or re-application will be required.*

  25. Applicant/Contractor has read and understands all conditions and requirements, whether attached hereto or contained in City codes and ordinances.*

  26. The Public Works Department will inspect the construction and issue acceptance/rejection upon completion. Acceptance / rejection will be noted in writing by the inspector on the permit form. Acceptance by the City does in no way relieve the Applicant of their construction warranty obligations.*

  27. In the event of City rejection of the work, Applicant will have five (5) business days to initiate correction of the substandard or rejected work. If repairs have not been initiated within this time, the City may make the repairs wholly at the applicants expense. Reimbursement to the City for repairs will be due within 30 days.*

  28. The City of Canyon Public Works Department or the Applicant can request a pre-construction meeting attended by all parties / entities involved with the proposed work.*

  29. If the work performed by the Applicant is connected to a project involving a Certificate of Occupancy (CO) from the City of Canyon Planning and Development Department, all disturbed right-of-way areas must meet the conditions of this permit before a CO may be issued.*

  30. In case of emergency where construction in the right-of-way must occur, the Public Works Department will exercise discretion in permitting, but , application for a permit is required the next business day after such constructions begins / occurs.*

  31. WARRANTY OF WORKMANSHIP AND MATERIALS: The applicant shall be responsible for any failure(s) of workmanship and/or materials for a period of one (1) year from the date of completion of all work performed under this permit*

  32. CONDITIONS UNDER WHICH PERMIT IS GRANTED

    GENERAL: The receiver of this permit expressly agrees to do all work subject to approval of the Public Works Department, in accordance with the City of Canyon Standard Specifications, Code of Ordinances and in accordance with all conditions and regulations herein (specifically Chapter 157, City of Canyon Code of Ordinances). Concepts and contents of approved drawing(s) / sketch(s) are to be strictly adhered to. Any unapproved deviation from the approved drawings or standards will be sufficient cause to have the work stopped or reconstructed at the expense of the Applicant. The City reserves the right to reject any application should the City determine that said construction and/or use will present a public health or safety issue or interfere with current or future use of the right of way or is an inappropriate use of the applied for location. A copy of the permit is required on the job site at all times. EXCAVATIONS: It is the intent of the City to prevent or minimize excavations that remain open during the overnight hours. All excavations that must remain open after sundown must be approved by the Public Works Department and be properly marked / barricaded according to approved trench safety and traffic control measures. Approval for overnight, planned, open excavations will not be issued after 3:00 P.M. of the day of the planned opening. Discretionary approval by the City will be used during emergency situations. Excavations shall be properly backfilled in the event that approval is not granted or is not requested prior to the above deadline. No public or private driveways will be allowed to remain blocked overnight, unless agreed to by the affected parties. Excavated material and earth must be stored in a safe manner such that there is minimal disruption to the flow of traffic. Extra or surplus material shall be removed from the right-of-way within 48 hours after completion of the work. Any violation of these conditions will be deemed sufficient cause to refuse further permits to the party or parties violating same, and all repairs deemed necessary will be made by the City. The costs of the repairs will be charged to the party or parties to whom the permit was issued, and all further applications for permits will be refused until payment of these charges is received. EXCAVATION IN PAVED AREAS: One half of the roadway must be kept open to traffic at all times and under all conditions, unless a City approved street closure / traffic control plan is in place. Any pavement removed will be temporarily restored immediately, so that full traffic flow may be restored overnight. The pavement shall be permanently repaired within ten (10) days by the party, or parties making the pavement cut. Pavement repairs for street excavations shall be made as shown in the Standard Details and Standard Specifications, available on the City’s Engineering Division Website (www.canyontx.com). Contractors making such repairs shall be responsible for maintenance of said pavement patches during the warranty period discussed above. Temporary pavement patches may remain in place for extended periods, only due to inclement weather (winter), until weather suitable for paving occurs. All pavement repairs are subject to approval of the Public Works Department or the City Engineer. LANDSCAPED AREAS: All grass, lawns, shrubbery and other landscaping materials must be carefully protected or removed and, upon completion of the work, shall be repaired / replaced to a condition equal to or better than was existing prior to any construction. All landscaping repairs must be approved by the Public Works Department or the City Engineer prior to final acceptance. LOCATE REQUIREMENTS: In order to reduce the disruption and cost of utility damages occurring in the City’s right of way and easements, the Applicant shall prevent damages to existing utilities caused by his work through field verification of the existing utilities. In any case, whether open excavation or through trenchless technologies, verification must be performed prior to the commencement of the Applicant’s work. The Applicant shall verify the location of existing utilities as needed to avoid contact. Existing utilities shall be exposed to confirm location and prevent conflicts with the proposed project construction. The Applicant shall be held liable for damages caused to the City’s utilities / infrastructure and the existing facilities of other utility companies. UTILITY RELOCATION: In the event that a City utility relocation is required, or should the City require relocation to accommodate any improvements or construction involving the right of way, the Applicant and the utility owner shall assume responsibility and incur the associated costs of relocating the City’s utility. The Applicant and utility owner shall cooperate fully with the City if a utility relocation is required by the City and shall provide all information and perform all relocation in an expeditious manner so as to avoid any delays to City services or the permitted project. ROW Permit-6 OBSTRUCTIONS: Regardless of the right of way width, unnecessary above ground obstructions will be prohibited in the public right of way. Necessary items such as mailboxes, City approved landscaping materials, traffic / street signage and other utility facilities (pedestals, markers, etc.) will be allowed and subject to City approval prior to construction. Any intended, potential obstructions shall be indicated on the plans / sketches submitted with the permit application. APPROVAL / PERMITS FROM OTHER AGENCIES: This permit, when granted by the City of Canyon, in no way releases the Applicant from their responsibility to notify and/or conform to the regulations / requirements of other agencies or companies affected by this construction, including but not limited to obtaining required permits or permission to operate at this location. Failure to obtain the proper permits and /or permission from other entities will be grounds for rejection of this permit application.

  33. I agree to the above conditions*

  34. CERTIFICATION

  35. I certify that I have read and understand the City of Canyon Code of Ordinances as it pertains to construction, site maintenance and restoration in the public rights-of-way, the attached requirments and conditions, the liability to the City of Canyon and: Applicant shall indemnify and forever hold harmless the City of Canyon against each and every claim, demand or cause of action that may be made or come against it by reason of or in any way arising out of the closing, blocking, excavating, cutting, tunneling or other work by the applicant under this permit from the City of Canyon, if such permit is granted, unless otherwise provided in law and; Applicant shall indemnify and forever hold harmless the City of Canyon from responsibility of any re-construction, maintenance, or repair of a private utility or improvement installed or allowed by this permit that is located within any public right-of-way.*

  36. Applicant or Authorized Agent

  37. For City Use

  38. Status*

  39. TO

  40. From

  41. Street Closure?

  42. Emergency Services Notified?

  43. TCP / Flagman Required?

  44. Insurance on File?

  45. Acceptance of Work?

  46. Work Accepted / Rejected

  47. Leave This Blank:

  48. This field is not part of the form submission.