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Utility Permit
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Steps
1.
Step One
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2.
Step Two
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3.
Step Three
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Step One
FINNEY COUNTY PUBLIC WORKS DEPARTMENT
RIGHT-OF-WAY PERMIT
The undersigned hereby makes application to work in county right-of-way with a purpose of utility construction, entryway construction, or temporary private utilities, as described below.
Permit #___________________
Utility Company/Owner
*
Applicant Name
*
Company Name
*
Address
*
City
*
State
*
Zip
*
Phone#
*
Contact Person
*
Contact Phone#
*
Fax #
*
Email Address
*
Type of Work to be Performed:
*
Kansas One-Call Confirmation Number
*
General Location of Operations
County Road (s)
*
From
To
Map
For the transmission of
*
Location
*
Upon Road
Along Road
Under Road
Across Road
Continue
Step Two
The applicant/owner hereby acknowledges and agrees to the following terms and conditions.
1. The utility will be installed and maintained in such a safe and proper condition that it will not interfere with or endanger travel upon said roadways. During installation the applicant agrees to conform to the standard for traffic control as outlined in the latest edition of the Manual on Uniform Traffic Control Devices. The applicant must cease all operations until all traffic control standards are met.
2. Applicant shall contact the Public Works Department Utility Division twenty-four hours prior to starting your project to schedule inspection. Applicant shall provide the Kansas One-Call confirmation number upon request.
3. All overhead and underground installation shall conform to clearance standards of the KDOT Utility Policy and/or National Electric Safety Code. All underground installations shall be laid at a minimum depth of 72” below crown grade or no less than 36” below ditch grade, or unless otherwise directed by the Public Works Department. Publicly dedicated alleys will have an exception for minimum depth of no less than 24”.
4. All asphalt roads and Rural Secondary (RS) Routes will require road bores and utility encasement.
5. Within seven (7) days after the completion date or repair to an existing utility, all excess dirt or obstruction caused by the installation or repair must be removed. The area shall be restored to good condition by the applicant so as not to interfere with normal maintenance of the public road right-ofway. Normal mounding and rounding of extra material over trenches or around poles would not be considered an obstruction. Allowances for inclement weather conditions may be made in completing the repair work. Should these items not be completed, the owner agrees to reimburse Finney County Public Works Department for any expenditure that may be incurred to correct a problem.
6. In conjunction with a planned public improvement project, the County may require the relocation of said utility described by this permit in order to conform to said requirement, the owner binds himself, his successors and assigns, to relocate or alter said utility within a reasonable length of time without cost to the County.
7. Failure to abide by the conditions in this permit may result in immediate suspension of this permit, resulting in immediate stoppage of all construction work until issues are corrected.
8. The purpose of this permit is to manage the use of public road rights-of-way by public or private utility companies. However, private utility companies shall need to obtain authorization from the appropriate property owner for the establishment of their utilities. Public utility companies have been granted authority by law to place their utilities within public road rights-of-way as long as it does not interfere with or endanger travel on said roadway. By this permit, Finney County reserves the right to impose current county requirements when applicable to this project, but no such county requirement may be in conflict with any federal or state law, code or regulation.
9. Temporary private utilities will be allowed access to right-of-ways through a temporary permit under the following conditions: Temporary permits will be issued for 90 days. Permits may be renewed twice before lines must be removed to allow access for county maintenance of the ditches. For each day temporary lines are left beyond the allowed time, a fine of $200 will be assessed. If the county has to remove abandoned temporary lines, the utility owner will be assessed the clean-up costs as well as any fines that have accrued.
10. The applicant shall assume all risk and liability for accidents and damages that may occur to persons or property if arising from the work performed by the applicant and attributed to the direct and sole negligence of the applicant and shall hold Finney County harmless therefrom.
11. Special Provisions
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Step Three
Insurance Provisions
Work shall not commence under this permit until the applicant and/or his contractor has furnished proof of adequate liability insurance to the Finney County Public Works Department.
Certificate of Liability Insurance on File
Yes
Insurance Company
*
Expiration Date
Expiration Date
Applicant Acceptance of Permit
In consideration of the benefits accruing to the applicant by reason of the foregoing permit agreement, this said agreement is hereby accepted by the applicant. The applicant hereby agrees to comply with all of the terms, provisions, stipulations and conditions contained in this permit and in the Finney County Utility Policy, Resolution No. 18-2004. The applicant shall notify Finney County Public Works Utility Division for final inspection of work.
Application Date
Application Date
Applicant Signature
*
Utility Owner Signature
*
Anticipated Starting Date
Anticipated Starting Date
Estimated Completion Date
Estimated Completion Date
Finney County Public Works Department Permit Approval
Date Issued
Approved By
Permit Expiration (if applicable)
Renewal Number (if applicable)
Finney County Public Works Department Final Inspection
Date Inspected
Accepted By
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