Washington State Department of Transportation
01/2,7/2009 12:35
PAGE 02
OTHELLO PUBLIC WORKS
15094883701
.4
Application for Permit or Franchise Request to Occupy State DOT Right of Way
Washinqton State Depytment of Transportation
Applicant - Please print or type all information Appicafton is Hereby Made
0 Permit
30 Category 2 Fe $300
Category 1 Fee $500
Fra n ch is e
Fee $150
0 RenewI
Consolidation
0 Amendment
0 Category 3
Fe $300
0 GeerJ Permit
Fes $250
No Pe
b. i . V.1ater Main, SI, 25U0 GP Hydrants and APPIxtenances-This porti.cn of Inpawements is outside of jurisdiction and corporate 1inits of City of Othello, pururtt to Rcw. 47..24020. Eency Contact hne_ro.. ic_Wor)cs_Director — ( 5Q9)..4833O2 . . Intended Use of State Right ofWay is to Construct, Operate. and Maintain a; .Lb'
..
r
..
State Route Number
County
.
_24 At Mile Post
From Mile Post
To Mile Post 78.55
Beginning in The Ending in The
1/4 of the
.-p. 1/4 of Section
9 Township 15
North: Range
29
East W,M.
SF 114 ofthe
SE1I4 ofSectlon
9 Township 15
North: Range
29
E?stW.M.
SE
Fees in the amount of $ pp . . . are p&d to defray the bic administr?tive ecpense incident to the processing of this application according to WAC 468-34 and/or RCW 47.32 and amendments, The epplicant further promises to pay ;ddltional cotg incugmd by the Oeprtment on the behalf of the applicant.
_checks or Money Orders are to be made Paya to "Washington State Departmant of Transportation." Applicant Field Review Contact Person • . Nww, Davi4yan Cleve, P.E. I Auoion to Occupy Only If Approved Below Phone. Gray & Osborne, Conu1ting_Enginee Tb, WItTIen Stale Department of Tron,povtatioii M1tiad to as the 0apørtment.' hemby gmts this dxumnI utict to the terms and condis tt*tad In the Gnarl Prav1ions_-'_. Special Prov1ions, and VA lbits a1tathd hcrto and by this referance mda a part hereof: , ,' 1hlBt AttF1éd (àpaiment Osepty) City of Othello AcaM (Rafaed to as Grardee) 512 E. Main Street .. Ph.Pa'o. Ô4tRiht 0 yVffinii Addraaa iR SenHf Road10 k* sheet 9 Othello, WA 99344 / I
(Son T7
A
OthWi$ *h,c document shall bacne null and yard
Ra_J1at1r Print or Type Name Cityirnipl.stratc7r/ flie
Approvat Deprtmen of Transporlahon 0 ay'
Fedesat'TaTIThimber or Social sed'unty Number —
Title
ontactttna 24th Grantee Reference (W.O4 Number 4f4
.
Slqnatum_
aloe
dayof September .
1996 Permit Number Number Amendment Number
bate - c2"
3O,i?7
Expiration Date
1
_______
Franchise
State Route
.
--
01427/20 12:35
15094853701
OTHELLO PUBLIC WORKS
Special Provisions for Permits and Franchises
Washington State Department of Transportation
PcrmitlFranchise No.
20178
Applicable provisions are denoted by kl
PAGE 03
()
I, No work provided for herein shall be performed until the Utility is authorized by the following Department representative: Lionci Hcinhold - Maintenance Supt. 804 N. Basin St.
Ephruta, WA 98823 (509) 754.2056
2. A copy of the permit or franchise must be on the job site. and protected from tbe erements, at all times during any of the construction authorized by said permiUlranthise.
EJ
. In the event any milepost, right of way marker, fence or guard rail Is located within the fimits of this project and will be disturbed during construction, these Items will be carefully removed prior to construction oril reset or replaced at the conclusion of construction to the satisfaction or the Department. All signs and trairro control devices must be maintained In operation during construction.
(J 4, PrIor to construction, the Utility $11011 contact the Department's representatwe (listed under Special Provision Number 1) to ascertain the location of survey control monuments Withiri the project litmis. in the event any monuments will be altered, damaged or destroyed by the project, appropriate action will be taken by the Department, prior to construction, to reference or reset the monuments. Any monuments altered, damaged or destroyed by the Utility's operation will be reset or replaced by the Department at the sole expense of the Utility. F] 5, During the construction endtor maintenance of this facility, the Utility shall comply with the Manual on Uniform Traffic Control Devices for Streets and Highways. If determined necessary by the Department, the Utility shalt submit a signlnq and tfaffic control plan to the Department's representative for approval prior to construction or maIntenance operations. The Utility shot notify the Deportment's representative upon completion of the work under this parnwrranchise so that a final Inspection Can be made and shell Immediately furnish to the District UtIlitIes Engineer a revised franchise or permit plan of the final locatIon or relocatIon of its facIflules If the original permIt/franchise plans have been revised during the course of construction.
o
. Prior to the beginning of construction, a preconstruction conference shall be held at which the Department and the Utility and utility's engineer. contractor, and Inspector shall be present, Should the Utility choose to perform the work outlined herein with olher than its own forces, a representatIve or the Utility shall be present at all times unless othetwise agreed to by the District representatIve. All contact between the Department and the Utility's contractor shall be through the representative of the Utility. Where the Utility choOses to perform the work with Its own forces, It may elect to appoint one of its own employees engaged In the Construction as Its representative. Failure to comply with this pruvtston shall be grounds for restrtcting any rorther Wotk by the Utility within the Slate right of way until said requirement is met. The Utility, at its own expense, shall adequately police and supervise all work on the above described project by itself, its contractor, subcontractor, agent, and others, so as not to endanger or Injure any person or property.
o
9. The Utility agrees to schedule the work herein referred to and perform said work in such a manner as not to delay the Department's contractor in the performance of his contract. 10. Work within the righter way Shall be restricted to between the hours or daylight and . and no work shall be allowed an the riqht of way Saturday. Sunday. or holidays, untes authorized by the Department. Any lane closures must be submitted for approval In advance of use. The hours of permitted closure may differ from the above noted hours. 11, If determined necessary by the Department, any or all of the excavated material shall be removed and replaced with suitable material as specified by the Deportment.
1
12, Wherever deemed necessary by the Washington State Department of Labor and Industries andfor the Department for the safety of the workers and the protection of the highway pavement, the sides or the trench (or excavation) shell be adequately supported to reduce the hazard to workers and prevent any damage by cracks, settlement, etc.. to the pavement. No ether work in ft trench or excavation area will be allowed until this requirement is met.
I
13, 'l'renchea shall be backrilted as Soon OS possible behind the laying of pipe or cable. No open trenches shall be left overnight. This Includes bormnq or jacking Pits Which shall be covered with material of sufricient strength to withstand the load or hIghway traffic lithe pit Is not to be bacicfiljerJ with material each night.
rimm 22.1,030 DOT am
Page 1
Exhibit "A"
PAGE 04
OTHELLO PUBLIC WORKS
15094683701
01/27/2009 12:35
14. All slopes slope treatment, top soil, ditches, pipes, etc disturbed by this operation shall be restored to their orIginal cross Section and condition. All
open trenches shall be marked by warning signs, barricades, lights and if n cessay flagmen shall be employeo for the purpose of protecting the traveling pubruc. Roadsde operations may be specified by the Department's repsentetive.
I
lPesto1nclude. i. Whereappllcable, rriarkersshall be pincedat each tht of way line fbr ali omsslflgsarid placed everySMfetforlcngitU phone-number for oniSOt, and the distance from the marker to the line in feet Markers shall be compeny name, pipeline orblaidonUficaUon
placed 30.83 to tninimI2e Interference With maintenance operations. Markers shall also be placed at all changes In offset distance from right of way line or centerline of highway. -
16 The utility shall hated detector tape or cable app cidnietely 12 inches above the UpdOIfOUfld fbcirity. The tape shed conlonn to the otanderda of the American Public Works Association Unifom, Color Code. 17 In the event that construction and maintenance of thehhway facilitywlthin the prctdmity of the utility, installation becomes necessary durIng the period which the Utility will occupy a portion of the IIgM of warç ft Ta ercpressly understood that, upon request from the Dapertrnenrs represntative, the UtiWty will promptly Identify and locate by suitable fleld marldngs any ended of their underground facilitIes so that the Department of Its contractor can be fully • apprised at cit limes of Its precise location. .
0
Inches mirurnum compacted depth, ores dIrected by the Department'srepresentatiVe. The surface of the finished shoulder shed slope down from the edge or pavement at the rate of 0,02 foot per foot unless otherwise diretad. The restored shoutdermuSt not have any strips or sections less than 2 feet wide. The restored shoulder shed be surfaced with
18. The shoulders where disturbed shed be surfaced with orushed surfacing top course
O ta. All crossings of roadways surfaced with oil, asphalt concrete pavement or cement concrate pavement shaft be accomplished byjoc, augenno the cable or pipe under the roadway, unless specifically provided for otheiwhe brider special provision No.21.
bOred, or C 20. The cable or pipe shed be placed within a suitable encesenlent as specified on the attached e,thlblts. Said encasement pipe shed bejacked, feet of depth from bottom angered through the highway grade with a minimum depth of 5 feet fln top of casing to tinished mad grade and a minimum of 3/2 .cldltchtotopofcesiflg.
o
21. Open trench cônstruotlon will be aliced only at those locations identified on the plan iathiblts andor listed on
with restoration to be performed as noted on the bttached Open art Deiofl, E,dilblt
Eth1blt(s)
fl. No routine maintenance of this facility will be allowed-within the fimited access area.
O
0
0
, and all service to
itenafice of this facility will not be permitted from thethiough traffic roadways or ramps of SR • this facility wlfl be by access from
23.. Routine
Bond coverage required to ensure pmpe?compllance with all termeand ccndfllons'of said pefmlt or ftonchlse will be furnished by a Blanket Surety 0 0 0 • Bond held at Headquarters in Olympia. 0 0 0 0 0 , a surety bond written by a surety company The UUlitf,' shall provide to the Department In the emLUd of$ authortaed to do busineSs in the State of Wedhk,gtcn dr an escrow accourt with a bank approved by the Departmeit, pmlbr to start of cortstructlon to insute co.npllalibe with any and all oUhe terms and cmillitl6ris of this permit or ftsnchlse. Said bortdtacccunt to rerrtaln in force for a period ysar after •- ending - ----one ....: - data of completion of construction. : . ••• . -. 0 0 •, 0 0 28. The utility agrees to bury the aerial lines covered by this franchise in Scenic Classes W and B, as defined on attached • either at the time of major reconstruction of the line, for that portion of fine to be reconstructed, or prior to Exibit(s) 0 0 .• • expiration of this franchIse. •
BX, as defineden attached 0 27. Utility agrees to bury the aerial fines covered by this Irarichise in Scenic Classes A", AXB,0 and/or, • • • ,at the time the pole owner burIes Its facility.. • E,thibit(s)-
•
0
O 29. The Utility agrees to bury or relocate aerially the existing ovetheed lines in Soeruc Classes '= and 'Br, as defined on att*Ohed ,to a location acceptable to the bap*rtmentelther at the time of major reconstruction of the fine, for the • d,thIt(s) portion of line to be reconstructed, or prior to the expiration of this franchise. The existing aerial tines may remain In their present location If acceptable to the Department 0 0 0 Z 29. The Utility agrees to be responsible for any construction deficiencies as a result of the roadway installation. 30. No lane closures shell be allowed ercept as approved by me Department representative. Approvals may cause revision of Special pràvislcns, including 0 0 •0 • hours of operation. i. The responsibility of thi Utility for proper perfornlenoa, sale conduct, and adequate porroing and supeMslon of the project shall not be lessened or otherwise affected by Department approval of plans, speclfloaticns, or work or by the presence at the work alto of Department representatives, or by cgrnpliance by the UtilIty with any requests or recommendations made by such representatIves. 0 • - 0 0 All material and woilm,enshlp shall conform to the Washington State Deparbi,ert of TransportatIon Stendart!Spechfcafions for Roed B,icfge ortd Municipal CunsO'vcffon. current edition, and amendments thereto, and shall be subject to InspectIon by the Department. 0 Mychanges or modifications to the approved franchlse/pennit thai be subject to pricg review and approval by the Department
0 DOT
•
•o
• Page 2
Exhibit UA31
01/27/2009 12:35
15094883701
OTHELLO PUBLIC WORKS
SPECIAL PROVISIONS (continued) [5] 34. The Utility shall be responsible to acquire any ncccssary cnvironinntal and/or regulatory permits.
35. The Utility shall contact the Dcpartniein's Traffic Systems Office before construction begins to determine Traffic Control requiremcnts: Jonnenc Ring North Central Region Traffic Engineer P. 0. Box 98 Wcnatchcc, WA 98807-0098 (509) 663-9638
CEO 36. The Utility shall notify the Dq,artrnent's Area 2 Maintcnancc Superiritcndcnt a minimum of two business days before working at any location within the Department's R/W (see Special Provision No, 1). 37. All of the Utility's operations within the Dcpartmcnt's right of way shall be subject to inspection by the Statc, at the expense of the Utility, Nothing, in eithcr inspection or acceptance, shall reduce the Utility's responsibility for their work.
i!l 38. Only equipment with rubber Eircs or street pads will be allowed on the roadway. Tracked vchicics with cleats or other devices that damage the road surthcing will not be allowed. 039, The Utility shall be responsible to bury, or remove from the Department's RJW. all rocks not previously c'dsting above the original contour. 151 40. All construction tinder this Franchise shall comply with thc safety regulations of Washington State Department of Labor and Industries.
041. Final cleanup, within RJW. shall be completed within one week after installation of the facility. [5] 42. Fire hydrants shall be constructed within 3 ft. of the right of way Zinc. 151 43. All signs removed shall be re-installed prior to the end of the same day Regulatory signs ha1l not be removed,
FRANCHiSE NO. 20178 Exhibit "A" Pg. 3 of 3
PAGE 05
cc
Washington State Department of Transportation Stale Route
Hglwtay Scenic Class
24
N/A
Oegin Me
I Township I SecUonl A arige
I
L_darns
f Re
End MP
78.45
Utility Facility fltrinfiAn 1
Cowty
I
I
Facility Oescrfptlon
nee NIP
5 N.
9
Ulilily Re1erece NurnberfWodc Order Number
0
29 E.
OFstarce From
78.45, Grade intersection
I
cc cc
Er.d of Facility
Beginning of FaclIfty
26' from sect. corner
I
SE 114, SE 114, Sect, 9
Is w ii,
SE 1/4,SE 1/4, Sect 9
16 i(lclldiarn. ductiCe iron wtierni.1in
I(ii cc w XL cc cc CL)
Facility Detail
MP to MP
.1
78.45
Offset Oistance
LU RU Xing
From Cetedirie
__
From Pant Edge
)
DescripJon
HighwayAppurtenance Conflicts
Rem Ic, be installed I constructed, Xing Tecmque. Con4roE Zone Obj.. Enter- Leave Riw
Pertlnet TopograpIy rnto. (lumouls Road Approaches JneI,ns Cut, Fill, Culyert, Guardiall. etc .)
I
cc
Remarks
Wlh and Access Control
Lt.
69'
10'
5'
Enter RIW from Bench Rd.
73.46
Li.
50'
7'-
5'
angle point
65'+-
73.47
Li.
57'
14'
n/a
tire hydrant
60
7833:
hydrant 3' from R/W
Lt.
57'
29
ri/a
firchydrant
60'
7954
hydrant3 from RaW
Li.
4(1-60'
n/a
4'$'
1" & 2" service connect.
78.53
Li.
40'
12'
.5'
Entcrcorp. liiuits Othello
-
J1
non-limited access controlled
.righi angle connections
ileave RIW to the west 60
-
0 —1 I lii II0 -u C to I'—I C)
I
z 0 i-n
Permit Number
F:aiicl'iise Number
20t78 Uilitis eld Reulew Contact Person David Van Clove, Gray & Osborne. Consul CT F,rn U-e97E 2i9e
.
I
Ammt Number
(509)4534833
I
I State Route 124
Telephorte Number 1
Ulilittes Refesences (W.O.) Number
Eid'ibit
o ci m -
J Sheet Number
J
I of I
F
h
I.1. L
+iri ,
-
i'.!
LL J
TI5N. R.29EwM.
L
_____
CD CD
-
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I
I
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I
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5E¼ 5E¼ Sec. F27
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71, U)
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MP4.JOTOM7?.il
PAGE 02
OTHELLO PUBLIC WORKS
15094883701
.4
Application for Permit or Franchise Request to Occupy State DOT Right of Way
Washinqton State Depytment of Transportation
Applicant - Please print or type all information Appicafton is Hereby Made
0 Permit
30 Category 2 Fe $300
Category 1 Fee $500
Fra n ch is e
Fee $150
0 RenewI
Consolidation
0 Amendment
0 Category 3
Fe $300
0 GeerJ Permit
Fes $250
No Pe
b. i . V.1ater Main, SI, 25U0 GP Hydrants and APPIxtenances-This porti.cn of Inpawements is outside of jurisdiction and corporate 1inits of City of Othello, pururtt to Rcw. 47..24020. Eency Contact hne_ro.. ic_Wor)cs_Director — ( 5Q9)..4833O2 . . Intended Use of State Right ofWay is to Construct, Operate. and Maintain a; .Lb'
..
r
..
State Route Number
County
.
_24 At Mile Post
From Mile Post
To Mile Post 78.55
Beginning in The Ending in The
1/4 of the
.-p. 1/4 of Section
9 Township 15
North: Range
29
East W,M.
SF 114 ofthe
SE1I4 ofSectlon
9 Township 15
North: Range
29
E?stW.M.
SE
Fees in the amount of $ pp . . . are p&d to defray the bic administr?tive ecpense incident to the processing of this application according to WAC 468-34 and/or RCW 47.32 and amendments, The epplicant further promises to pay ;ddltional cotg incugmd by the Oeprtment on the behalf of the applicant.
_checks or Money Orders are to be made Paya to "Washington State Departmant of Transportation." Applicant Field Review Contact Person • . Nww, Davi4yan Cleve, P.E. I Auoion to Occupy Only If Approved Below Phone. Gray & Osborne, Conu1ting_Enginee Tb, WItTIen Stale Department of Tron,povtatioii M1tiad to as the 0apørtment.' hemby gmts this dxumnI utict to the terms and condis tt*tad In the Gnarl Prav1ions_-'_. Special Prov1ions, and VA lbits a1tathd hcrto and by this referance mda a part hereof: , ,' 1hlBt AttF1éd (àpaiment Osepty) City of Othello AcaM (Rafaed to as Grardee) 512 E. Main Street .. Ph.Pa'o. Ô4tRiht 0 yVffinii Addraaa iR SenHf Road10 k* sheet 9 Othello, WA 99344 / I
(Son T7
A
OthWi$ *h,c document shall bacne null and yard
Ra_J1at1r Print or Type Name Cityirnipl.stratc7r/ flie
Approvat Deprtmen of Transporlahon 0 ay'
Fedesat'TaTIThimber or Social sed'unty Number —
Title
ontactttna 24th Grantee Reference (W.O4 Number 4f4
.
Slqnatum_
aloe
dayof September .
1996 Permit Number Number Amendment Number
bate - c2"
3O,i?7
Expiration Date
1
_______
Franchise
State Route
.
--
01427/20 12:35
15094853701
OTHELLO PUBLIC WORKS
Special Provisions for Permits and Franchises
Washington State Department of Transportation
PcrmitlFranchise No.
20178
Applicable provisions are denoted by kl
PAGE 03
()
I, No work provided for herein shall be performed until the Utility is authorized by the following Department representative: Lionci Hcinhold - Maintenance Supt. 804 N. Basin St.
Ephruta, WA 98823 (509) 754.2056
2. A copy of the permit or franchise must be on the job site. and protected from tbe erements, at all times during any of the construction authorized by said permiUlranthise.
EJ
. In the event any milepost, right of way marker, fence or guard rail Is located within the fimits of this project and will be disturbed during construction, these Items will be carefully removed prior to construction oril reset or replaced at the conclusion of construction to the satisfaction or the Department. All signs and trairro control devices must be maintained In operation during construction.
(J 4, PrIor to construction, the Utility $11011 contact the Department's representatwe (listed under Special Provision Number 1) to ascertain the location of survey control monuments Withiri the project litmis. in the event any monuments will be altered, damaged or destroyed by the project, appropriate action will be taken by the Department, prior to construction, to reference or reset the monuments. Any monuments altered, damaged or destroyed by the Utility's operation will be reset or replaced by the Department at the sole expense of the Utility. F] 5, During the construction endtor maintenance of this facility, the Utility shall comply with the Manual on Uniform Traffic Control Devices for Streets and Highways. If determined necessary by the Department, the Utility shalt submit a signlnq and tfaffic control plan to the Department's representative for approval prior to construction or maIntenance operations. The Utility shot notify the Deportment's representative upon completion of the work under this parnwrranchise so that a final Inspection Can be made and shell Immediately furnish to the District UtIlitIes Engineer a revised franchise or permit plan of the final locatIon or relocatIon of its facIflules If the original permIt/franchise plans have been revised during the course of construction.
o
. Prior to the beginning of construction, a preconstruction conference shall be held at which the Department and the Utility and utility's engineer. contractor, and Inspector shall be present, Should the Utility choose to perform the work outlined herein with olher than its own forces, a representatIve or the Utility shall be present at all times unless othetwise agreed to by the District representatIve. All contact between the Department and the Utility's contractor shall be through the representative of the Utility. Where the Utility choOses to perform the work with Its own forces, It may elect to appoint one of its own employees engaged In the Construction as Its representative. Failure to comply with this pruvtston shall be grounds for restrtcting any rorther Wotk by the Utility within the Slate right of way until said requirement is met. The Utility, at its own expense, shall adequately police and supervise all work on the above described project by itself, its contractor, subcontractor, agent, and others, so as not to endanger or Injure any person or property.
o
9. The Utility agrees to schedule the work herein referred to and perform said work in such a manner as not to delay the Department's contractor in the performance of his contract. 10. Work within the righter way Shall be restricted to between the hours or daylight and . and no work shall be allowed an the riqht of way Saturday. Sunday. or holidays, untes authorized by the Department. Any lane closures must be submitted for approval In advance of use. The hours of permitted closure may differ from the above noted hours. 11, If determined necessary by the Department, any or all of the excavated material shall be removed and replaced with suitable material as specified by the Deportment.
1
12, Wherever deemed necessary by the Washington State Department of Labor and Industries andfor the Department for the safety of the workers and the protection of the highway pavement, the sides or the trench (or excavation) shell be adequately supported to reduce the hazard to workers and prevent any damage by cracks, settlement, etc.. to the pavement. No ether work in ft trench or excavation area will be allowed until this requirement is met.
I
13, 'l'renchea shall be backrilted as Soon OS possible behind the laying of pipe or cable. No open trenches shall be left overnight. This Includes bormnq or jacking Pits Which shall be covered with material of sufricient strength to withstand the load or hIghway traffic lithe pit Is not to be bacicfiljerJ with material each night.
rimm 22.1,030 DOT am
Page 1
Exhibit "A"
PAGE 04
OTHELLO PUBLIC WORKS
15094683701
01/27/2009 12:35
14. All slopes slope treatment, top soil, ditches, pipes, etc disturbed by this operation shall be restored to their orIginal cross Section and condition. All
open trenches shall be marked by warning signs, barricades, lights and if n cessay flagmen shall be employeo for the purpose of protecting the traveling pubruc. Roadsde operations may be specified by the Department's repsentetive.
I
lPesto1nclude. i. Whereappllcable, rriarkersshall be pincedat each tht of way line fbr ali omsslflgsarid placed everySMfetforlcngitU phone-number for oniSOt, and the distance from the marker to the line in feet Markers shall be compeny name, pipeline orblaidonUficaUon
placed 30.83 to tninimI2e Interference With maintenance operations. Markers shall also be placed at all changes In offset distance from right of way line or centerline of highway. -
16 The utility shall hated detector tape or cable app cidnietely 12 inches above the UpdOIfOUfld fbcirity. The tape shed conlonn to the otanderda of the American Public Works Association Unifom, Color Code. 17 In the event that construction and maintenance of thehhway facilitywlthin the prctdmity of the utility, installation becomes necessary durIng the period which the Utility will occupy a portion of the IIgM of warç ft Ta ercpressly understood that, upon request from the Dapertrnenrs represntative, the UtiWty will promptly Identify and locate by suitable fleld marldngs any ended of their underground facilitIes so that the Department of Its contractor can be fully • apprised at cit limes of Its precise location. .
0
Inches mirurnum compacted depth, ores dIrected by the Department'srepresentatiVe. The surface of the finished shoulder shed slope down from the edge or pavement at the rate of 0,02 foot per foot unless otherwise diretad. The restored shoutdermuSt not have any strips or sections less than 2 feet wide. The restored shoulder shed be surfaced with
18. The shoulders where disturbed shed be surfaced with orushed surfacing top course
O ta. All crossings of roadways surfaced with oil, asphalt concrete pavement or cement concrate pavement shaft be accomplished byjoc, augenno the cable or pipe under the roadway, unless specifically provided for otheiwhe brider special provision No.21.
bOred, or C 20. The cable or pipe shed be placed within a suitable encesenlent as specified on the attached e,thlblts. Said encasement pipe shed bejacked, feet of depth from bottom angered through the highway grade with a minimum depth of 5 feet fln top of casing to tinished mad grade and a minimum of 3/2 .cldltchtotopofcesiflg.
o
21. Open trench cônstruotlon will be aliced only at those locations identified on the plan iathiblts andor listed on
with restoration to be performed as noted on the bttached Open art Deiofl, E,dilblt
Eth1blt(s)
fl. No routine maintenance of this facility will be allowed-within the fimited access area.
O
0
0
, and all service to
itenafice of this facility will not be permitted from thethiough traffic roadways or ramps of SR • this facility wlfl be by access from
23.. Routine
Bond coverage required to ensure pmpe?compllance with all termeand ccndfllons'of said pefmlt or ftonchlse will be furnished by a Blanket Surety 0 0 0 • Bond held at Headquarters in Olympia. 0 0 0 0 0 , a surety bond written by a surety company The UUlitf,' shall provide to the Department In the emLUd of$ authortaed to do busineSs in the State of Wedhk,gtcn dr an escrow accourt with a bank approved by the Departmeit, pmlbr to start of cortstructlon to insute co.npllalibe with any and all oUhe terms and cmillitl6ris of this permit or ftsnchlse. Said bortdtacccunt to rerrtaln in force for a period ysar after •- ending - ----one ....: - data of completion of construction. : . ••• . -. 0 0 •, 0 0 28. The utility agrees to bury the aerial lines covered by this franchise in Scenic Classes W and B, as defined on attached • either at the time of major reconstruction of the line, for that portion of fine to be reconstructed, or prior to Exibit(s) 0 0 .• • expiration of this franchIse. •
BX, as defineden attached 0 27. Utility agrees to bury the aerial fines covered by this Irarichise in Scenic Classes A", AXB,0 and/or, • • • ,at the time the pole owner burIes Its facility.. • E,thibit(s)-
•
0
O 29. The Utility agrees to bury or relocate aerially the existing ovetheed lines in Soeruc Classes '= and 'Br, as defined on att*Ohed ,to a location acceptable to the bap*rtmentelther at the time of major reconstruction of the fine, for the • d,thIt(s) portion of line to be reconstructed, or prior to the expiration of this franchise. The existing aerial tines may remain In their present location If acceptable to the Department 0 0 0 Z 29. The Utility agrees to be responsible for any construction deficiencies as a result of the roadway installation. 30. No lane closures shell be allowed ercept as approved by me Department representative. Approvals may cause revision of Special pràvislcns, including 0 0 •0 • hours of operation. i. The responsibility of thi Utility for proper perfornlenoa, sale conduct, and adequate porroing and supeMslon of the project shall not be lessened or otherwise affected by Department approval of plans, speclfloaticns, or work or by the presence at the work alto of Department representatives, or by cgrnpliance by the UtilIty with any requests or recommendations made by such representatIves. 0 • - 0 0 All material and woilm,enshlp shall conform to the Washington State Deparbi,ert of TransportatIon Stendart!Spechfcafions for Roed B,icfge ortd Municipal CunsO'vcffon. current edition, and amendments thereto, and shall be subject to InspectIon by the Department. 0 Mychanges or modifications to the approved franchlse/pennit thai be subject to pricg review and approval by the Department
0 DOT
•
•o
• Page 2
Exhibit UA31
01/27/2009 12:35
15094883701
OTHELLO PUBLIC WORKS
SPECIAL PROVISIONS (continued) [5] 34. The Utility shall be responsible to acquire any ncccssary cnvironinntal and/or regulatory permits.
35. The Utility shall contact the Dcpartniein's Traffic Systems Office before construction begins to determine Traffic Control requiremcnts: Jonnenc Ring North Central Region Traffic Engineer P. 0. Box 98 Wcnatchcc, WA 98807-0098 (509) 663-9638
CEO 36. The Utility shall notify the Dq,artrnent's Area 2 Maintcnancc Superiritcndcnt a minimum of two business days before working at any location within the Department's R/W (see Special Provision No, 1). 37. All of the Utility's operations within the Dcpartmcnt's right of way shall be subject to inspection by the Statc, at the expense of the Utility, Nothing, in eithcr inspection or acceptance, shall reduce the Utility's responsibility for their work.
i!l 38. Only equipment with rubber Eircs or street pads will be allowed on the roadway. Tracked vchicics with cleats or other devices that damage the road surthcing will not be allowed. 039, The Utility shall be responsible to bury, or remove from the Department's RJW. all rocks not previously c'dsting above the original contour. 151 40. All construction tinder this Franchise shall comply with thc safety regulations of Washington State Department of Labor and Industries.
041. Final cleanup, within RJW. shall be completed within one week after installation of the facility. [5] 42. Fire hydrants shall be constructed within 3 ft. of the right of way Zinc. 151 43. All signs removed shall be re-installed prior to the end of the same day Regulatory signs ha1l not be removed,
FRANCHiSE NO. 20178 Exhibit "A" Pg. 3 of 3
PAGE 05
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Washington State Department of Transportation Stale Route
Hglwtay Scenic Class
24
N/A
Oegin Me
I Township I SecUonl A arige
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L_darns
f Re
End MP
78.45
Utility Facility fltrinfiAn 1
Cowty
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Facility Oescrfptlon
nee NIP
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9
Ulilily Re1erece NurnberfWodc Order Number
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29 E.
OFstarce From
78.45, Grade intersection
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Er.d of Facility
Beginning of FaclIfty
26' from sect. corner
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SE 114, SE 114, Sect, 9
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SE 1/4,SE 1/4, Sect 9
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Facility Detail
MP to MP
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78.45
Offset Oistance
LU RU Xing
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Rem Ic, be installed I constructed, Xing Tecmque. Con4roE Zone Obj.. Enter- Leave Riw
Pertlnet TopograpIy rnto. (lumouls Road Approaches JneI,ns Cut, Fill, Culyert, Guardiall. etc .)
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Remarks
Wlh and Access Control
Lt.
69'
10'
5'
Enter RIW from Bench Rd.
73.46
Li.
50'
7'-
5'
angle point
65'+-
73.47
Li.
57'
14'
n/a
tire hydrant
60
7833:
hydrant 3' from R/W
Lt.
57'
29
ri/a
firchydrant
60'
7954
hydrant3 from RaW
Li.
4(1-60'
n/a
4'$'
1" & 2" service connect.
78.53
Li.
40'
12'
.5'
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.righi angle connections
ileave RIW to the west 60
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Permit Number
F:aiicl'iise Number
20t78 Uilitis eld Reulew Contact Person David Van Clove, Gray & Osborne. Consul CT F,rn U-e97E 2i9e
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Ammt Number
(509)4534833
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Telephorte Number 1
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