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Home My Public Portal About2011 Right-of-way Encroachment Application - PathwayRight -Of -Way Encroachment Application and Permit Other Encroachments Idaho Transportation Department ITD Permit Application Number ITD 2111 (Rev. 07-28-11) itd.idaho.gov Route S!{S," Milepost /V-5,6-i.�Ge5 Applicant Information - Print or Type Applicants) Name (Printed) City of McCall Mailing Address or P.O. Box 216 E. Park Street City McCall State ID Zip Code 83638 E-Mail Address (If available) mgroenevelt@mccall.id.us Daytime Phone Number 208-634-5229 Alternate Phone Number 208-316-1662 Property Owner's Name (Printed) Property Address and TAX ID Number City (If in city limits) County Valley County Request Detail (i.e.., landscaping, benches, bus turnout, etc.) Permission for a proposed pathway within the ITD right of way for a seperated natural surface trail For ITD Use Project Number From ITD Highway Plan FAP— 130—E—Fxt. Route Sf 56- Site Distance Right Left Segment 0/996 Date Application Received /2/0/7d /( C/L Milepost /s 5-4. �y!(„ 2 ® Right ❑ Left Reason if Restricted to Right Or Left Date Application Determined Complete In City Limits (gl Yes ❑ No C/L Highway Station 9,2IS _�« ® Right ❑ Left ITD District Review Section Reviewer Da a Recommendation Section Reviewer Date Recommendation Approve Deny Approve Deny Design 0 / 2 0Iit 12---- Right -of -Way ■ ■ ■ Maintenance fj� / Op/ lir Traffic i�-5 / /`� �, � "T/ a ■ ■ Planner .�4- 1 a �a� 11 El-- ❑ Dist. Engineer ■ ■ List any conditions of approval List reason(s) for denial recommendation Attachments ❑ Special Provisions/Conditions of Approval ❑ Construction Drawings ❑ Traffic Control Plan ❑ Dept. Roadway Plansheets ❑ Standard Drawings ❑ Letters of Recommendation/Denial Upon signature of both parties, subject to all terms, conditions, and provisions of this permit or attachments, permission is hereby granted to begin work within the State Highway Right of Way. Property Owner/Authorized X Representative's � - Signature Date 1217/11 Phone Number 208-634-5229 Idaho Tra rtati X Departmen epre entative's Signature Title VL2-1--V (i Date 12 - 2 7 ,.t Page 1 of 2 General Requirements ITD Permit Application Number Z« lS7 1. The original permit or a copy must be kept on the job site whenever work is taking place. 2. No work shall commence until the permittee is given notice to proceed by an authorized representative of ITD. The permittee shall notify ITD five (5) working days prior to commencing the permitted work if work does not commence immediately upon notice by ITD. 3. During the progress of all work, traffic control devices shall be erected and maintained as necessary or as directed. All traffic control devices shall conform to the most current edition of the Manual on Uniform Traffic Control Devices for Streets and Highways, as adopted by the State. Equipment or materials left within the highway right-of-way when work is not taking place shall be delineated and protected with appropriate approved traffic control devices. 4. All work within the State Highway Right of Way shall comply with the requirements of the ITD Workzone Safety and Mobility Policy. Copies available from ITD upon request. 5. All work herein permitted shall conform to current government and industry standards, including Americans with Disabilities Act, and shall be performed and completed to the satisfaction of ITD. The expense of any required supervision of work performed under this permit shall be borne by the permittee. 6. Work done under this permit shall be constructed in a manner that shall not cause water to flow onto the roadway or shoulder, and shall not interfere with the existing drainage on the State Highway System or any adjacent drainage system. 7. The permittee shall furnish all material, labor, and equipment for the installation and maintenance of approved encroachments. This shall include furnishing drainage pipe, curb, gutter, concrete sidewalk, etc., where required. 8. ITD may inspect the materials and workmanship during construction and upon completion to determine that all terms and conditions of the permit are met. Inspectors are authorized to enforce the conditions of the permit during construction and to halt any activities within state right-of-way that do not comply with the provisions of the permit, that conflict with concurrent highway construction or maintenance work, and/or that endanger highway property, natural or cultural resources protected by law, or the health and safety of workers or the public. 9. ITD shall be reimbursed by the permittee for any additional inspection required to insure compliance with the conditions of this permit. Inspection fees will be based upon inspection time including travel from the ITD facility and charged at rates commensurate with industry standards. 10. Upon completion of the permitted work, any disturbance of the highway, right of way, and/or traffic control devices shall be restored to the satisfaction of ITD including the removal of all rubbish and debris and may include seeding, planting and grading. 11. Any encroachment that is found to be in non-compliance with the terms of the approved permit may be required to be modified, relocated, or removed at the sole expense of the permittee upon written notification by the District Engineer or his authorized representative. 12. The permittee shall maintain at its sole expense the encroachment for which this permit is granted. 13. Changes in the use as defined in I.D.A.P.A. 39.03.42, of the permitted access not consistent with the terms and conditions listed on the permit may be considered a violation of the permit. Any modification, relocation, or removal of an encroachment or subject granted by this permit shall require a new permit prior to commencement of such work. 14. ITD may revoke, amend, amplify, or terminate this permit or any of the conditions herein enumerated if the permittee fails to comply with any or all of its provisions, requirements, or regulations as herein set forth or through willful or unreasonable neglect, fails to heed or comply with notices given, or if the approach, structure, or subject herein granted is not installed or operated and maintained in conformity herewith. Final Inspection and Approval Subject to all terms, conditions, and provisions of this permit or attachments, Final Inspection has been completed and the permitted work within the State Highway Right of Way is hereby given final approval. District Engineer or Assigns Signature X Date Page 2 of 2 TO: City of McCall PERMIT NO: 3-12-157 FROM: DISTRICT THREE DEVELOPMENT & ACCESS MANAGEMENT SUBJECT : ENCROACHMENT PERMIT ENCROACHMENT TYPE: Pathway in highway right of way. NOTIFY REGIONAL MAINTENANCE FOREMAN: Robin Freeman () 347-2291 1. FIVE (5) DAYS PRIOR TO COMMENCEMENT OF WORK (REQUIRED). 2. FOR MODIFICATIONS TO ANYTHING CONTAINED IN THIS PERMIT. Located on Highway SH55 Milepost 145.6-146.56 Date 12/27/2011 Station to Station Return the bottom half of this form to the State of Idaho Transportation Department, attn: District Three Access Management, P.O. Box 8028 Boise, Idaho 83707-2028 after the construction covered by this permit has been completed. RETURN TO ITD DISTRICT THREE ACCESS MANAGEMENT - PERMITS Permit No. 3-12-157 Highway: SH55 Encroachment Completed DATE: Signature of Permitee or Authorized Representative Ida�w rram4portatton,DDept. 8150 Chinden Blvd. Boise, ID 83714-1367 SPECIAL PROVISIONS Permit 3-12-157 Before any construction begins in the highway right of way construction plans shall be submitted to and approved by the Idaho Transportation Department (ITD). Pathway shall be constructed as far from the edge of pavement as possible. 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