HomeMy Public PortalAbout1995-027minnegasco a
A Division of Arkla, Inc.
MGC # 1179
A1965-95
City of
Permit no.
Name of party or organization performing work MINNEGASCO, INC.
Address P.O. Box1165, Mpls., MN55440-1165 Telephone Richard J. Pilon, PE 321-5426
APPLICATION FOR PERMIT TO
INSTALL UTILITIES OR TO PLACE
UNDERGROUND CONSTRUCTION
1. Nature of work /g gas main installation
Type of surface to be disturbed AS REQUIRED
(Check type) ❑ Gravel
❑ gas service installation ❑ other
❑ Bituminous ❑ Concrete
2. Location SEE ATTACHED DRAWINGS - CR 116, MEANDER RD
Street, avenue and house number
(Additional information attached when necessary)
3. Size and kind of pipe, conduit or cable 9143' 4" TR AND 3107' 2" TR, C L 6
Depth from surface ❑ 2.5 feet ± a 3 feet ±
Dimensions of excavation AS REQUIRED
❑ Boulevard
4. Method of installation or construction (including method of compaction and excavation)
In accordance with procedures described in Minnegasco Operations Manual: Procedures,
Section 500, "Installation", the most recent edition on file with the permitting authority.
Machine excavation: Yes X No
5. Work to start within 30 days and be completed within 30 days thereafter.
6. Will detouring of traffic be necessary? NO
If so, describe routing.
For MINNEGASCO, INC.
nt)
Date / 7/17/95
Signed by
The date when work is completed must be reported to the person designated by municipality.
AUTHORIZATION OF PERMIT
Upon payment of permit fee in the amount of $ and in consideration of the agreement to comply in all
respects with the street or alley excavation ordinances and regulations applicable covering such operations, permission
is hereby granted for the work to be done as described in the above application, said work to be done in accordance with
special precautions required, as hereby stated: �f
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It is expressly understood that this permit is conditioned upon replacement or restoration of the road surface to its
proper condition in accordance with the appropriate rules and regulations. It is further understood that this permit is
subject to revocation within ten (10) days of receipt of copy of application by the county engineer when the permit is for
work on a county road.
APPROVED
r
DATE
All requirements shown on reverse side to be complied with.
White copy —applicant. Yellow —Municipality Engineer. Blue —Municipality Street Superintendent.
Form 16 R7/88
RULES PERTAINING TO STREET AND ALLEY EXCAVATIONS
SAFETY
1. Excavations shall be properly protected and identified by barricades and flags in the daytime, and flares, red
lanterns or flashing signals at night.
2. Barricades shall be erected so they provide suitable visibility in all directions.
3. Excavations must be cribbed when necessary, depending upon type of soil, in order to prevent cave-ins.
4. No guys or stays should be attached to trees on right-of-way.
5. Underground construction must be constructed so it will not harm or unnecessarily destroy the root growth of
trees.
ROADWAY
1. Installation of pipe under concrete or high type bituminous pavements shall be done by jacking or boring unless
otherwise authorized by engineer.
2. All backfilling must be placed in 6-inch layers and thoroughly tamped; material must be flush and even with the
road surface when finally in place, unless engineer authorizes alternate method of construction.
3. Finished surface, base, and sub -base of road after excavation and backfill shall be at least equal in stability to
finished surface, base, and sub -base prior to excavation.
4. Concrete pavement shall be replaced according to specifications provided by the engineer.
5. If settlement or excavation caves in within one year of completion date so materials settle (bituminous mat or
concrete base), it shall be restored to its original condition by the holder of this permit.
6. No pole anchors, anchors, braces, or other construction shall be put on roadway shoulder except by special
authorization.
7. There will be no driving onto highway from ditch or driving on shoulders except when authorized by the engineer;
if damage occurs, permit holder will make proper repairs.
8. No machine excavation shall be permitted except when noted in application for permit.
9. Excavations greater than four feet in width at top of trench will not generally be permitted and may be made only
when expressly provided for on the permit.
10. Street may not be closed to traffic unless expressly authorized by the permit.
LIMITATIONS
1. No lugs which will damage the road surface shall be used on equipment traversing road.
2. Roadside shall be cleaned up after work is completed.
3. The permit holder shall notify the municipality issuing the permit and, when applicable, the county engineer
within 24 hours, (Saturdays, Sundays and legal holidays excluded) that the work has been completed and is ready
for final inspection.
4. The county engineer shall notify the applicant of any objection the county may have to the application within 10
days of receiving the permit application.
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