HomeMy WebLinkAboutCarmel PermitCITY OF CARMEL RIGHT-OF-WAY PERMIT
PERMIT NUMBER: ______________
TODAY'S DATE:ESTIMATED DATE OF WORK:
APPLICANT (Person doing the work)
COMPANY:
ADDRESS:
PHONE: EMAIL PERMIT TO:
CUSTOMER:
ADDRESS:
PHONE:
ADDRESS OF PROJECT:
DESCRIPTION OF WORK (check all that apply)
ROAD BORE DRIVEWAY REPLACEMENT
CONSTRUCTION ENTRANCE LANE CLOSURE
STREET CUT ROAD CLOSURE
OTHER
DESCRIPTION:
TYPE OF SURFACE CUT (if applicable):
USE OF HEAVY EQUIPMENT YES NO
DRAWING ATTACHED YES NO
*NOTE: ON REVERSE SIDE OF THIS PERMIT, PROVIDE NAMES AND CONTACTS OF ALL SUB-CONTRACTORS INVOLVED
SURETY BOND. Please see Item #1 of the Right-of-Way Conditions.
BONDING COMPANY:
BONDING NUMBER:
EXPIRATION DATE:
(Applicant's Signature)(Print Name)
PERMIT GRANTED BY: DATE ISSUED:
(City Official)
COMMENTS:
(City Inspector)(Date Released)
*NOTE: OPEN CUTS IN PAVEMENT REQUIRE BOARD OF PUBLIC WORKS (BPW) APPROVAL*
REPAIR WORK INSPECTED AND APPROVED
I have inspected the repair of the above right-of-way and find it to be completely satisfactory.
As applicant for this Right-of-Way Permit, I understand and agree to all of the specifications and
conditions listed on the attached sheet.
CONDITIONS OF RIGHT‐OF‐WAY/STREET CUT PERMIT
1. The applicant is required to post an open bond (License and Permit type) to the
City of Carmel. The amount will be determined by the Right‐of‐Way Inspector
based upon possible damage values.
2. Asphalt pavements shall be saw cut. Flowable fill with 12" of concrete and 1 1/2
asphalt. All seams shall be tack coated and shall be ironed as necessary to
provide a perfect joining of the patch with the surrounding pavement. No cold
mix asphalt to be used except as temporary patches.
3. Concrete pavements shall be saw cut. The new concrete patch shall be placed
using at least 4000# concrete. The edges of the adjoining pavement shall be
coated with an epoxy adhesive intended for concrete patching. The patched area
shall be properly barricaded for at least seven days and the patch shall be treated
with two coats of a curing compound or a curing membrane.
4. All ditches disturbed by excavation shall be properly graded and sodded. All
excavations within 5' of edge of pavement shall be filled with a granular fill
material with 12" of top soil.
5. All grassed areas shall be provided with 12" to 16" of good topsoil and sodded
with high‐quality bluegrass sod equal to other existing grass.
6. Upon completion of all repairs, the applicant shall request inspection from the
City Engineer's office. Upon inspection, if all repairs are satisfactory, including sod,
if required, being maintained and watered for 14 days, the inspector shall sign the
release at the bottom of this permit.
7. If the workmanship is deemed, by the City Engineer and/or his Inspector, to be
questionable, the City shall reserve the right to withhold release for up to one year
from the date of repair.
8. The City of Carmel will hold the applicant directly responsible for all work done.
9. The City Engineer's office is to be notified upon start of pavement repair so that an
inspector may observe the placement of patch materials. Failure to notify may result
in removing and replacing repair. A minimum of one hour notice is required.
City of Carmel
Caleb Warner
Right-of-Way Inspector
Department of Engineering
(317) 571-2677 Fax (317) 571-2439 Cell (317) 714-8908
One Civic Square Carmel, IN 46032
cwarner@carmel.in.gov