Building & Zoning Department
215 S. Broadway, Louisburg, KS 66053
913-837-5811 · louisburgkansas.gov
rwhitham@louisburgkansas.gov
Dear Excavator:
In order to receive an Excavator License, please mail, email or drop off the following items to Louisburg
City Hall:
a completed application and survey
copy of your current insurance
$25 fee
If you have any questions, please call 913-837-5811.
Remember to call Kansas One Call for locates at least two (2) full working business days before the
planned start of your project. Saturday and Sunday do not count as part of the two full working days. A
license is required for any individual or company that excavates within the corporate boundaries of the
City of Louisburg. An excavator permit is required for use of any mechanical equipment, auger or boring
machine other than a shovel. The excavator who is going to do the actual excavating is legally required
to call for his own locates.
The City appreciates your efforts to minimize utility damage due to excavation activity in Louisburg.
Building & Zoning Department
215 S. Broadway, Louisburg, KS 66053
913-837-5811 · louisburgkansas.gov
rwhitham@louisburgkansas.gov
EXCAVATOR LICENSE APPLICATION
Date: _____________ License # __________________
Office Use Only)
Applicant Name: ____________________________________________________________________________________
Company Name: ____________________________________________________________________________________
Address: _________________________________________ City: ___________________ State: ______ZIP: __________
Mailing Address: ___________________________________ City: ___________________ State: ______ZIP: __________
(If different than above)
Phone: __________________________________________
Applicant must provide proof of general liability insurance in the amount of $1,000,000 (one million dollars),
comprehensive automobile liability in the amount of $1,000,000 (one million dollars) and a license fee of $25.
Call Kansas One Call Before You Dig at 811 or request locate online at:
www.kansasonecall.com
I, ______________________, hereby affirm that the information contained herein is true and correct to the best of my
knowledge and agree to conform to all regulations of the City of Louisburg as contained in Section 15-607 (attached
Excavator Licensing). I understand failure to comply with these provisions may result in the revocation of the license.
Date: _____________ Signature: __________________________________________________
click to sign
signature
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Building & Zoning Department
215 S. Broadway, Louisburg, KS 66053
913-837-5811 · louisburgkansas.gov
rwhitham@louisburgkansas.gov
1. In the last year, have you seen or heard any information from the City of Louisburg relating to pipeline safety?
Yes ______ No ______
If yes, what was the source of the information (check all that apply)
______ Written material (brochure, flyer, handout)
______ Newspaper ad or article
______ Face-to-face meeting
______ Posted information (e.g. on or near pipeline)
______ Other: _______________________________________________________________________________
2. What party needs to call Kansas One Call and request locates for underground utilities before excavation?
______ The homeowner, business owner or whoever hires the excavator(s)
______ Always the general contractor
______ Always the subcontractor when there is one
______ ANY person(s) engaged directly in excavation activities
______ Don’t know
3. How often would you say your equipment operator checks whether a pipeline exists before digging in a new spot?
______ Always ______ Usually ______ Sometimes ______ Rarely or never ______Don’t know
4. The person(s) engaging directly in excavation activities should always keep a copy of the valid Kansas One Call locate
request (ticket) at the excavation site.
______ True ______ False
5. The proper gas company number(s) and/or emergency contact name(s) to call if there is a facility damage, an
emergency, or if you need more information, is:
______ City of Louisburg Utility Office at 913-837-5371
______ 9-1-1
______ Miami County Local Emergency Planning Coordinator
______ Any of the above
6. How do you detect a natural gas leak?
______ A “gas smell” (distinct rotten egg or sulfur-like odor)
______ Discolored or dead vegetation near a pipeline
______ Bubbling in standing water
______ Fire apparently coming from the ground or burning above the ground
______ A shrill blowing or hissing sound
______ All of the above
7. What should you do if you contact and damage a natural gas facility that causes gas to leak?
______ Turn off machinery or equipment in the immediate area and remove all known sources of ignition
______ Move upwind of the leaking and/or blowing gas
______ Call 9-1-1
______ Call the gas company
______ Take any other action as may be reasonably necessary to protect persons and property and to minimize
hazards until arrival of the operator’s personnel or emergency first responders
______ All of the above
Building & Zoning Department
215 S. Broadway, Louisburg, KS 66053
913-837-5811 · louisburgkansas.gov
rwhitham@louisburgkansas.gov
Louisburg City Code
15-607. EXCAVATOR LICENSING. Any person desiring to excavate in the City of Louisburg shall be required to be licenses
with this Section as follows:
(1) All excavators shall apply at the office of the city clerk. The license shall be issued in duplicate with the
original to remain filed in the city clerk’s office and the duplicate furnished to the excavator.
(2) The annual license fee shall be $25.00.
(3) Licenses shall be valid from January 1 through December 31 of the issuing year.
(4) Excavators shall be required to have on file with the city a certificate of insurance of coverage in the
following amounts:
(a) $1,00,000 general liability, including x.c.u. (explosion, collapse, and underground conduit).
(b) Comprehensive automobile liability of $1,000,000, including x.c.u. (explosion, collapse, and
underground conduit).
(c) The insurance coverage shall provide for a 10 day notice of cancellation to the city.
15-608. INSPECTION. The city will provide inspection at no cost to the licensed excavator.
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