Department
of
Public Works
555
Old Orchard Road
Eastham, MA.
02642
Town
of
Eastham
ROAD OPENING PERMIT
NEW
DRIVEWAY
October 29, 2008
---
---~--~-----
508 240-5973
Fax
508 240-6687
dpw@eastham-ma.gov
The intent
of
this permit is to protect the edge
of
the roadway pavement and to keep storm water,
sand, silt, mulch, and other debris
off
of
the road and out
of
town drainage systems.
The applicant shall remove all vegetation and loam to a firm and stable surface.
A temporary construction apron
of
1
Y:z
" stone shall be placed to a minimum depth
of
4" and width
of
8 to
12
feet. This stone is intended to trap mud and debris from the tires
of
construction
equipment.
The applicant shall grade and place erosion control devices as needed to prevent storm water and
debris from flowing onto the town road.
The applicant shall be responsible for cleaning up any construction mess on the town road.
Upon completion
of
the project, the applicant shall insure that the edge
of
the paved road is
supported and not undermined. Any construction damage to the edge
oftown
road shall be repaired
by the applicant. No cobblestones, Belgian blocks, pavers, etc. shall be placed within four feet
of
the town road.
The old driveway shall be removed without damage to the town road and the shoulder shall be re-
loamed and seeded.
Dig-safe must be contacted as required
by
state law
Questions shall be directed to the DPW Superintendent at 508-240-5973
EASTHAM ROAD OPENING PERMIT
PERMIT NO:
_____
_
DATE:
______
20_
TO: TOWN ADMINISTRATOR OF
THE
TOWN
OF EASTHAM
Pursuant
to
the provisions
of
the Charter
of
the Town
of
Eastham and the applicable provisions
of
Massachusetts
General Laws, the undersigned respectfully requests that your written consent be given to dig up and/or tunnel
under the ground
in
the following public ways for the following purpose:
LOCATION:
(Attach plan
of
work area, sketch
on
rear may
be
sufficient)
PURPOSE:
The undersigned agrees to conform to all applicable laws and ordinances, and to abide by all stipulations attached
to the approved Permit.
In
addition, the undersigned agrees
by
the acceptance
of
this Permit to be responsible for
all acts
in
connection with this Permit and has appropriate insurance coverage for any injuries to persons or
property and indemnifies the Town
of
Eastham for any of its acts
in
connection with this Permit and to
be
responsible for trench maintenance during period
of
construction as well as trench repairs caused
by
settlement
for a period of one year from the date
of
project completion.
(Applicant) (Telephone Number)
(Applicant's Signature)
(Address)
Reviewed
by
Highway Surveyors:
_______________
Dated:
_______
_
Special Conditions:
______________________________
_
Permission recommended for the foregoing request
by:---------.,..,...-----------
(Superintendent DPW)
I,
the undersigned Town Administrator
of
the Town
of
Eastham, hereby give my written consent to the digging
up
and/or going underground
in
Town ways as above requested
and
upon the conditions set forth below this
day
of
20__
---
"The applicant(s) or their agent shall complete the work promptly, including putting the road back
in
good repair
within a reasonable time and to the specifications
of
the Department
of
Public Works". The Department of
Public Works must
be
notified at least 24 hours
in
advance of scheduled trench compaction and/or re-
paving.
NOTE: CAUTION
-CONTRACTOR
DO
NOT
DIG
UNTIL YOU
HAVE NOTIFIED ALL UTILITY COMPANIES,
WATER COMPANIES, SEWER DEPT. ANQ POLICE.
See Chapter
82,
Section 40, General Laws
Commonwealth of Massachusetts (Notification)
(Town Administrator)