Fillable Permit To Work In The City Right-of- Way (City of Savannah, GA)

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Permit To Work In The City Right-of- Way (City of Savannah, GA)

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BROWSE CITY OF SAVANNAH, GA (GA) FORMS

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Traffic Engineering Department
P.O. Box 1027, Savannah, GA 31402
Phone: (912) 651-6600 Fax: (912) 525-1535
RIGHT-OF-WAY WORK PERMIT APPLICATION
- APPLICATION / RENEWAL FEE $45.00 -
Four working days required for processing Utility Franchise_____________________
Site Location:________________________________________________________________________________
Date permit needed: From:______________________________________ To:_____________________________________
If cross street, what Intersection:__________________________________________________________________________
Name of Applicant:_________________________________________ Phone:________________ FAX #:______________
Party or Organization performing work:_____________________________________________________________________
____________________________________________________________________________________________________
Address City State Zip Code
Phone (business):____________________ Phone (emergency):____________________ FAX #:_____________________
Type of Activity – SUBMIT DETAILED PLAN/SKETCH (REQUIRED)
CIP/SPR #:___________________
Install Conduit/Cable
Install Fiber Optics
Install Natural Gas Line
Install ADA Curb Ramp
Road Repair/Construction
Install/Repair Water Line
Install Sanitary Sewer (Permit Number: _________)
Repair Sanitary Sewer (replace lateral, etc.)
Other (Describe)
Method of Installing under Roadbed (if open trench, explain why necessary)
Boring
Jacking Open Trench
Area to be disturbed - (Submit detailed sketch - REQUIRED)
Travel Surface
Concrete
Shoulder Median
Asphalt Sod
Other
Structures / Other
Bridge
Box Culvert
Pipe (concrete, metal)
Curb and Gutter Trees
Sidewalk Shrubs
Scaffolding Planting
Crane/Lift
Moving Van
Other___________
BLOCK: Street Lane of traffic Sidewalk Alley Unmetered Parking Spaces
Metered Parking Spaces Other________________
Page 1 of 3
GENERAL PROVISIONS
1.
The applicant shall contact Water Operations Department, (912) 651-6584, Storm Water Management, (912) 650-7855,
and Sanitary Sewer Operations Department, (912) 351-3897, five (5) days prior to start of construction to coordinate work
with these departments, including locating water and sewer mains.
2.
The applicant is required to maintain a minimum of ten feet (10') horizontal and eighteen inches (18") vertical separation
between utilities (gas, telephone, power, cable TV) and any water lines, sanitary sewer lines, and/or storm water lines.
3.
Where pavement surfaces are excavated, restoration should be completed within 48 hours.
4.
If work is to be done within ten feet of high-voltage line, the “High Voltage Safety Act” requires the person responsible
for such work to call 72 hours (excluding weekends & holidays) before commencing such work. Call (800) 282-7411.
5.
Applicant must comply with City erosion and sediment control ordinances. Erosion and sediment control is required.
Disturbed right-of-way must be protected from erosion. Any sediment entering City drainage systems shall be removed.
6.
Disturbed areas shall be stabilized and re-grassed once work is completed. New sod must be watered until survival is
assured.
7.
Roots, trunk, and branches of city trees shall not be cut, pruned, or removed without prior consent from the Park and
Tree Department. It is not permissible to store material, soil, equipment, machinery or vehicles within the drip line of a
tree. All utility installation within the drip line of a tree shall be done using jack, bore, or air spade technology only.
Contact the Park & Tree Department, (912) 651-6610, with questions.
8.
No trench in pavement shall be kept open more than five days (permit void after this date). If work cannot be completed
within the dates specified, a written request for extension must be made to the Traffic Engineering Director, Post Office
Box 1027, Savannah, GA 31402 or fax to (912) 525-1535.
9.
The applicant agrees to comply with the Savannah City Code 4-1071, as it relates to work on the right-of-way. A copy of
this section is available.
10.
Approval of this work permit does not permit detouring of traffic or street closing unless specifically approved by the
Traffic Engineering Director. Method of street closing or traffic detour must accompany permit application.
11.
Exposed concrete shall be tinted per City standards.
12.
Applicant shall comply with the City of Savannah Traffic Controls for temporary street construction and maintenance as
well as the latest edition of The Manual on Uniform Traffic Control Devices (MUTCD) and is responsible for providing all
traffic control devices at their own expense.
13.
Applicant must comply with all City parking regulations. Permit requests for metered and non-metered regulated areas
within the Historic District must include specific information on vehicles which will be parked on site. Vehicles must have
current City of Savannah Commercial Decals and only vehicles which are required to be on site for a specific use will be
permitted. If you have any questions about parking, please contact the Parking Services Department at (912) 651-6474.
The applicant shall assume all liability for and save the City of Savannah, its agents and employees harmless
from any and all claims for damages, actions, or causes of action arising from work done under this permit.
(I, we) the undersigned herewith accept the terms, conditions and general provisions of the regulation as laid down by the
City of Savannah and agree to fully comply therewith to the satisfaction of the Traffic Engineering Director.
ORGANIZATION:____________________________________________________________
BY:__________________________________________________
DATE:_____________
*** PLEASE DO NOT SEND COVER SHEET WITH COMPLETED APPLICATION ***
******************FOR INTERNAL USE ONLY*******************
FEE:____________ AMOUNT RECEIVED WITH APPLICATION:____________ AMOUNT DUE:____________
Rev 12/30/08
Page 2 of 3
FEES AND CONDITIONS
1. Right-of-Way Application / Renewal Fee: $45.00
2. Permit Fees:
Sidewalk – Partial Closure No additional fees
Shoulder No additional fees
Parking No additional fees (Use of metered parking or loading
zone: Must abide by Article J, Section 4, by obtaining a
commercial vehicle decal from Parking Services prior to
application)
Sidewalk – Full Closure $40.00
Traffic Lane $40.00
Alley Closure $40.00
Local Street Closure $40.00
Major Street Closure $80.00
(Requiring Detour)
3. All fees shall be paid via cashier’s check or money order payable to the “City of Savannah”.
4. Fees/applications are to be submitted to the Traffic Engineering Department:
Mailing Address: Post Office Box 1027, Savannah, GA 31402.
Physical Address: 1100 West Gwinnett Street, Savannah, GA 31415
5. Permits to perform work within the City right-of-way shall be valid for up to ninety (90) days.
6. Permits needed for additional time must be renewed prior to expiration date and will not be reissued
until the renewal fee is paid.
7. Permits must be posted at the site in clear view.
8. Contractors are responsible for providing all traffic control devices including signs at their own
expense.
Rev 12/30/08
Page 3 of 3
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Permit To Work In The City Right-of- Way (City of Savannah, GA)

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Completed 19 January 2021

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