Fillable Right-of-Way Permit (Utility Permit) (City of Wildwood)

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Right-of-Way Permit (Utility Permit) (City of Wildwood)

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Revised 1/2017
Staff Use Only
City of Wildwood, Florida
Development Services Department
Fee Paid:
100 N. Main St., Wildwood, FL 34785
Method of Payment:
Tel: 352.330.1334 Fax: 352.330.1338
www.wildwood-fl.gov
Permit Number:
Right-of-Way Permit (Utility Permit)
In Compliance with Florida Statutes, §125.42
Date: Applicant's Permit No: City's Permit No:
Subject: County:
Permittee:
Email: Phone:
Requesting permission from the City of Wildwood, hereafter called "City," to construct, operate, and maintain:
Beginning Address: Ending Address:
1. Proposed work is within the corporate limits of a Community Development District (CDD).
Yes
Name of CDD (if applicable):
No
2. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and
underground. Please attach a copy of the letter sent to all utility providers / CDD's and list below all providers/CDD's notified.
3. Is a State or Interstate Right-of-Way is involved?
Yes
No
4. It is expressly stipulated that this permit is a license for permissive use only and that the placing of facilities upon public property
pursuant to this permit shall not operate to create or vest any property right in said holder.
5. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of
all, or any portion of said highway as determined by the City of Wildwood and/or its employees, any or all of said poles, wires, pipes,
conduits, cables, or other facilities and appurtenances authorized hereunder, shall be removed from said highway, or reset or relocated
thereon as required by the City, and at the expense of the permittee.
6. All work shall meet City and County standards as well as the Florida Department of Transportation's "Utility Accommodation
Manual." All work will be subject to the approval of the City of Wildwood and/or its employees.
7. All materials and equipment shall be subject to inspection by the City of Wildwood and/or its employees.
8. All City property and right-of-way shall be restored to its original condition as far as practical, in keeping with City specifications and/
or the Florida Department of Transportation's "Utility Accommodation Manual" and in a manner satisfactory to the City. Open cuts
of road and shoulder pavements are not allowed unless specifically approved by the Director of Public Works. If an open cut is
approved, it must conform to Pages 4-6 of this permit. Jack and bores shall conform to page 6. Other types of directional drilling
between roadways will be submitted for approval.
Utility Permit Page 2
City of Wildwood, Florida
Development Services Department
100 N. Main St., Wildwood, FL 34785
Tel: 352.330.1334 Fax: 352.330.1338
www.wildwood-fl.gov
9. All installations shall conform to the edition of the Florida Department of Transportation's "Utility Accommodations Manual" which
is in effect on the date the permit is approved.
10. The attached sketch or plans, covering details of this installation, shall be made a part of this permit. This approved permit with
plans and Maintenance of Traffic (MOT) shall be on site at all times. Use FDOT Design Standards 600 Index Section as applicable.
11. The permittee shall commence actual construction in good faith within ninety (90) days from the date of said permit approval and
shall by completed within days.
12. The construction and maintenance of such utility shall not interfere with the property and rights of a prior permittee.
13. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and
interest in the land to be entered upon and used by the holder, and the holder will, at all times, assume all risk of and indemnify,
defend and save harmless the Wildwood City Commission; the City of Wildwood, and its employees from and against any and all
loss, damage, cost or expense arising in any manner on account of the exercise or attempted exercises by said holder of the aforesaid
rights and privileges. During construction, all safety regulations of the City and/or the Florida Department of Transportation's
"Roadway and Traffic Design Standards" shall be observed and the holder must take such measures, including placing and display of
safety devices, as may be necessary in order to safely conduct the public through the project area in accordance with the City's safety
regulations and/or the Florida Department of Transportation's "Roadway and Traffic Design Standards."
14. The office of the Development Services Director shall be notified twenty-four (24) hours in advance before starting work.
15. In the case of noncompliance with the City's and/or the Florida Department of Transportation's "Utility Accommodations Manual,"
this permit is void and the facility will need to be brought in compliance or removed from the right-of-way at no cost to the City.
16. The applicant shall call 811 for a utility locate prior to the commencement of any digging.
17. Special conditions:
Submitted by:
Permittee
Signature and Title of Permittee's Representative Date
ADDRESS: (For return of approved permit)
Approved Disapproved
City Right-of-Way Permit Agent Signature Date
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-
~inll.:
·
~
.
~
.,.,
)fl·•, TYPICAL ROAD
CUT
DETAIL
WILDWOOD
FLO
RO,,
NO
T TO SCALE
50'
-
0"
EACH SI
DE
2'
-
0"
1'- o" 1'- o •
NEW SURFACE, TYPE SP
ASPHALT
CONCRETE
NEW
LIMEROCK
BASE
1"
SUPERPAVE~(S:P~):/!il
llllllllllll
r====
OVERLAY
OLD
SURFACE
O
LD
BAS£
MATERIAL
12"
MIN.
PIPE
OR
CABLE
COMPACTED
BAS£
UNDISTURBED
TRE
NCH
WIDTH
VAR
I
ES
G
ENERAL
NOTES:
ROAD
BASE
NOTE;
All
ROADS:
12•
UMEROCK
BAS
E
l. Bose replacement sha
ll
be
12•
of limerocl<, placed in 2
lifts.
2.
Minimum Asphaltic Concrete surface thfcl<ness Is
2·
of
t}Pe
SP
over
the
cut
area
In
one
Ioyer.
3.
All
surface joints shall
be
mechanically sow
cut.
4.
RC-70
or
equivalent liquid asphalt shalf be added
to
all
surface
Joints
to
form seal.
5.
Pavement restoration is typical for Iorge
diameter
pipes.
6. Variances
to
these pavement restorations
may
be
requested from
the
Dtrector
of
Public
Worl<s
, and
approved
on o case
by
case basis.
Utility Permit Page 3
WIL
DWOOD
fLOUDA
TYPICAL BACKFILL DETAIL
NOTES:
•
:i
CD
-
~
REMAINING
BACKFILL PLACED AND
COMPACTED
PER
APPROPRIATE
SPECIFICA
TIONS
.(SEE NOTE 5
BELOW)
s•
MAX. SIZE
1
8"
MAX. UFT.
GRANULAR BACKFILL PLACED AND
COMPACTED
TO
98"
MAX. DENSITY
PER
AASHTO
T-180
7/8•
MAX.
AGGREGATE
SIZE
s•
MAX. UFT.
BEDDING
MATERIAL
COMPACTED
TO
98%
MAX.
DEN
SITY PER
AASHTO
T-180.
1. UNSU
IT
ABLE
IN-SITU
MATERIALS
SUCH
AS MUCK, DEBRIS
AND
LARGE ROCKS SHALL BE
REMOVED;
BEDD
I
NG
MATER
IAL AND
BACKFILL CONSISllNG
OF
WASHED
AND
GRADED
UMEROCK
3/8•
- 7 /8" SIZING.
2.
THE
PIPE
AND/OR
STRUCllJRE SHALL BE FULLY SUPPORTED
FOR
ITS
ENTIRE
LENGTH
W1TH
APPROPRIATE
COMPACTION
UNDER
THE PIPE
HAUNCHES.
3.
THE PIPE
AND/OR
STRUC
TURE
SHALL
BE
PLACED
IN
A DRY
TRENCH.
4. BACKFILL SHALL BE
FREE
OF
UNSUITABLE MATERIAL SUCH AS
LARGE ROCK, MUCK, AND
DEBRIS.
5.
COMPACT BACKFILL
TO
98"
DENSITY
UNDER
PAVEMENT (AASHTO
T-180)
.
6.
COMPACTION
AND DENSITY
TESTS
SHALL
BE
COMPLETED
DURING
BACKFILL OPERATIONS,
CONTRACTORS
NOT
FOU.OWING
THIS
PROCEDURE.
FOR
WHATEVER
REASONS, SHALL
BE
REQUIRED
TO
RE-EXCAVATE
THE
AREA IN
QUESTION,
DOWN
TO
THE
BEDDING
MATERIAL.
lHEN
BACKFILL FOLLOWNG
THE
ABOVE
PROCEDURES.
7.
CONTRACTOR
SHALL
SOD
ALL DISllJRBED RIGHT-
OF
- WAY.
NOT TO SCALE
Utility Permit Page 4
PROPOSED PAVEMENT ABUTMENT DETAIL
WIL
DWOOD
f
LO
U
DA
Saw
Cut
Exist.
Asphalt
ew
Aspha
lt
Exist. Bose
Stabilized
Subgrade
-----'
NOTE
:
Contractor
shall
make
a
smooth
vertical
cut
in
the
exi
sting
pavement
at a
distance
not
l
ess
than
6"
from
the
existing
edge. The
existing
lim
erock
base
shall be
exposed and cleaned
to
remove
loose
particles.
The
exposed
l
imerock
and
asphalt
shall
then
be
prime
coated
not
more
than
three
(.3)
days
prior
to
scheduled
paving.
DETAIL
FOR
MATCHING
EXIST
.
PAVEMENT
NOT
TO
SCALE
Utility Permit Page 5
JACK
AND
BORE DETAIL
WILDWOOD
f
LO
U
DA
MIN.
3 FT.
r-------------~rrn~
~G
~PE:------------
----~
SEAL
BOTH
ENDS
OF
CASING
PPE
WITH
BR1C1<
.t
AND
NON-SHRINK
GROUT
CARRIER
PIPE
~
CARRER
PIPE
1.
STEEl.
CASING
PIPE
StWJ.
BE
2
T11oo1ES
(2X)
CARRIER
PIPE
ow.tETEJI
.
2.
CASINC
PIPE
TO
EXTEND
8'
FROAA
E.O.P.
(
BOTH
SI>ES)
.II
ENDS
lO
BE
SEAL.ED
W/
BRICI<S
.t
NON
-
SHRINK
CROlJT
.
3.
CARR
IER
PIPE
SUPPORT
SYSTEM
SH.JU
BE
(3)
POLvrfirru:NE
BLOa<
ASSEMBUES
PER
PIPE
I..ENOTll.
4.
RESlRAIN
AU..
CAR
RI
ER
PIPE
JOINTS
IS
REQUIRED
BY
HCUD.
5.
STEEl.
CASING
PIPE
OOERIOR
lO
BE
~TED
(BIT\JMINOUS
C04T1NG
15
WILS.).
8.
FASTEN
LOCA-mt
WIRE
ON
CARRER
PIP
E TIR>UGH
EHT1RE
lENG111
OF
JACI(
4:
BORE
CASING
PIPE.
7.
THIS
DET
AIL
N>PI..£S
TO
POTABLE
WATER.
REClAIMED
WATER
AND
SEWER
FORCE
WJH
PIPE
L.J4ES.
NOT TO
SCAlE
8.
to.IIHIWUY
DEPTH
OF
CASING
LESS
THAN
1
o•
IN
DIAAIETER
MAY
BE
REDUCED
lO
2'
FROM
TOP
OF
PIPE
lO
BELOW
ROAD
BASE.
Utility Permit Page 6
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Right-of-Way Permit (Utility Permit) (City of Wildwood)

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Completed 1 February 2021

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