HomeMy WebLinkAboutA001 - Application to Perform Work form 910029 CBN
Iowa Department of Transportation -_�1Y� aW
1410 Highway Division Ames,Iowa 50010
Application to Perform Work Within State Highway Right of ay ��� 2 5 !;
r
Permit Numb
S- L i;;
County Story
Project FN-30-5(22)--21-85
Applicant:
City of Ames
Name of Individual or Company
515 Clark Avenue Ames Iowa 50010
Address
Approval is hereby requested to enter within the state highway right of way and to do grading and build or modify drainage
structures incidental thereto. Proposed work is shown on the attached plat and cross sections,and further described as follows:
Building a bike trail with 8 feet wide granular surface and placing a fence
_ 15' both sides of trail from center between piers. Remove existing R.O.W. fence
—_ for 30' on north and south R.O.W. lines.
The proposed work is located in Sec. 15 Twp. 83N Range 24W on Highway No. US 30 0.4
Miles
east from US 30/Elwood Drive interchange in Ames
At Direction Place,Town,Etc.
Show Station 1199+58.89 alumina ,00ft
t1t!
AGREEMENTS
The applicant agrees that if granted a permit to do said work the following stipulations shall govern.
1. The applicant shall take all reasonable precautions during construction and future maintenance to protect and safeguard the lives
and property of the traveling public and shall save the State and the Iowa Department of Transportation harmless of any damage or
losses that may be sustained by the traveling public on account of such construction or maintenance operations.
2. The applicant shall hold the State and the Iowa Department of Transportation harmless of any damage that may result to said
highway because of the construction or maintenance of the facility, and shall reimburse the State or the Iowa Department of
Transportation for any expenditures that the State of Iowa or the Department of Transportation may have to make on said highway on
account of said applicant's construction.
3. The applicant,and his contractors,shall carry on construction and maintenance with serious regard to the safety of the public.
Traffic protection shall be in accordance with Part VI of the current Iowa Department of Transportation Manual on Uniform Traffic
Control Devices for Streets and Highways.The Department will loan the required signs to the applicant who shall be responsible for
placing the signs and covering or removing when not in use. Flagging operations are the responsibility of the applicant.The applicant
shall return the signs upon completion of the construction operation.
4. The applicant shall seed and mulch all disturbed areas within the highway right of way and shall be responsible for the vegetative
cover until it becomes well established.Any surfaced areas such as driveways or shoulders and sodded waterways and plantings which
are disturbed shall be restored to their original condition.
5. if the proposed work results in a pool of water on the applicant's property,this pool of water will be exclusively owned,controlled,
and maintained by the applicant. That part of the modification located on highway right of way will be maintained by the Iowa
Department of Transportation for road purposes only.
6. The applicant shall maintain any drainage structure built within the right of way that is built for the benefit of the applicant and
not necessary for highway use.
7. This permit is subject to any laws now in effector any laws which maybe hereafter enacted and all applicable rules and regulations
of local, state and federal agencies.
8. This permit is subject to all the rules and regulations of the Iowa Department of Transportation,and to revocation by the Iowa
Department of Transportation at any time and at no cost to the Department,when in the judgment of the Department it is necessary in
the improvement or maintenance of the highway or for other reasonable cause.
9. The applicant agrees to give the Iowa Department of Transportation 48 hours notice of intention to start construction or perform
maintenance on the highway right of way.Said notice shall be made in writing to the Resident Maintenance Engineer whose Pame and
address is shown below. Any modifications to the proposed work shall be approved by the Department prior to making the change.
10. All proposed work covered by this permit shall be at the applicant's expense.The applicant shall reimburse the Iowa Department
of Transportation for any materials removed from the highway right of way described as follows:
None
11. No barbed wire will be required on new installations. All other requirements of
Standard RC-8, shall apply. Item 11 continued. refer to attached sheets_
Applicant /�
Ames Public Works64Aat_ r r9 9
Name of Owner Date
/7By
Scott LO d Signature Title
Recommendation Of Conservation District(if a conservation type project)
By
Signature Title Date
Approval Of City Or Town(if proposed work is within an incorporated town or city,the Council of said town or city must grant
approval)
"The undersigned city or towns joins in the grants embodied in the above permit executed by the Iowa Department of Transportation
on condition that all of the covenants and undertakings therein running to the Iowa Department of Transportation shall inure to the
benefit of th�hd signed city r to n and mW permit is approved below by the delegated city or town official.
By o I
ignature Date-f------
Department Of Transp ation Approval
Recommended /0^/v ^ �/
esideW M ' to nce Engineer Date
Approved Ole-
Zl 9�
District Engineer �— D to
Federal Highway Administration Approval(if required)
By
Division Engineer Date
The applicant shall send notice of date of entry on highway right of way to:
Resident Maintenance Engineer Address
5 copies of application must be filed with District Engineer
Name
Iowa Department of Transportation
Location
APPROVED A TO FO M
B
John R. KI us
City Attorney
ii . a. Tne construction ana future maintenance of the fence snail be
The responsibility of the applicant or, a stria 'd,u feet wide: is
feet on either side of center line of the bike trail .
b. For the purpose of this agreement, reference to the word
"airspace" snall apply to the subject area and shall be defined
as follows:
Airspace - is that located below the hianway's established
grade line, lying within the approvea highway right of way
limits.
c. The applicant snail be responsible for aii future maintenance
costs associated with the hike trail and adjacent airspace, ail
at no cost to the DOT.
a. The applicant shall be responsible for any and all damages to
the bridges or otner highway appurtenance arising out of the
construction, maintenance and operation of the bike trail ana
adjacent airspace ana snail be responsible for any and all damages
to the puuiic for personal injury, loss of life and property damage
arising out of the maintenance and operation of the airspace. The
applicant snail idemnify and save harmless the DOT from all suits,
actions, or claims of any character brouant because of any injuries
or damages received or sustained by any person, versons, or
property because of the maintenance ano operation of the airspace.
e. The applicant shall maintain aceauate drainage through the
drainage area next to the bike trail embankment.
f. Should future maintenance be required to the bridge structure
in the area of the hike trail , the Department of Transportation
maintains the right to enter upon the bike trail area ana
assumes no liability for possible damages incurred to the bike
trail or fence.
g. Authorization of this application does not assure continues
passage of highway right of way, wr:erf ana if existing bridges
neea to be replaceo or removed.
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