APPLICATION FOR UTILITY PERMIT
HIGHLAND COUNTY, OHIO

PERMIT TO WORK WITHIN AND/OR INSTALL FACILITIES WITHIN THE RIGHT-OF-WAY LIMITS OF COUNTY AND TOWNSHIP ROADS IN HIGHLAND COUNTY
Please Fill Out All Fields

Exact Location of Work

Drag and drop files here or Browse
Please provide two drawings. Max file size 30 Mb total.

IT IS UNDERSTOOD THAT WORK SCHEDULES ARE APPROXIMATE, THE PERMIT HOLDER SHALL NOTIFY THE HIGHLAND COUNTY ENGINEER 2 WORKING DAYS IN ADVANCE OF COMMENCEMENT OF ANY WORK AT (1-937-393-3496) AND SHALL NOTIFY THE OHIO UTILITIES PROTECTION SERVICE 2 WORKING DAYS BEFORE DIGGING.

THE APPLICANT AGREES TO THE FOLLOWING CONDITIONS:

1. THAT THE TRAFFIC WILL BE MAINTAINED AT ALL TIMES UNLESS THE COUNTY ENGINEER GRANTS WRITTEN PERMISSION TO CLOSE THE ROAD.

2. THAT DISTURBANCE TO THE ROAD SHOULDER AND ROAD SURFACE BE KEPT AT A MINIMUM, THAT ALL TRENCHES AND EXCAVATIONS BE BACKFILL WITH GRANULAR MATERIALS, PROPERLY COMPACTED TO PRECLUDE SETTLEMENT, AND THAT THE WORK AREA SHALL BE RETURNED TO AS GOOD OR BETTER THAN EXISTING CONDITIONS.

3. THAT PAVEMENT CUTS ARE PROHIBITED UNLESS SPECIFICALLY AUTHORIZED IN WRITING BY THE COUNTY ENGINEER.

4. THAT THE UTILITIES MANUAL AS PUBLISHED BY THE OHIO DEPARTMENT OF TRANSPORTATION SHALL BE CONSIDERED MINIMUM STANDARDS OF PRACTICE.

5. THAT LIGHTS, SIGNS, BARRICADES, AND IF NECESSARY FLAGMEN WILL BE USED FOR THE PROTECTION OF TRAFFIC, AND THE PUBLIC AT ALL TIMES. THE WORK AREA PROTECTION MANUAL GUIDELINE FOR PUBLIC UTILITIES IS RECOMMENDED AS MINIMUM PRACTICE STANDARDS.

6. THAT THE PERMIT HOLDER SHALL ASSUME THE RESPONSIBILITY FOR AND SHALL HOLD HIGHLAND COUNTY HARMLESS AND DEFEND ANY AND ALL CLAIMS FOR PERSONAL INJURY AND PROPERTY DAMAGES THAT MIGHT BE BROUGHT AS A RESULT OF THIS APPLICATION OR ANY WORK OR ACTIVITIES PERFORMED BY THE PERMIT HOLDER PURSUANT TO THIS PERMIT, AND FURTHER THAT HIGHLAND COUNTY WILL NOT BE HELD RESPONSIBLE FOR ANY DAMAGE TO FACILITIES PLACED UNDER THIS PERMIT DURING THE COURSE OF THEIR NORMAL MAINTENANCE AND OPERATION

7. THE TERMS OF THIS PERMIT SHALL REMAIN IN FULL FORCE AND EFFECT UNTIL SUCH TIME AS THE PERMITTED INSTALLATION IS REMOVED FROM PUBLIC RIGHT-OF-WAY.

5 + 4 =

HCE signwithdropshadow