The URL can be used to link to this page

ENG20170265 ROW APPLICATION.pdf.1 Of E VA4,1. ROW PERMIT NO.: ENG ISSUE DATE: PROJECT NAME: Civic Center Playfield Imnrovements CONTRACTOR: Holocene Drilling, Inc. Mailing Address: 11412 62 Ild Ave E p uvallun_ WA 98373 State License #: HOLOCDI044KH City Business License #: NR -023957 CONTACT: Sean Gertz Phone #: 425-329-0251 Fax #: Email #: sgertz@landauinc.com Liability Insurance M Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: Intersections of 7th Ave N & Edmonds St, 6th Ave N & Daley St, and 6th Ave N & Fire Dept Parking Lot, ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: A Commercial 0 Multi -Family Subdivision n Single Family EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? ANY ASSOCIATED PERMITS? City Project El Other ❑ Yes ❑ No BLD# ENG# Traffic Control (Only) DESCRIPTION OF PROPOSED WORK (Be Specific) : _(!,Q . onds Civic Center Playfield Improvements Project. Work will occur in paved roadway area or adjacent parking strip. Only one lane will be closed at a time. WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES NO Yeah`: PAVEMENT CUT: [�] Yes 0 No If yes, indicate size of cut: 12 inLh d°t. CONCRETE CUT: 0 Yes El No If yes, indicate size of cut: FRIGHT-OF-WAY AREA TOTAL DURATION (NUMBER CLOSURE OF MONTHS) I Sidewalk 48 Hrs + LF X LF SF .... . . ....... Alley 72 Hrs + LF X LF SF Parking 72 Hrs + LF X LF SF APPLICANT TO READ AND SIGN *Traffic control and public safety shall be in accordance with City regulations as required by the City Engineer. Every flagger must be trained as required by (WAC) 296-155-305 and must have certification verifying completion of the required training in their possession. *Restoration is to be in accordance with City codes and Standards. All street -cut trench work shall be patched with asphalt or City approved material prior to the end of the workday — NO EXCEPTIONS. Indemnity, The Applicant has signed an application which states he/she hold the City of Edmonds harmless from injuries, damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds or any of its departments or employees, including defense costs and attorney fees by reason of granting this permit. I have read the above statements and understand the permit requirements and acknowledge that I must follow all requirements in order for the permit to be valid. SIGNATURE e" Contractor or Agent DATE 7/5/17 NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE July 5, 2017 City of Edmonds 1215th Avenue North Edmonds, Washington 98020 Re: Right -of -Way Construction Permit Application City of Edmonds Civic Center Playfield Improvements Project Edmonds, Washington Dear Permitting Staff: Landau Associates is requesting review and approval of the attached right-of-way (ROW) permit application and traffic control plan for the City of Edmonds' proposed Civic Center Playfield Improvements Project. We plan to advance three shallow auger borings at the locations shown on the attached figures to evaluate the subsurface conditions along the project alignment. We have tentatively scheduled drilling for July 19, 2016. Drilling will occur between approximately 8:00 AM and 5:00 PM. We have included Google Earth figures showing the approximate work locations. The actual locations of the borings may vary somewhat as their final positions will be determined based on underground utility checks, which will be conducted prior to drilling. A track -mounted hollow -stem auger will occupy each of the work locations for approximately 1 to 2 hours. State licensed traffic control flaggers and devices will be provided when the drilling activities impact traffic. Traffic control devices will include standard "Road Work Ahead," "One Lane Closed," and "Flaggers Ahead" signage; traffic channelization cones; and other traffic control devices, as appropriate. The borings will be located in the paved roadway area or in the adjacent parking strip. Only one lane or the associated parking strip will be closed in the work area, with alternating, one-way traffic being coordinated by the flaggers. See the attached traffic control plan for details. Three monitoring wells are planned to be constructed at the boring locations. Monitoring wells will be constructed per the attached typical monitoring well construction detail. Hard surficial materials (i.e., asphalt or concrete) will be cut with a 12 -inch diameter coring machine to allow for drill cuttings to exit the approximately 6 -inch diameter boring while minimizing potential damage to surrounding pavement. In locations where monitoring wells are installed, a flush mounted ENVIRONMENTAL I GEOTECHNICAL I NATURAL RESOURCES 130 2nd Avenue South a Edmonds, WA 98020 - (425) 778-0907 • fax (425) 778-6409 • vwwv.landauinc.com SEATTLE • SPOKANE • TACOMA • PORTLAND steel monument set in concrete will be installed as shown in the attached typical monitoring well detail. In locations without monitoring wells, rapid -set concrete will be used as a patch. Excess soils will be hauled away and properly disposed of :osite. While we cannot precisely determine boring locations at the time of ROW application, we will ke every effort to avoid locating borings in the traffic wheel paths. We will have an emergency spill kit available during the drilling activities in the unlikely event of a petroleum leak or spill. We look forward to working with you and your designated staff during this and later phases of this project. If you have any questions, please contact either Sean Gertz (425-329-0251) or Steve Wright (425-329-0290). LANDAU ASSOCIATES, INC. �*ean Gertz EIT � Senior Staff Geotechnical EIT SMG/SZW/rgm Attachments: Proposed Boring Locations Right -of -Way Construction Permit Application Traffic Control Plans Evidence of Insurance 7/5/17 P:\1548\002,010\MUtOW ApplicationWOE Civic Center RoW Permit App Cvr Ltr.docLANDAu ASSOCIATES 2 care CL | | | | | .| | � | � ) Stationary Work z_s K \� \ § D § / IL � Work Zone Traffic Control GuideAe m54-44.04 Page 2-7 February 2012 Chapter 2 Q Stationary Work Zones Work Zone Traffic Control Guidelines M 54-44.04 Page 2-3 February 2012 MONITORING WELL 1.5 ft Flush Monument embedded in concrete seal 8.5 ft I Bentonite chips (hydrated) 1 ft - 2 -inch diameter, Schedule 40, L-41PVC well casing 9.5 It 4 -inch diameter, Schedule 40, PVC screen (0.020 -inch slot size) ............. 6M -•–Threaded end cap 21t 2/12 sand pack Notes: I Civic Center Playfield Typical Monitoring Well Construction Figure 14 LANDAU Improvements ASSOCIATES Edmonds, Washington Design - ' CERTIFICATE OF LIABILITY INSURANCE � DATEY(MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Servco Pacific Insur nce 800 Fifth Ave. Suite 2400 Seattle WA 98104 INSURED LANDASS-02 Landau Associates, Inc. 130 2nd Avenue South Edmonds WA 98020 INSURERF:Alaska National Insurance Cmmnanv p73, COVERAGES CERTIFICATE NUMBER: 1783975295 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY _ ..... ,... PAID CLAIMS. TYPE OF I ..5�._...• ...._.. .......�.. ....._ _....�,,, ._.. Y.............m,..A TN' TYPE N RANCE ADDL U'B" POLICY EFF I POLICY' NUMBER m., _ ........e.,....... .....,...,.....�._.,.• ._e,..... POLICYEXPLIMITS B GENERAL LIABILITY C6045400327 12/31/2016 12/31/2017 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY �IP4t5E.t" e9� X CLAIMS -MADE OCCUR M,ED L Pdi�'.(' on€raan) S15' 000 PERS ON ALEADy!t!4UkY 1,000M ......... _�. -._. �' FtlNEFdNAGGREGATE 000 00 �....� . EN APPLIES PER: PRODUCTS' I~"�.b'MP/OP AGG �rmmm�"�mm . _ .�. $,7�(3,6�I��•.,.m....... P OLICRLXJATE��''ROT Y LOC -. $ C AUTOMOBILE LIABILITY PHPKIS89504 12/31/2016 ._ 12/31/2017 IJ J+ WINED a1 p00000 X ANY AUTO .,,...._, ......_. BODILY INJURY Per person)$ ALL OWNED SCHEDULED „_..............� ,,,m._. ........,,,,,,.,....,.,................_...m....,��.. AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS X NON-0WNED :AUTOS Wi1ITOPLRTYAMAEE' iiGCl7- $ IEACHC9CCURRENCEI D X UMBRELLA LIAB X" OCCUR C6045400344 12/31/2016 12/31/2017 $5,030;000 EXCESS LIAB CLAWS•MAOE. A,GGREGATE µ •�� ,..._.0,-. ........ $5,0015,000 OEGP RETENTION$ E F WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 06045400330 16L WU 09131 12/31/2016 12/31/2017 X VK STATU X 0TH" IL"kLk P iIk11TS USL&H YIN ANY PROPRIETOWPARTNERWEX'E'CUTIVFE,L OrRCER1MEMBEREXC'LUDEW � NIA 12/31/2016 12131/2017 EACH ACCIDENT �a'�,000.000 (Mandatory in NH) P S describe rapider yy OESCRIPTVOPI OF OPERATIONS be�wP EA EMf�LOYE _ .�_. $ 1,000 000 - E'.i DISEASE POLICY LIMIT $1.O0D,_ C0 000,00'0 A Professional Liability I W13431160501 12/31/2016 12/31/2017 Per Claim $5,000,000 Inc, Pollution Liability Aggregate $5,000,000 Deductible $150,000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) IF CERTIFICATE IS NO LONGER REQUIRED, PLEASE NOTIFY SERVCO PACIFIC INSURANCE DIRECTLY, Evidence of Insurance only. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD