HomeMy WebLinkAbout299 Albert - Action Rooter- CITY OF
san WIS OBI sP O
C A L I F 0 R N I A
Public Works Department - 919 Palm Street - San Luis Obispo, CA 93401-3218
Location: 299 Albert Dr
X-streets: McCollum
Project Name: Sewer lateral replacement
Contractor: Action Rooter
Steven Foster
805-440-2034
Sewer: T: 0 B: 19
— Frontage Improvements Complete/Upgraded
— Curb Ramp Complete/Upgraded
— City Fiber — Bus Route ✓ Sewer Wye
ENCROACHMENT PERMIT
Right of Way
ENCR-0057-2023
USA #: N/A
Other permits required:
Bldg Dept
Description of Work:
Replace sewer lateral to the main using trenchless technology. Trenchless
lateral replacements require a video submittal to be emailed after
replacement. A separate building permit is required for any sewer lateral
replacement on private property. All work to be done to City Standard
Specifications & Engineering Standards. Traffic and pedestrian controls must
be per City Appendix G & MUTCD Standards. Call the Public Works inspection
hotline at 805-781-7554 two working days prior to the start of work and one
working day prior to each subsequent inspection. Permittee is responsible for
calling for final inspection so the permit can be closed. Also, please call the
Public Works inspection hotline at 805-781-7554 to coordinate Wye
installation two working days in advance.
All work performed within the right-of-way shall conform to the City of San Luis Obispo Engineering Standard Details
and Standard Specifications.
You are responsible for liability for personal injury and / or property damage caused by this work or your failure to do what you are
obligated to do. If a claim of such liability is made against the City or any of its departments, officers, or employees, you shall, and
hereby agree to, defend and indemnify the City and hold the City harmless from any claims, including costs of defense and attorney
fees.
All work shall be completed and the right-of-way restored by: March 31, 2023
AGREEMENT: I have read this permit and acknowledge receipt of the City of San Luis Obispo Encroachment Permit
General Provisions and _ pages of attached special conditions which I have read, agree to, and acknowledge as a
part of this permit.
Signature
Print Name
DEPT f PWORKS
UBL i11,r�tr
Issued By
Final Inspection By
Date
4&LOOE3
Date
Date
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Telecommunications Device for the Deaf (805) 781-7410.
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Water Pollution Prevention Tracking Information
Municipal Stormwater BMP E.10.a Compliance Form
Water Pollution Control Manager Information
Construction Company: Action Rooter
Contractor's License Num.: 557901
QSP Num (for SWPPP):
Responsible Person: Steven Foster
Mailing Address: 3940 Broad St., suite 7424
Office Phone Number: (805) 541 -1333
Cell Phone Number: (805) 440-2034
Email Address: Info@ action rooterplumbing.com
Project Information
Project Location: 299 Albert Dr
Description of Work: Replace sewer lateral from property to main
Distance to Nearest Creek or Storm Drain: 3.500'
Area of Disturbance 4'x 5' pothole
Construction Phase (circle one)
Construction Permit Type (completed by City Staff)
❑ Encroachment Permit Permit Number:
❑ Building Permit Permit Number:
❑ Capital Improvement Plan Spec. Number:
Date Permit Issued:
Estimated Completion Date:
Construction Permit Status (completed by City Staff)
Pollution Prevention Plan Type (completed by City Staff)
❑ SWPPP Approval Date:
❑ WPCP (Included with Plans) Approval Date:
❑ WPCP (Minor) Approval Date:
On -Site
Water Pollution Control Plan for Minor Projects
Best Management Practices (BMP)
BMP to be Implemented Standard BMP Description
Specification
Good Housekeenine BMPs
❑x
Equipment Maintenance
13-4.03C
Maintain, repair, fuel, storage location, inspect vehicles
❑x
Stockpile Management
13-4.03C(3)
Cover Stockpile, Place Waddles
❑x
Sweeping
13-4.03F
Sweep work area daily and prior to rain events
9
Spill Management
13-4.03
Plan and materials for mitigating spills onsite
Waste Manapement RMPe
0
Saw -cut Slurry
13-4.03E(7)
Vacuum slurry and contain
0
Washout
13-9
Plastic lined washout areas for concrete and tools
0
Portable toilets
13-4.03D(4)
Provide and ensure secondary containment
0
Solid waste
5-1.31
Contain and remove trash from site daily
Work Snecific RMPs (check and add all that annly)
❑
Creek Protection Controls
13-10
BMPs and Controls to protect adjacent waterways
❑
Storm Drain Inlet Protection
13-6
Gravel bags and entrance
❑
Construction Entrance
13-7
BMPs to eliminate tracking from construction site
BMP Maintenance
0 1 Inspect, Document, Clean & Repair 1 13-1.03 1 Daily maintenance of required BMPs
Acknowledgment
I have read, understood, and agree to the requirements of:
1. This WPCP
2. City of San Luis Obispo's Engineering Standard and Specifications
3. State of California's General Construction Permit
I understand and agree that:
1. Additional BMPs may be required during the course of the work to ensure the protection of local water quality
2. You must take corrective actions to protect local water quality
3. Failure to comply with all requirements could cause:
a. All construction work to be stopped until compliance is achieved
b. Perm)'Jp be revoked
c. L,cglie privilege to work within the City right-of-way for 2 years
Water Pollution CAtrol Manager Signature
Steven Foster
Water Pollution Control Manager Printed Name
Date: 1 /11 /2023