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Home My WebLink About761 Grove - Izzy PlumbingCITY OF san WIS OBISP O C A L I F 0 R N I A Public Works Department • 919 Palm Street - San Luis Obispo, CA 93401-3218 Location: 761 Grove St X-streets: Mill, Phillips Project Name: Sewer lateral replacement Contractor: Izzy Plumbing Jacob Springer 805-406-0596 Sewer: T: 0 B: 18 — Frontage Improvements Complete/Upgraded — Curb Ramp Complete/Upgraded — City Fiber — Bus Route ✓ Sewer Wye ENCROACHMENT PERMIT Right of Way ENCR-2729-2021 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. All work to be done to City Standard Specifications & Engineering Standards. Traffic and pedestrian controls 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: January 28, 2022 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. offPUBLIC WORKS Issued By Final Inspection By Date C -�� Date Date &The City of San Luis Obispo is committed to include the disabled in all of its services, programs and activities. Telecommunications Device for the Deaf (805) 781-7410. _mot r � �• Gy FA-MILO, 1000 Built in 1952 Construction Company: Contractor's License Num.: QSP Num (for SWPPP): Responsible Person: Mailing Address: Office Phone Number: Cell Phone Number: Email Address: Project Location: Description of Work: Water Pollution Prevention Tracking Information Municipal Stormwater BMP E.10.a Compliance Form Water Pollution Control Manager Information IZZY PLUMBING 892651 JACOB SPRINGER 843 VIA ESTEBAN 8054060596 JACOB@ IZZYPLUMBING.NET Distance to Nearest Creek or Storm Drain: Area of Disturbance Construction Phase (circle one) ❑ Encroachment Permit ❑ Building Permit ❑ Capital Improvement Plan Date Permit Issued: Estimated Completion Date: Project Information 761 Grove st SEWER LATERAL REPLACEMENT 20' Street On -Site Construction Permit Type (completed by City Staff) Permit Number: Permit Number: Spec. Number: 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: Water Pollution Control Plan for Minor Projects Best Management Practices (BMP) BMP to be Implemented Standard p Specification BMP Description r,nnrl Nnsico400nino RMDe ❑x Equipment Maintenance 13-4.03C Maintain, repair, fuel, storage location, inspect vehicles Stockpile Management 13-4.03C(3) Cover Stockpile, Place Waddles 0 Sweeping 13-4.03F Sweep work area daily and prior to rain events ❑x Spill Management 13-4.03 Plan and materials for mitigating spills onsite Wacta Mann omant RMDe ❑x Saw -cut Slurry 13-4.03E(7) Vacuum slurry and contain ❑x Washout 13-9 Plastic lined washout areas for concrete and tools ❑x Portable toilets 13-4.031)(4) Provide and ensure secondary containment ❑x Solid waste 5-1.31 Contain and remove trash from site daily wnrK 1nPrlflr KMNC Irnorlr nnrl nrlrl nil +F»f -1.n ❑ Creek Protection Controls 13-10 BM Ps 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 ❑x 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. Permit to be revoked c. Lose the privilege to work within the City right-of-way for 2 years Water P utjnn'Cai(tTol M Jacob Springer Water Pollution Control Manager Printed Name Date