In the intricate web of civic management and property rights, the Solano Encroachment Permit form emerges as a pivotal document, guiding both individuals and businesses through the correct procedural pathway for initiating various types of work that encroach upon public rights-of-way within Solano County. Issued by the County's Public Works Engineering Department, this comprehensive form serves as an official request for permission to perform work that physically impacts county roads or adjacent land, be it through the installation of driveways, utility lines, or other modifications. Applicants are required to furnish detailed information spanning the intended work's nature, location, and timeline, alongside full adherence to stipulated conditions ensuring public safety and compliance with county regulations. The form encapsulates a fine balance between enabling infrastructure development and safeguarding communal space, outlined through its sections on standard and special conditions, liability clauses, maintenance responsibilities, and explicit steps for work completion. Critical dates, such as the permit's expiration and work commencement, are highlighted to ensure timely project progression, while sections catering to associated permits, comprehensive work descriptions, and mandatory certifications of information accuracy underline the document's role in fostering responsible public works enhancements within the framework of Solano County's governance. Its design not only illustrates the procedural norms for encroachment activities but also reflects a structured commitment to maintaining the integrity of public domains, encapsulating a broad spectrum of interactions between private initiatives and public interests.
| Question | Answer |
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| Form Name | Solano Encroachment Permit Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | EncroachmentFor m solano county encroachment permit form |
ENCROACHMENT PERMIT APPLICATION
ISSUED BY: Solano County Public Works Engineering |
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675 Texas Street, Suite 5500 |
PERMIT NUMBER: |
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Fairfield CA, |
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Phone: (707) |
EXPIRATION DATE: __________________________ |
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APPLICANT |
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LOCATION OF PROPERTY |
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______________________________________________ |
_____________________________________________ |
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Name |
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Assessor’s Parcel Number |
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______________________________________________ |
_____________________________________________ |
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Address |
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Address |
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______________________________________________ |
_______ side of ________________________________ |
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City, State, Zip Code |
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N/S/E/W |
Road Name |
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______________________ |
____________________ |
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_______ of ___________________________ |
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Telephone Number |
Fax Number |
ft/mi |
N/S/E/W |
Road Name |
TYPE OF ENCROACHMENT: |
( ) Permanent ( ) Temporary |
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PROPOSED WORK: |
( ) Install driveway |
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( ) Install utilities (pipeline, cable, conduit, etc.) |
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( ) Other- indicate: ____________________________________________________ |
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_________________________________________________________________ |
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Is this encroachment permit application associated with a building permit and/or use permit? |
Yes ____ No ____ |
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If yes, provide the building permit number and/or use permit number: _________________________________________
Describe work fully. Attach complete plans, dimensioned diagram of driveway location on parcel if applicable, maps, etc.:
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When do you plan to start work? (month, year) _________________________ |
finish? _________________________ |
I hereby certify that all information is true and correct to the best of my knowledge. I agree to comply with all terms and conditions of this permit, including all Standard and Special Conditions, and Federal, State, and County laws and regulations.
_________________________________ |
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__________________________ |
Signature of applicant |
Title |
Date |
CALL PUBLIC WORKS ENGINEERING AT (707)
FOR OFFICE USE ONLY - DO NOT WRITE BELOW THIS LINE
Permission is hereby granted to the applicant to perform the above described work within the Solano County road
( ) Major |
( ) Minor |
Application Fee: $______________________ |
Annual Fee: $_____________________ |
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Inspection Deposit: $____________________ |
Receipt No.: ______________________ |
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Road Maintenance Supervisor _______________________________________________ |
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PERMIT ISSUED BY: |
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_________________________________ |
_________________________________ |
__________________________ |
Signature |
Title |
Date |
WORK ACCEPTED BY: |
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_________________________________ |
_________________________________ |
__________________________ |
Signature |
Title |
Date |
Rev. 7/2005 EncroachmentForm.doc |
page 1 of 2 |
ENCROACHMENT PERMIT STANDARD CONDITIONS
1.The permittee shall comply with all of the terms and conditions of this permit, including any supplemental conditions if applicable, and with the provisions of Chapter 24 of the Solano County Code. Supplemental conditions shall take precedence over these standard conditions, in the event of any conflict. All encroachment work shall be performed in accordance with good design and construction practice. The permittee shall supply a bond if requested by the Solano County Department of Resource Management – Public Works Engineering.
2.The permittee is responsible for all liability for injury to, or death of, any person, or damage to property which may occur through any act or omission of either the permittee or Solano County arising from the issuance of this permit. In the event any claim, suit or action is brought against Solano County, its officers, agents or employees, by reason of, or in connection with, any such act or omission, permittee shall defend, indemnify, and hold harmless Solano County, its officers, agents and employees from such claim, suit or action. If required by Solano County, the permittee shall provide a certificate of insurance that meets Solano County’s requirements. The insurance shall normally be in the amount of $5,000,000, but may be more or less as required by Solano County.
3.The permittee agrees to assume responsibility for the maintenance, repair, and replacement of encroachments installed pursuant to this permit. The permittee agrees that Solano County shall not be responsible for any future damages incurred by any facilities placed underground pursuant to this permit. All encroachments installed pursuant to this permit shall be kept in a good state of repair. The permittee shall remove or relocate any encroachment at permittee's expense within 30 days if requested by Solano County Public Works.
4.All work to be performed shall be completed by the expiration date, but under no circumstances later than two years from the date of issuance of this permit, unless extended by Solano County Public Works.
5.The permittee shall provide for public safety and convenience and proper traffic control during construction in accordance with the requirements set forth in the current Manual of Uniform Traffic Control Devices (MUTCD) and the MUTCD California Supplement, and in Sections
6.Unless the permittee is a public utility, the permittee shall not impede
7.The permittee shall be responsible for determining the existence and location of any prior encroachment or underground facility. Should such a prior encroachment or underground facility conflict with the proposed new work, the new permittee must either redesign the proposed new work to avoid such existing facilities, or arrange for any necessary removal or relocation with the prior permittee or underground facility. Any such removal or relocation will be at no expense to the County. The permittee shall locate (horizontally and vertically) such facilities in the field upon the request of Solano County Public Works.
8.The permittee shall, whenever required by law, secure written authorization for any work that must be approved or permitted by any federal, state or local agency having jurisdiction. Failure to comply with the law, as noted above, will invalidate the County's permit.
9.Permanent driveways shall conform to the following requirements: 1) the driveway width shall be a minimum of 12 feet; 2) the driveway shall be paved with 2 inches of asphaltic concrete over 6 inches of aggregate base, or constructed of 5 inches of Portland cement concrete; 3) culverts installed under the driveway shall be a minimum of 15 inches in diameter; 4) the driveway shall in all other regards conform to the Solano County Public Works standard drawing entitled "Driveway Connection" or "Commercial Driveway / Private Road Connection", as appropriate.
10.Temporary driveways shall conform to the following requirements: 1) aggregate base material shall be used for construction of the driveway; 2) the permittee shall remove the driveway and restore the site to its original condition within six months of the date of issuance of this permit. To permanently retain a temporary encroachment, the permittee shall obtain a permanent encroachment permit.
11.Utilities (such as pipelines, cables, conduits, and wires) shall conform to the following requirements: 1) facilities installed under good condition or unmarked pavement must be bored or jacked; 2) if pavement is to be cut, it must be saw cut or jack hammered in neat, uniform lanes; 3) if trenches are to be dug, trench backfill located under the pavement or within three feet of the edge of pavement shall be comprised of structure backfill material, and installed as set forth in Section
12.Seismic surveys shall conform to the following requirements: 1) no seismic testing shall be performed within the traveled way of any Solano County road; 2) a $10,000 surety bond shall be on file in the office of the Solano County Department of Resource Management; 2) the permittee shall be responsible for repairing any damages resulting from actions performed pursuant to this permit to the satisfaction of Solano County Public Works.
13.The permittee shall take the following actions (if checked):
( ) Contact Underground Service Alert (USA) at
() Repair the affected road structural section with __________ feet of hot A.C. mix and __________ feet of aggregate base over structure backfill material.
() Install a __________ inch diameter (minimum) 14 gauge galvanized corrugated steel pipe (or approved alternate) in accordance with the drawing entitled "Solano County Public Works Driveway Connection".
() Provide a certificate of insurance in the amount of $1,000,000 to Solano County’s satisfaction.
() Bore or jack under the existing pavement
() No cutting of the pavement is allowed.
() Depress the driveway entrance to provide adequate drainage.
() Remove the existing curb, gutter and/or sidewalk either by sawing or removing at the nearest joint.
(x)Notify _____________________________, the Solano County Road Maintenance Supervisor, at (_____) ________________
not less than two working days prior to the start of work.
() Other: _______________________________________________________________________________________________
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Rev. 7/2005 EncroachmentForm.doc |
page 2 of 2 |