Form Center

Peoria County Highway Department Utility Permit

Steps

1. Step 1 This section is complete This section is incomplete
2. Step 2 This section is complete This section is incomplete

Step 1

Petitioner / Company*
Contact Person First Name*
Contact Person Last Name*
Address1*
Address2
City*
State*
Zip*
Phone Number*
Fax Number
Email Address
Continue

Step 2

Contractor Performing the Work
If different from the Petitioner
Contractor's Contact Person
Phone Number
Email Address
County Highway Name*
Name of road where work will be performed
County Highway Route Number
R _ _ , D _ _ , or S _ _. Refer to Peoria County Map
Location of Work*
Address, GPS Coordinates, or Quarter Section
Description of Work*
Plans, drawings, or sketches.
Upload for electronic submittal.
Location Map
Upload for electronic submittal.
Completion Date of Work*
Completion Date of Work
Work will be completed by this date, or this permit becomes null and void.
Subject to the following conditions and restrictions:
1. It is expressly understood that int he event of Road Reconstruction or Maintenance operations it is necessary to move or alter the above mentioned installation, said installation shall be moved or altered promptly after the petitioner, his agent or assigns receives written notice and demand from the County Engineer that said installation shall be moved or altered. The Petitioner, his assigns, or any other person who assumes responsibility for the care and maintenance of said installation, shall be responsible for all costs incurred in the moving or altering of the above stated installation.
2. The Petitioner shall furnish all material, do all work, pay all costs, and shall in a reaonable length of time restore said highway to a condition similar or equal to that existing before the commencement of the described work. The County Engineer shall be the final and sole decision maker as to whether said highway has been restored to "a condition similar or equal to" that existed before the commencement of said work.
3. In granting this permit, the Petitioner agrees not to interfere with or obstruct traffic on said highway. Proper barricades, flagmen, flares, signs, or other necessary precautions as specified by the County Engineer shall be provided to protect the traveling public at all times. All of the above mentioned items shall be furnished by the petitioner at his expense.
4. Petitioner shall remove all excess material and leave the shoulders, ditches, and backslopes in the same presentable condition as before construction, including seeding, to the satisfaction of the County Engineer.
5. Petitioner shall replace and repair any pavement surface damaged during construction. All crossings shall be made by boring underneath the pavement unless otherwise permitted by the County Engineer.
6. Petitioner shall refrain from using any tractor or other machinery equipped with lugs that would cause damage to pavement surface.
7. If specific permission due to construction condition is given to the petitioner to open cut across the pavement, the following procedures shall be used:
The petitioner shall cut the pavement so as to form a straight edge at least eight inches wider on each side of the widest portion of the trench. The petitioner shall removed all excavation and immediately backfill the trench with sand or flowable backfill. Sand backfill shall be thoroughly compacted to not less than 95% of the standard laboratory density. After backfilling is completed, the top eight inches of the trench for the width of the pavement cut shall be filled with eight inches of IDOT Class PP concrete or six inches of IDOT certified HMA Binder Course and 2 inches of HMA Surface Course, finished flush with the existing pavement. The joint around the patch shall be sealed with IDOT certified Hot Poured Joint Sealer.
8. Trenches that are made along the shoulder or any aggregate surfaced area shall not be made nearer to the edge of the pavement than two feet. All of the excavated material shall be loaded and hauled off the limits of the right of way or as directed by the County Engineer. The excavated trench shall be backfilled as in Article #7 above, except the top eight inches shall be compacted with IDOT certified Type A CA-6 Gravel.
9. Trenches or excavations along the right of way and not on the portion of the road bed (shoulder to shoulder) may be excavated and the same excavated material may be used as backfill, however, the trench may not be closer to the centerline of the ditch than two feet on either side of the ditch. The backfill shall be compacted to 95% of the standard laboratory density.
10. For a period of 12 months after the work has been completed, the petitioner is responsible for any work necessary to resotre any portion of the work area to a condition equal to that existing before the work was started by the petitioner to the satisfaction of the County Engineer.
11. No equipment, in the opinion of the County Engineer, that may be detrimental to the roadway or the road surface may be used.
12. In case it is necessary to remove any guardrail during construction, the petitioner shall replace the guardrail to the alignment and grade established by Peoria County Highway Department. Any guardrail damaged during construction shall be replaced without cost to the County and to the satisfaction of the County Engineer.
13. The petitioner shall reimburse the County at contract rates for any repairs the County deems necessary to the existing highway on account of said petition in case of emergency or neglect by said petitioner.
14. All areas where existing vegetation has been disturbed during prosecution of the above work shall be seeded, fertilized, and stabilized with straw, mulch, or erosion control blanket in accordance with the specification of IDOT.
15. The Petitioner shall assume all risk and liability for accidents and damages that may accrue to persons or property on account of this work. The Petitioner further agrees to indemnify and hold harmless the County of Peoria, or any of its agents, employees, or the like against any and all damages to property, or injuries to or death of any person or persons, including employees or agents of the County of Peoria, and shall indemnify, and hold harmless the County of Peoria, or its agents, employees or the like, from any and all claims, of or by anyone whomsoever, and any resulting from or arising out of the operations in connection herewith, including operations of subcontractors, and acts or omissions of the Petitioner, his agents, employees, or assigns.
16. The Petitioner shall not trim, cut, or in any way disturb any trees or shrubbery along said highway without the approval of the County Engineer or his duly authorized representative.
17. If necessary to remove any highway signs, mailboxes, etc., the Petitioner shall reset them in their original position immediately after construction has been completed to the satisfaction of the County Engineer.
18. That this permit is effective in so far as the County has jurisdiction and does not presume to release said petitioner from fulfilling any existing statutes relating to the construction of such improvement.
19. In any case not covered by above conditions and restrictions, the County Engineer is authorized to draw up reasonable conditions and restrictions suitable to the particular case.
20. This Agreement is binding not only on the Petitioner, but also on the Petitioner's employer, successor, assigns, subcontractor, or any other person who funds or assists in the funding of the proposed installation or assumes the responsibility for the care and maintenance of the proposed installation after its completion. The Petitioner agrees that he has a mandatory duty to inform his employer, successor, assigns, or any person who subsequently assumes responsibility for the care and maintenance of said completed installation of the existence of this Agreement.
This permit is hereby accepted and its provisions agreed to on this date:*
This permit is hereby accepted and its provisions agreed to on this date:
Electronic Signature*
By checking "I Agree", you agree and acknowledge your electronic signature is valid and binding in the same force and effect as a handwritten signature.
1. I Agree