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Road Occupancy Permit

A Road Occupancy permit is required whenever there is any type of work or activity on a County Road or Road Right of Way which will interrupt normal traffic flow, cause safety concerns, or change existing conditions including:

General Conditions for a Road Occupancy Permit for Applicants

Road Occupancy Application Form

Contact Name:(Required)
Address:(Required)
Emergency/After Hours Contact Name:(Required)
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    Type of Work and/or Purpose:(Required)

    The applicant agrees and accepts full responsibility for the protection of all utilities, private property and persons affected by his/her operations and further indemnify and save harmless Dufferin County and all assets and personnel it is in law responsible for. The applicant further agrees to provide proof of insurance as provided for under Construction, Installations and Repairs Conditions #1. I/We the undersigned have read and understood the information provided and agree to abide by all Conditions as they may apply to the approved Permit.

    I adopt the above as my signature:(Required)
    MM slash DD slash YYYY

    I/We the undersigned have read and understood the general conditions listed below and agree to abide by all Conditions as they may apply to the approved Permit.

    1. INSURANCE Requirement: In order to receive a Dufferin County issued permit the applicant MUST PROVIDE proof of a valid insurance certificate naming the County of Dufferin as additional insured with minimum Commercial General Liability (CGL), General Aggregate and/or Umbrella coverage of five million dollars ($5,000,000.00). 2. This permit is not valid until all copies are signed, approved and issued. Permits are valid for the date, time, locations and type of work listed only. 3. Normal Hours of Operation will be 7:00am to 7:00pm (summer) and 7:00am to 4:00pm (November 15 to March15). Specific restrictions may be imposed. 4. The Applicant will ensure all personnel working under this permit do so in accordance with Ministry of Labour's Occupational Health and Safety Act for Construction Projects. Trench safety will be in accordance with current Ministry of Labour Standards. 5. When working, a copy of this Permit, all Utility Stakeouts and a Traffic Control and Protection Plan must be on site at all times. 6. The Applicant agrees and accepts full responsibility to supply, maintain, keep in clean condition and place all barricades, warning signs, delineators and flashing lights, necessary for the protection of the public and the safe operation of the installation, at the applicant's own expense, as per the Ontario Traffic Control Manual, Book 7, Temporary Conditions latest revision. 7. All utilities shall be protected and supported, to the satisfaction of the utility concerned. 8. Roads shall Not Be Closed unless expressly stated and approved by the County. 9. Open cutting of the Road is Not Permitted unless prior approval is obtained. 10. The road surface, sidewalks/walkways and boulevards shall be kept clear of obstructions or debris to avoid hazard or inconvenience to the public. 11. Mud tracking or dust nuisance shall not be allowed. Any accumulation must be cleaned from the road and/or shoulders immediately. If at any point County supervisory staff find that mud tracking or dust nuisance is excessive, the work shall be stopped. 12. The Applicant shall not cut, trim or interfere with any trees in the right-of-way without County approval. 13. Property owners and /or residents shall receive a minimum of 24 hours written notice prior to temporary closing of an access to homes and businesses. 14. Positive drainage shall be maintained during the course of the work. 15. All trenches shall be fully compacted by mechanical means, (roadway 100% S.P.D., roadside 95% S.P.D.) Mechanical and/or vibratory compaction equipment shall be on site prior to commencing work. 16. Small excavations or pits in the boulevard will be covered with a minimum of 20mm plywood, secured and surrounded by a minimum of 1.2 metre high snow fence I construction fencing to prevent access. The excavated material may be stockpiled on the boulevard, provided there is sufficient room and the material does not encroach on either the traveled portion of the road or public entrances. 17. Crash attenuation devices will not be removed, dismantled, or in any way altered so as to affect the normal operation of the equipment. Where a crash attenuation device conflicts with the conditions of this permit, the Applicant must contact the County office for review. 18. On hot-mix asphalt pavement, cutting shall be done by means of sawing full depth to leave a clean straight edge. Excavation equipment such as backhoes, etc., shall not be used for this purpose. The adjoining pavement shall be protected from damage by equipment. A step-joint will be created prior to final paving. 19. The Applicant accepts the County's right to perform any necessary remedial work caused by the Applicant's operation, subject to the following conditions: A: At least 24 hours prior, verbal notification will be given to the Applicant of any required remedial work. When this time elapses, the County will undertake the repairs. B: When it is deemed to be a matter of PUBLIC SAFETY or an EMERGENCY, the County will perform immediate repairs. C: The Applicant agrees to reimburse the County of Dufferin for all costs incurred under 18a and/of 18b and/or to supply to the County a Security Deposit, for a specified amount, where applicable. ALL CONDITIONS ARE SUBJECT TO REVISION AS NECESSARY. REPAIRS SHALL BE EQUAL OR SUPERIOR TO THE ORIGINAL CONDITION.
    I adopt the above as my signature:(Required)
    MM slash DD slash YYYY

    The information collected on this form is for the administrative and issuance of road occupancy permits. The information is collected under the authority of the Municipal Act. Questions regarding the collection of this information can be directed to the Director of Public Works/County Engineer at 519-941-2816 ext. 2600.

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