Harford Township
P O Box 1
Harford, PA 18823

Underground Utility Road Crossing Permit

Date: _________________________

Applicant: _________________________________________

Address: __________________________________________

_________________________________________________

Telephone: ________________________________________

Contact Person: _________________________________ Telephone: _______________________

Location of Crossing:
Road Name ___________________________________________________

Property Owners _______________________________________________

Type of Crossing:   Natural gas _______ Water _______ Electric _______Other________

Applicant must notify PA One Call of project and supply Township with reference number.

Describe current road surface and method of crossing: (bore, open cut, etc.) __________________

_______________________________________________________________________________

_______________________________________________________________________________

Final road surface finished will match existing road surface and applicant will be responsible for correcting any and all surface for ___________year(s) from date of project completion.

All road crossings will require a temporary driveway access on both sides of the roadway. A diagram must be included with this application showing the following:
  1. Width of driveway needed for access to actual work area.
  2. Proposed location of the driveways at the crossing.
  3. Materials/drain pipes to be used in the construction of the driveways.

The course grade, construction and drainage facilities.
Explain plan for restoration and seeding of the area upon cessation of its use:_________________

_______________________________________________________________________________

_______________________________________________________________________________

This application must be accompanied with a fee of $ _______, payable to Harford Township.



No construction of driveways at crossing work sites or actual crossings will be permitted until a Crossing Permit application has been issued by Harford Township Supervisors or their designated representative.

Any work on Township Roads or right of ways must be performed in a manner that will not close the roads to traffic. All emergency vehicles, school busses, mail delivery vehicles and municipal vehicles must be allowed to pass through access at all times.

The company will provide dust control on the road being used for pipeline construction during the spring, summer and fall.

The Township will only grant permits for crossing the roadway. Construction of, or running a pipeline parallel to road within the road right of way is prohibited.

The completed crossing project must be inspected by a Township Official when the project is completed.

The Harford Township Supervisors will not be responsible for damages to private properties beyond the Township Road Right of Ways. Actual Right of Ways may be 33 feet or 50 feet

Applicants will be required to obtain any and all approvals necessary prior to entering personal properties. This Permit does not give Applicants permission or right to enter personal properties under any circumstances.

Permit is valid for 12 months form date of issuance. Please notify the Township at 570-434-2401 at least 48 hours before start of construction.

HARFORD TOWNSHIP SUPERVISORS: APPLICANT:

__________________________________

______________________________________

__________________________________

______________________________________

__________________________________

______________________________________
(minimum two signatures required)

Date Received:______________________
Application # _____________________

Permit Fee _________________________
Check # _________________________

FINAL INSPECTION

Date: ________________________
Permit issued _________ (yes) # _______

Approved by: ______________________________________________

Comments or re-inspection required: ______________________ (no)

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