Section 3: Utility Installation Request FormsAnchor: #i1000806
Requirement of Utility Installation Request Forms
All requests for new installations of utilities on highway rights-of-way, other than for highway needs, should be made by the use of "Utility Installation Request" (Form 1082), with drawings to be used for new in-stallations, except for:
- attachments to bridges
- construction of utility bridges
- utilities located on rights of way owned or leased by the utility owners
- instances in which the state is participating in the adjustment or relocation cost of the utility installation to meet highway design requirements.
Requestors are encouraged to use the online Utility Installation Review (UIR) system to submit requests.
Utility Joint Use Agreements prescribed by the Right of Way Division (ROW) should be used when an adjustment or relocation of existing utility facilities is planned within the limits of a highway project. ROW forms are also to be used regardless of state participation or whether the utility facilities are adjusted or relocated within highway rights of way by statutory or compensible right. Use ROW's Utility Joint Use Agreement forms within projects when the utility facility is to remain in place without adjustment or relocation unless the facility has previously been covered by an appropriate approved departmental notice form.Anchor: #XQEDQKPR
Requirements for "Notice" Side of Form
The appropriate form is to be completed in detail and signed by the applicant on the "Notice" side. This portion of the form should briefly but adequately describe the proposed installation and give the following information:
- location of proposed site including GPS (latitude/longitude) information
- total length of proposed installation
- whether the proposed utility will parallel or cross state highway right of way
- whether installation will be inside or outside of city limits
- whether any paving or riprap is involved
- working pressure of pipelines
- whether sewer line is gravity flow or pressure
- voltage of transmission lines
- type of pipe, encasement or any other related information.
Additional Requirements for High Pressure Pipelines
All Utility Installation Request forms for high pressure pipelines (generally 60 psi or greater) should contain the following additional information in the description section of the permit form:
- wall thickness
- material specification
- minimum yield strength
- maximum operation pressure of the pipeline.
With the exception of the maximum operation pressure of the pipeline, this information is to be supplied for both the carrier pipe and the casing. Assurance must also be given that the installation material and design meet the minimum Federal Safety Standards for Liquid and Gas Pipe Lines.Anchor: #PEUAGBSX
Any specifications not included on the "Notice" or "Approval" side of the form must be included in a list of Special Provisions that must be attached to and made a part of the notice form. These provisions may be for one specific installation or may be a district requirement.Anchor: #i1000853
Review and Approval of Utility Notice Forms
After the applicant completes the appropriate form, the district should review and complete the form by attaching all special provisions and requirements necessary to achieve a safe installation and an undelayed approval.
The district engineer is authorized to approve all utility notice forms and agreements except the following:
- installations which involve an exception to policy;
- high pressure gas lines expected to operate at a pressure greater than 60 psi;
- installations which involve areas of scenic enhancement and natural beauty; or
- agreements for construction of utility bridges.
By cover letter, the district engineer will forward to the Maintenance Division any utility notice form along with their recommendation, which falls under any case listed above for review and administrative decision.Anchor: #i1000885
Review and Approval of Utility Notice Forms
Utility forms submitted to the Maintenance Division will receive appropriate review and handling, after which the Maintenance Division will advise the district of approval or disapproval. The district will then advise the utility company by letter accordingly. The utility company should not begin work until advised to do so by the district. It is the district engineer’s responsibility to administer all utility installations in accordance with the policies of the department and to maintain a complete record of permits issued.