APPLICATION FOR PERMIT to construct, operate, maintain, use and/or remove within a county road right-of-way

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IONIA COUNTY ROAD COMMISSION 170 E. Riverside Drive; P.O. Box 76, Ionia MI 48846 (616) 527-1700 (office) or (616) 527-8848 (fax) APPLICATION FOR PERMIT to construct, operate, maintain, use and/or remove within a county road right-of-way If an applicant hires a contractor to perform the work, the contractor information below must be filled out. BOTH applicant and contractor assume responsibility for the provision of this application and permit. NAME: MAILING ADDRESS: CITY, STATE, ZIP: TELEPHONE: EMAIL: APPLICANT FAX: NAME: MAILING ADDRESS: CITY, STATE, ZIP: TELEPHONE: EMAIL: CONTRACTOR FAX: PERMIT LOCATION Township: Section Number Name of Road: Which side of road? N S E W Between (closest road): and Approximately how far from nearest road? Permit Type (check one): Residential Farm Field Commercial Public/Private Road Other: Driveway Surface Type (check one): Gravel Bituminous Concrete Planned start date: Planned completion date Permits will be issued within seven (7) working days from the day the flag/marker is in place. Permit may be picked up, mailed or faxed to the applicant. By signing below, the applicant and/or their contractor acknowledge receipt of the General and Supplemental Permit Specifications and agree to abide them and any requirements shown on the approved permit. Work cannot begin until an approved permit has been issued. Applicant Signature: Contractor Signature: Date: Date: *********************************************************************************************************************************************** FOR ICRC OFFICE USE ONLY: Notes: Permit fee: To be billed: Other: Date: Bond: Application number: Receipt #: Deposit: Inspected by:

IONIA COUNTY ROAD COMMISSION RESIDENTIAL DRIVEWAY PERMIT SPECIFICATIONS SPECIFICATIONS All work performed under this permit must be done in accordance with the plan specifications, maps, local ordinances, and statements filed with the Commission, including any amendments made by Ionia County Road Commission, and comply with the Commission s current requirements and specifications on file as well as Michigan Department of Transportation Standard Specifications. Applicant will be responsible for completion of all items of construction set forth in the construction permit, prior to the expiration date on the permit. Once completed; the applicant will be responsible for notifying the Ionia County Road Commission so that a compliance inspection can be scheduled. 1. Permit must be approved before work commences. Permits must be on-site during construction. 2. Safety Permit Holder under this permit shall be required to work in a safe manner; furnish, install and maintain all necessary traffic controls and protection during construction in the highway right-of-way in accordance with the Michigan Manual of Uniform Traffic Control Devices and to keep the area affected by this permit in a safe condition (any damages or debris drug into the shoulder or roadway must be repaired or removed promptly by applicant) until work is completed; as deemed necessary by the Ionia County Road Commission 3. Ionia County Road Commission reserves the right to halt any and all activities in the case of a permit violation, revocation or failure to obtain an appropriate permit. 4. Revocation or Violation of Permit The permit may be suspended or revoked for failure to comply with permit, local or safety requirements, and the Permit Holder shall surrender and alter, relocate or remove its facilities at its expense, following the request of the Commission. The Commission may remove permit holder s or their contractor s facilities without notice at the Permit Holder s expense. 5. Restoration and Repair of Road Permit Holder agrees to; in a timely manner (as determined by Ionia County Road Commission), restore the road and right-of-way to condition equal to or better than its condition before the work was begun. 6. Limitation of Permit This permit does not relieve Permit Holder from meeting other applicable laws and regulations of other agencies. Permit Holder is responsible for obtaining additional permits or releases which may be required in connection with this work from other government agencies, public utilities, corporations and individuals, including property owners. Permission may be required from the adjoining property owners. 7. Time period The period applied for and granted in this application and permit covers activity within the right-of-way. Failure of the Permit Holder to finish work within one (1) year from date of issuance shall cancel this permit. 8. Miss Dig Permit Holder must comply with the requirements of Act 53 of Public Acts of 1974, as amended. Call Miss Dig at (800) 482-7171 at least three (3) full working days, but not more than twenty-one (21) calender days, before you start work.

9. Indemnification Permit holder shall hold harmless and indemnify and keep indemnified the Commission, its officers and employees from all claims, suits and judgements to which the Commission, its officers, or employees may be subject and for all costs and actual attorneys fees which may be incurred on account of injury to persons or damage to property, including property of the Commission, whether due to the negligence of the Permit Holder or the joint negligence of the Permit Holder and the Commission, arising out of the work under this permit, or resulting from failure to comply with the terms of this permit, or arising out of the continued existence of the work product which is the subject of this permit. 10. Future Changes in the use of property, such as change from residential driveway to private road or commercial driveway may require changes in the number, design or location of driveways after the effective date of these rules. The property owner shall obtain a new permit from the Ionia County Road Commission. 11. Changes in the driveway surface (gravel to paved) shall require the property owner to obtain a new permit. 12. This permit is subject to supplemental specifications on file with the Road Commission and Act 200 of Public Acts of 1969. Definitions All driveways for the purpose of serving the residents of one (1) or two (2) single-family dwellings, or one (1) twofamily dwelling shall be deemed to be a residential driveway. Design Features 1. No portion of the driveway entrance within the road right-of way or a minium of 10 feet from the edge of the road shall have a grade greater than 1 foot vertical in 10 feet horizontal. 2. All portions of a residential driveway; including the radii; shall be located entirely within the applicant s property line extended at right angles to the centerline of the road. 3. No portion of a residential driveway; including the radii; shall be located closer than 50 feet to the nearest right-of way line of an intersecting roadway. 4. The center of a residential driveway approach shall be located at least 125 feet from the nearest rail of any railroadhighway grade crossing. 5. No portion of two residential driveways serving the same property; including the radii; shall be located closer than 50 feet; measured parallel to the centerline of the road. 6. All drives shall enter perpendicular to the existing roadway. 7. Brush cutting and clear vision shall be maintained by the property owner along property owners frontage. Drainage Requirements 1. The Ionia County Road Commission shall determine whether or not a culvert is required and, if required, the diameter and length of the culvert depending on site specific conditions such as but not limited to slope, base or road conditions. The applicant shall furnish and install the culvert as determined. Any necessary ditching will also be done by the applicant within the property lines. 2. Clean existing ditch if necessary along property line to a depth sufficient to place culvert with 1 foot of granular cover so as driveway is no higher than the road. Ditch shall have 1 on 3 slopes not disturbing edge of road. 3. Culverts shall be no less than 12 inch diameter or less than 30 feet long, installed in line with the road ditch. A minimum of 1 foot of granular cover will be required over the culvert installation.

4. Soil erosion control measures shall be taken. 5. Head-walls shall not be permitted within the road right-of-way. Number of Driveways One driveway is allowed for residential property, held in one piece, with frontage less than or equal to 150 feet. One additional residential driveway may be permitted where frontage exceeds 150 feet. Two residential driveways may be permitted, in lieu of the above requirements, to serve a circle driveway if the frontage is 100 feet or more. Joint Driveway When both property owners abutting a common property line agree, they may construct a joint residential driveway which shall have a minium width of 20 feet and a maximum width of 30 feet. No more than two residential homes will be allowed to share a residential driveway. Driveway Surface At a minimum, driveways shall be surfaced with at least 6 inches of processed gravel and have the same slope as the roadway for at least 10 feet from the edge of the traveled roadway. The Ionia County Road Commission may require the hard surfacing of a portion of the driveway for erosion control, (to control drainage and material runoff from the driveway to the road.) Residential Driveways Design Standard Range Features Intersecting 90 degrees 80 to 100 degrees Angle Driveway 12 feet 10 to 24 feet Width Entering 15 feet 10 to 20 feet Radius Exiting Radius 10 feet 8 to 15 feet The standard shall be used unless engineering judgment determines that another dimension within the range is more suitable for a particular site or special condition and is approved by the Ionia County Road Commission. Effective 3/1/01

Ionia County Road Commission Permit Fee Schedule Date Board Approved Dec. 30, 2013 11-14-13 BJA Driveways New Residential & Farm, Gravel... $50.00 Residential & Farm, Asphalt-... $75.00 Modifications to Existing Residential & Farm, Drives... $50.00 Commercial Driveway Low - Medium Volume... $400.00 High Volume... $800.00 Public & Private Road Approach Low - Medium Volume... $400.00 High Volume... $800.00 Temporary Drive... $50.00 Utility Access Drive... $125.00 Transportation Special Permits Oversize/Overweight Single... $25.00 Annual... $100.00 Mobile & Modular Single... $25.00 Annual... $100.00 Building Move... $200.00 Non-emergency Public Utility/Agricultural Seasonal Haul Routes County Road Association Form Number (CRA 110 & CRA 110A) Seasonal Extended... $100.00 Haul Routes (other than specified above)... $100.00 (Plus Security Deposit) Security Deposit Gravel (As determined per Conditions) $7,500.00 per Mi. Asphalt (As determined per Conditions)...$10,000.00 per Mi. Concrete (As determined per Conditions) $15,000.00 per Mi. New Road Development Engineering Review... $300.00 Construction Inspection... 3% of Estimated Construction Cost Road Name Request... $200.00 (Fee Includes 30 stop, 12 Post, Road Name/Bracket, Not Maintained Sign. Additional signs and installation extra) Utilities Overhead Installation... $150.00 +.02/lft Underground Utilities... $150.00 +.10/lft Line laid in existing conduit.. $100.00 + $10.00 per access opening Bores or Jacked in Place Less than 2... $100.00 Road Bores or Jacked in Place 2 and larger... $200.00 Annual Maintenance... $350.00 Service Taps of Existing Utilities Road Cuts Within R.O.W. outside of roadway... $100.00 Gravel... $200.00 Asphalt... $300.00 Miscellaneous Failure to Permit... Min. 2 x normal fee up to actual costs Pollution Clean Up... $100.00 Road Closure & Abandonment Request... $250.00 Seismic Testing (Per Mile)... $50.00 Surveyor, Annual Blanket Permit... $50.00 Test Well Monitor Wells... $100.00 Ditch Tiling Storm Sewer... $150.00 Tree Removal... No Charge Variance Request... $500.00 Natural Beauty Road... $250.00 Plus Publishing Costs