MINNEHAHA COUNTY HIGHWAY DEPARTMENT HIGHWAY ACCESS APPLICATION & PERMIT

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MINNEHAHA COUNTY HIGHWAY DEPARTMENT HIGHWAY ACCESS APPLICATION & PERMIT Complete this form, print, and mail to: Minnehaha County Highway Dept. 2124 E 60 th St N, Sioux Falls, SD 57104, or Email: jmaras@minnehahacounty.org Instructions: Applicant agrees to construct and maintain access and culverts in accordance with County specifications as included as part of this permit, including any special conditions required by the County. Applicant is responsible for all costs associated with construction and maintenance. Joint accesses require additional information (See Page 2). All accesses abutting Minnehaha County highways shall comply with SDCL 31-24. Resolution MC12-73 established the right to assess access fees. Fee for each highway access type is as follows: Residence = $75 Farm Field = $50 Business/Industrial = $150 Improve Existing = $20 Temporary = $20 Cash, in-state personal check, business check, cashier s check, money order, or credit card payments are acceptable. Credit Card payments may be received over the phone or in person. Additional charges may apply. Please complete the information below. Incomplete applications will be returned for revision. To complete this application, you will need a detailed legal description of the property. If the Applicant is not the Owner, then the Owner s signature must be included. Proposed access location must be marked in the field by the applicant. County personnel will then conduct a pre-permit approval inspection to verify data contained herein. County personnel will conduct a preliminary survey on-site to observe the general suitability and drainage issues. Factors such as proximity and frequency to other access and site distance will be evaluated as well as the over-all safety of the traveling public. County personnel will also consider zoning requirements, if any. Final approval of this permit is subject to a post-construction field inspection to be performed by County personnel after construction is complete. Applicant shall notify the County Highway Dept. after construction is complete so that a final inspection may be performed by County personnel. Special conditions required by the County may be applied to this permit and shall be complied with by the Applicant pending Final Approval. If any deficiencies are noted during the final inspection, the Applicant will be responsible to correct deficiencies within 30 days of notification. A copy of the final and approved permit will be sent to the landowner of record and the original will be on file at the Minnehaha County Highway Department. Changes in access use or using a design inconsistent with this Permit may cause the revocation or suspension of the Permit. Corrective actions must be completed within 30 days of notification by the Applicant. In case of severe violation, County personnel will either correct or remove the access and the Applicant will be billed for all labor and materials. Submitted by Applicant Name: Address: email: Type of Entrance Residence ($75 ea.) Farm Field ($50 ea.) Business ($150 ea.) Improve Existing ($20 ea.) Proposed Width Date: Phone: SITE LOCATION Section Township Range Access will connect to County Highway No. on the (N, S, E, or W?) side of said Highway. d Check if Google or Bing Map attached Revised: January 1, 2018 Page 1

Provide the legal description of the land upon which the proposed access will be located in the box below. Are the Applicant and the Owner one in the same? YES NO If the Applicant is not the Owner, then both signatures must be included below. Is this a new, improvement of an existing access ($20), a temporary access ($20)? (Check one) Is this a shared access? YES NO If yes, a written statement from the adjacent landowner is required along with their legal land description. This written easement shall be accompanied by a drawing or plat certified by a Registered Land Surveyor and shall be filed with Register of Deeds and shall run with the land in perpetuity. Contractor Information: This access and/or culvert will be installed by Name: Address: Work Phone: Site Foreman: Cell Phone: (company) Work will begin: (date) Work will be completed by: (date) OWNER/APPLICANT AFFIDAVIT I, the undersigned, being the landowner of record and/or an authorized agent of the owner signing as the Applicant, agree to construct the access for the property noted above in compliance with the General Provisions, and as required by the minimum standards as described within the attached General Provisions and/or any additional special provisions or conditions stated herein. I also agree that if I do not follow, or my agent does not follow said standards and/or special conditions, the County may construct or repair the access as needed and/or this permit will be revoked and the associated access will be removed from the County s Right-of-way by County personnel whereupon all charges will be paid for by me. Date: Owner s Printed Name Owner s Signature In addition, if Applicant is different than landowner of record: Date: Applicant s Printed Name Applicant s Signature TO BE COMPLETE BY MINNEHAHA COUNTY HIGHWAY DEPARTMENT Preliminary Field Review Conducted by: Date: The proposed access occurs within the joint jurisdictional area of: Sioux Falls Hartford Brandon SDDOT Length & Finished Est. Depth of Road Est. Width COMMENTS Side Slopes Type of Diameter Surface Ditch Culvert Width of Subgrade Final Inspection Conducted by: Depth of Road Ditch Side Slopes Length & Type of Culvert Diameter Including Flared Ends Finished Surface Type & Width Topsoil and Seeding COMMENTS Date: Permit Issue Date PAYMENT INFORMATION DATE METHOD OF PAYMENT CASH CHECK CREDIT Total $ RTE MRM PERMIT # 18-A- Revised: January 1, 2018 Page 2

An original signed copy of this page must accompany the permit application prior to final issuance by Minnehaha County when: (a) the proposed access occurs within Joint Jurisdictional Platting Areas of the Cities of Hartford, Sioux Falls, or Brandon, Dell Rapids, or Colton. (b) the proposed access occurs within one-quarter of a mile (1,320 feet) of an interstate interchange or other State-owned highway. SDDOT: Brooke White, Access Management Engineer SDDOT Sioux Falls Area Office 5316 W 60 th Street North Sioux Falls, SD 57107 605-367-5680 brooke.white@state.sd.us Hartford: Teresa Sidel, City Administrator City of Hartford PO Box 727 Hartford, SD 57083 605-528-6187 cityhall@hartfordsd.us Dell Rapids: Justin Weiland, City Administrator City of Dell Rapids PO Box 10 Dell Rapids, SD 57022 605-428-3595 CityAdmin@cityofDellRapids.com CONTACT INFORMATION by JURISDICTION Sioux Falls: Shannon Ausen, PE Civil Engineer City of Sioux Falls 224 W Ninth Street Sioux Falls, SD 57117 605-367-8607 SAusen@siouxfalls.org Brandon: Paul D. Sanow, PE City Engineer City of Brandon 304 Main Avenue, PO Box 95 Brandon, SD 57005 605-582-6515 psanow@cityofbrandon.org Crooks: Chad Rezac, Operations Director Crooks Community Center 701 S West Avenue PO Box 785 Crooks, SD 57020 605-543-5238 operations@cityofcrooks.net SDDOT AFFIDAVIT I, the undersigned, being the representative duly authorized to act in an official capacity in matters regarding controlling access along South Dakota s state-highways, approve the proposed access with the following conditions (if none, write None ): / Name (SDDOT Authorized Agent) Signature / Date Title Joint Jurisdictional AFFIDAVIT I, the undersigned, being the representative of the City of duly authorized to act in an official capacity in matters regarding controlling access, approve the proposed access with the following conditions (if none, write None ): / Name (Authorized Agent) Signature / Date Title Revised: January 1, 2018 Page 3

MINNEHAHA COUNTY HIGHWAY DEPARTMENT ACCESS PERMIT GENERAL PROVISIONS On December 11, 2012, the County Commissioners passed Resolution MC12-73 authorizing the Highway Department to collect fees. Minnehaha County Highway Department decision to approve this access is based on the following: Information submitted by the applicant, what alternative access to other public roads and streets are available, and the operation of the Highway and other safety and design considerations. Changes in access and approach use or design not approved by the County may cause the revocation or suspension of the permit. The permittee is responsible for the costs of construction, maintenance, and removal (if necessary) of the access. This permit and the construction and maintenance of private accessing abutting Minnehaha County highways is in compliance with SDCL Chapter 31-24: Highway Intersections and Private Entrances. EXPIRATION: A permit shall be considered expired if the access is not under construction within 90 days of the initial application and/or is not completed to the satisfaction of the County within one year. When the permittee is unable to commence construction within said timeframe, the permittee may request an extension. Only one extension will be granted before the applicant must reapply. Request for extension must be in writing and submitted to the County before the above stated timeframes expire. The request should state the reasons why the extension is necessary, when construction is anticipated, and include a copy of this permit. Extension approvals will be provided in writing. CONSTRUCTION REQUIREMENTS 1. The construction of the access and its appurtenances as required by the terms and conditions of the permit shall be completed at the expense of the permittee. All materials used in the construction of the access within the Highway right-of-way or on permanent easements, become public property. Any materials removed from the Highway right-of-way will be disposed of only as directed by the County. Only clean fill material may be used for construction. Rubble and organic materials are prohibited. 2. Any damage to County property including pavement, signs, and existing culverts will be repaired at the expense of the permitee. Damage to private property such as existing culverts, mailboxes, signs, existing utilities, etc., shall be repaired at the expense of the permittee. 3. South Dakota One Call must be contacted prior to construction by dialing 811. 4. Permittee is responsible for salvaging and replacing topsoil, erosion control and revegetation of access. 5. The permittee shall notify the Highway Department at least two working days prior to any construction within Highway right-of-way. Construction of the access shall not proceed until the access permit is preliminarily issued, meaning that the Preliminary Review has been conducted by Highway personnel and Highway personnel have notified the permittee of preliminary acceptance contingent upon a Final Review which will be conducted after the access has been installed the project is complete. The access shall be completed in an expeditious and safe manner and shall be finished within 30 days from the initiation of construction within the Highway right-ofway. One construction time extension may be requested. The permittee shall also notify the County two working days prior to completion of the access construction. 6. A separate utility permit shall be obtained for any utility work within Highway right-of-way. Where necessary to remove, relocate, or repair any traffic control device or public or private utility for the construction of a permitted access, the relocation, removal or repair shall be accomplished by the permittee without cost to the County, and at the direction of the County or utility company. Any damage to the County Highway or other public right-of-way beyond that which is allowed in the permit shall be repaired immediately. The permittee is responsible for the repair of any utility damaged in the course of access construction, reconstruction or repair. Utilities are responsible for salvaging and replacing topsoil and must have an approved revegetation plan. A final inspection must be held with the utility at the completion of the work. Revised: January 1, 2018 Page 4

7. County Highway may inspect the access during construction and upon completion of the access to determine that all terms and conditions of the permit are met. Inspectors are authorized to enforce the conditions of the permit during and after construction and to halt any activities within right-of-way that do not comply with the provisions of the permit, that conflict with concurrent Highway construction or maintenance work, that endanger Highway property, natural or cultural resources protected by law, or the health and safety of workers or the public. 8. Prior to using the access, the permittee is required to complete the construction according to the terms and conditions of the permit. Failure by the permittee to abide by all permit terms and conditions shall be sufficient cause for the Minnehaha County Highway Department to initiate action to suspend or revoke the permit and close the access. If in the determination of the County the failure to comply with or complete the construction requirements of the permit create a Highway safety hazard, such shall be sufficient cause for the suspension of the permit. If the permittee wishes to use the access prior to completion, arrangements must be approved and this shall be included in the permit by the permittee. The County may order a halt to any unauthorized use of the access pursuant to the conditions of the permit. Reconstruction or improvement of the access may be required when the permittee has failed to meet required specifications of design or materials. 9. The permittee shall provide construction traffic control devices at all times during access construction, in conformance with the Manual on Uniform Traffic Control Devices. 10. In the event it becomes necessary to remove any right-of-way fence, the posts on either side of the access shall be securely braced with an approved end post before the fence is cut to prevent any slacking of the remaining fence. All fencing shall be replaced in kind by the permittee to the satisfaction of all the owners involved. 11. The permittee shall ensure that a copy of the permit is available for review at the construction site at all times. The permit may require the contractor to notify the individual or office specified on the permit at any specified phases in construction to allow the field inspector to inspect various aspects of the construction such as concrete forms, subbase, base course compaction, and materials specifications. Minor changes and additions may be ordered by the County field inspector to meet unanticipated site conditions. 12. Each access shall be constructed in a manner that shall not cause water to enter onto the roadway or shoulder, and shall not interfere with the existing drainage system on the right-of-way or any adopted drainage system and drainage plan. Each access shall be constructed in compliance with all terms and conditions placed by the Minnehaha County Planning and Zoning Department. 13. By accepting the permit, permittee agrees to save, indemnify, and hold harmless to the extend allowed by law, Minnehaha County, its officers, and employees from suits, actions, claims of any type or character brought because of injuries or damage sustained by any person resulting from the permittee s use of the access permit during construction of the access. 14. The figure below (see Figure 1 on page 5) provides general guidance and represents the minimal design standard in how driveways and farm field accesses shall be constructed. Any exceptions to these standards must be approved by the County prior to installation. 15. Culverts shall be sized to assure proper drainage. The minimum size of culverts is eighteen inches (18 ); however, twenty-four inches (24 ) is the preferred minimum to minimize the potential for blockage. Access approach culverts shall consist of either corrugated metal pipe (CMP) or reinforced concrete pipe (RCP). Flared End Sections are required on all culvert installations, sloped at 4:1 as safety end sections preferred, standard flared end sections sloped at 2.5:1 allowed. No decorative vertical end treatments allowed ie., Retaining walls. Place pipe to match existing ditch grades. Pipe must be laid in bottom of the ditch. Perched pipes are not allowed. If ditch is silted in, it must be cleaned out where pipe is to be installed. The cost to furnish and install all culverts and flared end sections is the responsibility of the permittee. Revised: January 1, 2018 Page 5

16. Four inches (4 ) of Gravel Surfacing (3 Gravel with 4 Asphalt Pavement or 3 Gravel with 4 Portland Cement Concrete are also acceptable surface treatments). MAINTENANCE REQUIREMENTS Figure 1 - Typical Minimum Standard for Highway Access and Approach The permittee shall be responsible for the repair and maintenance of the access beyond the edge of the roadway including: (1) surfacing, (2) curb and gutter, (3) cattle guard and gate, (4) vegetation controls, (5) removal or clearance of snow or ice upon the access even though deposited on the access in the course of department snow removal operations, including snow or ice (6) repair and replacement of any access-related culverts of 36 inch diameter or smaller within the right-of-way in unincorporated areas, (7) obtaining department approval for all culvert repairs, drainage repairs, resurfacing, and changes in access design or configuration, and (8) all other maintenance required for continued safe and satisfactory operation of the access point. Minnehaha County Highway Department shall perform no maintenance of access points, except: (1) modification of access point as necessary to meet adjacent Highway reconstruction (2) access surface maintenance only when the department performs similar type maintenance on the Highway (3) maintenance of new accesses required for construction at the County s discretion (4) culvert cleaning in unincorporated areas, and (5) repair and replacement of culverts larger than 36 diameter in unincorporated areas. In the event that the permittee fails to maintain an access point, the department may declare the negligently maintained access point a public nuisance, and upon notice to the permittee, may correct maintenance deficiencies at cost to the owner. Revised: January 1, 2018 Page 6