Excavation Permit Application
Site Address:_____________________________________ Permit #:_____________________
Exact Location of Excavation: ____________________________________________________
Purpose of Excavation:_________________________________________________________
Grass :
Length _________Ft x Width________FT = Square Feet:_________X $5/SF ____________
Pavement: Length _________Ft x Width________FT = Square Feet:_________X $25/SF____________
Deposit Amount: $________________ (Grass-Minimum $250; Pavement-Minimum $750; Maximum - $5,000)
Person Requesting Excavation
Contractor:___________________________________________Contractor’s License No. _______________
Address:________________________________________________________________________________
City/State/Zip:____________________________________________________________________________
Telephone:_____________________________
24/7 Phone Number ___________________________and person’s Name:__________________________
Note: Failure to promptly respond to an excavation problem in the Public Right of way after
notification to this phone number by the City shall result in loss of deposit and legal action.
An inspection is required after the excavation has been backfilled and is ready for placement of the new
pavement. The contractor must notify the Engineering Department at (314) 822-5822 after completion
for final inspection. The deposit will be refunded in accordance with the provisions of the Kirkwood Code of
Ordinances after final inspection.
I have read and understand the ordinances of the City of Kirkwood pertaining to excavations and work in the public rightof-way and hereby agree to comply with all provisions of the ordinances of the City of Kirkwood and provide all safety
devices and signs to warn and protect the public. I hereby certify I have the legal right to perform such work on the private
or public utilities or other facilities with the full permission and understanding of the owner. The work will be performed in
accordance with the information on this permit application and all city codes; and further I recognize the City’s authority to
perform any correction work that I fail to perform in accordance with city codes and this application and charge me
accordingly. Failure to request inspection within one year shall result in loss of full deposit.
______________________________
Applicant’s Signature
___________________________
_________________________
Applicant’s Printed Name
Date
OFFICE USE ONLY
Deposit collected by:__________________________________________________ Date:________________
Date requested for Final Inspection:______________________________________ By:__________________
Final Inspection approved by:____________________________________________________
Cost of repairs: $________________ By:_______________________________________________________
Amount of Deposit Refund: $___________________________________________ By:__________________
Rev: 08-02-11
C:
Engineering
Fire Department
Police Department
(DATE STAMP)
OVER FOR ADDITIONAL INFORMATION
139 S. Kirkwood Rd. Kirkwood, MO 63122 (314) 822-5823 Fax (314) 822-5898
CITY OF KIRKWOOD
PUBLIC WORKS DEPARTMENT
NOTICE TO CONTRACTORS
EXCAVATIONS IN PUBLIC RIGHT-OF-WAY
June 2010
Contractors performing excavations in public right-of-way shall perform such work in accordance with Chapter 20 of
the Kirkwood Code of Ordinances.
1. All backfilled material shall be immediately removed from the site.
2. After approval of the work, the excavation shall be filled with 2” minus crushed stone or 2” clean stone
compacted in 6” lifts or flowable fill.
3. Asphaltic concrete pavement, macadam pavement, or bituminous pavement shall be full depth saw cut for a
straight, square edge, 2’ larger on all sides of the excavation. A 7” thick Portland cement concrete base, with
Meramec sand and “C” gravel, shall be primed and capped with a 2” thick asphaltic concrete wearing surface.
4. Concrete pavement shall be replaced with Portland cement concrete, with Meramec sand and “C” gravel, to a
joint or saw cut edge 2’ larger than the excavation on all sides.
5. Any pavement markings disturbed by the excavations shall be replaced to City standards. If the applicant fails to
replace the markings, the City will perform the work and deduct the cost (minimum $100) from the deposit.
6. Parkways outside of the paved area shall be backfilled with compacted earth, fine graded, and returned to original
condition by sodding. Sod shall be watered and maintained by contractor.
7. Curbs shall be replaced with like material to the shape and style of the existing curbs to sawed cut straight edge or
joint.
8. Warning signs, barricades, lights, traffic control signs, and devices shall be provided, erected, and maintained at
all times by the contractor to advise, warn, and protect the public.
9. Excavations shall be covered or fenced when work is not in progress. Excavations in the roadway shall be
backfilled or covered with steel plates at end of work day.
10. Proper restoration shall be guaranteed by contractor for 30 days after completion.
EXCAVATION PERMIT REQUIRED
Permit and inspections (2)
$100
DEPOSIT REQUIRED
Minimum deposit of each permit – in pavement
Minimum deposit of each permit – in parkway
Maximum deposit
$750
$250
$5,000
ESTIMATE OF EXCAVATION SIZE
For paved areas (street, sidewalk, driveway, etc.) $25/Square Foot
For parkways (grass)
$5/Square Foot
Deposits returned after (1) full restoration of work; and (2) notification to Engineering Office by contractor for final
inspection by Engineering Office.
Additional inspections and any work performed by the City, including maintenance of safety devices and temporary
or permanent repairs, will be charged to the contractor and may be deducted from the deposit.
Inspections:
1. Work shall be inspected in accordance with City regulation and permit requirements.
2. Backfill material shall be on site and inspected by Public Works Department or Water Department when
inspection is performed for work.
3. The Engineering Office shall be notified 24 hours in advance of pavement replacement at 314-822-5822.
Pavement replacement shall be inspected by City or deposit will be forfeited.
4. The contractor shall notify the Engineering Office at 822-5822 to perform a final inspection. If the restoration
passes the final inspection, the City shall release the deposit. If the restoration fails the final inspection, the City
will perform the repairs and deduct said repairs from the deposit (minimum charge of $200). Failure to request
inspection within one year shall result in loss of full deposit.