1680-06-01-.10
Appendixes
Cite as Tenn. Comp. R. & Regs. 1680-06-01-.10
APPENDIX I
RULES AND REGULATIONS FOR ACCOMMODATING UTILITIES
CHAPTER 1680-6-1
WITHIN HIGHWAY RIGHTS-OF-WAY
The Applicant in applying for this agreement agrees to the following:
1. Applicant shall design, install and maintain its facilities in accordance with Rules and Regulations for
Accommodating Utilities Within Highway Rights-of-Way heretofore issued by the Department of
Transportation.
2. Applicant, before commencing any work or installing any facilities shall submit to the Department of
Transportation’s regional office plans showing the location, type and scope of all work to be done or appliances
to be installed in order that the Regional Utilities Engineer may recommend approval of the proposed work.
3. Applicant agrees that it will be responsible for any damages caused by any negligence on its part, including but
not limited to the improper placing of or failure to display construction signs, danger signs, and other required
signing and will bear any expense proximately caused by its operation on the right-of-way.
4. Applicant shall pay the salary and expenses of any Inspector(s) that the Department of Transportation may see
fit to place upon the work while such Inspector(s) is/are assigned to this work. The Department of
Transportation before incurring any expenses expected to be charged to the Applicant shall advise the
Applicant in writing of this fact.
5. Applicant shall replace or repair any portion of the pavement, shoulders, bridges, private driveways or any part
of said highway which may be disturbed or damaged. Replacements and repairs shall be made in accordance
with the Department of Transportation’s Standard Specifications For Road and Bridge Construction and any
additional instructions which may be issued. Applicant agrees that the Department of Transportation may
accomplish further replacements or repairs in the event those made by the applicant are not satisfactory, in
which event the Applicant will reimburse Department of Transportation for the cost of such other replacements
or repairs. Except in cases of emergency the Department of Transportation shall notify the Applicant of the
nature and extent of such further replacements or repairs to be accomplished prior to undertaking the work.
6. If, at any future time, it should become necessary in the maintenance, construction or reconstruction of said
highway to have Applicant’s appliances and facilities removed in order that said highway may be properly
maintained, constructed or reconstructed or in the event said appliances and facilities should, at any time,
interfere with the use of said highway, the Applicant agrees upon being requested so to do by Department of
Transportation to remove said appliances and facilities as promptly as the magnitude of the work to be
accomplished will permit, at its own expense and without cost to the Department of Transportation, unless any
requested removal should be contrary to any law of the State.
7. Applicant shall be responsible for any conflicts with other utilities or appurtenances that are on the highway
right-of-way and shall notify the respective owner(s) of any conflicts and secure the owners permission for any
alternations.
8. The Department of Transportation does not grant the Applicant any right, title or claim on any highway right-
of-way and in granting this permission to go upon the right-of-way does not, in any way, assume the
maintenance of the Applicant’s facility.
9, This agreement shall become void if work is not commenced within a year from date of execution of this
Agreement.
RULES AND REGULATIONS FOR ACCOMMODATING UTILITIES
CHAPTER 1680-6-1
WITHIN HIGHWAY RIGHTS-OF-WAY
Mail to appropriate Region Office c/o Transportation Supervisor - R.O.W.
REGION IV
REGION III
REGION 11
REGION I
P.O. Box 429
2200 Charlotte Ave.
P.O. Box 22368
P.O. Box 58
Jackson, TN 38302
Nashville, TN 37203
Chattanooga, TN 37422-2368
Knoxville, TN 37901
Tel. 424-4110
Tel. 320-8285
Tel. 892-3430
Tel. 594-6262
RULES AND REGULATIONS FOR ACCOMMODATING UTILITIES
CHAPTER 1680-6-1
WITHIN HIGHWAY RIGHTS-OF-WAY
APPENDIX 2
A POLICY ON THE ACCOMMODATION OF
UTILITIES WITHIN FREEWAY RIGHT-OF-WAY
Prepared by the
Standing Committee On Highways
Published by the
AMERICAN ASSOCIATION OF STATE
HIGHWAY AND TRANSPORTATION
OFFICIALS
444 North Capitol St., N.W.
Suite 225
Washington, D.C. 20001
Copyright, 1982, by the American Association
of State Highway and Transportation Officials
Printed in the United States of America
_________________________________________________________________________________________
A Policy on the Accommodation of
Utilities within Freeway Right-of-Way
INTRODUCTION
The Geometric Design Standards for the National System of Interstate and Defense Highways adopted by the
American Association of State Highway Officials on July 12, 1956, and accepted by the Bureau of Public Roads on
July 17, 1956, provide, in accordance with Section 109 of Title 23, U.S. Code, Highways, 1958, for control of
access on all sections of the Interstate System. These provisions were established to provide for the maximum
degree of safety and to preserve the traffic-carrying capacity, both of which are warranted by the large public fund
investment in the facility. There are also other freeways with similar control of access features which are not part of
the Interstate System.
Control of access can be materially affected by the extent and manner in which public utilities cross or otherwise
occupy the highway right-of-way. The highway agencies have various degrees of authority to develop and maintain
control of access and to regulate utilities, generally through their authority to designate and to control the use made
of right-of-way acquired for public highways, including those of all freeways. Their authorities depend upon State
laws or regulations. These laws and regulations differ in the several States and may be different in a State for
highways utilizing existing right-of-way and for highways on new location for which right-of-way is to be acquired.
A State may also have separate laws and regulations different from those applicable statewide, for highways on
right-of-way subject to jurisdiction of a local government such as that of a large city.
In order to carry out the intent of Title 23, U.S. Code, a uniform policy is needed to establish the conditions under
which public and private utilities may be accommodated on the freeway right-of-way. The following statements
constitute such a policy. While the policy has as its primary purpose increasing and maintaining highway safety and
function to the maximum and insuring uniformity of utility treatment among the States, it recognizes the public
interest in avoiding unnecessary and costly operation of public utility organizations. The policy applies to all
highways with full control of access, regardless of system. Also, it has value as a guide for all highways with partial
control of access. The policy can be applied in most States by existing authority. Those States in which laws will not
permit the application of this policy in its entirety should strive for uniformity through the enactment of appropriate
legislation.
It is not the intent of this policy to impose restrictions on the future installations of utility crossings to the extent
that would obstruct the development of expanding areas adjacent to the freeways.
RULES AND REGULATIONS FOR ACCOMMODATING UTILITIES
CHAPTER 1680-6-1
WITHIN HIGHWAY RIGHTS-OF-WAY
This policy makes no reference to reimbursement to utility owners for the cost of adjusting or installing utilities
on free. ways. Reimbursement is subject to State laws.
It is the intent of this policy to establish procedures whereby the individual State highway authorities may
uniformly administer the same.
STATEMENT OF POLICY
1. Utilities to Which Policy Applies
The principles set forth in this policy apply to all public and Private utilities including power transmission,
telephone, telegraph, water, gas, oil, petroleum products, steam, sewer, drainage, irrigation, and similar lines.
Such utilities may involve construction and maintenance of underground, surface or overhead facilities, either
singly or in combination.
This policy shall apply to utilities located on right-of-way owned or leased by the utility owners and to utilities
on public highway rights-of-way.
This policy does not apply to utility lines for servicing facilities required for operating the freeway,
2. New Utility Installations Along Freeways
New utilities will not be permitted to be installed longitudinally within the control of access lines of any
freeway, except that in special cases such installations may be permitted under strictly controlled conditions.
However, in each such case the utility owner must show that:
A. The accommodation will not adversely affect the safety, design, construction, operation, maintenance or
stability of the freeway;
B. The accommodation will not be constructed and/or serviced by direct access from the thru traffic
C. The accommodation will not interfere with or impair the present use or future expansion of the freeway;
and,
D. Any alternative location would be contrary to the public interest. This determination would include an
evaluation of the direct and indirect environmental and economic effects which would result from the
disapproval of the use of such right-of-way for the accommodation of such utility.
3. Existing Utilities Along Proposed Freeways.
Where an utility already exists within the proposed right-of-way of a freeway and it can be serviced, maintained
and operated without access from the through traffic roadways or ramps, it may remain as long as it does not
adversely affect the safety, design, construction, operation, maintenance or stability of the freeway. Otherwise,
it must be relocated.
4. Major Valley Crossings
Where a freeway crosses a major valley or river on an existing structure, any utility carried by said structure at
the time the highway route is improved may continue to be so carried when relocation of the utility would be
very costly and provided the utility can be serviced without interference with road users.
Expansion of a utility carried by an existing structure across a major valley or river may be permitted provided
RULES AND REGULATIONS FOR ACCOMMODATING UTILITIES
CHAPTER 1680-6-1
WITHIN HIGHWAY RIGHTS-OF-WAY
the utility can be installed and serviced without interference with road users.
A new utility will not be permitted to be installed on a structure across a major valley or river at and after the
time the highway route is improved, except for special cases as covered by Item 2,
5.
Utilities Crossing Freeways
New utility installations and adjustments or relocations of existing utilities may be permitted to cross a freeway.
To the extent feasible and practicable they should cross on a line generally normal to the freeway alignment and
preferably under the freeway.
5(A) Utilities Along Roads or Streets Crossing Freeways
Where a utility follows a crossroad or street which is carried over or under a freeway, provision should be made
for the utility to cross the freeway on the locations of the crossroad or street in such manner that the utility can
be serviced without access from the through-traffic roadways or ramps. Generally the utilities are to be located
within the right-of-way of the crossroad or street, existing or relocated, and may cross over or under the
freeway or be carried on or through the highway grade separation structure, provided installation and servicing
thereof can be accomplished without access from the through-traffic roadways or ramps. Where distinct
advantage and appreciable cost saving is effected by locating the utilities outside the right-of-way of the
crossroad or street they may be so located, in which case they shall be located and treated in the same manner
as utility lines crossing the freeway at points removed from grade separation structures as in (B) and (C) which
follow.
5(B) Overhead Utility Crossings
Overhead utility lines crossing a freeway at points removed from grade separation structures, or those crossing
near a grade separation but not within the right-of-way of a crossroad or street, in general, should be adjusted so
that supporting structures are located outside the outer edges of through-traffic roadway side slopes and
preferably outside the control access lines. In any case supporting poles shall not be placed within the
appropriate clear zone as designated in the current edition of the AASHTO publication “Guide for Selecting,
Locating and Designing Traffic Barriers.” Supporting poles may be placed in medians of sufficient width to
provide the above referenced clear zone from the edges of both roadways. If additional lanes are planned, the
clear zone shall be determined from the ultimate edges of the roadway. Where right-of-way lines and control of
access lines are not one and the same, as where frontage roads are provided, supporting poles may be located in
the area between them. In extraordinary cases where such spanning of the roadways is not feasible,
consideration may be given to conversion to underground facilities to cross the freeway.
At interchange areas, in general, support for overhead utilities should be permitted only where all of the
following conditions are met: (a) the above indicated clear zone is provided with respect to the freeway
through-traffic lanes, (b) the appropriate clear zone from edge of ramp is provided as designated in the above
referenced AASHTO “Guide for Selecting, Locating and Designing Traffic Barriers,” (c) essential sight
distance is not impaired, and (d) the conditions of Item 7, “Access for Servicing Utilities,” are satisfied.
The vertical clearance to overhead utility lines crossing freeways shall be determined by the State but in no case
shall be less than the clearance required by the National Electrical Safety Code, ANSI C2, Institute of Electrical
and Electronics Engineers, Inc.
5(C) Underground Utility Crossings
Utilities crossing underground below the freeways shall be of durable materials and so installed as to virtually
preclude any necessity for disturbing the roadways to perform maintenance or expansion operations. The
design and types of materials shall conform with appropriate governmental codes and specifications.
RULES AND REGULATIONS FOR ACCOMMODATING UTILITIES
CHAPTER 1680-6-1
WITHIN HIGHWAY RIGHTS-OF-WAY
Manholes and other points of access to underground utilities may be permitted within the right-of-way of a
freeway only when they are located beyond the shoulders of the through-traffic roadways or ramps as planned
for later widening, if any, and only where they can be serviced or maintained without access from the through-
traffic roadways or ramps.
5(D) Irrigation Ditches and Water Canals
Except for necessary crossings, water canals and irrigation ditches should be excluded from the right-of-way of
freeways, except for special cases as covered by Item 2. Crossings may be made by underground siphon, or
through culverts, or bridges as appropriate to the size of canal, topographic conditions, and highway safety
aspects. In general, locations and structures are to be designed in the same manner as are facilities for natural
transverse drainage.
All access and egress for servicing or patrolling such facilities shall be from outside the control of access’ lines.
Ditch-walkers or ditch-riders shall not be permitted to indiscriminately cross the freeway at grade. Under
appropriate traffic control arrangements, special ditch cleaning equipment may be permitted to cross in those
cases where considerable extra travel distance would otherwise be required to utilize grade separation
structures.
5(E) Provisions for Expansion of Utilities
When existing utilities are relocated or adjusted in conjunction with construction of a freeway, provision may
be made for known and planned expansion of the utility facilities, particularly those underground. They should
be planned to avoid interference with traffic at some future date when additional or new overhead or
underground lines are installed.
6. Utilities in Vehicular Tunnels
As a general rule utilities will not be permitted to occupy vehicular tunnels on freeways on new location, except
in special cases as covered by Item 2.
Utilities which transport a hazardous material shall not be allowed in a vehicular tunnel under any
circumstances.
Where a utility occupies space in an existing vehicular tunnel that is converted to a freeway, relocation of the
utility may not be required. Utilities which have not previously occupied an existing vehicular tunnel that is
incorporated in a freeway will not be permitted therein, except in special cases as covered by Item 2.
7. Access for Servicing Utilities
Access for Servicing a utility along or across a freeway should be limited to access via (a) frontage roads where
provided, (b) nearby or adjacent public roads and streets, or (c) trails along or near the highway right-of-way
lines, connecting only to an intersecting road, from any one or all of which entry may be made to the outer
portion of the freeway right-of-way.
In those special cases, where utility supports, manholes, or other appurtenances are located in medians or
interchange areas, access to them from through-traffic roadways or ramps may be permitted but only by permits
issued by the highway agency to the utility owner setting forth the conditions for policing and other controls to
protect highway users.
Where utilities are located outside the control of access line and where such utilities may require maintenance
from within the freeway right-of-way, a permit must be obtained from the highway agency.
RULES AND REGULATIONS FOR ACCOMMODATING UTILITIES
CHAPTER 1680-6-1
WITHIN HIGHWAY RIGHTS-OF-WAY
Advance arrangements should also be made between the utility and the highway agency for emergency
maintenance procedures.
8. Construction and Location Details
The highway agency which constructs or maintains freeways has the right to review and approve the location
and design of all utility installations and adjustments affecting the highway and issue permits for the
contemplated work.
9. Manner of Making Utility Installations and Adjustments
In general, utility installation and adjustments are to be made with due consideration to highway and utility
costs and in a manner that will provide maximum safety to the highway users, will cause the least possible
interference with the highway facility and its operation, and will not increase the difficulty of or cost of
maintenance of the highway.
RULES AND REGULATIONS FOR ACCOMMODATING UTILITIES
CHAPTER 1680-6-1
WITHIN HIGHWAY RIGHTS-OF-WAY
APPENDIX 3
[Deleted]
APPENDIX 3A
[Deleted]
APPENDIX 4.A
1. Geometrics of the Roadway
2. Longitudinal location of Luminaire along the Roadway.
3. Cross-section of the Roadway showing the location of the Luminaire with respect to the edge of the pavement
(both horizontally and vertically).
4. Photometric data used in the design.
5. Luminaire size. ASA type and initial lumen rating, associated with the luminaire when operating in the
position for which the equipment was designed.
6. Mounting height and type of poles to be used.
7. Average spacing of luminaires.
8. Average horizontal footcandle level used in the design.
9. Maximum horizontal footcandle level.
10. Minimum horizontal footcandle level.
11. Maintenance factor used in the design.
12. Character of the existing street lighting at each end of the proposed new system and on the intersecting
roadways.
Upon request and when available the Department will provide prints of the highway construction plans for use as a
base for the proposed lighting plan.
RULES AND REGULATIONS FOR ACCOMMODATING UTILITIES
CHAPTER 1680-6-1
WITHIN HIGHWAY RIGHTS-OF-WAY
APPENDIX 4B
Required Information to Accompany Plans For Pipeline Encroachments:
Carrier Pipe
Casing Pipe
1. Contents to be handled
______________
_______________
2. Outside diameter
______________
_______________
3. Pipe material
______________
_______________
4. Pipe specifications and grade
______________
_______________
5. Wall thickness
______________
_______________
6. Design pressure
______________
_______________
7. Actual working pressure
______________
_______________
8. Type of joint
______________
_______________
9. Coating
______________
_______________
10. Method of installation
______________
_______________
11. Protection at end of casing
______________
_______________
Both Ends ____________ One End ____________ Type ___________________
12. Cover: Finished grade to tope of casing or carrier ________________________
Bottom of ditch or toe of slope to top of
Carrier to casing _____________________________________________
13. Cathodic protection _________________________________________________
14. Size and height of casting vent ________________________________________
15. Distance from casing vent to edge of
Nearest traffic lane _________________________________________________
RULES AND REGULATIONS FOR ACCOMMODATING UTILITIES
CHAPTER 1680-6-1
WITHIN HIGHWAY RIGHTS-OF-WAY
APPENDIX 4C
Required Information to Accompany Plans Overhead Power or Communication Encroachments:
1. Type of facility ________________________________________________________________________
2. Type of conductor or cable _______________________________________________________________
3, Size of conductor or cable ________________________________________________________________
4. Height, type and class of poles ____________________________________________________________
5. Type and size of guys ___________________________________________________________________
6. Minimum vertical clearance @ points of crossing _____________________________________________
7. Type and size of crossarms _______________________________________________________________
This information may be shown on the plan or by attachment thereto.
APPENDIX 4D
Required Information to Accompany Plans for Underground Electric or Communication Encroachments:
1. Type of facility ________________________________________________________________________
2. Type of conductor or cable _______________________________________________________________
3. Size of conductor or cable ________________________________________________________________
4. Type of duct or encasement ______________________________________________________________
5. Minimum longitudinal cover _____________________________________________________________
6. Minimum cover at crossing of travel way ___________________________________________________
This information may be shown on the plan or by attachment thereto.
RULES AND REGULATIONS FOR ACCOMMODATING UTILITIES
CHAPTER 1680-6-1
WITHIN HIGHWAY RIGHTS-OF-WAY
RULES AND REGULATIONS FOR ACCOMMODATING UTILITIES
CHAPTER 1680-6-1
WITHIN HIGHWAY RIGHTS-OF-WAY
APPENDIX 6
LICENSE FOR PRIVATE UTILITY OCCUPANCY OF STATE HIGHWAY RIGHT-OF-WAY
BY INDIVIDUALS OR BUSINESSES
This license agreement is made and entered into on this __________ day of ________________, 19 ____, by
and between the State of Tennessee, acting through its Department of Transportation, hereinafter referred to as
“licensor”
and
__________________________________________________________________________
hereinafter referred to as “licensee”;
WITNESSETH:
That licensor, in consideration of a showing of necessity by the licensee to install private
____________________________ utility facilities in state highway right-of-way hereby grants licensee the
privilege to make and maintain a utility installation to serve the property described in Exhibit A in accordance with
the provisions of this agreement and in conformity with the plans and specifications contained in Exhibit B, which
exhibits are attached and constitute a part hereof,
It is understood by the parties that this license shall not be construed as a grant of any interest in and to said
right-of-way, but as a privilege of occupancy by permission of licensor to be used exclusively to provide
____________________________ utility service to said property for an indefinite future time when installed in
accordance with said plans and specifications, provided licensee maintains the facilities in good operating condition,
until licensor has a need to use the occupied area for maintenance or construction within the right-of-way or until
public utility facilities offering the same service become available.
On failure of the licensee to comply with any condition or occurrence of any limitation on continuance of this
license, licensee agrees to remove its facilities or discontinue their use, as the licensor directs.
IN WITNESS WHEREOF, the parties have executed this license on the day and date first above written.
LICENSEE
STATE OF TENNESSEE
TENNESSEE DEPARTMENT OF TRANSPORTATION
BY: ____________________________
BY: ___________________________
Name
Jimmy M. Evans
Commissioner
____________________________
BY: ___________________________
Title
Lewis Evans
State Transportation Engineer
APPROVED
BY: ___________________________
Henry K. Buckner, Jr.
Department Attorney
PROPERTY
Book ______________________
Page _______________________
County _____________________
RULES AND REGULATIONS FOR ACCOMMODATING UTILITIES
CHAPTER 1680-6-1
WITHIN HIGHWAY RIGHTS-OF-WAY
APPENDIX 7A
Form U-5
1-83
SURETY BOND
(For Utility Permits)
KNOW ALL MEN BY THESE PRESENTS:
That we _________________________________________________________________ , PRINCIPAL, and
_______________________________________________________________________ as SURETY, are held and
firmly bound unto the DEPARTMENT OF TRANSPORTATION of the State of Tennessee to perform the work
described in the Application and Utility Use and Occupancy Agreement attached hereto and requested this the
_____________day of ________________________, 19 ________, in the manner prescribed in said Application
and Agreement and to replace or repair any portion of pavement, shoulders, bridges or any other part of the
highway described in said Agreement which may be damaged as a result of the work hereinbefore referred to. We
do hereby agree to repair or replace any damaged portion of said highway in accordance with Standard
Specifications for Road and Bridge Construction of the Department of Transportation of the State of Tennessee. In
the event such repairs or replacements are not made in a manner satisfactory to the Department of Transportation of
the State of Tennessee, we hereby agree to reimburse said Department for the cost of such repairs.
We do bind ourselves in the sum of $ ______________________ for a term beginning the ______ day of
_______________________________, 19______ , until proper release is received front the Department of
Transportation of the State of Tennessee.
NOW THEREFORE, the PRINCIPAL AND SURETY assume all obligations and liabilities as set forth above,
SIGNED, SEALE’D and dated this the __________ day of __________________________, 19 ________.
________________________________
Principal
BY: ____________________________
________________________________
Title
________________________________
Surety
Surety Company Bond No: ____________________________
BY: ____________________________
Mailing Address of Surety Company
__________________________________________________
__________________________________________________
Name and Address of Agency Writing Bond
__________________________________________________
__________________________________________________
(A copy of the Power of Attorney properly executed by the company authorizing the Agent signing above to bind
the company as Surety on this Bond must be attached hereto.)
RULES AND REGULATIONS FOR ACCOMMODATING UTILITIES
CHAPTER 1680-6-1
WITHIN HIGHWAY RIGHTS-OF-WAY
APPENDIX 7B
Form U-4
1-83
RUNNING SURETY BOND
(For Utility Permits)
WHEREAS, it will be necessary from time to time for _______________________________to locate
utilities on and to perform work on State highway right-of-ways within the City/County (strike one) of
____________________________. Tennessee, after applying for and being granted an Application and Use and
Occupancy Agreement with the Department of Transportation of the State of Tennessee for each such installation
and,
WHEREAS, in consideration of the entering into Applications and Utility Use and Occupancy Agreement
by the Department of Transportation of the State of Tennessee, __________________________ agrees to insure to
the said Department that it will repair or replace any portion of pavement, shoulders, bridges or nay other part of
any highway which may be damaged as a result of the work hereinbefore referred to.
NOW THEREFORE KNOW ALL MEN BY THESE PRESENT:
That
we
_______________________________________________________________,
PRINCIPLE,
and
______________________________________________________________________ as SURETY, are held and
firmly bound into the DEPARTMENT OF TRANSPORTATION of the State of Tennessee to perform any work
within City/County (strike one) of _____________________, Tennessee, permitted in any Application and Utility
Use and Occupancy Agreement between _________________________ arid the Department of Transportation of
the State of Tennessee applied for and granted after the ___________ day of __________________, 19 _______, in
the manner prescribed in each of said respective agreements and to replace or repair any portion of pavement,
shoulders, bridges or nay other part of the highway described in said respective agreements which may be damaged
as a result of the work hereinbefore referred to. We do hereby agree to repair or replace any damaged portions of
said highways in accordance with Standard Specifications for Road and Bridge Construction of the Department of
Transportation of the State of Tennessee. In the event such repairs or replacements are not made in a manner
satisfactory to the Department of Transportation of the State of Tennessee, we hereby agree to reimburse said
Department of Transportation for the cost of such repairs.
We do bind ourselves in the sum of $ _______________________ until proper release is received from the
Department of Transportation of the State of Tennessee for each installation for which an Application and Utility
Use and Occupancy Agreement was entered into between __________________________________ and said
Department from the date last above written until the termination of the Bond as provided for hereinafter. It is
expressly understood and agreed that the above sum represents the total aggregate liability under this Bond on all
work performed under Agreements issued as aforesaid but not properly released by said Department.
This Bond may be terminated by the SURETY following the giving of written notice of intention to
terminate by certified mail to the State Utilities Engineer, Department of Transportation of the State of Tennessee,
100 James K. Polk Building, Nashville, TN. 37219, and said terminator will become effective thirty (30) days after
receipt of said notice. Proper termination notice notwithstanding, PRINCIPLE and SURETY will remain bound to
the State of Tennessee under the terms hereabove set out for the performance of any projects, with City/County
(strike one) of _________________________, Tennessee, for which Application and Utility Use and Occupancy
Agreements were entered into between the date last above written and said date of termination, until proper release
is received from the Department of Transportation of the State of Tennessee for each of said projects.
NOW THEREFORE, the PRINCIPLE AND SURETY assume all obligations and liabilities as set forth
above.
Signed, sealed and dated this the __________ day of ______________________, 19_______.
RULES AND REGULATIONS FOR ACCOMMODATING UTILITIES
CHAPTER 1680-6-1
WITHIN HIGHWAY RIGHTS-OF-WAY
Surety Company Bond No. ___________________________
________________________________
Principle
Mailing Address of Surely Company
BY: ____________________________
_________________________________________________
________________________________
Title
_________________________________________________
________________________________
Surety
Name and Address of Agency Writing Bond
BY: ____________________________
_________________________________________________
_________________________________________________
_________________________________________________
(A copy of the Power of Attorney properly executed by the company authorizing the Agent signing above to bind
the company as Surety on this Bond must be attached hereto.)
_________________________________________________________________________________________
APPENDIX 8
REQUIREMENTS FOR, OPEN CUT TRENCHING, BACKFILLING AND REPLACEMENT PAVING
1.
One-half of the traveled portion of the pavement must remain open to traffic at all times.
2.
Existing pavements, buses, curbs and gutters and sidewalks shall be cut and brought to a neat line by
mechanically sawing or by use of an air hammer. Expansion joints removed shall be replace.
1.
If permanent pavement repairs cannot be made within two (2) days, then temporary replacement
shall be made with 2 inches cold mix or hot bituminous seal coat over compacted crush stone.
2.
Backfill for trenches within roadway areas shall be placed in 6 inch layers and each layer shall be
thoroughly compacted by means of mechanical tamp. All concrete shall be Class “A”.
3.
Materials and workmanship shall comply with “Standard Specifications for Road and Bridge
Construction” issued by the Tennessee Department of Transportation, March 1, 1981. All work is subject to
inspection and approval by the Department of Transportation.
4.
Trenches under roadways shall be backfilled to the base of the pavement or a minimum of 9
inches below finished grade, whichever is greater, with crush stone. Pavement will be removed for a minimum
of one-foot on each side of the trench. The depth of the patch shall be the depth of the existing pavement or 9
inches, whichever is greater. The patch shall be finished so as not to leave a bump or dip in the finish grade.
Pavement shall be replaced in kind as shown hence or as directed by the Regional Utilities Engineer.
RULES AND REGULATIONS FOR ACCOMMODATING UTILITIES
CHAPTER 1680-6-1
WITHIN HIGHWAY RIGHTS-OF-WAY
APPENDIX 9
SPECIAL PROVISIONS FOR BLASTING ON HIGHWAY RIGHTS-OF-WAY
General Provisions
1. Each side of the trench shall be line drilled at 6” C.C. Maximum.
2. Blast holes shall be drilled 6” minimum from plane of line drill.
3.
Blast holes shall be loaded with a maximum of 0.5 pounds of water resistant gelatin at no greater than 60%
strength.
Blasting shall be sequenced so as each shot will kick to an open face.
5. Steel blasting mats shall be used to cover each shot.
6. A maximum of 10 holes or 20 linear feet, whichever is less, shall be loaded and shot at any one time.
Provisions for Blasting Near Structures
1. When blasting around or under highway structures, the State will have an inspector inspect the structure before
and after the blasting operation is complete, recording the time and findings in diary form. In the event any
damage to the structure is observed. all work within the area shall be immediately suspended and shall remain
suspended pending investigation by the State as to the extent of damages.
2. A responsible representative of the explosive supplier shall be present on the site at all times the utility or its
contractor is performing any blasting operations within the State’s right-of-way.