Form Ds-350 - Excavation Moratorium Waiver - City Of San Diego Development Service - 2014
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City of San Diego
Development Services
Excavation Moratorium Waiver
DS-350
1222 First Ave., MS-302
San Diego, CA 92101
(619) 446-5000
O
2014
ctOber
This form shall be used when a waiver is requested in accordance with Municipal Code Section
§62.1206
&
§62.1207
- Excava-
tion Moratorium Waivers. Excavations shall not be permitted in a moratorium street without a valid moratorium waiver. Not
all requests will be granted. Please fill out the form thoroughly and explain the need to waive the moratorium. This completed
form may be submitted with the construction plans for the proposed work.
1. Project Name:
Project Number:
Project Address:
2. Property Owner/Permit Holder Name:
E-mail:
Address:
City:
State:
Zip Code:
Telephone:
Fax Number:
3. Describe the Scope of the Work:
Street/Road: ___________________________ Between: ________________________and: _______________________ is a Moratorium
❏
❏
Street as defined in Municipal Code Section
§62.1203
for:
Overlay
Slurry
❏
❏
❏
❏
The Moratorium Expires on:
Street Classification:
Residential
Collector
Major
Arterial
4. Based on the scope of work, the project qualifies for a waiver due to one or more of the following reasons:
(Check all that apply)
❏
An emergency exists that:
• Endangers the health and safety or property of the citizenry; and
• Requires excavation in order to remediate the emergency.
❏
New service to a specific location cannot be provided either:
• Through existing conduit.
• Where trenchless technology is impractical due to one or more of the following:
• Soil conditions
• Proximity of facilities
• Where trenchless technology is economically impractical compared to trenching and resurfacing performed in accor-
dance with approved standards.
• The Public Utility demonstrates to the City Engineer’s satisfaction that the service cannot be provided from another
location.
❏
The installation relocation by non-government owned Public Utility is both:
• Required by the City, County, State or Federal Government; and
• Not required as a result of an underground utility district established pursuant to Section §61.050.
❏
Only a Non-Linear Excavation or an exploratory excavation will be made. The City Engineer may authorize an exploratory
excavation with an area not to exceed five feet by five feet.
Printed on recycled paper. Visit our web site at
Upon request, this information is available in alternative formats for persons with disabilities.
DS-350 (10-28-14)
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