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  • Public Manhole Access Application

    In order to gain access into the sanitary sewerage conveyance system, authorization is required from the Regional Wastewater Reclamation Department.

    Permission is granted through the application below, and can be revoked at any time by Pima County. The application must be completed in full and submitted to Pima County Regional Wastewater Reclamation Department at RWRDSewerAccessApplications@pima.gov. The email submission will notify designated staff of your request and no further action is required to proceed with access. Please print a copy of the completed application to have on-site when accessing the public sewer.


    Required fields indicated by: *.
    Manhole Application Form

    CONTACT DETAILS

    Name of Employee that will be in Responsible Charge on-site during the access of the Sanitary Sewer.

    Name: *  

    Address: *    City: *  

    State: *    Zip code: *  

    Phone: *  

    Email: *  



    Name of Applicant Firm or Government Agency: *  

    Purpose of the Permit: *  

    Specific Performance Time Period.  (Access by the Applicant either before or after the stated time period shall constitute a violation of this Regional Wastewater Reclamation Department Directive).

    PERMIT DETAILS



    Permit Activation Date: *  

    Permit Termination Date: * 

    Permit is for: *




    Location of:
      Street Address: *   City: * 

      State: *   Zip code: *  
    Access Point:
      Manhole Identification Number: *  

      Major Cross Streets: *  

    Right of Way Access:  The permitee is expected to access system features within public rights of way while at the same time respecting, to the largest degree possible, private property rights.

    In the event of dropped equipment or notification of an incident in the field, please contact RWRD at (520) 724-6500.

    Certifications

    Applicant certifies, by signature below, that when this permit is marked for “Physical Access and Entry” above, then the employees that are to perform the work (including the physical entry) shall:

    1. Be properly equipped with industry-standard confined-space entry safety equipment and atmospheric monitoring equipment suitable for a sanitary sewer environment.
    2. Have been trained in and will employ OSHA confined-space entry safety procedures (OSHA 1910.146 or successor provisions).
    3. Upon request, applicant will provide RWRD with a copy of the written confined space entry procedures that will govern the confined space entry and/or the training records of the individuals that will physically perform the confined space entry.
    4. The applicant shall hold the Wastewater Management Department, and its officers and employees, harmless for any liability associated with the access of and/or physical entry into the public sanitary sewer by the applicant’s employees.
    5. The Sanitary Sewer Access Permit shall neither constitute nor replace the Confined Space Entry Permit that the applicant must issue, in accordance with the applicant’s written confined space entry procedures as required for OSHA compliance, at the site of and at the time of the physical confined space entry.

    SIGNATURE


    *By Name:  * Date:

    * I hereby certify information provided is true and acurate. (By checking the box I am electronically signing this pledge.)


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    Wastewater Reclamation

    201 N. Stone Ave., 8th Fl.
    Tucson, AZ 85701

    (520) 724-6500


    Sewer Emergencies

    (520) 724-3400


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