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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 issued on a de facto basis, and Pima County reserves the right to revoke permission at any time. 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 unless contacted by Pima County staff. 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: *  

    PERMIT DETAILS


    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). Activation date cannot be earlier than the 4th business day from the date of application to allow for staff review.

    Permit Activation Date: *  

    Permit Termination Date: * 

    Permit is for: *




    Location of:
      Street Address: *   City: * 

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

      Manhole Identification Number:   

      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. The Permitee is responsible for all Right of Way permits, traffic control and any other safety measures and permits required to work in the public right of way and around an active sewer system.

    In the event of dropped equipment or notification of an incident in the field, please contact RWRD at (520) 724-6500. For Emergencies call 911.

    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 (29 CFR §1910.146 or successor provisions).

    Permit Conditions

    1. 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.
    2. The applicant will indemnify, defend, and hold harmless Pima County, its officers, departments, employees, and agents from and against any and all suits, actions, legal or administrative proceedings, claims, demands, or damages of any kind or nature which result from any act or omission of applicant, its agents, employees, or anyone acting under its direction, control, or on its behalf unless due solely to county negligence.
    3. 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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