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DEPARTMENT OF PUBLIC WORKS Dumpster/Moving Pod Encroachment Permit Applicant’s Name Applicant’s Phone Applicant’s Address City Zip Proposed Location Purpose Please list any other permits associated with the proposed location. Provide permit/project number(s): Waste Hauler Phone Moving Pod Phone EFFECTIVE DATES * From To **Dumpster/Moving Pod permitted by Millcreek may be placed in the public right of way for a maximum of seven calendar days. For Example: Monday to Sunday CONDITIONS OF APPROVAL 1. Permittee agrees to defend, indemnify and save harmless to Millcreek, its officers, agents and employees for any and all claims, demands, damages, costs, expenses (including attorney’s fees), judgments or liabilities arising out of this Agreement or occasioned by the performance or attempted performance of the provisions hereof; including , but not limited to, any act or omission to act on the part of the agent or employees or other independent ---PAGE BREAK--- directly responsible to him/her; except those claims, demands, damages, costs, expenses (including attorney’s fees), judgements or liabilities resulting solely from the negligence or willful misconduct of Millcreek. 2. Permittee agrees to, at his/her own expense, restore to original or better condition any and all damages caused to public or private property resulting from the permitted activity. 3. Permittee agrees to place dumpster/pod immediately adjacent to the curbside in front or as close to the work address as possible. 4. Permittee agrees to secure and maintain the dumpster/pod and dumpster/pod area in a clean and safe condition. 5. Material and equipment related to dumpster/pod service, other than the dumpster/pod itself, is not to be stored on public property or obstruct free and convenient approach to and use of any fire hydrant, fire and police alarm. 6. A walkway of no less than 4 feet wide shall be maintained in good order on the sidewalk in front of the site at all times and for the entire length of time that work is being done. 7. Permittee is to guide, direct, and assure safe passage of pedestrians on the sidewalk at all times. 8. Permittee is to park all vehicles away from the dumpster/pod location to allow for parting access by other residents in the area. 9. Permittee agrees not to place dumpster/pod within 6 feet of a driveway approach, 25 feet of any intersection, and in any location where it obstructs a driver or pedestrian’s ability to see clearly, or as directed by the Public Works Director or designee. 10. No dumpster/pod shall be placed in the public right-of-way that will not allow for a 12-foot driving lane. 11. If placed in Millcreek’s right-of-way, reflective materials or traffic delineators shall be placed around the dumpster/pod at the discretion of the Public Works Department. 12. This permit may be revoked at any time without cause, when determined to be a public safety hazard by the Public Works Director or designee. 13. The Permittee agrees to immediately move any dumpster/pod, at their own expense determined to be a public hazard or public safety concern by the Public Works Director or designee. 14. Further requirements, if necessary, shall be administrated by the building inspector in accordance with the Millcreek Municipal Code. 15. Permittee agrees to contact the Millcreek Public Works Department ([PHONE REDACTED]) 24- hours ahead of delivery of dumpster to verify the location of the unit. The unit shall be placed to the satisfaction of the Public Works Director or designee I HAVE READ AND AGREE TO THE ABOVE CONDITIONS. Applicant Signature Date Date Issued Approved By Fee No Cost Permit