San Leandro, CA · Alameda County
Pipe Bursting Special Approval Authorization
Property owners and contractors complete this authorization to accept the City’s conditions for repairing an existing sewer lateral using pipe bursting.
What this form is
This authorization records the owner’s and contractor’s acceptance of the City’s conditions for repairing an existing sewer lateral with pipe bursting and HDPE pipe. It asks for the owner, contractor, work location, requested work, permit number, and dated signatures. The conditions include obtaining an encroachment permit and paying applicable fees before work begins, along with inspection and installation requirements.
Who needs it
Property owners and contractors proposing to repair an existing sewer lateral using the pipe bursting method complete and sign this authorization.
How to submit it
The form names the City’s Engineering & Transportation department at Civic Center, 835 East 14th Street, San Leandro, CA 94577, and lists (510) 577-3428.
About notarization
This authorization is signed and dated by the owner and contractor without a notary; the form does not identify any attachment or related step requiring notarization.
How to submit this form
- 1
Download The Authorization
Download the Pipe Bursting Special Approval Authorization for the proposed sewer lateral work.
- 2
Complete The Project Details
Enter the owner, contractor, work location, requested work, permit number, and date; have the owner and contractor sign.
- 3
Review The Conditions
The form lists applicable fees and an encroachment permit as conditions to meet before work begins; it does not list attachments.
- 4
Submit To The City
The form names City Engineering & Transportation at Civic Center, 835 East 14th Street, San Leandro, CA 94577.
Frequently asked questions
- What is the Pipe Bursting Special Approval Authorization?
- It records the owner’s and contractor’s acceptance of City conditions for repairing an existing sewer lateral by pipe bursting and inserting HDPE pipe.
- Who completes this authorization?
- The property owner and contractor provide the requested project information and sign and date the authorization.
- Do I need a notary for the Pipe Bursting Special Approval Authorization?
- No. The owner and contractor sign and date this authorization without a notary, and the form does not identify an attachment or related step that requires notarization.
- How do I submit the Pipe Bursting Special Approval Authorization?
- The form lists the City’s Engineering & Transportation department at Civic Center, 835 East 14th Street, San Leandro, CA 94577, and provides the phone number (510) 577-3428.