Driveway Permit Application Sample Contracts
APPLICATION IDENTIFICATION N.C. DEPARTMENT OF TRANSPORTATION Driveway Permit No. Date of Application STREET AND DRIVEWAY ACCESS PERMIT APPLICATION County: Development Name: LOCATION OF PROPERTY: Route/Road: Exact Distance MilesFeetFrom the...Driveway Permit Application • November 12th, 2008
Contract Type FiledNovember 12th, 2008SIGNATURES OF APPLICANT PROPERTY OWNER (APPLICANT) WITNESS COMPANY NAME SIGNATURE SIGNATURE ADDRESS ADDRESS Phone No. AUTHORIZED AGENT WITNESS COMPANY NAME SIGNATURE SIGNATURE ADDRESS ADDRESS Phone No. APPROVALS APPLICATION RECEIVED BY DISTRICT ENGINEER SIGNATURE DATE APPLICATION APPROVED BY LOCAL GOVERNMENTAL AUTHORITY (when required) SIGNATURE TITLE DATE APPLICATION APPROVED BY DISTRICT ENGINEER SIGNATURE DATE INSPECTION BY NCDOT SIGNATURE TITLE DATE COMMENTS:
Date of Application: LOCATION OF PROPERTY and DESCRIPTION OF WORK: Property Address: Exact Distance Miles N S E W Feet From the Intersection of Street Name and Street Name Toward Property Will Be Used For: Residential...Driveway Permit Application • August 20th, 2024
Contract Type FiledAugust 20th, 2024I, the undersigned property owner, request access and permission to construct driveway(s) on public right-of-way at the above location. I agree to design, construct, install and use the proposed facilities in a safe and proper manner and shall maintain the facilities in a safe and proper condition at all times so that the facilities will not interfere with or endanger the use of the property or surrounding area by the Town or general public. The Applicant shall not obstruct or interfere with proper maintenance or use of the Town's property and facilities. I agree that no signs or objects will be placed on or over the public right-of-way other than those approved by the Town. I agree that the driveway(s) will be constructed as shown on the attached plans. Attach minimum 8 ½” x 11” Plans to this Document as Appendix “A”; include larger size Plans if available or for commercial and subdivision applications. I agree that the driveway(s) as used in this agreement include any approach tapers
APPLICATION IDENTIFICATION N.C. DEPARTMENT OF TRANSPORTATION Driveway Permit No. Date of Application STREET AND DRIVEWAY ACCESS PERMIT APPLICATION County: Development Name: LOCATION OF PROPERTY: Route/Road: Exact Distance Miles N S E W FeetFrom the...Driveway Permit Application • November 12th, 2009
Contract Type FiledNovember 12th, 2009SIGNATURES OF APPLICANT PROPERTY OWNER (APPLICANT) WITNESS COMPANY NAME SIGNATURE SIGNATURE ADDRESS ADDRESS Phone No. AUTHORIZED AGENT WITNESS COMPANY NAME SIGNATURE SIGNATURE ADDRESS ADDRESS Phone No. APPROVALS APPLICATION RECEIVED BY DISTRICT ENGINEER SIGNATURE DATE APPLICATION APPROVED BY LOCAL GOVERNMENTAL AUTHORITY (when required) SIGNATURE TITLE DATE APPLICATION APPROVED BY DISTRICT ENGINEER SIGNATURE DATE INSPECTION BY NCDOT SIGNATURE TITLE DATE COMMENTS:
APPLICATION IDENTIFICATION N.C. DEPARTMENT OF TRANSPORTATIONDriveway Permit Application • November 10th, 2020
Contract Type FiledNovember 10th, 2020I, the undersigned property owner, request access and permission to construct driveway(s) or street(s) on public right-of-way at the above location. I agree to construct and maintain driveway(s) or street entrance(s) in absolute conformance with the current “Policy on Street and Driveway Access to North Carolina Highways” as adopted by the North Carolina Department of Transportation. I agree that no signs or objects will be placed on or over the public right-of-way other than those approved by NCDOT. I agree that the driveway(s) or street(s) will be constructed as shown on the attached plans. I agree that that driveway(s) or street(s) as used in this agreement include any approach tapers, storage lanes or speed change lanes as deemed necessary. I agree that if any future improvements to the roadway become necessary, the portion of driveway(s) or street(s) located on public right-of-way will be considered the property of the North Carolina Department of Transportation, and I will not be
ContractDriveway Permit Application • June 3rd, 2019
Contract Type FiledJune 3rd, 2019DRIVEWAY PERMIT APPLICATIONTown of Beech Mountain Dept. of Public Works 403 Beech Mountain Parkway(828) 387-9282 Location of Property: Property Use: Street Address Lot No. Commercial Residential AGREEMENTI, the undersigned property owner, request access and permission to construct a driveway or street connection on public right-of-way at the above location. I agree to construct and maintain the driveway or street entrance in absolute conformance with the “Manual on Driveway Entrance Regulations” as adopted by the Beech Mountain Town Council. I agree to construct and maintain the driveway or street entrance in a safe manner so as not to interfere with or endanger public travel. I agree that no sign or objects will be placed on or over the public right–of–way. I agree that driveway or street entrance will be constructed as shown on the sketch on (the reverse side) (the attached plans). SELECT ONE I agree that this permit becomes void if construction of driveway or street entrance is not
APPLICATION IDENTIFICATION N.C. DEPARTMENT OF TRANSPORTATION Driveway Permit No. Date of Application STREET AND DRIVEWAY ACCESS PERMIT APPLICATION County: Currituck County Development Name: ECSU Hangar Facility LOCATION OF PROPERTY: Route/Road: SR...Driveway Permit Application • July 1st, 2024
Contract Type FiledJuly 1st, 2024This application is for sewer extensions involving gravity sewers, pump stations and force mains, or any combination that has been certified by a professional engineer and the applicant that the project meets the requirements of 15A NCAC 02T and the Division’s Minimum Design Criteria (Gravity Sewer & Pump Stations/Force Mains) and that plans, specifications and supporting documents have been prepared in accordance with 15A NCAC 02T, 15A NCAC 02T .0300, Division policies, and good engineering practices.
ContractDriveway Permit Application • February 10th, 2023
Contract Type FiledFebruary 10th, 2023APPLICATION IDENTIFICATION TOWN OF WILSON’S MILLS Driveway Permit No. Date of Application STREET AND DRIVEWAY ACCESS County: PERMIT APPLICATION Development Name: LOCATION OF PROPERTY: Route/Road: Exact Distance Miles N S E W Feet From the Intersection of Route No. and Route No. Toward Property Will Be Used For: Residential /Subdivision Commercial Educational Facilities TND Emergency Services Other Property: is is not within Town of Wilson’s Mills Zoning jurisdiction. AGREEMENT • I, the undersigned property owner, request access and permission to construct driveway(s) or street(s) on public right- of-way at the above location.• I agree to construct and maintain driveway(s) or street entrance(s) in absolute conformance with the current “Policy on Street and Driveway Access to North Carolina Highways” as adopted by the North Carolina Department of Transportation and the Town of Wilson’s Mills.• I agree that no signs or objects will be placed on or over the public