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ROW ConstructionNotice of Proposed Installation Utility Line on Non - Controlled Access Highway Department Form 1023 'Rev. 8/2002) ZD -EPC) Page 1 of 2 To the Texas Transportation Commission Date tq a�, c/o District Engineer Texas Department of Transportation Texas Formal notice is hereby given that VesfvVo lvivr me u S C Company proposes to place a 011 12 X Te line within the right of way of W in ` County, Texas as follows: (give location, length, general design, etc.) P m , t Lk Dl's The line will be constructed and maintained on the highway right of way as shown on the attached drawing and in accordance with the rules, regulations and policies of the Texas Department of Transportation (TxDOT), and all governing laws, including but not limited to the "Federal Clean Water Act," the "National Endangered Species Act," and the "Federal Historic Preservation Act." Upon request by TxDOT, proof of compliance with all governing laws, rules and regulations will be submitted to TxDOT before commencement of construction. Our firm will use Best Management Practices to minimize erosion and sedimentation resulting from the proposed installation, and we will revegetate the project area as indicated under "Revegetation Special Provisions." Our firm will ensure that traffic control measures complying with applicable portions of the Texas Manual of Uniform Traffic Control Devices will be installed and maintained for the duration of this installation. The location and description of the proposed line and appurtenances is more fully shown by complete sets of drawings attached to this notice. Construction of this line will begin on or after the Month /DayNear By signing below, I certify that I am authorized to represent the Firm listed below, and that the Firm agrees to the conditions /provisions included in this permit. Gels yiel Firm Name ,J7 s By Sign t Title Po Act Address , C'ot cfCk IAl -Tk ZM42 -D db3 City, State Zip 67rr) bRo Area Code Telephone Number Form 1023 (Rev. 612002) Page 2 of 2 To: APPROVAL Notice No.: Hwy. No. Beg. RM End RM Offset Offset MNT Sec. No. Date TxDOT offers no objection to the location on the right of way of your proposed line as shown by accompanying drawings and notice dated except as noted below. Month /Day/Year It is expressly understood that TxDOT does not purport, hereby, to grant any right, claim, title, or easement in or upon this highway; and it is further understood that TxDOT may require the owner to relocate this line, subject to provisions of governing laws, by giving thirty (30) days written notice. You are requested to notify this office prior to commencement of any routine or periodic maintenance which requires pruning of trees within the highway right of way, so that we may provide specifications for the extent and methods to govern in trimming, topping, tree balance, type of cuts, painting cuts and clean up. These specifications are intended to preserve our considerable investment in highway planting and beautification, by reducing damage due to trimming. The installation should not damage any part of the highway and adequate provisions must be made to cause minimum inconveniences to traffic and adjacent property owners. In the event the Owner fails to comply with any or all of the requirements as set forth herein, the State may take such action as it deems appropriate to compel compliance. • General Special Provisions: • Revegetation Special Provisions: In order to minimize erosion and sedimentation resulting from the proposed installation, the project area will be revegetated ❑ in accordance with TxDOT's Standard Specification Item 164 which specifies the appropriate grass seed mix to be used or ❑ as indicated on the attachment. Please notify forty-eight (48) hours prior to starting construction of the line in order that we may have a representative present. District Engineer District Signature Area Code Telephone Number County, Texas -�_ Id T °aa Permit to Construct Access Driveway Facilities of. TnnsportaNOn Form 1058 on Highway Right of Way (Rev. 612004) (GSD -EPC) Page 1 of 2 To: ", 'v f huP 5t wte r�S (Name) Hwy. filt 2 S - Permit No. 3 1t rc11 S T X T TJ4,,) Control Section (Address) 5 (Z - S4g -- 50 s s (Phone No.) The Texas Department of Transportation, hereinafter called the State, hereby, authori es Ves_�Vp hereinafter called the Permittee, to VI construct / ❑ reconstruct a ei- (residential, convenience store, retail mall, farm, etc.) access drivewa on the highway right of way abutting highway number ftjt2L in b County, located virwit, OT f. k"A 4.1 Subject to the following: The Permittee is responsible for all costs associated with the construction of this access driveway. ,J � Desi n of facilities shall be as follo and /or as shown on sketch and is subject to conditions stated below. .� tS}q�\ra lnvts�wtP�,1, }S S�1all w4'i L, ( -lie. �.�c ,`,-, ,{�; �ytsv�..� d�a G!i (�aovn POJ AM 21 AP A)VtVPA4t O P_ ��15.44I �oet- r, n e—.. IJ V, X. ._ _ 1 All construction and materials shall be subject to inspection and approved by the State. I Maintenance of facilities constructed hereunder shall be the responsibility of the Permittee, and the State reserves the right to require any changes, maintenance or repairs as may be necessary to provide protection of life or property on or adjacent to the highway. Changes in design will be made only with approval of the State. 4. The Permittee shall hold harmless the State and its duly appointed agents and employees against any action for personal injury or property damage sustained by reason of the exercise of this permit. 5. Except for regulatory and guide signs at county roads and city streets, the Permittee shall not erect any sign on or extending over any portion of the highway right of way, and vehicle service fixtures such as fuel pumps, vendor stands, or tanks shall be located at least 12 feet from the right of way line to ensure that any vehicle services from these fixtures will be off the highway right of way. 6. The State reserves the right to require a new access driveway permit in the event of a land use change or change in driveway traffic volume or vehicle types. 7. This permit will become null and void if the above - referenced driveway facilities are not constructed within six (6) months from the issuance date of this permit. 8. The Permittee will contact the State's representative J2 P telephone, () - k Z33 , at least twenty -four (24) rs pngrp beginning the work authorized by this permit. Texas Department of Transportation Date of Issuance Authorized Representative The undersigned hereby agrees to comply with the terms and conditions set forth in this permit for construction of an access driveway on the highway right of way. Date: J7 _ 7$ - z) Signed: (Prop rty owner is representative) Form 1056 (Rev. 6/2004) Page 2of2 Access Driveway Regulations The Texas Transportation Commission, in recognition of its responsibility for the safety and utility of public highways under its jurisdiction, has directed the department to adopt access driveway standards to accomplish a coordinated development between highways and abutting property. For this purpose, the booklet entitled "Regulations for Access Driveways to State Highways ", was published and adopted, setting out departmental policies to regulate construction and maintenance of access driveway facilities. Sketch of Installation , 6e e A , G t,+ e k CG'+' S