HomeMy WebLinkAboutPermit to Construct Access Driveway Facilities on Highway Right-of-Way,;Emom Permit to Construct Access Driveway Facilities
Form 1058""° on Highway Right of Way
(Rev. 212000)
(Electronic version GSD-EPC Word 97)
Page 1 of 2
To: &b V�D,60 Hwy. FM• 2-1 t;4 Permit No.
IVA N)Uontrol Section
The Texas Department of Transportation, hereinafter called the State, hereby authorizes
hereinafter called lhas rantee, to (re)construct to at access drjvew',yZo�n t� hwaylr ht,gf way�ab}� in ;
in ,• /2nA County,located p�•
Subject to the following:
1. The Grantee is responsible for all costs associated with the construction of this access driveway.
2.
All construction and materials shall be subject to inspection and approved by the State.
3. Maintenance of facilities constructed hereunder shall be the responsibility of the Grantee, 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 Grantee 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 Grantee shall not erect any sign on or extending
over any portion of the highway right of way, and vehicle service fixtures such as service pumps, vendor stands, or tanks shall
be located at least 3.6 meters (12 feet) from the right of way line to ensure that any vehicle services from these fixtures will be
off the highway.
6. 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.
7. The Grantee will contact the State's representative
telephone, ( ) , at least twenty-four (24) hours prior to beginning the work authorized by this permit.
Texas Department of Transportation
Date of Issuance District Engineer or Designated Representative
The undersigned hereby agrees to comply with the terms and conditions set forth in this permit for�nstruction of an access
driveway on the highway right of way. },�/
Date: _ ®�'%�'�/ Signed: