HomeMy WebLinkAboutSUB201400092 Application Road Plan and Comps. 2017-05-01 VDOT rt.'
LAND USE PERMIT
LUP-IPP
Land Use Permit Application-In Place Utility(New Street Acceptance)
August 22,2014
APPLICATION is hereby made for an in-place permit for utilities installed on subdivision streets to be accepted into the
secondary system of state highways and as described below. Said activity(s) has been done under and in accordance
with the rules and regulations of the Commonwealth Transportation Board of Virginia, in so far as said rules are
applicable thereto and any agreement between the parties herein before referred to. Applicant agrees to maintain
work in an approved manner. Applicants to whom permits are issued shall at all times indemnify and save harmless
the Commonwealth Transportation Board, members of the Board, the Commonwealth and all Commonwealth
employees, agents, and offices, from responsibility, damage, or liability arising from the exercise of the privileges
granted in such permit to the extent allowed by law.
APPLICANT SHALL RECEIVE AN 1N-PLACE PERMIT AT NO COST
Application should accompany Subordination of Rights or Quitclaim Agreement,if such agreement is necessary
TYPE OR PRINT CLEARLY
Utility Company Name: Central Telephone Company of Virginia Tax ID No.: 47-053714S
Mailing Address: 417 West Main Street Contact Name: Er;c. g"'lter-
City: Charlottesville State: VA Zip Code: 22903 E-mail Address: Eric..A. t3.,-llc-Q,.Cc-t„
Telephone Number:14341 9`1 I - 3 81a Fax Number:14341 971-2694
SUBDIVISION NAME: O t a l r -.( l.J os-I if, t(c_3c Plan Approval Date:
Geographically located in County/Town/City of: A t Connecting to Highway Route No.: a S 0
Type of utility(electrical,cable TV,telephone,water,sewer,gas):-LIcrL•<cTelephone Cc---1 L . ..
Utility lines have been installed as shown on above-noted subdivision plan within the right-of-way of the following streets:
STREET NAME FROM TO
1 Hmza( Grout L...c. C:el-4" UTc'n, Drtuc Asa.)L. Wit
2 Drt Aaat . Ht tl 1 ,1ro-c Sarce-1
3 gird.'... 1)r:vc A.3a (c I-t; ll e...) E..%aroc. S-I.-Ge-t
4 6e1+- pr;oo &ircL.;,, Dr a gels o,.c Sa rock
s gat1r",r.. S-Iru,,•C Sa s(,tar AVer.a)C
6 Ortc-, Lo..c AS10lc, Apc,.�c 'Fc�-of tZ. - )
7
8
9
10
11
12
13
14
15
Date: S(Signature of.Applicant: G• Title: CS S f 4- � ;,,;,c r ` f i1
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Commonwealth of Virginia LUP4PP
i?,
Department of Transportation LAND USE PERMIT
93/2010 `' In-Place Permit Application
APPLICATION Is hereby made for an In-place permit fur utilities Installed on subdivision streets to be accepted into the secondary system of state
highways and as described below. Said activity(ies)hes been done ender and in accordance with the rules and regulations of the Commonwealth
T anynrtation Board of Virginia,In so far as said rules are applicable thereto Otto any agreement between the parties herein before referred to.
Applicant agrees to maintain work In an approved meaner.Applicants to whom permits at issued shall at all dines indemnify and save btu ndess the
Commonwealth Transportation Board members of the Board,the Commonwealth and all Commonwealth employees,agents,and offices,from
responsibility,damage,or liability arising from the exercise of the privileges granted in such permit to the extent allowed by law.In eoasideratioa of
the issuance of a per,Nt,the spplicattt agrees to waive for itself,sacensara iii hairiest or assigns any eatitlenieaa it may uthmwise have or have
hereafter under the Uniform Relocation and Assistance Act of 1972 as amended in event the Department or its successor,chooses to exercise its
acknowledged right to demand or raise the reatuval of any or all fixtures,personality of whateser kind or description that may hereafter be located,
should Olds application beapprosed.
APPLICANT SHALL RECEIVE A PERMIT AT NO COST
Utility Company Name: Dominion Virginia Power Tax 113 number:_54-0418825
Addresa:_1719 Hydraulic Road
City:_Charlottmvillc State:_VA_Zip Coda22901
Contact Name:_Fred R.Collier,Jr. E-mail Address:_fred.collier(a)dom.eom
Phone Number:(_434_)__972-6727 Fax Number:( 434_)_972.6775
Subdivision Name: Old Trail,Ashlar Avenue Plan Approval Date:
Geographically located in County o£_Albemarle_Connecting to Highway Route Number 1815(Old Trail Drive)
Type of utility(electrical,cable TV,telephone,water,sewer):_Electrical
Utility lines have been installed as shown on above-noted subdivision's plan within the right of way of the following streets:
STREET NAME FROM TO
1 Ashlar Avenue Old Trail Drive Claremont Lane
4
3
4_._.-
5
6
7
8
9 I
ID
Applicant's Signature: 44.,..(R ( 1 le:_Right of Way Agent M_Date:_6/8/2017_
VICINITY MAP
Old Trail Dr
!(I, Rockfish Gap Tpk
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Albemarle High School
306 565 306 F567 CONSTRUCTION NOTES
WL4 4 WE43 Reliability Wes
�--- WNI26 F1826 WN93 KKK7777 1)Ground:rg:Rspa Upg acts f ountliig as needed.Ensure al
+� 1-50 B INSTALL' odes touching primary are gntnded.and al:grounds are
- I U 1 OJ3PP (272) one line installed and mama awarding to current methods and
/ KTB30J2 (100) 2)standards. r ground molding antl staples as needed.
�� KSEED (50) Install guy bonding,anchor clamps and repair slack guys
KXHOLEAO WN04 P11as needed.
WM51 3)Elancili Restendil Repair:Stencil on new and existing pales
KXHOLEAC to inducts:Device p,Gdtl iF,?cle Y,and company I.O.tag
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r+ 5)Install K-Mat_as required.
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U10J3PP (370)
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� � 100 USDBPED50 (87) Project Data
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F1826 WN61 frundRs: `f' LT40CIC1 (i9))
INSTALL KLOCCNDj TD19100L M240200 3 <U10J3P Fantcurcens. <10000 von Dmp: <3%
P (158) : jr; KTB24J2 (143) C
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KTB30J2 (300) F1826 WM87 � /� f p.uKanares<.John M Campbell Die WA
KCBLCND1 (156) INSTALL: I /
PEDCONN50 O Roma 434-972-6801 si.e Ihch.112.4foot
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XAA52 l \ tOomjnton Virginia Power ar Dominion North Carolina Power
f . 1-25 M42• WR Name:SOUTHERN PROPERTY LLC
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1 C All Location:ASHLAR AVE CROZET VA
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