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HomeMy WebLinkAboutSUB201300070 Permit 2013-05-20 . 'Rowe Commonwealth Of Virginia ''' ;. Department Of Transportation Permit No 743-14821 Land Use Permit >i:-° ' Status APPROVED This permit only grants permission to use whatever rights the Commonwealth Transportation Board and the Department of Transportation have in the right of way and no more,and it is the obligation of the permittee to secure any other releases or permission that may be needed in order to perform the work. Effective Date Apr 05,2013 Expiration Date Feb 04,2014 Reinstatement Date Permitee Information Your Job# Surety&Account Receivable information Address Jefferson Area Builders, Inc. Agent Name Jefferson Area Builders Charlottesville Surety account 76864 520 Greenfield Terrace Suite 100 Surety type Cash/Check Charlottesville Virginia 22901 Amount 500.00 Obligation Amount 500.00 Contact Mike Sadler Contact Surety Holder CUSTOMER Phone# 4345310501 Phone# Fax# 4342961937 Fax# 24 Hr# 4342969119 24 Hr# AUTHORIZATION: In compliance with your application,permission is hereby given insofar as the Commonwealth Transportation Board has the right,power,and authority under sections 33.1-12(3);33.1 -197;33.1 -198 of the Code of Virginia as amended,to grant by Special Agreement and/or by Land Use Permit for you to perform the work and or activity(s)described below: Location County/City/Town Albemarle Highway Route(s) 795-Blenheim Road From Route Number 620 From Route Name Rolling Road To Route Number 727 To Route Name Blenheim Road Work Description Install private entrance for no more than 2 units. Use 24 to 30 feet of 12 inch corrugated metal pipe with 6 inches of#26 cover over pipe with 25 foot radius on both sides. Clear sight distance for a minimum of 250 feet on each side and stabilize with seed and straw. "All work must be in accordance with the 2011 Virginia Work Area Protection Manual"and as per attached special instructions and private entrance diagram. VDOT contact is Dennis Seale at 434-589-1053. Please call for questions and for a final inspection. Fee Description Fee permit fee $100.00 Applicant has complied with Section Code 56-265.15 affidavit is attached. TERMS:Applicable as stated with in the Land Use Permit Regulations(current edition)and/or as per approved plan(s)and/or regulatory instructions and/or agreements attached hereto.THIS PERMIT IS NOT VALID WITHOUT THE FOLLOWING ATTACHMENTS: 'Special Provisions-General COMMONWEALTH TRANSPORTATION BOARD Call before you dig � , •.\��,', © Allow the required time for marking b., By. , ( Apr 05,2013 Respect and protect the marks/flags a Excavate carefully J.Mark Wood,P.E. Call Miss Utility 811 Final Inspection Requirements:Upon completion of the work described under this permit,the permittee shall contact the following office in writing to request inspection. Culpeper Land Use-Zion Crossroads 11430 James Madison Highway Gordonsville VA 22942 Permit No.743-14821 VDOTs Web Site:www.vdot.virginia.gov Permittee Copy