27 CAR pt. 94, Appendix E
(Page 1 of 2)
☐ Permanent
☐ Temporary
Permit No. ____ DATE ______
DISTRICT NO. __ COUNTY ___ ROUTE SECTION LOG MILE ___
(Address)
(City, State and Zip Code)
Phone No. ________, hereinafter termed the applicant, request permission to construct a driveway(s)
described and as shown on attached sketch or plan (if required), and hereby made a part of this application.
Commercial Non-Commercial Driveway ______ feet wide on N.E.S.W. side of S.H./U.S. NO. highway
right of way, approximately __ miles ____ for the purpose of
providing ingress or egress to a commercial / non-commercial establishment, give description
and providing drainage under said driveways by the installation of structures size
Length __ to be located ____ feet from the edge of pavement. Right-of-way
width from the center line of the highway is ______ feet.
Highway surface Width __ Proposed driveway surface Width ____
______ subject to the restrictions and regulations contained in the "Regulations for Access Driveways to Type (See attached sheet for minimum depth)
State Highways" as approved by the Arkansas State Highway Commission.
In consideration of these regulations, the applicant and the Arkansas State Highway and Transportation Department subscribe to the following agreement:
1. The applicant is granted permission to construct a driveway(s) pursuant to the regulations of the Arkansas State Highway Commission. The Arkansas State Highway and Transportation Department waives none of its powers or rights to direct the removal, relocation and/or proper maintenance of any driveway within the right-of-way of a state highway.
2. All work will be performed in a neat and workmanlike manner, using materials acceptable to the District Engineer of the Arkansas State Highway and Transportation Department, and that the right-of-way will be cleaned up and left in a presentable condition upon completion of the described work.
3. The applicant will fully protect the traffic on the highway during construction covered hereunder by the proper traffic control devices in accordance with the Manual on Uniform Traffic Control Devices, and to hold harmless and indemnify the Arkansas State Highway and Transportation Department, its officers and employees from all damages, expenses, claims or liability arising out of any alleged damages of any nature to any person or property, due to construction, performance or non-performance of work, or existence of said driveway.
4. The applicant shall be responsible for locating and protecting all utilities in the work area(s) and to hold harmless and indemnify the State Highway Commission, the Department and its duly appointed agents, officers and employees, from all damages, expenses, claims or liability arising out of any alleged damages of any nature to any utilities due to the construction, performance, or non-performance of work.
5. The applicant is either the owner, duly authorized agent, or has the legal right to possession and control of the parcel of property adjacent to the right-of-way frontage within which the said proposed driveway(s) is to be constructed.
6. That no driveway shall be constructed such that there will be parking or servicing of vehicles on the highway right-of-way.
7. That the profile grade of driveways shall be constructed as indicated on the attached sketch or plan.
8. The installation of systems within the right-of-way for the watering of landscaping and grass is not permitted.
9. Deposit or surety bond in the amount of $ must be deposited with the District Engineer of the Arkansas State Highway and Transportation Department at ____, Arkansas before the permit for an access driveway to a commercial concern is issued. If the work is completed as specified, the deposit will be returned, but if the permit requirements are not met, the Arkansas State Highway and Transportation Department will revoke the permit, call for the deposit or bond and remove the driveway.
10. The applicant shall maintain all existing highway, street and county road regulatory, warning, guide and informational signs in an effective location at all times for the duration of the work and shall install them at the correct location upon completion of the work. Any signs damaged by the grantee shall be replaced at no cost to the state.
11. Mailbox support: If installing a new or replacement mailbox, the Department can provide detailed information on approved mailbox installations including supports, boxes, and mountings. The potential for disabling injury and the resulting civil action is reduced when mailboxes are installed using approved methods and materials that are designed with highway safety in mind. Remember, the mailbox owner may be held liable in case of collision.
12. The applicant is responsible for complying with all applicable local, state, and federal laws and regulations in the execution of permit work.
13. The applicant is responsible for assuring that sidewalks constructed on highway right-of-way are ADA Compliant. Maintenance of said sidewalks will be the responsibility of the City and/or applicant. The Arkansas Highway and Transportation Department will not be responsible for maintenance of sidewalks constructed as a part of this permit. Cross slope of walks and ramps shall not exceed 1:50 (2%).
14. The applicant shall undertake measures to avoid tracking of soil and mud from the work area on the highway and shall revegetate, in accordance with the Standard Specifications for Highway Construction, most recent edition, all area of disturbed soil, of any size, on the right of way. All projects with disturbed soil shall have an appropriate NPDES Permit as required by the Arkansas Department of Environmental Quality.
Deposit $
Expiration Date
Applicant
District Engineer
Original to District Engineer
One Copy to Applicant
One Copy to Area Maintenance Supervisor
One Copy to Fiscal Services or Utilities
Date