HomeMy WebLinkAboutDEPARTMENT OF TRANSPORTATION STATE OF GA REQUEST FOR TRAFFIC SIGNAL GORDON HIGHWAY STATE ROUTE 10DOT -401
Rev. 9/93
Distribution:
White - Applicant
Yellow - State Traffic Engineer
Pink - District Traffic Engineer
DEPARTMENT OF TRANSPORTATION
STATE O F GEORGIA
REQUEST FOR TRAFFIC SIGNAL
To the Georgia Department of Transportation:
The City of Augusta in Richmond County
hereby requests approval for the use of a traffic signal at the location
described below:
Local Street Names: Gordon Highway
State Route Numbers: 10
LOCATION
TYPE SIGNAL
(X)Stop and Go ( ) Flashing Beacon ( ) School Beacon ( ) Other
CONDITIONS OF APPLICATION AND STANDARDS OF OPERATION
In the event that the Georgia Department of Transportation authorizes the use of
a traffic signal at the above location, the undersigned agrees to participate in
the costs to purchase and install the signal. This level of participation will
be determined after a study of the location has been completed. The signal must
be installed to the Department's standards and conform with the authorization
issued by the Department and the provisions set forth therein.
COST OF OPERATION
The full and entire costs of the electric energy and telephone service used to
operate the signal shall be at the expense of the applicant without any cost to
the Georgia Department of Transportation. The applicant understands that the
Department may ask for participation in the costs for the purchase, installation
and maintenance of the signal if approved.
INSPECTION AND APPROVAL
The installation, maintenance and operation of said signal shall be subject at
all times to inspection and approval by a duly authorized engineer of the Georgia
Department of Transportation.
RIGHT TO REVOKE
The Georgia Department of Transportation reserves the right to revoke the
approval should it for any reason desire to do so, by giving the applicant thirty
(30) days written notice, and in that event, the applicant agrees to remove said
signal from said right -of -way at its own expense or allow it to be removed by the
Department.
This application is hereby submitted and all of the terms and conditions are
hereby agreed to. The under are duly authorized to execute this
instrument.
Tt
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By:
Title: 14‘f
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Do Not Write In This Space
Application No.
Permit No.
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