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HomeMy WebLinkAboutMOWING AND MAINTENANCE AND INDEMNITY AGREEMENT WITH GDOT ALONG WALTON WAY (SR4) BETWEEN 13TH STREET AND 15TH STREET IN CONJUNCTION WITH MEDIAN LANDSCAPING PROJECT f x Rev: June 1,2015 RIGHT OF WAY MOWING AND MAINTENANCE AGREEMENT By and Between THE GEORGIA DEPARTMENT OF TRANSPORTATION AND Augusta-Richmond County Permit#01-2017-002-245, Tracking#298632 SR 4,Milepoint 24.28 to 24.46 ldiA THIS AGREEMENT made and entered into this /qtip day of Di A/4G i , 20 /7 by and between the DEPARTMENT of Transportation, an agency of the State of Georgia, hereinafter alternately referred to as "DEPARTMENT" or "LICENSOR", and Augusta- Richmond County hereinafter referred to as "LICENSEE". WHEREAS, the DEPARTMENT desires to enter into a public/private partnership to perform certain services relating to mowing and maintenance within DEPARTMENT'S right of way,hereinafter called the "PROJECT", and WHEREAS, the LICENSEE has represented to the DEPARTMENT that, if such permission is granted to the LICENSEE, LICENSEE shall bear all costs and liability associated with the PROJECT; and WHEREAS, the LICENSEE has represented to the DEPARTMENT that they are qualified and experienced to provide such services and the DEPARTMENT has relied upon such representations; Page 1112 t9e i • NOW, THEREFORE, for and in consideration of the mutual promises and covenants as herein contained, it is agreed by and between the parties hereto that: ARTICLE I SCOPE OF PROJECT The DEPARTMENT shall permit the LICENSEE to perform or cause to be performed, the PROJECT consisting of certain services related to maintaining an identified section of the DEPARTMENT'S rights of way. This permission shall be granted by the means of this Agreement for the entire scope of the PROJECT, as set forth herein. The maintenance duties and responsibilities of the LICENSEE are defined and set forth in Article XI — MAINTENANCE WORK PLAN of this Agreement, and further enumerated and described in Exhibit 'A' —Application and Permit for Special Encroachment with approved drawings or final working drawings for a Department-approved construction PROJECT. Exhibit 'A' is attached hereto and incorporated by reference as if fully set out herein. The PROJECT location shall be defined or delineated as part of Exhibit 'A'. The required Special Encroachment Permit and/or the construction PROJECT final working drawings are to be approved or issued by the DEPARTMENT. Should the LICENSEE desire that these maintenance services be performed by a third party, LICENSEE and the third party shall enter into subsequent agreement, whereby the LICENSEE shall assume all responsibility of repayment to the third party for those services-to be rendered as set forth in Article XI - MAINTENANCE WORK PLAN. The Agreement between LICENSEE and any third parties to this Agreement, shall meet all operational and administrative requirements, including the provisions of liability insurance, set forth by the DEPARTMENT, and all liability associated with the PROJECT shall be borne by LICENSEE and any third parties, as set forth in Article VIII, herein. Page 2112 ARTICLE II EXECUTION OF CONTRACT AND AUTHORIZATION TIME OF PERFORMANCE Time is of the essence in this agreement. The LICENSEE shall execute this Agreement and return it to the DEPARTMENT within thirty (30) days after receipt of contract forms from the DEPARTMENT. The LICENSEE shall begin work on the PROJECT under this Agreement immediately after receiving a signed and executed copy of the Agreement (unless noted otherwise in Exhibit A or upon PROJECT construction completion). Subject to the terms and conditions set forth in this Agreement, and upon execution of this Agreement, the DEPARTMENT grants the right to the LICENSEE to mow, edge, and maintain, as set forth in Article XI- MAINTENANCE WORK PLAN, that specific section of right-of-way identified in this Agreement, and herein defined as the PROJECT. The duration of this Agreement shall be for fifty years from the date above first written unless terminated sooner by the DEPARTMENT or LICENSEE. ARTICLE III SUBSTANTIAL CHANGES If, prior to the satisfactory completion of the services under this Agreement, any party materially alters the scope, character or complexity of the services from those required under the Agreement, a Supplemental Agreement shall be executed between the parties. It is understood, however, that LICENSEE shall not engage in any activities or conduct any work which would be considered to be outside the scope of the permission granted to LICENSEE by the DEPARTMENT. Minor changes in the work which do not involve increased compensation, Page 312 • extensions of time or changes in the goals and objectives of the work may be made by written notification of such change by any party with written approval by the other parties. ARTICLE IV ASSIGNMENT It is understood by the LICENSEE that the work is considered personal and, except as provided for in Article I, LICENSEE agrees not to assign, sublet or transfer any or all of their interest in this Agreement without prior written approval of the DEPARTMENT. ARTICLE V CONTRACT DISPUTES This Agreement shall be deemed to have been executed in Fulton County, Georgia, without reference to its choice of law doctrine, and all questions of interpretation and construction shall be governed by the laws of the State of Georgia. Any litigation arising out of this contract shall be commenced within the State of Georgia. The foregoing provisions shall not be construed as waiving any immunity to suit or liability, including without limitation, sovereign immunity which may be available to the Department. ARTICLE VI INSURANCE Prior to beginning work, the LICENSEE shall obtain and certify to the DEPARTMENT that it has the following minimum amounts of insurance coverage: (a) Workmen's Compensation Insurance in accordance with thelaws of the State of Georgia. (b) Public Liability Insurance in an amount of not less than one hundred thousand dollars ($100,000) for injuries, including those resulting in death to any one person, and in an amount of not less than three hundred thousand dollars ($300,000) on an account of any one occurrence, or proof of self insurance. Page 4112 • (c) Property Damage Insurance in an amount of not less than fifty thousand dollars ($50,000) from damages on account of any occurrence, with an aggregate limit of one hundred thousand dollars ($100,000), or proof of self insurance. (d) Valuable Papers Insurance in an amount sufficient to assure the restoration of any plans, drawings, field notes, or other similar data relating to the work covered by the PROJECT. (e) Insurance shall be maintained in full force and effect during the life of the PROJECT. The LICENSEE shall furnish upon request to the DEPARTMENT, certificates of insurance evidencing such coverage. These certificates shall also provide that the insurance will not be modified or canceled without a 30 day prior written notice to the DEPARTMENT. Failure by the LICENSEE to procure and maintain the insurance as set forth above shall be considered a default and cause for termination of this Agreement and forfeiture of the Performance and Payment Bonds. The LICENSEE shall, at least fifteen (15) days prior to the expiration date or dates of expiring policies, deposit certified copies of renewal, or new policies, or other acceptable evidence of insurance with the DEPARTMENT. ARTICLE VII COMPENSATION It is agreed that LICENSEE shall conduct all work at no cost to the DEPARTMENT, and without compensation from the DEPARTMENT. It is further agreed that any and all issues relating to compensation and payment shall be resolved by and between LICENSEE and any successors, subcontractors, or assigns thereto. The DEPARTMENT and LICENSEE further agree that, should the DEPARTMENT be required to conduct any inspections and/or supervision of the PROJECT beyond that which would normally occur in the ordinary course of the DEPARTMENT'S maintenance activities, LICENSEE shall reimburse the DEPARTMENT for such inspection and supervision. The rate of reimbursement for the DEPARTMENT'S inspection and supervision shall in no case exceed a rate determined to be reasonable by the parties. Should LICENSEE and the DEPARTMENT desire to change this agreement at a later date to provide for compensation to LICENSEE, or any successors or assigns thereto, such Page 512 change shall only be permitted by a supplemental agreement as set forth in Article III herein. Any supplemental agreements involving compensation shall be subject to the DEPARTMENT review and approval. ARTICLE VIII RESPONSIBILITY FOR CLAIMS AND LIABILITY LICENSEE NOT AGENT OF DEPARTMENT LICENSEE, and all successors and assigns thereto, shall save harmless the DEPARTMENT, its officers, agents, and employees from all suits, claims, actions or damages of any nature whatsoever resulting from the performance of work assigned to LICENSEE under this Agreement. LICENSEE further agrees that they shall be fully responsible for injury or damage to landscaping, landscape related items, and any other non-standard and decorative elements installed by or for the LICENSEE within the right of way, and for any damage to the DEPARTMENT'S signs, structures, or roadway fixtures, if LICENSEE causes the damage. These indemnities shall not be limited by reason of the listing of any insurance coverage. It is further understood and agreed that LICENSEE, or any successor or assigns thereto, in the conduct of any work involved in the PROJECT, shall not be considered the agent of the DEPARTMENT or of the State of Georgia. ARTICLE IX TERMINATION OF CONTRACT The DEPARTMENT may terminate this contract for just cause at any time by giving of thirty (30) days written notice of such termination. Upon receipt of such notice of termination, LICENSEE shall discontinue and cause all work under this contract to terminate upon the date specified in the said notice. In the event of such termination,the DEPARTMENT shall be paid for any amounts as may be due it as specified in Article VII up to and including the specified date of termination. LICENSEE shall have the right to terminate this contract at any time, provided that such termination is first approved by the DEPARTMENT, and that the DEPARTMENT is reimbursed in full for all services rendered pursuant to Article VII. Page 6112 • • The DEPARTMENT and LICENSEE further agree that, should the DEPARTMENT allow the LICENSEE to terminate the agreement, the termination, unless determined otherwise in writing by the DEPARTMENT, shall be contingent upon the following: A. The LICENSEE, at the discretion of the DEPARTMENT, removing the planted landscaping, landscape related items, and any other non-standard and decorative elements that were installed by or for the LICENSEE at no cost to the DEPARTMENT. B. The LICENSEE restoring the removed landscape areas to their original condition or a condition that meets federalstandards and is acceptable to the DEPARTMENT. C. The LICENSEE restoring the removed non-standard and decorative elements with standard DEPARTMENT elements that meet federal and state requirements. D. The LICENSEE reimbursing the DEPARTMENT in full any state and/or federal funds used to purchase and install the landscaping, landscape related items, and other non- standard and decorative elements that are no longer to be maintained by the LICENSEE. The DEPARTMENT and the LICENSEE agree that, should the LICENSEE fail to perform the maintenance, as set forth in Article XI - MAINTENANCE WORK PLAN, the DEPARTMENT may require the LICENSEE to remove, restore, and reimburse according to items "A", "B", "C", and"D"above, as applicable, and then terminate the agreement. ARTICLE X COMPLIANCE WITH APPLICABLE LAW The undersigned certify that: A. This Agreement is subject to applicable state and federal laws, standards, and rules and regulations. B. The provisions of Sections 45-10-20 through 45-10-28 of the Official Code of Georgia Annotated relating to Conflict of Interest and State Employees and Officials Trading with the State have been complied with in full. C. The provisions of Section 50-24-1 through 50-24-6 of the Official Code of Georgia Annotated,relating to the"Drug-Free Workplace Act"have been complied with in full. Page 7112 ARTICLE XI MAINTENANCE WORK PLAN ARTICLE XI EXHIBIT A MAINTENANCE WORK PLAN/LANDSCAPE MAINTENANCE AGREEMENT For all maintenance activities, at a minimum, abide by the Federal Manual of Uniform Traffic Control Devices(MUTCD)standards, current edition,for temporary traffic control. Move equipment or materials on or across a traveled way in a manner as not to unduly interfere with traffic. Irrigation systems(Remove this section if there is no irrigation system) • Winterize entire system each year—draining lines and adjust control settings to avoid freeze damage • Maintain and monitor spray heads so they do not overspray on to paved areas or in pedestrian circulation paths • Replace broken sprinkler heads or piping immediately • Test system for operation efficiency a minimum of once a quarter—Check the controller settings and manually test each zone • Adjust automatic controller settings for least amount of evapotranspiration • Maintain a working shut-off valve at the meter connection and monitor system for leaks to avoid safety issues Watering • Provide adequate water to maintain healthy plant material • • Water in a manner that it does not endanger pedestrian or vehicular traffic • Water according to the state or local government restrictions Seasonal Color(Annuals and Herbaceous Perennials and Roses)(Remove this section if there are no Annuals, Herbaceous Perennials, or Roses) • Install and maintain plant material at a height that does not interfere with clear sight lines for both pedestrians and vehicular traffic according to the Department's sight distance criteria • Maintain bare areas in seasonal beds with a minimum 3 inch cover of mulch • Cut back perennials each year after they are spent to keep the beds free of vegetative debris • Maintain any rose shrubs at a height that will not obstruct existing directional signs or driver sight lines. Ornamental Grasses(Remove this section if there are no Ornamental Grasses) • Trim away dead foliage from ornamental grass clumps in February. Pruning • Remove dead or diseased planted vegetation. • Prune trees, shrubs and ground covers to maintain the health of the plants and to maintain in the intended design character of the plant(no stump pruning or lollipop/ball shapes) • Prune trees,shrubs, and ground covers as needed to remove damage by storm or accident events and to prevent safety hazards. Prune to maintain open sight distances, clear zone areas and traffic sign visibility. Provide clearance for pedestrian and vehicular traffic mobility. Page 8112 • • Prune according to American National Standards Institute, latest edition,A300 Part 1 pruning standards Plant Replacement • Replacement of dead or diseased vegetation of planted material within the project limits is the responsibility of the LICENSEE • Replacement plant material must be according to Policy 6755-9—Policy for Landscaping and Enhancements on GDOT Right of Way and GDOT Specification Section 702. Weeding • Maintain right of way free of weeds,exotic and invasive pest plants, undesired vegetation and other noxious weeds • All Pesticide/Herbicide use shall be under the direct supervision of someone with the appropriate Commercial Category 27(right of way use)license. • When pesticides/herbicides are being applied the person applying shall have in their possession all labeling associated with the pesticide/herbicide and their license/certification. • Post warning signs for pesticide/herbicide use as required by state code. Mowing and trimming of grass • Maintain a neat appearance and clear sight lines for pedestrian and vehicular traffic. Mulching • Replace mulch in plant beds as needed to maintain an attractive,fresh look at a 2-3" depth • Maintain mulch so that it will not spread or wash on to pedestrian paths or traveled lanes Litter • Completely remove all litter and debris and other objectionable material on site. • Do not deposit or blow litter, debris and vegetation into gutters or drainage structures. • Make disposal in accordance with local and state laws. • Remove all graffiti within project limits Installed Sidewalks(Remove this section if there are no sidewalks) • Maintain and repair sidewalks according to the Americans With Disabilities Act(ADA) Installed Non-standard Crosswalks(Remove this section if there are no Non-standard Crosswalks) • Include a statement of how the local government entity will handle the non-standard pavement treatment when GDOT resurfaces.Will the adjustments required to meet new grade be met by the local government entity signing the Mowing and Maintenance Agreement? Installed Non-standard Fencing/Site Furnishings/Murals/Signs/Walls(Remove this section if there are no Non-standard Fencing/Site Furnishings/Murals/Signs/Walls) • Repair and/or replace damaged components. • Replace or install a temporary construction work fence immediately if the damage involves a safety issue. LICENSEE is responsible for all maintenance of non-standard fencing/site furnishings/murals/signs Installed Low Voltage Lighting(Remove this section if there is no Low Voltage Lighting) • Repair and/or replace damaged components. Repair and/or replacement must be done immediately if the damage involves a safety issue. • LICENSEE is responsible for all maintenance of low voltage lighting. NOTE: Page 912 • • All major maintenance repair activities and activities that may interfere with traffic or pedestrian flow within the right of way project limits, such as travel lane/walkway closures, require the LICENSEE notify the Department at least 48 hours prior to the activity to coordinate and gain Department approval. Page 10112 • • The covenants herein contained shall, except as otherwise provided, accrue to the benefit of and be binding upon the successors and assigns of the parties hereto. IN WITNESS WHEREOF, said parties have hereunto set their hand and affixed their seals the day and year above first written. GEORGIA DEPARTMENT OF TRANSPORTATION 44,14i VIM') 4,,, Commissioner or designee OF Tf + ' • O� •. ••.or! •tii�p�il ATTE•; : i Cr _ neo- , i .:►l Treael r itwo $kkk,©`GEoRG4 ir LICENSEE: Aat Mayor,Hardie Davis,Jr. Sworn to before me this C__ day of ,20 11 . 4j6f,j),AA, 0400•4 NOTARY PUBLIC '`� May My commission expires M<{ oG 20 lg. tA itip • 01100 terCeminhaion Expires May 25,2;,�i9 • `• Augusta Beautification Program Agreement (Walton Way SR4) Page 11112 A ' DOT241D DEPARTMENT OF TRANSPORTATION REV.o/2000 STATE OF GEORGIA • ATLANTA, GEORGIA 30334-1002 (FOR DOT USE ONLY) Distribution (AFTER APPROVAL) �pf—G `., District No. Two White—Applicant ` 'i sp, State Highway No. 000400 400Yellow—General Office r t a,,Blue—District Engineer , �i r Milepost No. 24.28 Green—Field Inspector County Richmond Permit No. 01-2017-002-245 APPLICATION AND PERMIT FOR SPECIAL ENCROACHMENT Tracking#298632 TO:GEORGIA DEPARTMENT OF TRANSPORTATION,ATLANTA, GEORGIA 30334-1002 Application is hereby made by Augusta-Richmond County 706-796-5068 • Name of Applicant (Area Code) Phone No. 535 Telfair Street Augusta,GA 30901 Post Office Address City and State Zip Code for permission to accomplish work on the Right-of-Way of STATE HIGHWAY NO. 000400 U.S. N/A within the City Limits of Augusta and in Richmond County, in accordance with the ATTACHED PLANS and subject to the Rules and Regulations for Driveway and Encroachment Control on file in the General Office of the Georgia Department of Transportation,and made a part hereof by reference thereto,and any SPECIAL REQUIREMENTS set forth herein. The description of the proposed work is to: Landscape and install irrigation in median islands. The proposed work site is located on the property on the MEDIAN side of the highway beginning 55 Feet, N.S.E.W. - From Nearest Street N.s E W.E. of the center line,of St.Sebastian Way and Fronting 984 Nearest Street or Road Total Frontage Used Feet further E along said Highway;and at mile post 24.28 to 24.46 N.S.E.W. Permit requested this 3rd day of January ,20 17 �//�1/,i� f)'7c4aAi BynkonAllCo .. 9YwK7D-4-0..c' (/i.� - -Re • Type or'r%- N:/ A44641 /) Witness in Ink on All Copies of en Sign m Ink on All Copies I/izz//c(''!Title cum.- / / If Agent or Official for Applicant FORM TO BE COMPLETED BELOW THIS LINE BY GEORGIA DEPARTMENT OF TRANSPORTATION ® Non-Limited Access-Approval by District Office ❑ Limited Access-Approval by General Office SPECIAL REQUIREMENTS: (by DOT only) PERMIT GRANTED to perform the above-described work in accordance with REQUIREMENTS of the Georgia Department of Transportation;this 2nd day of February ,20 17 - This permit is to be strictly construed and no work other than that specifically DEPARTMENT OF TRANSPORTATION described above is hereby authorized The work authorized herein must begin STATE OF GEORGIA within three months from the date of approval and must become completed on a schedule satisfactory to the department and not to exceed twelve months // from the date the permit is approved. By es..--i 7v No mod cations or changes maybe mare to the text of this permit,unless agreed upon in writing by the Department Acopy of the Porn for this permit is on file with the Department's Office of Traffic Operations,General Office,and the language therein shall James H. Smith,District Engineer be deemed to control in the event of any dispute concerning the specific provisions of this permit or any movficabons to same. Title I Revised 07-01-89/Revised12.05.91/Revised06-02-00/Revised09-15-03/Revised04-17-09 RECORDED _Book No. Page Date_ County Page____ INDEMNITY AGREEMENT Indemnity Agreement entered into this day of 20 ,by and between Augusta- Richmond Count (hereinafter call the"APPLICANT")and the GEORGIA DEPARTMENT OF TRANSPORTATION,as agency of the State of Georgia with offices at One Georgia Center,600 Peachtree Street NW,Atlanta,Georgia 30308(hereinafter called the"DOT"); WITNESSETH: For and in consideration of the DOT's grant of permission for landscaping and irrieatioa (hereinafter called the "ENCROACHMENT"), as indicated on Permit# 01-2017-002-245 on the right of way of State Route 4 ,in Land Lot of the Land District of Richmond County,Georgia. The APPLICANT shall and does agree to indemnify and save harmless the DOT and DOT's agents,officers,servants and employees from any and all lawsuits,actions or claims of any character brought because of any injuries or damage received or sustained by any person,persons or property arising out of the construction,operation and/or maintenance of the ENCROACHMENT located as described herein. The APPLICANT shall and hereby agrees to maintain the ENCROACHMENT in good repair at the APPLICANT's sole expense and shall and does hereby release DOT from any claims arising out of the APPLICANT's failure to so maintain the ENCROACHMENT. The APPLICANT shall and hereby agrees to make all repairs at its own expense for any damage caused by DOT employees or agents to the ENCROACHMENT which is located on DOT right-of-way in accordance with the permit numbered above and issued with this agreement. The DOT reserves the right to enter the area described in the ENCROACHMENT to insure the area is being maintained in accordance with DOT safety and maintenance standards. DOT shall notify the APPLICANT of any repairs which need to be made and the APPLICANT shall correct the problem as soon as such notification is given. If the APPLICANT has not made said repairs within a reasonable period of time,the DOT may enter the property to effect such repairs. The APPLICANT shall reimburse the DOT for any cost incurred as a result of DOT's performing such repairs. The DOT reserves the right to terminate this indemnity Agreement at any time upon thirty(30)days written notice to the APPLICANT. Upon receipt of such notice as specified by DOT,the APPLICANT at its own expense,shall be responsible for removing the ENCROACHMENT and returning the area to its original condition or an acceptable substituted condition. The term of the Indemnity Agreement shall be for a period of fifty(50)years,commencing upon execution hereof by DOT,subject to any rights of termination as are hereinabove set forth. The covenants herein contained shall except as otherwise provided accrue to the benefit of and be binding upon the successors and assigns of the parties hereto. IN WITNESS WHEREOF,the parties hereto have executed this Agreement,individually or through their authorized officers,agents or attorneys-in-fact as the case may be,causing their respective seals to be affixed hereto the day and year first;above written, —- <•,—,-.�.• __„ DEPARTMENT OF TRANSPORTATION ¢ APPI CANT • (ZA (LP )®soq Corporate �ui1i-fretilKirat210 , 1 Commissioner ........v A�\ iTREgs (2)Sig .tursA 0 7 OFTRAN �� 1, eS '; G � ATTEST: ..• ...... . Oi+ / :�_ :'h" :f ,, '': L .9 r (<1+9 45 . •P i /�1 %/L. /,,,,"4.,,,,;,;,A Lfi, 4 / ,„ ,hy.r. .\ rgn.f.. .-..p-J" a •�4lbora'Offig0r) Treasurer(SEAL) •U`•.. ;i�1'V . •iI'�if',i ��L 'i • %1 t `� �� _ M • *--Corporates ice`. -- .they: '.-r Own-r) Unofficial Witness is .••.••••N••••• ',,,` F4: RGit / A 0 -s., Hardie Davis,I11 '---' �`o • � �"F G�'` Typed Name of Owner(or Typed Names&Titles of k Corporate Officers who signed above) 7 T i Signature of APPLICANT Hardie Davis,1 r.,Mayor Ne Typed Name of APPLICANT(and Title if Applicable) it t\ Notary Public taRi► Commission Expiration: is Ir v • Q= (NOTARIAL SEAL) iiis Pr ‘% "•:•,= MA►CommLJi,,Expires May 25,2019 44 '•.,.'y J?•` M SO kr 1982 DEPARTMENT OF TRANSPORTATION • e6j2000 • STATE OF GEORGIA ATLANTA, GEORGIA Distribution 30334-1002 (FOR DOT USE ONLY) (AFTER APPROVAL) White—Applicant -ap'�Q,,� Yellow—General Office 4,OF....`,,,,, District No. Two '' Blue—District Engineer j' yrp�t c�'� State Highway No. Green—Field Inspector 000400 �'Y+' If >% Mile ostNo. 42$ ., - County Richmond Permit No. 01-2017-002-245 APPLICATION AND PERMIT FOR SPECIAL ENCROACHMENT TO:GEORGIA DEPARTMENT OF T Tracking#298632 RANSPORTATION,ATLANTA, GEORGIA 303341002 Application is hereby made by Augusta-Richmond County • Name of Applicant 706.796.5068 535 Telfair Street (Area Code) Phone No. Post Office Address Augusta,GA 30901 for permission to accomplish work on the Right-of-Way of STATE HIGHWAY NO. city and state Zip Code U.S. NIA 000400 within the City Limits of Augusta in accordance with the ATTACHED PLANS and subject to the Rules and Regulations for Drivewa and Richmond and in in the General Office of the ATTACHED Georgia DepartmentCounty i io of the tion,and made a part hereof by reference thereto, and any SPECIAL rientcontrol on file REQUIREMENTS set forth herein. The description of the proposed work is to: Landsca a and install irri ation in median islands. The proposed work site is located on the property on the MEDIAN side of the highway beginning E of the center line,of N.S.E.W. 55 Feet, N.S.E.W. St.Sebastian Way From Nearest Street Feet further E alongto 24.46 Nearest Street or Road and Fronting 984 said Highway;and at mile post 24.28 N.S.E.W. Total Frontage Used Permit requested this3rd day of January ,20 17 Witness in Ink on All Co:ie• . '' By _ Type or 1'�1}:rf 1 I Witness in Ink on All Copies r / � • i/iz/i 7 Title '44411Sign in Ink on All q �� FORM TO BE COMPLETED BELOW THIS LINE BY GEORGIA DEPARTMENT OF TRANSPORTATION If ent or 1 forApplicant ►1 Non-Limited Access—Approval by District Office SPECIAL REQUIREMENTS: (by DOT only) Limited Access—Approval by General Office PERMIT GRANTED to perform the above-described work in accordance with RE of Transportation;this 2nd day of February Q� MENTS of the Georgia Department ,20 17 This permit is to be strictly construed and no work other than that specifically - described above is hereby authorized. The work authorized rized herein must begin DEPART within three months from the date of approval and must become completed on DEPARTMENT OF TRANSPORTATION a schedule satisfactory to the department and not to exceed twelve months STATE OF GEORGIA from the date the permit is approved. By No modrycations or changes may be made to the text of this permit,unless a 7 . the form for this permit is on file with the Departments Office of Traffic g aeon m writing by and ee language t e c of be deemed fo control in the evert of any dspute concerningthe specific pe vision General Office and the language therein shall pr°^s�°nsolthispemutoranymodficafionstosarne, James H.Smith District En•i _neer Title