What Does Txdot Row Permit Look Like – Fill Out and Use

To: Kyran Hayes / City of Forney

Hwy.

Permit No.

(Name)

P.O. Box 826

Control

Section

(Address)

Forney, Texas 75126

972-564-2292

(City, State, Zip)

(Phone No.)

The Texas Department of Transportation, hereinafter called the State, hereby authorizes

,

hereinafter called the Permittee, to

construct /

reconstruct a

(residential, convenience

store, retail mall, farm, etc.) access driveway on the highway right of way abutting highway number

in

County, located

.

Subject to the following:

1.The Permittee is responsible for all costs associated with the construction of this access driveway.

2.Design of facilities shall be as follows and/or as shown on sketch and is subject to conditions stated below:

All construction and materials shall be subject to inspection and approved by the State.

3.Maintenance of facilities constructed hereunder shall be the responsibility of the Permittee, and the State reserves the right to require any changes, maintenance or repairs as may be necessary to provide protection of life or property on or adjacent to the highway. Changes in design will be made only with approval of the State.

4.The Permittee shall hold harmless the State and its duly appointed agents and employees against any action for personal injury or property damage sustained by reason of the exercise of this permit.

5.Except for regulatory and guide signs at county roads and city streets, the Permittee shall not erect any sign on or extending over any portion of the highway right of way, and vehicle service fixtures such as fuel pumps, vendor stands, or tanks shall be located at least 12 feet from the right of way line to ensure that any vehicle services from these fixtures will be off the highway right of way.

6.The State reserves the right to require a new access driveway permit in the event of a land use change or change in driveway traffic volume or vehicle types.

7.This permit will become null and void if the above-referenced driveway facilities are not constructed within six (6) months from the issuance date of this permit.

8. The Permittee will contact the State’s representative Chris Johnson

telephone, ( 972 )			962-3848			, at least twenty-four (24) hours prior to beginning the work authorized by this permit.
								Texas Department of Transportation
			Date of Issuance					Authorized Representative

The undersigned hereby agrees to comply with the terms and conditions set forth in this permit for construction of an access driveway on the highway right of way.