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HomeMy Public PortalAbout100_051_GDOT Permit for Flashing Pedestrian Cross-walk Signage °I;•!!414 Keith Golden, P.E.,den, RE., ComIt? „cal"; .. . GEORGIA DEPARTMENT OF TRANSPORTATION *04*:e One Georgia Center,600 West Peachtree Street, NW Atlanta,Georgia 30308 June 12,2013 S.R. 26/U.S. 80/BUTLER AVE @ VARIOUS LOCATIONS (MCKENZIE ST, 2nd ST, 3rd ST, 4th ST, 5th ST, 6th ST, 7th ST, 8th ST, 9th ST, 10th ST, 11th ST, 12th ST, 13th ST,& 15th ST.) M.P.34.04—M.P.36.51,CHATHAM COUNTY "TRAFFIC SIGNAL PERMIT APPLICATION" (RAPID FLASHING PEDESTRIAN BEACONS) Ms. Diane Schleicher, City Manager City of Tyree Island P.O. Box 2749 Tyree Island, GA 31328 Ms. Schleicher, The Department has prepared a traffic engineering study for the locations listed above. The studies are currently being reviewed to determine if the locations warrant installation of rapid flashing pedestrian beacons. Please find the enclosed Traffic Signal Permit applications to erect and maintain the necessary equipment for each location. The proper authorities should execute these documents and return all three copies of each application to this office at P.Q. Box 610, Jesup, GA 31598. If you require any further assistance concerning this matter, please contact Cynthia Phillips of this office at(912)427-5767. Thank you for your continued transportation concerns. Sincerely, For: Karon L. Ivery District Engineer , // By: Robert T. McCall District Traffic Engineer RTM:CYP:JAH Copy: Mr. Troy Pittman,Area Engineer, Savannah Mr. Greg Wasdin,District Signal Engineer, Jesup i cf.4444444 Keith Golden, P.E., Commissioner ka a& • t-y GEORGIA DEPARTMENT OF TRANSPORTATION y {41.x)_, :1 0.z i: � p:*" * One Georgia Center,600 West Peachtree Street,NW Atlanta,Georgia 30308 PFGFGi`a4 June 19, 2013 S.R.26/U.S. 80/BUTLER AVE @ VARIOUS LOCATIONS (MCKENZIE ST,2nd ST, 3rd ST, 4th ST, 5th ST, 6th ST, 7th ST, 8th ST, 9th ST, 10th ST, 11th ST, 12th ST, 13th ST, & 15th ST.) M.P.34.04—M.P.36.51, CHATHAM COUNTY "TRAFFIC SIGNAL PERMIT APPLICATION" (RAPID FLASHING PEDESTRIAN BEACONS) Ms.Diane Schleicher, City Manager City of Tybee Island P.O. Box 2749 Tybee Island, GA 31328 Ms. Schleicher, This letter is to address funding responsibilities for the recommended Rapid Flashing Pedestrian Beacon Systems at the above referenced locations. We have requested approval of a Safety Project, which will include funding for engineering and construction cost. Upon completion and acceptance of the project, we are requesting that the City of Tybee Island assume maintenance responsibilities for all components including signs and signal devices. Please forward executed traffic signal applications which will be utilized to obtain permits required for each location. If you require any further assistance concerning this matter, please contact Cynthia Phillips of this office at(912) 427-5767. Thank you for your continued transportation concerns. Sincerely, For: Karon L. Ivery District Engineer 1-... .. 4r414// By: Robert T. McCall District Traffic Engineer RTM:CYP:JAH Copy: Mr. Troy Pittman, Area Engineer, Savannah Mr. Greg Wasdin, District Signal Engineer, Jesup DOT-401 Do Not Write In This Space Rev. 9/93 Application No. Distribution: White - Applicant Permit No. Yellow - State Traffic Engineer Pink - District Traffic Engineer DEPARTMENT OF TRANSPORTATION STATE OF GEORGIA REQUEST FOR TRAFFIC SIGNAL To the Georgia Department of Transportation: The Cif of Tybee Island in . Chatham County hereby requests approval for the use of a traffic signal at the location described below: LOCATION Local Street Names: Butler Ave. at McKenzie St. State Route Numbers: SR 26 at CS 85409 TYPE SIGNAL ( )Stop and Go ( ) Flashing Beacon ( ) School Beacon (X) Other CONDITIONS OF APPLICATION AND STANDARDS OP 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 undersigned are duly authorized to execute this instrument. This the day of 20 Attest: By: Clerk Title: DOT-401 Do Not Write In This Space Rev. 9/93 Application No. Distribution: White - Applicant Permit No. Yellow - State Traffic Engineer Pink - District Traffic Engineer DEPARTMENT OF TRANSPORTATION STATE OF GEORGIA REQUEST FOR TRAFFIC SIGNAL To the Georgia Department of Transportation: The City of Tybee Island in Chatham County hereby requests approval for the use of a traffic signal at the location described below: LOCATION Local Street Names: Butler Ave. _ at 2nd St. State Route Numbers: SR 26 at CS 83309 TYPE SIGNAL ( )Stop and Go ( ) Flashing Beacon ( ) School Beacon (X) 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 undersigned are duly authorized to execute this instrument. This the day of 20 Attest: By: Clerk Title: DOT-401 Do Not Write In This Space Rev. 9/93 Application No_ Distribution: White - Applicant Permit No. Yellow - State Traffic Engineer Pink - District Traffic Engineer DEPARTMENT OF TRANSPORTATION STATE OF GEORGIA REQUEST FOR TRAFFIC SIGNAL To the Georgia Department of Transportation: The Citri of Tvbee Island in Chatham County hereby requests approval for the use of a traffic signal at the location described below: LOCATION Local Street Names: Butler Ave. at 3rd St. State Route Numbers: SR 26 at C5 82809 TYPE SIGNAL, ( )Stop and Go ( ) Flashing Beacon ( ) School Beacon (X) 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 OP 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 undersigned are duly authorized to execute this instrument. This the day of 20 Attest: By: Clerk Title: DoT-401 Do Not Write In This Space Rev. 9/93 Application No. Distribution: White - Applicant Permit No. Yellow - State Traffic Engineer Pink - District Traffic Engineer DEPARTMENT OF TRANSPORTATION STATE OF GEORGIA REQUEST FOR TRAFFIC SIGNAL To the Georgia Department of Transportation: The ity of Tvbee Island in Chatham County hereby requests approval for the use of a traffic signal at the location described below: LOCATION Local Street Names: Butler Ave. at 4th St. State Route Numbers: SR 26 at CS 83109 TYPE SIGNAL ( )Stop and Go ( ) Flashing Beacon ( ) School Beacon (X) 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 undersigned are duly authorized to execute this instrument. This the day of 20 Attest: By Clerk Title: DOT-401 Do Not Write In This Space Rev. 9/93 Application No. Distribution: White - Applicant Permit No. Yellow - State Traffic Engineer Pink - District Traffic Engineer DEPARTMENT OF TRANSPORTATION STATE OF GEORGIA REQUEST FOR TRAFFIC SIGNAL To the Georgia Department of Transportation: The City of Tybee Island in Chatham County hereby requests approval for the use of a traffic signal at the location described below: LOCATION Local Street Names: Butler Ave. at 5th St. State Route Numbers: SR 26 at CS83009 TYPE SIGNAL ( )Stop and Go ( ) Flashing Beacon ( ) School Beacon ( X) 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 undersigned are duly authorized to execute this instrument. This the day of 20 Attest: By: Clerk Title: DOT-401 Do Not Write In This Space Rev. 9/93 Application NO. Distribution: White - Applicant Permit No. Yellow - State Traffic Engineer Pink - District Traffic Engineer DEPARTMENT OF TRANSPORTATION STATE OF GEORGIA REQUEST FOR TRAFFIC SIGNAL To the Georgia Department of Transportation: The City of Tybee Island in Chatham County hereby requests approval for the use of a traffic signal at the location described below: LOCATION Local Street Names: Butler Ave. at 6th St. State Route Numbers: SR 26 at CS 82409 TYPE SIGNAL ( )Stop and Go ( ) Flashing Beacon ( ) School Beacon ( X) 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 undersigned are duly authorized to execute this instrument. This the day of 20 Attest: By: Clerk Title: DOT-401 Do Not Write In This Space Rev. 9/93 Application No. Distribution: White - Applicant Permit No. Yellow - State Traffic Engineer " — Pink - District Traffic Engineer DEPARTMENT OF TRANSPORTATION STATE OF GEORGIA REQUEST FOR TRAFFIC SIGNAL To the Georgia Department of Transportation: The City of Tybee Island in - Chatham County hereby requests approval for the use of a traffic signal at the location described below: LOCATION Local Street Names: Butler Ave. • at 7th St. State Route Numbers: SR 26 at CS 82309 TYPE SIGNAL ( )Stop and Go ( ) Flashing Beacon ( ) School Beacon d(X) 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 undersigned are duly authorized to execute this instrument. This the day of 20 Attest: By Clerk Title: DOT-401 Do Not Write In This Space Rev. 9/93 Application No. Distribution: White - Applicant Permit No. Yellow - State Traffic Engineer Pink - District Traffic Engineer DEPARTMENT OF TRANNSPORTATION STATE OF GEORGIA REQUEST FOR TRAFFIC SIGNAL To the Georgia Department of Transportation: The City of Tvbee Island in C}iatham County hereby requests approval for the use of a traffic signal at the location described below: LOCATION Local Street Names: Butler Ave. at 8th St. State Route Numbers: SR 26 at CS 82209 TYPE SIGNAL ( )Stop and Go ( ) Flashing Beacon ( ) School Beacon (X) 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 undersigned are duly authorized to execute this instrument. This the day of 20 Attest: By Clerk Title: DOT-401 Do Not Write In This Space Rev. 9/93 Application No. Distribution: White - Applicant Permit No- Yellow - State Traffic Engineer Pink - District Traffic Engineer DEPARTMENT OF TRANSPORTATION STATE OF GEORGIA REQUEST FOR TRAFFIC SIGNAL To the Georgia Department of Transportation: The City of Tvbee Island in Chatham County hereby requests approval for the use of a traffic signal at the location described below: LOCATION Local Street Names: Butler Ave. at 9th St. State Route Numbers: _ SR 26 at CS 82109 TYPE SIGNAL ( )Stop and Go ( ) Flashing Beacon ( ) School Beacon (X) 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 undersigned are duly authorized to execute this instrument. This the day of 20 Attest: By: Clerk Title: DOT-401 Do Not Write In This Space Rev. 9/93 Application No. Distribution: White - Applicant Permit No. Yellow - State Traffic Engineer Pink - District Traffic Engineer DEPARTMENT OF TRANSPORTATION STATE OF GEORGIA REQUEST FOR TRAFFIC SIGNAL To the Georgia Department of Transportation: The City of Tybee Island in Chatham County hereby requests approval for the use of a traffic signal at the location described below: LOCATION Local Street Names: Butler Ave. at 10th St. State Route Numbers: SR 26 at CS 94609 TYPE SIGNAL ( }Stop and Go ( ) Flashing Beacon ( ) School Beacon (X) 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 undersigned are duly authorized to execute this instrument. This the day of 20 Attest By: Clerk Title: DOT-401 Do Not Write In This Space Rev. 9/93 Application No. Distribution: White - Applicant Permit No. Yellow - State Traffic Engineer Pink - District Traffic Engineer DEPARTMENT OF TRANSPORTATION STATE OF GEORGIA REQUEST FOR TRAFFIC SIGNAL To the Georgia Department of Transportation: The _ City of Tybee Island in Chatham County hereby requests approval for the use of a traffic signal at the location described below: LOCATION Local Street Names: Butler Ave. at 11th St. State Route Numbers: SR 26 at CS 82009 TYPE SIGNAL ( )Stop and Go ( ) Flashing Beacon ( ) School Beacon q(}() 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 undersigned are duly authorized to execute this instrument. This the day of 20 Attest: By Clerk Title; DOT-401 Do Not Write In This Space Rev. 9/93 Application No Distribution: White - Applicant Permit No. Yellow - State Traffic Engineer Pink - District Traffic Engineer DEPARTMENT OF TRANSPORTATION STATE OF GEORGIA REQUEST FOR TRAFFIC SIGNAL To the Georgia Department of Transportation: The City of Tybee Island in Chatham County hereby requests approval for the use of a traffic signal at the location described below: LOCATION Local Street Names: Butler Ave, L at 12th St. State Route Numbers: SR 26 at CS 80509 TYPE SIGNAL ( )Stop and Go ( ) Flashing Beacon ( ) School Beacon KX) 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 undersigned are duly authorized to execute this instrument. This the day of _ 20 Attest: By: _ Clerk Title; DOT-400/ Do Not write In This Space Rev. 9/93 Application No. Distribution: White - Applicant Permit No. Yellow - State Traffic Engineer Pink - District Traffic Engineer DEPARTMENT OF TRANSPORTATION STATE OF GEORGIA REQUEST FOR TRAFFIC SIGNAL To the Georgia Department of Transportation: The _ City of Tybee Island in Chatham_ County hereby requests approval for the use of a traffic signal at the location described below: LOCATION • Local Street Names: Butler Ave. at 13th St. State Route Numbers: SR 26 at CS 80609 TYPE SIGNAL ( }Stop and Go ( ) Flashing Beacon ( ) School Beacon (X) 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 undersigned are duly authorized to execute this instrument. This the day of 20 Attest: By: Clerk Title: DOT-401 Do Not Write In This Space Rev. 9/93 Distribution: Application No. White - Applicant Permit No_ _ Yellow - State Traffic Engineer Pink - District Traffic Engineer DEPARTMENT OF TRANSPORTATION STATE OF GEORGIA REQUEST FOR TRAFFIC SIGNAL To the Georgia Department of Transportation: The City of Tybee Island in Chatham County hereby requests approval for the use of a traffic signal at the location described below: LOCATION Local Street Names: Butler Ave. at 15th St. State Route Numbers: SR 26 at CS 80909 TYPE SIGNAL ( )Stop and Go ( ) Flashing Beacon ( ) School Beacon ( X) 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. 2NSPECTION 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 undersigned are duly authorized to execute this instrument. This the day of 20 Attest: By: Clerk Title: