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: