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File #: <br />Date Received: <br />Y <br />NORTH CAROLINA RAILROAD COMPANY 14 <br />APPLICATION FOR PIPE /WIRE OCCUPATIONS <br />*APPLICATION FEE: Waived <br />('Application Fee ojt100.00 Hurst bs trrade payable to Norfol~E Southern Railway Company) <br />The above application fee does not include: (a) special handling fees, (b) engineering review, (c) occupation fees, (d) <br />Railroad protective insurance, (e) estimate preparation, (f) flagmen/watchmen costs/expenses or (g) construction costs <br />incur cd by NCRR or the operating railroad. All payments are due prior to construction. Construction costs estimates <br />for the project may be requested, and will be at the sole cost and expense of Licensee. However, a fully executed License <br />Agreement and Agreement and Consent Form are requirement prior to the preparation of estimates. <br />All applications are to be submitted in accordance with NCR 101 Specification (wire /cable) and/or NCR 102 <br />Specifications (conduits /pipelines). Failure to strictly adhere to these specifications will result in delays, additional <br />costs and possible return of your application. Construction drawings should either be 8 1/2" x 11", 8 1/2" x 14" or 11" x <br />17" size. <br />(Larger size drawings are only acceptable in special circumstances with prior approval of NCRR representative) <br />NO VERBAL, approvals will be granted. NO work on NCRR property may proceed until Licensee is in receipt of a <br />fully executed Occupation Agreement and authorization obtained 5rom NCRR and the Operating Railroad. NO PVC <br />pipes. NO Blasting on, under or near NCRR property. NO OPEN CUT installation without prior NCRR approval. NO <br />Directional Boring (NCR 102, Sec.5.1.6.c). NO Facilities within culverts. NO Facilities attached to Railroad Bridges. <br />Name of Licensee: County of Orange <br />(Exact name to be shown on Occupation Agreement) <br />**Note: <br />**Due to future maintenance responsibilities, NCRR will not enter into an occupation agreement with a Developer. <br />Licensee is: O Individual O * Corporation ~ Municipality ~1 Other: County Government <br />'State of Incorporation <br />.icensee's Mailing Address: <br />County of Orange <br />P. 0. Box 8181 <br />4Send Document to: (If other than Licensee:) <br />Civil Consultants, Inc. <br />3622 Lyckan Parkway <br />Hillsborough, NC 27278 <br />ttention: Paul Thames , P . E . <br />icle: County Engineer <br />elephone #: ( 919 ) 732-8181 <br />Suite 3003 <br />Durham, NC 27707 <br />Attention: Tony M. Whitaker, P . E . <br />Title: Consulting Engineer <br />Telephone #: ( Z - 4 5 <br />