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17 <br /> INSTRUCTIONS FOR COMPLETING PETITION: <br /> 1. Complete Information Section <br /> 2. Identify Contact Person(This person serves as spokesperson for petitioner(s)). <br /> 3. Attach four(4)copies of recorded subdivision plat or property deeds,which refer to candidate road. <br /> 4. Adjoining property owners and/or the developer may submit a petition. Subdivision roads with prior NCDOT review and approval <br /> only require the developer's signature. <br /> 5. If submitted by the developer,encroachment agreements from all utilities located within the right of way shall be submitted with <br /> the petition for Road addition. However,construction plans may not be required at this time. <br /> 6. Submit to District Engineer's Office. <br /> FOR NCDOT USE ONLY: Please check the appropriate block <br /> ❑Rural Road ❑Subdivision established prior to October 1, 1975 Subdivision established after October <br /> REQUIREMENTS FOR ADDITION <br /> If this road meets the requirements necessary for addition,we agree to grant the Department of Transportation a right-of-way of the <br /> necessary width to construct the road to the minimum construction standards of the NCDOT. This right-or-way will extend the entire <br /> length of the road that is requested.to be added to the state maintained system and will include the necessary areas outside of the right- <br /> of-way for cut and fill slopes and drainage. Also,we agree to dedicate additional right-of-way at intersections for sight distance and <br /> design purposes and to execute said right-of-way agreement forms that will be submitted to us by representatives of the NCDOT. The <br /> right-of-way shall be cleared at no expense to the NCDOT,which includes the removal of utilities,fences,other obstructions,etc. <br /> General Statute 136-102.6(see page 29 for Statute)states that any subdivision recorded on or after October 1,1975,must be <br /> built in accordance with NCDOT standards in order to be eligible for addition to the State Road System. <br /> ROAD NAME HOMES LENGTH ROAD NAME HOMES LENGTH <br /> t9 M A4, detz 0 . 10 <br />