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C <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 reads vAth prior <br />NCDOT review and approval only require the developer's signature. <br />5. If submitted by the developer, encroachment agreements from all utilities located within the right of <br />gray shall be submitted with the petition for Road addition, however, construction plans may not be <br />required at this time. <br />6. Sdbrnit to District Engineer's Otffice. <br />FOR NCDOT USE ONLY: Please check the appropriate block <br />E] Rural Road 0 S u bd iris iori platted prior to October 1, 1975 u bdivis ion platted after October 1, 1975 <br />RWWREMENTS FOR ADDITION <br />If this road meets the requirements necessary for addition, we agree to grant the Department _ <br />of Transportation a aright -cif -way of the necessary width to construct the road to the minimum <br />construction standards of the NCDOT. The right-of-way will extend the entire length of the <br />road that is requested to be added to the state maintained system and will include the <br />necessary areas outside of the right - or'-gray for cut and fill slopes arid_ drainage. Also, vie* <br />agree to dedicate ad d itl onal right-of-way at intersections for sight distance and design <br />purposes and execute said right-of-way agreement forms that Will be submitted to us by <br />representatives of the NCDOT. The right- -of-ay shall be cleared at no expense to the <br />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 <br />after October IF 1975, must be built in accordance with NCDOT standards in order to be <br />eligible for addition to the State Road System. - <br />ROAD NAME HOMES LENGTH <br />ROAD NAME HOMES LENGTH <br />kG �i w • <br />" <br />�JA�M 06 <br />Form SR-1 (1!2001) <br />16 <br />i <br />