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21 <br />1. Complete lnformation Sectlon <br />2. Identify Contact Person (This person senres as spakesperson for petit{oner(s)). <br />3. Attach four (4} copfes of recorded subdivision piat or property deeds, which refer to candidate road. <br />4. Adjoining property owners and/ar the developer may submit a petition. SubBivision roads wiih prior <br />NCDOT revlew and approval only require the develope~'s signature. <br />5. iF submitted by the developer, encroachment agreements irom alf utilities located within the right of <br />way shatt be submitted with the petition for Roed addition. However, const~uction pia~s may nat be <br />required at this time. <br />6. Submik to Districi ~ngineer`s Office. <br />FQR NCD(2T USE ONLY: Please check the app~opriate biock <br />^ Rural Raad ^ Subdivision piatted prior to October 1, 1975 ~ Subdivision platted after ~ctober 1, 1975 <br />RE~UiREMENTS FQR ADDITION <br />If this road meets the requirements necessary for addition, we agree to grant fhe Department <br />of Transportation a right-of-way of the necessary widfh 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 wili inctude the <br />necessary areas outside of the right-~or-way fo~ cut and fitl slapes and drainage. Also, we <br />agree to dedicate additional 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-way sF-a!I be aleared at no expense to the <br />NCDOT, which includes the ~emoval of utilities, fences, other obstructions, etc. <br />Gener~l Statute 136-102.8 (see page 29 for Statute) states that any subdivision recorded an or <br />after October 1~ 1975, mtast be built in accordance with NCDOT standards in order to be <br />eligible fo~ addition to the State Raad System. . <br />ROAD NAME <br />HOMES LENGTH ~ ROAD NAME HONfE3 LENGTH <br />Form SR-t (1/2009) <br />