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t 13 <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 two (2) 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 <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 /> way shall be submitted with the petition for Road addition. However, construction plans may not be <br /> required at this time. <br /> 6. Submit to District Engineer's Office. <br /> FOR NCDOT USE ONLY: Please check the appropriate block <br /> El Rural Road ❑ Subdivision platted prior to October 1, 1975 ig]Subdivision platted after September 30, 1975 <br /> REQUIREMENTS FOR ADDITION <br /> If this road meets the requirements necessary for addition, we agree to grant the Department <br /> of Transportation a right-of-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-way for cut and fill slopes 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 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 states that any subdivision recorded on or after October 1, 1975, <br /> must be built in accordance with NCDOT standards in order to be eligible for addition to the <br /> State Road System. <br /> ROAD NAME HOMES LENGTH ROAD NAME HOMES • LENGTH <br /> 0 O. r,S-t i 12 o.7,1 <br /> Amber vr4 , 3 o,0n <br /> 4jncCrm1Pxe, G-. 5 a,ti _ <br /> Form SR-1 (3/2006;Rev 1/2010) <br />