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Form SR-1 g <br />INSTRUCTIONS FOR COMPLETING PETITION: <br />1. Complete Information Section <br />2. Identity 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 <br />approval 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 <br />with 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 OSubdivision established after October 1, 1975 <br />REQ'C.l'IItEMENTS FOR ADDITION <br />If this road meets the requirements necessary for addition, we agree to grant the Department of Transpo2tation a <br />right-of-way of the necessary width to construct the road to the minimum construction standards of the NCDOT. <br />This right~or-way will extend the entire length of the road that is xequested to be added to the state maintained <br />system and will include the necessary areas outside of the right-of--way for cut and hlI slopes and drainage. Also, <br />we agree to dedicate additional right-of--way at intersections far sight distance and design puzposes and to execute <br />said right-of--way agreement forms that will be submitted to us by representatives of the NCDOT. The right-of <br />way shall be cleared at no expense to the NCDOT, which includes the removal of utilities, fences, other <br />obstructions, etc. <br />General Statute 136-102.6 (see page 29 far Statute) states that any subdivision recorded on or after October 1,1975, mast be <br />built in accordance with NCDOT standards in order to be eligible for addition to the State Road System. <br />ROAD NAME <br />~ 1,+4 4_ Ld ~ ~•h..~..-i"S3 W~ 1 l.3' ~.:...~ LENGTH <br />Get `% <br />~ , ROAD NAME LENGTT3 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />33 <br />