D.o.t. Form 309 - Highway Access Permit - Kansas Department Of Transportation
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3KANSAS DEPARTMENT OF TRANSPORTATION
HIGHWAY ACCESS PERMIT
Permittee:
Permit No:
Access Route Class:
District Plan:
City:
Route:
County:
City Connecting Link:
THIS PERMIT, made and entered into, by and between the Secretary of Transportation of the State of Kansas, hereinafter referred to as
the "Secretary" and
Name of Owner or Agent for the Owner
Phone #
City
Street Address
State
Zip
hereinafter referred to as "Permittee" and the City of
hereinafter referred to as the "City", collectively referred to as
the "Parties".
(If not applicable, enter N/A)
nd
WHEREAS, the Secretary has jurisdiction over highway right-of-way within the State Highway System of Kansas, a
WHEREAS, the Secretary (and City) believe that it is in the interest of the Citizens of the State of Kansas to permit certain work or projects to be
performed upon Highway right-of-ways for access for a specific property usage and access type, and
WHEREAS, the Permittee understands that their specific point of access may be modified or withdrawn as long as reasonable access is afforded, and
WHEREAS, the Permittee agrees to perform certain work as indicated on Form 334 Highway Access Permit Work Details Sheet and described as follows:
Said work is located on public right-of-way in, upon or along State Highway Route, Reference Point
(or City Connecting Link Routes
on
Street)
in Section
, Township
, Range
,
Miles
County,
(direction) from
(Cross Street), and
Access Types:
1
2
3
4
5
6
As defined herein:
Type 1: Low Volume—0-49 vehicles per day maximum (two-way access traffic count); Non-commercial—farm, agriculture, field, timber, cultivated,
pasture, duplex, single family residential/home, apartment building containing five or fewer dwelling units
Type 2: Low volume—0-49 vehicles per day maximum (two-way access traffic count); Special-use—city water treatment plant, microwave station, pipeline
checkpoint, telephone repeater stations, utilities (electric, gas, telephone, water) check/maintenance stations, Corps of Engineers dike roads
Type 3: Low volume—0-49 vehicles per day maximum (two-way access traffic count); Emergency facility—fire station and/or paramedic facility
Type 4: Low volume
—
0-49 vehicles per day maximum (two-way access traffic count); Commercial - small business, cemetery, nursing home,
other.
Type 5: Medium volume
—
50-499 vehicles per day and/or less than 50 vehicles per peak hour of the highway (two-way vehicular access count);
Commercial--industrial, institutional, recreational, local road connections (included joint-use/shared access)
Type 6: High volume
—
500 vehicles per day and over and/or 50 vehicles per peak hour of the highway or more; Commercial
—
industrial,
institutional, recreational, local road connections (includes join-use/shared access)
WHEREAS, the Secretary has delegated full and complete authority to the District Engineers of the Kansas Department of Transportation (KDOT) to
execute Highway Permits, hereinafter referred to as ”Permits,” for and on the Secretary’s behalf.
NOW THEREFORE, in consideration of the permission granted hereunder by the Secretary (and City) to utilize Highway right-of-ways in
the manner described above and on Form 334, the following terms and conditions are mutually agreed to by the Permittee, the Secretary (and the City).
The access facility described in Form 334 and permitted under this document is referred to herein as the “Facility.”
Rev. 01-13
Page 1 of 3
D.O.T. Form 309
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