Form Te-2000 - Driveway Agreement - Oklahoma Department Of Transportation
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1
2
3STATE OF OKLAHOMA
Permit No.: _____________________________
Effective Date: __________________________
DEPARTMENT OF TRANSPORTATION
Construction Time: ______________________
DRIVEWAY AGREEMENT
Temporary Driveway Time Limit: ___________
OFFICIAL USE ONLY
Applicant: Type or Print All Information & Attach Copies
of Site Plans, Frontage Easements or
Division No.:
County No.
Joint-Use Agreements)
Check All Applicable Boxes: Are there any existing driveway(s) within the Property Frontage? Yes
No
If yes, how many:
This Agreement is for New Driveway(s)
, or a Modification of existing Driveway(s)
.
New or Modified Driveway(s) Type:
Non-Commerical
Commerical/Industrial
Temporary
Is the Highway Curbed?
Yes
No
Reviewed By:
Signature - City Authority
Company Name
Date
Property Owner
Chief Engineer or his Agent
Mailing Address
Date
City, State, Zip
Division Engineer or his Agent
Telephone No.
Date
THE HEREIN TERMED "OWNER" REQUESTS PERMISSION TO CONSTRUCT
DRIVEWAY(S) DESCRIBED
BELOW AND AS SHOWN ON THE DRAWING(S) ATTACHED HERETO AND BY REFERENCE MADE A PART HEREOF, FOR
THE PURPOSE OF PROVIDING ACCESS TO A
WITH HIGHWAY
t
Type of Development or Establishmen
FRONTAGE OF
, ALONG
AND
ALONG
Distance (Feet/Meters)
Highway Number
Distance (Feet/Meters)
, IN
COUNTY,
CITY, WITH THE DRIVEWAY LOCATED
Highway Number
APPROXIMATELY
OR
OF
AND FURTHER
Miles/km
Distance (Feet/Meters)
N.S.E.W.
Highway junction or other definate point
DESCRIBED AS:
Description: (List Each Driveway Separately. If more than 2-drives, attach additional description on separate sheet).
1.
wide driveway on the
Side of highway at milepost
.
Distance (Feet/Meters)
N.S.E.W.
(Center of Driveway)
Drainage to be provided under Driveway by installation of
X
,
with a
Diam. (Inches/mm)
Lengh (Feet/Meters)
Material Type (CGMP or RCP)
end section, and/or Valley Gutter located
from the edge of traveled lane.
Proposed Driveway Surfacing Material:
Thickness:
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