Petition For Road Addition Page 2

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INSTRUCTIONS FOR COM PLETING PETITIO N:
1.
Comple te Inform ation Secti on
2.
Identify Contact Person. (This person serves as spokesperson for petitioner(s).)
3.
Attach four (4) copies of recorded subdivision plat or property deeds, which refer to candidate road.
4.
Adjoining property owners and/or the developer may submit a petition. Subdivisions roads with prior NCDOT review and
approval only require the developer' s signature.
5.
If submitted by the developer, encroachment agreements from all utilities located within the right of way shall be submitted
with the petition for Road addition. However, construction plans may not be required at this time.
6.
Submit to District Engineer' s Office.
FOR NCDOT USE ONLY: Please check th e appropriate block
Rural Road
Subdivision established prior to October 1, 1975
Subdivision established after October 1,
REQUIREMENTS FOR ADDITION
If this road meets the requirements necessary for addition, we agree to grant the Department of Transportation a right-of-way
of the necessary width to construct the road to the minimum construction standards of the NCDOT. This right-of-way will
extend the entire length of the road that is requested to be added to the state maintained system and will include the necessary
areas outside of the right-of-way for cut and fill slopes and drainage. Also, we agree to dedicate additional right-of-way at
intersections for sight distance and design purposes and to execute said right-of-way agreement forms that will be submitted
to us by representatives of the NCDOT. The right-of-way shall be cleared at no expense to the NCDOT, which includes the
removal of utili ties, fences, oth er obstruction s, etc.
General Statute 136-102.6 (see page 29 for statute) states that any subdivision recorded on or after October 1, 1975, must
be built i n accordance wi th NCDOT standards in order to be el igible for addition to the State Road Sy stem.
ROAD NAME
HOMES
LENGTH
ROAD NAME
HOMES
LENGTH
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