A Highway Permit

Section 550 Section 550.APPENDIX A   Highway Permit STATE OF ILLINOIS DEPARTMENT OF TRANSPORTATION HIGHWAY PERMIT District Serial No. WHEREAS, I(We) , (Name of Applicant) (Mailing Address) , hereinafter termed the Applicant, (City) (State) request permission and authority to do certain work herein described on the right-of-way of the State highway known as ______________ Route___________, Section___________, from Station ____________ to Station ____________, ______________ County. The work is described in detail on the attached sketch and/or as follows: It is understood that the work authorized by this permit shall be completed within ____________ after the date this permit is approved, otherwise the permit becomes null and void. This permit is subject to the conditions and restrictions printed on the reverse side of this sheet. This permit is hereby accepted and its provisions agreed to this _____________ day of ____________19____. Signed Applicant Witness Mailing Address Mailing Address City State City State SIGN AND RETURN TO:  Regional or District Engineer_____________, Illinois Approved this________ day of________19____. DEPARTMENT OF TRANSPORTATION BY: Regional or District Engineer BT 1045 (Rev. 9-72) First:  The applicant represents all parties in interest and shall furnish material, do all work, pay all costs, and shall in a reasonable length of time restore the damaged portions of the highway to a condition similar or equal to that existing before the commencement of the described work, including any seeding or sodding neccessary. Second:  The proposed work shall be located and constructed to the satisfaction of the Regional or District Engineer or his duly authorized representative. No revisions or additions shall be made to the proposed work on the right-of-way without the written permission of the Regional or District Engineer. Third:  The applicant shall at all times conduct the work in such a manner as to minimize hazards to vehicular and pedestrian traffic.  In performing this work, the applicant shall provide a traffic control plan acceptable to the Regional or District Engineer.  All signs, barricades, flagmen etc., required for traffic control shall be furnished by the applicant. The work may be done on any day except Sunday, New Year's Day, Memorial Day, July 4 th , Labor Day, Veteran's Day, Thanksgiving Day, and Christmas Day.  Work shall be done only during daylight hours. Fourth:  The work performed by the applicant is for the bona fide purpose expressed and not for the purpose of or result in parking or servicing vehicles on the highway right-of-way.  Signs that overhang the right-of-way shall be prohibited. Fifth:  The applicant, his successors or assigns, agrees to hold harmless the State of Illinois and its duly appointed agents and employees against any action for personal injury or property damage sustained by reason of the exercise of this permit. Sixth:  The applicant shall not trim, cut, or in any way disturb any trees or shrubbery along said highway without the approval of the Regional or District Engineer or his duly authorized representative. Seventh:  The State reserves the right to make such changes, additions, repairs, and relocations within its statutory limits to the facilities constructed under this permit or their appurtenances on the right-of-way as may at any time be considered necessary to permit the relocation, reconstruction, widening, or maintaining of the highway and/or to provide proper protection to life and property on or adjacent to the State right-of-way.  However, in the event this permit is granted to construct, locate, operate, and maintain utility facilities on the State right-of-way, the applicant, upon written request by the Regional or District Engineer, shall perform such alterations or change of location of the facilities, without expense to the State, and should the applicant fail to make satisfactory arrangements to comply with this request within a reasonable time, the State reserves the right to make such alterations or change of location or remove the work, and the applicant agrees to pay for the cost incurred. Eighth:  This permit is effective only insofar as the Department has jurisdiction and does not presume to release the applicant from compliance with the provisions of any existing statutes or local regulations relating to the construction of such work. Ninth:  The construction of access driveways is subject to the regulations listed in the "Policy on Permits for Access Driveways to State Highways" (92 Ill. Adm. Code 550). Utility installations shall be subject to "Policy on Accommodations on Utilities on State Highways" (92 Ill. Adm. Code 580). Tenth:  The applicant(s) affirms that the property lines shown on the attached sheet are true and correct, and binds and obligates himself to perform the operation(s) in accordance with the description and attached sketch and to abide by the policy regulations.