Magnolia Park-CS 980810Form 1023 (Rev. 9-93)
(Previous version(s) are obsolete.)
Notice of Proposed Installation
Utility Line on Non-Controlled Access Highway
To the Texas Transportation Commission
cYo District Engineer
Texas Department of Transportation
~),~-N ~M , Texas
Date t~-/~) - ~'
Formal notice is bereby given that ~'/YZ- ~',r'~,, O,f' ('"~_o~.~",t.~... ~"'"~.S
Company pro~ses to place a ~0~_~ ~'~ ~' ~c~ ~ ~' ~~
line ~t~n the right-of-way of~ Y~ ~E~ ~.~ ~ in ~-//~/
Texas as follows: (~ve location, len~h~;~e~al d~~.~ -
The line will be constructed and maintained on the highway right-of-way as shown on the attached drawing and in
accordance with the rules, regulations and policies of the Texas Department of Transportation (TxDOT), and all
governing laws, including but not limited to the "Federal Clean Water Act," the ~Federal Endangered Species Act," and
the "Federal Historic Preservation Act." Upon request by TxDOT, proof of compliance with all governing laws, rules, and
regulations will be submitted to TxDOT before commencement of construction.
Our firm will use Best Management Practices to minimize erosion and sedimentation resulting from the proposed
installation, and we will revegetate the project area as indicated under "Revegetation Special Provisions."
Our firm will insure that traffic control measures complying with applicable portions of the Texas Manual of Uniforrn
Traffic Control Devices will be installed and maintained for the duration of this installation.
The location and description of the proposed line and appurtenances is more fully shown by ~._~
sets of drawings attached to this notice.
Construction of this line will begin on or after the ~5/~Jl? day of/c~'~F)~/'g'~ ~' ~°~,,19 ~ ~'
complete
By signing below, I certify that I am authorized to represent the Firm listed-below,· and that the Firm agrees to the
conditions/provisions included in this permit.
Firm
By (Print)
Signature
Title
Address
Phone No.
m