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Applicant: _____________________________________ Phone# ________________________
Address: _____________________________________________________________________
Land Owner: __________________________________________________________________
Proposed Driveway
Location: Road ____________________________ Tax Map: ________
Lot# __________
Driveway to be used as (circle one): Residential
Commercial Industrial Other
Pursuant to RSA 236:l3 and regulations adopted hereunder, I
apply for permission to construct a driveway entrance as described
in this permit. I understand the conditions of this application
and as printed on Page 4 of 6 of this Application.
SIGNED ________________________________________ Date: _______________________
( Land Owner's Signature)
As the landowner, I hereby agree to the following conditions:
1. To construct driveway entrance only for the bona fide purpose
of securing access to private property such that the highway right-of-way
is used for no purpose other than residential travel.
2. To construct the driveway entrance at permitted location in
accordance with all Town statutes, all provisions of Driveway
Permit of Driveway Permit specifications and standard drawings
for driveway entrances issued by the Raymond Public Works Department.
3. To hold harmless the Town of Raymond and its' duly appointed
agents and employees against any action for personal injury and/or
property damage sustained by reason of the exercise of the Town
Driveway Permit.
4. To furnish and install drainage structures that are necessary
to maintain existing highway drainage and adequately handle increased
runoff resulting from development and so that no drainage runs
onto the Town roadway.
5. To leave the highway right-of-way of the Town of Raymond free
from all debris such as stones, earth and brush resulting from
the construction of such driveway.
6. The owner agrees to maintain the driveway culvert in good and
operating conditions, regardless of the culvert location.
7. Driveway Permits are non-transferable and are valid for only
one year from date of approval.
8. Property owner's agent must submit written proof that he or
she is an authorized agent.
Fill out the attached Driveway Permit Sketch and submit the entire
form along with a check in the amount of $30.00 and payable to
the Town of Raymond, to: Public Works Department, Town Office,
4 Epping Street, Raymond, N.H.
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Driveway Permit Application Instruction Sheet
1. Print or type application (Page l)
2. Flag driveway centerline (for recognition by the Public Works
Department - stakes with surveying ribbons, paint on the roadway,
or similar techniques are acceptable.
3. Complete the information required on the map (Page 2)
a. Label North (N) on the compass.
b. Label the distances from centerline of the proposed driveway
to both property lines.
c. Label distance to the nearest utility pole; read the letters
and numbers on the face of the pole and record as shown.
d. Label the road name.
e. Label the approximate sight distance.
f. Label the width of the proposed driveway.
g. List type of driveway surface.
h. Label, by use of an arrow ( ), the direction of drainage in
the roadside ditch.
i. List any other information which may be of help to the Public
Works Department.
4. Review the sample driveway sketches and typical driveway details.
5. Submit application and attached map (Pages l and 2) plus Pages
3 to 6 to the Public Works Department for approval along with
a check in the amount of $60.00 made payable to the Town of Raymond.
Once the Driveway Permit Application has been approved by the
Highway Supervisor, a Driveway Permit will be issued and:
1. The applicant may construct the driveway as required.
2. Once the driveway has been constructed, phone the Public Works
Department to arrange for an inspection and approval of the constructed
driveway. (NOTE: a Certificate of Occupancy will not be issued
without this final approval by the Public Works Department.
3. Applicant's driveways which are not completed or acceptably
constructed at the time of Certificate of Occupancy issuance
will be required to provide a driveway bond for outstanding or
unacceptable work.
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1. All drives shall be constructed to conform to typical driveway
sections and details for the Town of Raymond, N.H. (see pages
5 and 6 attached).
2. A minimum sight distance of two hundred ( 200') feet shall
be required for all proposed and newly installed driveways.
3. Only one driveway entrance per lot is permissible. There shall
be only one point of access/egress per lot.
4. Driveways shall be fourteen foot (l4) ' in width. Driveway
entrances shall flare as it approaches the pavement to a maximum
width of twenty feet (20') measured at the existing edge of roadway
pavement.
5. If wetlands are crossed or infringed upon, a dredge and fill
permit shall be required from the State Wetlands Board.
6. Where required, driveway culverts shall be a minimum of twelve
inches (12") in diameter and twenty feet (20') long; and
must be constructed of either corrugated metal or reinforced concrete. Culverts
made of aluminum or plastic shall not be acceptable.
7. Headwalls constructed of stone rubble and mortar, conforming
to State of New Hampshire, Department of Transportation, Standard
Specifications and Details for Construction of Bridges and Highways
shall be installed at both ends of all culverts. All driveway
headwalls shall be constructed to the same elevation as the driveway.
The width shall be determined by the depth of the culvert.
8. The driveway shall slope away from the edge of the paved roadway
at a slope of 2% for a distance of twenty five (25') feet, and
be paved to the depth of two (2") inches from the existing
road pavement edge to the applicant's property line.
9. Driveways not completed at the time of Certificate of Occupancy
issuance shall require the owner to provide the Town of Raymond
with a cash bond to cover unacceptable or incomplete driveway
construction prior to certificate release. Said cash bond shall
be based at a minimum on the following stipulated values:
| Pavement completion | $l,000.00 |
| Culvert completion | $l,000.00 |
| Head wall completion | $l,000.00 |
| Excavation & filling | $ 500.00 |
| Loam, seed, establish growth | $ 500.00 |
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