UTILlTY ROAD CROSSING PERMIT TO CONSTRUCT APPLlCAnON) Oaf _f Ll COMAL COUNTY, TExAs I \.D '-c> I

l. USER fNFORMA TION (Please print or type)

User Name _____ ___ _____________________________________________________________________

User Mail ing Address _ _ _____.______________________________C itl' ______ Slale ____ .Zip____ ____ _

Business Phone Cell Fax _________-::- Home________________

Public Utility Name GVADA~ uP£' 1tt~~GY 7"ii?€I'?Hc.v ~Pc2.e k phone @S"Q)BES'-a Z Zz Public Utility Mailing Address 3tk/o/ ,p-."...,.$/1£"2 City /V'd State 7'F" Zip ZY/3f 2­

Project Name ~,ey BV~EY SE£V/t::E OA?Ae:.€ Key Map Page _____ ___

Bond LD.______ _ ________________ ________ Amount (if applicable) _ ______ .__________________

2. C~TRUCTlON TYPE

~erhead Cable 0 Underground Cable o High Pressure Underground o Low Pressure Underground o Other Pipeline (60 psi or greater Pipeline (60 psi operating Provide Estimated Cost: operating pressure) pressure) $_----- ­

Fees: Asphalt - $4 per linear foot or $150 per road crossing, whichever is less Gravel - $2 per Iinear foot or $100 per road crossing, whichever is less

Utility to Cross Road

Road Name Cross Street (& Distance to) w: L1~- _. AJ.AJ ..6..6h 2. ~~S-.1E"'S7""" _~

Lenath of Crossing Type of Construction (Bored, Open Trench, elc.)

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Utility to Parallel County Road Within Right-of-Way

Road Name from To

Type of Pipe and/or Main (Steel. Cast Iron. Concrete, etc.),_ _ --.:__________ __________________ ____ ____ _

Pipe Size & Grade _____________ _________ Wall Thickness _____________________________

Type of Material or Substance to be carried Anticipated Working Pressure _ _________________ _ _ __

ATIACH SITE PLAN OR SURVEY SHOWlNG THE PROPOSED WORK TO BE DONE ACROSS COUNTY ROAD OR IN PUBLIC RIGHT-OF-WA Y FOR PRELIMlNARY REVIEW, MORE DETA1LED DRA WlNGS MAY BE REQUIRED BEfORE A PERMIT CAN BE ISSUED.

All construction must be completed in accordance with the Title 4, Chapter 43 ofComaf County 's Subdivision Regulations.

The Applicant hereby acknowledges and agrees to be strictly bound to Commissioners' Court of Comal County in ensuring that all provisions, conditions and requirements attached to the issuance of the utility road crossing pennit(s) under the Title 4 of Comal County's Subdivision Regulations will be faithfully and fully complied with.

The permit applicant understands and agrees that the County Engineer, or his authorized agent, may make scheduled or unscheduled inspections of the property upon the issuance of the permit If the permit applicant is a corporation, partnership or other legal entity other than a natural person, then the undersigned acting as the authorized representative of said entity will be responsible for ensuring the entity's compliance with all provisions, conditions and requirements of the development and driveway permit.

COMAL COUNTY HEREBY DISCLAIMS ALL REPRESENTATIONS AND WARRANTIES, EXPRESSED OR IMPLIED, lNCLUDrNG BUT NOT UMlTED TO THE IMPLIED WARRANTlES Of MERCHANTABILITY, FITNESS FOR kPARTlCULAR PURPOSE AND NON-INFRINGEMENT. Tn no way does Comal County's issuance of a permit, under this Title, constitute an endorsement or warranty of the Applicant or the quality of the Applicant, Applicant's officer, agent or employee's workmanship.

/, --z;ii/c:~y~. ..e.:s= 7= ' the undersigned, have carefully reviewed this application and my answers to all questions. To the best of my knowledge, the answers are all true and correct. ~

SIGNATURE ofApp"~",/Ag,", 0' A«om,," ~ 7;1".~ 0", ·~v,*b[i!"m"d [J D,"kd. R,",o'{,J fo, d,,;,Ic ::; ~ ~ SIGNATVREofAuthorized Agent ofComa I County ~~ .~ Date 670j1?/; Permit to Construct valid for 180 Calendar days from date of issuance.

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MATERIALS LIST

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P "1NST ALL NEW FIBER

OPTIC CABLE AND STRAND

PROPOSED CLEARANCE OVER ROAD: 23' 2"

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23' W AMMANN RD

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GVTC STAKING SHEET LOCA T I ON:

MARY EDITH BURKEY 5991 2 W AMMANN RD

EXCHANGE: BULVERDE COUNTY 1 MAP REF.

COICO 18 -21 A

WID NO. 3002074

FERG. MAP REF. 414-20

TESS CONF, #

STAKED BY: DATE Rl 5/17113

DRAWN BY: CB 6/5/13

POSTED BY:

RTE: E2-23R-10 PAGE NO.

SHEET 1 OF 1 1P

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o EXISTING CPS POWER POLE

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;­./. 2,345 n TO

INTERSECTrDN WITH FM 3351

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Utility Road Crossing (URC) Permit

100664

06/06/2013

0

Project Name:

Permit Number:

Issued This Date:

Location Description:

This URC Permit is authorization for the owner to operate and maintain a utility at the location

described in accordance with Chapter 43 of Title 4 - Comal County Private Improvements within

Public Right-of-Way and Utility Road Crossings Order.

It is the responsibility of the Applicant to maintain and operate the facility in a satisfactory manner.

If the Applicant defaults on the terms and conditions of this URC Permit, the Applicant shall be

liable for all damages incurred by the County arising from the Applicant’s default, as well as

attorney fees and all costs and fees arising out of suit to enforce the terms and conditions of this

URC Permit.

This URC Permit is valid for an indefinite period, but the Applicant may transfer it to a succeeding

owner.

Mary Burkey Service Order