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SD-2011-00210_0001-2.tif DR Form 103 P IT WORK ON PUBLIC I T- F- Y •• •• a o' • •• • • e: All correspondence or inquiries relative to this Permit No.: 0 - 40033 permit must refer to permit number shown at right. Date: 7/11/2011 Permit issued to: HunTel Engineering Attn: Rick Plugge 1613 Washington Street Blair, NE 68008 Work to be performed: THIS PERMIT ALLOWS FOR THE CONTINUED ENCROACHMENT OF US -30 WITH A SIGN AS NOTED ON THE ATTACHED APPLICATION. Location: ALONG THE SOUTH SIDE IN WASHINGTON COUNTY AT REFERENCE POST NO. 448.5 The applicant/permittee is granted permission to accomplish the proposed work subject to the applicable section of our Type A, Al & J, Specific Instructions attached hereto. NO TREE, SHRUB OR PLANT ON THE HIGHWAY RIGHT OF WAY SHALL BE TRIMMED, CUT OR ALTERED IN ANY MANNER WITHOUT ADVANCE APPROVAL OF THE DIRECTOR -STATE ENGINEER. Restrictions and Specific Instructions: CALL BEFORE YOU DIG — DIGGERS HOTLINE OF NEBRASKA Omaha: 344 73565 Statewide: 1- 800 - 331 -5666 Traffic Control Performance Guarantee: N/A This guarantee will be deposited to the credit of the State. Upon satisfactory completion of the work, a warrant will be issued to the permittee in the amount of the guarantee less any expense incurred by the State. Voucher and warrant for return of guarantee shall be made payable to: This permit is issued subject to existing Rules and Regulations of the State of Nebraska, Department of Roads and to the applicable Specific Instructions and Restrictions attached hereto; and any violations of the Rules and Regulations or Specific Instructions and Restrictions shall cause automatic revocation of this permit; and any and all improvements made pursuant to this permit may be removed by the Department of Roads at applicant, permittee or the improvement owner's expense. The applicant, permittee or owner of the improvement understands that this permit does. not confer a vested right in lands of the public; and where the Department of Roads deems it necessary to improve its highway and right of way, any improvement constructed on public land by the permittee, applicant or owner of the improvement will be moved or reconstructed by the permittee, applicant or improvement owner, successors or assignees at the applicant, permittee or improvement owner's expense. The issuance of this permit to perform work on the public right of way is considered to be issued to the owner of the improvement placed upon the right of way even though such application is made by the owner's contractor. Additional information may be obtained from our District Engineer, Tim Weander of Omaha, NE, or from the permit Officer at 1500 Highway 2, Lincoln, Nebraska. Approved......... ......... ......................7111 /2011 for ....................._.................... .............__._..........:... to of Nebras a, De art ent f Roads .................... ............................... � roision A royal) -FILE) DISTRIBUTION: (PERMITTEE) (ISSUING OFFICE) (CONTROLLER) (DIST. ENG.) (MAINT. SUPT. 1