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Jefferson Township
Jefferson Township, N.J. • 1033 Weldon Rd, Lake Hopatcong NJ.
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Public Works  
Road Opening Permit Form  
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JTDPW USE ONLY

Date Application
            Received:_________
Date Permit
            Issued:___________
 
Permit Number:__________


                                                                                    _______________
                                                                                       Permit Number
 
 

APPLICATION FOR ROAD OPENING PERMIT

 
  1. Applicant Information:
    Name of Applicant___________________________________________________________
    Address____________________________________________________________________
    Phone Number:________________________E-Mail Address:_________________________
    Length of time for which permit is desired_________________________________________
  2. Road Opening Information:
    Name of Road(s) to be opened__________________________________________________
    ___________________________________________________________________________
    Specific location on road or roads where opening is to be made________________________
    ___________________________________________________________________________
    Size of Road Opening_________________________________________________________
    Purpose of Road Opening______________________________________________________
  3. Construction Specifications:
    A.  Ditch to be compacted with quarry processed stone entire depth in 1-foot lifts.
    B.  Roadway to be black-topped when finished with 4” of FABC to level of road.
  4. Items Required For Road Opening Permit:
    Please include the following items with this form:
                _____Application Fee in the amount of $100.00.
                _____Cash Bond in the amount of $500.00 (unless otherwise specified by Engineer).
                _____Scaled Drawing of proposed construction activities.
     
    Block__________Lot____________                         ____________________________________
                                                                                        Signature of Applicant                       
                                                                                        ____________________________________
                            Date
    48 Hours Notification Required To Township Upon Starting Road Opening.


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