Glynn County Engineering Services Department
1725 Reynolds St., Suite 200
Brunswick, GA 31520
912 554-7428
Driveway Construction Permit Application
NOTE: All information below must be completed and the application submitted with a detailed drawing noting
distances from nearest driveway/roadway and property corners on either side of the new driveway. No single
residential property shall have more than two (2) driveways/curb cuts with a maximum combined width of
forty (40) feet.
Construction Address
_______________________________________
_______________________________________
_______________________________________
Applicant
Name
Contact
Address
Phone:
Email:
Or Agent
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
Owner
Name
Contact
Address
Phone:
Email:
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
Contractor
Name
Contact
Address
Phone:
Email:
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
Estimated Start Date: _______________________ Estimated Completion Date: _______________________
Number of Driveways: _____ Surface: Stone Concrete Asphalt Dirt Other
(2 maximum)
Driveway Surface Width: __________ ft
Pipe Size: 15 18 24 32 48 64
Pipe Length: __________ ft Type: HDPE RCP
_________________________________________ ________________________________________
Owner/Authorized Agent Signature Date
Page 1 of 2
Form DRV 3/2018
DRV
TYPICAL DRIVEWAY PIPE INSTALLATION DETAIL
FOR INSTALLATION OF DRIVEWAY PIPES IN ROAD RIGHT-OF-WAY
Page 2 of 2
Form DRV 3/2018
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