Fillable RIGHT-OF-WAY ACCESS PERMIT APPLICATION (Brazos County, Texas)

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RIGHT-OF-WAY ACCESS PERMIT APPLICATION (Brazos County, Texas)

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BROWSE BRAZOS COUNTY, TEXAS (TX) FORMS

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Brazos County Road & Bridge Office
2617 SH 21 West
Bryan, TX 77803
Telephone: (979) 822-2127
Fax: (979 775-0456
Email: access@brazoscountytx.gov
RIGHT-OF-WAY ACCESS PERMIT APPLICATION
SUBJECT PROPERTY INFORMATION
APPLICATION DATE: RESUBMITTAL: YES NO
PROJECT / SUBDIVISION NAME:
PROJECT ADDRESS OR LOCATION:
COUNTY ROAD: COMMISSIONER PRECINCT:
LEGAL DESCRIPTION:
IF RESUBMITTAL, PROJECT FORMERLY KNOWN AS:
TYPE OF APPLICATION
DRIVEWAY SIDEWALK MAILBOX
CULVERT
OTHER
APPLICATION PURPOSE
RESIDENTIAL
MANUFACTURED HOME
RENTAL COMMUNITY
COMMERCIAL
OTHER (Please explain):
FLOODPLAIN
IS ANY OF THE PROPERTY LOCATED IN A FLOODPLAIN OR FLOOD HAZARD AREA? YES NO
Acknowledgment: The flood hazard boundary maps and other flood data used by Brazos County in evaluating flood hazards to
proposed Developments are considered reasonable and accurate for regulatory purposes and are based on the best available scientific
and engineering data On rare occasions greater floods can and will occur and flood heights may be increased by man-made or natural
causes. Issuance of a Floodplain Permit in accordance with the Brazos County Flood Damage Prevention Ordinance does not imply
that Development outside the areas of special flood hazard will be free from flooding or flood damage. Issuance of a permit shall not
create liability on the part of Brazos County or any officer or employee of Brazos County in the event flooding or flood damage does
occur.
TxDOT RIGHT-OF-WAY
WILL ANY CONSTRUCTION OCCUR IN TxDOT RIGHT-OF-WAYS? YES NO
DIGITAL FILE SUBMISSION
COUNTY ENGINEER
ADOBE (.pdf file) AutoCAD (.dwg file) (Email To: plats@brazoscountytx.gov)
911 ADDRESSING ADOBE (.pdf file) AutoCAD (.dwg file) (Email To: gis@brazoscountytx.gov)
CONTACT INFORMATION
APPLICANT INFORMATION
FIRM NAME:
CONTACT:
ADDRESS:
CITY: STATE: ZIP:
PHONE: FAX:
EMAIL:
PROPERTY OWNER INFORMATION
FIRM NAME:
CONTACT:
ADDRESS:
CITY: STATE: ZIP:
PHONE: FAX:
EMAIL:
PROPERTY OWNER CONSENT / AGENT AUTHORIZATION
By my signature, I hereby affirm that I am the property Owner of record, or if the applicant is an organization or business entity, that
authorization has been granted to represent the Owner, organization or business in this Application. I certify that the preceding
information is complete and accurate, and it is understood that I agree to the Development/Subdivision of this property.
SIGNATURE: PRINTED NAME: DATE:
SIGNATURE: PRINTED NAME: DATE:
By signing this form, the Owner of the property authorizes Brazos County to begin proceedings in accordance with the process for this type
of Application indicated on page one of this Application. The Owner further acknowledges that submission of an Application does not in any
way obligate the County to approve the Application and that although County staff may make certain recommendations regarding this
Application, the Commissioner’s Court may not follow that recommendation and may make a final decision that does not conform to the
staff’s recommendation.
CALCULATIONS OF FEES
NEW RESIDENTIAL: $100 NEW COMMERCIAL: $100
EXISTING RESIDENTIAL: $50 EXISTING COMMERCIAL: $50
RECEIPT BY BRAZOS COUNTY (Official Use Only)
DATE APPLICATION RECEIVED: _____ / _____ / _____ DATE APPLICATION RECEIVED / REJECTED: _____ / _____ / _____
SIGNATURE: SIGNATURE:
Receipt of this Application by Brazos County does not provide confirmation or acceptance of a complete Application, nor does it
waive requirements for any additional information not contained as part of this Application which may also be needed as a part of the
review process.
County will assist as follows:
SIZE ONLY: ________________________
(Note: In subdivisions and on roads not maintained by Brazos County, the County will only size
Culvert; the Owner will be responsible for installation)
CULVERT LOCATION (if the property is located in a subdivision, please provide the lot and block
number; if not in a subdivision, provide approximate distance from the nearest intersecting road
and whether the entrance is on the left or right side of the roadway):
Culvert/Driveway location must be staked with T-posts or wooden posts at least 3-feet long with
flagging at top of stakes and placed approximately 25-feet apart.
County will determine/verify size of culvert.
The Commissioners Court of Brazos County, Texas hereby authorizes you (Applicant) to (re)
construct facilities on the County right-of-way for Development of access to your property abutting
____________________________________ located ___________________________________
provided you agree to and comply with the aforementioned responsibilities and requirements.
Commissioners Court of Brazos County, Texas
_______________________________________
County Engineer / Designee
APPLICANT / PROPERTY OWNER CERTIFICATION:
This permit shall not be valid until Applicant signs the statement in which he/she agrees to comply
with conditions herein.
I, the undersigned, hereby agree to accept and comply with the terms set out in this permit for
construction of access driveway facilities on road right-of-way.
Should the Applicant/property owner elect to install a driveway improvement within the right-of-
way constructed of concrete pavement, brick or stone pavers, or other rigid material the Applicant/
property owner shall become solely responsible for the structure. Should removal of a portion or
entire driveway or mailbox become necessary for any reason deemed by Brazos County, the cost
of removal, and the cost for replacement, shall be the sole responsibility of the property owner.
I certify that I have read the Brazos County regulations and agree to abide by them.
I further acknowledge and agree that the obligations and duties contained herein shall be binding
on Property Owners, heirs, successors, and assigns.
Signature: __________________________ Printed Name:____________________________
ACKNOWLEDGEMENT
STATE OF TEXAS
COUNTY OF BRAZOS
This instrument was acknowledged before me on ___________________________________ by
____________________________________________________________________________.
__________________________________________ NOTARY PUBLIC
Printed Name: ____________________________
My Commission Expires:____________________
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RIGHT-OF-WAY ACCESS PERMIT APPLICATION (Brazos County, Texas)

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Completed 17 July 2020

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