Fill - Free fillable Town of Hudson Driveway Permit Application (Town of Hudson) PDF form

Town of Hudson

Driveway Permit Application

Date _________________ Map ______ Lot ______

Driveway Address ______________________________________________________________

Applicant Name ____________________________ Telephone # ____________________

Applicant Address ______________________________________________________________

Email Address ______________________________ Cell Phone # ____________________

Driveway grade percent (%) ______ (10% maximum grade).

Driveway surface (check one): Paved Gravel Stone

Length of driveway from street to end _____ ft.

Width of driveway at street entrance _____ ft.

At the point of intersection with the street, the driveway, at a 3.5 ft. elevation above the

driveway grade, shall provide in both directions of the street an AASHTO Safe Sight Distance, as

shown in Table 2.2: Recommended Decision Sight Distance Values.

Sight distance: _____ Left _____Right Speed Limit:

Distance to nearest intersection: _____ Left _____Right

Proposed roadway drainage improvements:

Swale Curb & Catch Basins Other (describe)

_____________________________________________________________________________

Special conditions requested (e.g., construct a turnaround at end of driveway):

______________________________________________________________________________

____________________________________________________________________________

Is this application for a second driveway on the parcel? Yes No

* Second driveways are not permitted for single family homes or ALU’s (per Zoning Ordinance).

* No Water Shut-offs and/or Sewer Clean-outs will be allowed on new residential driveways.

OFFICE USE

Application Fee $50.00

Receipt #_______________

Date: ________________

Permit # ________________

Driveway width measured from the point

of intersection with the street pavement.

Right Of

Way

Right

Town of Hudson

Driveway Permit Application

Page 2

In the below Driveway Layout Plan, please fill-in all blank boxes with their respective actual

measurements in feet. In accordance with the Planning Board’s Driveway Regulations, Chapter

193, the minimum setback for driveways is 15 feet from side and rear lot lines. Also, driveways

shall intersect with the adjoining street at 90° (degrees), and the dimensions indicated below

must include the street frontage of the parcel.

* A Plan and Profile will be required for any driveway accessing public roads

APPLICANTS PROPERTY

HOUSE NUMBER ______

Map/Lot Number ______

STREET NAME

APPLICANT’S PROPERTY

HOUSE NUMBER _______

Map/Lot Number _____ /_____

15’ 15

’

PROPERTY LINE

Total Street

Distance to

Property Line

(Feet)

Frontage

PAVEMENT

Driveway Layout Plan

15’ Set Back

Sight Distance

Left

Distance to

Property Line

(Feet)

PROPOSED DRIVEWAY

TOWN OF HUDSON

DRIVEWAY PERMIT APPLICATION

AND NH RSA 36-A: 4 (III) DISCLOSURES

Page 3

By filing this application, the owner(s) hereby grants permission to the members of the Hudson Planning Board and

Conservation Commission, as well as their assigned agents, to enter upon the associated property at all reasonable times

and for the express purpose of conducting examinations, surveys, tests and inspections as may be appropriate to enable

the office of the Town Engineer to process this application. I/we also hereby waive and release any claim or right I/we may

have now or hereafter against any of the aforementioned parties resulting from said examinations, surveys, tests and

inspections conducted on my/our property in connection with this application.

I/we hereby attest to the accuracy of the information submitted herein, including any attachments, and acknowledge that

any inaccuracies or omissions can result in revocation of this permit and loss of any rights, vested or otherwise to this permit.

The undersigned hereby acknowledges that before signing this application s/he/they read this application form that

contains the follow disclosure as required by NH RSA 36-A:4 (III). The inspection to be conducted by the Hudson

Conservation Commission is undertaken to evaluate the impact of the proposed permit on protected wetlands and

wetland buffers as defined in Article IX – Wetland Conservation District – Town of Hudson Zoning Ordinance, §§334-33

through 334-39. The specific features to be studied by the Hudson Conservation Commission would be the area of land

that is subject to the activity described in the permit application, and associated landforms, wetlands, and water bodies.

The data to be collected by the Conservation Commission will be collected through personal observation by the

Conservation Commission members and those observations may be recorded through hand written notes and through

digital and cell phone photography. In addition to members of the Hudson Conservation Commission, inspection and data

collection may also be carried out by the Public Works Director, the Hudson Fire Department and the Hudson Town

Engineer or his designee. The Information collected by the Conservation Commission, or other representatives of the

Town of Hudson, would then be further distributed through public discussion at Conservation Commission and Planning

Board meetings and that information may also be committed to written documents that may be distributed by the

Community Development Department to other interested parties, including but not limited to, the New Hampshire

Department of Environmental Services, the United States Fish and Wildlife Service, the United States Army Corps of

Engineers, the United States Environmental Protection Agency and members of the public. The possible known

consequences of this inspection and data collection include, and are not limited to, denial of a special exception to

construct the proposed driveway, the requirement to redefine and readjust a wetland boundary and designation and the

associated costs to the applicant for the hiring of a wetlands scientist for this purpose, possible code enforcement actions

by the Town of Hudson to abate observed violations of the Hudson Zoning Ordinance and Land Use Regulations and

possible enforcement actions against the applicant for violations of State or Federal Law.

_______________________________________________ ________________________________

Signature(s) of Applicant date

Town of Hudson

Driveway Permit Application

Page 4

Routing Sheet

[FOR OFFICE USE ONLY]

**Reviewed by Road Agent if connecting to existing Town accepted road

□ Approved _______________________________ _________________________

Town Engineer Date

Comments/stipulations

__________________________________________________________________________________________________

___________________________________________________________________________________________________

□ Approved ________________________________ _________________________

Zoning Administrator Date

Comments/stipulations

___________________________________________________________________________________________________

□ Approved ________________________________ _________________________

Public Works Director Date

Comments/stipulations

___________________________________________________________________________________________________

□ Approved ________________________________ __________________________

Fire Dept. Date

Comments/stipulations

___________________________________________________________________________________________________

□ Driveway satisfactorily completed ____________________________ _______________

Town Engineer Date

Comments/Final Inspection

___________________________________________________________________________________________________

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Fillable Town of Hudson Driveway Permit Application (Town of Hudson)

Fill Online, Printable, Fillable, Blank Town of Hudson Driveway Permit Application (Town of Hudson) Form

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