Get Access Connection Permit Certificate Form - Dotd

Filling out the Access Connection Permit Certificate Form - DOTD online is a straightforward process that facilitates necessary access connections for single-family residential and non-commercial agricultural properties. This guide will help you navigate through each section of the form with clarity and ease.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to obtain the Access Connection Permit Certificate Form and open it in the designated editor.
2. Enter the LaDOTD permit number in the designated field. This is an important identification for your application.
3. Provide the date the permit is entered and the initials of the person processing the application.
4. Fill in the issued date of the permit, ensuring it reflects the correct date.
5. Specify the date by which construction must begin and enter this date into the appropriate field.
6. Complete the property owner's name field with the full legal name of the person applying for the permit.
7. Input the physical address of the property, including the street number, street name, city, state, and zip code.
8. Indicate the proposed use of the property by selecting either 'Single-Family Residential' or 'Non-Commercial Agricultural'.
9. Provide the specific state highway number adjacent to the property and the corresponding parish.
10. Determine the geographical location of the property by circling the appropriate directions (north, south, east, or west) and indicating the distance from the nearest major roadway.
11. Outline any specific requests regarding location, size, materials, landscaping, etc., in the provided section.
12. Fill in the control section, log mile, latitude, and longitude as required.
13. Provide details on property dimensions: frontage along the highway and depth of the property.
14. Specify the current highway surface material and the approved driveway material within the right-of-way.
15. Indicate dimensions for the culvert, including diameter, length, and material type.
16. Provide driveway width and radius, ensuring that these measurements meet the requirements.
17. If applicable, include any additional notes or requests and any required attachments.
18. Review all provided information to ensure accuracy and completeness, then save changes to your form.
19. Download or print the completed form for your records and submit it as directed.

Get started and fill out your Access Connection Permit Certificate Form - DOTD online today!