ࡱ> y bjbj 3p{{ZZZZZnnn8\Tn:00V $(%%%%&O'D///////$j14d+/Z'%%''+/ZZ%%/+++'RZ%Z%/+'/++7,I-%"#'^9-. 00:0A-4C(4I-4ZI-''+'''''+/+/)''':0''''4''''''''' : NEW JERSEY DEPARTMENT OF TRANSPORTATION HIGH MAST LIGHT POLE STRUCTURE NUMBER REQUEST Date of Submission: FORMTEXT        FORMCHECKBOX  New High Mast Light Pole Intersection FORMCHECKBOX  Reconfiguration of HMLP Intersection FORMCHECKBOX  Adding HMLP to an Existing Group FORMCHECKBOX  Removing HMLP from an Existing Group This request is for: FORMCHECKBOX  Proposed Structure - Est. Year to be Built:  FORMTEXT       FORMCHECKBOX  Existing Structure Requesters Information Name: FORMTEXT      Firm or Unit: FORMTEXT      E-Mail: FORMTEXT      Phone No.: FORMTEXT       State Project Information State Contact Name: FORMTEXT      Bureau or Unit: FORMTEXT      E-Mail: FORMTEXT      Phone No.: FORMTEXT      Project Title: FORMTEXT      State Job Number: FORMTEXT      State Contract ID: FORMTEXT      Design Consultant FORMTEXT      Comments: FORMTEXT       HMLP Group Location Information (all M.P. MUST be to nearest hundredth) Describe Location FORMTEXT      Center of GroupCounty FORMTEXT      Town FORMTEXT       Primary RouteRoute FORMTEXT      Mile Post FORMTEXT       Secondary RouteRoute FORMTEXT      Mile Post FORMTEXT      For Existing GroupLatitude FORMTEXT      Longitude FORMTEXT       HMLP Group Number (Intersection Number) If Known FORMTEXT      # of HMLP:Existing FORMTEXT      New FORMTEXT      Relocated FORMTEXT      Removed FORMTEXT      Comments: FORMTEXT       HMLP 1 Location Information LocationRoute FORMTEXT      Mile Post FORMTEXT      Offset From Roadway Centerline: Right or Left FORMTEXT      Feet FORMTEXT      Is it: FORMCHECKBOX  New FORMCHECKBOX  Relocated FORMCHECKBOX  RemovedFor Existing HMLPLatitude FORMTEXT      Longitude FORMTEXT       HMLP Number (If Known) FORMTEXT      Comments: FORMTEXT       NOTES: - Always Insert a Location Diagram (Key Plan, General Plan, etc.) into this document. - To add additional structures, create additional pages as needed. - PDF entire document as PDF/A-1b compliant document (archive standards), and submit via email HMLP 2 Location Information LocationRoute FORMTEXT      Mile Post FORMTEXT      Offset From Roadway Centerline: Right or Left FORMTEXT      Feet FORMTEXT      Is it: FORMCHECKBOX  New FORMCHECKBOX  Relocated FORMCHECKBOX  RemovedFor Existing HMLPLatitude FORMTEXT      Longitude FORMTEXT       HMLP Number (If Known) FORMTEXT      Comments: FORMTEXT       HMLP 3 Location Information LocationRoute FORMTEXT      Mile Post FORMTEXT      Offset From Roadway Centerline: Right or Left FORMTEXT      Feet FORMTEXT      Is it: FORMCHECKBOX  New FORMCHECKBOX  Relocated FORMCHECKBOX  RemovedFor Existing HMLPLatitude FORMTEXT      Longitude FORMTEXT       HMLP Number (If Known) FORMTEXT      Comments: FORMTEXT       HMLP 4 Location Information LocationRoute FORMTEXT      Mile Post FORMTEXT      Offset From Roadway Centerline: Right or Left FORMTEXT      Feet FORMTEXT      Is it: FORMCHECKBOX  New FORMCHECKBOX  Relocated FORMCHECKBOX  RemovedFor Existing HMLPLatitude FORMTEXT      Longitude FORMTEXT       HMLP Number (If Known) FORMTEXT      Comments: FORMTEXT       HMLP 5 Location Information LocationRoute FORMTEXT      Mile Post FORMTEXT      Offset From Roadway Centerline: Right or Left FORMTEXT      Feet FORMTEXT      Is it: FORMCHECKBOX  New FORMCHECKBOX  Relocated FORMCHECKBOX  RemovedFor Existing HMLPLatitude FORMTEXT      Longitude FORMTEXT       HMLP Number (If Known) FORMTEXT      Comments: FORMTEXT       HMLP 6 Location Information LocationRoute FORMTE   ( * , z |  P R n ֳ֪򝔄tdjlh~hHDCJUjph~hHDCJUjh~hHDCJUh~hHDCJjh~hHDCJUhh\&CJ$jh=)CJ$UmHnHujh=)CJ$U h=)CJ$jh=)CJ$Uh+ch\&CJh\&5>*CJ h\&CJ h\&5CJ!P     z @$IfgdHD p,@@gd\&Ff p,@@l$If^`lgd\& p,@@$Ifgd\&$a$gd\&$a$gd\&$a$gdrV P tt @$IfgdHD}kd$$Ifl0VR& t0&644 laytHDn p r   | ~ " . vf\Shah\&CJhah\&5CJjh+ch$<CJUjhECJUmHnHujPhECJU hECJjhECJUjh+ch$<CJUjh+ch$<CJUh+ch$<CJ h$<CJhFmh\&5>*h~hHDCJjh~hHDCJUjh~hHDCJU ~ yjjjj p,@@$Ifgdh$a$gd\&}kdT$$Ifl0VR& t0&644 laytHD " . 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layt)T%%%%%%%%%%%%%&&&&(&*&F&H&J&L&&&&&&&&&&&µµµ|r`r"jLhG&B*CJUphhG&B*CJphjvKh+chFmCJUjKh+chFmCJUjJh+chFmCJUh+chFmCJjh+chFmCJUh~hFmCJ'jhG&B*CJUmHnHphujhG&B*CJUph"jtIhG&B*CJUph %%%%(&\&[NNNN @$Ifgd)TkdI$$Ifl\x R&C t0&644 layt)T\&^&&&&&&[NNNNN @$Ifgd)TkdK$$Ifl\q xR&   t0&644 layt)T&&&&&&' '','.'0'2'F'H'J'T'V'Z'n'p''''''''''''''(¼ߩ߳ߩysibiYߩh~hG&CJ hFm5CJh~hFm5CJ hFmCJh~hFm5>*䴳"8OhG&B*CJUph"j:NhG&B*CJUphhG&B*CJphh~hwuCJ hwuCJh~hFmCJ'jhG&B*CJUmHnHphujhG&B*CJUph"jMhG&B*CJUph"&&0'X'H;; @$Ifgdn~kdzM$$Iflrq x R&  C t0&644 layt)TX'Z'n''tt @$Ifgd)T}kdN$$Ifl0N R&  t0&644 layt I)'''''',Txobbbbb @$Ifgdl @gdFm @gdHD}kdO$$Ifl0R&Xf! t0&644 layt)TXT      Mile Post FORMTEXT      Offset From Roadway Centerline: Right or Left FORMTEXT      Feet FORMTEXT      Is it: FORMCHECKBOX  New FORMCHECKBOX  Relocated FORMCHECKBOX  RemovedFor Existing HMLPLatitude FORMTEXT      Longitude FORMTEXT       HMLP Number (If Known) FORMTEXT      Comments: FORMTEXT       HMLP 7 Location Information LocationRoute FORMTEXT      Mile Post FORMTEXT      Offset From Roadway Centerline: Right or Left FORMTEXT      Feet FORMTEXT      Is it: FORMCHECKBOX  New FORMCHECKBOX  Relocated FORMCHECKBOX  RemovedFor Existing HMLPLatitude FORMTEXT      Longitude FORMTEXT       HMLP Number (If Known) FORMTEXT      Comments: FORMTEXT       HMLP 8 Location Information LocationRoute FORMTEXT      Mile Post FORMTEXT      Offset From Roadway Centerline: Right or Left FORMTEXT      Feet FORMTEXT      Is it: FORMCHECKBOX  New FORMCHECKBOX  Relocated FORMCHECKBOX  RemovedFor Existing HMLPLatitude FORMTEXT      Longitude FORMTEXT       HMLP Number (If Known) FORMTEXT      Comments: FORMTEXT       HMLP 9 Location Information LocationRoute FORMTEXT      Mile Post FORMTEXT      Offset From Roadway Centerline: Right or Left FORMTEXT      Feet FORMTEXT      Is it: FORMCHECKBOX  New FORMCHECKBOX  Relocated FORMCHECKBOX  RemovedFor Existing HMLPLatitude FORMTEXT      Longitude FORMTEXT       HMLP Number (If Known) FORMTEXT      Comments: FORMTEXT       HMLP 10 Location Information LocationRoute FORMTEXT      Mile Post FORMTEXT      Offset From Roadway Centerline: Right or Left FORMTEXT      Feet FORMTEXT      Is it: FORMCHECKBOX  New FORMCHECKBOX  Relocated FORMCHECKBOX  RemovedFor Existing HMLPLatitude FORMTEXT      Longitude FORMTEXT       HMLP Number (If Known) FORMTEXT      Comments: FORMTEXT       HMLP 11 Location Information LocationRoute FORMTEXT      Mile Post FORMTEXT      Offset From Roadway Centerline: Right or Left FORMTEXT      Feet FORMTEXT      Is it: FORMCHECKBOX  New FORMCHECKBOX  Relocated FORMCHECKBOX  RemovedFor Existing HMLPLatitude FORMTEXT      Longitude FORMTEXT       HMLP Number (If Known) FORMTEXT      Comments: FORMTEXT       HMLP 12 Location Information LocationRoute FORMTEXT      Mile Post FORMTEXT      Offset From Roadway Centerline: Right or Left FORMTEXT      Feet FORMTEXT      Is it: FORMCHECKBOX  New FORMCHECKBOX  Relocated FORMCHECKBOX  RemovedFor Existing HMLPLatitude FORMTEXT      Longitude FORMTEXT       HMLP Number (If Known) FORMTEXT      Comments: FORMTEXT       HMLP 13 Location Information LocationRoute FORMTEXT      Mile Post FORMTEXT      Offset From Roadway Centerline: Right or Left FORMTEXT      Feet FORMTEXT      Is it: FORMCHECKBOX  New FORMCHECKBOX  Relocated FORMCHECKBOX  RemovedFor Existing HMLPLatitude FORMTEXT      Longitude FORMTEXT       HMLP Number (If Known) FORMTEXT      Comments: FORMTEXT       Location Map (insert high quality graphic - as TIF, BMP, or PNG only) Description FORMTEXT            FILENAME \* MERGEFORMAT HMLP-Struct-Num-Request-Form-20120720--d5b.RTF eMail completed form to:  HYPERLINK "mailto:Pontis.Submission@dot.state.nj.us" Pontis.Submission@dot.state.nj.us ( ,.BDFPR :<>@HҾҵҾҵҾҵҾҵriYrijdSh+chG&CJUh+chG&CJjh+chG&CJU"jJRhG&B*CJUph"jQhG&B*CJUph"jPhG&B*CJUphh~hG&CJ'jhG&B*CJUmHnHphujhG&B*CJUph"j6PhG&B*CJUphhG&B*CJphU"TV H;;;; @$Ifgdlkd"Q$$Iflrq x R&  C t0&644 laytl H[NNNN @$IfgdlkdR$$Ifl\x R&C t0&644 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