ࡱ> y|vwxy bjbj 3R{{ZZZZZnnn8<n/0l J#(r#r#r#M$6$$$-------$>02d-Z$M$M$$$-ZZr#r#.***$RZr#Zr#-*$-**'+9,r#` %),-.0/1,T3%zT39,T3Z9,$$*$$$$$--($$$/$$$$T3$$$$$$$$$ : NEW JERSEY DEPARTMENT OF TRANSPORTATION SIGN STRUCTURE NUMBER REQUEST Date of Submission: FORMTEXT       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       Sign Structure 1 Location Information This Structure is a:  FORMCHECKBOX  New Structure FORMCHECKBOX  Structure Replacement  FORMCHECKBOX  DemolitionOverhead Str. Type  FORMCHECKBOX  Span  FORMCHECKBOX  Cantilever  FORMCHECKBOX  Butterfly  FORMCHECKBOX  CombinationCounty FORMTEXT      Town FORMTEXT      Route S.S. Is OnRoute FORMTEXT      Mile Post FORMTEXT      Describe Location FORMTEXT      Describe Portion of Roadway Spanned  FORMTEXT      Over Mainline, Ramp, or Both FORMTEXT      If on Local Road, List Route & MP of Nearest State Route Here: FORMTEXT      For Existing StructuresLatitude FORMTEXT      Longitude FORMTEXT       Number of the Structure Being Replaced FORMTEXT       Location of S.S. Being ReplacedRoute FORMTEXT      Mile Post FORMTEXT      Comments: FORMTEXT       NOTES: - For structures on a New Roadway Alignment, Insert a Location Diagram (Key Plan, General Plan, etc.) into this document. - To submit multiple structures in one submission, use next pages (otherwise delete them). - PDF entire document as PDF/A-1b compliant document (archive standards), and submit via email Sign Structure 2 Location Information This Structure is a:  FORMCHECKBOX  New Structure FORMCHECKBOX  Structure Replacement  FORMCHECKBOX  DemolitionOverhead Str. Type  FORMCHECKBOX  Span  FORMCHECKBOX  Cantilever  FORMCHECKBOX  Butterfly  FORMCHECKBOX  CombinationCounty FORMTEXT      Town FORMTEXT      Route S.S. Is OnRoute FORMTEXT      Mile Post FORMTEXT      Describe Location FORMTEXT      Describe Portion of Roadway Spanned  FORMTEXT      Over Mainline, Ramp, or Both FORMTEXT      If on Local Road, List Route & MP of Nearest State Route Here: FORMTEXT      For Existing StructuresLatitude FORMTEXT      Longitude FORMTEXT       Number of the Structure Being Replaced FORMTEXT       Location of S.S. Being ReplacedRoute FORMTEXT      Mile Post FORMTEXT      Comments: FORMTEXT       Sign Structure 3 Location Information This Structure is a:  FORMCHECKBOX  New Structure FORMCHECKBOX  Structure Replacement  FORMCHECKBOX  DemolitionOverhead Str. Type  FORMCHECKBOX  Span  FORMCHECKBOX  Cantilever  FORMCHECKBOX  Butterfly  FORMCHECKBOX  CombinationCounty FORMTEXT      Town FORMTEXT      Route S.S. Is OnRoute FORMTEXT      Mile Post FORMTEXT      Describe Location FORMTEXT      Describe Portion of Roadway Spanned  FORMTEXT      Over Mainline, Ramp, or Both FORMTEXT      If on Local Road, List Route & MP of Nearest State Route Here: FORMTEXT      For Existing StructuresLatitude FORMTEXT      Longitude FORMTEXT       Number of the Structure Being Replaced FORMTEXT       Location of S.S. Being ReplacedRoute FORMTEXT      Mile Post FORMTEXT      Comments: FORMTEXT       Sign Structure 4 Location Information This Structure is a:  FORMCHECKBOX  New Structure FORMCHECKBOX  Structure Replacement  FORMCHECKBOX  DemolitionOverhead Str. Type  FORMCHECKBOX  Span  FORMCHECKBOX  Cantilever  FORMCHECKBOX  Butterfly  FORMCHECKBOX  CombinationCounty FORMTEXT      Town FORMTEXT      Route S.S. 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Being ReplacedRoute FORMTEXT      Mile Post FORMTEXT      Comments: FORMTEXT       Sign Structure 5 Location Information This Structure is a:  FORMCHECKBOX  New Structure FORMCHECKBOX  Structure Replacement  FORMCHECKBOX  DemolitionOverhead Str. Type  FORMCHECKBOX  Span  FORMCHECKBOX  Cantilever  FORMCHECKBOX  Butterfly  FORMCHECKBOX  CombinationCounty FORMTEXT      Town FORMTEXT      Route S.S. Is OnRoute FORMTEXT      Mile Post FORMTEXT      Describe Location FORMTEXT      Describe Portion of Roadway Spanned  FORMTEXT      Over Mainline, Ramp, or Both FORMTEXT      If on Local Road, List Route & MP of Nearest State Route Here: FORMTEXT      For Existing StructuresLatitude FORMTEXT      Longitude FORMTEXT       Number of the Structure Being Replaced FORMTEXT       Location of S.S. Being ReplacedRoute FORMTEXT      Mile Post FORMTEXT      Comments: FORMTEXT       Sign Structure 6 Location Information This Structure is a:  FORMCHECKBOX  New Structure FORMCHECKBOX  Structure Replacement  FORMCHECKBOX  DemolitionOverhead Str. Type  FORMCHECKBOX  Span  FORMCHECKBOX  Cantilever  FORMCHECKBOX  Butterfly  FORMCHECKBOX  CombinationCounty FORMTEXT      Town FORMTEXT      Route S.S. Is OnRoute FORMTEXT      Mile Post FORMTEXT      Describe Location FORMTEXT      Describe Portion of Roadway Spanned  FORMTEXT      Over Mainline, Ramp, or Both FORMTEXT      If on Local Road, List Route & MP of Nearest State Route Here: FORMTEXT      For Existing StructuresLatitude FORMTEXT      Longitude FORMTEXT       Number of the Structure Being Replaced FORMTEXT       Location of S.S. Being ReplacedRoute FORMTEXT      Mile Post FORMTEXT      Comments: FORMTEXT       Sign Structure 7 Location Information This Structure is a:  FORMCHECKBOX  New Structure FORMCHECKBOX  Structure Replacement  FORMCHECKBOX  DemolitionOverhead Str. Type  FORMCHECKBOX  Span  FORMCHECKBOX  Cantilever  FORMCHECKBOX  Butterfly  FORMCHECKBOX  CombinationCounty FORMTEXT      Town FORMTEXT      Route S.S. Is OnRoute FORMTEXT      Mile Post FORMTEXT      Describe Location FORMTEXT      Describe Portion of Roadway Spanned  FORMTEXT      Over Mainline, Ramp, or Both FORMTEXT      If on Local Road, List Route & MP of Nearest State Route Here: FORMTEXT      For Existing StructuresLatitude FORMTEXT      Longitude FORMTEXT       Number of the Structure Being Replaced FORMTEXT       Location of S.S. 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Year to be Built:      2 <  ''R---  2 #R   2 +R   2 3R   2 ;R   2 CR   2 KR  R''R R--- R '- - iZ--  '---  2 kR  &2 oRExisting Structure    2 R  R''- @ !X-- @ !X- - @ !Y- - @ !- - @ !7- - @ !- - @ !5- - @ !Q- - @ !R- - @ !-- @ !- - @ !X- - @ !X-- @ !X- - @ !Y- - @ !- - @ !- - @ !7- - @ !- - @ !- - @ !5- - @ !Q- - @ !Q- - @ !R- - @ !- - @ !-- @ !- ---  2 `0    ,2 `0 Requesters Information    2 0   Y---  2 `YN  2 lYame:   2 Y  '---  2    2    2 %   2 -   2 5   2 =  '- @ !X-- @ !X- - @ !Y- - @ ! - - @ !- - @ !-- @ !- - @ !X- - @ ! - - @ !- Y--- 2 ` YFirm or Unit:     2 Y  '---  2    2    2 %   2 -   2 5   2 =  '- @ !X- - @ !Y- - @ ! - - @ !- - @ !- - @ !X- - @ ! - - @ !- Y---  2 `YE   2 iY- 2 oYMail:  2 Y  '---  2    2    2 %   2 -   2 5   2 =  '- @ !X- - @ !Y- - @ ! - - @ !- - @ !- - @ !X- - @ ! - - @ !- !Y--- 2 ` Y!Phone No.:    2 Y!  '!---  2 !   2 !   2 %!   2 -!   2 5!   2 =!  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Type     2 2Y$6  6$Y''6$ 6$--- 6$ '- - 4% --  '---  2 2$6  2 2 $6Span  6$--- 6$ '- - 4c%T--  '---  2 2e$6  2 2i $6Cantilever   6$--- 6$ '- - 4%--  '---  2 2$6   2 2$6Butterfly   6$--- 6$ '- - 4,%--  '---  2 2.$6  2 22 $6Combination     2 2$6  6$''- @ !#X- - @ !#Y- - @ !#- - @ !#- - @ !#- - @ !#- - @ !#i- - @ !#j- - @ !#- - @ !$X- - @ !$- - @ !$- I7Y---  2 E`Y7I  I7Y''I7--- 2 E 7ICounty   2 E57I  I7''I'7---  2 E7'I   2 E7'I   2 E7'I   2 E7'I   2 E7'I   2 E7'I  I'7''I7(--- 2 E/(7ITown    2 ER(7I  I7(''I7---  2 E7I   2 E7I   2 E7I   2 E7I   2 E7I   2 E7I  I7''- @ !6X- - @ !6Y- - @ !6- - @ !6- - @ !6- - @ !6- - @ !6&- - @ !Y6'- - @ !6- - @ !l6- - @ !6- - @ !7X- - @ !7- - @ !7- - @ !7&- - @ !7- - @ !7- \JY--- #2 X`YJ\Route S.S. Is On      2 XYJ\  \JY''\J--- 2 X J\Route   2 X-J\  \J''\'J---  2 XJ'\   2 XJ'\   2 XJ'\   2 XJ'\   2 XJ'\   2 XJ'\  \'J''\J(--- 2 X/ (J\Mile Post   2 Xl(J\  \J(''\J---  2 XJ\   2 XJ\   2 XJ\   2 XJ\   2 XJ\   2 XJ\  \J''- @ !IX- - @ !IY- - @ !I- - @ !I- - @ !I- - @ !I- - @ !I&- - @ !YI'- - @ !I- - @ !lI- - @ !I- - @ !JX- - @ !J- - @ !J- - @ !J&- - @ !J- - @ !J- o]Y--- %2 k`Y]oDescribe Location    2 kY]o  o]Y''o]---  2 k ]o   2 k]o   2 k]o   2 k!]o   2 k)]o   2 k1]o  o]''- @ !\X- - @ !\Y- - @ !\- - @ !\- - @ !\- - @ !\- - @ !\&- - @ !Y\'- - @ !\- - @ !l\- - @ !\- - @ !]X- - @ !]- - @ !]- hpY--- A2 ~`$YphDescribe Portion of Roadway Spanned       2 ~]Yph  hpY''ph---  2 ~ohp   2 ~whp   2 ~hp   2 ~hp   2 ~hp   2 ~hp  ph''- @ !oX- - @ !oY- - @ !o- - @ !eo- - @ !og- - @ !oh- - @ !o- - @ !pX- - @ !pg- - @ !p- hY--- 52 `YhOver Mainline, Ramp, or Both      2 "Yh  hY''h---  2 oh   2 wh   2 h   2 h   2 h   2 h  h''- @ !X- - @ !Y- - @ !g- - @ !h- - @ !- - @ !X- - @ !g- - @ !- 'Y--- h2 `>Y'If on Local Road, List Route & MP of Nearest State Route Here:            2 Y'  'Y''(---  2 /(   2 7(   2 ?(   2 G(   2 O(   2 W(  (''- @ !X- - @ !Y- - @ !g- - @ !h- - @ !&- - @ !'- - @ !- - @ !X- - @ !&- - @ !- Y--- .2 `YFor Existing Structures     2 Y  Y''--- 2  Latitu  2 +de  2 :  '''---  2 '   2 '   2 '   2 '   2 '   2 '  '''(--- 2 / (Longitude   2 l(  (''---  2    2    2    2    2    2   ''- @ !X- - @ !Y- - @ !- - @ !- - @ !- - @ !- - @ !&- - @ !Y'- - @ !- - @ !l- - @ !- - @ !X- - @ !- - @ !- - @ !&- - @ !- - @ !- Y--- 2 `Y  D2 l&YNumber of the Structure Being Replaced       2 oY  Y''---  2    2    2    2    2    2   ''- @ !X- - @ !Y- - @ !- - @ !- - @ !- - @ !- - @ !&- - @ !Y'- - @ !- - @ !l- - @ !- - @ !X- - @ !- - @ !- PY--- 2 `YP  :2 lYPLocation of S.S. Being Replaced       2 ;YP  PY''P--- 2 WPRoute   2 {P  P'''---  2 '   2 '   2 '   2 '   2 '   2 '  '''(--- 2 / (Mile Post   2 l(  (''---  2    2    2    2    2    2   ''- @ !X- - @ !Y- - @ !O- - @ !AP- - @ !- - @ !- - @ !&- - @ !Y'- - @ !- - @ !l- - @ !- - @ !X- - @ !O- - @ !- - @ !&- - @ !- - @ !- Y--- 2 ` YComments:    2 Y  Y''---  2    2    2    2    2    2   ''- @ !X- - @ !ZY- - @ !- - @ !- - @ !O- - @ !AP- - @ !- - @ !- - @ !&- - @ !Y'- - @ !- - @ !l- - @ !- - @ !X- - @ !X-- @ !X- - @ !ZY- - @ !- - @ !- - @ !9- - @ !- - @ !-- @ !- ---  2 `0    0'  2 `0    0'--- 2 (`0 NOTES:   2 (0  @Times New Roman- - - - @ !:*`-   0'---  2 ;`0    2 ;d0 -  2 ;j0   2 ;m^0 For structures on a New Roadway Alignment, Insert a Location Diagram (Key Plan, General Plan,                 0' 2 Ml 0 etc.) into  2 M0 this  2 M0   2 M0 docume  2 M0 nt.  2 M0  @Times New Roman- - - - @ !O-  0'---  2 ``0    2 `d0 -  2 `j0   U2 `m10 To submit multiple structures in one submission,         2 `0 use  2 `0   2 ` 0 next page  2 `0 s  2 `0   (2 ` 0 (otherwise delete t   2 `0 hem  2 `0 ).   2 `0    0'  2 r`0    2 rd0 -  2 rj0   52 rm0 PDF entire document as PDF/A      2 r80 - j2 r>?0 1b compliant document (archive standards), and submit via email        2 r0    0'---  2 `0    0' @Times New Roman--@Times New Roman---  0'"Systemuh> u@u> --  00//..՜.+,D՜.+,0 hp  NJDOT7  Title 8@ _PID_HLINKSAv)mailto:Pontis.Submission@dot.state.nj.us  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~     !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmopqrstuz{~Root Entry Fpc}Data 1Tabled3WordDocument 3RSummaryInformation( LDocumentSummaryInformation8nMsoDataStore07V`WAYLNECNG0BWV==207V`Item  PropertiesUCompObj r   F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q