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2. Name of Applicant
3. Contractor/Excavator (Permitee)
5. Contractor Address
7. City
8. State
9. Zip Code
11. Site Contact Name
12. Site Contact Email Address
13. Site Contact Phone Number
15. Work Description

    1. New Construction

    1. Utility Repair

    1. Utility Tap

    1. Other (please specify)
17. Construction Project Name
19. Project Address
21. Bookend Intersections
22. Anticipated Dates of Work
23. Hours of Operation
25. Scope of Work - Be Specific
27. Work Area Request

    Check all that apply

    *Detour Plan Required (Traffic Control and Pedestrian Plan)

    1. Temporary Lane Closure
    2. Temporary Road or Alley Closure *
    3. Temporary Sidewalk Closure *
    4. Temporary Parking Space Closure

    1. Shoulder Work ( < 5' from EOP)
    2. Shoulder Work ( > 5' from EOP)
    3. Drainage Pipe/Ditch Work
    4. Downtown District

29. The applicant is responsible for ensuring all traffic control installed within the public right-of-way shall meet the requirements set by the Town of Clayton Code of Ordinances, Chapter 11 of the NC Building Code, MUTCD, and 2018 NCDOT Standard Specifications and Details.

    This form must be completed and submitted no less than three business days prior to anticipated work for Town staff to review, approve, and notify affected citizens and emergency services. If sufficient notice is not provided, the Town of Clayton reserves the right to issue a stop work order or change the submitted schedule to allow for traffic flow and safety within the public right-of-way. The applicant will be notified via email of any required changes. No traffic control shall be installed within the public right-of-way until approval has been received by Town staff.

    Town staff will review the application and notify the applicant within 24 hours if the application is approved. For more info, contact Engineering & Inspections Services Coordinator at 919.359.9390 or at engineering@townofclaytonnc.org. 

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31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

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