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A nonrefundable application fee of $175 must accompany this application.

Application for At-Grade Crossing


South Dakota Department of Transportation
Office of Air, Rail and Transit
Questions? Contact the S.D. Office of Railroads at (605) 773-5037 or at address below.
Applicant information
Nearest city, town or village
Applicant's full name and address
Date





Crossing information
Will the crossing be temporary or permanent?
Will the crossing be public or private?
Certification
A drawing showing approximate distance from the nearest switch, bridge, culvert or some fixed location, but not from a mile board, must be submitted with this application. Also, complete engineering plans for the construction of the crossing must be submitted with this application.

It is understood that the applicant will execute a formal agreement covering the crossing when presented, and that an annual fee, as determined by the Office of Air, Rail and Transit, will be charged under the formal agreement. It is further understood, if the crossing is to be temporary, the applicant will provide flagmen if required by the Office of Air, Rail and Transit. Also, that applicant will furnish all necessary material and install the crossing at the applicant’s sole expense under the supervision of the Office of Air, Rail and Transit, or reimburse the State’s operator for costs incurred by the operator for crossing installation.




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Applicant signature




__________________
Date
Mail to:

S.D. Dept. of Transportation
Office of Air, Rail and Transit
700 E. Broadway Ave.
Pierre, SD 57501-2586

Note: All applications for crossings are subject to review by the Staff Engineer of Air, Rail and Transit. Suitability of crossing plans will be determined on the basis of crossing location, design and purpose.

Application approval (SDDOT use only)


________________________________ _______________________________ __________
Air, Rail and Transit Date Program Manager, Air, Rail and Transit Date

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