12-Permit-05065526 Township Sidewalk .pdf

Name and Address of Permittee:

Pocono Township 112 Township Drive Tannersville, PA 18372

County: Monroe

County Contact No.: (570) 424-3024 Ext.

Issuing District Office: 5-0

District Contact No.: (610) 871-4167

Municipalities: Pocono Township

Issue Date: 12/9/2025

Expiration Date: 12/9/2026

Application No.: 358496

Account No.:

Permit Fee: $ 0.00

Immediately upon completion of the work Permittee shall notify the permit office where application was made. Subject to all the conditions, agreements, restrictions, and regulations prescribed by the Pennsylvania Department of Transportation, (see in particular 67 Pa. Code, Chapter 212, 441 and 459 and State Highway Law, 36 P.S. Section 670 - 411, 420 and 421 ) and subject to the plans, special conditions, or restrictions herein set forth or attached hereto. This permit shall be located at the work site and shall be available for inspection by any police officer or Department representative.

Location and Description of Work Permit No.: 05065526

1 of 2 State Route #: 0611 Segment(s): From 0220 To 0220 Offset(s): From 0956 To 0956

101: CONSTRUCT CURB RAMP

131: Construct Curb 840: Install Highway Lighting Facility

2 of 2 State Route #: 0611 Segment(s): From 0220 To 0220 Offset(s): From 0956 To 0956

132: Construct Sidewalk

Permit Conditions Permit No.: 05065526

1 of 33 THE FOLLOWING PERMITS WERE ISSUED IN ASSOCIATION WITH THIS PROJECT:

- 05065524 - INSTALL MEDIUM VOLUME DRIVEWAY - ERTLE DEVELOPMENT, LLC.

- 05065527 - INSTALL STORM WATER FACILITY - POCONO TOWNSHIP

SECURITY, INSURANCE, WORK AND ALL INSPECTION FEES ASSOCIATED WITH THESE

PERMITS WILL BE IN THE NAME OF OR CHARGED TO ERTLE DEVELOPMENT, LLC. (OR

ASSIGNS). NO WORK MAY BEGIN UNTIL THE PERMIT FOR THIS APPLICATION HAS BEEN

ISSUED.

2 of 33 FINAL, COMPLETED CS-4401 FORMS, IN A FORM ACCEPTABLE TO THE DEPARTMENT, WITH PICTURES OF THE INSTALLATION, AND FINAL RMS FORMS ARE REQUIRED TO BE

SUBMITTED BY SUPPLEMENT PRIOR TO THE CLOSE OUT OF THE PERMIT.

3 of 33 NO WORK MAY BEGIN UNTIL ALL OF THE REQUIRED RIGHT-OF-WAY DOCUMENTS AND

CONVEYANCE OF RIGHT-OF-WAY TO THE DEPARTMENT HAS BEEN FULLY EXECUTED

AND RECORDED.

4 of 33 CONTRACTOR MUST CONTACT PENNDOT'S DISTRICT PRESS OFFICE AT 610-871-4555 AT

LEAST 5 WORK DAYS PRIOR TO ANY LANE CLOSURE AND 10 WORK DAYS PRIOR TO ANY

FULL CLOSURE.

5 of 33 NOTIFY THE TRAFFIC MANAGEMENT CENTER AT 610-871-4600 PRIOR TO SETTING UP ANY

LANE CLOSURES OR RESTRICTIONS, AND WHEN THE CLOSURE/RESTRICTION IS

REMOVED.

6 of 33 PERMITTEE'S CONTRACTOR MUST PROVIDE PROPOSED WORK SCHEDULE 3 DAYS

BEFORE START OF WORK. ALSO, PROVIDE AN EMERGENCY PHONE CONTACT NUMBER

TO THE DEPARTMENT.

M-945P (6/12)

Highway Occupancy Permit Permit No.: 05065526

Page 1 of Permit # 05065526

Permit Conditions Permit No.: 05065526

7 of 33 CONTACT COUNTY PERMIT INSPECTOR AT LEAST 3 WORK DAYS PRIOR TO START OF

WORK AT 610-657-5201 AND/OR LEWALLEN@PA.GOV.

8 of 33 A CERTIFICATE OF INSURANCE SHALL BE SUBMITTED TO THE DEPT. BY THE PERMITTEE

OR ITS CONTRACTOR 30 DAYS PRIOR TO START OF WORK.

9 of 33 RESTORATION SECURITY SHALL BE SUBMITTED TO THE DEPARTMENT AT LEAST 30

DAYS PRIOR TO START OF WORK. NO WORK MAY BE PERFORMED UNTIL SECURITY IS

APPROVED.

10 of 33 AN INSPECTOR, WHEN AVAILABLE, WILL BE ASSIGNED ON MORE THAN A SPOT

INSPECTION BASIS. PERMITTEE WILL BE CHARGED ALL INSPECTION COSTS INCURRED

BY THE DEPARTMENT.

11 of 33 FACILITY MAY BE PLACED IN PAVEMENT OR SHOULDER, AS PER PLANS, PROVIDED

BASE AND WEARING COURSES ARE OPENED BY SAW CUT METHOD.

12 of 33 THIS PERMIT AUTHORIZES WORK ONLY IN DEPARTMENT HIGHWAY RIGHT OF WAY.

13 of 33 2A COARSE AGGREGATE BACKFILL MATERIAL IS REQUIRED UNDER 67 PA CODE, SECTION 459.8 (G)(2) AND SECTION 703.2 OF PUBLICATION 408.

14 of 33 DEPARTMENT MUST BE NOTIFIED IN WRITING TWO WEEKS IN ADVANCE OF PRE-

CONSTRUCTION MEETING.

15 of 33 DEPARTMENT MUST BE NOTIFIED IN WRITING UPON COMPLETION OF WORK.

16 of 33 TEMPORARY PAVEMENT RESTORATION AUTHORIZED CONSISTENT WITH SECTION

459.8(K) 17 of 33 COMPLETE PERMANENT PAVEMENT RESTORATION IN ACCORDANCE WITH SECTION

459.8 PRIOR TO THE CLOSE OUT OF THE PERMIT. EACH PATCH MUST BE PAINTED IN

ACCORDANCE WITH SECTION 459.8(L).

18 of 33 THE PERMITTEE IS REQUIRED TO USE HOT MIX OR WARM MIX MATERIAL FOR

TEMPORARY RESTORATION. COLD MIX WILL BE PERMITTED AT THE DISCRETION OF

THE DEPARTMENT. PERMITTEE MUST MAINTAIN A SMOOTH PAVEMENT SURFACE

SUITABLE FOR DRIVING FOR THE DURATION OF THE TEMPORARY PAVEMENT.

19 of 33 COMPLETE TRENCH BACKFILL IN ACCORDANCE WITH SECTION 459.8, & THE NEWEST

VERSION OF THE PUBLICATION 408 SPECIFICALLY SECTION 601.3 (F) AND (Q). A

PROCTOR FOR CERTIFIED STONE MUST BE PROVIDED PRIOR TO THE START OF

CONSTRUCTION. FOR MATERIALS WITH MORE THAN 20% RETAINED ON THE 3/4 SIEVE,

OR IF A VIABLE PROCTOR COULD NOT BE OBTAINED, COMPACTION BY NON-MOVEMENT

IS ACCEPTABLE USING THE EQUIPMENT OUTLINED IN PUB 408, SECTION 108.05(c) AND TESTED IN ACCORDANCE WITH PUB 408, SECTION 210.3(b); FORM TR-478A AND FORM CS-

6 ARE TO BE COMPLETED. FOR MATERIALS WITH LESS THAN 20% RETAINED ON THE 3/4

SIEVE, NUCLEAR DENSITY TESTING MUST BE PERFORMED; FORM TR-4276A AND FORM

CS-6 ARE TO BE COMPLETED. FORMS CS-6 AND TR-478A ARE TO BE COMPLETED BY THE

AUTHORIZED INSPECTOR. FORM TR-4276A IS TO BE COMPLETED BY THE NUCLEAR

TECHNICIAN. INSPECTION OF THE COMPACTION OF THE TRENCH BACKFILL IS

REQUIRED; FAILURE TO NOTIFY THE DEPARTMENT WILL RESULT IN REMOVAL OF THE

MATERIAL AND REPLACEMENT UNDER DEPARTMENT SUPERVISION.

20 of 33 CURB MUST BE INSTALLED IN ACCORDANCE WITH PENNDOT ROADWAY STANDARDS

RC-64M AND RC-67M.

M-945P (6/12)

Highway Occupancy Permit Permit No.: 05065526

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21 of 33 SIDEWALK CONSTRUCTION OR REPLACEMENT SHALL PROVIDE ACCOMMODATIONS

FOR PERSONS WITH DISABILITIES CONSISTENT WITH ADA AND PENNDOT STANDARDS.

22 of 33 IT IS THE PERMITTEE'S RESPONSIBILITY TO IDENTIFY ALL PENNDOT OWNED/OPERATED

FACILITIES WITHIN THE LIMITS OF PERMITTED WORK. IF DAMAGED BY THE PERMITTED

WORK, IT IS PERMITTEES RESPONSIBILITY TO CONTACT THE DEPARTMENT

IMMEDIATELY AND RESTORE THE FACILITY TO ITS ORIGINAL CONDITION OR AS

DIRECTED BY THE DEPARTMENT.

23 of 33 ALL DISTURBED AREAS OUTSIDE THE PAVEMENT OR SHOULDER SHALL BE RESTORED

TO A CONDITION AT LEAST EQUAL TO THAT WHICH EXISTED BEFORE THE START OF

WORK.

24 of 33 MINIMUM WORK ZONE TRAFFIC CONTROL TO BE IN ACCORDANCE WITH PUB. 213. SEE

PUB 212 FOR ADDITIONAL DETAILS.

25 of 33 NO LANES MAY BE RESTRICTED BETWEEN THE HOURS OF 6:00 AM TO 9:00 AM OR

BETWEEN THE HOURS OF 3:00 PM TO 6:00 PM.

26 of 33 LANE CLOSURES WILL NOT BE PERMITTED DURING THE FOLLOWING PERIODS: EASTER

WEEKEND - FRIDAY 6:00AM TO TUESDAY 9:00AM; MEMORIAL DAY WEEKEND - FRIDAY

6:00AM TO TUESDAY 9:00AM; FOURTH OF JULY HOLIDAY - REQUEST INFORMATION

FROM DISTRICT OR COUNTY PERMIT OFFICE; LABOR DAY WEEKEND - FRIDAY 6:00AM

TO TUESDAY 9:00AM; COLUMBUS DAY/INDIGENOUS PEOPLE'S DAY WEEKEND - FRIDAY

6:00AM TO TUESDAY 9:00AM; THANKSGIVING WEEKEND - WEDNESDAY 6:00AM TO

MONDAY 9:00AM; CHRISTMAS HOLIDAY-DECEMBER REQUEST INFORMATION FROM

DISTRICT OR COUNTY PERMIT OFFICE; NEW YEAR'S HOLIDAY - REQUEST INFORMATION

FROM DISTRICT OR COUNTY PERMIT OFFICE. THERE MAY BE ADDITIONAL TRAFFIC

RESTRICTIONS FOR SPECIAL EVENTS THAT ATTRACT LARGE VOLUMES OF TRAFFIC IN

THE AREA OF THE HOP.

27 of 33 THIS PERMIT SHALL, PRIOR TO ISSUANCE, BE RECORDED IN THE COUNTY RECORDER OF

DEEDS OFFICE.

28 of 33 PERMITTEE IS RESPONSIBLE FOR ENSURING THAT MUD, SILT AND OTHER DEBRIS IS

REMOVED FROM VEHICLES AND TIRES (BY POWER WASH, ETC.) BEFORE ENTERING

ONTO THE HIGHWAY.

29 of 33 PERMITTEE MAY BE REQUIRED TO PROVIDE DAILY VIRTUAL INSPECTION VIA

ELECTRONIC DOCUMENTATION. THIS DOCUMENTATION SHOULD INCLUDE, BUT IS NOT

LIMITED TO, PHOTO DOCUMENTATION OF WORK PERFORMED, DAILY LOG OF WORK

ACTIVITIES, MATERIAL CERTIFICATIONS, TEST RESULTS, AND OTHER PERTINENT

INFORMATION THAT DOCUMENTS PROPER RESTORATION OF THE HIGHWAY. PRIOR TO

THE START OF WORK, CONTACT THE DISTRICT PERMIT MANAGER OR COUNTY PERMIT

SUPERVISOR FOR SPECIFIC REQUIREMENTS. FAILURE TO PROVIDE THE

DOCUMENTATION MAY RESULT IN PENNDOT STOPPING THE WORK, PHYSICALLY

CLOSING ACCESS TO THE STATE HIGHWAY, AND/OR REMOVAL AND REPLACEMENT OF

WORK.

30 of 33 IF AN OPENING IS MADE WITHIN A BITUMINOUS OR CONCRETE PAVEMENT WITHIN 3

FEET FROM THE EDGE OF PAVEMENT OR OTHER LONGITUDINAL JOINT OR OPENING,

THE SURFACE RESTORATION SHALL BE EXTENDED TO THE EDGE OF PAVEMENT OR

OTHER LONGITUDINAL JOINT OR OPENING. (67 PA. CODE, CHAPTER 459.8)

31 of 33 ALL PERMANENT SIGNS ERECTED MUST BE FABRICATED BY AN APPROVED SIGN

MANUFACTURER LISTED IN THE DEPARTMENTS PUBLICATION 35, BULLETIN 15.

M-945P (6/12)

Highway Occupancy Permit Permit No.: 05065526

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32 of 33 MATERIAL CERTIFICATIONS MUST BE PROVIDED, BY AN APPROVED MANUFACTURER

LISTED IN THE DEPARTMENTS PUBLICATION 35 BULLETIN 15, FOR ALL MATERIALS AND

STRUCTURES WITHIN PENN DOT R/W.

33 of 33 AS-BUILT PLANS, IN A .PDF FORMAT, MAY BE REQUIRED PRIOR TO THE CLOSE OUT OF

THIS PERMIT, IF ANY CHANGES ARE MADE TO THE APPROVED DESIGN.

Acknowledgement of Completion

Permit work has been completed:

Date:

By:

Michael B. Carroll

Secretary of Transportation

Christopher J. Kufro, P.E.

District Executive

M-945P (6/12)

Highway Occupancy Permit Permit No.: 05065526

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