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Driveway Permit Application

2. 

3. Wyoming County Highway Department
   4328 State Route 19, Silver Springs, NY 14550<BR>Todd Gadd - Superintendent of Highway<BR>Phone (585)786-8955<BR>Fax (585)786-3297

   4328 State Route 19, Silver Springs, NY 14550
   Todd Gadd - Superintendent of Highway
   Phone (585)786-8955
   Fax (585)786-3297

5. Driveway Pipe Installation Policy
   1. Permit applicants will supply their own pipe - either corrugated polyethylene or metal suitable for highway use. <BR> ---- PLEASE NOTE: Wyoming County does not install the driveway pipe(s). ----<BR><BR>2. Pipe cannot be water heaters or boiler pipes or anything substandard.<BR><BR>3. Pipes must have at least 12" of coverage over them whenever possible to prevent crushing of pipe. If the existing ditch is not deep enough when it is checked out by pipe foreman, then the permit applicant will be notified and the County will clean out the ditch before installation to accommodate the pipe.<BR><BR>4. All pipes must have end sections.<BR><BR>5. If more than 20 feet of pipe is used for installation, then all connections must have proper banding and shall not be laid end to end.<BR><BR>6. Pipes must have suitable backfill material (gravel, crushed stone, etc.) and should be put in and tamped in the proper manner.<BR><BR>7. Please allow a minimum of two (2) weeks for information to be checked and approved

   1. Permit applicants will supply their own pipe - either corrugated polyethylene or metal suitable for highway use.
   ---- PLEASE NOTE: Wyoming County does not install the driveway pipe(s). ----
   
   2. Pipe cannot be water heaters or boiler pipes or anything substandard.
   
   3. Pipes must have at least 12" of coverage over them whenever possible to prevent crushing of pipe. If the existing ditch is not deep enough when it is checked out by pipe foreman, then the permit applicant will be notified and the County will clean out the ditch before installation to accommodate the pipe.
   
   4. All pipes must have end sections.
   
   5. If more than 20 feet of pipe is used for installation, then all connections must have proper banding and shall not be laid end to end.
   
   6. Pipes must have suitable backfill material (gravel, crushed stone, etc.) and should be put in and tamped in the proper manner.
   
   7. Please allow a minimum of two (2) weeks for information to be checked and approved

7. 8. Proposed driveway must be clearly staked or marked in some way.<BR><BR> 9. Be sure to submit application for review using the 'SUBMIT' button or the 'SUBMIT AND PRINT' button at the end of this form.

   8. Proposed driveway must be clearly staked or marked in some way.
   
   9. Be sure to submit application for review using the 'SUBMIT' button or the 'SUBMIT AND PRINT' button at the end of this form.

9. There is a fee of $25.00 - payable to Wyoming County Highway Department.

   There is a fee of $25.00 - payable to Wyoming County Highway Department.

11. Name*

12. Date of Application*
    Date of Application

14. Address*

16. City*

17. State*

18. Zip Code*

20. Phone Number

21. Email Address

23. County Road Name*

24. Town of*
    -- Select One --ArcadeAtticaBenningtonCastileCovingtonEagleGainesvilleGenesee FallsJavaMiddleburyOrangevillePerryPikeSheldonWarsawWethersfield

25. County Road Number

    (if known)

27. Which side of highway*

    1. North
    2. South

    1. East
    2. West

28. Date when driveway is needed
    Date when driveway is needed

    (if possible)

30. Location, as in reference to*

    Can be a nearby utility pole number or adjacent property owners or intersecting roads.

31. Proposed driveway location is staked or marked?*

    1. yes
    2. no

    Proposed driveway location must be staked or marked in some way.

33. Signature of Applicant*

    by electronically signing this form you agree to this authorization

35. Total Amount Mailed ($)

    Note: Form may be printed and mailed to our offices at Wyoming County Highway Department: 4328 State Route 19, Silver Springs, NY 14550 with appropriate payment fee.

37. Pay Now
    Click here to pay online with GovPay

    Please pay amount associated with 'Reason for Permit' field that was selected.
    PLEASE NOTE: Upon successful payment thru GovPay,
    please submit application for review using the 'SUBMIT' button or the 'SUBMIT AND PRINT' button below

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39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit Submit and Print

* indicates a required field