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Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of Way ‘TransCanada Keystone Pipeline, LP requests permission from the Holt County Board of Supervisors to bury of locate a crude oil pipeline, in or on the right-of-way of the County of Holt. Length of Project: One Year Legal Description: S004 T031N RO14W ~ Road 888 Reason for the utility request: Too and to construct temporary driveways on either side o! + a 36” enue oil pipeline crossing under Holt County roads f the same county road right-of-way crossings for the ‘purpose of moving personnel end equipment from one side to the other during construction. Owner: TransCanada Keystone Pipeline, LP Signature ‘aia Commiige Land iar Signature Robes Latner=Sr Land Rep ‘Address: 13710 ENB Parkway Suite 300, Omaha NE 68154 ‘Telephone: 832-320-5000 Date: 1. Line, pipe or conduit less than 4" in diameter, $100.00. 2. Line, pipe or conduit 4" in diameter or more but less than 8" in diameter, $500.00. 3. Line, pipe or conduit 8" in diameter or more, ‘$1,000,00, 4, Telephone utilities are exempt from application fee. ‘Any person who fails to apply for and receive permission from Holt County prior to commencing construction shall be requited to pay the above fee appropriate for the size of fine, pipe or con required to pay a $250.00 damage fee. 6} 5) 4] 3) 2 1 7} 8| 9/10)11 12 18) 17] 16) 15] 14 13, 19} 20} 21) 22)23 24 t 30) 29] 28} 27|26 25 31| 32) 33|34)35 36 Approved [] Rejected [] Thay Superintendent) Approved [] Rejected [] and in addition shall be (Owners and renters desiring to place waterline or gas line in or across County right-of-way must have permission granted by the Holt County Board of Supervisors. Water ‘and gas Vines buried in the ROW or under the roadbed proper must be 2 minimum of 48" deep and be of steel, ‘copper, or. appraved PVC pipe. All electric serviee that is ‘buried must be buried to the following depths, primary 48", secondary 36", All telephone communications minimum of 30". In case any of the foregoing services are disrupted, damaged, of. put out of service the County will not be Jiable in any way, Permission must be granted by the Hott County Board of Supervisors before any installation of Diilties. An approved sign shall be erected on a post 5 above ground level designating the route and the location of the tility. Date Date (chairman) Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of-Way ‘TransCanada Keystone Pipeline, LP requests permission from the Holt County Board of Supervisors to bury or locate a crude ol pipeline, in or onthe right-of-way of the County of Holt Length of Project: One Year Reason for the utility request: To constru and to construct temporary driveways on eit jose of moving personnel and equipment from ons ‘Owner: ‘TransCanada Keystone Pipeline, LP Signature Denia Gaming’ “Land Manaaer Signature ‘Raber Caimar Sr Land Rep pee Line, pipe or conduit 4" Legal Descriptic : $003 TO3IN ROL4W ~ 477 Ave. 36” crude oil pipeline crossing under Holt County roads ther side of the same county road right-of-way crossings for the ‘to the other during construction. ‘Address: 13710 PNB Parkway Suite 300, Omaha NE 68154 Telephone: 832-320-5000 Date: Line, pipe or conduit less than 4" in diameter, $100.00, {in diameter or more but less than 8” in diameter, $500.00. Line, pipe ot conduit 8" in diameter or more, $1,000.00. 44, Telephone utilities are exempt from application fee, ‘Any person who fails to ap shall be required to pay the required to pay a $250.00 damage fee. 6| 5 4°3| 2/1 71) 8 9}10}11\12 18117) 16| 15) 14] 13 19| 20 21}22)23|24 30|29 28|27|26|25 31)32 33/34|351 36! Approved [] Approved [] Rejected [1 Tae Smid Rejected [J {crakear ply for and receive permission from Holt County prior to commencing construction above fee appropriate for the size of line, pipe or conduit and in addition shall be ‘Owners and renters desiring to place waterline or gas line in or across County right-ofway must have permission granted by the Holt County Board of Supervisors. Water nd gas lines buried in the ROW or under the roadbed proper must be @ minimum of 48" deep and be of steel, copper, or approved PVC pipe. All electric service that is ‘ured must be bured tothe following depths, primary 48°, secondary 36”. Alltelephone communications minimum of 30". In case any of the foregoing services are disrupted, damaged, or put out of service the County will nat be Hiale in any way. Permission must be granted by the Holt County Board of Supervisors before eny installatin of ilies. An approved siga shall be erected on a post 5' bove ground level designating the route and the location ofthe uty. Date Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of-Way ‘TransCanada Keystone Pipeline, LP requests permission from the Holt County Board of Supervisors to bury or locate a erude oil pipeline, in or on the right-of-way of the County of Holt Length of Project: One Year Legal Description: $002 T031N RO14W —478 Ave, Reason for the utility request ‘To construct 2 36" crude oil pipeline crossing under Holt County roads d to construct temporary driveways on either side of e county road right-of-way crossings for the ‘purpose of moving personnel and equipment from one side to the other during eonstruction. Owner: TransCanada Keystone Pipeline, LP Signature “Devise Coammigs— Cad Manager Signature 1 2. 3, 4. Rae Latinas — Sr Land Rep. Line, pipe or conduit less than 4" in diameter, $100.00. ‘Address: 13710 ENB Parkway Suite 300, Omaha NE 68154 ‘Telephone: 832-320-5000 Date: Line, pipe or conduit 4" in diameter or more but less than 8" in diameter, $500.00 Line, pipe or conduit 8" in diameter or more, $1,000.00. ‘Telephone utilities are exempt from application fe. Any person who fails to apply for and receive permission from Holt County prior to commencing: construction: shall be required to pay the above fee appropriate forthe size of line, pipe or conduit and in addition shal be required to pay a $250.00 damage fee. [ 34,2) 1 10} 11} 12 15) 14) 13 22)23|24 27| 26 | 25 34) 35) 36 6|5| 4 78/9 18) 17| 16 | 1920] 21 30 29|28 31|32) 33 Approved [] Rejected [] ‘ghway Superintendent) Approved [] Rejected [] _____—# (chairman) (Overs and renters desiring to place waterline or gas line in of across County right-of-way must bave permission granted by the Holt County Board of Supervisors. Water and gas lines buried in the ROW or under the roadbed proper must be a minimum of 48° deep and be of ste!, copper, oF. approved PVC pipe. All electric service that is buted must be buried tothe following depth, primary 48", secondary 36", Alltslephone communications minimum of 30". In case any of the foregoing services are disrupted, damaged, or put out of service the County will not be Tiable in any way. Permission must be granted by the Efolt County Board of Supervisors before any installation of Usiitigs, An approved sign shall be erected on a post 5! above ground leve] designating the route and the location ofthe utility. Date Date Holt County Road Department Application Requesting Permission to Bury Utilities In of On County Right-of-Way ‘TransCanada Keystone Pipeline, LP. requests permission from the Holt County Board of Supervisors to bury or locate « grude oil pipeline in or on the right-of-way of the County of Holt, Length of Project: One Year Legal Description: S011 TO3IN RO14W ~ Road 887 Reason for the utility request: ‘To construct a 36” crude ofl pipeline crossing under Holt County roads cilther side of the same county road right-of-way crossings for the and to construct temporary driveways on se of moving personnel and equipment from one si ‘Address: 13710 ENB Parkway Suite 300, Omaha NE 68154 Owner: TransCanada Keystone Pipeline, LP Sigmature en Ovaingr Tard ar Signature abe Tala Se Land Rep, the other during construction. ‘Telephone: 832-320-5000 Date: 1. Line, pipe or conduit less than 4” in diameter, $100.00. 2. Line, pipe or conduit 4" in diameter or more but less than 8" in diameter, $500.00. 3. Line, pipe or conduit 8" in diameter or mare, $1,000.00. 4, Telephone utilities are exempt from application fee. ‘Any person who fails to apply for and receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the sizeof line, pipe or conduit and in addition shall be required to pay a $250.00 damage fee. 6| 5| 4) 3,2 1 7| 8) 9/10/11 12 18} 17) 16) 15) 14 13 19) 20] 21] 22) 23 24 30/29} 28|27)26 25 31/32/33} 34) 35 36 Approved [] Rejected [] (Wigway Superintendent) Approved [] Rejected [] oe (cnarman) ‘Owners and renters desiring to place waterline or gas line in or across County right-of-way must have permission granted by the Holt County Board of Supervisors. Water and gas lines buried in the ROW or under the roadbed proper must be minimum of 48" deep and be of steel, ‘copper, ot approved PVC pipe, All electric service that is buried riust be buried t the following depths, primary 48", secondary 36". All telephone communications minimum of 30", In case eny of the foregoing services axe disrupted, ‘damaged, or. put out of service the County will not be linble in any way, Permission must be granted by the Holt County Board of Supervisors before any installation of Uiiltes. An approved sign shall be erected on a post $ sbove ground lavel designating tae route and the location ofthe utility. Date Date Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of-Way TransCanada Keystone Pipeline, LP requests permission from the Holt County Board of Supervisors fo bury of locate a crude oil pipeline, in or on the right-of-way of the County of Holt Length of Project: One Year Reason for the utility request: To construct a 36" and to construct temporary driveways on either side of the same count coll pipeline crossing ul ‘Legal Desoription: $012 TO31N RO14W —479 Ave. ‘Holt County roads right-of-way crossings for the purpose of moving personnel and equipment from one side to the other during construction, Owner: TransCanada Keystone Pipeline, LP Signature ‘Danish Camivings Lard Wontar Signature ‘Reber Latins Sr Land Rep ‘Address: 13710 ENB Parkway Suite 300, Omaha NE 68154 ‘Telephone: 832-320-5000 Date: Line, pipe or conduit less than 4" in diameter, $100.00. Line, pipe or conduit 4" in diameter or more but less than 8" in diameter, $500.00, Line, pipe or conduit 8" in diameter or more, $1,000.00. 4. Telephone utilities are exempt from application fee. ‘Any person who fails to apply for and receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate forthe sizeof line, pipe ar conduit and in addition shall be required to pay a $250.00 damage fee. 6/514] 3/2] 7] 8| 9{10/11412 181 17| 16! 15/14/13 19/20/21) 22 23/24 30|29 | 28)27/26 25 (31/32) 33] 34|35/36 ee ‘away Sopernendend Approved [] Rejected {]__ Se Sa {chaiman) COvmers and renters desiring to place waterline or gas line in or across County right-of-way must have permission granted by the Holt County Board of Supervisors. Water ‘and gas lines buried in the ROW or under the roadbed proper must be a minimum of 48" deep and be of stoel, copper, or.appraved PVC pipe. All eleorie service that is buried must be buried tothe following depths, primary 48", secondary 36", All telephone communications miniaum of 30", In case any of the foregoing services axe disrupted, damaged, or pt out of service the County will not be liable in any way. Permission must be granted by the Holt County Board of Supervisors before any installation of ilies, Ap approved sign shall be erected on a post fbove around level designating the route and the location of te uty Date Date Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of Way ‘TransCanada Keystone Pipeline, LP requests permission from tie Holt County Board of Supervisors to bury or locate a rude oil pipeline, in or on the right-of-way of the County of Holt, Length of Project: One Year Legal Description: $013 TO31N RO14W — Road 886 Reason for the utility request: To construct a 36” crude ofl pipeline crossing under Holt County road: and to construct temporary driveways or purpose of moving personnel and equipment from on Owner: TransCanada Keystone Pipeline, LE Signature ‘Den Craigs Land Naar Signature ober atin Sr Land Re =r side of the same count ide to the other duri Is ad right-of-way crossings fo construe Address: 1371 Parkway Suite 300, Omaha NE 68154 Telephone: 832-320-5000 Date: 1. Line, pipe or conduit less than 4" in diameter, $100.00. 2. Line, pipe or conduit 4" in diameter or more but less than 8" in diameter, $500.00. 3 |. Line, pipe or conduit 8" in diameter or more, $1,000.00. 4, Telephone utilities are exempt from application fee. ‘Any person who fils to apply for snd receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for th required to pay @ $250.00 damage fee. 6| 5) 4) 3) 2) 1 7} 8| 9|10)11\12 18) 17] 16, 15 1413 19| 20} 21 | 22)23|24 30} 29) 28|27|26)25 31} 32| 33] 34| 35 | 36 Approved [] Rejected [] ‘Wighway Superintendent) Approved [] Rejected [] (Carman) size of line, pipe or conduit and in addition shall be (Owners and renters desiring to place waterline or ges line in or across County right-of-way must have permission ‘yanted by the Holt County Board of Supervisors. Water and gas lines buried in the ROW or under the rotdbed proper must be a minimum of 48° deep and be of ste, copper, ot.epproved PVC pipe, All electri servioe that is buried must be buried tothe following depts, primary 48°, secondary 36”, Alltelephone communications minimum of 30". In case any of the foregoing services are disrupted, damaged, or put out of service the County will not be liable in any way. Permission must be granted by the Holt County Board of Supervisors before any installation of Uilities. An approved sign shall be erected on & post 5 above ground level designating the route ané the location of the utility, Date Holt County Road Department Application Requesting Permission to Bury Utilities Inor On County Right-of-Way ‘TransCanada Keystone Pipeline, LP requests permission from the Holt County Board of Supervisors to bury of locate « crude oil pipeline, in or on the right-of-way of the County of Holt Length of Project: One Year Legal Description: $018 T031N RO13W —480 Ave, Reason for the utility request: To construct 2 36" crude oil pipeline crossing under Holt County rods ‘and to construct temporary driveways on either side of the. \e county road right-of-way crossing " purpose of moving personnel end equipment from one side to the other during construction. Owner: TransCanada Keystone Pipeline, LP Signature ‘Dis Comings ~ Land Maier Signature Roeder Se and Rp Line, ‘Address; 13710 FNB Parkway Suite 300, Omaha NE 68154 ‘Telephone: 832-320-5000 Date: Line, pipe or conduit less than 4” in diameter, $100.00, Line, pipe or conduit 4" in diameter or more but less than 8" in diameter, $500.00. ipo or conduit 8" in diameter or more, $1,000.00. 4, Telephone utilities are exempt from application fee. [Any person who fails to apply for and receive permission from Holt County prior to commencing constru shall be required to pay the above fee appropriate for the size of line, pipe or conduit and in addition shall be required to pay a $250.00 damage fee. 6} 5|4/ 3/2) 1 7| 8| 9}10)11|12 18} 17] 16) 15) 14) 13 19} 20|21|22|23)24 | 30| 29) 28] 27|26| 25 31|32| 33|34| 35 | 36 Approved [] Rejected [] ‘Wichway suseintandert Approved [] Rejected [] (earner) Owners aud renters desiring to place waterline or gas ine in of across County right-of-way must have permission granted by the Halt County Board of Supecvisors. Water and gas lines buried in the ROW or usder the roadbed proper must be a minimum of 48" deep and be of steel, copper, oF approved PVC pipe. All electric service that is buried must be buried to the following depths, primery 48", secondary 36". All telephone communications minimum of 30, In case any of the foregoing services are disrupted, damaged, or put out of service the County will not be liable in any way. Permission must be granted by the Ffolt County Board of Supervisors before any installation of Uiiltes. An approved sign shall be erected on a post 5! above ground level designating the route and the location of the utility. Date Date Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of-Way ‘TransCanada Keystone Pi LP requests permission from the Holt County Board of ‘Supervisors to bury or loeste a crude oil pipeline, in or on the right-of-way of the County of Holt, Length of Project: One Year Legal Description: $020 T031N RDI3W—481 Ave. Reason for the utility request: To construct a 36" and to construct temporary driveways on either side of wurpose of moving personnel and equipment Owner: ‘TransCe ne Pipeline, LP Signature Signature ‘Denis Curmings Land va Reet Latimer Sr Land Rep, ie oil pi side to the ‘Address: 13710 FNB Parkway Suite 300, Omsha NE 68154 ‘Telephone: 832-320-5000 Date: inder Holt Count e county road right-of: x during cor sings for the tion, 1. Line, pipe or conduit less than 4" in diameter, $100.00. 2. Line, pipe or conduit 4" in diameter or more but less than 8” in diameter, $500.00. 3. Line, pipe or conduit 8" in diameter or more, $1,000.00. 4, Telephone utilities are exempt from application fee. ‘Any person who fails to apply for and receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the size of line, pipe or conduit ad in addition shall be required to pay a $250.00 damage fee. 6) 5|/4)3] 2/1 7/ 8/9 /10{11/12 18| 17) 16| 15) 14/13 /19[0[21|22|23|24 3029/28/27 26 |25 "31/32 33[34/35| 36 Approved [] Rejected [] (Wighway Superintendent) Approved [] Rejected [] — (chairman, Owners end renters desiring to place waterline or ges line in of across County rightafway must have permission granted by the Holt County Board of Supervisors. Water and gas lines buried in the ROW or under the roadbed proper must bo a minimum of 48" deep and be of steel, copper, or. approved PVC pipe. All electric service that is buried oust be buried tothe fellowing depts, primary 48", secondary 36", All elephone communications minimum of 30". In case any of the foregoing services are disrupted, damaged, or put out of service the County will not be lieble in any way, Permission must be granted by the Holt County Board of Supervisors before any installation of Utiites. An approved sign shall be erected on a post S) above ground level designeting the route and the Location of the wily. Date Date Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of-Way ‘TransCanada Keystone Pipeline, LP requests permission from the Holt County Board of Supervisors to bury or locate @ crude oil pipeline, in or an the right-of-way of the County of Holt Length of Project: One Year Legal Description: $029 TO31N ROI3W —Road 884 Reason for the utility request: To construct a 36” rude oil pipeline crossing under Holt County roads and to construct temporary driveways on either side of the same county road right-of-way crossings for the uurpose of moving personnel and equipment from one side to the other during, construct Owner: TransCanada. Pipeline, LP Address: 13710 FNB Parkway Suite 300, Omaha NE 68154 Signature Telephone: 832-320-5000 Date: ‘Daa Comings Land Wanna Signature Roe Latimer Se Cand Rep Line, pipe or conduit less than 4" in diameter, $100.00, Line, pipe or conduit 4" in diameter or more but less than 8" in diameter, $500.00. Line, pipe or conduit 8" in diameter or more, $1,000.00. ‘Telephone utilities are exempt from application fee. ‘Any person who fails to apply for and receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the size of line, pipe or conduit and in addition shal! be required to pay a $250.00 damage fee. ERS Caer and reaters srg to place waterline ofa line 6/5) 4/3)2] 1 raracoss Coun rishvay mt ave persion I ee ey eal oe Superiere Wate mtn Hee paged inte ROW ox ner te roxdbed 7| 8| 9|10/11)12 eben mum of ft dry and be Of Se are approved FVC pp. Allele serio fate So rst yg api prey 484 18] 17| 16) 15) 14) 13 i al elegant oemmecgth aa ot See eee lta tem tari we Sos ee cpu ad of erin an Caeiy vil pt bo 19} 20} 21|22/23) 24 fare ty Parmesan masta peat hy ts Hol Cane Hae oe Sopsyeed tna cy eats BE a Bae accross eS |30|29|28|27|26| 25 Ue engean ie tan al ac tos see ay. 31/32) 33|34| 35) 36 Approved [} Rejected [] Date ‘Wghway superintendent) Approved [] Rejected [] Date {chaieran) Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of-Way ‘TransCanada Keystone Pipeline, LP. requests permission from the Holt County Board of Supervisors to bury or locate grude oi pipeline, in or on the right-of-way of the County of Holt. e Year Length of Project: Reason for the utility request: To construct a 36" c Legal Description: $028 T031N RO13W ~ 482 Ave. il pipeline crossing under Holt roads and to construct temporary drivewavs on either side of the same county road risht-of-way erossings for the purpose of moving personnel and equipment from one side to the other during construction. Owner: TransCanada Keystone Pipeline, LP Signature Denia Cuming Ca amr Signature aber nar Se Land Rep ‘Address: 13710 ENB Parkway Suite 300, Omaha NE 68154 ‘Telephone: 832-320-5000 Date: 1. Line, pipe or conduit less than 4" in diameter, $100.00. 2. Line, pipe or conduit 4" in diameter or more but less than 8" in diameter, $500.00, 3. Line, pipe or conduit 8" in diameter or more, $1,000.00. 4, ‘Telephone utilities nre exempt from application fee. ‘Any person who fails to apply for and receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the sizeof lie, pipe or conduit and in addition shall be required to pay a $250.00 damage fee 6/5} 4] 3) 2) 1 7| 8) 9 |10}11) 12 18) 17) 16) 15} 14] 13 19| 20] 21 | 22] 23| 24 30) 29128) 27) 26|25 & 31| 32/33) 34|35 36 Approved [] Rejected [] (way Supetendert) ‘Approved [] Rejected []_ {[ehaiman) (Owners and renters desiring to place waterline or gas line in or across County right-of-way must have permission santed by the Holt County Board of Supervisors, Water and gas lines buried ia the ROW or under the rosdbed proper must be a minimum of 48" deep and be of steel copper, or. approved PVC pipe, All elecire service tht is buried must be buried tothe following depths, primary 48", secondary 36". All telephone communications minimum of 30°, In case aay of the foregoing services are disrupted, damaged, of put out of service the County will aot be liable in any way. Permission must be granted by the Hilt County Board of Supervisors before any installation of Utilities, An approved sign shall be erected on 2 post 5" above ground level designating the route and te location of the utility, Date Date Holt County Road Department Application Requesting Permission to Bury Utilities Inor On County Right-of-Way ‘TransCanada Keystone Pipeline, LP requests permission from the Holt County Board of ‘Supervisors to bury or locate a crude oil pipeline, in or on the right-of-way of the County of Holt Length of Project: One Yeer ‘Legal Description: $033 T031N ROI3W — Road 883 Reason for the utility request: To oor construct tem jot 2 36” crude oil pi driveways on either side of the sssing under Holt County roads ‘county road right-of-way crossings for the re purpose of movine personnel and equipment from oue side to the other during construction. Owner: ‘TransCanada Keystone Pipeline, LP Signature ‘Denia Cogs Land Manatee Signature Reet Tater 5 Lend ep ‘Address: 13710 FNB Parkway Suite 300, Omaha NE 68154 ‘Telephone: 832-320-5000 Date: Line, pipe or conduit less than 4" in diameter, $100.00. Line, pipe or conduit 4" in diameter or more but less than 8" in diameter, $500.00. Line, pipe or conduit 8" in diameter or more, $1,000.00. 4, Telephone utilities are exempt from application fee. ‘Any person who fails to apply for and receive permis ission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the size of line, pipe or conduit and in addition shall be required to pay a $250.00 damage fee. 6|5|4)3)2] 1 7\ 8| 9/10)11)12 18} 17) 16) 15] 14) 13 19) 20/21] 22]23 |24 30| 29 | 28) 27) 26|25 -—- 31) 32/33) 34) 35| 36 Approved [] Rejected [] Tienuay Superitende) Approved [] Rejected [] (caiman) ‘Owners and renters desiring to place waterline or gas line in or across County right-of-way must have permission granted by the Flolt County Board of Supervisors. Water ad gas lines buried in the ROW or under the roadbed proper must be « minimum of 48" deep and be of stel, copper, or.approved PVC pipe. All electic service that is buried must be buried to the folowing depths, primary 48°, secondary 36". All telephone communications minimam of 30". In case any of the foregoing services are disrupted, damaged, ot put out of service the County will not be liable in any way. Permission must be granted by the Holt County Board of Supervisors before any installation of ‘Utlies, An approved sign shall be erected on a post 5" above ground level designating the route and the location ofthe utility Date Date Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of-Way ‘TransCanada Keystone Pipeline, LP requests permission from the Holt County Board of Supervisors to bury or locate a crude oil pipeline, in or on the right-of-way of the County of Holt. Length of Project: One Year Legal Description: $033 T031N ROL3W —485 Ave. Reason for the utility request: ‘To construct 2 36” crude oil pipeline crossing under Holt County roads ‘nd to construct temporary driveways on either side of the same county road right-of-way-erossings for the purpose of moving personnel end equipment from one side to the other during construction. Owner: TransCanada Keystone Pipeline, LP Signature ‘Denia Cummings Land Wansaer Signature “Robes Laimer= Se Land Rep ‘Address: 13710 ENB Perkway Suite 300, Omaha NE 68154 ‘Telephone: 832-320-5000 Date: 1. Line, pipe or conduit less than 4” in diameter, $100.00, 2. Line, pipe or conduit 4” in diameter or more but less than 8" in diameter, $500.00. 3. Line, pipe or conduit 8" in diameter or more, $1,000.00 4, Telephone utilities are exempt from applicati Any person wio fails to apply for and receive perm ion fee. ission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the size of line, pipe or conduit and in addition shall be required to pay 8 $250.00 damage fee. 6} 5| 4) 3) 2 1 7| 8} 9|10)11)12 18) 17] 16) 15] 14 13 19/20/21 22/23/24 30) 29 | 28) 27 | 26 | 25 31/32} 3@ 34) 35 | 36 Approved [] Rejected [] (hwy Superintendent Approved [] Rejected [] (ceaieman) ‘Ovmers and renters desiring to place waterline or ges line in or across County right-of-way must have permission granted by the Holt County Board of Supervisors. Water and gas lines buried in the ROW or under the roedbed propor must be a minimum of 48" deep and be of steel, copper, of. approved PVC pipe. All electric service that is buried must be buried tothe following depths, primary 48", secondary 36”, All telephone communications minimum of 30", In case any of the foregoing services are disrupted, damaged, or put out of service the County will not be liable in any way, Permission must be granted by the Holt County Board of Supervisors before any installation of Utilities, An approved sign shall be erected on a post 5" above ground level designating the route and the location of the utility Date Date Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of Way ‘TransCanada Keystone Pipeline, LP requests permission from the Holt County Board of Supervisors to bury of locate @ crude oil pipeline, in or an the right-of-way of the County of Holt. Length of Project: One Year ‘Legal Description; $003 TO30N RO13W — 484 Ave. Reason forthe utility request: To construct a 36” crude oil pipeline crossing under Holt County roads and to construct tem) driveway mn either side of the road right-of-way crossings for the ‘purpose of moving personnel and equipment from one side to the other during construction, ‘Owner: TransCanada Keystone Pipeline, LP Signature ‘Denia Cummings Land Manger Signature Taber atiaer = Se Land Rep ‘Address: 13710 ENB Parkway Suite 300, Omaha NE 68184 Telephone: 832-320-5000 Date: = 1. Line, pipe or conduit less than 4” in diameter, $100.00, 2. Line, pipe or conduit 4" in diameter or more but less than 8" in diameter, $500.00, 3. Line, pipe or conduit 8" in diameter or more, $1,000.00. 4, Telephone utilities are exerapt from application fee, “Any person who fails to apply for and receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the size of line, pipe or conduit and in addition shall be required to pay a $250,00 damage fee. 6| 5) 4 36? 1 1 7/8/9{10j11 12 18] 17) 16] 15| 14| 13 19/20) 21|22|23|24| 30|29|28 27) 26|25 31|32|33 34/35/36 Approved [] Rejected [] (Hiahony Superintendent) Approved [] (eratmaa) Rejected [1] (Owners and renters desiring to place waterline or gas line in or across County right-oF-way must have permission granted by the Holt County Board of Supervisors. Water and gas lines buried in the ROW or under the roadbed proper must be a minimum of 48° deep and be of steel, copper, or, approved PVC pipe. All electric service tht is buried must be buried tothe following depths, primary 48°, secondaty 36°. All telephone communications minimum of 30", In case any of the foregoing services are disrupted, damaged, or put out of service the County will not be liable in any way, Permission must be granted by the Holt County Board of Supervisors before any installation of Utilities. An approved sign shall be erected on a post 5' above ground level designating the route and the location of the utity, Date Date Holt County Road Department Application Requesting Permission to Bury Utilities Inor On County Right-of-Way ‘TransCanada Keystone Pipeline, LP. requests permission from the Holt County Board of Supervisors to bury or locate a crude oil pipeline; in or on the right-of-way of the County of Hott Length of Project: One Year ‘Legal Description: $012 TO30N ROISW-485 Ave. Reason for the utility request: ‘To const and to construct termpot purpose of moving personnel and equipment from Owner: ‘TransCanada Keystone Pipeline, LP Signature esi Congr = Land Waa Signature ober Laine Ua Rap 236" crude oil -ways on either side of the same county road ri e side to the of Jine crossing under Holt County roads sings for the ring construction. ‘Address: 13710 FNB Parkway Suite 300, Omaha NE 68154 Telephone: 832-320-5000 Date: 1. Line, pipe or conduit less than 4” in diameter, $100.00. 2. Line, pipe or conduit 4" in diameter or more but less than 8" in diameter, $500.00 3. Line, pipe or conduit 8" in diameter or more, $1,000.00, 4, ‘Telephone utilities are exempt from application fee. ‘Any petson who fails to apply for and receive permission from Holt County prior to commenicing construction shall be required to pay the above fee appropriate for the size of line, pipe or conduit and in addition shall be required to pay a $250.00 damage fee, |6| 5/4} 3/2] 1 7) 8 9|10/11,12 18| 17) 16| 15] 14/13 19| 20) 21|22|23|24 30|29|28/27|26| 25 31/32, 33/34)35|36 Approved [] Rejected [] ‘ebay Superintendent) Approved [] Rejected [] (ersten) (Owners and renters desiring to place waterline or gas Line in or across County rightof-way must have permission granted by the Holt County Board of Supervisors. Water and gas lines buried in the ROW or under the roadbed proper must be a minimum of 48" deep end be of steel, copper, oF, approved PVC pipe. All electric service that is buried must be buried tothe following depths, primary 48", secondary 36", All telephone communications minimum of 30". In ease any of the foregoing services are disrupted, damaged, o,put out of service the County will not be liable in any wey. Permission must be granted by the Holt County Board of Supervisors before any installation of Utilities, An approved sign shall be erected on a post 5’ above ground level designating the toute and the location of te utility Date Date Holt County Road Department Application Requesting Permission to Bury Utilities Inor On County Right-of-Way ‘TransCanada Keystone Pipeline, LP requests permission from the Holt County Board of ‘Supervisors to bury o locate a crude oil pipeline, in or on the right-of-way of the County of Holt. Length of Project: One Year ‘Reason for the utility request: Legal Description: S008 T030N ROI2W ~488 Ave, construct a 36” crude oil pipeline erossing under Holt County 1 sand to consteuct tem J veways on either side of the same county road right-of-way crossings for ‘puspose of moving personnel and equipment from one side to the other during construction. Owner: TransCanada Keystone Pipeline, LP Address: 13710 FNB Parkway Suite 300. Omaha NE 68154 Signature ‘Telephone: 832-320-5000 Date: ‘Daa Comings — Land ane Signature Rebed Laat Se Lan Ra 1. Line, pipe or conduit less than 4” in diameter, $100.00. 2. Line, pipe or conduit 4" in diameter or more but less than 8" in diameter, $500.00, 3. Line, pipe or conduit 8" in diameter or more, $1,000.00. 4, Telephone utilities are exempt from application fee. Any person who fails to appl y for and receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate forthe size of line, pipe or conduit and in addition shall be required to pay a $250.00 damage fee 6| 5 4) 3 2 1 7| 8 9|10 11)12 18) 17 16} 15 14 13 19|20/21|22 23|24 30| 29 28) 27 26| 25 31/32 33/34 35| 36 Approved [] Approved [] Rejected [] Rejected [] (Wigvay Superintendent) {chairman} Owners and renters desiring to place waterline or gas line fn of across County right-of-way must have permission ranted by the Holt County Board of Supervisors, Water and gas lines buried in the ROW or under the roadbed proper must be & minimum of 48" deep and be of steal, copper, or, approved PVC pipe. All electric service that is buried must be buried tothe following depths, primary 48", secondary 36". All telephone communications minimum of 30". Tn case any of the foregoing services are disrupted, damaged, ot put out of service the County will not be lisbie in any way. Permission must be granted by the Fol County Board of Supervisors before avy installation of ilies. Am approved sign shall be erected on a post $! ‘bove ground level designating the route and the location ofthe utility, Date Date Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of-Way ‘TransCanada Keystone Pipeline. LP requests permission from the Holt County Board of Supervisors to bury or locate @ crude oil pipatine, in or on the right-of-way of the County of Holt. Length of Project: One Year Legal Description: $009 T030N RO12W —Road 880 Reason for the utility request: To construct a 36” crude oil pipeline crossing under Holt County roads and to construct tempor drives on either side of the same county road right-of-way crossings for ‘purpose of moving personnel and equipment from one side to the other during construction, Owner: ‘TransCanada Keystone Pipeline, LP Signature ‘Dana Comags Land Maar Signature Tah Line, Line, ater ~ Se Cand Rep ‘Address: 13710 ENB Parkway Suite 300, a NE 68154 Telephone: 832-320-5000 Date: of conduit less than 4” in diameter, $100.00 pe or conduit 4" in diameter or more but less than 8" in diameter, $500.00. Line, pipe or conduit 8" in diameter or more, $1,000.00. Telephone utilities are exempt from application fee. ‘Any person who fails to apply for and receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the size of line, pipe or conduit and in addition shall be required to pay a $250.00 damage fee. 6| 5 4) 3 2) 1 AN 8 9} 10 11} 12 18) 17 16] 15 14) 13 19} 20 21/22 23|24 3029 28/27 26) 25 31} 32 33 | 34 35| 36 Approved {] Approved {] Rejected [] Rejected [] Tisha Superintendent) (Coarse) ‘Owners and renters desiring to place waterline or gas line in or across County right-of-way must bave permission granted by the Hott County Board of Supervisors. Water ‘and gas lines buried in the ROW or under the roadbed proper must be a minimum of 48” deep and be of steel, copper, ot. approved PVC pipe. All electric service that is ‘buried must be buried tothe following depths, primary 48", secondary 36". All telephone communications minimum of 30", In ease any of the foregoing services are disrupted, damaged, or put out of service the County will not be able in any way, Permission must be granted by the Holt County Bosrd of Supervisors before any installation of Utilities, An approved sign shall be erected on a post 5' above ground level designating the route and the location of the utility Date Date Holt County Road Department Application Requesting Permission to Bury Utilities In of On County Right-of-Way ‘TransCanada Keystone Pipeline, LP requests permission from the Holt County Board of Supervisors to bury or locate a crude oil pipeline, in or on the right-of-way of the County of Holt. Length of Project: One Year Legal Description: S016 TO30N RO12W ~ 489 Ave. Reason for the utility request: Owner: TransCanada Keystone Pipeline, LE Signature istruct a 36” crude oil pipeline crossing under Holt County roads and to construct temporary driveways on either side of the same county road right-of-way crossines for the purpose of moving personnel end equipment from one side to the other during consiru ‘Danka Cumnogs— Cand Manager Signature __ ober Cainer SF Land Rp 1. Line, pipe or conduit less than 4” in diameter, $100.00. 2, Line, pipe or conduit 4" in diameter ot more but less than 8" in diameter, $500.00. 3. Line, pipe or conduit 8" in diameter or more, $1,000.00. 4, Telephone utilities are exempt from application fee, ‘Any person who fails to apply for and receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the size of line, pipe or conduit and in addition shall be required to pay @ $250.00 damage fee, 6| 5) 4) 3 2) 1 7} 8} 9/10 11/12 18) 17) 115 14) 13 19} 20| 21] 22 23 | 24 30] 29) 28) 27 26| 25 31) 32] 33) 34 35| 36 Approved {] Rejected [] Approved (] Rejected [] (Wiehway Superintendent) {chairman} ‘Address: 13710 ENB Parloway Suite 300, Omaha NB 68154 ‘Telephone: 832-320-5000 Date: Owners and renters desiring to place waterline ot gas line in or aoross County right-of-way must bave permission granted by the Holt County Board of Supervisors. Water and ges lines buried io the ROW or under the roadbed proper must be a minimum of 48" deep and be of steel, capper, or. approved PVC pipe, All electri service that is buried must be buried tote following depths, primary 43", secondary 36", All slephone communications minimum of 30", In ease any of the foregoing servives are disrupied, damaged, or. put out of service tie County will not be liable in ny way. Permission must be granted by the Holt County Board of Supervisors before any installation of Uses, An approved sign shell be erected on a post 5° above ground level designating the route ané the location of the uiiliy Date Date Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of-Way ‘TransCanada Keystone Pipeline, LP requests permission from the Holt County Board of Supervisors to bury or locate a crude oil pipeline, in or on the right-of-way of the County of Holt. Length of Project: One Year Legal Description: S015 T030N RO12W — Road 879 Reason for the utility request; To construct a 36” crude oil pipeline crossing under Holt County roads and to cor ‘temporary driveways on either si f the same county road right-of-way crossings for the ‘purpose of moving personnel and equipment from one side to the other during construction Owner: TransCanada Keystone Pipeline, LP Signature ‘Denisa Cura Land Mamaner Signature ‘ober Latimer Sr Land Rep. ‘Address: 13710 FNB Parlovay Suite 300, Omaha NE 68154 ‘Telephone: 832-320-5000 Date: 1. Line, pipe or conduit less than 4" in diameter, $100.00. 2. Line, pipe of conduit 4" in diameter or more but less than 8" in diameter, $500.00. 3. Line, pipe or conduit 8" in diameter or more, $1,000.00. 4, Telephone utilities are exempt from application fee, "Any person who fails to apply for and receive permission from Holt Couaty prior to commencing construction shall be required to pay the above fee appropriate for the size of line, pipe or conduit and in addition shall be required to pay a $250.00 damage fee, 6|5|4|3)2)1 7) 8) 9}10)11]12 18} 17| 16) 15)14) 13 | 9p 19) 20) 21) 22/23) 24 30| 29] 28 | 27| 26] 25 31|32| 33/34/35) 36 Approved [] Rejected []__ twaySoeerntendem) Approved [] Rejected []_ (chairman) COwmers end renters desiring to place waterline or gas line in of aeross County right-of-way must have permission rented by the Holt County Board of Supervisors, Water and gas lines buried in the ROW or under the rosdbed proper must be a minimum of 48" deep and be of ste), copper, of approved PVC pipe, All electric service tht is buried mus be buried to the following depths, primary 48", secondary 36", All telephone communications miaimum of 30’. In ease any of the foregoing services are disrpted, damaged, or put out of service the County will liable in any way. Permission must be granted by the Holt County Board of Supervisors before any installation af Uiilities. An approved sign shall be erected on a post S! above ground level desigating the route and the locaton ofthe utility. Date Date Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of-Way ‘TransCanada Keystone Pipeline, LP requests permission from the Holt County Board of ‘Supervisors to bury or locate a crude oil pipeline, in or on the right-of-way of the County of Holt Length of Project: One Year Legal Description: $023 T030N ROL2W — 490 Ave. Reason for the utility request: To construct a 36” crude oil pipeline crossing under Holt County roads andto t temporary driveways on either side ¢ county road right-of-way crossings for the ‘purpose of moving personnel and equipment from one side to the other during construction, Owner: TransCanada Keystone Pipeline, LP Address: 13710 FNB Parkway Suite 300, Omaha NE 68154 Signature ‘Telephone: 832-320-5000 Date: ‘Davita Cummings Cand Manager Signature eer Laat Se End 1. Line, pipe or conduit ess than 4" in diameter, $100.00, 2. Line, pipe or conduit 4" in diameter or more but less than 8" in diameter, $500.00. 3. Line, pipe or conduit 8" in diameter or more, $1,000.00. 4, Telephone utilities are exempt from application fee, ‘Any person who fails to apply for and receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the size of line, pipe or conduit and in addition shall be required to pay a $250.00 damage fee. 6|sl4/3}2}1 (Owners and renters desiring to place waterline or ges line in of across County right-of-way must have permission granted by the Folt County Board of Supervisors. Water and gas lines buried in the ROW or under the roadbed | 7| 8| 9|10}11)12 proper must be a minimum of 48° deep and be of ste), I ‘copper, or. approved PVC pipe. All electric service that is SeaTac EP certs lowing dep, rary 48", 18| 17| 16] 15| 14] 13 cee Alleleiees companies waka ®. 30", In case any of the foregoing services are disrupted, 19} 20] 21 | 22723) 24 aay day. ease ama te pune bye Wa Coney Begil Supa tn ty intl Sf Tea a peroeel gh al be coced a port 30| 29 | 28) 27|26] 25 bape pond Rea gees oe rte eae ran | ofthe wily, |31|32| 33] 34/35 36 = Approved [] Rejected [] Date (Waghway Superintendent) Approved [] Rejected [] Date (Charman! Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of-Way ‘TransCanada Keystone Pipeline, LP requests permission from the Holt County Board of Supervisors to bury or locate a crude oil pipeline, in or on the right-of-way of the County of Holt. Length of Project: One Year Legal Description: $024 TO30N ROI2W~ 491 Ave. ‘Reason for the utility request: To construct a 36” crude oil pipeline crossing under Holt County roads ‘and to construct temporary driveways on either side of the same county road right-of-way crossings for the juipment from one side to the other during construction. urpose of movi el. Owner: ‘TransCanada Keystone Pipeline. LP Signature ‘Desa Cummings and Manager Signature Rober Cainer Se Land Rep 1. Line, pipe or conduit less than 4" in diameter, $100.00. 2. Line, pipe or conduit 4" in diameter or more but less than 8" in diameter, $500.00. 3, Line, pipe or conduit 8" in diameter or mote, $1,000.00 4, Telephone utilities are exempt from application fee. ‘Any person wito fails to apply for and receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the size of line, pipe or conduit and in addition shall be required to pay a $250.00 damage fee. 6| 5} 4) 3 21 7| 8| 9}10 11/12 18] 17] 16) 15 14) 13 19} 20| 21) 22 23g24 | 30| 29) 28) 27 26/25 31) 32) 33) 34 35/36 Approved {] Rejected [] Approved [] Rejected] ‘igway Superintendent) {chaimar) ‘Address: 13710 ENB Parkway Suite 300, Omaha NE 68154 Telephone: 832-320-5000 Date: ‘Owners and renters desiring to place waterline or gas Hie in or across County right-of-way must have permission surasted by the Holt County Board of Supervisors. Water and gas lines buried in the ROW or under the roadbed proper must be a minimum of 48" deep and be of steel, ‘copper, or approved PVC pipe. All electric service that is ‘buried must be buried to the following depths, primary 48", secondary 36". All telephone communications minimum of 30°, In case any of the foregoing services are disrupted, ‘damaged, or. put out of setvice the County will not be liable in any way. Permission must be granted by the Holt County Board of Supervisors before any installation of Utilities. An approved sign shall be erected on a post 5° ‘above ground level designating the route and the location of the utility, Date Date Holt County Road Department Application Requesting Permission to Bury Utilities Tn of On County Right-of-Way ‘TransCanada Keystone Pipeline, LP requests permission from the Holt County Board of Supervisors to bury or locate a crude oil pipeline, in or on the right-of-way of the County of Holt. Length of Project: One Year Legel Description: $020 TO30N RO11W — 493 Ave. Reason for the utility request: To construct 236” erude oil pipeline crossing under Holt County roads ‘and to construct temporary driveways on either side of the same county road right-of-way crossings for the urpose of movi ie] and equipment from one side to the ing. construct ‘Owner; ‘TransCanada Keystone Pipeline, LP Address: 13710 ENB Parkway Suite 300, Omaha NE 68154 Signature ‘Telephone: 832-320-5000 Date: ‘Deis Cummings Land Manage Signature: aed Tatiner= Sr Land Rep 1. Line, pipe or conduit less than 4" in diameter, $100.00. 2, Line, pipe or conduit 4" in diameter or more but less than 8" in diameter, $500.00. 3, Line, pipe or conduit 8" in diameter or more, $1,000.00. 4, Telephone utilities are exempt from application fee. "Any person who fails to apply for and receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the size of line, pipe or conduit and in addition shall be required to pay a $250.00 damage fee, 6| 5) 4) 3 2) 1 7\| 8/ 9}10 11/12 18] 17] 16) 15 14) 13 19,20 21|22 23 | 24 ee 30| 29) 28) 27 26|25 31|32|33/ 34 35| 36 Approved [] Rejected [] Approved {] Rejected [] iat Suparintendons (caiernan} Owners and renters desiring to place waterline or ges line in ot aoross County right-of-way must have permission ranted by the Holi County Board of Supervisors. Water tnd gus lines buried in the ROW or under the roadbed proper must be a minimum of 48" deep and be of sel, copper, or. approved PVC pipe, Al electri service that is ‘buried must be buried tothe following depths, primary 48", secondary 36°. All telephone communications minimum of 30". In ease any of the foregoing services are disrupted, damaged, or put out of service the County will not be liable in any way, Permission must be granted by the Holt County Board of Supervisors before any installation of ilies, An approved sign shall be erected on a post $' above groutd level designating tbe route end the location of the utility Date Date Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of-Way ‘TransCanada Keystone Pipeline, LP requests permission from the Holt County Board of Supervisors to bury of locate a crude oil pipeline, in or on the right-of-way of the County of Holt Length of Project: One Year Legal Description: S020 TO30N RO11W — Road 878 Reason for the utility request: To construct a 36” crude oil pipeline crossing under Holt County roads and to construct temporary driveways on either side of the same county road right. purpose of movin; nel an ment from one side to the other dur ion, Owner: TransCanada Keystone Pipeline, LP Address: 13710 FB Parkway Suite 300. Omaha NE 68154 Signature ‘Telephone: 832-320-5000 Date: : ‘Daa Comings Land Manat Signature. ‘Rabe Lari Ca ep 1. Line, pipe or conduit less than 4" in diameter, $100.00, 2. Line, pipe or conduit 4" in diameter or more but less than 8" in diameter, $500.00 3. Line, pipe or conduit 8" in diameter or more, $1,000.00. 4. Telephone utilities are exempt from application fee. ‘Any person who fails to apply for end receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the size of line, pipe or conduit and in addition shall be required to pay a $250.00 damage fee, Cwner ad renters desing to place watertine orga ie 6/5/4]/3)2)1 far acess Coty ightotovay mus bave pemiion pated by te Holt County Boaté of Supervisors. Water das lines buted in the ROW or under te roadbed 7| 8| 9|10)11}12 proper mus be a minsnun of 48" dap nd be of el, |: copper approved PYC pipe ll elec service ha is ‘buried must be buried to the follo depths, 48", 18] 17] 16) 15) 14} 13 econdnry36"-Al olhone communion minis of - 30°. In case any of the foregoing services are disrupted, damaged, or. »f service the County will be 19 $0 21)22|23|24 ib kay day Peron mos bo gata by he Hat County Board of Supervisors before any installation of Uli. An sporoved sgn shall Be erected on 2 post S 30] 29) 28] 27 | 26 | 25 ove ground evel designating te route and te Vosaton - of the utility, 32|33| 34/35/36 Approved [] Rejected [] Date TTahwaySopernterdest Approved [] Rejected [] = Date, (craton Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of-Way ‘TransCanada Keystone Pipeline. LP requests permission from the Holt County Board of Supervisors to bury of locate a crude oil pipeline, in or on the right-of-way of the County of Holt. Length of Project: One Year Legal Description: S028 TO30N ROLIW— 494 Ave. Reason for the utility request: To construct a 36” crude oil pipeline crossing under Holt County roads and to construct temporary drivewa ier side of the e county road right-of-way er Ie purpose of moving personne] and equipment from one side to the other during construction, Owner: ‘TransCanada Keystone Pipeline, LP Address: 13710 FNB Parkway Suite 300, Omaha NE 68154 Signature esis Comming tad Magee Signature Rae Tati =Se Lad Rep ‘Telephone: §32-320-5000 Date: 1. Line, pipe or conduit less than 4” in diameter, $100.00. 2. Line, pipe or conduit 4" in diameter or more but less than 8” in diameter, $500.00, 3. Line, pipe or conduit 8" in diameter or more, $1,000.00. 4, ‘Telephone utilities are exempt from application fee, ‘Any person who fails to apply for and receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the size of line, pipe or conduit and in addition shall be required to pay a $250.00 damage fee, 6] 5] 4] 3] 2] 1 7/8] 9/10l11/12 18) 17/ 16] 15| 14] 13 19) 20/ 21/22/23] 24 30| 29428 | 27| 26| 25 31|32|33)34)35/ 36 Approved [] Rejected [] ‘ighwySepeintendene) Approved [] Rejected { ] (chain Owners and renters desiring to place waterline or gas line in of across County right-of-way must have permission granted by the Holt County Board of Supervisors, Water and gas lines buried in the ROW ot under the roadbed proper must be a minimum of 48" deep and be of stecl, copper, or. approved PVC pipe, All electric service that is buried must bs buried tothe following depths, primary 48", secondary 36". All telephone communications minimum of 30". In ease any of the foregoing services are disrupted, damaged, or .put out of service the County will not be liable in any way. Permission must be granted by the Holt County Board of Supervisors before any installation of Untilies. An approved sign shall be erected on a post 5! above ground level designating the route and the location of the uility, Date Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of-Way ‘TransCanada Keystone Pipeline, LP requests permission from the Holt County Board of Supervisors to bury or locate a grude oil pipeline, in or on the right-of-way of the County of Holt, Length of Project: One Year Legal Description: $027 TO30N ROILW — 495 Ave, Reason for the utility request: To construct a 36” crude oll pipeline crossing under Holt County roads and fo cor rary driveways on either side of t county road right-of-way crossings for the purpose of moving personnel and equipment from one side to the offer during construct Owner: TransCanada Keystone Pipeline, LP Address: 13710 ENB Parkway Suite 300, Omaha NE 68154 Signature ‘Telephone: 832-320-5000 Date ‘esis Coranings~ Land anager Signature Reber Latimer Sr Land Rep 1, Line, pipe or conduit less than 4" in diameter, $100.00. 2. Ling, pipe or conduit 4” in diameter or more but less than 8” in diameter, $500.00, 3. Line, pipe or conduit 8" in diameter or mare, $1,000.00, 4, Telephone utilities are exempt from application fee. “Any person who fails to apply for and receive permission from Holt County prior to commencing construction shall be required to pay the above fee approprinte for the size of line, pipe or conduit and in addition shall be required to pay 2 $250.00 damage fee. 3 10 15 2/1 11/12 14) 13 23/24 26 25 35|36| 6 7 18 19 30 31 5 8 17 20 29 32 4 9 16 21)22 28o27 33] 34 Approved [] Rejected [] [Wiahway Superotendent) Approved [] Rejected (J (cramer) (Owmers and renters desiring to place waterline or gas line in of across County rightof-way must have pemnission ranted by the Holt County Board of Supervisors, Water tnd gat lines buried in the ROW or under the roadbed proper must be a minimum of 48" deep and be of stecl, copper, or. approved PVC pipe, All electric service that is buried must be buried tothe following depths, primary 48”, secondary 36", All telephone communications minimum of 30", In ease any of the foregoing services are disrupted, damaged, or pul out of serviee the County will nt be liable in any way. Permission must be granted by the Holt County Board of Supervisors before any installation of Utilities. Am approved sign shall be erected on a post 5 above ground level designating the route and the loeation cof the uty Date Date Holt County Road Department Application Requesting Permission to Busy Utilities In or On County Right-of-Way ‘TransCanada Keystone Pipeline, LP requests permission from the Holt County Board of Supervisors to bury or locate a erude oil pipeline, in or on the right-of-way of the County of Holt. “Length of Project: One Year Legal Description: S035 TO30N RO11W ~ 496 Ave. Reason for the utility request: To construct a 36” crude oil pipeline crossing under Holt County roads and to cor orary driveways on either side of the st road right-of-way crossings for the ‘purpose of moving personnel and equipment from one sid to the other during construction, Owner: TransCanada Keystone Pipeline. LP Address; 13710 FNB Parkway Suite 300, Omahs NE 68154 Signature ‘Telephone: 832-320-5000 Date: ‘Denia Curing Land Manager Signature ‘Raber Tair Sr Land Rep 1, Line, pipe or conduit less than 4" in diameter, $100.00, 2. Line, pipe or conduit 4” in diameter or more but less then 8" in diameter, $500.00. 3. Line, pipe or conduit 8" in diameter or more, $1,000.00. 4. Telephone utilities are exempt from application fee, ‘Any person who fails to apply for and receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the size of line, pipe or conduit and in addition shall be required to pay a $250.00 damage fee. in or across County right-of-way must have permission 1 iganted by the Holt County Board of Supervisors. Water td gas lines buried in the ROW or under the roadbed 7) 8} 9)10)11)12 proper must be « minimum of 48° deep and be of sts, copper, ot approved PVC pipe. All electric service the 61 5|4/3)2/1 ‘Owners and renters desiring to place waterline or gas line | buried must be buried tothe following depths, a8", 18} 17} 16| 15) 14] 13 scrondary 36% Al lephone commaniatn® minim o = 30", In case any of the foregoing services are disrupted, Gamaged, or put out of the County will not be 19} 20/21 | 22) 23) 24 aera ey ay. Person mtb raed by te Hoe County Bosc of Superiore before any isaliaon of Uilities. An hall be erected on a post 5° 30) 29 |28|27|26| 25) shove ground eel esgeting the route ate cation of the utility, 31/32/33 34885 36 Approved [] Rejected [] Date TFighway Superintendent Approved [] Rejected [] Date (chairman) Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of-Way ‘TransCanada Keystone Pipeline, LP requests permission from the Holt County Board of Supervisors to bury ot locate a crude oil pipeline, in or on the right-of-way of the County of Holt, Length of Project: One Year Legal Description: S012 TO29N ROLLW—498 Ave. Reason for the utility request: To construct a 36” crude oil pipeline crossing under Holt County roads ‘and to construct temporary driveways on either side of the same county road right-of-way crossings for the jurpose of moving pei ‘and equipment from one side to the construction. ‘Owner: TransCanada Keystone Pipeline, LP Address: 13710 ENB Parkway Sulte 300, Omaha NE 68154 Signature. ‘Telephone: 832-320-5000 Date; ‘Desh Cunmings Land Manager Signature Toke Tainer~ Sr La Rp. 1. Line, pipe or conduit less than 4" in diameter, $100.00. 2, Line, pipe or conduit 4" in diameter or more but less than 8" in diameter, $500.00. 3. Line, pipe or conduit 8" in diameter or more, $1,000.00. 4, Telephone utilities are exempt from application fee. ‘Any person who fails to apply for and receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the size of line, pipe or conduit and in addition shall be required to pay # $250.00 damage fee 6] 5) 4] 3] 2/1 7/ 8/9/10) 11/128 18| 17| 16] 15| 14) 13 19|20) 21/22/23) 24 30/29 28]27|26 25 31/32/33) 34/35/36 Approved [] Rejected [] ‘Wighway Superintendent) Approved [] Rejected [] (Chatman) ‘Owners and ronters desiring to place waterline or gas line in or across County right-of-way must have permission ‘granted by the Holt County Board of Supervisors, Water and gas lines buried in the ROW or under the roadbed proper must be a minimum of 48" deep and be of steel, copper, or. approved PVC pipe. All electric service that is ‘buried must be buried to the following depths, primary 48", secondary 36. All telephone communications minimum of 30", In case sny of the foregoing services are disrupted, damaged, or,put out of service the County will not be liable in any way. Permission must be granted by the Holt County Board of Supervisors before any installation of ‘Utilities, An approved sign shall be erected on a post 5! above ground leve) designating the route end the location of the utility. Date Date’ Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of-Way ‘TransCanada Keystone Pipeline, LP requests permission from the Holt County Board of ‘Supervisors to bury or locate a crude oil pipeline, in or on the right-of-way of the County of Holt. ‘Length of Project: One Year ‘Legal Description: S008 TO29N ROLOW — Road 874 Reason for the utility request; ‘To construct a 36” crude oil pipeline crossing under Holt County roads and to construct temporary driveways on either side of the same county road right-of-way crossings for the purpose of moving personnel and equipment from one side to the oller during construction. Owner: TransCanada Keystone Pipeline, LP ‘Address: 13710 ENB Parkway Suite 300, Omaha NE 68154 Signature ‘Telephone: 832-320-5000 Date: ‘Dahan — Land amare Signature eet Lain Sr Land ep 1. Line, pipe or conduit less than 4” in diameter, $100.00. 2, Line, pipe or conduit 4" in diameter or more but less than 8" in diameter, $500.00, 3. Line, pipe or conduit 8" in diameter or more, $1,000.00, 4, Telephone utilities are exempt from application fee. Any person who fails to apply for and revel ‘permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the size of line, pipe or conduit and in addition shal! be required to pay a $250.00 damage fee, 6] 5/4] 3] 2] 1 7\-8| 9/10/11) 12 18/17, 16] 15| 14/13 19|20/21]22/23}24 30 29/28/27) 26/25 31|32/33|34| 35|36 Approved [] ‘iy Sopertondert Approved [] Rejected [] {chairman Rejected [] Owners and renters desiring to place waterline or ges ine in or across County right-of-way must have permission granted by the Holt County Board of Supervisors. Water find gas lines buried in the ROW or under the roadbed proper must be a minimum of 48" deep and be of stel, copper, or. approved PVC pipe, All electric service that is buried must be buried tothe following depths, primary 48", secondary 36”. All telephone communications minimum of 30", In case aay of the foregoing services are disrupted, damaged, or. put out of service the County will not be liable in aay way. Pecmissfon must be granted by the Holt County Board of Supervisors before any installation of Usilities. An approved sign shall be erected on a post $' above ground level designating the route and the locatfon of the utility. Date Date Holt County Road Department Application Requesting Permission to Bury Utilities Inor On County Right-of-Way TransCanada Keystone Pipeline, LP requests permission from the Holt County Board of Supervisors to bury ot locate a crude oll pipeline, in or on the right-of-way of the County of Holt Length of Project: One Year Legal Description: $017 T029N RO10W ~ 500 Ave, Reason for the utility request: To construct « 36” erude ail pipeline crossing under Holt County roads and to ict temporary driveways on either side of the same eo ight-of- way crossings for the purpose of moving personnel and equipment from one side to the other during construction, Owner: TransCanada Keystone Pipeline. LP Address: 13710 FNB Parkway Suite 300, Omaha NE 68154 Signature Telephone: 832-320-5000 Date: Death Cumings~Land Ma Signature eset ir Sr on Re Line, pipe or conduit less than 4” in diameter, $100.00. Line, pipe or conduit 4" in diameter or more but less then 8" in diameter, $500.00, Line, pipe or conduit 8" in diameter or more, $1,000.00. 4, ‘Telephone utilities are exempt from application fe. ‘Any person who fails to apply for and receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the size of line, pipe or conduit and in addition shall be required to pay @ $250.00 damage fee. i Owners and renters desiring to place waterline or gas line in or across County right-of-way must have permission 6] 5| 4| 3] 2 Sr ye iri a se en oa 7| 8{9o}ioli1|i2] — exbeeieeae cee oa ‘copper, or approved PVC pipe. All electric service that is buried must be buried to the folle depths, prir 48", 18 Pie 15] 14[ 13] eee eiierhiiecee oe sore eee ees a 19|20]21|22|23/24| SES om County Board of Supervisors before any installation of Sen rd pe ee 30/29|28|27|26[25| ae. temestaeseamesel cme of the utility. 31/32/33|34|35|36 Approved [] Rejected [] — (Wiahway Superintandert) Approved [] Rejected [] Date (Charman) Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of Way ‘TransCanada Keystone Pipeline, LP requests permission from the Holt County Board of Supervisors to bury or locate a crude oil pipeline, in or on the right-of-way of the County of Holt. Length of Project: One Year Reason for the utility request construct 4 36” crude oil Legal Description; $016 T029N RO10W —501 Ave. ipeline crossing under Holt County roads and to construct temporary driveways on either side of the same county road right-of-way crossings for the jurpose of mn sonnel and equi Owner: TransCanada Keystone Pipeline, LP Signature Des Cong Land Vaage Signature Raker Tailor Si Land ep. went from one side to the construction. ‘Address: 13710 ENB Parkway Suite 300, Omaha NE 68154 Telephone: 832-320-5000 Date: 1. Line, pipe or conduit less than 4" in diameter, $100.00. 2. Line, pipe or conduit 4" in diameter ot more but less than 8” in diameter, $500.00, 3. Line, pipe or conduit 8" in diameter or more, $1,000.00. 4, Telephone utilities are exempt from application fee. ‘Any person who fails to apply for and receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the size of line, pipe or conduit and in addition shall be required to pay a $250.00 damage fee, 6| 5| 4] 3/2] 1 7 8| 9| 10/11/12 18/17 1@p15| 14) 13 19| 20) 21|22/ 23/24 30|29 28|27) 26 |25 31/32 33|34, 35/36 Approved [] Rejected [] ‘Wiahway superintendent) ‘Approved [] Rejected [] {chairman} ‘Oviners and renters desing to place waterline or gas line in or across County right-of-way must have permission ‘granted by the Holt County Board of Supervisors. Water and gas lines buried in the ROW ot under the roadbed proper must be a minimum of 48” deep and be of steel, copper, or. approved PVC pipe. All electric service that ‘buried must be buried to the following depths, primary 4 secondary 36", All telephone communications minimum of 30", In case any of the foregoing services are disrupted, damaged, or put out of service the County will not be liable in any way. Permission must be granted by the Holt County Board of Supervisors before any installation of itilities. An approved sign shall be erected on 2 post 5' above ground level designating the route and the location of the utility Date Date Holt County Road Department Application Requesting Permission to Buty Utilities In or On County Right-of-Way TransCanada Keystone Pipeline, LP requests permission irom the Holt County Board of Supervisors to bury or locate a crude ol! pipeline, in or on the right-of-way of the County of Holt. Length of Project: One Year Legal Dest ion: $022 TO29N ROLOW ~ 502 Ave. Reason for the utility request: To construct » 36” crude oil pipeline crossing under Holt County roads and to construct temporary driveways on eithe purpose of moving personnel and e Owner; TransCanada Keystone Pipeline, LP Signature Devi Comings and Menage Signature Toe Tain Se Tad ep. ide of the same co! ent from one side to the other during const road right-of-way crossings for the ‘Address: 13710 ENB Parkway Suite 300, Omaha NE 68154 ‘Telephone: 832-320-5000 Date: Line, pipe or conduit less than 4" in diameter, $100.00, Line, pipe or conduit 4" in diameter or miore but less than 8" in diameter, $500.00. Line, pipe or conduit 8" in diameter or more, $1,000.00. 4, Telephone utilities are exempt from application fee. ‘Any person who fails to apply for and receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the size of line, pipe or conduit and! in addition shall be required to pay # $250,00 damage fee. T 6| 5| 4/3] 2] 1 | 7| 8| 9|10/11) 12 18) 17, 16] 15) 14) 13 19] 20 /21]22@93 | 24 30 | 29} 28|27| 26 |25 31 32/33/34]35| 36 Approved [] Rejected [] hwy Superintendent) Approved [] Rejected [] (caiman Owners and renters desiring to place waterline or g2s line in or across County rightof-way must have permission granted by the Holt County Board of Supervisors. Water and gas lines buried in the ROW of under the roadbed proper must be a minimum of 48 deep and be of steel, copper, or. approved PVC pipe. All electric service that is buried must be buried tothe following depths, primary 48", secondary 36". All telephone communications wninimum of 30", Tn case any of the foregoing services are disrupted, damaged, or put out of service the County will not be liable in any way. Permission must be granted by the Holt County Board of Supervisors before any installation of Urlties. An approved sign shall be erected on a post 5! above ground level designating the toute and the location of the utility Date Date Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of-Way ‘TransCanada Keystone Pipeline, LP. requests permission from the Holt County Board of Supervisors to bury or locate a crude oil pipeline, in or on the right-of-way of the County of Holt, Length of Project: Oue Year Legal Description: $026 T029N RO10W ~ S03 Ave. Reason forthe utility request: To construct a 36” crude oil pipeline crossing under Holt County roads ‘and to construct temporary driveways on either side of the seme county road right-of-way crossings for the ‘purpose of moving personnel and equipme: cone side to the other during construct: Owner: TransCanada Keystone Pipeline ‘Address: 13710 ENB Parkway Suite 300, Signature ‘Telephone: 832-320-5000 Date: esis Cumanings~ Land Manger Signature Rober Later Land Rep Line, pipe or conduit less than 4" in diameter, $100.00. Line, pipe or conduit 4" in diameter or more but less than 8” in diameter, $500.00. Line, pipe or conduit 8" in diameter ot more, $1,000.00. 4, Telephone utilities are exempt from application fee. ‘Any person who fails to apply for and receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the size of line, pipe or conduit end in addition shall be required to pay # $250.00 damage fee. 6/5) 4]3]2]1 7| 8| 9)10/11]12 18) 17] 16| 15] 14] 13 19|20| 21/22/23 24 30/29 28/27 2625 31/32|33/34|35|36 | Approved [] Rejected [] ‘Wighway Superintendent) Approved [] Rejected [] (Crim Owners end renters desiring to plece waterline or gas line in or across County right-of-way must have permission granted by the Holt County Board of Supervisors. Water ‘nd gas lines buried in the ROW or under the roadbed proper must be s minimum of 48” deep and be of steel, copper, or. approved PVC pipe. All electric service that is ‘buried must be buried tothe following depths, primary 48", secondary 36", Alltelephone communications minimum of 30", In case any of the foregoing services are disrupted, ‘damaged, or. put out of service the County will not be liable in any way. Permission must be granted by the Holt County Board of Supervisors before any instllation of Utilities. An approved sign shall be erected on a post 5° above pround level designating the route and the location ofthe uility, Date Date Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of-Way ‘TransCanada Keystone Pipeline, LP requests permission from the Holt County Board of Supe ors to bury of locate a crude oil pipeline, in or on the right-of-way of the County of Holt. Length of Project: One Year Legal Description; S025 T029N ROLOW - $04 Aye. Reason for the utility request: To construct a 36” crude oil pipeline crossing under Holt County roads struct temporary driveways on either si F the same. unty road right-of-way cross o purpose of moving personnel and equipment from one side to the other during construction Owner; TransCanada Keystone Pipeline, LE Signature ‘Denia Cummings Card anger abr alia Se, Land Rep. 1. 2. 3 4. ‘Address; 13710 ENB Parkway Suite 300, Omaha NE 68154 ‘Telephone: 832-320-5000 Date: or conduit less than 4” in diameter, $100.00. or conduit 4" in diameter or more but less than 8" in diameter, $500.00. Line, pipe or conduit 8" in diameter or more, $1,000.00. Telephone utilities are exempt from applicetion fee. ‘Any person wito fails to apply for ané receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the size of line, pipe or conduit and in addition shall be required to pay a $250.00 damage fee. 6| 5] 4] 3] 2] 1 7\ 8] 9]10/11/12 181 17] 16| 15] 14/13 19 20/21|22/23) 24 '30|29|28|27)26| 2% 31/32/33] 34]35| 36 Approved [] Rejected [] ‘Hiaiway Superintendent Approved [] Rejected [ ] (chairman) ‘Owners and renters desiring to place waterline or gas line in oF across County right-of-way must have. permission ranted by the Holt County Board of Supervisors, Water ‘and ens lines buried in the ROW or under the roadbed proper must be 2 minimum of 48" deep and be of steel, copper, or} appraved PVC pipe. All electric service that is ‘busied must be buried to the following depths, primary 48°, secondary 36", All telephone communications minimum of 30". In case any of the foregoing services are disrupted, damaged, or. put out of service the County will not be lable in any way, Permission must be granted by the Holt County Boon! of Supervisors before any installation of Utilities. An approved sign shall be erected on a post 5' above ground level designating the route and the location of the utility Date Date Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of-Way ‘TransCanada Keystone Pipeline. LP. requests permission from the Holt County Board of Supervisors to bury or locate a crude oil pipeline, in or on the right-of-way of the County of Holt. Leugth of Project: One Year Legal Description: S030 T029N ROO9W ~ Road 871 Reason for the utility request and fo construct temporary driveway ‘To construct a 36” crude oil pipeline crossing under Holt County roads ither side of the same county road purpose of moving personnel and equipment from one side to the other during construction. Owner: TransCanada Keystone Pipeline, LP Address: 13710 FNB Parkway Suite Omaha NE 68154 Signature ‘Telephone; 832-320-5000 Date: ‘Destha Comimiags Land Manage Signature ‘Raber Latimer SF Land Rep, 1. Line, pipe or conduit less than 4” in diameter, $100.00. 2. Line, pipe or conduit 4" in diameter or more but less than 8" in diameter, $500.00, 3. Line, pipe or eonduit 8" in diameter or more, $1,000.00 4, Telephone utilities are exempt from application fee, Any person who fails to apply for and receive permis: fom Holt County prior to commencing construction shall be required to pay the above fee appropriate for the size of line, pipe or conduit and in addition shall be required to pay a $250.00 damage fee. 6| 5) 4} 3) 2) 1 7} 8| 9}10)11)12 18| 17} 16} 15) 14) 13 19] 20] 21} 22|23|24 go 29/28 27 26|25 31|32|33)34 35) 36 Approved [] Rejected [] [Tahar Superiendert) Approved [] Rejected [] {chairman} ‘Ovmers and renters desiring to place waterline or gas line in or across County right-of-way must have permission granted by the Holt County Board of Supervisors. Weter ‘and gas lines buried in the ROW or under the roadbed [proper must be a minimum of 48" deep and tee of steel, ‘copper, or. approved PVC pipe, All electric service that is| buried must be buried tothe following depths, primery 48", secondary 36". Alltelephone communications minimum of 30, In case any of the foregoing services are disrupted, damaged, or put out of service the County will not be liable in any way. Permission must be granted by the Holt County Board of Supervisors before any installation of Unites. An approved sign shall be erected on a post $1 above ground evel designating the route and the location ofthe uly Date Date Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of-Way ‘TransCanada Keystone Pipeline, LP requests permission from the Holt County Board of ‘Supervisors to bury or locate a crude oil pipeline, in or on the right-of-way of the County of Holt. Length of Project: One Year Legal Description: S031 TO29N ROO9W ~ 505 Ave, Reason for the utility request: To construct a 36” crude oil pipetine crossing under Holt County roads and to construct temporary driveways on either side of the same county road right-of-way crossings for the purpose of moving personn from one side to the other during construct ‘Owner: TransCanada Keystone Pipeline, LP Address: 13710 FNB Parkway Suite 300, Omaha NE 68154 Signature ‘Telephone: 832-320-5000 Date: ‘Dea Comings Land Manages Signature. ober caine Sr Land Rp 1. Line, pipe or conduit less than 4” in diameter, $100.00. 2. Line, pipe o conduit 4” in diameter or more but less than 8" in diemeter, $500.00, 3. Line, pipe or conduit 8" in diameter or more, $1,000, 00. 4, Telephone utilities are exempt from epplication fee ‘Any person who fails to epply for end receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the size of line, pipe or conduit end in addition shall be required to pay a $250.00 damage fee. 6|5/4/3}/2]1 Owners and renters desiring to place waterline or gas line in or across County right-of-way must have permission granted by the Holt County Board of Supervisors. Water ‘and gas lines buried in the ROW or under the roadbed! 7} 8) 9/10)11)12 proper must be n minimum of 48" deep and be of steel, topper, or approved PVC pipe, Al elec nerve ta is buried: ‘be buried to the following depths, primary 48", 18] 17| 16] 15] 14) 13 secon 36" All elepbose eommunieaons minum of 19| 20} 21) 22} 23 Table in ay way, Permission must be grasted bythe Holt — County Board of Supervisors before any installation of | Units. An approved sign shall be erstd on 2 post 5! 30|29| 28 | 27 | 26 | 25 shove unde! sponge ct sony Al inten comeine ona of the utility. 3132/33 | 34/35/36 24 damaged, or. put out of service the County will not be Aipowowed (Y. Regomed{ = way Speneende) Approved [] Rejected] Date {Chairman Holt County Road Department ion Requesting Permission to Bury Utilities App Inor On County ‘TransCanada Keystone Pipeline, LP requests permission Right-of-Way fom the Holt County Board of Supervisors to bury or locate a crude oil pipeline, in or on the right-of-way of the County of Holt Length of Project: One Year Legal Description: $032 TO29N RO09W — Road 870 ‘Reason for the utility request: To construct @ 36” crude oil pipeline crossing under Holt County roads driveways on either side of th sonnel and equipment fot and to construct temy se of movi Owner: TransCanada Keystone Pipeline, LP Signature Tel ex Comings Land Mamie Signature Weber Latina Se Lan Rep Line, pipe or conduit fess than 4" in diameter, $10 \duit 8" in diameter or more, $1,01 ies are exempt from application fe Line, pipe or ‘Telephone uti 4, ¢ county road right-of-way crossings for the ¢ side to the other during construction. ‘Address: 13710 FNB Parkway Suite 300, Omaha NB 68154 lephone: 832-320-5000 Date: 10.00. Line, pipe or conduit 4” in diameter or more but less than 8" in diameter, $500.00. 100.00. . ‘Any person who fails to apply for and receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the required to pay a $250,00 damage fee. 2 11 14 23 26 35 1 12 13 24 25 36 4|3 9/10 16 15 20/21)22 29|28|27 32433 34 Approved (] Rejected [] 6 7 18 19 30 31 5 8 17 (Wishay Superintendent) Approved [] Rejected [] (Charman) size of line, pipe or conduit and in addition shall be Owners and renters desiring to place Waterline or gas line in or across County right-of-way must have permission ranted by the Holt County Board of Supervisors, Water and gas lines buried in the ROW or under the roadbed proper must be a minimum of 48" deep and be of ste, copper, of. approved PVC pipe. All electric service that is buried must be buried tothe following depths, primary 4", secondary 36”. All telephone communications mininum of 30", In case say of the foregoing services are disrupted, damaged, or. put out of service the County will not be liebe in any way. Permission must be granted by the Holt County Board of Supervisors before any installation of Utiites, An approved sign shall be erected on a post 5° above ground level designating the route and the location ofthe uly Date Date Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of-Way “TransCanada Keystone Pipeline, LP requests permission from the Holt County Board of Supervisors to bury or locate a crude cil pipeline, in or on the right-of-way of the County of Holt Length of Project: One Year Legal Description: $005 TO28N ROO9W — 506 Ave. Reason forthe utility request: To construct a 36” crude oil pipeline crossing under Holt County roads and to construct temporary driveways on either side of the same county road right-of-way crossings for the wurpose of moving personnel and equipment from, Owner! TransCanada Keystone Pipeline, LP Signature ene Carns = Land Wang Signature Rat Later Se and AYES side to the other ing construotion. ‘Address: 13710 ENB Parkway Suite 300, Omaha NE 68154 ‘Telephone: 832-320-5000 Date: Line, pipe or conduit less than 4" in diameter, $100.00, Line, pipe or conduit 4" in diameter or more but less than 8" in diameter, $500.00. Line, pipe or conduit 8" in diameter or more, $1,000.00. ‘Felephore utilities are exempt from application fee. Any person wo fails to apply for end receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate forthe size of lin, pipe or conduit and in eddition shall be required to pay 2 $250.00 damage fee. 6] 54] 3)2/)1 7| 8| 9|10/11}12 18| 17) 16 15) 14| 13 19} 20/21) 22)23)24 30|29|28 27 26/25 [31 | 32/33) 34/35/36 Approved [] Rejected [] ‘Wahway Superintendent) Approved] Rejected{]___-—— (charmant ‘Owners and renters desiing to place watertne or gas line in or across County right-of-way must have permission rented by the Holi County Board of Supervisors. Water and gas lines buried io the ROW or under the roadbed proper must be a msinimam of 48" deep and be of steel, copper, or.epproved PVC pipe, Al electic service that is buried must be buried tothe following depths, primary 48", secondary 36". Al telephone commonications minimum of 30", in case aay of the foregoing services are disrupted, damaged, ot. put out of service the County will nt be liable in any way. Permission mst be granted by the Holt County Board of Supervisors before any installation of Uti, An approved sign shall be erected on a post 5° above ground level designating the route and the loeation ofthe utility, Date Date Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of-Way ‘TransCanada Keystone Pipeline, LP requests permission from the Holt County Board of Supervisors to bury or locate a erude oil pipeline, in or on the right-of-way of the County of Holt. Length of Project: One Year [Legal Description: $003 T028N ROOSW — 507 Ave. Reason for the utility request: To construct a 36” crude oil pipeline crossing under Holt County roads and to construct temporary driveways on either side of the same county road right-of-way erossings for the purpose of moving personae! and equipment from one side to the other during construction. Own Signature erie Cong Land Wamia= Signature Tod Latin Be an a ; TransCanada Keystone Pipeline, LP ‘Address: 13710 FNB Parkway Suite 300, Omaha NE 68154 Telephone: 832-320-5000 Date: Line, pipe or conduit less than 4” in diameter, $100.00, 1 2. Line, pipe of conduit 3 in diameter or more but less than 8" in diameter, $500.00. Line, pipe or conduit 8" in diameter or more, $1,000.00. 4. Telephone utilities are exempt from application fee. [Any person who fails to apply for and receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the sizeof lin, pipe or conduit and in addition shall be required to pay a $250.00 damage fee. 6| 5] 43) 2 1 7| 8| 9|10)11/12 18) 17| 16} 15) 14 13 | 19} 20|21)22|23|24 30) 29| 28|27|26| 25 31/32} 33| 34) 35) 36 Approved [] Rejected [] ‘Wievwray Superintendent) Approved [] Rejected [] _ (costar) (Owners and renters desiring to place waterline or gas line in or across County right-of-way must have permission ‘granted by the Holt County Board of Supervisors, Water and ges lines buried in the ROW or under the roadbed proper must be a minimum of 48" deep and be of steel, ‘copper, or. approved PVC pipe. All electric service that is ‘buried must be buried tothe following depths, primary 48°, secondary 36". All telephone communications minimum of | 30". In case any of the foregoing services are disrupted, Gamaged, or put out of service the County will not be liable in any way. Permission must be granted by the Holt ‘County Board of Supervisors before any installation of Uiilites. An approved sign shall be erected on a post S° above ground level designating the route and the location of the utility Date Date Holt County Road Department ‘Application Requesting Permission to Bury Utilities Tnor On County Right-of-Way ‘TransCanada Keystone Pipeline, LP requests permission trom the Holt County Board of Supervisors to bury or locate a crude oil pipeline, in of on the right-of-way of the County of Holt. Length of Project: One Year ‘Legal Description: $010 TO28N ROOIW — Road 869 Reason for the utility request: To construct a 36” crude oj pipeline crossing under Holt County roads and to construct temporary driveways on either side ‘the same county road right-of-way crossings for the uurpose of moving personnel and equipment ftom one sie to the other during construction. Owner: TransCanada Keystone Pipeline, LP Address: 13710 FNB Parkway Suite 300, Omaha NB 68154 Signature “Telephone: 832-320-5000 Date: esis Cig Land Manas Signature Taber Latimer Se Land Rep 1. Line, pipe ot conduit less than 4” in diameter, $100.00. 2. Line, pipe or conduit 4" in diameter or more but less than 8" in diameter, $500.00. 3. Line, pipe or conduit 8" in dizmeter or more, $1,000.00, 4 ‘Any person who fails to apply for and receive permis Telephone utilities are exempt from application fee. ssion from Holt County prior to commencing construction, shall be required to pay the above fee appropriate for the size of line, pipe or conduit and in addition shall be required to pay a $250,00 damage fee. 3 10 15 22 27 34 2 11 14 23 26 35 1 12 13 24 25 36 5 8 17 20 29 32 4 9 16 21 28 33 | 6 [7 18 19 30 31 Approved [] Rejected [] (way Superintendent) Approved [ ] {chairman} Rejected [1] ‘Owners and renters desiring to place waterline or ges line in or across County right-of-way must have permission ranted by the Holl County Board of Supervisors. Water fnd gas lines buried in the ROW or under the roadbed proper must be a minimum of 48" deep and be of ste, ‘copper, or approved PVC pipe. All electric service that is ‘bared must be buried tothe following depth, primary 48", secondary 36". All telephone communications minimum of 30". In case any of the foregoing services are disrupted, damaged, ot. put out of service the County will not be liable in any way, Permission must be granted by the Holt County Board of Supervisors before any installation of Dillities, An approved sign shall be erecied on a post 5° above ground level designating ths route and the location of the uty Date Date Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of-Way ‘TransCanada Keystone Pipeline, LP requests permission ftom the Holt County Board of Supervisors to bury or locate a crude oil pipeline, in or on the right-of-way of the County of Holt Length of Project: One Year ‘Legal Description: S011 TO28N ROO9W — SOB Ave. Reason for the utility request: ‘To construct a 36” crude oil pipeline erossing under Hol and to construct temporary driveways on either side of the same county r -of-way crossings for the purpose of moving personel and equipment from one side to the other during constr Owner: TransCanada Keystone Pipeline, LP Address: 13710 ENB Parkway Suite 300, Omaha NE 68154 Signature. ‘Telephone: 832-320-5000 Date: ‘Deis Comings ~ Land aap Signature Rober Laer Sr Land Rep Line, pipe or conduit less than 4” in diameter, $100.00. Line, pipe or conduit 4” in diameter or more but less than 8” in diameter, $500.00. ‘Line, pipe or conduit 8" in diameter or mare, $1,000.00. 4. ‘Telephone utilities are exempt from application fee. ‘Any person who fails to apply for and receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the size of line, pipe or conduit and in addition shall be required to pay & $250,00 damage fee. vee 615) 4/3]2/1 COvmers and renters dsixing to place waterline or gas line in or across County right-of-way must have permission | ranted by the Holt County Board of Supervisors. Water a) | and gas lines busied in the ROW or under the roadbed 1@S1 12 proper must be a raiimum of 48" deep and be of stel, ‘copper, or. approved PVC pipe, Al elecric service that is 13 buried must be buried to the following depths, primary 48) 7| 8| 9 | 18] 17| 16] 15] 14 secondary 36", Alltlephone communications nim of } 30", In case any of the foregoing services are disrupted, 19| 20 | 21|22)23 24 damaged, or put out of service the County will not be Table any way, Permission mist be gated bythe Hol Utili An yved sign shall be erected s 30] 29 | 28 | 27 | 26 | 25 Stove pout el engeting he oe ed ie cat County Board of Supervisors before any installation of of the utility, 31|32| 33) 34/35) 36 Approved [] Rejected [] Dats Tiny Spare Approved [] Rejected [] Date (chovmar) Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of-Way ida Keystone Pipeline, LP requests permission from the Holt County Board of Supervisors to bury or locate a crude oil pipeline, in or on the right-of-way of the County of Holt. Length of Project: One Year Legal Description: $012 TO28N ROO9W - 509 Ave. Reason for the utility request; To construct 2 36” crude oil pipeline crossing under Holt County roads and to construct temporary driveways on either side of the same county road right-of-way crossings for the purpose of moving personnel and equipment from one side to the other during construction. Owner: TransCanada Keystone Pipeline, LP Signature ‘essa Canin — Cad Maas Signature Robert Cainer Sr Land Rep ‘Address: 13710 ENB Parkway Suite 300, Omaha NE 68154 ‘Telephone: 832-320-5000 Date: 1, Line, pipe or conduit less than 4" in diameter, $100.00. 2. Line, pipe or conduit 4" in diameter or more but Jess than 8" in diameter, $500.00, 3. Line, pipe or conduit 8" in diameter or more, $1,000.00. 4, Telephone utilities are exempt from application fee. Any person who fails to apply for and receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the size of line, pipe or conduit and in addition shall be required to pay a $250.00 damage fee. 6] 5] 4/3] 2/1 7| 8/ 9/10/1412 18) 17] 16| 15| 14] 13 19) 20/21)22/23)24 30/29] 28/ 27/26/25 /31/32/33]/34/35|36 Approved [] Rejected [] (Wighway Superintendent) Approved [] Rejected [] (hairan) (Owners and renters desiring to place waterline or gas fine in or across County right-of-way must have permission granted by the Holt County Board of Supervisors. Water and gas lines buried in the ROW or under the roadbed proper must be a minimum of 48" deep and be of sicel, ‘copper, or approved PVC pipe. All electric service that is buried must be buried to the following depths, primary 48", secondary 36", All telephone communications tninimum of 30", In case any of the foregoing services are disrupted, damaged, or, put out of service the County will not be liable in any ay, Permission must be granted by the Holt County Board of Supervisors before any installation of Uiilities, An approved sign shall be erected on a post S? above ground level designating the route and the location of the uty. Date Date Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of-Way ‘TransCanada Keystone Pipeline. LP requests permission from the Holt County Board of Supervisors ta bury or locate a crude oil pipeline, in or on the right-of-way of the County of Hott Length of Project: One Year Legal Description: $113 T028N ROO9W ~Road 868 Reason forthe utility request ‘To construct a 36” coil pipeline crossing under Holt County roads and to construat temporary driveways on either side of the same county road alt -of- way erossings for the .d equipment from one side to the other dur! ction, yurpose of movin Owner: TransCanada Keystone Pipeline, LP Signature ‘Dents Curmings — Cand Manager Signature Rate Latimer and Rep 1. Line, pipe ot conduit less than 4" in diameter, $100.00, 2. ‘Adress: 13710 ENB Parkway Suite 300, Omaha NE 68154 ‘Telephone: 832-320-5000 Date: pipe or conduit 4” in diameter or more but less than 8" in diameter, $500.00. 3. Line, pipe or conduit 8" in diameter or more, $1,000.00. 4, Telephone utilities are exempt from application fee. ‘Any person who fails to apply for and receive permission from Holt County prior to commencing construction shall be required to pay the above foe appropriate for the size of line, pipe or conduit and in eddition shall be required to pay a $250.00 damage fee. T 6| 5) 4} 3 2) 1 7| 8} 9/|10 11/12 18) 17| 16) 15 ifs 19} 20/21] 22 2324 30/29/28] 27 26} 25 31) 32) 33) 34 35| 36 Approved [] Rejected [] Approved [] Rejected [] Tighway Superctenaent) (chairman (Owners and renters desiring to place waterline or gs line in or across County right-of-way must bave permission granted by the Holt County Board of Supervisors. Water and gs lines buried in the ROW or under the roadbed proper must be a minimum of 48" deep and be of steel, copper, or approved PVC pipe. All eleciic service that is buried mst be buried to the following depts, primary 48", secondary 36", All telephone communications minimus of 30", In case any of the foregoing services are disupie, damaged, or. put out of service the County will not be liable in aay way. Permission must be granted by the Holt Counsy Board of Supervisors before eny installation of Unilties. An approved sign shall be erected on a post 5! above ground level designating the route and the location ofthe utility Date Holt County Road Department Application Requesting Permission to Bury Utilities In or On County Right-of-Way ‘TransCanada Keystone Pipeline, LP requests permission from the Holt County Board of ‘Supervisors to bury or locate 2 crude oil pipeline, in or on the right-of-way of the County of Holt. Length of Project: One Year Reason for the utility request: To construct « 36” crude oil pipeline crossing under Holt County roads and to construct tempor Legal Description: $018 T028N ROOSW ~ 510 Ave. iveways on either side of the. 1d right-of-way crossings for the purpose of moving personne] and equipment from one side to the other during construction, Owner: TransCanada Keystone Pipeline. LP Signature Dea Curing Cand ager Signature oer Taina Sr Ted Rep 1, Line, pipe or conduit less than 4" in diameter, $100.00. 2. Line, pipe or conduit 4" in diameter or more but less than 8" in diameter, $500.00. 3. Line, pipe or conduit 8" in diameter or more, $1,000.00. 4, Telephone utilities are exempt from application fee. ‘Any person who fails to apply for and receive permission from Holt County prior to commencing construction shall be required to pay the above fee appropriate for the size of line, pipe or conduit and in addition shall be required to pay a $250.00 damage fee. 6| 5 4) 3) 2/1 7\8 9} 10)11)12 Qs 17 16] 15] 14) 13 19|20 21|22|23|24 ‘Address: 13710 ENB Parkway Suite 300, Omaha NE 68154 ‘Telephone: 832-320-5000 Date: ‘Owners and renters desiring to place waterline or gas line in or across County right-of-way must have permission ‘granted by the Holt County Board of Supervisors. Water ‘and gas lines buried in the ROW or under the roadbed proper must he a minimum of 48" deep and be of steel, ‘copper, or. appraved PVC pipe. All electric service that is| ‘buried must be buried tothe following depths, primary 48", secondary 36", All telephone communications minimum of 30". In case any of tho foregoing services are disrupted, demaged, or .put out of service the County will not be Iiable in any way. Permission must be granted by the Holt County Board of Supervisors before any installation of z Ualties, An approved sign shall be erected on a pot 5° 30| 29 | 28| 27) 26/25 hove goed Goel eigen he rou ad te oan of the utility, 31|32| 33) 34|35|36 Approved [] Rejected [] Date ‘(Wighway Superintendent) ‘Approved [] Rejected (]__ Pate (cham) Tab #5 Utilities in Public Right of Way Refer to Construction Alignment Set (Holt County) Rev 00 - 2019/06/21 Sand Crook Tab #7 Notices of Location (N.O.L.) & Legal Descriptions The proposed locations of the pipeline in regard to each of the legal descriptions and individual Property Owners from which a right-of-way easement has been or is being obtained is identified on the following individual parcel sketches/maps, which have been delivered to the respective Property Owners. The acquisition of right-of-way (and related property rights) is ongoing. Updated Notices of Location will be filed with Holt County and the related individual property sketches) delivered to the Property Owner(s) affected by any route changes made before construction or installation of the pipeline. During construction, the right-of-way may be moved subject to the related provisions of the Holt County pipeline ordinance. Tay Fo Sbyasawon AuvuOUML WNOMIGQY 40 va Tet aS es ar FTE oy so sovSORION AVYOMMAL 40 3A “iu ne 92d axial SN xe, = ae SSMOV Zt =LNGWaSV3 LNINVWead JO VaNY ‘annoees Ml Wo. 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