Reading & Northern Railroad Real Estate Project Request Form

PLEASE REVIEW THE FOLLOWING INFORMATION PRIOR TO SUBMITTING THIS FORM

It is against company policy to operate vehicles or equipment on railroad property for the purpose of accessing construction work locations. Gaining access to work locations, whether they are on or off railroad property, are to be accomplished by alternative means, such as traversing non-railroad owned property, utilizing hi-rail equipped vehicles/equipment or by foot.

Due to the large number of proposed construction requests received each week, required site visits or reviews cannot always be performed in a timely manner. Therefore, an aerial photo of your proposed project site, including applicable drawings, labels, diagrams or markings related to your project is required. Such overhead satellite photos can be obtained from numerous websites online.

In order for your project to be considered for approval, the following form must be completely filled out and submitted. Submission of this application does not guarantee acceptance nor shall it be construed as permission to enter railroad property at any time or to proceed with construction.

Reading Blue Mountain & Northern Railroad reserves right to reject the request for any reason at any time.

Please complete ALL form fields below and click SUBMIT.

If possible, attach a map or drawing (max. file size 10 MB):

Applicant's Name:			Date:
Company Name:
Address:

Phone: Cell Phone: Fax: E-mail:

Type of Project: If other, please explain:

Railroad MP: located in , Township

Who will be performing the work:
Address:

Phone: Cell Phone: Fax:

Contact Person:
Phone: Cell Phone: Fax:

Give full details of the proposed work. Explain what project is to be done, how it will be done, type of pipe, casing wire, voltage, length, width, etc. Explain how you will gain access, and the type of equipment to be used.

Are you willing to enter into a lease agreement for this utility occupation or crossing project? Yes No

How you intend to guarantee Reading & Northern Real Estate Company (Lessor) that you will pay for your lease on-time and on an annual basis?

All approved projects are subject to payment of a $10,000.00 Cash Deposit. Upon completion and final inspection of the project, providing no damage has been done to the rail bed, tracks, or railroad property, the Cash Deposit will be refunded.

Note: Please click the 'Submit' button one-time only. If you are attaching a map or drawing, it may take several minutes to upload before you receive a confirmation page.

� Copyright 2010 Reading & Northern RR	Last Modified on September 27, 2010
Web Site by Christopher Muller (RailServe.com)