Town of Boston Highway Department
Phone # (716)-941-5869 / Fax # (716)-941-3677
Application for Driveway Culvert Permit
Applicants Name: ________________________________________________________________
Applicants Address: ________________________________________________________________
____________________________________________________________________________________
Daytime Phone No.______________________________________________
Evening Phone No.______________________________________________
Culvert Location:______________________________________________________________________
(must have address)
_______________________________________________________________________
Please submit survey indicating where culvert is to be installed.
Stake this same area on your lot. Submit original to Highway Superintendent.
__________________________________________________ __________________________
Signature of Applicant Date
Size of pipe to be determined by Highway Superintendent:
Diameter (12” minimum) slope (2” per 20' minimum)
All Construction to be inspected by Highway Superintendent
Location of Driveway will be determined at Superintendent discretion.
No black top is allowed on Highway Right of Way (which includes culvert pipe) without special permit.
No concrete is allowed on Highway Right of Way.
Any debris on road, shoulder or ditches must be cleaned daily from worksite.
Superintendents Use Only
Size of pipe to be installed:
Galvanized_____________ Smooth Bore Plastic_____________ Length____________
12”_____________ 18”____________ 30”_____________ 48”_____________
15”_____________ 24”____________ 36”_____________ 60”_____________
Comments on Construction:___________________________________________________________________
_________________________________________________________________________________________
Inspected By:_____________________________________________ Date:___________________________