TRAFFIC OPERATIONS
WEEKLY LANE CLOSURE REQUEST	
TRAFFIC OPERATIONS NORTH
COUNTIES: BERGEN, ESSEX, HUDSON, HUNTERDON, MIDDLESEX, MORRIS, PASSAIC, 
SOMERSET, SUSSEX, UNION, WARREN

PHONE: (732) 697-7360
FAX: (732) 324-6217
EMAIL: TOC.North@dot.state.nj.us.
	TRAFFIC OPERATIONS SOUTH
COUNTIES: ATLANTIC, BURLINGTON, CAMDEN, CAPE MAY, CUMBERLAND, GLOUCESTER, MERCER, MONMOUTH, OCEAN, SALEM

PHONE: (856) 486-6650	
FAX: (856) 486-6802
EMAIL:  TOC.South@dot.state.nj.us.
	
1 RESIDENT ENGINEER/CREW SUPERVISOR INFO
NAME:        
OFFICE:      
FAX:            
CELL:          	2 AFTER HOURS FIELD CONTACT INFO
NAME:       

CELL:         
 	3 FORM PREPARED BY
NAME:                                                                             DATE PREPARED:        
	
		4   PROJECT TYPE
 CONSTRUCTION       MAINTENANCE     MAINT. CONSTRUCTION 
 ELECTRICAL             PERMIT                    OTHER	
5 PROJECT DESCRIPTION
PROJECT NAME:           
SECTION:                   
JOB #:                          
FED JOB #:                 
MUNICIPALITY:          
COUNTY:                   
REGION:                  
CONTRACTOR:      
________________________________________________________________
STATE POLICE CONTACT INFO.
NAME     
PHONE NUMBER     	   6                                                                                                   NJSP SERVICE REQUEST SECTION
DATE	
# NJSP	
TOTAL
HOURS	
FULL TIME	
Drive Through	
Speed 
Enforcement	
                                                      
                         DESCRIPTION OF WORK	

     	
     	
     	

	
     	

     	
     	
     	

	
     	

     	
     	
     	

	
     	

     	
     	
     	

	
     	

     	
     	
     	

	
     	

     	
     	
     	

	
     	

     	
     	
     	

	
     	

7                                                                                                                                                                                       LANE CLOSURE TYPE
    ( R) = RIGHT  LN       (L) =  LEFT LN       (2R) = 2 RIGHT LNS       (2L) =  2 LEFT LNS       (3R) = 3 RIGHT LNS       (3L) =  3 LEFT LNS       (4R) = 4 RIGHT LNS       (4L) =  4 LEFT LNS                                                                                                                                                                                                                                                                                                            (LTL) = LEFT TURN LN       (RTL) = RIGHT TURN LN      (ACL) = ACCEL LN       (DCL) = DECEL LN       (DET) = DETOUR       (TS) = TRAFFIC SHIFT        (AT) = ALTERNATING TRAFFIC      (S) = SHOULDER      (N) = NONE	
8                                                                                                                                            WEEKLY LANE CLOSURE REQUEST INFORMATION SECTION

DATE	

ROUTE	

DIRECTION	

MP/CROSS STREET	LANE
CLOSURE
TYPE	

EXPRESS	

LOCAL	NUMBER
OF LANES
CLOSED	TOTAL
NUMBER
OF LANES	PERM/TEMP
P=PERM T=TEMP	CLOSURE
HOURS
(LIST)	APPROVED HOURS
(YES / NO)	
     	     		     							     		
     	     		     							     		
     	     		     							     		
     	     		     							     		
     	     		     							     		
     	     		     							     		
     	     		     							     		
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