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Home My WebLink AboutLayton Const (6) �; ` : � ` TOW'�1 OF VAIL DEPARTMENT OF COMMUNITY DEVELOPMENT 75 S. FRONTAGE ROAD VAIL, CO 81657 970-479-2138 NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES PUBLIC WAY PERMIT Permit # PW07-0008 Job Address: 1 VAIL RD VAIL Status . . . : ISSUED Location...,.: 13 VAIL ROAD Applied . . : 03/08/2007 Parcel No...: 210107101016 Issued . . : 03/08/2007 Expires . .: APPLICANT VAIL DEVELOPMENT LLC 03/08/2007 50 S SIXTH ST STE 1480 MINNEAPOLIS MN 55402 CONTRACTOR �1N CONSTRUGTI, �. INC 03/08/2007 Phone: (801) 568-9090 9090 SOUTH SANDY PARKWAY SANDY � UT 84070-6409 License : 333-A OWNER VAIL DEVELOPMENT LLC 03/08/2007 50 S SIXTH ST STE 1480 MINNEAPOLIS MN 55402 Desciption: Staging and use of CDOT ROW on the north side of the site along the S. Frontage Road. This permit will expire April 15-07 . New permit required at that time. *+r*+*++�s*++*+e**++rrrr�*++****►►s**rs**r**r**►*+**s**+�**+**vaa*r+ FEE SUMMAR Y +**+**rr*��rs********s****s��**r►*af****+**+*r**+***s*as* Public Way------> ?? Investiga[ion-----> ?? Payments--------------> $1,987.50 Bond Amount---> BALANCE DUE----> $0.00 TOTAL FEES---> $1,987.50 4###**#R####t4#*}##4dit###4#+t#***#ti#R*##!M*�kt4tt*t#*+####**tMt*ttt******k#**#***#**►*►/*R�k######*#*►##t**##########*t*R**####f###h*t►►►►a** Approvals: Item: 05500 PUBLIC WORKS 03/08/2007 ls Action: COND Need new utitlity line locate information approval in writing. Item: 05550 ENGINEERING CIVILS CONDITION OF APPROVAL r►�s*a►sr�*******as+++***ttr*r�**r***++►++*+*++**r►+rr++w*+++�*t*s►s*►*»*s*+**��*tt**+*******►►***t*ra*s***+f++++***�r*frr*******++wr►**r**++ DECLARATIONS I certify that I have read all chapters of Title 8 and Title 13 of the Vail Municipal Code and all utility company agreements, signed by me, and will abide by the same, and that all utilities as required. Public Works will have a spec/detail book available in April of 1998. **** REQUESTS FOR INSPECTION SHALL BE MADE TWENTY-FOUR HOURS IN **** ADVANCE BY TELEPHONE AT 479-2149 OR AT OUR OFFICE FROM 8:00 AM - 4 PM. }/� �� . . � � �'�� SIGNATURE OF OWNER OR CONTRACTOR FOR HIMSELF AND OWNER � � i � � � *****************�**********************************��*****++******************+************ TOWN OF VAIL, COLORADO Statement *****�*�**++*+****�***�***��**�*****�***�***********************�*********�******�*�*+****** Statement Number: R070000242 Amount: $1, 987. 50 03/08/200710:06 AM Payment Method: Check Init: LS Notation: ck# 1263 ----------------------------------------------------------------------------- Permit No: PW07-0008 Type: PUBLIC WAY PERMIT Parcel No: 2101-071-0101-6 Site Address: 1 VAIL RD VAIL Location: 13 VAIL ROAD Total Fees: $1,987.50 This Payment: $1, 987.50 Total ALL Pmts: $1, 987.50 Balance: $0. 00 ********************�*****+******�***+*+*******�***************�*****+*��*�*******�****�*+** ACCOUNT ITEM LIST: Account Code Description Current Pmts -------------------- ------------------------------ ------------ ST 00100003112100 PUBLIC WAY FEES 1, 987 .50 ----------------------------------------------------------------------------- � � MUST BE SLBMITTED MIN 3 BUSINESS DAYS PRIOR TO PERMIT ISSUANCE APPLICATION FOR � RIGHT OF WAY US�-STREET CUT PERMiT � P�#: a3• o�l�sQ � Oy-000 v Town of Vai! �� Pubiic Works Dept Parcel#:��OI '�7 �/v- 'L 1309 Elk6om Dr Bldg Permii�: B �(►- p/�(� Vaii CO 8I657 WARNING: Inclusion of false infor.nation in this perrnit application esCablishes au au�mauc denial for a Right of Way Use- Street CutPermit and forfeiture of application fees. By signing this permit,the applicant declares helshe has read a1!contents af this document,Town of Vail Ro�fway Standards and chapters ofTitle 8—Pablic Ways and Properry,of the Vgi,l Municipal Code and is fully aware of its rcquirements and agrees to pay all applicable fees. Application Fee:$50.00 /„�� / `p l Company /�� y Company Name: (�14�1`l� IJjI/S�GIGjI�fj(/ Phone: �G'�.✓'��U-J�Q7d CitylState/ Company Address:��Q�}'� ,�� Z�p; �� f��'� -� r Contractor. � J LicenseNumber: �+�o , r = � Email: �GZL��6� ��1��`D/f�j/JS��j� i !�!'Tf1 �P?/7�/�'li/ 'll.�'�C�l�= /v/�7,�7��-�1'i''/'Contact` 4��h��`�< j � I . ContactName: �Q�{�[,�Y ��'� Phone: IIV� ��;��&'� �� s _ . ��^ .•1� � . ,� � ROW Use Location: � _:��k ��;� . ��. ? � Re uested ROW � � ` � ��'� #�`} ��' i� � 9 RequeS�ed �,� � . $ P � ; Use Dates: - to � Work Times: ='.�-`��.Mv(_ �PtM. i� a-� .;4 � � ,�T ;� �� Purpose for Request: _ `�'Street Cut Dimensren(if app��¢able) �-�� `°` � (\�. � ❑ Underb ound Utility Installat�on x# \ 4� '^,�,,. . `�'�� '� '� i 1 ❑ LandscaP�g �� t • Length• �, ' ��;�' � . ' ❑ Temp Site Access �� y"` ' �� ; � � �-� `°`�� . ��r 4Jr ;� 4 SS ; ❑ Construction Staging k . �"�� Width�(�rin 4'}: �:�:� �� '',-� `. ❑ Roadway Construcrion ��`�� _�-.�-��. ��, ��' " �M,,�,;. � .,. '�fi' �� u �r}�:J i � � Other(e�eplain):_ �&L✓A'7E'�T� ��-";� ''��otal Squ�e Foot`age: ,�:`� r�. �` v f�'� ' .� '�� yr ��,. • ��... ,��, � ��, Requested ROW Use: �� ,�,,. "°�; . �. � �,.7 �;✓� � � ❑ 5ingle Lane Closure-Ift of closur`�e{including taper)��. � "`� �"`� � t "R'�� L] Two Lane Closure-18 of ciosur��ancluchng tape� t � f 3 �'�s. �- „t� r.s •�. � ❑ Three Lane Closure-Ift of closure�".uicluiiing?taper��'��'`�:�=....��°•�=��,--,- � -� ,;. O SidewalkBike Patb lft of closure �"� r "�'� � • . '� . . t i � I*�. 'Tt . , =�'EI��Other(ex,pCatrt7X �'..� � �- ''.� +'s�> ; '�"� F; Er�-`;�;� . �- � .., e ,� � • • , � � :y'. � .-...' t . :.i- t .i �°i?.. � t� x.. ;. d;. �^..:i �r+i.:. t± {-�.r 5 ' i' . . 1. ,.AppLcanftshall submit�a fraffic con#rol plan,an� worlt_site/staging plan yuith this�applicat�on _T+raffic � �Control Pian`shalI be m com�l�ance wrth'the'�3VI�UTCD iani�shall ghon%;streets with.�names,adJacent , � .,. �� .. .f; , �: � , „ ;,�: . ,� mtersections,advanced�vgxnmg signage,taper lengths,buffer`§pace and,nvork zo�ne d�mensions. No fuA ' .,�treet.:closuresar�allo►uetL ;� �; �' a�';: ; � ;� � �-. � ,�,�- .. C:�'.J'. �;��'.'� � , k'# . .Sm �.5'. � 1 ` �_ �': �^"ti.:�'�:.....r.� ...r�: ��.��' - 2. Applicant must contact Public Wor]c"s�`bepartment at 479-2198 24 l�ours prior ta commencing of worlc. . Fai3ure to notify the Town will result in forfeiture of bond money. � . . • . 3. Appli�ant is responsible for obtaining approval5 frarn aIl utility companies having an er.isting utility line within `/�� the project site,applicant has option of routing application through tlie Pubiic Wortcs office to obtain the �• � necessAry Town of Vail si nntures. Ple e allow up to one week to process i � � Xce.Enery (800-9�-1987) y-- QwesY(800-9Z2-1987) �-"" � � � � �Q � Comcast(800-922-1957 0----- H � ross Electric( 0-9Z2-1987} � � � f 41 Eagle River Water&'Sanitation istrict(970-477-54�3) �' � �"`� , -� � r _ Town of Vail Electric(970-479-2158} T`. n of Vail Irrigation(970-479-?158) ._ _��-�--- — —.r��—--------- - -------------__ .r_ T,��._ _ . - '��c�TG� ' Print pliqnt.Name Applicmrt gnature ate F:1PWlSpccificntions\RDWY StandardslR�W permits\Permit Appiicatioadoc � - 4 . •FROM xC�' hNTERPRISES FAh N0. :970242��30 May. 18 2a�6 0�:20PM P2 ' � � CG ENTERPf�ISES - TRAFFIC �C�NTRC�L S�'ECIALISTS, INC Co�ltrc��tor; LAYTON CC�NSTRUCTIC�N MHT # 1 C7F 3 Praj�ct; 4 S�ASONS - V�IL � SC�UTH FRONTAGE ROAD Methad of Handllnc� Trafflc; SHOUk.DER CtOS�D ON FdUR LANE f2C�AD N PR�PAREQ BY; N � �� 05/'�/OG ATSSA TC5 NAM� QATE W � s PHdNE: �70-242-0669 � � GER7IFICATICJN��DI]37043 � ISSUE DATE; 11 1L1�b4, � EXPIRATlON DATE; 2008 �" 20C1' +l�� .,.�. .^ _ _ .._ � i` � _ ...... � ..,,.,. _ ..._ ,� — — �.�„' �� '.�.-� � FRONTAG� (�D ��.,. 350' 350' ".WO K XUN� � sioewrtii< CI.pSFp AFInUi.C]F.R �ouu5 PIbE,W�I.K , VJ�JRf( wtNtK CLOSED ICAD � .. � N4T�S: � � 1� CONTRACTOR WILL N��p SI�OULbER CLC�SEa, �, PED�5TRIANS WI��HAVE AN ALTERIVATE PATH, SIGNS: 1 -SHUULDER WORK 1 -SHC7ULDER WURK AHEAD 2-SIDEWALK CLOSEQ 2 -D�TQUR ARROW(L/R) 2-T(P� II BARRICA�E VERTICAI.PANELS J LIGHTS / r o2 �d� r°vi� ', c��c21� ��/�'d�?�P C`SEs�• � ��z�c ��-�,�„�( b� � �'' I . f � FROM :CC ENTERPRISeS FAX hl�. :9702420530 May. 1B 2006 03:2�'M P2 . ; �� ENTERPC�ISES - TRAFFIC �t��ITRC�L S��C(�LISTS, INC � Cc�ntrc�cficrr; LAY1'ON CONSTRUCTIC�N MH1'# 1 l3F 3 � Pro�ect� 4 S�ASONS - VAlL- S4UThi FRONTAGE RU,�tD � Methc�d of Handling �frafffc: SHC>ULQ�R CL4S�D�N FOUR L4NE.Rc�An � N PR�PARED BY� N �, ,�'��c r�iri}a�r• (I5/�6'/t1h' W � S ATSSA TCS NAM� DATE pwon�:�ra�a�-0�q S o CER7IFICAT{UN��Q .�7Q�13 ,.- � ISSUE DATE; 11/1112C10,4 � � EXPIRA'ClON C�ATE: 2008 > I 200' ; � i _ _..._ ,,..— _ _ ..� � � � � ,.., � ,�.rr �■ � -.' r�` � - - ...... �� .....�. � .� .�- � � �.r. Ft20NTAG�RD �� v.., � � � sso� �s� WO K�QIV� , s�wax c�,4SF.� I � � e�wnix � � ca.o�o i , NO�S: � 2, PH]ESTRIA�WfU.�HAVE AN ALT�RNEAT��H� � � ' 3fGNS: � 1 -&HC7UlDER WQRK 1 -5HC7ULDEt�WQRK AHEAD 2-SIDEWALK CLt�S� 2•DETOUR ARROW(URj i 2-lYP�!I BARRICAL7E VERTIG4L PANELS/UGFi7� f 1 . M 1 Permit Fee Worksheet ROW Use(min$50) Construction Season(as defined by Town of Vail Municipal Code) Fee Da s Lft of Closure Single Lane $ 0.15 X x = $ . Two Lane $ 0.45 X x = $ . , Three Lane $ 1.50 X x = $ _ Sidewalk/Bike Path $ 0.15 x x = $ _ Fee Months S ft of Closure Paved Surface $ 0�25 x x = $ _ Non-Paved Surface $ 0.05 X x = $ _ Non-Construction Season(as defined by Town of Vail Municipal Code) Fee Da s Lft of Closure Single Lane $ 1.00 X x = $ . Two Lane $ 3.00 X x = $ . Three Lane $ 6.00 X x = $ _ Sidewalk/Bike Path $ 0.50 x 31 x 125 = $ 1,937.50 Fee Months S ft of Closure Paved Surface $ 1.00 X x = $ . Non-Paved Surface $ 0•20 x x = a - Sub-total $ 1,937.50 Street Cut(min$50) Non-Moratorium Streets Surface Fee S ft of Cut ACC/PCC $ 0.30 X = $ _ Brick Paver $ 1.00 x = $ _ Pothole(each) $ 50.00 X = $ _ Non-Paved Surface $ 0.05 = $ . Moratorium Streets Surface Fee S ft of Cut ACC/PCC $ 8•00 x = $ - Brick Paver $ 15.00 X - $ . Pothole(each) $ 200.00 x = $ _ Non-Paved Surface $ 0.25 = $ _ Sub-Total $ _ Application/Inspection Fee $ 50.00 Total Permit Fee 1,987.50 Permit is from 3-08-07-4-15-07 New permit and fee required after 4-15-07 S.Frontage Road Staging area F:IPWISpecificationslRDWY StandardslPermit Fee Worksheet.xls FACILITY LOCATION SKETCH � Underground 719 471-oz29 Locators, L1C. � � TICKET# � � � � � 'b � Area#: ,�/�%'' LOG #: Footage: ADDRESS: f f'.�//�- /�C/ EXCAVATOR: �I�/ i� C,.� How Marked: O�Paint �'Flags ❑Nylon Whiskers Print# Time Arrived Time Completed PRIVATELY OWNED FACILITIES MAY BE IN DIG AREA. THESE INCLUDE,BUT ARE NOT LIMITED T0,SECONOARY ELECTRIC,WATER,AND AFTER METER GAS SERVICES. IT IS THE EXCAVATORS RESPONSIBIUiY TO GET THESE MARKED. ANY MARKS PROVIDED 8Y UNDERGROUND LOCATORS ARE COURTESY ONLY WITH NO WARRANiY. .__...�..,�•-•_�.e.--_-�-,...._..�..-�...�....�. .a..�.._.,_._....� NORTH i �� ' m, , G�-3'"• �'`'�1f/� �'" � t � ��+��`"�-�.� l�DIG ALERT � One or more of the following high profife facilities has been „�,,,, ,_,,,_„_ located in or near your dig area. Please pot hole and verify �/1+«� location. ❑ Electric Feeder . ' " ` ��Fiber Optic • ; � .> �. �, ,�. ._;�; ..,.. .. Ru � � s_ �JDuct n � ��," F ❑ H.P. Gas _ � ❑ 600 Pair or �, , � � Greater Telephon� �ti � ` �� ❑ 4"or Bigger Gas �>- r � � � � _ '�_. -a _�; _� � � ❑ Watch & Protect/ � � , � � � � . � Standby Required }, < '`�,, s � �' ,� , � F lea a I 7 -47 0229 � P se c I 19 1- � � �„� o_�. .._ <.��. . n.:Y ..��.._ . _,�..� • � _ �� . to schedule atime. : r , � �"-_ ..,.��..m_ � i �' EXCAVATOR NOTIFIED _` .: � ; .. _ ; � �4 � __. �""�/A/�� - � '� Name � � ,��_ � � _ ,r Date w_ �,� � j'�`.� � �'�� pM �� 11' ..,�....,,.�, � .,g�y, ��,).. Time t�+`�fr �{',,� �� _ Electric ..5� � � - Gas ... � � - CATV - Telephone "'..""'"�'.. yy - Water F/O - Fiber Opiic ° DR - Duct Run S Sewer *LOCATE MAAKS AAE ONLY G000 fOR 30 DAYS OA WHILE VISIBLE, CALL fOR AE•MARKS IF PAINT MAAKS AAE DESTAOYED OA WEATHERED. YOUR TICKET IS NOT VALID If MARKS ARE DESTROYED. THIS SKETru'" IOXIMATE: 18 INCNES HORIZONTALLY FAOM EXTEAIOR SIDE OF THE FACILITY IS CONSIDERED A CORRECT LOCATION: ExTENDED d06 AGREEMENT � Ourcompany and i agree thatthis originai locete tickel is an extended job and that locates will be done on a day-to-day basis. No excavating wiii tekeplace until signed peperwork is received by ourCompany with the dig areadefined. JAME � � DATE /,� � � Excavators Signature n job site FACILITY LOCATION SKETCH - Underground . -- , .._ Locators, [�C. (719) 471-oz29 .� . TICKET# ' � `�� % "� ? �-�' Area#: �� LOG #: Footage: ADDRESS: � ,, f�-�<f,. �:,, � EXCAVATOR: � '��;=�'��,,,.,� How Marked: ❑Paint ❑Flags ❑Nylon Whiskers Print# Time Arrived Time Completed � PRIVATELY OWNED FACILITIES MAY BE IN DIG AREA. THESE INCIUDE,BUT ARE NOT LIMITED T0,SECONDARY ELECTAIC,WATEA,AN�AFTER METEA GAS SERVICES. IT IS THE EXCAVATORS RESPONSIBILITY TO GET THESE MAAKED. ANY MARKS PROVIDED BY UNDEAGAOUND LOCATORS ARE COURiESY ONLY WITH NO WAARANTY. NORTH � ` � � ,�. ( ;-: ' ❑ DIG ALERT ? � � One or more of the following high profile facilities has been ` �.� located in or near your dig area. �?,_ ,._ , � i Please pot hole and verify . � (:t' � �OCat10�1. L._._,.._.i � ❑ Electric Feeder ❑ Fiber Optic ' ❑ Duct Run ❑ H.P. Gas - ..a ❑ 600 Pair or ' ' Greater Telephon� ' � �> ❑4"or Bigger Gas �- ❑ Watch & Protect/ � Standby Required � �,; Please cal) 719-471-0229 �'� j to schedule a time. ; , EXCAVATOR NOTIFIED ; _ . _ ,_„.__ ,._.____--------_._------• �_._-,- _._.�..�..__.._..•-.�_.__.._____-__-�_---- __ __ Name � Date �;��,;r.,,•-�%��/ PM � Time ` E — Electric G — Gas TV — CATV T — Telephone W — Water F/O — Fiber Optic ' DR — Duct Run '� S — Sewer *LOCATE MARKS AAE ONLY GOOD FOR 30 DAYS OR WHIIE VISIBLE. CALL FOR AE•MARKS IF PAINT MARKS ARE DESTROYED OR WEATHERED. YOUR TICKET IS NOT VALIU IF MARKS ARE UESTROYED. THIS SKETCH IS APPROXIMATE: 18 INCHES HORI20NTALLY FROM EXTERIOR SIUE OF THE FACILITY IS CONSIDERED A CORRECT LOCATION: EXTEN�ED dOB AGREEMENT Our company and I agree that this orig inal locate COMMENTS ticket is an extended job end thet locates will be done on a day-to-day basis. No excavating will � � , , teke place until signed paperwork is received by j " ' our Company with the dig erea defined. PRINT LOCATOR'S NAME ��i�'/� j �� 1 - ' ��; � �'� DATE — � % Excavators Signature �ature of person on job site � FACILITY LOCATION SKETCH < < Underground �OCatO/'S, LLC*. � ��19) 471-0229 ,, f,, t. TICKET# �� '� � / ' _�' � Area#: � LOG#: Footage: � / f lI� / � ADDRESS: /�i'�>j� j�c�'_ i,} EXCAVATOR: _ ��. How Markad: ❑Paint ❑Flegs ❑Nylon Whiskers Print� Time Arrived Time Completed PAIVATELY OWNED FACILITIES MAY BE IN DIG AREA. THESE INCLUUE,BUT ARE NOT LIMITED T0,SECONDARY ELECTRIC,WATER,AND AfTER METER GAS SERVICES. IT IS THE EXCAVATORS RESPONSIBILITY TO 6ET THESE MAAKEO. ANY MARKS PROVIDED BY UNDERGROUND LOCATORS AAE COURTESY ONLY WITH NO WARAANTY. � � � NORTH � �. _ . ,_ ; , , � �,. � � � \ y T � , . ; _.. � _ __ �,� � ; � , � � � � �� ' � G ALERT -'� ❑DI `°ti\ � � . One or more of the following ... _ _.., . .- - _ . _.._.. � � ,� high profile facilities has been �� located in or near your dig area. � � ""------- Please pot hole and verify .__. . . . _ _---_..--..V_ R._ ,-, c�. 1�.Q4�r' . location. _. -; ,=r� r r,; r� _ � j j� t �� ❑ Electric Feeder � "� ❑ Fiber Optic _ _ ❑ Duct Run t-�-+, � � ❑ H.P. Gas - ❑ 600 Pair or ' ( Greater Telephone ;� \ ❑4"or Bigger Gas -- . . . ' ,.,.,...----��"__"_`" "`.� _, ❑ Watch & Protect/ .-w� Standby Required ~ µ ' Please call 719-471-0229 - f ' to schedule a time. .�,___.w�_.__�..__.. ,� ,, , � ��lr/L. �.� ; �'�. � ��-' �,�-r� � EXCAVATOR NOTIFIED � �'\ �' I � * Name ,�;'�� / � ,� 1 � �, �f � �� y DBte x, AM � PM ^✓ 1 Time � � �. „ :�, i `�j�� ,:,� j� ; E — Electric ; , /'•_'_�- � G — Gas � TV — CATV , �1�--� T — Telephone � ',\ � � � W — Water � � ,_ � � F/O — Fiber Optic ��i l � DR — Duct Run �. ��1 3 �. --_ __._�.__._....__..__......__ . ., a ; s - se W er *LOCATE MARKS ARE ONLY GOOD FOA 30 DAYS OR WHILE VISIBLE. CAIL FOR RE•MAAKS I�AINT MAAKS ARE DESTAOYED OA WEATHERED. YOUR TICKET IS NOT VALID IF MARKS ARE DESTROYED, THIS SKETCH IS APPROXIMATE; 18 INCHES HORIZONTALLY FROM EXTERIOR SIDE OF THE FACILITY IS CONSIDERED A COARECT LOCATION; ExrENDEO�oa AGREEMENr Our company end I egree that this original locete COMMENTS ticket is an extended job and that locates will be _ done on a day-to-day basis. No excavating will take place until signed papervvork is received by � / , , nf � V our Company with the dig eree defined. PRINT LOCATOR'S NAME N'-=,,� �- � "�i,(, ; i � ;,; DATE�—�—� �cevators Signature Signature of person on job site ' � FACILITY LOCATION SKETCH . Undergrouad ; �OCatOI'S, LLC. (719) 471-0229 TICKET# ��`� i a ` i �/f; �.,`�; c;"�, Area#: LOG #: /1'ei,� „1,�'o �`�� " �1J �nl `� U ', Footage: �' �,� �._;, ADDRESS: ,� �'e�,,=i'�jf .�'''r;��l EXCAVATOR: �=`,'. ��;'�� How Marked: ❑Paint ❑Flags ❑Nylon Whiskers Print# Time Arrived Time Completed PRIVATELY OWNED FACILITIES MAY BE IN DI6 AAEA. THESE INCLUDE,BUT ARE NOT LIMITED T0,SECONDAAY ELECTRIC,WATER,AND AFTER METER GAS SERVICES. IT IS THE EXCAVATORS RESPONSIBILITY TO GET THESE MARKEO, ANY MARKS PROVIDED BY UNDERGROUND LOCATORS ARE COURTESY ONLY WITH NO WARRANTY. r-- „�. � � � �. � ' ` ` NORTH �,� � i ___.°-_.,..—�_____..._.__..____.��.�.--�.��._.... � ;� ❑ DIG ALERT � , � - One or more of the following � high profile facilities has been } i` located in or near your dig area. F Please pot hole and verify �,; �' location. �, �.- i ❑ Electric Feeder �' i t ❑ Fiber Optic ; ,_._.___._ ______.___.. ' ❑ Duct Run � � ...... _--.�_.___..._._.-� ! i��° ,-,! ❑ H.P. Gas � � �� + � ' 6 � ` ❑ 600 Pair or ! � ? j —� �� Greater Telephone � � � � ± ;�✓;''�;� ❑ 4"or Bigger Gas ��^��. ' t� ° � � � ❑ Watch & Protect/ l�GL �, ( { { Standby Required � � ', Please call 719-471-0229 f �� : to schedule a time. �f f �� !i I '• � ! EXCAVATOR NOTIFIED �_ __�_- -_. � a ; ' Name ! . J ,;,;.�. '' Date ' � AM � • PM ;� Time f __._._-,...-.-__°__.._��-- - ----_-_.._.____ �._ i ( + ' E - Etectric �; G - Gas _ _ TV - CATV T - Telephone '` W - Water F/O - Fiber Optic DR - Duct Run S - Sewer 'LOCATE MAAKS ARE ONLY GOOD FOR 30 DAYS OR WHILE VISIBLE, CALL FOA AE-MARKS IF PAINT MARKS ARE DESTROYED OR WEATHEAED. YOUR TICKET IS NOT VALID IF MARKS ARE DESTROYED, THIS SKETCH IS APPAOXIMATE; 18 INCNES HORIZONTALLY fROM EXTERIOR SIDE OF TNE FACILITY IS CONSIDERED A CORRECT LOCATION: EXTENDED JOB AGREEMENT Our company and I agree that this original locate COMMENTS ticket is an extended job and that locetes will be done on a day-to-day basis. No excavating will teke place until signed peperwork is received by ' "" ' � ' our Company with the dig area defined. PRINT LOCATOR'S NAME ��`"?,'� ,�� r� � �' '� i t `� �1 J�` ' DATE ;' — — � � - Excavators Signature , .. , / Signature of person on job site FACILITY LOCATION SKETCH - Underground � Locators, LLC. (719j 471-o22s _ , - - TICKET# �' �� _'! ` -�' ' , 4.' , Area#: LOG#: Footage: ADDRESS: =f��`� �==� ' . ..... ......l ... ., ' ._ �.. -'r -�� : ��i."" /i..��,"'��•- EXCAVATOR: � ` � � " ' ` How Marked: ❑Paint ❑Flags ❑Nylon Whiskers PrintN Time Arrived �r;me comp�eted 7 PRIVATELY OWNED FACILITIES MAY sE IN OIG AAEA, THESE INCLUUE,BUT ARE NOT LIMITED TQ SE�NDARY ELECTRIC,WATEA,AND AFTER METER GAS SERVICES. IT IS THE EXCAVAroaS RESPONSIBILITY � TO GET THESE MARKED. ANY MARKS PROVIDED BY UNDERGROUND LOCATOAS ARE COURTESY ONL�WITH NO WARRANTY. s t e NORTH �'`'` � i �.r'�),,�,,r=a;,�,f ;'.G.'?. : �, 1 i ''�___.,. ��'`��<`E _._._..� � I ❑ DIG ALERT � ' One or more of the following ' ; .._____ , �_.,,_,. _. � - ,�` high profile facilities has been � � � located in or near your dig area. � -_�:,�r�� Please pot hole and verify � location. " ❑ Electric Feeder � _,_ ._.�__._. __ _. _.._ ❑ Fiber Optic � . __....�__...__..�...�...,_------_ _ - ❑ Duct Run ❑ H.P.Gas 1; ;`; ❑ 600 Pair or ,+ Greater Telephone ! ❑4"or Bigger Gas � ❑Watch & Protect/ � Standby Required i , -. r . Please call 719-471-0229 i ,!=�.�` .�,� to schedule a time. ,� � �.�,`,i % EXCAVATOR NOTIFIED � ' � r.: i I *� Name � I � t ' I �' Date AM i (,: PM �, Time ; E - Electric ;-;'i' G - Gas TV - CATV I , T - Telephone W - Water i ;'� F/O - Fiber Optic �F,r DR - Duct Run ; S - Sewer I *LOCATE MARKS ARE ONLY GOOD FOR 30 DAYS OR WHILE VISIBLE. CALL FOR RE•MARKS IF PAIN!MARKS ARE DESTROYEU OR WEATHEAED, YOUR TICKET IS NOT VALID IF MARKS ARE DESTROYED. THIS SKETCH IS APPAOXIMATE: 18 INCHES HORIZONTALLY FROM EXTEAIOR SIOE OF THE FACILITY IS CONSIDERED A CORRECT LOCATION; E�ENDED JOB AGREEMeNT Our company end I agree that this origirel loca COMMENTS ticket is an extended job and thet locates will t done on a day-to-day basis. No excavating� � take place�until signed peperwork is received k our Company with the dig area defined. PRINT LOCATOR'S NAME ,f';' l= • fi '' DATE — ��—�"Excavators Signature , � Signature of person on job site � �