HomeMy WebLinkAboutCDOT Special Use Permit12/21/2005 14:18 9702487294 CDOT R3 TRAFFIC PAGE 02
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SPECIAL USE PERMIT ❑LANDSCAPE CENRAL CONSTN ❑SURVEY XXOTHER (TEMP. OFFLOAD)
PEWy1TTEE 4rDFEPARTMENT USE ONLY
NJtriie ssued 12/21/05
DAYMER CORPORATION t # 12,879
Address 070A S Frontage Rd. M.P.176mm
VAIL VILLAGE INN 12 VAIL ROAD, SUITE 200 ct 03
VAIL, CO 81567 n 02
Telephone (970)476 -5622 Representative: CONNiE DORSEY i Patrol 2MARY4
NOTICE TO PERMITTER: You wait notify owner or operator of underground utility facilities at least two (2) business days prior to nuking or beginning
excavations in the vicinity of such facilities, as required under Section 9 -1 5-103, Colorado Revised Statutes. CALL U77LIW NOTIFICATION CENTER OF
COLORADO (UNCC/CDOT). l.0t-y22.I917N97sj 240 -7230, FOR MARKING OF MEMBER UTtLMM . CONTACT NON - MEMBER UTFUTIES DIRECTLY
NATURE OF ACTIVITY TEMPERARY TRUCK OFFLOADING WiTHiN CDOT RIGHT OF WAY
LOCATION: State Hwy. No. 070A S FR County EAGLE
Mile point(* 176mm Intersecting Pcature(s). _
Other Location Information
ADDITIONAL REMARKS
CURRENT INSURANCE CERTIFICATE ON PILE.
City/Town VAIL
orai.sAL rKOV1SIUNS (completed by the Department The Special Provisions are terse and conditions of this Dermit-
Any work shall only be in accordance with the special provisions and other applicable details as act forth in this permit and its attachments.
The CDOT inspector is: LARRY DUNGAN
Work is to be completed on or before: 11/15/(16
Telephone (970)84.4 8816 Fax (970)845.8816
or within days. (as armlicable)
Work time restrictions: DAYLIGHT HOURS ONLY, NO WEEKENDS OR HOLIDAYS
(ALSO SEE ATTACHED STANDARD PROVISIONS, AND ADDITIONAL SPECIAL PROVISIONS), (TRAFFIC CONTROL MUST CONFORM TO THE MUTCD)
Other.
Permittee is prohibited from commencing any activity within highway ROW prior to issuance of a fully endorsed and validated permit
Permit, insurance certlfieate(sN and traffic control plan must be available on site during work. High visibility vests are required at all times
during working hours.
1. Your request to perform the work as described above is granted subject to the terms and conditions of this permit, including the Standard And Special
Provisions as shown on the permit and all attachments hereto.
2. To the extent authorized by law, the Permittee shall Indemnify, save, and hold harmless the State, Its employees and agents, against any and all claims,
damages, liability, and court awards including costs, espensea, and attorney fees incurred as a result of Any act or omission by the Permittee, or its
employees, Agents, subcontractors or Assignees pursuant to the terms of this permit.
3. Failure by the Permittee to comply with any of the included terms or conditions may subject this permit to suspension or cancellation, at the discretion of
the Department of Transportation.
4. THIS PERMIT IS NOT VALID UNTIL FULLY ENDORSED BY ALL PARTIES, WiTH DATE OF ISSUE AFFIXED BY AN AUTHORIZED
REPRESENTATIVE OF THE DEPARTMENT. A FULLY EXECUTIED COPY OF THiS PERMIT MUST 13E ON FILE AT THE TRANSPORTATION
REGION OFFICE.
5, In Accepting this permit the undersigned, representing the Permittee, verifies that he or she has the authority to sign for and bind the Permittee, and that
be or she has read, understands and accepts all the included conditions.
Attested Date 1 Signature Date
1
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itle l Title - - - -- ----- - - - " --
1
COLORADO DEPARTMENT OF TRANSPORTATION EY Date of issue
Chief Engineer ? Regional Transportation Director or Designee 12/21/05
CDOT Form 0 1283a Z/0]
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