HomeMy WebLinkAboutCDOT Utility PermitCOLORADO DEPARTMENT OF TRANSPORTATION
UTILITY PERMIT
PERMITTEE
Name
DEPARTMENT USE ONLY
Date issued 6/5/06
TOWN OF VAIL/\A 11, PLAZA DF\ F1,011\1 ENT. LL(' IDA) MOR (0RP.. NA.)
Permit# 13,088
Address
S.H.# 070 S. FR M.P. 176mm
1309 ELKHORN DRIVE /12 \AIL ROM). SLII'E li-100
District 03
VAIL, CO 81657/ All.. ('O 81657
Section 02
Telephone: (970) 479 - 2198/477 -1 105 Representative: L. SANDOVAL /( .DORs1 1
Patrol 2MARY4
NOTICE TO PERMITTEE: You must notify owner or operator of underground utility facilities at least two (2) business days prior to making or beginning
excavations in the vicinity of such facilities, as required under Section 9 -1.5 -103, Colorado Revised Statutes. CALL UTILITY NOTIFICATION CENTER OF
COLORADO (UNCC), I- 800-922 -1987 & CDOT 970 - 248 -7230, FOR MARKING OF MEMBER UTILITIES.. CONTACT NON - MEMBER UTILITIES DIRECTLY
ACTIVITY DESCRIPTION (Furnished by Permittee)
PURPOSE XX Installation ❑ Adjustment ❑ Removal ❑ Maintenance of existing Facility
FACILITY (Type, size, class of transmittant, design pressure or potential, etc.) 15 INCH RCP STORM SEWER CROSSING OF FRONTAGE RD,
AND A 18 INCH RCP CONNECTION TO EXISTING STORM SEWER ON VAIL ROAD. INSTALL CURB INLETS.
NATURE OF INSTALLATION XX Longitudinal (Parallel) XX Transverse (Crossing)
XX Buried* ❑ Aerial /Ground- mounted []Attach. To Hwy. Str. No.
LOCATION State Hwy. No. 070A S. Frontage Rd County EAGLE City/Town VAIL
Milepoint(s) 176mm Intersecting Feature(s): VAIL ROAD
ADDITIONAL REMARKS CURRENT INSURANCE CERTIFICATE ON FILE. PLEASE REVIEW & COMPLY WITH THE ATTACHED
"LATE FALL, WINTER & SPRING SPECIAL PROVISIONS FOR UTILITY INSTALLATIONS"
For underground facility location information, contact: t -NCC & CDOT Telephone 1 -800- 922 -1987 & (970) 248 -7230
SPECIAL PROVISIONS ( comDleted by the Department) The Special Provisions are terms and conditions of this permit.
Any work shall only be in accordance with the approved plans and special provisions as set forth in this permit and its attachments.
The CDOT inspector is LARRY DUNGAN Telephone (970) 845 -8816 Fax (970)845 -8816
Work is to be completed on or before: 9/15/06 or within days, (as applicable)
Work time restrictions: DAYLIGHT HOURS ONLY. NO WEEKENDS OR HOLIDAYS.
Designated minimum cover is PER PLANS Designated overhead clearance is N/A
(ALSO SEE ATTACHED STANDARD PROVISIONS, AND ADDITIONAL SPECIAL PROVISIONS), (TRAFFIC CONTROL MUST CONFORM TO THE MUTCD)
Other: FIELD INSPECTOR SHALL BE NOTIFIED 48 HOURS PRIOR IS TO BEGIN OR PERMIT IS VOID.
Permittee is prohibited from commencing any work within highway ROW prior to issuance of a fully endorsed and validated permit. Permit,
plan exhibit, insurance certificate(s), 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 use and/or occupy state highway system rights of way 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, Permittee hereby assumes, releases and agrees to indemnify, defend, protect, and save the State of Colorado harmless
from and against any loss and /or damages to the property of the State of Colorado, third parties or the Permittee's facilities, and all loss and/or damage on
account of injury to or death of any person whomsoever, arising at any time, caused by or growing out of the occupation of Colorado State Highway rights
of way by Permittee's facilities or any part thereof, including but not limited to installation, adjustment, relocation, maintenance or operation, or removal
of existing facilities, unless such loss and/or damage arises from the sole negligence or willful conduct of the State of Colorado or its employees or agents.
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 EXECUTED COPY OF THIS PERMIT MUST BE ON FILE AT THE TRANSPORTATION
REGION OFFICE.
In accepting this 64nit the undersigned, representing the Permittee, verifies that he or she has the authority to sign for and bind the Permittee, and that
to or she has rearderstands and accepts all the included conditions.
Attested Ddte Signature Date
s____J_� _�3 /_r�____ _ _ _ _ ________________J_U ___ 04___
Ti le
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COLORADO DEPARTMENT OF TRANSPORTATION ; By p ��a ✓fir Date
Chief Engineer ED FINK / MIKE VERKETIS 1 6/5/06
CDOT Form # 333a Rev. 02/01