HomeMy WebLinkAboutCDOT Special Permit 2tLORADO DEPARTMENT OF TRANSPORTATION
;PECIAL USE PERMIT LANDSCAPE XXGENRALCONSTN []SURVEY ❑OTHER( )
'ERMITTEE
DEPARTMENT USE ONLY
Name
Date issued 11/12/07
LAYTOHN CONSTRUCTION COMPANY, INC.
Permit # 13,738
Address
S.H.# 070A FR M.P. 175.94- 176.02mm
9090 SOUTH SANDY PARWAY
District 03
SANDY, UT 84070
Section 02
Telephone (970)470 -5389 Ext. 13 Representative: MARK REED
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 & CDOT), 1- 800 - 922 -1987 & (970) 683 -6271, FOR MARKING OF MEMBER UTILITIES.. CONTACT NON - MEMBER UTILITIES DIRECTLY
ACTIVITY DESCRIPTIO (Furnished by Fermi
NATURE OF ACTIVITY BUILD TEMPORARY SIDEWALK, RELOCATE EXISTING GATE & INSTALL NEH' CONDUIT FOR RELOCATION OF
LIGHT FIXTURES. UTILITY PERMIT WILL BE REQ UIRED TO INSTALL ELECTRICAL CABLES & CONECT TO ELECTRIC SOURCE.
LOCATION: State Hwy. No. 070A Frontage Rd. County EAG LE
Mile point(s) 175.94- 176.02mm Intersecting Feature(s):
Other Location Information
ADDITIONAL REMARKS CURRENT INSURANCE CERTIFICATE ON FILE. PLEASE REVIEW & COMPLY WITH THE ATTACHED
"LATE FALL, WINTER &
the Deaartment) The
are terms and conditions of tnis
Any work shall only be in accordance with the special provisions and other applicable details as set forth in this permit and its attachments.
The CDOT Inspector is: LARRY DUNGAN
Work is to be completed on or before: 11/15/07
Telephone (970)845 -8816 Fax(970)845 -8816
or within days, (as applicable)
Work time restrictions: DAYLIGHT H OURS 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 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 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, expenses, 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 cancel) iscretion of
the Department of Transportation.
4. THIS PERMIT 1S NOT VALID UNTIL FULLY ENDORSED BY ALL PARTIES, WITH DATE OF ISSUE AFF
REPRESENTATIVE OF THE DEPARTMENT. A FULLY EXECUTED COPY OF THIS PERMIT MUST BE ON FILE
REGION OFFICE.
ATION
5. in accepting this permit the undersigned, representing the Permittee, verifies that he or she has the authority to sign for Permittee, and that
he or she has read, understands and accepts all the included conditions.
Attested Date 1 Signature Date
----------------------------------- - - - - --
Title I Title
1 �►�C G C Srt-CcL, . tQ/
COLORADO DEPARTMENT OF TRANSPORTATION ; By Date of issue
Chief Engineer Regional Transportation Director or Designee 1 11/12/07
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