HomeMy WebLinkAbout3180092 Signed.pdf COLORADO DEPARTMENT OF TRANSPORTATION
UTILITY PERMIT
PERMITTEE APPLICANT DEPARTMENT USE ONLY
Name:Eagle River Water and Sanitation District Name: Date Issued: 03/30/2018
REP:Jeffrey Schneider REP: permit# 3180092 Milepost(s)
Address: Address: S.H.# 070 172.920
846 Forest Rd
Vail,Colorado 81657 Region:3 173.720
Email: jschneider@avon.org Email: S.H.Section:A
Telephone:(970)748-4134 Telephone: Patrol: 2M19 Fred Etter
NOTICE TO PERMITTEE:For underground facility location Information,contact the Utility Notification Center of Colorado(UNCC).Pursuant to 9-1.5-103 C.R.S.you shall
not make or begin excavation without first notifying the UNCC and if necessary,then notifying the tier two members having underground facilities in the area of such
excavation.Notification shalt also be given to the CDOT regional permitting office,or as otherwise directed by this Permit's Special Provisions. Notice of the
commencement,extent and duration of the excavation work shall be given at least two business days prior thereto,not including the day of actual notice. The UNCC
may be called at 1-800-922-1987.COOT shall be cailed at 970-683-7534 for CDOT owned Utilities.
ACTIVITY DESCRIPTION(T urnished by Permittee)
PURPOSE ®installation 0 Adjustment D Removal 0 Maintenance of Existing Facility
FACILITY (Type,size,class of transmittant,design pressure or etc.) 1000'of 16"PVC C905 gravity sewer main installation
DESCRIPTION OF WORK:Connect 2 segments of previous sewer main in 1-70 South Frontage road.Daily compaction tests required.
NATURE OF INSTALLATION:®Longitudinal ❑Transverse(Crossing) ®Burled 0 Aerial/Ground-mounted
LOCATION:Vail South frontage road from MP 172.92-173.72,2 locations
County:Eagle County City/Town:Vail
ADD)I I ONAL REMARKS: in joint coordination and oversight from Town of Vail and CDOT.Read General Terms and Conditions.
SPECIAL PROVISIONS(completed 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 Dave Kuhn Telephone: (970)845-1093
inspector Email:davld.kuhn@state.co.us
Work is to be completed on or before:03/30/2019 or within days,(as applicable)
Work time restrictions: Daylight hours only.No weekends,holidays,or during special events..
Designated minimum cover is See section 900,Terms Designated overhead clearance is N/A
(ALSO SEE ATTACHED STANDARD PROVISIONS,AND ADDITIONAL SPECIAL PROVISIONS), (TRAFFIC CONTROL MUST CONFORM TO THE MUTCD)
Other:INSPECTION SERVICES REQUIRED,SEE ADDITIONAL SPECIAL PROVISIONS Field Inspector shall be notified 48 hours prior to beginning work or
permit is void.Contact Field Inspector for final Inspection and sign off.
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 exifting 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.
S. In accepting this permit the undersigned,representing the Permittee,verifies that he or she has the authority to sign f• l •Ind the Permittee,and that he or she
has read,understands and accepts all the included conditions. A
CDOT Date Permittee Signature ��'i�r Datum
dire. a- � 1"rp
OLORADORegional DEPARTMENT OF TRANSPORTATION Print NameJitle
ChiefSignature:Engineer, Transportation Director or Designee
"Distribution: Region File(Original) Mtce Landscaping Supvr
Permittee/Applicant Inspector CDOT Porm#0333 01/09
Mtce Patrol Supvr. Previous versions are obsolete and should not be used.