CDOT Form 0464 "Design Exception Variance Request" - Colorado

What Is CDOT Form 0464?

This is a legal form that was released by the Colorado Department of Transportation - a government authority operating within Colorado. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2018;
  • The latest edition provided by the Colorado Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of CDOT Form 0464 by clicking the link below or browse more documents and templates provided by the Colorado Department of Transportation.

ADVERTISEMENT
ADVERTISEMENT

Download CDOT Form 0464 "Design Exception Variance Request" - Colorado

708 times
Rate (4.8 / 5) 35 votes
COLORADO DEPARTMENT OF TRANSPORTATION
FHWA
Project Code
Oversight
DESIGN EXCEPTION VARIANCE REQUEST
Yes
No
Project name
Date
Project Number
Type (check all that are applicable)
Revised
Region
New construction
Restoration
Resurfacing
Rehabilitation
Reconstruction
Safety
Enhancement
Part 1 – Complete A through H for all projects.
A.
Short project description (
see CDOT Form 463 for more detailed description)
AASHTO standards apply
3R standards apply
Other:
B.
Description of standard(s) reduced
C.
Rational need for exception(s)
D.
Mitigation measures proposed (include safety discussion)
E.
Description of adjoining sections: (
see CDOT Form 463)
Other:
same as existing project
same as proposed project
Supporting Data Driven Safety Analysis (DDSA)
F.
G. Cost
Analysis Completed:
Yes
No
DDSA Summary or explanation if no DDSA performed:
Estimated item cost if built to full standard
$
Estimated item cost with exception
$
+ difference in cost:
$
H. Other (as needed)
Part 2 – Appropriate signatures required.
A. Submitted by (Project Manager)
Date
Program Engineer Approval
Date
Resident Engineer Approval
Date
Required for Federal-oversight projects only
Approved by (FHWA Division Administrator)
Date
B.
Not approved
Conditions/comments
Approved with conditions
Previous editions are obsolete and may not be used.
Distribution:
Project Manager
Program Engineer
Resident Engineer
HQ Records Center
FHWA, if applicable
CDOT Form #0464 10/18
COLORADO DEPARTMENT OF TRANSPORTATION
FHWA
Project Code
Oversight
DESIGN EXCEPTION VARIANCE REQUEST
Yes
No
Project name
Date
Project Number
Type (check all that are applicable)
Revised
Region
New construction
Restoration
Resurfacing
Rehabilitation
Reconstruction
Safety
Enhancement
Part 1 – Complete A through H for all projects.
A.
Short project description (
see CDOT Form 463 for more detailed description)
AASHTO standards apply
3R standards apply
Other:
B.
Description of standard(s) reduced
C.
Rational need for exception(s)
D.
Mitigation measures proposed (include safety discussion)
E.
Description of adjoining sections: (
see CDOT Form 463)
Other:
same as existing project
same as proposed project
Supporting Data Driven Safety Analysis (DDSA)
F.
G. Cost
Analysis Completed:
Yes
No
DDSA Summary or explanation if no DDSA performed:
Estimated item cost if built to full standard
$
Estimated item cost with exception
$
+ difference in cost:
$
H. Other (as needed)
Part 2 – Appropriate signatures required.
A. Submitted by (Project Manager)
Date
Program Engineer Approval
Date
Resident Engineer Approval
Date
Required for Federal-oversight projects only
Approved by (FHWA Division Administrator)
Date
B.
Not approved
Conditions/comments
Approved with conditions
Previous editions are obsolete and may not be used.
Distribution:
Project Manager
Program Engineer
Resident Engineer
HQ Records Center
FHWA, if applicable
CDOT Form #0464 10/18