CDOT Form 0333 "Utility Permit" - Colorado

What Is CDOT Form 0333?

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 February 1, 2006;
  • The latest edition provided by the Colorado Department of Transportation;
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  • Fill out the form in our online filing application.

Download a printable version of CDOT Form 0333 by clicking the link below or browse more documents and templates provided by the Colorado Department of Transportation.

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Download CDOT Form 0333 "Utility Permit" - Colorado

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COLORADO DEPARTMENT OF TRANSPORTATION
UTILITY PERMIT
PERMITTEE
DEPARTMENT USE ONLY
Name
Date issued
Permit #
Address
S.H.#
M.P.
Region
Section
Telephone:
Representative:
Patrol
NOTICE TO PERMITTEE: Pursuant to 9-1.5-103 C.R.S. you shall not make or begin excavation without first notifying the Utility Notification Center of
Colorado (UNCC) and if necessary, then notifying the tier two members having underground facilities in the area of such excavation. Notification shall 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 wsork 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.
ACTIVITY DESCRIPTION (Furnished by Permittee)
PURPOSE
Installation
Adjustment
Removal
Maintenance of existing Facility
FACILITY (Type, size, class of transmittant, design pressure or etc. )
NATURE OF INSTALLATION
Longitudinal (Parallel)
Transverse (Crossing)
Buried
Aerial/Ground-mounted
Attach. To Hwy. Str. No.
LOCATION
State Hwy. No.
County
City/Town
Milepoint(s)
Intersecting Feature(s):
ADDITIONAL REMARKS
For underground facility location information, contact:
Telephone
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
Telephone
Work is to be completed on or before:
or within
days, (as applicable)
Work time restrictions:
Designated minimum cover is
Designated overhead clearance is
(
ALSO SEE ATTACHED STANDARD PROVISIONS, AND ADDITIONAL SPECIAL PROVISIONS), (TRAFFIC CONTROL MUST CONFORM TO THE MUTCD)
Other:
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.
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.
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.
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.
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 permit the undersigned, representing the Permittee, verifies that he or she has the authority to sign for and bind the Permittee, and that
he or she has read, understands and accepts all the included conditions.
Attested
Date
Signature
Date
Title
Title
By
Date
COLORADO DEPARTMENT OF TRANSPORTATION
Chief Engineer
Regional Transportation Director or Designee
Distribution: District File (Original)
1
CDOT Form # 0333 02/06
Permittee/Applicant
Inspector
Mtce Patrol Supvr.
Mtce Landscaping Supvr
Previous versions are obsolete and should not be used.
COLORADO DEPARTMENT OF TRANSPORTATION
UTILITY PERMIT
PERMITTEE
DEPARTMENT USE ONLY
Name
Date issued
Permit #
Address
S.H.#
M.P.
Region
Section
Telephone:
Representative:
Patrol
NOTICE TO PERMITTEE: Pursuant to 9-1.5-103 C.R.S. you shall not make or begin excavation without first notifying the Utility Notification Center of
Colorado (UNCC) and if necessary, then notifying the tier two members having underground facilities in the area of such excavation. Notification shall 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 wsork 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.
ACTIVITY DESCRIPTION (Furnished by Permittee)
PURPOSE
Installation
Adjustment
Removal
Maintenance of existing Facility
FACILITY (Type, size, class of transmittant, design pressure or etc. )
NATURE OF INSTALLATION
Longitudinal (Parallel)
Transverse (Crossing)
Buried
Aerial/Ground-mounted
Attach. To Hwy. Str. No.
LOCATION
State Hwy. No.
County
City/Town
Milepoint(s)
Intersecting Feature(s):
ADDITIONAL REMARKS
For underground facility location information, contact:
Telephone
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
Telephone
Work is to be completed on or before:
or within
days, (as applicable)
Work time restrictions:
Designated minimum cover is
Designated overhead clearance is
(
ALSO SEE ATTACHED STANDARD PROVISIONS, AND ADDITIONAL SPECIAL PROVISIONS), (TRAFFIC CONTROL MUST CONFORM TO THE MUTCD)
Other:
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.
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.
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.
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.
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 permit the undersigned, representing the Permittee, verifies that he or she has the authority to sign for and bind the Permittee, and that
he or she has read, understands and accepts all the included conditions.
Attested
Date
Signature
Date
Title
Title
By
Date
COLORADO DEPARTMENT OF TRANSPORTATION
Chief Engineer
Regional Transportation Director or Designee
Distribution: District File (Original)
1
CDOT Form # 0333 02/06
Permittee/Applicant
Inspector
Mtce Patrol Supvr.
Mtce Landscaping Supvr
Previous versions are obsolete and should not be used.
CDOT UTILITY/RELOCATION/SPECIAL USE PERMIT STANDARD PROVISIONS
e.
For any permanent Permittee-owned installations located
The following Standard Provisions are terms and
within the State Highway Right of Way, highway repairs, or
conditions of this permit:
site restoration, Completed Operations coverage shall be
provided for a minimum period of one year following final
Effective March 1, 2006
acceptance of work.
Utility work authorized under this permit shall comply with the requirements of
If any aggregate limit is reduced below 1,000,000
the State Highway Utility Accommodation Code, and applicable federal, state,
because of claims made or paid, the Permittee, or
local, and industry codes and regulations.
as applicable - their Contractor, shall immediately
obtain additional insurance to restore the full
Construction of any portion of the highway facility, including the pavement
aggregate limit and furnish to CDOT a certificate
structure, subsurface support, drainage, landscaping elements and all
or other document satisfactory to CDOT showing
appurtenant features, shall comply with the provisions of the CDOT Standard
compliance with this provision.
Specifications for Road and Bridge Construction, and with the Colorado
Standard Plans (M & S Standards).
3)
Automobile Liability Insurance covering any auto (including
owned, hired and non-owned autos) with a minimum limit as
1.
COMMENCEMENT AND COMPLETION
follows: $1,000,000 each accident combined single limit.
Work on highway Right of Way (ROW) shall not commence prior to issuance
4)
For any: a) engineering design; b) construction inspection; or, c)
of a fully endorsed and validated permit.
traffic control plans approved by a Traffic Control Supervisor;
done in association with the operations or installations authorized
Permittee shall notify the CDOT inspector:
by this permit, Professional Liability Insurance with minimum
a.
At least 2 working days prior to commencing work, or resuming
limits of liability of not less than $1,000,000 Each Claim and
operations which have been suspended for five or more consecutive
$1,000,000 Annual Aggregate. If the policy is written on a
working days
Claims Made form, the Permittee, or, as applicable – their
b.
When suspending operations for 5 or more working days
Consultant or Contractor, shall renew and maintain Professional
c.
Upon completion of work.
Liability Insurance for a minimum of two years following final
acceptance of the work, or provide a project specific Policy with
Work shall not proceed beyond a completion date specified in the Special
a two year extended reporting provision.
Provisions without written approval of the Department.
5)
Pollution Legal Liability Insurance with minimum limits of
2.
PLANS, PLAN REVISIONS, ALTERED WORK
liability of $1,000,000 Each Claim and $1,000,000 Annual
Aggregate. CDOT shall be named as an additional insured to the
Plans or work sketch (EXHIBIT A) are subject to CDOT approval. A copy of
Pollution Legal Liability policy. If the Policy is a component of
the approved plans or sketch must be available on site during work. Plan
the Professional Liability Policy, the Additional Insured
revisions or altered work differing in scope or nature from that authorized
requirement is waived, and the Policy shall be written on a
under this permit, are subject to CDOT prior approval. Permittee shall
Claims Made form, with an extended reporting period of at least
promptly notify the CDOT inspector of changed or unforeseen conditions,
two year following final acceptance of the work.
which may occur on the job.
3.
INSURANCE
6)
Umbrella or Excess Liability Insurance with minimum limits of
$1,000,000. This policy shall become primary (drop down) in
Insurance Requirements for Utility and Special-Use Permits (Revised 7-05 per
the event the primary Liability Policy limits are impaired or
State Requirements)
exhausted. The Policy shall be written on an Occurrence form
and shall be following form of the primary. The following form
A.
The Permittee shall obtain, and maintain at all times during the
Excess Liability shall include CDOT as an additional insured.
performance of work authorized by this Permit, insurance in the
following kinds and amounts. The Permittee shall require any
B.
CDOT shall be named as additional insured on the Commercial
Contractor working for them within the State Highway Right of
General Liability and Automobile Liability Insurance policies.
Way to obtain like coverage. The Permittee shall also require any
Completed operations additional insured coverage shall be on
Contractor or Consultant performing work described in sub-
endorsements CG 2010 11/85, CG 2037, or equivalent. Coverage
paragraph 4) below, to obtain Professional Liability Insurance.
required by the Permit will be primary over any insurance or self-
insurance program carried by the State of Colorado.
1) Workers’ Compensation Insurance as required by state statute,
and Employer’s Liability Insurance covering all employees
C.
The Insurance shall include provisions preventing cancellation or
acting within the course and scope of their employment and
non-renewal without at least 30 days prior notice to CDOT by
work on the activities authorized by this Permit.
certified mail.
2) Commercial General Liability Insurance written on ISO
D.
The Permittee, or, as applicable – their Contractor or Consultant,
occurrence form CG 00 01 10/93 or equivalent, covering
will require all insurance policies in any way related to the Permit
premises operations, fire damage, independent Consultants,
and secured and maintained by the Permittee, Contractor or
products and completed operations, blanket contractual liability,
Consultant, to include clauses stating that each carrier will waive all
personal injury, and advertising liability with minimum limits
rights of recovery, under subrogation or otherwise, against CDOT,
as follows:
its agencies, institutions, organizations, officers, agents, employees
and volunteers.
a.
$1,000,000 each occurrence;
E.
All policies evidencing the insurance coverages required hereunder
b.
$2,000,000 general aggregate;
shall be issued by insurance companies satisfactory to CDOT.
c.
$2,000,000 products and completed operations aggregate;
F.
The Permittee, or as applicable - their Contractor or Consultant,
and
shall provide certificates showing insurance coverage required by
this Permit to CDOT prior to commencing work. No later than 15
d.
$50,000 any one fire.
days prior to the expiration date of any such coverage, the
Permittee, Contractor or Consultant, shall deliver CDOT certificates
02/06
CDOT Permit Form 333 and Standard Provisions Page 2 of 6
CDOT UTILITY/RELOCATION/SPECIAL USE PERMIT STANDARD PROVISIONS
of insurance evidencing renewals thereof. At any time during the
standard plans for signing - Standard Plans S 630-1 and S 630-2.
term of this contract, CDOT may request in writing, and the
The TCP shall include provisions for the passage of emergency
Permittee, Contractor or Consultant, shall thereupon within 10 days
vehicles through the work zone, and shall conform to the
supply to CDOT, evidence satisfactory to CDOT of compliance
requirements of the Americans with Disabilities Act. The TCP and
with the provisions of this section.
MHT’s shall contain sufficient detail to demonstrate conformity
with all applicable requirements.
G.
Notwithstanding subsection A of this section, if the Permittee is a
“public entity” within the meaning of the Colorado Governmental
c.
The Permittee shall have a competent person at the work site at all
Immunity Act CRS 24-10-101, et seq., as amended (“Act’), the
times in responsible charge of temporary traffic control. In
Permittee shall at all times during the term of this permit maintain
situations where the TCP goes beyond any Typical Application
only such liability insurance, by commercial policy or self-
shown in the MUTCD, or particularly dangerous roadway or traffic
insurance, as is necessary to meet its liabilities under the Act. Upon
conditions exist, the Department may require the Permittee to have
request by CDOT, the Permittee shall show proof of such insurance
a Traffic Control Supervisor (TCS) develop or approve the TCP or
satisfactory to CDOT. Public entity Permittees are not required to
to have a TCS on-site during work. The TCS shall be certified as a
name CDOT as an Additional Insured.
worksite traffic supervisor by either the American Traffic Safety
Services Association (ATSSA) or the Colorado Contractors
Association (CCA), and shall have a current CDOT flaggers’
H.
If the Permittee engages a Contractor and/or Consultant to act
certification card. The TCS shall be responsible for the planning,
independently from the Permittee on the permitted work, that
preparation, coordination, implementation, and inspection of the
Contractor and/or Consultant shall be required to provide an
TCP.
endorsement naming CDOT as an Additional Insured on their
Commercial General Liability, Auto Liability, Pollution Legal
d.
The Permittee shall not start the permitted work before the
Liability and Umbrella or Excess Liability policies.
Department accepts the TCP.
4.
WORK WHERE DEPARTMENT LACKS AUTHORITY
e.
The Department may review and order changes to the TCP and
MHT’s during performance of the work, as required.
Utility work within municipal boundaries (pursuant to 43-2-135 CRS), on
certain public lands, or on private property, may require separate approval of
f.
The Permittee shall comply with the TCP at all times during
the appropriate jurisdictional agency or property owner.
performance of the work.
5.
INSTALLATIONS ON FREEWAYS
g.
The Permittee shall keep a copy of the TCP at the work site at all
times during performance of the work for inspection.
CDOT may permit utility accommodations on freeways, including but not
limited to the Interstate System, only in accordance with Utility
h.
The TCP shall ensure that closure of intersecting streets, road
Accommodation Code provisions. Special case exceptions as defined therein
approaches and other access points is minimized. On heavily
may be permitted only in accordance with FHWA-approved Departmental
traveled highways, the Department will not permit operations that
policy.
interfere with traffic during periods of peak traffic flow.
6.
JOINT USE ALTERNATIVES
i.
When Permittee operations coincide with highway construction or
maintenance operations, the Permittee shall develop and implement
As directed or approved by CDOT, if necessary for the safe and efficient use of
the TCP in cooperation and coordination with the highway agency
the ROW, Permittee shall utilize joint use facilities such as the placement of
and/or its contractors and as otherwise directed by the Department
two or more separate lines in a common trench, or attachment to the same
in the permit.
overhead support. The Permittee will be responsible for proper coordination
with other affected utilities.
j.
All flaggers shall have a current CDOT flagger certification card
and shall be capable of communicating with the traveling public and
7.
ATTACHMENT TO HIGHWAY STRUCTURES
others at the work site.
Permittee is responsible for designing structure attachments, subject to the
10. NCHRP 350 CRASHWORTHINESS REQUIREMENTS FOR
approval of the CDOT Staff Bridge Design Engineer.
WORK ZONE TRAFFIC CONTROL DEVICES
8.
DRAINAGEWAYS AND WATERCOURSES
Work zone devices designated by FHWA as: Category I, including but not
limited to single-piece drums, tubes, cones and delineators; Category II,
The flow of water shall not ever be impaired or interrupted. Where possible,
including but not limited to barricades, vertical panels with light, drums or
crossings of ditches, canals or water-carrying structures shall be bored or
cones with light, portable sign supports, intrusion detectors and type III
jacked beneath. Irrigation ditch or canal crossings require approval of the ditch
barricades; or as Category III, including but not limited to concrete barriers,
company or owner. Permittee shall repair damage to any drainage facility to the
fixed sign supports, crash cushions, and other work zone devices not meeting
satisfaction of the owner.
the definitions of Category I or II; shall meet NCHRP 350 crash test
requirements. The Permittee, or their contractor shall obtain and make
9.
TRAFFIC CONTROL PLAN
available upon request, the manufacturer’s written NCHRP 350 certification, or
as applicable, the FHWA Acceptance Letter, for each type of device. FHWA
a.
Prior to commencing work, the Permittee shall develop and submit
Acceptance Letters for Category II or Category III Work Zone Devices may be
to the Department for acceptance, a Traffic Control Plan (TCP) for
accessed through the FHWA website at
any accommodation work that will affect traffic movement or
http://safety.fhwa.dot.gov/roadway_dept/road_hardware/wzd.htm
safety. The Permittee shall implement the TCP and utilize traffic
control devices as necessary to ensure the safe and expeditious
11. WORKER SAFETY AND HEALTH
movement of traffic around and through the work site.
a. All workers within the State Highway right of way shall comply with
b.
The Permittee shall develop the TCP, and Methods of Handling
their employer’s safety and health policies/procedures and all
Traffic (MHT’s) included therein, in conformance with the Manual
applicable U.S. Occupational Safety and Health Administration
on Uniform Traffic Control Devices (MUTCD), the Colorado
(OSHA) regulations - including, but not limited to the applicable
Supplement thereto adopted by the Commission pursuant to sections
sections of 29 CFR Part 1910 - Occupational Safety and Health
42-4-104 and 42-4-105 CRS, the Department’s standard
Standards and 29 CFR Part 1926 - Safety and Health Regulations
specifications for temporary traffic control and the Department’s
for Construction.
02/06
CDOT Permit Form 333 and Standard Provisions Page 3 of 6
CDOT UTILITY/RELOCATION/SPECIAL USE PERMIT STANDARD PROVISIONS
d.
Construction or compaction by means of jetting, puddling, or water
b.
Personal protective equipment (PPE) (e.g. head protection,
flooding is prohibited within all highway ROW.
footwear, high visibility apparel, safety glasses, hearing protection,
respirators, gloves, etc.) shall be worn as appropriate for the work
e.
Thrust blocks are required on all vertical and horizontal bends in
being performed, and as specified in regulation. At a minimum, all
pressure pipes.
workers in the SH ROW, except when in their vehicles, shall wear
the following personal protective equipment:
f.
Meters shall not be placed on highway ROW except within
corporate limits where municipal regulations allow such use.
1)
Head protection that complies with the ANSI Z89.1standard;
15. ALIGNMENT, COVER, CLEARANCE
2)
At all construction sites or whenever there is danger of injury
to feet, workers shall comply with OSHA’s PPE requirements
a.
Location and alignment of Permittee's facilities shall only be as
for foot protection per 29 CFR 1910.136, 1926.95, and
specified in this permit or as otherwise indicated in the approved
1926.96. If required, such footwear shall meet the
plans or work sketch (EXHIBIT A).
requirements of ANSI Z41;
b.
Parallel installations will not be permitted within roadways
3)
High visibility apparel, which shall, at a minimum comply
(including curbing and/or shoulders) or median areas, except within
with the Class 2 specifications of the ANSI/ISEA 107standard.
corporate boundaries, subject to municipal regulations.
Class 3 apparel shall be considered for use at night or in
particularly hazardous situations.
c.
Parallel installations should be located as near as practicable to the
ROW line. Crossings shall be as nearly perpendicular to the
4)
The most recent version of the ANSI standards listed above
highway as feasible.
shall apply.
d.
Where no feasible alternate locations exist, the Department may
12. ADA REQUIREMENTS
permit parallel installations along roadside areas within 15 feet from
edge of shoulder or back of curb. In these cases, the facility must be
The Permittee shall comply with the applicable provisions of the Americans
so located and safeguarded as to avoid potential conflict with
With Disabilities Act, with respect to both permanent facilities installations and
necessary highway appurtenances (signs, guard rail, delineators,
temporary work zones.
etc.). Specific safeguards such as increasing depth of cover to 60
inches, capping, or encasement, shall be specified in this permit’s
13. CLEAR ROADSIDE CONSIDERATIONS
Special Provisions.
a.
CDOT is committed to provide a roadside area that is as free as
e.
Parallel installations shall follow a uniform alignment, wherever
practical from nontraverseable hazards and fixed objects ("clear
practical. Due consideration must be given to conserving space
zone"). New above ground installations may be permitted within the
available for future utility accommodations. The standard allowable
clear zone only upon a showing that no feasible alternate locations
deviation from the approved horizontal alignment is ± 18 inches.
exist. Permittee must utilize appropriate countermeasures to
minimize hazards.
f.
Minimum cover shall conform to the Special Provisions. Normal
specified cover will be 48 inches or greater; reduced cover may be
b.
Permittee shall remove materials and equipment from the highway
approved where site conditions warrant, subject to other safeguards
ROW at the close of daily operations. The traffic control plan must
as may be specified or approved in the permit. Minimum overhead
include protective measures where materials and equipment may be
clearance shall conform to the Special Provisions, consistent with
stored on ROW. Protection of open trenches and other excavations
Utility Accommodation Code criteria.
within highway ROW shall be addressed in the Permittee's traffic
control plan. All excavations shall be closed at the end of daily
16. PAVEMENT CUTS AND REPAIRS
operations, and no open excavation will be allowed in the clear zone
after dark. The Permittee agrees to promptly undertake mitigating
Paved surfaces shall not be cut unless otherwise specified in this permit. No
or corrective actions acceptable to the Department upon notification
more than one half the width of the roadbed may be opened at a time, when
by CDOT that the installation permitted herein has resulted in a
otherwise permitted. Pavement shall be sawed or wheel-cut to a neat line.
hazardous situation for highway users.
Pavement shall be replaced to a design equal to or greater than that of the
surrounding undisturbed pavement structure. Pavement repair shall conform to
14. GENERAL CONSTRUCTION REQUIREMENTS
the Special Provisions or the approved plans.
a.
Work shall not be performed at night or on Saturdays, Sundays, or
17. BORING, JACKING, ENCASEMENT
holidays without prior authorization or unless otherwise specified in
this permit. CDOT may restrict work on ROW during adverse
Unless otherwise specified, buried crossings shall be bored or jacked beneath
weather conditions or during periods of high traffic volume.
the roadway, at least from toe of slope to toe of opposite slope. Portals for
untrenched crossings more than 5 feet in depth shall be bulk headed in
b.
Those areas within ROW, which must be disturbed by permit
conformance with OSHA construction and safety standards. Portal limits of
operations, shall be kept to a practical minimum. Permittee shall not
untrenched crossings shall be established safely beyond the highway surface
spray, cut, or trim trees or other landscaping elements within
and clear zone and in no case shall the lateral distance from the surfaced area of
highway ROW, unless such work is otherwise specified in this
the highway to the boring or jacking pit be less than the vertical difference in
permit, or clearly indicated on the approved plans. Cleated or
elevation between such surface and the bottom of the pit. Water jetting or
tracked equipment shall not work on or move over paved surfaces
tunneling is not permitted. Water assisted boring may be permitted as
without mats, or pads on tracks.
determined by the CDOT Inspector. Boring hole shall be oversized to the
minimum amount required to allow pull-through of the conduit being installed.
c.
Material removed from any portion of the roadway prism must be
Resultant voids shall be grouted or otherwise backfilled, subject to CDOT
replaced in like kind with equal or better compaction. Segregation
approval. Ends of bored sections shall not be covered before being inspected.
of material is not permitted. The permitted facility shall be of
Encasement shall be consistent with Utility Accommodation Code provisions.
durable materials in conformity with accepted practice or industry
CDOT may require protective casing for shallow installations or certain
standards, designed for long service life, and relatively free from
conduit materials. Encased crossings shall extend at least from toe of slope to
routine servicing or maintenance.
toe of slope, or the full width between access-control lines on freeways,
including the Interstate System.
02/06
CDOT Permit Form 333 and Standard Provisions Page 4 of 6
CDOT UTILITY/RELOCATION/SPECIAL USE PERMIT STANDARD PROVISIONS
designated collection point (such as the Permittee’s own dumpster).
18. INSPECTION AND ACCEPTANCE
Drilling fluids must be disposed of as described in the ECIS.
a.
CDOT will determine the extent of inspection services necessary for
a given installation. Permittee shall attend final inspection as may
g.
If pre-existing solid waste or hazardous materials contamination
be required. If the initial performance of permitted work was
(including oil or gasoline contaminated soil, asbestos, chemicals,
unacceptable, as determined by the Department, the Permittee shall
mine tailings, etc.) are encountered during the performance of work,
perform any reconstruction or improvement of that work as ordered
the Permittee shall halt work in the affected area and immediately
by the Department, in a timely manner and prior to any further
contact the CDOT regional permitting office for direction as to how
construction. If permitted operations are not being carried out in
to proceed.
compliance with the terms and conditions of this permit, the
Department may order the Permittee to perform whatever corrective
h.
Spills shall be reported immediately using the CDOT Illicit
measures are necessary to attain compliance with the permit. If
Discharge Hotline (303) 512-4446. Spills on the highway, into
there is an immediate danger to the public’s health, safety or
waterways, or that may otherwise present an immediate danger to
welfare, the Department may order the Permittee to cease all
the public, shall be reported by calling 911 or the Colorado State
operations and if necessary, to remove all equipment and facilities
Patrol at (303) 239-4501, and the Colorado Department of Public
from the SHROW.
Health and Environment at 1-(877) 518-5608.
b.
Final acceptance does not relieve Permittee of maintenance
20. RESTORATION OF RIGHT OF WAY
obligations toward those elements of the highway facility
constructed under this permit. Final acceptance begins the two-year
Prior to final acceptance, all disturbed portions of highway right of way shall
warranty period (see requirement under “Operation and
be cleaned up and restored to their original condition, subject to CDOT
Maintenance” below).
approval. Seeding, sodding, and planting shall be as specified, or otherwise
approved by CDOT. Construction, maintenance and watering requirements
shall conform to the CDOT Standard Specifications. Where landscape
19. ENVIRONMENTAL CLEARANCES/PERMITS
restoration must be delayed due to seasonal requirements, such work may be
a.
It is the responsibility of the Permittee to determine which
authorized by separate permit. Permittee shall use only certified weed-free
environmental clearances and/or regulations apply to their activities
seed and mulch. Permittee shall clean equipment before transporting it into or
and to obtain any clearances that are required directly from the
out of the state to prevent the migration of noxious weeds.
appropriate regulatory agency prior to commencing work. Please
refer to or request a copy of the “CDOT Environmental Clearance
21. OPERATION AND MAINTENANCE
Information Summary” (ECIS) for details. The ECIS may be
obtained from CDOT Permitting Offices or may be accessed via the
a.
Permittee agrees to own and maintain the installation permitted
CDOT webpage at
herein. The facility shall be kept in an adequate state of repair and
http://www.dot.state.co.us/UtilityProgram/Forms.cfm. Failure to
maintained in such a manner as to cause the least interference with
comply with regulatory requirements may result in suspension or
the normal operation and maintenance of the highway.
revocation of your CDOT permit, or enforcement actions by other
agencies.
b.
If any element of the transportation facility, constructed or replaced
as a condition of this permit, fails within 24 months due to improper
b.
The Special Provisions of this permit shall list any specific
construction or materials, Permittee shall make all repairs
environmental clearances or permits that the Department has been
immediately as notified in writing by CDOT.
notified by the Permittee or by the administering regulatory agency
apply to the operations authorized by this permit. The Special
c.
Routine, periodic maintenance and emergency repairs may be
Provisions shall require the Permittee obtain the listed
performed under the general terms and conditions of this permit.
environmental clearances/permits prior to beginning work.
CDOT shall be given proper advance notice whenever maintenance
work will affect the movement or safety of traffic. In an emergency,
c.
The Permittee shall comply with all requirements described in the
the CDOT Region office and the State Patrol shall immediately be
CDOT Environmental Clearances Information Summary, including
notified of possible traffic hazards. Emergency procedures shall be
those pertaining to:
coordinated beforehand, where possible.
1)
Ecological Resources
d.
Maintenance activities requiring new excavation or other
2)
Cultural Resources
disturbance within highway ROW may require separate permit.
3)
Discharges of Stormwater or Process Water
Where highway construction or maintenance operations so require,
4)
Hazardous Materials
Permittee will shut off lines, remove all combustible materials from
5)
Discharges of Dredged or Fill Material
the highway right of way, or provide other temporary safeguards.
6)
Erosion and Sediment Control
7)
Disposal of Drilling Fluids
22. MARKERS, LOCATION AIDS, LOCATION ASSISTANCE
8)
Concrete Washout
9)
Spill Reporting
a.
The utility shall take all practical measures to ensure that buried
10) Transportation of Hazardous Materials
utility facilities are surface-detectable by standard geophysical
methods. Where the utility facilities, by the nature of their material
d.
Disturbance of any wildlife shall be avoided to the maximum extent
properties, burial depth or other factors, may by themselves not be
practicable. If threatened or endangered species or archeological or
surface-detectable, the utility shall, where feasible, incorporate
historical artifacts are encountered during the progress of a project,
detection wire or other detection aids in the installation of those
work in the subject area shall be halted and the CDOT regional
facilities. In instances where detection aids are not feasible or
permitting office shall be contacted immediately for direction as to
would be ineffective and surface-detectability cannot be ensured,
how to proceed.
surface markers shall be installed as directed by the Department and
as-constructed plans and showing the accurate horizontal and
e.
All discharges of stormwater or process water are subject to the
vertical location of the buried facilities shall be provided to the
applicable provisions of the Colorado Water Quality Control Act
Department.
and the Colorado Discharge Permit Regulations.
b.
All plowed or trenched installations must include color-coded
f.
There shall be no disposal of hazardous materials in the state
(using the American Public Works Association color coding
highway right of way. Solid waste shall be removed from the state
system) warning tape placed not less than 12 inches vertically above
highway right of way and disposed of at a permitted facility or
02/06
CDOT Permit Form 333 and Standard Provisions Page 5 of 6