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HomeMy WebLinkAbout08.03.07 Driveway permitGarfield. County Road and Bridge Department P.O. Box 426 Rifle, CO 81650 Phone - (970)625 -8601 Fax- (970)625 -8627 Invoice Driveway Permit Number: GRB07 -D -88 Invoice Date: 8/3/2007 Bi11 To: Diana Lawrence - Tompkins 0998 CR 309 Parachute ,CO 81635 $75.00 per Driveway Permit. Driveway Permit Fee: Total Due: Thank You! $75.00 $75.00 P A ; &D Garfield County Application for Driveway Permit Person Obtaining Permit: Diana Lawrence- Tompkins Application Date: 8/3/2007 County Road Number: 309 District: Silt Permit Number: GRB07 -D -88 Termination Date: 9/3/2007 Inspector; Jake Mall hereby requests permission and authority from the Board of County Commissioners to construct a driveway approach (es) on the right-of-way off of County Road 309 3198 ft East of CR 309, located on the West side of road for the purpose of obtaining access to property. Applicant submits herewith for the consideration and approval of the Board of County Commissioners, a sketch of the proposed installation showing all the necessary specification detail including: 1. Frontage of lot along road. 2. Distance from centerline of road to property line.. 3. Number of driveways requested 4. Width of proposed driveways and angle of approach, 5. Distance from driveway to road intersection, if any. 6. Size and shape of area separating driveways if more than one approach. 7. Setback distance of building(s) and other structure improvements. 8. No unloading of equipment on county road, any damage caused to county road will be repaired at subdivision expense. 9. Responsible for two years from the date of completion. General Provisions 1) The applicant represents all parties in interest, and affirms that the driveway approach (es) is to be constructed by him for the bona fide purpose of securing access to his property and not for the purpose of doing business or servicing vehicles on the road right of way. 2) The applicant shall furnish all labor and materials, perform all work, and pay all costs in connection with the construction of the driveway(s). All work shall be completed within thirty (30) days of the permit date. 3) The type of construction shall be as designated and/or approved by the Board of County Commissioners or their representative and all materials used shall be of satisfactory quality and subject to inspection and approval of the Board of County Commissioners or their representative. 4) The traveling public shall be protected during the installation with proper warning signs and signals and the Board of County Commissioners and their duly appointed agents and employee shall be held harmless against any action for personal injury or property damage sustained by any reason of the exercise of the Permit. 5) The Applicant shall assume responsibility for the removal or clearance of snow, ice, or sleet upon any portion of the driveway approach (es) even though deposited on the driveway(s) in the course of the County snow removal operations. 6) In the event it becomes necessary to remove any right -of -way fence, the posts on either side of the entrance shall be surely braced before the fence is cut to prevent any slacking of the remaining fence and all posts and wire removed shall be turned over to the District Road Supervisor of the Board of County Commissioners. 7) No revisions or additions shall be made to the driveway(s) or its appurtenances on the right -of -way without written permission of the Board of County Commissioners. 8) Provisions and specifications outlined herein shall apply on all roads under the jurisdiction of the Board of County Commissioners of Garfield County, Colorado, and the Specifications, set forth on the attached hereof and incorporated herein as conditions hereof. 9) Final inspection of driveway will be required upon completion and must be approved by person issuing permit or representative of person Issuing permit. The inspection and sign off must be done prior to any CO from the Building and Planning Department being Issued. 10) Contractor agrees to all Provisions in Exhibit A. Special Conditions: 1. Driveway Width- 40ft 2. Culvert required? True Size: 12 inch by 40ft 3. Asphalt or concrete pad required? True Size of pad: 40ft wide x 10ft long x 4in thick 4. Gravel portion required? True Length; 40ft 5. Trees, brush and/or fence need to be removed for visibility? True 6. Distance and Direction:100' South 7. Certified Traffic Control Required? False 8. Work zone signs required? True 9. Completion Date October 1, 2007 In signing this application and upon receiving authorization and permission to install the .driveway approach (es) described herein the Applicant signifies that he has read, understands and accepts the foregoing provisions and conditions and agrees to con et the drivew y(s) in accordance with the accompanying specification plan reviewed and approved by the Board of County Commissioners. Signed: Address: ana Law ern, : - Tompkins Telephone Number: Permit granted 8/3/2007, subject to the provisions, specifications and conditions stipulated herein. For Board of county Commissioners' of Garfield County, Colorado: Representative of Garfield County Road and Bridge Signature Specifications 1. A driveway approach is understood to be that portion of the county road right -of way between the pavement edge and the property Tine that is designed and used for the interchange of traffic between the roadway and abutting property. 2. At any intersection, a driveway shall be restricted for a sufficient distance from the intersection to preserve the. normal and safe movement of traffic. (It is recommended for rural residence entrances that a minimum intersection clearance of 50 feet be provided and for rural commercial entrances a minimum of 100 feet be provided.) 3. All entrances and exits shall be so located and constructed that vehicles approaching or using them will be able to obtain adequate sight distance in both directions along the county road in order to maneuver safely and without interfering with county road traffic. 4. The Applicant shall not be permitted to erect any sign or display material, either fixed or movable, on or extending over any portion of the county road right -of -way. 5. Generally, no more than one approach shall be allowed any parcel or property the frontage of which is less than one hundred (100) feet. Additional entrances or exits for parcels having a frontage in excess of one hundred 100) feet shall be permitted only after showing of actual convenience and necessity. 6. All driveways shall be so located that the flared portion adjacent to the traveled way will not encroach upon adjoining property. 7. No commercial driveway shall have a width greater than thirty (30) feet measured at fight angles to the centerline - of the driveway except as increased by permissible radii. No noncommercial driveway shall have a width greater than twenty (20) feet measured at right angles to the centerline of the driveway, except as increased by permissible radii. 8. The axis of an approach to the road may be at a right angle to the centerline of the county road and of any angle between ninety (90) degrees and sixty (60) degrees but shall not be less than sixty (60) degrees. Adjustment will be made according to the type of traffic to be served and other physical conditions. 9. The construction of parking or servicing areas on the county road right -of -way is specifically prohibited. Commercial establishments for customer vehicles should provide off -the -road parking facilities. 10. The grade of entrance and exit shall slope downward and away from the road surface at the same rate as the normal shoulder slope and for a distance equal to the width of the shoulder but in no case less than twenty (20) feet from the pavement edge. Approach grades are restricted to not more than ten percent (10 %). 11. All driveways and approaches shall be so constructed that they shall not interfere with the drainage system of the street or county road. The Applicant will be required to provide, at his own expense, drainage structures at entrances and exits, which will become an integral part of the existing drainage system. The Board of County Commissioners or their representative, prior to installation, must approve the dimensions and types of all drainage structures. Note. This permit shall be made available at the site where and when work is being done. A work sketch or drawing of the proposed driveway(s) must accompany application. No permit will be issued without drawing, blueprint, or sketch. BOARD OF COUNTY COMMISSIONERS OF GARFIELD COUNTY CERTIFICATION AND AFFIDAVIT REGARDING ILLEGAL ALIEN$ The Contractor, whose name and signature appears below, certifies and agrees as follows: 1. The Contractor shall comply with the provisions of C.R.S. 8- 17.5 -101 et seq. The Contractor shall not knowingly employ or contract with an illegal alien to perform work for the Board of County Commissioners of Garfield County, Colorado ( "BOCC ") or enter into a contract with a subcontractor that knowingly employs or contracts with an illegal alien. 2. The Contractor represents, warrants, and agrees that it has verified that it does not employ any illegal aliens; that it has participated or attempted to participate in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security; and otherwise shall comply with the requirements of C.R.S. 8- 17.5-102(2)(b). 3. The Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If the Contractor fails to comply with any requirement of this provision or C.R.S. 8- 17.5 -101 et seq., the BOCC may terminate work for breach and the Contractor shall be liable for actual and consequential damages to the State. • 4. If the Contractor is a sole proprietor, the undersigned hereby swears or affirms under penalty of perjury under the laws of the State of Colorado that (check one): 1 am a United States citizen, or I am a Permanent Resident of the United States, or I am lawfully present in the United states pursuant to Federal law. I understand that this sworn statement is required by law because I am a sole proprietor entering into a contract to perform work for the BOCC. I understand that state law requires me to provide proof that I am lawfully present in the United States prior to starting work for the BOCC. I further acknowledge that I will comply with the requirements of C.R.S. 24- 76.5 -101 et seq. and will produce the required form of identification prior to starting work. I acknowledge that making a false, fictitious, or fraudulent statement or representation in this sworn affidavit is punishable under the criminal laws of Colorado as perjury in the second degree under C.R.S. 18-8-503. CERTI NT.�OR: aut. 0,44e w' (Co tracto 1 Legal Name) FEIN or Social Security Number nd AG•. D to this day of , 200^ Signature of Authorized Rep Title Permit Number: GRB07 -D -88 Exhibit 1. Permit Owner : Driveway Permit Check Off Form � 1 0.-4(146 is -eio k 2. Address: [011 309 3. City: Carbondale 81623 ri Glenwood Springs 81601 n New Castle 81647 [1 Silt 81652 ri Rifle 81650 n Parachute 81635 Other 4. Phone No: 2S5 9280 5. County Rd, No: 6. Nearest Intersection or address: 7. Distance from Int. or address: 8. Direction from Int. or address: N [1 E Fax No: q70 - ZS S Wgio. 9. Side of road: N 10. Width of driveway: 30 -foot Other: 11. Culvert required: Yes 12. Size of culvert required: 12 -inch Other: 13. Length of culvert required: 30 -foot s❑ w❑ to EN So WE] 40 -foot 100 -foot ri No JA 15 -inch ri 18 -inch ri 1 .40-foot 14. Asphalt or concrete pad required: Yes E other No 1-1 15. Size of pad: 30 -foot wide X 10 -foot long X 4 inches thick: Yes 40 -foot wide X 10 -foot long X 4- inches thick: Yes 21., 100 -foot wide X 20 -foot long X 4- inches thick: Yes Other: BOARD OF COUNTY COMMISSIONERS OF GARFIELD COUNTY CERTIFICATION AND AFFIDAVIT REGARDING ILLEGAL ALIENS The Contractor, whose name and signature appears below, certifies and agrees ae follows: 1, The Contractor shall comply with the provisions of C.R.S. 8-- 17.5 -101 et seg. The Contractor shall not knowingly employ or contract with an illegal alien to perform work for the Board of County Commissioners of Garfield County, Colorado ( "BOCC ") or enter into a contract with a subcontractor that knowingly employs or contracts with an illegal alien. 2. The Contractor represents, warrants, and agrees that it has verified that it does not employ any illegal aliens; that it has participated or attempted to participate in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security; and otherwise shall comply with the requirements of C.R.S. 8- 17.5- 102(2)(b). 3. The Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8- 17.5 -102 by the Colorado Department of Labor and Employment. If the Contractor fails to comply with any requirement of this provision or C.R.S. 8 -17.5 -101 et seq., the BOCC may terminate work for breach and the Contractor shall be liable for actual and consequential damages to the State. 4. If the Contractor is a sole proprietor, the undersigned hereby swears or affirms under penalty of perjury under the laws of the State of Colorado that (check one): /\ I am a United States citizen, or I am a Permanent Resident of the United States, or I am lawfully present in the United States pursuant to Federal law I understand that this sworn statement is required by law because I am a sole proprietor entering into a contract to perform work for the BOCC. I understand that state law requires me to provide proof that I am lawfully present in the United States prior to starting work for the BOCC. 1 further acknowledge that I will comply with the requirements of C.R,S. 24- 76.5 -101 et seq. and will produce the required form of identification prior to starting work. I acknowledge that making a false, fictitious, or fraudulent statement or representation.in this sworn affidavit is punishable under the criminal laws of Colorado as perjury in the second degree under C.R.S. 18-8-503. CERTIFIED and AGREED to this _ day of , 200^ CONTRACTOR: Immigration Affidavit (08/06) Final EXHIBIT .50-43e-7 ro FEIN or Social Security Number Title pjzt?