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Gould CDOT Permit
●All utility i nstallations, w ithin CDOT Right o f Way (ROW), shall be collected using CDOT’s mobile application (PointMan). ●Please c ontact CDOT at cdotpointman@gmail.com in o rder to obtain new login and password i nformation. ●Download P ointMan m obile a pplication t hrough t he A pple S tore (iOS) o r Google Play (Android). ●Please watch the following quick start guide and introduction videos that can be found at the following link: Training Videos ●Please refer to the “As-Constructed” Supplemental Requirements for a more detailed reference guide to the collection utility as-built data. To obtain the full document select the link here: “As-Constructed” Supplemental Requirements •Pointman file path: URL: Pointman.cloud/index.HTML File Path: Project/CDOT_Utility_Permits/R3 Permits (permit number, Hwy, MP, discription). AS-CONSTRUCTED DIGITAL PLANS ARE REQUIRED FOR ALL UTILITY INSTALLATIONS IN CDOT RIGHT-OF-WAY COLORADO DEPARTMENT OF TRANSPORTATION UTILITY PERMIT PERMITTEE Name: Gould Construction APPLICANT Name: Sopris Engineering DEPARTMENT USE ONLY Date Issued: 02/12/2026 REP: Mark Gould Jr. REP: Stephanie Helfenbein Permit # 3260071 Milepost(s) Address: PO BOx 130 Glenwood Springs, Colorado 81602 Address: 502 Main Street Carbondale, Colorado 81623 S.H.# 070 113.000 Region: 3 Email: markjr@gouldconstruction.com Email: stephanie@sopriseng.com S.H. Section: A Telephone: (970) 379-8326 Telephone: Patrol: 2K12 Melissa DeAndrea 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. Permittee shall also notify local property owners of any irrigation lines that are present. Private irrigation lines are not marked through the UNCC. 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 work shall be given at least two business days prior thereto, not including the day of actual notice. UNCC may be called at 1-800-922-1987 or Colorado 811. ACTIVITY DESCRIPTION (Furnished by Permittee) PURPOSE Installation Adjustment Removal Relocation SUE/Other Maintenance of Existing Facility FACILITY (Type, size, class of transmittant, design pressure or etc.) Installation of an 8" water main DESCRIPTION OF WORK: Installation of an 8" water main along the north side of SH 6& 24. NATURE OF INSTALLATION: Longitudinal Transverse (Crossing) Buried Aerial/Ground-mounted LOCATION: 070AFR, MP 113- 113.6 County: Garfield County City/Town: Glenwood Springs ADDITIONAL REMARKS: Paper copy of permit & TCP must always be on the job site. No TC signage on wet or snow-covered road. Project needs to be uploaded into Pointman under file, Region 3 permits with permit number, MP and company name. Flow fill will be required, See attachment. The lane will be paved. If striping existed refer to CDOT guidelines of Striping. No native soil is authorized to be used as back fill. SPECIAL PROVISIONS (completed by the Department) The Special Provisions are the terms and conditions of this permit. All work shall only be in accordance with the approved plans and special provisions set forth in this permit and its attachments. CDOT inspector: Jorge Centeno Telephone: (970) 309-3338 Inspector Email: jorge.centeno@state.co.us Work is to be completed on or before: 02/12/2027 or within days, (as applicable) Work time restrictions: No time restrictions from CDOT.. Designated minimum cover is 48”, 60” see #901 terms. Designated overhead clearance is N/A (ALSO SEE ATTACHED STANDARD PROVISIONS, AND ADDITIONAL SPECIAL PROVISIONS), (TRAFFIC CONTROL MUST CONFORM TO THE MUTCD) Other: Pre-warning to local residents of project is highly recommended. Gould's Phone number to be posted for complaints. Notify local Inspector & CDOT Permit Coordinators, via email, 48 hours in advance of project start date & final inspection. Permittee is prohibited from commencing any work within highway ROW prior to issuing 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 and hard hats are always required during working hours. All construction vehicles shall have functioning strobe lights at all times in the work zone. 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 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. 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. 5. 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. CDOT Signature: Date Permittee Signature Date COLORADO DEPARTMENT OF TRANSPORTATION Chief Engineer, Regional Transportation Director or Designee Print Name/Title Distribution: Region File (Original) Mtce Supvr Permittee/Applicant Inspector CDOT Form # 0333 01/09 Mtce Patrol Supvr. Previous versions are obsolete and should not be used. \s1\ \d1\ \s2\ \d2\ \t2\ The following Standard Provisions are terms and conditions of this permit: Effective March 1, 2006 Utility work authorized under this permit shall comply with the requirements of the State Highway Utility Accommodation Code, and applicable federal, state, local, and industry codes and regulations. Construction of any portion of the highway facility, including the pavement structure, subsurface support, drainage, landscaping elements and all appurtenant features, shall comply with the provisions of the CDOT Standard Specifications for Road and Bridge Construction, and with the Colorado Standard Plans (M & S Standards). 1. COMMENCEMENT AND COMPLETION Work on highway Right of Way (ROW) shall not commence prior to issuance of a fully endorsed and validated permit. Permittee shall notify the CDOT inspector: a. At least 2 working days prior to commencing work, or resuming operations which have been suspended for five or more consecutive working days b. When suspending operations for 5 or more working days c. Upon completion of work. Work shall not proceed beyond a completion date specified in the Special Provisions without written approval of the Department. 2. PLANS, PLAN REVISIONS, ALTERED WORK Plans or work sketch (EXHIBIT A) are subject to CDOT approval. A copy of the approved plans or sketch must be available on site during work. Plan revisions or altered work differing in scope or nature from that authorized under this permit, are subject to CDOT prior approval. Permittee shall promptly notify the CDOT inspector of changed or unforeseen conditions, which may occur on the job. 3. INSURANCE Insurance Requirements for Utility and Special-Use Permits (Revised 7-05 per State Requirements) A. The Permittee shall obtain, and maintain at all times during the performance of work authorized by this Permit, insurance in the following kinds and amounts. The Permittee shall require any Contractor working for them within the State Highway Right of Way to obtain like coverage. The Permittee shall also require any Contractor or Consultant performing work described in sub- paragraph 4) below, to obtain Professional Liability Insurance. 1) Workers’ Compensation Insurance as required by state statute, and Employer’s Liability Insurance covering all employees acting within the course and scope of their employment and work on the activities authorized by this Permit. 2) Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Consultants, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: a. $1,000,000 each occurrence; b. $2,000,000 general aggregate; c. $2,000,000 products and completed operations aggregate; and d. $50,000 any one fire. e. For any permanent Permittee-owned installations located within the State Highway Right of Way, highway repairs, or site restoration, Completed Operations coverage shall be provided for a minimum period of one year following final acceptance of work. If any aggregate limit is reduced below 1,000,000 because of claims made or paid, the Permittee, or as applicable - their Contractor, shall immediately obtain additional insurance to restore the full aggregate limit and furnish to CDOT a certificate or other document satisfactory to CDOT showing compliance with this provision. 3) Automobile Liability Insurance covering any auto (including owned, hired and non-owned autos) with a minimum limit as follows: $1,000,000 each accident combined single limit. 4) For any: a) engineering design; b) construction inspection; or, c) traffic control plans approved by a Traffic Control Supervisor; done in association with the operations or installations authorized by this permit, Professional Liability Insurance with minimum limits of liability of not less than $1,000,000 Each Claim and $1,000,000 Annual Aggregate. If the policy is written on a Claims Made form, the Permittee, or, as applicable – their Consultant or Contractor, shall renew and maintain Professional Liability Insurance for a minimum of two years following final acceptance of the work, or provide a project specific Policy with a two year extended reporting provision. 5) Pollution Legal Liability Insurance with minimum limits of liability of $1,000,000 Each Claim and $1,000,000 Annual Aggregate. CDOT shall be named as an additional insured to the Pollution Legal Liability policy. If the Policy is a component of the Professional Liability Policy, the Additional Insured requirement is waived, and the Policy shall be written on a Claims Made form, with an extended reporting period of at least two year following final acceptance of the work. 6) Umbrella or Excess Liability Insurance with minimum limits of $1,000,000. This policy shall become primary (drop down) in the event the primary Liability Policy limits are impaired or exhausted. The Policy shall be written on an Occurrence form and shall be following form of the primary. The following form Excess Liability shall include CDOT as an additional insured. B. CDOT shall be named as additional insured on the Commercial General Liability and Automobile Liability Insurance policies. Completed operations additional insured coverage shall be on endorsements CG 2010 11/85, CG 2037, or equivalent. Coverage required by the Permit will be primary over any insurance or self- insurance program carried by the State of Colorado. C. The Insurance shall include provisions preventing cancellation or non-renewal without at least 30 days prior notice to CDOT by certified mail. D. The Permittee, or, as applicable – their Contractor or Consultant, will require all insurance policies in any way related to the Permit and secured and maintained by the Permittee, Contractor or Consultant, to include clauses stating that each carrier will waive all rights of recovery, under subrogation or otherwise, against CDOT, its agencies, institutions, organizations, officers, agents, employees and volunteers. E. All policies evidencing the insurance coverages required hereunder shall be issued by insurance companies satisfactory to CDOT. F. The Permittee, or as applicable - their Contractor or Consultant, shall provide certificates showing insurance coverage required by this Permit to CDOT prior to commencing work. No later than 15 days prior to the expiration date of any such coverage, the Permittee, Contractor or Consultant, shall deliver CDOT certificates of insurance evidencing renewals thereof. At any time during the term of this contract, CDOT may request in writing, and the Permittee, Contractor or Consultant, shall thereupon within 10 days supply to CDOT, evidence satisfactory to CDOT of compliance with the provisions of this section. G. Notwithstanding subsection A of this section, if the Permittee is a “public entity” within the meaning of the Colorado Governmental Immunity Act CRS 24-10-101, et seq., as amended (“Act’), the Permittee shall at all times during the term of this permit maintain only such liability insurance, by commercial policy or self- CDOT UTILITY/RELOCATION/SPECIAL USE PERMIT STANDARD PROVISIONS insurance, as is necessary to meet its liabilities under the Act. Upon request by CDOT, the Permittee shall show proof of such insurance satisfactory to CDOT. Public entity Permittees are not required to name CDOT as an Additional Insured. H. If the Permittee engages a Contractor and/or Consultant to act independently from the Permittee on the permitted work, that Contractor and/or Consultant shall be required to provide an endorsement naming CDOT as an Additional Insured on their Commercial General Liability, Auto Liability, Pollution Legal Liability and Umbrella or Excess Liability policies. 4. WORK WHERE DEPARTMENT LACKS AUTHORITY Utility work within municipal boundaries (pursuant to 43-2-135 CRS), on certain public lands, or on private property, may require separate approval of the appropriate jurisdictional agency or property owner. 5. INSTALLATIONS ON FREEWAYS CDOT may permit utility accommodations on freeways, including but not limited to the Interstate System, only in accordance with Utility Accommodation Code provisions. Special case exceptions as defined therein may be permitted only in accordance with FHWA-approved Departmental policy. 6. JOINT USE ALTERNATIVES As directed or approved by CDOT, if necessary for the safe and efficient use of the ROW, Permittee shall utilize joint use facilities such as the placement of two or more separate lines in a common trench, or attachment to the same overhead support. The Permittee will be responsible for proper coordination with other affected utilities. 7. ATTACHMENT TO HIGHWAY STRUCTURES Permittee is responsible for designing structure attachments, subject to the approval of the CDOT Staff Bridge Design Engineer. 8. DRAINAGEWAYS AND WATERCOURSES The flow of water shall not ever be impaired or interrupted. Where possible, crossings of ditches, canals or water-carrying structures shall be bored or jacked beneath. Irrigation ditch or canal crossings require approval of the ditch company or owner. Permittee shall repair damage to any drainage facility to the satisfaction of the owner. 9. TRAFFIC CONTROL PLAN a. Prior to commencing work, the Permittee shall develop and submit to the Department for acceptance, a Traffic Control Plan (TCP) for any accommodation work that will affect traffic movement or safety. The Permittee shall implement the TCP and utilize traffic control devices as necessary to ensure the safe and expeditious movement of traffic around and through the work site. b. The Permittee shall develop the TCP, and Methods of Handling Traffic (MHT’s) included therein, in conformance with the Manual on Uniform Traffic Control Devices (MUTCD), the Colorado Supplement thereto adopted by the Commission pursuant to sections 42-4-104 and 42-4-105 CRS, the Department’s standard specifications for temporary traffic control and the Department’s standard plans for signing - Standard Plans S 630-1 and S 630-2. The TCP shall include provisions for the passage of emergency vehicles through the work zone, and shall conform to the requirements of the Americans with Disabilities Act. The TCP and MHT’s shall contain sufficient detail to demonstrate conformity with all applicable requirements. c. The Permittee shall have a competent person at the work site at all times in responsible charge of temporary traffic control. In situations where the TCP goes beyond any Typical Application shown in the MUTCD, or particularly dangerous roadway or traffic conditions exist, the Department may require the Permittee to have a Traffic Control Supervisor (TCS) develop or approve the TCP or to have a TCS on-site during work. The TCS shall be certified as a 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’ certification card. The TCS shall be responsible for the planning, preparation, coordination, implementation, and inspection of the TCP. d. The Permittee shall not start the permitted work before the Department accepts the TCP. e. The Department may review and order changes to the TCP and MHT’s during performance of the work, as required. f. The Permittee shall comply with the TCP at all times during performance of the work. g. The Permittee shall keep a copy of the TCP at the work site at all times during performance of the work for inspection. h. The TCP shall ensure that closure of intersecting streets, road approaches and other access points is minimized. On heavily traveled highways, the Department will not permit operations that interfere with traffic during periods of peak traffic flow. i. When Permittee operations coincide with highway construction or maintenance operations, the Permittee shall develop and implement the TCP in cooperation and coordination with the highway agency and/or its contractors and as otherwise directed by the Department in the permit. j. All flaggers shall have a current CDOT flagger certification card and shall be capable of communicating with the traveling public and others at the work site. 10. NCHRP 350 CRASHWORTHINESS REQUIREMENTS FOR WORK ZONE TRAFFIC CONTROL DEVICES Work zone devices designated by FHWA as: Category I, including but not limited to single-piece drums, tubes, cones and delineators; Category II, including but not limited to barricades, vertical panels with light, drums or cones with light, portable sign supports, intrusion detectors and type III barricades; or as Category III, including but not limited to concrete barriers, fixed sign supports, crash cushions, and other work zone devices not meeting the definitions of Category I or II; shall meet NCHRP 350 crash test requirements. The Permittee, or their contractor shall obtain and make available upon request, the manufacturer’s written NCHRP 350 certification, or as applicable, the FHWA Acceptance Letter, for each type of device. FHWA Acceptance Letters for Category II or Category III Work Zone Devices may be accessed through the FHWA website at http://safety.fhwa.dot.gov/roadway_dept/road_hardware/wzd.htm 11. WORKER SAFETY AND HEALTH a. All workers within the State Highway right of way shall comply with their employer’s safety and health policies/procedures and all applicable U.S. Occupational Safety and Health Administration (OSHA) regulations - including, but not limited to the applicable sections of 29 CFR Part 1910 - Occupational Safety and Health Standards and 29 CFR Part 1926 - Safety and Health Regulations for Construction. b. Personal protective equipment (PPE) (e.g. head protection, footwear, high visibility apparel, safety glasses, hearing protection, respirators, gloves, etc.) shall be worn as appropriate for the work being performed, and as specified in regulation. At a minimum, all workers in the SH ROW, except when in their vehicles, shall wear the following personal protective equipment: 1) Head protection that complies with the ANSI Z89.1standard; 2) At all construction sites or whenever there is danger of injury to feet, workers shall comply with OSHA’s PPE requirements CDOT UTILITY/RELOCATION/SPECIAL USE PERMIT STANDARD PROVISIONS for foot protection per 29 CFR 1910.136, 1926.95, and 1926.96. If required, such footwear shall meet the requirements of ANSI Z41; 3) High visibility apparel, which shall, at a minimum comply with the Class 2 specifications of the ANSI/ISEA 107standard. Class 3 apparel shall be considered for use at night or in particularly hazardous situations. 4) The most recent version of the ANSI standards listed above shall apply. 12. ADA REQUIREMENTS The Permittee shall comply with the applicable provisions of the Americans With Disabilities Act, with respect to both permanent facilities installations and temporary work zones. 13. CLEAR ROADSIDE CONSIDERATIONS a. CDOT is committed to provide a roadside area that is as free as practical from nontraverseable hazards and fixed objects ("clear zone"). New above ground installations may be permitted within the clear zone only upon a showing that no feasible alternate locations exist. Permittee must utilize appropriate countermeasures to minimize hazards. b. Permittee shall remove materials and equipment from the highway ROW at the close of daily operations. The traffic control plan must include protective measures where materials and equipment may be stored on ROW. Protection of open trenches and other excavations within highway ROW shall be addressed in the Permittee's traffic control plan. All excavations shall be closed at the end of daily operations, and no open excavation will be allowed in the clear zone after dark. The Permittee agrees to promptly undertake mitigating or corrective actions acceptable to the Department upon notification by CDOT that the installation permitted herein has resulted in a hazardous situation for highway users. 14. GENERAL CONSTRUCTION REQUIREMENTS a. Work shall not be performed at night or on Saturdays, Sundays, or holidays without prior authorization or unless otherwise specified in this permit. CDOT may restrict work on ROW during adverse weather conditions or during periods of high traffic volume. b. Those areas within ROW, which must be disturbed by permit operations, shall be kept to a practical minimum. Permittee shall not spray, cut, or trim trees or other landscaping elements within highway ROW, unless such work is otherwise specified in this permit, or clearly indicated on the approved plans. Cleated or tracked equipment shall not work on or move over paved surfaces without mats, or pads on tracks. c. Material removed from any portion of the roadway prism must be replaced in like kind with equal or better compaction. Segregation of material is not permitted. The permitted facility shall be of durable materials in conformity with accepted practice or industry standards, designed for long service life, and relatively free from routine servicing or maintenance. d. Construction or compaction by means of jetting, puddling, or water flooding is prohibited within all highway ROW. e. Thrust blocks are required on all vertical and horizontal bends in pressure pipes. f. Meters shall not be placed on highway ROW except within corporate limits where municipal regulations allow such use. 15. ALIGNMENT, COVER, CLEARANCE a. Location and alignment of Permittee's facilities shall only be as specified in this permit or as otherwise indicated in the approved plans or work sketch (EXHIBIT A). b. Parallel installations will not be permitted within roadways (including curbing and/or shoulders) or median areas, except within corporate boundaries, subject to municipal regulations. c. Parallel installations should be located as near as practicable to the ROW line. Crossings shall be as nearly perpendicular to the highway as feasible. d. Where no feasible alternate locations exist, the Department may permit parallel installations along roadside areas within 15 feet from edge of shoulder or back of curb. In these cases, the facility must be so located and safeguarded as to avoid potential conflict with necessary highway appurtenances (signs, guard rail, delineators, etc.). Specific safeguards such as increasing depth of cover to 60 inches, capping, or encasement, shall be specified in this permit’s Special Provisions. e. Parallel installations shall follow a uniform alignment, wherever practical. Due consideration must be given to conserving space available for future utility accommodations. The standard allowable deviation from the approved horizontal alignment is ± 18 inches. f. Minimum cover shall conform to the Special Provisions. Normal specified cover will be 48 inches or greater; reduced cover may be approved where site conditions warrant, subject to other safeguards as may be specified or approved in the permit. Minimum overhead clearance shall conform to the Special Provisions, consistent with Utility Accommodation Code criteria. 16. PAVEMENT CUTS AND REPAIRS Paved surfaces shall not be cut unless otherwise specified in this permit. No more than one half the width of the roadbed may be opened at a time, when otherwise permitted. Pavement shall be sawed or wheel-cut to a neat line. Pavement shall be replaced to a design equal to or greater than that of the surrounding undisturbed pavement structure. Pavement repair shall conform to the Special Provisions or the approved plans. 17. BORING, JACKING, ENCASEMENT Unless otherwise specified, buried crossings shall be bored or jacked beneath 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 conformance with OSHA construction and safety standards. Portal limits of untrenched crossings shall be established safely beyond the highway surface and clear zone and in no case shall the lateral distance from the surfaced area of the highway to the boring or jacking pit be less than the vertical difference in elevation between such surface and the bottom of the pit. Water jetting or tunneling is not permitted. Water assisted boring may be permitted as determined by the CDOT Inspector. Boring hole shall be oversized to the minimum amount required to allow pull-through of the conduit being installed. Resultant voids shall be grouted or otherwise backfilled, subject to CDOT approval. Ends of bored sections shall not be covered before being inspected. Encasement shall be consistent with Utility Accommodation Code provisions. CDOT may require protective casing for shallow installations or certain conduit materials. Encased crossings shall extend at least from toe of slope to toe of slope, or the full width between access-control lines on freeways, including the Interstate System. 18. INSPECTION AND ACCEPTANCE a. CDOT will determine the extent of inspection services necessary for a given installation. Permittee shall attend final inspection as may be required. If the initial performance of permitted work was unacceptable, as determined by the Department, the Permittee shall perform any reconstruction or improvement of that work as ordered by the Department, in a timely manner and prior to any further construction. If permitted operations are not being carried out in compliance with the terms and conditions of this permit, the Department may order the Permittee to perform whatever corrective CDOT UTILITY/RELOCATION/SPECIAL USE PERMIT STANDARD PROVISIONS measures are necessary to attain compliance with the permit. If there is an immediate danger to the public’s health, safety or welfare, the Department may order the Permittee to cease all operations and if necessary, to remove all equipment and facilities from the SHROW. b. Final acceptance does not relieve Permittee of maintenance obligations toward those elements of the highway facility constructed under this permit. Final acceptance begins the two-year warranty period (see requirement under “Operation and Maintenance” below). 19. ENVIRONMENTAL CLEARANCES/PERMITS a. It is the responsibility of the Permittee to determine which environmental clearances and/or regulations apply to their activities and to obtain any clearances that are required directly from the appropriate regulatory agency prior to commencing work. Please refer to or request a copy of the “CDOT Environmental Clearance Information Summary” (ECIS) for details. The ECIS may be obtained from CDOT Permitting Offices or may be accessed via the CDOT webpage at http://www.dot.state.co.us/UtilityProgram/Forms.cfm. Failure to comply with regulatory requirements may result in suspension or revocation of your CDOT permit, or enforcement actions by other agencies. b. The Special Provisions of this permit shall list any specific environmental clearances or permits that the Department has been notified by the Permittee or by the administering regulatory agency apply to the operations authorized by this permit. The Special Provisions shall require the Permittee obtain the listed environmental clearances/permits prior to beginning work. c. The Permittee shall comply with all requirements described in the CDOT Environmental Clearances Information Summary, including those pertaining to: 1) Ecological Resources 2) Cultural Resources 3) Discharges of Stormwater or Process Water 4) Hazardous Materials 5) Discharges of Dredged or Fill Material 6) Erosion and Sediment Control 7) Disposal of Drilling Fluids 8) Concrete Washout 9) Spill Reporting 10) Transportation of Hazardous Materials d. Disturbance of any wildlife shall be avoided to the maximum extent practicable. If threatened or endangered species or archeological or historical artifacts are encountered during the progress of a project, work in the subject area shall be halted and the CDOT regional permitting office shall be contacted immediately for direction as to how to proceed. e. All discharges of stormwater or process water are subject to the applicable provisions of the Colorado Water Quality Control Act and the Colorado Discharge Permit Regulations. f. There shall be no disposal of hazardous materials in the state highway right of way. Solid waste shall be removed from the state highway right of way and disposed of at a permitted facility or designated collection point (such as the Permittee’s own dumpster). Drilling fluids must be disposed of as described in the ECIS. g. If pre-existing solid waste or hazardous materials contamination (including oil or gasoline contaminated soil, asbestos, chemicals, mine tailings, etc.) are encountered during the performance of work, the Permittee shall halt work in the affected area and immediately contact the CDOT regional permitting office for direction as to how to proceed. h. Spills shall be reported immediately using the CDOT Illicit Discharge Hotline (303) 512-4446. Spills on the highway, into waterways, or that may otherwise present an immediate danger to the public, shall be reported by calling 911 or the Colorado State Patrol at (303) 239-4501, and the Colorado Department of Public Health and Environment at 1-(877) 518-5608. 20. RESTORATION OF RIGHT OF WAY Prior to final acceptance, all disturbed portions of highway right of way shall be cleaned up and restored to their original condition, subject to CDOT 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 restoration must be delayed due to seasonal requirements, such work may be authorized by separate permit. Permittee shall use only certified weed-free seed and mulch. Permittee shall clean equipment before transporting it into or out of the state to prevent the migration of noxious weeds. 21. OPERATION AND MAINTENANCE a. Permittee agrees to own and maintain the installation permitted herein. The facility shall be kept in an adequate state of repair and maintained in such a manner as to cause the least interference with the normal operation and maintenance of the highway. b. If any element of the transportation facility, constructed or replaced as a condition of this permit, fails within 24 months due to improper construction or materials, Permittee shall make all repairs immediately as notified in writing by CDOT. c. Routine, periodic maintenance and emergency repairs may be performed under the general terms and conditions of this permit. CDOT shall be given proper advance notice whenever maintenance work will affect the movement or safety of traffic. In an emergency, the CDOT Region office and the State Patrol shall immediately be notified of possible traffic hazards. Emergency procedures shall be coordinated beforehand, where possible. d. Maintenance activities requiring new excavation or other disturbance within highway ROW may require separate permit. Where highway construction or maintenance operations so require, Permittee will shut off lines, remove all combustible materials from the highway right of way, or provide other temporary safeguards. 22. MARKERS, LOCATION AIDS, LOCATION ASSISTANCE a. The utility shall take all practical measures to ensure that buried utility facilities are surface-detectable by standard geophysical methods. Where the utility facilities, by the nature of their material properties, burial depth or other factors, may by themselves not be surface-detectable, the utility shall, where feasible, incorporate detection wire or other detection aids in the installation of those facilities. In instances where detection aids are not feasible or would be ineffective and surface-detectability cannot be ensured, surface markers shall be installed as directed by the Department and as-constructed plans and showing the accurate horizontal and vertical location of the buried facilities shall be provided to the Department. b. All plowed or trenched installations must include color-coded (using the American Public Works Association color coding system) warning tape placed not less than 12 inches vertically above the top of the line. The warning tape shall be surface-detectable if needed to facilitate detection of the line. c. The utility shall place readily identifiable markers at the right of way line where it is crossed by pipelines carrying transmittants which are flammable, corrosive, expansive, energized, or unstable, particularly if carried at high pressure or potential, except where a vent will serve as a marker. d. The utility shall place markers for longitudinal underground facilities vertically above the facilities or at a known horizontal offset, unless otherwise approved in writing by the Department. CDOT UTILITY/RELOCATION/SPECIAL USE PERMIT STANDARD PROVISIONS Each marker shall provide a fore- and backsight to succeeding and preceding markers. Markers shall be installed at suitable intervals along tangent sections, at angle points or points of curvature and at reasonable intervals along curves. e. The utility shall maintain any markers required by this Code for the life of the installation. f. The Department may require the utility to submit “as-constructed” plans. The Department may enter into an agreement with the utility whereby the Department can rely on those plans for the exact location of the utility for any future excavations, and need not give notice to the utility under Article 1.5 of Title 9, C.R.S. g. The utility will comply with the applicable requirements of Article 1.5 of Title 9 C.R.S., including any requirement to participate in the State’s Notification Association pursuant to 9-1.5-105 C.R.S.. All owners of underground utilities within the SHROW, with the exception of the Department itself, must become members of the UNCC Notification Association. h. In addition to complying with the provisions of Article 1.5 of Title 9 C.R.S (One-Call Statute) in response to the Department’s notification of planned excavations, utility owners shall surface- mark their buried utility facilities that are located within the SHROW in order to facilitate Departmental engineering and design activities, upon reasonable request from the Department, and at no cost to the Department. The Permittee shall respond to such request within a reasonable timeframe acceptable to the Department, but no longer than 14 calendar days from the date of request, and the accuracy of the surface marking shall be within 18 inches of either side of the actual location of the buried facility. 23. ADJUSTMENTS DUE TO HIGHWAY CONSTRUCTION If for any transportation purpose it becomes necessary to remove, adjust, or relocate this facility, Permittee will do so promptly, at no cost to the CDOT except as provided by law, upon written notice from CDOT and in accordance with the utility relocation permit issued to cover the necessary work. The utility shall perform the relocation at or within a time convenient to and in proper coordination with the project or transportation-related activity, to minimize public inconvenience and cost, as directed by the Department in the permit authorizing the relocation. The utility company shall pay for damages caused by the company's delay in the performance of utility relocation work or interference with the performance of transportation project work done by others. Such damages include, but are not limited to, payments made by the Department to any third party based on a claim that performance of the transportation project work was delayed or interfered with as a direct result of the utility company's failure to timely perform the utility relocation work. Damages resulting from delays in the performance of the utility relocation work or interference with the transportation project work that are caused by events beyond the utility company’s ability to reasonably foresee or control (a force majeure) shall not be charged to the utility company. 24. ABANDONMENT, RETIREMENT, CHANGE IN OWNERSHIP a. The Permittee shall notify the Department in writing of the planned retirement or abandonment of its facility or any portion thereof. The Department will notify the Permittee in writing if it determines that the facilities may be retired or abandoned in place, along with any special conditions that may apply. b. Retired facilities shall remain the Permittee’s sole responsibility, subject to all provisions of the Utility Accommodation Code and all of the terms and conditions of the permit issued for that facility, including maintenance and relocation requirements. c. The Permittee shall promptly remove all abandoned facilities from the SH ROW and promptly restore the SH ROW to pre-existing or other conditions prescribed by the Department unless the Department in writing expressly allows the facility to remain in place. Written notice from the Department, allowing an abandoned facility to remain in place, may include special conditions. d. If utility facilities are retired or abandoned in place, the utility shall comply with that decision if directed by the Department: 1) cap, plug or fill lines, 2) furnish suitable location records for any such buried facilities, 3) maintain its own records of such facilities and respond to locate notices/requests from the UNCC and/or excavators, In providing such locates, the utility will indicate to the requesting entity whether or not the subject facilities are retired or abandoned. 4) perform any other actions as deemed necessary by the Department to protect the transportation facility and/or the traveling public. e. If the ownership of utility facilities is transferred, both the original Permittee and the new owner shall notify the Department in writing prior to the change in ownership, and such notice shall state the planned date of change in ownership. The notice from the new owner shall include a written statement accepting all terms and conditions of the existing permit, effective upon the planned date of the change in ownership. f. Utility facilities containing asbestos may not be abandoned in-place. Ordinarily, such facilities must be removed from the SHROW when take out of service. On a case-by-case basis, the Department may allow such facilities to be retired in-place, with the owner retaining full legal ownership and responsibility for the facilities. 25. SUSPENSION AND CANCELLATION a. The CDOT inspector may suspend operation due to: 1) Non compliance with the provisions of this permit 2) Adverse weather or traffic conditions 3) Concurrent transportation construction or maintenance operations in conflict with the permitted work. 4) Any condition deemed unsafe for workers or for the general public. b. Work may resume when grounds for suspension no longer exist. This permit is subject to cancellation due to: 1) Persistent noncompliance with permit provisions 2) Abandonment or transfer of ownership 3) Superseded by new permit covering the same installation 4) Conflict with necessary planned transportation construction. c. Permittee must promptly terminate occupancy upon notice of cancellation of permit, unless a new permit is applied for and granted. d. Where Permittee does not fulfill an obligation to repair or maintain any portion of the highway facility, or control and safely maintain the flow of traffic thereon, CDOT reserves the right, in lieu of canceling this permit, to accomplish the required work by any other appropriate means, and Permittee shall be liable for the actual costs thereof. \i2\ COLORADO DEPARTMENT OF TRANSPORTATION Environmental Clearances Information Summary PURPOSE - This summary is intended to inform entities external to CDOT that may be entering the state highway right-of-way to perform work related to their own facilities (such as Utility, Special Use or Access Permittees), about some of the more commonly encountered environmental permits/clearances that may apply to their activities. This listing is not all-inclusive—additional environmental or cultural resource permits/clearances may be required in certain instances. Appropriate local, state and federal agencies should be contacted for additional information if there is any uncertainty about what permits/clearances are required for a specific activity. IMPORTANT: Please Review The Following Information Carefully – Failure to Comply With Regulatory Requirements May Result In Suspension or Revocation of Your CDOT Permit, Or Enforcement Actions By Other Agencies. CLEARANCE CONTACTS - As indicated in the permit/clearance descriptions listed below, the following agencies may be contacted for additional information: Colorado Department of Public Health and Environment (CDPHE): General Information – 303-692-2000 Water Quality Control Division (WQCD): 303-692-3500 https://cdphe.colorado.gov/water-quality Environmental Permitting Website https://www.colorado.gov/pacific/cdphe/all-permits CDOT Water Quality Program Manager: 720- 561-9001 https://cdphe.colorado.gov/water-quality-permits CDOT Asbestos Project Manager: 303-512-5519 CDPHE Hazardous Materials and Waste Management Division (HMWMD) https://cdphe.colorado.gov/hm Colorado Division of Oil and Public Safety Department of Labor and Employment https://ops.colorado.gov/petroleum Colorado Office of Archaeology and Historic Preservation: 303-866-5216 U.S. Army Corps of Engineers, District Regulatory Offices: Omaha District (Northeastern CO), Denver Office 303-979-4120 http://www.nwo.usace.army.mil/Missions/RegulatoryProgram/Colorado.aspx Albuquerque District, Fort Carson Office 505-231-4187 Durango 970-259-1764 Grand junction 970-243-1199 See map for counties (southern CO) https://www.spa.usace.army.mil/Missions/Regulatory-Program-and-Permits/Southern- Colorado-Regulatory-Branch/ CDOT Utilities, Special Use and Access Permitting: 303-757-9654 https://www.codot.gov/business/permits Wildlife Resources - Disturbance of wildlife shall be avoided to the maximum extent practicable. Entry into areas of known or suspected threatened or endangered species habitat requires special authorization from the CDOT permitting office. If any threatened or endangered species are encountered during the progress of the permitted work, work in the subject area shall be halted and the CDOT Regional Permitting Office and Region Planning and Environmental Manager shall be contacted immediately. Authorization must be provided by CDOT prior to the continuation of work. Information about threatened or endangered species may be obtained from the CDOT website, http://www.codot.gov/programs/environmental/wildlife/guidelines, or the Colorado Parks and Wildlife (CPW) website, http://www.cpw.state.co.us/learn/Pages/SOC-ThreatenedEndangeredList.aspx. Additional guidance may be provided by the appropriate Region Planning and Environmental Manager (RPEM). If any trees or shrubs are to be removed or work on/under bridges is to be completed between April 1 and August 31, a survey must be completed by a qualified wildlife biologist for active nests. If an active nest(s) is found no work may be done within 50' of the nest(s) until the nest(s) becomes inactive. To avoid the survey requirement, it is recommended that all vegetation that needs to be removed, be removed after August 31 and before April 1. Additional information may be obtained from the CDOT website, https://www.codot.gov/programs/environmental/wildlife/guidelines. Threatened and Endangered species Designated Critical Habitat mapper: https://fws.maps.arcgis.com/home/webmap/viewer.html?webmap=9d8de5e265ad4fe09893cf75b8dbfb77 Cultural Resources - The applicant must have a qualified cultural resources specialist request a file search of the permit area through the Colorado Office of Archaeology and Historic Preservation (OAHP) to determine if there are known historic built environment AND archaeological resources in the permit area and more specifically, within CDOT right of way (ROW) (https://www.historycolorado.org/file-access; 303-866-5216). A qualified cultural resources specialist must also evaluate the potential for resources in the permit area that have not yet been documented and would not be in the file search. Depending on the file search and review of the permit area and the nature of the effects to resources within CDOT ROW (ROW), a field survey of the permit area by a qualified cultural resources specialist may be necessary, per guidance from CDOT cultural resources staff. If there are potential effects to resources within CDOT ROW, consultation under the Colorado Historic Register Act (CRS 24-80.1) may be required. If the permit area involves a highway easement deed (HED) through federal or tribal land, additional consultation with these agencies or tribal governments may be required. If the permit is being requested by another state or federal agency, coordination regarding regulatory compliance requirements and roles/responsibilities may be necessary. If archaeological sites/artifacts or historic built environment resources are encountered as the project progresses, all work in the subject area shall be halted and the CDOT Regional Permitting Office and Region Planning and Environmental Manager shall be contacted immediately. Authorization must be provided by CDOT prior to the continuation of work. Additional guidance may be provided by the Regional Permitting Office and RPEM. Paleontological Resources - The level of effort required for paleontological resources is dependent on the amount of ground disturbance, including rock scaling, digging, trenching, boring, ground leveling, and similar activities. If the permit will involve extensive ground disturbance (generally involving more than one mile of CDOT ROW), a full review will be required by a qualified paleontologist, including map, file, and locality searches, with final recommendations provided by the CDOT paleontologist upon receipt of the report. Based on results of the review, a survey or inventory of the permit area may be necessary. If the permit will involve a small amount of ground disturbance (less than one mile of ROW), the applicant must request a fossil locality search through the University of Colorado Museum of Natural History (https://www.colorado.edu/cumuseum/research- Environmental Clearances Information Summary Page 1 of 3 Colorado Department of Transportation August 2025 collections/paleontology/policies-procedure) and the Denver Museum of Nature and Science (https://www.dmns.org/science/locality-search-request/). The museum collections manager will provide information about localities in the project area. If there are no known localities, the permit requirement for paleontology is complete upon submitting that information to CDOT. If there are known localities, the CDOT paleontologist will be contacted by the museum with details, and additional recommendations will be made if necessary. Note that museum staff are not required to disclose the details of fossil localities to the permit applicant, nor is detailed locality information required for the permit application to proceed. If the permit does not involve ground disturbance, no action is required for paleontological resources. If fossils are encountered during the permitted action, all work in the immediate area of the find should stop and the CDOT Staff Paleontologist and the Region Planning Environmental Manager should be contacted immediately. Authorization must be provided by CDOT prior to the continuation of work. Additional guidance may be provided by the Regional Permitting Office in the Permit Special Provisions. Contact Information: See the museum websites listed above. The CDOT Paleontologist is not able to conduct locality searches independently. For further information contact CDOT Paleontologist Nicole Peavey at nicole.peavey@state.co.us or 303-757-9632. Hazardous Materials, Solid Waste - The Solid Wastes Disposal Sites and Facilities Act C.R.S. 30-20-100, et al, and Regulations Pertaining to Solid Waste Disposal Sites and Facilities (6 CCR 1007-2), prohibit solid waste disposal without an approved Certificate of Designation (a landfill permit). The Colorado Hazardous Waste Act C.R.S. 25-15-301 et al, and the Colorado Hazardous Waste Regulations (6 CCR 1007-3) prohibit the transfer, storage or disposal (TSD) of hazardous waste except at permitted TSD sites. There are no permitted landfills or TSD sites within the State Highway Right of Way. Therefore, all solid or hazardous wastes that might be generated by the activities of entities entering the State Highway Right of Way must be removed from the ROW and disposed of at a permitted facility or designated collection point (e.g., for solid waste, a utility or construction company’s own dumpster). If pre-existing solid waste or hazardous materials contamination (including oil or petroleum contaminated soil, asbestos, chemicals, mine tailings, etc.) is encountered during the performance of work, the permittee shall halt work in the affected area and immediately contact the CDOT Regional Permitting Office for direction as to how to proceed. Contact Information: David Mendel, CDOT Hazardous Materials Management Supervisor: 720-642-0537. Asbestos Containing Materials, Asbestos Contaminated Soil - All work on asbestos containing materials (ACM) must comply with the applicable requirements of the CDPHE Air Pollution Control Division’s (APCD) Regulation 8. Disposal of ACM, and work done in asbestos-contaminated soil, must comply with the CDPHE Hazardous Materials and Waste Management Division’s (HMWMD) Solid Waste Regulations. The application for any CDOT permit must specifically identify any ACM involved in the work for which authorization is being requested. A materials management plan (MMP) will likely be required for work in the State Highway Right of Way where known or possible hazardous materials may be encountered. It is the permittee's responsibility to determine if a material is classified as asbestos containing material in accordance with applicable regulations. Additional guidance or requirements may be specified in the permit special provisions. Contact Info: CDPHE APCD and HMWMD Regulations can be accessed via the CDPHE Environmental Permitting Website listed above. Additional information concerning clearance on CDOT projects is available from the CDOT Asbestos Program Manager, or David Mendel, CDOT Hazardous Materials Management Supervisor: 720-642-0537. Transportation of Hazardous Materials - No person may offer or accept a hazardous material for transportation in commerce unless that person is registered in conformance with the United States Department of Transportation regulations at 49 CFR, Part 171. The hazardous material must be properly classed, described, packaged, marked, labeled, and in condition for shipment as required or authorized by applicable requirements, or an exemption, approval or registration has been issued. Vehicles requiring a placard, must obtain authorization and a State HAZMAT Permit from the Colorado Public Utilities Commission. Contact Information: For authorization and more info call the Federal Motor Safety Carrier Administration, US DOT for inter- and intra- state HAZMAT Registration 303- 969-6748. Colorado Public Utilities Commission: 303-894-2868. Discharge of Dredged or Fill Material – 404 Permits Administered By the U.S. Army Corps of Engineers, and Section 401 Water Quality Certifications and Regulation 87 Authorizations Issued by the CDPHE WQCD - Clean Water Act section 404 permits are often required for the discharge of dredged or fill material into federal waters or wetlands. Several types of section 404 permits exist, including nationwide, regional general, and individual permits. Nationwide permits are the most commonly authorized type for activities with relatively minor impacts. If an individual 404 permit is required, section 401 water quality certification from the CDPHE WQCD is also required. Contact the appropriate Corps District Regulatory Office for information about what type of 404 permit may be required (contact information above). Contact the CDPHE Water Quality Control Division at (303) 692-3500. CDPHE Dredge and Fill Temporary Authorizations (before Dec. 2025) and Regulation 87 Authorizations (after Dec. 2025) are required when a project will discharge material into a water of the State that is not a water of the U.S. CDPHE authorizations generally follow the standards of the USACE permitting program. For more information - https://cdphe.colorado.gov/dredge-and-fill. Working on or in any stream or its bank - In order to protect and preserve the state’s fish and wildlife resources from actions that may obstruct, diminish, destroy, change, modify, or vary a natural existing stream or its banks or tributaries, it may be necessary to require streambank mitigations that can be similar or different to what might be required to obtain a Senate Bill 40 certification from the Colorado Parks and Wildlife in order to meet the intent of CDOT's Stewardship Agreement and to mitigate impacts to protected resources in other regulations such as in the Clean Water Act or Endangered Species Act, etc. A stream is defined as 1) represented by a solid blue line on USGS 7.5’ quadrangle maps; and/or 2) intermittent streams providing live water beneficial to fish and wildlife; and/or 3) segments of streams supporting 25% or more cover within 100 yards upstream or downstream of the project; and/or 4) segments of streams having wetlands present within 200 yards upstream or downstream of the project measured by valley length.. Stormwater/Erosion Control Practices - Any activities that disturb one or more acres of land require a Stormwater Construction Permit (SCP) from the CDPHE-WQCD, and a Stormwater Management Plan (SWMP). Erosion & sediment control requirements will be specified in that permit. In situations where a stormwater permit is not required, all reasonable erosion and sediment control Environmental Clearances Information Summary Page 2 of 3 Colorado Department of Transportation August 2025 measures should be taken to minimize erosion and sedimentation. Control practices should be in accordance with CDOT Standard Specifications 107.25, 208, 213 and 216 (https://www.codot.gov/business/designsupport/cdot-construction-specifications). Contact Information: Contact the CDPHE-WQCD at 303-692-3517. Website: https://cdphe.colorado.gov/clean-water-program/clean-water- permits/permits-by-category/water-quality-construction-permits Site Stabilization - All disturbances require a stabilization plan, native seeding or landscape design plan according to applicable CDOT Standard Specifications 212-217. Stormwater Discharge From Industrial Facilities - Discharges of stormwater runoff from certain types of industrial facilities, such as concrete batch plants - require a CDPS Stormwater Permit. Contact Information: Contact the CDPHE-WQCD at 303-692- 3517. Website: https://colorado.gov/pacific/cdphe/wq-commerce-and-industry-permits Concrete Washout - Waste generated from concrete activities shall NOT be allowed to flow into the drainage ways, inlets, receiving waters, or in the CDOT ROW. Concrete waste shall be placed in a temporary concrete washout facility and must be located a minimum of 50 feet from state waters, drainageways, and inlets. Concrete washout shall be in accordance to CDOT specifications and guidelines at https://www.codot.gov/business/designsupport/cdot-construction-specifications and refer to the specifications and their revisions for sections 101, 107 and 208. Construction Dewatering (Discharge or Infiltration) and Remediation Activities - Discharges of water encountered during excavation or work in wet areas may require a Construction Dewatering or Remediation Activities Discharge Permit. Contact Information: Contact the CDPHE-WQCD at 303-692-3517. For Applications and Instructions: https://cdphe.colorado.gov/dewatering-general-permit-program. Municipal Separate Storm Sewer System (MS4) Requirements - When working in a MS4 area, discharges to the storm sewer system are subject to CDOT’s or other municipalities’ MS4 Permit. For activities within the boundaries of a municipality that has a MS4 permit, the owner of such activity should contact the municipality regarding stormwater related requirements. All discharges to the CDOT highway drainage system or within the Right of Way (ROW) must comply with the applicable provisions of the Colorado Water Quality Control Act, the Water Quality Control Commission (WQCC) Regulations (https://www.colorado.gov/pacific/cdphe/wqcc-regulations-and-policies-and-water-quality-statutes) and the CDOT MS4 Permit #COS-000005 https://oitco.hylandcloud.com/Pop/docpop/docpop.aspx?docid=4077935&clienttype=html. Discharges are subject to inspection by CDOT and CDPHE. For CDOT-related MS4 programs and requirements, go to: https://www.codot.gov/programs/environmental/water-quality. An MOU or MOA may be required for municipalities that discharge in CDOT ROW Post-Construction Permanent Water Quality - When working in a CDOT MS4 area and the activity disturbs one or more acres, permanent water quality control measures may be required. Information on the requirements can be found under the CDOT Permanent Water Quality MS4 Program at: https://www.codot.gov/programs/environmental/water-quality/stormwater- programs/pwq-permanent-water-quality Discharges to Storm Sewer Systems Prohibited Discharges - All discharges are subject to the provisions of the Colorado Water Quality Control Act and the Colorado Discharge Permit Regulations. Prohibited discharges include, but are not limited to, substances such as wash water, paint, automotive fluids, solvents, oils or soaps and sediment. Allowable Discharges - The following discharges to stormwater systems are allowed without a permit from the CDPHE-WQCD: landscape irrigation, diverted stream flows, uncontaminated ground water infiltration to separate storm sewers, discharges from potable water sources, foundation drains, air conditioning condensation, irrigation water, uncontaminated springs, footing drains, water line flushing, flows from riparian habitats and wetlands, and flow from firefighting activities. Contact Information: Contact the CDPHE-WQCD at (303) 692-3517. Information can also be found in the CDOT Illicit Discharge MS4 Program PDD at: https://www.codot.gov/programs/environmental/water-quality/stormwater-programs/idde.html. Spill Reporting - Spills shall be contained and cleaned up as soon as possible. Spills shall NOT be washed down into the storm drain or buried. All spills shall be reported to the CDOT Illicit Discharge Hotline at 303-512-4426 (4H20), as well as the Regional Permitting Office and Regional Maintenance Supervisor. Spills on highways, into waterways, any spill in the highway right-of-way exceeding 25 gallons, or that may otherwise present an immediate danger to the public shall be reported by calling 911, and shall also be reported to the CDPHE at 1-877-518-5608. More information can be found at https://cdphe.colorado.gov/report-concern- emergency. Disposal of Drilling Fluids - Drilling fluids used in operations such as Horizontal Directional Drilling may be classified as “discharges” or “solid wastes,” and in general, should be pumped or vacuumed from the construction area, removed from the State Highway Right of Way, and disposed of at permitted facilities that specifically accept such wastes. Disposal of drilling fluids into storm drains, storm sewers, roadside ditches or any other type of man-made or natural waterway is prohibited by Water Quality Control and/or Solid Waste regulations. Small quantities of drilling fluid solids (less than 1 cubic yard of solids) may be left on-site after either being separated from fluids or after infiltration of the water, provided: 1) the drilling fluid consists of only water and bentonite clay, or, if required for proper drilling properties, small quantities of polymer additives that are approved for use in drinking water well drilling; 2) the solids are fully contained in a pit, and are not likely to pose a nuisance to future work in the area, 3) the solids are covered and the area restored as required by CDOT permit requirements (Utility, Special Use, or Access Permits, etc.). Contact Information: Contact CDPHE at 1-877-518-5608. Information for PFAS containing liquids reference the CDPHE site https://cdphe.colorado.gov/pfas-mapping. Noxious Weeds and Invasive Species Management Plan - Noxious Weeds, Invasive Species and Clean Fill Materials guidance can be found by contacting the Colorado Department of Agriculture https://www.colorado.gov/pacific/agconservation/noxiousweeds and the Colorado Division of Parks and Wildlife https://cpw.state.co.us/noxious-weeds. In either case, management plans involving the control of noxious weeds associated with the permitted activity and cleaning of equipment will be required. Environmental Clearances Information Summary Page 3 of 3 Colorado Department of Transportation August 2025 , What is stormwater runoff? Stormwater runoff occurs when precipitation from rain or snowmelt flows over the ground. Impervious surfaces like roads and sidewalks prevent stormwater from naturally soaking into the ground Why is stormwater runoff a problem? Stormwater can pick up debris, chemicals, dirt and other pollutants and flow into CDOT’s storm drain system or directly into a stream, river, lake, wetland or reservoir. Anything that enters CDOT’s storm drain system is discharged untreated into the waterways we use for fishing, swimming, and providing drinking water. Tips for Reporting an Illicit Discharge Call the illicit discharge hotline at (303) 512-4426 From a safe distance try to estimate the amount of the discharge. Identify characteristics of the discharge (color, odor, algae, etc.). Obtain information on the vehicle dumping the waste (if applicable). Do not approach! Call *CSP for illicit dumping. If possible, take a photo, record a license plate. REMEMBER: Never get too close to the illicit discharge, it may be dangerous!!! For more information on CDOT Utility Permits: https://www.codot.gov/business/permits/utilitie sspecialuse For more information on CDOT Access Permits: https://www.codot.gov/business/permits/access permits For more information on CDOT Water Quality Program: Water Quality Program Manager 4201 E. Arkansas Ave. Shumate Building Denver, Colorado 80222 303-757-9343 Program Industrial Facilities Program CDOT has a Municipal Separate Storm Sewer System permit, otherwise known as (MS4) from the Colorado Department of Public Health and Environment. The permit states that only stormwater can be discharged from CDOT’s storm drain system As part of the permit, CDOT has several different programs to prevent pollutants from entering into the storm drain system: Construction Site Program New Development Redevelopment Program Illicit Discharge Program Industrial Facilities Program Public Education and Outreach Program Pollution Prevention and Good Housekeeping Program Wet Weather Monitoring Program Dredged spoil, dirt, slurry, solid waste, incinerator residue, sewage, sewage sludge, garbage, trash, chemical waste, biological nutrient, biological material, radioactive material, heat, pH, wrecked or discarded equipment rock, sand, any industrial, municipal, or agricultural waste. Control Measures for Industrial Facilities Industrial facilities can use control measures (CM) otherwise known as Best Management Practices (BMP) during the construction of a facility and when operating the facility. Control measures are schedules of activities, maintenance procedures, and other management practices to prevent and reduce pollution entering into CDOT’s storm drain system. Control Measures also include treatment, operating procedures, and practices to control site run off which can include structural and non-structural controls. CDOT defines a utility, or utility facility as any privately, publicly, or cooperatively owned line, facility, or system producing, transmitting or distributing the following: Communications Cable television Power Electricity Light Heat Gas Oil Crude Products Water Stream Waste Stormwater not connected with highway drainage Similar Commodity Industrial Facilities Program Elements: 1.Educate and outreach to owners or operators that have potential to contribute substantial pollutant to water. 2.Report and include information on discharge and water quality concerns. Provide written notification within 15 days of discovery to CDPHE. 3.Submit an annual report to CDPHE containing the number of informational brochures distributed; name and title of each individual trained. Education There are instances when a utility company or other entity doing work in the state highway right-of-way will require some type of environmental permit or clearance for that work. CDOT has put together an Environmental Clearances Information Summary for those applying for a CDOT Utility and Special Use Permit or Access Permit to obtain all required clearances. This fact sheet is given to each permittee and is available at: https://www.codot.gov/programs/enviro nmental/resources/guidance- standards/Environmental%20Clearances % 20Info%20Summary.p Region 3 Traffic Section 222 S 6th St, Room 100 Grand Junction, Colorado 81501 (970) 892-0525 LATE FALL, WINTER AND SPRING SPECIAL PROVISIONS FOR WORK WITHIN CDOT ROW It’s that time of year again when work within the Right of Way (ROW) becomes a special concern. Due to Northwest Colorado’s unpredictable weather, work in the ROW can create several types of hazards for the traveling public, contractors, and their personnel. The condition of the highway can change quickly. Mud tracked onto the highway by equipment, or ice and snowpack are just a few of the conditions that make the roadway more hazardous for all concerned. The terrain within the ROW must be kept clear of hazards as well. Holes, trenches, equipment and materials can make the terrain “unrecoverable” for a driver should his/her vehicle leave the highway. Activities must be shut down when the roadway is other than dry. The use of frozen materials for backfilling will only lead to settlement. The contractor must make extra effort to compact the excavation. In the spring, any settlement of backfill shall be repaired. The re-vegetation shall take place yet this fall or early next spring. PERMIT NUMBER: 3260071 GENERAL PERMIT TERMS & CONDITIONS NOTICE: No underground installations shall be performed from November 15 to March 31, unless the CDOT inspector or permit coordinators on the permit have approved of the installation during this time frame. Emergency repairs are exempt. Review and comply with the attached ‘Special Provisions for late fall, winter and spring”. With asphalt plants having a seasonal schedule and shutting down in December into March, during this time no asphalt shall be cut unless for emergency repairs. CHECKED TERMS () APPLY TO THIS PERMIT 100 GENERAL 101 Please refer to this permit number in all communications and correspondence. 102 The Permittee, his or her heirs, successors-in-interest, assigns, and occupants of the Utility/Fiber Communication/Special Use permitted by this permit shall be responsible for meeting the terms and conditions of this permit. 103 Read all additional standard requirements of this permit and other terms and conditions on the attached sheets. A copy of this permit including all terms and conditions must be on the job site with the contractor. Any survey monuments or markers disturbed during the execution of this permit shall be repaired immediately at the expense of the Permittee. 104 NOTIFY THE DEPARTMENT OF TRANSPORTATION INSPECTOR TWO WORKING DAYS BEFORE STARTING THE WORK OR RESUMING SUSPENDED WORK. 105 Any damage to any present highway facilities shall be repaired immediately and prior to continuing other work. Any mud or other material tracked or otherwise deposited on the roadway shall be removed daily or as ordered by the Inspector. 106 CDOT will determine the extent of inspection services for the work. A daily inspection may be done by the Colorado Department of Transportation from the time work begins inside the highway right-of-way until the job is completed and right-of-way restored to its original condition. 107 Water, storm sewer, sanitary sewer, gas, electrical, landscaping, telephone, traffic signal installations and fiber optic installations will require individual additional permits, unless prior approval is given by the CDOT Utility Coordinator. 108 The Permittee is responsible for obtaining any necessary additional Federal, State and/or City/County or Railroad permits, or clearances required for work within CDOT right of way. Approval of this Permit does not constitute verification of this action by the Permittee. 109 The Department will require the permittee to retain a Professional Engineer (PE) to be in Responsible Charge of Construction Observation. The PE’s responsibilities include, but are not limited to: 1. The PE in Responsible Charge of Construction Observation shall evaluate compliance with plans and specifications regarding the roadway improvements within the State Highway Right of Way only. The PE’s responsibilities shall be as defined in Section 5 of the BYLAWS AND RULES OF THE STATE BOARD OF REGISTRATION FOR PROFESSIONAL ENGINEERS AND LAND SURVEYORS, and the relevant sections of the latest CDOT Standard Specifications for Road and Bridge Construction. The PE shall carefully monitor the contractor’s compliance on all aspects of construction including Construction Zone Traffic Control. 2. Engineering Certification: After inspection and before final acceptance, the PE shall certify to CDOT, in writing that all inspections, materials, materials testing, and construction methods conform to CDOT, specifications and purpose of the design. The PE shall be experienced and competent in road and bridge construction management, inspection and materials testing. Certification means a signed and/or sealed letter by a PE representing that the engineering services addressed therein have been performed by the PE, or under the Professional Engineer in Responsible Charge Is in accordance with applicable standards of practice. 110 Engineered Plans including the original load rating results shall be submitted to Staff Bridge prior to construction for any culvert or bridge with a span longer than 12’ or any pedestrian structure. The load rating shall adhere to the procedures specified in the Colorado Department of Transportation Staff Bridge Load Rating Manual. The input file shall be submitted electronically. As built plans shall be sent to the permit coordinator within 45 days of completion. 111 The Permittee and his/her Professional Engineer shall follow the latest revisions to CDOT's Standard Specifications for Road and Bridge Construction, Standard Special Provisions. The revisions can be found on CDOT's external website. 112 Per State Bill 18-167, (811 law) all new underground utilities and fiber must be electronically locatable when installed. The bill applies to utility owners, fiber owners and private property owners. All transmission, main, and service lines within the project limits must be accurately depicted from starting point to ending point. Beginning January 1, 2019, all public and private utilities and fiber providers are required to be members of the 811 One Call List. 113 114 As-built drawings must be submitted via email and to the permits portal under the permit number provided no later than 45 days following completion of work. The input file shall be submitted in accordance with the attached document. Data collection and documentation requirements shall conform to the attached Special Provisions labeled Term #112 and #116 Special Provisions Section 3.3.4.6.2 and 3.3.4.3 as constructed and plan and profile requirements. Permittee must submit a full QL-A digital plan and profile to CDOT with the permit number on cover sheet showing all physical off-sets both horizontal and vertical to all existing utilities or fiber, face of curb, right of way line and surface elevations to include stationing for all installations prior to any work. This plan must be emailed to the permit project manager and uploaded to the permits portal under the permit number provided. Data collection and documentation requirements shall conform to the attached Special Provisions labeled Term #112 and #116 Special Provisions Section 3.3.4.6.2 and 3.3.4.3 as constructed and plan and profile requirements. 300 DRAINAGE, WATER QUALITY CONTROL, ENVIRONMENTAL 301 All disturbed landscaping is to be restored to original or better condition. 302 Areas of roadway and right-of-way disturbed during this installation shall be restored to insure proper drainage and erosion control. 303 All discharges are subject to the provisions of the Colorado Water Quality Control Act and the Colorado Discharge Permit Regulations. Prohibited discharges include substances such as: wash water, paint, automotive fluids, solvents, oils or soaps. Unless otherwise identified by CDOT or the Colorado Department of Public Health and Environment (CDPHE) Water Quality Control Division (WQCD) as significant sources of pollutants to the waters of the State, the following discharges to storm water systems are allowed without a Colorado Discharge Permit System permit: landscape irrigation, diverted stream flows, uncontaminated ground water infiltration to separate storm sewers, discharges from potable water sources, foundation drains, air conditioning condensation, irrigation water, springs, footing drains; water line flushing, flows from riparian habitats and wetlands, and flow from firefighting activities. However, construction activities may require a Construction Stormwater Permit. Contact the CDOT Water Quality Program Manager at 303.757.9343. ANY OTHER DISCHARGES may require Colorado Discharge Permit/s or separate permits from CDPHE or the appropriate agency before work begins. For additional information and forms, go to the CDPHE website at: http://www.cdphe.state.co.us/wq/PermitsUnit/index.html 304 The Permittee is responsible for compliance with all Federal, State, and local environmental regulations. The Permittee should have a qualified environmental consultant on staff or hire a qualified environmental consulting firm to assess the proposed project area for potential environmental impacts and obtain any necessary permits prior to disturbance. Environmental impacts include, but are not limited to, wetlands, water quality, threatened or endangered flora and fauna, cultural resources including both archaeological and paleontological resources, and hazardous waste that can affect both human health and the natural environment. Should enforcement action(s) be taken by any agency with jurisdiction, liability for noncompliance with any environmental regulation is the sole responsibility of the Permittee. Questions regarding environmental impacts can be directed to the Region 3 Environmental Manager at 970.683.6250. 400 TRAFFIC 401 No access to the work area will be permitted from the main lanes or ramps of the Highway without prior approval from the Utility Permit Coordinator and will require proper traffic control plans. 402 Any construction equipment with outriggers shall use street pads. 403 No open cuts will be allowed to be left open within 30 feet of the edge of the traveled way at night, on weekends, or on holidays without being protected with barriers and or plates. 404 Where necessary to remove, add, or relocate a State Highway traffic control device, including striping, traffic loops, such additions, relocation or removals shall be accomplished by the permittee at its own expense and at the direction of the Department. 405 No Plating will be permitted within CDOT right of way without prior written permission from the Department, and if approved, will be required to be recessed in roadway, except in an emergency. 500 TRAFFIC CONTROL 501 Daytime closures will be allowed Monday through Friday only. Nighttime closures will be allowed Sunday through Thursday only unless otherwise approved by CDOT. 502 No interference with traffic will be allowed after 12:00 Noon the day before a 3-day or 4-day holiday weekend, as listed under 108.08 of the Standard Specifications for Road and Bridge Construction. 503 The Permittee shall coordinate all traffic control operations with any special events in the area. The Permittee shall not schedule operations that interfere with traffic from 2 hours before until 2 hours after any such event. 504 Traffic control plans are to be reviewed and accepted before construction. 505 Contact Region 3 Traffic at 970.683.7534 at least two working days before beginning any work near a traffic signal. 506 Closing of ramps or traffic lanes will not be permitted. No Interference with traffic will be permitted without prior approval from CDOT. 507 Install Temporary Type VII Barrier with end sections and proper taper, or crash cushions around the work area if open trench or hazard is within 30’ of EOP. 508 Two-way traffic must be always maintained through the area. 509 No equipment will be allowed in the main lanes of the roadway during construction without proper traffic control. 510 No storage of materials or equipment will be allowed within 30 feet of the edge of traveled way. 511 Construction signs when not used, shall be removed or laid flat. All work that requires traffic control shall be supervised and implemented by a Traffic Control Supervisor certified by the American Traffic Safety Services Association (ATSSA) or the Colorado Contractors Association (CCA). When flag persons are required, they shall be properly certified. 512 A certified Traffic Control Supervisor shall be always on site while construction traffic control is being utilized on the project or as deemed necessary by the department. 513 New above ground installations shall be placed outside of roadway "clear zone" as defined by the latest AASHTO Roadside Design Guide or the installation shall have a breakaway system reviewed and approved by CDOT. 514 515 No Right of Way work allowed during inclement weather and/or when the roads are wet, snow covered or icy. If you have any questions regarding whether it is safe to set up traffic control or work, contact your CDOT inspector or the Utility Permit Coordinators. Must notify the Utility Permit Coordinators 2 working days prior to planned work requiring speed reductions. The permit coordinator will issue a Form #568, Authorization and Declaration of Temporary Speed Limits. 600 SURFACING 601 Any new joints in asphalt or concrete shall be within 6 to 12 inches of the existing or proposed lane striping. There shall be no asphalt seams in the wheel path. All asphalt repairs are to be straight, perpendicular and parallel to the roadway, no skewed seams. 602 For any construction, replacement, repair and maintenance of any sidewalk and ADA Ramps in CDOT ROW, prior design approval is required. All sidewalk and ADA ramp work must follow the latest revision of the CDOT M&S Standards. An inspection will be required after construction is completed. Any work that fails inspection will be required to be replaced and the Department will give no variances. All sidewalk repair, maintenance and snow removal are the responsibility of the permittee. 603 Saw asphalt removals to assure a straight edge for patching. The replacement asphalt shall be a minimum of 4 inches of hot bituminous pavement place in 2 compacted lifts. Tack oil shall be used prior to replacement being installed. A “T” top cut shall be performed. (See attached drawing) Final patch surface shall be smooth and conform to the surrounding pavement surface with no bump, dip, or other noticeable difference in the riding quality. 604 The manhole rings and covers shall be Department of Transportation Standard 400 pound. 605 Valve and manhole covers shall be set ¼ minimum to ½ inch maximum below finished grade. 606 Full depth Hot Mix Asphalt (HMA) shall be placed daily, 4-inch minimum or match existing, whichever is greater. All coring and potholing holes shall be filled with a flowable fill and capped with 4-Inch minimum of asphalt. Follow attached potholing details 607 All excavations for utility or fiber lines, culverts, trenches or tunnels shall meet the requirements of OSHA or the Colorado Department of Transportation, whichever applies. 700 MAINTENANCE 701 Maintenance work may be done anytime within daylight hours if no interference to traffic is caused. 702 The Permittee shall be responsible for landscape maintenance, including irrigation, litter removal, weed control and mowing within the limits of work. 703 Install and mark a manual shut-off valve in the Highway right-of-way for emergency use by the Colorado Department of Transportation. 704 The Department reserves the right to do any maintenance work necessary in the area at any time. 705 706 Any improvements outside the flow line or beyond the edge of asphalt of the state highway, including but not limited to sidewalks and landscaping, which are installed at the direction of the local land use jurisdiction shall be maintained by the permittee, their heirs or assigns. Minimum overhead clearance shall conform to the requirements of the most recent edition of the CDOT Utility Accommodation Code for final sag. See attachment. 800 MATERIALS 801 Trees and shrubs shall be planted far enough from the roadway to ensure that branches will not overhang the traveled lanes at maturity. Clear view of the sight triangle is always required. No trees will be allowed to be installed within the Highway Clear Zone or within 30’ of EOP. All landscaping and plants are to be maintained by the permittee. All landscaping shall be approved by the region landscape specialist before a permit is issued. 802 803 Disturbed right of way area must be top soiled, fertilized, mulched, crimped and re-seeded with Department of Transportation approved seed mix. Native material is not allowed for backfill of trenches. When excavation is not under the roadway all backfill shall be Class 1 Structural fill in compacted lifts. Within 6’ and under the roadway, flow fill is required, unless prior approval and other means are approved by the Region Materials Engineer and permit coordinator. Compaction testing will be required if flow fill is not used. 900 EARTHWORK 901 902 All new underground utilities or fiber shall be a minimum depth of 48 inches, or 60 inches within 15 feet of edge of asphalt. No utility or fiber will be allowed to be placed in the flow line of the drainage or borrow ditches. All backfill is subject to AASHTO standard compaction T-99 or T-180 as appropriate. Compaction and materials testing may be required at the discretion of the Department of Transportation. Flow fill shall be used for all traverse and parallel installations within 6 feet of the asphalt. 903 All cable/conduit shall be installed in conduit by directional bore. No trenching shall be permitted unless prior approval from the Utility Permit Coordinator. All work shall stop and CDOT shall be notified immediately if any problems occur during the bore; including but not limited to, surfacing of frac material, over pressuring of frac mud, loss of bore heads, etc. CDOT shall determine the next course of action. 904 This Permit allows for the installation of monitoring wells and monitoring for a 2-year period from date of issue. This Permit may be re-issued for further monitoring at the end of the 2-year period. All construction and abandonment procedures shall conform to the requirements of the State Engineer’s office. All drill cuttings and water removed are to be transported from the site and properly disposed of. The wells are to be marked with permanent, waterproof identification stating Permittee’s name, address and phone number. 100 OTHER 100 100 100 100 100 100 100 100 100 101 222 South 6th Street, Room 100, Grand Junction, CO 81501 P 970.683.6288 F 970.683.6290 www.coloradodot.Info PERMIT FINAL INSPECTION INSPECTION AND ACCEPTANCE Final acceptance begins the two-year warranty period I, Jorge Centeno, have inspected the area regarding Permit 3260071 for the Colorado Department of Transportation. I find the area to be in satisfactory condition. CDOT INSPECTOR: ___________________________________DATE: __________________ INSPECTOR PHONE: (970) 309-3338 PERMITTEE: Gould Construction PERMITTEE REPRESENTATIVE: _______________________________________________ RETURN THIS PERMIT FINAL INSPECTION TO THE ADDRESS LISTED ABOVE Region 3 Traffic Section 222 South 6th Street, Room 100 Grand Junction, Colorado 81501 (970) 683-6288 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 2/12/2026 License # 0757776 (970) 254-3302 (866) 243-0727 16535 Gould Construction Inc PO Box 130 Glenwood Springs, CO 81601 25674 A 2,000,000 X X GLO831154824 3/1/2025 3/1/2026 100,000 10,000 2,000,000 4,000,000 4,000,000 2,000,000A X X BAP831154924 3/1/2025 3/1/2026 5,000,000B CUP-0T282663-25-NF 3/1/2025 3/1/2026 5,000,000 10,000 A X WC831154724 3/1/2025 3/1/2026 1,000,000 1,000,000 1,000,000 RE: CDOT Permit Application 3260069 Colorado Department of Transportation is an additional insured for General Liability. Colorado Department of Transportation 222 S 6th St Grand Junction, CO 81501 GOULCON-02 PVIANZON HUB International Insurance Services (COL) 743 Horizon Ct., Suite 201 Grand Junction, CO 81506 Ashley Anderson ashley.anderson@hubinternational.com Zurich American Insurance Company Travelers Property Casualty Company of America X X X X X X X X Hwy 6 & 24 Waterline MHT Hwy 6 & 24 NOT TO SCALE ~2X W20-1 Road Work ~2X W20-4 One Lane Road ~2X W3-3 Traffic Signals Ahead ~400' Work Zone ~2X Traffic Light *Taper Length 50' *Taper Spacing 20' *Tangent Spacing 30' *Sign Spacing 100' *All work to be done in accordance with MUTCD standards. ~2X W3-3 Traffic Signals Ahead Cones or Barrels *The signalized work zone will be moved with the waterline operation as the trench is backfilled. A flagger or 3rd temp signal will be used to assist with driveways and minor intersections. *Max 500ft work zone open at a time Dr i v e w a y . O p t i o n f o r 3 r d si g n a l l i g h t o r f l a g g e r S: \ O L D C3 D \ 2 0 1 9 \ 1 9 1 3 7 \ C I V I L \ C I V I L D W G S \ P L O T \ C D O T 2 0 2 5 W A T E R S U P \ 1 9 1 3 7 S U P C D O T - W A T E R P L A N S . D Creatic Design Last M Detaile CAD Ve W G - Fe b 05 , 2 0 2 6 - 7 : 4 4 a m 5725 5720 5715 57102 E57053 5700 5695 5690 F E 56853 5680 56753 5670 M A T C H L I L I N E S H E E T C 2 . 1 6,00% STA:7+63 -TOP=57 V DEFL -0.3 STA:7+71 STA:7+67 TOP=5704.74' INSTALL 8X8X6 (1)-6" VALVE F -TOP= 5704.74' VDEFL 5 7 1 0 . 4 5 7 0 4 . 6 4 5 7 1 0 . 3 5 7 0 4 . 7 3 5 7 1 0 . 6 5 7 0 4 . 7 9 5 7 1 0 . 7 5 7 0 4 . 8 7 5 7 1 0 . 9 5 7 0 4 . 9 6 5 7 1 1 . 0 8+00 7+50 7+00 Computer File Information on Date: 2/5/2026 er Initials: SOH Modification Date: 2/5/2026 r Initials: SOH :C3D 2024 Scale: 1"=60'Units: English Date: R-X) (R-X) R-X 5 7 0 5 . 0 4 34% 34.74' STA 5+85 TOP= 5705.35'- VDEFL TEE W/ML'S AND TB AND FOR FH 5 7 1 1 . 2 5 7 0 5 . 1 3 5 7 1 1 . 2 5 7 0 5 . 2 1 5 7 1 1 . 0 5 7 0 5 . 3 0 5 7 1 1 . 3 5 7 0 5 . 4 1 5 7 1 1 . 6 5 7 0 5 . 5 6 6+50 6+00 5+50 Sheet Revisions Comments 5 7 1 1 . 6 5 7 0 5 . 7 1 -0.59% STA TOP=57 A -1.27% :4+75 06.00 DEFL STA:4+25 TOP 5706.63'- V DEFL 0.63% STA:3+50 TOP5707.11 V DEEI x 5 7 1 1 . 7 5 7 0 5 . 8 5 5 7 1 1 . 7 5 7 0 6 . 0 0 5 7 1 2 . 2 5 7 0 6 . 3 2 5 7 1 2 . 2 5 7 0 6 . 6 3 5 7 1 2 . 4 5 7 0 6 . 7 9 5 7 1 2 . 5 - 5 7 0 6 . 9 5 - 5+00 4+50 4+00 8" WATER MAIN PROFILE STA H SCALE: 1"=60' V SCALE: 1"=30' SOPRIS ENGINEERING 502 MAIN STREET SUITE A3 CARBONDALE C (970) 704-0311 soprisengineering.com TOP OF PIPE -0.80% STA:2+75 TOP=5707.70' V DEFL TOP= -1.66% STA:2+00 5708.95'- V DEFL 5 / 1 2 . 5 7 0 7 . 1 1 5 7 1 2 . 8 5 7 0 7 . 3 1 5 7 1 3 . 1 5 7 0 7 . 5 1 5 7 1 3 . 3 5 7 0 7 . 7 0 5 7 1 3 . 8 5 7 0 8 . 1 2 5 7 1 4 . 2 5 7 0 8 . 5 3 5 7 1 4 . 5 3+50 3+00 2+50 2+0 A 0+00-8+00 LLC 81623 WATER PL STA O Issued by the Project De SUMIED ELEVYLONE3 DEPTH-PUTHOLE PRIOR TOTO CONSTRUCTION STA:0+75 TOP=5 -1.78% V DEEL -1.52% -1.57% -0.23% TOP= STA:1+25 5710.28' V DEFL TOR STA:0+34 INSTALL 90° BEND ☑ 0.0 STA:0+05TOP=5711.59 V DEFL STA:0+03 TOP= 5711 59' INSTALL 8" VALVE 5 7 0 8 . 9 5 5 7 1 4 . 9 5 7 0 9 . 3 9 5 7 1 5 . 4 5 7 0 9 . 8 4 5 7 1 5 . 8 5 7 1 0 . 2 8 5 7 1 6 . 2 5 7 1 0 . 6 6 5 7 1 6 . 6 5 7 1 1 . 0 4 5 7 1 6 . 7 5 7 1 1 . 1 0 1+50 1+00 0+50 STA:0+ TOP= 5711.5 CONTRACTOR TO LOCAT EXISTING 8" WATER MAIN, VERIFY SIZ DEPTH AND LOCATION. INSTALL 8X8 TEE AND THRUST BLOC AN & PROFILE +00-8+00 velopment Branch: July 31, 2019 PEF Proje 109FE RMIT C2.0 MM 113.25 ct Job Number: 19137 5 7 1 7 . 1 00+0 5730 5725 5720 5715 5710 5705 0%5700 5695 E5690 5685 5680 5675 5670 5 7 1 1 . 2 8 5 7 1 7 . 3 5 7 1 1 . 5 9 COLO R A D E PR O F E S ANC RE NIOH 2833377 2/5/2026 G AL R E D ER 2" MIL 2"2" PATO FINAL FH LOCATION NEEDS TO BE VERIFIED IN THE FIELD BY COGS FG:5710.37'XSA XSA XSA RO ROW ROW fo =-- fo 7+00 M A T C H L I N E S H E Е T C 2 . 1 STA:7+67 INSTALL 8X8X6 TEE ML'S AMD TB AND (1)-6" VALVE FOR F HATCH LEGEND LW/2" OVERLAY CH W/2" OVERLAY XSA -XSA XSA ROW ROW fo fo 6+00 EG VALVE:5710.64' W/ 5+30 XSA XSA ROW fOROW 4+00 XSA SH 6& 24 MILL TO CENTER OF ROAD-TYP SAWCUT LINE-TYP EXISTING FIBER EXISTING S ROW R XSA OPTIC/TELE AND GAS CONTRACTOR TO LOCA VERIFY SIZE, DEPTH 8X8X8 TEE, (2)-8' SEWER MAIN OW 1-70 ROW XSA XSA ROW XSA fo fo 3+00 hotー 8" C900 PVC 2+00 TE EXISTING 8" WATER MAIN, AND LOCATION AND INSTALL VALVES AND THRUST BLOСК. EX SMH RIM=5717.4 STA:0+08 4 fo 1+00 0 + 0 0 EXISTING EDGE OF ASPHALT STA:0+08 TOP GAS=5714.38' SUMED ELEVATION 3' DEPTH-POTHOLE PRIOR TO CONSTRUCTION STA:0+19 TOP TELE/FIBER=5714.17' ST TOP= 5 FG STA:0+19 FG:5717.43' fo STA:0+34 90° H BEND W/MLs AND TB e 主5765 NO R T H 5760 H SCALE: 1"=60' A:0+03 5755717.42'5750VALVE 5745 5740 5735