HomeMy WebLinkAboutTHUNDERBIRD ESTATES SIXTH DRAKE SHOPS - Filed OA-OTHER AGREEMENTS - 2006-11-15COLORADO DEPARTMENT OF TRANSPORTATION
CDOT Perk Wo.
406003
STATE HIGHWAY ACCESS CODE
SH/S/MP
287C/344.160/R
NOTICE TO PROCEED
Local Jurisdiction
Fort Collins
Permittee(s): RECEIVED Applicant;
Sinclair Oil Corporation Drake Vitamins, LLC
550 E. South Temple MAR U 8 2006 600 17th Street, Suite 700
Salt Lake City, UT 84130 Denver, CO 80202
801-524-2949 303-825-8500
The permittee is hereby authorized to proceed with access construction within state highway right-of-way in
accordance with the above referenced State Highway Access Permit and this Notice to Proceed.
This Notice to Proceed is valid only if the referenced Access Permit has not expired. Access Permits
expire one year from date of issue if not under construction, or completed. Access Permits may be extended in
accordance with Section 2.3(11)(d), of the Access Code.
Adequate advance warning is required at all times during access construction, in conformance with the
Manual on Uniform Traffic Control Devices for Streets and Highways.
All construction shall be completed in an expeditious and safe manner and shall be finished within 45 days
from initiation. The permittee or applicant shall notify the Department prior to commencing construction as
indicated on the Access Permit.
Both the Access Permit and this Notice To Proceed shall be available for review at the construction site.
This Notice to Proceed is conditional. The following items shall be addressed prior to or during construction as
appropriate.
None
Municipality or County Approval (When the appropriate local authority retains issuing authority)
By
Title
Date
(X)
This Notice is not valid until signed by a duly authorized representative of the Department
Colorado Department of Transportation
By ,y-{nn1/
(X) (rl, Q � - Lv�
Title
La��kc
Date
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Copy stribu on: Required 1. Region Permit files 2. Staff Access Section. As needed: Loc th rity, MTCE Patrol, Insdector ' Form 1265 81913
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D E S I G N EDGE I DRAKE REAL ^ojeaM b` SHEET NO.
architecture Interior design ESTATE SERVICES mot, a w�ddpa SITE PLAN
020.6 PICCOLO H STRDO0= DRAM 4 COLLEGE', PORT COLLIM COLORADO
DE MN COLORA) 2 00121
1ELENIQ�Y (!O!) 4YY®•71T I DAiE. 10-70-00 I
No Text
COLORADO DEPARTMENT OF TRANSPORTATION CDOT Permit No.
STATE HIGHWAY ACCESS PERMIT 1 • 406003
State Highway No/Mp/Side
287C/344.160/B
Permit fee
Date of transmittal
Region/SectionlPatrol Local Jurisdiction
0.00
01/26/2006
04/01/04 Fort Collins
The Permittee(s); Applicant; Ref No. 2006
Sinclair Oil Corporation Drake Vitamins, LLC
550 E. South Temple 600 17th Street, Suite 700 rya;-t
Salt Lake City, UT 84130 Denver, CO 8020/1-
801-524-2949 303-825-8500
is hereby granted permission to have an access to the state highway at the location noted below. The access shall be constructed, maintained and used In
accordance with this permit, including the State Highway Access Code and any attachments, terms, conditions and exhibits. This permit may be revoked
by the Issuing authority if at any time the permitted access and its use violate any parts of this permit. The issuing authority, the Department and their duly
appointed agents and employees shall be held harmless against any action for personal injury or property damage sustained by reason of the exercise of
the permit.
Location:
The access to be closed is located on State Highway 287, a distance of 824' north of Mile Post 344 on the east/right side.
Access to Provide Service to:
Gasoline Service Station - ACCESS TO BE CLOSED .................................. 1 Each 100.00 %
Other terms and conditions:
* See Attached Pages 2 and 3 and Other Enclosures for Additional Terms and Conditions.
MUNICIPALITY OR COUNTY APPROVAL
Required only when the appropriate local authority retains issuing authority.
By
Date
Title
(X)
Upon the signing of this permit the permittee agrees to the terms and conditions and referenced attachments contained
herein. All construction shall be completed in an expeditious and safe manner and shall be finished within 45 days from
Initiation. The permitted access shall be completed in accordance with the terms and conditions of the permit prior to
being used.
The permittee shall notify Linda McWilliams with the Colorado Department of Transportation in Greeley at 970-350-
2147 at least 48 hours prior to commencing construction within the State Highway right-of-way.
The person signin s the permittee must be the owner or legal representative of the property served by the permitted access and have full authority to
accept the permit n Its terms and conditions.
Permittee
Date
(+K� vi; HUU15 i L-C
r Y>r4ir-s-7&c I-: sr2t<crs P Pc7C4r17
This permit is not valid until signed by a duly authorized representative of the Department.
COLORADO DEPARTMENT OF TRANSPORTATION
By
(X) V� _ L(�
Date (of Issue)
a a (�
Title
Access Manager
�t�
Co DIsW ution: Required: Make copies as necessary for: Previous editions are obsolete ano may no, w uwu
1.Region Local Authority Inspector CDOT Form i101 We
2.Applicant MTCE Patrol Traffic Engineer
3.Staa Access Section
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State Highway Access Permit Page 1
Attachment to Permit No. 406003 - Additional Terms and Conditions
1. If there are any questions regarding this permit, please contact Gloria Hice-Idler at (970) 350-2148.
2. The Permittee shall refer to all additional standard requirements included with this permit and any enclosed
additional terms, conditions, exhibits, and noted attachments.
3. Incorporated as part of this permit are the following:
Application for Access Permit (CDOT Form No. 137)
Permit (CDOT Form No. 101) and its two page attachment
Exhibits:
"A" - Site Plan
"B" - Vicinity Map
4. This permit is issued in accordance with the State Highway Access Code (2 CCR 601-1), and is based upon
the information submitted by the Permittee. This permit is only for the use and purpose stated in the
Application and Permit. Any changes in traffic volumes or type, drainage, or other operation aspects may
render this permit void, requiring a new permit to the be applied for based upon exisiting and anticipated
future conditions.
5. Access construction methods and materials shall conform to the Colorado Department of Transportation
Standard Specifications for Road and Bridge Construction (current edition).
6. If necessary, minor changes, corrections and/or additions to this permit may be ordered by the Department
inspector, other Department representative or local authority to meet unanticipated site conditions. Changes
may not be in violation of the State Highway Access Code. All major changes to the plans must be approved
in writing by the Department prior to commencement of any work on or within the State Highway
right-of-way.
7. This permit is subject to revocation due to: 1) Noncompliance with the provisions of this permit; 2)
Abandonment; 3) Supersedure by new permit covering the same installation; or 4) Conflict with necessary
planned highway construction and/or improvements. The Permittee shall promptly terminate occupancy upon
notice of cancellation of the permit from the Department, unless a new permit is applied for and granted.
8. Reconstruction of the access may be required when the Permittee has failed to meet the required design and/or
material specifications. If any construction element fails within two years due to improper construction or
material specifications, the Permittee is responsible for all such reparis.
9. The Department retains the right to perform any necessary maintenance work in this area.
10. Backing maneuvers within and into the State Highway right-of-way are strictly prohibited. All vehicles shall
enter and exit the highway right-of-way in forward movement. Backing into the right-of-way shall be
considered a violation of the terms and conditions of this access permit and may result in revocation of the
permit by the Department and/or the issuing authority.
11. This access shall be removed immediately. Removal shall include, but not limited to, the return of the
highway right-of-way side slopes, ditches, and fences to match existing adjacent conditions, INCLUDING
REMOVAL OF ASPHALT APRONS. Any asphalt removed from the highway shall result in a smooth
finished edge.
12. The Permittee is responsible for obtaining any necessary additional federal, state, and/or City/County permits
or clearances required for construction of the access. Approval of this access permit does not constitute
verification of this action by the Permittee.
State Highway Access Permit Page
Attachment to Permit No. 406003 - Additional Terms and Conditions
13. All costs associated with the closure of this access are the responsibility of the Permittee. This includes
design, construction, signing and striping, utility relocation, testing of materials, and inspections.
14. No work will be allowed at night, or on Saturdays, Sundays, and legal holidays without prior authorization
from the Department. The Department may also restrict work within the State Highway right-of-way during
adverse weather conditions.
15. Traffic detours or lane closures will not be allowed, unless pre -approved by the Department.
16. Two-way traffic shall be maintained throughout the work area at all times unless specific written authorization
is obtained from the Department.
17. No construction vehicles shall be parked, or construction materials/equipment stored, on the State Highway
right-of-way overnight.
18. No work shall be performed near a Department electronic traffic control device without coordination with
Cobie Garbiso at (970) 350-2137.
19. Landscaping and site construction shall not obstruct sight distance at any State Highway access point.
Landscaping within the State Highway right-of-way requies the Permittee to obtain a COOT Landscaping
Permit from the Maintenance Section. The access permit does not authorize that activity, although a proposed
landscaping plan shall be included in the access permitting document. Irrigation of features within the
right-of-way may require the Permittee to install a subsurface drain in accordance with CDOT Standard
M-605-1 or other approved system. The Permittee shall contact Linda McWilliams at the Greeley Traffic
Office, (970) 350-2147, to obtain the Landscaping Permit.
20. Routine, periodic maintenance and emergency repairs may be performed within the State Highway
right-of-way, under the general terms and conditions of the permit. Any significant repairs such as culvert
replacement, resurfacing, or changes in design or specifications, will require written authorization from the
Department. The Department shall be given proper advance notice whenever maintenance work will affect the
movement or safety of traffic on the State Highway. In an emergency, the Department Region Office and the
State Patrol shall immediately be notified of possible hazards.
21. All work is to conform to the plans referenced by this permit on file with the Department or as modified by
this permit. (If discrepancies arise, this permit shall take precedence over the plans.) The Department plan
review is only for the general conformance with the Department's design and code requirements. The
Department is not responsible for the accuracy and adequacy of the design, dimensions, elevations, and any
other elements which shall be confirmed and correlated at the work site. The Department through the
approval of this document, assumes no responsibility for the completeness and/or accuracy of the plans.
22. Survey markers or monuments must be preserved in their original positions. Notify the Department at (970)
350-2173 immediately upon damage to or discovery of any such markers or monuments at the work site. Any
survey markers or monuments disturbed during the permitted work shall be repaired and/or replaced
immediately at the expense of the Pennittee.
23. Should any excavation encounter plant or animal fossils, the remains of historic or prehistoric structures,
artifacts, (pottery, stone tools, arrowheads, etc.), the work shall be stopped and the Permittee shall notify the
Department inspector.
24. The Permittee or the contractor shall notify Linda McWilliams at (970) 350-2147 or (970) 301-1127 at least
two working days prior to beginning any access improvements or construction of any kind within the State
State Highway Access Permit Page 3
Attachment to Permit No. 406003 - Additional Terms and Conditions
Highway right-of-way. Failure to comply with this requirement may result in revocation of this permit.
25. The Department inspector may suspend any work due to: 1) Noncompliance with the provisions of this
permit; 2) Adverse weather or traffic conditions; 3) Concurrent highway construction or maintenance in
conflict with permit work; 4) Any condition deemed unsafe for workers or the general public. The work may
be resumed upon notice from the Department inspector.
26. Construction traffic devices, when not in use, shall be removed or turned away from traffic.
27. The access closure shall be completed in an expeditious and safe manner and shall be finished within 45 days
from initiation of construction within State Highway right-of-way.
28. If frost, water or moisture is present in the subgrade, no surfacing materials shall be placed until all frost,
water or moisture is gone or removed.
29. The access shall be closed ed and maintained in a manner that will not cause water to enter onto the roadway,
and will not interfere with the existing drainage system within the State Highway right-of-way. Drainage to
the State Highway right-of-way shall not exceed historical rate of flow.
30. All existing drainage structures shall be extended, modified, or upgraded as necessary, to accommodate all
new construction and safety standards, in accordance to the Department's standard specifications.
31. The Permittee shall request final inspection by Linda McWilliams at (970) 350-2147, within 10 days
following completion of access construction, and prior to authorized use. The Permittee or their representative
shall be present.
32. A fully executed complete copy of this permit must be on the job site with the contractor at all times during
construction. Failure to comply with this or any other construction requirement may result in the immediate
suspension of work by order of the Department inspector or the issuing authority.
33. The closure of the access and/or development of this property shall not negatively impact adjacent nearby
properties. Correction of the problem and cost resulting from damages shall be borne by the Permittee.
34. The design and construction of access and/or development of this property shall not negatively impact
adjacent nearby properties. Correction of the problem and cost resulting from damages shall be borne by the
Permittee.
COLORADO DEPARTMENT OF TRANSPORTATION
.suing authority application
STATE HIGHWAY ACCESS PERMIT APPLICATION
acceptance date:
2�PLOCL
Instructions: - Contact the Colorado Department of Transportation(CDOT) or your lout government to determine your issuing authority.
- Contact the issuing authority to determine what plans and other documents are required to be submitted with your application.
- Complete this form (some questions may not apply to you) and attach all necessary documents and Submit it to the issuing authority.
Please print - Submit an application for each access affected.
or type - If you have any questions contact the issuing authority.
- For additional information see CDOT's Access Management website at hB.ocyAvww.dot.atate o sh&cg=.perm -/+ndex hhn
1) Property owner(Permdtee)
2) Agent for permitiee(if different from property
p Perry owner)
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Sfreetaddress
Mai hng address
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4,60 /-7�" Si Ewa Sv;rc o
City, state & zip V ZA /-j SgI30 #
�Phione
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Cistate & zip Phone#(required)
nl�<. Ct�'7205
E-mail address
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E-mail addre sifavailable
3) Address of property to be served by permit (required)
ZG 20 Spy ;7f Anil.• _ /% �E /o;� 'Ns C�
4) Legal description of property: If within jurisdictional limits of Municipality, city and/or County, which one?
coon ,.-/J subEiNamn L' r•J Nod lot section towndvp range
5) What State Highway are you requesting access from? 6) What side of the hi hway?
s — �N �S
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7) How many feet is the proposed a ss from the nearest mile post? How many feet is the proposed access from the nearest cross street?
feet (IN S❑E W)from: rid feet QN S❑E❑W)from: S'
8) What is the approximate date you intend to begin construction?
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g Chectc here if you are requesting a:
LJ new access Otemporary access (durat n anticipated: ) ❑improvement to existing access
change in access use Mfemoval
of access [Dislocation of an existing access (provide detail)
10) Provide existing property use
LA) 2 D GwE 5 775117d1>
11) Do yve knowledge of any State Highway access permits serving this property, or adjacent properties in which you have a property interest?
no yes, if yes - what are the permit number(s) and provide copies:
and/or, permit date:
12) Does fhepropeowner own or have any interests in any adjacent property?
no yes, if - describe:
LJ yes please
13) Are there other Xtmg or dedicated public streets, roads, highways or access easements bordering or within the property?
no Wl Nye. list
yes, - them n your plans and indicate the proposed and a istkhg access points.
,
14) If you are requesting agricultural field access - how many acres will the access serve?
15) If you are requesting commercial or intlustrial access please indicate the types and number of businesses and provide the floor area square footage of each.
business4and use square footage business square footage
Aa7& 5-,1zvo_-35oo
16) If you are requesting residential tlevelopement access, what is the type (single family, apartment, townhouse) and number of units?
type number of units type number of units
17) Provide the following vehicle count estimates for vehicles that will use the access. Leaving the property then returning is two counts.
Ir4icate if your counts are
eak hour volumes or
❑average daily volumes.
Y of passenger cars am light truss at peak hour wNmes
t of mule unh trucks at peak hour volumes
M sirgb unit vehicles in excess of W fl.
Tot farm valid.. lea .geeupmeM)
TO1al COUnt Of ell VBIIICIBS
,.. e.., r—or — vuevmm arm may nor, oe us" Page 1 of 2 CDOT Form #107 12104
18) Check with the issuing authority to determine which of the following documents are required to complete the review of your application.
a) Property map indicating other access, bordering roads and streets. e) Subdivision, zoning, or development plan.
b) Highway and driveway plan profile. 0 Proposed access design.
c) Drainage plan showing impact to the highway right-of-way. g) Parcel and ownership maps including easements.
d) Map and letters detailing utility locations before and after h) Traffic studies.
development in and along the right-of-way. i) Proof of ownership.
1- It is the applicant's responsibility to contact appropriate agencies and obtain all environmental clearances that apply
to their activities. Such clearances may include Corps of Engineers 404 Permits or Colorado Discharge Permit System
permits, or ecological, archeological, historical or cultural resource clearances. The CDOT Environmental Clearances
Information Summary presents contact information for agencies administering certain clearances, information about
prohibited discharges, and may be obtained from Regional CDOT Utility/Special Use Permit offices or accessed via the
CDOT Planning/Construction-Environmental-Guidance webpage http://www.dgt.state.co.us/envirgnmental/Forms.asp.
2- 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.
Personal protective equipment (e.g. head protection, footwear, high visibility apparel, safety glasses, hearing protection,
respirators, gloves, etc.) shall be wom as appropriate for the work being performed, and as specified in regulation. At a
minimum, all workers in the State Highway right of way, except when in their vehicles, shall wear the following personal
protective equipment: High visibility apparel as specified in the Traffic Control provisions of the documentation
accompanying the Notice to Proceed related to this permit (at a minimum, ANSI/ISEA 107-1999, class 2); head
protection that complies with the ANSI Z89.1-1997 standard; and at all construction sites or whenever there is danger of
injury to feet, workers shall comply with OSHA's PPE requirements for foot protection per 29 CFR 1910.136, 1926.95,
and 1926-96. If required, such footwear shall meet the requirements of ANSI Z41-1999.
Where any of the above -referenced ANSI standards have been revised, the most recent version of the standard shall
apply-
3- The Permittee is responsible for complying with the Revised Guidelines that have been adopted by the Access Board
under the American Disabilities Act (ADA). These guidelines define traversable slope requirements and prescribe the
use of a defined pattern of truncated domes as detectable warnings at street crossings. The new Standards Plans and
can be found on the Design and Construction Project Support web page at:
<h�p•l/www dot state co us/DesignSupporth, then click on Design Bulletins.
If an access permit is issued to you, it will state the terms and conditions for its use. Any changes in the use of the
terms listed on the permit may be considered a violation of the
permitted access not consistent with the and conditions
permit.
The applicant declares under penalty of perjury in the second degree, and any other applicable state or federal
laws, that all information provided on this form and submitted attachments are to the best of their knowledge
true and complete.
I understand receipt of an access permit does not constitute permission to start access construction work.
Applicant's sig tyre
/
Print name Ta,te
TvA tM,i Cr7
—Z9— 5�
If the icant is not the owner of the property, we require this application also to be signed by the property owner or
their gaily authorized representative (or other acceptable written evidence). This signature shall constitute agreement
with this application by all owners -of -interest unless stated In writing. If a permit is issued, the property owner, In most
cases, will be listed as the permittee.
Propertyo ersignature
Print name
Date