HomeMy WebLinkAboutResolution-2006-0041
CITY OF WHEAT RIDGE, COLORADO
RESOLUTION NO. 41
Series of 2006
TITLE:
A RESOLUTION APPROVING AN INTERGOVERNMENTAL
AGREEMENT WITH THE METRO WASTEWATER
RECLAMATION DISTRICT FOR THE RELOCATION OF THE
WASTEWATER FACILITIES AT YOUNGFIELD STREET AND
40TH AVENUE
WHEREAS, the City Council wishes to provide for the construction of certam street
improvements on Young field Street from 38th to 44th Avenue; and
WHEREAS, the said street improvements require the relocatIOn of eXisting wastewater
faCllitles; and
WHEREAS, the City has negotiated an Intergovernmental Agreement (lGA) with the
Metro Wastewater Reclamation District, for the purpose of relocatmg the facilitles, and,
WHEREAS, the cost of relocating the facilities has been approved through project
authonzatlOn, and
NOW, THEREFORE, BE IT RESOLVED by the Wheat Ridge City Council, that:
Section 1. Intergovernmental Agreement (lGA) Approved,
The Intergovernmental Agreement (lGA) between the City and the Metro Wastewater
Reclamation District for Project ITB-06-35, Y oungfield Street Improvements, IS hereby
approved and the City Manager IS authorized and directed to execute the same,
ThiS ResolutIOn shall be effective immediately upon adoption,
DONE AND RESOLVED thiS ~'101-- day of j ~llVW( ,2006
,/l /~
L' , i< " /I{lt/
lio, Mayor
ATTEST
G2~OJ--AJ-
Pamela Anderson, City Clerk
--
INTERGOVERNMENT AL AGREEMENT FOR RELOCATION
OF INTERCEPTOR FACILITIES
This Agreement, made and entered this ZSH+-day of IVIfrY ,2006 by and between
the City of Wheat Ridge and the Metro Wastewater Reclamation District, a metropolitan sewage
disposal district organized and existing pursuant to Part 5 of Article 4 of Title 32 of the Revised
Statutes of the State of Colorado, hereinafter referred to as "Metro District"; and hereinafter referred
to as or individually referred to as "Party" or collectively referred hereto as "the Parties;
WHEREAS the Metro District currently owns and operates a sanitary sewer Interceptor,
known as the Clear Creek Parallel Interceptor, within City of Wheat Ridge right of way,
WHEREAS, the Metro District currently owns and operates a sanitary sewer metering facility
known as the Applewood- Y oungfield, Pleasantview- Y oungfield Metering Facility within City of
Wheat Ridge right of way, hereinafter referred to as the "Meter Facility";
WHEREAS, the City of Wheat Ridge desires to construct the Y oungfield Street widening
Project between W. 38th Ave and W, 44th Ave., which would conflict with the Clear Creek Parallel
Interceptor and Meter Facility;
WHEREAS, relocation of the Clear Creek Parallel Interceptor and Meter Facility within
Project limits, as generally shown on Exhibit A attached hereto, hereinafter referred to as the
"Relocation", would eliminate the conflict;
NOW, THEREFORE, in consideration of the covenants and mutual promises herein
contained and for other good and valuable conSideration, the parties hereto agree as follows:
I. The City of Wheat Ridge through its professional consulting engineer Felsburg, Holt
& Ullevig shall prepare construction plans and specifications for the Relocation in accordance with
Metro District standards as generally shown on Exhibit A.
2. The Metro District shall review. proVide comments and approve the construction
plans and specifications. The Metro District's approval shall not be unreasonably withheld or
delayed.
3. The City of Wheat Ridge shall pay 100% of the design and construction costs for the
Relocation. The City of Wheat Ridge shall provide a finished metering facility complete with an
electrical power drop provided by Xcel Energy up to the Master Disconnect. The Metro District
shall then relocate all electrical and mechanical metering components and cabinets, which perform
the measurement of sewage quantity and strength. from the old meter facility to the new Meter
I
Facility location. The City of Wheat Ridge shall reimburse the Metro District for all reasonable
costs incurred with this work. The City of Wheat Ridge shall not be responsible for operation,
monitoring or maintenance of the electrical or mechanical metering components attached to the
Relocation.
4. The City of Wheat Ridge shall arrange for the construction of the Relocation, in
accordance with the plans and specifications approved by the Metro District, by a competent and
qualified contractor. The City shall require its contractor to carry insurance as set forth below, and
the Metro Distnct will be included as an additional insured, except for workers' compensation, on a
primary and non-contributory basis. Proof of insurance shall be provided to the Metro District prior
to commencement of construction. The following coverage shall be provided:
a, Commercial General Liability insurance of not less than $2,000,000 each
occurrence and $2,000,000 aggregate;
b. Worker's Compensation coverage as required by statute;
c. Comprehensive Business/Automobile Liability insurance with a combined
single limit for Bodily Injury and Property Damage of not less than
$1,000,000 per accident;
d. Builder's Risk insurance covering the work under this Agreement; and
e, Contractor's Pollution Liability insurance with limits of $5,000,000 each
occurrence and $5,000,000 aggregate.
5, If the Relocation will require wastewater flow management (i.e, by-pass pumping),
the City of Wheat Ridge shall submit a Wastewater Flow Management Plan (WFMP) that conforms
with the Metro District's WFMP Specifications. a copy of which is attached as Exhibit B. The City
of Wheat Ridge shall submit its WFMP in accordance with paragraph 1,5A of Exhibit B. If no
wastewater flow management is required for the Relocation, then no later than ten (10) business days
prior to starting construction on the Relocation, the City of Wheat Ridge shall submit to the Metro
District a Wastewater Discharge Emergency Response Plan (WDERP) for review. Construction on
the Relocation shall not begin until the WDERP has been approved in writing by the City of Wheat
Ridge.
A contractor implementing the WFMP and/or the WDERP is a contractor to the City of
Wheat Ridge, not the Metro District. Therefore, the City of Wheat Ridge and its contractor will be
responsible for compliance with all federal, state and/or local environmental laws and regulations
and the City of Wheat Ridge will bear all liability for any noncompliance with those laws or
regulations, including notification requirements,
In the event of a spill, overflow or discharge of pollutants, including raw wastewater, which
2
may cause pollution of state waters I , the City of Wheat Ridge shall immediately notify the following
parties:
a. Colorado Department of Public Health and Environment, Spill Report Line,
1-877-518-5608; and
b. National Response Center, 1-800-424-8802.
In addition to the reporting requirements of the paragraph above, the City of Wheat Ridge
shall immediately notify the Metro District's Process Control Center (303-286-3275) in the event of
any spill, overflow or discharge of pollutants to the environment, regardless of whether or not it may
cause pollutIon of state waters,
6. The City of Wheat Ridge shall provide throughout the term ofthe construction ofthe
Relocation, competent and qualified project administration and quality control. The Metro District
shall have the right to visit the Project and inspect the Relocation work at any time and to confer with
the City of Wheat Ridge project administrator.
7. The Metro District shall have the right to review and comment on all shop drawings
and other contractor submittals pertaining to the Relocation. The City of Wheat Ridge shall submit
four (4) approved legible copies of such shop drawings and submittals to the Metro District prior to
construction ofthe work described therein. In addition, all shop drawings and other submittals shall
be provided to the Metro District as Adobe Portable Document Format (PDF) files.
8. The City of Wheat Ridge shall notify the Metro District of any change to the
construction plans or specifications during construction which involve the Relocation, and shall
obtain Metro District approval, not to be unreasonably withheld or delayed, prior to authorizing such
change.
9. The City of Wheat Ridge shall be responsible for obtainmg and complying with any
permits or approvals necessary from any governmental entity with jurisdiction over the Relocation.
10. The City of Wheat Ridge and the Metro District shall jointly inspect the Relocation
during construction and upon completion of construction, and the City of Wheat Ridge shall
coordinate and pay for repair of any defects noted, The Metro District shall provide prompt
inspection of the Relocation. At time of inspection, should the Metro District find the work
acceptable, a written record of Metro Wastewater concurrence will be made in the daily project
inspection journal. The City of Wheat Ridge will not be required to remove or replace elements of
the Relocation which were given concurrence by Metro District as noted in the daily project
inspection journal.
I For purposes of this paragraph 5, the phrases "discharge of pollutants" and "state waters" shall have the same
meanings as in the Colorado Water Quality Control Act, C,R,S, S 25-8-101 et, seq,
3
II The CIty of Wheat RIdge shall not discharge wastewater to the RelocatIOn untIl the
Metro DIstrict has accepted the Relocation for operatIOn and mamtenance The Metro District shall
accept the RelocatIOn for operation and maintenance only after the following have been completcd.
a. The CIty of Wheat Ridge, has certified that the constructed flow capacIty of the
approach channel and pIping downstream of the metering vault mects or cxceeds
I 72 millIon gallons per day (MGD) for the Applewood Water and SanItation
Dlstnct flows, 7 66 MGD for the Pleasant View Water and SanItatIon DIstrict
flows, and 908 MGD for their combmed flow, based on Manning's equation
with an .on" value of 0 013 and .oS" equal to the installed pipe and approach
channel slope
h Final inspection and approval by the Metro District, which will not be
unrcasonably withheld or delayed,
12, OwnershIp of the Relocation shall be transferred by qUIt chum deed in the fonn
attached hereto as ExhIbIt C by the CIty of Wheat RIdge within thirty (30) days of acceptance of the
RelocatIon by the Metro District. Within the hmitations Imposed by the Colorado Constitution and
statutes, the CIty of Wheat RIdge shall defend, mdemnify and hold harmless the Metro Dlstnct from
any and all demands, claims, liens and encumhrances for work performed by Wheat Ridge or its
contractors on the Relocation,
13 The Relocation may reside on the Colorado Department of Transportation (CDOT)
R,O W If so then prior to constructIon of the Rclocation, the City of Wheat RIdge shall obtain in
wntmg the nght for the facIlitIes to reside on CDOT ROW The CIty of Wheat Ridge shall obtam
a permIt from CDOT for the RelocatIon, The permit is generally expected to con tam the CDOT
UtIlity/ Relocation/ Special Use PermIt Standard ProvIsIons and General Permit Terms and
CondItIOns as shown m ExhIbIt E,
14 Simultaneous WIth the delIvery to the Metro District of an original recordable and
properly executed QUIt ClaIm Deed in the form of Exhibit C, as refened to in paragraph 12 above,
the Metro Dlstnct shall delIver to the CIty of Whcat Ridge an original recordable and properly
executed Release and Quit Claim of pipeline and metering faClhty m the form attached as Exhibit D,
to rclcase and relinquish any and all claim to the abandoned pipeline, metering facility and
appurtenances,
15 Both partIes acknowledge that due to the Relocation measured flow and samplIng
data in the new Meter Facility may be different than those currently bemg regIstered in the existing
meter facIlity Followmg Metro Dlstnct approval of the construction plans and speCIficatIons, and
Metro Dlstnct acceptance of the Relocation, neither party shall make a claIm that the ncw Mctcr
Faclhty requIres conectlOn should flow and samplmg data differ from present data,
16 The City of Whcat RIdge will provide the Metro District with acceptable Record
4
Drawings of the Relocation within 120 days of the Metro District acceptance of the Relocation.
17, The City of Wheat Ridge shall warrant those aspects of the Relocation for which it is
responsible, as described at Paragraph 3 herein, for a period of one year from the date of acceptance
by the Metro District. The City of Wheat Ridge shall not be responsible for maintenance of the
facilities constructed in the Relocation during this warranty period, nor for any aspects of the
Relocation which are the responsibility of the Metro District, as described at Paragraph 3 herein.
18. Following Metro District approval of the construction plans and specifications,
acceptance ofthe Relocation, and the completion of the one year warranty period, the City of Wheat
Ridge shall be released from any and all requirements.
19. Within the limitations imposed by the Colorado Constitution and statutes, the City of
Wheat Ridge shall defend, indemnifY and hold harmless the Metro District, its employees, directors,
and agents from and against all claims, costs, losses, damages, suits, expenses, liabilities, fines,
penalties, and sanctions of every kind (including without limitation, reasonable attorneys fees, court
costs, and costs of investigation), arising out of or resulting from performance by the City of Wheat
Ridge of the obligations imposed upon it by this Agreement (hereinafter "Metro Losses"). The
Parties agree that the scope ofthis indemnification includes, but is not limited to, Metro Losses that
may arise under (i) federal environmental laws or regulations such as the Comprehensive
Environmental Response, Compensation and Liability Act, as amended by the Superfund
Amendment and Reauthorization Act and otherwise, the Resource Conservation and Recovery Act,
the Clean Air Act, the Toxic Substances Control Act, the Safe Drinking Water Act, the Federal
Water Pollution Control Act, and all other federal laws relating to the environment, health, or safety;
(ii) all applicable state and local laws that relate to the environment, natural resources, health or
safety; (iii) all regulations, permits, orders, decrees, binding agreements, and other binding
obligations relating to the administration of such federal, state, and local laws; and (iv) all common-
law requirements that relate to the environment, health, or safety. Neither Party hereby waives any
immunity or defense available to it under the Colorado governmental Immunity Act, CRS 24-10-101
et. seq.
20. The obligations of the Parties are subject to annual appropriation, No multi-year fiscal
obligation is intended to be created hereby for which funds are not specifically committed and
reserved as of the effective date hereof. In the event of non-appropriation by either Party of funds
needed for performance of its obligations hereunder, such non-appropriation shall be deemed a
breach of this Agreement, entitling the non-breaching Party to terminate the Agreement, and pursue
any remedy available hereunder,
In the event of a default, in addition to any remedies that may be available to the Parties in
law or in equity, the Parties shall be entitled to seek specific performance or injunctive relief to
enforce the provisions of this Agreement. However, prior to filing legal action the Party alleging the
default shall first provide notice of the default to the other Party and allow a minimum of fourteen
(14) days to cure the default.
5
21. This Agreement shall be construed and enforced in accordance with the laws of the
state of Colorado. The Parties consent to venue for any legal action relating to the Agreement being
in the District Court in and for the City and County of Denver. In any legal action for damages or to
enforce the terms of this Agreement, the prevailing party shall be entitled to recover their reasonable
attorneys' fees and costs.
22. The enforcement of the terms and conditions of this Agreement and all rights of
action relating to enforcement shall be strictly reserved to the Parties. No third party beneficiary
rights shall be created by this Agreement in favor of any person not a Party to this Agreement, unless
the Parties mutually agree otherwise in writing.
23. Neither Party shall be liable for any failure to perform as required by this Agreement,
to the extent such failure to perform is caused by any of the following occurrences: strikes, labor
disturbances or disputes, failure of any governmental (other than the Parties to this Agreement) or
third party action or approval required for full performance, riots, civil disorder, war, floods,
earthquakes, acts of God, explosion, or similar occurrences outside the control of such Party.
24. Except as otherwise required in this Agreement, any notice shall be deemed to be
validly given at the time the notice is delivered in person, received by registered mail, postage
prepaid, or transmitted by faCSimile (with confirmation of receipt) to the following addresses.
To the Metro District:
District Manager
Metro Wastewater Reclamation District
6450 York St.
Denver, CO 80229
(303)286-3030
To the City of Wheat Ridge
Public Works Director
City of Wheat Ridge
7500 West 29th Ave
Wheat Ridge, CO 80033
(303) 235-2861
6
25. This Agreement is intended as a complete integration of all understandings between
the Parties pertaining to the Relocation, No prior or contemporaneous addition, deletion or other
amendment shall have any force or effect, unless embodied herein or in a written amendment or
other agreement executed by the Parties. This Agreement and any amendments shall be binding
upon the Parties, their successors and assigns.
26. In the event any provision of this Agreement is found to be invalid, void, or otherwise
unenforceable by a court of competent jurisdiction or by operation of applicable law, such invalid,
void, or unenforceable provision shall not affect the validity of the Agreement as a whole and the
remainder ofthe Agreement shall be given full force and effect.
7
IN WITNESS WHEREOF, the PartIes have caused thls Agreement to be executed by theIr
duly authorized respective representatives as of the date and year written ahove
METRO W ASTEW A TER
RECLAMATION DISTRICT
~
APPROVED AS TO FORM
CITY OF WHEAT RIDGE
BY'~
Randy Y a CIty anaaer
0' b
B
8
I
~
o
:E
CD
_J
"I
1
I
~
o
fT1
CD
,~ I
!~
;Its
\01
~ \'"
'" ~
~ ,~
.~
,"
i :
I .,0:::
'};'
Il r -
I I
I MH fCPl C
I
,
~I
>-,
ai'
! I
L),~
"
1',
1
I
1-'\-t,.(DUAL FL ME) '"
NEIl a>:,'-~
I . " ,0-"
. ~,y
.~
!
PRQPOSEO 18" APPLEWQOIN ~S
E~T, 12" 5S
. , t
I
I
i,
,
/
PROP
-< 1
0
~ ,
'.,
I' ."
1""1
r
0
(J)
~
rrl
-l
1"=50'
50 0 50
I
scale
N
"
1
!
'.
t \1--:
. \'
EX' T, '24" 5S-PLEASANT Vl W
237 . -42" STL, CASING
r-
,
I
City of Wheat Ridge
7500 West 29th Avenue
Wheat Ridge. Colorado 80033
Phone: 303-235-2861
100
I
feet
Meurer
EXHIBIT A
YOUNGFIELD
METER RELOCATION
& ASSOC/ATE;S
METRO WASTEWATER
RECLAMATION DISTRICT
CITY OF WHEAT RIDGE
143 Ur,lon Boulev8Jd
Suite 000
LaKbwood, CO 80228
303 ')85 3636 TEL
J03 985 3800 F>.x
O~I\NIN'J NO I'~A _:<.HlbIT A DATE. ~/OF, F 6r~F
1 ('I- 1
EXHIBIT B
METRO W ASTEW A TER RECLAMATION DISTRICT
SECTION 02070
W ASTEW A TER FLOW MANGEMENT PLAN
PART 1 GENERAL
1 1 SECTION INCLUDES
A, Planning and implementation of wastewater flow diversions,
1.2 RELATED SECTIONS
A. Section 02072 - Wastewater Discharge Emergency Response Plan,
1.3 SUB MITT ALS
A. Wastewater Flow Management: Detailed implementation plan.
1 4 W ASTEW A TER FLOW MANAGEMENT PLAN
A, The Contractor shall submit to Metro Wastewater Reclamation District (MWRD) a
Wastewater Flow Management Plan (WPMP) at least fifteen (15) working days prior to
implementation of flow diversion/bypass, The WFMP shall indicate the sequence of
diversion operations, and all other operations the Contractor will establish to maintain
wastewater service during the diversion/bypass period, The WFMP shall be reviewed
and approved by MWRD before flow can be divertedlbypassed, No deviation from the
approved WPMP will be allowed without prior approval from MWRD
B The WPMP shall include an Wastewater Discharge Emergency Response Plan
indicating the procedures, personnel, equipment, and activities that will be implemented
in the event of a wastewater discharge, spill or overflow to the environment, or
diversion system failure. The Contractor shall be responsible for implementation of the
Wastewater Discharge Emergency Response Plan in accordance with Section 02072,
C The Contractor shall observe and comply with all Federal. State, and local laws,
ordinances, codes, orders, and regulations which in any manner affect the conduct of the
work, specifically as they relate to wastewater discharges, spills, or overflows to the
environment. The Contractor shall be fully responsible for preventing wastewater
discharges, spills or overflows, containing the wastewater, recovery and legal disposal
of wastewater, any fines, penalties, claims and liability arising from negligent or willful
discharge of wastewater, and violation of any law, ordinance, code, order. or regulation
as a result of the discharge, spill or overflow The Contractor shall be responsible for
payment of any fines or penalties assessed against MWRD for such wastewater
discharges, spills, or overflows, including any attorney fees and costs associated with
ivl:\person3.1-common\TDS\02070stLl R.duc 5/27/()5
Wastewater Flow Management Plan
02070-1
defending any action against MWRD resulting from such discharges, spills or
overflows.
D The Contractor shall not damage existing public and private improvements, interrupt
existing services and/or facility operations which may cause a wastewater discharge,
spill or overflow Any utility and/or improvement which is damaged by the Contractor
shall immediately be repaired at the expense of the Contractor.
E, The Contractor will be charged for all costs associated with the MWRD's efforts if they
are dispatched to the discharge, spill or overflow
F The Contractor is prohibited from discharging any groundwater, stormwater or
hazardous waste encountered during the construction project without prior written
approval of the Environmental Services Department,
PART 2 PRODUCTS
Not Used,
PART 3 EXECUTION
3 I OWNER-OWNED DIVERSION STRUCTURES
A. Contractor shall submit to MWRD as part of the WFMP a request for diversion. The
request shall include name and location of diversion structure, requested flow
configuration, approximate date, time and duration of implementation, A final
coordination request shall also be made three working days prior to the date the
diversion is needed,
B After the WFMP has been approved. coordinate with MWRD for implementation.
MWRD will implement the flow diversion.
C Contractor shall notify MWRD within 24 hours after the work has been completed, and
diversion is no longer necessary
3,2 BYPASS PUMPING EQUIPMENT
A, The Contractor shall submit to MWRD as part of the WFMP a detailed bypass design
including, but not limited to, a plan view drawing, pump/piping locations, bypass piping
size(s), and a capacity analysis to verify pipe/pump capacity vs, design flows, The
submittal shall also include a start date, time and duration of diversion, The submittal
shall be in a form similar to the attached sample at the end of this section,
B. The Contactor shall only use equipment inspected and found to be in good repair and
fully functional.
C The Contractor shall provide a pumping system conslstmg of pumps, pipe and
generators, if applicable, capable of handling a design flow of ..l.i.. MGD for the
Applewood Water and Sanitation District and --=L.i.. MGD Pleasant View Water and
Wastewater Flow Management Plan
02070-2
M:\personal-common\TDS\02070std R.doc 5/27/05
Sanitation District flow Extra pumps and generators, if applicable, with a total capacity
equal to 50% of the design flows must also be provided. A minimum of three pumps
and generators, if applicable, shall be on site with no single pump and generator, if
applicable, having less than 50% capacity of the design flows. The Contractor shall
utilize the flow bypass system to perform the necessary maintenance and repairs on the
flow bypass system, and exercise and ensure the operation of the backup pumps, The
Contractor shall operate the backup pumps for a minimum of 25% of the total bypass
time on a daily basis, All pumps shall be fully installed, operational, and ready for
immediate use
D, The Contractor shall use pressure-rated piping materials in good working condition,
[Where five or more pipes will be used, provide one redundant, additional pipe of
greater or equal size].
E, The diversion system shall be hydrostatically pressure tested in the presence of MWRD
using potable water prior to wastewater flow diversion, Test pressure shall be 50%
greater than maximum operating pressures, or 10 psi above maximum operating
pressures, whichever is greater Pressure test shall be for minimum of one half hour
The Contractor shall demonstrate to the satisfaction of MWRD that both the primary
and backup flow diversion systems are fully functional and adequate, and shall certify
the same, in writing, to MWRD in a manner acceptable to MWRD. Demonstration shall
include test-pumping a minimum of one hour at the daily peak flow period, in the
presence of MWRD
F The Contractor shall submit as part of the WFMP the monitoring procedure and
frequency and shall continuously monitor the flow levels downstream and upstream of
the flow diversion to detect any possible failure that may cause a wastewater discharge,
The Contractor shall maintain a daily log of the monitoring and provide weekly copies
to MWRD in a manner acceptable to MWRD
Q, After approval of the WFMP, install diversion system per plan.
H, The Contractor shall provide one dedicated fuel tank for every single pump/generator, if
fuel/generator driven pumps are used, The Contractor shall provide a fuel level
indicator outside each fuel tank, The Contractor shall continuously (while in use)
monitor the fuel level in the tanks and ensure that the fuel level does not drop below a
level equivalent of two hours of continuous flow diversion system operation, The
Contractor shall take the necessary measures to ensure the fuel supply is protected
against contamination, This could include but is not limited to fuel line water traps, fuel
line filters. and protecting fuel stores from precipitation, The Contractor shall also
monitor all hoses and repair leaks immediately,
I. The Contractor shall inspect and maintain the bypass system daily, including the
back-up system, The Contractor shall submit with their WFMP their maintenance
procedures and frequency The Contractor shall maintain a log of all inspection,
maintenance and repair records, and provide copies to MWRD upon request in a manner
acceptable to the MWRD.
M:\pcrsonal-commonITDSI02070std R,doc 5/27105
Wastewater Flow Management Plan
02070-)
J. Drain residual wastewater from piping system to MWRD Interceptor prior to
disassembly, taking care to avoid wastewater spills.
3,3 FLOW-THRU PLUGS
A. Contractor shall submit to MWRD as part of the WFMP a detailed design including, but
not limited to, the flow-thru pipe size(s), configuration and location, and a capacity
analysis to verify plug capacity vs, design flow The submittal shall also include a
contingency plan, start date, time and duration of flow-thru operations. The flow-thru
plug shall be tethered or adequately braced during all diversion activities,
B The Contractor shall size the flow-thru plug to handle same flows as indicated in section
3,2,
C The Contractor shall submit as part of their WFMP their monitoring procedure and
frequency, and shall continuously monitor the flow levels upstream of the flow
diversion to detect any developing condition that may cause a wastewater discharge,
The Contractor shall maintain a daily log of the monitoring and provide weekly copies
to MWRD in a manner acceptable to MWRD.
D, After approval of the WFMP, install system per plan,
E, The Contractor shall install and operate the plug for a minimum of one hour at the daily
peak flow period to demonstrate adequacy prior to use for actual diversion,
F. The Contractor shall inspect and maintain the flow-thru plug daily. The Contractor
shall submit with their WFMP their maintenance procedures, The Contractor shall
maintain a log of all inspection, maintenance and repair records, and provide copies to
the Engineer upon request in a manner acceptable to MWRD.
3 4 W ASTEW A TER DISCHARGEIDIVERSION SYSTEM FAILURE
A, In the event of a wastewater discharge, spill or overflow, or diversion/bypass system
failure, immediately implement the Wastewater Discharge Emergency Response Plan
(See Section 02072),
END OF SECTION
Wastewater Flow Management Plan
02070-4
M:\personal-cummun\TDS\02070std R.doc 5/27/05
(Sample)
PAR XXXX
ROCK CREEK REHABILITATION PROJECT
WASTEWATER FLOW MANAGEMENT PLAN
Contractor XYZ will be replacing Manhole RC 4 In order to perform thiS work, a
complete bypass of the flow will be necessary The followmg is a detailed procedure for
thIS work,
Flow will bypassed from MH RC 3 to MH RC 5 A base pumping system consisting of
two 12-inch centnfugal pumps and discharge pipe and capable of providing a total
capacity of 10 mgd will be installed, (See attached design calculations, pump literature,
and sketch) One additional 12-mch centrifugal pump WIll be on site and fully connected
to the system to provide 50% pump redundancy All three pumps will connect to one
common manifold, The discharge piping downstream of the mamfold will be IS-mch
dIameter The length of discharge pipe is approximately 1,500 feet. All suction and
discharge piping Will be HDPE with heat-weldedjomts,
In order to pump out of MH RC 3, the frame, cover and cone will need to be removed, A
deflated plug will be inserted into the downstream piping prior to placement of the
suction plpmg, The plug will be tethered with a cable to ensure it does not dislodge in
the event of a sudden loss of pressure, When the bypass is ready for operation the pumps
will be turned on and then the plug will be inflated, Prior to live pumping, the system
will be hydrostatically pressure tested at 30 psi.
During pumping operations, the pumping system will be continuously manned, This will
mclude regular inspection of the pumps and walking the discharge Ime, Pump output
will be monitored to ensure that water level in MH RC 3 does not exceed 3 feet above top
of pipe If one pump should fail, a call will be placed to the pump supplier and
arrangements made for an immediate service call or pump replacement. In the event of a
wastewater spill or diversion system failure, the Wastewater Discharge Emergency
Response Plan Will be implemented,
Bypass pumping is anticipated to begin Nov 3, 2005 and continue around the clock for
one week,
Plan Prepared by
Date
Contractor XYZ
Plan Reviewed and Approved by
Date'
Metro Dlstnct
I
\
\
,
j
,
\
\
I
\
\
1
\
~r
ooll
"'0
1"'1'.
?
0 r
i:- f
r
{
OJ
....
:z.
-"
.--.::!
IJ';;-
--t ~
~r
r-- -;::;'
....... "
i7
L-'v
1
1
\
I
i
!
I
I
I
I
I
j
I
I
I
1
f
i
1
I
I
~ Rai Fa Rent CURVE' 1 041 95 10/03
n r PJMP DV-400
S\.JCTiON DiSCrlARGE MAX SPHERE IMPELLER 1M ~ELLER IMPELLER .\(
WEAR PLATES
18" 16" 4 5" 3 VANE 22,00" CAST IRON
TOTAL HEAJ
0 8 a a a a 8 a a a a
N co <0 v N u..~
N N - - - - - co <0 .... N a
-- - . T-'"' -.....-l - . ..., - --- U") - r-- ----- ."- -- -i--'" . - .'.
,
::Ii - --.,-.... . - -~- T - ~~....,- .....~::: :::=,g: -r---~'- -.,.-r--;- -- --r-
-- -1-";'- --~...- -'- --.... - - -- -- -I- -1-- - + -1-.... - __ _-1_
::f a.: , --1-8
0 a.: ci ----....- .....___1- ------ ._~~ _1___- ------ -----
~ ci a a a a -r - - - a__~_ ..1__ 1_ u. -:!'. ----~-
;?88 a a Cl. '-',--- --t--"':'- -1____ co ' , ' ------ 8
Cl. --'" co .-... ::f --"1--- -....---- --....-- --,-- '-- - - -- - "'7'--,- ---.- a. -, --,
- ::f => .s:; a
co => Cl. ---.--- f--~n-- --+-- =::'\ -..,.---- -~-~ -:!f -"___I...- __...._L <&i
"1 Cl. , _1._:_ _'-- __L -
0 ------ -.... - _._- ------ -- - f""')
- , , _.!.-/ -.2.-:.- -- -~- ' , ,
t- ------ "----- ----- ----- - c - r - - - - n _j_
-
w - - -- -- :~~
::f ~ .: 1:;:'= = = ----~- - - -1--- '-~_._-- --.---- - ---....
>< a.: .- - - - - -----.- -~V -- _J_ __ ------- ----..... a
0 ci w ------- .1""--___ _ ..- _1 __ _ CL . - - - - --' ---0:-- --,---- a
OJ 0 aU") U") U") Q:: N- -' a
~ v CON <0 a -----i~;. 'f.3 ;It "....,..".... - .s:; .....-'- .,,:
w ...... U") .... N - V1 U ~ -'- .- - . r - - --8 .
:z - - - - - W ----- - --r -- -,..) \--T' ~;t~-~. r - ,--,. -
0 <3 > 2===':-
0:: ----- -- ..- - - ---- --,-.
15 =>1- N~_ .;;;....;;,.=.l:'\ ~ /. - - .'-
Uf-- -;-",- . W .~~~ N - - - - -
-.----- - ",ri"S- . - ~ --- .. -.--1- -...---- ~----- 8
._~-... - - -,- - - -l_ __1_ -- - - ;-- -1'"--- - -~ 4- ;--,...- -. -....--- ;-- -0.-'--
.s:;- 0.
__....:_1.. ------ I:;:' . - C. - - _1_.... _1..____ =~ /---:~ J1-: -L~J \f-~ /---.-- _0 ___ N U
- -- , -.----- ,...... --:..::..;- -"'---co '-i:.--n -- - - /-t-_- _l_~_ - ----- 1;? n_ - :z:
" =7-'~ <t:.
r- - -'- - - - ."t" -----.., " ---,' ~
-~._--- u"~, _ __,_L. . .... -1_..._ -.;-~-'" ::~ t..f0;., J=.,; ~=.~ =~7 c::::
R(
_L____ ----- --.--'" - -,...--..- _.1____ - - - - - -'- 0
, ____1- - . _L__J.._ _...!._~.J_ ~'.._)" - 0 L-
------ ----r ----1- ----- a c::::
, , a u..J
-,.. -- ----1- --.... -r"" - ~--T; ~:: ~~ i~::::. =}J~- . ci c....
~---- ----...-- r-'-~ -r-.....--- I---<- -!- f(fi' + - - -'~~' -- - - r" ~- -,-.....-1- -
_L____ -'1:;: .. ---:;.-- ~=:" -,-~-~ --I __ ' '-'~ -..... --' -. Q:
L..J
u__tj -~.....::":. -~--~- f-~-~~ ~ , :ft~= *' ~ :!t) , , I-
-.......,--- :r~~:: ----- <t:.
,
-,- --Q:: ----- -1---'- - T -r- -- -1-"1- - - - -r- - :;;:
----5 --_.-- -r-Ii1-r- --t-l--- -, . -~~...- ~- _':"-1- -,.......- -'--' -- 'a
-p a Q:
w ----- -_':"'_~ :;f:: , _::~ '/--,-- jti: -'>.......-[- >.,... 7 = I:;: . .. -- - 0 <t:.
_U'Q:: ~~ co
----~ _ ,_ __.1_ ~ ~::: .J ~ _ p- :::J
_. __0:: ----- -,-...,-}- ' ' --C;J"J ..J ~~ - -- -- . -- f<-.- -----~ .----
-a:i -T:';;' --,..-- ------ U
- ---Cl. -'n-cF2~ .~-+-- t===? ?tj; .:::..z .::: ~ fj~:::: ::1/::: ---___ -l-___
__l_Z -:-~~.:- ~-- ~ ------ -----
--~-I:;:' --",..... --~--- - ~- .....- - - - - ,'" - 'rj:--- -----1- --i-- a :;;:
~N ' ' 8 0
~-+-,", --~.::1 -'--:1 ~~ A-- 'rf~'-~~ ,
_.- - - - -T-,",} ~ ~T=:: --, - ,- -,-1-,- l.D ....J
----~- .l_l---l_ ---t- _I. __ - --- -- - - ~=: _J.__..._......._L...J_ u..
u~;.? =~
------ __L_i_ __+__ - --- - ---' - --.::. ~- - _....__J_ -}--~-r--l-~-I-
, , , , ' , , , , I
------ I ~.~ .;,u/+.._ L_~;_ ~ ...:-,;. - ~~ _ c_ , 1---,-;-
--r-- t--,. ~=;J:- - ... -J-'1-
------ --t--1- -T-- --F'r'" _....-........- '-+-1- 0..;::.....- ---1-- - .... -1-"'- h -r---
------ --1-....- --+-- ---.-.;......- - - - -1- - -- .~ ----....- -.- -1--- --........- 8
------ 1-__1__- __.1.__ :t-~-..~-. .---} '":"_.....,.~ 1:~ --:i - :t!-f ~~~-~~~-~~~~~= ...:_!.. _1_
, , I "'- -,. , ....
----- --i-T-- ---1--- - - ....-- ----,.- _-::t_ -!-~ i - ~;/~ " -T-I-
--..,..-- -1-""1-....- ---,--- -----t- , 1-... _. - ,l- '. ;-~-- ~t--""1- .....-1"-1-
----- ==~::t= - - ->- -- ..../---- -:/: ------ ~:-..=:= :t.~"" -~"'1"""- __L~_ ._~__ __.L_l_
. - --- :::~=I --+----- -' ,... f - 1.. -it- ~ - ~~~:2~-,'-- - ----. -
~ . _u _ -r---r- -1- - -- -- -- -....---- -1- ': -'- - - - -' - - if- ~- ----1- ~~ - --- -_..- - a
a
- ---,.... u~-~---.f- ...,-+-- ~/-"~-~~ :- ~-~f r4-"-- t--~.:t--- 0
---4- :z~-""'-- ...,---- N
----.- __"':''-._-,L.._..J;...- ~ -:_-' ___- ---:E:' f- - - Lx: ---.1%:- ..:J_;-_ ~ ==:~~ 2_-_-;:_- ....----
r--T-~ -... &. f--~- Cl.' -_-10..- ...1-...- .1.. --..
'0: 0: ' 0: 0/..= I I
----~- .U - - - g, ~-~:-=- ---'~l
- ---r~ o. -, - ---- -- ----~o -....-- -.--....- ----- _-r
:::= ~ = ---~_.::: ,--'- - - --.71- - - - - -- -- - <Xl -~--.,.... -.....-,.- ----...- --"T-~ -r -1_" . :::;;
Vlo..
---~- :---- ---- - ------;- --t-- ----I- ------ ..._~-l_ :::><..0
0 0 a a 0 0 [5 0 0 0 0
'" a co <D v GO 0
N N N <D V N "'-,.....
- - - -
I I , I , I
J., , I
J., J., J., J., I I
en GO .-... J., J., , J, ,
l.D II') II')
"It '1 0J In Q.(J}u
dVJj.j 11/101 -
------
~ I ;Z. ~ ~ -n ~
,,:Z ~ ;n a E
~~ ~ 0 m
~ ~ -n -n
:l ., ::t 5 ~
11ft "'0 5
:0 0 "2.
l~ -n
m 0 ." ! i
~ on {i
o~ "'0 ~ m 0
Ii :0 (5
.:;:: lTI ffi I
b :::: "'0
J; !1' ~ ~
....
-l
!~ S!
!~
ii~
em %.
1-;
.... i~
r
6 .... .... ~
(lO -l
.~
\ i
% :!! "2. on -n ~
~ "'0 ~ ~ ~
~ lTI ~ ~
"'0 91 ~
n ~ ~ ~
i (Jl ~ lTI
2- 5 5 "'0
OJ 8 ~
I m ~ ~
~ ..- 0
\ ~ ~ "'0 ~
1 (Jl
:;:;
~ ;Z.
Q ~
'J 9
I :;:;
, , , , "
\
\
I
1
\
\
\
\
I
\
\
\
\
l.O
~
ex:.
o
(/)
Ul
ll-
o
~
~
oc'"
,
\
~
o
.;:
,!g
g
~
~
o
t-
'0
c:
to
""
-'
Q)
~
Q)
i'G
01
C
'~
~
!
t-
\
'"
Q)
II>
'"
o
-'
\i.
~
~
~ ll-
0-
_0 '" 'i& E
:J;- (/')G>.t: ='"
~'t\'t\~3~0,,"ll-
.......90(ii,o?''6-'~
-0 'i. .-1 ::> -0 ~ ~ a .':::
.. 'J<Il""'\i\tO'tl"
~ 'B.~to 'i&.c~::> g
t,)'o:.UlCl~0Ul{/) .....
.~ it it it it it it it it
;,~~~~~g~t
O~,,"O,,",,".oOl
] ~oc'"
o
I-
1>0
~
'B.
0..
r-
.,...
ex:.
0;0
~~
~o.. 't\
5~ .3
enb ~ ~ ~ ~
~~.3't\.83g>'t\
\!,O oUi G)o
%'ig~9!~~-:
~ 'B.~ :z;o'i1% ~
~a:.nUi~ex:.;:?'
~-'................~......-'....,.;~
'.Ju- u- u- u- u- u..U- u- u.
~ ':?-. r;. ~ '< ~ ~ g, $,,;;'
'.;:l.~ci'fl!'"'O~Oc-lO(j)
U oc'"
"
r./l
1
o
I-
~~
S
lft
en
...'>
::C':i
(/) ,
ll-O
Z
<0 "-
""~
,(/)
<Oll-
Z
.........
u..u..
0'"
<"I"'"
.,...'
""lD
.....
u..
.......
~
s
'"
"
~
~Q)
-~
~~
<1)0-
",'"
~g
';: '"
;;:4:
....
U.
\I <0
\I '"
cO
-'
u.
';; v
al~
~u.
g
-ri
~~
r;.~
~
~
I~ ?5
~ 0
\g
0:::(
~
..
~
~
<>
-
..,.
'"
~
11
c:
';;;
..
E
jl
-'6
0:.
go
:g
li
:x:
:9
g.
::l
g
..
c:
,2
%
t1l
1
1
!
i
1
I
f
I
1
1
J
j
1
j
I
i
!
!
j
RAIN FOR RENT PUMPS
DV-IIIO VUCllUnJ A"..i.w S.'/f:p,.iming Pump
DV-400
SIZB 18" X 16"
-16.000 OPM MAX
· 2m n. HEAD MAx
FEAlURFS ,
. w....... J~( 'lllda.....tT........
: ~1..,~~~
· ktlaall~..a..'" ....
i !Uf....... ";'i i, "
· .bfD ..,....... ciIiIlnII "'"
· FIM ~.. lit "JIow-lli'
"~., ;~~' - , '_,' ~,..~::.t..~.,A/Li-;.,. ' ~
I'" \} <I' ~ ~ 4.;?,.;~i-'c.!.._~y,
.. ',,}i<" .",...." .. ,
~ ': -"--'" '>'~'"':tj.,~'-'_'!'"-'t:t''''( 0... '{"<"; ~.'I..,.~'"
: ~~1,ijJ,....~c ';";'.~~.,. ;:i.~';
· 1:,.~,'.'...U" (.~....VJ.rJ......,:,.'
.. I "" ' h, w....,.(~t:~:~~,.;-,~. ,", .-
. 61 ._..~", ,'~"-:" ,
MA:S':""" ", "'~"',~ ",:
.. ." "':," .. ~"'" -,t"" "," '....;. .....,., ...- :-.. ,....'-' ,:~ . '..' 7\ - ~':', t
.~" " -....,"::r1~,,~.. :.~!: "("'~""~<';.~ ."';: s-
. OiiIt,,*Jl~r'" ; ;~',.;
..,lIm'" ...
. 1'uaIp~ ,.,: ..
, "...... ....... ....,
. 114.' 'a.1eit <,'
T.....- ..... . Ii'" ~ IIlIItIDa &c..
~W-~~..,~..
. ~ "" ."', .
tr~ 1'''diIcUrJt
ANSI 1 SOl flfI
PUMProENGINERPM
Puform.ore: Curve: for DV-400
...-
I
I If rl .. I i
- .I I r .~,." , I
.. ......... .., X 1_ ' .. , , i
I'-- ~ V 1'\ , I
=, " ;L,. :l ' " .wI:
L"""'fil!it:z "" ,-
~ ~ T'" ./ ./ ,
:~ '::.;.f "5~ >l! ,..,r
... .o! N
- 1....- - ...l
- I 1/
I I r ..... -, ..... !
>>
I , I , '~ I 1
.
'limn RPM En.u.I.PM
1.100...,..... ...........1.7.
l.llOO.........., ..,.......I.JIlJ
!lOt.... .... .... ........_1..2$
100.....,... ...............I..z6S
700.. ....... ... ........._1.10$
RAIN FOR RENT
PO Boa 2241 0....... CA 93303-2241
(800)742-7246' (661)399-9124 o fAX (661l 393.1542
In~: _w.l'Iinbtent,COIIl
I
I
I
)dIN _ _ _ ,_ ,~ ..... .... ~
~cny II! diIIU<M"""'~
Flott,.\, aI',' gil'('n ill L.S. GlIJ/mu Pc'r Jlinll/c'
Fuel colUumpIton:
/3.9 GPH@ I. 700 RPM-Jolut lAe", 6125H
DooJ_ '103314
EXHIBIT B
METRO W ASTEW ATER RECLAMATION DISTRICT
SECTION 02072
W ASTEW A TER DISCHARGE EMERGENCY RESPONSE PLAN
PART 1 GENERAL
1 1 SECTION INCLUDES
A. Development of a Wastewater Discharge Emergency Response Plan, to be implemented
in the event of a wastewater discharge, spill or overflow to the environment.
1,2 RELATED SECTIONS
A, Section 02070 - Wastewater Flow Management Plan,
1,3 SUBMITTALS
A, Emergency Response: Detailed implementation plan.
I 4 WASTEWATER DISCHARGE EMERGENCY RESPONSE PLAN DEVELOPMENT
A, The Contractor shall develop and submit to MWRD at least fifteen (15) working days
prior to the start of construction, a written Wastewater Discharge Emergency Response
Plan (WDERP) in a form similar to the attached sample at the end of this section. The
WDERP shall be developed to respond to any construction related wastewater
discharge, spill or overflow to the environment. The Contractor's WDERP shall not
rely on MWRD Transmission Division personnel for emergency response, but they may
be dispatched, at MWRD's discretion, to provide additional assistance, If MWRD
personnel are utilized, the Contractor shall be responsible for all associated costs, The
Contractor is prohibited from discharging any groundwater, stormwater, or hazardous
waste encountered during the construction project.
B, The WDERP shall include at minimum, the following:
I, Identification of environmentally-sensitive areas that could be affected by a
wastewater discharge, spill or overflow, including but not limited to, waterways,
channels, catch basins and entrances to existing underground storm drains.
2, Development of an emergency notification procedure that complies with state
and federal requirements including but not limited to, Section 25-8-601(2),
C,R,S The Contractor shall designate primary and secondary representatives,
their respective phone numbers, pager numbers, and mobile phone numbers,
MWRD contacts shall also be listed,
3 Identification of personnel and equipment/tools that will be utilized in the event
of a wastewater discharge, spill or overflow to the environment. Include an
emergency response team with arrangements for backup personnel and
equipment, The emergency response team shall be able to dispatch to the site 24
M:\personaJ.common\TDSI02072std R,doc 5/27/05
Wastewater Discharge Emergency Response Plan
02072-1
hours a day 7 days a week including weekends and holidays to respond
immediately to any wastewater discharge, spill or overflow to the envIronment
related to the Project work.
4 Identification of downstream public water systems.
5 Identification of owners of stormwater inlets in immediate vicinity,
6 Step-by-step procedures to contain, control. and minimize wastewater
discharges, spills or overflows to the environment,
C. At the pre-construction meeting, the Contractor will be provided with a list of MWRD
representatives to contact in case of a wastewater discharge, spill, or overflow to the
environment. These contacts shall be added to the WDERP
D Contractor cannot begin work until the City of Wheat Ridge has approved the WDERP
in writing, An approved copy of the WDERP shall be available on the job site at all
times,
E, It shall be the Contractor's responsibility to assure that all employees, including
subcontractors, know and obey all emergency procedures included in the WDERP,
1,5 W ASTEW A TER DISCHARGE EVENT
A. In the event of a wastewater discharge, spill, or overflow to the environment, the
Contractor shall:
1. Immediately implement the WDERP without direction from MWRD, to control
and contain the discharge. spill, or overflow to the environment.
2. Contact MWRD personnel immediately Information to provide shall include at
minimum, the following:
a. location of discharge, spill, or overflow to the environment;
b estimated volume;
c. time discharge, spill, or overflow began;
d, duration if already terminated, or expected duration if in progress;
e, cause (if known);
f, control measures implemented;
g. type of remedial and/or clean up measures taken;
h, description of affected or potentially affected sensitive areas such as
waterways, channels, catch basins and entrances to existing
underground storm drains.
Based on this information, MWRD personnel will determine if the discharge,
spill or overflow is contained, and whether or not the MWRD Transmission
Division should be dispatched to the site, If dispatched, the Contractor shall be
responsible for all costs incurred by the Transmission Division as associated
with the discharge, spill, or overflow
3 Contact owner of storm water inlets if discharge, spill or overflow enters
stormwater system,
B, The Contractor shall, within two (2) working days of the wastewater discharge, spill or
overflow, submit to MWRD a written Wastewater Discharge Incident Report (Figure I),
Wastewater Discharge Emergency Response Plan
02072-2
M:lpersonal.commonITDSI02072std R,doc ,/27/05
C MWRD will evaluate the suggested procedural changes to avoid further discharges,
spills or overflows and will instruct the Contractor through the City of Wheat Ridge on
changes. MWRD may institute further corrective actions, as deemed necessary
D The Contractor shall observe and comply with all Federal. State, and local laws,
ordinances, codes, orders, and regulations which in any manner affect the conduct of the
work, specifically as they relate to wastewater discharges, spills, or overflows to the
environment. The Contractor shall be fully responsible for preventing wastewater
discharges, spills, or overflows to the environment, containing the sewage, recovery and
legal disposal of sewage, any fines, penalties. claims and liability arising from negligent
or willful discharge of wastewater, and violation of any law, ordinance, code, order, or
regulation as a result of the discharge, spill or overflow, The Contractor shall be
responsible for payment of any fines or penalties assessed against MWRD for any such
sewage discharge, spill or overflow, including any attorney fees and costs associated
with defending any action against MWRD resulting from such discharge, spill or
overflow
E, The Contractor shall not damage existing public and private improvements, interrupt
existing services and/or facility operations which may cause a wastewater discharge,
spill or overflow to the environment, Any utility and/or improvement which is damaged
by the Contractor shall immediately be repaired at the expense of the Contractor.
F Once the discharge, spill or overflow has been contained and the situation causing the
event has been stabilized, the Contractor shall restore the affected areas to original
condition,
PART 2 PRODUCTS
Not Used,
PART 3 EXECUTION
Not Used,
END OF SECTION
M:lpersonal.commonITDSI02072s1d R,doc 5/27105
Wastewater Discharge Emergency Response Plan
02072-3
(SAMPLE - W ASTEW A TER DISCHARGE EMERGENCY RESPONSE PLAN)
PAR 9999 - GREENBRIER INTERCEPTOR
MANHOLE REMEDIATION
W ASTEW A TER DISCHARGE EMERGENCY RESPONSE PLAN
EMERGENCY NOTIFICATION PROCEDURES:
In the event of a wastewater discharge, spill or overflow to the environment, partIal or complete
lme blockage, manhole surcharge, construction debris entering the sewer stream, or another
emergency, the following partIes shall be notified ImmedIately, and the Emergency Response
Plan initiated,
XXX Construction Co. Contacts:
1. Call Office
2. Jerry Petz
303-999-9999 (24 hr. phone)
303-999-9999 (Home)
303-999-9999 (Cell)
303-999-9999 (Home)
303-999-9999 (Cell)
303-999-9999 (Home)
303-999-9999 (Cell)
3. Lance Brown
4. Logan Wilson
Metro Wastewater Reclamation District Contacts:
1. Neal Niver (DPM)
303-286-9999 (Office)
303-999-9999 (Home)
303-286-9999 (Office)
303-999-9999 (Cell)
303-286-3275 (24 hr Emergency Line)
2. Ron Woods (DC)
3. Metro Wastewater Control
Room Operator (After Hours)
City of Thornton Contact:
Nomar Gay
303-999-9999 (Office)
EQUIPMENT A V AILABLE:
All eQuipment, but not limited to the eQuipment listed below, necessary to contain or
mitigate a sewage spill shall be on site within one hour of when the spill occurs.
. Vac Con Combo Jet Truck (2700 2aI. Capacity) . This truck can be used to clear a
blockage as well as provide 2700 gallons of storage capaCIty,
. 6" Pump w/ 550' of discharge hose. This pump and hose will be on standby and can be
delivered and set up quickly to help m the event of primary and redundant pump failures,
. 18-inch repair clamps for HDPE pipe
. Heat welding equipment for HDPE pipe
. Small backhoe to move earth and help contam spill
ContainmentlMitigation
In the event of a wastewater discharge, spill or overflow, XXX Construction Co. will immediately
implement the Emergency Response Plan. The first priority will be to prevent any wastewater
from entering any waterways, lakes, streams and storm sewers. Containment structures will be
constructed to prevent wastewater from entering waterways. The next priority will be to prevent
any wastewater from reaching and contaminating groundwater.
DOWNSTREAM PUBLIC WATER SYSTEMS:
The following downstream public water systems may be affected by a wastewater discharge,
spill or overflow to the environment due to their proximity to construction activities, In the
event of an emergency, affected downstream public water systems will be promptly contacted by
the Contractor Important information regarding the incident will be communicated by phone,
written notification, and/ or in person,
. City of Englewood
. City and County of Denver
. City of Thornton
. City of Brighton
ENVIRONMENT ALL Y SENSITIVE AREAS:
The following areas have been Identified as being environmentally sensitive These may mclude
spillways, channels, and storm drainage that lead directly or indirectly to the South Platte River
and/or pose a threat to ground water Extra care and preventative measures Will be taken to
mmimize the risk of contamination,
. South Platte River, Niver Creek, Clear Creek., and Lower Clear Creek Irrigation Canal
. Roadside drainage ditches & street gutters leading to storm sewer inlets
. Drainages and small streams leading to the South Platte River
. City of Thornton water storage reservoirs
. Ground or other pervIOus surfaces
Notification of Regulatory Agencies
Contractor XYZ IS solely responsible for any liabihty for violations of any State or federal
environmental law or regulation, and hereby indemnifies the Metro District from any such
liablhty associated with a wastewater discharge, spill or overflow as a result of theIr work on the
Metro District's faCIlities. In the event of a discharge, spill or overflow of pollutants including
raw wastewater that has the potential to affect public health or the enVIronment, the followmg
parties shall be notIfied,
1 Colorado Department of Public Health and Environment Spill Report Line: 1-877-
518-5608
2. National Response Center (EPA Notification), 1-800-424-8802
In addition to the reporting reqUIrements of the paragraph above, the Contractor XYZ shall
notIfy the Metro District's Process Center (as detaded below) m the event of any discharge, spill
or overflow to the environment, regardless of whether or not it may cause pollution of state
waters:
1. Metro District's Process Control Center, 303-286-3275
PREPARED BY:
XXX ConstructlOn Co,
Signature
Date
APPROVED BY:
City of Wheat Ridge
Signature
Okp/OKP
:Yl \pd.cummon\Padgett\QC\ WDERP _Sample J,doc
EXHIBIT C
QUIT CLAIM DEED
(Metro District Grantee)
THIS DEED, Made this day of , 19_, between
the City of Wheat Ridge,
a political subdivision of the State of Colorado, Grantor, and METRO WASTEWATER
RECLAMATION DISTRICT, 6450 York Street, Denver, Colorado 80229-7499, a metropolitan
sewage disposal district duly organized under the laws of the State of Colorado, Grantee,
pursuant to and through the exercise of Grantee's eminent domain authority;
WITNESSETH, That the said Grantor, for and in consideration of the sum of Ten
Dollars ($10,00) and other valuable consideration to the said Grantor in hand paid by the said
Grantee, the receipt whereof is hereby confessed and acknowledged, hath remised, released,
sold, conveyed and quit claimed, and by these presents doth remise, release, sell, convey and
QUIT CLAIM unto the said Grantee, its assigns forever, all the right, title, interest, claim and
demand which the Grantor hath in and to the following described
situate, lying and being in the
County of and State of Colorado, to wit:
See EXHIBIT A attached hereto and made a part hereof
TO HAVE AND TO HOLD the same, together with all and singular the
appurtenances and privileges thereunto belonging, or in anywise thereunto appertaining, and all
the estate, right, title, interest and claim whatsoever, of the said Grantor, either in law or equity,
to the only proper use, benefit and behoof of the said Grantee, and its assigns forever
IN WITNESS WHEREOF, The said Grantor hath caused its name to be hereunto
subscribed by its , and its corporate seal to be hereunto affixed,
attested by its , the day and year first above written,
Attest:
By'
-1-
STATE OF COLORADO
County of
)
) ss,
)
The foregoing instrument was acknowledged before me this _ day of
, by
My notarial commission expires,
Witness my hand and official seal.
Notary Public
Address:
This Deed shall not be a valid conveyance until accepted by the Metro Wastewater Reclamation
District.
Accepted this _ day of
METRO WASTEWATER RECLAMATION
DISTRICT
By
District Manager
APPROVED AS TO FORM,
District Legal Counsel
-2-
JDM.9130102
LandAcqAtt1 Q,doc
EXHIBIT D
QUIT CLAIM DEED
(Metro District Grantor)
THIS DEED, Made this day of " between
METRO WASTEWATER RECLAMATION DISTRICT, a metropolitan sewage disposal district
duly organized under the laws of the State of Colorado, Grantor, and the City of Wheat Ridge,
Grantee,
WITNESSETH, That the said Grantor, for and in consideration of the sum of Ten
Dollars ($1000) and other valuable consideration to the said Grantor in hand paid by the said
Grantee, the receipt whereof is hereby confessed and acknowledged, hath remised, released,
sold, conveyed and quit claimed, and by these presents doth remise, release, sell, convey and
QUIT CLAIM unto the said Grantee, its assigns forever, all the right, title, interest, claim and
demand which the Grantor hath in and to the following described
situate, lying and being in the
County of and State of Colorado, to wit:
See EXHIBIT A attached hereto and made a part hereof
TO HAVE AND TO HOLD the same, together with all and singular the
appurtenances and privileges thereunto belonging, or in anywise thereunto appertaining, and all
the estate, right, title, interest and claim whatsoever, of the said Grantor, either in law or equity,
to the only proper use, benefit and behoof of the said Grantee, and its assigns forever
IN WITNESS WHEREOF, The said Grantor hath caused its name to be hereunto
subscribed by its Manager, the day and year first above written,
GRANTOR:
METRO WASTEWATER RECLAMATION
DISTRICT
By'
District Manager
-1-
STATE OF COLORADO
County of
)
) ss.
)
The foregoing instrument was acknowledged before me this _ day of
, by
District Manager of Metro Wastewater Reclamation District.
My notarial commission expires,
Witness my hand and official seal.
Notary Public
Address:
This Deed shall not be a valid conveyance until accepted by
Accepted this _ day of
By
Title
APPROVED AS TO FORM:
District Legal Counsel
-2-
JDM.9130102
LandAcqAtt9 doc
tXJ#./81'r IE
CDOT UTILITY/RELOCATION/SPECIAL USE PERMIT STANDARD PROVISIONS
Effective March 1,2006
e For any permanent PermiUee-o\\ned installations located
withm the State Highway Right of Way highway repairs, or
site restoration. Completed Operations coverage shall be
provided for a mimmum period of one year following final
acceptance of work.
The following Standard Provisions are terms and
conditions ofthis permit:
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 COOT Standard
Specifications for Road and Bridge Construction, and with the Colorado
Standard Plans (M & S Standards)
If any aggregate limit is reduced below] .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] imit and furnish to COOT a certificate
or other document satisfactory to COOT showing
compliance With this provision
1. COMMENCEMENT AND COMPLETION
3) Automobile Liability Insurance covering any auto (including
owned, hired and non~owned autos) with a minimum limit as
follows: $1,000000 each accident combined single limit
Work on highway Right of Way (ROW) shall not commence prior to issuance
of a fully endorsed and validated pennit
Work shall not proceed beyond a completion date specIfied m the Special
Provisions without written approval of the Department
4) For any' a) engineering deSign; b) construction inspection; or, c)
traffic control plans approved by a Traffic Control Supervlsor~
done In associatIOn with the operations or installations authorized
by this permit, Professional Liability Insurance \vlth minimum
limits of liability of not less than $1,000,000 Each Claim and
$],000,000 Annual Aggregate, If the policy is written on a
Claims Made form, the Permittee, or, as applicable - their
Consultant or Contractor, shall renew and maintain Professional
Liability Insurance for a mimmum of two years following final
acceptance of the work, or provide a project specitic Pohcy With
a two year extended reporting provision.
Pennittee shall notify the CDOT inspector
a At least 2 workmg days prior to commencing work, or resuming
operations which have been suspended for five or more consecutive
working days
b. When suspending operations for 5 or more working days
c. Upon completion of work
2, PLANS, PLAN REVISIONS, ALTERED WORK
5) Pollution Legal LiabJlity Insurance with minimum limits of
liability of$I,OOO,OOO 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 reponing period of at least
two year following final acceptance of the 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 ditfering in scope or nature from that authorized
under this permit, are subject to CDOT prior approval. Permittee shall
promptly notify the COOT Inspector of changed or unforeseen conditions,
which may occur on the job.
3, INSllRANCE
A The Permittee shall obtain, and maintain at all times during the
performance of\\ork 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 obtam like coverage. The Permittee shall also require any
Contractor or Consultant performing work described in sub.-
paragraph 4) below. to obtain Prot'essional Liability Insurance.
6) Umbrella or Excess Liabihty Insurance with minimum limits of
$1,000,000, This policy shall become pnmary (drop down) in
the event the prlmary Liability Policy limits are impaired or
exhausted. The Policy shall be written on an Occurrence t'orm
and shall be following form of the primary The followmg form
Excess Liability shall include COOT as an additional insured.
Insurance ReqUirements for Utility and Special-Use Permits (Revised 7-05 per
State Requirements)
I) 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 Perrmt.
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 201011/85, 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 shalllnclude proVisions preventmg cancellation or
non-renewal Without at least 30 days prior notice to CDOT by
certifIed mall.
2) Commercial General Liability Insurance written on ISO
occurrence form CG 00 01 10/93 or equivalent, covering
premises operations, tire damage, independent Consultants,
products and completed operations, blanket contractual liabilIty
personal injury and advenlslng liability with minimum limits
as follows.
a $\ ,000,000 each occurrence~
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 ofrecovery under subrogation or otherwise. agamst CDOT
its agencies, institutions, organizations, offkers. agents, employees
and volunteers
E
All po\icles eVldenung the msuram:e coverages reqUIred hereunder
shall be Issued by insurance companies satisfactory to CDOT
b
$2,000,000 general aggregate,
$2JJOO,000 products and completed operatll.ms aggregate;
and
$50,000 anyone tire
F
The Permittee, or as applicable - their Contractor or Consultant,
shaH plOvide cenitlcates showmg insurance coverage required by
this Permit to CDOT prIor to commencing work No later than 15
days prior to the expiration dale of any such coverage, the
Permittee. Contractor or Consultant, shall deliver CDOT certificates
02i()fl
c,
d
CDOT PermIt Form 1281 and Stllndard ProVisions Page.2 ofh
CDOT UTILITY/RELOCATION/SPECIAL USE PERMIT STANDARD PROVISIONS
of insurance evidencmg renewals thereof. At any time during the
term of this contract, COOT may request in writing. and the
Permittee, Contractor or Consultant, shall thereupon within 10 days
supply to COOT evidence satisfactory to COOT of compliance
with the provistOns of this section.
G. Not\",ithstanding subsectIon A ofthis sect\on, if the Perminee IS a
"public entity" within the meaning of the Colorado Governmental
Immunity Act CRS 24.\0.\0\, et seq, as amended ("Act'). the
Pennittee shall at all times during the term of this permit maintain
only such hability insurance, by commercial policy or self-
insurance, as is necessary to meet its liabilities under the Act. Upon
request by COOT, the Permittee shall sho\v proof of such insurance
satisfactory to CDOT Public entity Permittees are not required to
name COOT as an AdditlOnallnsured.
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 COOT 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, INST ALLA nONS 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 FHW A-approved Departmental
policy
6, JOINT liSE AL TERl'iA nVES
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 m a common trench, or attachment to the same
overhead support. The Permittee will be responsible for proper coordination
With other affected utilIties
7 ATTACIIMENTTO HIGHWA\' STRl'CTURES
Permittee is responsible for designing structure attachments, subject to the
approval of the CDOT StatTBridge Design Engineer.
8, DRAINAGEW A YS AND W A TERCOl:RSES
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 traftle
control deVices as necessary to ensure the safe and expeditious
movement oftnIffic around and through the work site
b
The Permittee shall develop the TCP, and Methods of Handling
Traffic lMHT's) included therein, !n conformance WIth the Manual
on Umform Traffic Control DeVIces (MUTCD), the Colorado
Supplement thereto adopted by the Commission pursuant to sections
42-4.104 and 42.4.IU5 CRS. the Department s standard
specificatlons for temporary tratTic .:ontrol and the Department'~
standard pions for signing. Standard Plans S 630.] and S 630.2
The TCP shall include provisions for the passage of emergency
vehlcles through the work zone, and shall coofonn to the
reqUirements of the Americans with Disabilities Act. The TCP and
MHTs shall contain sufficient detail to demonstrate contormity
with all applicable requirements
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 b)' either the American Traffic Safety
Services Association (A TSSA) or the Colorado Contractors
Associatton (CCA), and shall have a current CDOT flaggers
certification card. The TCS shall be responsible for the planning,
preparation, coordmation, implementatton, 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 shaH comply with the ICP at all times during
performance of the work.
g
The Permittee shall keep a copy ofthe 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 tramc during periods of peak tramc flow
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 pennit
All flaggers shall have a current CDOT flagger certification card
and shall be capable of communicating With the travelmg public and
others at the work site
10, 'iCHRP 350 CRASIIWORTHlNESS REQl'IREMENTS FOR
WORK ZONE TRAFFIC CONTROL DEVICES
Work zone devices designated by FHW.\ 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 Ill, mcludmg but not limited to concrete barners,
tixed sign supports, crash cushions, and other work zone devices not meeting
the detinitions of Category I or It 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 FHW A Acceptance Letter for each type of device FIIW A
Acceptance Letters for Category II or Category III Work Zone Devices mav be
accessed through the FHW A \vebsne at
hlljl ~<ltct~.JJI'.>\;l ,11)1 ~\~\' r(),t(J\\;I\ _,krJ.rU;H.JJldJ",b ,Irl'" 'd iltlTl
11. WORKER SAFETY A"D HEALTH
3. All workers wlthm the State Highway fight ofwa)' shall comply WIth
their employer s safety and health poliCIes/procedures and all
applicable U,S. Occupational Safety and Health AdmlOistratlon
(OSHA) regulations. IOcluding, but not bmited to the applicable
sections of 29 CFR Part 19] 0 . Occupational Safety and Health
Standards and 2l} eFR Part 1926 - Safety and Health RegulatIons
for Construction.
CDOT PermIt Fonn 1283 and Standard Provlsi()m. Page 3 ufh
02106
COOT UTILlTY/RELOCATlON/SPECIAL USE PERMIT STANDARD PROVISIONS
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
bemg performed, and as specified in regulation. At a minimum, an
\\'orkers in the SH ROW, except \vhen in their vehicles, shall wear
the following personal protective equipment:
1) Head protection that comphes \vith the ANSI Z89 I stal1dard~
2) At all construction sites or whenever there is danger of injury
to feet, workers shall comply with OSHA's PPE reqUirements
for foot protectlon per 29 CFR 1910136,1926,95 and
1926.96 Ifrequired, such footwear shall meet the
requirements of ANSl Z41
3) High vlsibihty appareL "vhich shaH, at a mmimum comply
with the Class 2 speCifications of the ANSVISEA I07standard
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. COOT is commItted to prOVIde a roadslde area that is as free as
practical from nontraverseable hazards and fixed objects ("clear
zone"). New above ground installations ma) be perm\tted within the
clear zone only upon a showing that no feasible alternate locations
exist. Permittee must utilize approprlate 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
mclude 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 dally
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 REQli1REMENTS
a. Work shall not be performed at night or on Saturdays, Sundays, or
holidays without prior authorization or unless otherwlse speCified 10
this permit. CDOT may restrict work on ROW during adverse
weather conditions or during periods ofh\gh traffic volume
b. Those areas within ROW which must be disturbed by permit
operations, shall be kept to a practical mimmum Permittee shall not
spray cut, or trim trees. or other landscaplng elements. Within
highway ROW unless such \....ork 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
Material remuved from any portion of the roadway prism must be
replaced in like kind \vnh equal or better compaction. Segregation
ofmatenalis not permitted, The permitted fac\lity shall be of
durable materials m confonnity WIth accepted practIce or mdustry
standards_ designed fOf long service life_ and relatively free from
routme servIcing or mamtenance
d
Construdion or compaction by means of jetting, puddling, or \vater
flooding is prohibited within all highway ROW
e,
Thrust blocks are required on all vertical and horizontal bends in
pressure plpeS
f
Meters shall not be placed on highway ROW except within
corporate limits where municipal regulations allo\\" such use.
15, ALlG:-iMENT, 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 \...,lthin roadways
(including curbing and/or shoulders) or median areas_ except withm
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.
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::l: 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 cnteria.
16, P'\ VEMENT 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 he opened at a time, when
othem'ise permitted. Pavement shall be sawed or wheel-cut to a neat Ime
Pavement shall be replaced to a design equal to or greater than that of the
surrounding undisturbed pavement structure. Pavement repair shall confonn to
the Special Provisions or the approved plans
17 BORING, JACKI:-iG, E:-.iCASE:VIENT
Unless otherwise specdied, buned 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
confonnance with OSHA construction and safety standards Portal limits of
untrenched crossings shall be cstabl ished satel)' beyond the highway surfa(.;e
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 pennitted. Water assisted boring may be pennlttf'd a~
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 mspected
Encasement shall be consistent \....lth Utility Accommodation Code provisions
COOT may require protective casmg 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-controlltnes on free\....ays,
induding the Interstate System
CDOT Pennlt Form 12:-\1 and Standard PrOV1Slons Page 4 off>
02;0(')
18, I:'iSPECnO:'</ AND ACCEPTANCE
COOT UTILITY/RELOCATION/SPECIAL USE PERMIT STANDARD PROVISIONS
a
coor 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 Penmttee shall
perform any reconstructton or improvement of that work as ordered
by the Department. in a timely manner and prior to any further
construction. lfpermitted operations are not belng earned out m
compilance "'lith the terms and conditions OfthlS permit, the
Department may order the Permittee to perform whatever corrective
measures are necessary to attain compliance with the permit. If
there is an immediate danger to the pu.bhc's health, safety or
welfare, the Department may order the Permittee to cease all
operations and if necessary to remove all equlpment and facilities
from the SHROW
b. Final acceptance does not relieve Permittee of maintenance
obligations toward those elements of the highway faciht)'
constructed under this permit. Final acceptance begins the two-year
warranty period (see requ\rement under "Operation and
Maintenance" below).
19.
ENVIRONMENTAL CLEARANCESIPERMITS
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 commenclng work. Please
refer to or request a copy of the "COOT Environmental Clearance
Information Summary" (ECIS) for details, The EelS may be
obtained from CDOT Permitting Offices or may be accessed via the
COOT webpage at
l1ilQ~.'\\,\ w (IPt c-.t3tc_,CP,us.1.:.ul..m Pr~)gra1ll.J'OII11S_ctrn. Failure to
comply with regulatory requirements may result in suspension or
revocation of your COOT penn it, or enforcement actIOns by other
agenclcs.
b The Special Provtstons of this permit shall \ist any speclfic
environmental clearances or permits that the Department has been
notified by the Permittee or by the admlnlstering regulatory agency
apply to the operations authorized by this pennit. The Special
Provlsv.;ms shall require the Permittee obtain the 11sted
envlronmental clearances/permits prior to beginning work
c The Permittee shall comply with all requirements descnbed in the
COOT Environmental Clearances lnfonnatlon Summary, mcludmg
those pertaining to
I) Ecological Resources
2) Cultural Resources
3) Discharges of Storm water or Process Water
4) Hazardous Matena\s
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 Materlals
d
Disturbance of any wildlife shall be avoided to the maximum extent
practicable, If threatened or endangered species or archeological or
histoncal artifacts are encountered dunng the progress of a project.,
work in the subject area shall be halted and the COOT regional
p1:rmlttmg of lice shall be contacted lmmedJately fOT direction as to
how to proceed
e
All discharges of storm water or process water are subject to the
applicable provisIons of the Colorado Water Quallty Control Act
and the Colorado DIscharge Permit Regulations
1'.
There shall be no disposal of hazardous materials in the state
highway fight of \.\'3"1' Solid waste sha\l be removed from the state
highway right of\\a) and disposed of at a permItted faCIlity or
designated collection point (such as the PermIttee s 0\\iT1 dumpster).
Dnlling tluids must be disposed of as deScribed in the ECIS
g
Ifpre.existing solid waste or hazardous materials contamination
(including oil or gasol ine contaminated soil, asbestos, chemicals,
mine tailings, etc.) are encountered during the perfonnance of work,
the Penmttee shall halt work in the affected area and Immediately
contact the CDOT regional pemitting otlice for direction as to how
to proceed.
h
Spills shall be reported immediately using the COOT Illicit
DIScharge Hotline (303) 512.4446, Spills on the highway, into
waterways, or that may othenvise 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, RESTORA nON OF RIGHT OF W A"
Prior to final acceptance, all disturbed portions of highway right of way shall
be cleaned up and restored to their original condition, subject to COOT
approval. Seeding, sodding, and planting shall be as specified, or otherwise
approved by COOT 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. Pennittee shall use only certified weed-free
seed and mulch. Pennittee shall clean equipment before transporting it into or
out of the state to prevent the migration of noxious weeds
21. OPERATION AND MAINTENANCE
a Perrlllttee agrees to own and mamtaln 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 ofthe highway
b lfany element of the transportation faCilIty constructed or replaced
as a condition of this penn it, fails within 24 months due to improper
construction or materials, Permittee shall make all repairs
immediately as notified in writing by COOT
c. Routine, periodic maintenance and emergency repairs may be
performed under the general tenns and conditions of this permit.
COOT shall be given proper advance notice whenever maintenance
work will atTect the movement or safety of traffic In an emergency
the COOT 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 withm highway ROW may require separate permit.
Where highway construction or maintenance operations so reqUire,
Permittee will shut offlines, 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 m the mstallatlon of those
facilities. In instances where detection aids are not feasible or
would be inetTective and surface.detectablllty cannot be ensured.
surface markers shall be installed as directed by the Department and
as~constructed plans and showmg the accurate horizontal and
vertical location of the buried facilities shall be provided to the
Department.
b
All plowed or tren..:hcd installations must mdude wlor.coded
(using the American Public \\lorks ASSOCIatIon color codmg
system) warnmg tape placed not less than 12 Inches vertically above
CDOT Permit Form 1283 and Sw.ndard ProVISIons Page 5 of A
()2/()6
COOT UTILITY/RELOCATION/SPECIAL USE PERMIT STANDARD PROVISIONS
the top of the line, The warning tape shall be surface.detectable if
needed to facilitate detection of the line.
of the terms and conditions of the permit issued for that facility
including maintenance and relocation requirements
The ulility shall place readily identifiable markers at the right of
\vay line where it is crossed by pipelines carrymg transmittants
which are flammable, corrosive, expansive, energized, or unstable,
parl1cularly if carried at high pressure or \Xltentlal, except where a
vent will serve as a marker.
d. The utiltty shall place markers for longitudinal underground
facilities vertically above the facilities or at a known horizontal
otfset, unless other""ise approved in writing by the Department.
Each marker shall provide a fore- and backslght to succeeding and
preceding markers. Markers shall be Installed at suitable mtervals
along tangent sections, at angle points or points of curvature and at
reasonable intervals along curves.
c The Permittee shall promptly remove all abandoned facilities from
the SH ROWand promptly restore the SH ROW to pre-existmg or
other conditions prescnbed 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 m 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:
f. The Department may require the utility to submit "as-constructed"
plans. The Department may enter into an agreement w1th 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.
I) cap, plug or till lines,
2) furnish suitable locatlOn 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 mdicate to the
requesting entity whether or not the subject facilities are
retired or abandoned
4) perfonn any other actions as deemed necessary by the
Department to protect the transportation facility and/or the
traveling public.
e. The uttlity shall maintain any markers required by th,S Code for the
hfe of the installation
h
The utility will comply with the applicable requirements of Article
t.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.
In addition to complying with the proviSions of Article 1.5 of Title
9 C.R,S (One.Call Statute) in res\Xlnse to the Department's
notitication of planned excavations, utility owners shall surface-
mark their buried utdity facilit,es that are located withm the
SHROW in order to tacilitate Departmental engineering and design
activities, upon reasonable request from the Department, and at no
cost to the Department. The Pemittee shall respond to such request
within a reasonable tlmeframe acceptable to the Department, but no
longer than 14 calendar days from the date of request, and the
accuracy of the surface markmg shaH be wlthin I & inches of either
side of the actual location of the buried facility
e. If the ownership of utility facilities is transferred, both the original
Permittee and the new O\VTler shall notify the Department in \\oTiung
prior to the change in ownership, and such notice shall state the
planned date of change m o\vnership_ The notice from the new
ovmer shall include a written statement accepting all terms and
conditions of the existing permit, effective upon the planned date of
the change in ownership
g,
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 o\vner retaining
full legal ownership and responsibility for the facilities.
25,
Sl:SPENSION Ai'OD CANCELLATION
a The COOT inspector may suspend operation due to
If for any transponation purpose it becomes necessary to remove, adjust. or
relocate this facility Permittee will do so promptly, at no cost to the COOT
except as provided by law, upon written notice from COOT and in accordance
with the uttlity retocation 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 perfonnance of utility relocation work or
mterference with the performance of transportation project work done by
others. Such damages include, but arc 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 transportat\on project work that ..ne caused by
events beyond the utility company's ability to reasonably foresee or control (3
force majeure) shall not be charged to the utllity company
1) Non compliance with the proviSIOns of this permit
2) Adverse weather or traffic conditions
3) Concunent transportation construction or maintenance
operations in contlict with the permined work
4) Any conditIon deemed unsafe for workers or tor the general
public
23, ADJlISTMENTS DUE TO HIGHW A" CONSTRUCTION
b
Work may reSume when grounds for suspenslOn no longer eXist
This permit is subject to cancellation due to
1) Persistent noncompliance with permit provisions
2) Abandonment or transfer ofo\1;TIership
3) Superseded by new permit covering the same mstallation
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 maintam
any portion of the highway facility or control and safe I" mamtain
the tlow of traffic thereon. CDOT reserves the right, in hell of
canceling this penme to accomplish the required work by any other
appropriate means, and PermJttee shall be hable for the actual costs
thereof
24, ABANDONME:"lT, RETIREMENT, CHA'iGt: I'i OWNt:H.SHlP
a fhe Permittee shall notIfy the Department in wrltmg of the planned
retirement or abandonment of its facli Ity or any portion thereof
The Department \\1\11 notify the Permittee in wntmg 11' 1t determines
that the facilities may be retIred or abandoned in place, along with
any special conditions that may apply
b
Retired facl\lties shall rema\n the Permittee:', so\e respons1oMt)'
subject to all prOVisions of the Utility <\ccommodation Code and all
02/06
COOT PermIt Form 12R3 and Standard ProVISions Page 6 nt ()
100
i:8J 101
i:8J 102
[ZJ 103
[ZJ 104
o 105
[ZJ 106
o 107
o 109
[ZJ 110
[ZJ 111
[ZJ 112
[ZJ 113
[ZJ 114
[ZJ 115
) -) PERMIT NUMBER:
GENERAL PERMIT TERMS & CONDITIONS
PERMIT TYPE: 0 Utilities 0 Landscaping i:8l Construction 0 Special Use
CHECKED TERMS ([ZJ) APPLY TO THIS PERMIT
GENERAL
Please refer to this permit number in all communications and correspondence,
The Permittee, his or her heirs, successors-in-interest, assigns, and occupants of the Utility/Construction/
Landscape/Special Use permitted by this permit shall be responsible for meeting the terms and conditions of
this permit.
A certificate of insurance naming the Colorado Department of Transportation (CDOT) as an additional
insured is required to be submitted before work begins,
READ ALL ADDITIONAL STANDARD REQUIREMENTS OF THIS PERMIT AND OTHER TERMS AND
CONDITIONS ON THESE ATTACHED SHEETS. A COpy OF THIS PERMIT. INCLUDING ALL TERMS
AND CONDITIONS. MUST BE ON THE JOB SITE WITH THE CONTRACTOR. Call for an inspection of
forms at least one working day prior to placing any concrete. The Colorado Department of Transportation
inspection is not an approval of the grade or alignment of the work, The contractor and/or engineer is
responsible for the proper grade and alignment. Minor changes or additions may be ordered by the field
inspector to meet field conditions, Any survey monuments or markers disturbed during the execution of this
permit shall be repaired immediately at the expense of the Permittee,
NOTIFY THE DEPARTMENT OF TRANSPORTATION INSPECTOR Roger Jameson, at (303) 667-2833,
TWO WORKING DAYS BEFORE STARTING THE WORK,
NOTIFY THE DEPARTMENT OF TRANSPORTATION INSPECTOR Greg Sinn, at (303) 916-0463, TWO
WORKING DAYS BEFORE STARTING THE WORK.
NOTIFY THE DEPARTMENT OF TRANSPORTATION INSPECTOR Mike Smith, at (303) 667-2831, TWO
WORKING DAYS BEFORE STARTING THE WORK
On-premise and off-premise signing shall comply with the current Colorado Outdoor Advertising Act CRS 43-
1-401, Rules and Regulations Pertaining to Outdoor Advertising,
All work is to conform to the plans on file with the Colorado Department of Transportation or as modified by this Permit.
(IF DISCREPANCIES ARISE. THIS PERMIT SHAll TAKE PRECEDENCE OVER THE PLANS), The Colorado
Department of Transportation plan review is only for the general conformance with the Colorado Department of
Transportation design and code requirements. The Colorado Department of Transportation is not responsible of the
accuracy and adequacy of the design, of dimensions, and elevations which shall be confirmed and correlated at the job
site. The Colorado Department of Transportation, through the approval of this document, assumes no responsibility
other than stated above for the completeness and/or accuracy of the plans,
The contractor shall follow the applicable construction specifications set forth by the Department of
Transportation in the latest manual, Standard Specifications for Road and Bridqe Construction, the M & S
Standards, and the M,U T CD
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
CDOT will determine the extent of inspection services tor the work, A daily inspection may be done by the
Colorado Department of Transportation from the time work begins inside the highway right-ot-way until the
job is completed and right-of-way restored to its original condition,
Water, storm sewer, sanitary sewer, gas, electrical, landscaping, telephone, traffic signal installations and
fiber optic installations will require individual additional permits,
The Department will require the permittee to retain a Professional Engineer (PEl to be in Responsible Charge of
Construction Observation, The PE's responsibilities include, but are not limited to:
The PE in Responsible Charge of Construction Observation shall evaluate compliance with plans and specifications
with regard to 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 COOT 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 writinq, that
all inspections, materials, materials testing, and construction methods conform to the plans. specifications and
purpose of the design, The PE shall be experienced and competent in road and bridge construction management,
and inspection and materials testing, Certification is defined as a statement that includes all of the following:
a, Is signed and/or sealed by a PE representing that the engineering services addressed therein have been
performed by the PE, or under the Professional Engineer In Responsible Charge;
b Is based upon the PE's knowledge, information, and belief; and
c, Is in accordance with applicable standards of practice,
Rev 02114106
C:\General PermitsIPermit Terms File\2006\06-OO98,doc
Page 1 of5
o 116
o 117
200
[gI 201
[gI 202
d, COOT is reques ')8 written confirmation from the Permittee that -J requirement is met.
Two sets of plans on 11" x 17" paper and 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 on a 3Yz" floppy disc. When construction is
completed, two sets of . As Constructed" plans on 11" x 17" paper shall be sent to Staff Bridge to serve as
the permanent record of the construction project.
The Permittee and his Professional Engineer shall follow the latest revisions to COOT's Standard
Specifications for Road and Bridge Construction, Standard Special Provisions, especially REVISION OF
SECTION 509 ERECTION OF STRUCTURES and/or REVISION OF SECTION 618 ERECTION OF
STRUCTURES, The revisions can be found on COOT's website,
htto:/lwww.dot.state.co.us/DesionSuoport/.ConstructionI1999index.htm
WORKER SAFETY AND HEAL TH
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 worn 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:
a, Head protection that complies with the ANSI Z89,1-1997 standard;
b, 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;
c, High visibility apparel as specified in the Traffic Control provisions of this permit (at a minimum, ANSI/ISEA 107-
1999, Class 2).
Where any of the above-referenced ANSI standards have been revised, the most recent version of the standard shall
apply
Compliance With NCHRP 350 Crashworthiness Certification 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 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 for each type of category I device,
Work zone devices designated by FHWA as 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 shall meet NCHRP 350
crash test requirements, However, the Permittee may use category II devices originally purchased prior to October 1,
2000 in accordance with Table 1, presented below The Permittee, or their contractor, shall obtain and make available
upon request, the manufacturer's written NCHRP 350 FHWA Acceptance Letter for each type of category II device, or
shall certify that the category II device was originally purchased prior to October 1, 2000,
Work zone devices designated by FHWA 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, However, the Permittee may use category III devices originally purchased prior to October
1, 2002 in accordance with Table 1 The Pennittee, or their contractor, shall obtain and make available upon request,
the manufacturer's written NCHRP 350 FHWA Acceptance Letter for each type of category III device or shall certify that
the category III device was originally purchased prior to October 1, 2002,
Work zone devices that do not meet NCHRP 350 requirements shall not be used after the phase out date.
FHWA Acceptance Letters for Category II or Category ill Work Zone Devices may be accessed through the FHWA
website at http://safetv,fhwa,dot.Qov/roadwavdeal/roadhardwarelwzd,htm,
Table 1
Phased Implementation of Work Zone Devices
N/A
All devices must be in
compliance by
January 1, 2006,
Rev 02/14/0(
C:\General PermitsIPennit Tenns File\2006\06-0098,doc
PagelofS
300
rgJ 301
rgJ 302
rgJ 303
i:8J 304
400
0 401
0 402
0 403
i:8J 404
500
i:8J 501
i:8J 502
0 503
0 504
i:8J 505
-,
Category III J October 1, 2002 for new installL Jns, All devices shall meet
Existing devices may be used until service NCHRP 350 compliance
life is exhausted or until phase-out date, by
whichever comes first. January 1, 2006.
Exceotions: (see below)
Category III Exception: Units manufactured and purchased after N/A
Temporary Concrete Barriers October 1, 2002 must meet new standard,
- New Standard: Tvoe 7 F.shaoe
Category III Exception: October 1, 1998 for new installations NA
Truck-mounted Attenuators & Work
Zone Crash Cushions
DRAINAGE, WA TER QUALITY CONTROL, ENVIRONMENTAL
All disturbed landscaping is to be restored to original or better condition,
Areas of roadway and right-of-way disturbed during this installation shall be restored to insure proper
drainage and erosion control.
It is the responsibility of the Permittee/Applicant to determine which environmental clearances and/or regulations
apply to the project, and to obtain any clearances that are required directly from the appropriate agency Please refer to
or request a copy of the "COOT Environmental Clearance Information Summary" for details. FAILURE TO COMPLY
WITH REGULATORY REQUIREMENTS MAY RESULT IN SUSPENSION OR REVOCATION OF YOUR COOT
PERMIT, OR ENFORCEMENT ACTIONS BY OTHER AGENCIES,
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 COOT 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 fire fighting activities, However, construction activities may require a
Construction Stormwater Permit. Contact the COOT Water Quality Program Manager at 303-757-9343.
ANY OTHER DISCHARGES may require Colorado Discharge PermiUs or separate penn its from CDPHE or the
appropriate agency before work begins, For additional infonnation and forms, go to the CDPHE website
at:htto://www.cdohe.state.co.uslwa/PermitsUnitlwacdomt.html.
The Permittee is responsible for compliance with all Federal, State, and local environmental regulations, including the
COOT Region 6 Prairie Dog Policy 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 6
Environrnental Manager at (303) 757-9930,
TRAFFIC
No access to the work area will be permitted from the main lanes or ramps of the Interstate Highway
Any construction equipment with outriggers shall use street pads,
No open cuts will be allowed within 30 feet of the edge of the traveled way at night, on weekends, or on
hOlidays,
Where necessary to remove, add, or relocate a State Highway traffic control device, including striping, such
additions, relocation or removals shall be accomplished by the applicant at its own expense and at the
direction of the Department.
TRAFFIC CONTROL
Daytime closures will be allowed Monday through Friday only Night time closures will be allowed Sunday
through Thursday only unless otherwise approved by COOT
No interference with traffic will be allowed after 12:00 Noon the day before a 3- or 4-day holiday weekend, as
listed under 108.07 of the Standard Specifications for Road and Bridge Construction,
Closing ONE through lane on state highways, interstates and freeways will be allowed as follows. unless
otherwise approved by COOT From _ a,m,To _ pm., OR From _ a,m,To _ p,m" for this
permit and area only
Closing TWO through lanes on state highways, interstates and freeways will be allowed as follows, unless
otherwise approved by COOT From _ a,m, To _ p m, OR From _ a,m To _ pm, for
this permit and area only
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
Rev 02/l410t
C:lGeneral PermitsIPermit Terms File\2006106-D098,doc
Page 30[5
o 506
IZl 507
D 508
o 509
fSl 510
IZl 511
fSl 512
fSl 513
fSl 514
fSl 515
fSl 516
600
o 601
o 602
fSl 603
0 604
0 605
0 606
fSl 607
0 608
700
0 701
0 702
0 703
0 704
0 705
800
0 802
such event.) !
Traffic control plans are to be reviewed and accepted before construction,
Contact Region 6 Traffic at 303-757-9950 at least two working days before beginning any work near a
Department traffic signal.
Closing of ramps or traffic lanes will not be permitted,
Install Temporary Type VII Barrier with end sections and proper taper around the work area,
Two-way traffic must be maintained through the area at all times,
No equipment will be allowed in the main lanes of the roadway during construction.
No storage of materials or equipment will be allowed within 30 feet of the edge of traveled way
Construction signs when not used, shall be turned away from the traffic, All work that requires traffic control
shall be supervised 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,
Whenever the work will affect the movement or safety of traffic, Permittee shall develop and implement a
traffic control plan, and utilize traffic control devices as necessary to ensure the safe and expeditious
movement of traffic around and through the work site and the safety of the utility work force.
High visibility apparel shall be worn at all times, except when workers are- in their vehicles, Such apparel
shall, at a minimum, comply with the Class 2 specifications of the ANSIIISEA 107-1999 standard for High-
Visibility Safety Apparel, and as specified in section 6E.02 of the FHWA "Manual on Uniform Traffic Control
Devices", Class 3 apparel shall be considered for use at night or in particularly hazardous situations.
The traffic control plan and the application of traffic control devices shall conform to the Manual on Uniform
Traffic Control Devices and Colorado Supplement thereto, and with the Department's Standard Plans S 630-
1 and S 630-2, S-630-3 for construction traffic Control.
Permittee's traffic control plan is subject to CDOT acceptance prior to commencing work on highway right-of-
way (ROW), A copy of the accepted traffic control plan must be available on site during work,
A certified Traffic Control Supervisor shall be on site at all times while construction traffic control is being
utilized on the project.
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
SURFACING
Any new joints in asphalt or concrete shall be within 6 to 12 inches of the existing or proposed lane striping,
Construct Q-feet wide 4-inch thick concrete sidewalk abutting or behind the curb, Construct handicap ramps
at intersection of sidewalks and curbs, The sidewalk, if to be set back from the curb, it shall be at least 5 feet
from the curb Curb, gutter and sidewalk shall NOT be poured monolithic EXCEPT in the case of handicap
ramps and curb cuts which will be poured monolithic,
SAW concrete removals to assure a straight edge for patching,
The manhole rings and covers shall be Department of Highways Standard 400 pound,
Valve and manhole covers shall be set Y. inch below' finished grade,
Okay to make _ , X _ foot pavement cut for connecting purposes.
Full depth Hot Bituminous Pavement (HBP) shall be placed daily, 9-inch minimum or match existing,
whichever is greater
All excavations for utility lines, culverts, trenches or tunnels shall meet the requirements of OSHA or the
Colorado Department of Transportation, whichever applies,
MAINTENANCE
Maintenance work may be done anytime within daylight hours as long as no interference to traffic is caused
The Permittee shall be responsible for landscape maintenance, including irrigation, litter removal, weed
control and mowing within limits of the work,
Install and mark a manual shut-off valve in the Highway right-of-way for emergency use by the Colorado
Department of Transportation,
The Colorado Department of Transportation reserves the right to do any maintenance work necessary in this
area,
Notify CDOT Region 6 Maintenance Section 8 Landscaping, Scott Dunstan, at 720-289-0075 before starting
work in landscaped areas for locates of sprinkler system,
MATERIALS
Trees and shrubs shall be planted far enough from the roadway to ensure that branches will not overhang
Rev 02/14/0'
C:\General pennitsIPennit Tenns File\2006\06'{)()98,doc
Page 4 of 5
[gI 803
900
,0 901
o 902
o 903
o 904
1000
[gI 1001
~ 1002
~ 1003
~ 1004
0 1005
0 1006
0 1007
0 1008
0 1009
'" '0 1010
into the traveled lanes )1aturity. )
Disturbed right-of-way area, where applicable, must be topsoiled, fertilized, mulched, and reseeded with
Department of Transportation Specification grass seed mix, which consists of'
DRY LAND NATIVE GRASS SEED RATES (PLS= Pure Live Seed; ACRE= 43,560 Sq. Ft.):
SPECIES PLS/ACRE
Smooth Breme (Manchar), Western Wheatgrass 8 Ibs.
Fairway Crested Wheatgrass 4 Ibs.
Sideoats Grama 2 Ibs,
Blue Grama, Alfalfa (Ladac) 1 Ib,
Or landscaped as per approved plans,
EARTHWORK
Conduit/casing shall.be a minim~m depth of 4 feet.
All cable/conduit shall be installed by directional bore, No trenching shall be permitted,
The cable shall be placed as per plan with a minimum depth of 4 feet. The cable shall be detectable using existing
detection equipment even if an independent wire has to be installed, The cable shall be marked at every horizontal and
vertical angle point, the marker shall be placed at the right-of-way with name of the "Owner", offset to the cable, and
locators telephone number Markers both ahead of and behind any given marker shall be visible from that marker A 20
to 1 elastic marking ribbon shall be placed between 1 foot above the cable and 1 foot below the ground surface, In
congested areas of highway right-of-way, 6 inches of concrete shall be placed over the conduit or cable.
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
OTHER
Two sets of 1/2 size final plans shall be submitted for acceptance prior to work starting in COOT right-of-way
C:\General PennitsIPermit Terms File\2006\06-<J098,doc
Rev 02/141lJ
Page 5 of5