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• N <br /> APPLICATION FOR OURAY COUNTY <br /> RIGHT-OF-WAY PERMIT <br /> The Right-of-Way Permit is for construction in or improvement to Ouray County rights-of-way. A permit is <br /> required to construct driveways, install telephone, electric, gas, sewer, water and other utility wires, pipelines, or <br /> the like,along,across,upon and under any road right-of way which is owned or controlled by Ouray County. <br /> Permittee Contractor <br /> Name Name <br /> Company Ti UI it Rescn Imes LLC Company <br /> Address ;u1N1 ik•lalr+ (=1 lLvi F;j Address <br /> City Ourati State COLip City State Lip <br /> Business Phone 97,)-3 Business Phone <br /> Fax No. Fax No. <br /> Email csker,k.;d,ll,0r Email <br /> Insurance Carrier r „ {;� ;, Limits: riCL.0 O+h: ‘Ji*; <br /> Location/Description of Construction: <br /> CR 361 and 26 at the following locations: ti,rl, <br /> Address 4ci36 Cour i pciA.r, Subdivision Legal Desc. <br /> OURAY COLORADO 81427 <br /> 11O1% NlANA FEET .ARE YOU DIS FURRING IN Tlil RIGII't'-OI'-«.11': I`' iiiao ? rt-0 ;llr. - <br /> PLANS REQUIRED WITH 1 Pl'i.I(•ATIO\ <br /> Type of Work: <br /> r TV Cable Main F.. Service Phone Main Service <br /> Gas : +Main I Service Water Main Service <br /> I Electric Li Main Service Set Pole I Sewer Main Service <br /> Li Culvert inch by foot long corrugated pipe(0.16 gauge)with annular ends. <br /> 6"cover—3/4"compacted road base. <br /> 44 Other Rectur't to h tut t Olt?(,,,fal Bird to `o 'i.•r it: Mule on f, .:::Ie;;Eo be cor(inofed wit <br /> I i Cut Pavement(Repair must be completed in IS days) <br /> 0 Include sketch showing excavation(s)with dashed line in relation to road, house and driveway <br /> Construction Schedule and Submittal Questions—All permit holders must request inspection 24 <br /> hours in�advvance of work commencing. Please call 970.626.5391 for inspection request. <br /> Planned Start Date Kr_ (S3 2.O2$ Daily Work Hours "r' ' ' ' <br /> Planned Finish Dow-1u[ ick 2„,co LS' Weekend Work Hours <br /> Does project disturb more than acre? Yes No <br /> If yes,a Revcgctation and Weed Control Plan needs to be submitted with application <br /> READ CAREFULLY <br /> Job must be finished and right-of-way restored to its original condition by expiration date. Failure to do so <br /> is a violation of state and local regulations and new permits may not be issued until the job is complete. <br /> Permit extensions may be granted by calling the road inspector. <br /> Applicant shall be responsible for confirming all utility locations within public rights-of-way prior to any <br /> excavation. Call UNCC: 1.800.922.1987. <br /> I Work in the right-of-way is only allowed between 1111 and -S"Wr , <br /> weather permitting. A minimum of three working days is required to process this application. <br />