PERMFILE47333

• Permit No: M2004067
• IBM Index Class Name: Permit File
• Doc Date: 11/21/2005
• Doc Name: Exhibit 206
• From: City of Black Hawk
• To: DMG
• Media Type: D
• Archive: No

State Highway Access Permit p
• Attachment to Permit No. 105070 -Additional Terms and Conditions
PermitteelContractorlEngineer shall submit an "As Built" plan, showing in data 1 all construciton changes,
modifications and revisions. All changes, modifications and revisions shell be eared and signed by a
Colorado Registered Professional Engineer. The submittals shall be placed in box labeled with all its
contents and shall be submitted tothe Departrnent representative.
24. The Department will require the permittee to retain a Professional Engineer (P to be in Responsible Charge
of Construction Observation. The PE's responsibilities include, but are not limi ed to:
1. The PE in Responsible Charge of Construction Observation shall evaluate c mpliance with plans and
specifications with regard to the roadway improvements within the State High y Right of W ay . The PE's
responsibilities shall be as defined in Section 5 of the BYLAWS AND RULES F THE STATE BOARA OF
REGISTRATION FOR PROFESSIONAL ENGINEERS AND LAND SURVE ORS and the relevant sections
of the latest CDOT Standard Specifications for Road and Bridge Constructiott. he PE shall carefully monitor
the contractor's compliance on all aspects of construction including Constructio Work Zone Traffic Control.
2. Engineering Certification: After inspection and before conditional acceptan e, the PE shall certify to
CDOT, in writing, that all inspecfions, materials, materials testing, and constm Lion methods conform to the
plans, specifications an~ purpose of the design. The PE shall be experienced s d competent in road and
bridge construction management and inspection and materials testing. Certific 'on is defined as a statement
that includes all of the following:
a. Is sealed and signed by a PE representing that the engineering services addr ed therein have been
performed by the PE, or under the Professional Engineer In Responsible Charg ;
. b. Is based upon the PE's knowledge, information, and belief; and
c. Ts in accordance with all applicable CDOT standards and the approved cons coon plans.
The letter of certificaiton end a copy of all test results shall be sent to The Colo ado Department of
Transportation, Region One Traffic Section at 18500 East Colfax Ave., Aurora CO. 800! 1.
2S. The Permittee must have available for review at the time of conditional accept ce, all documents relating to
construction (ie: plans, project correspondence, materials testing and survey no s).
26. In accordance with Section 2.5 (~ of the State Highway Access Code, final ace prance of the access
improvements by CDOT, Region One, will be provided to the Permittee in wri g two (2) years from the date
of construction completion. If you have not received a final acceptance letter i two years, please contact the
Region One Acceas Manager at 303-757-9126.
27. It shall be the responsibility of the Permitee to verify the location of the existin utilities and notify all utility
owners or operators of any work that might involve utilities within the State Hi way right-of--way. Any work
necessary to protect existing pernvtted utilities, such as an encasement will bet a responsibility of the
Permittee. Any damage or disruption to any utilities during the construction sh 11 be the Permittee's
responsibility and shall be repaired or replaced at no oast to the Deparbnent, th issuing authority, or the local
jurisdiction. Utilities cannot remain under asphalt or concrete without prior ap royal from CDOT.
28. A11 workers within the State Highway right-of--way will comply with their empl yer's safety and health
policieslprocedares, and all applicable U.S. Occupational Safety and Health A inistration (OSHA)
regulations -including, but not limited to the applicable sections of 29 CFR Pa 1910 -Occupational Safety
• and Health Standards and 29 CRF Part 1926 -Safety and Health Regulations fo' Construction.