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COLORADO DEPARTMENT OF TRANSPORTATION
<br />UTILITY PERMIT
<br />PERMfITEE
<br />Name DEPARTMENT USE ONLY
<br />Date issued 11/I9/08
<br />BOWIE RESOURCES, LLC Permit# 14,217
<br />Address S.H.# 113A M.P. 13.3mm
<br />43659 BOWIE ROAD, P.O. BOX 483 Region 03
<br />PAONIA, CO 81428 Section 02
<br />Telephone: (97029-S2S7 Representative: BILL BEAR Patrol 2LIIYCOLN3
<br />NU7'ICE TO PERMTCI'EE: Pursumt to 9-1.S-L07 C.R.S. yon sbali not mabe or begin csnvntion witbunt pot aotilyin8 the Ultlity NotlpnNae Center of Cdorado (UNCC) sad if
<br />necessary, then notifying lbe tier Iwo members having andergrouad ficiliHea in fbe area a! such eseavrfioa Notilkatton shall also be ®iveo 1 drys in advance of work to the COOT
<br />regional permitting otliee, or w otherwise directed by Ibis PermiPa Special t+rovisioas berfe CDO'I' underground faeilitlet. Norke of the coeomeacenaert, esleot and duration of tlu:
<br />excavation work shop be gives at least hvo businev days prior 1berNo, ant inNudirg the day of acfud notice. The UNCC may be taped at 1-800.922-1%7/COOT (970) 683-6271.
<br />PURPOSE ^ Installation XX Adjustment ^ Removal ^ Maintenance of existing Facility
<br />FACILITY (Type, size, class of transmittant, design pressure or etc. )l!SE_OLQERRLt;ATION SYSTEbI. INCLUDING CULVERT UNDER SH133. TO
<br />Dttid'NAIf,,tR~y~11NF. ~Ytt,Tj~, 4-,~~iF,.DISCHARGE PERMIT IN PLACE (COPS No CO-0044776)
<br />NATURE OF INSTALLATION ^ Longitudinal {Ptualiel) XX Transverse (Crossing)
<br />^ 13uried ^ AeriaUGfound-moumted ^Attach. To Hwy. Str. No.
<br />LOCATION State Hwy. No. l~'t9 County D TA City/Town DELTA
<br />Milepoint(s) 13.3mm Intersecting Features}:
<br />ADDITIONAL REMARKS CL~ttREV'1' INSG`RANCE CERI°1fiiCATE ON FILE. PLEASE REVIEW 8c COMPLY WITH THE ATTACHED
<br />°•L.1TF F,tl,t.. ~~'1'MTF:Ti,i±: fiFR1';tiC tiPli'IAI: PROVTSIOSS FCfR 1)TTI;ITY 1nSl'ALLATIONS"
<br />For underground facility location information, contact: UNCC & ~~ Telephone [800)922-1987 & (9701683-6271
<br />SPECIAL PROVLSIONS icomnleted by the Department) The Seeeial Provisions are terms and cnnditinns of this
<br />
<br />Any work shall only be in accordance with the approved plans and special provisions as set forth in this permit and its attachments.
<br />The COOT inspector is FRANK GALVIN Telephone (970) 877342 (970~,~7¢7342
<br />Work is to be completed on or before: 7/15!09 or within _ days, (as applicable)
<br />Work time restrictions: REFER TO THE ATTACHED "SPECIAL PROVISONS FOR UTILITY INSTALLATIONS".
<br />Designated minimum cover is NIA Designated overhead clearance is N/A
<br />{ALSO SEE ATTACHED STANDARD PROVISIONS, AND ADDITIONAL SPECIAL PROVISIONS), (fRAFf7C CONTROL MUST CONFORM TO THB MUTCD)
<br />Other: FIELD INSPECTOR SHALL BE NOTIFIED 48 HOURS PRIOR TO BEGINNING WORK OR PERMIT I$ VOID.
<br />Permittee is prohibited from commencing any work within highway ROW prior to issuance o[ a fully endorsed and validated permit. Permit,
<br />plan exhibit, insurance certificate(s}, and traffic wntrol plan must be available on site during work. High visibility vests are required at all
<br />times during working hours.
<br />Your request to use and/or occupy state highway system rights of way u described above is granted subject to the terms sad conditions of this permit,
<br />including the 5landard and Special Provisions as shown on the permit and all attaehmenb hereto.
<br />To the estent authorized by law, Permittee hereby assumes, releases and agrees to Indemnify, defend, protect, and save the State of Colorado harmless
<br />from and against any loss and/or damages to the property of the State of Colorado. third parties or the Permittec's facilities, sect all loss and/or damage an
<br />account of injury to or death of any person whomsoever, arising at any time, caused by or growing out n[ the occupation o[ Colorado State Highway righb of way
<br />by Permitlce's facilities or any part thereof, including but not limited to installation, adjustment, relocation, maintenance or operatlon, or removal o[ existing
<br />facUitles, unless such loan and/or damage arises from the sole negligence or willful conduct o[ the State o[ Colorado or ib employees or agents.
<br />Failure by the Permittee to comply with any o[ the Inducted terms or conditions may subject thv permit to swpcnsioa or eaacellation, at the discretion of
<br />the Department of Transportation.
<br />THIS PERMIT IS NOT VALID UNTIL FULLY ENDORSED BY ALL PARTIES, WITH DATE OR ISSUE AFFIXED BY AN AUTHORIZED
<br />REPRESENTATIVE OF THE DEPARTMENT. A FULLY EXECUTED COPY OF THIS PERMIT MUST BE ON FILE AT THE TRANSPORTATION
<br />REGION OFFICE.
<br />to accepting this permit the undersigned, represeniing the Permittee, verifies that he or she has the suthoeily to sign far and bind the Permlttee, and that
<br />he or she has read, understands and accepts all the included conditions.
<br />Attested Date I Si nature ate
<br />- -----------------------------------------------------~-.-------- -;- ~ ----------------.----------....--.--------------..-----1~------
<br />Title Title
<br />I
<br />COLORADO DEPARTMENT OF TRANSPORTATION 1 BY - r Date
<br />Chief Engineer 1 WELDON ALL /MIKE 11'ERKETIS I lv~sros
<br />olsmounon: otstr~t Fite (vngma0
<br />
<br />_J
<br />Permittlle/Applicant Inspector COOT Form # 0333 02/06
<br />Mice Patrol Supvr. Mtoa Landscaping Supvr
<br />Previous versions are obsolete and should not be used.
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