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Home My WebLink About20031012.tiff • ItTRI-STATE GE RATION AND TRANSMISSION ASSOCIATION, INC. HEADQUARTERS: P.O. BOX 33695 DENVER, COLORADO 80233-0695 303-452-6111 April 21, 2003 Weld County Planning Department GREELEY OFFICE Mr. Kim Ogle APR 3 2003 Weld County Dept. of Planning Services 1555 N. 17th Ave. RECEIVED Greeley, CO 80631 Re: 1-25 Corridor 115 kV Transmission Line USR Permit # 1392 — Condition 3.A Dear Kim: In our April 11, 2003 letter detailing specific actions taken by Tri-State in response to each of the permit conditions included in USR Permit# 1392, we noted that an Air Pollution Emissions Notice (A.P.E.N.) and Emissions Permit were not required for the115 kV transmission line project. As you requested, the following is provided to support this conclusion. According to Colorado Dept. of Public Health and Environment, Air Quality Division Regulation No. 3 (Reg. 3), construction of a transmission lines falls under the category of"land development". Reg. 3, Section II.D1.j states that the project would be exempt from an A.P.E.N filing (and thus an emissions permit), if the disturbance of surface areas for purposes of land development do not exceed 25 contiguous acres and six months in duration. Construction of the 115 kV transmission line project will result in the disturbance of an estimated total of 4.87 acres of surface area, which is well below the 25 contiguous acre threshold. Further, the project will be constructed in phases (by line segment and switching station site), and none of the phases are expected to exceed six months in duration. Even if any of the construction phases took longer than six months, no further action would be required as both the 25 acre and six month conditions would have to be exceeded for the regulation to apply. Please let me know if you have any questions or require further information on this matter. Sincerely, el- -� Jonathon Beyer Land Specialist III Cc: Shar Davis, Weld County Dept. of Public Health and Environment A003-/OhR Mike Barningham, Peak Environmental ?L itpa4 AN EQUAL OF'POH'TVNIT ;4 17?PX1,Tr,'L Al.'r i)P4 "';°L.1 .,,, E F/ CRAIG STATION ESCALANTE STATION NUCLA STATION + P.O.BOX 1307 P.O.BOX 577 P.O.BOX 698 A Toucle,tone Energy Cooperative CRAIG,CO 81626-1307 PREWITT,NM 87045 NUCLA,CO 81424-0698 970-824-4411 505-876-2271 970-864-7316 Weld County Planning Department GREELEY OFFICE APR 18 2003 J. Bensing & Associates, LLC `, Land Solutions/Management,Title and Acquisition Specialists P.O.RE€E I V E D Franktown,CO 80116 Telephone: (303)663-8875 Telecopier: (303)663-8701 April 17, 2003 Mr. Kim Ogle Weld County Department of Planning Services 1555 N. 17th Avenue Greeley, Colorado 80631 Dear Mr. Ogle: Re: Tri-State Transmission Line Project I-25 Project-Weld County. Colorado To complete the information previously provided to you for Tri-State Generation and Transmission Association's Weld County Permit, please find enclosed a copy of the following completed documents; 1. Weld County Right-Of-Way Use Permit signed April 16, 2003 by the Weld County Department of Public Works. 2. Colorado Department of Transportation Utility Permit signed by CDOT on April 16, 2003. Should you have questions or need additional information, please let me know. Thank you for your assistance with our transmission line project in the area. I can be contacted at the telephone numbers listed above or contact Mr. Jonathon Beyer, Land Specialist at Tri- State directly (303-452-6111, Ext. 6197). Sincerely, Jerome J. Sensing end. Sat/47A alzetc&L USRc139a y �LK2j 2OO3-1O12 Pt ifraq J. Bensing & Associates, LLC Land Solutions/Management,Title and Acquisition Specialists P. O. Box 805 Franktown,CO 80116 Telephone: (303)663.8875 Telecopier: (303)663-8701 April 16, 2003 Ms. Georgia Lockwood Utility Permit Coordinator Colorado Department of Transportation 1420 2n° Street Greeley, Colorado 80631 Dear Ms. Lockwood: Re: CDOT Utility/Special Use Permit Application Tri-State - 1-25 Transmission Line Project Weld County. Colorado Previously delivered to you was Tri-State Generation and Transmission Association, Inc. application for a Utility/Special Use Permit to allow our transmission line project to cross Highway 52 at the intersection of WCR 11. As I mentioned to you at that time, I had not included the required traffic control plan or the Certificates of Insurance from Tri-State's contractor, Dominion Construction Company of Scotts Bluff, Nebraska. In accordance with your instructions, please find enclosed four complete application packets which include a Certificate of Liability Insurance and Workers Compensation Certificate from Dominion, both of which name Colorado Department of Transportation. In addition, the enclosed Applications include the Traffic Control Plans received from KECI Colorado, Inc. for the Project. Should you have questions or need additional information, please let me know. Thank you for your assistance with our transmission line project in the area and I look forward to a positive response as soon as possible. I can be contacted at the telephone numbers listed above or on my cell phone at 303-884-4610. Sincerely, S-;;;i2:7-.fr— Jerome J. Bensing enc. cc: Mr. Kim Ogle, Weld County Department of Planning Services I J. Bensing & Associates, LLC Land Solutions/Management,Title and Acquisition Specialists P.O. Box 805 Franktown,CO 80116 Telephone: (303)663-8875 Telecopier: (303)663.8701 April 16, 2003 Mr. Ted Eyl Hand Delivered Utility Agent Weld County Public Works Department 1111 H Street Greeley, Colorado 80632 Dear Mr. Eyl: Re: Tri-State Transmission Line Project 1-25 Proiect - Weld County. Colorado Previously delivered to you was Tri-State Generation and Transmission Association, Inc. application for a Right-Of-Way Use Permit. As I mentioned to you at that time, I had not included the required traffic control plan or the Certificates of Insurance from Tri-State's contractor, Dominion Construction Company of Scotts Bluff, Nebraska. Please find enclosed a Certificate of Liability Insurance and Workers Compensation Certificate from Dominion, both of which name Weld County. In addition, I am enclosing copies of the Traffic Control Plans received from KECI Colorado, Inc. for the Project. I have included copies of the Application information previously provided for your reference. Should you have questions or need additional information, please let me know. Thank you for your assistance with our transmission line project in the area and I look forward to a positive response as soon as possible. I can be contacted at the telephone numbers listed above or on my cell phone at 303-884-4610. Sincerely, Jerome J. Sensing end. cc: Mr. Kim Ogle, Weld County Department of Planning Services 1 RIGHT-OF-WAY USE PERMIT Permit No. /c aC 7 q Date Applied For Aprij 1, 2003 Receipt No. This Permit is for Construction and/or installati o lines of telegraph,telephone,electric light,wire or power or pipelines,or the like,along, across,upon,and under road rights-of-way which are owned or controlled by Weld County,Colorado. All notices and/or mailings pursuant to this Permit for the Pennitor shall be addressed to: Weld County c/o Office of Public Works P.O.Box 758, Greeley,Colorado 80632 Phone: (970)356-4000, Ext. 3750 Mike Olmstead or Jerry Rigel Permittee Contractor Name Jonathon Beyer Name Dominion Construction Company CompanyTri-State G&T Assoc. Inc. Company Address1100 W. 116th Ave. Box 33695 Address 80237 Berggren Rd City Denver State CO Zip 80233 City Scotts Bluff State NE 69361 _ Business Phone 303-452-6111 x-6197 Business Phone 308-635-3372 Type of Permit: Approx. Linear Feet Type of Road Crossing M Utility(Gas,Elec.,Phone,TV, 1200 Feet 0 Road Bore Other) 0 Open Cut CI Storm ❑Flow Fill Irrigation Main 0 Class 6 Road Base Potable Water Main O Native Material Sanitary Sewer Main t Other Overhead Transmission Line Applicable Fee Amount_SOL_ ,,. Location of Construction WCR 11 & bt3the following locations: Subdivision See attached plat Construction Schedule Start April 7, 2003 Daily Hours 7 a.m. - 5:30 p.m. Completed March 1, 2004 Weekends non anticipated (Any extensions of time must be approved (Only as approved herein by County) by County prior to completion date.) Plans attached: 0 Yes 0 No Plans Required: 0 Yes 0 No 24 hour notice required Has applicant met Weld County insurance requirements? 0 Yes 0 No before construction Fees: Required Insurance Amounts for Public Liability Minimum Fee $25.00 And Property Damage Road Bore $25.00 Contractor's Bodily Injury Property Damage Utility Pole $25.00 each(Power Pole) Each Person 150,000 Pulling new or repl>Zcement of fiber optic lines in Each Accident 600,000 150,000 previously installed conduit$25/hole Aggregate 600,000 Automobile Trench Width Permit Fee Per Foot Per Mile Each Person 150,000 Up to 6" $.06 316.80 Each Accident 600,000 600,000 7" thru 12" .10 528.00 13" thru 24" .14 739.20 25"thru 36" .22 1,161.60 37" and up .29 1,531.20 Special Requirements /`.,- Ap vals /1Zfe_ V/6 03 WELD COUNTY TITLE, �`if`l DATE e In accepting this permit the undersigned Permittee,under penalty of perjury,verifies that they have received all four pages of this permit;they have read and understand all of the Permit Requirements and provisions set forth on all four pages;that they have the authority to sign for,and bind the Permittee, if the Permittee is a corporation or other like entity; and that by virtue of their signature the Permittee is bound by and agrees to comply with all said Permit Requirements and provisions,all County ordinances,and state laws regarding facilities construction. .,-i / peg_ ?_ g r1i9 G 3 -s-r- tJAM,W BE.-.)/ER >-=- - -Permittee SignaattS' Date Permittee Name(Please Prit) --- , -jy%F''e.:sti1:��e:G r- 3 PERMIT REQUIREMENTS I. Bond. Permittee shall provide a surety bond or other security for the-total amount required to restore the rights-of-way upon which the projected lines are to be installed or constructed,based upon current Weld County contract prices for the performance of such work. Said security shall remain in effect for a period of twenty-four(24)months after all installation and construction of said lines have been completed. The amount of the security shall be established by the Weld County Engineer. Whether or not covered by a bond, Pennittee shall reimburse Weld County for any and all expenses incurred by Weld County within 24 months after completion of any work, as a result of,or related to,failure by Contractor to perform all installation, construction,maintenance or other work pursuant to this permit, in a workmanlike manner. 2. Insurance. Permittee shall secure and maintain insurance policies that will protect himself,his subcontractors, and Weld County from claims for bodily injury,death, or property damage,which may arise from the installation and/or construction contemplated herein, or caused by the lines which are installed and/or constructed as permitted herein. Weld County,Colorado, by and through the Board of County Commissioners of the County of Weld, its officers and employees, must be named as an"Additional Named Insured" upon said insurance policies. The following insurance policies are required: (a) Statutory Worker's Compensation (b) Contractor's public liability and property damage in the following sums: Bodily Injury: Each person $150,000. Each accident $600,000 Property Damage: Each accident $150,000 Aggregate $600,000 (c) Automobile public liability and property damage: Bodily Injury: Each person $150,000 Each accident $600,000 Property Damage: Each accident $600,000 A certificate of insurance shall be delivered to the Weld County Engineering Department. Said Certificate of Insurance shall contain a thirty day written notice of cancellation in favor of Weld County, Colorado. Said insurance must be in force during the period of installation and construction contemplated herein and for a period of twelve(12)months thereafter. The requirement of insurance naming Weld County as an "Additional Named Insured" may be waived by written consent by the Weld County Engineer if the project is less than one-half mile long, if the work may be completed within two days, if there are no overnight road closures, and if there has not been a waiver for the same Permittee within the last six(6)months. This waiver will not eliminate the requirement for insurance to protect the Permittee required in this section. 3. Cost to Weld County. Permittee fully understands that all line installation and/or construction will be performed at no expense whatsoever to Weld County. 4. Ownership and Maintenance. Permittee shall own, maintain, operate, and repair any line installed or constructed herein in accordance with the regulations, conditions, and terms of this Permit. No lines installed within a County right-of-way may be abandoned by the owner at any time. Although the lines may be retired,they may not be abandoned, and all responsibility for such lines remains with the owner. Even though such lines may be abandoned pursuant to other existing rules or regulations,Weld County does not recognize nor accept any lines designated by any other source as abandoned, and Weld County will continue to expect such lines to be maintained or removed by Permittee. If Owner/Pennittee leases any of its lines installed or constructed herein, all responsibility for such lines remains with the Owner/Permittee. 5. Indemnification. Permittee, its agents, employees,subcontractors,contractors, and assigns hereby agree to hold Weld County, Colorado,the agencies thereof, and their officers and employees harmless from any and all loss and damage or any claims which may arise out of or be connected with the construction, installation, maintenance,alteration, removal, or presence of the lines installed and/or constructed herein referred to or any work or facility connected therewith within the area covered by this Permit; excluding any such loss and damage or any claims(including consequential damages)which may be caused solely by the negligence of Weld County,the agencies thereof, or its officers and employees. 6. Stop Work. Weld County shall have the right to order Permittee to stop work anytime Weld County believes that a violation of this Permit has occurred or if there is a danger to the public safety if the work continues. 7. Revocability. Weld County reserves the right to revoke this permit at any time, should Permittee fail to comply with any of the requirements of this Permit. Should this permit be revoked, Permittee must obtain a new permit and pay all required fees therein in order to continue with the project contemplated herein. Any lines or materials installed by Permittee prior to the revocation of the Permit remain the responsibility of Pennittee and shall be maintained or removed by Permittee at the discretion of Weld County. 8. Venue. Venue shall be in Weld County, Colorado, in any civil court action brought pursuant to this permit. 9. Warranty of Rights-Of-Way. Weld County does not warrant rights-of-way by the issuance of this permit. Pemittee is responsible for determining the ownership of properties traversed by its lines, the location of all property boundary lines,and the ownership of all rights-of-way. A permit may be issued for a right-of-way apparently owned by Weld County but not regularly maintained as a road. Any Permittee who wishes to place lines within a right-of-way not maintained as a road must meet all requirements of the landowners to either side of the right-of-way. M:\WPFILES\PWORKS\REQUIRE.DB - Page 2 of 4 Pages COLORADO DEPARTMENT OF TRANSPORTATION -UTILITY PERMIT PERMITTEE DEPARTMENT USE ONLY Name Tri State Generation&Transmission Association Date Issued 4/16/2003 1100 W. 116th Avenue NW ICE:Providing false information to a government Permit# 127-03 Address P.O.Box 33695 agency Is punishable asp perjury in the second de- S.H.# 52 M.P. 12.231 Denver,CO 80233 8r�, ab watt as Deing punishable under any other District 4 pp cable state or federal laws. Section 1 Telephone: (303)452-6111 Representative: Jonathon Beyer Patrol 14 NOTICE TO PERMITTEE:You must notify owner or operator of underground utility facilities at least two(2)business days prior to making or beginning excavations In the vicinity of such facilities,as required under Section 9-1.5-103,Colorado Revised Statutes. CALL UTILITY NOTIFICATION CENTER OF COLORADO(UNCC), 1-800-922-1987,FOR MARKING OF MEMBER UTILITIES.. CONTACT NON-MEMBER UTILITIES DIRECTLY ACTIVITY DESCRIPTION(Furnished by Permittee) PURPOSE n Installation n Adjustment n Removal n Maintenance of existing Facility FACILITY (Type,size,class of transmittant,design pressure or potential,etc.) Single circuit overheadNOW transmission liue. WORK SHALL D� i I ED AT NATURE OF INSTALLATION n Longitudinal(Parallel) n Transverse(Crossing) NIGHT OR ON SATURDAYS, SUN- n Buried n Aerial/Ground-mounted n Attach.To Hwy.Str.No. DAYS, OR HOLIDAYS. LOCATION State Hwy.No. 92 County Weld City/Town Frederick Milepoint(s) 12.231 Intersecting Feature(s): SH 52 at Weld County Road 11 ADDITIONAL REMARKS See attached Utility Permit Specifications. All traffic control must conform to the MUTCD For underground facility location information,contact: UNCC Telephone (800)922-1987 SPECIAL PROVISIONS(completed by the Department) The Special Provisions are terms and conditions of this permit. Any work shall only be in accordance with the approved plans and special provisions as set forth in this permit and its attachments. The CDOT inspector is Troy Sparks Telephone 303-857-6423/970-350-3795/970-506-4971 Work is to be completed on or before: II IS THE PERMITTEE'S RESPOMMIL,DY days,(as applicable) Work time restrictions: Daylight Hours OnIP NUIIFY THE DEPARTMENT OF HIGHWAYS Designated minimum cover is N/A 24 HOURS BEFORE BEGINNUS1104000 overhead clearance Is 20 Ft.(min.) (ALSO SEE ATTACHED STANDARD PROVISIONS,AND ADDITIONAL SPECIAL PROVISIONS),(TRAFFIC CONTROL MUST CONFORM TO THE MUTCD) Other: For underground CDOT facilities,contact CDOT Traffic Section A 970-350-2137. Permittee is prohlbltled from commencing any work within highway ROW prior to issuance of a fully endorsed and validated permit. Permit,plan exhibit,Insurance certIficate(s),and traffic control plan must be available on site during work. High visibility vests are required at all times during working hours. 1. Your request to use and/or occupy state highway system rights of way as described above Is granted subject to the terms and conditions of this permit, including the Standard and Special Provisions as shown on the permit and all attachments hereto. 2. To the extent authorized by law,Permittee hereby assumes,releases and agrees to indemnify,defend,protect,and save the State of Colorado harmless from and against any loss and/or damages to the property of the State of Colorado,third parties or the Permittee's facilities,and all loss and/or damage on account of injury to or death of any person whomsoever,arising at any time,caused by or growing out of the occupation of Colorado State Highway rights of way by Permittee's facilities or any part thereof,including but not limited to installation,adjustment, relocation,maintenance or operation,or removal of existing facilities,unless such loss and/or damage arises from the sole negligence or willful conduct of the State of Colorado or its employees or agents. 3. Failure by the Permittee to comply with any of the Included terms or conditions may subject this permit to suspension or cancellation,at the discretion of the Department of Transportation. 4, THIS PERMIT IS NOT VAUD UNTIL FULLY ENDORSED BY ALL PARTIES,WITH DATE OF ISSUE AFFIXED BY AN AUTHORIZED REPRESENTATIVE OF THE DEPARTMENT. A FULLY EXECUTED COPY OF THIS PERMIT MUST BE ON FILE AT THE TRANSPORTATION REGION OFFICE. 5. In accepting this permit the undersigned,representing the Permittee,verifies that he or she has the authority to sign for and bind the Permittee,and that he or she has read,understands and accepts all the included conditions. Attested Date S u Date Title Title COLORADO DEPARTMENT OF TRANPORTATION By Date Chief Engineer teetre' Regional Transportation Director or Designee 9 —/G ,a 3 CDOT Form#333a Rev.02/C • , ® 1„No work on highway ROW shall commence prior to issuance ®20. No new Access to or from the state highway ROW will be allowed. of a fully endorsed and validated permit, Are required to obtain permission to use any existing state highw¢ access.Contact Access Coordinator at(970]350-2148. ® 2,No work shall proceed beyond the date specified in the special provisions without written approval of the Department. �21.All disturbed areas of highway ROW to be compacted to 95% compaction in 6"lifts or the same as existing soil. ® 3.Plan revisions or altered work difference In scope or nature from that authorized under this permit are subject to CDOT-R4 ® 22.A copy of the permit, plans,insurance policy and traffic control pi: approval. . To be on the Job site at all times. ® 4.No work shall be permitted at night or on Saturday,Sunday or ®23.No equipment or materials to be left or stored in highway ROW. Holidays without prior authorization or unless otherwise Specified in this permit. ®24.All traffic control to be in place before any work commences. © 5, No cleated or tracked equipment may work on or move over 0 25.All poles or guy wires and pedestals to be within 12"from ROW a paved surface without protective mats. • Fence or property line or in line with existing line. a 6.Material removed from any portion of the roadway must be 26. No asphalt or road shoulders to be cut. replaced in like kind with equal or better compaction.No segregation of materials will be permitted. 0 27.All asphalt cuts to be repaired with hot asphalt mix the same thickness as existing mat and to meet highway specifications. O 7.Construction or compaction by means of jetting,puddling or water flooding is prohibited within all highway ROW. 0 28. Highway crossing to be jacked or bored from outside of highway F on either side of the highway and encased the same at a depth of O 8. Boring shall not exceed 5%oversize.Resulant voids shall be 36",48"or 60", granted or otherwise backfilled subject to CDOT approval. Ends • of bored sections shall not be covered before being inspected. 0 29. Highway crossing to be jacked or bored from toe of slopes or 15' from asphalt mat and encased the same at a depth of 36",48"or tx7 9. Unacceptable work shall be promptly removed and replaced in an acceptable manner.Final acceptance does not relieve ❑ 30.Highway crossing to be jacked or bored from outside of highway F permittee of maintenance obligations toward those elements of at a depth of 54"and encased the same(I-25&I-76 Interstate). the highway facility constructed under this permit. 0 31.All fiber cable to be placed at a depth of 48"below the lowest poir ® 10.Prior to final acceptance,all disturbed portions of'highway the ROW,with warning tape at 24"and a locate wire. Must also b ROW shall be cleaned up and restored to its original condition encased from ROW line to ROW line,or to existing line. Subject to COOT approval. ®32.No highway fences to be cut. a 11.Seeding,sodding and planting shall be as specified,or other • - wise approved by CDOT.Construction maintenance and 0 33.All disturbed areas shall use flow fill to the watering requirements shall conform with CDOT standards bottom of the asphalt mat. specifications.Where landscape restoration must be delayed due to seasonal requirements,such work may be authorized 0 34. Open cuts of the asphalt mat is granted.Open cut to be flow-filled by a separate permit. 1"min.overlay required 50'each way from cut • O 12.If any element of the highway facility,constructed or replaced ❑ 35.Open cut of asphalt mat Is granted.Open cut to be flow filled to th as a condition of this permit fails within 2 years due to Improper bottom of the asphalt ma elevation. 1"min.overlay is required 10 construction or materials,permittee will be responsible for either way from the cut. • making all repairs immediately as notified. • 36.All work to conform to the National Electric Safety Codes and to: © 13.Should any permitted facilities be abandoned,permittee agrees Colorado Statutes as are applicable. to promptly notify the-Region office and to remove any or all portions of such facilities, as may be designated by CDOT. 0 37. Highway crossing to be jacked or bored from outside of ROW to bell hole In asphalt mat at a depth 36",48"or 60". © 14.The CDOT inspector may suspend operations due to(1)persis- tent non-compliance with permit provisions,(2)abandonment ❑ 38.All.poles&guy wires to be outside of Highway ROW. or transfer of ownership,(3)superseded by a new permit covering the same installation or(4)conflict with necessary ®39.No registered Survey Markers to be disturbed on state ROW.Thr planned highway construction. Permittee must promptly Permittee or contractor may not disturb any survey monuments fc terminate occupancy upon notice of cancellation of permit in State ROW without specific Department authorization and direc unless a new permit is applied for and granted. All costs associated with the relocation or reestablishing of a surve marker will be borne by the Permittee.All survey work shall be do ® 15.The COOT Inspector may suspend operations due to in accordance with the CDOT Survey Manual and the Standard (1) non-compliance with the provisions of this permit, Specifications for Road and Bridge Construction, Item 629,Surve (2) adverse weather or traffic conditions,(3)concurrent Monuments. highway construction or maintenance In conflict with the permit work,or(4)any condition deemed unsafe for workers El 40.All disturbed areas of highway ROW to be returned to its angina or for the general public.Work may resume upon disposal of • condition and reseeded or sodded when project is completed. grounds for suspension. . 41.All meters to be on private property. m 16.All traffic control to conform to the Manual on Uniform Traffic ., Control Devices for Streets and Highways(MUTCD). 0 42.All cable to be placed 36"below the lowest point in the highway F m 17.All work to be as per permit and plans. rf3.Minimum overhead clearance is 20'.over all highways and county ® 18.If proposed utility is not placed in area applied for,the utility O 44.A s built plans with GPS data on permitted facility shall be submi permit is void,and the utility is deemed Illegal. To COOT no more than 60 days after completed permit work. GF data shall be tied to(+/-2 Ft.)to the Colo.High Accuracy Refere ® 19.No utilities to be attached to highway structures. Network(COHARM)and include both vertical and horizontal information. STANDARD PROVISIONS FOR UTILITY and OTHER PERMIT OPERATIONS The Standard Provisions are terms and conditions of this permit Utility work authorized under this permit shall comply with the requirements of the CDOT Utility Manual,and applicable federal,state 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 CDOT Standard Specifications for Road and Bridge Construction,and with the Colorado Standard Plans(M 8 S Standards). 24-10-114 CRS=Section 24-10-114,Colorado Revised Statutes 1973,as amended ROW=Right of Way COMMENCEMENT AND COMPLETION Work on highway ROW shall not commence prior to issuance of a fully endorsed and validated permit. Permittee shall notify the CDOT Inspector: 1)2 working days before commencing work on ROW;2)When suspending operations for 5 or more working days;3)2 working days before resuming suspended work;4)Upon completion of work. Work shall not proceed beyond a completion date specified in the Special Provisions without written approval of the Department. PLANS, PLAN REVISIONS,ALTERED 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 differing in scope or nature from•that authorized under this permit,are subject to CDOT approval.Permittee shall promptly notify the CDOT inspector of changed or unforeseen conditions,which may occur on the job. INSURANCE - Permittee shall procure and maintain general public and auto liability and property damage insurance covering the operations under this permit,in the amounts specified in 24=10-114 CRS.Policies shall name the State of Colorado.as additional insured party. Like coverage shall be furnished by or on behalf of any subcontractors.Certificates of Insurance showing compliance with these provisions shall be attached to and made a part of this permit; copies must be available on site during work. WORK WHERE DEPARTMENT LACKS AUTHORITY Utility work within municipal boundaries(pursuant to 43-2-135 CRS),or on certain public lands,or on private property,may require separate approval of the appropriate jurisdictional agency or property owner. INSTALLATIONS ON FREEWAYS . • CDOT may permit utility accommodations on freeways, including but not limited to the Interstate System,only in accordance with Utility Manual provisions.Special case exceptions as defined therein,may be permitted only in accordance with FHWA-approved Departmental policy. JOINT USE ALTERNATIVES 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 In a common trench,or attachment to the same overhead support. The Permitte will be responsible for proper coordination with other affected utilities. ATTACHMENT TO HIGHWAY STRUCTURES Permittee is responsible for designing structure attachments,subject to the approval of the CDOT Staff Bridge Design Engineer. • DRAINAGEWAYS AND WATERCOURSES 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. TRAFFIC CONTROL 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 vests shall be worn at all times during work. The traffic control plan and the application of traffic control devises shall conform to the Manual on Uniform Traffic Control Devices and Colorado Supplement thereto,and with the Department's traffic signing Standard Plans S 630-1 and S 630-2. Permittee's traffic control plan is subject to CDOT approval prior to commencing work on highway ROW.A copy of the approved traffic control plan must be available on site during work. • Page 1 of 3 TRI-STATE GENERATION AND TRANSMISSION ASSOCIATION, INC. HEADQUARTERS: P.O. BOX 33695 DENVER, COLORADO 80233-0695 303-452-6111 April 14, 2003 Ms. Georgia Lockwood Colorado Department of Transportation 1420 2nd Street Greeley, Colorado 80631 PQ� 6 2�j3 Dear Ms. Lockwood: Re: CDOT Utility Permit Application Form Tri-State G & T - I-25 Transmission Line Project Weld County, Colorado Please find enclosed for your approval, Tri-State Generation and Transmission Association's application for crossing a utility over State Highway 52. The location of the line will be approximately 63 feet West of the intersection of State Highway 52 and Weld County Road 11. Our project is for the installation of a single circuit overhead 115kV transmission line from the Dacono Substation to the Rinn Valley Substation. The transmission line consists of three phases of conductor and one fiber optic wire. Before stringing operations of this span begin, guard structures will be placed to protect the highway. Included with this application is a plan and profile sheet showing the location of the transmission line. As per your instructions, a traffic control plan and the required insurance certificate is also included. The contractor for our project is Dominion Construction Company and the contact is Mike Olmstead. There are no environmental, ecological, archaeological, or historical required clearances in this area. Should you have questions or require additional information concerning this application, our contact representative for the Project is; Jerome Bensing Office: 303-663-8875 J. Bensing & Associates, LLC Fax: 303-663-8701 P. O. Box 805 E-mail: JJBensing@4dv.net Franktown, CO 80116-0805 We look forward to working with you on this important project. Thank you for your assistance with this matter. Sincerely, Jonathon Beyer Land Specialist encl. AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER CRAIG STATION ESCALANTE STATION NUCLA STATION yTJ P.O.BOX 1307 P.O.BOX 577 P.O.BOX 698 A Touchstone Energy Cooperative R ' CRAIG.CO 81626-1307 PREWITT,NM 87045 NUCLA,CO 81424-0698 I` %1 970.824-4411 505-876-2271 970-864-7316 CLEAR ROADSIDE CONSIDERATIONS CDOT is committed to provide a roadside area that is as free as practical from nontraverseable hazards and fixed objects('clear zone").New above ground installations may be permitted within the clear zone only upon a showing that no feasible alternate locations exist. Permittee must utilize appropriate countermeasures to minimize hazards.Permittee shall remove materials and equipment from the highway ROW at the close of daily operations.The traffic control plan must include 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. 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. GENERAL CONSTRUCTION REQUIREMENTS Work shall not be performed at night or on Saturdays, Sundays,or holidays without prior authorization or unless otherwise specified in this permit. CDOT may restrict work on ROW during adverse weather conditions or during periods of high traffic volume. Those areas within ROW which must be disturbed by permit operations shall be kept to a practical minimum. Permittee shall not spray,cut,or trim trees or other landscaping elements within highway ROW,unless such work 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. Material removed from any portion of the roadway prism must be replaced in like kind with equal or better compaction. Segregation of material is not permitted. The utility facility shall be of durable materials in conformity with accepted practice or industry standards,designed for long service life,and relatively free from routine servicing or maintenance. Construction or compaction by means of jetting,puddling,or water flooding is prohibited within all highway ROW. Thrust blocks are required on all vertical and horizontal bends in pressure pipes. Meters shall not be placed on highway ROW except within corporate limits where municipal regulations allow such use. ALIGNMENT,COVER,CLEARANCE Location and alignment of Permittee's facilities shall be only as specified in this permit or as otherwise Indicated in the approved plans or work sketch (EXHIBIT A). Parallel installations should be located as near as practicable to the ROW line.Crossings shall be as nearly perpendicular to the highway as feasible. Where no feasible alternate locations exist,parallel installations may be permitted 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.). Parallel installations will not be permitted within roadways(including curbing and/or shoulders)or median areas,except within corporate boundaries, subject to municipal regulations. 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 z 18 inches. Minimum cover shall conform to the Special Provisions. Normal specified cover will be 36 inches or greater;reduced cover,24 inches absolute minimum,may be approved where site conditions warrant. Minimum overhead clearance shall conform to the Special Provisions,consistent with Utility Manual criteria. PAVEMENT 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 be opened at a time, when otherwise permitted. Pavement shall be sawed or wheel-cut to a neat line. Pavement shall be replaced to a design equal to or greater than that of the surrounding undisturbed pavement structure. Pavement repair shall conform to the Special Provisions or the approved plans. BORING,JACKING, ENCASEMENT Unless otherwise specified,buried 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. Minimum lateral dimension from portal to edge of pavement is 6 feet. but in any case shall not be less than the vertical drop from roadway surface to top of line. Water jetting or tunneling is not permitted.Water assisted boring may be permitted as determined by the CDOT Inspector. Boring shall not exceed 5 percent oversize. Resultant voids shall be grouted or otherwise backfllled,subject to CDOT approval. Ends of bored sections shall not be covered before being inspected. Encasement shall be consistent with Utility Manual provisions.CDOT may require protective casing 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-control lines on freeways, including the Interstate System. Page 2 of 3 INSPECTION AND ACCEPTANCE CDOT will determine the extent of inspection services necessary for a given Installation.Permittee shall attend final inspection as may be required. Unacceptable work shall be promptly removed and replaced in an acceptable manner.Final acceptance does not relieve Permittee of maintenance obligations toward those elements of the highway facility constructed under this permit. RESTORATION OF RIGHT OF WAY Prior to final acceptance,all disturbed portions of highway right of way shall be cleaned up and restored to their original condition,subject to CDOT approval. Seeding,sodding,and planting shall be as specified,or otherwise approved by CDOT.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. Permittee shall use only certified weed-free seed and mulch. Permittee shall clean equipment before transporting it into or out of the state to prevent the migration of noxious weeds. OPERATION AND MAINTENANCE Permittee agrees to own and maintain 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 of the highway. If any element of the transportation facility,constructed or replaced as a condition of this permit,fails within 2 years due to improper construction or materials, Permittee shall make all repairs immediately as notified in writing by CDOT. Routine,periodic maintenance and emergency repairs may be performed under the general terms and conditions of this permit.CDOT shall be given proper advance notice whenever maintenance work will affect the movement or safety of traffic.In an emergency,the CDOT Region office and the State Patrol shall immediately be notified of possible traffic hazards.Emergency procedures shall be coordinated beforehand,where possible. Maintenance activities requiring new excavation or other disturbance within highway ROW may require separate permit. Where highway construction or maintenance operations so require, Permittee will shut off lines, remove all combustible materials from the highway right of way,or provide other temporary safeguards. Should any permitted facilities be abandoned,Permittee agrees to promptly notify the transportation region office and to remove any or all portions of such facilities,as may be directed by CDOT. UNDERGROUND UTILITY LOCATION ASSISTANCE Permittee may be required to identify the installation with suitable markers,of a type and at locations as specified or otherwise approved. Permittee shall maintain markers for the life of the installation. • Warning ribbon and/or detection wire may be required for buried facilities.'As Constructed'lines and grades will be furnished by the Permittee as directed. Owners of underground facilities shall participate in a notification association pursuant to 9-1.5-105 CRS. ADJUSTMENTS DUE TO HIGHWAY CONSTRUCTION If for any transportation purpose it becomes necessary to remove,adjust,or relocate this facility, Permittee will do so promptly,at no cost to the CDOT except as provided by law,upon written notice from CDOT and in accordance with any permit issued to cover the necessary work. SUSPENSION AND CANCELLATION The CDOT inspector may suspend operation due to: 1)Non compliance with the provisions of this permit; 2)Adverse weather or traffic conditions;3) Concurrent transportation construction or maintenance in conflict with permit work;or 4)Any condition deemed unsafe for workers or for the general public.Work may resume upon disposal of grounds for suspension. This permit is subject to cancellation due to: 1)Persistent noncompliance with permit provisions;2)Abandonment or transfer of ownership;3) Supersedure by new permit covering the same installation;or 4)Conflict with necessary planned transportation construction.Permittee must promptly terminate occupancy upon notice of cancellation of permit,unless a new permit is applied for and granted. Where Permittee does not fulfill an obligation to repair or maintain any portion of the highway facility,or control and safely maintain the flow of traffic thereon,CDOT reserves the right,in lieu of canceling this permit,to accomplish the required work by any other appropriate means,and Permittee shall be liable for the actual costs thereof. • Page 3 of 3 Application requirements - submit with completed application form , Submit required application documentation in sets of four - collated 1. LETTER OF REQUEST_(on letterhead of City or Utility Company) as necessary to: a.document that the owner concurs in the application, if the applicant is other than the permittee; and/or b. more fully describe the nature of the proposed work, status of required clearances (see item 5 below), etc. 2. PLAN AND PROFILE clearly showing the following: a. Distance of the proposed work or facility from right-of-way (ROW) line, b. Distance from S.H. mile post and intersecting streets, c. *Distance line will be within ROW, or if it crosses ROW, d. *Facility type: (Water, Gas, Phone, Power, Fiber optic cable, Oil, etc.), e. *Nature of installation (buried, overhead, or attached to a highway structure). If attached to a highway structure, submit a separate drawing, indicating the structure number, and showing attachment details. if application for Utility permit only 3. TRAFFIC CONTROL PLAN (required on all operations) that conforms to the "Manual of Uniform Traffic Control Devices for Streets and Highways" (Part VI). 4. INSURANCE REQUIREMENTS: a. A permittee shall ensure that all permitted operations, whether performed by the permittee or by subcontrac- tors, are adequately and continuously covered by liability insurance.The types and minimum amounts of insurance acceptable to CDOT are as follows: 1.Workers Compensation Insurance in accordance with prevailing laws. 2. Comprehensive General Public Liability and Property Damage Insurance: Combined Bodily Injury and Property Damage $150,000 per person $600,000 each occurance 3. Comprehensive Auto Liability and Property Damage Insurance: Combined Bodily Injury and Property Damage $150,000 per person $600,000 each occurance b. Certificate(s) of Insurance from permittee's and/or subcontractors' insurance carrier(s), naming Colorado Department of Transportation as additional insured party, shall be furnished. 5. ENVIRONMENTAL, ECOLOGICAL, ARCHAEOLOGICAL, AND HISTORICAL CLEARANCES: The Utility/Special Use Permit applicant must satisfactorily address these items, in accordance with applicable law, as a condition to issuance of a Utility/Special Use Permit. Examples of such clearances include Colorado Discharge Permit System permits or Corps of Engineers 404 Discharge of Dredged or Fill Material permits. The letter of request for a Utility/Special Use Permit should include a discussion of the status of any required clearances. Return completed application plus all required enclosures to Colorado Department of Transportation, Attn: Utility Permit Office, at one of the following addresses as appropriate to this permit: Region 1: 18500 East Colfax Avenue Region 2: 905 Erie Avenue Aurora, CO 80011 Pueblo, CO 81002 303-757-9157 719-546-5433 Region 3: 222 South 6th Street, Room 100 Region 4: 1420 2nd Street Grand Junction, CO 81501-2769 Greeley, CO 80632 970-248-7230 970-350-2111 Region 5: 1205 West Avenue, Box A Region 5: 3803 N. Main Avenue, Suite 300 (Alamosa) Alamosa, CO 81101 (Durango) Durango, CO 81301 719-589-3616 970-385-8360 Region 6: 3401 Quebec Street, Suite 8400 Denver, CO 80207 303-377-6602 COLORADO DEPARTMENT OF TRANSPORTATION Please print or type UTILITY/SPECIAL USE PERMIT APPLICATION Instructions: Complete this form,attach all required documents,and submit it to the appropriate permit office.To determine which documents are required, refer to the back side of this form and/or contact the Permit Office.You must submit all required documents or the application will be deemed to be incomplete and will not be accepted.Please do not FAX completed forms or documents. Permittee: property or utility owner Name Tri-State Generation & Transmission Association, Inc. Address 1100 W. 116th Ave. P.O. Box 33695 Denver, CO 80233-0695 Contact person Tel hone Jonathon Beyer 303-452-6111 x-6197 Applicant if other than permittee Name Address Contact person Telephone Activity Description: (furnished by permittee) Purpose of Utility Permit Of Installation ❑ Adjust/relocation ❑ Removal ❑ Maintenance of existing facility Facility(type,size,class of transmittant,design pressure or potential,etc. 115 KV Single Circuit Transmission Line - Overhead Nature of installation ❑ Longitudinal (parallel) ❑ Buried* ❑ Attach to Highway Structure f!: GI Transverse (crossing) ❑ Aerial/Ground-mounted Purpose if for other than Utility Permit ❑ Landscaping ❑ Survey ❑ Other (describe): U Construction within right-of-way State Highway No. County City/Town Hwy. 52 Weld County Frederick Location relative to SH milepost(s) Milepost 12.219 (63' West of Milepost 12.231) Location relative to intersecting feature(s),e.g.,cross street,str.N,etc. Intended start date and planned duration of work Start Date: April 14, 2003 Duration: April 14, 2003 through July 7, 2003 Additional remarks Guard structures will be used on both sides of the highway during stringing. If Permittee will own or operate underground facilities in State Highway rights-of-way:Indicate contact person for Telephone underground location information: 'Notice to Excavators:You must notify owners or operators of undergroud utilities at least two (2) business days prior to makir or beginning excavations in the vicinity of such utilities, as required under Section 9-1.5-103, CRS. CALL UTILITY NOTIFICA- TION CENTER OF COLORADO (UNCC), 1-800-922-1987, FOR MARKING OF MEMBER UTILITIES, Contact non-member utilities directly. See back side for detailed application requirements and mailing instructions CDOT Form$1233 ao: 1 � z ;",..;.../ F 4 J�t5yh EDGE OF ROW ' t tii� NORTH o �� , r 'MF, s C❑ D 1 _ y t ,fillabett. ...4 d.YFii ^std $1....-", 1 " N i k ? _ \ c €, y,. Six ail nt+ { iT ':4 k`ile"" :.;-; -.cam ;`' 0 I;� ,- t h HORIZ. SCALE 200.0 FT. #5 #5180' Cl TP1115 80' Cl STA=21117.09 STA=21525.94 TP-115 TP-115 VERT. SCALE 40.0 FT. 420 409 5050 FACILITY TYPE - POWER ^ J �� (TOP WIRE - FIBER OPTIC) / o NATURE OF INSTALLATION - OVERHEAD M �C❑ H ✓Y 52 5000 2a05' 140.6' r EDGE OF RCW ----, .r—EDGE OF ROW o 0 0 0 0 0 0 0 04950 o 0 0 0 0 0 0 0 0 co a\ o ^ cu co V LID ‘O (U (1-I cU CU (U (U cU (U (U DRAWN DATE OWC. NO. JEF 2-3-03 HWY 52 CROSS/NG PROJECT RI NN - DACONO CHECKED DATE RJG HWY 52 CROSSING APPROVED 2DATE03 TRI-STATE 115KV TRANSMISSION LINE AGR 2-3-03 , • •4-15-2003 2: 13PM FROM DOMINION CONSTION 308 635 3576 P. 2 • ACORDIII CERTIFICATE OF LIABILITY INSURANCE DATEIMM,ODI.YYTI PRODUCER 1.11.03 • I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOt Ryder-RDB6CIlBr•MCCUe 8 Huston ONLY AND CONFERS' NO RIGHTS UPON THE CERTIFICATE 509 W XoanigSt HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OF ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW PO Box 1221 • Grand Island NE 60602 INSURERS AFFORDING COVERAGE ' NAIC X INSURED Dominion Construction Co ' inenta nsur nompany �__... 60237 Berggren Rd INSURER A; CNA:Transcontinental Insurance Company (Noonan s: CNA:TranspoMUon Insurance Company POBox16 ......._ INJURER The Cincinnati Insurance Gompany Scottsbluff NE 69361 ---- --..._ • w9ugcn o; Travelers indemnity __— INSURERS: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OP A CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY TM Q POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BE W REDUCED ET PAID CLAIMS. Hirt POLICY EFFECTIVE POLICY EXPIRATION •• --'•'-' LTR NSRD TYPE.OP lull aAu� POLICY NUMBER wor DEWDWYTI DATE IPAWno n LIMITS .GENERAL LiAsiLiTY III.. EACH OCCURRENCE _ f 1,0001000 A ! . X COMMERCIAL GENERA LABILITY C202640229 1110112002 11/01/2003 DAMAGE TPAP miSFA REN,TTE�A) s 700,000 CLAIMS MADE OCCUR --' !A.E0_Ex,pjnny Antra'', _ t STOOD •'�- PERSONAL SAOYINJURV f 1,000,000 sewersL A60NEOATE' . f 2,000,000 __.._ GEM AGGREGATE LIMIT APPLIES PER' --- - - X POLICY jP I LOC .I PRODUCTS COMI101*GC 3 2,000,000 — B X ANY AUTO C20252I 6162 COMBINED SINGLE LIMIT 11,000,000 6 11/0112002 11101/2003 (EE EEGdMO _..._ ALL OWNED AUTOS •I - _.•.._-.. ........__ i SCHEDULED AUTOS I • BOD (Per per WJVBV I--• HIRED AUTOS I ItV ) IN S NON•OWNED AUTOS I a0011 WJURV (Per accident) 1 PROPERTY OHMAGE (Ptl FccldenU S GARAGE LIABILITY ' ANY AUTO AUTO ONLY EA ACCIDENT I • ' OTHER THAN UACC S • AUTO ONLY: AGO- f exCE35/YMaRELLA LIAIBILITYI • EACH OCCURRENCE {.tpoo,000 C X I OCCUR U CLAIMS MADE CCCa11T26 11/01/2002 11/01/2003 AGGREGATE _ $I,0001100• _I ••._..._ _ f DEDUCTIBLE _.-- X RETENTION S 0 I f S' WORKERS COMPENSATION AND X ITDRY iIWTSI LOTH EMPLOYERS'LW OW" I ... ..ER D ANYPROPRIETONPARTNERREX!CUTNE 6KUB9�6X75J•1 02 1110112002 11101/2003 E.L.EArLHAtCLDENr s 100,000 OFFICERA.EMBER EXCLUDED? I • __ P yea.OIK'IOe UAd t 6.LSSEEAAIE.:EA EMPLDYEfi 6100,000 SPECIAL PROVISIONS below .. •.. ...... . OTHER El.DISEASE.POLICY LIMIT S 500,000 A Leased or Rented Equipment 020262/6229 3/00,000 Any One Item Rented Equipmnt 1110112002 • 11/01I200J $1,000 Deductible •)ESCRIPTION OF OPERATIONS LOCATIONS/VEHICLa3 I EXC`USIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS $1,000,000 Installation Floater RE:Colorado State Highway#52 III • Colorado Department of Transportation is an additlopal insured' . • •III . :ERTIFICATE HOLDER • . CANCELLATION • COLORADO DEPARTMENT OF TRANSPORTATION SHOULD ANY OF THEASOVE065CR,0EO POLICIES USCANCKlE0 BEFORE TWO EXPIRATION • 1420 2ND STREET DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.OUT FAILURE 10 DO SO SHALL GREELEY,CO 10632 I IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER.ITS AGENTS OR• AUTHORIZED REVB3. REPRESENTA I r, _ CORD 2512001/08) \I♦ \jU�n S ACORD CORPORATION 1988 . .4-15-2003 2: 14PM FROM DOMINION CONSTION 308 635 3576 P. 3 • • . :,r:1 t.1 -,' 'Li IAt4I " Hri a ..[,i y • . '.i-J . M1E 1/M'OOM1 I .eaa..-4 " CCRTINCA N ISSUED AS A OP ON MIDDLE PARK AGENCY,INC ONLY AND CONFAIR NO IEIWNT* UMONTN' ! IERRIW1IICATI P.O.BOX 1M H0LOQR TWO CERTIFICATE 5 NOT AMIMS, ESr a OR rsA•r rE neWR�AwI Rsre.r.ren N .... z.. 1F10W ORANBY.COIORADO OONO I ,—.4. , COMPANIES AFFORDING COVERABIIV E "_JJ • I •I _ A PINNACOL ASSURANCE . MIMED ' DOMINION CONSTRUCTION G4MPANY ov+ANY PO sox 45 I 0 . - SCOTTSBLUFF.NE. 50303 'COMPANY • . C • • c-0WAMY • 0 THIS IS TOCERTIFY THAT THE POLICES O/ LISTED OELOW AWE SEEN ISSUED TO TIE a1$UIEO NMID ABOVE VOA THE I!EACOD • N1oP ATIEO NOSWITISTAICNO MO A T.TEAM OR CCECTNCNOF ANY CONTACT OR OTIER DOOOIEM Wan REO/ECT to TIY CERTIFICATE MAT SE ISSUED OA NAT nom TIE INSVRANCE AFFOADAD O T THE POLICIES DOECIOR mum 4 SVOJECT TO ALL IA TERMS, EXGWagNi AMO OONpnIONE OF 11101 POI. III,LABS SEICYYI ST HAW DEEM REDUCED AY►ADOIAIM. CO TYPE O.IPPAPIL1 /�C11YE LlR . . AOLC'r,MINER C Irlt q'YI'1 OEM(W011ST Fawn alpines'. MOATS OOEAAL CAMAY IC `OOIEIAL AOORlOr17f I DOVyI1CNl OWEAAL LNMI/TY .IOfRTt.COM1pP A00 I I oasts WS, El Omens COrTRALIel•aO T� I PERJO.A RADY Wett I . • EACH oeetASIpAE PYE M tL DAPE Par TFP DII AUTpgAa USE RV aCD[IV VMYMAtIIH I Na MRO COMM=MIME LIMIT t ML OW NW AUTOS . YGNEOKb AUTOS *oval' t Hop AUTOS { • • . .� MONOWIIlD ALMA r�• .. 5. Illlr PROPERTY DAMAGE 1 • QARAaE UAAn Ni y AUTO Ohs Y.FA ACCIOE i ANT wino I • OTHER Two AUTO OILY: —' I • , — • e.rrlAeenelr a • AOOI Il Ew-s a AMY Lowry oatUMYIaLLA FORM . , ANR�T fret t UTICA NAN VIER&LA ADIN •UTICAt E WOOIEWE YOA1PfME►710M ANO J STATUTORY yYAS • A Elkorw UAEN.m 4053066 11-01-02 11-01-03 EACHACGIOEM wonanow I X Ma. t 500.000 THE PMNEAMEXECNIVE CONCERN M MEAN LIMP . I M: R. PJ4L . • . ; - . 500,000 womb. • MEN WE.*ACM*Wane t 500.000 • I • ISEMPIPPME O191QArsrlarwr 111 I • I nNalera.terwsA/,nE.s REGION 4: 11202ND STREET GREELEY,CO 00632 THE CERTIFICATE HOLDER IS ALSO AN ADDITIONAL INSURED . • !MOULD ANY OP TIE AMC CEECIEEED POLAR, R A'ANCNED WORE OW COLORADO DEPT. OF TRANSPORTATION EPSNnc.DATE TMMlo., 1I!'MURIA OOMPNIV WILL ERwroR To NAIL 1402ND STREET 30 OAT.WPHnEA GREELEY,CO60032 � .ar�TD The w.T.cAn.eLPRINwlD 1IE tot' wt PARA/11 TO PAIL SUCH NOME SMALL mina NC OEUWTI OR(AMMO i E0I ISM TM! COWMAN 1111 AOprta 0l R5W4T AIR RDwi syl4 II I ROXANA BARTELS,AGENT 1NEIPMAANAY I'"TW4rIPOCCJRSCUIVT1i..�"•ra.-�y.uwy lA.YIEf,.t,RTASOM`>ft 1":1W b . TRI-STATE GENERATION AND TRANSMISSION ASSOCIATION, INC. kite HEADQUARTERS: P.O. BOX 33695 DENVER, COLORADO 80233-0695 303.452-6111 April 1,2003 Ms.Renee Crusha KECI Colorado, Inc. 5750 West Airport Road Sedalia, CO 80135 RE: I-25 Corridor Project Traffic Control Dear Ms. Crusha: Per our recent conversation, a Traffic Control Plan for the State of Colorado and Weld County is needed for a new transmission line Tri-State is building in the area of towns of Firestone, Frederick, and Dacono in Weld County. Traffic control is needed for wire stringing operations. The following is organized by importance and is also grouped to reflect the proposed stringing operations. The new transmission line will run north and south unless stated differently and will be on either the west side or east side of the road. A project map is enclosed. Stringing Operation Number 1 1. Crossing of State Highway 52 at Weld County Road(WCR) 11. Line to be located approximately 63 feet on the went side of WRC; 11. 2. Crossings WCR 16, 18 and 20.Line is to be located approximately 63 feet on the west side of WRC 11. 3. Crossing from west side to east side of WCR 11 at mile 20 1/2. This is at the access road to United Power's Substation. '/, ett/14 Owl• .S, EAf le 5/t/.Q Stringing Operation Number 2 4. Crossing WCR 11 at United Power's Dacono Substation, approximately XXX feet south of State Highway 52. Stringing Operation Number 3 5. Crossing of WCR 12 at WCR 11. The existing transmission line will be extended south across WCR 12. 6. Crossing of WCR 11 approximately 100 south of WCR 12. Stringing Operation Number 4 7. Crossing of WCR 10 with the line located approximately 63 feet to the west side of WCR 11. 8. Crossing of WCR 11 approximately 450 feet south of WCR 10. 9. Crossing of WCR 8 with the line located 63 feet east of WCR 11. Stringing Operation Number 5 10. Crossing of WCR 6 approximately quarter mile east of WCR 11. Stringing Operation Number 6 11. Crossing WCR 13 from United Power's Del Camino Substation to the east side of WCR 13. GOU/.L=PPORTUNITY.1 AFPNWATI1/47 A^TION HMO!nvin. CRAIG STATION ESCALANTE STATION NUCLA STATION P.O.BOX 1307 P.O.BO%077 P.O.COX os A Touchstone Energy Cooperativc CRAIG,CO 01004207 PREWITT,NM $7045 NUCLA.CO 81460698 �—. 770.t¢4W11 SOS•PC 2271 •79 101't.e rM Ms. Renee Crusha April 1,2003 Page 2 Stringing Operation Number 7 12. Crossing from the east to west side of WCR 13 just south of the St. Vrain River Bridge and north of WCR 26. Stringing Operation Number 8 13. Crossing of WCR 13 heading east with the line on the north side of WCR 26 to the Firestone Trail. This stringing operation will cross WCR 15 at WCR 26. Stringing Operation Number 9 i 14. Crossing of WCR 26 and WCR 15 at the Firestone Trail. • Stringing Operation Number 10 15. Crossing from the east side to the west side of WCR 13 at mile 20 1/2. Item 1 is a CDOT crossing. Items 3-9 are in the town of Dacono, but may also require Weld County approval of the plan. Items 3, 14 and 15 are in the Town of Firestone,but may also require Weld County approval of the plan. Items 2, 10-14 are in Weld County. Item 2 is also in the Town of Frederick. Please provide me with an estimate to develop the above plans. These will be paid for as soon as they are received. Also needed is your hourly rate for providing traffic control. Assume that each stringing operation will be one day or less. The actual stringing operations will be performed and coordinated by Dominion Construction. The schedule for stringing is between May and December of 2003. As I stated in our conversation, I need these plans as soon as possible. Sincerely,' ter JPD/dcm J. Patrick Dille Senior Engineer Enclosure cc: w/o enclosure Bryan Nordin Ron Greslin,Black &Veatch Mark Granger AN EQUAL OP?ORTNN(i!/AFFIRMATIVE A CT'DN EMPLO YIA A touchstone!_.nergyCooperative KttitA k. I )1 ''t, Ii A. 1 1) I +' I ' :>,. '.:1 \�. t: . li,'} ( •g_p t t� ySl�a '� 1 ` I I ) tl�fbtiV aww(,.t �1 � I 1 / l 1 , y4. t. 4/7 i � /S /I �+ ...▪ 1 <�1 (' 7C�1 t 9,I .,•__)j".,,,,,:-./, 4r ) ir" ` /li,,,-„fre:tft .i �F 1 rte[) fit:14�/i�_�l )�I*/y/Yk�'��" -- ST t� � w II i _ {( I `.f ( .t• - .. I., •\y •.,[r— .RRRRRR�I)''j ,,'• r • � 1 ,n- �� • Y 110 � lA l ( Y V 1 1y1a ?.,0, I• i I. r, ^_t aY f:7 + -P c if' , _�..,;...;>-- (1i x.• . - is\:.:,,,,-.-1, c A: ) � k }'I)\� IrD _ 11 4.�i)iF 1 �,)� \�^i r \, t.' ��j ` r ' l 1. { r.ir d 1 c f. ) ,r a-. 1 _ � � {,/�� r" :s3)i\k / 1f '.t�'A.t � + ��, y-;,,,--.-..;.,,,,!,...,::4._ ..,„,,. � .ti,?h)-z;•--}2 )' '7 .! ; � I ri t i r ` C :.--iii Tj1'\,.:4, v �'I 1}'24 7j,/ ‘ii..)▪ .-. "-„'cr.)> )) � � I � �� f .Fs .1:- I 1t ' i I. 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I" m' 454`4 ,ti-A:1-' '�Y ..t "��4-' t{i /�/ .i' 'rr1.�1 :f)l' ;. �j(r�.i . tiii.rict n l ` vfil u r . ( `J ' n- Ill fi 11, > « 1 1 '% — 4 lI / 61 J{� f is t--,,,:-;,.-1 ) �� .y,'�y l�( 3- xl�e I{� W __ ) '`FI IIi 6u0. 1 ' "- J ._ J�iJ artt('Jr'. 7 p et�ccr•,;•,,,,- •,..,,,..„•,,,,, ,•,,,,..4,1.,. .b , 4 'til lAlwa� x^ •n, +' -'il 'e`ti '•.,1 ' I 7.,1.47'21.11",1. 'i"f':f ' ..J « Le 1 �I�:Y T�T V ir 0 Tri-State Generation and Transmission 5000 I000o I-25 Corridor- 115kV Electric Transmission Lii Scale(It) w.111 d County,Cobndo I • Notes for Figure GH-'% 1 ypicui Application 27 Closure at FI.1. el Intersection Guidance: I. The situation depicted can he simplified by closing one or more of the intersection approaches. II'this cannot be done. and/or when capacity is a problem. through motor vehicle (raffle should be directed It, other roads or streets. 2. Depending on road user conditions. Ilaggerls) or uniformed law enli,lcemenl of icerls) should be used to direct road users within the intersection. Option: 3. ONE LANE ROAD Al HEAD signs may also he used ill pone ids adequate advance warning. 4. Flashing warning lights and/or (lags may be used to call :mention to the advance warning • signs., • S. For short-duration work npeouionc. the chrome lining devices may be eliminated if a vehicle displaying rotating lights or strobe lights is positioned in the work space. • 6. A BE PREPARED STOl'sign may he added to the sign series. Guidance: 7. When used. the f3E PREPARED 'IY> STOI'sign should be locoed before the Flagger symbol sign. Support: R. 'franc c:m he prohibited as required by motor vehicle traffic conditions. I tulesc the streets are wide. it may he physically impossible to make certain turns. especially for large vehicles. Standard: 9. Alt, gal vehicle ,In7.aril warning signals can be used In supplement the rotating lights or strobe lights. they shall not he used instead of rotating lights or strobe lights. set 1 S T R1AX Q ea-tio. �( rcoaa u: , Fl 5 Moot'• ad- E a `f b I' J. C r05-5/AN °l, dlak ,6C%chc�acl 5� G.: a JGJ /,�. E►�r� ��ud :.c.+' Coonh ac (WCR.)11• �.rne ,fie Joco.-kd W cyrprox 63'0A) u., s+ ,5rt. 03 cokC 1I, 5.. arp5,5 t ob La. C t? 1 of cc-F. t ucR l 1 • 7114- Xis±, aq 1 a nsr, � 35'o' Lira uAt �1�� b 2 X h.C,..R C S C,}- -t v+r f Q�5 (.fit' h I c,. . Crossuos WCIZ 11 approx 100 Sou+h aF WeI< I i q tOetIA A- ld� . �Drossi Weil-, � k it ( occ,.au1 D 13, T-4- 5-i r' ct °Fe rQ-ita a.?1 "-its d'°L Cross Dog 0-tc toCR IS h.?aolon.) e 1 to-4,h 4-k-t_ (7/12._ o k c.e. n WV R A1n fo - Frrestau-= 7rai HI' Ss'c ' Ct-05 o,r A Ck 04rar.o1 WCA 15 ad. NOTES: '_ 1-1i7 62 PR pared redj &Slop Tires+ T 'I 1.01-1-- Be placed cr - srt Flag j tint be 1 i-P nerel4d • . ii ' / A./AA yr - .._ Flay J4JR Vf 1. C' To.1.5 °//� Mat 1d+G)vAYu` 5t2 Ce t id -<-7-c- 4'Fici.E4)6 R9ccl -c•. Coc vty Roacr(WC&?11. kfheic. ke /oca4rd uppro 63'on, tkW .f zit.0i WRRC U. 5.. arp- , 06 caC R tam- z..m :•T'� ?XiIii$31 -I, fa'cis cr.•554o0lira IAN II bs ex+...,d.,,d s 1. ;Acr0Ss 44-1C--Pa la A. Grassi/0_5 oh I/JCR II approX 1006 �' I Oaf * S mi i /�tgAp wort tocw p tt),Y•h -f -e— [i110- 6 ',I1. !/ �7 grDssre ode R t T r � ,. 9� (or.,}ui G3 Pus-f 06 L.SC If a A V: 13 T4- 1Y1/04 op.ra_4a au ru a?ay r Cross tAx o= wCR ? 3 h- aol,/v2 -e ayS- Lvl R 1-A-t t n< irk- 4-ii--e_ /wrfl+ a1 `.\ i . we At, t - ties Trai/ \ V--A , 4i�6� (v, Cro5.JJJy o4 AX!R a4-a..�d WCR /5a= NOTES: neesfsn+-e Ti)ra Ai-& 11r'purer' lr� stop . t F1av 5iini°el i-PnerdxJ est l" t l OM MOM N. ei is s 1-7, - fuAX. f 30 m floc K) �i I ` #A MAXI. ,I II i A! II * 1 B Junaaieson Summit is: pace Aoorowd: $ 1<C C1 Colorado n c- 15750 W• Rigeote-r RD 1 Seos u A Co 8013S 1303 lei) 9,759 Jut fit; I Fax 303 Za1 38e 29 res NAME Umm: (• nct- c2115 ti rNt oescRtnnoN: Clest.re a-I. Siete Zotneef,o a — r-��(l��if OATS: O This WIT is in accomance wren me NNTCO. sueeaNTRACTGR: V KtoK COusj- Mid/!C 1 er„ilorara� .�.� l.Jl+i/E Lint.. !S he:AJ� �71YZJr.9 PRaECT: STRn.)6 OPERA-nos) (r!1°a` !'.dad one. . Secured TrQ, ..ce WILL Co•J-fi nu C ICS SIGNATURE: � � � COMPANY:Toy. VI dTG Q.3 NQ OMq 1. Dan: NOT TO SCALE Hello