Permit Application

Please click here to download a PDF version of the application. Once complete, email the application to permits@e-470.com. If you wish to complete the application electronically, please fill out and submit the form below. For questions, call (303)537-3733.

Required Items to Process E-470 Permits

Requirements may vary dependent on scope of work; requirements may be adjusted dependent on proposed work.

Competed Permit Application
Letter of Request from applicant and or permittee applying for an E-470 permit on letterhead (submitted on Permit Application form) that fully describes the nature of the proposed work/a scope of work (survey and construction). More detail provided the quicker turn around please include access, method, equipment, timeline of proposed work.
Insurance certificate naming E-470 Public Highway Authority as the Certificate Holder and satisfying the minimum coverage and requirements as listed under items 6(b) and 6(b)(v) on page 6 of the Standard Provisions for Permit Operator (SPPO) (PDF page 5 of 17) (for Contractor / Subcontractors).
Project area map (submitted on Permit Application form).
Permit Administrative Fee: $150 for Access Permit (surveying); $750 for Construction Permit (Administrative fee(s) not to exceed $750).
Traffic Control Plan (TCP)/Method of Handling Traffic (MHT) if 30’ within edge of pavement; affecting traffic; work done within E-470 Standards (submitted on Permit Application form).
Schedule Surveying, Construction, Bid, Award, NTP, etc. (submitted on Permit Application form).
Emergency contact list (submitted on Permit Application form).

Access Permit Application

Permit Type

Annual Access Permit - Pursuant to Agreement

Annual Access Permit - Other
Access Permit

Permit Applicant Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

Enter Email Confirm Email

Project Description*

Check all that apply.

Other

Facility

(type, size, class of transmitting, design pressure or potential, etc.)

Location

Station No.

City/Town

Milepost(s), Intersection

Additional Information

Permit Exhibits

Letter of Request*

Please include project description, emergency contact information and schedule.

Accepted file types: pdf, Max. file size: 40 MB.

Project Map

Please include access, survey area, potholing, locations, etc.

Accepted file types: pdf, Max. file size: 40 MB.

Insurance Certificate

Accepted file types: pdf, Max. file size: 40 MB.

Traffic Control Plan/Method of Handling Traffic

Accepted file types: pdf, Max. file size: 40 MB.

Acknowledgement

Permittee’s request to use and/or occupy the E-470 right-of-way/multi-use easement (the “E-470 Property”) as described above is granted subject to the terms and conditions of this Permit, including all of the Exhibits attached hereto. IT IS UNDERSTOOD that the Permittee shall accomplish all work at no expense to E-470 Public Highway Authority (the “Authority”) and shall own and maintain any and all facilities permitted. Permittee acknowledges that nothing herein shall be interpreted to grant Permittee an easement or any other interest in real property comprising the E-470 Property. Permittee hereby agrees to indemnify, defend, protect and save the Authority, its directors, officers, agents and employees harmless from and against any loss of and/or damage to E-470 Property, third parties and/or 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 use and/or occupation of E-470 Property by Permittee’s facilities or any plan thereof, including but not limited to installation, adjustment, relocation, maintenance, operation and/or removal of facilities, unless such loss and/or damage arises from the sole negligence or willful conduct of the Authority or its employees or agents. Failure by the Permittee to comply with any of the included terms and conditions may subject this Permit to suspension or cancellation, at the sole discretion of the Authority. No work shall be permitted that infringes on the mainline lanes and no traffic control devices shall be placed within two (2) feet from the outermost solid white line during the hours of 6 a.m. to 9 a.m. and 3 p.m. to 6 p. p. In accepting this Permit, the undersigned, representing the Permittee, represents 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. This Permit is not valid until fully endorsed by all parties, with the date of issue affixed by an authorized representative of the Authority. This Permit expires 120 days after issuance. A fully executed copy of this Permit must be on file at the E-470 Public Authority administrative office.

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