Cdot Form 730 - Permission To Enter Property

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COLORADO DEPARTMENT OF TRANSPORTATION
Project Code: ____________________________________
PERMISSION TO ENTER PROPERTY
Project No:_______________________________________
Location:_________________________________________
Property Owner:__________________________________
Hwy No:____
Mile post or station:___________
Property
address/location:__________________________
The undersigned property owner, owner’s representative, or lessee hereby grants permission to the Colorado Department of Transportation, its
contractors, agents, and all others deemed necessary by the Department, to enter the property identified above and perform the following
activities:
DESCRIPTION OF WORK TO BE DONE
Perform preliminary land surveys, including; recovery of, and measurements to, horizontal and vertical survey marks;
topographic survey which includes the modeling of ground terrain and the measuring and mapping of physical
features; and the placement of temporary survey stakes.
Conduct preliminary environmental surveys to identify the presence of archaeological, historical, paleontological or
ecological resources, and perform noise or air quality measurements. These surveys may include the exterior
inspection of structures and buildings; the collection of chipped stone, biological, botanical, or fossil specimens; or
sampling of subsurface soil material.
Perform real estate appraisal, or other physical inspections necessary to review the property, including any
structures for possible acquisition.
Conduct soils or hydraulics investigation, including sampling and subsurface investigation, to determine drainage
characteristics, soil types or other geologic conditions or activity.
The use of hand tools, drill rig, supply truck, and other assigned vehicles are usually involved in the subsurface
investigation. CDOT and its authorized representatives may penetrate the land surface with equipment and
temporary installation of monitoring devices. No installation is allowed that would interfere with the use and
occupancy of the property by the Owner or any Lessee. Any installation of monitoring equipment or devices must
be removed within_______ months of the initial installation of such devices, unless other arrangements have been
made in writing between CDOT and the Property Owner.
To the extent that CDOT or its authorized representative modifies the surface of the land in any way, it shall
reasonably restore the land surface to the condition that existed prior to any such modification.
The attached exhibit depicts the area within the Owner’s property that CDOT and its authorized representatives are
entitled to enter, and if necessary, temporarily install monitoring equipment or devices.
Conditions requested by Owner:
Name (please print)
Permission granted by: (check one)
Signature
Date
Property owner
Home address (if lessee)
Phone
Property owner’s representative
(
)
Lessee
Owner’s home address
Work phone
(
)
Signature
Date
Permission received by: ___________________
Name & title (please print)
Department
Phone
(
)
Previous Editions are obsolete and may not be used
CDOT Form #730 7/11
Distribution: Region Right of Way (white)
Property Owner/Lessee (canary)
Region Environmental (pink)

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