COLORADO DEPARTMENT OF TRANSPORTATION
|COLORADO DEPARTMENT OF TRANSPORTATION |
|PROJECT SCOPING/CLEARANCE RECORD |
|Construction Project # |Project Code |PE Project # |PE Project Code |STIP # |
| | | | | |
| | | | | |
|Project Location |County |City |
| | | |
|Begin point |End point |Region Program Engineer |Region |
| | | | |
|Who requested this project? For what reason? |
| |
| |
|What is the proposed improvement/scope of work? (Note changes as project develops) |
| |
| |
|Phase descriptions: (see Procedural Directive 512.1 for further |Comments: |
|information/instructions) |1) The Form 1048a is to be used in conjunction with the Project |
|Phase I- |Development Manual. |
|Implementation to Statewide Transportation Improvement Program (STIP). As a |2) The Resident Engineer typically delegates project management |
|project is included in the STIP, these activities should be reviewed for scoping |responsibilities to other positions based on the type of project and |
|the project, identifying concerns and determining future budget requirements. |available expertise. |
|Phase II- |3) Documentation or activity sign-off date indicates clearance. All |
|Design Scoping Review (DSR) – Takes place in the year before Preliminary |certification boxes require concurrence before project may be |
|Engineering (PE) is budgeted or immediately when PE is budgeted, to re-evaluate |advertised. Use N/A if not applicable. |
|original scope. May be combined with pre-survey conference. |4) Blanks may be filled in a variety of ways. N/A = Not Applicable. |
|Phase III- |Check when item is completed. If activity is applicable, show date |
|Field Inspection Review (FIR) – Before or during the FIR, all project development |completed and initial. |
|and design needs identified in the scoping process must be resolved. The scope |Check “clear box as each activity is cleared. |
|should not be changed after the FIR. |5) ???=Not yet determinable. |
Activity
|Section 1 |Phase I |Phase II |Phase III |C |Certification/clearance |
|Scoping, budgeting and programming |Implementation to |Design Scoping |Field Inspection |L | |
| |STIP |Review |Review |E | |
| | | | |A | |
| | | | |R | |
| | | | | |Responsible party or|Documentation or |
| | | | | |reviewer |activity sign-off |
| | | | | | |date |
|Existing typical section | | | | | | |
|1.08 Field survey required Yes No | |Completed date | | |Region Survey | |
|Date requested: | | | | |Coordinator | |
| Design Data (Form 463a) | |Preliminary: |Final: | |Resident Engineer | |
| | |Date: |Date: | | | |
|1.10 Request for Design Exception (Form | | N/A | N/A | |Resident Engineer | |
|464a) (Attach to Form 463a) | |Applicable |Sent | | | |
|Project schedule prepared | | Yes No | Up-to-date | |Resident Engineer | |
| | |Date: |Date: | | | |
Page 1 of 6 CDOT Form 1048a 5/01
|Section 2 |Phase I |Phase II |Phase III |C |Certification/clearance |
|Environmental |Implementation to |Design Scoping |Field Inspection |L | |
| |STIP |Review |Review |E | |
| | | | |A | |
| | | | |R | |
| | | | | |Responsible party or|Documentation or |
| | | | | |reviewer |activity sign-off |
| | | | | | |date |
| |Yes No Check |Yes No Check |Status: | | |
|2.01 Route location approval | | | | |Region Planning / Environmental Manager |
|Major Intermediate certification | | | | |(shaded area below) |
|Minor Compliance (Form 128) | | | | | |
|2.02 Public involvement | | | | | |
|2.22 Landscaping | | | | | |
| | | | | |Responsible party or|Documentation or |
| | | | | |reviewer |activity sign-off |
| | | | | | |date |
| | | |Status: | | |
|3.01 Traffic data (Form 463a and title | |Available? | | |Resident Engineer | |
|sheet) | |Yes No | | | | |
|Request / analyze crash data | Yes No |Status: | | |Region Traffic | |
|Hazard index: | | | | | | |
|Request turning movements from | | Yes No | | |Resident Engineer | |
|DTD | | | | | | |
|Shown on the plans | | | | | | |
|Signal warrants | | | | |Region Traffic | |
|On file | | | | | | |
|3.05 Traffic movement diagram | | Requested | | |Resident Engineer | |
|Intersection layout req’d Yes No | |Requested | | | | |
|Interchange layout req’d Yes No | | | | | | |
|3.06 Intersection / interchange design |Required? |Required? | | |Resident Engineer | |
|Yes No | |Requested | | | | |
|3.07 Traffic signal plan | | Yes No | | |Project Traffic | |
| | | | | |Engineer | |
|3.08 Lighting plan | | Yes No | | |Resident Engineer | |
|Permanent signing and pavement | |Required? | | |Project Traffic | |
|marking | |Yes No | | |Engineer | |
|3.10 Construction traffic control plans | | Yes No | | |Project Traffic | |
|(signing, signals and pavement | | | | |Engineer | |
|marking) | | | | | | |
|Section 4 |Phase I |Phase II |Phase III |C |Certification/clearance |
|Structures |Implementation to |Design Scoping |Field Inspection |L | |
| |STIP |Review |Review |E | |
| | | | |A | |
| | | | |R | |
| | | | | |Responsible party or|Documentation or |
| | | | | |reviewer |activity sign-off |
| | | | | | |date |
| |Yes No Check |Yes No Check |Status: | | | |
|4.01 Major structure - bridge | | | | |Project Structural | |
| | | | | |Engineer | |
|4.02 Major structure --culvert | | | | |Project Structural | |
| | | | | |Engineer | |
|4.03 Major structure - unusual | | | | |Project Structural | |
| | | | | |Engineer | |
|4.04 Pedestrian overpass / underpass | | | | |Project Structural | |
| | | | | |Engineer | |
|4.05 Architectural / aesthetic treatment | | | | | | |
|4.07 Structure selection report | | | | |Project Structural | |
| | | | | |Engineer | |
|4.08 Retaining walls | | | | |Project Structural | |
| | | | | |Engineer | |
|4.09 Noise walls | | | | |Project Structural | |
| | | | | |Engineer | |
|4.10 Analysis of structures to be | | Req’d | | |Project Structural | |
|resurfaced | |Requested | | |Engineer | |
|4.11 Determine existing structural | |OK N/A Check | | |Project Structural | |
|adequacy | | | | |Engineer | |
|4.12 Crashworthy bridge rail | |OK N/A Check | | |Project Structural | |
| | | | | |Engineer | |
|4.13 Vertical clearance of structure | |OK N/A Check | | |Resident Engineer | |
Page 3 of 6 CDOT Form 1048a 5/01
|Section 5 |Phase I |Phase II |Phase III |C |Certification/clearance |
|Materials |Implementation to |Design Scoping |Field Inspection |L | |
| |STIP |Review |Review |E | |
| | | | |A | |
| | | | |R | |
| | | | | |Responsible party or|Documentation or |
| | | | | |reviewer |activity sign-off |
| | | | | | |date |
| | | |Status: | | | |
|5.01 Pavement analysis / distress |Type: |Type: |Type: | |Region Materials | |
| | | | | |Engineer | |
|Foundation investigation and | |Yes No Request |Status: | |Resident Engineer | |
|drilling | | | | | | |
|5.03 Geotechnical studies | |Yes No Request |Status: | |Geology Program | |
| | | | | | | |
|5.04 Pit option | |Yes No Check |Status: | |Resident Engineer | |
| | | | | | | |
|5.05 Pit reclamation requirements | | |Yes No Check | |Resident Engineer | |
|5.06 Pavement justification report | | |Status: | |Region Materials | |
| | | | | |Engineer | |
|Alternate pavement design | | |Status: | |Region Materials | |
|(life cycle cost analysis) | | | | |Engineer | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
|Section 6 |Phase I |Phase II |Phase III |C |Certification/clearance |
|Right of Way and Utilities |Implementation to |Design Scoping |Field Inspection |L | |
| |STIP |Review |Review |E | |
| | | | |A | |
| | | | |R | |
| | | | | |Responsible party or|Documentation or |
| | | | | |reviewer |activity sign-off |
| | | | | | |date |
|6.01 Right-of-way involvement |Yes No Type |Yes No Check |Status: | |ROW Manager | |
|Access control? | | | | | | |
|Easement acquisition required? | |# = | | | | |
|Relocation assistance | |# = | | | | |
|Trespass permit required? | |# = | | | | |
|Advertising signs (commercial) | |Type: | | | | |
|Illegal Legal | | | | | | |
|Existing easements | |Type: |Yes No # | | | |
|Identify | | | | | | |
|Clearance | | | | | | |
|6.02 Permits req’d to work on govt. |Yes No |Yes No Check |Status: | |Resident Engineer | |
|land |??? | | | | | |
|Forest Service | | | | | | |
|Bureau of Land Management | | | | | | |
|1. | | | | | | |
|2. | | | | | | |
| | | | | | | |
|6.03 Utility involvement |Yes No ???|Yes No Check |Status: | |Region Utility | |
|Existing utility easements? | |Status: | | |Engineer | |
|Visual inspection | |Date: | | | | |
|Request locates | | | | | | |
|Clearance | | |Yes No | | | |
|6.04 Railroad involvement |Yes No |Yes No Check |Status: | |Resident Engineer | |
|1. |??? | | | | | |
|2. | | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
Page 4 of 6 CDOT Form 1048a 5/01
|Section 7 |Phase I |Phase II |Phase III |C |Certification/clearance |
|Agreements, Justifications and Approvals |Implementation to |Design Scoping |Field Inspection |L | |
| |STIP |Review |Review |E | |
| | | | |A | |
| | | | |R | |
| | | | | |Responsible party or|Documentation or |
| | | | | |reviewer |activity sign-off |
| | | | | | |date |
|7.01 Safety rest areas |Yes No ???|Yes No Check |Status: | |Resident Engineer | |
| | | | | | | |
|7.02 Detour design |Yes No ???|Yes No Check |Status: | |Resident Engineer | |
| | | | | | | |
|7.03 Frontage road design |Yes No ???|Yes No Check |Status: | |Resident Engineer | |
| | | | | | | |
|Railroad design |Yes No ???|Yes No Check |Status: | |Resident Engineer | |
|RR company | | | | | | |
|RR flagging and insurance requirements | | | | | | |
|RR facilities | | | | | | |
|RR standards reviewed |Yes No | | | | | |
| |Yes No | | | | | |
|7.05 Airport / heliport clearances |Req’d ??? |Yes No Check |Status: | |Resident Engineer | |
| |Yes No | | | | | |
|7.06 Americans With Disabilities Act |Yes No |Yes No Check |Status: | |Resident Engineer | |
|standards |??? | | | | | |
| | | | | | | |
|Bicycle and pedestrian facilities |Yes No |Yes No Check |Status: | |Resident Engineer | |
|Standards reviewed |??? | | | | | |
| | | | | | | |
|7.08 Transit accommodations |Yes No |Yes No Check |Status: | |Resident Engineer | |
| |??? | | | | | |
| | | | | | | |
|Safety review | |Applicable |Status: | |Resident Engineer | |
|(including clear zone decisions) | |Yes No | | | | |
|7.10 Resurfacing project safety letter | | |Date: | |Resident Engineer | |
|7.11 Guardrail/ barrier design and | |Need ??? |Yes No Check | |Resident Engineer | |
|review | |Yes No | | | | |
|Hydraulic design | |Yes No Check |Status: | |Hydraulics Engineer | |
|Erosion control | | | | | | |
|Stormwater quality | | | | | | |
|management | | | | | | |
|Culverts other than Bid Items 617 | | | Justified | |Resident Engineer | |
|and 624 | | |Status: | | | |
|7.14 Climbing and passing lanes | |Yes No |Yes No Check | |Resident Engineer | |
| | |??? | | | | |
| | | | | | | |
|7.15 Stockpass and machine pass | |Yes No |Yes No Check | |Resident Engineer | |
| | |??? | | | | |
| | | | | | | |
|7.16 Alternate bids | |Yes No |Yes No Check | |Program Engineer | |
| | |??? | | | | |
| | | | | | | |
|7.17 Consolidated projects | | |Applicable | |Resident Engineer | |
| | | |Yes No | | | |
|Special provisions | | |Yes No Check | |Resident Engineer | |
|Reviewed by | | | | | | |
|7.19 Consultant selection and |Yes No |Yes No Check |Status: | |Agreements | |
|contracting process |??? | | | | | |
| | | | | | | |
|7.20 Entity agreement (local agency, |Yes No |Yes No Check |Status: | |Agreements | |
|intergovernmental, interagency, public, |??? | | | | | |
|private) | | | | | | |
|1. | | | | | | |
|2. | | | | | | |
|7.21 Irrigation company agreement |Yes No |Yes No Check |Status: | |Region Utility | |
|1. |??? | | | |Engineer | |
|2. | | | | | | |
Page 5 of 6 CDOT Form 1048a 5/01
|Section 8 |Phase I |Phase II |Phase III |C |Certification/clearance |
|General |Implementation to |Design Scoping |Field Inspection |L | |
| |STIP |Review |Review |E | |
| | | | |A | |
| | | | |R | |
| | | | | |Responsible party or|Documentation or |
| | | | | |reviewer |activity sign-off |
| | | | | | |date |
|8.01 Force account and FIPI |Yes No |Yes No Check |Yes No Date | |Region Program | |
|(Form 895) |??? | | | |Engineer | |
| | | | | | | |
|8.02 Method of construction |Yes No |Yes No Check |Yes No Date | |Resident Engineer | |
| |??? | | | | | |
| | | | | | | |
|8.03 Work by others (with federal aid) |Yes No |Yes No Check |Yes No Date | |Resident Engineer | |
| |??? | | | | | |
| | | | | | | |
|8.04 Work by state forces |Yes No |Yes No Check |Yes No Date | |Resident Engineer | |
| |??? | | | | | |
| | | | | | | |
|8.05 Value Engineering | |Yes No Check |Yes No N/A | |Resident Engineer | |
|Stage construction | |Yes No Check |Yes No Check | |Resident Engineer | |
|(future capacity considerations) | | | | | | |
|8.07 Experimental items | |Yes No Check |Yes No Date | |Region Program | |
| | | | | |Engineer | |
|8.08 Mandatory source of materials | |Yes No Check |Yes No Date | |Resident Engineer | |
| | | | | | | |
|8.09 Design Scoping Review | |Date: | | |Resident Engineer | |
|Field Inspection Review | | |Date(s): | |Resident Engineer | |
|Combined FIR/FOR | | | | | | |
|8.11 Design Office Review | | |Date(s): | |Resident Engineer | |
|8.12 **Final Office Review | | |Date(s): | |Resident Engineer | |
|Design decision letter | |Date(s): |Date(s): | |Resident Engineer | |
|Applicable Yes No | | | | | | |
|8.14 Disposal of excess materials off project| | |Yes No Date | |Resident Engineer | |
|site | | | | | | |
|8.15 Use of materials furnished by a public | | |Yes No Date | |Region Program | |
|agency | | | | |Engineer | |
|8.16 Propriety items | | |Yes No Date | |Region Program | |
| | | | | |Engineer | |
|**On-the-job trainee approval | | |Yes No Date | |Region EEO/Civil | |
|Force account | | | | |Rights Specialist | |
|Special reviewed | | | | | | |
|**Disadvantaged Business | | |Yes No Status | |Region EEO/Civil | |
|Enterprise goals | | | | |Rights Specialist | |
|8.19 **Project control data (Form 859a) | | |Status: | |Region Program | |
| | | | | |Engineer | |
|8.20 **PS&E approval | | |Date: | |Resident Engineer | |
| | | |Date: | | | |
|**Federal-aid program data (Form | | | | |OFMB | |
|418) | | | | | | |
|8.22 **Bid package reviewed | | |Date: | |Resident Engineer | |
|Region FHWA | | | | | | |
|8.23 **Advertisement | | | | |Resident Engineer | |
|8.24 **PS&E revisions under ad | | |Date: | |Resident Engineer | |
|Approved Yes No | | | | | | |
| **Re-advertisement | | | | |Region Program | |
| | | | | |Engineer | |
|**Estimate Review by Eng. | | | | |Engineer Estimating | |
|Estimating | | | | | | |
**Report status in Phase III column, activity usually falls after FIR. Page 6 of 6 CDOT Form 1048a 5/01
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