Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Right-of-Way Use and Construction Permit Application (temporary container placement)

  1. Note: If you need a permit for any purpose other than placing a dumpster, roll-off, or other temporary container in county right-of-way, please return to the previous page and follow instructions to complete the PDF application form.
  2. Disclaimer
    Information submitted on this form will be sent via unsecured email. To protect sensitive information, do not enter the following items or similar information on this form: Social Security numbers, driver’s license numbers, bank account information, routing numbers, credit card numbers, medical information, passport numbers, and passwords. Please review our privacy policy located at www.jeffco.us/privacy. By submitting this form, you acknowledge and accept the terms listed in the privacy policy.
  3. Applicant Information
  4. Dumpster / Roll-Off / Temporary Container Information
  5. When will the temporary container be at this location?
  6. Acknowledgment
    I (we) hereby agree to be bound by the provisions of this Permit under Jefferson County Regulatory Policy 8.3.1, the Jefferson County Transportation Design & Construction Manual, Land Development Regulation and Zoning Resolution, including grading, erosion and sediment controls, and that this Permit shall become invalid, if during the performance of the Work, a violation of the above occurs. Should a violation occur and corrective actions directed by Jefferson County not be performed, I (we) understand this Permit shall be deemed “Cancelled” and the corrective actions performed and/or all improvements removed by a Third Party at the Permit holder’s sole expense.
  7. Jefferson County, Colorado and the applicant agree to and approve the use of electronic signatures for purposes of this application and any permit(s) issued pursuant to this application. All use of electronic signatures shall be governed by the Uniform Electronic Transactions Act, C.R.S. §§24‐71.3‐101 to ‐121.
  8. Acknowledgment agreement *
    Do you agree to the above acknowledgment?
  9. Leave This Blank:

  10. This field is not part of the form submission.