2013-05-22_GENERAL DOCUMENTS - M2013018

• Permit No: M2013018
• IBM Index Class Name: General Documents
• Doc Date: 5/22/2013
• Doc Name: Weld County Access Permit
• From: Pine Bluffs Gravel
• To: DRMS
• Permit Index Doc Type: General Correspondence
• Media Type: D
• Archive: No

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WELD COUNTY ACCESS PERMIT
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Weld County Public Works Dept. fir' Phone: [phone]
1111 H Street After Hours: [phone]
P.O. Box 758 C4 Emergency Services: [phone] x 2700
Greeley, CO 80632 C)Q•� Inspection: [phone]
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Permit Number: AP13-00207
Issuance of this permit binds applicant and its contractors to all requirements,provisions,and ordinances of Weld County,Colorado.
Project Name: Harms Gravel Pit Access Expiration date: 12/05/2013
Applicant Information: Pronerty Owner Information:
Name: Janyce Harms Name:
Company: Janyce Harms Cojnpany:
Phone: [phone] Phone:
Email: [e-mail] Email:
Location: Proposed Use:
Access Is on WCR: 127 Tejnporary:
Nearest Intersection WCR: 124 &WCR: 127 Single Residential:
Distance From Intersection: 2640 Industrial:
Number of Existing Accesses: 1 Small Commercial:
Planning Process: Oil&Gas:
Laige Commercial:
Road Surface Type&Construction Information: Subdivision:
Road Surface: Gravel Field(Agricultural 0
Culvert Size&Type: Only)/Exempt:
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Start Date: Finish Date: 1 210 5/2 01 3
Materials to Construct Access: Gravel
Reguired Attached Documents Submitted: Access Pictures:
Traffic Control Plan: Certificate of Insurance: Yes Yes
A copy of this permit must be on site at all times during construction hours
Daily work hours are Monday through Friday DAYLIGHT to'/HOUR BEFORE DARK(applies to weekends If approved)
Approved MUTCD traffic control/warning devices are required before work begins and must remain until completion of work
Special Reguirements or Comments
The is a road maintenance aggreement for the gravel pit use of this access point.
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Approved by: Janet Carter,Weld County Public Worlds Date: 8/25/2013
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Print Date-Time: 8/25/2013 1:57:51PM Report ID: PW00008v002 Page 1 of 1
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