2015-01-23_PERMIT FILE - P2015001 (2)

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, / "i='V 0 /.,Y, // Previous editions are obsolete and may not be used Page 1 of 2 CDOT Form '137 01 10 COLORADO DEPARTMENT OF ANSPORTATION Issuing authority application STATE HIGHWAY AC ESS PERMIT APPLICATION acceptance date: Instructions: Contact the Colori Contact the issuin Jo Department of Transportation (CDOT) or yo r local govemment to determine your issuing authority. Complete this for authority to determine what plans and other d (some questions may not apply to you) and cuments are required to be submitted with your application. Please print Submit an applica a on for each access affected. ach all necessary documents and Submit it to the issuing authority, or type If you have any qu stions contact the issuing authority. - For additional infor nation see CDOT -s Access Management webs a at http://www.dot.state.co.us/AccessPprmits/index.htm 1) Property owner (Permittee) The Eureka Mining Compan i 2) Applicant L.LC or Agent for permittee (if different from property owner) , n/a Sheet address ress Mailing ad 481 S Sand Trap Lane City, state & zip Pueblo West, CO 81007 Phone # 719 -547 -3838 City, state & zip Phone # (required) - -- -- E -mail - address j l f i net9 comca s t .net - - •— -- -' - i E -mail add ess if available 3) Address of property to be served by permit (required) Mineral Lode Claim Fossil, East side of Independance Pass NW of E hairpin curve on Hwy 82 4) Legal description of property: If within jurisdictional limits of Municipality. city andlor Coun . which one? county I Suodivision Lake n/a b!CCk Wt ection to'.vnsh,p range n/a n/a 3 i1S 82W 5) What State Highway are you requesting access from? - ? -- hat same f the highway. Colorado Highway 82 f6) N S E ■ W ❑ ❑ 7) How many feet is the proposed access from he nearest mile post? How many feet is the proposed access from the nearest cross street? 6,366 feet QN SQE WW) if m:_MM 67 n/a feet N n/a - - -- ❑S [�E QW) from:_ 8) What is the approximate date you intend to "gin construction? - 6/15/2015 - - - - -- - -- 9) Check here if you are requesting a: ® new access Otemporary access (d ration anticipated: j improvement to existing access change in access use ❑removal of access O'elocation of an existing access (provide detail) - 10) Provide existing property use Patented /Unpatented lode claims 620 acres in total. Access road to core dril site area. 11) Do you have knowledge of any State Highy Ono [Dyes, if yes - what are th ay access permits serving this property, or adjacent properties in which you have a property interest? number(s) permit and provide copies: andlor, permit date: 12) Does the property owner own or have any ir terests in any adjacent property? r7-no D yes, if yes - Please des ribe: Multiple recorded mineral lode claims. Eureka Mine 32 claims. 13) Are there other existing or dedicated public streets, roads, highways or access easements bordering or within the property? Q no [3 yes, if yes - list them or your plans and indicate the proposed and existing access points. - how many acres will the access serve? 14) If you are requesting agricultural field acre n/a 15) If you are requesting commercial or industri 31 access please indicate the types and number of businesses and provide the floor area square footage of each. businessAand use square footage business square footage gill site. Operational 6-F weeks 2.500 Access road to drill site 79,683 16) If you are requesting residential developem - nt access. what is the type (single family, apartment, townhouse i and number of units? type number of units type number of units n/a j ( I n/a 17) Provide the following vehicle count estimat s for vehicles that will use the access. Leaving he property then returning is two counts. Indicate if your counts are Or of Passenger cars and 14)hl tn,ckS at peak hour V&Wnes # of mum unit trucks al peak hour volumes peak hour volumes or average daily volu es. 2 1 # of tarn vehr. - ,Held equipment) Total count of all vehicles d of siegle unit venues in excess of 30 h. Previous editions are obsolete and may not be used Page 1 of 2 CDOT Form '137 01 10