2015-03-23_PERMIT FILE - M2015011 ‎(10)‎

• Permit No: M2015011
• IBM Index Class Name: PERMIT FILE
• Doc Date: 3/23/2015
• Doc Name: Application 111
• From: Castle Rock Construction Company of Colorado LLC
• To: DRMS
• Email Name: ERR
• Email Name: TAK
• Media Type: D
• Archive: No

COLORADO DEPARTMENT OF TRANSPORTATION
STATE HIGHWAY ACCESS PERMIT
The Permittee(s);
Justin J. Rueb, Jr.
18358 County Road 25
Vona, CO 80861
719- 348 -5634
t ;uU t rerm,t No 415022
1 State Highway No /Mp /Side
70A/412.514 /R
on/Section/Patrol Local Jurisdiction
1 / 21- Seibert 11(it carson County
Applicant: Ref No.:
Castle Rock Construction Co LLC
Ralph Bell
6374 South Racine Circle
Centennial, CO 80111
303 -880 -1883
is hereby granted permission to have an access to the state highway at the location noted below. The access shall be constructed, maintained and used in
accordance with this permit, including the State Highway Access Code and any attachments, terns, conditions and exhibits. This permit may be revoked
by the issuing authority if at any time the permitted access and its use violate any parts of this permit. The issuing authority, the Department and their duly
appointed agents and employees shall be held harmless against any action for personal injury or property damage sustained by reason of the exercise of
the permit.
Location: The temporary construction access is to be located on 1 -70, a distance of 2,714 feet east of Mile Post 412 on the south/right
side.
Access to Provide Service to: (Larmd Use Code-) (Size or Count) (Units)
Temporary Construction Access for CDOT Project
Additional Information:
Temporary construction access for CDOT Project IM 0705 -079.
The access is to be removed by 04/01/2016.
MUNICIPALITY OR COUNTY APPROVAL
Required only when the appropriate local authority retains issuing authority.
Signature
Print Name
Title
Date
Upon the signing of this permit the permittee agrees to the terms and conditions and referenced attachments contained
herein. All construction shall be completed in an expeditious and safe manner and shall be finished within 45 days from
Initiation. The permitted access shall be completed in accordance with the terms and conditions of the permit prior to
being used.
The Permittee shall notify Bruce Barnett with the Colorado Department of Transportation in
Greeley, Colorado at (970) 381 -1742, at least 48 hours prior to commencing construction within the
State Highway right -of -way.
The person signing as the permittee must be the owner or legal representative of the property served by the permitted access and have full authority to
accept the permit and its terms and conditions
Perini ure
Print Name
Date
This permit is not valid until signed by a duly authorized representative of the Department.
COLORADO} DEPARTMENT OF TRANSPORTATION
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