2019-03-18_PERMIT FILE - M2018016 (9)

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COLORADO DEPARTMENT OF TRANSPORTATION CDOT Penh No. STATE HIGHWAY ACCESS PERMIT 117104 State Highway No/Mp/Side 070A/231.472/ Permit Fee Date of Transmittal Region/Section/Patrol/Name Local Jurisdiction $300.00 11/02/2018 1 /09/41 Richard Berger Clear Creek County The Permihe(s): „� /) The Applicant(s): Jame68 al xU� Fred Lantz Doug Mountain Ranch Fred Lantz 5695 N Strawberry Lane 13335 W.72nd Circle Castle Rock,Colorado 80108 Arvada,Colorado 80005 (303)771-3078 3038873714 is hereby granted permission to have an access to the state highway at the location noted below.The access shall be constricted,maintained and used In accordance with this permit,Including the State Highway Access Code and any attachments,terms,conditions and exhibits.This permit may be revoked by the Issuing Authority it at any time the permitted access and Its use violate any parts of this permtL The Issuing authority,the Department and their duly appointed agents and employees shall be held harmless against any action for personal Iniury or property damage sustained by reason of the exercise of the permit. Location: This Quarry is located on the west side of 1-70 Frontage Road,a distance of 2492 feet east of Mile Point 231 or MP 231.472 Access to Provide Service to: (Land Use Code) (Size) (units) 991 -Gravel Pit 155 ADT Additional Information: MUNICIPALITY OR COUNTY APPROVAL Required only when the appropriate local authority retains issuing authority. Signature Print Name Date Title _.-------------_-_- 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 Robert Williams Tanisha Alford with the Colorado Department of Transportation,at (303) 757-9882 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 the permit and its t s and conditions. P Print Name___ _--___---- - Date t /nE S H.PA s 1a,, , o o- I gnat re:(If applicable) Print Name Date This permit is not valid until signed by a duly authorized representative of the Department. COLORADO DEPARTMENT OF TRANSPORTATION_ Signs — Print Name Title Date(of issue) a�� ' - Copy Distribution: Requked: Make coples as necessary for. P&vlous editions are obsolete and may rwt be used 1.Region 3.Staff Access Section Local Authority Inspector Page 1 of 1 CDOT Form 0101 5/07 2Applk ent 4.Central Files MICE Patrol Traffic Engineer