2022-01-11_PERMIT FILE - M2022002 ‎(2)‎

• Permit No: M2022002
• IBM Index Class Name: Permit File
• Doc Date: 1/11/2022
• Doc Name: Application
• From: ACA Products, Inc
• To: DRMS
• Email Name: DMC
• Email Name: THM
• Email Name: AWA
• Media Type: D
• Archive: No

DocuSign Envelope ID:50C3C7EO-46A2-4191-9BE7-185F31 1 AC58B
COLORADO DEPARTMENT OF TRANSPORTATION CDOT Permit No.
STATE HIGHWAY ACCESS PERMIT 520022
State Highway No/Mp/Side
050A/212.62/Left
Permit Fee 7Date of Transmittal Region/Section/Patrol/Name Local Jurisdiction
$300.00 5/07/17 Chaffee County
The Permittee(s): The Applicant(s):
Blake Bennetts
Frank Holman ACA Products, Inc.
14110 CR 140 PO Box 1887
Salida, Colorado 81201 Buena Vista, Colorado 81211
[phone] [phone]
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,terms,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: Access to be located on the North side of State Highway 050, a distance of approximately 3274 feet East from Milepost 212.
Access to Provide Service to: (Land Use Code) (Size) (Units)
991 -Gravel Pit 191.98 Acres
Additional Information:
*See attached pages 2-3 of Form 101, and all other attachments,enclosures, and exhibits for additional terms and conditions.
MUNICIPALITY OR COUNTY APPROVAL
Required only when the appropriate local authority retains issuing authority.
Signature Print Name Date Title
N/A
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 contact Shay Hatch with the Colorado Department of Transportation, at [phone] to
schedule a pre-construction inspection at least 5 days prior to desired construction start date.
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.
Pe itte^e,SiTt rp a Print Name Date
44tt9YWll�il Frank Holman 6/1/2020 1 5:35 PM MDT
Applicant, _ igna ure Print Name Date
NALL 6" i Blake Bennetts 5/27/2020 1 9:59 AM PDT
This permit is not valid until signed by a duly authorized representative of the Department.
DEPARTMENT OF TRANSPORTATION
M "1 Print Name Title Date(of issue)
vu1Avu Julie Constan 6/4/2020 1 1:56 PM MDT
Copy Distribution: Required: Make copies as necessary for: Previous editions are obsolete and may not be used
1.Region 3.Staff Access Section Local Authority Inspector Page 1 of 3 CDOT Form#101 5/07
2.Applicant 4.Central Files MTCE Patrol Traffic Engineer