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COLORADO DEPARTMENT OF TRANSPORTATION CDOT Pertnit No. <br /> STATE HIGHWAY ACCESS PERMIT 321125 <br /> State Highway No/Mp/Side <br /> 024A/178.141 /Right <br /> Permit Fee Date of Transmittal Region/Sedi�/Patroi/Name LOCaI JurisdiCtiOn <br /> $100.00 12/17/2021 3/02/2M22 Brett Major Leadville <br /> The Permittee(s): The Applicant(s): <br /> Gary Knippa <br /> 33084 Bergen Mountain Rd. <br /> Evergreen,Colorado 80439 <br /> is hereby granted pertnission to have an access to the state h�ghway at the loca6on noted below.The access shall be constructed,maintained and used in <br /> accordance witfi this permit,induding the State Highway Access Code and any attachments,tertns,condiUons and exhibits.This pertnit may be revoked <br /> by the Issuing Authority if at any Ume the pertnitted access and its use violate any parts of this pertnit The issuing authority,the Department and their duly <br /> appoiMed agents and employees shall be held hartnless against any adion for personal injury or property damage sustained by reason of the exerase of <br /> the �t. <br /> Location: Located on the north side of Hwy 024 A approximately 740 feet west of MP 178 and aligning with county road <br /> 23A on the south side of the highway. <br /> Access to Provide Service to: ���a u�e coae� (s��> (U�u) <br /> 1091 -Gravel Pit 76 DHV <br /> Additional Information: There shall be no more than four trucks entering or four trucks exiting the access in a 60-minute <br /> period. <br /> MUNICIPALITY OR COUNTY APPROVAL <br /> Required only when the appropriate local authority retains issuing authority. <br /> Signature Print Name Date Title <br /> Upon the signing of this permit the permittee agrees to the terms and conditions and referenced attachments contained <br /> herein.All construction shall be completed in an expeditious and safe manner and shall be finished within 45 days from <br /> Initiation.The permitted access shall be completed in accordance with the terms and conditions of the permit prior to <br /> being used. <br /> The permitbee shall notify Floyd Strader 2M3 with the Colorado Department of Transportation,at (719)427-0420 at <br /> least 48 hours prior to commencing construction within the State Highway right-of-way. <br /> The person signing as lhe pertnittee must be the owner or legal representa6ve of the properly served by the pertnitted aocess and have full authoriry to <br /> accept the permit and its tertns and condiUons. <br /> Permittee Signature: Print Name Date <br /> Co-Permittee Signature:(if applicable) Print Name Date <br /> This permit is not valid until signed by a duly authorized representative of the Department. <br /> COLORADO DEPARTMENT OF TRANSPORTATION <br /> S�gnature Pnnt Name Title Date(of iss�) <br /> Copy Dlstributlon: Reqwred: Make copies as necessary for Prevlous edlUons are obsolete and may not be used <br /> 1.Region 3.Staff Access Sedion Local Authority Inspedor Page 1 of 3 CDOT Form N101 5107 <br /> 2.Applicant 4 Central Files MTCE PaVol Traific Engineer <br />