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COLORADO DEPARTMENT OF TRANSPORTATION CDOT Permit No. <br />STATE HIGHWAY ACCESS PERMIT 103039 <br />State Highway No/Mp/Side <br />119A/001.190lR <br />Permit fee Date of transmidal Region/SectlonlPatrol Locai Judsdictlon <br />100.00 05/14/2003 01/05/37 Gil in County <br /> <br />The Permittee(s); Applicant; <br />Phil Wolf Alex Ariniello <br />P.O. Box 16804 LSC Transportation Consultants, lnc <br />Golden, CO 80402 _ 1889 York Street <br />303-931-9096 Denver, CO 80206 <br />303-333-1105 <br />Is hereby granted permission to have an access to the state highway at fhe loption noted below. The access shall be constructed, maintained and used in <br />accordance with this pertNt, including the State Highway Access Code and any attachments, terms, conditlons and exhibits. This permit maybe revoked <br />by the Issuing authority H at any time the permitted access and Its use violate any parts of this permit The issuing authodty, the Deparbnent and their duly <br />appointed agents and employees shall be held harmless against any action for personal injury or property damage sustained by reason of the exercise of <br />the ertniL <br />Location: <br />Tttis corlimercial access is located on the East side of State Highway 119 a distance of 1000 feet North of Mile Point 1 or Mile Point <br />1.190. <br />Access to Provide Service to: <br />Surface Mining Operation .......................................................:...................... 800 Acres 100.00 <br />Other terms and conditions: <br />* See Attached Pages 2 and 3 and Other Enclosures for AdditioDal Terms and Conditions. <br /> <br />MUNICIPALITY OR COUNTY APPROVAL <br />Required o ly when the appropriate local authority retains issuing authority. <br />ey Dale Title <br />(x) <br />Upon the si ning of this permit the permitiee 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 permittee shall notify Oueda Marshall {h the Colorado Department of Transportation in Aurora, CO at 303- <br />757-91 st 48 hours prior to co encing construction within the State Highway right-of-way. <br />The rs sl as the pertnittee must be owner or legal representative of the property served by the pemrltted access and have full authority to <br />ac pt a ermi d its terms and conditi <br />erm tt <br />( Date <br />r <br />This ermit is not valid until signed by a du uthorized representative of the' D a <br />COLORADO , EPARTMENT OF TRAN O TATION <br />By !' D e (of issue) Title <br />( Access Manager <br />Copy Distribueon: "~ RequiielY Make copies as necessary for. Previous editions are obsolete and may not be used <br />t.Ra n Local Authority Inspector CDOT Form #107 glee <br />2Appliwnt MICE Patrol Traffic Engineer <br />3.StaffACCess Section <br />