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,are Xwl. <br />CU 01121 <br />' <br />~~ R~ CEIVED • III ~- 363IBa6rE6 <br />( <br />'~~II~'y~I~~~ ~~~ <br />JAN 2 5 ~ggg <br />~iE-I~an,oAhEi~lerals~GeoioAw , <br />Received <br />• art _:') <br />1 :. P: ~ { .JJJ <br />.j[;:, <br />C;; ,n,lo Feld GitiCB <br />Divisic~ c~ PJl ~:rzis 3 Geology <br />DENVER OFFICE <br />PUBLIC FILE COPY <br />FI! E: ~1~-97-~gy <br />.SITE. S'fd,~ e C..,1.1~-( /', f <br />In order to faci li to ce companaes and <br />county ri qht-of-v~a y~'t7his appL Cation <br />...L.aS1~..L.lf-- . <br />Da [ <br />Name ul puny U(i loo tv~0ua1 <br />Name /Slgnatur• oI Rvyrafenlauva <br />i noividuala nentllnq to dig rn, or di9tutD, <br />must b¢ oompl ctetl prlo[ to sa10 actlvsty. <br />AoP>< ~8vcR~i <br />Adtl[C99 of ACCSv1[y <br />.1a~11co.0 ~g~ ~. <br />Company Address <br />/„S - loo ~ <br />Tolnphone Number <br />You w•t oentac! ~i(:~1 nn~..+ar ^! S(o5.8~ ~ ~ <br />14 Route bfor• ooat+oc n rorR on NSa project. '1'nt MOnI'vxuma CWniy Road <br />foreman, by au[no n ty of Re splutinn 111-95, atlopted oy the non[exuma County Dua td <br />of Comm[sa woe [s, hereby autnorfzes the above nametl applicant [n tl~u ~tppe ful lov.nq <br />U ncludt nq type and exact roan lucatlons) l~,-; .~,_Jt-tl ~"~~_--~ <br />` r~ ~~ <br />- --r>-}~t~-- - <br />PLZAeL ASZACJI A 8A9IC 91CLTCY OF CONSZRUCZZGN ACZIVITY•• <br />COaO)LZANCC wlTX Uw: Appl rant ahall at all times comply wltn all rules and <br />reg~lat tans of the Slate of Co lu wdn artd HonCetunul County in connection wi3n ouch <br />connt.r~oti~n, Installa[lon, yla clog ur use eu[ho[i :rd he re undo r. <br />APOLICN+Y' INSi CONFACT TXE UTILITY NOTI FiCATION CENTCH OF COLORADO AT <br />1-BUO-922-1VXl PRIOR TV DIGGING FOR UTil.l'SY NOTI F'ICHTION AND Lfx:A'1'1 ON. <br />ONE CALL TICKET' h'UNBER IG: <br />RL9: The <br />• DR <br />3750.00 par mile or 3•DS yar foot <br />• All applicants are oucou raged [O du Cnnstruc[iou as Ca[ from [he toad snuuldo[ <br />an pussl nl r. <br />• All applicants are re 9pOnsinlC [ur tRe clean up oC the county rxghl-v[-wey. <br />• Appl [cants shall immedia[oly repair and xen[o[r all disturbances of LAe roatl of <br />n qht-nt-vay to current county epeci lSCa [1 ons. Upon failure to do so the <br />county niay repair or re5[o [e and the appli rant shall De liable to, and owe, tn0 <br />county [or all reasonable costs and expenses Sncuc retl. <br />• No company or person Snell dig ln, or disturb, county ergot-oC-vay without <br />complying vlch flee abov¢. IC chore is a bona Clde ¢Ine rgency, said Company u[ <br />person shall deal with coo emergency in an appropriate manner and comply vitR <br />the aUUVe ptucadu[e on lire next workrnq day. <br />[ollo.+i nq (ens are in of Ceti Cor the current wlentla[ year: <br />ll'LSDxY: Xesiodntial Commercial: 3100.00 par location <br />• NSGN IlIDACT: <br />ROAD EREACY: Asphalt [wads: 31 ,000 .00 pnr location <br /> Gravel rua0s: 3 SDD .OD par loeatioe <br />• ROAD 80RL: Asphalt toads: 3 SD .00 par location <br /> Gravel roads: S 50 .00 par localSon <br />• A]1 vo rk pe rCOnned Cron shoulder oI cuatl [J Du[ tom of dlCCh: <br /> 3500.00 par mile OL 3.10 Der foot <br />• Iql[ ITffK7: <br />Bolcom of ditch lu R. O. w, Lence: 350.00 p.r loeati on <br />All cork pe rf ormcd from Dot tom of d itto to n. O. w. tenon: <br />1Yt6 <br />~; : <br />oo <br />o <br />~ <br /> ] <br />:o <br />~ <br />~ ~~ ~r~~ <br />]1 500.00 ^tiIC~ <br />u ].oaD.oD <br />5] 5.10 per [ooC x Ct. • <br />6) 5.05 per toot x ~ ft. <br />or <br />TOTAL DUE ANU PAYABLE: <br />3 C,raa~ A,~(~ <br />Sxgnat a Uistrr et Foteman Da [e <br />