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STATE OF COLORADO <br />DEPARTMENT OF TRANSPORTATION <br />June 19, 2001 <br />Randall Champion <br />Kerr & Son Trucking <br />PO Box 1496 <br />Buena Vista, CO 81211 <br />~~ .. <br />Please review the attached State Highway Access Permit (Form #101) and all enclosed attachments. <br />If you choose NOT to act on the pernlit, please return the permit unsigned. <br />If you wish to APPEAL the Terms and Conditions of the permit, please refer to the attached Form 101 <br />pages 2 & 3 for an explanation of the appeal procedures. <br />If you ACCEPT the petnlit and its Terms and Conditions, please sign and date the Access Permit <br />form on the line marked "PERMITTEE". Your signature confirms yolu agreement to all the <br />listed Terms and Conditions. <br />- Provide a check or money order made out to the jurisdiction named on the next line for the amount <br />due. <br />Payable to Colorado Dept of Transportation $100.00 <br />Make check or money order payable to Amount Due <br />- Retum all copies and attachments of the Access Permit along with your payment back to the <br />Colorado Department of Transportation at the address noted below, The Department will process <br />and retum to you a validated (signed and recorded) copy of your State Highway Access Permit. <br />If you fail to sign and return the attached Access Permit within 60 days of the date of this transmittai letter, <br />Colorado Department of Transportation will consider this permit Void. <br />You must obtain a Notice to Proceed. DO NOT begin any work within the State Right-of-Way without a <br />validated Access Permit and Notice To Proceed. Use of this permit without Transportation Department's <br />validation shall be considered a violation of State Law. <br />If you have any questions, please call: Melinda Nichols, 970-385-8360 <br />Return Access Permit and attachments to: Department of Transportation <br />3803 North Main Avenue, #100 <br />Durango, CO 81301 <br />The transmittal to you of the Access Permit form for your approval constitutes final action by [he Colorado <br />Department of Transportation pursuant to section 43-2-147 C. R. S., as amended. <br />CDOT Form #122 11/99 <br />