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COLORA00 DEPARTMENT OF TRANSPORTA710N ~ `Z C,DOT Pemvt No. <br />STATE HIGHWAY ACCESS PERMIT ~ ~ 302098 <br />~ <br />G~ <br />~~ State Highway NdMp/Side <br />~ <br />347A/000.330/R <br />~~ <br />Pertnil fee Date of transmittal RegioMSedioNPatrd Lowl Jurisdiction <br />100.00 08/27%2002 03/0229 Montrose <br /> <br />The Permittee(s); Applicant; Ref No. 02-129 <br />Nick H. Gray Nick H. Gray <br />S84 65.30 Rd S84 65.30 Rd <br />Montrosz, CO 81401 Montrose, CO 81401 <br />970-249-9436 970-249-9436 <br />is hereby gramed permisspn to have an access to the state highway at the bcation rested below. Tne access shall be constructed, ma~mained and used In <br />accordance with this permit, includirg the State Highway Access Code and any attachments, terms, conditions and exhibits. This permit may be revoked <br />by the Issuytg authority if al auy Gme the permitted access and its use violate any parts Of this permit The issuing authority, the Department and their tluly <br />appointed agents and employees shall ba held harmless against any action for personal injury or property damage sustained by reason of the exerdse of <br />the permit. <br />Location: <br />On the right side of State Flighway 347, distance of 1680 feet of intersection US 50 and SH 347. <br />Access to Provide Service to: <br />Gravel l'it(notto uzceed) ......................................................................................... 20 D1iV J00.00% <br />Other terms and conditions: <br />• See Attache) Pages 2 and 3 and Other Enclosures for Additional Terms and Conditions. <br />MJNICIPALITY OR COUNTY APPROVAL <br />Required only when the appropriate local authority retains issuing authority. <br />6y Date Title <br />(X) <br />Upon [he signing of this permit the permittee agrees to lha 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 permitta.! access shall ba completed in accordance with the terms and conditions of the permit prior to <br />bt~ing used. <br />The perrttittee shall n.,tify Dennis Washington with the Colorado Department of Transportation in Montrose at 970- <br />249-8451 at least 48 hours prior to commencing construction within the State Highway right•oi-way. <br />The person signing as the permittee must be the ovmer or legal representative of the property served by the permitted access and nave roll authority co <br />accept the permit and its lerma and conditions. <br />Pertnittee f Date <br />(z) <br />r <br /> <br />This permit is not valid until signed by a duly authorized representative of the Department. <br />COLORADO DEPARTMENT OF TRANSPORTATION <br />6y Date issue) Title <br />(x) L' ~~~ Access Manager <br />Dopy ~tribwion; Requiro0: ~ Make copies a(necezsary for: Prevlouz atlitionz are o4somte :ma may hat De u>na <br />1.Region Local AuNOrity Inspeuor COOT Form N10~ a9B <br />2.Appkcant MTGE PaIrd TraK<Engmeer <br />7.Stalf Access Secban <br />