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COLORADO DEPARTMENT OF TRANSPORTATION C -=Z CDOT Permit No. <br />~ <br />302098 <br />STATE HIGHWAY ACCESS PERMIT ~ ~ ~~ <br />-sl'n Stale Highway NdMp/Side <br />~ <br />347A/000.330/R <br />$l <br />Permit fee Date of transmittal Region/SedioNPatrol Local Juristlidion <br />100.00 08/27/2002 03/02/29 Montrose <br /> <br />The Permittee(s); Applicant; Ref No. 02-129 <br />Nick H. Gray Nick H. Gray <br />S84 65.30 Rd 584 65.30 Rd <br />Monvosz, CO 81401 Montrose, CO 81401 <br />970-249-9436 970-244-4436 <br />is hereby granted permission to have an access to the slate highway al the bcation noted below. The access shall be constructed, maintained and usetl In <br />accordance with this permit, including the Stale Nighway Access Code and any attachments, terms, wnditions and exhibits. This permit may be revoked <br />by tha issuing auNOriry if at any time the permi0ed access and its use violate any parts Of this permit. The issuing authority, the Depanmenl and tneir duly <br />appointed agents and employees shall b.: held harmless against any action for personal injury or property damage sustained by reason of the exercise of <br />the permi\. <br />Location: <br />On the right side of State Highway 347, dist:mce of 1680 feet of intersection US 50 and SF( 347. <br />Access to Provide Service to: <br />C ravel Pit(not to excced) ......................................................................................... 20 DHV J00.00°/ <br />Other terms and conditions: <br />• See Attached Pages 2 and 3 and Other Enclosures for Additional Terms and Conditions. <br />MUNICIPALITY OR COUNTY APPROVAL <br />Required only when the appropriate local authority retains issuing authority. <br />ay Date Title <br />(x) <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 permitte•! awess shall be coml,leted in accordance with the terms and conditions of the permit prior to <br />being used. <br />The permittee shall notify Dennis Washington with the Colorado Department of Transportation in FAOntrose at 970- <br />249-845'1 at least 48 hours prior to commencing construction within the State Highway right-ot-way. <br />The person signing as the permittee must be the owner or legal representative of the property served by the permitted access and have full authority to <br />accept the permit and its terms and conditions. <br />Pennittee I <br />~ Date <br />(~') <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 />By Date issue) Title <br />(x) ~ ~Q~~ Access Mamrger <br />Dopy "~istrihu(ion: RequiroB ~ Make copies yr necessary for Previous editions are ohsal °t°:ma may not be moo <br />1.Region Local Aulhonly Inspector CPOT Form d101 aga <br />2 Applicant MICE Patrd Tratrm Engineer <br />]Stall Acac-53 Sectmn <br />