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...r~~ru;uv utPARTMENT OF TRANSPORTATION <br />ST~i:TE HIGHWAY ACCESS PERMIT <br />206063 <br />State Highway No/Mp/Side <br />~OA/274.300/L <br />Permit fee Date of transmittal RegioNSectioNPatrol Local Jurisdiction <br />300.00 06!01!2006 02{04165 Fremont County <br /> <br />The Permittee(s); ~,~~~t~c°Ufy,~~~ Applicant; Ref No. 3041 <br />~ <br />Ed. H. Norden ,~ <br />' ~` 9ro `~„srt Bill Williams <br />~ <br />° <br />. 2 <br />Fremont County Road and Bridge '` <br />Nj Larsen Colorado, LLC <br />~ <br />g <br />1170 Phelps Ave. ~,~ ~ <br />A. w} PO Box 670 <br />~ -~r~ <br />CO 81212 ~ <br />Canon Cit <br />~~~ <br />Penr <br />e <br />CO 81240 <br />"J <br />y, <br />:= <br />,,~,c~. <br />, <br />os <br />Y <br />719-276-7320 '~'^; `'t <br />~` 719-240-1533 <br />~ <br />is hereby granted permission to have an access to the state highvia~ itll n noted below. The access sfiall be constructed, maintained and used in <br />accordance with this permd, including the State Highway Access Code and any attachments, terms, conditions and exhibds. This pennd may be revoked <br />by the issuing authority if at any time the permitted access and its use violate any parts of this permit. The issuing authority, the Department and their duly <br />appointed agents and employees shall be held harmtess againsl any action for personal "mjury or property damage sustained by reason of the exercise of <br />the ermd. ~' 1' IF C <br />Location: ,a` /~ <br />~ <br />At County Road 69, . ~' ~ ~p6 <br />j ~(~ 0 ~ <br /> <br />Access to Provide Service to: ' ` S <br />a~•c ,~ <br />t <br />Gravel Pit/Mining Quarry .........:................................................................. 175 Acres 50.00 % `oS ~ ` ~.~, <br />Single-Family Detached Housing ..............................».....»....................»..... 10 Each 40.00 % ~` Z <br />County Road .................................................................................................. 1 Each 10.00 <br />Other terms and conditions: <br />* See Attached Pages 2 and 3 and Other Enclosures for Additional Terms and Conditions. ~~ <br />~~~/06 <br />MUNICIPALITY OR COUNTY APPROVAL <br />Required only when the appropriate local authority retains issuing authority. <br />6y Date Tltle <br />(X) <br />Upon the signing of this permft 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 permitted access shall be completed in accordance with the terms and conditions of the permit priorto <br />being used. <br />The permittee shall notify Todd Ausbun with the Colorado Department of Transportation in Pueblo at 7195465758 <br />at least 48 hours prior to commencing construction within the State Highway right-of-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 authordy to <br />accept the permit and its terms and conditions. <br />Permittee ~// Date rf 't <br />doabc, LAA$ vtrJ eat Fo/J <br />~O.rtrr/ss.QJER <br />Na.ZOtr~, GM. <br />, <br />, <br />Tlilapermit is not valid until signed by a duty authorized representative of the Department. <br />COLORADO DEPARTMENT OF TRANSPORTATION <br />i f <br /> <br />~ <br />~ <br />Date (ot issue) <br />U ~ ~ ~ ~ ~ <br />Tdle <br />Access Manager <br />(X) <br />~ ~ LP ~ <br />~y Distribution: Required: ~ Make copies as necessary tor: Previous editions are obsolete and may not be used <br />i.Region Local Authonry Inspector CDOT Form #101 al98 <br />2Applicanl MICE Patrol TraRc Engineer <br />3.51aft Access Section <br />