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Revision Date: 1/2812008 <br />? Cheyenne Plains Gas Pipeline Co. <br />Colorado Interstate Gas Co. GAS <br />? El Paso Natural Gas Co. <br />? Mojave Pipeline Operating Co. <br />Wyoming Interstate Company <br />Permit Requested by Wester Gravel. LLC. <br />Name Benton Jensen <br />Address P.O. Box 808. Meeker. CO 81641 <br />Phone (970) 878-5564 <br />rwr??a4t?a.a.ua. rsw.aas, <br />Your gas company representative is Big Siersma cell (435) 8784)094 Phone (Collect Calls Accepted) <br />. elpaso <br />ENCROACHMENT LOCATION <br />SECTION: 1 TOWNSHIP: IN RANGE: 97W COUNTY: Rio Blanco ST: CO PM: 6th <br />LATITUDE.- LONGITUDE: LENGTH: STATION NO: <br /> Approx: 123 28+94 <br />LINE UST NO.: 155A 1 - 26 ROW WIDTH: 50' ALIGNMENT SHEET <br /> NO.: 155A - 26 <br />ENCROACHMENT DESCRIPTION <br />Construction of a roadway which crosses CIG's 155A-2(r pipeline. CIG requires a minimum 6 feet of cover over the pipeline and roadway must cross as <br />0 <br />dose to 90 <br />as possible. Cover was determined per standard highway weight requirements. CIG pipeline must be potholed to verify depth at road <br />crossing. <br />One Call number for your area is 14 800) 922 -1987 or 811 <br />COLORADO INTERSTATE GAS COMPANY ('Grantor) hereby grants a permit to install. maintain and operate the above-referenced encroachment <br />facilities ('Permitted Facility) on the above-referenced Company easement or other property (`the Property')- This permit is granted subject to the terms, <br />requirements, and conditions shown below and strictly in accordance with the general requirements and item(s) Special Provisions - Page 3 <br />of the encroachment specifications shown on the following page(s). <br />DAMAGE PREVENTION: Permittee agrees that it shag not begin <br />construction upon and along the Property until Permittee fast provides <br />Grantor with plans and specifications and until such plans and <br />specifications have been approved by Grantor. Permittee further agrees <br />to contact the following the statewide associations (One Calf) within its <br />area at least two working days prior to the commencement of <br />construction on the property. Such construction shag be made only when <br />a representative of Grantor is . present at the tirrme and place of <br />construction. The instructions of such representative refatJirhg to the <br />safety of the pipelines or other facilities of Grantor shall be followed by <br />the Permittee, its agents and employees. Any damage done to Grantor's <br />facilities incurred due to Pennittee's failure to adhere to the state 'CALL <br />BEFORE YOU DIG' law, or incurred during constnrction of the <br />Permitted Facility, shag be paid for or repaired at the expense of the <br />Permittee. -111% <br />This Permit shall vocable in Oxy6vent of noncornphance of any <br />terms, requi ts, coNitions, specifications hereof upon written <br />notice given to Ftermittai4 and /or owner of record. <br />COMPANY: <br />INDEMNIFICATION: Per i tee covenants and agrees to at all times <br />pnotect, indemnify, hold harmless, and defend Grantor, its officers. <br />agents or employees, from any liability or expense, including attorneys' <br />fees, arising from claims asserted by any person or persons for personal <br />injuries, death or property damage including but not limited to employees <br />of the Pemmittee or its contractors, subcontractors or their employees, <br />arising from or growing out of the construction, existence, maintenance. <br />operation or removal of the Permitted Fadffty. <br />ENVIRONMENTAL AND SAFETY LAWS: Permittee shag comply with <br />all federal, state, and local laws. rules and regulations, agency policies, <br />guidance documents or common law including, but not limited to, those <br />related to safety or pollution or protection of the public health and the <br />environment that govern the emission, discharge. release, manufacture, <br />Processing, distribution, use, treatrmert, handling, storage, disposal. or <br />transportation of hazardous or non-tazardous substances, materials, <br />pollutants. contaminants, chemicals, and/or waste. <br />BY: <br />GRANTOR <br />/b <br />I acknowledge that I am authorized to execute this Encroachment Permit <br />for the above stated entity and that I have carefully read the <br />requirernerrts, terms and conditions of this Permit 1 also understand the <br />provisions and prescribed penalties as provided under the laws <br />regarding excavation. <br />By: j <br />PERMITTEE