2010-07-07_PERMIT FILE - M2010048

• Permit No: M2010048
• IBM Index Class Name: PERMIT FILE
• Doc Date: 7/7/2010
• Doc Name: 111 Appl.
• From: CRCC
• To: DRMS
• Media Type: D
• Archive: No

Issuing authority application
COLORADO DEPARTMENT OF TRANSPORTATION acceptance date:
STATE HIGHWAY ACCESS PERMIT APPLICATION _
Instructions: - Contact the Colorado Department of Transportation (CDOT) or your local government to determine your issuing authority.
- Contact the issuing authority to determine what plans and other documents are required to be submitted with your application.
- Complete this forth (some questions may not apply to you) and attach all necessary documents and Submit it to the issuing authority.
PleaSe Print - Submit an application for each access affected.
Or type - if you have any questions contact the issuing authority.
For additional information see CDOTs Access Management website at htlD'J/wwM?.dot state co us/AccessPermitmlindex htm
1) Property owner (Permittee) 2) Applicant or Agent for permittee (if different from property owner)
Anthony & Stacy Vick Castle Rock Construction Company of CO, LLC
Street address Mailing address
37501 County Road 44.5 6374 S. Racine Circle
Hugo , CO 80821 719Phone-#743-2252 City, ate & zip Phone # (required)
City, state & zip Centennial, CO 80111 ]303-688-6611
E-mail address E-mail address if available
[e-mail]
3) Address of property to be served by permit (required)
Approximately Station 1289+00 Lt on SH 40/287
14) Legal description of property: if within jurisdictional limits of Municipality, city and/or County, which one?
ltovmship g
county subdivision block lot section
Ils
Lincoln
5) What State Highway are you requesting access from?
SH 40/287
7) How many feet is the proposed aaesss from the nearest rrnle post? ?Hcw many
1,100 feet§N S[]E W)from- mp 409 5,200
8) What is the approximate date you intend to begin construction?
7/5/2010
9) Check here if you are requesting a:
new access ©temporary access (duration anticipated: 16 months
change in access use removal of access
10) Provide existing property use
Agricultural
33
6) What side of the highway?
?N ?S [0] E [:] W
feet is the proposed access from the nearest cross street?
feet aN NS DE ?w) from: County Road 2R
[]improvement to existing access
oebcation of an existing access (provide detail)
11) Do you have knowledge of any State Highway access permits serving this property, or adjacent properties in which you have a property interest?
E]no []yes, if yes - what are the permit number(s) and provide copies: and/or, permit date:
property owner own or have any interests in any adjacent property?
12)Does the
Fro []yes, if yes - please describe:
13) Are there other existing or dedicated public streets, roads, highways or access easements bordering or within the property?
Ono Ayes, if yes - list them on your plans and indicate the proposed and existing access points.
14) If you are requesting agricultural field access - how many acres will the access serve?
10 Acres
15) If you are requesting commercial or industrial access please indicate the types and number of businesses and provide the floor area square footage of each.
business/land use square footage business square foota
if you are requesting residential developement access, what is the type (single family, apartment, townhouse) and number of units? number of units
h- number of units type
17) Provide the following vehicle count estimates for vehicles that will use the access. Leaving the property then returning is two counts.
Indicate if your counts are # of passeW cars and light trucks at peak tour volumes ; muro u?t tucks at peak hour
[]peak hour volumes or []average daily volumes. 0 220
# of single unit vehicles in excess of 30 ft. S of farm vehicles (fild equipment) Total count of all vehicle:
0 0 220
Previous editions are obsolete and may not be used
volumes
Page 1 of 2 COOT Form #137 01/10