2010-10-08_PERMIT FILE - M1977223

• Permit No: M1977223
• IBM Index Class Name: PERMIT FILE
• Doc Date: 10/8/2010
• Doc Name: Adequacy Review Response - AM01
• From: L J Development, Inc
• To: DRMS
• Type & Sequence: AM1
• Email Name: MAC
• Media Type: D
• Archive: No

COLORADO DEPARTMENT OF TRANSPORTATION Issuing authority application
STATE HIGHWAY ACCESS PERMIT APPLICATION acceptance date:
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 form (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 CDOT's Access Management website at hip://www.dol.state.co.us/AccessPermits/indox.htm
1) Property owner(Permittee) 2) Applicant or Agent for permittee (if different from property owner)
JBS FIVE RIVERS RANCH CATTLE FEEDING LLC PROPERTY OWNER IS THE APPLICANT
Street address Mailing address
2258 US HWY 50 SAME AS OWNER
City, stale & zip Phone # City, state & zip Phone # (required)
LAMAR, CO 81052 1 [phone] SAME AS OWNER SAME AS OWNER
E-mail address E-mail address if available
[e-mail] SAME AS OWNER
3) Address of property to be served by permit (required)
1540 County Road LL, Wiley, CO 81092
4) Legal description of property: If within jurisdictional limits of Municipality, city and/or County, which one?
county subdivision block lot soction townsh p range
PROWERS NONE NONE NONE 19 22 S 47 W
5) What State Highway are you requesting access from? 6) What side of the hi hway?
SH 287 ?N i5S E a W
7) How many feet is the proposed access from the nearest mile post? How many feet is the proposed access from the nearest cross street?
4565 feel N []S QE W) from: 85 2680 feet (IN S E ) tram: COUNTY ROAD LL
8) What is the approximate date you intend to begin construction?
12/13/2010
9) Check here if you are requesting a:
[]new access temporary access (duration anticipated: ) Qimprovement to existing access
change in access use removal of access 0elocation of an existing access (provide detail)
Iaj ID
10) Provide existing property use
GRAVEL PIT AND AGRICULTURAL
11) Do you have knowledge of any State Highway access permits serving this property, or adjacent properties in which you have a property interest?
Qno []yes, if yes - what are the permit number(s) and provide copies: andlor, permit date:
12) Does the property owner own or have any interests in any adjacent properly?
Ono Dyes, if yes . please describe:
13) Are there other existing or dedicated public streets, roads, highways or access easements bordering or within the property?
Ono ]yes, it 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?
NO
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.
b usinesslland use square footage business square footage
CONTINUE USE AS A GRAVEL PIT 174.6 AC

16) If you are requesting residential developement access, what is the type (single family, apartment, townhouse) and number of units?
type number of units type number of units

17) Provide the following vehicle count estimates for vehicles that will use the access. Leaving fife property then returning is two counts.
Indicate if your counts are It of passongor cars and tight (rucks at poak hour votumor. a of mu%i unit trucks al pock hour votumos
ak hour volumes or Qaverage daily volumes. 4 10
ngfe una vehisbos in excess of 30 h.
Ei of farm vehicle. (field eq*meri) Total count of all vehicles
2 16
Previous editions are obsolete and may not be used Page 1 of 2 CDOT Form #137 01110
is 4Z S, nl'r %c e.