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COLORADO DEPARTMENT OF TRANSPORTATION <br /> <br />STATE'HIGHWAY ACCESS PERMIT APPLICATION Issuing authority application <br />acceptance date: <br />Instructions: Contact the Colorado Department of Transportation (CDOT) or your local government to determine your issuing authority <br />. <br />Contact the issuing authority to determine what plans and other documents are required to be submitted with your application. <br />Complete this form (some questions may not apply to <br />ou) and <br />tt <br />h <br />ll <br />y <br />a <br />ac <br />a <br />necessary documents and Submit it to the issuing authority. <br />P!@aS@ r/pl <br />P Submit an application for each access affected. <br />Or type It you have any questions contact the issuing authority. <br />For additional information see CDOT's Access Management website at htlogA M W dot state co us/AccessPermlts/index htm <br />1) Property owner (Permittee) 2) Applicant or Agent for pernittee (it different from property owner) <br />JBS FIVE RIVERS RANCH CATTLE FEEDING LLC PROPERTY OWNER IS THE APPLICANT <br />Street address Mailing address <br />2258 US HWY 50 SAME AS OWNER <br />City, state 8 zip Phone # <br />LAMAR, CO 81052 (719) 829-4841 City, state 8 zip Phone # (required) <br />SAME AS OWNER SAME AS OWNER <br />E-mail address <br />Thane.Milenski@jbssa.com E-mail address if available <br />SAME AS OWNER <br />3) Address of property to be served by permit (required) <br />1540 County Road LL, Wiley, CO 81092 <br />4) Legal description of property: If within jurisdictional limits of Municipality, city and/or County, which one? <br />county subdivision block lot section township range <br />PROWERS NONE NONE NONE 19 22 S <br />47 W <br />5) What State Highway are you requesting access from? 6) What side of the highway? <br />S <br />2 <br />7 <br />? <br />H <br />8 <br />N S E W <br />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? <br />4565 feet N S E from: 85 2680 <br />COUNTY ROAD LL <br />feet N S E from: <br />____. <br />_ <br />8) What is the approximate date you intend to begin construction? <br />12/13/2010 <br />9) Check here if you are requesting a: <br />[]new access temporary access (duration anticipated: ) [improvement to existing access <br />®change in access use removal of access [Delocation of an existing access (provide detail) <br />10) Provide existing property use <br />GRAVEL PIT AND AGRICULTURAL <br />11) Do you have knowledge of any State Highway access permits serving this property, or adjacent properties in which you have a property interest? <br />Qno ayes, if yes - what are the permit number(s) and provide copies: and/or, permit date: <br />12) Does the property owner own or have any interests in any adjacent property? <br />Elno ayes, if yes - please describe: <br />13) Are there other existing or dedicated public streets, roads, highways or access easements bordering or within the property? <br />no [:]yes, if yes - list them on your plans and indicate the proposed and existing access points. <br />14) If you are requesting agricultural field access - how many acres will the access serve? <br />NO <br />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. <br />business/land use square footage business square footage <br />CONTINUE USE AS A GRAVEL PIT 174.6 AC <br /> <br />16) If you are requesting residential developement access, what is the type (single family, apartment, townhouse) and number of units? <br />type number of units type number of units <br /> <br />17) Provide the following vehicle count estimates for vehicles that will use the access. Leaving the property then returning is two counts. <br />Indicate if your counts are a of Passenger cars and Mght trucks at peak hour volumes r of mull unit Uudks at peak hour volumes <br />:]peak hour volumes or Qaverage daily volumes. 4 10 <br />41 of single ung vehicles In excess of 30 h. 0 or form vehicles (raw friuk ment) Total count of all vehicles <br /> 2 16 <br />??..???a wipvno AM vusvwcv gnu may not uo usa0 1`41991012 GOOT FOrm X137 01/10