HomeMy WebLinkAboutCondition 4C t \ let (I COLORADO DEPARTMENT OF TRANSPORTATION COOT Permit No. 312072 STATE HIGHWAY ACCESS PERMIT Stale H;g;Way NoIMplSide "?t:> IL-)" 006 M 84.980 /R Pennitlee I Dale of IransmiHal
I: AegioniSectioniPalrol local Jurisdiction $100.00 6/21/2012 3 I 02 10902 too GoerMler Garfield County The Permiuee(s); Applicant: Ref No.: Clough Sheep Company Noble Energy ' •• _____
,. H.' ___ . . -Jiin Kirpatrick-.. -------. . . ... . . PO Box 686 800 Airport Road Rifle. CO 81650 Rifle. CO 81650 -970-625·9024 970·625·1494 is hereby granted permission to have an
access to the state highway at the Iocalion noted below. The ac:c8S shalt be constructed, maintained and used in accordance oMth this permil. including the Stale HighWay Access Code
and any altachmenls, lenns. conditions and exhibits. This penni! may be revol(ed by the issuing authority if al any time the pennitted access and its use violale any parts or this pennit.
The issuing authority, the Department and their duly appointed agents and employees shab be held hannless against any aclion for personaJ injury or ptoperty damage sustained by reason
of !he exercise of lhe cennit. . Location : located on the south side of SM, a distance of 100' west of 85mm Access to Provide Service to: (Land Use Code:) (Size or Count) (Units) 170
-Utilities -Telecommuniciltion Tower 997 -Agriculture -Cattle Operation 988 • OiVGas Field Total Traffic 10 DHV Addilionat Information: MUNICIPALtTY OR COUNTY APPROVAL Required only
when the appropriate local aulhority retains issuing authority. Signalure I Print Name I nu. I Date Upon Ihe signing of this permillhe permiUee agrees 10 the terms and conditions and
referenced auachments contained herein. All construction shall be completed in an expedilious and safe manner and shall be finished within 45 days from Inilialion. The permiued access
shall be completed in accordance wilh the tenns and conditions of the permit prior to being used. The permittee shall notil\' Joel Berschauer 214 with the Colorado Department of Transportation
in Grand Junction, Colorado at (970) 683-6318, at least 48 hours prior to commendng construction wltl1ln the State Highway right-of-way. The person signing as the pennitlee must be the
owner or legal rejl(esenlative 01 the property served by !he pennilled access and have full authority to accept the permit and its terms and conditions. p\:Z::"3' i2.k;;i;.,: 7 I j:;;;;r-:~
.c 1,,!,;el(nrWjC I Date ?~ 9·~Old (/V f This permij is riot valid until signed by a duly authorized represenlalive of the Departmenl. CO)..,ORADO DEPARTMENT OF TRANSPORTATION 71~rj)j~
~ Ilb~7~ IT~i~ I Oat. 01 issue) • ItA"""-::: ) '.J I I"" '. 7, (1 ~20 12--Co py Cl stributlon; Requited: Make cop/es a9 necusary for: Pr.vloul; .qjtlons ar. obsolet. Ind may nol be used
1.RegiOl'l 2AppUcant 3.Stalf Access SectiOtl l ocal Authority 4.Central F~es MTCE Patrol Inspector Traffic Engineer Page 1 013 COOT Form '101 SI07 :\i I (