HomeMy WebLinkAbout09.01 CDOT Access PermitCOLORADO DEPARTMENT OF TRANSPORTATION
STATE HIGHWAY ACCESS PERMIT
$100..00
e • transmittal
5/24/2007
Region/Section/Patrol
3 / 02 (10-2 Alen Hayes
CDOT Permit No.
307107
State Highway No1MpFSide
-R
-B
The Permittee(s), Applicant: Ref No.:
William 11. Dubois Sopns Engineering LLC ,
PO Box 650 502 Main St. Suite A3
New Castle, CO 81647 Carbondale, CO 81623
970-984-2500 970-704-0311 x12
is hereby granted permission to have an access to the state highway at the location noted below. The access shall be constructed, maintained and used in
accordance with this permit, including the State Highway Access Code and any attachments, terms, conditions and exhibits_ This permit may be revoked
by the issuing authority if at any time the permitted access and its use violate any parts of this permit. The issuing authority. the Department and their duly
appointed agents and employees shall be held harmless against any action for personal injury or property damage sustained by reason of the exercise of
the permit.
Location:
1688 feet west of Peterson Lane
Access to Provide Service to:
Rand Usc :I (Size or Count) (Units)
110 - General Light Industrial 20 DHV
Other terms and conditions:
MUNICIPALITY OR COUNTY APPROVAL
Required only when the appropriate local authority retains issuing authority.
By
(X)
f
Date
Title
Upon the signing of this permit the permittee agrees to the terms and conditions and referenced attachments contained
herein. All construction shall be completed in an expeditious and safe manner and shall be finished within 45 days from
Initiation. The permitted access shall be completed in accordance with the terms and conditions of the permit prior to
being used.
The permittee shall notify D'Wayne Gannon with the Colorado°Department of Transportation, telephone
nbr. (970) 947-9361 at least 40 hours prior to commencing construction within the State Highway right-of-way.
The person signing a' permittee must be the owner or legal representative of the property served by the permitted access and have MI authority to
accept •e pe ' a.1/ :Ili and conditions.
��
(X)Perit - �irr)1Siar '.
Date f
3-6) 7
'
Pe ee ; . `t"40h
This permit is not valid until signed by a duly authorized representative of the Department.
COLORADO DEPARTMENT OF TRANSPORTATION
By
l Date (.; issues)
'Title
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Copy Distribution:
Required:
1.Regio:t
2.Applicent
&Staff Access Section
Maim copies as new
Local Authority
MICE Patrol
10-2 Alen Hayes
rfy tor. Previous editions ars obsol rid may not be used
Inspector IYWayne Gaymon COOT Fenn 8101 8148
Traffic Engineer