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Home My WebLink About20113254.tiff RESOLUTION RE: ACTION OF BOARD AT INITIAL HEARING CONCERNING RESCINDING USE BY SPECIAL REVIEW PERMIT#1722 - DANIAL OCHSNER WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS,on June 16,2010,the Board approved the application of Danial Ochsner, 18905 County Road 394, La Salle, Colorado 80645, for a Site Specific Development Plan and Use by Special Review Permit#1722 for a Use Permitted as a Use by Right, Accessory Use, or Use by Special Review in the Commercial or Industrial Zone Districts (long term storage units) along with one (1) single-family dwelling unit when used as living quarters for the proprietor, employees, caretakers, or security personnel responsible for operating, maintaining, or guarding the property, where such dwelling unit is enclosed within the principle building (stick-built office/managers apartment) in the A (Agricultural) Zone District, on the following described real estate, being more particularly described as follows: Part of the W1/2SW1/4 of Section 2, Township 3 North, Range 68 West of the 6th P.M., Weld County, Colorado WHEREAS, the Department of Planning Services notified the applicant of outstanding Conditions of Approval and items to be completed prior to recording the plat, by letters dated August 4, September 26, November 2, 2011, and WHEREAS, on the 19th day of December, 2011, an Initial Hearing was held before the Board to consider granting additional time to meet all of the conditions/requirements of approval and record the plat, or set a Final Determination Hearing to Rescind approval of Use by Special Review Permit#1722 and Deny the application, and WHEREAS,at said hearing, Danial Ochsner was present and represented by Adam Smith, Civil Resources Civil Engineers, and WHEREAS,after hearing all testimony presented,the Board deemed it advisable to refer the matter back to the Department of Planning Services for processing. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the applicant has demonstrated a willingness and ability to complete the process and record the plat and the matter be, and hereby is, referred back to the Department of Planning Services staff for processing. C,L . PL, C11 , AFT 2011-3254 �� l a PL0679 INITIAL HEARING CONCERNING RESCINDING USR#1722 - DANIAL OCHSNER PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 19th day of December, A.D., 2011. BOARD OF COUNTY COMMISSIONERS WEf_D COUNTY, COJ7ORADO ATTEST: �� 9B arbara Kirkmeyer, Chair Weld County Clerk to the Board - Sean P. Conwp,, Prro-Tem BY: Deputy Cle ; to the Boar• `yil •- F. Garcia titiliA0 ' vid E. Long Attorney a► t :L _ 1: Douglas Rademach= Date of signature: / -/ 2011-3254 PL0679 1861-2011 MEMORANDUM s♦,l �j TO: Weld County Commissioners WELL 0 NTT DATE: December 19, 2011 I� FROM: Chris Gathman L AS-- SUBJECT: USR-1722 Status Timeline: • Approved by the Board of County Commissioners 6/16/2010. • Late plat notification letter sent 8/4/2011. • Certified receipts received from the applicant and Civil Resources on 8/10/2011 &8/11/2011. • Late plat notification letter sent 9/26/2011. • Certified receipt received from applicant 10/3/2011. • Late plat notification letter sent 11/2/2011. • Certified receipts received from the applicant and Civil Resources on 11/9/2011. Remaining Outstanding Conditions of Approval: The applicants have submitted the required information for review(draft plat, drainage report, septic system evaluation).The waste handling plan&dust abatement plan have been approved.The applicant indicated that the fire district has approved the plans and a letter of approval will be submitted. Staff Recommendation: The applicants and their engineer have been working diligently to finalize their conditions of approval. Staff is in the process of reviewing the plat. The main outstanding condition of approval is the improvements agreement(Public Works is in the process of drafting the improvements agreement now that they have received the required drainage report information). Staff requests that either this case be continued for 30- days or referred back to staff. Chris Gathman From: Adam Smith [adam@civilresources.com] Sent: Friday, December 09, 2011 2:20 PM To: 'Karen Little'; flyingriverranch@hotmail.com Cc: Chris Gathman Subject: USR-1722 Fire District Approval Karen and Dan, LuAnn just called me to inform me that she has approved the fire protection plan for USR-1722. She has written a letter that is available to pick up. When you pick it up you will have to pay the $120 review fee which has to be cash or check. If it is a check she said to make it out to Mountain View Fire Protection District. Please send a copy of this letter to Chris as well. If you have any questions please let me know. Thank you, Adam Smith, P.E. Civil Engineer Civil Resources, LLC 323 Fifth Street P.O. Box 680 Frederick, CO 80530 (P) 303.833.1416 ext. 206 (F) 303.833.2850 www.civilresources.com 2011-3254 PI_ 0679 Chris Gathman From: Adam Smith [adam@civilresources.com] Sent: Thursday, December 08, 2011 10:19 AM To: Heidi Hansen; Chris Gathman Cc: 'Karen Little'; flyingriverranch@hotmail.com Subject: RE: Drainage Review-Self Storage Attachments: Proposed Drainage Plan 12-7-11.pdf Heidi, Attached is the Drainage Plan that you requested. Thanks, Adam From: Heidi Hansen [mailto:hhansen@co.weld.co.us] Sent:Thursday, December 08, 2011 8:57 AM To:Adam Smith;Chris Gathman Cc: 'Karen Little';flyingriverranch@hotmail.com Subject: RE: Drainage Review-Self Storage Adam, If you'd like to email me a copy of the drainage plan drawing showing the pond outlets then that could speed up the review when we get the hard copies in the mail. Thanks, Heidi Heidi Hansen, P.E., CFM Engineer II Weld County Public Works 1111 H Street Greeley, CO 80632 970-304-6496 ext. 3745 ,4vE ,CL C i'a,,N ' , u Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication.Any disclosure,copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From:Adam Smith [mailto:adam@civilresources.com] Sent: Monday, December 05, 2011 10:17 AM To: Heidi Hansen 1 Cc: 'Karen Little'; flyingriverranchPhotmail.com Subject: RE: Drainage Review-Self Storage Sounds good. We will make the revisions you indicated below. How many hard copies would you like us to submit? Thanks, Adam From: Heidi Hansen [mailto:hhansen@co.weld.co.usj Sent: Monday, December 05, 2011 10:14 AM To:Adam Smith Subject: RE: Drainage Review-Self Storage Adam, You will need to show the pipes and where they outlet on the drainage plan as well. The details look fine. You will need to remove the calculations for the outdoor storage area as well as removing it from the drawing so that there is no confusion in the future. Thanks, Heidi Heidi Hansen, P.E., CFM Engineer II Weld County Public Works 1111 H Street Greeley, CO 80632 970-304-6496 ext. 3745 W E:`[]... :cco v U Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication.Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From:Adam Smith [mailto:adam@civilresources.comj Sent: Monday, November 28, 2011 9:26 AM To: Heidi Hansen Subject: RE: Drainage Review-Self Storage Heidi, Please see the revised Figure 4 which shows a typical section for the outlet structure, pipe and riprap. Please let me know if this satisfy's your comment below. 2 Chris Gathman From: Adam Smith [adam@civilresources.com] Sent: Wednesday, December 07, 2011 2:11 PM To: Chris Gathman; Heidi Hansen Cc: 'Karen Little'; flyingriverranch@hotmail.com Subject: USR - 1722 Parker Lake Mini Storage Chris and Heidi, We just put the submittal for USR- 1722 in the mail. You should be receiving it on tomorrow or Friday. Thank you, Adam Smith, P.E. Civil Engineer Civil Resources, LLC 323 Fifth Street P.O. Box 680 Frederick, CO 80530 (P) 303.833.1416 ext. 206 (F) 303.833.2850 www.civilresources.com Chris Gathman From: Chris Gathman Sent: Wednesday, December 07, 2011 2:49 PM To: Lauren Light Subject: FW: Parker Lake Self Storage Attachments: Fire District Submittal.pdf; Septic Review 12-5-11.pdf See the attached septic review.This was a condition of approval for USR-1722 (Ochsner). Let me know if you need anything else. FYI: This case is scheduled to go back before the BOCC on Monday 12/19. Sincerely, Chris Gathman Planner III Weld County Department of Planning Services 1555 N. 17th Avenue,Greeley CO. 80631 Ph: (970)353-6100 ext. 3537 Fax:(970)304-6498 1V E A i):. N I 1 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Adam Smith [mailto:adam@civilresources.com] Sent: Monday, December 05, 201.1 10:00 AM To: Chris Gathman Cc: 'Karen Little'; flyingriverranchhotmail.com Subject: Parker Lake Self Storage Chris, How would you like us to submit the Parker Lake Self Storage for the USR Permit? Would you like 24"x36" plans or is 11"x17" acceptable? Also, how many copies of each item? I have attached the revised Plat (named Fire District Submittal but the Plat is the same) and the Septic Review for you to look at if you would like. I believe the final two outstanding items are the following: • Final Drainage Report which we have been working with Heidi in Public Works to wrap it up. She is currently reviewing the last revision she requested. I will email her this morning to get the status. • Fire District Approval which we submitted to LuAnn with the Fire District a week ago so we should be hearing from her this week. We met with her before we submitted so there should not be any comments (or minor comments). 1 December 19th will be here before we know it so we are trying to get everything to you in the next few days depending on when we hear from Heidi and LuAnn. If you could let us know the size and how many copies you need we will get it to you soon. Thanks, Adam Smith, P.E. Civil Engineer Civil Resources, LLC 323 Fifth Street P.O. Box 680 Frederick, CO 80530 (P) 303.833.1416 ext. 206 (F) 303.833.2850 www.civilresources.com 2 Chris Gathman From: Adam Smith [adam@civilresources.com] Sent: Monday, December 05, 2011 10:00 AM To: Chris Gathman Cc: 'Karen Little'; flyingriverranch@hotmail.com Subject: Parker Lake Self Storage Attachments: Fire District Submittal.pdf; Septic Review 12-5-11.pdf Chris, How would you like us to submit the Parker Lake Self Storage for the USR Permit? Would you like 24"x36" plans or is 11"x17" acceptable? Also, how many copies of each item? I have attached the revised Plat (named Fire District Submittal but the Plat is the same)and the Septic Review for you to look at if you would like. I believe the final two outstanding items are the following: • Final Drainage Report which we have been working with Heidi in Public Works to wrap it up. She is currently reviewing the last revision she requested. I will email her this morning to get the status. • Fire District Approval which we submitted to LuAnn with the Fire District a week ago so we should be hearing from her this week. We met with her before we submitted so there should not be any comments (or minor comments). December 19th will be here before we know it so we are trying to get everything to you in the next few days depending on when we hear from Heidi and LuAnn. If you could let us know the size and how many copies you need we will get it to you soon. Thanks, Adam Smith, P.E. Civil Engineer Civil Resources, LLC 323 Fifth Street P.O. Box 680 Frederick, CO 80530 (P) 303.833.1416 ext. 206 (F) 303.833.2850 www.civilresources.com 1 CIVIL RESURCES, LLC ENGINEERS & PLANNERS MEMORANDUM TO: Weld County Department of Planning State of Colorado Department of Public Health &Environment FROM: Civil Resources, LLC DATE: December 5, 2011 RE: ISDS Evaluation— 17164 E. 1-25 Frontage Road 80651 This memo summarizes Civil Resources' review of the existing septic system at 17164 E. 1-25 Frontage Road 80651 (also known as Parker Lake Mini-Storage)owned by Mr. Daniel Oschner. There is an existing 3 bedroom mobile home that will be the office. There will be one employee living in the mobile home and managing the self-storage facility. The restrooms in the mobile home will not be available for public use. Currently, they are renting the mobile home to one person. Currently,there is an existing three bedroom,two bathroom single family dwelling on the property which will stay in-place and house the on-site manager of the Mini-Storage facility. The home is served by a public water supply and an Individual Sewer Disposal System(ISDS)that includes a 1,000 gallon septic tank and a 1,000 square foot absorption bed according to a Statement of Existing Septic Permit dated 10/31/2008(refer attached). Civil Resources reviewed the adequacy of the existing septic based on the following: There is no proposed change in fixture count and no public access to the facilities and therefore there is no expected increase in hydraulic or BOD loading of the system. Y The 1,000 gallon capacity of the tank is generally considered adequate for up to a three(3) bedroom single family dwelling. ➢ The 1,000 square feet absorption bed is generally considered adequate for up to a four(4)bedroom single family dwelling with soils that exceed an infiltration rate of 1-inch per 28 minutes which would be expected based on the natural surface soils at the subject property being in Hydrologic Group B and C. Based on our review,the existing septic system has adequate capacity for the proposed hydraulic loading associated with continued use of the facility by the single family residence and no public access to the facilities. J:Wnited Water&San-141\Haren Recharge\construction\memo-bidder recommendation.doc 323 FIFTH STREET • P.O. Box 680 • FREDERICK, COLORADO 80530 • PHONE: 303.833.1416 Fax: 303.833.2850 Scanning Cover Sheet for Septic Permits Permit # SE-0800070 Permit Type: Health/ Residential/Statement of Existing Situs Street Address 17164 E I-25 FRONTAGE RD Situs City, State, Zip • Sec/Town/Range: 02-03N-68W Application Status: Recorded ' Application Date: 10/31/2008 Parcel # (12 digits) 120702300008-R4488406 Owner Full Name: OCHSNER DANIEL L Owner Address: 18905 CR 394 LA SALLE,C0 80645 Owner Phone #: 970-381-3881 Contact Name: Contact Address: PO BOX 642 GREELEV,CO,80631 • Contact Phone# Information above has been Verified in Accela by employee noted below x /11/X1 , 4--,: November 13, 2008 Processed by: Date Report ID: EHS00024v003 Page 1 of 1 Print Date-Time:11113/2008 2:35:07PM • 11 Q Weld County Environmental Health Services Department 1555 N. 17th Avenue Greeley, )3 80631 Phone: ((970)304-646415 Fax: (970)304-6411 hiDe www.co.weld.co.us COLORADO Statement of Existing Septic Permit Application Number: SE-0800070 Status: Recorded App Type: Health\Residential\Statement of Existinglna Applied: 10/31/2008 Applicant Name: MARK HARKLESS PO BOX 642 GREELEY, CO 80631 Owner Name: OCHSNER DANIEL L Parcel 1f: 120702300008-R4488406 Legal Deec: PT W2SW4 2-3-68 BEG N89D45'E 50' FROM SW COR N89D45'E 253' N0D15'E 575' N58D18'E 287.95'S85D38'E 649.8'S31D43'E 250'M/L TOE LN OF W2SW4 NOD15'E 534.5' S69D46'W 1281.76' S0D02'W 994.2' M/L TO BEG EXC TRACT A, B, C, D, AND E OF QUIET TITLE DECREE RECORDED AT REC#3408641 ON 8/2/06 17164 1-25 FRONTAGE RD WELD 000000000 Site Address: 17164 E 1-25 FRONTAGE RD . WELD, CO 80651 • • Additional Info: Work Description: USR • App Specific Info: 1/2 Bathrooms 0 3/4 Bathrooms 0 Absorption Bed Size 1000 Absorption Trench Size LINK Basement Plumbing No Full Bathrooms • 1 Location Description 17164 1-25 FRONTAGE RD Number of Bedrooms 1 Number of Persons 0 Private Water Supply • Public Water Supply Yes Septic Tank Size 1000 Tank Material CONCRETE • Year Installed UNK •• •4 Weld County Environmental Health Services Department 1555 N. 17th.Avenue Greeley, CO 80631 Phone: (970) 304-6415 5 Fax: (970) 304-6411 www.co.weld.co.us C COLORADO Statement of Existing Septic Permit NOTICE The property ownerlagent has certified by Notary Seal that the above described septic system is in fact installed as described,and exits at this time on the parcel Identified above by the parcel number andlor legal description,and further states that the system IS I IS NOT in good waking order and to the best of hslher knowledge IS I IS NOT falling to function property. The property ovmer/agent further understands that any falsification or misrepresentation may result in the revocation of any permit granted based upon the Information hereby submitted and inlegal action for perjury as provided by law. The Statement of Existing Record relies on information the property owner or hislher representative provides,under oath,indicating current status of the system and representing to the best of his/her knowledge that the sytem IS/LS NOT failing to function properly.Issuance of the Statement of Existing Permit for any system does not constitute assumption that the site was evaluated or inspected during any phase of construction by this Department to meet regulations. x /(rS•Og En En ronm I Health Specialist Date WELD COUNTY DEPARTMENT OF PUBLIC SOE# 0S3OUOZO HEALTH AND ENVIRONMENT ORG PERMIT# 1555 N.17TH AVENUE REPAIR# GREELEY,COLORADO 80631 LOAN# PHONE: (970)304-6415 ISDS# 0B0 3o . FAX: (970)304.6411 COLORADO STATEMENT OF EXISTING FOR SEPTIC SYSTEM (PLEASE FILL OUT IN BLACK INK ONLY) PARCEL NO. o 'I — 0 — 3 - o o 006 9 PROPERTY OWNER '£,9 f) r a L Ocl t S her PHONE NO. ( ?a 3 Sy ` 3 Y 'J MAILING ADDRESS / $ 9 0 5 L a 3 C 9 City1-0 SOU- State co Zip $06,f,S DESCRIPTION OF BUILDING(ex. house, mobile/modular home,shop,office) SITE/LOCATION ADDRESS /7 / 6,1-1 /lea es S ACcl r ,1 S City State Zip LEGAL DESCRIPTION PT -- PT _' SECTION ct2. TOWNSHIP 3 Al RANGE 6 SUBDIVISION LOT '- BLOCK FILING ' CENCUS TRACT LOT SIZE/ACRES /31 ifs COMMERCIAL YES 43 RESIDENTIAL L /NO NUMBER OF PERSONS �/a BASEMENT PL ING YES BEDROOMS,L__ / BATHROOMS-FULL 3/4 1/2 WATER SUPPLY-PUBLIC /N NAME L //L N, T n SO li/ *" PRIVATE YES/NO WELL YE CISTERN CISTERN YES 119 WELLICISTERN#/V/ SYSTEM SIZE: Septic tank material is constructed of C o►tc C 1j4 and has /phi, gallons capacity..? FIELD: Trench Tod) square feet or Bete /O/.)D square feet YEAR INSTALLED kf You are required to draw a diagram of the system on the reverse side of this form in black ink only and indicate location,length,width,and distance from the dwelling. The undersigned property owner hereby certifies that the above described septic system is in fact installed,as described and exists at this time on the parcel of ground identified by the above le al description and further states that the system is not in good working order and to the best of his/her knowledge is is no ailing to function properly. I further understand that any falsification or misrepresentation may result in revocation of any permit granted based upon th's i formation hereby submitted and in Ic io or p J ry vide�w. 1Q " DATE OWNER Subscribed and sworn to before me this 3 t SI- day of OC , 20 63, By IIKK Witness my hand and official seal. ission ices t q-261 it 10I?r 108-- y co� l DATE STATEMENT OF EXISTING REVIEWED BY /.S'°a ENVIRONMENTAL HEALTH SPECIALIST seid - 7oI De— Le , Oct 30 08 08: 47p Frontier Realty Llo 3075871921 uw-Ju-cuuo Inu Il-3D fill H (i Call 1laal71I HL nCHLIn rm., nu. alu Duo 0411 r,r 1 ullul DEPARTMENT OF PUBLIC HEALTH&ENVIRONMENT 1555 N. 1717th A8053 Greeley, CO 80531 WEBSITE:www.co.welLeous ADMINISTRATION:(970)304-6410 C FAX (970)304-6412 PUBLIC HEALTH EDUCATION 6 NURSING:(970)3044420 FAX(970)3048418 COLORADO FAX: HEALTH SERVICES:(970)304-6415 FAX:(970)304-6411 AUTHORIZATION FORM RE; 7 PERMIT APPLICATION I.S.D.S.EVALUATION (l SALE OF PROPERTY (l� WATER SAMPLE I /cif d yj4/2-1G/r ASS represent r/gA(1 kL Ccfl S n e I" for the property (Agent/Appl' t) pj located ar / 71 & H e sS 02. LEGAL DESCRIPTION: SEC I Twig 3N RNG 'J SUBDIVISION NAME: LOT BLK I can be contacted at the following phone#'s: Home 9 ? O " ,T 0.2 0?y'u 15 Work .Sa M2G Fax# A/4 The property owner can be contacted at the following phone#'s Home 790 Yr/ Ysg� work 5 4 444-9 Fax a Correspondence mailed to(only one): CO Agent/Applicant [] Property Owner DATE 1e) - 3© " 02 OWNER'S SIGNATURE • tree.....\\SCN Weld County Environmental Health Services Department 1555 N. 17th Avenue Greeley, )CO 80631 Phone: (9 304-6415(970) Fax: (970)304-6411 COLORADO RECEIPT October 31, 2008 Application Number: SE-0800070 App Type: Health\Residential\Statement of Existing\na Owner Name: OCHSNER DANIEL L 18905 CR 394 LA SALLE, CO 80645 Site Address: 17164 ACCESS RD 1-25 MEAD, CO 80542 Rcpt# pmt Type Pmt Method Ref# Pmt Date Amount Cashier Comments EHS-0800466 Paid Cash 10/31/2008 $ 10.00 SCERRILLO Total Payments: $ 10.00 ..�__. - SUC N UP PUMPING AND INSPECTION REPORT FOR SEPTIC TANKS STREET ADDRESS: / 71_64/ !1 sx— L -_.___ SYSTEMS CLEANER U ---- — Unless a section has been checked NA, ALL X"1`LMS in that section must be completed. Items marked with an asterisk (*) are minimum approval criteria items and any such item marked FAIL means the system cannot qualify for a use permit. All other NO/YES items are for information only and will be so noted on the use permit. This form must be completed for ALL tank pumping. PUMPING AND INSPECTION CONDITIONS Were all compartments of multi-compartment tanks pumped? IR' F.S ONO Was all liquid and sludge removed leaving no more than 3 inches in tank? Wir'S'S ONO If any of the above were marked `NO'you must provide an explanation of the reasons why it was not possible to do so. FX /Do ,yFy-- r �.4-w, _ ESTIMATED CAPACITY OF TANK(s) /60 O gal_ / _compmts PRIMARY TREATMENT UNITS (septic tanks) Tank Operational Status �, *Discharge /leakage? tgS OFAIL _ *In&ltration? NA- DPASS [FAIL Located under building? DYES Back flow after pumping? [SIA10—~ OYES Tank Components *Licks) CIPAScS OFAIL *Tank Integrity IVY-ASS OFAIL *Dosing Siphon N. OPASS GFAIL OKIT - *Internal Tees/baffles OPASS OFAIL [344Ip—' *Effluent Filters/screens • OPASS OFAIL [C.NP-J Blackwater tanks /vaults NAB— *No outlet/connection OPASS GFAIL *High water alarm OPASS OFAIL ONP n'L .e-X /6 .--49- OS' Signature of Pumper C/-\ Pump Date . t a a DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT E N 17TH AVE GREELEY, ICO'80631831 WEBSITE: wwvit,co.Yldeld.co.us, ID ADMINISTRATION(970) 304-6410 •FAX-(970) 304-6412 VI PUBLIC HEALTH EDUCATION AND NURSING.(970) 304-6420 O 304-6416 ENVIRONMENTAL HEALTH SERVIC o FAX S (970) 304-6415 COLORADO FAX(970) 3046411 November 5, 2008 Daniel L.Ochsner 18905 County Road 394 LaSalle,Colorado 80645 RE: Daniel L.Ochsner ISDS No.:0800056 • Permit No.: SE-0800070 On November 3,2008,an evaluation of the existing individual septic disposal system at: 17164 i-25 Frontage Road,Weld County,Colorado; Section 02,Township 03 North,Range 68 West, was conducted by Stephen J.Wiatrowski,an Environmental Health Specialist of this department. The existing individual septic disposal system is of sufficient size and capacity to adequately handle the proposed load.This evaluation is based on a final treatment capacity for a I bedroom residence. Be advised,neither the County of Weld nor any of its agents or employees undertake or assume any liability to the owner of the above property,to any purchaser of the above property or to any lending agency making a loan on the above property or in the report. This inspection was conducted for the purpose of determining compliance with current regulations and for detecting health hazards observable at the time of inspection, This does not constitute a warranty that the system is without flaw or that it will continue to function in the future. inspections requested during periods of snow cover and high soil saturation may be of questionable value to potential buyers due to • adverse conditions. Evaluations based on Statements of Existing(S.O.E.)relies on information the i property owner provides,under oath, indicating current status of the system and representing to the best'of his/her knowledge the system is not failing to function properly. if we can be of any further assistance, please contact our office at(970) 304-6415. Sincerely, Stephen J.Wiatrowski Environmental Health Specialist SJW/ms *d'Ht'jt Weld County Environmental Health Services Department 1555 N. 17th Avenue Greeley, CO 80631 Phone: (970)304-6415 Fax: (970) 304-6411 ' www.co.weld.co.us a COLORADO ISDS Field Inspection Form Application Number: ISDS-0800056 Applied: 10/31/2008 App Type: Health\ResidentiallISDSlna Applicant Name: MARK HARKLESS PO BOX 642 GREELEY, CO 80631 Owner Name: DANIEL L OCHSNER Parcel#: 120702300008-R4488406 Legal Desc: PT W2SW4 2-3-68 BEG NB9D45'E 50' FROM SW COR N89D45'E 253' NOD15'E 575' N58D18'E 287.95' S85D38'E 649.8'S31D43'E 250' M/L TO E LN OF W2SW4 NOD15'E 534.5' S89D46'W 1281.76'SOD02'W 994.2' M/L TO BEG EXC TRACT A, B, C, D, AND E OF QUIET TITLE DECREE RECORDED AT REC#3408641 ON 8/2/06 17164 1-25 FRONTAGE RD WELD 000000000 Site Address: 17164 E 1-25 FRONTAGE RD WELD, CO 80651 Percolation Rate 3 b Limiting Zone ~- ft in Description % Ground Slope ---- Direction �" Soil Suitable(YIN) Engineering Design Required (Y/N) In 100 Year Flood Plain(Y/N) The septic system identified abov IS 1814OT of sufficient size to accomodate the proposed alteration(s) indicated below to the structure(s)served by system. EHS ISDS Reseach: Absorption Bed Size 1000 Absorption Trench Size UNK Engineering Design No Other Public Water Supply Utility Private Water Supply ' Private Water Supply Permit Reference Number Public Water Supply Yes Public Water Supply Utility Little Thompson Water Research Comments Septic Permit Recorded Yes Septic Permit Reference Number SE-0800070 Septic Search Yes Septic Tank Size 1000 Year Installed UNK Weld County Environmental Health Services Department 1555 N. 17th Avenue Ilfa°1/417‘1 Greeley, CO 80631 Phone: (970) 304-6415 Fax: (970) 304-6411 www.co.weld.co.us COLORADO ISDS Field Inspection Form EHS ISDS Current Flow; Current Flow 1/2 Bathrooms 0 Current Flow 3/4 Bathrooms 0 Current Flow Basement Plumbing No Current Flow Comments Current Flow Description MODULAR Current Flow Full Bathrooms 1 Current Flow Number of Bedrooms 1 • Current Flow Number of Persons 0 • EHS ISDS Research Changes: Additions 1/2 Bathrooms 0 Additions 3/4 Bathrooms 0 Additions Basement Plumbing Additions Description USR-PENDING Additions Full Bathrooms 0 Additions Number of Bedrooms 0 Additions Number of Persons 0 ,EHS ISOS Proposed Total: Addition Comments Proposed Basement Plumbing No Proposed Total 1/2 Bathrooms 0 Proposed Total 3/4 Bathrooms 0 Proposed Total Full Bathrooms 1 Proposed Total Number of Bedrooms 1 Proposed Total Number of Persons 0 EHS Inspection Corrections: Approved Corrections Comment Field Area Undersized By Field Undersized By Increase Field Area To Tank Construction Tank Undersized By The existing septic system is REQUIRED/ RECOMMENDED to have the following alterations made to accomodate the proposed alterations to the structure(s) served. NOTICE This permit is granted temporarily to allow construction to commence.This permit may be revoked or suspended by the Weld County Department of Public Health and Environment for reasons set forth in the Weld County individual Sewage Disposal System Regulations including failure to meet any term or condition imposed theron during temporary or final approval.The issuance of this permit does not constitute assumption by the department or its employees of liability for the failure or inadequacy of the sewage disposal system.This permit )8 non-transferable and non-refundable.Before issuing final approval of this permit the Weld County Department of Public Health and Environment reserves the right to impose additional terms and conditions required to meet our regulations on a continuing basis. Final permit approval is contingent upon the final inspection of the completed system by the Weld County Department of Public Health and Environment. • /l's ,o` Envi onme Health Specialist Date WELD COUNTY DEPARTMENT OF PUBLIC SOE#_ OV-3OOO7 (I‘iT 68- HEALTH AND ENVIRONMENT ORG PERMIT# 1555 N. 17T"AVENUE REPAIR# GREELEY,COLORADO 80631 LOAN# 1 PHONE: (970)304-6415 ISDS# to FAX: (970)304.6411 COLORADO STATEMENT OF EXISTING FOR SEPTIC SYSTEM (PLEASE FILL OUT IN BLACK INK ONLY) PARCEL NO. 1 !D 7 O ` D O 065 PROPERTY OWNER ✓rli) t ��L L Oak S /1 C,C PHONE NO. (<J 7A 3 5 / - 3 D MAILING ADDRESS / ' 9 O S. Lu GEC' 3 61 1 City 1— -5`" State C-. C) Zip f f c:L`i.S DESCRIPTION OF BUILDING (ex. house, mobile/modular home,shop,/office) SITE/LOCATION ADDRESS- / 7/ (v -f 19rc-e 5 S City State Zip LEGAL DESCRIPTION PT '-- PT SECTION c.2. TOWNSHIP 3 Al RANGE $ SUBDIVISION LOT `- BLOCK - FILING CENCUS TRACT LOT SIZE/ACRES /3, Y5 COMMERCIAL YES'E1 RESIDENTIAL NO NUMBER OF PERSONS A//9 BASEMENT PL ING YES BEDROOMS BATHROOMS-FULL 3/4 1/2 WATER SUPPLY-PUBLIC_41_111Q NO NAME �G }N/r, at.�5 0�-- 1`c •"' PRIVATE S/NO WELL YE S�✓O1 CISTERN YES 1�1 ) WELL/CISTERN#,4//4 SYSTEM SIZE: Septic tank material is constructed of C o n t GiF, and has /bfir? gallons capacity. FIELD: Trench Tu.]) square feet or Bedli` /OC?O square feet YEAR INSTALLED (A. You are required to draw a diagram of the system on the reverse side of this form in black ink only and indicate location,length,width,and distance from the dwelling. The undersigned property owner hereby certifies that the above described septic system is in fact installed,as described and exists at this time on the parcel of ground identified by the above le al description and further states that the system a is not in good working order and to the best of his/her knowledge is is no ailing to function properly. I further understand that any falsification or misrepresentation may result in revocation of any permit granted based upon th's i formation hereby submitted and in le ioyor p j ryy apprvided by law. /0/y OF DATE OWNER ��ff�,, Subscribed and sworn to before me this SI-- day of DC.�Vv - , 20 CM, By t•(wK OctiK Witness my hand and official seal. y co ission tyres 1 Li-2..oI C- P181 DATE N T 6C STATEMENT OF EXISTING REVIEWED BY ENVIRONMENTAL HEALTH SPECIALIST t\ ,\ T4asa, Sett' . /Thscrieci Weld County Environmental Health Services Department 1555 N. 17th Avenue Greeley, )CO 80631 Phone: ( 304-6415(970) Fax: (970) 304-6411 IUDc COLORADO RECEIPT October 31, 2008 Application Number: ISDS-0800056 App Type: Health\Residential\ISDS\na Owner Name: DANIEL L OCHSNER 18905 CR 394 LA SALLE, CO 80645 • Site Address: 18905 ACCESS RD 1-25 MEAD, CO 80542 Rcpt# Pmt Type Pmt Method Ref# Pmt Date Amount Cashier Comments EHS-0800467 Paid Cash 10/31/2008 $ 150.00 SCERRILLO Total Payments: $ 150.00 1SDS NO: 0 SDO DATE RECEIVED: romp,- RECEIVED BY: C� FEE: kI0D•W INDIVIDUAL SEWAGE DISPOSAL SYSTEM EVALUATI 25 `�Y�-�f N er�,L QJ d am ( / � I c SITE ADDRESS OR LOCATION: 1 `((.,{�' �. PARCEL NO: / oL 0 7 -- D - 3-O0-DBw THIS CAN BE OBTAINED FROM THE ASSESOR'S OFFICE AT (970)353-3845 EXT 3650 R'OWNER: �J MS rizr ( )A ti I LC L.• • PHONE: C)/(7D-3 g/ - 'f MAILING ADDRESS: WC D b U" 2'34 CO Foliq r �yJ CITY STATE ZIP APPLICANT NAME: 1 't, K C.ESS APPLICANT ADDRESS: p o Ox C -7 2 b 3 °4°V (IF DIFFERENT FROM OWNER)CITY STATE ZIP PHONE: 790 3o.Z ofry/5 ALT#: FAX: //J/ LEGAL DESCRIPTION: PT: •-- PT: ----, SEC: 0 . TWN: 3 N RNG: w SUBDIVISION: - LOT: -' BLK: FLG: WATER SOURCE: Ll I►1` rmrD ACRES: / 3, Y 5 ORIGINAL OWNER OF SEPTIC SYSTEM: VA-r)1GW�V\- PERMIT NO: ��r�lG.?�` SO :: YES /NO DESCRIPTION OF STRUCTURE CURRENT FLOW: AD�DITIONS: PROPOSED TOTAL: DESCRIPTION: J [ ( LS R.. PERSONS: D O O BEDROOMS: 1 t BATHROOMS: 0 E BASEMENT PLUMBING: N • • N NEITHER THE COUNTY OF WELD NOR ANY OF ITS AGENTS OR EMPLOYEES UNDERTAKE OR ASSUME ANY LIABILITY TO THE OWNER OF THE ABOVE PROPERTY,TO ANY PURCHASER OF THE ABOVE PROPERTY OR TO ANY LENDING AGENCY MAKING A LOAN ON THE ABOVE PROPERTY OR IN THE REPORT. Chris Gathman From: Lauren Light Sent: Monday, November 28, 2011 2:19 PM To: Chris Gathman Subject: RE: Parker Mini-Lake Storage Lease Agreement Attachments: image003.png This will work Lauren Light, M.S.S. Environmental Planner, Environmental Health Services Weld County Department of Public Health & Environment 1555 N. 17th Ave. Greeley, CO 80631 Ilightco.weld.co.us 970-304-6415 Ext. 2211 (office) 970-304-6411 (fax) 8s Y" ICJ Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged,confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure,copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Karen Little f mailto:karenlittle@live.coml Sent: Friday, November 18, 2011 3:59 PM To: Lauren Light Subject: FW: Parker Mini-Lake Storage Lease Agreement Resending due to incorrect email address the first time. KL From: karenlittle@live.com To: cgathman@co.weld.co.us CC: light@co.weld.co.us; adam@civilresources.com Subject: Parker Mini-Lake Storage Lease Agreement Date: Fri, 18 Nov 2011 15:30:31 -0700 Dear Chris, Please find attached the 6 pages for the Parker Mini-Lake Storage Lease Agreement. I believe that it is page 4 # 21. DISPOSAL OF TRASH / REFUSE that Ms. Lauren Light, M.B.S. wants to see in the contract to the customer. Do you think that the emailed copy will suffice, or should I bring a hard copy to the office? 1 I hope things are going well for you. I also emailed a copy to Adam in case he needs one for his file. Sincerely, Karen Little 2 Chris Gathman From: Adam Smith [adam@civilresources.com] Sent: Monday, November 28, 2011 6:45 AM To: Heidi Hansen Cc: Chris Gathman Subject: RE: Drainage Review-Self Storage Attachments: image001.png Heidi, We will remove the southern outdoor RV Storage from the drawings. Would you like us to remove it from the drainage calculations as well? I am not sure if it is possible to leave the calculations in for the outdoor storage (Basin C) when that area is not included in the USR Permit. Thanks, Adam From: Heidi Hansen [mailto:hhansen@co.weld.co.us] Sent:Tuesday, November 22, 2011 11:20 AM To:Adam Smith Cc: Chris Gathman Subject: RE: Drainage Review-Self Storage Adam, The rest of the report looked complete other than the outlet design and riprap...l think the details for the pond outlet structures need to be more detailed in order to be constructible. If you can get me the additional outlet information and revised drawings we should be okay on the drainage report. As for the issue of using the southern portion of the site for outdoor RV storage...I spoke to Chris Gathman and that was not part of the application that went to the Board. If I remember correctly,there was originally discussion about having that southern portion as more mini storage or possibly as RV parking but CDOT will only grant the business a single access from the frontage road (see attached email) and Mr. Ochsner had decided that the cost to design and build a crossing over the ditch was too much so he scrapped it (see attached drawing). You can discuss the matter further with Chris but I believe that the improvements on the southern part of the site will need to be removed from the drawings. Thanks, Heidi Heidi Hansen, P.E., CFM Engineer II Weld County Public Works 1111 H Street Greeley, CO 80632 970-304-6496 ext. 3745 u Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Adam Smith [mailto:adam@civilresources.com] Sent: Tuesday, November 22, 2011 10:27 AM To: Heidi Hansen Cc: 'Karen Little';flyingriverranch@hotmail.com Subject: RE: Drainage Review-Self Storage Heidi, Can you update me on the status of the Drainage Review. We are currently looking at your concern described below concerning the pond outlet structures. We have to get everything completed by December 12th since we have go before the County Commissioners if we do not have everything completed by the 19th. If you have any questions please feel free to contact me. Thanks, Adam From: Heidi Hansen [mailto:hhansen@co.weld.co.us] Sent: Wednesday, November 16, 2011 10:49 AM To:Adam Smith Subject: RE: Drainage Review-Self Storage Adam, I'm currently reviewing the drainage report but noticed that the pipe outlet point for the ponds has not been added. The slope of the pipes has been but we need to know if the pipes will outlet onto the property, what outlet protection will be required or if the pipe outlet and/or outlet protection will be located on the adjacent property a drainage easement would be required. Also, I'll need to discuss with Chris Gathman, the planner on this case, about the addition of a parking area on the southern end of the property(Basin C) as this was not previously shown on the plans and I'm unsure as to whether CDOT reviewed that access for that use.Chris is out until this afternoon but I'll let you know as soon as I speak to him. I will let you know if I see any other issues or missing items in the drainage report as I continue my review. Thank you, Heidi Heidi Hansen, P.E., CFM Engineer II Weld County Public Works 1111 H Street Greeley, CO 80632 970-304-6496 ext. 3745 2 SPECIAL REVIEW PERMIT # 1722-DANIEL OCHSNER Permit to be granted subject to the following conditions: Prior to recording the plat: A. Items 1 — 3. Adam Smith with Civil Resources, LLC will take care of on the plat map. 4. Regarding "The applicant shall verify the existing right-of-way and the documents creating the right-of-way and shall indicate this information on the plat. (Chris, this is already on the plat map and Dan said that you already have the Title work showing the right-of-way...nothing has changed since you were given that information.) —Note the book& page as to when the ROW was created on the plat. 5. Done 6. — 8. Already on plat map. 9. This county requirement will be followed regarding Lighting. 10. Sign Dimensions: Adam to find out county requirements and put on the map. 12. Structure Set-Backs: Done and noted on the plat map. B. Planning will contact Public Works to draft this Agreement regarding Improvements Agreement According to Policy Regarding Collateral....per Chris Per Adam...review once done and Dan needs to sign. —Spoke to Heidi Hansen — she spoke with Adam 7/13 —she needs some more info. re: the drainage report (to determine the extent of drainage improvements) before the Improvements Agreement can be drafted. C. LANDSCAPE AND SCREENING PLAN: The facility will be screened from public view by an attractive block wall that is feet tall. A picture is attached depicting appearance of the wall. No landscaping will be put in since there is adequate landscaping on site. 6 Feet or taller is the standard height. The location of the wall will need to be indicated on the plat. D. Preliminary Drainage Report Requirements...Adam will handle. E. Done F. Fire Protection: Approval was given prior to the last meeting. Adam to get letter from LuAnn. G. DUST ABATEMENT PLAN: Dust Abatement at the facility will be accomplished by applying Magnesium Chloride to the surface, along with the use of gravel between storage units. Health Department is reviewing this. H. Septic System: Civil Resources to take care of this one (Adam) I. Deleted J. WASTE HANDLING PLAN: No waste handling to be done on site at this facility. No dumpsters will be provided; each storage unit renter is to remove all trash and debris. No hazardous chemicals to be stored in units or left on site. There is no list of wastes which are expected to be generated on the site in any volume or amount. No type and volume of chemicals are expected to be stored on site. Health Department is reviewing this. K. Deleted L. LIGHTING PLAN: The facility is to be operated from 7:00 A.M. to 8:00 P.M. and will be lighted by security lights that will adhere to the lighting requirements for off- street parking spaces in accordance with Sections 23-4-30.E and 23-2-250.D of the Weld County Code. Any lighting shall be designed, located and operated in such a manner as to meet the following standards: sources of light shall be shielded so that beams or rays of light will not shine directly onto adjacent properties. Such Lighting Plan to be delineated on plat map. Please plat this note on the plat. M. Deleted N. Three (3) paper copies of the plat for preliminary approval to be submitted to the Weld County Department of Planning Services. Adam Adam to submit the Mylar plat upon completion of all requirements. Chris Gathman From: Adam Smith [adam@civilresources.com] Sent: Tuesday, November 22, 2011 12:17 PM To: Heidi Hansen Cc: Chris Gathman; 'Karen Little'; flyingriverranch@hotmail.com Subject: RE: Drainage Review-Self Storage Heidi, Thank you for the quick response and for the drainage review. We will detail the outlet structures and include them in the report as well. We will remove the outdoor storage from the Plat since the original submittal did not include it. As you know we are trying to wrap up everything before December 12th (one week before the hearing) so we should have everything completed on Friday. If you can let me know how many copies you need we will include that with the submittal to Chris that will include the rest of the items on the conditions of approval for the USR Permit. Thanks, Adam From: Heidi Hansen [mailto:hhansen@co.weld.co.us] Sent:Tuesday, November 22, 2011 11:20 AM To: Adam Smith Cc: Chris Gathman Subject: RE: Drainage Review-Self Storage Adam, The rest of the report looked complete other than the outlet design and riprap...l think the details for the pond outlet structures need to be more detailed in order to be constructible. If you can get me the additional outlet information and revised drawings we should be okay on the drainage report. As for the issue of using the southern portion of the site for outdoor RV storage...l spoke to Chris Gathman and that was not part of the application that went to the Board. If I remember correctly, there was originally discussion about having that southern portion as more mini storage or possibly as RV parking but CDOT will only grant the business a single access from the frontage road (see attached email) and Mr. Ochsner had decided that the cost to design and build a crossing over the ditch was too much so he scrapped it (see attached drawing). You can discuss the matter further with Chris but I believe that the improvements on the southern part of the site will need to be removed from the drawings. Thanks, Heidi Heidi Hansen, P.E., CFM Engineer Ii Weld County Public Works 1111 H Street Greeley, CO 80632 970-304-6496 ext. 3745 1 IR& ?" u Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From:Adam Smith (mailto:adam@civilresources.com] Sent:Tuesday, November 22, 2011 10:27 AM To: Heidi Hansen Cc: 'Karen Little'; flvingriverranch@hotmail.com Subject: RE: Drainage Review-Self Storage Heidi, Can you update me on the status of the Drainage Review. We are currently looking at your concern described below concerning the pond outlet structures. We have to get everything completed by December 12th since we have go before the County Commissioners if we do not have everything completed by the 19th. If you have any questions please feel free to contact me. Thanks, Adam From: Heidi Hansen (mailto:hhansen@co.weld.co.usJ Sent: Wednesday, November 16, 2011 10:49 AM To:Adam Smith Subject: RE: Drainage Review-Self Storage Adam, I'm currently reviewing the drainage report but noticed that the pipe outlet point for the ponds has not been added. The slope of the pipes has been but we need to know if the pipes will outlet onto the property, what outlet protection will be required or if the pipe outlet and/or outlet protection will be located on the adjacent property a drainage easement would be required. Also, I'll need to discuss with Chris Gathman,the planner on this case, about the addition of a parking area on the southern end of the property (Basin C) as this was not previously shown on the plans and I'm unsure as to whether COOT reviewed that access for that use. Chris is out until this afternoon but I'll let you know as soon as I speak to him. I will let you know if I see any other issues or missing items in the drainage report as I continue my review. Thank you, Heidi Heidi Hansen, P.E., CFM Engineer II 2 Chris Gathman From: Heidi Hansen Sent: Tuesday, November 22, 2011 11:20 AM To: Adam Smith Cc: Chris Gathman Subject: RE: Drainage Review-Self Storage Attachments: CDOT Referral Comments.pdf; May PLOT PLAN.pdf Adam, The rest of the report looked complete other than the outlet design and riprap...I think the details for the pond outlet structures need to be more detailed in order to be constructible. If you can get me the additional outlet information and revised drawings we should be okay on the drainage report. As for the issue of using the southern portion of the site for outdoor RV storage...I spoke to Chris Gathman and that was not part of the application that went to the Board. If I remember correctly, there was originally discussion about having that southern portion as more mini storage or possibly as RV parking but CDOT will only grant the business a single access from the frontage road (see attached email) and Mr. Ochsner had decided that the cost to design and build a crossing over the ditch was too much so he scrapped it (see attached drawing). You can discuss the matter further with Chris but I believe that the improvements on the southern part of the site will need to be removed from the drawings. Thanks, Heidi Heidi Hansen, P.F., CFM Engineer II Weld County Public Works 1111 H Street Greeley, CO 80632 970-3O4-6496 ext. 3745 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication.Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Adam Smith [mailto:adam@civilresources.com] Sent:Tuesday, November 22, 2011 10:27 AM To: Heidi Hansen Cc: 'Karen Little'; flyingriverranch@hotmail.com Subject: RE: Drainage Review-Self Storage Heidi, 1 Can you update me on the status of the Drainage Review. We are currently looking at your concern described below concerning the pond outlet structures. We have to get everything completed by December 12th since we have go before the County Commissioners if we do not have everything completed by the 19th. If you have any questions please feel free to contact me. Thanks, Adam From: Heidi Hansen [mailto:hhansen@co.weld.co.us] Sent:Wednesday, November 16,2011 10:49 AM To:Adam Smith Subject: RE: Drainage Review-Self Storage Adam, I'm currently reviewing the drainage report but noticed that the pipe outlet point for the ponds has not been added. The slope of the pipes has been but we need to know if the pipes will outlet onto the property, what outlet protection will be required or if the pipe outlet and/or outlet protection will be located on the adjacent property a drainage easement would be required. Also, I'll need to discuss with Chris Gathman, the planner on this case, about the addition of a parking area on the southern end of the property (Basin C)as this was not previously shown on the plans and I'm unsure as to whether COOT reviewed that access for that use. Chris is out until this afternoon but I'll let you know as soon as I speak to him. 1 will let you know if I see any other issues or missing items in the drainage report as I continue my review. Thank you, Heidi Heidi Hansen, P.F., CFM Engineer Il Weld County Public Works 1111 H Street Greeley, CO 80632 970-304-6496 ext. 3745 X A ' ]J CC1iN - u Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged,confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 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Fl! . i,i ` wl ! r47I !I ! n l 9eiiiii • • 1861 - 2011 DEPARTMENT OF PLANNING SERVICES 1555 N 17th Ave WE L DEC O U N T Y Greeley, CO 80631 cgathman@co.weld.co.us PHONE: (970) 353-6100, Ext. 3540 FAX: (970) 304-6498 November 2, 2011 Danial Ochsner 18905 County Road 394 LaSalle, CO 80645 Adam Smith Civil Resources P.O. Box 680 Frederick, CO 80530 Subject: 3r° Letter - Outstanding Conditions of Approval and Items to be Completed Prior to Recording the Plat for Use by Special Review, USR-1722. Dear Applicant: The Planning Department is working through our historical case files in an effort to resolve unrecorded and outstanding land use permits. You are receiving this letter because you have applied for a Use by Special Review (USR) permit with Weld County but have never followed through the steps to complete the process. You should have received two other letters from me in August and September concerning the same topic. On June 16, 2010, your application for a Use by Special Review was approved by the Weld County Board of County Commissioners with specific Conditions of Approval. At this time the conditions of approval have not been satisfied and a Mylar Plat has not been recorded with Weld County Clerk and Recorder. One of the required Conditions of Approval in the Board of County Commissioners resolution grants the applicants sixty (60) days to submit a Mylar Plat, and provide written evidence that all conditions outlined in the resolution have been completed. Should you choose not to complete the Use by Special Review process and provide the required Mylar Plat, the Department of Planning Services requests written notification of your decision to withdraw the application and that the use is not active on the property. If you are unable to meet the Conditions of Approval and record the plat by December 19, 2011 an initial hearing is scheduled with the Board of County Commissioners. The hearing will take place at the Weld County Administration Building, located at 1150 O Street, at 9:00 am on December 19, 2011. It is strongly encouraged that you attend this hearing. At this hearing the Board of County Commissioners has the authority to grant additional time to meet all the conditions/requirements of approval and record the plat or schedule a final determination hearing to rescind approval of Use by Special Review, USR- 1722 and deny the application. ✓ • • If you chose to withdraw the application please sign and date the enclosed form and return to the Weld County Department of Planning Services, Attn: Chris Gathman, 1555 N 17th Ave., Greeley, CO 80631. If you have further questions, please contact me at the above address or call (970) 353-6100 x 3540. Sincerely, Chris Gathman .Planner III November 2, 2011 Department of Planning Services Attn: Chris Gathman 1555 N. 171h Ave Greeley, CO 80631 RE: Use by Special Review Application (USR-1722) Dear Mr. Gathman, We wish to withdraw our Use by Special Review Application, Thanks. Please attach documentation that the use is no longer active on the property in question. Name date Name date U.S. Postal Service,. CERTIFIED MAIL:, RECEIPT In (Domestic Mail Only;No Insurance Coverage Provided) 0 _a F•r •elivery lnf•rmati•m visit • website at www.us•s.c•mm, LP) Postage $ 0 0 Certified Fee 0 Postmark Return Receipt Fee - Here 0 (Endorsement Required) 0 Restricted Delivery Fee (Endorsement Required) 0 r` .D Total Postage&Fees r9 Sent To Ci CR/2r 0 eta !IrTZ. olcZ..: klgoS G� 39y 0 orPoBox Na. City,smre,nP.4 La. Sc. o iO(O4S PS Form 3800 August' 05 See R crse tot Instructions SEN•E': C•M'I-E7E THIS SECTION GOr1PLI t( THIS SECTION ON SELIVERY • Complete items 1.2.and 3.Also complete A nature Agent item 4 If Postdated Delivery is desired. X � • Print your name and address on the reverse C. Date of Delivery Addresseeso that we can return the card to you. B. Received by(Printed Name) • Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from Item 1? O Yes 1. Article Addressed to: tf YES,enter delivery address below: O No D0..,;a\ O ChsW,r nCI0S C0VIN ?-011 35N Lc,54.1\Z, 3. Service Type .. - .. 'Certlfled Mail ❑Express Mall Registered O Return Receipt for Merchandise . . ,, Olnsured Mail ❑C.O.D. an 4. Restricted Delivery?(Extra Fee) ❑yes 2 Article Number 7020 ''1670 0000 2045 4605 planter from service((Mao - PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 • U.S. Postal Service Hi CERTIFIED MAIL, RECEIPT ru (Domestic Mail Only;No Insurance Coverage Provided) r9 -.o F r•elivery inf•rmati•n visit ur we•site at www.us•s.c•m 1 O Postage $ ru Certified Fee ED Return Receipt Fee Postmark (Endorsement Required) Here Restricted Delivery Requiree ) O (Endorsement Required) M1•,D $ Total Postage&Fees ra Sent To ricKan, Sw 1�—CGv:1 SOJ(`CRS Srreet,Apt.Na.; y O M1 or PO Box No. �O. �b!• �� City State,ZIP+4�r` \ co Co 'SoS3O r SENDER: COMPLETE THIS sE CT/ON COMPLETE THIS SE(TRIO arr ne I It r ev • Complete Items 1,2,and 3.Also complete A Signature /' � item 4 N Restricted m Delivery is desired. X��V�Agent • Print your name and address on the reverse .E[� Addressee so that we can return the card to you. S.red C. Date of Delivery • Attach this card to the back of the maiipiece, or on the front If space permits. 1. Article Addressed to: D. Is adr d 1? O Yes ry d lfk 0 -. ant delivery address Ile. O No AiaL"-N- w„ . c ,-2t0 C\,; 1 a Srccs. i u`a 0 9 71 t1 20# P.O. (Box -2,. nt\ ❑ ail T ( iI y cic 1 CO 7OS 3O Registe m Receipt for Merchandise ❑Insured Mall O C.O.D. 4. Restricted Delivery?pea Fee) O Yes 2. Article Number 7010 1670 0000 2045 4612 (Transfer from service label) PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 • • Chris Gathman From: Chris Gathman Sent: Thursday, October 13, 2011 5:33 PM To: Ipenfold1101@gmail.com' Subject: Ochsner- USR 1722 Attachments: 20101265.of Luanne, I have been working with Mr. Ochsner to finalize his USR. I am checking to see if he has addressed your referral comments. He and Karen Little indicated that they had met with you in 2010 and that your comments outlined in your referral (see attachment) were addressed (or could be addressed when they submit their building permits to construct the buildings). Let me know if you need anything else or if Mr. Ochsner can proceed with recording his plat. Thanks! Chris Gathman Planner III Weld County Department of Planning Services 1555 N. 17th Avenue,Greeley CO. 80631 Ph: (970)353-6100 ext. 3537 Fax: (970)304-6498 k d S 6 I I Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 1 1861 - 2011 �� DEPARTMENT OF PLANNING SERVICES 1555 N 17th Ave WE L DEC O U N T Y Greeley, CO 80631 cgathman@co.weld.co.us PHONE: (970) 353-6100, Ext. 3540 FAX: (970) 304-6498 September 26, 2011 Danial Ochsner 18905 County Road 394 LaSalle, CO 80645 Adam Smith Civil Resources P.O. Box 680 Frederick, CO 80530 Subject: 2nd Letter - Outstanding Conditions of Approval and Items to be Completed Prior to Recording the Plat for Use by Special Review, USR-1722. Dear Applicant: The Planning Department is working through our historical case files in an effort to resolve unrecorded and outstanding land use permits. You are receiving this letter because you have applied for a Use by Special Review (USR) permit with Weld County but have never followed through the steps to complete the process. You should have received another letter from me in ?July? concerning the same topic. On June 16, 2010, your application for an Use by Special Review was approved by the Weld County Board of County Commissioners with specific Conditions of Approval. At this time the conditions of approval have not been satisfied and a Mylar Plat has not been recorded with Weld County Clerk and Recorder. One of the required Conditions of Approval in the Board of County Commissioners resolution grants the applicants sixty (60) days to submit a Mylar Plat, and provide written evidence that all conditions outlined in the resolution have been completed. Should you choose not to complete the Use by Special Review process and provide the required Mylar Plat, the Department of Planning Services requests written notification of your decision to withdraw the application and that the use is not active on the property. If you are unable to meet the Conditions of Approval and record the plat by November 14, 2011 an initial hearing is scheduled with the Board of County Commissioners. The hearing will take place at the Weld County Administration Building, located at 1150 O Street, at 9:00 am on November 14, 2011. It is strongly encouraged that you attend this hearing. At this hearing the Board of County Commissioners has the authority to grant additional time to meet all the conditions/requirements of approval and record the plat or schedule a final determination hearing to rescind approval of Use by Special Review, USR- 1722 and deny the application. If you chose to withdraw the application please sign and date the enclosed form and return to the Weld County Department of Planning Services, Attn: Chris Gathman, 1555 N 17`" Ave., Greeley, CO 80631. If you have further questions, please contact me at the above address or call (970) 353-6100 x 3540. Sincerely, e r� Chris Gathman Planner III September 26, 2011 Department of Planning Services Attn: Chris Gathman 1555 N. 17th Ave Greeley, CO 80631 RE: Use by Special Review Application (USR-1722) Dear Mr. Gathman, We wish to withdraw our Use by Special Review Application, Thanks. Please attach documentation that the use is no longer active on the property in question. Name date Name date U.S. Postal ervice.r. CERTIFIED MAIL, RECEIPT „g (Domestic Mail Only;No Insurance Coverage Provided) rTl ti F•r•elivery inf•rmati•n visit•ur we•site at www.us•s.c•ma Postage $ ru p Certified Fee p Return Receipt Fee Postmark p (Endorsement Required) a Here Delivery Fee p (Endorsement Required) M1 _a Total Postage 8,Fees p Sent To T rl _kCln-. O 5ksr //�� q O Street,Apt PO Box No..No., (F90S C0,6, j? ( 31 ' M1 St I City,State,ZIP+4 L l ic, co 0(o9/S PS Form 3800.August 2006 on Hovers,"for Irish uc lions SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete Signature ��// Rem 4 if Restricted Delivery Is desired. 1 Jc�Agent ■ Print your name and address on the reverse X -^`�T-9-� D Addressee so that can return the card a to you. oe„el„ed gy( Name) C da�very • so ha thise cadet the beck the mailplece, —Moe e l/.9J`(P /�,�I// or on the front if space permits. tiP_3� '� 'y a D. Is • 1? O Yes 1. Article Addressed to: If • 0 i : O No N9 63•1Y. OCT'Lf 0 3 2011 L.c, t(l(ci , 60 70(d4S Weld County Harming Department s. somoit4FILEY OFFICE j Certified Mall O Express Mall O Registered O Retum Receipt for Merchandise O Insured Mail O C.O.D. 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number 7010 1670 0000 2045 2366 (Transfer from service label) PS Form 3811,February 2004 Domestic Retum Receipt 1tl2snr-nr41.1r5Qd • • U.S. Postal Service CERTIFIED MAIL RECEIPT in (Domestic Mail Only;No Insurance Coverage Provided) m IL F.r•elivery inf.rmati.n visit.urwe.sit atwww.us.s.c.my g R fl ... N Postage $ Codified Fee Postmark Return Receipt Fee Here (Endorsement Required) Restricted Delivery Fee — O (Endorsement Required) Et— ;234 Total Postage 8 Fees $ O Sent To ra A! • S O Street,Apt No.; r- or PO Box No. � �CSOvrc59 City,State,ZIP+4 t Rot �X 730s 3O PS Form 3800.August 2006 See Reverse for Instructions Chris Gathman From: Chris Gathman Sent: Tuesday, August 23, 2011 2:03 PM To: 'adam@civilresources.com' Subject: Ochsner(USR-1722) resolution Attachments: 20101265.tif Adam, In regards to conditions of approval to be addressed prior to recording the plat-one condition that has been addressed is Condition 1.M (page 7)—Access Permit. I have no evidence that any of the other outstanding conditions of approval have been addressed. I have attached the referral comments that were provided with this application. Let me know if you have any questions. Sincerely, Chris Gathman Planner Ill Weld County Department of Planning Services 1555 N. 17th Avenue,Greeley CO. 80631 Ph: (970)353-6100 ext.3537 Fax:(970)304-6498 8a 23 W E,a "cOU N'?Y u Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 1 • 1861 - 2011 DEPARTMENT OF PLANNING SERVICES 1555 N 17th Ave WELD ,COUNTY Greeley, CO 80631 cgathman@co.weld.co.us PHONE: (970) 353-6100, Ext. 3540 FAX: (970) 304-6498 August 4, 2011 Daniel Ochsner 18905 County Road 394 LaSalle, CO 80645 Lindsey Harkless Civil Resources P.O. Box 680 Frederick, CO 80530 Re: Conditions of Approval; Use by Special Review USR-1722 Dear Applicant: On June 16, 2010, your application for an Use by Special Review was approved by the Weld County Board of County Commissioners with specific Conditions of Approval. At this time the conditions of approval have not been satisfied and a Mylar Plat has not been recorded with Weld County Clerk and Recording. One of the required Conditions of Approval in the resolution grants the applicants sixty (60) days to submit a Mylar Plat, and provide written evidence that all conditions outlined in the resolution have been completed. Should you choose not to complete the Use by Special Review process and provide the required Mylar Plat, the Department of Planning Services requests written notification of your decision to withdraw the application and that the use is not active on the property. Planning Services Staff is aware of the difficulty and associated delays in meeting the Conditions of Approval normally associated with land use cases, and is willing to work with you in completing your request. Please notify the Department of Planning Services, in writing, within 10 working days of your decision to complete the Use by Special Review within the next 60 days or withdraw the application. If you chose to withdraw the application please sign and date the enclosed form and return to the Weld County Department of Planning Services, Attn: Chris Gathman, 1555 N 17th Ave., Greeley, CO 80631. If you have further questions, please contact me at the above address or call (970) 353-6100 x 3540. Sincerely, eiCait Chris Gathman Planner III pc: case file • August 4, 2011 Department of Planning Services Attn: Chris Gathman 1555 N. 17th Ave Greeley, CO 80631 RE: Use by Special Review Application (USR-1722) Dear Mr. Gathman, We wish to withdraw our Use by Special Review Application, Thanks. Please attach documentation that the use is no longer active on the property in question. Name date Name date Identify Results • • Page 1 of 1. Parcel Summary Parcel#: 120702300008 Owner: OCHSNER DANIEL L Address: 18905 CR 394 City: LASALLE State: CO Zip Code: 80645 Account#:R4488406 Detail Information: lisiggi n , .BUILDING Can PROPERTY PROFILE http://maps2.merrick.com/W ebsite/W eld/setSgl.asONAME=W e1dIMS&emd=search&LUI... 8/4/2011 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete Items 1,2,and 3.Also complete A. Signature item 4 If Restricted Delivery is desired. CI Agent • Print your name and address on the reverse „ �, r,tntif O Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery • Attach this card to the back of the maiipiece, or on the front If space permits. D. �item 17 ❑Yes 1. Article Addressed to: If YES, r el low: ❑No `�a1•`a-A OCti5 f AUG 1 1 2011 pcI OS CAAA4t L 394/W91d County rlanning Wooed LA Sri(12 ) CC) $o(4 S GRFFI Fy OFFICE 3. Service Type fig-Certified Mail ❑ Express Mall Registered O Return Receipt for Merchandise O Insured Mail O C.O.D. 4. Restricted Delivery?(Extra Fee) O Yes 2. Article Number 7010 1670 0000 2045 4438 (Transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M.f540 U.S. Postal Service TM CERTIFIED MAIL, RECEIPT co (Domestic Mail Only;No Insurance Coverage Provided) � F rdellvery lnf•rmatLn visit•ur we•site atwww.us•s.c•m,;. ? t a.444. 4 44 t Postage $ N Certified Fee Postmark 17 Return Receipt Fee Here (Endorsement Required) O Restricted Delivery Fee (Endorsement Required) O r` Total Postage&Fees .A Sent To /�� S41fL�Q.Mt`g0.q OCa'\ S O ititgg orrPO eoxl r .No.. I p toS ( 4A1 cZj{ck '�I r' City,Slate,ZIP+4 LA 3 V L y� J I C / V Y TS PS Form 3800.August 2006 � See Reverse for Instructions SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete A. Signature //66 item 4 if Restricted Delivery Is desired. X A O Agent ■ Print your name and address on the reverse • O Addressee so that we can return the card to you. B. R=•e$ / • n • =) ,,. Date of Deliv= • Attach this card to the back of the mall lece, p _ or on the front if space permits. �Fa �— p REC �, s, ' nom '� oyes 1. Article Addressed to: �� ,-rQleddress be.w:; ❑ No LihcL5c NarKLss 1\7 • �v; s AGG 10 01 s 1?0. Box (pq° Weld Courts Planning Martme Qt"`�o �rz&asick t CO 10S3O �R— '�ervlcered ,KCeraaed Mall ❑ Express Mail O Registered ❑ Return Receipt for Merchandise O Insured Mail O C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7010 1870 0000 14773 7109 (Transfer from service label) PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 U.S. Postal Service CERTIFIED MAIL., RECEIPT Cr (Domestic Mail Only;No Insurance Coverage Provided) O NF.r.ellvery lnl.rmal.n visit.urwe.site atwww.uus.s.c.m,, ry ry Postage $ Codified Fee Postmark O Return Receipt Fe Here O (Endorsement Required)Res O re Delivery Fee - O (Endorsement tictedDRequired) ry W Total Postage&Fees $ Seer To irlhdt`X1, or1/2kS5 -6V.1 Vitso C'x..43. Street,Apt.No.; I O. -&?( (CqO ry or PO Box No.. 0 City,State,ZIP+4 Fe j2tAcik`cO .?3DS30 PS Form 3800.August 2006 See Reverse for Instructions 1 COLORADO DEPARTMENT OF TRANSPORTATION cDOT Permit No. 410050 SH/S/MP STATE HIGHWAY ACCESS CODE 25 F / 246.359 / R NOTICE Local Jurisdiction TO PROCEED Weld County Permittee(s): Applicant: Daniel L. Ochsner Weld County Planning Department Civil Resources GREELEY OFFICE 18905 County Road 394 JUN 7 1 7f11n PO Box 680 La Salle, CO 80645 RECEIVED Frederick, CO 80530 The permittee is hereby authorized to proceed with access construction within state highway right-of-way in accordance with the above referenced State Highway Access Permit and this Notice to Proceed. This Notice to Proceed is valid only if the referenced Access Permit has not expired. Access Permits expire one year from date of issue if not under construction, or completed. Access Permits may be extended in accordance with Section 2.3(11)(d), of the Access Code. Adequate advance warning is required at all times during access construction, in conformance with the Manual on Uniform Traffic Control Devices for Streets and Highways. All construction shall be completed in an expeditious and safe manner and shall be finished within 45 days from initiation. The permittee or applicant shall notify the Department prior to commencing construction as indicated on the Access Permit. Both the Access Permit and this Notice To Proceed shall be available for review at the construction site. This Notice to Proceed is conditional. The following items shall be addressed prior to or during construction as appropriate. Municipality or County Approval (When the appropriate local authority retains issuing authority) By Title Date (X) This Notice is not valid until signed by a duly authorized representative of the Department Colorado Department of Transportation By 1 Title Date (X) IA ` ,� 6/14/201-0- Copy di$tribOcol'ELE ion: Required: Make copies as necessary for: Form 1265 8/98,6/99 Region(original) Local Authority Inspector Lee n Applicant MTCE Patrol Traffic Engineer/ Staff Access Section 15-Mead r, COLORADO DEPARTMENT OF TRANSPORTATION CDOT Permit No. 41005( STATE HIGHWAY ACCESS PERMIT State Highway No/Mp/Side 25 F / 246359 / R Permit fee Date of transmittal Region/Section/Patrol Local Jurisdiction $100.00 5/26/2010 4/ 01 /15-Mead Weld County The Permittee(s); Applicant: Ref No.: Daniel L. Ochsner Civil Resources 18905 County Road 394 PO Box 680 La Salle,CO 80645 Frederick,CO 80530 970-381-3881 303-833-1416 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 i 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 dul) 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:This access is located on the I-25 East Frontage Road, a distance of 1894 feet north of mile post 246 on the east/right side. Access to Provide Service to: (Land Use Code:) (Size or Count) (Units) 148-Mini/Self Storage 30 ADT Additional Information: - MUNICIPALITY OR COUNTY APPROVAL Required only when the appropriate local authority retains issuing authority. Si n ure n 1 Print Name Title Date igAfixe�' frciA/ A = ( ©cit S n_r ®w ney 6— I— ( 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 Lee Ireton with the Colorado Department of Transportation in Greeley, Colorado at (970) 350-2147, at least 48 hours prior to commencing construction within the State Highway right-of-way. The person signing as the permittee must be the owner or legal representative of the property served by the permitted access and have full authority to accept the permit and its terms and conditions. Permittee Signature Print Name Date jThis permit is not valid until signed by a duly authorized representative of the Department. COLORADO DEPARTMENT OF TRANSPORTATION Signature r / (� Print Name Title n , r { Da (of iss e) /I tc� - liCl/u— ( -40rid �ICSL 1 EZr{Ml � ( t( I�(�aol o Copy Di$$ribt tlon: Required: Make copies as necessary for: Previous editions ar,obsolete a d may not be us 1.Region 3.Staff Access Section Local Authority Inspector P 1 of 3 CDOT Form#101 5/ 2.Applicant 4.Central Files MTCE Patrol Traffic Engineer 4k ' 1 I 1 11J 4 •c ig LI0O5O y 1 3 Y 6 Z c a) c d J So iOy cii :° 0 & R c o w • w aS O 1QI � � ci 4.--- co 1=- iv h. a. � a _o I 4-- "yy !St O• L d ti I u 4 G O 3 015 rn q y ce bOv . a C v V © ca . � h J • I. GI i. �Ck .C E ° rd J5 W ;fl ro ca p .. y 3 s9\ RI P ° `a v 9 6 o v l U a:ti n > 4, v % III.fflft A bD 7 M gl* Ca C w C C7 0 F .S". I U b0 it r� L O ,J ,+„ O by,•r it v U L h Uj a C ". C ❑ ... O 'O s u iv it L ri •i' 0 O.L. 0 O Y cF A VD r -7 " nib) Weld county road 36, mead, co - Google Maps Page 1 of 1 4t .. County Road 36 42 Get Google Maps on your phone o gte maps Address Mead, CO 80542 - Text the word"GMAPS"to 466453 Ri:ke•; Co Rd 38 Co Ro 38 a co Ha se """ . ,o ca Fawk, o 404 tiii `.r n k'hn, 4, a ,,so % , 0 Sa, 0 4ai 444_. ! Ballinger SN.o .,o 9a% 4 Q i Reservoir O o •--', , . Cl 4 e,,, T `,Ps t: V S Si i I . ,n aqg m 7 Jes— W V' aL4 a d# I yam :LlcKai Reservoir !i Co Rd 36 Co Rd 36 Co Rd 36 4p1 `'t • a y I A v Ls 87 `•. f a r Q a we aeo rn ,-- 04 Falcon Cir ...-- Eagle Aea w ri ©2010 Google-Map data®2010 Google- / £ 1 I fili.1 24 1 do TO http://maps.google.com/maps?f=q&source=s cAhl=en&geocode=&q—Weld+county+road... 5/26/2010 State Highway Access Permit PERMIT EXPIRATION Form 101, Page 2 1. A permit shall be considered expired if the access is not under construction within one year of the permit issue date The following paragraphs are excerpts of the State Highway or before the expiration of any authorized extension. When Access Code. These are provided for your convenience but the permittee is unable to commence construction within one do not alleviate compliance with all sections of the Access year after the permit issue date,the permittee may request a Code. A copy of the State Highway Access Code is one year extension from the issuing authority. No more than available from your local issuing authority (local government) two one-year extensions may be granted under any or the Colorado Department of Transportation (Department). circumstances. If the access is not under construction within When this permit was issued, the issuing authority made its three years from date of issue the permit will be considered decision based in part on information submitted by the expired. Any request for an extension must be in writing and applicant, on the access category which is assigned to the submitted to the issuing authority before the permit expires. highway, what alternative access to other public roads and The request should state the reasons why the extension is streets is available, and safety and design standards. necessary, when construction is anticipated, and include a Changes in use or design not approved by the permit or the copy of page 1 (face of permit) of the access permit. issuing authority may cause the revocation or suspension of Extension approvals shall be in writing. The local issuing the permit. authority shall obtain the concurrence of the Department prior to the approval of an extension, and shall notify the APPEALS Department of all denied extensions within ten days. Any 1. Should the permittee or applicant object to the denial of person wishing to reestablish an access permit that has a permit application by the Department or object to any of expired may begin again with the application procedures. An the terms or conditions of a permit placed there by the approved Notice to Proceed, automatically renews the Department, the applicant and permittee (appellant) have a access permit for the period of the Notice to Proceed. right to appeal the decision to the [Transportation] Commission [of Colorado]. To appeal a decision, submit a CONSTRUCTION request for administrative hearing to the Transportation 1. Construction may not begin until a Notice to Proceed is Commission of Colorado within 60 days of transmittal of approved. (Code subsection 2.4] notice of denial or transmittal of the permit for signature. Submit the request to the Transportation Commission of 2. The construction of the access and its appurtenances Colorado, 4201 East Arkansas Avenue, Denver, Colorado as required by the terms and conditions of the permit shall 80222-3400. The request shall include reasons for the be completed at the expense of the permittee except as appeal and may include changes, revisions, or conditions provided in subsection 2.14. All materials used in the that would be acceptable to the permittee or applicant. construction of the access within the highway right-of-way or on permanent easements, become public property. Any 2. Any appeal by the applicant or permittee of action by a materials removed from the highway right-of-way will be local issuing authority shall be filed with the local authority disposed of only as directed by the Department. All fencing, and be consistent with the appeal procedures of the local guard rail, traffic control devices and other equipment and authority. materials removed in the course of access construction shall be given to the Department unless otherwise instructed by 3. In submitting the request for administrative hearing, the the permit or the Department inspector. appellant has the option of including within the appeal a request for a review by the Department's internal 3. The permittee shall notify the individual or the office administrative review committee pursuant to [Code] specified on the permit or Notice to Proceed at least two subsection 2.10. When such committee review is requested, working days prior to any construction within state highway processing of the appeal for formal administrative hearing, right-of-way. Construction of the access shall not proceed 2.9(5) and (6), shall be suspended until the appellant notifies until both the access permit and the Notice to Proceed are the Commission to proceed with the administrative hearing, issued. The access shall be completed in an expeditious and or the appellant submits a request to the Commission or the safe manner and shall be finished within 45 days from administrative law judge to withdraw the appeal. The two initiation of construction within the highway right-of-way. A administrative processes, the internal administrative review construction time extension not to exceed 30 working days committee, and the administrative hearing, may not run may be requested from the individual or office specified on concurrently. the permit. 4. Regardless of any communications, meetings, 4. The issuing authority and the Department may inspect administrative reviews or negotiations with the Department the access during construction and upon completion of the or the internal administrative review Committee regarding access to ensure that all terms and conditions of the permit revisions or objections to the permit or a denial, if the are met. Inspectors are authorized to enforce the conditions permittee or applicant wishes to appeal the Department's of the permit during construction and to halt any activities decision to the Commission for a hearing, the appeal must within state right-of-way that do not comply with the be brought to the Commission within 60 days of transmittal provisions of the permit, that conflict with concurrent of notice of denial or transmittal of the permit. highway construction or maintenance work, that endanger highway property, natural or cultural resources protected by right-of-way or any adopted municipal system and drainage law, or the health and safety of workers or the public. plan. 5. Prior to using the access, the permittee is required to 11. By accepting the permit, permittee agrees to save, complete the construction according to the terms and indemnify, and hold harmless to the extent allowed by law, conditions of the permit. Failure by the permittee to abide by the issuing authority, the Department, its officers, and all permit terms and conditions shall be sufficient cause for employees from suits, actions, claims of any type or the Department or issuing authority to initiate action to character brought because of injuries or damage sustained suspend or revoke the permit and close the access. If in the by any person resulting from the permittee's use of the determination of the Department or issuing authority the access permit during the construction of the access. failure to comply with or complete the construction requirements of the permit create a highway safety hazard, CHANGES IN ACCESS USE AND PERMIT VIOLATIONS such shall be sufficient cause for the summary suspension 1. It is the responsibility of the property owner and of the permit. If the permittee wishes to use the access prior permittee to ensure that the use of the access to the to completion, arrangements must be approved by the property is not in violation of the Code, permit terms and issuing authority and Department and included in the permit. conditions or the Act. The terms and conditions of any permit The Department or issuing authority may order a halt to any are binding upon all assigns, successors-in-interest, heirs unauthorized use of the access pursuant to statutory and and occupants. If any significant changes are made or will regulatory powers. Reconstruction or improvement of the be made in the use of the property which will affect access access may be required when the permittee has failed to operation, traffic volume and or vehicle type, the permittee or meet required specifications of design or materials. If any property owner shall contact the local issuing authority or the construction element fails within two years due to improper Department to determine if a new access permit and construction or material specifications, the permittee shall be modifications to the access are required. responsible for all repairs. Failure to make such repairs may result in suspension of the permit and closure of the access. 2. When an access is constructed or used in violation of the Code, section 43-2-147(5)(c), C.R.S., of the Act applies. 6. The permittee shall provide construction traffic control The Department or issuing authority may summarily devices at all times during access construction, in suspend an access permit and immediately order closure of conformance with the M.U.T.C.D. as required by section 42- the access when its continued use presents an immediate 4-104, C.R.S., as amended. threat to public health, welfare or safety. Summary suspension shall comply with article 4 of title 24, C.R.S. 7. A utility permit shall be obtained for any utility work within highway right-of-way. Where necessary to remove, MAINTENANCE relocate, or repair a traffic control device or public or private 1. The permittee, his or her heirs, successors-in-interest, utilities for the construction of a permitted access, the assigns, and occupants of the property serviced by the relocation, removal or repair shall be accomplished by the access shall be responsible for meeting the terms and permittee without cost to the Department or issuing conditions of the permit, the repair and maintenance of the authority, and at the direction of the Department or utility access beyond the edge of the roadway including any cattle company. Any damage to the state highway or other public guard and gate, and the removal or clearance of snow or ice right-of-way beyond that which is allowed in the permit shall upon the access even though deposited on the access in the be repaired immediately. The permittee is responsible for the course of Department snow removal operations. Within repair of any utility damaged in the course of access unincorporated areas the Department will keep access construction, reconstruction or repair. culverts clean as part of maintenance of the highway drainage system. However, the permittee is responsible for 8. In the event it becomes necessary to remove any right- the repair and replacement of any access-related culverts of-way fence, the posts on either side of the access shall be within the right-of-way. Within incorporated areas, drainage securely braced with an approved end post before the fence responsibilities for municipalities are determined by statute is cut to prevent any slacking of the remaining fence. All and local ordinance. The Department will maintain the posts and wire removed are Department property and shall roadway including auxiliary lanes and shoulders, except in be turned over to a representative of the Department. those cases where the access installation has failed due to improper access construction and/or failure to follow permit 9. The permittee shall ensure that a copy of the permit is requirements and specifications in which case the permittee available for review at the construction site at all times. The shall be responsible for such repair. Any significant repairs permit may require the contractor to notify the individual or such as culvert replacement, resurfacing, or changes in office specified on the permit at any specified phases in design or specifications, requires authorization from the construction to allow the field inspector to inspect various Department. aspects of construction such as concrete forms, subbase, base course compaction, and materials specifications. Minor changes and additions may be ordered by the Department or local authority field inspector to meet unanticipated site conditions. 10. Each access shall be constructed in a manner that shall not cause water to enter onto the roadway or shoulder, and shall not interfere with the existing drainage system on the Form 101, Page 3 COLORADO DEPARTMENT OF TRANSPORTATION Environmental Clearances Information Summary PURPOSE-This summary is intended to inform entities external to CDOT that may be entering the state highway right-of-way to perform work related to their own facilities(such as Utility, Special Use or Access Permittees),about some of the more commonly encountered environmental permits/clearances that may apply to their activities. This listing is not all-inclusive-additional environmental or cultural resource permits/clearances may be required in certain instances. Appropriate local,state and federal agencies should be contacted for additional information if there is any uncertainty about what permits/clearances are required for a specific activity. IMPORTANT—Please Review The Following Information Carefully—Failure to Comply With Regulatory Requirements May Result In Suspension or Revocation of Your CDOT Permit,Or Enforcement Actions By Other Agencies CLEARANCE CONTACTS -As indicated in the permit/clearance descriptions listed below,the following individuals or agencies may be contacted for additional information: • Colorado Department of Public Health and Environment(CDPHE)—General Information—(303)692-2035 Water Quality Control Division (WQCD)(303)692-3500 Environmental Permitting Website http://www.cdphe.state.co.us/permits.asp. • CDOT Water Quality Program Manager; Rick Willard(303)757-9343 • CDOT Asbestos Project Manager;Julia Horn(303)512-5519 • Colorado Office of Archaeology and Historic Preservation:(303)866-3395 • U.S.Army Corps of Engineers, District Regulatory Offices Omaha District(NE Colorado), Denver Office (303)979-4120 http://www.nwo.usace.armv.mil/html/od-tl/tri-lakes.html Sacramento Dist.(Western CO), Grand Junction Office(970)243-1199 http://www.spk.usace.armv.mil/cespk-co/requlatorv/ Albuquerque District(SE Colorado), Pueblo Reg.Office(719)-543-6915 http://www.spa.usace.armv.mil/req/ • CDOT Utilities, Special Use and Access Permitting: (303)757-9654 http://www.dot.state.co.us/Permits/ Ecological Resources—Disturbance of wildlife shall be avoided to the maximum extent practicable. Entry into areas of known or suspected threatened or endangered species habitat will require special authorization from the CDOT permitting office. If any threatened or endangered species are encountered during the progress of the permitted work,work in the subject area shall be halted and the COOT Regional Permitting Office and Regional Planning and Environmental Manager shall be contacted immediately. Authorization must be provided by CDOT prior to the continuation of work. Information about threatened or endangered species may be obtained from the CDOT website http://www.dot.state.co.us/environmentalNVildlife/Guidelines.asp,or the Colorado Division of Wildlife website http://wildlife.state.co.us/WildlifeSpecies/SpeciesOfConcern/. Additional guidance may be provided by the Regional Permitting Office in the Permit Special Provisions. Cultural Resources—The applicant must request a file search of the permit area through the Colorado Office of Archaeology and Historic Preservation(OAHP), Denver,to ascertain if historic or archaeological resources have previously been identified. Inventory of the permit area by a qualified cultural resources specialist may be necessary, per the recommendation of OAHP and/or CDOT. If archaeological or historical artifacts are encountered during the progress of the permitted work,work in the subject area shall be halted and the CDOT Regional Permitting Office and Regional Planning and Environmental Manager shall be contacted immediately. Authorization must be provided by CDOT prior to the continuation of work. Additional guidance may be provided by the Regional Permitting Office in the Permit Special Provisions. Contact Information Contact the OAHP at(303)866-3395. General Prohibition—Discharges-All discharges are subject to the provisions of the Colorado Water Quality Control Act and the Colorado Discharge Permit Regulations. Prohibited discharges include substances such as wash water,paint,automotive fluids, solvents,oils or soaps. Contact Information: Contact the CDOT Water Quality Program Manager at(303)757-9343,or the Colorado Department of Public Health and Environment,Water Quality Control Division(WQCD)at(303)692-3500. General Authorization-Allowable Non-Stormwater Discharges-Unless otherwise identified by CDOT or the WQCD as significant sources of pollutants to the waters of the State,the following discharges to stormwater systems are allowed without a Colorado Discharge Permit System permit: landscape irrigation,diverted stream flows, uncontaminated ground water infiltration to separate storm sewers, discharges from potable water sources,foundation drains,air conditioning condensation,irrigation water, springs, footing drains;water line flushing,flows from riparian habitats and wetlands,and flow from fire fighting activities. Contact Information: The CDOT Water Quality Program Manager or the CDPHE Water Quality Control Division (telephone#'s listed above). Hazardous Materials,Solid Waste-The Solid Wastes Disposal Sites and Facilities Act C.R.S.30-20-100,et al,and Regulations Pertaining to Solid Waste Disposal Sites and Facilities(6 CCR 1007-2), prohibit solid waste disposal without an approved Certificate of Designation (a landfill permit). The Colorado Hazardous Waste Act C.R.S.25-15-301 et al,and the Colorado Hazardous Waste Regulations(6 CCR 1007-3)prohibit the transfer,storage or disposal (TSD)of hazardous waste except at permitted TSD sites. There are no permitted landfills or TSD sites within the State Highway Right of Way. Therefore,all solid or hazardous wastes that might be generated by the activities of entities entering the State Highway Right of Way must be removed from the ROW and disposed of at a permitted facility or designated collection point(e.g.,for solid waste,a utility or construction company's own dumpster). If pre-existing solid waste or hazardous materials contamination(including oil or gasoline contaminated soil, asbestos,chemicals, mine tailings,etc.) is encountered during the performance of work,the permittee shall halt work in the affected area and immediately contact the CDOT Regional Permitting Office for direction as to how to proceed. Contact Info:Contact the CDOT/CDPHE Liaison at(303)757-9787. Environmental Clearances Information Summary Page 1 of 3 Colorado Department of Transportation November'07 Asbestos Containing Materials,Asbestos Contaminated Soil—All work on asbestos containing materials(ACM)must comply with the applicable requirements of the CDPHE Air Pollution Control Division's(APCD)Regulation S. Disposal of ACM,and work done in asbestos-contaminated soil, must comply with the CDHPE Hazardous Materials and Waste Management Division's(HMWMD)Solid Waste Regulations. The application for any CDOT permit must specifically identify any ACM involved in the work for which authorization is being requested. Additional guidance or requirements may be specified in the permit special provisions. Contact Info:CDPHE APCD and HMWMD Regulations can be accessed via the CDPHE Environmental Permitting Website listed above. Additional information concerning clearance on CDOT projects is available from Julia Horn, CDOT Asbestos Project Manager(303) 512-5519, or Theresa Santangelo-Dreiling, Property Management Supervisor(303)512-5524. Construction Stormwater Permit;Stormwater Discharge From Industrial Facilities-Discharges of stormwater runoff from construction sites disturbing one acre or more-or certain types of industrial facilities-requires a CDPS Stormwater Permit. Contact Information:For Utility/Special Use activities being performed in conjunction and coordination with a CDOT highway construction contract, please contact the CDOT Water Quality Program Manager at(303)757-9343. Otherwise,contact the CDPHE Water Quality Control Division at(303)692-3500. Website: http://www.cdphe.state.co.us/wq/PermitsUnit/wgcdpmt.html Construction Dewaterinq(Discharge or Infiltration)—Discharges of water encountered during excavation or work in wet areas may require a Construction Dewatering Discharge Permit. Contact Information: For Construction Dewatering Discharge Permits, contact the CDPHE WQCD at(303)692-3500. Website:htt.://www.cd.he.state.co.us/wq/PermitsUnit/wgcdpmt.html Minimal Industrial Discharge Permit—Discharges of small quantities of wastewater or wastewater requiring minimal treatment, such as that resulting from hydrostatic testing or certain wash waters, may require a Minimal Industrial Discharge Permit("MINDI"). Contact Info:Contact the CDPHE WQCD at(303)692-3500. Website: http://www.cdphe.state.co.us/wq/PermitsUnit/wocdpmt.html Municipal Separate Storm Sewer System(MS4)Discharge Permit—Discharges from the storm sewer systems of larger municipalities,and from the CDOT highway drainage system that lies within those municipalities,are subject to MS4 Permits issued by the CDPHE WQCD. For facilities that lie within the boundaries of a municipality that is subject to a MS4 permit,the owner of such facility should contact the municipality regarding stormwater related clearances that may have been established under that municipality's MS4 permit. All discharges to the CDOT highway drainage system must comply with the applicable provisions of the Colorado Water Quality Control Act and the Colorado Discharge Permit Regulations,and are subject to inspection by the CDOT and the CDHPE. Contact Information:Contact the CDPHE Water Quality Control Division at(303)692-3500 for a listing of municipalities required to obtain MS-4 Permits,or go to http://www.cdphe.state.co.us/wq/PermitsUnit/wgcdpmt.html#MunicipalFormsGuidance. Discharge of Dredged or Fill Material—404 Permits Administered By the U.S.Army Corps of Engineers,and Section 401 Water Quality Certifications Issued by the CDPHE WQCD-Corps of Engineers 404 Permits are required for the discharge of dredged or fill materials into waters of the United States, including wetlands. There are various types of 404 Permits, including Nationwide Permits,which are issued for activities with relatively minor impacts. For example,there is a Nationwide Permit for Utility Line Activities(NWP#12). However, depending upon the specific circumstances, it is possible that either a"General"or"Individual" 404 permit would be required. If an Individual 404 Permit is required,Section 401 water quality certification from the CDPHE WQCD is also required. Contact Information: Contact the appropriate Corps District Regulatory Office for information about what type of 404 permit may be required(information provided at top of ECIS). Contact the CDPHE Water Quality Control Division at(303)692-3500. Erosion and Sediment Control Practices-For activities requiring a Construction Stormwater Permit,erosion control requirements will be specified through that permit. In those situations where a stormwater permit is not required,all reasonable measures should be taken in order to minimize erosion and sedimentation. In either case,the CDOT Stormwater Quality and Erosion Control Guide(2002) should be used to design erosion controls. Contact Information:The CDOT Stormwater Quality and Erosion Control Guide may be obtained from the Bid Plans Office at(303)757-9313 or from: http://www.dot.state.co.us/environmental/envWaterQual/wgms4.asp Disposal of Drilling Fluids-Drilling fluids used in operations such as Horizontal Directional Drilling may be classified as"discharges" or"solid wastes",and in general,should be pumped or vacuumed from the construction area,removed from the State Highway Right of Way, and disposed of at permitted facilities that specifically accept such wastes. Disposal of drilling fluids into storm drains, storm sewers,roadside ditches or any other type of man-made or natural waterway is prohibited by Water Quality Control and/or Solid Waste regulations. Small quantities of drilling fluid solids(less than 1 cubic yard of solids)may be left on-site after either being separated from fluids or after infiltration of the water, provided: 1)the drilling fluid consists of only water and bentonite clay,or, if required for proper drilling properties, small quantities of polymer additives that are approved for use in drinking water well drilling;2) the solids are fully contained in a pit, and are not likely to pose a nuisance to future work in the area,3)the solids are covered and the area restored as required by CDOT permit requirements(Utility, Special Use,or Access Permits,etc.). Contact Information: Contact the CDOT/CDPHE Liaison or CDOT Water Quality Program Manager. Concrete Washout-Waste generated from concrete activities shall NOT be allowed to flow into the drainage ways, inlets,receiving waters,or in the CDOT ROW. Concrete waste shall be placed in a temporary concrete washout facility. Concrete washout shall only be performed as specified by the CDOT Environmental Program and shall be in accordance to CDOT specifications and guidelines. Contact Information: Contact the CDOT Water Quality Program Manager at(303)757-9343. Spill Reporting-Spills shall be contained and cleaned up as soon as possible. Spills shall NOT be washed down into the storm drain or buried. All spills shall be reported to the CDOT Illicit Discharge Hotline at(303)512-4446(4H20),as well as the Regional Permitting Office and Regional Maintenance Supervisor. Spills on highways,into waterways,or that may otherwise present an Environmental Clearances Information Summary Page 2 of 3 Colorado Department of Transportation November'07 • immediate danger to the public shall be reported by calling 911,and shall also be reported to the CDPHE at 1-(877)-518-5608. Transportation of Hazardous Materials-No person may offer or accept a hazardous material for transportation in commerce unless that person is registered in conformance with the United States Department of Transportation regulations at 49 CFR, Part 171. The hazardous material must be properly classed,described, packaged,marked, labeled, and in condition for shipment as required or authorized by applicable requirements,or an exemption,approval or registration has been issued. Vehicles requiring a placard,must obtain authorization and a State HAZMAT Permit from the Colorado Public Utilities Commission. Contact Information: For authorization and more info call the Federal Motor Safety Carrier Administration, US DOT for inter-and infra-state HAZMAT Registration (303)969-6748. Colorado Public Utilities Commission: (303)894-2868. Paleontology-The applicant must request a fossil locality file search through the University of Colorado Museum,Boulder,and the Denver Museum of Nature and Science to ascertain if paleontological resources have been previously identified. Inventory of the permit area by a qualified paleontologist may be necessary,per the recommendation of CDOT. If fossils are encountered during the permitted work,all work in the subject area shall be halted and the CDOT Regional Permitting Office and Regional Planning and Environmental Manager shall be contacted immediately. Authorization must be provided by CDOT prior to the continuation of work. Additional guidance may be provided by the Regional Permitting Office in the Permit Special Provisions. Contact Information: Contact the CDOT Paleontologist at(303)757-9632. Working on or in any stream or its bank-In order to protect and preserve the state's fish and wildlife resources from actions that may obstruct,diminish,destroy,change,modify, or vary a natural existing stream or its banks or tributaries, it may be necessary to obtain a Senate Bill 40 certification from the Colorado Department of Natural Resources. A stream is defined as 1)represented by a solid blue line on USGS 7.5'quadrangle maps;and/or 2)intermittent streams providing live water beneficial to fish and wildlife;and/or 3)segments of streams supporting 25%or more cover within 100 yards upstream or downstream of the project;and/or 4)segments of streams having wetlands present within 200 yards upstream or downstream of the project. The Colorado Division of Wildlife(CDOW) application,as per guidelines agreed upon by CDOT and CDOW, can be accessed at www.dot.state.co.us/e nviron me nta I/wildlife/pe rm ita p p l i catio n.asp. 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E 1 1 9 fJ g^ :92 g3sU« E- c to a y n m 0 Ex, E. ¢ d a d EL 'E 6,L,c a E ° € .2—g 9 n » m E o E c, ° c . a` a 'ro m B m c Q o c c c c 2 .d. 6 m C d 2 m e ? o r oom c da c -- 9 r o `u 3a '4 ? J a v a A.'" F- a .>' E ` `n E c 'E. 8¢ c '" o ' g^ a >ro g , d v c I m 0 3 p ~ >o y 7.t t iS „ 'kit .s • o E N�O� T .5 5 R' 5 o J tJ LL Q e (a LL J < < c a. a. >v E ; I . .. -0. " vv9oSv 4A ENE ■ ■ ■ ■ • ■ ■ ■ ■ ■ ■ ■ ■ ■ • • • State Highway Access Permit 1 Attachment to Permit No. 410050-Additional Terms and Conditions 1. If there are any questions regarding this permit, please contact Gloria Hice-Idler at(970) 350-2148. 2. The Permittee shall refer to all additional standard requirements included with this permit and any enclosed additional terms, conditions, exhibits, and noted attachments. 3. Incorporated as part of this permit are the following: Application for Access Permit (CDOT Form No. 137) Permit (CDOT Form No. 101) and its two page attachment Exhibits: "A"- Access Plan "B"- Vicinity Map 4. This permit is issued in accordance with the State Highway Access Code (2 CCR 601-1), and is based upon the information submitted by the Permittee. This permit is only for the use and purpose stated in the Application and Permit. Any changes in traffic volumes or type, drainage, or other operation aspects may render this permit void, requiring a new permit to the be applied for based upon existing and anticipated future conditions. 5. Access construction methods and materials shall conform to the Colorado Department of Transportation Standard Specifications for Road and Bridge Construction(current edition). 6. If necessary, minor changes, corrections and/or additions to this permit may be ordered by the Department inspector, other Department representative or local authority to meet unanticipated site conditions. Changes may not be in violation of the State Highway Access Code. All major changes to the plans must be approved in writing by the Department prior to commencement of any work on or within the State Highway right-of-way. All workers within the State Highway right of way shall comply with their employer's safety and health policies/procedures, and all applicable U.S. Occupational Safety and Health Administration (OSHA) regulations — including, but not limited to the applicable sections of 29 CFR Part 1910 - Occupational Safety and Health Standards and 29 CFR Part 1926 - Safety and Health Regulations for Construction. At a minimum, all workers in the State Highway right of way, except when in their vehicles, shall wear the following personal protective equipment: • Head protection that complies with the ANSI Z89.1-1997 standard; • At all construction sites or whenever there is danger of injury to feet, protective footwear that complies with the ANSI Z41-1999 standard will be worn; • High visibility apparel as specified in the Traffic Control provisions of this permit (at a minimum, ANSI/ISEA 107-1999, Class 2). Where any of the above-referenced ANSI standards have been revised, the most recent version of the standard shall apply. 7. This permit is subject to revocation due to: 1) Noncompliance with the provisions of this permit; 2) Abandonment; 3) Supersedure by new permit covering the same installation; or 4) Conflict with necessary planned highway construction and/or improvements. The Permittee shall promptly terminate occupancy State Highway Access Permit 2 Attachment to Permit No. 410050 -Additional Terms and Conditions upon notice of cancellation of the permit from the Department, unless a new permit is applied for and granted. 8. Reconstruction and improvements to the access may be required when the Permittee has failed to meet the required design and/or material specifications. If any construction element fails within two years due to improper construction or material specifications, the Permittee is responsible for all such repairs. 9. The Department retains the right to perform any necessary maintenance work in this area. 10. Backing maneuvers within and into the State Highway right-of-way are strictly prohibited. All vehicles shall enter and exit the highway right-of-way in forward movement. Backing into the right-of-way shall be considered a violation of the terms and conditions of this access permit and may result in revocation of the permit by the Department and/or the issuing authority. 11. All other accesses to the property shall be removed immediately. Removal shall include, but not limited to, the return of the highway right-of-way side slopes, ditches, and fences to match existing adjacent conditions, INCLUDING REMOVAL OF ASPHALT APRONS. Any asphalt removed from the highway shall result in a smooth finished edge. 12. The Permittee is responsible for obtaining any necessary additional federal, state, and/or City/County permits or clearances required for construction of the access. Approval of this access permit does not constitute verification of this action by the Permittee. 13. All costs associated with the installation of this access are the responsibility of the Permittee. This includes design, construction, signing and striping, utility relocation, testing of materials, and inspections. 14. No work will be allowed at night, or on Saturdays, Sundays, and legal holidays without prior authorization from the Department. The Department may also restrict work within the State Highway right-of-way during adverse weather conditions. 15. Traffic detours or lane closures will not be allowed, unless pre-approved by the Department. 16. Two-way traffic shall be maintained throughout the work area at all times unless specific written authorization is obtained from the Department 17. No construction vehicles shall be parked, or construction materials/equipment stored, on the State Highway right-of-way overnight. 18. No work shall be performed near a Department electronic traffic control device without coordination with Cobie Garbiso at(970) 350-2137. 19. The Department will not participate in any costs related to the design and installation of a traffic signal, should one be approved at this access in the future. 20. Landscaping and site construction shall not obstruct sight distance at any State Highway access point. Landscaping within the State Highway right-of-way requires the Permittee to obtain a CDOT Landscaping Permit from the Traffic/Access Section. The access permit does not authorize that activity. Irrigation of State Highway Access Permit 3 Attachment to Permit No. 410050-Additional Terms and Conditions features within the right-of-way may require the Permittee to install a subsurface drain in accordance with CDOT Standard M-605-1 or other approved system. The Permittee shall contact Gloria Hice-Idler at the Greeley Traffic Office, (970) 350-2148, to obtain the Landscaping Permit. 21. Routine, periodic maintenance and emergency repairs may be performed within the State Highway right-of-way, under the general terms and conditions of the permit. Any significant repairs such as culvert replacement, resurfacing, or changes in design or specifications, will require written authorization from the Department. The Department shall be given proper advance notice whenever maintenance work will affect the movement or safety of traffic on the State Highway. In an emergency, the Department Region Office and the State Patrol shall immediately be notified of possible hazards. 22. All work is to conform to the plans referenced by this permit on file with the Department or as modified by this permit. (If discrepancies arise, this permit shall take precedence over the plans.) The Department plan review is only for the general conformance with the Department's design and code requirements. The Department is not responsible for the accuracy and adequacy of the design, dimensions, elevations, and any other elements which shall be confirmed and correlated at the work site. The Department through the approval of this document, assumes no responsibility for the completeness and/or accuracy of the plans. 23. The State requires a Certificate of Insurance prior to commencing any work on the State Highway right- of-way. Policies shall name the State of Colorado as additional insured party. All vendors, contractors, and utility companies shall procure, at their own expense, and maintain for the duration of the work period, the following minimum insurance coverages: A. Standard workman's compensation and employer's liability, including occupational disease, covering all employees engaged in performance of the work at the site, in the amount required by State Statutes. B. Comprehensive general liability in the amount of$1,000,000 combined single limit bodily injury and property damage, each occurrence and $2,000,000 annual aggregate. C. Automobile liability in the amount of $1,000,000 combined single limit bodily injury and property damage, for each accident. Certificates of insurance showing compliance with these provisions shall be attached to and made a part of this permit and be available on the site during construction. 24. Survey markers or monuments must be preserved in their original positions. Notify the Department at (970) 350-2173 immediately upon damage to or discovery of any such markers or monuments at the work site. Any survey markers or monuments disturbed during the permitted work shall be repaired and/or replaced immediately at the expense of the Permittee. 25. Should any excavation encounter plant or animal fossils, the remains of historic or prehistoric structures, artifacts, (pottery, stone tools, arrowheads, etc.), the work shall be stopped and the Permittee shall notify the Department inspector. 26. The Permittee or the contractor shall notify Lee Ireton at (970) 350-2147 or (970) 590-7155 at least two working days prior to beginning any access improvements or construction of any kind within the State Highway right-of-way. Failure to comply with this requirement may result in revocation of this permit. • State Highway Access Permit 4 Attachment to Permit No. 410050- Additional Terms and Conditions 27. The Department inspector may suspend any work due to: 1) Noncompliance with the provisions of this permit; 2) Adverse weather or traffic conditions; 3) Concurrent highway construction or maintenance in conflict with permit work; 4) Any condition deemed unsafe for workers or the general public. The work may be resumed upon notice from the Department inspector. 28. If highway right-of-way fence exists or is proposed, the Permittee must contact Gloria Hice-Idler at the Greeley Traffic Office, (970) 350-2148, prior to removal or installation. 29. The access shall be constructed as per Exhibit "A". 30. Construction traffic devices, when not in use, shall be removed or turned away from traffic. 31. The access shall be constructed perpendicular to the travel lanes of the State Highway for a minimum distance of 40 feet, and shall slope down and away from the adjacent pavement edge at a rate of 2% grade for a minimum of 20 feet. 32. The access shall be completed in an expeditious and safe manner and shall be finished within 45 days from initiation of construction within State Highway right-of-way. 33. All required access improvements shall be installed prior to the herein authorized use of this access. 34. The access shall be surfaced immediately upon completion of earthwork construction and prior to use. 35. Surfacing of the access shall be completed as per Exhibit "A". 36. No paved surface shall be cut unless specified in this permit. Asphalt removal shall be saw cut to assure a straight edge for patching. 37. If frost, water or moisture is present in the subgrade, no surfacing materials shall be placed until all frost, water or moisture is gone or removed. 38. The Permittee shall install a new 18 inch corrugated metal pipe and shall provide for proper side slopes. Culverts over 18 inches in diameter shall have end sections. 39. The access shall be constructed and maintained in a manner that will not cause water to enter onto the roadway, and will not interfere with the existing drainage system within the State Highway right-of-way. Drainage to the State Highway right-of-way shall not exceed historical rate of flow. 40. All existing drainage structures shall be extended, modified, or upgraded as necessary, to accommodate all new construction and safety standards, in accordance to the Department's standard specifications. 41. The Permittee shall request final inspection by Lee Ireton at (970) 350-2147, within 10 days following completion of access construction, and prior to authorized use. The Permittee or their representative shall be present. State Highway Access Permit 5 Attachment to Permit No. 410050-Additional Terms and Conditions 42. A fully executed complete copy of this permit must be on the job site with the contractor at all times during construction. Failure to comply with this or any other construction requirement may result in the immediate suspension of work by order of the Department inspector or the issuing authority. 43. The design and construction of access and/or development of this property shall not negatively impact adjacent nearby properties. Correction of the problem and cost resulting from damages shall be borne by the Permittee. 44. It is the responsibility of the Permittee to determine which environmental clearances and/or regulations apply to the project, and to obtain any clearances that are required directly for the appropriate agency prior to commencing work. Please refer to or request a copy of the "CDOT Environmental Clearance Information Summary" (ECIS) for details. The ECIS may be obtained CDOT Permitting Offices or may be accessed via the CDOT Planning/Construction-Environmental Guidance webpage at http://www.dot.state.co.us/environmental/Forms/asp. FAILURE TO COMPLY WITH REGULATORY REQUIREMENTS MAY RESULT IN SUSPENSION OR REVOCATION OF YOUR CDOT PERMIT, OR ENFORCEMENT ACTIONS BY OTHER AGENCIES. ALL discharges are subject to the provisions of the Colorado Water Quality Act and the Colorado Discharge Permit Regulations. Prohibited discharges include substance such as: wash water, paint, automotive fluids, solvents, oils or soaps. Unless otherwise identified by CDOT or the Colorado Department of Public Health and Environmental (CDPHE) Water Quality Control Division (WQCD) as significant sources of pollutants to the waters of the State, the following discharges to storm water systems are allowed without a Colorado Discharge Permit System Permit: landscape irrigation, diverted stream flows, uncontaminated ground water infiltration to separate storm sewers, discharges from potable water sources, foundation drains, air condition condensation, irrigation water, springs, footing drains, waterline flushing, flows from riparian habitats and wetlands, and flow from fire fighting activities. ANY OTHER DISCHARGES, including storm water discharges from industrial facility or construction sites, may require Colorado Discharge Permit System permits from CDPHE before work begins. For additional information and forms, go to the CDPHE website at: http://cdphe.state.co.us/wq/PermitsUnit/wqu. S. COLORADO DEPARTMENT OF TRANSPORTATION Issuing authorityapplication Issuin authodt STATE HIGHWAY ACCESS PERMIT APPLICATION acceptance date: jr ioR 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 http://www.dot.state.co.us/AccessPermits/index.htm 1)Property owner(Permittee) 2)Applicant or Agent for permittee (it different from property owner) Daniel L. Ochsner Civil Resources, LLC Street address Mailing address 8905 WCR 394 PO Box 680 City,state&zip Phone# City,state&zip Phone#(required) La Salle, CO 80645 970-381-3881 Frederick, CO 80530 303-833-1416 E-mail address E-mail address if available FLYINGRIVERRANCH@HOTMAIL.COM lindsey@civilresources.com 3)Address of property to be served by permit(required) 17164 I-25 Access Road 4)Legal description of property:If within jurisdictional limits of Municipality,city and/or County,which one? county subdivision block lot section township range Weld 2 13N 68W 5)What State Highway are you requesting access from? 6)What side of the highway? I-25 Access Road ON ❑S ❑ E ❑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? 1400 feet MN❑S❑EOW)from: 256 900 feet BN ❑S❑E OW)from: WCR 36 8)What is the approximate date you intend to begin construction? 6/1/2010 9)Check here if you are requesting a: ❑new access ntemporary access(duration anticipated: ) nimprovement to existing access change in access use nremoval of access Delegation of an existing access(provide detail) 10)Provide existing property use Single Family Residential 11)Do you have knowledge of any State Highway access permits serving this property,or adjacent properties in which you have a property interest? flno Oyes,if yes-what are the permit number(s)and provide copies: and/or,permit date: 12)Does the property owner own or have any interests in any adjacent property? Eno ❑yes,if yes-please describe: 13)Are there other existing or dedicated public streets,roads,highways or access easements bordering or within the property? 171 no Oyes,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? 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 footage Long term storage units 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 the property then returning is two counts. Indicate it your counts are a of passenger cars and light trucks at peak hour volumes a of multi unit trucks at peak hour volumes peak hour volumes or Coverage daily volumes. a of single unit vehicles in excess of 30 ft. It of farm vehicles(field equipment) Total count of all vehicles � 30 Previous editions are obsolete and may not be used Page 1 of 2 CDOT Form#137 01110 18)Check with the issuing authority to determine which of the following documents are required to complete the review of your application. a) Property map indicating other access,bordering roads and streets. e) Subdivision,zoning,or development plan. b) Highway and driveway plan profile. f) Proposed access design. c) Drainage plan showing impact to the highway right-of-way. g) Parcel and ownership maps including easements. d) Map and letters detailing utility locations before and after h) Traffic studies. development in and along the right-of-way. i) Proof of ownership. 1- It is the applicant's responsibility to contact appropriate agencies and obtain all environmental clearances that apply to their activities. Such clearances may include Corps of Engineers 404 Permits or Colorado Discharge Permit System permits, or ecological, archeological, historical or cultural resource clearances. The CDOT Environmental Clearances Information Summary presents contact information for agencies administering certain clearances, information about prohibited discharges, and may be obtained from Regional CDOT Utility/Special Use Permit offices or accessed via the CDOT Planning/Construction-Environmental-Guidance webpage http://www.dot.state.co.us/environmental/Forms.asp. 2- All workers within the State Highway right of way shall comply with their employer's safety and health policies/ procedures, and all applicable U.S. Occupational Safety and Health Administration (OSHA) regulations - including, but not limited to the applicable sections of 29 CFR Part 1910 - Occupational Safety and Health Standards and 29 CFR Part 1926 - Safety and Health Regulations for Construction. Personal protective equipment (e.g. head protection, footwear, high visibility apparel, safety glasses, hearing protection, respirators, gloves, etc.) shall be worn as appropriate for the work being performed, and as specified in regulation. At a minimum, all workers in the State Highway right of way, except when in their vehicles, shall wear the following personal protective equipment: High visibility apparel as specified in the Traffic Control provisions of the documentation accompanying the Notice to Proceed related to this permit (at a minimum, ANSI/ISEA 107-1999, class 2); head protection that complies with the ANSI Z89.1-1997 standard; and at all construction sites or whenever there is danger of injury to feet, workers shall comply with OSHA's PPE requirements for foot protection per 29 CFR 1910.136, 1926.95, and 1926.96. If required, such footwear shall meet the requirements of ANSI Z41-1999. Where any of the above-referenced ANSI standards have been revised, the most recent version of the standard shall apply. 3- The Permittee is responsible for complying with the Revised Guidelines that have been adopted by the Access Board under the American Disabilities Act (ADA). These guidelines define traversable slope requirements and prescribe the use of a defined pattern of truncated domes as detectable warnings at street crossings. The new Standards Plans and can be found on the Design and Construction Project Support web page at: <http://www.dot.state.co.us/DesignSupport/>, then click on Design Bulletins. If an access permit is issued to you, it will state the terms and conditions for its use. Any changes in the use of the permitted access not consistent with the terms and conditions listed on the permit may be considered a violation of the permit. The applicant declares under penalty of perjury in the second degree, and any other applicable state or federal laws, that all information provided on this form and submitted attachments are to the best of their knowledge true and complete. I understand receipt of an access permit does not constitute permission to start access construction work. Applicant or Agent f Per 'ttee signature - Print ntt name // ,[',f/ Date•If the applicant is not the owner of the property, we require this application also to be signed by the property owner or their legally authorized representative (or other acceptable written evidence). This signature shall constitute agreement with this application by all owners-of-interest unless stated in writing. If a permit is issued, the property owner, in most cases, will be listed as the permittee. Property owner signature Print name Date Previous editions are obsolete and may not be used Page 2 of 2 CDOT Form#137 01/10 Hello