The URL can be used to link to this page

Browse Search

Home My WebLink About20101265.tiff • ittkia, MEMORANDUM 11 I TO: Chris Gathman, Planning Services O FROM: Lauren Light, Environmental Health '� • SUBJECT: USR-1722 Dan Ochsner COLORADO DATE: 6/8/2010 Environmental Health Services has reviewed this proposal for long term storage units. According to the pre-application minutes, dated February 8, 2008, there will not be a wash site or an RV dump station on the facility. A letter from Little Thompson Water District was included in the application that states the existing tap is sufficient for a business residence and an office. There is an existing septic system on the property (SE-0800056) that was sized for a one bedroom residence. The septic system will need to be evaluated by a registered engineer if it will be used for the business or a new septic system can be installed for business use. • We have no objections to the proposal; however, we do recommend that the following conditions be part of any approval: We recommend that the following requirements be met prior to allowing the plat to be recorded: 1. The applicant shall submit a dust abatement plan, detailing on site dust control measures, for review and approval, to the Environmental Health Services, Weld County Department of Public Health & Environment. 2. In the event the applicant intends to utilize the existing septic system for business use, the septic system shall be reviewed by a Colorado Registered Professional Engineer. The review shall consist of observation of the system and a technical review describing the systems ability to handle the proposed hydraulic load. The review shall be submitted to the Environmental Health Services Division of the Weld County Department of Public Health and Environment. In the event the system is found to be inadequately sized or constructed the system shall be brought into compliance with current Regulations. 3. Alternately to item #2 above, the applicant shall install an individual sewage disposal system for business use and the system shall be installed according to EXHIBIT `4 2010-1265 the Weld County Individual Sewage Disposal Regulations. The septic system is • required to be designed by a Colorado Registered Professional Engineer according to the Weld County Individual Sewage Disposal Regulations. 4. The applicant shall submit a waste handling plan, for approval, to the Environmental Health Services Division of the Weld County Department of Public Health & Environment. The plan shall include at a minimum, the following: 1) A list of wastes which are expected to be generated on site (this should include expected volumes and types of waste generated). 2) A list of the type and volume of chemicals expected to be stored on site. 3) The waste handler and facility where the waste will be disposed (including the facility name, address, and phone number). We recommend that the following requirements be incorporated into the permit as development standards: 1. All liquid and solid wastes (as defined in the Solid Wastes Disposal Sites and Facilities Act, 30-20-100.5, C.R.S., as amended) shall be stored and removed for final disposal in a manner that protects against surface and groundwater contamination. • 2. No permanent disposal of wastes shall be permitted at this site. This is not meant to include those wastes specifically excluded from the definition of a solid waste in the Solid Wastes Disposal Sites and Facilities Act, 30-20-100.5, C.R.S., as amended. 3. Waste materials shall be handled, stored, and disposed in a manner that controls fugitive dust, fugitive particulate emissions, blowing debris, and other potential nuisance conditions. 4. The applicant shall operate in accordance with the approved "waste handling plan", at all times. 5. Fugitive dust and fugitive particulate emissions shall be controlled on this site. The facility shall be operated in accordance with the approved "dust abatement plan", at all times. 6. This facility shall adhere to the maximum permissible noise levels allowed in the Commercial Zone as delineated in 25-12-103 C.R.S., as amended. 7. Adequate handwashing and toilet facilities shall be provided for employees and patrons of the facility, at all times. • 2 • 8. Sewage disposal shall be by septic system. Any septic system located on the property must comply with all provisions of the Weld County Code, pertaining to Individual Sewage Disposal Systems. 9. The facility shall utilize the existing public water supply. (Little Thompson Water District) 10.Any vehicle washing area shall capture all effluent and prevent discharges in accordance with the Rules and Regulations of the Water Quality Control Commission, and the Environmental Protection Agency. 11. If applicable, the applicant shall obtain a stormwater discharge permit from the Colorado Department of Public Health & Environment, Water Quality Control Division. 12.The operation shall comply with all applicable rules and regulations of the State and Federal agencies and the Weld County Code. • • 3 Weld County Planning Department GREELEY OFFICE M:'\Si PP f' • ratt‘s ,\:, MEMORAND W ° TO: Chris Gathman, Planning Services DATE: March 8, 2010 di Hansen, .4144 C SUBJECT: USR-1722 P.E.,Preliminary Drainage Report t COLORADO The Weld County Public Works Department has reviewed this proposal. This project falls under the Use by Special Review Standard, Weld County Code, Chapter 23, Article II, Division 4, Section 23. Staff comments made during this phase of the Use by Special Review process may not be all-inclusive, as other issues may arise during the remaining application process. All issues of concern and critical issues during further review must be resolved with the Public Works Department. COMMENTS: Storm Water Drainage: A"Preliminary Drainage Report" was submitted. It was stamped and signed by Brad Hagen, P.E. Number 32982 and dated January 29, 2010. 1. Please return the redlined drainage report when submitting the corrected drainage report. • 2. Please address all redline comments in the Preliminary Drainage Report and associated drawings. 3. Please provide drawings on 24"x36" sheets with a common engineering scale. 4. CUHP should be used for sites over 90 acres in size. Please utilize the Modified FAA method to determine the required storage volume for the ponds, (Urban Drainage Detention spreadsheet available through their website at: http://www.udfcd.org/downloads/down_software.htm) and update any subsequent calculations/tables affected. 5. Please show all drainage related features in an easement on the drawings. pc: USR-1722 • M\P I.ANNING—DEVELOPMENT REVIEW\USR-Use by Special Review\USR-1722 Parker Lake Mini Storage\USR-1722-Drainage Report Comments.docx ' ^ 'ttv Planning Department „EELEY OFFICE • 61' 1 Plific Weld County Rt:=, October 14, 2009 • wilpe OCT 15 • COLORADO . The Weld County Department of Planning Services has received the following item for review: Applicant Dan Ochsner Case Number USR-1722 Please Reply By November 14, 2009 Planner Chris Gathman Project A Site Specific Development Plan and Use by Special Review Permit for a use permitted as a Use by Right, an Accessory Use, or a Use by Special Review in the Commercial or Industrial Zone Districts (long term storage units) in the A (Agricultural) Zone District. Legal Part W2SW4 Section 2, T3N, R68W of the 6th P.M., Weld County, Colorado. Location East of and adjacent to the East 1-25 Frontage Rd and north of and adjacent to CR 36. • Parcel Number 1207 02 300008 The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. Any response not received before or on this date may be deemed to be a positive response to the Department of Planning Services. If you have any further questions regarding the application, please call the Planner associated with the request. Please note that new information may be added to applications under review during the review process. If you desire to examine or obtain this additional information, please call the Department of Planning Services. You will be notified in writing of the Planning Commission date once the date is determined. ❑ We have reviewed the request and find that it does/does not comply with our Comprehensive Plan because ❑ We have reviewed the request and find no conflicts with our interests. f2""'See attached letter. Comments: Signature c �� //L �.� 5 . Date ()/ i a/c y Agency ! rxRi /41O-1- • ❖Weld County Planning Dept. C•918 10th Street,Greeley,CO.80631 ❖(970)353-6100 ext.3540 +(970)304-6498 fax • rs tioni‘str MEMORANDUM TO: Chris Gathman, Planning Services DATE: November 12, 2009 di Hansen, P.E., Public iggig C SUBJECT:IUSR-1722, Dan Ochsnerorks Department COLORADO The Weld County Public Works Department has reviewed this proposal. This project falls under the Use by Special Review Standard, Weld County Code, Chapter 23, Article II, Division 4, Section 23. Staff comments made during this phase of the Use by Special Review process may not be all-inclusive, as other issues may arise during the remaining application process. All issues of concern and critical issues during further review must be resolved with the Public Works Department. COMMENTS: Weld County Road Classification Plan (FHU): WCR 36 is a local gravel road and requires a 60-foot right-of-way at full build out. There is presently a 60-foot right-of-way. This road is maintained by Weld County. Pursuant to the definition of SETBACK in the Weld County Zoning (23-1-90), the required setback is measured from the future right-of-way line.] • The most current road count for WCR 36 is 107 AADT taken in August of 2007. At this time, it is unclear whether or not the applicant is proposing a secondary access onto WCR 36 in addition to the main access onto the 1-25 frontage road. The Colorado Department of Transportation (CDOT) has jurisdiction over all accesses to the Interstate frontage road. Please contact Gloria Hice-Idler at the Greeley office (970-350-2148 or 970-350-2163) to verify the access permit or for any additional requirements that may be needed to obtain or upgrade the permit. (1-25 Frontage Road) Access: The access information sheet that was submitted shows an access onto WCR 36 which is not included in the drainage report drawings; please clarify if this access is being proposed. A commercial access shall be a minimum distance of 150 feet from the intersection of a county or state roadway. The location of the existing main access was field verified to have sufficient sight distance in both directions. A stop sign shall be placed in the appropriate location prior to entering the frontage road. Plot Plan: The access from the 1-25 frontage road must be paved on to the site for 100 feet. Please identify the surface for the rest of the site (pavement, recycled asphalt, gravel, etc.). Each customer parking space shall be equipped with wheel guards or curb blocks when necessary to • prevent vehicles from extending beyond the boundary of the space and from coming into contact with other vehicles, walls, fences or plantings. Please show the drainage features on the plot plan in drainage easements. The proposed site layout on the drainage plan should match the plot plan. M'.APLANNING-DEVELOPMENT REVIEWVUSR-Use by Special Review VUSR-1722 Parker Lake Mini Storage AUSR-1722.docx • The boundary of the property on all drawings should match as should the plan for the southern end of the site across the existing irrigation ditch. If access to this part of the property is proposed, there must be an agreement with the ditch company and a design for the ditch crossing or piping. Storm Water Drainage: A"Drainage Conformance Certification Letter"was submitted. It was stamped and signed by Brad Hagen, P.E. Number 32982 and dated May 5, 2009. A complete drainage report is required for this project. All drawings must be stamped, dated, and signed by a registered professional engineer licensed to practice in Colorado. Please utilize the attached "Weld County Use By Special Review Drainage Report Outlines" to verify that all of the required information has been included in the report. Please return the redlined drainage report when submitting the corrected drainage report. Please address all redline comments in the Drainage Conformance Certification Letter and associated drawings. Please update and/or recalculate the calculations redlined in the Drainage Report. Please provide complete calculations for the proposed drainage design. If a computer model is to be used, please provide a copy of the computer model and thoroughly label and discuss all calculations and results included in the drainage report appendix. Alternatively, please utilize the Urban Drainage spreadsheets available through their website at: http://www.udfcd.org/downloads/down_software.htm or provide step-by-step calculations that can be followed. • Please calculate the 5-year historic runoff amount using 2% imperviousness for the entire site area. This will be the allowed release rate from the detention ponds. Please provide outlet calculations including orifice plates to control the Water Quality Capture Volume and restrict the release rate to the 5-year historic amount. Please show the outlets in plan view as well as fully detailed. If the ponds are to outlet to Parker Lake and Parker Lake is owned by an irrigation ditch company, an agreement to accept this stormwater will need to be provided. Please provide proof of ownership or an agreement with the owner of the area where the gravel channel and Pond 1 are located. The property line on the site plan does not include this area as part of the site. Please show all drainage related features in a drainage easement on the drawings and include a metes and bounds description of the drainage easement. Please add a note to the drainage report text as well as all drawings and plats that states "Weld County is not responsible for the maintenance of drainage related features." Since more than 1 acre is being disturbed, a copy of the approved stormwater construction permit from the Colorado Department of Public Health and Environment must be provided. Please provide a copy of the corrected drainage report to CDOT. Geotechnical Soils Report: • The applicant shall provide a soils report for review and comment. Flood Hazard Development Standards: This area IS NOT in a Special Flood Hazard Area (SFHA) as determined by the Federal Emergency Management Agency (FEMA). M:\PLANNING—DEVELOPMENT REVIEW\USR-Use by Special Review\USR-1722 Parker Lake Mini Storage\USR-1722.docx • At this time we are unable to conduct a full review of the USR application due to the missing items described above. Public Works will require sufficient time to review the additional materials and depending on the submittal date as well as the content, we may request the hearing for this project to be continued to a later date. pc: USR-1722 • M'.APLANNING—DEVELOPMENT REVIEWVUSR-Use by Special Review USR-1722 Parker Lake Mini Storage AUSR-1722.docx • • • MEMORANDUM TO: Michelle Martin, Planning Services DATE: October 31, 2008 ' C FROM: Janet Carter E.I., Public Works � SUBJECT: Mark Harkless-1300+/- Storage units COLORADO After further review of the site located near WCR 36 & 1-25 and information provided by the property owner, Mark Harkless; Public Works has determined that a Traffic Study is not required at this time. • • Page- 1 -of 1 October 31, 2008 C-ADocuments and Settings\jcarterADesktopAMark Harkless-DOC' • Referral l Weld County O October 14, 2009 • COLORADO The Weld County Department of Planning Services has received the following item for review: Applicant Dan Ochsner Case Number USR-1722 Please Reply By November 14, 2009 Planner Chris Gathman Project A Site Specific Development Plan and Use by Special Review Permit for a use permitted as a Use by Right, an Accessory Use, or a Use by Special Review in the Commercial or Industrial Zone Districts (long term storage units) in the A (Agricultural)Zone District. Legal Part W2SW4 Section 2, T3N, R68W of the 6th P.M., Weld County, Colorado. Location East of and adjacent to the East I-25 Frontage Rd and north of and adjacent to CR 36. • Parcel Number 1207 02 300008 The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. Any response not received before or on this date may be deemed to be a positive response to the Department of Planning Services. If you have any further questions regarding the application, please call the Planner associated with the request. Please note that new information may be added to applications under review during the review process. If you desire to examine or obtain this additional information, please call the Department of Planning Services. You will be notified in writing of the Planning Commission date once the date is determined. ❑ We have reviewed the request and find that it does/does not comply with our Comprehensive Plan because ❑ We have reviewed the request and find no conflicts with our interests. XX See attached letter. Comments: Please see attached memorandum. Signature Date 10/19/09 • Agency oning Compli ce Office I +Weld County Planning Dept. +918 10th Street,Greeley,CO.80631 +(970)353-6100 ext.3540 +(970)304-6498 fax MEMORANDUM • ink COLORADO To: Chris Gathman, Planner October 19, 2009 From: Bethany Salzman, Zoning Compliance Officer II Subject: USR-1722 Referral 1156 Upon review of my case files and computer, an active Zoning Violation(ZCV09-00239)was noted. This violation was initiated due to the presence of a visible Noncommercial Junkyard consisting of multiple derelict vehicles and miscellaneous debris. During my last inspection I noted that the Noncommercial Junkyard had been removed; however, in order to ensure continued compliance, this violation case is being left open for a short time. This case has not yet been presented to the Board of County Commissioners through the Violation Hearing process. The final outcome of this application is not directly related to this violation case. • • SERVICE.TEAMWORK.INTEGRITY.QUALITY DEPARTMENT OF PLANNING SERVICES BUILDING INSPECTION ID NORTH OFFICE 918 10`"Street C. PHONE (9 O) 3533-6100, EXT.3540 FAX (970) 304-6498 COLORADO November 10, 2009 Dan Ochsner Site Specific Development Plan and Special Review Permit for a Use Permitted as a Use by Right,an Accessory Use or a Use by Special Review in the Commercial or Industrial Zone District(long term storage units)in the in the A(Agricultural ) Zone. USR-1722 1. A separate building permit shall be obtained prior to the construction of any building. 2. A plan review is required for each building for which a building permit is required. Plans shall include a floor plan. Commercial building plans shall bear the wet stamp of a Colorado registered architect or engineer. Two complete sets of plans are required when applying for each permit. Residential building plans may be required •to bear the wet stamp of a Colorado registered architect or engineer. 3. Buildings shall conform to the requirements of the various codes adopted at the time of permit application. Currently the following has been adopted by Weld County: 2006 International Building Code; 2006 International Mechanical Code; 2006 International Plumbing Code; 2006 International Fuel Gas Code; and the 2008 National Electrical Code, 2006 International Energy Conservation Code and Chapter 29 of the Weld County Code. 4. Each building will require an engineered foundation based on a site-specific geotechnical report or an open hole inspection performed by a Colorado registered engineer. Engineered foundations shall be designed by a Colorado registered engineer. 5. The storage units will probably be classified as(S-1),storage of moderate hazard materials.The dwelling will be classified as a mixed use(R-3) single family dwelling with a(B)office. The office and storage units(number according to Table 1108.3 of the 2006 International Building Code) will be required to be accessible to persons with disabilities. 6. Fire resistance of walls and openings, construction requirements, maximum building height and allowable areas will be reviewed at the plan review. S-1 storage units are required to be at least 10 from property lines or be of one hour fire resistive construction. Setback and offset distances shall be determined by the Zoning Ordinance. 7. Building height shall be measured in accordance with the 2003 International Building Code for the purpose of determining the maximum building size and height for various uses and types of construction and to determine compliance with the Bulk Requirements from Chapter 23 of the Weld County Code. Building height shall be •measured in accordance with Chapter 23 of the Weld County Code in order to determine compliance with offset and setback requirements. When measuring buildings to determine offset and setback requirements, buildings are measured to the farthest projection from the building. Property lines shall be clearly identified and all property pins shall be staked prior to the first site inspection. 7. Provide letter of approval from Mountain View Fire Protection District prior to construction of any structure. •8. There are no building permits on record for this parcel. Please contact me for any further information regarding this project. • Sincerely, Roger Vigil Building Official • Chris Gathman m; Chris Gathman t; Tuesday, Oct October 27, 2009 1022 AM 'steve.stamey@comcast.net Subject: RE: USR-1722-Town of Mead comments Steve, Thank you for your comments. The site plan has been scanned in and is available on our website: http://www.co.weld.co.us/departments/planning/Planning/plan current.html#USR-1722. The applicant has addressed landscaping in their application narrative but did not indicate on the site map. Weld County will require landscaping (as approved by staff) to be shown on the final plat prior to recording. Architectural Elevations are not a submittal requirement outlined in the Use by Special Review application but I will request that the applicant provide this information and forward this information to you. Let me know if you have any questions or need anything else. Sincerely, Chris Gathman Planner III Weld County Department of Planning Services 918 10th Street, Greeley, CO. 80634 Ph: (970)353-6100 ext. 3537 Fax: (970)304-6498 W---Original Message om: steve.stamey@comcast.net [mailto:steve.stamey@comcast.net] Sent: Tuesday, October 27, 2009 8:38 AM To: Chris Gathman; Chris Gathman Cc: Dan Dean Subject: USR-1722 - Town of Mead comments Attached are comments from the Town of Mead Board of Trustees, regarding the Ochsner USR- 1722. Please advise the Town of Mead when this item may be scheduled for the Weld County Planning Commission review. The Town of Mead also requests a complete copy of the application material, including the detailed Site Plan, Landscape Plan, and Architectrual Elevations. The Town of Mead requests that Weld County deny USR-1722 at this time, and refer the applicant to the Town of Mead for annexation, and, development pursuant to the Town's Land Use Code. • Please contact me if you have any questions. 1 Chris Gathman rom: Chris Gathman nt: Thursday, February 11, 2010 11:03 AM o: Myingriverranct@hotmailcomY'brad@civilresources.com' Cc: Heidi Hansen Subject: FW: Parker Lake Mini-Storage review FYI. Chris Gathman Planner III Weld County Department of Planning Services 918 10th Street, Greeley, CO. 80634 Ph: (970)353-6100 ext. 3537 Fax: (970)304-6498 Original Message From: Hice-Idler, Gloria [mailto:Gloria.Hice-Idler@DOT.STATE.CO.US] Sent: Thursday, February 11, 2010 8:15 AM To: Chris Gathman Subject: FW: Parker Lake Mini-Storage review Chris, You might want to forward this to Mr. Ochsner and/or his engineer. oria Hice-Idler lermit Supervisor CDOT Region 4 1420 2nd Street Greeley CO 80631 (970) 350-2148 From: Griffin, Steven Sent: Tuesday, February 09, 2010 3:13 PM To: Hice-Idler, Gloria Subject: FW: Parker Lake Mini-Storage review Gloria, The development is cleared for CDOT Drainage. As Long mentions, they may want to double- check their calcs on Figure 2, as the Existing Drainage summary table does not match the flows in the Basin IDs. Steve From: Phan, Long nt: Tuesday, February 09, 2010 2:12 PM Griffin, Steven Subject: Parker Lake Mini-Storage review 1 STATE OF COLORADO Region 4 Traffic Section 'A O7+ • 1420 2nd St. 1 Greeley, Colorado 80631 (970)350-2148 Fax:(970)350-2198 DEPARTMENT CR TRANSPORTATION Permit No. 408010 February 4, 2008 To: Mark Harkless P.O. Box 642 Greeley, CO 80631 Dear Permittee or Applicant: 1. Please review the attached State Highway Access Permit(Form#101) and all enclosed attachments. 2. If you choose NOT to act on the permit, please return the permit unsigned. 3. If you wish to APPEAL the Terms and Conditions of the permit, please refer to the attached Form 101, Pages 2 and 3 for an explanation of the appeal procedures. 4. If you ACCEPT the Permit and its Terms and Conditions and are authorized to sign as legal owner of the property or as an authorized representative,please sign and date the Access Permit form on the line marked"PERMITTEE".Your signature confirms your agreement to all the listed Terms and • Conditions. 5. Provide a check or money order made out to the jurisdiction named on the next line for the amount due. Make check or money order payable to: CDOT Amount Due: $ 100.00 6. Return the Access Permit including all pages of terms and conditions along with your payment back to the Colorado Department of Transportation (CDOT)at the address noted below. The Department will process and return to you a validated (signed and recorded) copy of your State Highway Access Permit. You may retain this cover letter for your records. 7. If you fail to sign and return the attached Access Permit within 60 days of the date of this transmittal letter, Colorado Department of Transportation will consider this permit withdrawn and void. 8. As described in the attached Terms and Conditions,you must make a written request to obtain a Notice to Proceed. DO NOT begin any work within the State Highway Right-of-Way without a validated Access Permit and Notice to Proceed. Use of this permit without the Colorado Department of Transportation's validation shall be considered a violation of State Law. If you have any questions, please call Tim Bilobran at(970)350-2163. Please return Access Permit and attachments to: Region 4 Traffic Section 1420 2nd St. • Greeley, Colorado 80631 COLORADO DEPARTMENTOF • TRANSPORTATION COOT Permit No. 408010 STATE HIGHWAY ACCESS PERMIT State Highway No/Mp/Side 25F / 246.359 / R ermit fee Date of transmittal Region/Section/Patrol Local Jurisdiction ID $100.00 2/4/2008 4 / 01 /15-Mead Weld County The Permittee(s); Applicant: Ref No.: Daniel L. Ochsner Mark Harkless 18905 County Road 394 P.O. Box 642 La Salle,CO 80645 Greeley, CO 80631 970-381-3881 970-302-2415 is hereby granted permission to have an access to the state highway at the location noted below. The access shall be constructed,maintained and used in accordance with this permit, including the State Highway Access Code and any attachments,terms,conditions and exhibits.This permit may be revoked by the issuing authority if at any time the permitted access and its use violate any parts of this permit.The issuing authority,the Department and their duly appointed agents and employees shall be held harmless against any action for personal injury or property damage sustained by reason of the exercise of the permit. Location:This access is located on the 1-25 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 20 ADT Additional Information: MUNICIPALITY OR COUNTY APPROVAL Required only when the appropriate local authority retains issuing authority. Signature Print Name Title Date 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 Linda McWilliams 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 Iaccept the permit and its terms and conditions. Permittee Signaturelila Print Name Date is permit is not valid until signed by a duly authorized representative of the Department. LORADO DEPARTMENT OF TRANSPORTATION Signature Print Name Title Date(of issue) Copy Distribution: Required: Make copies as necessary for Previous editions are obsolete and may not be used 1.Region 3.Staft Access Section Local Authority Inspector Page 1 of 3 CDOT Form#101 5/07 2.Applicant 4.Central Files MTCE Patrol Traffic Engineer State Highway Access Permit • PERMIT EXPIRATIO 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 •cess Code. These are provided for your convenience but the permittee is unable to commence construction within one 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 lit 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 brought to the Commission within 60 days of transmittal provisions of the permit, that conflict with concurrent otice of denial or transmittal of the permit. highway construction or maintenance work, that endanger ' highway property, natural or cultural re urces protected by right-of-way or any dopted municipal system and drainage law, nr the health and safety of workers nr the public. plan. 5. Prior to using the access, the permittee is required to 11. By accepting the permit, permittee agrees to save, ilkomplete the construction according to the terms and indemnify, and hold harmless to the extent allowed by law, nditions 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 thin highway right-of-way. Where necessary to remove, MAINTENANCE ocate, 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 •ditions. 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 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.army.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 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. Information about threatened or endangered species may be obtained from the CDOT website http://www.dot.state.co.us/environmentalM/ildlife/Guidelines.asp,or the Colorado Division of Wildlife website http://wildlife.state.co.usM/ildlifeSpecies/SpeciesOfConcern/. Additional guidance may be provided by the Regional ifermittinq 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 ermitted facility or designated collection point(e.g.,for solid waste, a utility or construction company's own dumpster). If pre-existing lid waste or hazardous materials contamination (including oil or gasoline contaminated soil, asbestos, chemicals, mine tailings, etc.) 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 July'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 8. 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 is available from Julia Horn, CDOT Asbestos Project Manager(303)512-5519. 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:http://www.cdphe.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/wo/PermitsUnit/wgcdpmt.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 qo to http://www.cdphe.state.co.us/wcj/PermitsUnit/wocdpmt.html#MunicipalFormsGuidance. 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.stale.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. iliontact Information: Contact the CDOT Water Quality Program Manager at(303) 757-9343. pill 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 immediate danger to the public shall be reported by calling 911, and shall also be reported to the CDPHE at 1-(877)-518-5608. Environmental Clearances Information Summary Page 2 of 3 Colorado Department of Transportation July'07 Transportation of Hazardous Materia No person may offer or accept a hazardous marrial 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 intra-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/environmental/wildlife/permitapplication.asp. About This Form -Questions or comments about this Information Summary may be directed to Dahir Egal, CDOT Safety&Traffic Engineering, Utilities Unit, at(303) 757-9344, dahir.ecial@dot.state.co.us • • Environmental Clearances Information Summary Page 3 of 3 Colorado Department of Transportation July'07 COLORADO DEPARTMENT OFTFPORTATION • Issuing authority application STATE HIGHWAY ACCESS PERMIT APPLICATION acceptance date: Instructions: - Contact the Colorado Department of Transportation(CDOT)or your local government to determine your issuing authority. • - Contact the issuing authority to determine what plans and other documents are required to be submitted with your application. - Complete this form(some questions may not apply to you)and attach all necessary documents and Submit it to the issuing authority. Please Print - Submit an application for each access affected. or type - If you have any questions contact the issuing authority. - For additional information see CDOT's Access Management website at http://www.dot.state.co.bs/AccessPormitslindex.htm 1)Property owner(Permitl�) . 2)Agent (if different from property owner) DAN lrif, 7..._-(.e C) . h r1 at- r?f�IY._ I�rc! 5�' Street address M li adtlress / Yyo c f.� City,state zip �� Phone City,state zip Phone#(required) X �=-_54LGF /' 990 "' g (� CO Co cro 30.2, .,;L.til-c E-mail address E-mail address if available�/g 3)Address of g properly to be served by permit(required) 4 Legal l description o property If within]udsdictional limits of Municipality,city and/or Coun y,which one? Vs- co unity_ subdivision Muck k lot senior township i runoff �� ...!.0 f . --_J- -- --- L_-off —1 co) 5)What State Highway are yourequesting access from? 6)What side ofthe Ihlq�hway? AL'f. cs_si 1'l, 7 FIN LJ SKE W 7)How many f et is the proposed access from the nearest mile post? How many feet is the proposed access from the nearest cross street? ( 2. _It"lJl0O feet CtN❑S❑E 0W)from: ) c6 _ADD_feet gN ❑S❑E OW)from: �'//L • 8)Whal is the approximate date you intend to begin construction? - f fir,-,' / J-co 9)Check here if you are requesting a: �new access [temporary access(duration anticipated: ) improvement to existing access LJ change in access use removal of access relocation of an existing access(provide detail) 0)Provide existing property useIlli J p ./ .Gp 7�Pif,,Lit/ h roauja4 11)Do you h ve knowledge of any State Highway access permits serving this properly,or adjacent properties in which you have a property interest? IXno 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? ►:no ©yes, if yes'please describe: 13)Are there other existing or dedicated public streets.roads,highways or access easements bordering or within the property? [X]no O yes,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 /,3,fe 1(4 7 r/—.,E,_:4—LA' trig - - i — —_ Lt"ll7-s - L 16)It you are requesting residential developement u access,what is the type(single family,apartment,townhouse)and number of units? type �t11JJ ' ft number of units type number of ants snAt t. 17)Provide the following vehicle count estimates for vehicles that will use the access.Leaving the property then returning is two counts. ptrucks nr parse qc cars and nm trucvolumesyucws al peak hour volumes a of multi a volumest peak hoer volumes Indicate if your counts are peak hour volumes or[leverage daily volumes. IDAngie unit vehicles in excess of 0 n. a ur fain vehicles fneie equipment) Total count of all vehicles Previous editions are obsolete and may not be used Page 1 of 2 COOT Form#137 12104 113)Check with the issuing authority to determilk hich of the following documents are required to complete rreview 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. 0 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. IP 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 asn. 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's signature Print name Date 7 y!i7; ‘. r _ M//4f't , , .e/)/�I-(=S /// L1.8 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. Prop qy owner signature Print name I Date } p��z �L ��/ P4 0lE L Dee / - /5 �� • Previous editions are obsolete and may not be used Page 2 of 2 COOT Form#137 12/04 r_ M Camel 0 J O 4 ,, j -c �7enJ • L rtmaii R c d a+ C d V s•l lf)(e i Ch 1 e-, Tel z QV = a °a u . tv 2.• FC I N h•C Y ti • u � c., c.,) O L u a 4 Le L° G ° ., Prn 1. B` c u ,ce a4- K �°wE a J CID 8 ca , 5 W a .. m E. Qt A a � „ � o ,- dam CID o �� ° Qta y ci u 7 5 alal c.) w L U a Z d Q ? Oet � O I v d ❑ 'L — t. C y 6.. till .G e . .- y L . "0 0 to f. w +sL Qa +., bD 'a h a P. u u 8 .� o • c`t 2 C CL CI w u OA+- W L a U w O "x "O aa) u t o ,-C C C bt••• I .t u R Ca ca y cigt ts - w ..� ^p O b0 7 d .L auu z-. L L q d 3 L c a u O C z ca E-* Inc .y � d n • s p <J � � A d S) 3 • • •',DELORME • • Street USA®2006 r- I . : Vicinity Map for Access Permit #408009 I •:mpion- ! Location,l �:� gs' ¢" c=I ;� ;h., Site . • --... �.... ..�.1 - - X3252 z ie!'• ''! Ef., f,r' ._ - :i ......,...- Wdttr • . J � • �:. •I y. . I I ! l ttjif I. 250 ,� Ie , oud i , .. � _..... ......_.. .. .... '58 58 LL O \12_50 , t1 N II • •• Y • x eunyar I I • I " I I il-._ .-. 4 r ; �„ I i Walker! ' I 1 ailT t._. o� —" - slteLocatonJ °` ! a Hill ' Mtalo y ; .I.. .. -'- i I ' I r 245 ' '.t.1 :Mead I • ' .. .• • ,. �' — 245��— Ii Lake as f T Carrera Airperk .. _II cho Aereo f -._. ordley irstrip I •--' s I l Ca �rtwheel X3 ; ; 1 1_1 • I c owanda r r--; O 1 ! f I xGlttE�� 1 _ 97 __ _ l.._... ITr 1 r r. .•!,7 r. mD Catkins. ' • II E tt � -,} i I I 0 I , I • 119 ":. L. . !1 4 _ I •-- ' • -i.! ! �T. t 6 rMc 1Fi 119 l � .Nv, II 4s -,.....,.......n..wr, Y • 4.:,,,,..‘,. w I w j 4 ,. Scale 1:100,000 Data use subject to license �aa••FI ®2005 DeLorme.Street Atlas USA®2006. ° ' Y ' www.delorme.com 1"=1.58 ml Data Zoom 11-0 The basins hydrology information on the existing drainage basins map need to match with the information from the provided table, other than that the preliminary drainage report shows that the proposed design doesn't have any impact on CDOT property. At this time, I don't have illiy comment. • • 2 • IIDc Weld C Weld County Referral ounty Planning Department GREELEY OFFICE October 14, 2009 MAY 19 2010 COLORADO RECEIVED The Weld County Department of Planning Services has received the following item for review: Applicant Dan Ochsner Case Number USR-1722 Please Reply By November 14, 2009 Planner Chris Gathman `Project A Site Specific Development Plan and Use by Special Review Permit for a use permitted as a Use by Right, an Accessory Use, or a Use by Special Review in the Commercial or Industrial Zone Districts (long term storage units) in the A (Agricultural) Zone District. Legal Part W2SW4 Section 2, T3N, R68W of the 6th P.M., Weld County, Colorado. iLocation East of and adjacent to the East 1-25 Frontage Rd and north of and adjacent to CR 36. Parcel Number 1207 02 300008 • The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. Any response not received before or on this date may be deemed to be a positive response to the Department of Planning Services. If you have any further questions regarding the application, please call the Planner associated with the request. Please note that new information may be added to applications under review during the review process. If you desire to examine or obtain this additional Information, please call the Department of Planning Services. You will be notified in writing of the Planning Commission date once the date is determined. 0 We have reviewed the request and find that it does/does not comply with our Comprehensive Plan because D We have reviewed the request and find no conflicts with our interests. pi See attached letter. Comments: SignatureC`c) c_PC Date s1 �Z ‘n • Agency (Y'.Q 4•Weld County Planning Dept. +918 10th Street, Greeley,CO. 80631 +(970)353-6100 ext.3540 ^(970)304-6498 fax M°"NI MOUNTAIN VIEW FIRE PROTECTION DISTRICT a Administrative Office: 9119 County Line Road • Longmont, CO 80501 E1+ (303) 772-0710 • FAX (303) 651-7702 • VIEW May 17, 2010 Mr. Chris Gathman Weld County Planning Services 918 10th Street Greeley, CO 80631 Dear Mr. Gathman: I have reviewed the submitted material for the storage units proposed for construction at 17164 East I-25 Frontage Road (Case Name: Ochsner, Case Number: USR-1722). The 2006 Edition of the International Fire Code is the adopted code of record and the activities of the storage operation will be covered by this Code. Although a site plan was submitted, it was not complete and not to scale so it is difficult to determine if access meets the requirements of the Fire District. Based on my review, I have the following • comments with regard to the project: • Water supply for fire protection is required for this use. A minimum fire flow of 1,500 gallons of water per minute, measured at a residual pressure of 20 pounds per square inch (p.s.i.), is required to be provided and may require more based on the construction type and size of the buildings. Fire hydrants will need to be spaced throughout the property so that all portions of a building is located within 450 feet of a hydrant, as measured along the fire apparatus access road and around the exterior of the building. If water supply for fire protection cannot be provided, the Fire District is opposed to this use. • Fire apparatus access must be provided so that fire apparatus may reach within 150 feet of all portions of the storage or buildings. Fire apparatus access roads must be designed and maintained to support the imposed loads of fire apparatus (75,000 pounds), must have a surface that provides all-weather driving capabilities and be free from obstructions which includes locked gates, unless otherwise approved. Fire apparatus access roads must be a minimum of 20 feet in width. The minimum turning radii for all turns along apparatus access roads shall be thirty-five (35) feet inside turning radius and forty-eight(48) feet outside turning radius. • A final overall site plan/utility plan, drawn to scale, will need to be submitted to the Fire District that addresses the above comments. • Station 1 Station 2 Station 3 Station 4 Station 5 Station 6 Station 7 9119 Cnry Line Rd. 14308 Mead St,Unit B P.O.Box 575 P.O.Box 11 10911 Dobbin Run 50 Bonanza Dr. 161 Perry Lane Longmont,CO Longmont,CO 299 Palmer Ave. 8500 Niwot Road Lafayette,CO Erie,CO Dacono,CO 80501 80504 Mead,CO 80542 Niwot,CO 80544 80026 80516 80514 Mr. Chris Gathman • May 17, 2010 Page Two We appreciate being involved in the planning process. Should you need additional information or have any questions, please contact me at 303-772-0710 x 15. Sincerely, Q Qi\c-9c -C s LuAnn Penfold Fire Marshal LMP/lp cc: project file Ip05.0S.10 • • CIVIL RESURCES, LI_C N(.1N,.LI.S R I't.ANNI'I'S • May 24, 2010 Mr.Chris Gathman Planner III Weld County Department of Planning Services 1555 N. 17th Avenue Greeley, Colorado 80631 Re: Mountain View Fire District Comments,USR•1722 Dear Mr. Gathman: The Mountain View Fire District comments have been reviewed and acknowledged. Upon final development of the proposed outdoor storage site,all rules,regulations and requirements necessary to meet the Fire District's criteria will be met. Please contact us if you have any questions or comments. Sincerely, • CIVIL RESOURCES, LLC. C:71/ Brad L.Hagen,P.E. Civil Engineer/Principal J:10chsnerlweld Counlylletter-mountain view fire district.doc • 323 FIFTH STREET • P.O. Box 680 • FRIDERIC:K, CO 80530 • PHONE (303) 833-1 41 6 • FAx (303) )333-285❑ • MEMORANDUM TO: Chris Gathman, Weld County Planning FROM: Town of Mead Mayor and Board of Trustees, By: Steve Stamey, AICP, Town Planner SUBJECT: Weld County Referral—USR-1722 Dan Ochsner Long Term Storage Units DATE: October 21, 2009 CC: Dan Dean Town Manager The Town of Mead has reviewed the Ochsner SRU-1722 application for long term storage units located at the northeast corner of CR 36 and I-25 Frontage Road. This property is within the Town of Mead's Planning Area, and has a Future Land Use • designation as PIMU-Planned Industrial Mixed Use. Storage would be a permitted use in the Town's LI-Light Industrial District, subject to conformance with Town development standards. The I-25 Frontage Road would be subject to the Town's Highway Design Overlay District (HDOD) standards. The HDOD standards require a minimum building setback of 50' from the Frontage Road. In addition, architectural design standards would apply, including 360 degree architecture, building elements comprised of stone, brick, and wood, and building articulation. I-25 frontage landscaping is also required. The application material submitted as part of the Weld County Referral to the Town of Mead is insufficient to adequately review the proposed storage unit development for conformance with the Town of Mead development standards. If Weld County proceeds with the review of this application, the Town requests a copy of a detailed Site Plan for this application, that can be evaluated for conformance with Town standards. The property is immediately adjacent to Mead Town limits, and the Town of Mead respectfully requests that Weld County deny SRU-1722 at this time, and refer the applicant to the Town of Mead for annexation. • 1 HI • USR-1722 • { 1 h1Ep�'� I t r } • 2 Hello