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• •
• WELD COUNTY ROAD ACCESS INFORMATION SHEET
Weld County Department of Public Works
111 H St PO Box 758 Greeley CO 80632
Phone: (970 )356-4000 x3750 Fax: (970) 304-6497
Road File#: Date:
RE#: Other Case#:
1. Applicant Name Marcum Midstream 1995-2 Bus . Trusehone 970-356-5560
Address 8207 W. 20th St. , Ste B City Greeley State CO Zip 80634
2. Address or Location of Access Highway 392 & WCR 74 — North into location
Section 34 Township 7N Range 63W Subdivision Block Lot
Weld County Road#: 74 Side of Road 69 Distance from nearest intersection
3. Is there an existing access(es)to the property? Yes No X #of Accesses
4. Proposed Use:
0 Permanent 0 Residential/Agricultural 0 Industrial
0 Temporary 0 Subdivision Commercial 0 Other
RRR***######***********************#******************************RR**R#*******************************************************
5. Site Sketch
Legend for Access Description:
AGL_
= Agricultural
RES = Residential
O&G = Oil&Gas
D.R. = Ditch Road
• = House N
0 = Shed A
A =Proposed Access
A = Existing Access
WCR 74 I
***######*****************R******####.#
OFFICE USE ONLY:
Road ADT
Date Accidents Date
Road ADT Date Accidents Date
Drainage Requirement Culvert Size Length
Special Conditions
0 Installation Authorized 0 Information Insufficient
Reviewed By: Title:
•
-9-
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