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Home My WebLink About20100890.tiff SITE SPECIFIC DEVELOPMENT PLAN AND USE Y SPECIAL REVIEW (USR) APPLICATION FOR PLANNING DEPARTMENT USE DATE RECEIVED: RECEIPT#/AMOUNT# 1$ CASE#ASSIGNED: APPLICATION RECEIVED BY PLANNER ASSIGNED: Parcel Number / (/ I / - c - ,S - l> 0 -6_9 c/ (12 digit number-found on Tax I.D. information,obtainable at the Weld County Assessor's Office, or www.co.weld.co.us.) � Ree, e-> Cei /D h'L-31'13 („2.71e)Legal Description P/ S vV �, 'W� /�1 , Section , Township North, Range West Flood Plain: Zone District: , Total Acreage: , Overlay District: Geological Hazard: , Airport Overlay District: FEE OWNER(S) OF THE PROPERTY: Name: �ar/ ,44 I/04Kt-7 Work Phone# ( j/theme Phone#3a4-we-87Y/ Email p/onkQ//C[//77(4'/20//'/'c/- Address: /(o O2 L/iyhaJa/,ro2 Address: City/State/Zip Code /tort /.4./0 ron 2 (lc . 0Z /- Name: Work Phone# Home Phone# Email Address: Address: • City/State/Zip Code Name: Work Phone# Home Phone# Email Address: Address: City/State/Zip Code APPLICANT OR AUTHORIZED AGENT (See Below:Authorization must accompany applications signed by Authorized Agent) Name: /2h Ty /) /0/O/)kiji Work Phone# Home Phone# Email Address: //0, 3C NIJchway ,5ai Address: City/State/Zip Code con- Lvfri-O/7 1 Co 80(0,2/ PROPOSED IJSEot, r vD/Is770 crib f) eQv1 pvYl e/1 7` , Ff rbed Trot l , a✓Id er Jveh ;cles, I (We) hereby depose and state under penalties of perjury that all statements, proposals, and/or plans submitted with or contained within the application are true and correct to the best of my(our)knowledge. Signatures of all fee owners of property must sign this application. If an Authorized Agent signs, a letter of authorization from all fee owners must be included with the application. If a corporation is the fee owner, notarized eviden included indicating that the signatory has to legal authority to sign for the corporation. EXHIBIT • �2?( ,�� moo,. - 07 1 z Signatur Owner or Authorized Agent Date Signature: Owner or Authorized Agent 2010-0890 • • • September 9,2009 Weld County Planning Department 918 Tenth Street Greeley, CO 800631 Weld County Planners, Subject: Application for Highway 52 Storage I (Mary Ann Plonka)am submitting the papers for your review for Highway 52 Storage. Included are: Packet I -one original of application requirement list Packet 2-one copy of the following: application, questionnaire,map, one copy of water district letter or Well permit, one sanitary sewer district letter or septic permit. Packet 3 - 19 containing one copy of the following: application, questionnaire, map,Road Access info sheet. 20 original application forms 20 special review plat maps 24 X 36 • 20 Special review questionnaire 20 Weld County Road Access information sheet I am also enclosing a check for the$2500.00 application fee. I have turned in a Certificate of Conveyance on October 14, 2008 when I submitted 4 packets of the above for a review. When these papers are approved, I will obtain another recent Certificate of Conveyance(at the cost of$250.00). I also turned in papers that Kim Ogle requested in a letter he wrote November 8, 2008 . Those papers were left at the Longmont office in March or April of this year 2008. Mary Ann Plonka 16230 Highway 52 Fort Lupton, Co. 80621 303-946-8797 Planning department office(please print) Month/Date/Year Signature planning department office Signature of Applicant • • • 1.Explain, in detail the proposed use of the property. • We plan to use the 4.77 acres,as designated on the site plan map, as storage space for recreational vehicles and boats as our phase one plan. We plan to enlarge the area to include the remaining acres south of the 4.77 acres to include more RV and boat storage space, a detention pond, and construct individual storage buildings, and storage of construction and heavy equipment. There will be two entrances to the storage area,one on the 4.77 acre site and one at the lower south end site when it opens. There will be a gate at the south end of the 4.77 acre site at this time. The area will be enclosed by six foot chain link fencing with a six foot privacy fencing on the north end of the 4.77 acres. There will be a security gate opening into the storage area. Lighting will be scattered in designated areas throughout the storage area. We will be using crushed concrete and crushed asphalt as the base to cover the ground. There is a lot separated out on the southwest corner of the 29.775 acres that I would like to have separated out in this Use by Special Review. A road leading back to this lot is designated on the blueprint map made by Joel Crowe. There will be a modular or manufactured office/home at the entrance to the 4.77 acre storage site. 2. Explain how this proposal is consistent with the intent of the Weld County Code,Chapter 22 (Comprehensive Plan) We plan to keep the area looking as natural as possible by keeping it enclosed and adding trees,plants, and shrubs. There will be a wide opening of 60 feet at the entrance with a holding area inside the property for vehicles entering the storage 3.Explain how this proposal is consistent with the intent of the Weld County Code, Chapter 23 (Zoning) and the zone district it is located. We are agriculturally zoned at present,but we have no irrigation water, so it is essentially dry land which basically grows rye, some native grass, and weeds. We plan to keep the native grass as part of our landscaping and adding trees, shrubs and more grass plants. We plan to keep the dust down with the application of the crushed concrete and crushed asphalt. • 4. What type of uses surround the site?Explain how the proposed use is consistent and compatible with surrounding land uses. There are agricultural areas to the south, east and west of the property. Across Highway 52 ,to the north of the proposed site ,the land is annexed to the city of Fort Lupton for future use as a subdivision and to place a water tower on it. On Highway 52,to the west of my property,there are two commercial sites,Aqua Hot and a cement business. There is a large truck stop 6 miles to the east, Love's, at the junction of 176 and Highway 52,that has a dumping station for RV's. 5.Describe, in detail,the following: A.Number of people who will use the site There will be a 152 spaces. B.Number of employees proposed to be employed at this site There will be up to four. C. Hours of operation 7:00 a.m to 7:00 p.m or by appoitment. D.Type and number of structures to be erected(built) on this site Manufactured or modular home will be used as a office site and home combine for stage one. Plans for stage two will include closed individual storage unit buildings. E.Type and number of animals,if any, to be on this site There will be no animal in that area. • F. Kind of vehicles(type, size, weight)that will access this site and how often . The F-150 weight starts out at 64501bs. GVWR the A class motorhome GVWR is 30,000lbs and the length is at most 44ft. G.Who will provide fire protection to this site The Fort Lupton fire department. H. Water source on the property(both domestic and irrigation) Domestic and has been modified for commercial usage. I. Sewage disposal system on the property(existing and proposed) There is a existing one on property that has been modified for increased usage. J.If storage or warehousing is proposed, what type of items will be stored R.V,Boats at present Contruction equipment,and personal storage items at mini storage. 6. Explain the proposed landscaping for the site. The landscaping shall be separately submitted as a landscape plan map as part of the application submittal. We will us native grasses, trees, and shurbs. 7. Explain any proposed reclamation procedures when termination of the Use by Special Review activity Occurs. The fencing, lights and buildings will be removed. 8. Explain how the storm water drainage will be handled on the site. It is shown on the map where the drainage pond is and the slop of the land that Joel Crowe has drawn. • 9.Explain how long it will take to construct the site and when construction and landscaping is scheduled to Begin. The first phase three years the second phase 10 years 10. Explain where storage and/or stockpile of waste will occur on this site. There will be a one or more large trash containers. • tt tit ;iWWyw�- n 7 --r ' .) - c 41 .... r: 4. rya• =.autumn purple ash cottonwood honeylocust '`'"gin"' s • —w� Japanese tree lilac itatiheik.. a ;hp 4•' ;,. 4. > _. Norway spruce -- Austrian pine pfitzer juniper ,(� .t. 4Y 5' • 'S` (15—°5"°".°a. 9 rugosa rose -- -spires MICalifornia privet These are some of the tree we are looking at for the landscaping. They are tolerate of our area with the salt in our water and the sand. • • CRC CONSULTING 9587 FLORENCE ROAD BLANCA, COLORADO DRA/NAGE STUDY FOR • H/C//WA Y 52 STORAGE FORT L UPTON, COLORADO S • s 1233'001 1•,•A• n • ..• S • • • SITE LOCATION: • THIS REPORT ACCOUNTS FOR THE STORM WATER DRAINAGE FROM THE HIGHWAY 52 STORAGE SITE, IN SECTION 2, TOWNSHIP 1 NORTH, RANGE 66 WEST, IN WELD COUNTY COLORADO. THE SITE IS BOUNDED ON THE NORTH BY HIGHWAY 52 AND THE OTHER SIDES BY UNDEVELOPED LAND. SITE DESCRIPTION: THE SITE IS TO BE DEVELOPED AS A STORAGE AREA FOR TRAVEL VEHICLES. THE SITE TO BE DEVELOPED IS 10.54 ACRES. HISTORICAL DRAINAGE: THE SITE SLOPES TO THE EAST AND SOUTH. THE STORM WATER COLLECTS ALONG THE EASTERLY BOUNDARY THEN TRAVELS SOUTH TO THE SOUTHEAST CORNER OF THE SITE. THERE IS A SIZABLE BLOW RIDGE ALONG THE EASTERLY BOUNDARY OF THE SITE. FROM THE SOUTH EAST CORNER OF THE SITE THE STORM WATER FLOWS IN HISTORICAL DRAINAGEWAYS TO THE SOUTH PLATTE RIVER PROPOSED DRAINAGE SYSTEM: • THE PROPOSED DRAINAGE SYSTEM ALLOWS THE STORM FLOWS TO FLOW BY SHEET FLOW TO THE EASTERLY BOUNDARY OF THE SITE THEN SOUTH TO A DETENTION POND. THE DETENTION POND WILL HAVE AN OUTLET STRUCTURE THAT WILL RELEASE THE STORM WATER AT A HISTORICAL RATE INTO THE HISTORICAL DRAINAGEWAY. • • • • COMPUTATIONS: AREA OF DRAINAGE= 10.54 ACRES. IMPERVIOSNESS = 90% KIOO= (1.78 I-0.002 I-3.56) / 1000 = (1.78 X 90-0.002 X 902-=3.56) / 1000 = 0.1402 STORAGE REQUIRED = K100 X V = 0.1402 X 10.54 ACRES = 1.477 AC. FT. OR 64,369 CU. FT. K10 =(0.95 I- 1.90) / 1000 = (0.95 X 90- 1.90) / 1000 = 0.0836 STORAGE REQUIRED = K10 X V = 0.0836 X 10.54 ACRES = 0.88 AC. FT. OR 38,332 CU. FT. RELEASE RATE - SOIL GROUP A 10 YR = 0.13 CFS/AC. 0.13 CFS X 10.54 AC. = 1.37 CFS 100 YR = 0.50 CFS /AC. 0.50 CFS X 10.54 ACRES = 5.27 CFS. • ORIFICES: Q10 =CA(2Gh) z- 1.37=0.65A (2X32.2X1.5)t. 1.37= 6.39 A Z A= 0.2143 FT OR 30.86 IN. 2- =TrR 30.86 IN=/rR R9.82 IN 1" R= 3.13 IN D= 6.26 IN. Q100= CA (2Gh)iy 5.27=0.65xA (2x32.2x2)"2- 5.27 = 7.38 A A = 0.71 F1kOR 103 IN A =irR 103 IN=77R R' 32.78 1O z- R= 5.7251,✓ D = 11.45 IN. WIER FLOW 2 FT X 2 FT BOX , 6 FT 3 SIDES INTRY Q=(2.65 X 6 X 1)1 63 CFS • 0 0 0 N •1 _ o° \ ., It, k!3 \ L tj4 \4 NI I NI - m'c- ;\ Q --_. \ C1 I CJ /1/C7/I f/.'1-'?,g I STORM DRAINAGtESIGN AND TECHNIC4PCRITE9W I TABLE 501 RECOMMENDED RUNOFF COEFFICIENTS AND PERCENT IMPERVIOUS LAND USE OR PERCENT FREQUENCY I0 ' ` SURFACE CHARACTERISTICS IMPERVIOUS 2 5 10 100 Business: Commercial Areas 95 .87 .87 .88 .89 Neighborhood Areas 70 .60 .65 .70 .80 Residential : Single-Family 45 .40 .45 .50 .60_ Multi-Unit (detached) 50 .45 .50 .60 .70 Multi-Unit (attached) 70 .60 .65 .70 .80 1/2 Acre Lot or Larger 40 .30 .35 .40 .60 Apartments 70 .65 .70 .70 .80 Industrial : Light Areas 80 .71 - .72 .76 .82 Heavy Acres 90 .80 .80 .85 .90 " Parks, Cemetaries: 7 .10 .10 .35 i .60 \--Playgrounds: 13 . 15 .25 - .35 .65 • Schools: 50 .45 .50 .60 .70 Railroad Yard Areas 40 .40 .45 .50 :6Q Undeveloped Areas: Historic Flow Analysis- 2 (See "Lawns") Greenbelts, Agricultural Offsite Flow Analysis 45 .43 . .47 .55 4..5 (when land use not defined) . Streets: Paved 100 .87 .88 '.90 .93 Gravel f 13 .15 .25 .35 .65 Drive and Walks:, 96 .87 .87 .88 .89 Roofs : 90 .80 .85 .90 .90 Lawns , Sandy Soil 0 .00 .01 .05 .20. . Lawns, Clayeyt Soil 0 .05 .10 .20 !if), NOTE: TheselRat onal Formula coefficients may not be valid for large basins. t ,' CCSDDTC I RUNOFF COEFFICIENTS / PERCENT IMPERVIOUS MARCH 1987 • • CITY OF FORT LUPTON - Standards and Specifications June 1994 (h) Maintenance Requirements • Persons carrying out soil erosion and sediment control measures under this section, and all subsequent owners of property concerning which such measures have been taken, shall maintain all permanent erosion control measures, retaining wall, structures, plantings and other protective devices. Should the applicant or any of the subsequent property owners fail to adequately maintain the permanent erosion control facilities, retaining walls, structures. plantings and other protective devices; the City reserves the authority, after properly notifying the owner of needed maintenance and the owner failing to respond to the City's demand for such maintenance, to enter affected property, provide needed maintenance and to charge the owner for the work performed by the City or its contractors. 413 DETENTION 413.1 Introduction The criteria presented in this subsection shall be used in the design and evaluation of all detention facilities. The review of all planning submittals (refer to section 402) shall be based on the criteria presented in this subsection. The main purpose of a detention facility is to store the excess storm runoff associated with an increased basin imperviousness and discharge this excess at a rate similar to the rate experienced from the basin without development. The value of such detention facilities is discussed in subsection 403.3(f). Any special design conditions which cannot be defined by these criteria shall be reviewed by the City Engineer before proceeding with design. 413.2 Detention Methods • The various detention methods are defined on the basis of where the facility is constructed, such as open space detention, parking lot, or underground. 413.3 Design Criteria (a) Volume and Release Rates The minimum required volume shall be determined using the CUHP method or the following equations. These empirical equations were developed as part of the UD&FCD hydrology research program. The equations are based on a computer modeling study and represent average conditions. One of the most difficult aspects of storm drainage is obtaining consistent results between various methods for estimating detention requirements. These equations shall provide consistent and more effective approaches to the sizing of on-site detention ponds. For larger water sheds where the Colorado Urban Hydrograph procedure CUHP can be used (i.e., ±90 acres), hydrograph routing procedures shall be permitted in the design of these ponds, provided the historic imperviousness of two percent or less is used. • 400-72 • • CITY OF FORT LUPTON - Standards and Specifications June 1994 Minimum Detention Volume: V = KA (Equation 400-11) For the 100-year, Kt. = (1.781 - 0.00212 - 3.56)/1000 (Equation 400-12) For the 10-year, K,„ = (0.951 - 1.90)/1000 (Equation 400-13) Where V = required volume for the 100- or 10-year storm (acre feet) 1 = Developed basin imperviousness (%) A = Tributary area (Acres) • The maximum release rates at the ponding depths corresponding to the 10- and 100-year volumes are as follows: TABLE 400-11 ALLOWABLE RELEASE RATES FOR DETENTION PONDS - CRS/ACRE SOIL GROUP • CONTROL FREOUENCY A B C & D 10-YEAR 0.13 0.23 0.30 100-YEAR 0.50 0.85 1.00 The predominate soil group for the total basin area tributary to the detention pond shall be used for determining the allowable release rate. (b) Design Frequency All detention facilities are to be designed for two storm frequencies: the 10-year and the 100- year recurrence interval floods (see subsection 403.3(f). (c) Hydraulic Design Hydraulic design data for sizing of detention facilities outlet works is as follows: • 400-73 • • CITY OF FORT LUPTON - Standards and Specifications June 1994 1. Weir Flow • The general form of the equation for horizontal crested weirs is: Q = CLH3; (Equation 400-14) Where Q = discharge (cfs) C = weir coefficient (Figure 40(1-4I) L = horizontal length (feet) H = total energy head (feet) Another common weir is the v-notch, whose equation is as follows: Q = 2.5 tan (O/2)Hs"- (Equation 400-15) Where O = angle of the notch at the apex (degrees) When designing or evaluating weir flow, the effects of submergence must be considered. A single check on submergence can be made by comparing the tailwater to the headwater depth. The example calculation for a weir design on Figure 400-44 illustrates the submergence check. 2. Orifice Flow • The equation governing the orifice opening and plate is.the orifice flow equation: Qa = Cd A (2gh)'' (Equation 400-16) Where Q = Flow (cfs) Cd = Orifice coefficient A = Area (ft2) g = Gravitational constant = 32.2 ft/sec' h = Head on orifice measured from centerline of orifice An orifice coefficient (C sub d) value of 0.65 shall be used for sizing of square edged orifice openings and plates. 413.4 Design Standards for Open Space Detention (a) State Engineer's Office Any darn constructed for the purpose of storing water, with a surface area, volume, or darn height as specified in Colorado Revised Statues 37-87-105 as amended, shall require the approval of the plans by the State Engineer's Office. All detention storage areas shall be • 400-74 • STATE OF COLORADO Region 4 Traffic Section T • 1420 2nd St. �� O1 Greeley, Colorado 80631 ' (970)350-2148 Fax:(970)350-2198 DEPARTMENT OF TRANSPORTATION 111111111 Permit No. 408023 March 10, 2008 To: Mary Ann Plonka 16230 State Highway 52 Ft. Lupton, CO 80651 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 DEPARTMEN•F TRANSPORTATION • CDOT Permit No. 408023 STATE HIGHWAY ACCESS PERMIT State Highway No/Mp/Side 52 A / 23.783 / R ermit fee Date of transmittal Region/Section/Patrol ` Local Jurisdiction $100.00 3/10/2008 4 / 01 /14-Fort Lupton Weld County The Permittee(s); Applicant: Ref No.: Mary Ann Plonka Mary Ann Plonka 16230 State Highway 52 16230 State Highway 52 Ft. Lupton, CO 80651 Fort Lupton, CO 80651 303-857-1911 303-857-1911 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 it 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 State Highway 52, a distance of 4133 feet east of mile post 23 on the south/right side. Access to Provide Service to: (]:and Use Code:) (Size or Count) (Units) 147-RV Storage Yard 10 ADT 210- Single-Family Detached Housing(2 homes) 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 accept the permit and its terms and conditions. Permittee Signature � i2 �Z Print Name /i Date ✓''2 `5 �in/r?i'�;y�rY,?!�% (7 r-V 4414 /6/ K CI O�/�'� his permit is not valid until signed by a duly authorized representative of the Department. ;OLORADO DEPARTMENT OF TRANSPORTATION I Signature Print Name Title Date(of issue) Copy Distribution: Required: Make copies as necessary for: Previous editions are obsolete and may not be uses 1.Region 3.Staff Access Section Local Authority Inspector Page 1 of 3 CDOT Form#101 510' 2.Applicant 4.Central Files MTCE Patrol Traffic Engineer IINState Highway Access Permit • PERMIT EXPIRA 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 410 ccess 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 ode. 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 Oat 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 e brought to the Commission within 60 days of transmittal provisions of the permit, that conflict with concurrent notice of denial or transmittal of the permit. highway construction or maintenance work, that endanger highway property, natural or culturalources protected by right-of-way or a 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. ft 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 lie 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 ithin highway right-of-way. Where necessary to remove, MAINTENANCE locate, 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 'ponditions. 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 DEPARTMENCIF 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.army.mil/cespk-co/requlatory/ Albuquerque District(SE Colorado), Pueblo Reg. Office(719)-543-6915 http://www.spa.usace.army.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/environmentalNVildlife/Guidelines.asp,or the Colorado Division of Wildlife website http://wildlife.state.co.usNVildlifeSpecies/SpeciesOfConcern/. Additional guidance may be provided by the Regional Ofermittinq 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 olid 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 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 andHMWMD 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 Dewatering(Discharge or Infiltration)—Discharges of water encountered during excavation or work in wet areas may require a Construction Dewatenng 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)692-3500i;Website: http://www.cdphe.state.co.us/wg/PermitsUnit/wqcdpmt.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. ischarqe of Dredged or Fill Material—404 Permits Administered By the U.S.Army Corps of Engineers, and Section 401 later 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/wqms4.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. 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 Materials- No person may offer or accept a hazardous m i. vial 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. r, 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/wild life/perm itapplication.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.egal©dot.state.co.us • • Environmental Clearances Information Summary Page 3 of 3 Colorado Department of Transportation July'07 State Highway Access Permit • Attachment to Permit No. 408023 -Additional Terms and Conditions • 1. If there are any questions regarding this permit, please contact Tim Bilobran at (970) 350-2163. 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 - Occupation 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 protective equipment: * Head protection that complies with the ANSI Z89-1-1997 standard; * At all construction sites or whenever there is a 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-reference 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. 408023 -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 costs associated with the maintenance oif this access are the responsibility of the Permittee. This includes design, construction, signing and striping, utility relocation, testing of materials, and inspections. 12. 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 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 Linda McWilliams at the Greeley Traffic Office, (970) 350-2147 to obtain the Landscaping Permit. 13. 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. 14. If highway right-of-way fence exists or is proposed, the Permittee must contact Linda McWilliams at the Greeley Traffic Office, (970) 350-2147, prior to removal or installation. 15. The access shall be maintained at 30 feet wide with 25 foot radius. 16. Surfacing of the access shall be maintained as per Exhibit "A". 17. The access shall be 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. 18. The maintenance of the access and/or further 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. • • • State Highway Access Permit 3 Attachment to Permit No.408023 -Additional Terms and Conditions • 19. 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. 20. 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. • COLORADO DEPARTMENT OF T PORTATION Issuing authority application STATE HIGHWAY ACC S PERMIT APPLICATIONIII acceptance date ) I)ii ( Oh T ;r., a„,„„,„, .....--- 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. t •Please print - Submit an application for each access affected. i or type - If you have any questions contact the issuing authority. k - For additional information see CDOT's Access Management website at http://www.dot.state.co.us/AccessPermits/index.htm :I 1)Property owner(Permittee) `� '2)Agent for permltlee(if different from property owner) �.�s_ma,�s.�,R,iI NOk-V fin/ /—/of1kq II •Street address Mailing address / h 3 ') 1/;gAti v City, state & zip Phone# City, state&zip Phone#(required) do • rr.iuprO ) Ca S'zib2Z/ 303..7-1.57-/9/l h E-mail address ,E-mail address if available ii 3)Address of property to be served by permit(required) • / (pwr30I-11.90wa1 ,60 , �orr /OfToq CO,- Fo c.Z /. 4)Legal description of property:If within jurisdictional limits of Municipality,city and/or County,which one? county subdivision block lot section twat T Cl tL township range T1f Weld .3wXl°� I /lnr% 6b'Vc-rthe6i 5)What Stale Highway are you requesting access from? �'' 6)What,side of the hi hway? J 2, ON �s n t 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? r Q__feet❑N0 SO E❑W)fromff ie Pr-)5L2 feet UN ❑SQE❑W)from: 8) hat is the approximate date you intend to begin construction? Op ri n,9 oz oo g 9)Check here if you are requesting a: I]new access ntemporary access (duration anticipated: ) El improvement to existing access y2jchange in access use ri removal of access Q'elocation of an existing access(provide detail) bo Provide existing property use Cur pens /� t]S�d 10 CPCCG oil i'VI E.?, Also aSi5Q redC{CC E', S i 7 h / ( � �y �i.y1 way 5 ) LOT l� fit 11)Do you have knowledge of any State Highway access permits serving this property,or adjacent properties in which you have a property interest? it ]no rEl yes,if yes-what are the permit number(s)and providecopies:OCT Per mi7-kaL/-7y5-and/or,permit date: 4//x/47 12)Does the properly owner own or have any interests in any adjacent property? �p Finn ®yes, ifyes-please describe:.J' it gee d aCCe5s uil Irl I(p��`� rffS � '�`Z2 �C rT I.00 f 13)Are there other existing or dedicated public streets,roads,highways or access easements bordering or within the property? IS no ❑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 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. p of passenger,cars and light trucks at peak hour volumes a of multi unit trucks et peak bear volumes Indicate if your counts are aleak hour volumes or average daily volumes. singie anti vehicles in excess of 30 5- n of farm vehicles(veld eauipmeni Total count of all vehicles I, -.)..\--))(;), ___ Previous editions are obsolete and may not be used Page 1 of 2 CDOT Form#137 12/04 18)Check with the issuing authority to determi�ich of the following documents are required to cowl.review of your application. ��' a) Property map indicating other access,bordering roads and streets. e) Subdivision,zoning,or development plan. h, 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. ,1 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. s_.---- 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. li 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,lexcept 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. The Permittee is responsible for complying with the Revised Guidelines that have been adopted by the Access Board ill nder 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 J", C�ir, n' I. S glad A9 /707)k(-7 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. 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TN* ©2005 DeLorme.Street Atlas USA®2006. }""I're1 22 2 www.delorme.com / 1"=4,166.7 ft Data Zoom 12-0 i (53010 • 4 ' RECEIVED oNWeld Count' Referral JUN 12 2007 June 8, 2007 Iliacognesie.4iiaffic Seceoll :O COLORA)® Services has received the following item for review: The Weld County Department of Planning RE-4671 Case Number Applicant Hallna Kadlszewskl Planner ``quelinee Hatch Please Reply By July 6.2007 tion R66W of the 6th P.M.,Weld Recorded Exempt Project art of the SW4 of Section 2,TIN, Legal Lot A of RE-3193, P County, Colorado. hway 52; approximately 3/4 miles west of CR south r and aa precise location,to t ate see legal. Location 35 For a more p Parcel Number 1471 02 300043 comments or recommendation you application is submitted to you the above listed date m we may for review and recommendation. Any The app' appreciated. Please reply by further that questions response onset not received before or on this date may s consider onsider ti this request recomd be app Services. fyou have any • give full consideration positive esprnecomme Department epartmAny f Planning r desire to te that deemed go be a latresponse to the Dep the review process. K irnformation the may application, l to a call lications under review during the request. Please you desire exa ine or maybei added to app lease call the Department of Planning examine or obtain this additional information, p l with our Comprehensive Plan CI a have reviewed the request and find that it does/does not compY CI We have reviewed the request and find no conflicts with our interests. O See attached letter, \1tg'S hoe `tom e. arn . � Comments'. • \ t 4 "V ,N..� _ �a i.�.�lQ . \.o al;,),\Stvcn 4i&olVt� O4"acsa�5 .tS .ate\ read d o� \\. Signature � � ��\\ rr. Date Agency (,fib C — P\A '`':"Iq3-1ar i) \tirStkLk kct tv+ t.�• +Weld County Planning Dept +4209 CR 2'.5.Longmont,Co 805tH 4172%S52�2'•7 m:-5730 o-f729Y.v52.42'i' • Easement Access Agreement • Mary Ann Plonka plans to put a storage facility for campers, motor homes, and horse trailers and individual storage units on her property at 16230 Highway 52, Fort Lupton, CO 80621. The present entrance off Highway 52 to this property is an access agreement between the present owner, Halina Kadiszewski, of Lots A & B of RE-4671, 16224 Highway 52, Fort Lupton, CO, 80621 and Mary Ann Plonka, 16230 Highway 52, Fort Lupton, CO 80621. Halina Kadiszewski, the present owner of 16224 Highway 52, Fort Lupton, CO, 80621, gives her permission for vehicles to enter this easement access to obtain entrance to the storage facility owned by Mary Ann Plonka, 16230 Highway 52, Fort Lupton, CO 80621. In case of transfer of ownership of stated properties to different parties, this agreement stays with the properties, not the owners. Mary Ann Plonka: Current property owner 16230 Highway 52, Fort Lupton, CO 80621 7 a / • Mary Ann Plonka (signature) Halina Kadiszewski: Current property owner 16224 Highway 52, Fort Lupton, CO 80621 Halina Kadiszewski (signatur • • ACCESS AGREEMENT THIS AGREEMENT, entered into this 10th day of October, 2007, between current and future property owners of lot A and B of RE-4671, 16224 Hwy 52, Fort Lupton CO 80621 and, property owner 16230 Hwy 52, Fort Lupton, CO 80621, Weld County. The property owners agree and acknowledge to share together existing 30' wide joint access easement, approximately 150' long from properties to Highway 52. The property owners agree to: the maintenances of the access easement will be divided equal between the three parcels. In case of transfer ownership of properties to different parties this agreement states with the properties, not with owners. Attachment: map of lot A and B showing 30' wide, 150' long joint access easement road for these three parcels. Halina Kadiszewski: Current property owner of lot A and B 16224 Hwy 52, Fort Lupton, CO 80621 L7 rrm Io En" Halina Kadiszewski Signature i Mary Ann Plonka : Current property owner 16320 Hwy 52, Fort Lupton, CO 80621 Mary Ann Plonka Signature • • I 5 N I N .-. N • I m 00 O ZZ, i—wPr) c I to "W J W W a a I wOOItMWN) ti / Ma WmCCO2 V) ZZ _ 0 '1 RIP- 113 a ' Li3.01.0t.00S Naag* -%N.44.4i. WO L - - AVM3ARle w W l I` a n I • Uy Zaa i \'• ' I+I z m ow N��yi I \s-.• y �OO �frF ��W Lo I \... •O "� JO to I \0.c• 4, f- JCCI- H- .OS \\r�'., 'I0 re) Q I I ZI 6ti 11w 4 �.• • �i II l ea T I GN 0CcQZNV II• QZ mw W 0= J N III_ N>. N —" I • o = C‘iM.OLAZ.00N 13 v CD O sr, Q I Pi lald01 , .00'lll ' 11 . T3 !� I ^ n ' J I I L� fL�' �,V 3 I V QI LøT *!_ J � IZO OQ Is- F (® I ` aId ® ON zNQ M —J I ii L --' 0o N U ow) - N w-I .ss • IAS :gym F. et o in I toT M WOW -- --- __ -1-1--_ N i ../..p----� �M.OI.OL.00N I - --- Nr I , , I • BUSINESS EMERGENCY INFORMATION: Business Name: Highway 52 Storage Phone: 303-946-8797 Address: 16230 Highway 52 City,ST,Zip: Fort Lupton, CO,80621 Business Owner: Mary Ann Plonka, Phone: 303-946-8797 Address: 16230 Highway 52 City,ST,Zip: Fort Lupton, CO,80621 Home address: 16230 Highway 52 City,ST,Zip: Fort Lupton,CO,80621 List three persons in the order to be called in event of an emergency: NAME TITLE ADDRESS PHONE 1. Clarissa A. Ritchhart Daughter 2224 Apache Cheyenne,WY 82009 970-518-2004 2. David and Vera James Friends 18481 E. 160th Ave Brighton, CO 80601 303-659-3186 3.Linette A. Mount Daughter 16230 HWY 52 Ft Lupton, CO 80621 303-710-0716 Business Hours: 7:00 a.m to 7:00 p.m or by appointment Days: 7 days a week • Type of alarm: None Burglar Holdup Fire Silent Audible Name and address of Alarm Company: Signature Alert JASON JEFFS 1474 Nemrick Place Castle Rock, CO 80109 Location of Safe: Bank MISCELLANEOUS INFORMATION Number of entry/exit doors in this building:There will two exits and entry. Location(s): North West entrance,and the South entrance. Is alcohol stored in building? None Location(s): None Is drugs stored in building? None Location(s): None Are weapons stored in building? None Location(s): None • • The following programs are offered as a public service of the Weld County Sheriffs Office. Please indicate the programs of interest. Physical Security Check: Ok Crime Prevention Presentation UTILITY SHUT OFF LOCATIONS: Main Electrical: Electrical box on north side of main house Gas Shut Off: At propane tank on north side of main house Exterior Water Shutoff: It is in the basement of main home in storage area. Interior Water Shutoff: It is in the basement of main home in storage area. • • Hello