HomeMy WebLinkAbout20091651.tiffSITE SPECIFIC DEVELOPMENT PLAN AND USE BY SPECIAL
REVIEW (USR) APPLICATION
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FOR PLANNING DEPARTMENT USE
RECEIPT # /AMOUNT # /$
APPLICATION RECEIVED BY
DATE RECEIVED:
CASE # ASSIGNED:
PLANNER ASSIGNED:
Parcel Number 1 3 0 9- 3 0 - 1- 0 0 - 0 3 4
(12 digit number - found on Tax I.D. information, obtainable at the Weld County Assessor's Office, or www.co.weld.co.us.)
Legal Description PTE 2 NE 4 (Let A ff.2t` 12), Section 30 , Township 2 North, Range66 West
Flood Plain: Zone District: Ag , Total Acreage: 3. 5 , Overlay District:
Geological Hazard: , Airport Overlay District:
FEE OWNER(S) OF THE PROPERTY:
Name: Manuel and Anita Balderas
Work Phone # 303 8 7 9770 Home Phone # 303 589
Address: 5 2i s L (,2 )-1
Address:
City/State/Zip Code
6023 Email anita0mbtowing. c in
Name:
Work Phone #
Address:
Address:
City/State/Zip Code
Fort Lupton. CO 80621
Home Phone # Email
Name:
Work Phone #
Address:
Address:
City/State/Zip Code
APPLICANT OR AUTHORIZED AGENT (See Below: Authorization must accompany applications signed by Authorized Agent)
Name: Manuel or Anita Balderas and Manuel Jr.
Work Phone # 303-857-9770 Home Phone # 303-589-6023 Email anita@mbtowing. com
Address: 7.8_5_3_447-8.3 a'17). L2 fU
Address:
City/State/Zip Code Fort Lupton. CO 80621
Home Phone # Email
PROPOSED USE:
Commercial site for the use of Auto Sales. Auto Salvage, Auto Towing
Auto Service & repairs, Auto Body repairs 0 paint Services. Vehicle impound yard
Coloradp State Patrol impound yard, Fort Lupton Police Impound, yard and Weld County
Sheriff impound yard.
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
owner must be inded with the application. If a corporation is the fee owner, notarized evidence must be
ed ind' a ing atsignatory has to legal authority to sign for the corps-tion
7-072n `
Afi�i a Balderas
Si. nature: Owner or Authorized Agent Date
EXHIBIT
MaiYirel Balderas
(-02-5102
Signature: Owner or Authorized Agent Date
2009-1651
3
6-
Page 1 of l
Jacqueline Hatch
From: Jacqueline Hatch
Sent: Monday, March 30, 2009 1:43 PM
To: 'anita@mbtowing.com'
Cc: 'freese_engineering@yahoo.com'
Subject: returned letter
Attachments: USR-1696 Balderas.rtf
Anita,
Attached is a copy of a letter we send out when we set up your case USR-1696. The letter came back as unable
to deliver. Can you please verify your mailing address? We have 7853 Hwy 85 Ft. Lupton CO 80621.
Thank you and please let me know if you have any questions.
Jacqueline
3/30/2009
Page 1 of 1
Jacqueline Hatch
From: Jasper Freese [freese_engineering@yahoo.com]
Sent: Monday, March 30, 2009 4:59 PM
To: Jacqueline Hatch
Subject: Re: returned letter
Jacqueline,
We talked to Anita and verified her mailing address as being: 2732 Weld County Road No. 27, Ft. Lupton
CO 80621.
Thank you and please let me know if you have any questions.
Scott
Freese Engineering
217 East 18th Street
Greeley, Colorado 80631
(970) 352-0100
3/31/2009
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FOR COMMERCIAL SITES, PLEASE COMPLETE THE FOLLOWING INFORMATION
BUSINESS EMERGENCY INFORMATION:
Business Name: M. B. Auto Service Phone: 303-857-9770
Address: 7853 Hwy 85 City, ST, Zip: Fort Lupton, Co 80621
Business Owner: Manuel Anita Balderas Phone: 303-857-9770
Home Address: 7853 Hwy 85 City, ST, Zip: For Lupton, Co 80621
List three persons in the order to be called in the event of an emergency:
NAME TITLE
Manuel Balderas OMner
Anita Balderas Owner
ADDRESS PHONE
7853 Hwy 85 Ft. Lupton, CO Cell# 303-589-6023
7853 Hwy 85 Ft. Lupton, CO Celli/ 303-589-0128
Manuel Balderas, Jr (son) 29700 Wcr 18 Keenesburg, C0303-732-4451
Business Hours: 8:00 A.M-5:00 P.M
Days: Monday thru Friday Closed Sunday
Type of Alarm: None Burglar Holdup Fire Silent Audible
Name and address of Alarm Company: non
Location of Safe:
**************************************************************************iii******************************************************
MISCELLANEOUS INFORMATION:
Number of entry/exit doors in this building: j Location(s): west si rip of hui 1 rti rig
Is alcohol stored in building? N/A Location(s):
Are drugs stored in building? N/A Location(s):
Are weapons stored in building? N/A Location(s):
The following programs are offered as a public service of the Weld County Sheriff's Office. Please indicate the programs
of interest. X Physical Security Check Crime Prevention Presentation
UTILITY SHUT OFF LOCATIONS:
Main Electrical: West side
Gas Shut Off: East side
Exterior Water Shutoff: South
• Interior Water Shutoff: Fast side
-12-
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March 6,2009
Prepared by Manuel & Anita Balderas
DBA MB Auto sales & salvage
we are requesting approval for a (USR) on our property located at 7853 Hwy
85 in Fort lupton, CO. The proposed use is as followed:
1. The proposed use of the property will consist of the following three
categories:
a. Towing Service & vehicle Impound Yard
Colorado State Patrol Impound Yard
Fort Lupton Police Impound Yard
weld County Sheriff Impound Yard
Property will NOT be used for public storage
Property will NOT be used for recreational vehicle or boat storage
b. Internet Used Auto Parts Sales & Auto Recycling/Dismantling
used auto parts sold by internet
Over the counter sales Monday -Friday 9-5, Saturday 8-2, closed
Sundays & Holidays
Recycling/Dismantling area will not be open to the public
c. Auto Service & Repairs
Auto Body Repairs
Auto Body Paint Service
Mechanical Repairs & Maintenance
2. This property is not big enough for agriculture use, this site has been
in its present use since 1928 and has not been farmed for 79 years. We under
strand the interest of the county to conserve agriculture land for future
use, but we will be providing a service to the community, and we will be
careful of the environment and it surround area.
3. The proposal is consistent with the intent of the weld County Code 23
zoning -zone District. The property is not located in a subdivision, it does
not have a Pup it is rural; With enough property to locate the new building
and parking areas for customers. use is allowed under special review.
4. The type of land use surrounding the site is commercial,
agriculture and undeveloped land. On the North side of the property there
is unimproved land. The south side is agriculture. On the west side
there is a large oil tank and unimproved land. On the east side there is a
gas station, agriculture, and undeveloped land. The reason we think it
would be consistent with the area is because we can assist vehicle that
stop at the gas station and along highway 85 with vehicle problems.
the site will be in close proximity to The Colorado State Patrol, the
weld county sheriffs and the Fort Lupton Police department.
5.
a. The new site will be used by the state and local officials and be
open to the public for car part sales and out repairs.
b. The new site will have ten employees.
c. Hours of operation are Monday -Friday 9-5, Saturday 8-2, closed
Sundays & Holidays. Towing service is a 24 hours operation.
d. There will be one new building erected approximately 60x120
e. There will small domestic animals such as dogs, cats, chickens.
Page 1
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f. The type of vehicles that will have access to the site will
include tow trucks, personal vehicles, and law enforcement vehicles
Call vehicles on the property or having access will be under 26,500
GVW)
g. Fort Lupton Fire District will provide fire protection service.
h. Water source is domestic well water. We have approval for a
commercial Well. Permit#3624965 (for new building)
i. Sewage disposal is an existing septic. We are applying for a
new septic permit for the proposed building.
Used auto parts for repairs and internet sales will be stored.
6. Proposed landscaping will include trees, shrubs, sod, and xeroscaping. As
indicate on the plot plan the front of the building will have trees every
four feet. The front of the property does have 6'ft chain link fence, the
rear of the property has 7'ft sold metal fence. Around the house we will
have sod, native grass and flowered shrubs, xeroscaping will be used to
conserve on water.
7. It is our option that retaining ponds are not require do to the fact that
the property is sandy gravel. But if they are see item # 8
8. Storm water drainage will be directed to roadside ditch building roof will
be directed to landscaped areas and roadside ditch. Also their will be 2
retaining ponds on the property one on the East NE front of property and
the second pond on center of the North side approximately 40ft from the
NW corner of the property.
9. Construction of the new site will possibly begin as soon as possible or
in the Springtime. Landscaping around the perimeter of the property is
about 85% complete. landscaping around the new build will be complete after
the construction of the new building.
10. Traffic Study: The number of employes is 10 and the number of the number of
customers per day is approximately 3-4 per day. The tow trucks is 2 per
week and delivery trucks 2 per every other day. This is the closes estimate
we can make.
11. We will use the center building for an office for the time it will take to
build the new proposed building and have one or two port-o-potie. Only
during contruction of the new building.
MB Auto Sales & salvage has been in business since 1985. We currently
have two facilities located in southeast Weld County. Our businesses have
always complied with all local, state, and federal regulations regarding
our types of businesses and therefore no actions have been taken against
our company. Please be certain that our business will continue to meet
and exceed the expectations set forth by our government and venders.
Manuel -Bald
Owner
Page 2
An tab fderas ` Cr'
Owner
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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 t7Z-,nu / r- An .1/6- &Peras Phone 303 P5 -7-i770
Address .27 3 2 cc, C R 2 7 City 4,2 L -02(c., State ce Zip sckzi
2. Address or Location of Access 7A 6 3 /y4 y ?' A ff /„.pfc n , ('C" 8O42/
Section 3cc Township Z Range 6,4, Subdivision Block Lot
Weld County Road #: Side of Road Distance from nearest intersection 7C 7E
3. Is there an existing access(es) to the property? Yes No
See, C n'( RRcce5c Pe fm.f
4. Proposed Use:
O Permanent i Residential/Agricultural O Industrial
O Temporary O Subdivision 4 Commercial O Other
# of Accesses
*******************************************************************************************************************************
5. Site Sketch
Legend for Access Description:
AG
= Agricultural
RES = Residential
08G = Oil & Gas
D.R. = Ditch Road
O = House
= Shed
= Proposed Access
A
= Existing Access
OFFICE USE ONLY:
Road
Date
Road
Drainage Requirement
Special Conditions
ADT
Accidents
ADT
Date
Date
Culvert
Accidents
Size
0)
Date
Length
Jae
CTS Or."
(Aid,
0 Installation Authorized
Reviewed By:
0 Information Insufficient
Title:
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COLORADO DEPARTMENT OF TRANSPORTATION
STATE HIGHWAY ACCESS CODE
NOTICE TO PROCEED
CDOT Permit No. 408035
swsMP
85 C / 244.090 / L
85
Local Jurisdiction
Weld County
Permittee(s): Applicant:
Manuel Balderas Manuel Balderas
7853 State Highwway 85 7853 State Highway 85
Fort Lupton, CO 80621 Fort Lupton, CO 80621
The permittee is hereby authorized to proceed with access construction within state highway right-of-way in
accordance with the above referenced State Highway Access Permit and this Notice to Proceed.
This Notice to Proceed is valid only if the referenced Access Permit has not expired. Access Permits expire
one year from date of issue if not under construction, or completed. Access Permits may be extended in accordance
with Section 2.3(11)(d), of the Access Code.
Adequate advance warning is required at all times during access construction, in conformance with the
Manual on Uniform Traffic Control Devices for Streets and Highways.
All construction shall be completed in an expeditious and safe manner and shall be finished within 45 days
from initiation. The permittee or applicant shall notify the Department prior to commencing construction as indicated
on the Access Permit.
Both the Access Permit and this Notice To Proceed shall be available for review at the construction site.
This Notice to Proceed is conditional. The following items shall be addressed prior to or during construction as
appropriate.
Municipality or County Approval (When the appropriate local authority retains issuing authority)
By
(X)
Title
Date
This Notice is not valid until signed by a duly authorized representative of the Department
Colorado Department of Transportation
By
I t
Title
«r, , I �����
Date
y �.�� �0 b
liena c/cc
00 LO-. - _
a1
Copy d
butio
Required:
1. Region (original)
2. Applicant
3. Staff Access Section
Make copies as necessary for.
Local Authority Inspector Linda McWilliams
MTCE Patrol Traffic Engineer
14 -Fort Lupton
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COLORADO DEPARTMENT OF TRANSPORTATION
STATE HIGHWAY ACCESS PERMIT
COOT Permit No. 408035
State Highway No/kip/Side
85C / 244.090 / L
Permit fee
$100.00
Date of transmittal
4/14/2008
Region/SectionIPabol
4 / 01 /14 -Fort Lupton
Local Jurisdiction
Weld County
The Permittee(s);
Manuel Balderas
7853 State Highwway 85
Fort Lupton, CO 80621
303-857-9770
is hereby granted permission to have
accordance with this permit. Including
by the Issuing authority if at any time
appointed agents and employees shaN
the permit.
Applicant:
an access to the state highway at the location
the State Highway Access Code and any
the permitted weans and Its use violate
Ref No.:
Manuel Balderas
7853 State Highway 85
Fort Lupton, CO 80621
303-857-9770
noted below. The access shall be constructed, maintained and used in
attachments, terms, conditions and exhibits. This permit may be revoked
any parts of this permit The issuing authority, the Department and their duly
personal injury or property damage sustained by reason of the exercise of
be held harmless against any action for
Location: This access is located on State Highway 85, a distance of 475 feet north of mile post 244 on the west/left side.
Access to Provide Service to: (Land Use Code:) (Size or Count) (Units)
210 - Single -Family Detached Housing 10 ADT
840 - Impound Yard 1 ADT
Additional Information:
a
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
herein. All construction shall be completed in an expeditious and safe manner
Initiation. The permitted access shall be completed in accordance with the
being used.
The permittee shall notify Linda McWilliams with the Colorado Department
Greeley, Colorado at (970) 350-2147, at least 48 hours prior In commencing
State Highway right-of-way.
The person signing as the permittee must be the owner or legal representative of the property
accept the permit and its terms and conditions.
and referenced attachments
and shall be finished within
terms and conditions of the permit
of Transportation in
construction within the
served by the permitted access and
contained
45 days from
prior to
have full authority to
P r ittae
Signature n •'
Ln‘04.1 tD _ 1/,;L
Print Name
/11 PI rid Ur ( l) 4/ d /2.-tr.
Date
te
/_3'I -C1 F -
L
This permit is not valid until signed by a duly authorized representative of the Department.
COLORADO DEPARTMENT OF TRANSPORTATION
Sig e
i.LO--
I 1
(� -`
/Print Name 1 I +
G`La., I,rCE - IDCJL kd
Tide --7) ,/�
I6IZt,t IT SUN
Date ( itsu)5�
u{/a.i/ol
Cohry Oi4tributlon:
Required
f.Region
2.Appkpnl
Make copies as necessary for
3.Staff Arras Section Local Authority Inspector
4.Central Fibs MTCE Patrol Traffic Engineer
Previous editions are obsolete and may not be used
Paget of COOT Form Mel 3107
State Highway Access Permit
Form 101, Page 2
The following paragraphs are excerpts of the State Highway
•Access Code. These are provided for your convenience but
do not alleviate compliance with all sections of the Access
Code. A copy of the State Highway Access Code is
available from your local issuing authority (local government)
or the Colorado Department of Transportation (Department).
When this permit was issued, the issuing authority made its
decision based in part on information submitted by the
applicant, on the arrecc category which is assigned to the
highway, what alternative access to other public roads and
streets is available, and safety and design standards.
Changes in use or design not approved by the permit or the
issuing authority may cause the revocation or suspension of
the permit.
APPEALS
1. Should the permittee or applicant object to the denial of
a permit application by the Department or object to any of
the terms or conditions of a permit placed there by the
Department, the applicant and permittee (appellant) have a
right to appeal the decision to the [Transportation]
Commission [of Colorado]. To appeal a decision, submit a
request for administrative hearing to the Transportation
Commission of Colorado within 60 days of transmittal of
notice of denial or transmittal of the permit for signature.
Submit the request to the Transportation Commission of
Colorado, 4201 East Arkansas Avenue, Denver, Colorado
80222-3400. The request shall include masons for the
appeal and may include changes, revisions, or conditions
that would be acceptable to the permittee or applicant.
• 2. Any appeal by the applicant or permittee of action by a
local issuing authority shall be filed with the local authority
and be consistent with the appeal procedures of the local
authority.
3. In submitting the request for administrative hearing, the
appellant has the option of including within the appeal a
request for a review by the Department's internal
administrative review committee pursuant to [Code]
subsection 2.10. When such committee review is requested,
processing of the appeal for formal administrative hearing,
2.9(5) and (6), shall be suspended until the appellant notifies
the Commission to proceed with the administrative hearing,
or the appellant submits a request to the Commission or the
administrative law judge to withdraw the appeal. The two
administrative processes, the internal administrative review
committee, and the administrative hearing, may not run
concurrently.
4. Regardless of any communications, meetings,
administrative reviews or negotiations with the Department
or the internal administrative review Committee regarding
revisions or objections to the permit or a denial, if the
permittee or applicant wishes to appeal the Department's
decision to the Commission for a hearing, the appeal must
be brought to the Commission within 60 days of transmittal
of notice of denial or transmittal of the permit.
PERMIT EXPIRATION
1. A permit shall be considered expired if the access is not
under construction within one year of the permit issue date
or before the expiration of any authorized extension. When
the permittee is unable to commence construction within one
year after the permit issue date, the permittee may request a
one year extension from the issuing authority. No more than
two one-year extensions may be granted under any
circumstances. If the access is not under construction within
three years from date of issue the permit will be considered
expired. Any request for an extension must be in writing and
submitted to the issuing authority before the permit expires.
The request should state the reasons why the extension is
necessary, when construction is anticipated, and include a
copy of page 1 (face of permit) of the across permit
Extension approvals shall be in writing. The local issuing
authority shall obtain the concurrence of the Department
prior to the approval of an extension, and shall notify the
Department of all denied extensions within ten days. Any
person wishing to reestablish an access permit that has
expired may begin again with the application procedures. An
approved Notice to Proceed, automatically renews the
access permit for the period of the Notice to Proceed.
CONSTRUCTION
1. Construction may not begin until a Notice to Proceed is
approved. (Code subsection 2.4]
2. The construction of the access and its appurtenances
as required by the terms and conditions of the permit shall
be completed at the expense of the permittee except as
provided in subsection 2.14. All materials used in the
construction of the access within the highway right-of-way or
on permanent easements, become public property. Any
materials removed from the highway right-of-way will be
disposed of only as directed by the Department. All fencing,
guard rail, traffic control devices and other equipment and
materials removed in the course of access construction shall
be given to the Department unless otherwise instructed by
the permit or the Department inspector.
3. The permittee shall notify the individual or the office
specified on the permit or Notice to Proceed at least two
working days prior to any construction within state highway
right-of-way. Construction of the access shall not proceed
until both the access permit and the Notice to Proceed are
issued. The access shall be completed in an expeditious and
safe manner and shall be finished within 45 days from
initiation of construction within the highway right-of-way. A
construction time extension not to exceed 30 working days
may be requested from the individual or office specified on
the permit
4. The issuing authority and the Department may inspect
the access during construction and upon completion of the
access to ensure that all terms and conditions of the permit
are met. Inspectors are authorized to enforce the conditions
of the permit during construction and to halt any activities
within state right-of-way that do not comply with the
provisions of the permit, that conflict with concurrent
highway construction or maintenance work, that endanger
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highway property, natural or cultural resources protected by
law, or the health and safety of workers or the public.
5. Prior to using the access, the permittee is required to
complete the construction according to the terms and
conditions of the permit. Failure by the permittee to abide by
all permit terms and conditions shall be sufficient cause for
the Department or issuing authority to initiate action to
suspend or revoke the permit and close the access. If in the
determination of the Department or issuing authority the
failure to comply with or complete the construction
requirements of the permit create a highway safety hazard,
such shall be sufficient cause for the summary suspension
of the permit. If the permittee wishes to use the arracs prior
to completion, arrangements must be approved by the
issuing authority and Department and included in the permit.
The Department or issuing authority may order a halt to any
unauthorized use of the access pursuant to statutory and
regulatory powers. Reconstruction or improvement of the
access may be required when the permittee has failed to
meet required specifications of design or materials. If any
construction element falls within two years due to Improper
construction or material specifications, the permittee shall be
responsible for all repairs. Failure to make such repairs may
result in suspension of the permit and closure of the access.
6. The permittee shall provide construction traffic control
devices at all times during access construction, in
conformance with the M.U.T.C.D. as required by section 42-
4-104, C.R.S., as amended.
7. A utility permit shall be obtained for any utility work
within highway right-of-way. Where necessary to remove,
relocate, or repair a traffic control device or public or private
utilities for the construction of a permitted access, the
relocation, removal or repair shall be accomplished by the
permittee without cost to the Department or issuing
authority, and at the direction of the Department or utility
company. Any damage to the state highway or other public
right-of-way beyond that which is allowed in the permit shall
be repaired immediately. The permittee is responsible for the
repair of any utility damaged in the course of access
construction, reconstruction or repair.
8. In the event it becomes necessary to remove any right-
of-way fence, the posts on either side of the access shall be
securely braced with an approved end post before the fence
is cut to prevent any slacking of the remaining fence. All
posts and wire removed are Department property and shall
be turned over to a representative of the Department.
9. The permittee shall ensure that a copy of the permit is
available for review at the construction site at all times. The
permit may require the contractor to notify the individual or
office specified on the permit at any specified phases in
construction to allow the field inspector to inspect various
aspects of construction such as concrete forms, subbase,
base course compaction, and materials specifications. Minor
changes and additions may be ordered by the Department
or local authority field inspector to meet unanticipated site
conditions.
10. Each access shall be constructed in a manner that shall
•not cause water to enter onto the roadway or shoulder, and
shall not interfere with the existing drainage system on the
right-of-way or any adopted municipal system and drainage
plan.
11. By accepting the permit, permittee agrees to save,
indemnify, and hold harmless to the extent allowed by law,
the issuing authority, the Department, its officers, and
employees from suits, actions, claims of any type or
character brought because of injuries or damage sustained
by any person resulting from the permittee's use of the
access permit during the construction of the access.
CHANGES IN ACCESS USE AND PERMIT VIOLATIONS
1. It is the responsibility of the property owner and
permittee to ensure that the use of the access to the
property is not in violation of the Code, permit terms and
conditions or the Act. The terms and conditions of any permit
are binding upon all assigns, successors -in -interest, heirs
and occupants. If any significant changes are made or will
be made in the use of the property which will affect access
operation, traffic volume and or vehicle type, the permittee or
property owner shall contact the local Issuing authority or the
Department to determine if a new access permit and
modifications to the access are required.
2. When an access is constructed or used in violation of
the Code, section 43-2-147(5Xc), C.R.S., of the Act applies.
The Department or issuing authority may summarily
suspend an access permit and immediately order closure of
the access when its continued use presents an immediate
threat to public health, welfare or safety. Summary
suspension shall comply with article 4 of title 24, C.R.S.
MAINTENANCE
1. The permittee, his or her heirs, successors -in -interest,
assigns, and occupants of the property serviced by the
access shall be responsible for meeting the terms and
conditions of the permit, the repair and maintenance of the
access beyond the edge of the roadway including any cattle
guard and gate, and the removal or clearance of snow or ice
upon the access even though deposited on the access in the
course of Department snow removal operations. Within
unincorporated areas the Department will keep access
culverts clean as part of maintenance of the highway
drainage system. However, the permittee is responsible for
the repair and replacement of any access -related culverts
within the right-of-way. Within incorporated areas, drainage
responsibilities for municipalities are determined by statute
and local ordinance. The Department will maintain the
roadway including auxiliary lanes and shoulders, except in
those cases where the aces installation has failed due to
improper access construction and/or failure to follow permit
requirements and specifications in which case the permittee
shall be responsible for such repair. Any significant repairs
such as culvert replacement, resurfacing, or changes in
design or specifications, requires authorization from the
Department.
Form 101, Page 3
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COLORADO DEPARTMENT OF TRANSPORTATION
Environmental Clearances Information Summary
PURPOSE - This summary is intended to inform entities external to CDOT that may be entering the state highway right-of-way to
perform work related to their own facilities (such as Utility, Special Use or Access Permittees), about some of the more commonly
encountered environmental pernits/dearances that may apply to their activities. This listing is not all-inclusive - additional
environmental or cultural resource permits/dearances 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 httwJ/www.cdohe.state.co.us/oermits.aso.
• CDOT Water Quality Program Manager; Rick Willard (303) 757-9343
• COOT 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 httoJJlwww nwo usace.armv.mil/htmUod-tladdgies.html
Sacramento Dist. (Western CO), Grand Junction Office (970) 243-1199 htto:/hvvnv.sok usace.armv mil/cesok-co/reaulatorv/
Albuquerque District (SE Colorado), Pueblo Reg. Office (719)-543-6915 httrz/hwnv.soa.usace.army,miUred
• CDOT Utilities, Special Use and Access Permitting (303) 757-9654 http;[hvww.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 COOT 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 COOT prior to the continuation of work. Information about threatened or endangered species may
be obtained from the COOT website htto://www.dotstate co.us/environmental/Wildlife/Guidelines aso or the Colorado Division of
Wildlife website fitto:/Avildlifestate,co.us/WildlifeS0ecies/SoeciesOfConcem/. Additional guidance may be provided by the Regional
Permitting Office in the Permit Special Provisions.
Cultural Resource — 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 COOT Regional Permitting Office and Regional Planning and Environmental Manager shall be contacted immediately.
Authorization must be provided by CDOT prior to the continuation of work 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-Stonnwater Discharges - Unless otherwise identified by COOT 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 night be
generated by the activities of entities entering the State Highway Right of Way must be removed from the ROW and disposed of at a
permitted facility or designated collection point (e.g., for solid waste, a utility or construction company's own dumpster). If pre-existing
solid waste or hazardous materials contamination (including oil or gasoline contaminated soil, asbestos, chemicals, mine tailings, etc.)
is encountered during the performance of work, the permittee shall halt work in the affected area and Immediately contact the CDOT
Regional Permitting Office for direction as to how to proceed. Contact Info: Contact the CDOT/CDPHE Liaison at (303)757-9787.
Environmental Clearances Information Summary
Page 1 of 3
Colorado Department of Transportation
November '07
•
•
• Environmental Clearances information Summary
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 concerning clearance on CDOT projects is available from Julia Horn, CDOT Asbestos Project Manager (303)
512-5519, or Theresa Santangelo-Dreiling, Property Management Supervisor (303) 512-5524.
Construction Stonnwater 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 COPS Stormwater Permit. Contact
Information: For Utility/Special Use activities being performed in conjunction and coordination with a COOT 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://wenv.cdphe.state.co.ushvo/PermitsUnithvqWomt.html
Construction Dewatering (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:httirl/www.cdohe.stateco.usAva/PemibUnitAvacdomt.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://wonv.cdohe.state.co.ushwilPermitsUnithvocdomt.htrnl
Municipal Separate Storm Sewer System (MS41 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.sate.co.usAvc#PermhsUnittwocdpmt.html#MunicipalFormsGuidance.
Discharge of Dredged or Fill Material — 404 Permits Administered By the U.S. Army Corps of Engineers. and Section 401
Water Quality Certifications Issued by the CDPHE WQCD - Corps of Engineers 404 Permits are required for the discharge of
dredged or fill materials into waters of the United States, Including wetlands. There are various types of 404 Permits, including
Nationwide Permits, which are issued for activities with relatively minor impacts. For example, there is a Nationwide Permit for Utility
Line Activities (NWP #12). However, depending upon the specific circumstances, it is possible that either a 'Generar or idividual'
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 COOT 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: jytpJ/www.dol.state.co.us/environmentaVenvWaterQuat/woms4.asp
Disposal of Drilling Fields - Drilling fluids used in operations such as Horizontal Directional Oriling 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 cywrifically 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 COOT Water Quality Program Manager at (303) 757-9343.
Spill Reporting - Spills shall be contained and cleaned up as soon as possible. Spills shall NOT be washed down into the storm
drain or burled. All spills shall be reported to the COOT 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
Page 2 of 3
Colorado Department of Transportation
ovemeer
•
•
•
immediate danger to the public shall be reported by calling 911, and shall also be reported to the CDPHE at 1-(877)-518-5608.
Transportation of Hazardous Materials - No person may offer or accept a hazardous material for transportation in commerce unless
that person is registered in conformance with the United States Department of Transportation regulations at 49 CFR, Part 171. The
hazardous material must be properly classed, described, packaged, marked, labeled, and in condition for shipment as required or
authorized by applicable requirements, or an exemption, approval or registration has been issued. Vehicles requiring a placard, must
obtain authorization and a State HAZMAT Permit from the Colorado Public Utilities Commission. Contact Information: For
authorization and more info call the Federal Motor Safety Cartier Administration, US DOT for inter- and infra -state HAZMAT
Registration (303) 969-6748. Colorado Public Utilities Commission: (303) 894-2868.
Paleontoloav - The applicant must request a fossil beaky 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 COOT Regional Permitting Office and Regional Planning and
Environmental Manager shall be contacted immediately. Authorization must be provided by CDOT prior to the continuation of work.
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.
Woridna on or In any abeam 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/environmentalhirildlife/oemtlagolicatiOn.aso.
About This Form - Questions or comments about this Information Summary may be directed to Dahir Egal, COOT Safety & Traffic
Engineering, Utilities Unit, at (303) 757-9344, dahir.ec1a_Ifadpt.state.co.us
Environmental Clearances Information Summary
Page 3 of 3 Colorado Department of Transportation November'07
• •
State Highway Access Permit 1
Attachment to Permit No. 408035 - 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 Acrns 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 applicable U.S. Occupational Safety and Health Administration (OSHA)
regulations - including, but not limited to the applicable sections of 29 CFR Part 1910 - Occupational
Safety and Health Standards and 29 CFR Part 1926 - Safety and Health Regulations for Construction.
At a minimum, all workers in the State Highway right-of-way, except when in their vehicles, shall wear the
following personal protective equipment:
* Head protection that complies with the ANSI Z89-1-1997 standard;
* At all construction sites or whenever there is 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,
ANSUISEA 107-1999, Class 2)..
Where any of the above -referenced ANSI standards have been revised, the most recent version of the
standard shall apply.
7. This permit is subject to revocation due to: 1) Noncompliance with the provisions of this permit; 2)
Abandonment; 3) Supersedure by new permit covering the same installation; or 4) Conflict with necessary
planned highway construction and/or improvements. The Permittee shall promptly terminate occupancy
•
• •
State Highway Access Permit 2
Attachment to Permit No. 408035 - 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. The Permittee is responsible for obtaining any necessary additional federal, state, and/or City/County
permits or clearances required for construction of the access. Approval of this access permit does not
constitute verification of this action by the Permittee.
12. All costs associated with the reconstruction of this access are the responsibility of the Permittee. This
includes design, construction, signing and striping, utility relocation, testing of materials, and inspections.
13. No work will be allowed at night, or on Saturdays, Sundays, and legal holidays without prior
authorization from the Department. The Department may also restrict work within the State Highway
right-of-way during adverse weather conditions.
14. Traffic detours or lane closures will not be allowed, unless pre -approved by the Department.
15. No construction vehicles shall be parked, or construction materials/equipment stored, on the State
Highway right-of-way overnight.
16. No work shall be performed near a Department electronic traffic control device without coordination
with Cobie Garbiso at (970) 350-2137.
17. 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.
18. 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.
• •
State Highway Access Permit
Attachment to Permit No. 408035 - Additional Terms and Conditions
•
•
19. All work is to conform to the plans referenced by this permit on file with the Department or as modified
by this permit. (If discrepancies arise, this permit shall take precedence over the plans.) The Department
plan review is only for the general conformance with the Department's design and code requirements. The
Department is not responsible for the accuracy and adequacy of the design, dimensions, elevations, and any
other elements which shall be confined and correlated at the work site. The Department through the
approval of this document, assumes no responsibility for the completeness and/or accuracy of the plans.
20. Survey markers or monuments must be preserved in their original positions. Notify the Department at
(970) 350-2173 immediately upon damage to or discovery of any such markers or monuments at the work
site. Any survey markers or monuments disturbed during the permitted work shall be repaired and/or
replaced immediately at the expense of the Permittee.
21. Should any excavation encounter plant or animal fossils, the remains of historic or prehistoric
structures, artifacts, (pottery, stone tools, arrowheads, etc.), the work shall be stopped and the Permittee
shall notify the Department inspector.
22. The Permittee or the contractor shall notify Linda McWilliams at (970) 350-2147 or (970) 301-1127 at
least two working days prior to beginning any access improvements or construction of any kind within the
State Highway right-of-way. Failure to comply with this requirement may result in revocation of this
permit.
23. 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.
24. The access shall be reconstructed at 25 feet wide with 20 feet radii.
25. Construction traffic devices, when not in use, shall be removed or turned away from traffic.
26. The access shall be completed in an expeditious and safe manner and shall be finished within 45 days
from initiation of construction within State Highway right-of-way.
27. All required access improvements shall be installed prior to the herein authorized use of this access.
28. The access shall be resurfaced immediately upon completion of earthwork construction and prior to use.
29. Resurfacing of the access shall be maintained as per Exhibit "A".
30. No paved surface shall be cut unless specified in this permit. Asphalt removal shall be saw cut to
assure a straight edge for patching.
31. If frost, water or moisture is present in the subgrade, no surfacing materials shall be placed until all
frost, water or moisture is gone or removed.
• •
State Highway Access Permit
Attachment to Permit No. 408035 - Additional Terms and Conditions
•
•
•
32. The access shall be reconstructed and maintained in a manner that will not cause water to enter onto the
roadway, and will not interfere with the existing drainage system within the State Highway right-of-way.
Drainage to the State Highway right-of-way shall not exceed historical rate of flow.
33. The Permittee shall request final inspection by Linda McWilliams at (970) 350-2147, within 10 days
following completion of access construction, and prior to authorized use. The Permittee or their
representative shall be present.
34. All existing drainage structures shall be extended, modified, or upgraded as necessary, to accommodate
all new construction and safety standards, in accordance to the Department's standard specifications.
35. A fully executed complete copy of this permit must be on the job site with the contractor at all times
during construction. Failure to comply with this or any other construction requirement may result in the
immediate suspension of work by order of the Department inspector or the issuing authority.
36. The design and reconstruction of access and/or development of this property shall not negatively impact
adjacent nearby properties. Correction of the problem and cost resulting from damages shall be borne by
the Permittee.
37. Two-way traffic shall be maintained throughout the work area at all times unless specific written
authorization is obtained from the Department.
38. The State requires a Certificate of Insurance prior to commencing any work on the State Highway right-
of-way. Policies shall name the State of Colorado as additional insured party. All vendors, contractors,
and utility companies shall procure, at their own expense, and maintain for the duration of the work period,
the following minimum insurance coverages:
A. Standard workman's compensation and employer's liability, including occupational disease, covering all
employees engaged in performance of the work at the site, in the amount required by State Statutes.
B. Comprehensive general liability in the amount of $1,000,000 combined single limit bodily injury and
property damage, each occurrence and $2,000,000 annual aggregate.
C. Automobile liability in the amount of $1,000,000 combined single limit bodily injury and property
damage, for each accident.
Certificates of insurance showing compliance with these provisions shall be attached to and made a part of
this permit and be available on the site during construction.
39. 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.
• •
State Highway Access Permit
Attachment to Permit No. 408035 - Additional Terms and Conditions
•
•
•
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.
40. The Pennittee shall extend the current 18 inch corrugated metal pipe and shall provide for proper side
slopes. Culverts over 18 inches in diameter shall have end sections.
\\''t
•
COLORADO DEPARTMENT OF TRANSPORTATION
STATE HIGHWAY ACCESS PERMIT APPLICATION
Issuing authority application
acatriniteAri met,
Instructions - Contact the Colorado Department of Transportation (COOT) or your local government to detemene your issuing authority.
- Contact the Issuing authority to determine what plans and other documents are required to be submitted with your application.
to thisform
Complete
((s for each accessaffected. uton myof to you) and attach all necessary documents and Submit it to the issuing authority.
Please print - Submit
or type • It you have any questions contact the Issuing authority
- For additional information see CDOTs Access Management websiteatbttnt'www dotstate co ta/AccasaPermltsandex him
1) Property owner (PenNtaa)
, 44A4Nuec /3,4LbE72AS
2) Agent tor pennittee (if different from property owner)
Street address
7- 4., 3 iliwy vs
Mailing address
City, state & zip
F427 tu/'ToN,C'0 ?doe/
Phone I ([
:3c3- 35)-9/70
City, state & zip
Phone I (required)
E-mail address
J 9 me i o..vSA/(i, ('v.al1
E-mail address if available
3) Address of property to be served by permit (required)
?5s 3 Nary8S" FACT Ir./2To4', <o roes %
4) Legal description of property: within jurisdictional limits of Municipality, city and/or County, which one? county
eubn I block I I 30 I t'acrN I range`6'
1,1".E (-A ItllHniw`
5) What State Highway are requesting artess from?
6) What side of the - way?
❑N US
W
you
/IMO/ 8S
U E
%
7) How many feet is the proposed access from
the nearest mile post?
.4' -\
How many
feet is the proposed access
from the nearest cross street?
ENV) from:
'-\1S feet aNiiS0E❑w)from.
feet FIN iii SIDE
8) What is the approximate date you intend to begin construction?
A.S,4f
9 Check here it you are requesting a:
new access ❑temporary access (duration anticipated: ) Improvement to existing access
E change in access use removal of access tlon of an existing access (provide detail)
10) Provide existing property use
/[%✓ SC TO C.C./ SiuPeurrA x./1/!!1
11) Do you have knowledge of any State Highway
access permits serving this property, or adjacent properties in which you have a property interest?
pemit number(s) and provide copies: and/or, permit date:
pino • yes, If yes - what are the
12) Does th p 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?
your plans and Indicate the proposed and existing access points.
Vino ■ yes, if yes • list them on
14) If you are requesting agricultural field access - how many acres will the access serve?
/vii
15) It you are requesting commercial or industrial access please indicate the types and number of businesses and provide the floor area square footage of each.
business4and use square footage business square footage
272/1f0✓/t,13 YA/.1 I3/1 i 01
I
I
I
16) It 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
i
I
I I
17) Provide the following vehicle count estimates for vehicles that will use the access. Leaving the properly then returning Is two counts.
Indicate if your counts are
Desk hour volumes or Waverage daily volumes.
a of passenger can and runt mucks a peek hair Mums
/7
I of mutt unit trade at peak hour volumes
a of angle unit vehicles In excise of 30 ft
a a farm vehicles (Held equipment)
Total count Wall vehicles
X I1
Previous edWona are obsolete and may not be used
Page 1 of 2 COOT Form 4137 12/04
18) Check with the issuing authority to determine which of the following documents
a) Property map indicating other access, bordering roads and streets.
b) Highway and driveway plan profile.
c) Drainage plan showing impact to the highway right-of-way.
d) Map and letters detailing utility locations before and after
development in and along the right-of-way.
are required to complete the review of you application.
e) Subdivision, zoning, or development
t) Proposed access design.
plan.
easements.
g) Parcel and ownership maps inducing
h) Traffic studies.
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.uslenvironmentallForms.asp.
2- All workers within the State Highway right of way shall comply with their employer's safety and health policies/
procedures, and all applicable U.S. Occupational Safety and Health Administration (OSHA) regulations - including, but not
limited to the applicable sections of 29 CFR Part 1910 - Occupational Safety and Health Standards and 29 CFR Part 1926
- Safety and Health Regulations for Construction.
Personal protective equipment (e.g. head protection, footwear, high visibility apparel, safety glasses, hearing protection,
respirators, gloves, etc.) shall be worn as appropriate for the work being performed, and as specified in regulation. At a
minimum, all workers in the State Highway right of way, except when in their vehicles, shall wear the following personal
protective equipment: High visibility apparel as specified in the Traffic Control provisions of the documentation
accompanying the Notice to Proceed related to this permit (at a minimum, ANSI/ISEA 107-1999, class 2); head
protection that complies with the ANSI Z89.1-1997 standard; and at all construction sites or whenever there is danger of
injury to feet, workers shall comply with OSHA's PPE requirements for foot protection per 29 CFR 1910.136, 1926.95,
and 1926.96. If required, such footwear shall meet the requirements of ANSI Z41-1999.
Where any of the above -referenced ANSI standards have been revised, the most recent version of the standard shall
apply.
3- The Permittee is responsible for complying with the Revised Guidelines that have been adopted by the Access Board
under the American Disabilities Act (ADA). These guidelines define traversable slope requirements and prescribe the
use of a defined pattern of truncated domes as detectable warnings at street crossings. The new Standards Plans and
can be found on the Design and Construction Project Support web page at:
<htto://www.dot,state.co.us/DesignSupporti> then click on Design Bulletins.
I.
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.
Applicants signature
Prim name
Date
If the applicant is not the owner of the property, we require this application also to be signed by the property owner or
their legally authorized representative (or other acceptable written evidence). This signature shal 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.
owner signature
PropIP2a2
'"'Esido-t—
Print name
44 itv1 ►3,+cc�e,
Date
Lia., v 1.
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Previous editions are obsolete and may not to used
Page 2 of 2 CDOT Form 0137 12/04
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MB Auto Sales & Salvage
Waste Management Plan
J32 I E 96
Arc. QrrttJ
The following information is a detailed plan on how our facility
will manage waste produced by wrecked and salvaged vehicles. Our
goal is to operate an environmentally friendly business based on
reusing, reselling and recycling.
Wrecked & Salvage Vehicles:
Our objective is to drain and collect all fluids from incoming
vehicles as soon as possible, including fluids from the engine,
fuel tank, transmission and radiators. If we are unable to drain
fluids from an incoming vehicle immediately, they will be
inspected for leaks. Our first priority will be given to
vehicles received that are leaking fluids.
Although it has been our experienced that wrecked vehicles often
leak most of their fluids at the accident scene, the following is
an explanation on how these situations will be handled.
Vehicles received that are leaking fluids will be placed on a
concrete slab in order not to contaminate the ground. Drain pans
will be placed under vehicles to catch leaking fluids. Fluids
will then be placed in specified containers. After all leaking
fluids have been completely drained or stopped, the vehicle will
either be moved into the police impound yard or the salvage
yard. No further draining/recovery procedures will be taken on
impounded vehicles.
Salvage vehicles received that are not leaking fluids will be
scheduled to be dismantled. At this scheduled time, all fluids
will be properly drained and stored in appropriate containers.
During the dismantling of the vehicle, all reusable and
recyclable parts and materials will also be removed. Any fluids
spilled on the concrete slab or inside the shop, will
be cleaned using absorbent pads, floor dry, and/or spill
prevention kits. All materials as a result of spills and cleanups
that are unable to be recycled will be taken to the Weld County
Hazardous Disposal Center.
The following is an explanation of how fluids and materials will
be properly reused, resold, and recycled.
Vehicle Fluids
Used Antifreeze
Antifreeze removed from incoming vehicles will be filtered and
reused or resold. If direct reuse is not possible, the antifreeze
will be recycled by on offsite commercial antifreeze recycler.
•
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•
Containers used to store used antifreeze that will be labeled:
"used antifreeze or recycled antifreeze."
Gasoline and Diesel Fuels
Usable fuel removed from incoming vehicles may be directly reused
in our shop or yard vehicles. Containers used to store fuels will
be labeled: "usable gasoline, usable diesel, or hazardous waste
fuel." If fuels are not reusable or recyclable, they will be
disposed as hazardous waste by an offsite fuel recycler.
Used Oil
Used oil which includes motor oil, gear oil, power steering
fluid, transmission fluid, differential oil, and transaxle fluid
will be used for an on -site oil fired furnace.
If the used oil is not recyclable because it has been
contaminated or mixed with something that makes it a hazardous
waste, it will be disposes as hazardous waste.
Air Conditioning Gas Recovery
Vehicles received that contain air conditioning gases such as
Freon and R12 will be scheduled with a state certified recovery
agent to have these gases removed.
Vehicle Parts
Used Oil & Fuel Filters
Used oil and fuel filters from passenger vehicles and light duty
trucks will be completely drained of oil and fuel prior to
recycling or disposal. Filters will be placed on a drain rack for
at least 24 hours. After a filter is completely drained, it will
be placed in a scrap metal bin for recycling.
Lead -acid batteries
Batteries in good condition may be recharge and resold. If the
battery is in poor condition, it will be recycled through a
commercial battery recycler or supplier.
Good lead -acid batteries will be stored indoors. Batteries to be
recycled will be stored outdoors in closed polypropylene plastic
containers or stored upright on pallets in an enclosed shed.
Lead Parts
Wheel weights, battery cable ends, radiators and heater cores
that contain lead will be removed from salvage vehicles before
crushing. These parts will be recycled as scrap metal. They will
be put into bins or containers labeled scrap metal -lead.
Catalytic converters
Catalytic converters which contain metals such as platinum,
rhodium and palladium will be recycled as scrap metal.
• •
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Tires
Tires removed from salvage vehicles will be sold for reuse if
they are in good condition. Otherwise, they will be sent offsite
to a permitted waste tire recycling or disposal facility.
Shop and Yard Operations
Parts Washers
Parts washers used at our facility will be maintained and
serviced by the leasing company.
Used Shop Rags
Shop towels contaminated with solvents, used oil, and other
contaminants will be cleaned by an industrial launderer and
returned for reuse. Shop rags that are contaminated with a
hazardous waste will be stored in an appropriate container
labeled hazardous waste -shop towels.
Spills & Clean Up
Any fluids spilled on the concrete either indoors or outdoors,
will be cleaned using absorbent pads and/or absorbent floor dry.
Our facility will always have spill prevention kits on hand
including absorbent pads and/or oil absorbent floor dry for
unexpected spills and cleanups.
All materials as a result of spills and cleanups that are unable
to be recycled will be taken to the Weld County Hazardous
Disposal Center.
Auto Body & Collision Repair Facility
Our fist step in operating an environmentally friendly repair
facility is to look for opportunities to purchase and use eco-
friendly materials and limit the use of hazardous materials. As
a result this will generate less waste, have a cleaner and safer
work environment and reduce our compliances for waste management.
We will also explore new technologies that reduce air emissions,
toxins and waste. Waste collected from the auto body and
collision repair facility will be collected in containers
provided to us by our paint suppliers. Our paint suppliers have
agreed to reclaim and recycle left over materials such as paint
thinners, paint strippers, and spray gun cleaning solvent.
Waste Management References
Tri-State Oil
Recycling
Cheyenne, WY
Collins, CO
307-635-5332
All Recycling
Englewood, CO
303-922-7722
Raptor Oil
Fort
970-346-8208
cd
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Bat Ritter, Jr.
GOVERNOR
Peter A. Weir
EXECUTIVE DIRECTOR
Colorado State
Patrol
Colorado Bureau
of Investigation
Division of
Criminal Just:*
Office of Preparedness.
Security. and Fire Safety
•
DS
COLORADO
DEPARTMENT
OF PUBLIC SAFETY
January 30, 2009
M and B Towing
Mr. Manuel Balderas Sr.
2732 Weld County Road 27
Ft. Lupton, Co 80621
Dear Mr. Balderas:
Chid Mark V. Trostel
Colorado State Patrol
700 Kiplino St.
Suite 1000
Denver, CO 80215-5865
(303) 239-4500
TOO (303) 239-4505
FM (303) 239-4481
I am writing this letter in support of your move to your new location, located at 7853
Highway 85 near Ft. Lupton. I have visited your new site and observed the improvements
you have made to the fencing, I am confident that the fence will provide adequate security
for any CSP tows that may be towed and stored at your facility. You have graciously
entered into an agreement to allow CSP the use of the enclosed garages at this location to
store and hold vehicles we have towed for investigation of serious and fatal crashes. The use
of your garages allows my Accident Reconstruction Team to complete their investigations
more quickly as they are able to work inside and are not held up by weather. Many of these
investigations result in the filing of felony charges, and the use of the garages allows us to
meet short time lines for filing these type of charges.
You have provided CSP Troop 3A (Weld County) exceptional towing service for over 20
years as a part of our rotation list, I look forward to many more in the future at your new
location. I am a strong supporter for your operation at 7853 Highway 85.
Sincerely,
1, C_ CLUAL-
Captain Paul Matzke
Commander Troop 3A
Colorado State Patrol
3939 Riverside Parkway #B
Evans, CO 80620
970-506-4982
Foal in Traffic Safely
ABRIGHTON
v _
January 16, 2009
POLICE DEPARTMENT
"Prevent Crime and Disorder"
To Whom It May Concern:
Please accept this letter as a personal and professional recommendation for
Manuel Balderas and his business MB Towing. I have known Manuel since
1985. At that time I was a Captain for the Brighton Police Department and
Manuel also worked for the City of Brighton. Several years later both of us
left our employment with the City, but we maintained a casual personal
relationship. Since 1995, when I became the Chief of the Brighton Police
Department, MB Towing has provided towing service for the City of
Brighton. We are very satisfied with the services that they have given to the
citizens of this area.
On a personal level, I have found Manuel to be an honest, hardworking
businessman. He and his sons have built a successful auto salvage, auto
sales and towing/storage company from the ground up and I believe they
have an excellent reputation for honestly and fair service in this area. One of
Manuel's sons, Daniel, is a police officer for the City of Brighton. If you
have any additional questions, please feel free to contact me at 303-655-
2303.
Sincerely,
Clint R Blackhurst, Chief of Police
Brighton Police Department
3401 E. Bromley Lane
Brighton, Colorado 80601 303-655-2300 Fax 303-659-6961
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FORT LUPTON POLICE
DEPARTMENT
130 S. McKinley Avenue, Fort Lupton, Colorado 80621
303-857-4011 Fax 303-857-2703
Ronald E. Grannis, Chief of Police
To Whom It May Concern,
The City of Fort Lupton Police Department has contracted with M&B
Towing Service for the past two years. During that time we have found the
owner Manual Balderas and his employees to be exceptional. Response
times have been more than adequate when called to tow a vehicle. This is
critical to both get the officer back on duty and to open roadways to prevent
any further problems. M&B has stored vehicles of critical evidentiary value
on several occasions. These vehicles were found to be secure and accessible
at all times. This is a great help for court proceedings. The City has just
renewed this contract for 2009. We are convinced that the high level of
service provided by M&B will continue.
Hello