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WELD COUNTY ROAD ACCESS INFORMATION SHEET
Weld County Department of Public Works
111 H Street, P.O. Box 758, Greeley, Colorado 80632
Phone: (970 )356-4000, Ext. 3750 Fax: (970) 304-6497
• Road File #: Date:
RE # : Thom E. }} p Other Case #:
1. Applicant Name TARR E&P HoldinaschLPATADDlicant) Phone 970 352 4805
Address 5754 W. 1 1 th Street. #101 City Greeley State CO Zip 80537
2. Address or Location of Access East of N. Quarter Corner on WCR 68
Section 23 Township 6N Range 66W Subdivision Block Lot
Weld County Road #: 66 Side of Road South Distance from nearest intersection 2 ,400+
3. Is there an existing access(es)to the property? Yes X No # of Accesses 1
4. Proposed Use: -
EY Permanent O Residerdial/Agricultural O Industrial
O Temporary O Subdivision O Commercial XK OtherOi1 & GAs Production
5. Site Sketch
Legend for Access Description:
AG =Agricultural WCR 68 1L
RES = Residential
O&G = Oil&Gas
D.R. = Ditch Road
7 = House
• = Shed
A = Proposed Access
A = Existing Access w
NI LAKE
WCR 66
OFFICE USE ONLY:
Road - ADT
Date Accidents Date
Road ADT Date Accidents Date
Drainage Requirement Culvert Size Length
Special Conditions
0 Installation Authorized ❑ Information Insufficient
Reviewed By: Title: '
CERTIFICATE OF CONVEYANCES WELD COUNTY
STATE OF COLORADO - DEPARTMENT OF PLANNING SERVICES.
• COUNTY OF WELD
- - - -111-
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