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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#: Other Case#:
1. Applicant Name Marcum Midstream 1995-2 Business Trust Phone 303-785-8080
Address 303 E. 17'"Ave..Suite 660 City Denver State CO Zip 80203
2. Address or Location of Access WCR 39 and WCR 28.west into
Section 30 Township 3 North Range 35 West Subdivision Block Lot
Weld County Road#: 39 Side of Road 28 Distance from nearest intersection
3. Is there an existing access(es)to the property? Yes X No #of Accesses 3
4. Proposed Use: .
o Permanent. o Residential/Agricultural . ❑Industrial
❑Temporary. o Subdivision. X Commercial . o Other
L. Site Sketch
Legend for Access Description:
AG =Agricultural
RES =Residential
O&G =Oil&Gas
D.R. =Ditch Road —
c =House ^n+
❑ =Shed _ 3
0 =Proposed Access
♦ =Existing Access
WCR 28
NT
OFFICE USE ONLY:
Road ADT Date Accidents Date
Road ADT Date Accidents Date
Drainage Requirement Culvert Size Length
Special Conditions
o Installation Authorized o Information Insufficient
Reviewed By: Title:
File contains oversized
Septic Design Site Plan
Map
r.
Please See Original in File
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