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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
ea�Pqne: (970 )356-4000, Ext. 3750 Fax: (970) 304-6497
Road File#: ` �, r _O
Date: J
RE# : I&.ither Case#: SQ - 4, 9140
1. Applicant Name Petroleum Development Corporation Phone 97O-5O6-9272
Address 38O1 Carson Avenue City Evans State CO Zip 8O62O
2. Address or Location of Access WCR 41. and "F" Street
Section 33 Township 6N Range 65W Subdivision -- Block -- Lot --
Weld County Road #: Side of Road Distance from nearest intersection_
3. Is there an existing access(es)to the property? Yes X No #of Accesses
4. Proposed Use:
❑ Permanent ❑ Residential/Agricultural ❑ Industrial
❑ Temporary ❑ Subdivision ❑ Commercial ] Other Two (2) oil and gas wells
and one (I) tank battery
*******+*+***********+********************+*******+++******++******+*++*********+++**********+++*****fee41*3 **********
5. Site Sketch
Legend for Access Description:
AG = Agricultural ILA.
RES = Residential "O" Street or WCR 64
O&G = Oil &Gas
D.R. = Ditch Road
= House
= Shed
•
A = Proposed Access Z m
A = Existing Access 119.—
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o s
"F" St . *Access Road
Ni
CR .2
***************************************
OFFICE USE ONLY:
Road ADT Date Accidents Date
Road ADT Date Accidents Date
Drainage Requirement Culvert Size Length
Special Conditions
❑ Installation Authorized ❑ Information Insufficient
^' Reviewed By: Title:
9-
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