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APPENDIX B
WELD COUNTY ROAD ACCESS INFORMATION SHEET
Weld County Public Works Department Date: /O 105`6 5
1111 H Street,P.O. Box 758, Greeley, CO 80632
Phone: (970)356-4000, Ext. 3750 Fax: (970) 304-6497
1. Applicant Name Weld County Public Works Phone (970)304-6497
Address 1111 H Street, P.O. Box 758City Greeley State CO Zip 80632
2. Address or location of access Ashbaugh Pit, WCR 115, 1/2 mile North of WCR 80
Section 15 Township 7 North Range 59 West -
Subdivision Block Lot
Weld County Road # 115 Side of Road East Distance from nearest intersection 1/2 mile
3. Is there an existing access to the property? Yes x No #of accesses 1
4. Proposed Use:
❑ Permanent ❑ Residential/Agricultural ❑ Industrial
EX Temporary ❑ Subdivision ❑ Commercial ❑ Other gravel pit
5. Site Sketch
Legend for Access :'
bt
Description: �.%
AG= Agricultural
RES = Residential
0&G= Oil&Gas
D.R. = Ditch Road ,n
.1�
WCR 80
*********************
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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