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Home My WebLink About20061352.tiff FOR PLANNING DEPARTMENT USE DATE RECEIVED: RECEIPT#/AMOUNT# 1$ CASE#ASSIGNED: APPLICATION RECEIVED BY PLANNER ASSIGNED: SITE SPECIFIC DEVELOPMENT PLAN AND USE BY SPECIAL REVIEW (USR) APPLICATION Parcel Number 0805-10-4-00-013 (12 digit number—found on Tax I.D.Information,obtainable at the Weld County Assessor's Office,or www_co wcid(ao.us.) Legal Description Lot B of RE-0805-10.4-RE-3961 Section 10 Township 00 North,Range 66 West Flood Plain:Zone C Zone District:A4g, Total Acreage: 25 ac Overlay District: N/A Geologic Hazard: N/A Airport Overlay District: N/A FEE OWNER(S)OF THE PROPERTY: Name: Church Barn.LLC—Joe Hoff Work Phone# (970)454-2361 Home Phone# N/A Email Address: N/A Address: 15913 CR 70 City/State/Zip Code: Eaton,CO 80615 Name: Richard A.Montera Work Phone# (970)454-2361 Home Phone# N/A Email Address: N/A Address: 134 Oak Avenue City/State/Zip Code: Eaton,CO 80615 Name: Work Phone# Home Phone# Email Address: Address: City/State/Zip Code: APPLICANT OR AUTHORIZED AGENT(See Below: Authorization must accompany applications signed by Authorized Agent) Name: Robb Cassedav—Cassedav Creative Designs C/ av n Nut_&r (J/.4.‘p— Work Phone# (970)454-8740 Home Phone# N/A mail Address: CassedayCreativeDesisns.com Address: 55 S.Elm Avenue,Suite 210 trx : 11c4- f-T9 2 City/State/Zip Code: Eaton,CO 80615 PROPOSED USE: Construct a church. t Da I(We)hereby depose and state under penalties of perjury that all statements,proposals,and/or plans submitted wit K 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 owners must be included with the application. If a corporation is the fee owner,notarized evidence be included indicating the signatory has the legal authority to sign for the corporation. / Signature: Owner or Autho ' ed Agent D to i : Own or Authorized P^ ^' '^ 2006-1352 Church Barn, LLC 15913 CR 70 Eaton, CO 80615 To Whom It May Concern: Pleased be advised that I, Richard A. Montera, Manager of Church Barn, LLC, hereby authorize Casseday Creative Designs, LLC to represent me in my endeavor to obtain a use by special review within Lot B-RE-3961 and SE-1036 located in Section 10, T6N, R66W of the 6th P.M., Weld County, Colorado. / 74 /0 5— Richard A. Montera, Manager Date To Whom It May Concern: Church Barn LLC, and Richard A Montera,hereby appoint Joseph A. Hoff as agent to act on behalf of Church Barn,LLC and Richard A Montera. This agency shall apply to the execution of documents concerning planning, zoning and building permit actions for land owned by Church Barn,LLC and/or Richard A. Montera, as required by Weld county or other agencies and or companies as required. Effective this 30th day of September, 2003. Churc i ;arn, C Rick Montera, ging Partner and individually SITE SPECIFIC DEVELOPMENT PLAN AND USE BY SPECIAL REVIEW (USR) QUESTIONNAIRE . It is the intent of Church Barn, LLC to construct a 75' x 120'rectangular building on Lot B of AMRE-3961 for a Christian ministry center. The building would be to the west of the existing access drive to the arena facility from WCR 70. A boundary line adjustment for Lot B is necessary to incorporate the proposed building into the USR with the existing buildings and structures currently utilized for this multi-purpose use. The subject parcel is located at the northwest corner of WCR 70 and WCR 33;please refer to the vicinity map. Lot B of AMRE-3961 contains approximately 10.76 acres. SE-1036 contains approximately 8.52 acres. With the boundary line adjustment between Lots D & B of AMRE-3961 2.15 more acres are proposed to be incorporated into Lot B. Since the existing uses on Lot B and SE-1036 are currently accessory uses to the intended church use, it makes sense to incorporate these buildings and uses into the USR request. Please refer to the attached USR plat map delineating the USR boundary. The general concept of this proposal is to construct a building for the ministry of existing Christian congregations, new church plants needing temporary facilities, and a mission-training center. Not only would the structure be utilized for church ministry,but the center will also allow various community organizations and groups such as 4-11 clubs,home school special events, and youth activities to meet. A more detailed description of the purpose and mission of this ministry is attached. 2. The proposed church facility is consistent with the Weld County Comprehensive Plan. Section 22-2-60 Agriculture goals and policies,more specifically 1.A.Policy.1.1 states that Agricultural zoning is intended to provide areas for agricultural activities and other uses interdependent upon agriculture. The proposed Christian Ministry Center accomplishes this policy by providing a facility the agricultural community can utilize,not only for 4-H clubs,but other community outreach programs such as ministering to the rodeo circuit. While the ancillary agricultural uses would be minor in comparison to surrounding farms,this USR would comply with the Right to Farm Covenant as it appears in Chapter 22 of the Weld County Comprehensive Code, and will be placed on all recorded plats. 3. This parcel is consistent with the intent of the Weld County Zoning Code. The subject parcel is zoned Agriculture, and in accordance with Section 23-3-40.E of the use by special review(USR)criteria, churches are identified as public and quasi- public buildings. The Christian Ministry Center is consistent with the A(Ag) Zone District, since the A (Ag)Zone District was intended to provide areas for the conduct of agriculture activities and activities related to agriculture and agriculture production without interference of other, incompatible uses. The Christian Ministry Center will promote the health, safety and general welfare of Weld County residents. 4. The surrounding land uses are predominantly agriculture and small acreage residential tracts. SE-1036 contains a single-family dwelling, 4 barn/shed structures as well as horse stalls. An arena, single-family modular, and shed are located on Lot B. Buildings on the SE parcel are support buildings for the USR. The single-family dwelling on Lot B is the home for the caretaker of the property. South of the subject parcel is a single-family dwelling, which is utilized for the InMotion Ministry. This training center is intending to relocate to the proposed church facility upon County approval. Lot B also contains an existing large indoor riding arena and other equestrian facilities. It is Church Barn's, LLC intent to construct a new building that would be compatible with the existing land uses as well as visually and aesthetically enhance the surrounding area for local residents. a. Depending on the activities scheduled, the facility would allow provide for 10-50 people on a daily basis. The building would be designed to seat no more than 350 people. Services may be held two or three times per week depending on the need. The building is intended to be a multi-purpose facility to accommodate several different needs and uses. b. Daily there will be from 5-10 employees on site. c. The building office hours would be from 8 am.to 5 p.m. Monday thru Friday. A service may be held during the evenings. A small prayer chapel with a separate entrance will be open 24 hours a day, seven days a week. d. In addition to the existing home and riding arena, one building is planned for this site. This structure would house all the ministries required by the users. e. Typically,the riding arena has approximately 20 roping steers and five to ten horses. f. The vehicles using this site will include trucks with horse trailers, cars,and delivery trucks. The trucks and horse trailers will use the arena two to three days per week. Cars will enter the property for all other services and special events. g. This parcel is located in the Eaton Fire Protection District. h. The water source for this site is North Weld County Water District. i. Sewage for the existing dwelling is an engineered septic system. The proposed building would also have an engineered septic system, in accordance with the Health Department. j. No storage or warehousing is proposed on site. 5. Landscaping will be consistent with the existing landscaped areas of the arena and surrounding area. Landscaping for the new building is identified on the attached landscape plan. 6. No reclamation plan is needed for the proposed USR. 7. All storm drainage will be on-site in accordance with an engineered drainage plan. Please refer to the attached site plan for detention pond location(s). 8. Construction of the new building would begin soon after approval of the USR. It is expected to take six months to complete construction,weather permitting. Landscaping would be completed next summer. 9. Dumpster enclosures for trash will be constructed to provide a visual screen from any public rights-of-way. The dumpsters will be picked up weekly. Gateway Events Center Purpose: The purpose of Gateway Events Center, ("Gateway"), is to provide various bodies of believers and seekers the opportunity to worship and be disciples in Christ. "Gateway" will provide the necessary facilities to accommodate biblical fellowship, teachings, and times of prayer. "Gateway" will be a place for church plants to become established and flourish into bodies of believers committed to sharing the Word of God with others. The desire of"Gateway" is to assist in building biblically functioning bodies of believers that reach increasing numbers of lost people. "Gateway" is a not-for-profit ministry administered by individuals who collectively share a heart for reaching lost souls. The sole basis of"Gateway" is the Bible, which is uniquely God-inspired, without error, and the final authority on all matters on which it bears. As the Bible teaches, there is one God, eternally existing in three persons — Father, Son and Holy Spirit — each possessing all the attributes of Deity. "Gateway" is a gathering place for interdenominational churches that welcome people from all backgrounds. "Gateway" supports churches with relevant teaching, heart-felt worship, honest friendships, constant prayer, and compassionate care for those in need. It is the goal of"Gateway" to have the kind of contagious Christians that can influence and encourage the entire region, one life at a time. Mission: The mission of "Gateway" is to enable groups of believers to meet, build relationships with each other and with God, and share the word of God with others. This mission is to be accomplished by unique, God-given vision to each ministry. Each ministry at "Gateway" confirms a shared commitment to Christ and a passion for reaching lost people. Page 1 of 1 Brad Mueller From: Roger Vigil Sent: Thursday, January 26, 2006 3:31 PM To: Brad Mueller Subject: Monterra Church Barn USR-1540 Brad, A representative for the Church Barn came into the office this afternoon. He is going to possibly change the arena from CCN-030090 to a different use. . Frank and I went over building requirements. I suggested that he contact you with a update on exactly how they are going to use the riding arena. How many days and how many people. He is also going to provide an exact floor plan. He also needs to contact Eaton Fire District. Sounds like it would only be four or so times a year that the arena would be used in connection with the Church Barn. • 01/31/2006 Page 1 of 1 Brad Mueller From: Linda Hulse [Linda@cassedaycreativedesigns.com] Sent: Tuesday, January 10, 2006 3:57 PM To: Brad Mueller Subject: Church Barn Brad, I met with Joe Hoff today to discuss the Riding Arena. There is no permanent seating in the barn. It is just a big barn with Horse Stalls and a Tack Room. They are not going to be using it for anything but a barn. The church will be used for all the events on the site. I talked to Roger Vigil about not having to permit the barn. He said he will call you tomorrow and see how we need to address this so the barn stays as the Ag-Exempt classification. Please let me know if you have any questions. Best Regards, Linda Hulse Project Manager Casseday Creative Designs, LLC 55 South Elm Avenue, Suite 210 Eaton, CO 80615 (970)454-8740 (970)454-8742 fax (970)381-6022 mobile robb@cassedaycreativedegns.com www.cassedaycreativedesigns.com CONFIDENTIALITY NOTICE: This e-mail is intended solely for the person or entity to which it is addressed and may contain confidential and/or privileged information. Any review,dissemination,copying,printing or other use of this e-mail by persons or entities other than the addressee is prohibited. If you have received this e-mail in error,please contact the sender immediately and delete the material from your computer 01/24/2006 January 17, 2006 Weld County Dept of Planning Services Brad Mueller Re: Response to Project Referral Letters I) Public Works. a. We have noted Setbacks for both WCR 33 & WCR 70 on the USR Map. b. Traffic Study has been ordered. c. Improvements agreement is in the works. It will depend on which access is approved. d. Off Street Parking will be ADA approved Compacted Crushed Asphalt. e. Storm Water Drainage report has been ordered. 2) Environmental Health. a. Water agreement has been obtained from NWCWD. b. Storm Water Discharge Permit is not required. c. Septic Engineering has been ordered from Terra Logic Consulting. d. Septic Permit has been obtained from WCD of Public Health with the , understanding that it will be adjusted according to occupancy loa e. Class V injection well permit application has been submitted. 'Through S+ t P • our discussions with the EPA it is evident that we will not need the permit. f. We will comply with all development standards. 3) Building Department.. a. Building Permit for the existing barn is in progress 4) Eaton Fire District. a. Plot plan,proposed building details, and water agreement have been submitted to the Eaton Fire District for review. 5) CDOT. a. Traffic Study has been ordered. . COLORADO DEPARTMENT OF TRANSPORTATION CDOT Permit No. 405103 STATE HIGHWAY ACCESS CODE SH/S/MP 392B/014.250/R NOTICE Tt� F OC ED Local Jurisdiction P N la aunty anning Department Weld County ?grmittee(s): GREELEY OFFICE Applicant; cd Orr NOV 2 2 2005 Robb Casseday 826 9th Street Casseday Creative Designs, LLC Greeley, CO 80631 RECEIVED 55 South Elm Ave., Suite 210 970-351-8777 Eaton, CO 80615 970-454-8740 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. None Municipality or County Approval (When the appropriate local authority retains issuing authority) By Title Date (X) This Notice is not valid until signed by a duly authorized representative of the Department Colorado Department of Transportation By Title Date 4424, L Copy Distribution: Required 1. Region Permit files 2. Staff Access Section. As needed: Local Authbrit ,, MTCE Patrol, Inspector Form 1265 8/98 COLORADO DEPARTMENT OF TRANSPORTATION CDOT Permit No. STATE HIGHWAY ACCESS PERMIT 405103 State Highway No/Mp/Side 392B/014.250/R Permit fee Date of transmittal Region/Section/Patrol Local Jurisdiction 100.00 11/01/2005 04/1/17 Weld County ^ -The Permittee(s); Applicant; Ed Orr Robb Casseday 826 9th Street Casseday Creative Designs,LLC Greeley,CO 80631 55 South Elm Ave.,Suite 210 970-351-8777 Eaton, CO 80615 970-454-8740 is hereby granted permission to have an access to the state highway at the location noted below.The access shall be constructed,maintained and used in accordance with this permit,including the State Highway Access Code and any attachments,terms,conditions and exhibits.This permit may be revoked by the issuing authority if at any time the permitted access and its use violate any parts of this permit.The issuing authority,the Department and their duly appointed agents and employees shall be held harmless against any action for personal injury or property damage sustained by reason of the exercise of the permit. Location: The access shall be located on State Highway 392,a distance of 1,316 feet north of Mile Post 14 on the south/right side. Access to Provide Service to: Single-Family Detached Housing 9 Each 100.00 % Other terms and conditions: *See Attached Pages 2 and 3 and Other Enclosures for Additional Terms and Conditions. MUNICIPALITY OR COUNTY APPROVAL Required only when the appropriate local authority retains issuing authority. By Date Title (x) Upon the signing of this permit the permittee agrees to the terms and conditions and referenced attachments contained herein. All construction shall be completed in an expeditious and safe manner and shall be finished within 45 days from Initiation. The permitted access shall be completed in accordance with the terms and conditions of the permit prior to being used. The permittee shall notify Linda McWilliams with the Colorado Department of Transportation in Greeley at 970-350- 2147 at least 48 hours prior to commencing construction within the State Highway right-of-way. The person signing as the p ittee must be the owner or legal representative of the property served by the permitted access and have full authority to accept the p and its rms and c .ditions. Permittee Dat�/ry�u�`L (X) —� l I, 1 This permit is not valid until signed by a duly authorized representative of the Department. COLORADO DEPARTMENT OF TRANSPORTATION By Date(of issue) Title (x) vc 'l c(. I l (8J/CS Access Manager Illy Dist bution: Required: Make copies 555s necckIssary for: Previous editions are obsolete and may not be used ----I 1.Region Local Authority Inspector CDOT Form#101 8/98 2.Applicant MICE Patrol Traffic Engineer 3.Staff Access Section C C N -L. 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If there are any questions regarding this permit, please contact Gloria Hice-Idler at(970)350-2148. 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 Access 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 exisiting 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. 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 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 reparis. 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 installation 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 State Highway Access Permit Page 2 Attachment to Permit No. 405103 -Additional Terms and Conditions adverse weather conditions. 14. Traffic detours or lane closures will not be allowed, unless pre-approved by the Department. 15. Two-way traffic shall be maintained throughout the work area at all times unless specific written authorization is obtained from the Department. 16. No construction vehicles shall be parked, or construction materials/equipment stored, on the State Highway right-of-way overnight. 17. No work shall be performed near a Department electronic traffic control device without coordination with Cobie Garbiso at(970)350-2137. 18. Landscaping and site construction shall not obstruct sight distance at any State Highway access point. Landscaping within the State Highway right-of-way requies the Permittee to obtain a CDOT Landscaping Permit from the Maintenance Section. The access permit does not authorize that activity,although a proposed landscaping plan shall be included in the access permitting document. 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. 19. 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. 20. 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 Departments 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 confirmed 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. 21. 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. 22. 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. 23. 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. 24. If highway right-of-way fence exists or is proposed,the Permittee must contact Linda McWilliams at the Greeley Traffic Office, (970)350-2147,prior to removal or installation. 25. The access shall be constructed 30 feet wide with 25 foot radii. State Highway Access Permit Page 3 Attachment to Permit No. 405103 -Additional Terms and Conditions 26. Construction traffic control devices, when not in use, shall be removed or turned away from traffic. 27. The access shall be constructed perpendicular to the travel lanes of the State Highway for a minimum distance of 40 feet,and shall slope down and away from the adjacent pavement edge at a rate of 2% grade for a minimum of 20 feet. 28. 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. 29. All required access improvements shall be installed prior to the herein authorized use of this access. 30. The access shall be surfaced immediately upon completion of earthwork construction and prior to use. 31. Surfacing of the access shall be completed as per Exhibit "A". 32. No paved surface shall be cut unless specified in this permit. Asphalt removal shall be saw cut to assure a straight edge for patching. 33. 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. 34. The access shall be constructed 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. 35. 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. 36. The Permittee shall request final inspection by Linda McWilliams at(970) 350-2143,within 10 days following completion of access construction,and prior to authorized use. The Permittee or their representative shall be present. 37. 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. 38. The design and construction 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. COLORADO DEPARTMENT OF TRANSPORTATION Issuing authority application STATE HIGHWAY ACCESS PERMIT APPLICATION acceptance date: 11/1/0 ,i. Instructions: - Contact the Colorado Department of Transportation(CDOT)or your local government to determine your issuing authority. Contact the issuing authority to determine what plans and other documents are required to be submitted with your application. - Complete this form(some questions may not apply to you)and attach all necessary documents and Submit it to the issuing authority. Please print - Submit an application for each access affected. or type - If you have any questions contact the issuing authority. - For additional information see CDOT's Access Management website at htto://www.dotstate.co.uslAccessPermitslindechtrn 1)Property owner(Permittee) 2'Agent for perrnittee(if different from property owner) Ect ()rr .- cbbCaccecI tq - C cednj Crcatl(,'t. 6tsyS, rte. Street address Mailing address ed-j 9ftt S+reef 55 s . E(DA A . Sut'+C./ ZIO City, state&zip Phone# C6e,state&zip Phone#(required) Cilre,tH>vL , CO L Lo3I ('-)C) 3c/ - fp777 Eittryi , Co tC(ci!5 45-4 - . --111-0 E-mail address E-mail address if available e cac,yrla.rid ‘ Ct 1.-vv rc'hbQ, a ccedal Crezuh ye_d elm c .Cc�� 3)Address of property to be served by permit(required) J 4)Legal description of property:If within jurisdictional limits of Municipality,city and/or County,which one? countytc I subdivision I block 1 lot IstionecV\jt��4 a I township I ran L 5)What State Highway are you requesting access from? 6)What side of the highway?❑ ❑ I l r ON IS E W 7)How many feet is the proposed access from the nearest mile post? How many feet is the proposed access from the nearest cross street? __ _____ feet QN EIS❑E OW)from: I10O feet pN ❑S❑EdW)from:_ ti) 3! ___________ 8)What is the approximate date you intend to begin construction? Spring ACC Li 9)Check here if you are requesting a: NI new access [temporary access(duration anticipated: ) [improvement to existing access El change in access use [removal of access Eelocation of an existing access(provide detail) 10)Provide existing property use i&rnY1 I art{ — Aclir1 Cc&l-1 w--4..d .I)Do you have knowledge of any State Highway access permits serving this property,or adjacent properties in which you have a property interest? gimp 0 yes,if yes-what are the permit number(s)and provide copies: and/or,permit date: 12)Does the propert 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? ®no El yes,if yes-list them on your plans and indicate the proposed and existing access points. 14)If you are requesting agricultural field access-how many acres will the access serve? 15)tf you are requesting commercial or industrial access please indicate the types and number of businesses and provide the floor area square footage of each. business/land use square footage business square footage NVA 16)If 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 °►-LC-+ Esk.1 . 5 F1 Qesidet''b K1 Subct . I 9 I I I _ 17)Provide the following vehicle count estimates for vehicles that will use the access.Leaving the property then returning is two counts. Indicate if your counts are ti of passenger cars and light trucks al peak hour volumes not multi unit trucks Si peak hour volumes peak hour volumes or average daily volumes. ec 9 ft of single unit vehicles in excess of 30 ft ft of farm vehicles yield equipment) Total count of all vehicles /,,, Previous editions are obsolete and may not be used Page 1 of 2 CDOT Form 0137 12/04 18)Check with the issuing authority to determine which of the following documents are required to complete the review of your application. a) Property map indicating other access,bordering roads and streets. e) Subdivision,zoning,or development plan. b) Highway and driveway plan profile. f) Proposed access design. c) Drainage plan showing impact to the highway right-of-way. g) Parcel and ownership maps including easements. d) Map and letters detailing utility locations before and after h) Traffic studies. development in and along the right-of-way. 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.us/environmental/Forms.aso. 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: <http://www.dot.state.co.us/Design$upport/>, then click on Design Bulletins. 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. Applicant' s nature Print name Date Grit-- oS ,,c5' .. 8,31/O5 the applicant ' not the owner of the prope , we require this application also to be signed by the property owner or their legally a horized representative (or other acceptable written evidence). This signature shall 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. Prope yew ersignatnre Print name Date C i ,-----) Fcl 01 '' , Previous editions are obsolete and may not be used Page 2 of 2 CDOT Form#137 12/04 3I A • CHS017 It , z - i . Y a LLB d w c d t u s7,Oct o w y c> o wOS � a IEc� c a ca CD I a.� © s, u .Q CJ w q G Y O• h S DDv C 6 u r�., d V 6, u a+ .4 �« 8 R a � pa3 �J �- a 0 A R a 5 ,Q �dy y' O r `� • U c ilhiRh u 6 R d y U ❑ y 7 .C O u u - . 0 u 0 C ^�L l \J h.. 0 tc.4 T7 v 6J ca' t. e 4 :::cipi;" < "O R L ❑ 7 I. 0 ice. d t"(:) N 3 I. O. R m u C.= d R rvc1 RZ • Da ai ci ;4 2; O (--41- ! n erne^. o^' R¢ A7 1 V / a . . 1 \ 0 � ° / NJ o # _ (m)sc•9c9x � now GI u OW)X109 scups ` 0 41 R OA 6 Y 4 Pt: be aOleg. I S LE t tEbe4750�O 000 /; moo 6� 3 cif Ia ______________J 4. i Oh -also 9 s G �9� �9 i pi �� $ JAP m 18 ell imp 8 u al& filo .. @ ₹ ro [C oa Al .. - i c' � itt F4 2 map °y" 0 13 i ° Irr K / ,Q,, Z 4 —.ma eIIIIMEEEEIMP t d O `g �vt, Casseday Creative Designs,LLC V11 Land Company o b 87L Ninth Street New Cache Estates-9 Lot PUD I w Greeley,Colorado 80631 1 Highway 392 West of WCR 37 9 (970)304-1818-fu(970)3041870 County of Weld,State of Colorado n a Nov 01 05 08: 58a Robb R. Cassect3 ":"""' (9701 454-8742 p. 1 HomeAadres5_ IS?' WGC -9O _ C' ST,Zi /e to X3063/ 3 qty. p: G�... List three persons in the order to be calleo-in Md3vent Of an emergency: NAME `TITLE - - '-�/�gDRE9S t I�PHONE RCC'ha112, 1444(.4nc,/J .- /1SI bat AkeA ron. t0 9I " s9G" ?2117 gig , 52,311 flit 1'.Ass- /Sr,/7 W eJ i yw f. (._- 710- 2.8/ — Y 9/j Sire / /4/01 1- C,Go 3Y2S, Lei rim_ BUSIne66HOUr5: a v" .Sr - ..- . .- _ Days: Type of Alarm: Non- Burglar Holdup "Fire Silent Audible Name and addressofAlann Company: - Location of Safe: MISCELLANEOUS INFORMATION: - Number of entry/exit doors in this building: Location(s): Is alcohol shred in building? ND Location(s): Are drugs stored in building? NO Locaton(s) Are weapons stored in building? NQ Location(s): --- -- - - - The following programs are offered as a public service of the Weld County Sheriffs Office. Please Indicate the programs of interest ___Physical Security Cheek Crime Prevention Presentation UTILITY SHUT OFF LOCATIONS: Main Eiecvical: Gas Shut Off: - Exterbrweteranutox: InterlorWater$hutoff: AFFIDAVIT OFINTEREST OWNERS SURFACE.ESTATE Property Lapel 0oecrlptbn; Q7� � 3 -- -13- :rT it RA ��F•!«i . i Re COUNTY ROAD ACCESS RECREATION OW Rom Fist Dols: • RE#: 00w ONO/: - Mid County Department of Public Works 111 H Street,P.O.Box 758, Greeley.Colorado Boor �l�n� ( Phone: (9'70)356+1000,Ext.3750 Roc (970)( 3046497 1.Address 13•t Q4iC ACnrut." f'�aton SteO Phone 1110 e_a_zp to x-61 2. Address or Location dAccess 15113 CQ 10 Section lb Township lo N Reeve In,Id 8uEtlMUon Block Lot Weld crony Rom s 0 Side d Reed C.S.33 Distance torn neared rtersedion 1/4 r* it" 3. is there an adding access(es)b the property? Yes No tot Accesses r0 Permanent LI Residential, O Wieland 4. INIpoesd U Temporary ti Subdivision UA' O Oannmerciel of Ober C ut:Ck- 5. Site Sketch LasAS for ryt ar Daeatpdsa: A6 RES = Residened __J 069 = oe t:cries D.R. = Ditch Row O = How O = shad .3, - Nt a oP JAI I °FRCS USE ONLY: Road ADT Dee Accidents Date Row Am Dab Accidents Data Doings Requremed Gest Star Lint Spn%1 Candeans O swdseonAuthorised O rtomanbadtlug Rer esd lly. TYs: Hello