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AMENDED USE BY SPECIAL REVIEW, USR-729 31-15'
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Part of the Southwest Quarter of the Southeast Quarter of Section 26,Township 6 North,Range 65\Vest
of the 6th Principal Meridian,County of Weld,State of Colorado
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SfC�.I IN.R56W - _____-_ __-�_ __—____
WEED COUNTY ROAD OA
SECT 1 a1
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 #:
Marcum Midstream 1995-2 Bus . Trust
1. Applicant Name Conquest Oil Co. , Operator Phone 97O-356-556O
Address 1610 29 Ave P1 #200 City Greeley State CO zip 8O634
2. Address or Location of Access 22625 WCR 64, Greeley, CO 8O631
Section 26 Township 6N Range 65W Subdivision Block Lot
Weld County Road #: Fi4 Side of Road u Distance from nearest intersection 3 mi
3. Is there an existing access(es) to the property? Yes x No #of Accesses 1
4. Proposed Use:
❑ Permanent O Residential/Agricultural ❑ Industrial
❑ Temporary O Subdivision a Commercial O Other
5. Site Sketch
Legend for Access Description:
AG = Agricultural
RES = Residential
O&G = Oil&Gas W o
D.R. = Ditch Road
= House
O = Shed 3
A =Proposed Access a t`
A = Existing Access a �'
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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:
-8-
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