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Lot C of Recorded Exemption No. RE- and being part of the Southwest Quarter(SW 1/4)/4)of V�a
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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 #: _
Marcum Midstream 1995-2 Bus Trust
1. Applicant Name dba Conquest Disposal Service Phone 970-3'56-5560
Address).61O 29th Ave P1 #200 City Greeley State CO Zip8O634
2. Addressor Location of Access 13091 WCR 4O (WCR 4O and Highway 60)
Section 29 Township 4N Range 66W Subdivision N/A Block N/A Lot N/A
Weld County Road #: 40 Side of Road Hwy 60 Distance from nearest intersection 100 '
3. Is there an existing access(es) to The property? Yes x No # of Accesses 1
4. Proposed Use:
fl Permanent ❑ Residential/Agricultural ❑ Industrial
❑ Temporary ❑ Subdivision ICI Commercial ❑ Other
5. Site Sketch
Legend for Access Description:
AG = Agricultural
wenrcril
RES = Residential
O8G = Oil 8 Gas
D.R. = Ditch Road
O = House
= Shed
A = Proposed Access
• = Existing Access
NT
OFFICE USE ONLY:
Road ADT Date Accidents Date
Road ADT Date Accidents Date
Drainage Requirement Culvert Size Length
Special Conditions
O Installation Authorized ❑ Information Insufficient
Reviewed By: Title:
-8-
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