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Home My WebLink About20050986.tiff RESOLUTION RE: APPROVE COLORADO DEPARTMENT OF TRANSPORTATION PERMISSION TO ENTER PROPERTY FORM AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Permission to Enter Property Form between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Works, to the Colorado Department of Transportation with further terms and conditions being as stated in said form, and WHEREAS,after review,the Board deems it advisable to approve said form,a copy of which is attached hereto and incorporated herein by reference. NOW,THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Permission to Enter Property Form from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Works, to the Colorado Department of Transportation be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said form. The above and foregoing Resolution was,on motion duly made and seconded,adopted by the following vote on the 21st day of March, A.D., 2005. BOARD OF COUNTY COMMISSIONERS /�� WELD COUNTY, COLORADO TEST: ateje � o 4--i_\-, t ,,.i William H. J e, Chair ty Clerk to the Board t . ,i�i� M. ei Pr 7e ti fw.el Clerk to the Board _-- a , _ t , DaME. Lon AS TO FO s - ,d Robert D. asd n unty Attorne 4.e ge-M9 �, Glenn Vaad -- Date of signature: _�' 2005-0986 EG0052 TO , ( I 1) Oy-O/ -off (itceL," : MEMORANDUM CTO: Clerk to the Board DATE: March 16, 2005 • COLORADO FROM: Frank B. Hempen, Jr., P.E. Director of Public Works/County Engineer SUBJECT: Agenda Item Permission to Enter Property by the Colorado Department of Transportation at I-25 from State Highway 119 and State Highway 66. The appropriate documentation is attached. Enclosures pc: Leon Sievers, Right-of-Way Agent M:\Francie\Agend-Leon.doc 2005-0986 COLORADO DEPARTMENT OF TRANSPORTATION Project u�rT S1 t 15_S j ProjeM de 032- PERMISSION TO ENTER PROPERTY Project a(ion 7 25 cyte.,AKSid in To S Property owner ."--) �^` / C.0 GZ-O CO3 r /p Cs l V F-#4,- 65'4 Co ) Propflr I:Vaass/loa_tion/2C,O W q,Flw Stat 6 Mile post or station. The undersigned property owner, owner's representative, or lessee hereby grants permission to the Colorado Department of Transportation, its contractors, agents, and all others deemed necessary by the Department, to enter the property identified above and perform the following activities: DESCRIPTION OF WORK TO BE DONE °Perform preliminary survey, including; recovery of and measurements to horizontal and vertical survey marks; topo- graphic survey which includes the modeling of ground terrain and the measuring and mapping of physical features; and the placement of temporary survey stakes or project control markers. • Conduct preliminary environmental surveys to identify the presence of archaeological, historical, paleontological, or ecological resources, and perform noise or air quality measurements. These surveys may include the exterior inspec- tion of structures and buildings; the collection of chipped stone, biological, botanical, or fossil specimens; or sampling of subsurface soil material. • Perform real estate appraisal, or other physical inspections necessary to review the property, including any structures, for possible acquisition. This permission to enter does not include any drilling, digging, or sampling of materials beyond the use of hand tools. Any holes dug will be backfilled to their original condition prior to leaving the site. Conditions requested by Owner: See the Weld County Public Works Hazard Awareness/Visitor Safety Training (required by MSHA) Permissiongranted by: Name(please print) (check one) William H. Jerks; Chair 3/21/2005 ❑� �Property owner Signature Date L9'Property Owner's representative 6'— '1 i yG ,,C )L 3/21/2005 ❑ Lessee Home address(if lessee) Phone • X970 )356-4000 o er's home address _ Work phone 7/S /OS tc G,,te L4 G8 G 3( Tic.( 970 ) 356-4000 Nam[¢J��&titl (please print) �� /� �7 tee. / r �C�' V . V� I VC.I(�� — P tJ�s 1 Nbe.-tua£i"-- Permission received by: Signa re v Date O:51 P ne Department C� ne Jv�+lt ) _ 36 Distribution: White-Region Right of Way Previous editions are obsolete and may not be used CDOT Form 6730 6/98 Canary-Properly Owner/Lessee Pink- Region Environmental WS- OS''lo vves! eRI ■ grams G/ s 12753 S.Parker Road SURVeYIr1G Inc. Suite 205 f Parker, CO 80134-3486 E C 18 V I (303) ) 74 FAX(303) 841-7439 March 2, 2005 MAR - 7 2005 Weld County (St. Vrain Land Company) WELD COUNTY PUBS WORKS DEPT 915 10 Street Greeley, Colorado 80631 Dear Owner, Western States Surveying, Inc. is working on a project along Interstate 25 for the Colorado Department of Transportation and URS Corporation. Enclosed is a Colorado Department of Transportation Permission to Enter Property form. Western States Surveying, Inc. will be performing preliminary surveys, including recovery of monuments and a topographic survey along the right of way and may need to access your property where it abuts the highway right of way. Our survey may access your property that lies north of State Highway 119 and south of State Highway 66. Weld County Parcel 13 1302000070 and 131302000071. Western States Surveying, Inc. is requesting that you grant us permission to perform this work by completing and signing the enclosed form. We have contacted some owners by phone and we thank you if you have given us permission,however the Colorado Department of Transportation also requires us to get a signature on this form. Western States Surveying, Inc. thanks you in advance for your time and cooperation. Please sign, keep the yellow(canary) copy and return the white and pink copies. Should you have any questions or concerns please feel free to contact me at (303) 841- 7436 or at my email address of al.valletta n,wssurveying.com. Sincerely, Al Valletta, PLS Western States Surveying, Inc. S:\20019002\ROEs\St Vrain Land Co.doc WELD COUNTY PUBLIC WORKS HAZARD AWARENESS/VISITOR SAFETY TRAINING The following safety rules have been developed for your protection. Your cooperation as a visitor to our facility by conforming to the following requirements will be appreciated. Failure to adhere to these requirements may result in you being denied access to Weld County Public Works gravel pits. Personal Protective Equipment 1. Wearing a hard hat is mandatory at all times when outside vehicles in the gravel pit areas and where indicated by posted signs. 2. Safety glasses and ear protection is recommended around crusher or screen. Traffic Control 1. Traffic flow is on the right. Always drive on the right side of the road and obey posted speed limits. 2. Obey the speed limit posting at each gravel it. 3. Look and listen for large trucks and other equipment. The operator's visibility is limited. Our large vehicles have the right-of-way. Listen for backup alarms and ensure you are not in the path of the moving vehicle. Ensure operators of large trucks and other equipment see you-get a positive acknowledge from them such as a hand signal. 4. Do not drive close to or park next to high walls/slopes. Equipment and Machinery 1. Before working on equipment, check with the supervisor in charge of the area you are assigned to work. 2. Mechanics and repair persons are required to wear steel toe footwear. 3. Passengers are not permitted to ride anywhere on a vehicle not intended for passengers. 4. Keep hands and feet away from moving parts. 5. Stay alert, always look for and obey warning signs. 6. Never dismount from a moving vehicle. Your Conduct and Safety 1. Watch for Danger and Warning signs throughout property and never enter roped/chained off areas. 2. Truck drivers MUST remain in vehicle during loading material in the pit area. 3. Seat belts must be worn at all times when the vehicle is moving. 4. Tarping is to be done away from load area. 5. Don't step over, walk on, or walk under moving conveyers. 6. Use designated walkways/catwalks. Watch your step and use handrails. Watch for low overhead clearances. 7. Always walk-never run unless there is imminent danger. 8. Horseplay, fighting, and practical jokes are prohibited 9. The use of or being under the influence of alcohol or a controlled substance is strictly prohibited. 10. Bringing illegal drugs, alcohol, guns or other dangerous weapons on the property is prohibited. Accidents/Emergencies I. The emergency number is 911. 2. Report all emergencies, accidents, "close calls," and injuries promptly to the person that cleared your visit. I CERTIFY THAT I HAVE READ AND UNDERSTAND THE ABOVE WELD COUNTY PUBLIC WORKS HAZARD AWARENESS/VISITOR SAFETY TRAINING,AND I WILL COMPLY FULLY WITH THE ABOVE. Name (print) Signature Company Represented Date Person/Facility You're Visiting (gravel pit) M:\W PFILES\Mining\safety-gi ay.doc Hello