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HomeMy WebLinkAbout20042811.tiff RESOLUTION RE: APPROVE NONEXCLUSIVE LICENSE AGREEMENT FOR UPGRADE AND MAINTENANCE OF WELD COUNTY ROAD 21 RIGHT-OF-WAY AND AUTHORIZE CHAIR TO SIGN -THE S AND J COMPANY, INC. AND ROUSE FARMS COMPANY 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 Nonexclusive License Agreement for the Upgrade and Maintenance of Weld County Road 21 Right-of-Way, 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, and The S and J Company, Inc. and Rouse Farms Company, P.O. Box 77, Carr, Colorado 80612 with terms and conditions being as stated in said agreement, and WHEREAS, a hearing before the Board was held on the 15th day of September, 2004, at which time the Board deemed it advisable to continue said matter to September 22, 2004 at 9:00 a.m., and WHEREAS, at said hearing on September 22, 2004 after review, the Board deemed it advisable to approve said agreement, 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 Nonexclusive License Agreement for the Upgrade and Maintenance of Weld County Road 21 Right-of-Way, 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, and The S and J Company, Inc. and Rouse Farms Company be, and hereby is, approved. 2004-2811 EG0047 NONEXCLUSIVE LICENSE AGREEMENT - S AND J COMPANY, INC. AND ROUSE FARMS COMPANY The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 22nd day of September, A.D., 2004. BOARD OF COUNTY COMMISSIONERS WE COUNTY, COLORADO E fits Ada Robert D. Masden, Chair isbierk to the Board \ / ® (� ,� William li erke, Pro-Temty Clerk to the Board � �f frz�— AP D AS TO • David E. Long ounty Atto e EXCUSED Glenn Vaad Date of signature: , 2004-2811 EG0047 MEMORANDUM "lige TO: Clerk to the Board DATE: September 10, 2004 COLORADO FROM: Frank B. Hempen, Jr., Director of Public Works/County Engineer SUBJECT: Agenda Item Nonexclusive License Agreement for the Upgrade and Maintenance of Weld County Right-of- Way (WCR 21) with S and J Company, Incorporated, and Rouse Farms Company. The appropriate documentation is attached. Enclosures pc: Donald Carroll, Public Works Engineering Administrator M:\Francle\AgendaDonald.doc M: \Francie\AgendaDona1d. doc 2004-2742 NONEXCLUSIVE LICENSE AGREEMENT FOR THE UPGRADE AND 261 MAINTENANCE OF WELD COUNTY RIGHT-OF-WAY THIS NONEXCLUSIVE LICENSE AGREEMENT made and entered into this 7 2t 4day of £eo-fa,- her , 2004, by and between WELD COUNTY, COLORADO, by and through the Board of County Commissioners of Weld County, Colorado, whose address is 915 Tenth Street, Greeley, Colorado 80631, as First Party, and The S and J Company,Incorporated, and Rouse Farms Company as Second Party whose address is P.O. Box 77, Can, CO 80612. WITNESSETH: WHEREAS, Second Party desires to more effectively access property located at(see attached map)part of Sections 10 and 15,Township 9 North,Range 67 West of the 6th P.M.in Weld County, Colorado. WHEREAS, First Party is the owner of the Right-of-Way known as WCR 21 for a distance of2 'A miles North of WCR 102 and located as follows: 60'Right-of-Way between Sections 22 and 23, and 60'Right-of-Way between Sections 15 and 14, also 60'Right-of-Way between Sections 10 and 11 in Township 9 North, Range 67 West in the 6th P.M., Weld County, Colorado, which is hereinafter referred to as "ROW," and WHEREAS, ROW is currently not being maintained by First Party, and WHEREAS, Second Party wishes to upgrade and thereafter maintain ROW at his/her/its sole expense in order to provide said more effective access. NOW,THEREFORE,in consideration of the covenants contained herein and the agreements of said Second party to be performed hereunder, and upon the conditions herein stated, First Party does grant to Second Party, its successors and assigns, a nonexclusive license to upgrade and maintain ROW without gating or fencing across the same. The conditions by which Second Party may upgrade and maintain ROW are as follows: 1. First Party retains the right to revoke this Nonexclusive License Agreement at any time for any reason,but such revocation shall not prohibit Second Party's continued use of the ROW for access to Second Party's property, to the extent that such continued use is consistent with the right of the public to use the ROW. First Party shall give Second Party written notice of its intent to revoke this Nonexclusive License Agreement at least ninety(90) days prior to the intended date of revocation. Such notice shall be sent to Second Party by Certified Mail to its address written above or served upon Second Party in accordance with the Colorado Rules of Civil Procedure. Second Party shall have the duty of informing First Party of Second Party's change in address from his address written above. 2. The upgrade and maintenance of ROW by Second Party shall be done in such manner as reasonably prescribed by First Party, which manner shall include, but not be limited to, the following: \IN NH 11111 111.21611 IIIII 1 l III 1111 IIII 3226261 10/0812004 1 of 6 R 0.00 D 0.00 Steve Moreno Clerk& Recorder y��sJl a. ROW shall be constructed and maintained as a graded and drained all-weather road. b. If the installation of a cross culvert is required through an existing drainage pattern or ditch, Second Party shall be responsible to supply and install such culvert, which shall be inspected by First Party to ensure adequacy of capacity, strength, and length. Second Party shall be responsible to maintain the culvert after its installation, including periodically cleaning the same. c. If the installation of a cattle guard is required,Second Party shall be responsible to supply and install such cattle guard, which shall meet County standards. Second Party shall be responsible to maintain the cattle guard after its installation,including periodically cleaning the same. d. This Nonexclusive License Agreement does not grant the right to gate or fence ROW for private use,but is intended to provide access to private property. e. Prior to commending work within the ROW, Second Party shall, through the services of a licensed registered surveyor hired and paid for by Second Party, mark the location of the exterior boundaries of the ROW. 3. The upgrade and maintenance of the ROW by Second Party, including those items set forth in Paragraph 1., above,or any other requirements stated by First Party, shall be at its own expense and without the aid or use of Weld County funds. Second Party shall be responsible for snow removal from ROW,if required to gain access, as part of the maintenance responsibilities referred to herein. 4. Except for the negligence of First Party, Second Party shall indemnify and save harmless First Party, its successors, assigns, employees, and agents from any damage or loss sustained by them or any of them to the extent caused by Second Party's negligence with respect to the upgrade and maintenance of the ROW. 5. Except for the negligence of First Party, Second Party agrees to protect First Party and save and hold it harmless from any and all third party claims and damages that said upgrade and maintenance may directly or indirectly cause to the extent attributable to the negligence of Second Party. Second Party hereby releases First Party,its successors,assigns,employees,and agents from any and all claims and damages of whatsoever character to property owned by Second Party resulting from any act,either on the part of the First Party or on the part of any third party. 6. Second Party shall not assign any or all of its rights under this Nonexclusive License Agreement without first obtaining written consent to such assignment from First Party,which consent shall not be unreasonably withheld. 7. The parties hereby agree that neither has made or authorized any agreement with respect to the subject matter of this instrument other than expressly set forth herein,and no oral representation,promise,or consideration different from the terms herein contained shall be binding on either party hereto,or its agents or employees. This Nonexclusive License Agreement embodies all agreements between the parties hereto and there are no promises, terms, conditions, or obligations referring to the subject matter whereof other than as contained herein. 2 1111111 IIIII VIII 111111 111111 NONE MI It 'll 3226261 10/08/2004 03:26P Weld County, CO 2 of 6 R 0.00 D 0.00 Steve Moreno Clerk& Recorder 8. If any term or provision of this Nonexclusive License Agreement, or the application thereof to any person or circumstances shall,to any extent,be held invalid or unenforceable,the remainder of this Nonexclusive License Agreement, or the application of such terms or provisions, to a person or circumstances other than those as to which it is held invalid or unenforceable, shall not be affected, and every other term and provision of this Nonexclusive License Agreement shall be deemed valid and enforceable to the extent permitted by law. 9. No portion of this Nonexclusive License Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess, nor shall any portion of this Nonexclusive License Agreement be deemed to have created a duty of care which did not previously exist with respect to any person not a party to this Nonexclusive License Agreement. 10. It is expressly understood and agreed that the enforcement of the terms and conditions of this Nonexclusive License Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Nonexclusive License Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Nonexclusive License Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Nonexclusive License Agreement shall be an incidental beneficiary only. 11. There shall be a $150 fee for the fabrication and installation of blue and white cross roads signs identifying the section line road intersection for the use of addressing and emergency response. The blue and white signs identify a non-maintained County right-of-way. Distance and location from the nearest maintained County road may require additional information signs. If existing signs are in place,the fee may be waived. It is mutually understood and agreed that this Nonexclusive License Agreement and all the terms and conditions hereof shall extend to and be binding upon the parties hereto,their successors, and assigns. GO 111111 11111 111111 111111 IIIII II1 III IIIII 1111 3226261 10/08/2004 3 of 6 R 0.00 D 0.00 Steve Morena Clerk&Recorder 3 EXECUTED IN DUPLICATE tie day and year first above written. FIRST PARTY: WELD COUNTY, COLORADO,by and OARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO lE La ATTEST: iiteidada% 1861 •ft..),o., Clerk She Board cr,A > ri, .r BY. - 09/22/04 By' Deputy Clerk Robert D. Masden, Chair SECOND PARTY: THE S AND d COMPANY,INCORPORATED ROUSE FARMS COMPANY _toner . E. O. u SUBSCRIBED AND SWORN to byfoze me this ,li day of 6 �r t- ,206" I By c L �l ,, s=l2 a l . . L. �-u (si p WITNESS my hand and official seal( (fJ \ 4 L t rerek ', C Il /O) .. 0 v Notary Public lei 4,' ° \--A. My commisS on expires: ---1 Z I L;6 Q k'o •••.. .si•••.III11111111•1•\•... (Updated 2/21104) 1 111111 11111 11111 111111 111111 11111 1111 111 11111 Milli 3226261 10/08/2004 03:26P Weld County, CO 4 of 6 R 0.00 D 0.00 Steve Moreno Clerk& Recorder 4 2004-2811 Case # 904.6 ►'hoc,&GS Name WCR Location "11 (lot -- tor) NON-EXCLUSIVE LICENSE AGREEMENT ITEMS REQUIRED FOR SUBMITTAL Documentation of Proof of Right-of-Way (GIS, 1400 N. 17th Ave. Greeley, Co.) or document of an easement shall be provided to the Department of Public Works. One (1 ) copy of Non-exclusive License Agreement for the Upgrade and Maintenance of Weld County Right-of-way. This document shall be signed and sealed by a Colorado Notary Public. N. An 8 '/2 inch by 11 inch map, drawn, indicating type of right-of- way/easement; whether it is dedicated, private, a deeded to'provide adequate access to the parcel. The applicant shall supply written documentation indicating the adjacent landowners are aware that the section line will be used to access to your property. The applicant shall complete a Weld County Road Access Information sheet. The above information shall be submitted to Weld County Department of Public Works. M:\WPFILES\DON-C\subchecklist.doc IIIIII IIIII!\\\%11111111111111111 Itl III IIIt I\\\U 3226261 10108/2004 03.2 6P Weld 5 of 6 R 0.00 0 0.00 Steve Moreno Clerk&Recorder bh - : >\�\2 a::\n �• N .. ... . . PR4 RY.iLc u� Weld Co Road 108' f �3 q o v ec�'°� 3 4_ ent o 0 \- �• 0 - 3 o4 Subject property(Rouse Farms) t `� . T 11 • ' >� , NI SE1/4, Section 10, T9N,R67W ��v • - o U >�, v Subject property(Rouse Farms) SI/2, SEl/4, Section 10, T9N, R67W 1 . Its a: \, \. Weld County Road 106 Subject property(S&J Co.) -t ; ti.� jjEI/4jcctIonI5. TQN. R6 ' 4 pp " Subject property(Rouse Farms) . Sl NEl/4. Section 15, T9N,R67W F' e 16� t> • c�+ N , _. t= ti3 e Subject property(Rouse Farms) e • NI/2, SE1/4, Section 15, T9N,R6 § I } o Subject propel 1.y 'Dose arms S1/2 SEl/4 Section 15, T9N, R67W a ' el. C.Un w cur 1 <Ct e " .;e4)( Weld Count Road 102 1 1111111111111111 1111111111111111111111 III 111111111101 3226261 10/08/2004 03:26P Weld County, CO L° 1 6 of 6 R 0.00 D 0.00 Steve Moreno Clerk& Recorder srgh r - �n i`$ a r jx₹-C• a #„ h 4s 14 (. ,t rn1- _ c. 1 d % e -- s Y s. ;!_ 'd:• ..- .."11' ',- a ic-vrm -, w+ -E r - .� F.,: p YY 'H 3sar r - . e ^a+ -4,,,,,--,4--.:-,,-,.i ,{ ₹ 5 i.x ^A , -744fa - +,- 'i - ..T :::: .'. Ylvs a d Mn s'5i •Y � 5 -.1.4,14.: '? •Cif S . �suer,. s ''^ ,*` - ` r r- rvif- k -i . 4 4 s �' .e. 4. § u s.era .. Wit ..--,?,: :-. • , „„--.:__-_:,, .:-,,,t;. - ;:-.,,,v-,.....,--..c •:,:itstl.,.,,,, am, ,,,..,,-..-- ,--... , ,,,,, ,.1.... :,._,':,,.:.L4-1.?t,-*-1 - ,' \ - '.. 7, . 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Article Addressed to: Ii YES,enterde wary address below: ❑No'. i s , \'S kIsts 71c-it 1 (1 Yt, �°'ftU 3Z5q w. toot-r `( ex) 3. se a �rncettitedr Mail ❑Express Meii 47r�""r-` etttterad C]RettertROCelPtfw'MerchaMbe El malted MeR Deno* 4. Resbkded DeRveryt(Exms FeW �.❑Yee 2. Aldo Number �X r� (rrmrsrer wtoafa6.egt 1ra> o a•e 5-1 � --+ PS Form 3811,.August 2001 Dorrrestic Return Receipt - leases-oe-M.1540 COMPLETE rN+S SECTION ON DELIVERY ■ Complete items 1,Z and 3.Akb txNDp►gtg J4& hnz tram A 2 Rss6ictAd[7eltiter`y,is€U .' _ Ct Agent ■ Print your narrle 21M addist*oriole reveres so that ere can return the Gent YoYou- ■ Attach this caul to the backnf the maRplece or ogt the front if space permits, Y. 1. ArticieAddressedto: ' - D''ls- �• '•. . 1mmce1? ❑yes nnnt Lt t,.1 Astrt GlbbE . 'tbbf..tA ST: 414 %J O Certified Mail Cl Express Mail jetZ_CCIIO iiogistereci fl Rehm ©mewed MS ElC.O..a.Receipt for F raa aea 4.-Rastrinted + 1Elra Feat i3 Yes:. 2. Ankle Number ( eral4rn elaeMa a re COCO `Aer1 -Itra` PS Form 3811,August 2001 DOmestfc Return Receipt .:.10259502.M-1540 I , SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. SI nature • Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. 0 Agent item 4 if Restricted Delivery Is desired. O • Print your name and address on the reverse X ❑Addressee ■ Print your name and address on the reverse "v_ _ �% tNi@� 1- la so that we can return the card to you. g, eceived by(Print ) C. of Ilv so that we can return the card to you. 6, Received by(Printed Name) C4. ■ Attach this card to the back of the rnallplece, f1 yi ed4—,,nre 7/A/0� ■ Attach this card to the back of the mailpiece, or on the front if space permits. V/I ( / �L f or on the front if space permits. D. Is delivery address different item 17 0 Yes . ' D. Is delivery address different from item 1? O 1. Article Addressed to: If YES,enter delivery address below: O No 1. Article Addressed to: • If YES,enter delivery address below: 0 \,..4,LLA Am ex A.V 1�.�+1 11S& I µ E . �a . ( 1 Pmt LT. ii Y ) I �nE L ', Lo 3.Service'type T+ , M 3. Service Type 0 Certified Mall O Express Mal { F Q� l �✓ 0 Certified Mall 0 Express Mad 5 1 • 0 Registered 0 Return Receipt for Merchandise a Registered D Return Receipt for Mi 0 insured Mail O C.O.D, • i D Insured Mall Cl C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 4. Restricted Delivery?(Extra Fee) 0 2. Article Number ) 2. Artde Number .. . (Transfer from s :.;- 05 CX)0020C I--_1 , ►,►,,, c) of a'. 1 PS Form 3811,August 2001 Domestic Return Receipt ices-o24.i•ildso PS Form 3811,August 2001 Domestic Return Receipt to259 SENDE:I;: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY SENDER: COMPLETE THIS SECTION COI.?•LCTE THIS SECTION.N •ELIIVE• IIIY Complete Items atu 1,2,and 3.Also complete A. Signature • Complete Items 1,2,and 3.Also complete A. Sig '- Item 4 if Restricted Delivery is desires. � �. O Agent it 4 if Restricted Delivery is desired it • ■ Print your name and address on the'teversq O Addressee le Print your name andHaddress on the reverse X �` •� so that we can return the card to you. a Received by(Printed Name) I C. Date of Delivery so that we can Mule the oerd to you. g Roc: ■ Attach this card to the back of the meal ieoe • `� ■ Attac card to the back of the mall pi or on the front if space permits. T��-d 7 or•i k •,: If space permits. �R j D. Is delivery address different from Item 1? C l Yes. r ., - D. Is delivery address different from item 1? • 1. Article Addressed to: 1. •to: lH YES,enter delivery acidness below: O No If YES,enter delivery address below: 0 ENWA(Lv A 14. t st �R4( As . Tus I'1 • 3vl ' outti _ LI 11 :ib 4.- ddkr40t4 a 3. Service Type 3. 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The purpose of which is to obtain access to our parcels numbered 045315000007 and 045310100008 (see attached map), located in section 10 and 15,Township 9 North, Range 67 West of the 6's Prime Meridian,Weld County. When that is granted,we will be improving the right of way for better access. The reason for this notification is that Weld County Public Works requires that all landowners adjacent to the proposed improvement be notified. Please acknowledge that you have been notified of the proposed improvement by signing and returning this letter. I have included a self-addressed, stamped envelope for your convenience. Your signature on the certified mail receipt will also acknowledge notification. Sincerely, 2-1 0,073,0- NH0 Shen Umber The S and J Company,Incorporated& Rouse Farms Company P.O. Box 77 Carr, CO 80612 August 24, 2004 . Michael McCrery 825 Country Culb Rd. Ft. Collins Co. 80524 To whom it may concern: This letter is to notify all adjacent property owners that the S and J Company, Incorporated and Rouse Farms Company are proposing a Nonexclusive License Agreement for the Upgrade and Maintenance of an existing Weld County Right-of-Way. The purpose of which is to obtain access to our parcels numbered 045315000007 and 045310100008(see attached map), located in section 10 and 15,Township 9 North, i Range 67 West of the 6'h Prime Meridian,Weld County. When that is granted, be improving the right of way for better access. The reason for this notification is that Weld County Public Works requires that all landowners adjacent to the proposed improvement be notified. Please acknowledge that you have been notified of the proposed improvement by signing and returning this letter. I have included a self-addressed, stamped envelope for your convenience. Your signature on the certified mail receipt will also acknowledge notification. Sincerely, Shen Gruber The S and J Company, Incorporated& Rouse Farms Company P.O. Box 77 Carr,CO 80612 Order Declaring all Section and Township lines on the Public Domain of the United States in Weld County, to be Public highways, etc., passed by the Board of County Commissioners October 12, 1889. WHEREAS, Section 2477 of the Revised Statutes of the United States provides: "The right of way for the construction of highways over public lands not reserved for public uses is hereby granted,"and WHEREAS,by virtue of an act of the General Assembly of the State of Colorado,entitled:"An Act to Amend Section 4 of Chapter 95 of the General Statutes of the State of Colorado entitled,'Roads and Highways,"approved April 7, 1885,it is provided,"The Commissioners of the County may at any regular meeting by an order of the Board declare any section or township line on the public domain a public highway,and on and after the date of such order,it shall be attested by the Clerk,and of ,atnd.f&,.de°dmt'tt the o 'ce of the Recorder of Deeds. The road so laid out shall be a pubh ghway,' z 1 WHEREAS,th ublic e is requ' tha<g ere be publtt'r highways on all section and township lines on the United States public do , ithin 'is o i"' ounty ofWt'Id. IT IS HEREBY ORDERED,by the Board of County Commissioners of the County of Weld,that all section and township lines on the public domain of the United States,within the County of Weld and State of Colorado,to wit: In townships 7, 8,9, 10,and 11 north in ranges 56,57,58, 59,and 60 west of the sixth principal meridian;townships 1,2,3,4,5,6,7, 8,9, 10,and II north in ranges 61,62,63,64,65,66,and 67 west of the sixth principal meridian;and townships 1,2,3, and 4 north in range 68 west of the sixth principal meridian; and in sections 19 to 36,inclusive, in township 12 north in ranges 56 to 67, inclusive, west of the sixth principal meridian, be, and the same hereby are, declared to be the center of public highways or County roads,which said roads shall be and hereby are declared to be roads 60 feet wide,being 30 feet on each side of said section and township lines, and BE IT FURTHER ORDERED, that a duly certified transcript of the order and action of this Board concerning said public highways, duly attested by the Clerk to the Board under the seal of the County of Weld, shall be forthwith prepared and recorded in the office of the County Clerk and Recorder of Deeds of Weld County,Colorado, and BE IT FURTHER ORDERED,that the County Clerk and Recorder of Weld County,Colorado,be,and he is hereby instructed when said certified order is so recorded,to prepare three certified transcripts of such recorded order, one of which transcripts shall be mailed by him,by registered letter,to the Honorable United States Surveyor General for the State of Colorado;another to the Honorable Register and Receiver of the Land Office at Denver,Colorado,and another to the Honorable Commissioner of the General Land Office at Washington,D.C.,and that said County Clerk and Recorder shall make report of his acts and doings hereunder at the next meeting of this Board. On the first day of the next session of said Board of County Commissioners, to wit, on the 6th day of November,A.D., 1889,the County Clerk of Weld County reported of his acts and doings under the above order to the effect that he had duly executed the order of the Board above specified in detail. M:\CTB\CTB FORMS\RE 1889 • Township No. ..... ..9 .-of Range No. 817 lest of the `h Principal Keridian. 5 ! 5 4 3 2 1 . I a I S sa>31 .7'-'0e w n • f _ 9 71 i2 _ I 1i"_Z__>,-.,. "c' /O(e lilt,-,: r . to p 17 18 i 15 ra 1-3------- 6 6 8 i i i 01.0 O r-7 /-9-67 y an e r 20� ' \ .rn>$ —. _.. _. n.-6 st '. it 34— . 35 'T 345 r- 1 __ _ _ .. b 1-r a fe IEEFEREN0& *r„ 11 t CA Faltered Im de v,L'� rm.mtcon PnEu 3�#vi`1 ✓ t—ximbe aottp. Loda not otherwise marked are mown. . a ' • f" .r A ; WELD COUNTY ROAD ACCESS INFORMATION SHEET Weld County Public Works Department Date: g2"1-H -°y 1111 H Street, P.O. Box 758, Greeley, Colorado 80632 Phone: (970 )356-4000, Ext. 3750 Fax: (970)304-6497 1. Applicant Name L ≤A41YJ F (0.15/16N L6SUi3L✓t_ Phone 3°3 -Sc'b- 3 3 71 Address P A C. go 77 City L/I`ItR State Cu reed 2. Address or location of access 5 L=r ,4TT/1-GHev3 L-IS T Section (D kHO IS Township ci Nostril Range é wt3T Subdivision Block Lot Weld County Road # 2) Side of Road W i Distance from nearest intersection 3. Is there an existing access to the property? Yes No X #of accesses WG22,1 et 04 s-b e 4. Proposed Use: O Permanent ❑ Residential/Agricultural O Industrial O Temporary O Subdivision O Commercial O Other 5. Site Sketch ROus N VI- 5 C VII Legend for Access Description: Aou5C 5 Y S LLl Y I'kr-w S i I AG = Agricultural 5 Lc.i t°ri I 0 ��� RES = Residential ' / O&G = Oil&Gas how N L YU D.R. = Ditch Road j-AILLAn5 . N '9. 1 O = House O = Shed StT co. S Yi— ) N 15 !Ai SEC-nov—1 IS ' Rouse-' ' h4 v), , S . % F/hwim5 i L I J AO k.6 LT S � % r&yr..n5 / NL. , ♦ s 107 ********************************************************************************************************************** OFFICE USE ONLY: Road ADT Date Accidents Date Road ADT Date Accidents Date Drainage Requirement Culvert Size Length Special Conditions ❑ Installation authorized U Information Insufficient Reviewed By: Title: 6 Hello