HomeMy WebLinkAbout20013586.tiff : �LAFARG E
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November 13, 2001 :91/ 7 SHOO �I'J.00
Ms. Monica Daniels-Mika 44),4tC0®
Weld County Planning Department
1555 N. 17th Ave 40
Greeley, CO 80631
RE: USR-488
Dear Ms. Daniels-Mika:
This letter is being submitted as a follow-up to the conditions in the above referenced
resolution that need to be addressed prior to recording the plat.
Item A
The plat will be amended to include the following items:
1) The 20 foot right-of-way was been identified on the enclosed mining plan map.
2) All of the CDPHE approved discharge points have been added to the plat.
4) The legal description has been revised to remove reference to Section 17.
5) The property boundary has been revised to remove Section 17.
We have a consultant and our plant manager working with the neighbors to determine an
appropriate landscape plan.
I have not been able to catch up with Public Works on the long term maintenance
agreement.
Item E, C, D, E, F
Information has been submitted to Weld County Department of Public Health and
Environment.
Item G
Mountain View Fire Protection District approval is enclosed.
Item H
A copy of our insurance coverage is enclosed.
moat L ?R-fl cvtri.,
a subsidiary of Lafarge Corporation �LIS[Z
NORTHERN COLORADO DIVISION
1800 North Taft Hill Rd., Post Office Box 2187, Fort Collins,Colorado 80522 2c i—358c
Office:(970)407-3600 Fax:(970)407-3900
Panted on Recycled Paper
November 13, 2001
Ms. Monica Daniels-Mika
Page Two
We will be submitting the plat as soon as we get the landscape plan and long term
maintenance agreement issues resolved. Please contact me if you need any additional
information on the above items. My office number is (970) 407-3669 and my cell phone
is (970) 227-4041.
My office has been relocated to our Fort Collins divisional office and that address is
Lafarge, 1800 North Taft Hill Road, P.O. Box 2187, Fort Collins, CO 80522. Please
forward all correspondence to this address in the future.
Sincerely _,
Juli oettemoeller
Land Manager
Cc: Mike Hart, Consultant
Duane Bollig, Denver Land Manager
MouNTA,,, MOUNTAIN VIEW FIRE PROTECTION DISTRICT
�+ P Administrative Office:
9119 County Line Road• Longmont, CO 80501
(303) 772-0710• FAX (303) 651-7702
view
November 12, 2001
Mr.Timothy Axley
Water&Waste Engineering,Inc.
621 17th Street, Suite 1020
Denver, CO 80293
Dear Mr. Axley:
I have reviewed the submitted material pertaining to the request to install a 6,000 gallon UL2085
aboveground protected fuel storage tank at the Cottonwood Gravel Pit, located at 2002 Weld
County Road 20.5 and approve the plans based on the following comments and stipulations:
• The installation of the tank and its appurtenances shall be completed in a workman-like manner
in accordance with the the Uniform Fire Code, the manufacturer's specifications and the
requirements of the Colorado Division of Labor, Oil Inspection Section.
• Vent outlets shall be protected to minimize the possibility of blockage from weather, snow, dirt
or nests.
• Signs identifying the pump master switch shall be labeled EMERGENCY PUMP SHUTOFF.
• A minimum of one 2A-20B:C fire extinguisher shall be located within 75 feet from the
dispensing area. The extinguisher shall be mounted or placed in a cabinet.
• NO SMOKING signs shall be posted. Smoking and other sources of ignition shall be
prohibited within 25 feet of the area where dispensing occurs.
• The tank and dispensing area shall be kept free of weeds, grass, brush, trash and other
combustible materials for a distance of not less than 15 feet.
• A final inspection by a member of the Fire District is required prior to the tank being placed in
service. Final approval for the installation must be also be obtained from the Colorado
Department of Labor, Oil Inspection. Please call the Fire Prevention Office at least three
business days in advance for all requests for tests and/or inspections.
• Fees are $50 per hour, per inspector, for any failed inspection that requires an inspector to
return to the site for further inspection or testing.
Station 1 Station 2 Station 3 Station 4 Station 5 Station 6 Station 7
9119 Cnty Line Rd 10971 WCR 13 P O Box 575 PO Box 11 10911 Dobbin Run P O Box 666 P O Box 40
Longmont,CO Longmont,CO 299 Palmer Ave 8500 Niwot Road Lafayette,CO 600 Bnggs 100 So Forest St
80501 80504 Mead,CO 80542 Niwot,CO 80544 80026 Ene,CO 80516 Dacono,CO 80514
Mr. Timothy Axley
November 12, 2001
Page Two
Nothing in this review is intended to authorize or approve of any aspect of this installation that
does not comply with all applicable codes and standards. Should changes be made to approved
plans, additional review and comment will be necessary. Should you have any questions, please
contact me at(303) 772-0710.
Sincerely,
o--Q4
LuAnn Penfold
Fire Marshal
LMP/lp
cc: project file
file
1p11.08.01
r .
HART ENVIRONMENTAL
A Member of the Aggregate Environmental Resource Group, LLC n Michael J Hart &Associates
November 9, 2001
Weld County Planning Dept.
Mr. Kim Ogle, Planner
Department of Planning Services I'm/ 1 3 2001
Weld County, Colorado
1555 N. 17th Avenue RECEWED
Greeley, Colorado 80631
Re: 2ND AMUSR#488
Dear Kim:
This letter is written on behalf of my client Mobile Premix Concrete, Inc.'s(MPCI)
regarding their Cottonwood Pit, (2ND AMUSR#488), in response to our telephone
conversation on Thursday,November 8, 2001.
Specifically, MPCI would like to request a thirty-day(30) extension of the time
allotted to deliver a completed plat to the Weld County Department of Planning Services
for the above referenced USR.
Please advise me of your decision regarding this request and the new deadline to
deliver the plat, assuming of course that an extension is granted.
Sincerely,
, ;7/.Z‘ )'
Michael J. (Mike) Hart
cc: Julie Goettemoeller
Monica Daniels-Mika
2215 \1ea.tolr ArtMae
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LAFARGE
October 22, 2001
Ms. Monica Daniels-Mika
Weld County Planning Department
1555 N. 17th Ave
Greeley, CO 80631
RE: Building Permits for USR 488
Dear Ms. Daniels-Mika:
Would you please give the Building Inspection Section permission to review and release
the three (3) attached building permit applications, as was discussed during the County
Commissioners Meeting on October 17, 2001.
As I had explained during the hearing, the buildings are being installed to get our
employees out of the winter weather. Any help that you can provide to get these
expedited as quickly as possible would be greatly appreciated.
Sincerely,
1W-11/2.„
J ie oettemoeller
Land Manager
1 SCG55
® nom affived
Weld County Planning Deptf e
\C"
REEW ED
r4ob!k Ff nio.Ccw,et. Tire-
,a subsidiary of Lafarge Corporation
NORTHERN COLORADO DIVISION
1800 North Taft Hill Rd., Post Office Box 2187, Fort Collins, Colorado 80522
Office:(970)407-3600 Fax:(970)407-3900
Panted on Recycled Paper
�` BUILDING PERMIT APPLICATInN
,��'{,lex�' WELD COUNTY BUILDING INSPEC ELECTRICAL LY _YES NO
rt 1555 N. 17TH AVENUE
ill C GREELEY, CO 80631
O coLoRADO (9701-353-6100 EXT. 3540
r PLOT PLANS AND WARRANTY DEED REQUIRED FOR ALL STRUCTURES
PROPERTY OWNER MD 61 4.e, &mix. OA ne.r e," I PHONE 611°- ZZ7—q04/
MAILING ADDRESS A+P'1: V(A.JI.P. �Oe,-I--I-err oe.Iicr , Po. Roc 2)g-7 I Tarp' Qo a 1C0 6D5Z- .--
JOB SITE ADDRESS 2-OOV CD(Anii-L' w4 ^7--D 17-- ) �turon�' (c b SOSI
LEGAL DESCRIPTION 1411\I1/4 i SW I/4- SEC. ((v ,T 2- J N, R 06 W DISTANCE FROM LOT LINESL P0PP-4'N 19
OR SUBDIVISION h(A. LOT 11'a BLOCK "/ ' N (4960 S E W IUD
GENERAL CONTRACTOR MAILING ADDRESS ID# PHONE
Mob!I.e. Premix 0,b-nc-t I:ne . 1560 W ►S4 /J-t,. i Doivex,a i.o 2.0- �3-4,57-z}oOt
MECHANICAL CONTRACTOR MAILING ADDRESS ID# PHONE
ELECTRICAL CONTRACTOR MAILING ADDRESS ID# PHONE
•
Mobile. ()run 04- frrC- t z rf;v1c . 640 W. (214, 4P_I Ityrigx,CD t uzl- '2D3-(es7-1-oab
PLUMBING CONTRACTOR MAILING ADDRESS ID# PHONE
oIe,
PURPOSE FOR PERMIT TYPE OF PROJECT TYPE OF CONSTRUCTION TYPE OF FOUNDATION
NEW BUILDING 0 DWELLING 0 WOOD FRAME - 0 BASEMENT
❑ ADDITION 0 PRIVATE GARAGE jg STRUCTURAL STEEL 0 FINISHED-SF:
O REMODEL 0 ATTACHED 0 DETACHED 0 MASONRY 0 UNFINISHED-SF:
O REPAIR/REPLACEMENT 0 SINGLE 0 2 CAR + 0 REINFORCED CONCRETE 0 CRAWLSPACE: SF
❑ ELECTRICAL 0 PUBLIC GARAGE 0 BRICK VENEER '2;- SLAB
❑ MOVE-IN RESIDENCE , .STORAGE SHED 0 POLE FRAME 0 CAISSON
71-OTHER RP IOCD4i 0 OTHER 0 OTHER `RI OTHER --f-00+1/13 `� Skm
HEIGHT OF BUILDING: O___ # OF STORIES: It OF FIREPLACES MASONRY: _0-CLEARANCE: _GAS LOG: -
CARPORT SIZE:_X_ PATIO: 1ST SIZE: _C_ 2ND SIZE:_X_ COVERED: 0 YES 0 NO
NUMBER OF BEDROOMS: DECK: 1ST SIZE: _<_ 2ND SIZE:_X- COVERED: ❑ YES 0 NO
BATHROOMS FULL: _3/4 _1/2.- PLOT PLAN ON FILE:X YES 0 NO BLUEPRINT ON FILE: 0 YES 0 NO
TOTAL LAND AREA: DRIVEWAY ACCESS• X EXISTING 0 NEW --❑NORTH OSOUTH ❑EAST OWEST
O SINGLE FAMILY O TWO OR MORE FAMILY 0 MOTEL/HOTEL # OF UNITS Iffi OTHER , 10 -)
TYPE OF SEWAGE: TYPE OF WATER: TYPE OF HEAT: ELECTRICAL SERYVIg1
,_: PUBLIC-NAME. 0 PUBLIC-NAME 0 NAT. GAS-NAME: t-e NAME: I LO V0-L
O PRIVATE 0 PRIVATE 0 PROPANE-NAME: SIZE OF SVC:.110_, AMPS
PERMIT#: PERMIT #: ' ELECTRIC-NAME: pal len CALCULATIONS:
PERC. TEST DATE: ❑ OTHER
SQUARE FOOTAGE: VALUE $ 1V1000 BUILDING FEE S
"DO NOT INCLUDE THE FOLLOWING ITEMS IN THE ABOVE PRICE"
MAIN LEVEL: 4 DO
2f.J LEVEL. ELECTRICAL COSTS S 500 FEE $
FOUNDATION: CONSTRUCTION METER: ❑ YES 0 NO FEE $
GARAGE: PLAN CHECK: 0 YES 0 NO FEE $
OTHER: OTHER . FEE $
• TOTAL FEES 5
MORE THAN ONE(11 RESIDENCE ON SITE? YES NO
INCLUDE A BRIEF DE,SCI3IPTION OF THE WQRK BEING DONE LISTING THE.INTENDED USE
A, A0'x ' n 4 .l, bui Irti no (5 beA not re, ioca.417A, -&DyYI 3029 (-he wn,v1 (I01 4 (-oo'lN an+ ?et `605)
ih (o ca. nv1 .for 9-Dr/A4Se Of r70,444 nut i(Jv1PJY'F
u5R-4tb99 F u1,'-it4v4-
I HEREBY CERTIFY THE ABOVE D A ATTACHED INFORMATION IS CORRECT AND ACCURATE TO THE BEST OF MY KNOWLEDGE:
SIGNATURE OF APPLICANT 1:U1410Q1,&1( 43e 1/O/446 3 DATE 10/2-4 i
8f/,nom MANUFACTURED HG• ____,FACTORY BUILT HOME, MOBILE HO BUILDING PERMIT
17 WELD COUNTY BUILDING DEPARTMENT ...eV.
(` 1555 NORTH 17TH AVENUE _ r i
W�`IDe(d9R7E0E)
LEY.CO:80631_.�4-`7 .,N,'':4;',,, M i'E `' s. : r% .tip':!;, :,:;', A. ., i n
-353-6100 EXT.3540 4
COLORADO PLOT PLAN REQUIRED FOR ALL STRUCTURES ` .. • ''i•r•J.,- ,!3'1::
HOME OWNER MObl JP, 1Prevpi�v rio rrrekP, , Y • / PHONE 61711-�Z"1' lb 11-1
11'• V MAILING ADDRESS 1 G IIP,6,oe. vnoPil.P,,- / PO 12,NJ. 2.1 gl/' ir-F-(AIL F'L$-, co- e Z7-,
LAND OWNER Mn bi 'Prowl lu ri,-,rrr;li ,i-Inc_- /PHONE 6170 -22--7- 404 I
MAILING ADDRESS A1 -4t .' c�u' 1(�;'' 'ri-r4 vvio-e II Pgin( 2,D, g1$-7, 'Ta--1-r�I1(nS I CA 2.052z, - -
LAST LOCATION OF HOME Lt fl IG-nn1.)r el
CD
CD
JOB SITE ADDRESS 2001 0BIA4 I.1-Lq el Zbl/7_ / 1-enktV)16r1J-I 5?"0CD ! •
LEGAL DESCRIPTION NI/JY4 7 SW V4 11 SEC. I to -,T��N, R trii W - -DISTANCE FROM LOT LINES(Pr°W-449 I3614
OR SUBDIVISION • ' - •44 ----- - -- - - -- -LOT______ BLOCK N 1-51)1 S E W 775'
OR MOBILE HOME PARK, hla. SPACE •
' REQUIRED SETBACKS FOR MOBILE HOME PARKS: END TO END- 10', END TO SIDE'-12.5', SIDE TO SIDE-15', FRONT DOOR-5' '
INSTALLER ,j -"••'—{ sf;'21 -L--' • —=-•• • 'Of' 'MAILING ADDRESS'' (: ' - "+ - ID# ' PHONE . -
kl-C orL Qt,p - C1%, CrAfE-lot l it?)l5l E.- (eF tt Ave , Au.ro ra_. ,Co $oo r l 395-340-00-2-z
ELECTRICAL CONTRACTOR • MAILING ADDRESS ID# PHONE X 7_3
•
Mob(-1-e, Prcvncx -eArcv'e.-V 1mac, is1v W !7)+A Mae, nvt—,Co '02L 303-4,57-el"a
FOUNDATION CONTRACTOR • MAILING ADDRESS ID# PHONE
M,obi 1•e, 'remiy ety,urcb1To . Iseio vv 17-+6 A.,. iltilveAri co C6 3-4,57-4o
USE FOR STRUCTURE: BUILDING TYPE: ZONING INFORMATION : FOUNDATION TYPE:
❑ PRINCIPAL DWELLING g FACTORY BUILT O ZPMH ,' BLOCK AND TIED
❑ ACCESSORY TO FARM O MANUFACTURED HOME APPRVAL DATE: O BASEMENT:
ACCESSORY STRUCTURE O MOBILE HOME O CERTIFICATE OF C PLIANCE O FINISHED-SF.
❑ MEDICAL HARDSHIP O OTHER O OTHER 11-44-11-44- M O UNFINISHED-SF•
❑ OTHER O CRAWLSPACE-SF:
. - , O CAISSONS ,
- - O OTHER ' '
HEIGHT OF BUILDING: PATIO: 1ST SIZE: _X _ 2ND SIZE: _ X_ COVERED: O YES O NO .
NUMBER OF BEDROOMS: DECK: 1$T SIZE: _X _ 2ND SIZE: _ X_ COVERED: O YES O NO
BATHROOMS: FULL:_ 3/4:'t .,1,12:_L PLOT PLAN ON FILE: O YES O NO BLUEPRINT ON FILE:O YES O NO
TOTAL LAND AREA OF PROPERTY: DRIVEWAY ACCESS: O EXISTING, O NEW--O NORTH O SOUTH O EAST O WEST
TYPE OF SEWAGE: TYPE OF WATER: A TYPE OF HEAT: ELECTRICAL SERVICE:
❑ PUBLIC-NAME: 1%PUBLIC-NAME: L H' - O NAT. GAS-NAME: O NAME:
jD PRIVATE O PRIVATE O PROPANE-NAME: SIZE OF SVC:_ AMPS
PERMIT tl: 3P 0I op PERMIT#: fa'ELECTRIC-NAME: 41'+x1 f Ig CALCULATIONS: ,
PERC.TEST DATE: O OTHER
HOME INFORMATION: VALUE S LSI 000 BUILDING FEE S
YEAR �y t ••DO NOT INCLUDE THE FOLLOWING ITEMS/N THE ABOVE?RICE**
MAKE 161613 A+-c-o
SERIAL# -14<2(a3 , ELECTRICAL COSTS $ 3d O FEE S
FB NO. CONSTRUCTION METER : O YES O NO FEE S '
DIMENSIONS `F'1 X -7b' PLAN CHECK: O YES O NO FEE S
COST TOTAL FEES $
PLEASE ADD ANY INFORMATION NOT COVERED IN ABOVE APPLICATION:
U.e,R#-4Ac cuDP- .4h4-
I HEREBY CERTIFY THE ABOVE AND ANY TTACH D�IN�FORM/ �TION IS CORRECT AND ACCURATE TO THE BEST OF MY KNOWLEDGE:
SIGNATURE OF APPLICANT 1 `f'- -144.10 �it _ "1, a/3i f5 DATE 10/Z7--/0
cff' BUILDMPLIAT"NI
WELD COUINGNTY PER BUILDING ITAP INSPECC I ELECTRICAL ,_Y YES _ NO
I 1555 N. 17TH AVENUE
UDCGREELEY, CO 80631
9701-353 61100 EXT. 3540
COLORPL0T PLANS AND WARRANTY DEED REQUIRED FOR ALL STRUCTURES
PROPERTY OWNER Mob; P., Pre.f)IX C.0next4-e, ,Inc—. PHONE 4170- 217-90ltil
MAILING ADDRESS A+tn: ,Julie, &06-I- moe.A1.e ' / ro. awc 7-/W7, Fort CDllLns /C0 90522
JOB SITE ADDRESS 'LODI- C.-OW/141i Rd WM- ) Lorj-non+ , CD 00581
LEGAL DESCRIPTION/4 1 5114 I/4' SEC 1(0 ,T Z N, R CPO W DISTANCE FROM LOT LINES (i,`I 1klg-P
OR SUBDIVISION hf& LOT of a BLOCK nIa N ,SOD/ S E W I2-0
GENERAL CONTRACTOR MAILING ADDRESS ID# PHONE
Nlob;It Prommyc Conrra, ,T'c. I59Io W. (7.g1 A /I vm--, Co $O2O4 3D3-6,57-4/.600
MECHANICAL CONTRACTOR MAILING ADDRESS ID# PHONE
Mobs'It Pre rn(X CernGr2 17-inc. 15Ia VV. 11-1-14 A-ve,I a►v Co , &-z44 303-G 57-10-6 0
ELECTRICAL CONTRACTOR MAILING ADDRESS ID# PHONE
•
NIO 2 I.e- {0rtrn IX Co ncr l 1510 W. J Z4 Aoe bnv 'Ca 30-04- 3o3-457- quiz
PLUMBING CONTRACTOR MAILING ADDRESS ID# PHONE
OA
PURPOSE FOR PERMIT TYPE OF PROJECT TYPE OF CONSTRUCTION TYPE OF FOUNDATION
NEW BUILDING C DWELLING ❑ WOOD FRAME - ❑ BASEMENT
ADDITION ❑ PRIVATE GARAGE ❑ STRUCTURAL STEEL 0 FINISHED-SF.
❑ REMODEL ❑ ATTACHED 0 DETACHED 0 MASONRY 0 UNFINISHED-SF•
C REPAIR/REPLACEMENT 0 SINGLE 0 2 CAR + 0 REINFORCED CONCRETE ❑ CRAWLSPACE: SF
❑ ELECTRICAL ❑ PUBLIC GARAGE 0 BRICK VENEER ❑ SLAB
❑ MOVE-IN PkES D 1 0 STORAGE SHED 0 POLE FRAME ❑ CAISSONS
KI OTHER (J� NCE y� ❑ OTHER 0 OTHER ❑ OTHER
HEIGHT OF BUILDING: # OF STORIES: # OF FIREPLACES MASONRY: _O-CLEARANCE: _GAS LOG: -
CARPORT SIZE:_ X- PATIO: 1ST SIZE: X 2ND SIZE:_X- COVERED: ❑ YES C NO
NUMBER OF BEDROOMS: DECK. 1ST SIZE: X 2ND SIZE:_X_ COVERED- 0 YES C NO
BATHROOMS FULL. _ 3/4:_1/2._ PLOT PLAN ON FILE: 0 YES 0 NO BLUEPRINT ON FILE: C YES 0 NO
TOTAL LAND AREA: DRIVEWAY ACCESS 0 EXISTING ❑ NEW --❑NORTH CSOUTH BEAST OWEST
I LL A c e -lithe
❑ SINGLE FAMILY _TWO OR MORE FAMILY ❑ MOTEL/HOTEL#OF UNITS OTHER
TYPE OF SEWAGE: TYPE OF WATER: TYPE OF HEAT: ELECTRICAL SERVICE:,
C PUBLIC-NAME. C PUBLIC-NAME: 0 NAT. GAS-NAME: NAME• 1 I Q O
❑ PRIVATE 0 PRIVATE 0 PROPANE-NAME: SIZE OF SVC• 100 AMPS
PERMIT #: PERMIT It: ❑ ELECTRIC-NAME: CALCULATIONS:
PERC. TEST DATE: ❑ OTHER
SQUARE FOOTAGE: VALUE S LI iBd0 BUILDING FEE S
"DO NOT INCLUDE THE FOLLOWING ITEMS/N THE ABOVE PRICE''
MAIN LEVEL:
2f.-3 LEVEL. ELECTRICAL COSTS S 560 FEE $
FOUNDATION: CONSTRUCTION METER: 0 YES ❑ NO FEE S
GARAGE. PLAN CHECK: ❑ YES ❑ NO FEE $
OTHER: OTHER : FEE $
TOTAL FEES $
MORE THAN ONE(11 RESIDENCE ON SITE? YES NO
INCLUDE A BRIEF DESCRIPTION OF THE WORK BEING DONE LISTING THE INTENDED USE
(P)O0 a.1. 14x2-r s i e-Q,n-F' I h u,U, ref I`Sfaxrl- I ' pt -rue I Aa ra .-11014,
( In a.L 0qa4f)Ii,,v, and 4' o AIf421, fug))
UGi -i-FPA PP DP i I-to o,,t-l-t7,44, of frO/4r -/.'!em it in
I HEREBY CERTIFY THE ABOVE AND ANY ATTACHED� INFORMATION IS COR ECT AND ACCURATE TO THE BEST OF MY KNOWLEDGE:
SIGNATURE OF APPLICANT �A &-a/o/44---- DATE ib ZZ/O
LAFARGE
October 9, 2001
Ms. Charlotte Davis
Weld County
Dept of Public Health and Environment
1555 N. 17`h Ave.
Greeley, CO 80631
RE: USR-488
Dear Ms. Davis:
This letter is being sent to you in regards to several conditions that are being placed on
the above referenced resolution that need to be resolved prior to recording of the plat.
Item B
Please find enclosed the Waste Handling Plan
Item C
Please find enclosed the Dust Abatement Plan
Item D
The conditions specified in the existing Emission Permit still apply. We do not
anticipate making any changes to this plan.
Item E
The conditions specified in the existing Emission Permit still apply. We do not
anticipate making any changes to this plan.
Item F
The septic system referenced in this item is no longer in use and we do not
anticipate ever using it. We have applied for and been approved for a septic
system in the NW corner of the property. A copy of this approval is enclosed.
The resolution requires that evidence of approval needs to be submitted to the Weld
County Department of Planning Services. If this information is not acceptable for you to
provide the Planning Department with approval on these items, please contact me at
(970) 407-3669 or on my cell at (970) 227-4041.
MOBILE PREMIX CONCRETE,INC.
WESTERN MOBILE NORTI IERN,INC,a subsidiary of Lafarge Corporation
NORTHERN COLORADO DIVISION
1800 North Taft Hill Rd., Post Office Box 2187, Fort Collins,Colorado 80522
Office:(970)407-3600 Fax: (970)407-3900
Printed on Recycled Paper
w
Ms. Charlotte Davis
October 8, 2001
Page 2
My office has been relocated to our Fort Collins divisional office and that address is
Lafarge, P.O. Box 2187, Fort Collins, CO 80522. Please forward any correspondence to
this address.
Sincerely,
a/(214(A61(-
J ie ettemoeller
Land Manager
w 'ti
10/05/01 14:11 FAX 214 76r-"49 MARSH USA INC 1I002
,rf ''1' .f.i1•,If,;;!% ,�tl118;'v' rr, -r,,h6,nr,ni,,, :a;°,i° It�nlx 1-i.41.,, °ILI119filllf":'�',,,!,;r' c,, '6,;d!,I, ,,, ,iatoi,Y'1� nii ;IilB,":aiH,rnr,i��.1fiT1?f',;,i!rtog11PgrJa`rvi,,,i-n,
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'in ,i Q'I,',,I'i'� .:.r` �, ,tr}f. ,,i ,u'�ih :E't:;�'1.�, . ,�{I�1'llPlldii � /y�� f St;��„ CERTIPICATENUHBER
r'r;il! 1A SH i1 S,f,'n,,N10 y' :f Y Iv . ,:',:n'ilii 0, t GE ill I � LIT �r L, . 1 ' i { II ,
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,iwm ,w,,I,� ,. „ ,4::: ,,,,,I,lhl; , ,,,air ;I. , :i;I"„F' ','„,,..,:i."...,",!.. ,. ',I I:I i ,,.,—,H,.,./)dl.,„, ' , ,oc,N 4d,,t!1\ q, C�a l HOU-000328356-00
PRODUCER THIS CERTIFICATE is ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH USA INC NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSI PROVIDED IN THE
1601 ELM STREET POLICY,THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE
2100 THANKSGIVING TOWER AFFORDED BY THE POLICIES DESCRIBED HER I ITN.
DALLAS,TEXAS 75201 COMPANIES AFFORDING COVERAGE
EMILY GUERRERO 214/765-8636 COMPANY
14815-WC2-01-02 WMNO A AMERICAN HOME ASSURANCE CO
INSURED COMPANY
WESTERN MOBILE NORTHERN,INC. B INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA
LAFARGE CORPORATION
1800 N.TAFT HILL ROAD COMPANY
FT.COLLINS.CO 80521 C N/A
COMPANY
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THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN,THE INSURANCE AFFORDED Err THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.CONDITIONS AND EXCLUSIONS OF SUCH POLICIES LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS,
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
MMIDDMY LTR DATE(MMIDDIYY) DATE( )
A GENERAL LIABILITY RMGLA 359 90 00 04/01/01 04/01/02 GENERAL AGGREGATE $ SEE BELOW
X COMMERCIAL.GENERAL LIABILITY PRODUCTS-COMPIOP AGG_ $ 2,000,000
fi!!:,'1; X J CLAINIGMADE I OCCUR PERSONAL AADVINJURY $ 1,000,000
_ OWNER'S&CONTRACTORS PROT EACH OCCURRENCE $ 1,000,000
_ FIRE DAMAGE(My ono fire) $ 1,000,000
MED EXP(Any one pereon) S 5,000
A AUTOMOBILE LIABILITY RMCA3598904-OS 04/01/01 04/01/02 2 000 000
_ COMBINED SINGLE LIMIT $ , r
A X ANY AUTO RMCA3598905-TX 04/01/01 04/01/02 - __
ALL OWNED AUTOS BODILY INJURY $
(Per person)
SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY $
(Per n•s nt)
NONAWNED AUTOS
PROPERTY DAMAGE $
GARAGE LIABILITY • AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY. {Jiil!(T7''ICey,!d181111{4,',II i 1' ;'l,
w r,fnf,,,,p-II„t,ha,P,t,,I!
_ EACH ACCIDENT $
_ AGGREGATE $
EXCESS U AEIUTY EACH OCCURRENCE S...H
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM c $
B WORKERS COMPENSATION AND WC4064341 04/01/01 04/01/02 X ,,JPRYLIMRS 0 ��{!1!TAP;°:.(1411,111;'II'�p''t+,l,i{;li{iiL
EMPLOYERS'UABILITY I IU r,la�l�yllly I;L;
EL EACH ACCIDENT $ 1,000,000
—
meFRCP RIEfOR1 INCL ELDISEASS-POUCYLIMIT $ - 1,000,000
PARTNERS/ExECUTIVE
OFFICERS ARE E7CCL EL DISEASE-EACH EMPLOYEE S 1,000,000
OTHER
DESCRIPTION OF OPERAT{ONSILOCATIONSNENICLESISPECIAL ITEMS(LIMITS MAY SE SUBJECT TO DEDUCTIBLES OR RETENTIONS)
GENERAL LIABILITY POLICY IS SUBJECT TO A PRODUCTS-COMPLETED OPERATIONS AGGREGATE ONLY.NO GENERAL AGGREGATE APPLIES
AS THE POL)CY WILL RESPOND TO EACH AND EVERY OCCURRENCE WITH A$1,000,000 OMIT OF LIABILITY.
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:SHOULD ANY OF THE POLIO=DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE"TIERED'_
THE INSURER AFFORDING COVERAGE WLL ENDEAVOR TO MAIL_10_DAYS WRITTEN NOTICE TO TIt
TO WHOM IT MAY CONCERN: csRTIFlOATE HOLDER NAMED HEREIN,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE No DSUCATION OA
UABIUTY OF ANY KIND UPON THE PJSURER AFFORDING COVERAGE,RD AGENTS OR REPRSGENTATNES
MARSH USA INC.
En Rex Cook / Cer-
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