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APPENDIX B
WELD COUNTY ROAD ACCESS INFORMATION SHEET
Weld County Public Works Department Date: Feb. 10. 1999
933 North I Ith Avenue,P.O.Box 758, Greeley,CO 80632
Phone: (970)356-4000, Ext. 3750 Fax: (970)352-2868
I. Applicant Name Roy T. & Jackie Nelson Phone 970-284-5222
Address P. O. Box 526 City Kersey State CO Zip 80644
2. Address or location of access 25802 WCR 48 ( Agricultural & Oil & Gas access)
Section R Township 4 North Range 64 Wast
Subdivision none Block na Lot na
Weld County Road # 53 Side of Road West Distance from nearest intersection 6 3 2
3. Is there an existing access to the property? Yes X No #of accesses 1
4. Proposed Use:
RI Permanent ti Residential/Agricultural ❑ Industrial
❑ Temporary ❑ Subdivision O Commercial ❑ Other
5. Site Sketch thSfirlq
f Cress
Legend for Access Description: OwCr
ARG= Agricultural WO- *a
RES = Residential � Wilke
O&O&G= Oil&& Gas Elder
D.R. = Ditch Road tWS/R
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:
EXHIBIT
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