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Home My WebLink About20181424.tiffRESOLUTION RE: APPROVE APPLICATION TO REMOVE EXISTING PASSING WARNING SIGNS, CROSSING SURFACE AND ROAD APPROACHES TO CLOSE THE EXISTING CROSSING AT TRACKS OWNED BY UNION PACIFIC RAILROAD COMPANY CROSSING COUNTY ROAD 46 AND AUTHORIZE SUBMITTAL 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 an Application to the Public Utilities Commission (PUC), related to the removal of certain safety improvements and closure of the Union Pacific Rail Road Company Crossing County Road 46, and WHEREAS, after review, the Board deems it advisable to approve said application, 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 Application to the Public Utilities Commission (PUC), be and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Colorado Department of Transportation, be, and hereby is, authorized to submit said application. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 2nd day of May, A.D., 2018. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST:d/„e'ei Weld C • unty Clerk to the Bo BY: APP Deputy County Attorney,,, Date of signature: �/� EXCUSED Ste e Moreno, Chair rbara Kirkmr, ro-Tem ozad Mike Freeman (761‘) (gie) 2018-1424 EG0075 Cheryl Hoffman From: Sent: To: Cc: Subject: Attachments: Good morning, Elizabeth Relford Monday, April 30, 2018 9:19 AM CTB Bruce Barker; Barbara Kirkmeyer; Jay McDonald; Don Dunker FW: Weld Co Rd 46-UPRR, UP contact, PUC app + exhibits 804354S CR 46 Greeley Sub UP Master Task Order Form CDOT Section 130 121817.docx; Exhibit A-CR 46 FRA Inventory Report.pdf; Exhibit B-CR 46 Accident Report.pdf; Exhibit D -Weld CR 46 Vicinity Map.docx; Exhibit E -804352D CR 44 Crossing Inventory.pdf; Exhibit F -804352D CR 44 Accident Report.pdf; Exhibit G -804355Y CR 48 Crossing Inventory.pdf; Exhibit H -804355Y CR 48 Accident Report.pdf; Exhibit J -Notice of Proposed Closing of This Crossing-CR 46.docx; PUC Application Template-CR 46 Weld Co -DRAFT 010318_SAnzia.docx I have multiple emails to send to you in order to get the following PUC applications on Wednesday's BOCC agenda. Here is a list of the Group one PUC applications: 1. WCR 2.5 2. WCR 29 3. WCR 46 4. WCR 72 5. WCR 104 CDOT will be submitting the applications, so we do not need the Chair's signature on anything, but the purpose of the agenda items is to have the Board agree to give authorization to CDOT to submit the PUC applications on behalf of the county. I wasn't sure if you wanted to combine the action into one agenda item or do them separately? I also assumed the Board would want to see the PUC applications, which essentially is what I am forwarding to you. This group one package is not the official closure of these roads. I assume the Board would consider that action after these went through the PUC process. The attachments on this email are for just WCR 46. I have similar attachments for each closure, so please let me know how you would like to proceed. Thanks, Elizabeth Elizabeth Relford Deputy Director Weld County Public Works 1111 H Street PO Box 758 Greeley, CO 80632-0758 Email: erelford@co.weld.co.us Office: (970) 400- 3748 Mobile: (970) 673-5836 Web • http://www.co.weld,co.us 2018-1424 1 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Martindale - CDOT, Rob[mailto:rob.martindale@state.co.us] Sent: Sunday, April 29, 2018 7:28 PM To: Elizabeth Relford <erelford@weldgov.com> Subject: Fwd: Weld Co Rd 46-UPRR, UP contact, PUC app + exhibits Elizabeth, Plea. use find the application and supporting documents attached. Thanks, Rob Martindale Railroad/Utility Program Manager `COLORADO Department of Transportation.notes lippiest Mobile: 970.210.5913 I Office: 970.683.6357 I F 9700683.6227 4201 E. Arkansas AveDenver, CO 80222 rob.martindale@state.co.us I www.coloradodot.info I www.cotrip.org 2 BEFORE THE PUBLIC UTILITIES COMMISSION OF THE STATE OF COLORADO PROCEEDING NO. IN THE MATTER OF THE APPLICATION OF THE COLORADO DEPARTMENT OF TRANSPORTATION, ON BEHALF OF WELD COUNTY, FOR AUTHORITY TO REMOVE EXISTING PASSING WARNING SIGNS, CROSSING SURFACE AND ROAD APPROACHES TO CLOSE THE EXISTING CROSSING AT TRACKS OWNED BY UNION PACIFIC RAILROAD COMPANY CROSSING COUNTY ROAD 46, USDOT NO. 804-354S, IN WELD COUNTY, STATE OF COLORADO. APPLICATION The Colorado Department of Transportation, hereinafter referred to as "CDOT", on behalf of the County of Weld, hereby submits this application to the Colorado Public Utilities Commission, hereinafter referred to as "PUC", for an order authorizing the removal of existing passive warning signs and crossing surface, and removal of roadway approaches to close the existing County Road 46 crossing of Union Pacific Railroad, hereinafter referred to as "UPRR" or "Railroad" tracks for which CDOT has appropriated Federal Section 130 Funds in Weld County, State of Colorado. Following are CDOTs responses to the specific requirements concerning highway -rail grade crossing applications, as prescribed in 4 Code of Colorado Regulations (CCR) 723-7- 7002(b)(I-IX), 4 CCR 723-7204(a)(I), and 4 CCR 723-7-7204(a)(II) - (XVIII) and 4 CCR 723- 7-7205 as required, including without limitation, acknowledgement that by signing the application, CDOT understands that the filing of the application does not by itself constitute approval of the application for the requested action. Consistent with Rule 7002(b), 4 CCR 723-7, the information below is provided within this application, or in an appropriately identified attachment to this application as indicated. Information Required Rule 7002(b) A. Rule 7002(b)(I) The name and mailing address of CDOT: Colorado Department of Transportation 4201 East Arkansas Avenue Denver, CO 80222 1 B. Rule 7002(b)(II) If the applicant is a corporation or limited liability company; the name of the state in which the applicant is incorporated or organized and the location of its principal office, if any, in Colorado: CDOT is not a corporation or a limited liability company. C. Rule 7002(b)(III) If the applicant is a partnership; the names, titles and addresses of all general and limited partners: CDOT is not a partnership. D. Rule 7002(b)(IV) The name, address, telephone number, and e-mail address of the applicant's representative to whom all inquiries concerning the application may be made: Rob Martindale Railroad Program Manager Colorado Department of Transportation 4201 East Arkansas Avenue, 4th Floor Denver, CO 80222 Ph: 970-210-5913 Email: rob.martindale@state.co.us E. Rule 7002(b)(V) A statement that the applicant agrees to respond to all questions propounded by the Commission or its staff concerning the application: CDOT agrees to respond to all questions propounded by the Commission or its staff concerning the application. F. Rule 7002(b)(VI) A statement indicating the town or city, and any alternative town or city, where the applicant prefers any hearings to be held: CDOT prefers any hearings to be held at the Commission office in Denver, or, in the alternative, at any other location which the Commission may designate. G. Rule 7002(b)(VII) A statement that the applicant understands that, if any portion of the application is found to be false or to contain material misrepresentations, any authorities granted pursuant to the application may be revoked upon Commission decision: 2 CDOT understands that, if any portion of the application is found to be false or to contain material misrepresentations, any authorities granted pursuant to the application may be revoked upon Commission decision. H. Rule 7002(b)(VIII) Acknowledgement that by signing the application, the applicant understands that: 1. The filing of the application does not by itself constitute approval of the application for the requested action; 2. If the application is granted, the applicant shall not commence the requested action until the applicant complies with applicable Commission rules and any pre - construction conditions established by Commission decision granting the application; 3. If a hearing is held, the applicant must present evidence at the hearing to establish its qualifications to undertake, and its right to undertake, the requested action; and 4. In lieu of the statement contained in subparagraphs (b)(VII)(A) through(C) of this paragraph, an applicant may include a statement that it has read, and agrees to abide by, the provisions of subparagraphs (b)(VII)(A) through(C) of this paragraph. CDOT acknowledges that by signing the application: 1. The filing of the application does not by itself constitute approval of the application for the requested action; 2. If the application is granted, the applicant shall not commence the requested action until the applicant complies with applicable Commission rules and any pre -construction conditions established by Commission decision granting the application; 3. If a hearing is held, the applicant must present evidence at the hearing to establish its qualifications to undertake, and its right to undertake, the requested action; and 4. In lieu of the statement contained in subparagraphs (b)(VII)(A) through(C) of this paragraph, an applicant may include a statement that it has read, and agrees to abide by, the provisions of subparagraphs (b)(VII)(A) through(C) of this paragraph. I. Rule 7002(b)(IX) An attestation which is made under penalty of perjury; which is signed by an officer, a partner, an owner, an employee of, an agent for, or an attorney for the applicant, as appropriate, who is authorized to act on behalf of the applicant; and which states that the contents of the application are true, accurate, and correct. The application shall contain the title and the complete address of the affiant. See attached Affidavit. 3 II. Information Required Rule 7204(a) A. Rule 7204(a)(I) - All crossing applications shall contain the following information: 1. The contact person name, mailing address and e-mail address to whom the Commission notice is to be sent: a) If the application is filed by a road authority, provide the above information for each railroad, railroad corporation, rail fixed guideway, or transit agency that owns the tracks affected by an application. Lance Kippen Manager Special Projects Union Pacific Railroad 1400 West 52"d Avenue Denver, CO 80221 b) If the application is filed by a railroad, railroad corporation, rail fixed guideway, transit agency, or other person, firm, or corporation that will own the tracks, provide the above information for each road authority that owns the roadway affected by the application. N/A 2. The railroad and/or rail fixed guideway line name and milepost number where the crossing that is subject of the application is located. Union Pacific Railroad, Denver Division, Greeley Sub, MP 43.67 3. The National Inventory Number and the National Inventory Form for an existing crossing, or a statement that no National Inventory Number and/or National Inventory Form exists for a new crossing. National Inventory Number 804354S, See attached Exhibit A. 4. All accident reports for the crossing and/or a listing of all accidents for any rail fixed guideway tracks through the crossing, or a statement that no accident reports and/or listing of rail fixed guideway accidents exist for the crossing. For FRA reported accident reports for this crossing, see attached Exhibit B. 5. A statement of the date that the required crossing safety diagnostic occurred, or a copy of written correspondence from Commission staff that a crossing safety diagnostic was not required. The required crossing safety diagnostic occurred on September 7, 2017. 6. A statement of: 4 a) The existing number and character of trains (e.g., through movements, switching movements) passing through the crossing each day if the National Inventory Form has not been updated within three years from the date of the filing of the application, or the existing number, character, and timetable speed of trains as shown on the National Inventory Form if the form has been updated within three years from the date of the filing of the application; Total Day Thru Trains: 5 Total Night Thru Trains: 5 Total Switching Trains: 0 b) The five-year projection of increases or decreases of the number and character of trains using the crossing; and No anticipated increases or decreases in the number or character of trains is known at this time. c) The maximum timetable speed of trains using the crossing. Maximum Timetable Speed: 60 MPH 7. A detailed statement as to the nature of and need for the construction, alteration, abolition, installation, or modification for which approval is sought. County Road 46 is being closed as part of a collective agreement between CDOT, Weld County and UPRR to allow CDOT to purchase necessary right-of-way for the US 85 corridor. CDOT has appropriated Federal Section 130 Funds for removal of the existing passive warning signs and crossing surface, and removal of the roadway approaches in accordance with the diagnostic team recommendations. 8. A statement of the scope of the project, including without limitation: a) The highway design, pathway design, crossing warning devices, and necessary traffic signal interconnection and preemption; The project includes removal of passive warning signs and crossing surface, and removal of existing roadway approaches. The existing connection of CR 46 and CR 35 east of the tracks will remain. Signing along the county road and along US 85 that will no longer be valid will be removed. b) The detailed itemized estimated cost of the proposed construction, alteration, abolition, or highway -rail or pathway crossing warning device installation or modification; 5 The detailed itemizes estimated cost of the railroad work items is included in the att_,kched c) How the applicant proposes to provide for the cost, explaining the proposed apportionment between or among the parties in interest if applicable; and The cost for crossing removal wilt be funded through appropriation of Federal Section 130 Funds. d) If the funds necessary for the project are currently available and encumbered. The funds necessary for the project are currently available and encumbered. 9. A statement of the estimated month and year for: a) The start date for the construction, alteration, abolition, or crossing warning device installation or modification; The estimated start date of construction is: April 1, 2018 b) The completion date for the construction, alteration, abolition, or crossing warning device installation or modification; and The estimated completion date of c nstruction is: May 20, 2018 c) The date for commencement of operations through the crossing for new crossings. N/A 10. A vicinity map that includes the proposed project limits (i.e., a map that includes the general area circumscribing the project). A Vicinity Map is provided as attached Exhibit D. 11. The names and mailing addresses of all persons, including adjacent property owners, public utilities, and local government agencies that may be interested in or affected by the application. Property Owners: loo® Owner Name Mail Address City State Zip 1 Union Pacific Railroad 1400 West 52nd Avenue Denver CO 80221 2 Dinner/Brown Farm, LLC 1814 14th Avenue Greeley CO 80631 3 16512 Bounty Road 46 LaSalle CO 80645 Robert T Ewing Trust Property Owners: (con't No. Owner Name Mail Address City State Zip 4 Dorothy Davis & Roberta McGregor 22440 County Road 35 LaSalle CO 80645 5 Western Equipment & Truck, Inc. 2055 1' Avenue Greeley CO 80631 6 George L Sandberg Irrevocable Trust P.O. Box 663 LaSalle CO 80645 7 Weld County P.O. Box 758 Greeley CO 80632 Utility Owners: UTILITY ADDRESS PHONE Fiber ATT Transmission 5225 Zuni Street, Denver, CO 80221 800-252-1133 Colorado Department of Transportation ITS 42+01 East Arkansas Avenue, Denver, CO 80222 800-778-9140 CenturyLink Fiber & Telephone 2810 West 62°d Avenue, Denver, CO 80216 800-778-9140 Sprint 3000 East 1St Avenue, Suite 295, Denver, CO 80206 800-521-0579 Zayo Bandwidth - 360 Networks 12101 Airport Way, Broomfield, CO 80021 443-403-2023 Level 3 Communications 10E5 Eldorado Blvd., Broomfield, CO 80021 877-366-8344 . Pipes: . u { Crestone Peak Resources 1801 California Street, Denver, CO 80202 720-410-8500 DCP Midstream, LLC 3026 4th Avenue, Greeley, CO 80631 970-356-9700 Central Weld County Water District 2235 2"d Avenue, Greeley, CO 80631 970-352-1284 Kerr-McGee Anadarko 501 N. Division Road, Platteville, CO 80651 720-466-9585 Electric/Gas -_ Atmos Energy 485 Stevens Circle, Platteville, CO 80651 970-785-6416 Noble Energy, Inc 2115 117th Avenue, Greeley, CO 80634 970-304-5000 Xcel Energy 1500 6th Avenue, Greeley, CO 80631 970-800-3665 12. If the crossing is at -grade: a statement fully justifying why a separation of grades is not practicable under the circumstances. N/A 13. A statement if the application is seeking preliminary approval of conceptual level design plans, or if the application is seeking final approval of final design plans. CDOT is seeking final approval of final design with this application. 14. A statement if the application includes a request to install a temporary safety measure. 7 N/A B. Rule 7204(a)(II) - Applications for all highway -rail crossings shall include: 1. The existing ADT volume and character of vehicles (including, but not limited to estimated percentage of heavy vehicles and a statement about whether school buses use the crossing) passing through the highway -rail crossing each day if the traffic volume on the National Inventory Form has not been updated within three years from the date of the filing of the application, or the existing ADT volume and character of vehicles passing through the highway -rail crossing each day as shown on the National Inventory Form if the traffic volume on the form has been updated within three years from the date of the filing of the application. If the ADT volume has not been updated within three years from the date of the filing of the application, the road authority will be responsible for paying for the cost of the updated ADT count; Existing ADT: 450 (2016) Character of Vehicles: % Trucks: 5% School buses do not use this crossing. 2. The five --year and twenty-year ADT volume projections of vehicles using the highway -rail crossing; and 5 -Year Projected ADT: 600 20 -Year Projected ADT: 1000 3. The posted or unposted speed limit for the vehicles traveling through the highway -rail crossing. Posted/Unposted Speed: 55 MPH C. Rule 7204(a)(III) - Applications for all pathway crossing shall include: 1. The existing or estimated number of pedestrians and bicycles passing through the pathway crossing each day and a statement if the number is based on an actual count or an estimate; and N/A 2. The five-year and twenty-year projections of the number of pedestrians and bicycles using the pathway crossing. N/A 8 D. Rule 7204(a)(IV) - Applications that include a request for temporary safety measures filed pursuant to paragraph 7203(f) shall include: 1. A statement of the temporary safety measure being sought; N/A 2. Schematic plans of the temporary measure to be implemented; N/A 3. The diagnostic notes including a list of all in attendance; N/A 4. A statement that the diagnostic team is in consensus with the temporary safety measure being sought; N/A E. Rule 7204(a)(V) - Applications for preliminary of final approval of new at - grade crossing shall include: 1. Detailed plans/drawings of a suitable scale, showing the at -grade crossing, including signing and striping, tracks, buildings, structures, property lines, and public highways within the right-of-way limits of the railroad, railroad corporation, rail fixed guideway, rail fixed guideway system, or transit agency; N/A 2. A profile drawing showing grade lines and proposed grade lines of approaches on the public highway or pathway, and the tracks being crossed that may be affected by the proposed or existing crossing; N/A 3. Proposed roadway classification (e.g., local road, collector, arterial, freeway) and a cross-section drawing of the road authority's standards for that roadway classification or cross-section drawing of the pathway; N/A 4. The following documentation for all existing crossings within one -mile of the proposed location of the new crossing in urban locations or within towns, or the two crossings nearest the proposed crossing in rural locations: a) The National Inventory Number and National Inventory Form; 9 N/A b) All accident reports or a statement that no accident reports are available; and N/A c) The existing ADT volume and character of vehicles (including, but not limited to, estimated percentage of heavy vehicles and a statement about whether school buses use the crossing) passing through the highway -rail crossing each day if the traffic volume on the National Inventory Form has not been updated within three years from the date of the filing of the application, or the existing ADT volume and character of vehicles passing through the highway -rail crossing each day as shown on the National Inventory Form if the traffic volume on the form has been updated within three years from the date of the filing of the application. If the ADT volume has not been updated within three years from the date of the filing of the application, the road authority will be responsible for paying for the cost of the updated ADT count. N/A F. Rule 7204(a)(VI) - Applications for preliminary or final approval to widen, narrow, or relocate an existing crossing shall include: 1. , Detailed plans/drawings of a suitable scale, showing the grade crossing, including signing and striping, tracks, buildings, structures, property lines, and public highways within the right-of-way limits of the railroad, railroad corporation, rail fixed guideway, rail fixed guideway system, or transit agency; N/A 2. A profile drawing showing grade lines and proposed grade lines of approaches on the public highway or pathway and the tracks being crossed that may be affected by the proposed or existing crossing; N/A 3. Existing roadway classification (e.g., local, collector, arterial, freeway) and a cross- section drawing of the roadway authority's standards for that roadway classification or cross-section drawing of the pathway; and N/A 5. Proposed roadway classification (e.g., local road, collector, arterial, freeway) and a cross-section drawing of the roadway authority's standards for that roadway classification or cross-section drawing of the pathway. N/A 10 G. Rule 7204(a)(VII) - Applications for preliminary or final approval to close a crossing by removal of the tracks shall include: 1. Detailed plans/drawings of a suitable scale, showing the details of the crossing closure plan; N/A 2. A copy of the notice of proposed closure of the crossing as required under paragraph 7208(c); and N/A 3. Traffic volumes under (II) are not required. N/A H. Rule 7204(a)(VIII) - Applications to close a crossing by removal of the roadway or pathway shall include: 1. The following documentation for all existing crossings within one -mile of the proposed location of the crossing to be closed in urban locations or within towns, or the two crossings nearest the proposed crossing to be closed in rural locations: a) The National Inventory Number and National Inventory Form; Nearest two crossings: DOT 804352D- CR 44, National Inventory Form provided as Exhibit E. DOT 804355Y — CR 48, National Inventory Form provided as Exhibit G. b) All accident reports or a statement that no accident reports are available; and Nearest two crossings: DOT 804352D- CR 44, FRA Accident Report provided as Exhibit F. DOT 804355Y — CR 48, FRA Accident Report provided as Exhibit H. c) The existing ADT volume and character of vehicles (including, but not limited to, estimated percentage of heavy vehicles and a statement about whether school buses using the crossing) passing through the highway -rail crossing each day if the traffic volume on the National Inventory Form has not been 11 updated within three years from the date of the filing of the application, or the existing ADT volume and character of vehicles passing through the highway - rail crossing each day as shown on the National Inventory Form if the traffic volume on the form has been updated within three years from the date of the filing of the application. If the ADT volume has not been updated within three years from the date of the filing for the application, the road authority will be responsible for paying for the cost of the updated ADT count. DOT 80435213 CR 44 Existing A T: 2000 (2016) Character of Vehicles: './0 Trucks: 5% School buses do not use this crossing DOT t04355Y — CR 48 Existing Alit: 140 (2016) Character of ve , icles: 1/ Trucks: 5% School b ses do not use this crossing 2. Detailed plans/drawings of a suitable scale showing the details of the crossing closure plan; and Detailed Plans for the crossing closure are provided in 3. The notice of proposed closure of the crossing as required under paragraph 7208(c). A copy of the Notice Pr p oseCIsure of the crossing is provided as Exhibit J. to Rule 7204(a)(IX) m Applicati.ns for preliminary r final approval to install or change passive warning devices at crossings shall i L )a! clu e: 1. A description of the type of warning device the applicant proposes to install; and N/A 2. Detailed railroad cost estimate of the crossing warning devices. N/A JR le 7204(a)(X) - Applications fir preliminary or fin: approval for installation of new active warning evices, replacement of existing active warning devices, or replacement of existing train detection circuitry at crossings shall include: 1. Detailed plans/drawings of a suitable scale, showing the crossing, including signing and striping, tracks, buildings, structures, property lines, and public highways within 12 the right-of-way limits of the railroad, railroad corporation, rail fixed guideway, rail fixed guideway system, or transit agency; N/A 2. A description of the type of warning devices the applicant proposes to install (reference may be made to recommended standards on highway -rail grade crossing warning devices as published in current editions of the MUTCD and/or the American Railway Engineering and Maintenance -of -Way Association's Signal Manual of Recommended Practice); N/A 3. The detailed railroad cost estimate of the crossing warning devices; and N/A 4. The schematic diagram of the crossing warning devices (commonly referred to as the "front sheet") and shall specifically identify the equipment response time, advanced preemption time, minimum warning time, clearance time, buffer time, and total warning time). N/A 5. A description of the type of four quadrant exit gate operating mode proposed (e.g., timed, dynamic exit gate vehicle detection, or timed/dynamic combination); N/A K. Rule 7204(a)(XI) - Applications for preliminary or final approval involving installation of four quadrant gate active warning devices shall include: 1. A description of the type of four quadrant exit gate operating mode proposed (e.g., timed, dynamic exit gate vehicle detection, or timed/dynamic combination); N/A 2. For timed exit gate operating mode, the proposed exit gate clearance time, a description of the methodology used to determine the exit gate clearance time and the calculations performed to determine the exit gate clearance time; N/A 3. For dynamic exit gate operating mode, a description of the type of vehicle detection proposed, a plan/drawing showing the proposed vehicle detector placement(s) and description and timings of how the vehicle detection will operate; and 13 N/A 5. A letter of concurrence from Commission staff regarding the proposed four -quadrant operations and timings, or a statement that Commission staff does not concur with the proposed four -quadrant operations and timings. N/A L. Rule 7204(a)(XII) - Applications for preliminary or final approval involving interconnection to traffic signals or queue cutter signals and preemption by active warning signals shall include: 1. A statement of the proposed preemption operations (e.g., simultaneous, advanced); N/A 2. The traffic signal timings, including: a) The traffic signal cycle length; N/A b) Minimum green time for each signal phase and pedestrian phase; N/A c) Green times for each signal phase; N/A d) Yellow change times for each signal phase; N/A e) Red clearance times for each signal phase; N/A f) Walk times for each pedestrian phase; N/A g) Flashing don't walk times for each pedestrian phase; N/A h) The traffic signal phasing diagram including the preemption sequence; and 14 N/A i) A statement of whether and what type of gate down circuitry will be used. N/A 3. A list of and calculations for the following distances and timings: a) Minimum track clearance distance; N/A b) Design vehicle designation and length; N/A c) Clear storage distance; N/A d) Preemption delay time; N/A e) Controller response time to preemption call; N/A f) Worst case conflicting vehicle time and worst case conflicting pedestrian time; N/A g) Maximum highway traffic signal preemption time; N/A h) Right-of-way transfer time; N/A i) Queue clearance time; N/A j) Clearance time; N/A 15 k) Separation time; N/A 1) Advance preemption time; N/A m)Minimum warning time. N/A 4. A letter of concurrence from Commission staff regarding the proposed preemption operations and timings. or a statement that Commission staff does not concur with the proposed preemption operations and timings. N/A M. Rule 7204(a)(XII) - Applications requesting cost allocation to the Highway -Rail Crossing Signalization Fund or projects f r which the Colorado Department of Transportation has appro striated Federal Section 130 Fund shall contain: 1. Specific information regarding the requested apportionment of costs between, the railroad, railroad corporation, rail fixed guideway, rail fixed guideway system, or transit agency, the road authority, and the Highway -Rail Crossing Signalization Fund or Federal Section 130 Fund. N The apportionment of costs is as follows: Union Pacific ' aitroad (Railroad): $0 Weld County (Road Authority): $0 Fe el eral Secti n 130 Fund: $x1.x,xxx®00 Ap #licatlons for preliminary or final approval to change an existing crossi from , public crossing to a private crossing shall i elude© g 1. The following documentation for all existing crossings within one -mile of the proposed location of the new crossing in urban locations or within towns, or the two crossings nearest the proposed crossing in rural locations: a) The National Inventory Number and N ational Inventory Form; N/A b) Copies of all accident reports or a statement that no accident reports are available for those crossings; and N/A 16 c) The existing ADT volume and character of vehicles passing through the highway -rail crossing each day if the traffic volume on the National Inventory Form has not been updated within three years from the date of the filing of the application, or the existing ADT volume and character of vehicles passing through the highway -rail crossing each day as shown on the National Inventory Form if the traffic volume on the form has been updated within three years from the date of the filing of the application. N/A 2. Documentation (ordinance, ruling, etc.) showing that the road authority agency is proposing to remove the road from its network of ownership, operation, and maintenance; and N/A 3. Documentation showing the person that will be owning, operating, and maintaining the private roadway. N/A O. Rule 7204(a)(XV) - Applications for preliminary or final approval to change an existing crossing from a private crossing to a public crossing shall include: 1. Proposed roadway classification (e.g., local road, collector, arterial, freeway) and a cross-section drawing of the road authority's standards for that roadway classification or cross-section of the pathway; N/A 2. A statement that the existing crossing meets the standards of the proposed roadway classification or a statement that the roadway will be changed to meet the current roadway classification standards; and N/A 3. Documentation (ordinance, ruling, etc.) showing that the road authority is accepting the road into its network for ownership, operation, and maintenance; N/A P. Rule 7204(a)(XVI) - Applications for preliminary or final approval to construct a grade separated crossing shall include: 1. Detailed plans/drawings of a suitable scale, showing the crossing, including signing and striping, tracks, buildings, structures, property lines, and public highways within 17 the right-of-way limits of the railroad, railroad corporation, rail fixed guideway, rail fixed guideway system, or transit agency; N/A 2. A profile drawing showing grade lines and proposed grade lines of approaches on the public roadway, highways, streets, or pathways and the tracks being crossed that may be affected by the proposed or existing crossing; N/A 3. Bridge plan/drawings that show, at a minimum: a) The total length of the bridge structure; N/A b) The length of each individual span for multiple span bridge structures; N/A c) The location of all existing and any possible proposed future tracks in relation to the bridge structure; N/A d) The minimum vertical clearance from the top of rail or pavement to the bottom of structure; N/A e) The minimum horizontal clearance from centerline of track to face of pier or abutment if track is under the bridge structure; and N/A f) The cross-section of the bridge showing information regarding the roadway, pathway, or railroad configuration including, but not limited to, out -to -out distance, fencing, lane widths, walkway widths, and median widths. N/A Q. Rule 7204(a)(XVII) - Applications for any preliminary approval of plans/drawings shall include: 1. The date by which all final plans/drawings for which preliminary or conceptual level plans/drawings were provided with the application will be filed for approval; and 18 N/A 2. A waiver of the applicable statutory period I §40-6-109.5, C.R.S. regarding the time limit for decisions. N/A R. Rule 7204(a)(XVIII) - Applications for a utility crossing shall include: 1. The contact person name, mailing address and e-mail address to whom the Commission notice is to be sent: a) For each railroad, railroad corporation, rail fixed guideway, or transit agency that owns the tracks affected by an application filed by a utility; and N/A b) For each utility affected by the application filed by a railroad, railroad corporation, rail fixed guideway, transit agency, or other person, firm, or corporation that will own the tracks affected by the application. N/A 2. The railroad and/or rail fixed guideway line name and milepost number where the crossing that is subject of the application is located; N/A 3. A detailed statement as to the nature of and need for the construction, alternation, abolition, installation, or modification for which approval is sought; N/A 4. A statement of the scope of the project, including without limitation: a) The utility construction location; N/A b) The detailed itemized estimated cost of the proposed utility crossing construction, alteration, abolition, or modification; N/A c) How the applicant proposes to provide for the cost, explaining the proposed apportionment between or among the parties in interest if applicable; and N/A 19 d) If the funds necessary for the project are currently available and encumbered. N/A 5. A statement of the estimated month and year for: a) The start date for the utility crossing construction, alteration, abolition, or modification; and N/A b) The completion date for the utility crossing construction, alteration, abolition, or modification. N/A 6. A vicinity map that includes the proposed project limits (i.e., a map that includes the general area circumscribing the project); N/A 7. The names and mailing addresses of all persons, including adjacent property owners, public utilities, and local government agencies that may be interested in or affected by the application: N/A 8. Detailed plans/drawings of a suitable scale, showing the utility crossing, tracks, buildings, structures, and property lines within the right-of-way limits of the railroad, railroad corporation, rail fixed guideway, rail fixed guideway system, or transit agency; and N/A 9. A profile drawing showing grade lines and proposed grade lines of the utility in relation to the tracks being crossed. N/A III. Information Required la Rule 7205 A. Additional Application Contents for Cost Allocation Requests in Grade Separation Applications. 1. In the case of applications concerning highway -rail grade separations for which contribution from one or more railroad corporations is requested, the applicant shall, in addition to the information required by paragraph 7204(a), include the following 20 additional information in the application in the following order and specifically identified either in the application or appropriately identified attachments: a) A complete description of the scope of the proposed separation project; N/A b) A preliminary set of construction plans, including engineering costs; N/A c) A Preliminary engineer's cost estimate, including engineering costs; N/A d) The estimated costs of right-of-way, parcel by parcel, including railroad right- of-way; N/A e) A proposed construction timetable; N/A f) A list of affected railroad corporations; N/A g) A Preliminary design of the theoretical structure for a reasonably adequate facility; and N/A h) A cost estimate of the theoretical structure, including the costs described in subparagraphs (III) and (IV) of this paragraph and including a 20 percent contingency. N/A 2. The railroad and/or rail fixed guideway line name and milepost number where the crossing that is subject of the application is located. N/A 3. The National Inventory Number and the National Inventory Form for an existing crossing, or a statement that no National Inventory Number and/or National Inventory Form exists for a new crossing. 21 N/A 4. All accident reports for the crossing and/or a listing of all accidents for any rail fixed guideway tracks through the crossing, or a statement that no accident reports and/or listing of rail fixed guideway accidents exist for the crossing N/A 5. A statement of the date that the required crossing safety diagnostic occurred, or a copy of written correspondence from Commission staff that a crossing safety diagnostic was not required. N/A 6. A statement of: a) The existing number and character of trains (e.g., through movements, switching movements) passing through the crossing each day if the National Inventory Form has not been updated within three years from the date of the filing of the application, or the existing number, character, and timetable speed of trains as shown on the National Inventory Form if the form has been updated within three years from the date of the filing of the application; N/A b) The five-year projection of increases or decreases of the number and character of trains using the crossing; and N/A c) The maximum timetable speed of trains using the crossing. N/A 7. A detailed statement as to the nature of and need for the construction, alteration, abolition, installation, or modification for which approval is sought. N/A 8. A statement of the scope of the project, including without limitation: a) The highway design, pathway design, crossing warning devices, and necessary traffic signal interconnection and preemption; N/A 22 b) The detailed itemized estimated cost of the proposed construction, alteration, abolition, or highway -rail or pathway crossing warning device installation or modification; N/A c) How the applicant proposes to provide for the cost, explaining the proposed apportionment between or among the parties in interest if applicable; and N/A d) If the funds necessary for the project are currently available and encumbered. N/A 9. A statement of the estimated month and year for: a) The start date for the construction, alteration, abolition, or crossing warning device installation or modification; N/A b) The completion date for the construction, alteration, abolition, or crossing warning device installation or modification; and N/A c) The date for commencement of operations through the crossing for new crossings. N/A 10. A vicinity map that includes the proposed project limits (i.e., a map that includes the general area circumscribing the project). N/A 11. The names and mailing addresses of all persons, including adjacent property owners, public utilities, and local government agencies that may be interested in or affected by the application. N/A 12. If the crossing is at -grade: a statement fully justifying why a separation of grades is not practicable under the circumstances. N/A 23 13. A statement if the application is seeking preliminary approval of conceptual level design plans, or if the application is seeking final approval of final design plans N/A 14. A statement if the application includes a request to install a temporary safety measure. N/A 24 WHEREFORE, CDOT requests that the Public Utilities Commission enter an Order authorizing the removal of existing passive warning signs and crossing surface, and removal of roadway approaches to close the existing County Road 46 crossing of UPRR tracks for which CDOT has appropriated Federal Section 130 Funds in Weld County, State of Colorado. DATED at Denver, Colorado this day of , 2018. DEPARTMENT OF TRANSPORTATION STATE OF COLORADO By Joshua Laipply, P.E. Chief Engineer By Gregg E. Carson, #25460 Attorney for the Colorado Department of Transportation Litigation & Employment Section -Transportation Unit 1300 Broadway, 10th Floor Denver, CO 80203 Ph. 720-508-6000 Email: Gregg.Carson@coag.gov 25 ATTESTATION The undersigned is authorized to act on behalf of the applicant and attests, as required and pursuant to Commission Rule 4 Code of Colorado Regulations 723-7-7002(b)(IX), that [s]he has read the foregoing Application and states, under penalty of perjury, that all facts regarding this Application are true and correct to his/her best personal knowledge, information and belief. Neil Lacey, PE Resident Engineer Colorado Department of Transportation 4201 East Arkansas Avenue, 4th Floor Denver, CO 80222 STATE OF COLORADO COUNTY OF DENVER Subscribed and sworn to before me this day of , 2018 Notary Public --My Commission expires on 26 SECTION 130 WORK PROPOSAL SECTION 130 SUPPLEMENT TO MASTER AGREEMENT FROM UNION PACIFIC RAILROAD COMPANY TO STATE OF COLORADO ACTING BY AND THROUGH COLORADO DEPARTMENT OF TRANSPORTATION TO FOR EXISTING GRADE CROSSING IMPROVEMENT PROJECTS CDOT Project Name: County Road 46, LaSalle, RR Crossing Closure CDOT Project No (the "Project"): <insert proj. no., insert proj. code> DOT Number(s): 804-354S Railroad Subdivision: Greeley Subdivision Railroad Milepost Number(s): 43.67 Highway(s), "Crossing"): Road(s) or Street(s) (the CR 46 E of US 85 City: LaSalle County: Weld A) Union Pacific Railroad Company ("Railroad") and the State of Colorado acting by and through the Department of Transportation ("COOT") entered into a Master Agreement for at -grade public highway crossings on the Railroad's tracks with roadway rights of way that require safety improvements ("Master Agreement") dated March 1, 2012, CMS 412HAA40760 as amended, Railroad Audit No. 262699. Railroad and CDOT are collectively identified as the "Parties." B) As provided in the Master Agreement, CDOT and Railroad are to enter into supplements to the Master Agreement covering each specific existing at -grade crossing improvement project. C) This Section 130 supplement to the Master Agreement ("Section 130 Supplement") is proposed by the Railroad to provide for the Project improvements described in this Section 130 Supplement, which are to be completed at the Crossing described above pursuant to the terms and conditions of the Master Agreement and this Section 130 Supplement. D) Listed below are the proposed improvements with cost estimates. CDOT's detailed plan is attached as Exhibit 1 and made a part of this Section 130 Supplement. The Railroad's force account estimate(s) and wiring diagram(s) (if required) are attached as Exhibit 2 and made a part of this Section 130 Supplement. E) Description of Project improvements (the "Project Improvements"): Remove existing passive warning signs and crossing surface (Railroad). Remove approach from US 85 to the west; remove approach to the east (CDOT). Road connection between CR 46/CR 35 will remain. F) Railroad estimates that the Project Improvements will be: Estimated Cost Total Federal Funds State Funds Local Funds Railroad Funds $0 $0 $ 0 I xxx,xxx $xxx,xxx 1 G) Upon CDOT's execution of a Supplement (as defined in the Master Agreement) for the Project Improvements, CDOT's payment and Railroad's performance for the Project Improvements shall be made pursuant to the provisions of the Master Agreement. Railroad will refer to CDOT's project number (identified above) and shall forward Invoices to CDOT pursuant to the Master Agreement. H) This Section 130 Supplement is the complete proposal from the Railroad for the Project Improvements for the Project identified above and may be modified by written amendment only, signed by Railroad. RAILROAD: Union Pacific Railroad Company By: Print Name of Authorized Individual: Print Title of Authorized Individual: Date: 2 Exhibit 1 to Section 130 Supplement CDOT's Project plan sheets Exhibit 2 to Section 130 Supplement Railroad's estimate(s) and signal wiring diagram(s), if applicable U. S. DOT CROSSING INVENTORY FORM DEPARTMENT OF TRANSPORTATION FEDERAL RAILROAD ADMINISTRATION EXHIBIT A OMB No. 2130-0017 Instructions for the initial reporting of the following types of new or previously unreported crossings: For public highway -rail grade crossings, complete the entire inventory Form. For private highway -rail grade crossings, complete the Header, Parts I and II, and the Submission Information section. For public pathway grade crossings (including pedestrian station grade crossings), complete the Header, Parts I and II, and the Submission Information section. For Private pathway grade crossings, complete the Header, Parts I and II, and the Submission Information section. For grade -separated highway -rail or pathway crossings (including pedestrian station crossings), complete the Header, Part I, and the Submission Information section. For changes to existing data, complete the Header, Part I Items 1-3, and the Submission Information section, in addition to the updated data fields. Note: For private crossings only, Part I Item 20 and Part III Item 2.K. are required unless otherwise noted. An asterisk' denotes an optional field. A. Revision Date (MM/DD/VWYV) 11 / 13 / 2016 B. Reporting Agency i Railroad O Transit O State O Other C. Reason for Update (Select only one) L Change in O New O Closed O No Train O Quiet Data Crossing Traffic Zone Update O Re -Open O Date ❑Change in Primary O Admin. Change Only Operating RR Correction D. DOT Crossing Inventory Number 804354S Part I: Location and Classification Information . • 1. Primary Operating Railroad Union Pacific Railroad Company [UP] 2. State COLORADO 3. County WELD 4. City / Municipality ❑ In ® Near LA SALLE 5. Street/Road Name & Block Number CR 46 I 6. Highway Type & No. NA (Street/Road Name) I* (Block Number) 7. Do Other Railroads Operate a Separate Track at Crossing? O Yes ® No If Yes, Specify RR 8. Do Other Railroads Operate Over Your Track at Crossing? O Yes ® No If Yes; Specify RR 9. Railroad Division or Region ❑ None DENVER 10. Railroad Subdivision or District O None Greeley 11. Branch or Line Name ® None 12. RR Milepost i 0043.670 i nnn.nnn) (Prefix) I (suffix) ) I (n 13. Line Segment • 14. Nearest RR Timetable Station • 15. Parent RR (if applicable) ®N/A 16. Crossing Owner (if applicable) aN/A 17. Crossing Type a Public ❑ Private 18. Crossing Purpose a Highway O Pathway, Ped. O Station, Ped. 19. Crossing Position a At Grade O RR Under O RR Over 20. Public Access (if Private Crossing) O Yes O No 21. Type of Train a Freight O Transit O Intercity Passenger O Shared Use Transit O Commuter O Tourist/Other 22. Average Passenger Train Count Per Day O Less Than One Per Day O Number Per Day 0 23. Type of Land Use • al Open Space O Farm . O Residential O Commercial . O Industrial O Institutional O Recreational O RR Yard 24.1s there an Adjacent Crossing with a Separate Number? ❑ Yes g No If Yes, Provide Crossing Number 25. Quiet Zone,.`(FRA provided), 1 No• ❑'24 Hr. O Partial. O Chicago Excused : 'Date Established 26. HSR Corridor ID al N/A 27. Latitude in decimal degrees (WGS84 std: nn.nnnnnnn) 40.3187551 28. Longitude in decimal degrees (WGS84 std: -nnn.nnnnnnn) -104.7342705 29. Lat/Long Source ® Actual O Estimated 30.A. Railroad Use ' 31.A. State Use ' 30.8. Railroad Use • 31.B. State Use • 30.C. Railroad Use ' 31.C. State Use • 30.D. Railroad Use • 31.D. State Use ' 32.A. Narrative (Railroad Use) ' 32.B. Narrative (State Use) • 33. Emergency Notification Telephone No. (posted) 800-848-8715 34. Railroad Contact (Telephone No.) 402-544-3721 35. State Contact (Telephone No.) 303-757-9425 Part II:.RailroadInformation 1. Estimated Number of Daily Train Movements S.A. Total Day Thru Trains (6 AM to 6 PM) 5 1.8. Total Night Thru Trains (6 PM to 6 AM) 5 1.C. Total Switching Trains 0 1.0. Total Transit Trains 0 1.E. Check if Less Than One Movement Per Day O How many trains per week? 2. Year of Train Count Data (YYYY) 2016 _ 3. Speed of Train at Crossing 3.A. Maximum Timetable Speed (mph) 60 3.8. Typical Speed Range Over Crossing (mph) From 30 to 60 4. Type and Count of Tracks Main 1 Siding0 Yard 0 Transit 0 Industry 0 5. Train Detection (Main Track only) ❑ Constant Warning Time O Motion Detection ❑AFO O PTC O DC IA Other O None 6. Is Track Signaled? ® Yes O No 7.A. Event Recorder O Yes a No 7.8. Remote Health Monitoring O Yes g No FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 1 OF 2 EXHIBIT A U. S. DOT CROSSING INVENTORY FORM A. Revision Date (MM/DD/VYYY) I 11/13/2016 PAGE 2 I D. Crossing Inventory Number (7 char.) 804354S . 'Part III: Highway or Pathway Traffic Control Device Information 1. Are there Signs or Signals? Yes ❑ No 2. Types of Passive Traffic Control Devices associated with the Crossing 2.A. Crossbuck Assemblies (count) 2.B. STOP Signs (RI -1) (count) 2.C. YIELD Signs (RI -2) (count) 2.D. Advance Warning Signs (Check all that apply; include count) ❑ None p W70-1 ❑ W10-3 O W10-11 2 2 O W10-2 O W10-4 O W10-12 2.E. Low Ground Clearance Sign (W10-5) O Yes (count 0 ) 2.F. Pavement Markings Iii Stop Lines ODynamic Envelope Ii RR Xing Symbols O None 2.G. Channelization Devices/Medians ❑ All Approaches O Median O One Approach O None 2.H. EXEMPT Sign (R15-3) O Yes 13 No 2.1. ENS Sign (I-13) Displayed a Yes O No a No 2.J. Other MUTCD Signs O Yes ® No Specify Type Count 0 2.K. Private Crossing Signs (if private) O Yes O No 2.L. LED Enhanced Signs (List types) Specify Type Count 0 Specify Type Count 3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply) 3.A. Gate Arms (count) Roadway 0 3.8. Gate Configuration O 2 Quad O Full (Barrier) O 3 Quad Resistance O 4 Quad O Median Gates 3.C. Cantilevered (or Bridged) Flashing Light Structures (count) Over Traffic Lane 0 O Incandescent 3.D. Mast Mounted Flashing Lights (count of masts) 0 3.E. Total Count of Flashing Light Pairs a O Incandescent O LED O Back Lights Included O Side Lights Included Not Over Traffic Lane 0 O LED Pedestrian 3.F. Installation Date of Current Active Warning Devices: (MM/YYYY) _/ ® Not Required 3.G. Wayside Horn O Installed on (MM/YYYY) / 3.H. Highway Traffic Signals Controlling Crossing ❑ Yes ii No 3.1. Bells (count) 0 No 3.J. Non -Train Active Warning O Flagging/Flagman ❑Manually Operated Signals O Watchman O Floodlighting O None 3.K. Other Flashing Lights or Warning Devices Count 0 Specify type 4.A. Does nearby Hwy Intersection have Traffic Signals? ❑ Yes O No 4.8. Hwy Traffic Signal Interconnection O Not Interconnected O For Traffic Signals O For Warning Signs 4.C. Hwy Traffic Signal Preemption O Simultaneous O Advance 5. Highway Traffic Pre -Signals O Yes g No Storage Distance • 6. Highway Monitoring Devices (Check all that apply) O Yes - Photo/Video Recording O Yes — Vehicle Presence Detection O None Stop Line Distance . Part IV: Physical Characteristics 1. Traffic Lanes Crossing Railroad O One-way Traffic ' O Two-way Traffic Number of Lanes 2 O Divided Traffic 2. Is Roadway/Pathway Paved? ® Yes O No 3. Does Track Run Down a Street? O Yes ® No 4. Is Crossing Illuminated? (Street lights within approx. 50 feet from nearest rail) ❑ Yes g No 5. Crossing Surface (on Main Track, multiple types allowed) Installation Date • (MM/YYYY) / Width • Length • ® 1 Timber O 2 Asphalt O 3 Asphalt and Timber O 4 Concrete O 5 Concrete and Rubber O 6 Rubber O 7 Metal ❑ 8 Unconsolidated O 9 Composite O 10 Other (specify) 6. Intersecting Roadway within 500 feet? ® Yes O No, If Yes, Approximate Distance (feet) 75 7. Smallest Crossing Angle O 0° - 29° O 30° — 59° a 60° - 90° 8. Is Commercial Power Available? • g Yes O No Part. V: Public Highway Information ,. • 1. Highway System ❑ (01) Interstate Highway System ❑ (02) Other Nat Hwy System (NH5) ❑ (03) Federal AID, Not NHS g (08) Non -Federal Aid 2. Functional Classification of Road at Crossing g (0) Rural O (1) Urban ❑ (1) Interstate O (5) Major Collector O (2) Other Freeways and Expressways O (3) Other Principal Arterial Lid (6) Minor Collector O (4) Minor Arterial O (7) Local 3. Is Crossing on State Highway System? 4. Highway Speed Limit MPH O Yes g No O Posted O Statutory 5. Linear Referencing System (LRS Route ID) • 6. LRS Milepost • 7. Annual Average Daily Traffic (AADT) Year 1987 AADT 10 ,. 8. Estimated Percent Trucks 05 % 9. Regularly Used by School Buses? ❑ Yes ® No Average Number per Day 0 10. Emergency Services Route ❑ Yes O No - Submission ;Information;- This. information is used for. administrative. purposes and, is not: available; on the; public website. . Submitted by Organization Phone Date Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey'Ave. SE, MS -25 Washington, DC 20590. FORM FRA F 6180.71 (Rev. 3/15), OMB approval expires 3/31/2018 Page 2 OF 2 EXHIBIT B OFPARTMFNT nF TRANSPORTATInN FEDERAL RAILROAD ADMINISTRATION (FRA) HI( HWAY-RAII (;RAl1F (:ROSSIN(; ACCIDENT/INCIDENT REPORT OMB Approval No. 2130-0500 Name Of Alphabetic Code RR Accident/Incident No. 1. Reporting Railroad Union Pacific Railroad Company IUPI la. Up lb. 0390CH207 2. Other Railroad Involved in Train Accident/Incident 2a. 2b. 3. Railroad Responsible for Track Maintenance Union Pacific Railroad Company IUPI 3a. Up 3b. 0390CH207 4. U.S. DOT-AAR Grade Crossing ID No. 804354S I5. Date of Accident/Incident 03/21/90 6. Time of Accident/Incident 07:55 PM 7. Nearest Railroad Station PLATTEVILLE 8. Division 9. County WELD 10. State Code Abbr. 08 I CO 11. City (if in a city) PLATTEVILLE 12. Highway Name or No. COUNTY RD 35 & 46vale V Public Pr Highway User Involved Rail Equipment Involved 13. Type C. Truck -trailer F. Bus J. Other Motor Vehide A. Auto D. Pick-up truck G. School Bus K. Pedestrian B. Truck E. Van H. Motorcycle M. Other (specify) Code A 17. Equipment 4. Car(s) (moving) 8. Other (specify) 1. Train (units pulling) 5. Car(s) (standing) A. Train pulling- RCL 2. Train (units pushing) 6. Light loco(s) (moving) B. Train pushing- RCL 3. Train (standing) 7. Light loco(s) (standing) C. Train standing- RCL Code I 14. Vehicle Speed (est mph at impact) 0 15. Direction (geographical) Code 1. North 2. South 3. East 4. West I 4 18. Position of Car Unit in Train 16. Position 1. Stalled on crossing 3. Moving over crossing Code 2. Stopped on Crossing 4. Trapped I 2 19. Circumstance 1. Rail equipment struck highway user Code 2. Rail equipment struck by highway user I 1 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 2 20b. Was there a hazardous materials release by 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 20c. State the name and quantity of the hazardous material released, if any f 21. Temperature (specify if minus) 30 'F 22. Visibility (single entry) Code 1. Dawn 2. Day 3. Dusk 4. Dark I 4 23. Weather (single entry) 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 6. Snow Code I 1 24. Type of Equipment A. Spec. MoW Equip Consist 1. Freight train 4. Work train 7. Yard/Switching (single entry) 2. Passenger train 5. Single car 8. Light loco(s Code 3. Commuter train 6. Cut of cars 9. Main./inspect. car I I 25. Track Type Used by Rail Equipment Involved 1. Main 2. Yard 3. Siding 4. Industry Code I 26. Track Number or MAIN LINE Name 27. FRA Track Class 4. 28. Number of Locomotive Units 5 29. Number of Cars 27 30. Consist Speed (Recorded if available) Code R. Recorded E. Estimated 60 mph I E 31. Time Table Direction 1. North 2. South 3. East 4. West Code I 2 32. Type of 1. Gates 4. Wig wags 7. Crossbucks 10. Flagged by crew Crossing 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) Warning 3. Standard FLS 6. Audible 9. Watchman 12. None 33. Signaled Crossing Warning 34. Whistle Ban 1. Yes 2. No 3. Unknown I Code Code(s) I 07 I 08 I I I I 35. Location 1. Both Sides 2. Side of 3. O000s of Warning Vehicle Approach to Side of Vehicle Approach Code I 36. Crossing Warning Interconnected with Highway Signals 1. Yes 2. No 3. Unknown Code 37. Crossing Illuminated by Street Lights or Special Lights 1. Yes 2. No 3. Unknown Code 2 38. Driver's Age 39. Driver's Gender 1. Male 2 Female Code 40. Driver Drove Behind or in Front of Train and Struck or was Struck by Second Train 1. Yes 2. No 3. Unknown Code 2 41. Driver 1. Drove around or thnr the gate 4. Stopped on crossing 2. Stopped and then proceeded 5. Other (specify) I 3. Did not stop Code 4 42. Driver Passed Standing Highway Vehide 1. Yes 2. No 3. Unknown Code 2 43. View of Track Obscured by (primary obstruction) Code 1. Permanent Structure 3. Passing Train 5. Vegetation 7. Other (specify) 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed I 8 Casualties to: Killed Injured 44. Driver was . Code 1. Killed 2. Injured 3. Uninjured I 3 45. Was Driver in the Vehicle? Code 1. Yes 2. No I l 46. Highway -Rail Crossing Users 0 0 47. Highway Vehicle Property Damage (est dollar damage) I $5.000 48. Total Number of Highway -Rail Crossing Users (include driver) 1 49. Railroad Employees 0 0 50. Total Number of People on Train (include passengers and crew) 51. Is a Rail Equipment Accident / Code Incident Report Being Filed 1. Yes 2. No I 2 52. Passengers on Train 0 0 53a. Special Study Block 153b. Special Study Block 54. Narrative Description 55. Typed Name and Title 56. Signature 57. Date FORM FRA F 6180.57 NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A Exhibit D Print Showing Crossing Location Project: <proj.no.> ; SA: <s u ba cct> Location Map: Weld CR 46 Union Pacific Railroad Greeley Sub DOT Crossing #804-354S Railroad Milepost 43.67; Lat, Long: 40.3187551, 104.7342705 Weld County EXHIBIT E U. S. DOT CROSSING INVENTORY FORM DEPARTMENT OF TRANSPORTATION FEDERAL RAILROAD ADMINISTRATION OMB No. 2130-0017 Instructions for the initial reporting of the following types of new or previously unreported crossings: For public highway -rail grade crossings, complete the entire inventory Form. For private highway -rail grade crossings, complete the Header, Parts I and II, and the Submission Information section. For public pathway grade crossings (including pedestrian station grade crossings), complete the Header, Parts I and II, and the Submission Information section. For Private pathway grade crossings, complete the Header, Parts I and II, and the Submission Information section. For grade -separated highway -rail or pathway crossings (including pedestrian station crossings), complete the Header, Part I, and the Submission Information section. For changes to existing data, complete the Header, Part I Items 1-3, and the Submission Information section, in addition to the updated data fields. Note: For private crossings only, Part I Item 20 and Part III Item 2.K'. are required unless otherwise noted. - An asterisk' denotes an optional field. A. Revision Date (MM/DD/YYYY) 11 / 16 / 2017 B. Reporting Agency R Railroad El Transit O State O Other C. Reason for Update (Select only one) RI Change in O New O Closed ❑ No Train O Quiet Data Crossing Traffic Zone Update O Re -Open O Date O Change in Primary ❑ Admin. Change Only Operating RR Correction D. DOT Crossing Inventory Number 804352D Part I: Location and, Classification Information 1. Primary Operating Railroad Union Pacific Railroad Company [UP] 2. State COLORADO 3. County WELD 4. City / Municipality ❑In ® Near GILCREST 5. Street/Road Name & Block Number CR44 i 6. Highway Type & No. NA (Street/Road Name) I' (Block Number) 7. Do Other Railroads Operate a Separate Track at Crossing? O Yes CO No If Yes, Specify RR 8. Do Other Railroads Operate Over Your Track at Crossing? ❑ Yes ® No If Yes, Specify RR 9. Railroad Division or Region ❑ None DENVER 10. Railroad Subdivision or District ❑ None Greeley 11. Branch or Line Name II None 12. RR Milepost 1 0042.380 I (prefix) I (nnnn.nnn) I (suffix) 13. Line Segment • 14. Nearest RR Timetable Station • 15. Parent RR (if applicable) 1 N/A 16. Crossing Owner (if applicable) N N/A 17. Crossing Type ® Public ❑ Private 18. Crossing Purpose RI Highway Cl Pathway, Ped. O Station, Ped. 19. Crossing Position ® At Grade O RR Under - O RR Over 20. Public Access (if Private Crossing) O Yes ❑ No 21. Type -of Train lil Freight ❑ Transit ❑ Intercity Passenger O Shared Use Transit ❑ Commuter O Tourist/Other 22. Average Passenger Train Count Per Day O Less Than One Per Day O Number Per Day 0 23. Type of Land Use gl Open Space . O Farm O Residential . O Commercial O Industrial ❑ Institutional ❑ Recreational ❑ RR Yard 24. Is there an Adjacent Crossing with a Separate Number? ❑ Yes NJ No If Yes, Provide Crossing Number 25. Quiet Zone (FRA,provided)' s L No ❑ 24,Hr -❑ Partial .. 'O -Chicago Excused Date Established... • - 26. HSR Corridor ID RI N/A 27. Latitude in decimal degrees (WGS84 std: nn.nnnnnnn) 40.3046354 28. Longitude in decimal degrees (WGS84 std: -nnn.nnnnnnn) -104.7502752 29. Lat/Long Source ® Actual O Estimated 30.A. Railroad Use • 31.A. State Use 30.B. Railroad Use • 31.B. State Use 30.C. Railroad Use • 31.C. State Use • 30.D. Railroad Use * 31.D. State Use • 32.A. Narrative (Railroad Use) • 32.8. Narrative (State Use) • 33. Emergency Notification Telephone No. (posted) 800-848-8715 34. Railroad Contact (Telephone No.) 402-544-3721 35. State Contact (Telephone No.) 303-757-9425 . Part II: Railroad Information - .1. Estimated Number of Daily Train Movements 1.A. Total Day Thru Trains (6 AM to 6 PM) - 5 1.B. Total Night Thru Trains (6 PM to 6 AM) 5 1.C. Total Switching Trains 0 1.D. Total Transit Trains 0 1.E. Check if Less Than One Movement Per Day ❑ How many trains per week? 2. Year of Train Count Data (YYYY) 2017 3. Speed of Train at Crossing 3.A. Maximum Timetable Speed (mph) 60 3.B. Typical Speed Range Over Crossing (mph) From 30 to 60 4. Type and Count of Tracks Main 1 Siding0 Yard 0 Transit 0 Industry 0 5. Train Detection (Main Track only) ❑ Constant Warning Time ❑ Motion Detection ❑AFO O PTC O DC ® Other ❑ None 6. Is Track Signaled? RI Yes O No 7.A. Event Recorder ® Yes O No 7.8. Remote Health Monitoring O Yes gl No FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 1 OF 2 EXHIBIT E U. S. DOT CROSSING INVENTORY FORM A. Revision (MM/DD/YYYY) I /2017 PAGE 2 I D. D. C Crossing Inventory Number (7 char.) 8Part III: Highway or Pathway Traffic Control Device Information 1. Are there Signs or Signals? Yes ❑ No 2. Types of Passive Traffic Control Devices associated with the Crossing 2.A. Crossbuck Assemblies (count) 2.8. STOP Signs (R1-1) (count) 2.C. YIELD Signs (R1-2) (count) 2.D. Advance Warning Signs (Check all that apply; include count) O None l wio-i ❑ W10-3 O W10-11 0 0 0 O W10-2 O W10-4 O W10-12 2.E. Low Ground Clearance Sign (W10-5) ❑ Yes (count 0 ) 2.F. Pavement Markings ® Stop Lines ❑Dynamic Envelope ® RR Xing Symbols O None 2.G. Channelization Devices/Medians O All Approaches O Median O One Approach O None 2.H. EXEMPT Sign (R15-3) ❑ Yes E No 2.1. ENS Sign (1-13) Displayed g Yes O No RI No 2.J. Other MUTCD Signs O Yes ® No Specify Type Count 0 2.K. Private Crossing Signs (if private) O Yes O No 2.L. LED Enhanced Signs (List types) Specify Type Count 0 Specify Type Count 3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply) 3.A. Gate Arms (count) Roadway 2 3.B. Gate Configuration ❑ 2 Quad O Full (Barrier) O 3 Quad Resistance O 4 Quad ❑ Median Gates 3.C. Cantilevered (or Bridged) Flashing Light Structures (count) Over Traffic Lane 0 O Incandescent 3.D. Mast Mounted Flashing Lights (count of masts) 2 3.E. Total Count of Flashing Light Pairs 0 O Incandescent O LED O Back Lights Included O Side Lights Included Not Over Traffic Lane 0 O LED Pedestrian 3.F. Installation Date of Current Active Warning Devices: (MM/YYYY) ® Not Required 3.G. Wayside Horn 0Ye Installed on (MM/YYYY) / 3.H. Highway Traffic Signals Controlling Crossing O Yes RI No 3.1. Bells (count) 2 ❑ 3.J. Non -Train Active Warning ❑ Flagging/Flagman ❑Manually Operated Signals O Watchman O Floodlighting O None 3.K. Other Flashing Lights or Warning Devices Count 1 Specify type SIDELIGHT 4.A. Does nearby Hwy Intersection have Traffic Signals? ❑ Yes O No ' 4.8. Hwy Traffic Signal Interconnection O Not Interconnected O For Traffic Signals O For Warning Signs 4.C. Hwy Traffic Signal Preemption O Simultaneous O 'Advance 5. Highway Traffic Pre -Signals O Yes RI No Storage Distance • 6. Highway Monitoring Devices (Check all that apply) O Yes - Photo/Video Recording O Yes— Vehicle Presence Detection O None Stop Line Distance • Part IV: Physical Characteristics -, 1. Traffic Lanes Crossing Railroad O One-way Traffic O Two-way Traffic Number of Lanes 2 O Divided Traffic 2. Is Roadway/Pathway Paved? 51 Yes O No 3. Does Track Run Down a Street? O Yes ® No 4. Is Crossing Illuminated? (Street lights within approx. 50 feet from nearest rail) ❑ Yes ® No 5. Crossing Surface (on Main Track, multiple types allowed) Installation Date • (MM/YYYY) / Width • Length • ® 1 Timber O 2 Asphalt O 3 Asphalt and Timber O 4 Concrete O 5 Concrete and Rubber O 6 Rubber O 7 Metal ❑ 8 Unconsolidated O 9 Composite O 10 Other (specify) 6. Intersecting Roadway within 500 feet? ® Yes O No If Yes, Approximate Distance (feet) 75 7. Smallest Crossing Angle O 0° - 29° ® 30° - 59° O 60° - 90° 8. Is Commercial Power Available? • ® Yes O No Part V: Public Highway Information 1. Highway System O (01) Interstate Highway System ❑ (02) Other Nat Hwy System (NHS) O (03) Federal AID, Not NHS RI (08) Non -Federal Aid 2. Functional Classification of Road at Crossing ® (0) Rural O (1) Urban O (1) Interstate ® (5) Major Collector O (2) Other Freeways and Expressways O (3) Other Principal Arterial O (6) Minor Collector O (4) Minor Arterial O (7) Local 3. Is Crossing on State Highway System? 4. Highway Speed Limit MPH O Yes 0 No O Posted O Statutory 5. Linear Referencing System (LRS Route ID) * 6. LRS Milepost * 7. Annual Average Daily Traffic (AADT) Year 1987 AADT 350 8. Estimated Percent Trucks 05 % 9. Regularly Used by School Buses? ❑ Yes ® No Average Number per Day 0 10. Emergency Services Route ❑ Yes O No " Submission Information - This information -is, used for_ administrative purposes and Is.not available on the public webslte-' ' Submitted by Organization Phone Date Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions; searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS -25 Washington, DC 20590. FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 2 OF 2 f)FPARTMFNT OF TRANSPORTATION FEDERAL RAILROAD ADMINISTRATION (FRA) HIf;HWAV-RAII C;RAfIF C:ROSSINC ACCIDENT/INCIDENT REPORT EXHIBIT F OMB Approval No. 2130-0500 Name Of Alphabetic Code RR Accident/Incident No. 1. Reporting Railroad Union Pacific Railroad Company )UP( la. Up 1b. 0382WV206 2. Other Railroad Involved in Train Accident/Incident 2a. 2b. 3. Railroad Responsible for Track Maintenance Union Pacific Railroad Company (UPI 3a. Up 3b. 0382WY206 4. U.S. DOT-AAR Grade Crossing ID No. 804352 D I5. Date of Accident/Incident 03/25/82 6. Time of Accident/Incident 06:00 AM 7. Nearest Railroad Station PECKMAN 8. Division 9. County WELD 10. State Code Abbr. 08 I CO 11. City (if in a city) 12. Highway Name or No. COUNTY RD 44 V Public Private Highway User Involved Rail Equipment Involved 13. Type C. Truck -trailer F. Bus J. Other Motor Vehide A. Auto D. Pick-up truck G. School Bus K. Pedestrian B. Truck E. Van H. Motorcycle M. Other (specify) Code C 17. Equipment 4. Ca s (moving) 8. Other (specify) 1. Train (units pulling) 5. Cars; (standing) A. Train pulling- RCL 2. Train (units pushing) 6. Light loco(s) (moving) B. Train pushing- RCL 3. Train (standing) 7. Light loco(s) (standing) C. Train standing- RCL Code I 14. Vehicle Speed (est mph at impact) 40 15. Direction (geographical) Code 1. North 2. South 3. East 4. West I 3 18. Position of Car Unit in Train 1 16. Position 1. Stalled on crossing 3. Moving over crossing Code 2. Stopped on Crossing 4. Trapped I 3 19. Circumstance 1. Rail equipment struck highway user Code 2. Rail equipment struck by highway user I I 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 4 20b. Was there a hazardous materials release by 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 20c. State the name and quantity of the hazardous material released, if any 21. Temperature (specify if minus) 20 'F 22. Visibility (single entry) Code 1. Dawn 2. Day 3. Dusk 4. Dark I I 23. Weather (single entry) Code 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 6. Snow I I 24. Type of Equipment A. Spec. MoW Equip Consist 1. Freight train 4. Work train 7. Yard/Switching (single entry) 2. Passenger train 5. Single car 8. Light loco(s Code 3. Commuter train 6. Cut of cars 9. Main./inspect. car I I 25. Track Type Used by Rail Equipment Involved 1. Main 2. Yard 3. Siding 4. Industry Code 1 26. Track Number or Name SINGLE MAIN 27. FRA Track Class 4 28. Number of Locomotive Units 2 29. Number of Cars 74 30. Consist Speed (Recorded if available) Code R. Recorded E. Estimated 50 mph I E 31. Time Table Direction Code 1. North 2. South 3. East 4. West I 3 32. Type of 1. Gates 4. Wig wags 7. Crossbucks • 10. Flagged by crew Crossing 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) Warning 3. Standard FLS 6. Audible 9. Watchman 12. None 33. Signaled Crossing Warning 34. Whistle Ban • 1. Yes 2. No 3. Unknown Code Code(s) 1 07 I I I I I 35. Location 1. Both Sides 2. Side of 3. O000s of Warning Vehicle Approach to Side of Vehicle Aooroach Code I 36. Crossing Warning Interconnected with Highway Signals 1. Yes 2. No 3. Unknown Code 2 37. Crossing Illuminated by Street Code Lights or Special Lights 1. Yes 2. No 3. Unknown 2 38. Driver's Age 39. Driver's Gender 1. Male I 2. Female Code 40. Driver Drove Behind or in Front of Train and Struck or was Struck by Second Train 1. Yes 2. No 3. Unknown Code 2 41. Driver 1. Drove around or thru the gate 4. Stopped on crossing 2. Stopped and then proceeded 5. Other (specify) I 3. Did not stop Code 3 42. Driver Passed Standing Highway Vehicle 1. Yes 2. No 3. Unknown Code 2 43. View of Track Obscured by (primary obstruction) Code 1. Permanent Structure 3. Passing Train 5. Vegetation 7. Other (specify) 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed I 8 Casualties to: Killed Injured 44. Driver was Code 1. Killed 2. Injured 3. Uninjured I 3 45. Was Driver in the Vehicle? Code 1. Yes 2. No I I 46. Highway -Rail Crossing Users 0 0 47. Highway Vehicle Property Damage (est dollar damage) I $10,000 48. Total Number of Highway -Rail Crossing Users (include driver) I 49. Railroad Employees o 0 50. Total Number of People on Train (include passengers and crew) - 51. Is a Rail Equipment Accident / Code Incident Report Being Filed 1. Yes 2. No I 2 52. Passengers on Train 0 0 53a. Special Study Block 153b. Special Study Block 54. Narrative Description 55. Typed Name and Title 56. Signature 57. Date FORM FRA F 6180.57 NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A IlFPARTMFNT OF TRANSPORTATION FEDERAL RAILROAD ADMINISTRATION (FRA) HIC;HWAY-RA II CIRAI)F C:ROSSINC, ACCIDENT/INCIDENT REPORT EXHIBIT F OMB Approval No. 2130-0500 Name Of Alphabetic Code RR Accident/Incident No. 1. Reporting Railroad Union Pacific Railroad Company IUPI la. Up lb. 0581WY210 2. Other Railroad Involved in Train Accident/Incident 2a. 2b. 3. Railroad Responsible for Track Maintenance Union Pacific Railroad Company IUPI 3a. Up 3b. 0581WY210 4. U.S. DOT-AAR Grade Crossing ID No. 804352D 5. Date of Accident/Incident 05/30/81 6. Time of Accident/Incident 08:57 PM 7: Nearest Railroad Station PECKHAM 8. Division 9. County WELD 10. State Code Abbr. 08 I CO 11. City (if in a city) 12. Highway Name or No. COUNTY RD #44 ✓ Public Private Highway User Involved Rail Equipment Involved 13. Type C. Truck -trailer F. Bus J. Other Motor Vehicle A. Auto D. Pick-up truck G. School Bus K. Pedestrian B. Truck E. Van H. Motorcycle M. Other (specify) Code A 17. Equipment 4. Car(s) (moving) 8. Other (specify) 1. Train (units pulling) 5. Car(s) (standing) A. Train pulling- RCL 2. Train (units pushing) 6. Light,loco(s) (moving) B..Train pushing- RCL 3. Train (standing) 7. Light loco(s) (standing) C. Train standing- RCL Code 1 14. Vehicle Speed (est mph at impact) 0 15. Direction (geographical) Code 1. North 2. South 3. East 4. West I 4 18. Position of Car Unit in Train 1 16. Position 1. Stalled on crossing 3. Moving over crossing Code 2. Stopped on Crossing 4. Trapped I I 19. Circumstance 1. Rail equipment struck highway user 2. Rail equipment struck by highway user Code I I 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 4 20b. Was there a hazardous materials release by 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 20c. State the name and quantity of the hazardous material released, if any 21. Temperature • (specify if minus) 65 "F 22. Visibility (single entry) Code 1. Dawn 2. Day 3. Dusk 4. Dark I 4 23. Weather (single entry) Code 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 6. Snow I 2 24. Type of Equipment A. Spec. MoW Equip Consist 1. Freight train 4. Work train 7. Yard/Switching (single entry) 2. Passenger train 5. Single car 8. Light loco(s Code 3. Commuter train 6. Cut of cars 9. Main./inspect. car I 1 25. Track Type Used by Rail Equipment Involved 1. Main 2. Yard 3. Siding 4. Industry Code 1 26. Track Number or Name SINGLE MAIN 27. FRA Track Class 4 28. Number of Locomotive Units 1 29. Number of Cars 9 30. Consist Speed (Recorded if available) Code R. Recorded E. Estimated 411 mph I E 31. Time Table Direction Code 1. North 2. South 3. East 4. West I 3 32. Type of 1. Gates • 4. Wig wags 7. Crossbucks 10. Flagged by crew Crossing 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) Warning 3. Standard FLS 6. Audible 9. Watchman 12. None 33. Signaled Crossing Warning 34. Whistle Ban 1. Yes 2. No 3. Unknown I • Code Code(s) I 07 I 08 I I I I 35. Location 1. Both Sides 2. Side of 3. Opoos of Warning Vehicle Approach to Side of Vehicle Apl roach Code 1 36. Crossing Warning Interconnected with Highway Signals 1. Yes 2. No 3. Unknown Code 2 37. Crossing Illuminated by Street Code Lights or Special Lights 1. Yes 2. No 3. Unknown 2 38. Driver's Age 39. Driver's Gender 1. Male 2. Female Code I 40. Driver Drove Behind or in Front of Train and Struck or was Struck by Second Train 1. Yes 2. No 3. Unknown Code 2 41. Driver 1. Drove around or thru the gate 4. Stopped on crossing 2. Stopped and then proceeded 5. Other (specify) I 3. Did not stop Code 4 42. Driver Passed Standing Highway Vehide 1. Yes 2. No 3. Unknown Code 2 43. View of Track Obscured by (primary obstruction) Code 1. Permanent Structure 3. Passing Train 5. Vegetation 7. Other (specify) 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed 8 Casualties to: Killed Injured 44. Driver was Code 1. Killed 2. Injured 3. Uninjured I 3 45. Was Driver in the Vehicle? Code 1. Yes 2. No I I 46. Highway -Rail Crossing Users 0 0 47. Highway Vehicle Property Damage est. dollardama a(include ( damage) 151,000 48. Total Number of Highway -Rail Crossing Users driver ) 3 49. Railroad Employees 0 0 50. Total Number of People on Train (include passengers and crew) 51. Is a Rail Equipment Accident / Code Incident Report Being Filed 1. Yes 2. No I 2 52. Passengers on Train 0 0 53a. Special Study Block 153b. Special Study Block 54. Narrative Description 55. Typed Name and Title 56. Signature 57. Date FORM FRA F 6180.57 • NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A fFPARTMFNT nF TRANSPORTATION FEDERAL RAILROAD ADMINISTRATION (FRA) HI(;HWAY-RAII t;RAOF CRnSSINC ACCIDENT/INCIDENT REPORT EXHIBIT F OMB Approval No. 2130-0500 Name Of Alphabetic Code RR Accident/Incident No. 1. Reporting Railroad Union Pacific Railroad Company (UP( la. Up 1b. 0580WY032 2. Other Railroad Involved in Train Accident/Incident 2a. 2b. 3. Railroad Responsible for Track Maintenance Union Pacific Railroad Company (UPI 3a. Up 3b. 0580WY032 4. U.S. DOT-AAR Grade Crossing ID No. 804352D I5. Date of Accident/Incident 05/15/80 6. Time of Accident/Incident 01.30 PM 7. Nearest Railroad Station PECKHAM 8. Division 9. County WELD 10. State Code Abbr. 08 I CO 11. City (if in a city) 12. Highway Name or No. COUNTY RD 44 V Public Private Highway User Involved Rail Equipment Involved 13. Type C. Truck -trailer F. Bus J. Other Motor Vehicle A. Auto D. Pick-up truck G. School Bus K. Pedestrian B. Truck E. Van H. Motorcycle M. Other (specify) Code B 17. Equipment 4. Car(s) (moving) 8. Other (specify) 1. Train (units pulling) 5. Car(s) (standing) A. Train pulling- RCL 2. Train (units pushing) 6. Light loco(s) (moving) B. Train pushing- RCL 3. Train (standing) 7. Light loco(s) (standing) C. Train standing- RCL Code I 14. Vehicle Speed (est mph at impact) I 15. Direction (geographical) Code 1. North 2. South 3. East 4. West I 3 18. Position of Car Unit in Train I 16. Position 1. Stalled on crossing 3. Moving over crossing Code 2. Stopped on Crossing 4. Trapped I 3 19. Circumstance 1. Rail equipment struck highway user Code 2. Rail equipment struck by highway user I I 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 4 20b. Was there a hazardous materials release by 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 20c. State the name and quantity of the hazardous material released, if any 21. Temperature (specify if minus) 50 °F 22. Visibility (single entry) Code 1. Dawn 2. Day 3. Dusk 4. Dark I 2 23. Weather (single entry) 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 6. Snow Code I 3 24. Type of Equipment A. Spec. MoW Equip Consist 1. Freight train 4. Work train 7. Yard/Switching (single entry) 2. Passenger train 5. Single car 8. Light loco(s Code 3. Commuter train 6. Cut of cars 9. Main./inspect. car I I 25. Track Type Used by Rail Equipment Involved 1. Main '2. Yard 3. Siding 4. Industry Code I 26. Track Number or SINGLE MAIN Name 27. FRA Track Class 4 28. Number of • Locomotive Units I 29. Number of Cars 8 30. Consist Speed (Recorded if available) Code R. Recorded E. Estimated 50 mph I E 31. Time Table Direction 1. North 2. South 3. East 4. West Code I 3 32. Type of 1. Gates • 4. Wig wags 7. Crossbucks 10. Flagged by crew Crossing 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) Warning 3. Standard FLS 6. Audible 9. Watchman 12. None _ 33. Signaled•Crossing Warning 34. Whistle Ban 1. Yes 2. No 3. Unknown I • Code Code(s) I 07 I 08 I II I I I 35. Location of Warning 1. Both Sides 2. Side of Vehicle Approach 3. Opposite Side of Vehicle Approach Code I 36. Crossing Warning Interconnected with Highway Signals 1. Yes 2. No 3. Unknown Code 2 37. Crossing Illuminated by Street Lights or Special Lights I 1. Yes 2. No 3. Unknown Code 2 38. Driver's Age 39. Driver's Gender 1. Male - 2. Female Code I 40. Driver Drove Behind or in Front of Train and Struck or was Struck by Second Train 1. Yes 2. No 3. Unknown Code 2 41. Driver 1. Drove around or thru the gate 4. Stopped on crossing 2. Stopped and then proceeded 5. Other (specify) I 3. Did not stop Code 3 42. Driver Passed Standing Highway Vehicle 1. Yes 2. No 3. Unknown Code 2 43. View of Track Obscured by (primary obstruction) Code 1. Permanent Structure 3. Passing Train 5. Vegetation 7. Other (specify) 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed I 8 Casualties to: Killed Injured 44. Driver was Code 1. Killed 2. Injured 3. Uninjured I 1 45. Was Driver in the Vehicle? Code 1. Yes 2. No I I 46. Highway -Rail Crossing Users I 0 47. Highway Vehicle Property Damage (est dollar damage) I S2.500 48. Total Number of Highway -Rail Crossing Users (include driver) 49. Railroad Employees o 0 50. Total Number of People on Train (include passengers and crew) 51. Is a Rail Equipment Accident / Code Incident Report Being Filed 1. Yes 2. No I 2 52. Passengers on Train 0 O 53a. Special Study Block 153b. Special Study Block 54. Narrative Description 55. Typed Name and Title 56. Signature 57. Date FORM FRA F 6180.57 • NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A DFPARTMFNT OF TRA NSPORTATION FEDERAL RAILROAD ADMINISTRATION (FRA) HI(;HWAY-RA II C;RAIlF CROSSINr ACCIDENT/INCIDENT REPORT EXHIBIT F OMB, Approval No. 2130-0500 Name Of Alphabetic Code RR Accident/Incident No. 1. Reporting Railroad Union Pacific Railroad Company (UPI la. Up lb. 1278WY015 2. Other Railroad Involved in Train Accident/Incident 2a. 2b. 3. Railroad Responsible for Track Maintenance Union Pacific Railroad Company !UPI 3a. Up 3b. 1278WY015 4. U.S. DOT-AAR Grade Crossing ID No. 804352D I5. Date of Accident/Incident 12/19/78 6. Time of Accident/Incident 12.25 AM 7. Nearest Railroad Station PECKHAM 8. Division 9. County WELD 10. State Code Abbr. 08 i CO 11. City (if in a city) 12. Highway Name or No. COUNTY ROAD 44 ✓ Public Private Highway User Involved Rail Equipment Involved 13. Type C. Truck -trailer F. Bus J. Other Motor Vehicle A. Auto D. Pick-up truck G. School Bus K. Pedestrian B. Truck E. Van H. Motorcycle M. Other (specify) Code B 17. Equipment 4. Car(s) (moving) 8. Other (specify) 1. Train (units pulling) 5. Car(s) (standing) A. Train pulling- RCL 2. Train (units pushing) 6. Light loco(s) (moving) B. Train pushing- RCL 3. Train (standing) 7. Light loco(s) (standing) C. Train standing- RCL Code 1 14. Vehicle Speed (est mph at impact) 40 15. Direction (geographical) Code 1. North' 2. South 3. East 4. West I 4 18. Position of Car Unit in Train • l 16. Position 1. Stalled on crossing 3. Moving over crossing Code 2. Stopped on Crossing 4. Trapped 1 3 19. Circumstance 1. Rail equipment struck highway user Code 2. Rail equipment struck by highway user I I 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 4 20b. Was there a hazardous materials release by 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 20c. State the name and quantity of the hazardous material released, if any 21. Temperature (specify if minus) 35 °F 22. Visibility (single entry) Code 1. Dawn 2. Day 3. Dusk 4. Dark I 4 23. Weather (single entry) Code 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 6. Snow I I 24. Type of Equipment A. Spec. MoW Equip Consist 1. Freight train 4. Work train 7. Yard/Switching (single entry) 2. Passenger train 5. Single car 8. Light loco(s Code 3. Commuter train 6. Cut of cars 9. Main./inspect. car I 1 25. Track Type Used by Rail Equipment Involved 1. Main 2. Yard 3. Siding 4. Industry Code I 26. Track Number or Name SINGLE MAIN 27. FRA Track Class 4 28. Number of Locomotive Units 3 29. Number of Cars 82 30. Consist Speed (Recorded if available) Code R. Recorded E. Estimated al mph I E 31. Time Table Direction Code 1. North 2. South 3. East 4. West I 3 32. Type of 1. Gates , •4. Wig wags 7. Crossbucks 10.•Flagged by crew Crossing 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) Warning 3. Standard FLS 6. Audible 9. Watchman 12. None 33. Signaled Crossing Warning 34. Whistle Ban 1. Yes 2. No 3. Unknown ' Code Code(s) I 07 I 08 I I I I 35. Location 1. Both Sides 2. Side of 3. O000s of Warning Vehicle Approach to Side of Vehicle Approach Code 1 36. Crossing Waming Interconnected with Highway Signals 1. Yes 2. No 3. Unknown Code 2 37. Crossing Illuminated by Street Code Lights or Special Lights 1. Yes 2. No 3. Unknown I 2 38. Driver's . Age 39. Driver's Gender 1. Male I 2. Female Code 40. Driver Drove Behind or in Front of Train and Struck;or was Struck by Second Train 1. Yes 2. No 3. Unknown Code 2 41. Driver 1. Drove around or thru the gate 4. Stopped on crossing 2. Stopped and then proceeded 5. Other (specify) I 3. Did not stop ' Code 2 . 42. Driver Passed Standing Highway Vehicle 1. Yes 2. No 3. Unknown Code 2 43. View of Track Obscured by (primary obstruction) Code 1. Permanent Structure 3. Passing Train 5. Vegetation 7. Other (specify) 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed 8 Casualties to: Killed Injured 44. Driver was Code 1. Killed 2. Injured 3. Uninjured I 2 45. Was Driver in the Vehicle? Code 1. Yes 2. No I I 46. Highway -Rail Crossing Users 0 1 47. Highway Vehicle Property Damage . (est. dollar damage) I $1,000 48. Total Number of Highway -Rail Crossing Users (include driver) 1 49. Railroad Employees o 0 50. Total Number of People on Train (include passengers and crew) 51. Is a Rail Equipment Accident / Code Incident Report Being Filed 1. Yes 2. No I I 52. Passengers on Train 0 0 53a. Special Study Block 153b. Special Study Block 54. Narrative Description 55. Typed Name and Title 56. Signature 57. Date FORM FRA F 6180.57 • NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A OFPARTMFNT nF TRANSP(lRTATI(1N FEDERAL RAILROAD ADMINISTRATION (FRA) HIGHWAY -RAH GRAnF (:RfSSING ACCIDENT/INCIDENT REPORT EXHIBIT F - OMB Approval No. 2130-0500 Name Of Alphabetic Code RR Accident/Incident No. 1. Reporting Railroad Union Pacific Railroad Company 'UPI la. UP lb. 0576WV2I3 2. Other Railroad Involved in Train Accident/Incident 2a. 2b. 3. Railroad Responsible for Track Maintenance 3a. 3b. 4. U.S. DOT-AAR Grade Crossing ID No. 804352D I5. Date of Accident/Incident 05/23/76 6. Time of Accident/Incident 07:15 PM 7. Nearest Railroad Station PECKHAM 8. Division 9. County WELD 10. State Code Abbr. 08 I CO 11. City (if in a city) 12. Highway Name or No. HIGHWAY 44 V Public Private Highway User Involved Rail Equipment Involved 13. Type C. Truck -trailer F. Bus J. Other Motor Vehicle A. Auto D. Pick-up truck G. School Bus K. Pedestrian B. Truck E. Van H. Motorcycle M. Other (specify) Code A 17. Equipment 4. Car(s) (moving) 8. Other (specify) 1. Train (units pulling) 5. Car(s) (standing) A. Train pulling- RCL 2. Train (units pushing) 6. Light loco(s) (moving) B. Train pushing- RCL 3. Train (standing) 7. Light loco(s) (standing) C. Train standing- RCL Code 1 14. Vehicle Speed (est mph at impact) .5 15. Direction (geographical) Code 1. North 2. South 3. East 4. West 4 18. Position of Car Unit in Train 16. Position 1. Stalled on crossing 3. Moving -over crossing Code 2. Stopped on Crossing 4. Trapped I 3 19. Circumstance 1. Rail equipment struck highway user Code 2. Rail equipment struck by highway user I I 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3. Both 4. Neither • Code 4 20b. Was there a hazardous materials release by 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 20c. State the name and quantity of the hazardous material released, if any 21. Temperature (specify if minus) 60 "F 22. Visibility (single entry) Code 1. Dawn 2. Day 3. Dusk 4. Dark I 2 23. Weather (single entry) Code 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 6. Snow I I 24. Type of Equipment A. Spec. MoW Equip Consist 1. Freight train 4. Work train 7. Yard/Switching (single entry) 2. Passenger train 5. Single car 8. Light loco(s Code 3. Commuter train 6. Cut of cars 9. Main./inspect. car I 1 25. Track Type Used by Rail Equipment Involved 1. Main 2. Yard 3. Siding 4. Industry Code I 26. Track Number or Name SINGLE MAIN 27. FRA Track Class 4 28. Number of Locomotive Units 4 29. Number of Cars 50 30. Consist Speed (Recorded if available) Code R. Recorded E. Estimated • 55 mph I E 31. Time Table Direction Code 1. North 2. South 3. East 4. West I 3 • 32. Type of 1. Gates - 4. Wig wags 7. Crossbucks 10. Flagged by crew Crossing 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) Warning 3. Standard FLS 6. Audible 9. Watchman 12. None 33. Signaled Crossing• Warning Allgd. no warn (4); 34. Whistle Ban 1. Yes 2. No 3. Unknown Code Code(s) I 07 I 08 I I I I 35. Location 1. Both Sides 2. Side of 3. O000s of Warning. Vehicle Approach to Side of Vehicle Approach Code 1 36. Crossing Warning Interconnected with Highway Signals 1. Yes 2. No 3. Unknown Code 2 37. Crossing Illuminated by Street Code Lights or Special Lights 1. Yes 2. No 3. Unknown 2 38. Driver's Age 39. Driver's Gender , 1. Male I 2. Female Code 40. Driver Drove Behind or in Front of Train and Struck or was Struck by Second Train 1. Yes 2. No 3. Unknown Code 2 41. Driver 1. Drove around or thru the gate 4. Stopped on crossing 2. Stopped and then proceeded 5. Other (specify) I 3. Did not stop Code 2 42. Driver Passed Standing Highway Vehicle 1. Yes 2. No 3. Unknown Code 2 43. View of Track Obscured by (primary obstruction) Code 1. Permanent Structure 3. Passing Train 5. Vegetation 7. Other (specify) 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed 8 Casualties to: Killed Injured 44. Driver was Code 1. Killed 2. Injured 3. Uninjured - I 3 45. Was Driver in the Vehicle? . Code 1. Yes 2. No I 2 46. Highway -Rail Crossing Users 0 0 47. Highway Vehicle Property Damage (est dollar damage) I so 48. Total Number of Highway -Rail Crossing Users (include driver) 2 49. Railroad Employees o 0 50. Total Number of People on Train (include passengers and crew) 51. Is a Rail Equipment Accident / Code Incident Report Being Filed 1. Yes 2. No I 2 52. Passengers on Train 0 0 53a. Special Study Block 153b. Special Study Block 54. Narrative Description 55. Typed Name and Title 56. Signature 57. Date FORM FRA F 6180.57 NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A U. S. DOT CROSSING INVENTORY FORM DEPARTMENT OF TRANSPORTATION FEDERAL RAILROAD ADMINISTRATION EXHIBIT G OMB No. 2130-0017 Instructions for the initial reporting of the following types of new or previously unreported crossings: For public highway -rail grade crossings, complete the entire inventory Form. For private highway -rail grade crossings, complete the Header, Parts I and II, and the Submission Information section. For public pathway grade crossings (including pedestrian station grade crossings), complete the Header, Parts I and II, and the Submission Information section. For Private pathway grade crossings, complete the Header, Parts I and II, and the Submission Information section. For grade -separated highway -rail or pathway crossings (including pedestrian station crossings), complete the Header, Part I, and the Submission Information section. For changes to existing data, complete the Header, Part I Items 1-3, and the Submission Information section, in addition to the updated data fields. Note: For private crossings only, Part I Item 20 and Part III Item 2.K. are required unless otherwise noted. An asterisk * denotes an optional field. A. Revision Date (MM/DD/YVYY) 11 / 13 / 2016 B. Reporting Agency ® Railroad O Transit O State O Other C. Reason for Update (Select only one) IR Change in O New ❑ Closed O No Train O Quiet Data Crossing Traffic Zone Update O Re -Open O Date O Change in Primary O Admin. Change Only Operating RR Correction D. DOT Crossing Inventory Number 804355Y - Part I: Location and:. Classification.Information . 1. Primary Operating Railroad Union Pacific Railroad Company [UP] 2. State COLORADO 3. County WELD 4. City / Municipality El In R Near LA SALLE 5. Street/Road Name & Block Number CR48 I 6. Highway Type & No. NA (Street/Rood Name) I* (Block Number) 7. Do Other Railroads Operate a Separate Track at Crossing? O Yes R No If Yes, Specify RR 8. Do Other Railroads Operate Over Your Track at Crossing? O Yes R No If Yes, Specify RR 9. Railroad Division or Region ❑ None DENVER 10. Railroad Subdivision or District O None Greeley 11. Branch or Line Name R None 12. RR Milepost i 0045.170 (prefix) I (nnnn.nnn) I (suffix) 13. Line Segment • 14. Nearest RR Timetable Station • 15. Parent RR (if applicable) IR N/A 16. Crossing Owner (if applicable) R N/A 17. Crossing Type R Public ❑ Private 18. Crossing Purpose R Highway O Pathway, Ped. ❑ Station, Ped. 19. Crossing Position R At Grade O RR Under O RR Over 20. Public Access (if Private Crossing) ❑ Yes O No 21. Type of Train R Freight O Transit O Intercity Passenger O Shared Use Transit O Commuter O Tourist/Other 22. Average Passenger Train Count Per Day O Less Than One Per Day O Number Per Day 4 23. Type of Land Use R Open Space O Farm O Residential O Commercial O Industrial O Institutional O Recreational O RR Yard 24.1s there an Adjacent Crossing with a Separate Number? ID Yes R No If Yes, Provide Crossing Number 25. Quiet Zone (FRA provided) ;l 1 N O 24`Hr: 'ID Partial , ❑'•Chiicago Excused Date Established 26. HSR Corridor ID R N/A 27. Latitude in decimal degrees (WGS84 std: nn.nnnnnnn) 40.3351830 28. Longitude in decimal degrees (WGS84 std:-nnn.nnnnnnn) -104.7156704 29. Lat/Long Source R Actual O Estimated 30.A. Railroad Use • 31.A. State Use • 30.B. Railroad Use • 31.B. State Use • 30.C. Railroad Use • 31.C. State Use 30.D. Railroad Use • 31.D. State Use • 32.A. Narrative (Railroad Use) ' 32.B. Narrative (State Use) ' 33. Emergency Notification Telephone No. (posted) 800-848-8715 34. Railroad Contact (Telephone No.) 402-544-3721 35. State Contact (Telephone No.) 303-757-9425 Part II: Railroad Information, • 1. Estimated Number of Daily Train Movements 1.A. Total Day Thru Trains (6 AM to 6 PM) 5 1.8. Total Night Thru Trains (6 PM to 6 AM) 5 1.C. Total Switching Trains 0 1.D. Total Transit Trains 0 1.E. Check if Less Than One Movement Per Day O How many trains per week? 2. Year of Train Count Data (YYYY) 2016 3. Speed of Train at Crossing 3.A. Maximum Timetable Speed (mph) 60 3.B. Typical Speed Range Over Crossing (mph) From 30 to 60 4. Type and Count of Tracks Main 1 Siding() Yard 0 Transit 0 Industry 0 5. Train Detection (Main Track only) O Constant Warning Time O Motion Detection ❑AFO O PTC O DC R Other O None 6. Is Track Signaled? R Yes ❑ No 7.A. Event Recorder O Yes R No 7.B. Remote Health Monitoring O Yes R No FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 1 OF 2 EXHIBIT G U. S. DOT CROSSING INVENTORY FORM A. Revision Date (MM/DD/YYYY) I 11/13/2016 PAGE 2 I D. Crossing Inventory Number (7 char.) 804355Y Part IILHighway•or Pathway Traffic Control Device Information 1. Are there Signs or Signals? ® Yes ❑ No 2. Types of Passive Traffic Control Devices associated with the Crossing 2.A. Crossbuck Assemblies (count) 2.B. STOP Signs (RI -1) (count) 2.C. YIELD Signs (RI -2) (count) 2.D. Advance Warning Signs (Check all that apply; include count) El None al W10-1 O W10-3 1=11/V10-11 2 2 O W10-2 O W10-4 ❑ W10-12 2.E. Low Ground Clearance Sign (W10-5) O Yes (count 0 ) 2.F. Pavement Markings O Stop Lines ODynamic Envelope O RR Xing Symbols ® None 2.G. Channelization Devices/Medians ❑ All Approaches O Median O One Approach O None 2.H. EXEMPT Sign (R15-3) ❑ Yes EM No 2.1. ENS Sign (1-13) Displayed ® Yes ❑ No RI No 2.J. Other MUTCD Signs O Yes NJ No Specify Type Count 0 2.K. Private Crossing Signs (if private) ❑ Yes O No 2.L. LED Enhanced Signs (List types) Specify Type Count 0 Specify Type Count 3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply) 3.A. Gate Arms (count) Roadway 0 3.B. Gate Configuration O 2 Quad ❑ Full (Barrier) ❑ 3 Quad Resistance O 4 Quad O Median Gates 3.C. Cantilevered (or Bridged) Flashing Light Structures (count) Over Traffic Lane 0 O Incandescent 3.D. Mast Mounted Flashing Lights (count of masts) 0 3.E. Total Count of Flashing Light Pairs 0 O Incandescent El LED O Back Lights Included O Side Lights Included Not Over Traffic Lane 0 O LED Pedestrian 3.F. Installation Date of Current Active Warning Devices: (MM/YYYY) EM Not Required 3.G. Wayside Horn ❑ Yes Installed on (MM/YYYY) / 3.H. Highway Traffic Signals Controlling Crossing O Yes EM No 3.1. Bells (count) 0 O No 3.J. Non -Train Active Warning ❑ Flagging/Flagman ❑Manually Operated Signals ❑ Watchman O Floodlighting O None 3.K. Other Flashing Lights or Warning Devices Count 0 Specify type 4.A. Does nearby Hwy Intersection have Traffic Signals? ❑ Yes ' O No .4.B. Hwy Traffic Signal Interconnection O Not Interconnected O For Traffic Signals ❑ For Warning Signs' 4.C. Hwy Traffic Signal Preemption O Simultaneous O Advance 5. Highway Traffic Pre -Signals ❑ Yes IN No Storage Distance * 6. Highway Monitoring Devices (Check all that apply) O Yes - Photo/Video Recording O Yes— Vehicle Presence Detection ❑ None Stop Line Distance • Part IV: Physical. Characteristics 1. Traffic Lanes Crossing Railroad El One-way Traffic O Two-way Traffic Number of Lanes 2 El Divided Traffic 2. Is Roadway/Pathway Paved? ® Yes O No 3. Does Track Run Down a Street? O Yes ER No 4. Is Crossing Illuminated? (Street lights within approx. 50 feet from nearest rail) ❑ Yes Li No 5. Crossing Surface (on Main Track, multiple types allowed) Installation Date • (MM/YYYY) / Width • Length • ❑ 1 Timber O 2 Asphalt ❑ 3 Asphalt and Timber EM 4 Concrete ❑ 5 Concrete and Rubber O 6 Rubber O 7 Metal ❑ 8 Unconsolidated O 9 Composite O 10 Other (specify) 6. Intersecting Roadway within 500 feet? ® Yes El No If Yes, Approximate Distance (feet) 75 7. Smallest Crossing Angle O 0° — 29° ❑ 30° — 59° ® 60° - 90° 8. Is Commercial Power Available? • IR Yes O No Part VL Public Highway Information 1. Highway System ❑ (01) Interstate Highway System ❑ (02) Other Nat Hwy System (NHS) ❑ (03) Federal AID, Not NHS RI (08) Non -Federal Aid 2. Functional Classification of Road at Crossing ® (0) Rural 0 (1) Urban O (1) Interstate ❑ (5) Major Collector O (2) Other Freeways and Expressways O (3) Other Principal Arterial ❑ (6) Minor Collector ❑ (4) Minor Arterial EM (7) Local 3. Is Crossing on State Highway System? 4. Highway Speed Limit MPH O Yes ® No O Posted O Statutory 5. Linear Referencing System (LRS Route ID) • 6. LRS Milepost " - 7. Annual Average Daily Traffic (AADT) Year 1987 AADT 50 8. Estimated Percent Trucks 05 % 9. Regularly Used by School Buses? ❑ Yes IN No Average Number per Day 0 10. Emergency Services Route ❑ Yes O No Submission Information" This information, is used, for administrative purposes and is not available on the. public website: .','• Submitted by Organization Phone -Date Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS -25 Washington, DC 20590. FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 2 OF 2 IIFPARTMFNT OF TRANSPORTATION FEDERAL RAILROAD ADMINISTRATION (FRA) HIC;HWAV-RAII C;RAOF (;ROSSIN(; ACCIDENT/INCIDENT REPORT EXHIBIT H OMB Approval No. 2130-0500 Name Of Alphabetic Code RR Accident/Incident No. 1. Reporting Railroad Union Pacific Railroad Company IUPI 1a. Up lb. 1108DV008 2. Other Railroad Involved in Train Accident/Incident 2a. 2b. 3. Railroad Responsible for Track Maintenance Union Pacific Railroad Company IUPI 3a. UP 3b. I I08DV008 4. U.S. DOT-AAR Grade Crossing ID No. 804355Y 5. Date of Accident/Incident 11/12/08 6. Time of Accident/Incident 02.00 PM 7. Nearest Railroad Station LASALLE 8. Division DENVERSU 9. County WELD 10. State Code Abbr. 08 I CO 11. City (if in a city) LA SALLE 12. Highway Name or No. COUNTY ROAD 48 V Public Private Highway User Involved Rail Equipment Involved 13. Type C. Truck -trailer F. Bus J. Other Motor Vehicle A. Auto D. Pick-up truck G. School Bus K. Pedestrian B. Truck E. Van H. Motorcycle M. Other (specify) Code D 17. Equipment 4. Ca s) (moving) 8. Other (specify) 1. Train (units pulling) 5. Car(s) (standing) A. Train pulling- RCL 2. Train (units pushing) 6. Light loco(s) (moving) B. Train pushing- RCL 3. Train (standing) 7. Light loco(s) (standing) C. Train standing- RCL Code 14. Vehicle Speed (est mph at impact) 5 15. Direction (geographical) Code 1. North 2. South 3. East 4. West I 4 18. Position of Car Unit in Train 1 16. Position 1. Stalled on crossing 3. Moving over crossing Code 2. Stopped on Crossing 4. Trapped I 3 19. Circumstance 1. Rail equipment struck highway user Code 2. Rail equipment struck by highway user I 1 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 2 20b. Was there a hazardous materials release by 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 4 20c. State the name and quantity of the hazardous material released, if any 21. Temperature (specify if minus) 65 'F 22. Visibility (single entry) Code 1. Dawn 2. Day 3. Dusk 4. Dark I 2 23. Weather (single entry) 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 6. Snow Code I I 24. Type of Equipment A. Spec. MoW Equip Consist 1. Freight train 4. Work train 7. Yard/Switching (single entry) 2. Passenger train 5. Single car 8. Light loco(s Code 3. Commuter train 6. Cut of cars 9. Main./inspect. car I I 25. Track Type Used by Rail Equipment Involved 1. Main 2. Yard 3. Siding 4. Industry Code I 26. Track Number or SINGLE MAIN Name LINE 27. FRA Track Class 4 28. Number of Locomotive Units 2 29. Number of Cars 50 30. Consist Speed (Recorded if available) Code R. Recorded E. Estimated 40 mph I R 31. Time Table Direction ' 1. North 2. South 3. East 4. West Code I I •32. Type of 1. Gates 4. Wig wags 7. Crossbucks 10. Flagged•by crew Crossing 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) Warning 3. Standard FLS 6. Audible 9. Watchman 12. None 33. Signaled Crossing • Warning 34. Whistle Ban 1. Yes 2. No 3. Unknown I Code 2 Code(s) I 08 I 07 I I I I_ 35. Location 1. Both Sides 2. Side of 3. O000s of Warning Vehicle Approach to Side of Vehicle Aoeroach Code I 36. Crossing Waming Interconnected with Highway Signals 1. Yes 2. No 3. Unknown Code 2 37. Crossing Illuminated by Street Lights or Special Lights 1. Yes 2. No 3. Unknown Code 2 38. Driver's Age 25 39. Driver's Gender 1. Male 2. Female Code I 40. Driver Drove Behind or in Front of Train and Struck or was Struck by Second Train 1. Yes 2. No 3. Unknown Code 2 41. Driver 1. Drove around or thru the gate 4. Stopped on crossing 2. Stopped and then proceeded 5'. Other (specify) I 3. Did not stop Code 2 42. Driver Passed Standing Highway Vehicle 1. Yes 2. No 3. Unknown Code 2 43. View of Track Obscured by (primary obstruction) Code 1. Permanent Structure 3. Passing Train 5. Vegetation 7. Other (specify) 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed I 8 Casualties to: Killed Injured 44. Driver was Code 1. Killed 2. Injured 3. Uninjured I 3 45. Was Driver in the Vehicle? Code 1. Yes 2. No I I 46. Highway -Rail Crossing Users 0 p 47. Highway Vehicle Property Damage (eat. dollar damage) I 50 48. Total Number of Highway -Rail Crossing Users (include driver) 3 49. Railroad Employees o 0 50. Total Number of People on Train (include passengers and crew) 2 51. Is a Rail Equipment Accident / Code Incident Report Being Filed 1. Yes 2. No I 2 52. Passengers on Train 0 0 53a. Special Study Block 153b. Special Study Block 54. Narrative Description 55. Typed Name and Title 56. Signature 57. Date FORM FRA F 6180.57 NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A EXHIBIT J 30" tice of Proposed Closing of This C ssin An application to close and remove the roadway, but leave the railroad tracks open at this crossing has been filed with the Colorado Public Utilities Commission. Commission Address: 1560 Broadway, Suite 250 en, er, Cl .0202 Date of crossing closure requested: XX/XX/2018 U.S. DOT National Crossing Inventory Nurniier: 804-354S Proceeding No. I 8A-XXXR arties have the right to file written intervention or objection with the Commission at the address stated above. Please include Proceeding No. I 8A-XXXR. All written intcrventions or ejections must be filed with the Co mission by no later than 2018 Month day, Hello