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HomeMy WebLinkAbout20153730.tiff RESOLUTION RE: APPROVE APPLICATION FOR ENERGY AND MINERAL IMPACT ASSISTANCE PROGRAM GRANT FOR COUNTY ROAD 44 FROM COUNTY ROAD 39 TO COUNTY ROAD 43 (TIER I-PHASE 2) AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with an Application for Energy and Mineral Impact Assistance Program Grant for County Road 44 from County Road 39 to County Road 43 (Tier I-Phase 2) from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Finance and Administration, to the Colorado Department of Local Affairs, commencing upon full execution of signatures, with further terms and conditions being as stated in said application, 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 for Energy and Mineral Impact Assistance Program Grant for County Road 44 from County Road 39 to County Road 43 (Tier I - Phase 2) between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Finance and Administration, to the Colorado Department of Local Affairs be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said application. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 30th day of November, A.D., 2015. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: ddzAdIA) �,' „ dolt EXCUSED � Barbara Kirkmeyer, Chair Weld County Clerk to the Bo kt2 ike Freeman, Pro- em BY. Deputy lerk to the `' can P. Co ay APPR. p0 FORM: Julie Cozad County Attorney Steve Moreno Date of signature: l//k.9O//6 2015-3730 CC Q.C.Cl-:Pi.J Cc/ . � 4 i FI0061 s61_ % MEMORANDUM \! ' J}) TO: Clerk to the Board �_ _u_GO _NTY --� DATE: November 25, 2015 FROM: Elizabeth Relford, Transportation Manager SUBJECT: DOLA Application—Tier 1, December Cycle - WCR 44 (Phase 2) The attached DOLA application requests Energy and Mineral Impact Assistance Funds (EIAF) for a Tier I $200,000 grant for the full depth reconstruction (FDR) of two miles of WCR 44 from WCR 39 to WCR 43. The Tier I application would help pay the cost of materials for reconstructing WCR 44. The total material cost of the two-mile project is estimated to be $534,275 and the work will be performed by Public Works crews. This is a 2016 Haul Route Project(HARP). Staff recommends Board approval of the DOLA application, which is due December 1, 2015. I am available at your convenience to further discuss this matter. BOARD OF COUNTY COMMISSIONERS INFORMATIONAL PASS AROUND/WORK SESSION REQUEST RE: WCR 44 Full Depth Reconstruction (Phase 2) - EIAF Grant Application DEPARTMENT: PUBLIC WORKS DATE: 11/24/15 PERSON(S) REQUESTING: Elizabeth Relford Brief description of the problem/issue: The attached application is for a Tier 1 $200,000 Energy Impact Assistance Fund (EIAF) grant through the Department of Local Affairs(DOLA)for the full depth reconstruction(FDR)of two miles of WCR 44 from WCR 39 to WCR 43. A similar grant was approved for three miles of WCR 44 from WCR 43 to WCR 39 in August. The grant would help pay the cost of materials for the reconstruction of the road. The total material cost of the two-mile project is estimated to be $534,275 and the work will be performed by Public Works crews. This is a 2016 Haul Route Project(HARP). Recommendation to the Board: Staff recommends Board approval of the DOLA application, which is due December 1, 2015. Approve Schedule Recommendation Work Session Comments Barbara Kirkmeyer, Chair Mike Freeman M F Sean P. Conway Steve Moreno Julie Cozad 2015-3730 Revised 2.20.15 A DOLA COLORADO CO Department of Local Affairs Division of Local Government ENERGY AND MINERAL IMPACT ASSISTANCE PROGRAM APPLICATION Tier I or Tier II Applications Must Be Submitted Electronically-Directions on Last Page -You are Highly Encouraged to Work with your Regional Field Manager when Completing your Application- A. GENERAL AND SUMMARY INFORMATION 1. Name/Title of Proposed Project: Full Depth Reconstruction of two miles of WCR 44 Tier I (Phase 2) 2.Applicant: Weld County (In the case of a multi-jurisdictional application,name of the"lead"municipality,county,special district or other political subdivision). In the case of a multi-jurisdictional application, provide the names of other directly participating political subdivisions: 3. Chief Elected Official (In the case of a multi-jurisdictional application, chief elected official of the"lead" political subdivision): Name: Barbara Kirkmeyer Title: Chair Mailing Address: 'PO Box 758 Phone: 970-356-4000 x4200 City/Zip: Greeley, CO 80632-0758 Phone: E-Mail Address: bkirkmeyer@weldgov.com 4. Designated Contact Person (will receive all mailings)for the Application: Name: Barbara Connolly Title: Controller Mailing Address: PO Box 758 Phone: 970-356-4000 City/Zip: Greeley, CO 80632-0758 Phone: E-Mail Address: bconnolly@weldgov.com 5.Amount of Energy/Mineral Impact Funds requested: (Tier I; Up to$200,000 or Tier II; Greater than $200,000 to$2,000,000) Tier 1 -$200,000 6. Description of the Project Scope of Work: (Project Description of the various tasks involved in the project including specific data such as quantities,mileage,square feet,lineal ft.etc.as well as specific project location within city and or county etc.) Weld County requests funding to assist with reconstructing approximately two miles of Weld County Road 44 due to damage created in part from intense oil and gas truck activity. In 2009,the Weld County Commissioners implemented Public Works' Oil&Gas Haul Route Program (HARP).The program uses direct distribution severance dollars on roads significantly impacted by oil and gas activity. However, the County struggles to keep up with road damage.The County cannot afford to pave every road and increased truck traffic is making it difficult to maintain existing roads. Therefore, Public Works now uses cement-treated base in new road projects to reinforce the subgrade(below the asphalt) in order to support truck traffic.We call this program Full Depth Reconstruction (FDR). This grant request is a continuation from Phase 1,which is to extend the reconstruction of two miles of existing paved road utilizing FDR. Please see the attached map and the photographs at the end of this application. 7. Local priority if more than one application from the same local government(1 of 2,2 of 2,etc.) 1 of 1 Page 1 of 10 "5 730 Revised 2.20.15 B. DEMOGRAPHIC AND FINANCIAL INFORMATION. 1. Population a.What was the 2010 population of the applicant jurisdiction? 254,230 b.What is the current population? 283,767 (Current/most recent conservation trust fund/lottery distribution estimate is acceptable.)What is the source of the DOLA estimate? c. What is the population projection for the applicant in 5 years? 329,759 What is the source of the projection? DOLA 2. Financial Information (Current Year): In the column below labeled"Applicant"provide the financial information for the municipality,county,school district or special district directly benefiting from the application. In the columns below labeled"Entity",provide the financial information for any public entities on whose behalf the application is being submitted(if applicable). Complete items "a through j" for ALL project types: Applicant Entity Entity a. Assessed Valuation (AV)Year: 2015 $8,969,895,330 b. Mill Levy 15.800 c. Property Tax Revenue (mill levy x AV) $141,724,346 d. Sales Tax (Rate/Estimated Annual Revenue) 0%/$0 %/$ %/$ e. Total General Fund Budget Revenue $135,110,244 f. Total Applicant Budget Expenditures (Sum of General Fund and all Special Funds) $307,031,089 g. General Fund Balance as of January 1 of this current calendar year. $12,000,000 h. General Fund Balance(Unrestricted) as of January 1 of this current calendar year. $12,000,000 i. Total Multi-year Debt Obligations (all funds") $0 j. Total Lease-Purchase and Certificates of $0 Participation obligations* For projects to be managed through a Special Fund other than the General Fund (e.g. County Road and Bridge Fund)or managed through an Enterprise Fund (e.g.water, sewer, county airport), complete items "k through o": Identify the relevant Special Fund or Enterprise Fund: k. Special or Enterprise Fund Budget Amount $84,449,304 I. Special or Enterprise Fund Multi-Year Debt $0 Obligations* m.Special or Enterprise Fund Balance as of $9,635,000 January 1 of this calendar year n. Special or Enterprise Fund Balance (Unrestricted)as of January 1 of this calendar $0 year o. Special or Enterprise Fund Lease-Purchase $0 and Certificate of Participation Obligations* p. Special Fund Mill Levy (if applicable) 1.839 For Water and Sewer Project Only complete items "q through s": q. Tap Fee r. Average Monthly User Charge (Divide sum of annual(commercial and residential) revenues by 12 and then divide by the number of total taps served.) NOTE:Commercial and Residential Combined s. Number of total Taps Served by Applicant •Include the sum of the year-end principal amounts remaining for all multi-year debt obligations,lease purchase agreements or certificate of participation notes Page 2 of 10 Lo 6 \ $ 0) O • .E := O < CO CD } E >- 115 Z 0 E 43 2 / / 13 a mm / / f \ } E o / LO 7 / 'a 0\ a o /7 N. N. ° � \ « R G et- cf k \ CO \.- ® Z ® _ ±'- 0 - \\ §o \ c &o « E _ RI L = -0 S2 ( 7 cf 2 @u / 2 \ \ � � ^ 20 § = E { E 0_/ o — — 2 C0J ` a. \ \ \ \ \ � \ k4 \ § % s5 $ c & c2 c m f0622 ° ° k � o \ 2 �f ± / /- /§ ° ° k � { \ § / § @ } 2 \ \ a) @E_ = wo f ± � . ; \ § § O Cl) 0 § E \ / U) U) . k m () c C k = t® C) C) 3 wE 2 2 I [» $ ° = c = \ SE Ce > 0 — _ \ % a) x0 §° 0 71 5 co 2 §\ 0 0 2 . .2 C E 7 w QC &oO 3 o co ji/ F 2 CI \ 'c $ 2 O 0- - \ CO = cOE § c c \ ° o \ a _,O f w0 2 $ Q X20, 0 U / ## : = � « � a 2f � ) Q I- (I) d w \ \ 4a; � � 1- j Revised 2.20.15 D. PROJECT INFORMATION. The statutory purpose of the Energy and Mineral Impact Assistance program is to provide financial assistance to "political subdivisions socially or economically impacted by the development, processing or energy conversion of minerals and mineral fuels." 1. Demonstration of Need: a. Why is the project needed at this time? This project is needed to improve safety.Weld County is one of the most active oil and gas counties in the State. As a result,the impact to county roads is significant and they are difficult to maintain.Weld County has approximately 3,000 miles of road, of which 800 are paved. Many of the County's existing paved roads were not designed to withstand the increased oil and gas truck traffic and are deteriorating rapidly. In order to handle truck traffic,these roads need to be rebuilt from the subgrade level up. Additionally,this grant is an extension of the reconstruction of WCR 44(Phase 1)from WCR 43 to WCR 49. Phase 2 will complete the full depth reconstruction connection between Phase 1 and EIAF 7602(WCR 39). b. How does the implementation of this project address the need? I The project reconstructs approximately two miles of the eight miles of WCR 44 between US 85 and WCR 49. c. Does this project, as identified in this application, completely address the stated need? If not, please describe additional work or phases and the estimated time frame. Do you anticipate requesting Energy and Mineral Impact Assistance funds for future phases? Yes, but not for WCR 44. The Commissioners just approved the CIP for 2016 and future applications will coincide with it. d. What other implementation options have been considered? The County is using a significant amount of oil and gas property taxes and direct distribution severance funds for county-wide road improvements. This funding assists Public Works road improvements,which have increased significantly. In order to keep up with road improvements,Weld County has hired additional crews and acquired more equipment to help offset oil and gas impacts. e. What are the consequences if the project is not awarded funds? If funding is not awarded,the road will continue to deteriorate.Weld County may have to reduce the speed limit and sign the area with "Road Damage Ahead" signs. 2. Measurable Outcomes: a. Describe measurable outcomes you expect to see when implementation of this project is complete. How will the project enhance the livability*of your region, county, city, town or community(e.g. constructing a new water plant will eliminate an unsafe drinking water system and provide safe and reliable drinking water; the construction of a new community center will provide expanded community services, or projects achieving goals regarding energy conservation, community heritage, economic development/diversification, traffic congestion, etc.)? "(Livability means increasing the value and/or benefit in the areas that are commonly linked in community development such as jobs, housing,transportation,education, emergency mitigation, health and environment) The improvements will make the roadway safer for all motorists and add years of life to the existing roadway by using new technology at the subgrade level. b. How many people will benefit from the project? (i.e., region, county, city, town, community, subdivision, households or specific area or group; or any portion thereof) WCR 44 is an arterial road with approximately 1,500 vehicles per day with 21 percent being heavy truck traffic. c. How will the outcome of the project be measured to determine whether the anticipated benefits to this population actually occur? Traffic counts will continue to be collected to determine if traffic increases. d. Does this project preserve and protect a historic building, facility or structure? If yes, please describe. Year of construction: No historic building,facility, or structure is involved in the project. e. Will this project implement an energy efficiency/strategy that could result in less carbon footprint or conserve energy use or capitalize on renewable energy technology? If yes, please describe. By utilizing Concrete-Treated Base(CTB)with a GPS-equipped grader it will reduce the number of grader passes, which reduces pollution and providing an improved air quality benefit. 3. Relationship to Community Goals a. Is the project identified in the applicant's budget or a jurisdictionally approved plan (e.g. capital improvement plan, equipment replacement plan, comprehensive plan, utility plan, road maintenance and improvement plan or other local or regional strategic management or planning document)? What is its ranking? Yes, this project has been identified in Public Works general fund budget. Page 4 of 10 I Revised 2.20.15 4. Local Commitment and Ability to Pay/Local Effort a.Why can't this project be funded locally? This project can't be entirely funded locally because the oil and gas impacts to the County are so significant that we cannot use all of our resources on every road annually.As mentioned previously, heavy spring rains and runoff have damaged roads and bridges across the County. b. Has this project been deferred because of lack of local funding? If so, how long? Yes,this project has been deferred from last year's HARP program. Due to increased truck traffic,these roads have emerged with emergency repair needs that Public Works cannot solely address. c. Explain the origin of your local cash match. (Note: Whenever possible, local government cash match on a dollar for dollar match basis is encouraged.) The Commissioners fund the HARP program annually with $4 million. The HARP funds are direct distribution severance monies budgeted specifically to Public Works. d.What other community entities, organizations, or stakeholders recognize the value of this project and are collaborating with you to achieve increased livability of the community? Please describe how your partners are contributing to achieve the improvement to the livability of the community through this project. If in-kind contributions are included in the project budget, detailed tracking will be required on project monitoring report. All motorists utilizing these roads recognize the value of this safety project; however, it is several miles from the nearest communities,which are Gilcrest, LaSalle, and Kersey.Those communities do not have funding for contributing to County road projects.WCR 44 is also a school bus route for District RE-1. i. Please describe the level of commitment by each collaborator. (e.g. fee waivers, in-kind services, fundraising, direct monetary contribution, policy changes.) Weld County will use the grant funds to leverage the cost of materials to construct the improvements.Weld County crews will provide the labor and equipment to complete the work.The grant cash match will be from Public Works'general fund. ii. Please list the value of the resources that each collaborator is bringing to the program. e. Has the applicant dedicated the financial resources in their current budget, reserve funds and/or unused debt capacity that are being used for the local matching funds? Explain if No As required by State Statute,Weld County maintains a contingency fund. If awarded,Weld County will fund the cash match from Public Works'general fund. f. Have the applicant's tax rates, user charges or fees been reviewed recently to address funding for the proposed project? Weld County has so many impacted roads that all available funding is going into the HARP program to improve as many county roads as possible.This grant would help offset the cost of materials for this project. g. If the tax rate, user charges or fees were modified, what was the modification and when did this change occur? Weld County has been directing the revenues from the Specific Ownership Tax to Public Works since 1985. h. Has the applicant contacted representatives from local energy or mineral companies to discuss the project? If yes, when was the contact and what was discussed. HARP roads are discussed at Weld County's Oil and Gas Working Group regular meetings. The O&G Working Group is made up of industry partners where we discuss impacts affecting us all and problem solve how we can work together to minimize or remediate problems. i. Has the applicant requested financial support from the industry? If yes, when was the contact, what amount did you request? What were the results? If no, why not? The industry typically helps Weld County projects with in-kind support such as water hauling, gravel,trucking, and stock piling. 5. Readiness to Go a.Assuming this project is funded as requested, how soon will the project begin? Select One (X)Within 3 months, (j3-6 months, (_)6-9 months or(_)9-12 months? What is the time frame for completion?Select One (_)Within 3 months, (_)3-6 months, (_)6-9 months, (_)9-12 months or(_) >12 months. b. Describe how you determined that the project can be completed within the proposed budget as outlined in this application? Are contingencies considered within the project budget? The budget has been estimated by professional engineers. If the project exceeds the estimate,the County will reallocate funds from another project or reduce project scope c. Has the necessary planning been completed? How? What additional design work or permitting must still be completed, if any? When? How did the applicant develop project cost estimates? Is the project supported by bids, professional estimates or other credible information? Please attach a copy of any supporting documents. Since the construction project occurs within the existing right-of-way limits no design is needed. Page 5 of 10 Revised 2.20.15 6. Energy& Mineral Relationship a. Describe how the applicant is, has been, or will be impacted by the development, production, or conversion of energy and mineral resources. Weld County accounts for more than fifty percent of all oil and gas activity for the entire state and therefore is extremely impacted. Much of the road's traffic is due to oil and gas trucks. b. To further document the impact in the area, name the company or companies involved, the number of employees associated with the activities impacting the jurisdiction and other relevant, quantitative indicators of energy/mineral impact. Companies with wells in the area include: Noble Energy, PDC Energy, Encana Oil & Gas(USA), Inc., Prima Exploration, Inc. and others. On County Road 49, Ensign, Heartland Biogas, and Rose Rock Midstream Crude all have operations. 7. Management Capacity a. How will you separate and track expenditures, maintain funds and reserves for the capital expenditures and improvements as described in this project? Weld County's Accounting Department is recognized as a Tier 3 local government by the State and can manage all invoicing information through Banner Accounting System. In addition, Public Works will use the project management software PubWorks to assist in administering the project. b. Describe the funding plan in place to address the new operating and maintenance expenses generated from the project? Weld County will continue to utilize the Highway Users Tax Fund (HUTF)for maintenance expenses. c. Describe the technical and professional experience/expertise of the person(s) and/or professional firms responsible to manage this project. Weld County Public Works has several engineers on staff and proven expertise in roadway improvement projects. Elizabeth Relford, Transportation Manager,will be responsible for managing this project. d. Does the project duplicate service capacity already established? Is the service inadequate? Has consolidation of services with another provider been considered? This is a safety project and does not duplicate service capacity but creates it. Current service is inadequate and inefficient to meet existing traffic demands. E. HIGH PERFORMANCE CERTIFICATION (HPCP) PROGRAM COMPLIANCE. Colorado Revised Statutes (C.R.S. 24-30-1305.5) require all new facilities, additions, and renovation projects that meet the following eligibility criteria to conform with the High Performance Certification Program (HPCP) policy adopted by the Office of the State Architect(OSA) if: • The project receives 25%or more of state funds; and • The new facility, addition, or renovation project contains 5,000 or more building gross square feet; and • The building includes an HVAC system; and • In the case of a renovation project, the cost of the renovation exceeds 25% of the current value of the property. The HPCP requires projects that meet the eligibility criteria above to achieve third party verification with the target goal of LEED Gold or Green Globes-Three Globes. Projects are strongly encouraged to meet the Office of the State Architect's (OSA) Sustainable Priorities in addition to the LEED prerequisites. Projects funded through DOLA that meet the above eligibility criteria are required to complete the DOLA registration and tracking process. See DOLA's HPCP web page for more information or contact your DOLA regional manager. In instances where achievement of LEED Gold or Green Globe-Three Globes certification is not achievable, an applicant may request a modification of the HPCP policy or a waiver if certain conditions exist. DOLA staff will work with applicants to identify workable solutions to meet the program's intent to maximize building energy efficiencies. Please answer the following questions: (Complete this section only if your project application is for a building project, both new construction as well as renovation.) 1. Is the applicant seeking state funding for 25% or more of the total project cost (including all phases, if applicable)? Yes No (If no,the project does not meet the HPCP requirement and the rest of this section does not need to be completed) 2. Does the building include an HVAC system? Yes No Page 6 of 10 Revised 2.20.15 If yes, please check whether the proposed project includes a HVAC upgrade or new HVAC system. 3. Is this project(check all that apply): _new construction renovation new and renovation New building square footage: SF Renovation square footage: SF Is the building square footage(new construction and/or renovation) 5,000 SF or more? Yes No 4. For building renovation projects: What is the current property value? (Determine based on assessed or appraised value) $ What is the total project cost for the renovations? $ Does the cost of renovation exceed 25% of the current value of the property? Yes No 5. If you answered "yes"to questions 1, 2, 3, and if applicable, 4,then your project meets the HPCP eligibility criteria. Complete the HPCP registration form and preliminary checklist and submit with this grant application. (See DOLA's HPCP web paqe for registration and checklist form.) ADDITIONAL QUESTIONS: 6. Have you included any additional costs in this grant application for third party verification to comply with the High Performance Certification Program? Yes No If yes, please specify the estimated cost for third participation verification/certification:$ 7. Will you need assistance locating resources, third party consultants, or technical assistance for HPCP third party verification requirements, preparing cost estimates, or otherwise complying with the HPCP? Yes No Explain Note:If this application is for design services for a planned building project that meets the HPCP eligibility criteria and the applicant intends to seek state funding for 25%or more of the total project cost, then the design should maximize high performance building certification standards(by completing the HPCP checklist)and build in anticipated project costs, as appropriate. F. TABOR COMPLIANCE. 1. Does the applicant jurisdiction have voter authorization to receive and expend state grants without regard to TABOR spending limitations? If yes, explain: Yes 2. If the applicant jurisdiction receives a grant with State Severance funds, will the local government exceed the TABOR limit and force a citizen property tax rebate? I No 3. Has the applicant jurisdiction been subject to any refund under TABOR or statutory tax limitations? Explain. I No 4. Has the applicant sought voter approval to keep revenues above fiscal spending limits? Explain. I Yes 5.Are there any limitations to the voter approved revenues? (e.g., Can revenues only be spent on law enforcement or roads?) All Weld County ad valorem tax levies for county purposes,when applied to the total valuation for assessment of the County, shall be reduced so as to prohibit the levying of a greater amount of tax revenue than was levied from ad valorem taxation in the preceding year plus five percent(5%)except to provide for the payment of bonds and interest thereon. 6. If the applicant jurisdiction is classified as an enterprise under TABOR, will acceptance of a state grant affect this status? Explain. I No G. ENVIRONMENTAL REVIEW. Indicate below whether any of the proposed project activities: 1.Will be undertaken in flood hazard areas. Yes No X List flood plain maps/studies reviewed in reaching this conclusion. Describe alternatives considered and mitigation proposed. I FIRM panels: 080266-0775C dated September 28, 1992 2. Will affect historical, archeological or cultural resources, or be undertaken in geological Page 7 of 10 Revised 2.20.15 hazard area? Yes No X Describe alternatives considered and mitigation proposed. 3.Address any other related public health or safety concerns? Describe. Yes No X • APPLICATION SUBMISSION INSTRUCTIONS AND OFFICIAL BOARD ACTION DATE (REQUIRED) Application and attachments must be submitted electronically in WORD .DOC (Preferred) or .PDF Format (Unsecured) to: ImpactGrants@state.co.us Please Cc your Regional Field Manager all documents as well to ensure receipt. In email subject line include: Applicant Local Government name and Tier for which you are applying -example- Subject: Springfield County EIAF Grant Request, Tier 1 NOTE: Please do not submit a scanned application (scanned attachments ok). (If you are unable to submit electronically please contact your DOLA regional manager) For any questions related to the electronic submittal please call Bret Hillberry @ 303.864.7730 Attachments List (Check and submit the following documents, if applicable): ► Preliminary Engineering Reports ► Architectural Drawings ► Cost Estimates ► Detailed Budget ► Map showing location of the project X ► Attorney's TABOR decision ► HPCP Registration, modification Or Waiver Form Official Board Action taken on November 30, 2015 Date Submission of this form indicates official action by the applicant's governing board authorizing application for these funds. Page 8 of 10 Ilk_ t 0 r ' L .: r L w i • , �,1 •.mot it �°" , y y APf. ..1....... Sio 1'• .a hfy � J I0141 I Ar.,, r , 11''''i 04ieei (a _ t., 7/ fir It, JM ffff ii e) i AO 1\illt 1: ^ . ,... - \1\I® F 40 w �1 t _ _ 4 J. iI '. • r I i . 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