HomeMy WebLinkAboutAUTOZONE MINOR SUB - Filed OA-OTHER AGREEMENTS - 2003-05-27,a
SH No/MP/Side: 287/347.644/ri ght
COLORADO DEPARTMENT OF TRANSPORTATION Local Jurisdiction: Ft. Col 1 ins
SDist/Section/Patrol: 4/1/Q2
STATE HIGHWAY ACCESS PERMIT
DOT Permit No.: L�013
IOW II: L-mmy Jurigneyer (between 8-8:3D a.m./4-4:30 p_.m.) Permit Fee: $0.00
(9710) 493-1463 ce pager (970) 221 7745 Date of Transmittal: 01/23/%
THE PERMITTEE;
AUTOZONE, Inc. Contact: Lew Ellis
Dept. 4040 Ph. # (901)325-4488
3030 Poplar Avenue
Memphis, TN_ 3811.1
is hereby granted permission to construct and use an access to the state highway at the location noted below.
The access shall be constructed, maintained and used in accordance with the terms and conditions of this permit,
including the State Highway,Access Code and listed attachments. Th�fs permit may be revoked by the issuing
authority if at any time the,permitted access and its use violate any of the terms and conditions of this permit. The use
of advance warning and construction signs, flashers, barricades and flaggers are required at all times during access
construction within State right-of-way in conformance with the MANUAL ON UNIFORM TRAFFIC CONTROL
DEVICES, Part VI. The issuing authority, the Department and theirduly appointed agents and employees shall be held
harmless against any action for personal injury or property damage sustained by reason of the exercise of the permit.
LOCATION:
Access is to be located on State Highway 287 a distance of 400 feet south of the
centerline of Conifer Street on the east (right) side of SH 287. (Existing open curb cut
to be delineated by -asphalt driveway and landscape area)
ACCESS TO PROVIDE SERVICE. TO:
Retail auto parts store (7500 s.f.) ;
OTHER TERMS AND CONDITIONS:
1) This permit is only for the rise and purpose stated e Applica 'on and Permit. A
change in use of the property which results in, change in t e pe of driveway operation
may require reconstruction,lrelocation, or-+�formance of t riveway to the State Highwa
Access Code. \ �
2) Access is temporary until such tam as site access i s deter ed by a North Sege Aven
Access Control Plan. At that time, access may be relocatedVan r res ,� to
right-in/right-out access only. + CWAO nt o f�i,�In the l6a,,,n�lan d rZ1
3) Reconstruction or improvements to the access may be require e' t rm' tee has failed
to meet required specifications of design or materials. any construc ' n element fails
within 2 years due to improper construction or material specifications, the ermittee is
responsible for all repairs.
4) See Exhibit "B" - grading, utility, and access design plan
5) Proposed ultimate access design plan for CDOT permit file only to verify ultimate curb
and gutter flowline grades versus site grades
*** SEE DESIGN ATTACHMENT EXHIBIT "A" ***
MUNICIPALITY OR COUNTY APPROVAL
Required only he the a wopriate local authority retai s issuing authority.
By (X� Date /� Ar Title 1'
Upon the signing of this permit the permittee agrees to the terms and conditions and referenced attachments contained
herein. All construction shall be completed in an expeditious and safe manner and shall be finished within 45 days from
initiation. The permitted access shall be completed in accordance with the terms and conditions of the permit prior to
being used. The permittee shall notify City of Ft. Collins - Engineering Inspection Division
wPtlihlS�fXl�d1�4K#d� ttit2fi(K�fKTK9 bri�liKOticHx Dave Stringer at 147n1?21-6605
at least 48 hours- 4ahe
to commencing construction within the State Highway right-of-way:
The person signinpermittee m St be the owner or Ie�aLrepresentative of the property served by the permitted
access and have f
ty t the permit and -all -It's terms �d conditions.
Permittee (X) 0 Date-..
�"
This permit is not v lid' until signed by' .duly authorized representative of the Department.
DEPARTMEN TRANSF'ORTATION, STATE OF COLORADO
By(X) Date Title
REGION DEVELOPMENT/AccESS COORDINATOR
(Date of issue)
I
COPY DISTRIBUTION: Required; Make copies as necessary for; Previous Editions are Obsolete and will not be used
1. District (Original) Local Authority Inspec-.or CDOT Form #101
2 Applicani MTCF Patrol Traffic Fnq,neer 7/91
1.
2.
EXHIBIT "A"
2
The access shall be constructed 2-�
to lip of gutter) with twenty foot
„B„
ff
feet wide (lip of gutter
radii as shown on Exhibit
The access shall be surfaced immediately upon the completion
of earthwork and prior to use of the access.
3. Driveway surfacing within the right-of-way shall consist of
6" HBP Grading C and CX over 7" ABC Class 6 per the City of
Fort Collins Design Criteria and Standards for Streets. The
Developer shall have the option to use 8" Portland Cement
concrete for the driveway surfacing per City standards.
4. The access shall be constructed and maintained in a manner
that shall not interfere with the drainage system in the
right-of-way. Drainage to the State Highway right-of-way
shall not exceed the historical rate of flow.
5. Access Profile - The first 20 feet beyond the closest
highway lane, including speed change lanes, shall slope away
from the highway at a 20 grade to ensure proper drainage to
the cross pan.
6. The horizontal axis of the access shall be at a right angle
to the centerline of the highway and extend a minimum of 40
feet beyond the outside edge of the nearest lane.
7. Handicap access ramps shall be constructed in the future
when the City determines curb and gutter shall be installed.
8. If frost is present in the subgrade, no surfacing material
shall be placed until all frost is gone or removed.
9. Permittee is responsible for any utilities disrupted by the
construction of this access and all expenses incurred for
their repair.
10. Survey markers present must be preserved in their original
positions. Notify (970) 350-2173 immediately upon discovery
of any such markers at the site of access.
11. A COMPLETE COPY OF THIS PERMIT MUST BE ON THE JOB WITH THE
CONTRACTOR AT ALL TIMES DURING CONSTRUCTION. If necessary,
minor changes and additions may be ordered by the Department
or local authority field inspector to meet unanticipated
site conditions.
COLORADO DEPARTMENT OF' HIGHWAYS
Issuing authority
APPLICATION FOR STATE HIGHWAY ACCESS PERMIT
application acceptance
date
I `1
Instructions:
- contact the Department of Highways or your local government to determine your issuing authority.
- contact the issuing authority to determine what plans and other documents are required to be submitted with your
application.
- complete this form (some questions may not apply to you) & attach all necessary documents and submit it to the
issuing authority. Submit: an application for each access requested.
Please print or type
- if you have any questions contact the issuing authority.
1) Property owner Permittee)
2 �UTDZO�C: C
2) Applicant L-e rLUS roil /� �,�
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street address city 3o �o Ftv^L� M�
stre ' ,dre. ss city3v, FaP E
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state P4P I ry
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3) Address of property to be served by permit (if known) (�D � UW \� co,
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4) Legal description of property:
co_ u0.ty subdivision block lot set t14 5EC township-0 range Gq /
7 w
5) What state/hiiigh?wa ar you requesting /access from?
lJ� L9 N • UU✓c e AV&.
6) What side of the highway?
❑ N ❑ S XE ❑ W
7) How many feet is the proposed access from the nearest mile post or cross street? (` �/��
/ QOX `tad �E Q�%MD) Or GQ� I � CDU/0:7G
feet ( N W ) from. 10l
8) Check here if you are requesting a
❑ new access temporary access improvement to existing access change in access use
9) What is the approximate date you intend to begin construction? 1
10) Do you have knowledge of any State Highway access permits serving this property, of for adjacent properties in which you have a property interest.
❑ yes no If "yes" - what are the permit number(s)? and/or, permit date
11) Does the proper y owner own or have any interests in any adjacent property?
❑ yes no If "yes" - please describe:
12) Are there existing or dedicated public streets, roads, highways or access easements bordering or within the property?
❑ yes no If "yes" - list them on your plans and indicate the proposed and existing access points.
13) If you are requesting commercial or industrial access please indicate the types and number of businesses and provide the floor area square
footage of each?
business square footage business square footage
AA1Q- -Z,o0 e �Isix�
14) If you are requesting agricultural field access
- how many acres will the access serve?
15) If you are requesting residential development access, - what is the type (single family, apartment, townhouse) and number of units?
type number of units type number of units
16) Provide the following vehicle count estimates for vehicles that will use the access. Leaving property then returning is two counts. Indicate if
your counts are peak hour volumes ❑ or average daily volumes 00 1 GMn�
# of passengers cars and light trucks
# of multi unit trucks
# of other vehicles
# of single unit vehicles in excess of 30 it
# of farm vehicles (field equipment)
Total Count of All Vehicles
17) Check with the issuing authority to determine which of the following documents are required to complete the review of your application.
(plans should be no larger than 24" x 36")
e Property map indicating other access, bordering roads and streets.
}'1� Highway and driveway plan and profile. l f Proposed access design.
t Drainage plan showing impact to the highway right-of-way. g) Parcel and ownership maps including easements.
c) Map and letters detailing utility locations before and after h) Signing and striping plans.
development in and along the right-of-way. i) Traffic control plan
d) Subdivision, zoning, or development plan. j) Proof of liability insurance
If an access permit is issued to you it will state the terms and conditions for its use. Any changes in the use of the
permitted access not consistent with the terms and conditions listed on the permit may be considered a violation of
the permit.
THE APPLICANT DECLARES UNDER PENALTY OF PERJURY IN THE SECOND DEGREE, AND ANY OTHER
APPLICABLE STATE OR FEDERAL LAWS, THAT ALL INFORMATION PROVIDED ON THIS FORM AND
SUBMITTED ATTACHMENTS ARE TO THE BEST OF THEIR KNOWLEDGE TRUE AND COMPLETE.
Applicant signature
Date
�✓,1/�
it) A -A) 6 .
If the applicant is not the owner of the property, we require this application also to be signed by the property owner or
their legally authorized representative (or other acceptable written evidence). This signature shall constitute
agreement with this application by all owners -of -interest unless stated in writing. If a permit is authorized, the
property owner will be lister as the permittee.
Property owner signature
Date
Previous editions may be used until supplies are exhausted CDOH Form #137
1/AO