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Date: 2013.05.20 13:20:54 -06'00'
Recording Secretary for Planning Commission
Application Review Notification Card
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FT LUPTON CO
3985 CR 19
JOSEPH HARRISON
82003-0743
CHEYENNE WY
PO BOX 743
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JOHN MC FEE JR ETAL
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755 E MULBERRY AVE
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3863 CR 19
GREG REIDER
80621-8408
FT LUPTON CO
3647 CR 19
MARLEEN ROSENZWEIG
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FT LUPTON CO
3867 CR 19
TBR RANCH LLC
FT LUPTON CO
8502 CR 10
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Recording Secretary for Planning Commission
CERTIFICATION
RE: NOTIFICATION OF MINERAL INTEREST OWNERS AND LESSEES
The undersigned Applicant certifies compliance with the provisions of C.R.S. § 24-65,5-
103(1), and in support thereof, states and certifies as follows:
That Applicant has provided notice, (a copy of which is attached hereto as
Exhibit "A"), contain t time and place of the initial public hearing on its application
for Case Number �)h tc L - tehthe nature of the initial public hearing, the legal
description by section, township and range of the property which is the subject of the
initial public hearing, and the name of the applicant;
2. That said notice was provided thirty (30) days prior to the scheduled
public hearing, that it was provided by certified mail, return receipt requested, or by a
nationally recognized overnight courier;
3. That said Exhibit A includes the list of the names and addresses of the
surface owners, mineral estate owners and lessees of mineral interests to whom the notice
was sent, including those persons who have requested receipt of such notices, pursuant to
C.R.S. § 24-65.5-103(3).
APPLICANT:
ti lvKK. J-01( L. --cif) HS
STATE OF CI OrUkilti
COUNTY OF cArnm5
ii?Illit 1.(1 f.t�rt
il
Subscribed and sworn to before me this y 0—,
1� da of of "t by
26\M.C kO, '01,,CS CI 1023
•
Notary"Public
K
Note: This Certification must be received by the Weld County Department of Planning --
Services prior to or at the initial public hearing. If the Certification is not received by that
time, the hearing will be rescheduled to a later date, and Applicant must re -notify all
owners of mineral interests.
MMININSas
IO R10itt�
W lagMON WOES Jtl1E,. 2016
Exhibit A
Johns RECEIVED
8690 Weld County Road 10
Ft. Lupton, CO 80621 MAY p "nil
Weld County Planning Deportment
GREELEY OFFICE
May 13, 2013
Noble Energy Inc. C/O of K E Andrews & Company
3615 S. Huron Street, Suite 200
Englewood, CO. 80110
RE: SPECIAL USE PERMIT USR13-0015
To Whom it may concern:
There will be a Planning Commission hearing to hear the following case: USR13-0015
Request: Change of Zone from the R-1 (Low -Density Residential) Zone District to the
1-3 (Industrial) Zone District.
Applicant Name: Lynn and Jolene Johns
Well: Nobel Energy Well #05-123-15867
Hearing Time and Date: Tuesday, June 18th at 1:30 PM
Hearing Location: Weld County Administration Building, 150 O Street, Greeley, CO
Sincerely,
Jolene Johns
Exhibit A
Special Use Permit: USR13-0015
Interest Owners and Lessees:
Noble Energy Inc.
C/0 of K E Andrews & Company
3615 S. Huron Street, Suite 200
Englewood, CO. 80110
Well # 05-123-15867
FORT LUPTON MPO
FORT LUPTON, Colorado
806219996
0723550392-0098
05/15/2013 (800)275-8777 05:01:31 PM
Sales Receipt
Product Sale Unit Final
Description City Price Price
-Er,GLEL!:]?u CO ₹^'.
Co:: `ca ,Fec
(Fnuersr,
?,nr1 RC(.urJ
(Fn Jorr„Tenl
Tote. Pcr o reef.
or PO Box No.7S
fraia
ENGLEW00D CO 80110 $0.46
Zone --1 First -Class
Letter
0.60 oz.
Expected Delivery: Thu 05/16/13
Return Rcpt (Green $2.55
Card)
@@ Certified $3.10
Label #: 70123460000115451035
Issue PVI: $6.11
Total:
Paid by:
Cash
Change Due:
$6.11
$7.00
-$0.89
@@ For tracking or inquiries go to
USPS.com or call 1-800-222-1611,
Order stamps at usps.com/shop or
call 1-800-Stamp24. Go to
usps,com/clicknship to print
shipping labels with postage, For
other information call
_enn_ACV_(IQOC
(12 digit number - found on Tax I.D. information, obtainable at the Weld County Assessor's Office, or www.co weld.co.us)
(Include all lots being included in the application area, if additional space is required, attach an additional sheet)
AFFIDAVIT OF INTEREST OWNERS
SURFACE ESTATE
Property Legal Description:
t,,
r,
ri
r«
L: / S['C///•N /t1 . / $/l7l
/ /
5/CAA A-- /4,-477,n/ /-7.7 lf�v r t✓c/� cc9.
9 Pi
Parcel Number I L4 W A__ D 7I 13 C L)CL
(RE 2
C I. H z)J)
THE UNDERSIGNED, being first duly sworn, states that to the best of his or her knowledge the attached list is a
true and accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by
the Weld County Assessor of the owners' of property (the surface estate) within five hundred (500) feet of the
property being considered. This list was compiled from the records of the Weld County Assessor, or a person
qualified to do the task, and shall be current as of a date no more than thirty (30) days prior to the date the
application is submitted to the Department of Planning Services.
By:
Title:
The foregoing instrument was subscribed and sworn to me this
WITNESS my hand and official seal.
My Commission Expires:
day of
Notary Public
WELD COUNTY COLORADO LAND RECORDS
AFFIDAVIT OF INTERESTED LAND OWNERS
SURFACE ESTATE
THE UNDERSIGNED, States that to the best of his or her knowledge the attached list is a true and accurate list of
the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor
of the owners of the property (the surface estate) within 500 feet of the property being considered. This list was
compiled utilizing the records of the Weld County Assessor available on the Weld County Internet Mapping site,
http://www.co.weld.co.us, and has not been modified from the original. The list compiled for the records of the Weld
County Assessor was assembled within thirty days of the applications submission date.
Date
Property Owners Within 500 ft. of Parcel # 146916100009
Account Parcel Owner
R4106806 146916100006 BEEN SHERYL A
R2227603 146916100091 HARRISON JOSEPH A
R2227703 146916100092 HARRISON JOSEPH A
R2227603
R2227703
R4361406
R4361506
R4361406
146916100091 HARRISON LORI J
146916100092 HARRISON LORI J
146916100008 JOHNS H L II
146916100009 JOHNS H L II
146916100008 JOHNS JOLENE P
R4361506 146916100009 JOHNS JOLENE P
R6043986
R6033786
R7438197
R4106806
R1194396
M1171600
R7437697
R7437697
146916000001
146909000003
146916100081
146916100006
146916100004
146916100004
146916100080
146916100080
MC FEE JOHN L JR ETAL
NRC CO 1 LLC
REIDER GREG K
ROSENZWEIG MARLEEN F
TBR RANCH LLC
TBR RANCH LLC
VEIT DOLF C
VEIT SUSAN A
Mailing Address
3985 COUNTY RD 19
FORT LUPTON CO 80621
3985 COUNTY RD 19
FORT LUPTON CO 80621
8690 CR 10
FORT LUPTON CO 80621
8690 CR 10
FORT LUPTON CO 80621
C/O RONALD W MC FEE
P O BOX 743
CHEYENNE WY 82003-0743
755 E MULBERRY AVENUE
6TH FLOOR
SAN ANTONIO TX 78212
3863 CR 19
FORT LUPTON CO 80621
3647 COUNTY RD 19
FORT LUPTON CO 806218408
3867 COUNTY RD 19
FORT LUPTON CO 80621
3867 COUNTY RD 19
FORT LUPTON CO 80621
8502 CR 10
FORT LUPTON CO 80621
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