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1159 N 1 AVE
DONALD BRAZELTON
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1255 N 1ST AVE
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36790 COALBANK ROAD
BULLARD LEASING LLC
80631-9500
GREELEY CO
1149 N 1ST AVE
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1201 N 1ST AVE
STEPHEN FISHER
GREELEY CO
1331 N 1ST AVE
THOMAS FLOWER
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1287 N 1ST AVE
AMPARO GOMEZ TRUST
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STEVEN JOHNSON
LINCOLN CA
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MORO FARMS INC
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1419 N 1ST AVE
RICHARD QUACO
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JOSE SALAZAR
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VICTORIA TX
PO BOX 4317
THOMAS PETROLEUM LLC
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Dated the 17th day of May. 2013
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GREELEY CO
1159 N 1 AVE
DONALD BRAZELTON
GREELEY CO
1255 N 1ST AVE
RONALD BRUNGARDT
EATON CO
36790 COALBANK ROAD
BULLARD LEASING LLC
80631-9500
GREELEY CO
1149 N 1ST AVE
DAVID DAHLEY
ri r r-+ cri ri CO Lt") r r-+ m
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LULULULULULULOLULULULUOLULID
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GREELEY CO
1201 N 1ST AVE
STEPHEN FISHER
GREELEY CO
1331 N 1ST AVE
THOMAS FLOWER
GREELEY CO
1287 N 1ST AVE
AMPARO GOMEZ TRUST
GREELEY CO
O
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JOHN HOBBS
GREELEY CO
1449 N 1ST AVE N
STEVEN JOHNSON
LINCOLN CA
2763 SHALLOWVIEW DR
TAD MARTIN
EATON CO
35530 CR 43
MORO FARMS INC
GREELEY CO
1419 N 1ST AVE
RICHARD QUACO
GREELEY CO
N
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HARVEY RATHBUN
LUCERNE CO
PO BOX 79
JEREMIAH REVARD
GREELEY CO
1002 6TH AVE
JOSE SALAZAR
GREELEY CO
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JUDY STEVENS
VICTORIA TX
PO BOX 4317
THOMAS PETROLEUM LLC
GREELEY CO
1324 N 7TH AVE
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addressed on the attached list this 25th day of March, 2013.
Dated the 25th day of March, 2013
Kristine Ranslem
Recording Secretary for Planning Commission
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.
Account
Property Owners Within 500 ft. of Parcel # 080332000037
Parcel I Owner
dog
Date
Mailing Address
Signature
80353094 080332000072 BRAZELTON CAROLYN J
R0353094 080332000072 BRAZELTON DONALD L
R1293786
R1293786
R6779742
080332001007 BRUNGARDT RONALD A
080332001007
080332100084
R6779743 080332100085
R0157692 080332000064
R0157692
R1291186
R1291186
R1293586
R1293586 080332001005
080332000064
080332000034
080332000034
BRUNGARDT RUTH
BULLARD LEASING LLC
BULLARD LEASING LLC
DAHLEY DAVID W
FAABORG LINDA K
FISHER JOLETA
FISHER STEPHEN PAUL
080332001005 FLOWER CASSANDRA
RENOUF
FLOWER THOMAS JAMES
R1293686 • 080332001006 r GOMEZ AMPARO T TRUST
R7085397
R1293286
R1293486
R7085497
R1293386
080329400011
HOBBS JOHN T
080332001002 JOHNSON STEVEN L
080332001004
080329400012
080332001003
MARTIN TAD
MORO FARMS INC
QUACO MARY L
1159 N 1 AV
GREELEY CO 80631
1255 N 1ST AVE
GREELEY CO 80634
36790 COALBANK ROAD
EATON CO 80615
36790 COALBANK ROAD
EATON CO 80615
1149 N 1ST AVE
GREELEY CO 806319500
1201 N 1ST AVENUE
GREELEY CO 80631
1331 N 1 AVENUE
GREELEY CO 80631
1287 NORTH 1ST AVENUE
GREELEY CO 80631
197O ST
GREELEY CO 80631
1449 1 AVE N
GREELEY CO 80631
2763 SHALLOWVIEW DR
LINCOLN CA 95648
35530 COUNTY RD 43
EATON CO 80615
{
Account I Parcel Owner
R1293386 080332001003 QUACO RICHARD JOHN
R1293186 080332001001 RATHBUN CHARMAINE
R1293186 080332001001 RATHBUN HARVEY
R0235693 080329000103 REVARD JEREMIAH C
R1291586 080332000038 ROMERO REGAN R
R1277886 080329000066 SALAZAR JOSE A JR
R1291586 080332000038 STEVENS JUDY A
R1446902 080332100078 j THOMAS PETROLEUM LLC
R6780602 080332100086
R6780603 080332100087
R1290486 080332000026
R1291486 080332000037
TRP3 LLC
TRP3 LLC
WAKE LLLP
WAKE LLLP
Mailing Address
1419 N 1 AVE
GREELEY CO 80631
100 0 STREET
GREELEY CO 80631
PO BOX 79
LUCERNE CO 80646
1002 6 AVENUE
GREELEY CO 80631
190 O STREET
GREELEY CO 80631
9701 US HIGHWAY 59N
PO BOX 4317
VICTORIA TX 77903
1324 NORTH 7 AVENUE
GREELEY CO 80631
1324 NORTH 7 AVENUE
GREELEY CO 80631
801 8 ST STE 220
GREELEY CO 80631
801 8 ST No. 220
GREELEY CO 80631
May 17 13 03:38p Diane Johnson
970-356-6110 p.4
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:
I . Thai Applicant has provided notice, (a copy of which is attached hereto as
Exhibit "A'), containing the time and place of the initial public hearing on its application
for Case Number C 62. (3 -(Op f , the 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 prier 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 persoas who have requested receipt of such notices, pursuant to
C.R.S. § 24-65.5-103(3).
APPLICANT:
STATE OF to
COUNTY OF l-` a -LL—
Subscribed and swum to before me this t
Altdayof yr\i\,t ____ , 2C0'j3, by
:'Nbtalv..Pubiic �'
.' ..1
Note: This Certification must be received by they _Weld County Department of Planning
Services prior to or at the initial public hearing Lillie Certification is not received by that
time, the hearing will be rescheduled to a)ater'date, and Applicant must re -notify all
owners of mineral interests.
May 17 13 03:39p Diane Johnson
970-356-6110 p.5
x
c. The application for development provides fur the following:
(I) Access to mineral operations, surface facilities, flowlines,
and pipelines in support cf such operations existing when the final
public hearing on the application for development is held by means
of public roads sufficient to withstand trucks and drilling
equipment or thirty -foot -wide access easements;
(2) An oil and gas operations area and existing wellsite
locations in accordance \kith C.R.S. § 24-65.5-103.5; and
(3) That the Applicant has depos:ted into an escr ./ account
main::•ed at a commercial financial institutio• .pprcroed by the
Colorado .'I and Gas Conservation C. mission, the amount
determined unc C.R S. 6 24-65.5- l0 . (1), to defray incremental
drilling costs to he i, urreJ 'ay t '.teral estate owners for drilling
wells to prospective fon. t ns accessible from the oil and gas
operations area that cm'. of [wise have been vertically drilled
within drlimg win • . vs establish • by the Commission, that are
not included in ich oil and gas opt tions area, or, that as an
alternative tsuch deposit, the applicant • s posted a letter of
credit o other security for such costs in su manner as the
Corn [ssion has detenn ned to be adequate.
APPLICANT:
STATE OF
COUNTY OF >,9_QcY
Subscribed and s\wom to before tie this 1't day of
rociLs,o1.,\„(.1"!
•
11
Notar Publit
•
Note: This Certification must b received by itt"..W'eld County Department of Planning
pi
Services prior to or at the initial p hclist6g,f5the Certification is net received by chat
time, the heating will be reschedul .;pJiater date, and Applicant must re -notify all
owners of mineral interests.
May 17 13 03:39p Diane Johnson
970-356-6110 p.6
Exhibit A
The mineral ownership for the Wake Change of Zone in Sec 32, T 6N, R 65 W is as follows:
Surface OwnerMicawyr Wake LLLP
Mineral Owner: I Quarter Circle Mineral Co
O/G Lease: PDC Energy, 1775 Sherman St., Suite 3000, Denver, CO 80203
Phone # 303-860-5800
Surface Owner & Mineral Owners address:
A Bruce Johnson
801 8th St #220
Greeley, CO 80631
970-356-6110
PC Hearing date: June 18th
BOCC hearing date: July 3
May 17 13 03'50p Diane Johnson
970-356-6110
p.1
Diane Johnson
From: Chris Gathman [cgathman@co.weld.co.us]
Sent: Friday, May 17. 2013 12:03 PM
To: 'Diane Johnson'; J & L Pipeline
Subject: Reminder for Mineral Notification
Just a reminder — in case you have not done so already —that mineral notification needs to be mailed out
tomorrow for your land use applications to meet the 30 -day deadline prior to the June 18th Planning
Commission hearing. Let me know if you have any questions.-fkM CILIA
Sincerely,
Chris Gathman
Planner III
Weld County Department of Planning Services
1555 N. 17th Avenue, Greeley CO. 80631
Ph: (970)353-6100 ext. 3537
Fax: (970)304-6498
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. _ /i Cep A IAL'a2-
r/7/13
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