HomeMy WebLinkAbout20131503.tiffSITE SPECIFIC DEVELOPMENT PLAN AND USE BY SPECIAL
REVIEW (USR) APPLICATION
FOR PLANNING DEPARTMENT USE
RECEIPT # /AMOUNT # 1$
APPLICATION RECEIVED BY
DATE RECEIVED:
CASE # ASSIGNED.
PLANNER ASSIGNED:
Parcel Number 8 3 1 1 _ 1 8 3 0 0 0 6 7
(12 digit number - found on Tax I.D. information, obtainable at the Weld County Assessor's Office or www.co.weld.co.us)
Legal Description PTSW4 18-2-67 Lot A REC Exempt RE -3463 , Section 78 , Township °2 North, Range 87 West
Zone District: AG , Total Acreage: 2.52 , Flood Plain: Geological Hazard:
Airport Overlay District:
FEE OWNER(S) OF THE PROPERTY:
Name: Jennifer Jaquish
Work Phone # , i 7,, .-' ,`. Home Phone # ' I IL '412 1;:AHEmail
Address: 9350 County Road 13
Address:
City/State/Zip Code Longmont CO 80504
U: Y I i j i i V I UM
Name:
Work Phone # Home Phone # Email
Address:
Address:
City/State/Zip Code
Name:
Work Phone # Home Phone # Email
Address:
Address:
City/State/Zip Code
APPLICANT OR AUTHORIZED AGENT (See Below: Authorization must accompany applications signed by Authorized Agent)
Name: Pennontes Group, Inc (Mickey Leyba-Farnsworth)
Work Phone # (720) 684-4981 Home Phone # (720) 212-9598
Address: 625 Main Street
Address:
City/State/Zip Code Longmont, CO 80501
Email mleyba@permontesgroup.com
PROPOSED USE:
Operate a child care services businees from the existing property. Tiny Tykes, LLC is a start up business that would provide
a large childcare home with two (2) children between 6 weeks and 18 months and ten (10) children from the ages
of 2 to 3 years.
I (We) hereby depose and state under penalties of perjury that all statements, proposals, and/or plans submitted
with or contained within the application are true and correct to the best of my (our)knowledge. Signatures of all
fee owners of property must sign this application. If an Authorized Agent signs, a letter of authorization from all
fee owners must be included with the application. If a corporation is the fee owner, notarized evidence must be
included indicating that the signatory has to legal authority to sign for the corporation.
t
Ik`\1LILIL
Signature: OvJtier or Authorized Agent Date Signature: Owner or Authorized Agent Date
1111k
COLORADO
DEPARTMENT OF PLANNING SERVICES
1555 N 17th AVE
GREELEY, CO 80631
PHONE: (970) 353-6100, Ext. 3540
FAX: (970) 304-6498
AUTHORIZATION FORM
Permontes Group Inc. represent Jennifer Jaquish
(Agent/Applicant) (Owner)
located at 9350 County Road 13 Longmont, CO 80504
for the property
LEGAL DESCRIPTION: SEC 18 TWN 2N RNG 67w
SUBDIVISION NAME: LOT BLK
I can be contacted at the following phone #'s: Home (720) 212-9598
Work (720) 684-4981
Fax # (888) 716-2411
The property owner can be contacted at the following phone #'s
Home 'T
Work -t} - b` ,y.
Fax# 7D 4(SP) - c CI)C
Correspondence mailed to (only one): X Agent/Applicant
DATE, i `L
OWNER'S SIGNATURE
J
❑ Property Owner
AJ it
eermontes
TINY TYKES, LLC
USE BY SPECIAL REVIEW QUESTIONNAIRE
1. Explain, in detail, the proposed use of the property.
Tiny Tykes, LLC is a start-up business, owned and directed by John Jaquish. The business will provide
quality child care services to the Town of Firestone as well as neighboring areas. This "large
childcare home" will serve two children from the age of 6 weeks to 18 months and ten children from
the age of 2 to 3 years of age; for a total of 12 children. There will be a total of two employees; one
staff member in addition to Mr. Jaquish. The child care services will be safe and secure, providing
parents with an excellent place, close to home, where their children can be taken care of. It will be
a family -friendly environment with high quality customer service.
2. Explain how this proposal is consistent with the intent of the Weld County Code, Chapter 22
of the Comprehensive Plan.
This proposal is consistent with the following goals and policies in the Weld County
Comprehensive Plan:
• F. A.Goal 6. - Provide mechanisms for the division of land in agricultural areas to support
the continuation of agricultural production.
o A. Policy 6.2 - Support opportunities, such as but not limited to hobby farming
and home businesses, to supplement family income and reduce living expenses
for farm families and others who prefer a rural lifestyle.
• G. A.Goal 7. - County land use regulations should protect the individual property owner's
right to request a land use change.
o A.Policy 7.2. - Conversion of agricultural land to nonurban residential,
commercial and industrial uses should be accommodated when the subject site is
in an area that can support such development, and should attempt to be
compatible with the region.
The proposed childcare facility will provide a valuable service to local families. The rural location
of the home -based business will allow for children to play outside in an enclosed and safe play
area as well as to plant and maintain a garden. The proposed business proposes minor
modifications and screening in the yard to provide a fenced playground and garden area. A
domestic groundwater well is currently used to provide potable water and will be converted to
a commercial water well upon approval from the Colorado Division of Water Resources. The
property is currently served by an individual sewage disposal system.
3. Explain how this proposal is consistent with the intent of the Weld County Code, Chapter 23
(Zoning) and the zone district in which it is located.
Tiny Tykes, LLC I Use by Special Review Questionnaire
The intent of the A (Agricultural) Zone District is "to provide areas for the conduct of agricultural
activities and activities related to agriculture and agricultural production without the
interference of other, incompatible land uses [and]...to provide areas for the conduct of uses by
Special Review which have been determined to be more intense or to have a potentially greater
impact than uses Allowed by Right."
The proposed child care facility is an appropriate use in an agricultural area and is allowed as a
Use by Special Review under 23-3-40 P. HOME BUSINESS. The proposed business will have
minimal effect on the overall appearance of the property and will provide additional income to
a rural family.
4. What type of uses surround the site (explain how the proposed use is consistent and
compatible with surrounding land uses).
The proposed use is consistent and compatible with the surrounding land uses, which are
primarily residential, including some agricultural and oil and gas activity. The properties to the
north and south of the site are single-family residences. The property to the east is agricultural
land with a couple of gas wells.
5. Describe, in detail, the following:
a. Number of people who will use this site
There will be two employees and twelve children on site during business hours. Outside of
business hours, the owner lives on site with his wife and daughter. Children's parents will
be on site during drop off and pick up.
b. Number of employees proposed to be employed at this site
There will be two employees; the homeowner and one additional staff member.
c. Hours of operation
Monday through Friday, from 6am to 6pm.
d. Type and number of structures to be erected (built) on this site
The only structures proposed with this USR application include equipment associated with
the proposed playground area. The playground will be equipped with a swing set along the
north fence. There will be two small play structures; each with slides. One sand box will be
placed along the east fence. There will be a figure eight tricycle track on the west side of
the playground. The playground will have three different surfaces; grass, gravel and sand.
There will also be a 'Cultural Garden' which will have fruits and vegetables from around the
country. The goal of the garden is to have at least one fruit and vegetable in the garden to
represent where each child has lived or was born.
e. Type and number of animals, if any, to be on this site
One family dog lives at the house and will not have access to the childcare rooms or
playground.
Tiny Tykes, LLC I Use by Special Review Questionnaire
f. Kind of vehicles (type, size, weight) that will access this site and how often
Economy sized trucks, cars and SUV's, typical of personal use vehicles, will access the
property during drop off and pick up times.
g.
Who will provide fire protection to the site
The Frederick -Firestone Fire Protection District will provide fire protection to the site.
h. Water source on the property (both domestic and irrigation)
A domestic groundwater well is the current water source on the property. The use of the
ground water from this well is currently limited to household purposes inside on single
family dwelling, the watering of four large non-commercial domestic animals, and the
irrigation of not more than 5,000 square feet of home gardens and lawns. An application
has been submitted to the Colorado Division of Water Resources for converting the existing
well to a small capacity commercial water well.
i. Sewage disposal system on the property (existing and proposed)
The sewage disposal system on the property is an existing septic system permitted by Weld
County under Permit No. SP -0300245. The existing system is sized for a 3 bedroom, 2 bath
residential home utilizing a domestic well water. No new bedrooms are proposed and the
daycare business does not anticipate exceeding the design capacity of the existing septic
system.
j. If storage or warehousing is proposed, what type of items will be stored
Not applicable.
6. Explain the proposed landscaping for the site. The landscaping shall be separately submitted
as a landscape plan map as part of the application submittal.
No new landscaping is proposed for the site. The property currently has several deciduous trees
along the west side of the property (facing the road) as well as several other deciduous trees
dispersed throughout and around the house and garage.
7. Explain any proposed reclamation procedures when termination of the Use by Special Review
activity occurs.
If the child care business is discontinued, no reclamation procedures would be required. The
proposed playground equipment would remain.
8. Explain how the storm water drainage will be handled on the site.
Storm drainage currently sheet flows from east to west across the property. There are no
ditches or storm collection features existing on the site. No modifications to the storm drainage
are proposed.
9. Explain how long it will take to construct this site and when construction and landscaping is
scheduled to begin.
Construction of the play area will take approximately 1 week and is expected to start in spring
of 2013.
Tiny Tykes, LLC I Use by Special Review Questionnaire
10. Explain where storage and/or stockpile of wastes will occur on this site.
Not applicable.
Is alcohol stored in building? LIES Location(s): U c!$ �
Are drugs stored in building? N.1O Location(s):
Are weapons stored in building? Np Location(s): In r1 gdf a. of)
The following programs are offere a public service of the Oeld Coun JsLaberiiffs Office. Please indicate the
programs of interest. Physical Security Check Crime Prevention Presentation
UTILITY SHUT OFF LOCATIONS:
Main Electrical: Nrw'-W SAGS d4 eti-a 1 6Yl eXAcy it{
Gas Shut Off: 1 AA- p +Lb T Eas-1- ssdz o hm tcc
Exterior Water Shutoff: F*
Interior Water Shutoff: -11.n
i ci n2a-v m E 1- w a,l
FOR COMMERCIAL SITES, PLEASE COMPLETE THE FOLLOWING INFORMATION
BUSINESS EMERGENCY INFORMATION:
Business
Name:
Address:
th Tt.1 OS) LL.C, Phone: —720.2_90. 2_710
93 CA5vk 4 vv Koad 13
City, ST, Zip: reS`tb-Y\JQ , Co BoSoq
I�
Owners John JachtsV 1 J(. Phone: 720.2 1(D.l70
Home Address: cl-00 Co -my*. *. Rwc\ (3 City, sr, Zip: i V eS\ r\fi f Co E050 f
List three persons in the order to be called in the event of an emergency:
NAME TITLE
ADDRESS
John .iacfUtsh owne j Dtect`Y 9 0
je r' Jac 1A(SV\ GW iNCY 01350
XI%{tkr O tce v\+
Business
Hours:
Type of Alarm:
Days:
PHONE
ed. 72-0 -2-9 0 .2-71E)
gd . 9(70 - 41 Z-21oc0t-f
3b2. 91S . b154 -
Mendal --OntRA Widow(
Burglar Holdup Fire
Silent
Audible
Name and address of Alarm Company: rr 1 I p
Location of Safe: (pskotA{S , O ICQ 1J V�(1t1 P1 td-\- In &AL
MISCELLANEOUS INFORMATION: t 1 " C ' _ 1
Number of entry/exit doors in this building: -I doof.S Location(s): U(7S7vt.(iS — I `I f Cv4 CIDDY 0/1
W , I IzxcLLro i tM £ gtdi OtINAWIC)atrS- I (icsvicCc do6Y ,,y' W s\ di) I acvvt p Apo/
srt tJ cnd--t-
2. PO- hnA.0eF
permontes
TINY TYKES, LLC
USE BY SPECIAL REVIEW PERMIT
DUST ABATEMENT PLAN
Prepared By: Permontes Group, Inc.
On Behalf of: Tiny Tykes, LLC
Date Prepared: February 2013
The purpose of this Use by Special Review Permit Application is to enable Tiny Tykes, LLC to
operate a commercial child care center on their residentially zoned property. The site is
currently a residential property with a single family home and garage. The property has a
residential well and in -ground septic system. The proposed facility will require one other
employee in addition to the homeowner and will serve up to 12 children during business hours.
The property is currently accessed through a 20' wide joint access easement, located off of Weld County
Road 13. The 18 foot wide drive surface is gravel and crosses the concrete Firestone Trail before
entering the property. The homeowners and owner of Tiny Tykes, LLC will incorporate dust mitigation by
watering the gravel drive surfaces. Water will be pulled from the existing water well on the property.
permontes
TINY TYKES, LLC
USE BY SPECIAL REVIEW PERMIT
WASTE HANDLING PLAN
Prepared By: Permontes Group, Inc.
On Behalf of: Tiny Tykes, LLC
Date Prepared: February 2013
The purpose of this Use by Special Review Permit Application is to enable Tiny Tykes, LLC to
operate a commercial child care center on their residentially zoned property. The site is
currently a residential property with a single family home and garage. The property has a
residential well and in -ground septic system. The proposed facility will require one other
employee in addition to the homeowner and will serve up to 12 children during business hours.
Potential wastes to be generated onsite are expected to be comprised of household wastes and human
waste/sewage only. A three yard dumpster is currently located on the property and will continue to be
utilized for all household waste. Trash will continue to be contained within this fully enclosed container
24 hours a day, and will not be burned on -site.
No non -household chemicals are anticipated to be store at this site.
Household waste generated onsite will continue to be picked up on a regular basis by:
Gator Rubbish
883 Baseline PI.
Brighton, CO 80603
303-655-0710
VISION LAND)
CONSULTANTS. INC.
March 15, 2013
Weld County Department of Public Health and Environment
1555 N. 17!h Avenue,
Greeley, CO 80631
Re: Tiny Tykes Day Care Special Use Review
ISDS Evaluation, Permit No. SP -0300245
9350 WCR 13, Longmont, CO,
To Whom it May Concern:
The proposed Tiny Tykes Day Care is to be located in an existing three bedroom home located at
9350 WCR 13, Longmont, Colorado. The existing Individual Sewage Disposal System (ISDS) was
installed in 2003 under permit SP -0300245. The information provided by the County on the
permitted system indicates that the system was design per the requirements of a 3 bedroom house
for 6 people. The permit file indicates that a 1000 gallon septic tank was installed along with a
gravel -less trench infiltration system with a total absorption area of 549 square feet. The percolation
rate used was 12.5 minutes per inch and was determined by 6 percolation tests. The average daily
flow used for the design was 450 gallons per day or 675 gallons per day for the maximum daily flow.
This is based on an assumed average daily flow of 75 gallons per day per person with an increase
of 150% as per Article IV, Section 30-4-10 of the Weld County Code.
The proposed special use is to allow for the operation of a daycare business out of the home for a
total number of 12 children with 1 additional outside employee. The existing residence will remain in
use for the 3 existing residences. According to the Appendix 30-A, the estimated sewage quantity
for the 13 people in the daycare facility would be calculated using the Institutional, day Schools
(without cafeterias, gym or showers) of 15 gallons per person per day. The total expected average
daily flow for the daycare would then be 195 gallons per day with a maximum daily flow of 293
gallons per day. With the additional 3 people residing in the house, the total expected average daily
flow for the ISDS would be 420 gallons per day ( 3 people X 75 gallons per person per day + 13
people X 15 gallons per person per day). Therefore the maximum daily flow would be 630 gallons
per day. Provided that these daily flows are not exceeded, the existing system should have the
capacity and not be adversely affected by the proposed use change.
If you have any questions or concerns regarding this evaluation, please do not hesitate to contact
me at 303-674-7355.
Respectfully Submitted,
,, ,t,
Andrew J. Marner; P `''•
Project Manager
(iO3 Park I 'rnnl Drive. Lilo. ICCI e Golden, Colorado 10401 = Rhone: (303) 074-7355 e Lax: (303) 074.3203
I -'.O. Cox 079 e 135 C. Jaspn' Avenue = Gianby, CO 8044(1 e ['Noon: (970) 887.2.000 0 Lax: (970) 887-3200
Vnn•i. visionlandconsollanls.com
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7 0 JCounty CO A Suld kamoto
GRANT OF EASEMENT AND AGREEMENT
T S GRANT OF EASEMENT AND AGREEMENT is made and entered into
this /qa day of January, 2000, between THE TOWN OF FIRESTONE, a
municipal corporation organized and existing under and by virtue of
the laws of the State of Colorado (hereinafter "Grantor"), and
HEARST J. AND NANCY A. PRESSLY, whose address is 6075 WCR 20,
Longmont, Colorado, 80501 (hereinafter "Grantee").
WITNESSET H:
That the Grantor, for and in consideration of the sum of Ten
Dollars ($10.00) paid to the Grantor by the Grantee, and other good
and valuable consideration, the receipt and sufficiency of which is
hereby acknowledged, does hereby remise, release, sell, convey and
quit claim unto the Grantee, its successors and assigns, forever,
the following:
A non-exclusive, perpetual easement for ingress and egress,
with the right to construct, install and thereafter use,
repair, maintain, and replace a vehicle access roadway, on,
over and across that certain real property owned by Grantor
and described on Exhibit A, attached hereto and incorporated
herein by this reference (hereinafter the "Access Easement").
SUBJECT TO the following terms and conditions:
1. The Access Easement shall benefit and be appurtenant to,
and shall be used solely for ingress and egress to, the
property described on Exhibit B, attached hereto and
incorporated herein by this reference. The Access
Easement shall not be used for access to any property
other than that described on Exhibit B. The Access shall
be used solely for residential and agricultural uses and
for not more than two (2) dwelling units.
2. Grantee shall be permitted to install within the Access
Easement a hard- or soft -surface access roadway and
related surface facilities, such as borrow ditches and/or
drainage culverts. No underground facilities other than
drainage facilities shall permitted within the Access
Easement. Grantee shall obtain Grantor's written
approval of any improvements to the existing facilities
within the Access Easement prior to the commencement of
such improvements. Grantor may require reasonable
modifications to any such proposed improvements.
3. Grantee shall at its expense maintain the access roadway
and related facilities in a good state of repair and
efficiency. Grantee shall have the right at its sole
expense to plow, maintain, and repair the access roadway
and facilities installed within the Access Easement, and
1
111111111111 ►►111111111► 111► 1111► ►1111► 111111111►ti 111►
2041 6 R030 00 DDweldJCounty Co �moto
to keep such roadway and facilities in passable and
proper condition for their intended uses. Grantee shall
not plow snow ontc any improved pertion of Grantor's
property, and shall store snow as directed by Grantor.
4. Grantee shall have no right to fence the Access Easement
or to erect any barrier, gates, or guards thereon without
the prior written consent of the Grantor.
5. Grantee at its sole expense shall restore the surface of
any areas not occupied by the access roadway or related
facilities, and shall restore any landscaping,
structures, or other improvements located on the Access
Easement, to the conditions that existed immediately
prior to the commencement of any of Grantee's activities
permitted hereunder.
6. Grantor reserves the right to use and occupy the area of
the Access Easement for any purpose which will not
unreasonably interfere with or endanger any of Grantee's
facilities permitted hereunder. Grantee specifically
acknowledges that Grantor shall have the right to improve
the surface of the area of the Access Easement with hard -
or soft -surface trails, landscaping, and other
recreational facilities. Grantee shall restore any such
trails, landscaping and other facilities damaged by
Grantee's activities permitted hereunder to the condition
that existed immediately prior to the commencement of
such activities or, at Grantor's option, pay the actual
damages to such items caused by Grantee's activities.
7. Grantee shall be solely responsible for all damages to
persons or property which may in whole or part be caused
by the Grantee or its agents or employees, or which may
result or arise in whole or part from their activities
performed or permitted hereunder. Grantee will indemnify
and hold harmless the Grantor, its elected and appointed
officials, and its employees, agents and representatives,
from any and all liability, damage, loss, cost or
expense, including but not limited to attorney's fees,
which the Grantor, its elected and appointed officials,
and its employees, agents and representatives may suffer
as a result of any and all claims, demands, actions,
costs or judgments made or brought against them by any
person or entity, and which arise either in whole or in
part out of Grantee's activities performed or permitted
hereunder. The Grantee shall investigate, handle,
respond to, and provide defense for and defend against
any such liability, claims and demands. By demanding
this right of indemnification and defense, Grantor in no
way waives or intends to waive the limitations on
liability which are provided to Grantor and its employees
2
11111111111111111111111IIII11111111111III11111IIII IIII
3 7 t 6 R30.00 DD 0.00 WeldJCounty C0 kemoto
under the Colorado Governmental Immunity Act, C.R.S. §24-
10-101 et. seq. The Grantee's indemnification obligation
shall not be construed to extend to any injury, loss, or
damage which is caused by the act, omission, or other
fault of the Grantor.
8. The property rights granted herein shall be transferable
by Grantee only with prior written consent of Grantor,
which consent shall not be unreasonably withheld.
9. The easement granted herein shall be subject to all
restrictions, easements, and ownerships of record and/or
apparent or. the ground.
10. This Agreement and the rights and obligations herein
shall inure to the benefit of and be binding upon the
parties and their respective representatives, successors
and assigns. All of Grantee's obligation hereunder shall
apply with respect to initial installation and all future
operation, maintenance, repair and replacement of the
roadway access and related facilities permitted within
the Access Easement.
11. Any contractors performing work in the Access Easement
shall be licensed contractors in the Town of Firestone in
accordance with Chapter 5.20 of the Firestone Municipal
Code.
12. This grant shall not excuse Grantee for any obligation to
obtain a street cut permit in accordance with Chapter
12.08 of the Firestone Municipal Code and to otherwise
comply with the requirements of that Chapter.
IN WITNESS WHEREOF, the Grantor and Grantee have executed this
Deed on the date first above written.
GRANTOR: TOWN OF FIRESTONE
ATTEST:
Peterson, Acting Town Cle
Patterson, Mayor
3
111111111111111111111111111111111111111 III 11111 IIII IIII
2744907 01!1812000 01:40P JA Sukl Taukamoto
4 of 8 R 30.00 0 0.00 Weld County CO
STATE OF COLORADO
COUNTY OF WekA
)ss
GRANTEE:
HEART J. AND NANCY A. PRESSLY
k \leg'
Hearst
) 2
//4.7,e,
Nancy;
1.9
J. Pressly
7
44. ,1-e7
ressly
The foregoing Grant of Easement and Agreement was acknowledged
before me this 13.tt, day of January, 2000, by Rick Patterson, as
Mayor of the Town of Firestone and T.L. Peterson, as Acting Town
Clerk of the Town of Firestone.
Witness my hand and official seal. Vyarr.mMpocAm�m4,ssion expires on: -•
i nr ; Z s•.,tr 4 L)
w -+ ;,c'. ( \ (Mary Public
n: r- y )
COLORADO
COUNTY OF tjell
)ss
The foregoing Grant of Easement and Agreement was acknowledged
before me this /�}2, day of January, 2000, by Hearst J. Pressly and
Nancy A. Pressly.
Witness my hand and official seal.
•
t3M,.erowmission expires on: ^n Ex
/0%! L)
n
i is Cai
43 C -�
r
eDl \Users\.Sae.\'WFOcrn\Fires:ec\Pressly
tary Public
4
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2744907 01/18/2000 01:40P JA Sukl Taukamoto
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EXHIBIT A
20' Joint Access Easement Lots A & B, RE -2611, Weld County, Colorado
Legal Description:
A PARCEL OF LAND LOCATED IN THE NORTHWEST QUARTER OF THE
SOUTHWEST QUARTER OF SECTION EIGHTEEN (18), TOWNSHIP TWO NORTH,
RANGE SIXTY-SEVEN WEST, OF THE SIXTH PRINCIPAL MERIDIAN, COUNTY OF
WELD, STATE, OF. COLORADO, SAID PARCEL BEING MORE PARTICULARLY
DESCRIBED AS FOLLOWS:
BEGINNING AT A POINT ON THE WEST LINE OF AMENDED LOT A, WELD
COUNTY RECORDED EXEMPTION NO. 1311 - 18 - 3 - RE477, FROM WHENCE THE
NORTHWEST CORNER OF SAID AMENDED LOT A BEARS N00°53'25"W A
DISTANCE OF 236.93 FEET, AND WITH ALL OTHER BEARINGS CONTAINED
HEREIN RELATIVE THERETO ACCORDING TO THE RECORDED PLAT THEREOF;
THENCE N88°27'57"W A DISTANCE OF 225.89 FEET TO THE EASTERLY RIGHT-
OF-WAY LINE OF WELD COUNTY ROAD THIRTEEN; THENCE ALONG SAID
EASTERLY RIGHT -Of -WAY LINE S00°54'51"E A DISTANCE OF 20.02 FEET;
THENCE LEAVING SAID EASTERLY RIGHT-OF-WAY S88°27'57"E A DISTANCE OF
196.93 FEET; THENCE S46°10'05"E A DISTANCE OF 40.71 FEET TO THE EAST
LINE OF SAID LOT A; THENCE ALONG SAID EAST LINE N0°053'25"W A DISTANCE
OF 47.44 FEET TO THE POINT BEGINNING.
THUS DESCRIBED PARCEL OF LAND CONTAINS 0.113 ACRES MORE OR LESS.
Join Access E•tsmsnt L•g On°npe°n.wpd 1/6'00 (4:36 PM)
111111111111111111111111 IIII 11111111111 III IIIII IIII1111
2744907 0V1e/2000 01:40P JA Suki Teukamoto
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EXHIBIT B
Recorded Exemption No. RE -2611
Legal Description:
A PARCEL OF LAND LOCATED IN THE NORTHWEST QUARTER OF THE
SOUTHWEST QUARTER OF SECTION EIGHTEEN (18), TOWNSHIP TWO NORTH,
RANGE SIXTY-SEVEN WEST, OF THE SIXTH PRINCIPAL MERIDIAN, COUNTY OF
WELD, STATE, OF. COLORADO, SAID PARCEL BEING MORE PARTICULARLY
DESCRIBED AS FOLLOWS:
AMENDED LOT A, RECORDED EXEMPTION NO. 1311 - 18 - 3 - RE477 ACCORDING
TO THE RECORDED PLAT THEREOF, WELD COUNTY RECORDS.
THUS DESCRIBED LOT CONTAINS 7.993 ACRES MORE OR LESS.
Joint Access Easement Legal D..cripMan.wpd IMMM0 (4:36 PM)
Form No.
G W S-25
APPLICANT
OFFICE OF THE STATE ENGINEER
COLORADO DIVISION OF WATER RESOURCES
818 Centennial Bldg-, 1313 Sherman St., Denver Colorado 80203
(303) 866-3581
JENNIFER JAQUISH
9350 COUNTY ROAD 13
LONGMONT, CO 80504-
LIC
WELL PERMIT NUMBER 290532
DIV. 1 WD2 DES. BASIN MD
Lot
A Block
Filing
(720) 296-2710
CHANGE/EXPANSION OF USE OF AN EXISTING WELL
ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT
CONDITIONS OF APPROVAL
1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit
does not ensure that no injury will occur to another vested water right or preclude another owner of a vested water right from
seeking relief in a civil court action.
2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval
of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation
Contractors in accordance with Rule 18.
3) Approved pursuant to CRS 37-92-602(3)(b)(I) and the policy of the State Engineer dated 4/23/86 under the following
conditions.
4) The use of ground water from this well is limited to drinking and sanitary facilities as described in CRS 37-92-602(1)(c),
for a commercial business. Water from this well shall not be used for lawn or landscape irrigation or for any other purpose
outside the business building structure.
5) Production from this well is restricted to the Laramie Fox Hills aquifer.
6) The pumping rate of this well shall not exceed 15 GPM.
7) The annual amount of ground water to be withdrawn shall not exceed 0.33 acre -feel (108,600 gallons), as applied for.
8) Approved as the only well on a tract of land of 2.52 acre(s) described as Lot A of County Exemption no. 1311-1$-3 RE
3463, Weld County.
9) The return flow from the use of this well must be through an individual waste water disposal system of the type so that not
less than 2% of the total amount of water withdrawn is returned to the same stream system in which the well is located.
10) A totalizing flow meter must be installed on this well and maintained in good working order. Permanent records of all
diversions must be maintained by the well owner (recorded at least annually) and submitted to the Division Engineer upon
request.
11) This well shall be constructed not more than 200 feet from the location specified on this permit.
Subdiv: RECORDED EXEMPTION NO 1311-18-3-RE3463
APPROVED.WELL LOCATION
WELD COUNTY
NW 1/4 SW 1/4 Section 18
Township 2 N Range 67 W Sixth P.M.
DISTANCES FROM SECTION LINES
2170 Ft. from South Section Line
350 Ft. from West Section Line
UTM COORDINATES (Meters,Zone:13,NAD83)
Easting: Northing:
APPROVED
JLV
State Engi eer
,Receipt No. 3658932 DATE ISSUED 03-21-2013
(BY
XPIRA ON DA
Form No. OFFICE OF THE STATE ENGINEER
GWS-25 COLORADO DIVISION OF WATER RESOURCES
818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203
(303) 866-3581
APPLICANT
JENNIFER JAQUISH
9350 COUNTY ROAD 13
LONGMONT, CO 80504-
LIC
WELL PERMIT NUMBER 290532
DIV, 1 WD2 DES. BASIN MD
Lot:
A Block: Filing: Subdiv: RECORDED EXEMPTION NO 1311-18-3-RE3463
(720) 296-2710
CHANGE/EXPANSION OF USE OF AN EXISTING WELL
APPROVED WELL LOCATION
WELD COUNTY
NW 1/4 SW 1/4 Section 18
Township 2 N Range 67 W Sixth P.M.
DISTANCES FROM SECTION LINES
2170 Ft. from South
350 Ft. from West
Section Line
Section Line
UTM COORDINATES (Meters,Zone:13.NAD83)
Easting: Northing:
ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT
CONDITIONS OF APPROVAL
1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit
does not ensure that no injury will occur to another vested water right or preclude another owner of a vested water right from
seeking relief in a civil court action.
2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval
of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation
Contractors in accordance with Rule 18.
3) Approved pursuant to CRS 37-92-602(3)(b)(I) and the policy of the State Engineer dated 4/23/86 under the following
conditions.
4) The use of ground water from this well is limited to drinking and sanitary facilities as described in CRS 37-92-602(1)(c),
for a commercial business. Water from this well shall not be used for lawn or landscape irrigation or for any other purpose
outside the business building structure.
5) Production from this well is restricted to the Laramie Fox Hills aquifer.
6) The pumping rate of this well shall not exceed 15 GPM.
7) The annual amount of ground water to be withdrawn shall not exceed 0.33 acre-feet (108,600 gallons), as applied for.
8) Approved as the only well on a tract of land of 2.52 acre(s) described as Lot A of County Exemption no. 1311-18-3 RE
3463, Weld County.
9) The return flow from the use of this well must be through an individual waste water disposal system of the type so that not
less than 2% of the total amount of water withdrawn is returned to the same stream system in which the well is located.
10) A totalizing flow meter must be installed on this well and maintained in good working order. Permanent records of all
diversions must be maintained by the well owner (recorded at least annually) and submitted to the Division Engineer upon
request.
11) This well shall be constructed not more than 200 feet from the location specified on this permit.slan A( ,
r
APPROVED
JLV
State Engi eer
Receipt No. 3658932 DATE ISSUED 03-21-2013
By
EXPIRA
ON DA
J
mik
Form
No. GWS-7
6/2009
EXEMPT FERMI I INFORMATION SHEET
STAVE OF COLORADO .-
OFFICE OF TILE S T A: I E ENGINEER
821 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203
(303) 866-3581 Fax (303) 866-3589
INFORMATION FOR WELL PERMITS APPROVED PURSUANT TO CRS 37-92-602
(HOUSEHOLD, DOMESTIC, LIVESTOCK AND EXEMPT COMMERCIAL USES)
Carefully read the conditions of approval on your well permit. The conditions and the information on this
information sheet must be complied with in order for the permit to remain valid.
THE PERMIT EXPIRATION DATE IS TWO YEARS FROM THE DATE ISSUED. The well must be constructed and
evidence of it's construction must be received by this office in the form of a Well Construction and Test report from
the well construction contractor confirming that the well was constructed prior to expiration of the well permit. The
well pannit number is located in the upper right hand corner of the permit, and the expiration date is located in the
lower right hand corner. The expiration date of the permit may be extended one year at a time at the discretion of
the State Engineer for good cause shown, If an extension of time is necessary to construct the well, a written
request for the extension of time must be received by this office prior to the expiration date of the well
permit. In the request, you must provide the well permit number, your name and mailing address and the
reasons why the well has not been constructed and approximately when it will be constructed.
Water well construction and pump installation contractors are specifically licensed in Colorado to perform these
specialized tasks. It is illegal for contractors who do not hold these licenses to construct wells and/or install pumping
equipment in or on wells. The well roust be constructed and the pump installed by contractors with current
license(s) issued by the State of Colorado unless exempted as described on the reverse side. Please ask to see
their Ilcense(s). Backhoe Operators and Licensed Plumbers may or may not hold the respective Well Construction
and/or Pump Installation licenses. Please be aware of this when you contract to construct the well and install
pumping equipment. The well construction report including a test of the well yield must be submitted to the office of
the State Engineer within sixty (60) days of completion of the work or within seven days after expiration of the
permit, whichever is earlier. The pump installation report including a pumping system test must be submitted within
sixty (60) days of completion of the work. The contractor(s) must provide you with a copy of the work report(s) filed
with the State Engineer. The Well Construction and Test Report, Form Number GWS-31 and the Pump Installation
and Test Report, Form Number GINS -32 are available from the Division of Water Resources offices. Additional
information regarding well construction, pump installation, required testing and well plugging and sealing regulations
are found on the reverse side of this sheet.
You have been provided with at least two copies of the well permit. Keep a copy for your records. There is
also a copy for the pump installation contractor. Copies have been sent to the driller if you indicated a driller
license number on the application, or two additional copies have been enclosed. You may make additional
copies for the well construction contractor if you select one different from the one imitated in your application.
The original permit is on He in the Denver office Records Section. Copies may be obtained for a fee of 50 cents per
oage. Statutes require that any change of mailing address or ownership be reported to the State Engineer. Form
number GWS-11 is used both by new' owners to report ownership changes and current owners to report address
changes.
If you have questions, contact the Denver Office, or the Division Office in the area where your well is located.
Division 1
810 9" St. 2cd Floor
Greeley, CO 80631
(970) 352-8712
Fax (970) 392-1816
Division 5
Direct mail to Box 396
Glenwood Seas CO 61602
(970) 945-5055
Fax (970) 945-8741 Cali first
Division 2
310 E. Abriendo Ave Ste B
Pueblo, CO 81004
(719) 542-3368
Fax (719) 544-0800
Division 6
Direct mail to Box 773450
505 Anglers Or. Suite 101
Steamboat Spgs, CO
80477
(970) 879-0272
Fax (970) 879-1070
Division 3
301 Murphy Drive
Alamosa, CO 81101
(719) 589-6683
Fax (719)_589-6685
Division 7
160 Rock Point Dr., Ste. E
Durango, CO 81301
(970) 247-1845
Fax (970) 259-0944
i.
Division 4
1871 East Main St.
Montrose, CO 81401
(970) 249-6622
Fax(970j249-6726
Denver Office
1313 Sherman St. Rm. 818
Denver, CO 80203
(303) 865-3581
Fax (303) 866-3539
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