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Inter Office Transmission
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COLORADO
TO: Esther Gesick
DATE: May 10, 2012
FROM: Michelle Martin
SUBJECT: Please include the attached documents in the case file for USR-1777. This
case has already been to the BOCC. Thanks.
acnt rti nt,utt:A,tiw_, 2012-1266
s- 144,_„2_,119..._ Pi_a 1
Mail Processing Cen• • Aeronautical Study No.
• \ Federal Aviation Administration 2011-ANM-1858-OE
/ Southwest Regional Office
Obstruction Evaluation Group
2601 Meacham Boulevard
Fort Worth, TX 76137
Issued Date: 08/15/2011
Michele Louis-Charles
Verizon Wireless (VAW)LLC
1120 Sanctuary Pkwy
GASASREG
Alpharetta, GA 98226
** DETERMINATION OF NO HAZARD TO AIR NAVIGATION **
The Federal Aviation Administration has conducted an aeronautical study under the provisions of 49 U.S.C.,
Section 44718 and if applicable Title 14 of the Code of Federal Regulations, part 77, concerning:
Structure: Antenna Tower Grassland
Location: New Raymer, CO
Latitude: 40-48-13.77N NAD 83
Longitude: 103-41-25.66W
Heights: 250 feet above ground level (AGL)
4907 feet above mean sea level (AMSL)
This aeronautical study revealed that the structure does not exceed obstruction standards and would not be a
hazard to air navigation provided the following condition(s), if any, is(are) met:
As a condition to this Determination, the structure is marked/lighted in accordance with FAA Advisory circular
70/7460-1 K Change 2, Obstruction Marking and Lighting, a med-dual system - Chapters 4,8(M-Dual),&12.
It is required that FAA Form 7460-2, Notice of Actual Construction or Alteration, be completed and returned to
this office any time the project is abandoned or:
At least 10 days prior to start of construction (7460-2, Part I)
X Within 5 days after the construction reaches its greatest height (7460-2, Part I1)
This determination expires on 02/15/2013 unless:
(a) extended, revised or terminated by the issuing office.
(b) the construction is subject to the licensing authority of the Federal Communications Commission
(FCC)and an application for a construction permit has been filed, as required by the FCC, within
6 months of the date of this determination. In such case,the determination expires on the date
prescribed by the FCC for completion of construction, or the date the FCC denies the application.
NOTE: REQUEST FOR EXTENSION OF THE EFFECTIVE PERIOD OF THIS DETERMINATION MUST
BE E-FILED AT LEAST 15 DAYS PRIOR TO THE EXPIRATION DATE. AFTER RE-EVALUATION
OF CURRENT OPERATIONS IN THE AREA OF THE STRUCTURE TO DETERMINE THAT NO
Page 1 of 3
SIGNIFICANT AERONAUTICI♦CHANGES HAVE OCCURRED, YOI. ETERMINATION MAY BE
ELIGIBLE FOR ONE EXTENSI N OF THE EFFECTIVE PERIOD.
This determination is based, in part, on the foregoing description which includes specific coordinates , heights,
frequency(ies) and power . Any changes in coordinates , heights, and frequencies or use of greater power will
void this determination. Any future construction or alteration , including increase to heights, power, or the
addition of other transmitters, requires separate notice to the FAA.
This determination does include temporary construction equipment such as cranes, derricks, etc., which may be
used during actual construction of the structure. However, this equipment shall not exceed the overall heights as
indicated above. Equipment which has a height greater than the studied structure requires separate notice to the
FAA.
This determination concerns the effect of this structure on the safe and efficient use of navigable airspace
by aircraft and does not relieve the sponsor of compliance responsibilities relating to any law, ordinance, or
regulation of any Federal, State, or local government body.
Any failure or malfunction that lasts more than thirty (30) minutes and affects a top light or flashing obstruction
light, regardless of its position, should be reported immediately to (877) 487-6867 so a Notice to Airmen
(NOTAM) can be issued. As soon as the normal operation is restored, notify the same number.
A copy of this determination will be forwarded to the Federal Communications Commission(FCC) because the
structure is subject to their licensing authority.
If we can be of further assistance,please contact our office at (310) 725-6591. On any future correspondence
concerning this matter, please refer to Aeronautical Study Number 2011-ANM-1858-OE.
Signature Control No: 147409801-147753675 (DNE )
Tameria Burch
Technician
Attachment(s)
Frequency Data
cc: FCC
•
Page 2 of 3
Ieuency Data for ASN 2011-ANM-1858
LOW HIGH FREQUENCY ERP
FREQUENCY FREQUENCY UNIT ERP UNIT
698 806 MHz 1000 W
806 824 MHz 500 W
824 849 MHz 500 W
851 866 MHz 500 W
869 894 MHz 500 W
896 901 MHz 500 W
901 902 MHz 7 W
930 931 MHz 3500 W
931 932 MHz 3500 W
932 932.5 MHz 17 dBW
935 940 MHz 1000 W
940 941 MHz 3500 W
1850 1910 MHz 1640 W
1930 1990 MHz 1640 W
2305 2310 MHz 2000 W
2345 2360 MHz 2000 W
Page 3 of 3
CLOSSER CONSULTING , LLC
It G. PR P. SE N TING
VERIZON WIRELESS
August 22,2011
Weld County Department of Planning Services
Michelle Martin
1555 North 17rh Avenue
Greeley, CO 80631
RE: SPECIAL REVIEW PERMIT #1777 — DEWAIN SHAPELY TRUST, c/o VERIZON
WIRELESS, LLC
Dear Ms. Martin,
In response to the Resolution for USR1777 received July 20, 2011 I attach three sets of 24x36 Plat
and three sets of 24x36 Drawings for your review Questions/issues raised by the Resolution arc
addressed below and on the Plat and Drawings.
1.Prior to recording the plat:
A.The plat shall be amended to delineate the following:
1) All pages of plat shall be labeled USR-1777.Verizon Wireless has added USR-1777 to each
page of the Plat.
2) County Road 112 is designated as a Section Line road,which requires sixty (60) feet of right-of-
way at full buildout.The applicant shall verify and delineate on the plat, the existing right-of-way and
the documents creating the right-of-way. All setbacks shall be measured from the edge of future
right-of-way.If the right-of-way cannot be verified, it shall he dedicated.This road is not maintained
by Weld County. Page Two of the Plat specifies the 60' ROW. Please also see the Colorado
Land Survey Monument Record containing the supporting documentation.
3) The applicant shall increase the size of the access easement to twenty (20) feet or provide
documentation that the proposed fifteen (15) foot access width requirement has been cleared with
the New Raymer Fire Protection District and Emergency Services, in regard to the width and weight
capacity of the access lane to ensure it is adequate for emergency purposes. The proposed access
easement has been increased to 20' —please see Sheet Two of the Plat and Sheets C2.0 and
A2.0 of the drawings.
4)The applicant shall contact the Colorado Department of Transportation (CDOT) regarding the
existing and future right-of-way for State Highway 71. The applicant shall verify with CDO'1', and
delineate on the plat, die existing right-of-way and the documents creating the right-of-way. All
setbacks shall be measured from the edge of future right-of-way. We spoke with CDOT and
requested any future design modifications to the State Highway 71 ROW. CDOT indicated
the existing 60' ROW has no plans for expansion. CDOT plans to maintain the 60' ROW as
permanent.
5) The plat shall he prepared in accordance with Section 23-2-260.D of the Weld County Code.
VZW has followed Section 23-2-260D in preparing the Plat.
-2— August22,2011
6)The Use by Special Review (USR) boundary should include the 250-foot tower fall zone and
access easement,or the applicant shall submit, to the Department of Planning Services, evidence of a
recorded casement granted by the underlying property owner,which allows for the fall of the tower
onto the burdened property and thereby meet the setback requirements of Section 23-4-83O.1).3.a.
Sheet A2.O of the drawing set delineates the 250' fall zone. A Tower Fall Zone Easement
was also executed by Dewain L. and Nancy E. Shapley and is included with this submittal.
Section 23-4-83O.D.3.a.
B. The applicant shall address the requirements/concerns of the Federal Aviation Administration,as
stated in the referral response,dated February 22, 2011. Evidence of such shall be submitted, in
writing,to the Weld County Department of Planning Services. Please see FAA Determination of
No Hazard to Air Navigation filing included with this submittal.
C. The applicant shall address all of the conditions/requirements of Subdivision Exemption (SE)
#1196 and submit the plat to the Weld County Department of Planning Services for recording.
Three copies of the Plat as well as three copies of the Drawings are included in this
submittal.
D. The applicant shall submit three (3) paper copies of the plat for preliminary approval to the Weld
County Department of Planning Services. Included.
Sincerely,
Kelly Harrison
Site Acquisition and Zoning Consultant,
Cosset'Consulting
1917 LOWELL BLVD • DENVER/COLORADO • 10204
MOBILE 303_748 0599 • FACSIMILE_ 303 501-2881
TOWER FALL ZONE EASEMENT
Dewain L. Shapley and Nancy E. Shapley ("Grantor"), Co-Trustees of the Dewain L. Shapley Trust dated
February 18, 2004, whose street address is 70589 County Road I12, Stoneham, CO, 80754, County of
Weld and State of Colorado, for valuable consideration hereby grants to Verizon Wireless (VAW) LLC
d/b/a Verizon Wireless ("Grantee"), whose street address is One Verizon Way, Mail Stop 4AW100,
Basking Ridge, New Jersey 07920, an easement for, over and across the following real property, owned
by Grantor, in the County of Weld and State of Colorado:
The South Half(S 1/2) of Section Twenty-five (25), Township Ten (10) North, Range Fifty-
seven (57) West of the 6m P.M.; AND BEING the same property conveyed to Dewain L.
Shapley and Nancy E. Shapley, Co-Trustees of the Dewain L. Shapley Trust dated February
18, 2004 from Dewain L. Shapley and Nancy E. Shapley, also known as Nancy Stephen
Shapley, husband and wife by Statutory Warranty Deed dated February 18, 2004 and
recorded April 12,2004 in Instrument No.3169767.
Tax Parcel No. R0196486
Weld County,Colorado.
This Easement shall be exercised by Grantee for the purposes of creating a 100% tower fall zone for
Grantee's 250 foot wireless telecommunications tower, pursuant to conditions established by the Weld
County Commissioners approval of Special Review Permit # . This Easement shall be permanent
in duration so long as it is used for a telecommunications tower and related uses. If the Easement is
abandoned and ceases to be used for such purposes,the Easement shall expire and revert to the Grantor or
Grantor's successors and assigns.
Signed this20 day of C,.1/4«ir, ,201f_.
Dewain L.Shapley Trust dated February 18,2004
effr -f-uts_
Dewain L. Shapley, C - stee
Date: /—.2o — ((
dancy E. hapley, o- rustee
Date: / cAAi T"
(Acknowledgements follow on separate page)
BUS_RG13752448.1
STATE OF COLORADO
) ss.
COUNTY OF WEB l.c88Q ,•t )
afrr
The foregoing instrument was acknowledged before me this„?v day of (4.t„Cc„r 5 , 2010, by
Dewain L. Shapley as Co-Trustee of the Dewain L. Shapley Trust dated Febru 18,2004.
Witness my hand and
official seal.
'jury Public •'•'s
4 gzIrit4OTApri
My Commission Expires: 7-30- / ( p 'H
• UBL1Cf�
STATE OF COLORADO } \\.`O;,•��.p�P
) ss. �.
COUNTY OF- WELD4a]a..-- )
/� 2O/1
The foregoing instrument was acknowledged before me this-20 day of (Q,r6..as9, 2010, by
Nancy E. Shapley as Co-Trustee of the Dewain L. Shapley Trust dated FebruaryX8, 2004.
Witness my hand and official seal.
rotary Public
My Commission Expires: 7 3b / /
L
m Tip
ffir *1
.S pU8L1�+
;
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BUs_RE\3252448.I
COLORADO LAND SURVEY MONUMENT RECORD
Department of Regulatory Agencies
Board of Licensure for Architects, Professional Engineers and Professional Land Surveyors
1560 Broadway, Suite 1350
Denver, CO 80202
Phone (303) 894-7800; Fax (303) 894-2310; EMAIL aes@dora.state.co.us; V/TDD 711
Report one monument only on this form — Reproduction of this form is authorized.
All items ore to be filled in by the Land Surveyor using PERMANENT BLACK LETTERING and lines which can be reproduced.
1. TYPE OF MONUMENT: IS SECTION CORNER 0 CUM LR CORNER 0 SIXTEENTH CORNER 0 OTHER
2. DESCRIPTION AND DATE OF MONUMENT FOUND:
FOUND 2.5" 1917 BRASS CAP 2" ABOVE GROUND. AS SHOWN HEREON.
3. DESCRIPTION OF MONUMENT SET BY YOU TO PERPETUATE THE LOCATION OF THIS POINT:
4. SKETCH SHOWING RELATIVE LOCATION OF MONUMENT, ACCESSORIES AND REFERENCE POINTS STATING
WHETHER FOUND OR SET, SHOW SUPPORTING AND/OR CONTRADICTORY EVIDENCE WHERE APPLICABLE:
SET NO. 5 REBAR W/-- SET NAIL W/ ALUM.
YELLOW PLASTIC CAP STAMPED LS 31158 . / WASHER STAMPED LS 31158
o IN TOP OF FENCE POST
•0
. . c '
10.00' 24.68'
FOUND MONUMENT EXISTNG S BARBED
AS DESCRIBED WIRE FENCE
N.T.S. Not to scale
AND
//QPy5 D FOF j 5. CERTIFICATION
_ T 10 N Ise This is to certify that I was in responsible charge of the
4/a R 57 W surveying work described in this record and that to the
best of my knowledge the information presented herein
;C is true and correct.
tnz S23 S24 cC Name (Please Print): CHRISTOPHER P. JULIANA
7y S26 S25 .:11' Firm Name: PRECISION SURVEY at MAPPING, INC.
Firm Address: 1780 S. BELLAIRE ST. /165
•• / DENVER, COLORADO 80222
1917 Phone: 303-753-9799
Stamping on Cap 6. LOCATION DIAGRAM
a. Date of Reld Work to Establish, Restore or Rehabilitate1" = 1 Mile
Monument MAY 2. 2011
•
b. Dab Monument was used as a Control corner I I
(Surveyor. do not fill in) —+— N
• = Location of Monument
Signature/Date through Seal
7. SEC 25 T 10 N R 57 W 6TH P.M.
RECEIVED AT OFFICE OF THE COUNTY CLERK
COUNTY WELD INDEX REF NUMBER 21—J
COUNTY
**8. SEC
COUNTY INDEX REF NUMBER
BY:
s To be used only for monuments located on county Mena
DATE:
Record to be filed numerically by Index Reference
era
Number. then alphabetically by letter in the index
reference number, then under appropriate Tonnship.
Range, and Meridian. .—. Depanment ai Regulatory Agencies. Rev.02/O1/2011
COLORADO LAND SURVEY MONUMENT RECORD
Department of Regulatory Agencies
Board of Licensure for Architects, Professional Engineers and Professional Land Surveyors
1560 Broadway, Suite 1350
Denver, CO 80202
Phone (303) 894-7800; Fax (303) 894-2310; EMAIL aes®dora.state.co.us; V/TDD 711
Report one monument only on this farm — Reproduction of this form is authorized.
All items are to be filled in by the Land Surveyor using PERMANENT BLACK LETTERING and lines which can be reproduced.
1. TYPE OF MONUMENT: 0 SECTION CORNER I® QUARTER CORNER 0 SIXTEENTH CORNER 0 OTHER
2. DESCRIPTION AND DATE OF MONUMENT FOUND:
FOUND 2.5" 1917 BRASS CAP 6" ABOVE GROUND. AS SHOWN HEREON.
3. DESCRIPTION OF MONUMENT SET BY YOU TO PERPETUATE THE LOCATION OF THIS POINT:
4. SKETCH SHOWING RELATIVE LOCATION OF MONUMENT, ACCESSORIES AND REFERENCE POINTS STATING
WHETHER FOUND OR SET, SHOW SUPPORTING AND/OR CONTRADICTORY EVIDENCE WHERE APPLICABLE:
SET NO. 5 REBAR W/
FOUND MONUMENT YELLOW PLASTIC CAP
AS DESCRIBED STAMPED LS 31158
w3�;' WIRE 3' BARBED
WIRE FENCE
49.24 lipf /7/' ° - ,
1
N.T.S.
,AJ FOUND NAIL IN TOP
��, OF FENCE POST
FOUND NAIL IN TOP
OF FENCE POST J
3 BARRED
WIRE FE WIRE FENCE
Not to scale EXIST NC 3' BARBED
WIRE FENCE
LAND
f;R 5. CERTIFICATION
10 N *IA This is to certify that I was in responsible charge of the
57 W surveying work described in this record and that to the
"CIP best of my knowledge the information presented herein
C is true and correct.
viz S26 S25 << Name (Please Print): CHRISTOPHER P. JULIANA
a •••
Firm Name: PRECISION SURVEY & MAPPING, INC.
Firm Address: 1780 S. BELLAIRE ST. 1165
•• 1/4 DENVER, COLORADO 80222
1917 Phone: 303-753-9799
Stamping on Cap 6. LOCATION DIAGRAM
a. Dots of field Work to Establish, Reston or Rehabilitate 1" = 1 Mile
Monument: MAY 2. 2011
b. Date Monument was used as a Control corner —II I
(Surveyor. do not fill in) —T—+— N
• I
• = Location of Monument
Signature/Date through Seal
7. SEC 25 T 10 N R 57 W , 6TH P.M.
RECEIVED AT OFFICE OF THE COUNTY CLERK
COUNTY WELD INDEX REF NUMBER 21—G
COUNTY
"8. SEC T 12____, P.M.
COUNTY INDEX REF NUMBER
BY
el So be used only for monument. located on county lines
DATE:
Record to be filed numerically by Index Reference !$c,th ?, ara
Number. then alphabetically by letter in the index .{ l5 D-- Il I
reference number. then under appropriate Township, /+F
Range. and Meridian. ._c It aepatmern of Regulatory Agenckn
Rev.02/01/2011
COLORADO LAND SURVEY MONUMENT RECORD
Department of Regulatory Agencies
Board of Licensure for Architects, Professional Engineers and Professional Land Surveyors
1560 Broadway, Suite 1350
Denver, CO 80202
Phone (303) 894-7800; Fox (303) 894-2310; EMAIL aes®dora.state.co.us; V/TDD 711
Report one monument only on this form — Reproduction of this form is authorized.
All items are to be filled in by the Land Surveyor using PERMANENT BLACK LETTERING and lines which con be reproduced.
1. TYPE OF MONUMENT: El SECTION CORNER 0 QUARTER CORNER 0 SIXTEENTH CORNER 0 OTHER
2. DESCRIPTION AND DATE OF MONUMENT FOUND:
FOUND 2.5" 1917 BRASS CAP 4" ABOVE GROUND. AS SHOWN HEREON.
3. DESCRIPTION OF MONUMENT SET BY YOU TO PERPETUATE THE LOCATION OF THIS POINT:
4. SKETCH SHOWING RELATIVE LOCATION OF MONUMENT, ACCESSORIES AND REFERENCE POINTS STATING
WHETHER FOUND OR SET, SHOW SUPPORTING AND/OR CONTRADICTORY EVIDENCE WHERE APPLICABLE:
FOUND MONUMENT
AS DESCRIBED FOUND NAIL IN TOP
OF FENCE POST
20cO,:
00 33.44
SET NO. 5 REBAR W/N.T.S. YELLOW PLASTIC CAP `
STAMPED LS 31158 Lxs-Nc s' BARBED
• WIRE FENCE (TYP.)
Not to scale
Py150LAND�
Fof i 5. CERTIFICATION
T 10 N ,p art This is to certify that I was in responsible charge of the
LOA- R 57 W surveying work described in this record and that to the
LN best of my knowledge the information presented herein
is true and correct.
utz S26 525 cc Name (Please Print): CHRISTOPHER P. JULANA
7a, S35 S36 Sp Firm Name: PRECISION SURVEY & MAPPING, INC.
Firm Address: 1780 S. BELL IRE ST. #165
•• DENVER, COLORADO 80222
1917 Phone: 303-753-9799
Stamping on Cap 6. LOCATION DIAGRAM
a. Dote of field work to Establish, Restore or Rehabilitate 1" = 1 Mile
Monument MAY 2. 2011
b. Date Monument was used as a Control comer II II
(Surveyor, do not fill in) --i—---F— N
•
• = Location of Monument
Signature/Date through Seal
7. SEC 25 T iD N R 57 W 6TH P.M.
RECEIVED AT OFFICE OF THE COUNTY CLERK
COUNTY WELD INDEX REF NUMBER 21—E
COUNTY
"8. SEC.
BY COUNTY INDEX REF NUMBER
el To be used only for monuments located on county lines
DATE:
Record to be filed numerically by Index Reference Vi✓ ey\
Number, then alphabetically by letter in the index D ��reference number, then under appropriate Township,
Range, and Meridian Department at Regulatory Agencies
Rev.02/01/2011
COLORADO LAND SURVEY MONUMENT RECORD
Department of Regulatory Agencies
Board of Licensure for Architects, Professional Engineers and Professional Land Surveyors
1560 Broadway, Suite 1350
Denver, CO 80202
Phone (303) 894-7800; Fax (303) 894-2310; EMAIL aesOdora.stote.co.us; V/TDD 711
Report one monument only on this form — Reproduction of this form is authorized.
All items are to be filled in by the Land Surveyor using PERMANENT BLACK LETTERING and lines which can be reproduced,
1. TYPE OF MONUMENT: 0 SECTION CORNER IN QUARTER CORNER 0 SIXTEENTH CORNER 0 OTHER
2. DESCRIPTION AND DATE OF MONUMENT FOUND:
FOUND 2.5" 1917 BRASS CAP 4" ABOVE GROUND. AS SHOWN HEREON.
3. DESCRIPTION OF MONUMENT SET BY YOU TO PERPETUATE THE LOCATION OF THIS POINT:
4. SKETCH SHOWING RELATIVE LOCATION OF MONUMENT, ACCESSORIES AND REFERENCE POINTS STATING
WHETHER FOUND OR SET, SHOW SUPPORTING AND/OR CONTRADICTORY EVIDENCE WHERE APPUCABLE:
SET NO. 5 REBAR W/ --_•
YELLOW PLASTIC CAP
STAMPED LS 31158 Imo-20.00' FOUND MONUMENT
n AS DESCRIBED
iv 20.00'
I x , I
, i -2.58'
N.T.S. SET NAIL WI ALUM.
EXISTING BARBED WASHER STAMPED LS 31158
WIRE FENCE (TYP_) IN TOP OF FENCE POST
Not to scale
LAND
2��p,y450 F0'c PA. 5. CERTIFICATION
1/4 R pt' This is to certify that I was in responsible charge of the
�ti surveying work described in this record and that to the
(gam " best of my knowledge the information presented herein
is true and correct.
z S25 c� Name (Please Print): CHRISTOPHER P. JULIAJJN
7°' S36 ^4 Finn Name: PRECISION SURVEY & MAPPING, INC.
Finn Address: 1780 S. BELLAIRE ST. #165
�` / DENVER, COLORADO 80222
1917 Phone: 303-753-9799
Stamping on Cap 6. LOCATION DIAGRAM
a. Data of field work to Establish, Restore or Rehabilitate 1" — 1 Mile
Monument MAY 2. 2011
b. Dote Monument was used as a Control comer: I I
(Surveyor, do not fill in) '-.f- ---
±— NI
• R. Location of Monument
Signature/Date through Seal
7. SEC 25 T 10 N R 57 W 6TH P.M.
RECEIVED AT OFFICE OF THE COUNTY CLERK
COUNTY WELD INDEX REF NUMBER 23—E
COUNTY
**8. SEC T R __I'.M.
COUNTY INDEX REF NUMBER
BY
lie To be used only for monuments located on county lines
DATE: 'SA4_
Record to be filed numerically by Index Reference 7t U�I`'I"'I Dora
Number then alphabetically by letter in the index .
reference number. then under appropriate Tannehip,
Range, and Meridian. .—. 1 oepMmem of Regulatory Agencies
RevA2/01/2011
COLORADO LAND SURVEY MONUMENT RECORD
Department of Regulatory Agencies
Board of Licensure for Architects, Professional Engineers and Professional Land Surveyors
1560 Broadway, Suite 1350
Denver, CO 80202
Phone (303) 894-7800; Fax (303) 894-2310; EMAIL aes®dora.state.co.us; V/TDD 711
Report one monument only on this form — Reproduction of this form is authorized.
All items are to be filled in by the Land Surveyor using PERMANENT BLACK LETTERING and lines which can be reproduced.
1. TYPE OF MONUMENT: ® SECTION CORNER 0 QUARTER CORNER 0 SIXTEENTH CORNER 0 OTHER
2. DESCRIPTION AND DATE OF MONUMENT FOUND:
NOTHING FOUND
3. DESCRIPTION OF MONUMENT SET BY YOU TO PERPETUATE THE LOCATION OF THIS POINT:
SET NO. 6 REBAR WITH 3.25* ALUMINUM CAP
STAMPED LS 31158 FLUSH WITH GROUND
4. SKETCH SHOWING RELATIVE LOCATION OF MONUMENT, ACCESSORIES AND REFERENCE POINTS STATING
WHETHER FOUND OR SET, SHOW SUPPORTING AND/OR CONTRADICTORY EVIDENCE WHERE APPLICABLE:
_10'
SET MONUMENT
AS DESCRIBED
k
EXISTING DIRT DRIVE
} SET NO. 5 REBAR W/
SET NAIL WI ALUM. a YELLOW PLASTIC CAP
WASHER STAMPED LS 31158 STAMPED LS 31158
IN TOP OF FENCE POST ,fig,� 0
A
EXISTING 3' BARBED-� \S1".
WIRE FENCE
EDGE OF \
ASPHALT
Not to scale
10
10 N 5. CERTIFICATION N.T.S.
R 57 W R 56 W This is to certify that I was in responsible charge of the
surveying work described in this record and that to the
S25 S30 best of my knowledge the information presented herein
is true and correct.
S36 S31 Name (Please Print): CHRISTOPHER P. JULIANA
Firm Name: PRECISION SURVEY & MAPPING, INC.
2011 Firm Address: 1780 S. BELLAIRE ST. #165
PLS 31158 DENVER, COLORADO 80222
1.2
Phone, 303-753-9799
Stamping on Cap 6. LOCATION DIAGRAM
a. Date of field work to Establish, Restore or Rehabilitate 1" = 1 Mile
Monument MAY 2. 2011
b. Dote Monument woe used as a control comer. II I
_(Surveyor. do not fill in) —T—�— N
•
• = Location of Monument
Signature/Date through Seal
7. SEC 25 T 10 N R 57 W 6TH P.M.
RECEIVED AT OFFICE OF THE COUNTY CLERK
COUNTY WELD INDEX REF NUMBER 25—E
COUNTY
w*8. SEC
DY. COUNTY INDEX REF NUMBER
" To be used only for monuments located an county lines
DATE:
Record me to b l numerically e Index, Rhere es a,ggi D�ra
Number, then alphabetically by letter n the index ^I ISM
reference number, then under appropriate Tomship,
N and Meridian o<vana,.m of Regulatory Rev.02/O1/2011
¢c
COLORADO LAND SURVEY MONUMENT RECORD
Department of Regulatory Agencies
Board of Licensure for Architects, Professional Engineers and Professional Land Surveyors
1560 Broadway, Suite 1350
Denver, CO 80202
Phone (303) 894-7800; Fax (303) 894-2310; EMAIL aes®dora.state.ca.us; V/TDD 711
Report one monument only on this form — Reproduction of this form is authorized.
All items are to be filled in by the Land Surveyor using PERMANENT BLACK LETTERING and lines which can be reproduced.
1. TYPE OF MONUMENT: 0 SECTION CORNER IE QUARTER CORNER 0 SIXTEENTH CORNER ❑ OTHER
2. DESCRIPTION AND DATE OF MONUMENT FOUND:
NOTHING FOUND
3. DESCRIPTION OF MONUMENT SET BY YOU TO PERPETUATE THE LOCATION OF THIS POINT:
SET N0. 6 REBAR WITH 3.25a ALUMINUM CAP
STAMPED LS 31158 FLUSH WITH GROUND
4. SKETCH SHOWING RELATIVE LOCATION OF MONUMENT, ACCESSORIES AND REFERENCE POINTS STATING
WHETHER FOUND OR SET, SHOW SUPPORTING AND/OR CONTRADICTORY EVIDENCE WHERE APPLICABLE:
EDGE OF
ASPHALT
N •
-SET NO. 5 REBAR W/
YELLOW PLASTIC CAP
SET MONUMENT \*0 STAMPED LS 31158
AS DESCRIBED I )
51.82'
EXISTING 3' BARBED 0 0.00
WIRE FENCE (DEP.) , t r
/4.
'5 >
•%
I3
Not to scale
I57T 10 5. CERTIFICATION
1/4 This is to certify that I was in responsible charge of the
W R 56 W surveying work described in this record and that to the
beet of my knowledge the information presented herein
is true and correct.
S25 S30 Name (Please Print): CHRISTOPHER P. JUUANA
Firm Name: PRECISION SURVEY & MAPPING, INC.
2011 Firm Address: 1780 S. BELLAIRE ST. #165
PLS 31158 DENVER, COLORADO 80222
Phone: 303-753-9799
Stamping on Cap 6. LOCATION DIAGRAM
a. Dote of Feld work to Esteban, Restore or Rehabilitate 1„ = 1 Mile
Monument: MAY 2. 2011
b. Date Monument was used ae a Control corner I III
(Surveyor, do not fill in) ---+— N
II IIII •
—T—T
• = Location of Monument
Signature/Dote through Seal
7. SEC 25 T 10 N R 57 W 6TH P.M.RECEIVED AT OFFICE OF THE COUNTY CLERK
COUNTY WELD INDEX REF NUMBER 25—G
COUNTY
"8. SEC
BY: COUNTY INDEX REF NUMBER
ee So b used only for monuments located on county lines
DATE:
Record to be numerically le ,rIndex i Rh index
l D�ra
Number, then alphabetically y letter in the index
reference number. then under appropriate Township, ;phi
Range. and MeridianDepa,tmem ohflepulato,yPgendes
Rev.02/01/201 1
COLORADO LAND SURVEY MONUMENT RECORD
, Department of Regulatory Agencies
. Board of Licensure for Architects, Professional Engineers and Professional Land Surveyors
1560 Broadway, Suite 1350
Denver, CO 80202
Phone (303) 894-7800; Fax (303) 894-2310; EMAIL DesOdora.state.co.us; V/TOD 711
Report one monument only on this form — Reproduction of this form is authorized.
All items are to be filled in by the Land Surveyor using PERMANENT BLACK LETTERING and lines which can be reproduced.
1. TYPE OF MONUMENT: 0 SECTION CORNER IN QUARTER CORNER 0 SIXTEENTH CORNER 0 OTHER
2. DESCRIPTION AND DATE OF MONUMENT FOUND:
FOUND 2.5* 1917 BRASS CAP 4* ABOVE GROUND. AS SHOWN HEREON.
3. DESCRIPTION OF MONUMENT SET BY YOU TO PERPETUATE THE LOCATION OF THIS POINT:
4. SKETCH SHOWING RELATIVE LOCATION OF MONUMENT, ACCESSORIES AND REFERENCE POINTS STATING
WHETHER FOUND OR SET, SHOW SUPPORTING AND/OR CONTRADICTORY EVIDENCE WHERE APPLICABLE:
FOUND MONUMENT
AS DESCRIBED
20.00420.00'.20.00
io
i0 EXISTING 3' BARBED
N WIRE FENCE
N.T.S.
4R\
SET NO. 5 REBAR W/
YELLOW PLASTIC CAP
STAMPED LS 31158
Not to scaleICAL)
AND
(T-5
M0 FpFF� 5. CERTIFICATION
1/4 Ptry This in to certify that I wan in responsible charge of the
surveying work described in thin record and that to the
U LN best of my knowledge the information presented herein
is true and correct.
Nz S24 c� Name (Please Print): CHRISTOPHER P. JULIANA
�� S25 ^Y Arm Name: PRECISION SURVEY & MAPPING, INC.
Firm Address: 1780 S. BELLAIRE ST. #165
�• DENVER, COLORADO 80222
1917 Phone: 303-753-9799
Stamping on Cap 6. LOCATION DIAGRAM
a. Date of field work to Establish, Restore or Rehabilitate 1" = 1 Mile
Monument: MAY 2. 2011
b. Date Monument was used as a Control corner. III • I
(Surveyor, do not fill in) —t--- N
II
• = Location of Monument
Signature/Date through Seal
7. SEC 25 T 10 N R 57 W 6TH P.M.
RECEIVED AT OFFICE OF THE COUNTY CLERK r
COUNTY WELD INDEX REF NUMBER 23—J
COUNTY
**8. SEC T R P.M.
COUNTY INDEX REF NUMBER
BY.
se To be used only for monuments located on county lime
DATE:
Record m , be numerically e i the index �'h ,.Dora
Number. theneretie by letter in e T codex i .I
reference number, then under appropriate Township.
Range, and Meridian ._. a,Department of Regulatory A9en ief
Rev.02/O1/2011
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