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r=OfircDOF :DIRECTORS NORTH WELD COUNTY WATER DISTRICT
• Fc cR : ;78,23:CR "s<� LUCERNE.CO 8064(.;
RALPH PRIOR DON POS•`ii I F. DISTRICT MANAGER
NELS NELSON
GE"Nit:
O siQ•K ti PHONE x..70,35T., 3020 - s TeX .'.r;t; AE-Ci99-/
WATER 'I'M' REQUEST FORM
Effective 06/01/2007 Corandtment Letter Fe. : i I0.00 per equivalent tap for all lots 'tihiclt an -'intent tir
provide service-. is denoted in a Commitment Letter. For such Commitment Letter. the District shall
reserve capacity fur the applied cater sen ice in the deliver system lin•a period of one sear. .-1.1T)
Review Fee: $40.00 per lot. up to a maximum of$800.00
PHYSICAL ADDRESS(IF KNOWN) !LI'O! n 1--1AAJ )4J't Au i._.T 'D 80(olc")-
APPROXIMATE DIS1 A.NC'E FROM NEAREST INTERSEC'ION--PLEASE INC'Lt DE COUNTY
ROAD NE.'MBERS
I-4-tAy I4 t C-ry gc e61 A-r 114C S InJ OF PROPER y
WlRAT IS NAM k INTENT FOR THE REQUEST? USG BY SpeciAi-, REI/tE 1 APPLI e�fl 0►.1 ,_
Recorded Exemption Application:' N(3 Vacant Land Without a Tap? VCs
Subdivision or PU)? Do v nu need Fire Flows? NO What are they?
•RECORDED) EXEMPTION NUMBER: ow 7-0q - 3 RE � c�
PARCEL NUMBER: O 70 70 'OQOf3 34
LOOKUP FOR WELL) COUNTY http://ntlaps.merrick.comA% -bsite/ eldl
LOON LP FOR '_ARIN1ER COUNTY http://wytw.larimer.org/wcbsite/parlinkivioi er.httri
SECTION _ HALF & QUARTER SECTION S 1/V QUA--
TOWNSEiII .__ 1 IVOrtk RANGE (p(,O o l ft� (off`
sue) G1-t 41 JaAr�IFr t� � )L , Ayer
PRINTED NAME OF PERSON REQt ESTINC TAP -- If Agent, Note Client Name & Agent Name
Separately
SI ': A :RE DATE �.
8Q:601-874V
PHONE NUMBER
PLEASE INC.'LLDE A SKETCH OF THE,AREA AND ANY PROPOSED SEPAR.DTION
Or TUE PARCEL IN QUESTION'.
How would r ou like the Commitment D .eater s-t=D urned to you? •
SMAll IN PERSON FAX: k'-MAII::jentI keSikl15 e)_ et)frc
2012- pp
WATER CONSUMPTION SURVEY
elo aid in the determination of water consumption for the eater service you requested. it is of considerable
importance to know as much as possible about how the water will he consumed. Please answer all questions us
accuratclv as possible. 1i you have questions please call (970) :i6-;020. ++
Customer Name: MESS A1.3 6, sALE5`LL-e, Agent's Name: JC.nr i+pp C.r L- Stu_I-IS
Current Mailing Address: s . Mat & Si— Agent Address: 3►+4giq kk t? jet
AZT _, IV VI S 741 t tJ u1;w Also• C-D do 55a
1)r' Time Phone Number: 506:334--x;2.).(O1O _ :\Lem Phone: 3bd-49O/-P"]44-
. .tAgent j. l�.rt,' .e ciej.l.cam.
C'ustumer l�:-141at1;�(�{��(��j���.� .- E-Mail: Q . t I�e -�ic f �
Which best describes your needs:
Residential Only
Industrial !Commercial
I ;sage I lours 1j,-
... rv.— f%
Number of[mployees
Livestock Operation
Number of Members in the f1/41/j4, --
How do you plan on irrigating your lawn'?
North Weld County Water District
Pump Water From Irrigation Ditch
• _.. Pump Water From Well
Other 4Speeii\l o L.AV.1
Number oi I.ivestock to be led:
Cattle I logs
Horses Chickens
Sheep X Other
Dairy
What is die present source of%\ater for our Ii\cmock? __I'!j'
Would you anticipate using the proposed eater lap I'm'\\attiring lip estock'.'Yes No Vr
If you are unable to complete the above, please complete one or more of the belw%:
Please base your design For our tap on a maximum usage ctf:
Gallons per minute
Gallons per day
Gallons per month
-o9a—/cam
1l / Yij
ICUlnC Siunature Date
•
BOARD OF DIRECTORS H NORTH WELD COUNTY WATER DISTRICT
CHARLES ACHZIGER 0Q,T � c 32825 CR 39 • LUCERNE, CO 80646
RALPH PRIOR DON POSSELT, DISTRICT MANAGER
illiLS NELSONIIIllt , Q
NE STILLE ESTABLISHED A,
P.O. BOX 56 • PHONE (970)356-3020 • FAX (970) 395-0997
ROBERT ARNBRECHT A n \e
wAT ER O
www.nwcwd.org • e-mail: water@nwcwd.org
February 29, 2012
Tess Leases and Sales, LLC Jennifer Stults
1231 S Main Street 34499 WCR 19
Aztec, NM 87410 Windsor, CO 80550
505.334.2266 303.601.8744
This letter is in response to your inquiry regarding water service to the following described property,
Approx. 14017 Hwy 14, Lot A RE-2569 in a portion of the SW t of Section 9, T7N, R66W of the 6th Prime Meridian.
(See attached North Weld County Water District sketch)
Parcel 070709000034
1 Water Service is presently being provided to the above mentionod property through meter It
2. North Weld County Water District is able and intends to provide water service to the above-mentioned property, provided all
requirements of the District are satisfied. If contracts have not been completed with North Weld County Water District within one year from
the date of this letter,the District may refuse to supply water to the above-mentioned property. The District reserves this right to refuse
service, in the event that raw water is unavailable, and/or pipeline or Filter Plant capacity is not capable to provide additional service.
Before a water tap may be purchased,the applicant must provide a copy of a Warranty Deed, a Physical Address,and this letter.
3. As additional consideration for this Letter of Intent to provide service, Property Owner agrees to sign and execute any necessary
basements and Rights-of-Way regarding specific locations,widths, size of pipeline(s)and descriptions for Water Lines as determined
W the District. This Agreement is conditional upon execution and recording of the Easement and Right-of-Way Agreement, and until
such Easement and Right-of-Way Agreement is finalized to the satisfaction of the District and recorded, District shall not be required to
provide any services of any type.
4.The District recommends that based on the number of family members and livestock along with other information provided in the
Water Tap Request Form,your irrigated landscaping square footage not exceed approx.6,000 square feet. The
recommendation is based on the Full Standard Tap allocation and should be utilized to optimize delivery without surcharge. Additional
allocation should be purchased for landscaping areas larger than the recommended area.
5. The District recommends that anticipated raw water be purchased through the District. The District guarantees treatment and delivery of
raw water purchased. All water that is delivered over the allocation (with surcharge) is subject to water availability. Water
purchased through the District shall be 70%delivery of an Acre-Foot of water,if the allotment for Colorado-Big Thompson(CBT)project
water,which is determined by the Northern Colorado Water Conservancy District,is 50%or greater. North Weld County Water District will
restrict the delivery as necessary when the CBT allotment is less than 50%. A portion of the Raw Water Fee is utilized by the District to
construct storage reservoirs.
6. Tap Options and Requirements
Raw Raw Water Plant Distance Meter Water Allocation Plant Investment
Water Storage Fee Investment Fee Set (Annually) Allocation
Fee (Annually)
Full Standard 100% 100% 100% 100% 100% 228,000 Gallons 228,000 Gallons
Tap
Lot Size greater than 0.33 Acres( 14,500 sq ft)
75%Tap 175% 75% I 75% I 75% I 100% I. I 171,000 Gallons I 171,000 Gallons
Lot sizes greater than 0.20 acres(8,800 sq ft)but less than 0.33 Acres(14,500 sq ft)OR
Restrictions
landowners with verifiable irrigation rights or well permits for outside water use
• 50%Tap I 50% 50% I 50% I 50% I 100% I I 114,000 Gallons I 114,000 Gallons
Lot size less than .2 acres(8,800 sq ft)OR with a Board Approved Irrigation System OR a
Restrictions
Board Approved Commercial Enterprise
Conservation 100% 100% 0 0 100% 228,000 Gallons* 0 Gallons
Blue Tap
If Qualified,taps may be used in combination with Conservation Tap(i.e.50%Water with a
Restrictions Conservation 0 Plant Investment)
*Gallons may vary depending on qualifying combination
A tap may be allotted more than 1 unit of Water and/or Plant Investment. In this case the allotment is the class X
228,000 gallons=Annual Allocation.(i.e.Water Allocation 5 x 228,000= 1,140,000 gallons Annual Allocation)
• Surcharge will be assessed when an account's year to date usage exceeds the Water and/or Plant Investment Allotment.
See Page 2 for Rates.
Y:\Legal Documents\Letter of Intent\2012\TessLeasing&Sales_StultsJennifer(02-29-12).doc
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BOARD OF DIRECTORS H 1--� NORTH WELD COUNTY WATER DISTRICT
CHARLES ACHZIGER KQ::1„. V , 32825 CR 39 • LUCERNE, CO 80646
RALPH PRIOR DON POSSELT, DISTRICT MANAGER
LS NELSON ) v
RNE STILLS ,,,pq,„„ „
G ,��' P.O. BOX 56 • PHONE (970) 356-3020 • FAX (970) 395-0997
ROBERTARNBRECHT \r1- �a
waTER www.nwcwd.org • e-mail: water@nwcwd.org
February 29, 2012
The Tap Fees quoted below,shall be valid for ten(10)business days from the date the applicant receives this letter and the tap
fees must be paid within the ten (10)business days to receive the fees as quoted below. The Meter Set Fee as stated below is
valid only for the location shown on the attached map.
After ten(10)business days,the costs will be subject to the then in effect rates(current cost)established by the District. The District is
not responsible for notifying individuals,banks,lenders,prospective buyers,real estate agents or anyone else,in any manner,of a change
of rates and or fees.
TAP FEES(Assumed for Full Standard Tap) INSTALLATION COST
Raw Water for One Acre-Foot Unit(AFU) $7,500 Meter Set Fee $3,000.00
Storage Fee Portion of Raw Water Fee $1,000 See attached map for meter installation details—
Base Portion of Plant Investment Fee $7,500 District would move Account#2889 to Lot B and
Distance Portion of Plant Investment Fee $1,800 provide service to Lot A with existing meter.
(6 miles) Disconnect and cap service line between Lot A&B.
TOTAL Up Front COSTS For STANDARD TAP(See $20,800.00 Full Std Tap/$11,500.00 Conservation Blue Tap
Paragraph 6 for Options)PER TAP
• Price is valid for ten(10 business days from receiving this letter.
Minimum Pressure 35 psi
Normal Pressure Range 80 psi to 110 psi
Maximum Pressure 125 psi
After the water tap has been purchased(Raw Water AFU&Plant Investment Fee)the applicant has one year in which to have the meter
set. The District requires 45 days prior notice to setting a meter. If the meter has not been set within twelve months from the purchase date
and the applicant requests to relinquish the meter,the District shall refund the applicant 98%of the purchase price paid by applicant. If the
meter remains unset for thirteen to eighteen months after the initial purchase date and the applicant requests to relinquish the meter,the
District shall refund the applicant 90%of the purchase price paid by applicant. If the applicant does not choose to relinquish the meter
within one year of the applicant purchasing the meter and the meter remains unset,the account will begin billing the minimum
monthly amount.
Usage Rates and Fees
Usage Amount Charge or Rate Per Month
0 to 10,000 gallons $30.00 Minimum
10,000 gallons and up $3.00 per 1,000 gallons(Kgal)
Water Surcharge
Surcharge will be assessed when an account's year to date usage exceeds the annual water allotment. Currently the surcharge is
$0.15 per 1,000 gallons in addition to the standard monthly usage fee. This fee is to recover the District's cost to obtain additional
water rights for delivery.
"Effective November 1,2012,the water surcharge rate will increase to$2.00 per 1,000 gallons.
Rate Differential Charge
.orth Weld County Water District's customers have the option of transferring Colorado Big Thompson(CBT) Project Water that they
wn or control to the District,on an annual basis. This water is utilized to increase the amount of raw water allocated to a tap. The
District will treat and deliver this water without water surcharge. A Rate Differential charge of$26.00 per acre-foot will be assessed on
all of these transfers.
"Effective November 1,2012,the District will cease the acceptance of annual water transfers except when the Board of Directors
declares a drought situation.
Plant Investment Surcharge
Surcharge will be assessed when an account's year to date usage exceeds the Plant Investment Allotment. The transfer of additional
water will not remove this charge. Additional Plant Investment Units must be purchased to increase the allotment and reduce the Plant
Investment Surcharges. These rates are in addition to the standard monthly usage fee.
0 to 456,000 gallons above the Plant Investment Allotment $3.95 per 1,000 gallons
More than 456,000 gallons above the Plant Investment Allotment $1.95 per 1,000 gallons
sincerely,
Alan Overton
North Weld County Water District
Y:\Legal Documents\Letter of Intent\2012\TessLeasing&Sales_Stultsiennifer(02-29-12).doc
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