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Home My WebLink About20111722.tiff RESOLUTION RE: ACTION OF BOARD CONCERNING SUBDIVISION EXEMPTION #1149-JAMES AND SANDRA MILLER WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, on September 22, 2009, the Department of Planning Services administratively approved the request of James and Sandra Miller, 23402 County Road 35, LaSalle, Colorado 80645, for Subdivision Exemption#1149, for a lot line adjustment, for property which is located on the following described real estate, to-wit: Part of SW1/4 of Section 1, Township 4 North, Range 66 West of the 6th P.M., Weld County, Colorado WHEREAS, the Department of Planning Services staff notified the applicant, by certified letters dated April 8 and May 5, 2011,that certain outstanding Conditions of Approval had not been completed and that the matter would be scheduled for a hearing before the Board of Weld County Commissioners unless written documentation was received requesting a withdrawal of the case, or the outstanding items were completed and the mylar plat recorded, and WHEREAS, after reviewing Department of Planning Service's concerns and hearing the testimony presented,the Board determined that said request shall be continued until July 18,2011, to allow the applicant additional time to complete the remaining Conditions of Approval and record the mylar plat. WHEREAS, after reviewing the matter and hearing the testimony presented on July 18, 2011, the Board determined that Subdivision Exemption #1149 shall be referred back to staff for processing. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that Subdivision Exemption #1149, be, and hereby is, referred back to staff for processing. t,L 2 L N ft 2011-1722 SE1149 SE#1149 -JAMES AND SANDRA MILLER PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 18th day of July, A.D., 2011. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, CO ORADO ATTEST: � .t tiS.bu-A / -rl , ham Kirkmeya, Chair Weld County Clerk to the Board �+ 27 _- ' ,Se n ay, Pro-Tem BY: 'l ..�� r_z-se' '' --) Deput ' lerk to the Board William . Garci AP ED A RM: EXCUSED avid E. Long County Attorney �i Ili 1 y1 y A, Douglag Rademache Date of signature: 8A.5/l/ 2011-1722 SE1149 1861 -2011 MEMORANDUM TO: Weld County Commissioners WELo-CO NTY DATE: July 18, 2011 u FROM: Chris Gathman SUBJECT: SE-1149 Status Timeline: • Administratively approved with conditions 9/22/2009. • Late plat notification letter sent via certified mail 4/8/2011 • Certified mail receipt received 4/14/2011 • Letter from applicant indicating intent to proceed received 4/18/2011 • E-mail to Alles & Associates sent 4/25/2011 • 2nd late plat notification letter sent via certified mail 5/11/2011 • Certified mail receipt received 5/11/2011 • Letter from applicant received 5/18/2011 • Phone call with applicant 5/18/2011 • Draft plat submitted 6/3/2011 • Plat reviewed and comments provided to surveyor 6/6/2011 • Revised plat provided by surveyor 6/9/2011 • Plat reviewed and phone message left for surveyor 6/9/2011. Remaining Outstanding Conditions of Approval: E. The applicant shall provide the Weld County Department of Planning Services with a Statement of Taxes from the Weld County Treasurer showing no delinquent taxes exist for the original parcel. 3. The Mylar plat shall be recorded in the office of the Weld County Clerk and Recorder by Department of Planning Services Staff. The plat shall be prepared in accordance with the requirements of Section 24-8-60 of the Weld County Code. The Mylar plat and additional requirements shall be submitted within sixty(60)days from the date the Administrative Review was signed. The applicant shall be responsible for paying the recording fee. &o// /7gaZ 6Z=i/2/y Staff Recommendation: Staff has had a difficult time getting in touch with the surveyor as he has been in the hospital. Staff talked to the applicant on Friday, July 15th. The plat has been prepared and just needs a signature from the applicant's wife and then it can be submitted for recording. The applicant his wife would not be able to sign it by Monday,July 18th because she is ill. The applicant indicated he could drop of the plat the later part of the week of July 18—July 22. Since all other conditions have been addressed (the taxes will be verified when the plat is submitted) and the mylar has been prepared. Staff recommends that this case be continued for 30 days. 186 -10II MEMORANDUM W� TO: Weld County Commissioners WELk 0UNTY DATE: June 10, 2011 u FROM: Chris Gathman C° SUBJECT: SE-1149 Status Timeline: • Administratively approved with conditions 9/22/2009. • Late plat notification letter sent via certified mail 4/8/2011 • Certified mail receipt received 4/14/2011 • Letter from applicant indicating intent to proceed received 4/18/2011 • E-mail to Alles &Associates sent 4/25/2011 • 2n° late plat notification letter sent via certified mail 5/11/2011 • Certified mail receipt received 5/11/2011 • Letter from applicant received 5/18/2011 • Phone call with applicant 5/18/2011 • Draft plat submitted 6/3/2011 • Plat reviewed and comments provided to surveyor 6/6/2011 • Revised plat provided by surveyor 6/9/2011 • Plat reviewed and phone message left for surveyor 6/9/2011. Remaining Outstanding Conditions of Approval: E. The applicant shall provide the Weld County Department of Planning Services with a Statement of Taxes from the Weld County Treasurer showing no delinquent taxes exist for the original parcel. 3. The Mylar plat shall be recorded in the office of the Weld County Clerk and Recorder by Department of Planning Services Staff. The plat shall be prepared in accordance with the requirements of Section 24-8-60 of the Weld County Code. The Mylar plat and additional requirements shall be submitted within sixty(60)days from the date the Administrative Review was signed. The applicant shall be responsible for paying the recording fee. 2011-1722 Staff Recommendation: The applicant has been diligently working to finalize conditions of approval. The plat has been drafted and is almost finalized. Staff recommends that the case be continued for 30 days. Donna Bechler From: Chris Gathman Sent: Friday, June 10, 2011 7:06 AM To: Christie Peters; Donna Bechler Subject: FW: Attachments: MILLER-2011 Model (1).pdf Latest correspondence for SE-1149. 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. Original Message From: Ken Alles (mailto:allescoPcomcast.net1 Sent: Thursday, June 09, 2011 10:22 AM To: Chris Gathman Subject: Chris, Here is a copy of the changes made as per your email. The notes in comment two have been changed and we have verified the access distances in the field. The residential acess is clear at 95 feet. The north edge of the agricultural access is 68 feet south and is within the right of way. The center of the agricultural acess is 10 feet sou8th of that and technically is not within the right of way. The note about the book and page not matching the surveyor notes is something that will need to be addressed in greater detail with Ken Alles. 1 Christie Peters From: Chris Gathman Sent: Monday, June 06, 2011 2:38 PM To: Christie Peters; Esther Gesick Subject: FW: Access for SE-1149 FYI: Here is some more correspondence for SE-1149. Chris Gathman Planner Ill Weld County Department of Planning Services 1555 N. 17th Avenue,Greeley CO.80631 Ph:(970)353-6100 ext. 3537 Fax:(970)304-6498 AA 1011 yy li w Ei{L'CO JN rr u 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. From: Janet Carter Sent: Monday, June 06, 2011 1:21 PM To: Chris Gathman; Donald Carroll; Heidi Hansen Subject: RE: Access for SE-1149 I agree they need to submit a letter or something to show that the railroad is allowing a permanent access from their right-of-way. Janet L Carter Traffic Engineer Weld County Public Works Dept. P.O. Box 758,Greeley, CO 80632 Tele-970.356.4000 ext 3726 Fax-970.304.6497 I84i I YI I W t. COU NIT u 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 1 e-mail and destroy the communication.Any disclosure, copying, distribution or ttaking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Chris Gathman Sent: Monday, June 06, 2011 8:02 AM To: Donald Carroll; Heidi Hansen; Janet Carter Subject: Access for SE-1149 I can't remember who did the referral on this one. The case file has been sent over to the Clerk to the Board Office for scanning. If conditions of approval are not finalized by the end of this week this case is scheduled to go to the Board of County Commissioners next Monday—6/13. Notice the access location indicated on the plat. I am thinking they need to provide evidence that the applicant has permission to access via the railroad right-of-way. Let me know what you think. Thanks! 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 IBti 13I1 W E i 'CO UN 7� ud 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. 2 • O 4 kr. fAH \u—. ca-c Dn(2 du`c ct) ( T10-S La 1M c(q. -thl5 3C . ( Cowwvi.� c zA.J . 1ST . ,416.5 - lx ( \v U u r cc-cocks (�n�- ! f& I'1 SL lames E. tier RECEIVED 7/2v MAY 1 8 2011 Weld Go niy -1+ innIg Department GREELEY ELL YOFFICE ti; << v � , LC D•z. C% .; `' ✓/ (/j ` �BZL y� 7 &CC24;_, t" . treL- ,L' �Ho 3402 W.C.R. 35 • La Salle, CO 80645 Office: P.O. Box 237 • La Salle, CO 80645 • (970) 2845556 • ' -zr /; '//f - h _1 co (t4-ee�_ifj -lz /1-.A07- //f-jbe ittj anti 414- 4,7 ` t- .� - ctinde Cecil/ J7 ,#, P,`% 3 71 coy e 1861 - 2011 DEPARTMENT OF PLANNING SERVICES 1555 N 17th Ave W E L DEC O U N T Y Greeley, CO 80631 cgathman@co.weld.co.us PHONE: (970) 353-6100, Ext. 3540 - FAX: (970) 304-6498 May 5, 2011 James & Sandra Miller 93402 CR 35 La Salle, CO 80645 Re: Conditions of Approval: Subdivision Exemption SE-1149 Dear Applicant: This is a follow up letter from a previous letter sent April 8, 2011 regarding outstanding conditions of approval and items to be completed prior to recording the plat for Recorded Exemption SE-1149. As of the date of this letter the Weld County Department of Planning Services has not received correspondence concerning your intentions specific to this land use application. Should you choose not to complete the Subdivision Exemption process and provide the required Mylar Plat, the Department of Planning Services will need to be notified in writing of your decision to withdraw the application. If you chose to withdraw the application please sign and date the enclosed form and return to the Weld County Department of Planning Services, Attn: Chris Gathman, 1555 N 17th Ave., Greeley, CO 80631. If you are unable to meet the Conditions of Approval and record the plat by June 13, 2011 a hearing with the Board of County Commissioners will take place at the Centennial Center, located at 915 10th Street, on the first floor at 9:00 am on June 13, 2011. It is strongly encouraged that you attend this hearing. At this hearing the Board of County Commissioners has the authority to grant additional time to meet all the conditions/requirements of approval and record the plat or formally vacate Subdivision Exemption SE- 1149. If you have further question, please contact me at the above address or call (970) 353-6100 x 3540. Sincerely, Chris Gathman Planner III • May 5, 2011 Department of Planning Services Attn: Chris Gathman 1555 N. 17th Ave Greeley, CO 80631 RE: Subdivision Exemption SE-1149 Dear Mr. Gathman, I wish to withdraw our Recorded Exemption Application, Thanks. James Miller date Sandra Miller date SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete A. Sig;it( item 4 If Restricted Delivery Is desired. x/ ,r� Ail ❑Agent • Print your name and address on the reverse f`� "�- ��Addressee so that we can return the card to you. if:. Received by(printed Name) /Cy Darygr ye�v,(�y • Attach this card to the back of the mailpiece, dl � L/� rfC.L_C{1'P��%!Y_ J(� tjJy or on the front if space permits. , Is deliv�addre s different from item tt Yes 1. Article Addressed to: If YES,enter delivery address below: O No S & 4k411a M,III CSI 3 g3g02 Ct . 3S Lt9t‘) 0. SC, tlAr ll , Co.• Ukt IN.c'a`ficp Mali Pt\V ��c ❑ Retum Receipt for Merchagdise Go4,ty'2`i��suresEk≥�r O C.O.D. .Na _rt0401cted Delivery?(Extra Fee) O Yes_ 2. Article Number 7010 1870 0000 4773 6287 (transfer from service IabeO PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 U.S. Postal Service ., CERTIFIED MAIL, RECEIPT cr`>7 (Domestic Mail Only;No Insurance Coverage Provided) F•r•elivery inf•rmati•n visit•urwe•siteat www.us•s.c•m0. t` f� Postage $ Certified Fee Postmark O Return ReceiptRequire) Here O (Endorsement Required)Res(Endorctedsement Delivery Fee Required) - (EndtrsemeDt N Total Postage&Fees $ ra Sent To a Sc.,•Ifv. ljIt Ili ry Street, rPO Box Npt o. q 3goa1` CC_ 3Sp ' City,Stale,ZIP.4Lh �11� , Co. OO&LlS PS Form 1800.August 2006 See Revmsc for Instructions • S Chris Gathman From: Chris Gathman Sent: Monday, April 25, 2011 3:53 PM To: 'allesco@comcast.net' Subject: Subdivision Exemption Comments for James & Sandra Miller(SE-1149) Attachments: Staff comments.pdf; image002.png Dear Ken, Mr.Jim Miller will be coming in to discuss this with you. Evidently Mr. Miller had you survey his property 3-4 years ago. He applied for a subdivision exemption for a lot line adjustment in 2009 to officially reflect the lot line shown on your previous survey.Attached are SE staff comments.We are going through our old case files and trying to get old subdivision exemptions finalized by 6/13/2011. Let me know if you have any questions. 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 sci ruF W ,IN"Y I I 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. 1 O1 James E. i,.,ller RECEI v ED op 18 201 Veffito � eiaanin Department � ECE OFFICE�af�, sq./lint nt d aAMccc £'.GR iiyle� r -S4rbeat visia� /TC-'' f1 FM-2 of 7e2; //y, 57/h: /1k. Ch./5- 6r Mviki /"y oc/;fc /✓f,C �� ° r44 ,s5unict/or7 f/74f cap P147l 41 be rivet✓ Puma}-// 1-17,94 /c lJ%n - /✓e 6✓//J Coen /n tee �o </ hi t+ pe * cid /U C /nr/e c yee- ��ss�Yy la T a-K i' i�'�s yc. �� flc4 C v4'l rro(elf') fen. 7 9 / lilt-- 4o cu,9n1 /a (ht /hne f`e fx6refi ' //'/d��r1 /� `✓F' .‘/eeJ h' e i- le/i' �I/C/Yl 1k-O[C-wool'/ ✓ i(JGJ Cod n /-ar- air olo lr,cc"J k`w ) Home: 23402 W.C.R. 35 • La Salle, CO 80645 Office: P.O. Box 237 • La Salle, CO 80645 • (970) 284-5556 S v Z igMJ am,* G e -Mel A1/ f _y ifc r y>S bu±- MRS+ hike Shane 54,744,- 2`�gh us J /-r q // 4 h - it .L ' u hi 7lir/-'G/r9I /' /� q oL.- $D> 9o,e cti youv ≤Y9// (AMU lc/ /PAS- c{/)I /e f Me /kilo &) £ %n+ A Ay/rev 91/9 /s C0 Alf,9 - 1q 5,kuey DIuch Coe cj,t a- /40 ..y e oa Id h vac z(n) 4-4v/ b e frz r7 $8.ci1tc'O e Z>61 C/pu(V S]`/9/1' /fry ae„ ,T/r-Av ��/f�v� /Js////Sint /9S 19ic 61-)Oct l ,9Pr C/,9-it fl ny % /.2 / C.7,41/7 %.-'/nh/< in1 joy l� gc- C , MieS ("Tip) & A)//c" ,'34'02- b-'c-,e 3i- Ln`S9//e C &oe9 &e //# 07/ -C 7 tic Kite DEPARTMENT OF PLANNING SERVICES 1555 N 17`h Ave Greeley, CO 80631 Icgathmanco.weld.co.us WI I DC. PHONE: (970) 353-610, Ext. 3540 FAX: (900) 304-6498 COLORADO April 8, 2011 James & Sandra Miller 23402 County Road 35 LaSalle, CO 80645 Re: Conditions of Approval: Subdivision Exemption (SE-1149) Dear Mr. & Mrs. Miller: On September 22, 2009 your application for a Subdivision Exemption was administratively approved by the Weld County Department of Planning Services with specific Conditions of Approval. One of the required Conditions of Approval grants the applicants sixty (60) days to submit a Mylar Plat. In addition to the Mylar Plat all conditions outlined in the staff report needs to be completed. Should you choose not to complete the Subdivision Exemption process and provide the required Mylar Plat, the Department of Planning Services will need to be notified in writing of your decision to withdraw the application. Planning Services Staff is aware of the difficulty and associated delays in meeting the Conditions of Approval normally associated with land use cases, and is willing to work with you in completing your request. Please notify the Department of Planning Services, in writing, within 10 working days of your decision to complete the Subdivision Exemption within the next 60 days or withdraw. If you chose to withdraw the application please sign and date the enclosed form and return to the Weld County Department of Planning Services, Attn: Chris Gathman, 1555 N 17"Ave., Greeley, CO 80631. If you are unable to meet the Conditions of Approval and record the plat within 60 days of the date of this letter a hearing before the Weld County Board of County Commissioners is scheduled for Monday, June 13, 2011 at 9:00 am. The Board of County Commissioners meet at the Centennial Center, located at 915 10th Street, on the first floor. If you have further question, please contact me at the above address or call (970) 353-6100 x 3540. Sincerely, :o sZ Wie Chris Gathman Planner III 9 April 8, 2011 Department of Planning Services Attn: Chris Gathman 1555 N. 17`h Ave Greeley, CO 80631 RE: Application Subdivision Exemption (SE-1149) Dear Mr. Gathman, We wish to withdraw our Subdivision Exemption (SE-1149) application. Thanks. Name date Name date • • SEN•E': C•M'LETE THIS SECTI•N C/MPLETE THIS SECTION /N DELIVERY • Complete items 1,2,and 3.Also complete / A. Sign �� re �� O Agent item 4if Restricted Delivery Is desired. y . / G' ��O Addressee ■ Print your name and address on the reverse C. Date of Delivery so that we can return the card to you. Received by(PH Gam/ • Attach this card to the back of the mailpiece, �"a.tus � or on the front if space permits. reM from kern 17 Yes If , na dilb dress below: ❑ No I. Article Addressed to: YYYY//// ---- 0.`^^c-s s Ste• CL„ M' Iltr ,PR 14 21 01 234°2- 60..,v & 3S 1r. t. rt �,weidC1 r tr L F So`� ) CO �C)l� G liltheICE *Certified Mall O Express Mall O Registered O Retum Receipt for Merchandise ❑Insured Mail O C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7010 1870 0000 4773 0391 (Transfer from service label) 102595-02-M-1540 PS Form 3811,February 2004 Domestic Return Receipt U.S. Postal Service, CERTIFIED MAIL.„ RECEIPT a (Domestic Mail Only;No Insurance Coverage Provided) 0 rrl F•r•elivery inf.rmatl nvisit•ur we•site at�us • rc r H£ a„ m _; II' t` r` Postage $ 7- Certified Fee postmark t7 Here O Return Receipt Fee p (Endorsement Required) o Resorseed Delivery Fee (Endorsement Required) 0 r- 43 $ Total Postage a Pees \I ., IW Sent To 3 ra ............................................ . �'ogdC � L34©Z �............................................... 03 GIN,State,ZIP+4 L - G�\ 1 op 0_0 1 See Reverse for Instructions PS Form 3800.August 2006 Identify Results • Page 1 of I Parcel Valuation Account#: R4375186 Parcel#: 105701000033 Owners Name&Address: Property Address: MILLER JAMES E Street: 23402 35 CR 23402 CR 35 City: WELD LA SALLE, CO 80645 Additional Owners: MILLER SANDRA L Business/Complex: Legal Description 16971A PT SW4 1 4 66 BEG S01D36'E 213.40' FROM W4 COR N68D23'E 244.76' S01D36'E 496.32' 585D03'W 230,39' N01D36'W 426'TO BEG (2.5A M/L) EXC UPRR CO RES Land Value $90,000 Land Assessed Value $7,160 Impr. Value $235,989 Impr. Assessed Value $18,780 Total Value $325,989 Total Assessed Value $25,940 Tax Area: Bordering County: Township Range Section Quart. Sec. Subdivison Name Block# Lot# 04 - 66 - 01 - 0 - - Land Subtotal: Acres:2.5 Sale Price Sale Date Deed Type Reception # $0 http://maps2.merrick.com/Website/Weld/setSq 1.asp?cmd=QUERY&DET=Parcel&pin=105... 4/6/2011 • • DEPARTMENT OF PLANNING SERVICES Q SUBDIVISION EXEMPTION COLORADO ADMINISTRATIVE REVIEW Applicant: James & Sandra Miller Case Number: SE-1149 Request: Subdivision Exemption for a Lot Line Adjustment Legal Description: Part of the SW4 of Section 1, T4N, R66W Parcel Number: 105701000033 Parcel size: Before: +/-2.5 acres Planner: C. Gathman After: +/- 11.3 Acres Criteria Checklist Meets Criteria Yes No NA X 1. The proposal is consistent with the policies of Chapter 22 of the Weld County Code. X 2. The boundary change or temporary use location which would be allowed on the subject property by granting the request will be compatible with the surrounding land uses. X 3. In those instances when used pursuant to 24-8-30.A.1 of the Weld County Code, the request is the best alternative to dispose of existing improvements in conjunction with the companion Recorded Exemption. X 4. A lot being created for the purpose of financing will not result in the creation of a lot to be sold, shall be at least one acre in size, and will no longer exist upon termination of the financing arrangements. Approved With Conditions The Subdivision Exemption is approved in accordance with information submitted in the application and the policies of Weld County. The Department of Planning Services has determined through its review that the standards of Section 24-8-40 of the Weld County Code have been met. 1. A Weld County septic permit is required for any proposed home. The septic system shall be installed according to the Weld County Individual Sewage Disposal System (I.S.D.S.) regulations. 2. Prior to recording the plat: A. The plat shall be titled: Subdivision Exemption No. 1149 • B. The SE Lot shall use the existing residential access point as no additional accesses shall be granted. C. All approved accesses shall be clearly shown on the plat. D. County Road 35 is designated on the Weld County Road Classification Plan as a local paved road, which requires 60 feet of right-of-way at full build out. There is presently 60 feet of right-of-way. A total of 30 feet from the centerline of County Road 35 shall be delineated right-of-way on the plat. This road is maintained by Weld County. E. The Subdivision Exemption Lot shall comply with the one (1) acre net minimum lot size required by Section 24-8-40.L of the Weld County Code. F. The applicant shall provide the Weld County Department of Planning Services with a Statement of Taxes from the Weld County Treasurer showing no delinquent taxes exist for the original parcel. G. The following notes shall be placed on the plat: 1) This Subdivision Exemption is for adjustment of property lines between two contiguous parcels. 2) All proposed or existing structures will or do meet the minimum setback and offset requirements for the zone district in which the property is located. Pursuant to the definition of setback in the Weld County Code, the required setback is measured from the future right- of-way line. No building or structure as defined and limited to those occupancies listed as Groups A, B, E, F, H, I, M and R in Section 302.1 of the 2003 International Building Code, shall be constructed within a 200-foot radius of any tank battery or within a 150-foot radius of any wellhead. Any construction within a 200-foot radius of any tank battery or 150-foot radius of any wellhead shall require a variance from the terms of the Section 23-3-10 of the Weld County Code. 3) Any future structures or uses on site must obtain the appropriate zoning and building permits. 4) Prior to the release of building permits, the applicant shall submit evidence to the Department of Planning Services that the lot has an adequate water supply of sufficient quality, quantity and dependability. 5) Should noxious weeds exist on the property or become established as a result of the proposed development the applicant/landowner shall be responsible for controlling the noxious weeds, pursuant to Chapter 15, Articles I and II of the Weld County Code. 6) Building permits shall be obtained prior to the construction of any building. Buildings that meet the definition of an Ag Exempt Building per the requirements of Section 29-1-20 and Section 29-3-20.6.13 of the Weld County Code do not need building permits, however, a Certificate of Compliance must be filed with the Planning Department and an electrical and/or plumbing permit is required for any electrical service to the building or water for watering or washing of livestock or poultry. • • 7) Effective January 1, 2003, Building Permits issued on the proposed lots will be required to adhere to the fee structure of the Weld County Road Impact Program. (Ordinance 2002-11) 8) Effective August 1, 2005, Building permits issued on the subject site will be required to adhere to the fee structure of the Capital Expansion Impact Fee and the Stormwater/Drainage Impact Fee. (Ordinance 2005-8 Section 5-8-40) 9) A portion of this property is located within the boundaries of an existing feedlot operation (Miller Feed lot). A non-conforming use has been established for a cattle feeding operation under case # NCU-368 and is subject to the non-conforming use regulations (currently Chapter 23, Article VII) of the Weld County Code 10) WELD COUNTY'S RIGHT TO FARM: Weld County is one of the most productive agricultural counties in the United States, ranking fifth in total market value of agricultural products sold. The rural areas of Weld County may be open and spacious, but they are intensively used for agriculture. Persons moving into a rural area must recognize and accept there are drawbacks, including conflicts with longstanding agricultural practices and a lower level of services than in town. Along with the drawbacks come the incentives which attract urban dwellers to relocate to rural area: open views, spaciousness, wildlife, lack of city noise and congestion, and the rural atmosphere and way of life. Without neighboring farms, those features which attract urban dwellers to rural Weld County would quickly be gone forever. Agricultural users of the land should not be expected to change their long-established agricultural practices to accommodate the intrusions of urban users into a rural area. Well run agricultural activities will generate off-site impacts, including noise from tractors and equipment; slow-moving farm vehicles on rural roads; dust from animal pens, field work, harvest, and gravel roads; odor from animal confinement, silage, and manure; smoke from ditch burning; flies and mosquitoes; and the use of pesticides and fertilizers in the fields, including the use of aerial spraying. Ditches and reservoirs cannot simply be moved out of the way of residential development without threatening the efficient delivery of irrigation to fields which is essential to farm production. Section 35-3.5-102, C. R. S., provides that an agricultural operation shall not be found to be a public or private nuisance if the agricultural operation alleged to be a nuisance employs methods or practices that are commonly or reasonably associated with agricultural production. Weld County covers a land area of over 4,000 square miles in size (twice the State of Delaware) with more than 3,700 miles of state and county roads outside of municipalities. The sheer magnitude of the area to be served stretches available resources. Law enforcement is based on responses to complaints more than on patrols of the county and the distances which must be traveled may delay all emergency responses, including law enforcement, ambulance, and fire. Fire protection is usually provided by volunteers who must leave their jobs and families to respond to emergencies. County gravel roads, no matter how often they are bladed, will not provide the same kind of surface expected from a paved road. Snow removal priorities mean that roads from subdivisions to arterials may not be cleared for several days after a major snowstorm. Snow removal for roads within subdivisions are of the lowest priority for public works or may be the private responsibility of the homeowners. Services in rural areas, in many cases, will not be equivalent to municipal services. Rural dwellers must, by necessity, be more self-sufficient than urban dwellers. Children are exposed to different hazards in the county than in an urban or suburban setting. Farm equipment and oil field equipment, ponds and irrigation ditches, electrical power for pumps and center pivot operations, high speed traffic, sand burs, puncture vines, territorial farm dogs, and livestock present real threats to children. Controlling children's activities is important, not only for their safety, but also for the protection of the farmer's livelihood. Parents are responsible for their children. 3. The applicant shall submit three (3) paper copies of the plat for preliminary approval to the Weld County Department of Planning Services. Upon approval of the paper copies the applicant shall submit a Mylar plat along with all other documentation required as conditions of approval. The Mylar plat shall be recorded in the office of the Weld County Clerk and Recorder by Department of Planning Services' Staff. The plat shall be prepared in accordance with the requirements of Section 24-8-60 of the Weld County Code. The Mylar plat and additional requirements shall be submitted within sixty (60) days from the date the Administrative Review was signed. The applicant shall be responsible for paying the recording fee. 4. The Department of Planning Services respectfully requests the surveyor provide a digital copy of this Subdivision Exemption. Acceptable CAD formats are .dwg, .dxf, and .dgn (Microstation); acceptable GIS formats are ArcView shapefiles, Arclnfo Coverages and Arclnfo Export files format type is .e00. The preferred format for Images is .tif (Group 4). (Group 6 is not acceptable). This digital file may be sent to maps(a�co weld.co us. 5. The Weld County Department of Planning Staffs approval of this Subdivision Exemption is based upon satisfying the above conditions. Should an applicant be unwilling or unable to meet any one of these conditions, within 60 days of approval, then this case will be forwarded to the Board of County Commissioners with a recommendation for denial. By Date: September 22, 2009 Chris Gathman E Planner III . • ;WI DEPARTMENT OF PLANNING SERVICES Planning Division NORTH OFFICE 918 10T" Street GREELEY, CO 80631 I www.co.weld.co.us PHONE: (970) 353-610O, Ext. 3540 C. FAX: (97O) 304-6498 COLORADO July 10, 2009 James & Sandra miller 23402 CR 35 LaSalle CO 80645 Subject: SE-1149 -A Subdivision Exemption located on a parcel of land described as Part of the SW4 of Section 1, T4N, R66W of the 6th P.M., Weld County, Colorado. Dear Applicants: Your subdivision exemption application is being processed. If it is determined that the application meets the approval criteria of Chapter 24 of the Weld County Code, you will be notified that the subdivision exemption is approved. If the staff determines that the application does not meet the approval criteria or if staff has concerns with the application, staff may elect to forward the application for review to the Board of County Commissioners. You will be notified and asked to appear before the Board of County Commissioners at a public hearing. You will be informed of the hearing date prior to the hearing. The Board of County Commissioners will then consider your application and make a final decision on the recorded exemption. If you have any questions concerning this matter, please call me. Sincerely, s0 Alta Chris Gathman Planner • • WELD COUNTY, COLORADO DEPARTMENT OF PLANNING SERVICES 918 10TH STREET GREELEY,CO 80631 PHONE: 970-353-6100,EXT. 3540/FAX: 970-304-6498 Date: / ';T 20 (? Receipt N6-,"' 15 1 4 9 Received From: Permit Type No. Description Fee 4221-RE/SE i % % 4221-ZPMH 4221-USR 4221-SITE PLAN REVIEW 4221-CHANGE OF ZONE 4221-PUD 4221-MINOR/MAJOR SUB #OF BUILDABLE LOTS 4221-ADDITIONAL 30% FEE FOR SUB's 4221-RE-SUBDIVISIONS 4221-BOA 4221-FHDP/GHDP 4430-MAPS/POSTAGE 4430-COPIES 4730-INVESTIGATION FEE 6560-RECORDING FEE MISC. OCASH UCHECK NO. / 7 % TOTAL FEE Receipted By: DL# Exp. i‘astaz =Mc APPLICATION FLOW SHEET COLORADO APPLICANT: James & Sandra Miller CASE #: SE-1149 REQUEST: Subdivision Exemption for lot line adjustment LEGAL: Part of the SW4 of Section 1, T4N, R66W of the 6th P.M., Weld County Colorado. LOCATION: Approximately/ mile north of CR 48 and east of and adjacent to CR 35. PARCEL ID #: 1057 01 000033 ACRES: 2.5 +/-Acres Date By Application Received Application Completed 7/07/09 CG Referrals listed 7/10/09 KR Vicinity map prepared 7/10/09 KR File assembled � I?j��jleg Case logged in computer Letter to applicant mailed Referrals mailed Field check by DPS staff q / Administrative Review decision: ---nv �f< //2.Z/U Board of County Commissioners hearing (if applicable) Date By County Commissioners Hearing Date Surrounding property owners notified Presentation prepared CC action: CC resolution received Date By Plat recorded and filed Overlay Districts Zoning Agricultural MUD Yes No_x_ LU — 3(p ,,Jc'S ,,O?y L�,cr IGA Yes No_x 14 Airport Yes No_x_ Geologic Yes_ No_x_ '7J� ( Flood Hazard Yes No_x_ (_ / C � "" J' TLC NOS �I7� i; 0,v `�: C 41 IP SUBDIVISION EXEMPTION (SE) APPLICATION FOR PLANNING DEPARTMENT USE DATE RECEIVED: RECEIPT/AMOUNT# /$ CASE#ASSIGNED: APPLICATION RECEIVED BY PLANNER ASSIGNED: TYPE OF EXEMPTION REQUESTED (check onel Property line adjustment ❑ Used with Recorded Exemption O Financing Purposes ❑ Public Utility Facility r� Parcel Number �j1�/2L� Q- 12• ;L---- (12 digit number-found on Tax I.D.information,7 obtainable at the Weld County Assessors Office,or www.co.weld.co.ust f' f Legal Description ko) �) 27kAres , Section L_, Township North, Range West Has the property been divided from or had divided from it any other property since August 30, 1972? Yes_No_a_ Is this parcel of land, under consideration, the total contiguous land owned by the applicant? Yes_No2_ FEE OWNER(S) OF THE PROPERTY: Name: apt Md3 E. S F1 h�h9 L /I 1 /llev Work Phone# ,Zginn; Home Phone# 2$y6Ub des (if 37/-DDt Address: 22'/,0.7- WC2 . City/State/Zip Code IA Se'//,0 a - Ro‘411- • APPLICANT OR AUTHORIZED AGENT(See Below:Authorization must accompany applications signed by Authorized Agent) Name: Work Phone# Home Phone# Email Address Address: City/State/Zip Code • 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 showing the signatory has to legal authority to sign for the corporation. I (we), the undersigned hereby request the Department of Planning Services to review this Subdivision Exemption on the above described unincorporated area of Weld County. Si ature: Owner or Aut • ed Agent Date Signature: Owner or Authorized Agent Date -4- • a • y �� ti ) \ i , k 1 , ,,,,, i '-‘ , A . \ 1-- ( ) 1 i t 0. 4 . , , 1 1 \ z 1 ) .' . ‘Q y k \\ ‘c,i) cc N 'N. A 4.' q . .„, , , ,,,„ \., ,c . ,,,,, t% \, v fl -( triLtr7 NI \'‘N\'":I 1 ) I I KS)%: 1: oN \ r\ Z\ 'I -1 \ ) % :,. \\H\ %4a c\ Il com -2 3=,-.- k I .‘.k t ) S N i ‘ %N. t k Mc' r;.'' , r:. \, \1/4, a, c ,) ti , N.:, c,-, , , c-.N 0. , § c ic. I U LLi a ,, ‘ :N .' 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Ureor: Ditch ROW SET NO 5 R'.--.:BAR oo W/ CAP (TYP> S86'54'14'W 964.1,•' N _ - 4- IN: .•54'14'E - UNION PACIFIC RAILROA II BOOK 608 RECEPTION NO. 1529849 I I APRIL 10, 1969 of jN PARCEL NO. 105701000033 o o 2.5 AC. M/L o II BOOK 604 i I RECEPTION NO. 1526200 j JANUARY 16, 1968 PARCEL NO. 105701000034 ji ii it 18T38'23'E 2729.79 FOUND PIN 1. 2 1/2' CAP IS 24670 NOTES dcntit '<estl!ts Pa: , of 2 • . WELD COUNTY ASSESSOR PROPERTY PROFILE Account#: R4375186 Parcel#: 105701000033 Tax Area: 0138 Bordering County: Acres: 2.5 Township Range Section Quart.Se. SM divison Name Block# 101# 04 - 66- 01 - 0 - - Qwners Name &Address: Property Address, MILLER JAMES E& Street: 23402 35 CR 23402 CR 35 City: WELD • LA SALLE, CO 80645 Additional Owners; MILLER SANDRA L Business/Complex: ales Summary Sale Date Sale Price Deed Type Reception# SD Legal Description 16971A PT SW4 1 4 66 BEG 501O36'E 213.40'FROM W4 COR N68D23'E 244.76'501D36'E 496.32' 585D03'W 230.39' N01D36'W 426' TO BEG (2.5A M/L) EXC UPRR CO RES SITUS: 23402 35 CR WELD 00000 Land Vaiu_ation$u_mmfl Land Type Abst Code Unit of Number of Assescad Actual Value Measure Units Value Residential 1112 Acres 2.5 Land Subtotal: 2.5 $90,000 $4,970 Buildings Valuation Summary Aec e Bldg# Property Type Actual Value Value 1 Residential 2 Out Building Improvements Subtotal: $235,989 $13,020 Total Property Value $325,989 $17,990 Building Details Account#: R4375186 Parcel*: 105701000033 Owners Name &Add ess: Property Address:MILLER JAMES E& Street 23402 35 CR 23402 CR 35 City:WELD LA SALLE, CO 80645 Building* Property Type 1 Residential http://maps2.merrick.com/Website(Weld/setSgl.asp?cmd=QUERY&DET=PP&pin==10570... 6/22/2009 ! IZC`-lh tti Individual Built As Detail Built As: Ranch 1 Story Year Built: 1968 Frame Masonry Veneer HVAC: Central Air to Air Exterior: 2510 Interior Finish: Drywall Built As SQ Ft: # of Baths: 3 Roof Type: # of Bdrms: Roof Cover: Wood Shingle # of Stories: 1 0 Units: 0 Rooms: Qaraae: Attached SQ Ft: 588 Detached SQ Ft: U Basement: Finis ne�f S^ft. 612 Total SQ Ft: 1500 Parcel*: 105701000033 Account#: R4375186 Owners Name &Address: Property Address MILLER JAMES E& Street: 23402 35 CR 23402 CR 35 City: WELD LA SALLE, CO 80645 BttiidIIL # Property'TYPe 2 Out Building Individual Built As Detail Year Built: 1969 Built As: Shed - Utility None HVAC: Exterior: Built As SQ Ft 600 Interior Finish: # of Baths: 0 Roof Type: # of Bdrms: 0 Roof Cover: ,t of Stories: 0 Units: 0 Rooms: 0 Garage: Detached SQ Ft: Attached SQ Ft: Basement: Total SQ Ft: Finished SQ Ft: http://maps2.merrick.com/Website/W eld/setSgl.asp?cmd4)UERY&DET=PP&pin=10570.. 6/22/2009 ( COUNT# R4375lhc kE\I IROPEP FY (ANA(1[1( 1 = ARCEL:- ri 570100003; ras IL, .F.- DI E IN LOOT- r,w E;ET '. o45. ��1�.. AX DISTRICT 0138 ,.. _ _ Y. _ '. V • --:., : ACTUAL • 1! 3_AND 600(R3 3550 ETD COLIMY � '?03800 (0 134060 '=HOOL DIST REI 9.36700 !00000010M522 291 03 1 IMPROVL MTh]S '-39390 T956Q ORTHERN COLORADO 1§NEERi 100000 (0 00000) '10Tl PERSON AL PROP 0 0 ENTRAL COLORADO WATER(C 055200 (001200) if 77111 00( SR VET [}iEh4i'l il(ri≥U(NI ;5921) EN 1 RAL WELD COUNTY WATER 0 00000 (0 O00001} (t l8`� (('00000 FVTRAL COLORADO WATER ST' 46 1;8 NETT<rl Al ?90390' 130600 6696 [SALLE FIRE 2 15500 J .00000 .Puts JUNIOR COL 632300 (0o O00U(1 96 46 •: ->rtssnces 3 26000 (0 O0000 :01 29 [I(�H P GREELEY LIBRARY (0 00000 1226 =1 Making a Payment BEST CONSF1tV^TP?~` 041400 T OTAL NET LEVY =41 16900 7D 1, @? Delinquent'ayment< _,r.N1OR OR VFTER-AN U.XFI. f'DON i 2 73 ••c 1,-n nen: 1,roc PT GP.A881., YET Al 42 :1P ;nr .. 4 n•� P tcmpr: 1 81 absence of State Le! slain e Ftmdtng. _ y%^,Cr-i School General Fond Er ai lew would hay ',Pell SEE CORRL, ONUINti k ON r BACI OF S1 ATF NENE 16971A PT SW4 1 4 66 BEG S0ID3CE 213.40'FROM W4 CUR N68D2YE 244.76 S01D3CE: No 496.32'S85O03'W 230 39'N01D36'YV 426'TO BEG(2 5A M(1.)EXC UPRR CORES STTUS eonud Treasurer's Office aeesm Eta name,t = -PAYMENT • ,: 23402 35 CR WELD 00000 E DATE First Half FEB 28.2009 4'5.71 PROPERTY LOCATION: 23402 35 CR WELD 00000 Second Half JUN 15,2009 475 711 Full Payment APR 30,2009 951 42 _ I _ ---- - Mak.Check• ''evtal iv WE U CO(JN;'Y TREAS".T 2E ( MILLER JAMES E& R4375186 4186 ' MILLER SANDRA L. • - , e .... 23402 COUNTY ROAD 35 µ LA SALLE CO 80645-7805 , ,.. ,NtF T .icy <kt-tHncr-P, ass, .,: rr, _it• :Frl TAY NOICE TO 114E <"WT4EER Of RE:A:FIC If YOUR TAXES ARE PAID BY A MORTGAGE COMPANY KEEP TNS ., NONCE FOR YOUR RECORD. - 72629AX.030 WELD: 0063861 RE UM TOP PORTION.FOR TOM I CONE ..nry Treawrer i5 nos resyns4 C Tw er ee:s aar— 1N _. T e so eo s ..e,.,K a" 2008 TAXES DUE IN 2009 .r me xeaa GaM'e^r FaWeroM snnra+c-.Ns a yar aw.n„a Gu+a2Treawee safe inne6afrlft a number a peas above RETURN THIS COUPON FOR SECOND HALF PAYMENTS 2nd Half Coupon > 2 ReYm. is—u..fl Wth..pnenlb: _ 111111111111111111111111111i!MEli1111111111 YP.O.BOX tOlt GFtEELEY.CO IELD COUNTY TREASURER R R4375186 57844 1 AV 0.324 •0063861 Si PROPERTY r;r' MILLER JAMES B&—R4375186 OWNER ` MILLER SANDRA SECOND JUN N 15.20090 47571 23902 COUNTY ROAD 35 OF LA SAT IF CO 80645-7805 RECORD PI'ld11 1 11 I L I 1 _------"—T Inl leelaI II Fd ll P dirvD dlII 11 e I1 111 ludr 3PRiD B,.-- • \Nef,d County Treasurer ` IF/Statement of Taxes Dues Accou�unber R4375186 'alec1105701000033 Legal Description Situs Address 16971A PT SW4 1 4 66 BEG SO1D36'E 213 40'FROM W4 COR NEBD23'E 24456'801036'E 496 32 S85D03 W 30.39'N011D36'W 426'TO BEG(2 5A MIL 23402 35 CR WELD 00000 )EXC UPRR CO RES SITUS:23402 35 CR WELD 00000 Account: R4375186 MILLER JAMES E & 23402 CR 35 LA SALLE,Co 80645 Year Charges Billed Payments Balance 2008 Tax $951.42 $951.42 50.00 Grand Total Due as of 06/22/2009 $0.00 Tax Billed at 2008 Rates for Tax Area 0138-0138 Mill Levy Amount Values Actual Assessed Authority WELD 16804000, $522.11 SINGLE FAM.RES.-LAND $60,000 $3,550 SCHO OL DIST RE1 9.367000 $291.03 SINGLE ES- $330.390 $19,560 IMPROVEMTS NORTHERN COLORADO WATER(NC 1.000000 $31.07 CENTRAL COLORADO'WATER(CCW 0.540000' $16.77 Total $390,390 $23.110 CENTRAL COLORADO WATER SUBD 1.306000 $40.58 LASALLE FIRE 2 155000 $66.96 AIMS JUNIOR COL 6.323000 $196.46 HIGH PLAINS LIBRARY 3.260000 $101.29 WEST GREELEY CONSERVATION 0.414000 $12.86 Taxes Billed 2008 41.169000 $1,279.13 SenOrVet ($327.71) Net Taxes Billed for 2008 $951.42 Credit Levy ALL TAX LIEN SALE AMOUNTS ARE SUBJECT TO CHANGE DUE TO ENDORSEMENT OF CURRENT TAXES BY THE LIENHOLDER OR TO ADVERTISING AND DISTRAINT WARRANT FEES. CHANGES MAY OCCUR AND THE TREASURERS OFFICE WILL NEED TO BE CONTACTED PRIOR TO REMITTANCE AFTER THE FOLLOWING DATES: PERSONAL PROPERTY AND MOBILE HOMES-AUGUST 1,REAL PROPERTY-AUGUST 1. Weld County Treasurer P.O. Box 458,Greeley CO 80632 1400 N 17th Ave,Greeley CO 80631 (970)353-3845 ext.3290 WID COUN CY TREASUC!R Pursuant to the Weld County Subdivision Ordinance, the attached Statement(s) of Taxes Due, issued by the Weld County Treasurer,are evidence that, as of this date, all property taxes, special assessments and prior taxes liens currently due and payable connected with the parcel(s) identified therein have been paid in full. Sigurd _ %-)if — Datc (O _ • Year Charges Billed Payments Balance 2008 Tax $951.42 $951.42 50.00 Grand Total Due as of 06/22/2009 $0.00 Tax Billed at 2008 Rates for Tax Area 0138-0138 Authority Mill Levy Amount Values Actual Assessed WELD COUNTY 16.804000' $522.11 SINGLE FAM.RES.-LAND 560,000 53,550 SCHOOL DIST RE1 9.367000 $291.03 SINGLE FAM.RES- $330,390 519,560 IMPROVEMTS NORTHERN COLORADO WATER(NC 1.000000 $31.07 CENTRAL COLORADO WATER(CCW 0.540000' $16.77 Total $390,390 523.110 CENTRAL COLORADO WATER 5UBD 1.306000 540 58. LASALLE FIRE 2.'55000 $66.9F AIMS JUNIOR COL 6 323000 $196 4E HIGH PLAINS LIBRARY 3.260000 $101 29 WEST GREELEY CONSERVATION 0.414000 $12.86 Taxes Billed 2008 41.169000 $1,279.13 SenOrVet ($327.71) Net Taxes Billed for 2008 $951.42 `Credit Levy ALL TAX LIEN SALE AMOUNTS ARE SUBJECT TO CHANGE DUE TO ENDORSEMENT OF CURRENT TAXES BY THE LIENHOLDER OR TO ADVERTISING AND DISTRAINT WARRANT FEES, CHANGES MAY OCCUR AND THE TREASURER'S OFFICE WILL NEED TO BE CONTACTED PRIOR TO REMITTANCE AFTER THE FOLLOWING DATES: PERSONAL PROPERTY AND MOBILE HOMES-AUGUST 1,REAL PROPERTY-AUGUST 1, Weld County Treasurer P.O. Box 458, Greeley CO 80632 1400 N 17th Ave,Greeley CO 80631 (970)353-3845 ext. 3290 REFERRAL LIST Name: James & Sandra Mills #: SE-1149 County Towns &Cities Fire Districts _Attorney _Ault _Ault F-1 x Health Department _Berthoud _Berthoud F-2 _Extension Office _Brighton _Briggsdale F-24 _Emergency Mgt Office- Ed Herring Dacono _Brighton F-3 Sheriffs Office _Eaton _Eaton F-4 x Public Works _Erie _Fort Lupton F-5 _Housing Authority _Evans Galeton_ F-6 _Airport Authority _Firestone _Hudson F-7 _Building Inspection _Fort Lupton _Johnstown F-8 _Code Compliance_S.-Ann_N-Beth _Frederick _LaSalle F-9 _Kim Ogle (Landscape Plans) _Garden City _Mountain View F-10 _Lin (Addressing Change of Zone) _Gilcrest Milliken_ F-11 Ambulance Services _Greeley _Nunn F-12 Grover _ _ Pawnee F-22 State _Hudson _Platteville F-13 Div._ of Water Resources _Johnstown _Platte Valley F-14 _Geological Survey _Keenesburg _Poudre Valley F-15 _Department of Health _Kersey _Raymer F-2 _Department of Transportation _LaSalle _Southeast Weld F-16 _Historical Society _Lochbuie _Union Colony F-20 Water Conservation Board _Longmont _Wiggins F-18 _ _Oil &Gas Conservation Commission _Mead _Windsor/Severance F-17 _Milliken Division of Wildlife _New Raymer _South Hwy 66 (Loveland) _Northglenn _North Hwy 66 (Greeley) _Nunn _Division of Minerals/Geology _Pierce Commissioner _Platteville _ Soil Conservation Districts _Severance _Big Thompson/ FTC Thornton _ Boulder Valley/Longmont _Windsor _Brighton/SE Weld Centennial Counties _ _Greeley/West Greeley _Adams _Platte Valley _Boulder West Adams _ _ Broomfield _Little Thompson _Larimer Federal Government Agencies Other US Army Corps of Engrs _School District RE- _ USDA-APHIS Vet Service _ _ Central Cob. Water Conservancy _Federal Aviation Admin (Structures RR over 200 ft or w/in 20000 ft of Pub _Ditch Company Airport _Art Elmquist(MUD Area) _Federal Communications Comm n, % Referral List _ Name: -' '�`ro`"w5 1"1`\\ . Case# Lili� County Towns&Cities Fire Districts Attorney Ault Ault F-1 X Health Department Berthoud Berthoud F-2 Mill charae$1 Fxtension Office Rriahton Brinasdale F-24 Emeraencv Management Office-Fd Herrin° Daconn Briahton F-3 Sheriffs Office Eaton Eaton F-4(Will charge$) ,/ /\Puhlic Works Frie Fort Li triton F-5 Housing Authority Fvans Galeton F-6 Airport Authority Firestone Hudson F-7 Buildina Inspection Fort I uoton Johnstown F-8 Code Compliance-Beth Ann Frederick liaSalle F-9 Garden City Mountain View F-10 Kim Gale(I andscaoe Plans) Gilcrest Milliken F-11 Lin or Peaav(Addressina Change of 7one) Greeley Nunn F-12 Ambulance Services Grover Pawnee F-22 State Hudson Platteville F-13 Div of Water Resources Johnstown Platte Valley F-14 Geoloaical Survey Keeneshura Pnudre Valley F-15 Department of Health Kersey Ravmer F-2 Department of Transportation I aSalle Southeast Weld F-16 Historical Society Lochhuie Union Colony F-26 Water Conservation Board I onamnnt Western Hills F-20 Oil&Gas Conservation Commission Mead Wiaains F-18 Division of Wildlife Milliken Windsor/Severance F-17 South Hwy 66(Loveland) New Ravmer North Hwy 66(Greeley) Nnrthnlenn Least Division of Minerals/Geolnav Nunn Parcel ID# Soil Conservation Districts Pierce 7one Acres', Bia Thompson Platteville USDA Boulder Valley Severance Airport Briahton Thornton Geo Haz Centennial Windsor FP? Panel# Fort Collins Counties Road Imnact Fee Area? Greeley Adams (SW#1 #2 .#3 Windsor 1 I onamont Boulder IGA? ORD# Morgan Broomfield MI JD? Platte Valley _Southeast Weld Other West Adams _Central Cob.Water Conservancy Dist Federal Government Agencies _Leh Hand Water _US Army Corps of Engrs _School District RE- USDA-APHIS Vet Service _Art Elmquist(MUD Area) Federal Aviation Admin(Structures over _Ditch Company, over 200 ft or w/in 20000 ft of Pub Airport Commissioner _Federal Communications Comm ii- .i C.p Weld County Referral COLORADO July 10, 2009 The Weld County Department of Planning Services has received the following item for review: Applicant James & Sandra Miller Case Number SE-1149 Please Reply By August 10, 2009 Planner Chris Gathman Project Subdivision Exemption for lot line adjustment Legal Part of the SW4 of Section 1, T4N, R66W of the 6th P.M., Weld County, Colorado. Location Approximately 'A mile north of CR 48 and east of and adjacent to CR 35. For a more precise location, see legal. Parcel Number 1057 01 000033 The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. Any response not received before or on this date may be deemed to be a positive response to the Department of Planning Services. If you have any further questions regarding the application, please call the Planner associated with the request. Please note that new information may be added to applications under review during the review process. If you desire to examine or obtain this additional information, please call the Department of Planning Services. U We have reviewed the request and find that it does/does not comply with our Comprehensive Plan U We have reviewed the request and find no conflicts with our interests. IiiSee attached letter. Comments: Signature Li 7„,-07 Agency W Date ❖Weld County Planning Dept. +918 10th Street, Greeley,CO. 80631 +(970)353-6100 ext.3540 ❖(970)304-6498 fax .' • • Weld County Planning Department GREELEY OFFICE t—Ot>o MEMORANDUM Jut., 27'nnq RECEIVED TO: Chris Gathman, Planning Services DATE: July 23, 2009 FROM: Donald Carroll, Engineering Administrator COLORADO SUBJECT: SE-1149, James & Sandra Miller The Weld County Public Works Department has reviewed this proposal. Staff comments made during this phase of the process may not be all-inclusive, as other concerns or issues may arise during the remaining application process. Issues of concern must be resolved with the Public Works Department. Our comments and requirements are as follows: COMMENTS: Weld County Road Classification Plan (FHU): (June 2002) WCR 35 is a local paved road and requires a 60-foot right-of-way at full build out. There is presently a 60-foot right-of-way. This road is maintained by Weld County. Pursuant to the definition of SETBACK in the Weld County Zoning (23-1-90), the required setback is measured from the future right-of-way line. REQUIREMENTS: Utilize the existing access for residential use to this parcel. Pursuant to Chapter 15, Articles I and II of the Weld County Code, if noxious weeds exist on the property or become established as a result of the proposed development, the applicant/landowner shall be responsible for controlling the noxious weeds. All vegetation, other than grasses, needs to be maintained at a maximum height of 12 inches until the area is completely developed. Flood Hazard Development Standards: This area is not in a Special Flood Hazard Area (SFHA) as determined by the Federal Emergency Management Agency (FEMA). pc: SE-1148 M:\PLANNING-DEVELOPMENT REVIEW\SE-Subdivision Exemption\SE-1149.DOC Page 1 of 1 Memorandum TO: Chris Gathman, W.C. Planning CDATE: August 6, 2009 FROM: Lauren Light, W.C. Department of Public COLORADO Health and Environment CASE NO.: SE-1149 NAME: Miller Environmental Health Services has reviewed this proposal for a property line adjustment to add an existing pond to parcel 105701000033. The existing residence (23402 CR 35) is served by Central Weld Water District and an individual sewage disposal system (permit SE-0900029). Environmental Health Services has no objections to this request. WELD COUNTY ROAD ACCESS INFORMATION SHEET Weld County Department of Public Works 111 H St PO Box 758 Greeley CO 80632 Phone: (970) 356-4000 x3750 Fax- (970) 304-6497 Date: Road File#: Other Case#: RE# : Phone 1 - Applicant Name_ - _r— . -- ---------_ State ZiP_�--' - Address City r. 2. Address or Location of Access 2:;44,(-2.2 aL ) "� 5 Block .2Lot Subdivision Section / Township „ �I e ofd Distance from near intersection Weld County Road#: • • Side of Road i #of Accesses�! 3. Is there an existing access(es)to the property? Yes_j___ No — 4. Proposed Use: ❑ Permanents Residential/Agricultural ❑ Industrial ❑ Commercial ❑ Other ❑ Temporary ❑ Subdivision »,******,,,„,****** «,«***** ••_*****•**..••"* 5. Site Sketch Legend for Access Description: Legend for Access Description: AG = Agricultural RES = Residential O&G = Oil&Gas DR = Ditch Road p = House J.-p = ShedA = Existing Access A = Proposed Access v6 wets/ - c---55 rise,,,k CC NI ) OFFICE USE ONLY: Date Accidents Date Road ADT Date Accidents Date— Road ADT�— Culvert Size Length Drainage Requirement Special Conditions ❑ Installation Authorized U Information Insufficient Title: By: -7- 11 The TITLE INSURANCE or ABSTRACT COMPANY hereby certifies that it has made a careful search of its records, and finds the following conveyances affecting the real estate described herein since August 30, 1972, and the most recent deed recorded prior to August 30, 1972. LEGAL DESCRIPTION: A parcel of land located in the Southwest Qv rter (SW 1/4) of Section I, • Township 4 North, Range 66 West of the 6th P M. , -,Veld County, Colorado • being more particularly described :s follows. Commencing at the West Quarter Corner (W I/4 Cor.) of said Section 1 and considering the West line of the Southwest Quarter (SW 1/4) of said Section i to bear South 01°36' 48" East, with ale other bearings contained herein relative thereto.. Thence South 0l°36'48" East,along said West line of the Southwest Quarter (SW '1/4) of said Section 1, 213.40 feet to the True Point of Beginning: Thence North 68°23'12" East, 244, 76 feet; Thence South 01°36'48" East. 496.32 feet to a point on the North Right-of-Way line of the Union Pacific' Railroad; Thence South 85°03'12" West, along, said North Right-of-Way line of the Union Pacific Railroad, 230.39 feet to a point on said West line of a Southwest Quarter (SW 1/4) of said Section 1; Thence North 01°36'48" West, along said West line of the Southwest Quarter (SW 1/4) of Said Section 1, 426.00 feet to the True Point of Beginning. CONVEYANCES (if none appear, so state): Receptio., No_ , 1519634 The certificate is made for the use and benefit of the Department of Planning Services of Weld County, Colorado. This certificate is not to be constructed as an Abstract of Title nor an opinion of Title, nor a guarantee Title and the Liability of COMPANY is hereby limited to the fee paid for this Certificate. In Witness Whereof, COMPANY, has caused this certificate to be signed by its proper officer this 22nd day of, June 2009 , at 7:30AM. North American T le Company of Colorado Lika or'ized Signature C NORTH AMERICAN • INVOICE al TITLE RI COMPANY REFER woulRlEs_o Like Clockworks PREPARED BY Norte ;mencan Title Company PE Es _. 3200 Camelback Rd.. Suite '+50 PHONE NO. Pnoen'.x. AZ 85018 PHONE NO. (c:73)304-9012 Date Customer Ref. Reference Nc Branca File No. 366200-09-0053' 06/29/09 _ Miller/Cent of Come. —--3620000 ---- ------ -- — ADDRESS- Attn: Jim Miller — —•-- AMOUNT DUE TITLE INSURANCE FEES Fast Policy Litigation Guarantees Foreclosure Endorsements 110-00 Certificate of Conveyance Tax Certificates Recording Fees Owner's Policy Lender's Policy Second Loan Policy Additional Premium Invoice Total Amount Due $ 110.00 JAMES E.MILLER 82-64GNolo 1743 1059319 �j 23402 WCR 35 LAS DATE r LASALLE,CO 80645 / ;: $ // 5 PAY TO jN g On L t / • fir,` GBank of Choice ili"nu III N4 4111 U. n,>a% co MEMO T/f/6 . ! 1. I: 1,0 7006460i: 1059319r I. 3 PLEASE REMIT TO THE ABOVE ADDRESS (Please include a copy of this invoice with your payment. Thank you.) 58AZOTI.1649 Rev.4/29/03 J r5. __ •l:V S �oR 595 ��. - x.517634 A SPOMffl , it , QUIT CLAIM i'fED ) — j IU';;ff l$ r1PP;1, Made 6th day of August , in tile year of our Lord cm thousand nine hundred sixty-eight m , between MILLER FEED LOTS, INC. s , to € so of the County of Weld , and the State of Colorado,of the ' P irk first part, and JAMES E. MILLE9. and SANDRA L. MILLER >i Weld ,and the State of Colorado,of the wi of we County of -- - •i ecunui put;-WITNESS='Tlf. That the su.d ,J..tt) o' die first part. and for and 'in consideration of `i tae sum of tri Other Good and Valuable Considerat;o:; end Ten '- Dollars, ' • O to . to the said party of the first part in hand paid by the said part ie s of the second part,the re- ceipt'wbereof Is hereby confessed and acknowledged, has rented, released, sold, conveyed and , QUIT CLAIMED, and by these presents does remise, release, sell, convey and QUIT CLAIM unto the said patties --f the second part, theft-heirs and assigus forever,all the right,title,interest, o+ claim and demand which the said party of the first part has in and to the following described •S-:43 real estate situate,lying and being in the County of WELD and State of_Colorado, to-wit: A parcel of land loca_ed in the Southwest Quarter (SW 1/4) of Section 1, Town- . ship 4 North, Range 56 West of the 6th P. M. . Weld County, Colorado, being more particularly described as follows: Commencing at the West Quarter Corner (W 1/4 Cor. ) of said Section 1 and considering the West line of the Southwest _ Quarter (SW 1/4) of said Section 1 to bear South 01°36' 48" East, with all other f, bearings contained he_ein relative thereto: Thence South 01°36'48" East, along said West line of the Southwest Quarter (SW 1/4) of said Section 1, 213.40 feet to 1 the True Point of Beginning; Thence North 68°23'12" East, 244.76 feet; Thence f South 01°36'48" East; 496. 32 feet to a point on the North Right-of-Way line of the f Union Pacific Railroad; Thence South 85°03't2" West, along said North Right-of- i Way line of the Union Pacific 'Railroad, Z30.39 feet to a point on said West line oft e Southwest Quarter (SW 114) of said Section I; Thence North 01°36'48" West, along i said West line of the Southwest Quarter (SW '.I4` of Self Section 1 426. 00 feet to i - the True Point of Beginning. ' t s ' To Have and To Held the same, together with all and singular the appurtenances and priv- i - lieges thereunto beloag;ag o* in anywise thereunto appertaining, and all the estate, right, title, in- _ terest and claim whatsoever,of the said party of the first part,either in law or equity,to the only _ proper use, benefit and behoof of the said partiesof the second part,their heirs and assigns forever. IN WITNESS WHEREOF,The said parry of the first part has hereunto set its hand and seal the day and year.first above written. MILLER FEED LOT INC, '• Signed in the Presence of fix f•,k. 'l I. l ` ._ '•==._...(Seal ` • __ s�!e!&------a---,'- . ecnaneseal) r • 1 - __.-..__ ------.--_ (Seal) s t STATE OF COLORADO!lee ) - this 6th day of August The foregoing instrument was acknowledged before me t WOtrri OF WELD Vat ,A.D.1968 , - .l ; '7•-.. by James E Miller, President and 1 ! Norman n 7lc a ary - Treasurer a ''1 '..:.. '�•,• WbMiess myer'Nde�A t Of d c�• t - - t..,:, ` ' - My Commissiontf n Expires March 22, 1972 • J / a.,e �y '�.,/ -. Notary Public. - ✓ {y'1 , A e I 4 . a . ,� w � oI i v A .ki I • v. 11.1. 4 - . ._..i g I.. 9 ••,, Z o k ik \N N H i v 3 9 H wD .3i• ch 7 t • I H r. , fro^ 0 S. WATER SUPPLY INFORMATION SUMMARY Section 30.28-133,14 C.R.S. ran that the appiant submit to the Cwrty,'Adguot, evidence that a water supply that is sufficient in twins of quantity,quality ad depadahiky will he available to Insure en adequate supply of water. 1.NAME OF DEVELOPMENT AS PROPOSED X 7,4h /hi HMI, /Yn ger/ s' /O In 04[6 Small glad 2. LAND USE ACTION 3. NAME OF EXISTING PARCEL AS RECORDED SUBDIVISION FILING BLOCK LOT 4. TOTAL ACREAGE //,„?., 5. NUMBER OF LOTS PROPOSED /y/4- PRAT MAP ENCLOSED 0 YES B.PARCEL HISTORY•Please attach copies of deeds.plats or other sit=or doamatatioa A.Was parcel recorded with county prior to June 1, 1972?W YES 0 NO B. Ha the parcel ever boon part of a ialaion of land action since Juno 1, 1972? ❑ YES g NO If yea,describe the previous action 7. LOCATION OF PARCEL •Include a map dITaietI;the project urea u d tits to a section corner. 1/4 OF 114 SECTION/TOWNSHIP Qif N ❑ S RANGE___ZILO E I W PRINCIPAL MERIDIAN: 0 8TH 0 N.M. 0 UTE 0 COSTILIA 8. PLAT• Location of all wells on property mast be plotted and pernk numbers provided. Surveyors plat ❑ Yes ❑ No H mot salad hand drawn sketch O Yes ❑ No 9. ESTIMATED WATER REQUIREMENTS•Senate par Day or An Fast per Yoe 10. WATER SUPPLY SOURCE ❑ EXISTING ❑ DEVELOPED ❑ NEW WELLS •WELLS SPRING 1 Moan ARUM.MIER OM HOUSEHOLD USE it of wilts GPO AF WELL PERMIT NUMBERS I o Mono ❑In AaPAaE O rw ceeont ❑teewt Mtn COMMERCIAL USE 0 of S.F. GPO AF j a oa a o FOX KU naEA Ion IRRIGATION N of acres GPO AF STOCK WATERING 8 of head GPO AF 0 MUNICIPAL ASSOCIATION ; WATER COURT DECREE CASE NO.'S OTHER - GPD AF 0 COMPANY 5etV/nt N l DISTRIC 5O"- `7L� TOTAL GPO AF NAME Ci W,C.LJ, D LETTER OF COMMITMENT FOR SERVICE ❑ YES ❑ NO /Y/ 11. ENGINEER'S WATER SUPPLY REPORT 0 YES 0 NO IF YES, PLEASE FORWARD WITH THIS FORM.iris may be mind bean our nohow's cei l e.l 12. TYPE OF SEWAGE DISPOSAL SYSTEM ❑ SEPTIC TANK/LEACH FIELD 0 CENTRAL SYSTEM • DISTRICT NAME ❑ LAGOON 0 VAULT•LOCATION SEWAGE HAULED TO 0 ENGINEERED SYSTEM (Attack o espy of none boot 0 OTHER 0 MAO I.A! 'V. ,.1 El_U. iA I, '1a IFh DIN I N'tI • v-ii; 1210 ' I Il ch.r•es are •ue .y I el i I PREVIOUS PRESENT PREVIOUS PRESENT DATE DATE READING READING 04/01 05/01 127 L 131 If 10-{ _'11 J 4 Pay on � line a WWW.CW' ' .COM ; GALLONS - DATER CHARGE I PAST DUE 19 . 80 4_ f L l9 . AQ. 1 m ' Tuanu Gallon= PLEASE I AC('OU N NT UAR3ER TNiS AM.MOUNOUHT 102420 39. 60 • ll„I,II,ii.II,,,I„6LI: 7ISDS NO: &( / DATE RECEIVED: RECEIVED BY: FEE: O • INDIVIDUAL SEWAGE DISPOSAL COLORADO SYSTEM EVALUATION SITE ADDRESS OR LOCATION: _ --- -.-- _ PARCEL NO: -__.. -- - .- -.-- -- _.- (THIS CAN LE OBTAIN 4:D FROM THE ASS`I S'OB'S OFFICE AT(970)353-3845 EXT 3650) PROPERTY OWNER: ,S Ames 6 /L1 ! 1 tel./ _PHONE: (970) 2 S'Y -6 Z . e MAILING ADDRESS: %yOZ- (pKA 3 3 /A Salk- G Avor I_ CITY STATE 7W APPLICANT'S NAME: 5gine -_ PHONE: ( ) (IF DIFFERENT FROM OWNER) APPLICANT ADDRESS: �nP CITY STATE ZIP DI ENT FROM OWNER) LEGAL DESCRIPTION: PT: PT: _SEC: / _TWN: `/� RNG: ‘1 W SUBDIVISION: LOT: BLK: _FLG: WATER SOURCE: Co 1 o.Jc f t Co & 4ef" P s5 ° ACRES: ------._. , ORIGINAL OWNER OF SEPTIC SYSTEM: c3 fI I-v: > _M 1 J) a ---- PERMIT NO: __SOE: YES / NO CURRENT FLOW ADDITIONS PROPOSED TOTAL DESCRIPTION: —(House,Modular,Shop,Roc Exemp) PERSONS: - BEDROOMS:BATHROOMS: BASEMENT PLUMBING: NEITHER THE COUNTY OF WELD NOR ANY OF ITS AGENTS OR EMPLOYEES UNDERTAKE OR ASSUME ANY LIABILITY TO THE OWNER OF THE ABOVE PROPERTY,TO ANY PURCHASER OF THE ABOVE PROPERTY OR TO ANY LENDING AGENCY MAKING A IRAN ON THE ABOVE PROPERTY OR IN THE REPORT. 41 0 Sl m's Sanitation, Inc. Po Box 335 L aa0e,CO$0645 970)2846951 303)8571700 wwr.stimssrrtation.coin WORK ORDEE Customer# .-.--- . Work Order 4--.--_ _ Bill To: r` Frxa, Clderer. ,{ �1 _ !t J . _ i , . C 1 Orderer By. v 1 11? L t c:_ CS4t1J Ti.'�k ' Terms: COD Lig ..7z: Lt._,c i le . P O Number Phone Number ( )�UL Time In -----, -- — _ Time Out:.---_,-.__ -e �) ! —( ;O L{ 7_` Travel Tirre-- — —__ Tank# Tank Address Route: C C Gallons: J J ,//7/T 1 Disposal Site: Phone Number: ( )_ k if } ) ( )_ 4i f4, Instructions: o "E �` 4 C Services)O.Jere:i Perc.r.sv i, ?,mo.;r Grease Trap Septic Tank 'i f C. a i7) �— / /—.1 l - [l Bean Vat - [1 Lfat (1�� ixe7 r— 1 - 1 / : u c [i (1 BioForce Senior Disct — 7 c • .- • Total Due $ l- rV g to O Job Description and Remarks: Cash C(ieck# i 7 LF C.C.# - EL Make Checks Payable to Slim's Sanitation,Inc_ .mot.} :' .- { /E..`.i� --�-�— Signature-Satisfied Completion of Job Please Print Name Here All lobs done are COD...We are no longer accepting charge accountslll Charges must be cleared through the office firstitl . 1 • . � �, county lilt D� ,.14: ... Menet ill O Company Name: 5 Lin,'5 S4N; fn-t/oxf /"'c- Phone number: z,94,7'14, Customer Name: ,)f7 fi? 55 l ,_ e Address:of Pumping: Z 3 q 2 �'� ._ Pumping Datc: _ C --? 1 0 9 I. Tank Size: /O O © Gallons Pumped: /U c 2. Lift Station: Yes e\--No If ;es, functioning: Yes>(No_ ,f,.- 3. Excessive water running back into tank from field? Yes Noy _ ._ H If yes, estimate in gallons: 4. Liquid level in tank over inlet line?Yes No X 5. Tank Construction(check one) Concrete K Metal Brick Plastic or Fiberglass Cesspool or Seepage Pit Other 1 l.'l- or f0 fife e SEr-hrce 6. Tank Construction Observed: DNLy ONE tot i 5�r0c,9 �� E rE ti-i4 S o r One Compartment Two Compartment : -ec EA ^' �`L L �. !.„.,F.,,.; 7� ev OA e G e i is 0Vet o .Fet+ iin r. Inlet/outlet tees and/or baffles in good condition? -es No 'ts � ! s /Cool of oft7Teti- re-eA use of r-i - eo,vst'PtioN of-/ E-fA,+•k rr.t•r 8. Filter on outlet cleaned and inspected (if applicable)?Yes___NoANS Wei 9. Access to cr2out lids within 8 inches of grade? Inlet: Yes No Outlet: Yes_No . - 10. 20 ml. plastic replaced and sealed over tank lid (flood plain only)?Yes__ No '`/A 11. Tonic/lid structurally sound and water tight?Yes )No_ 12. Obvious cracks/leaks observed?Yes No SC If yes, explain area: 13. Other conditions noted which may affect proper functioning of system? 14. Reason for Sew.ice: Maintenance P Keal Estate Sale Emergency/Backup_Other 15. Notes: 7A181 COJ_ JE y:EN AS GF 1.BLiC SG L:_.._L7_vini 1 •w HE AND Eh s/IR.DNMENT . ORG PERMIT tt N. 17 AVENUE REPAIR ti r1 GREELEY, COLORADO 60631 LOAN A -y PHONE: (970)304-6415 ISDS # ��l-t'Y.�!✓/ FAX: (970) 304-6411 STATEMENT OF EXISTING FOR SEPTIC SYSTEM COLORADO (PLEASE FILL OUT IN BLACK INK ONLY) PARCEL NO. ,,yy�7 / PROPERTY OWNER JAMES /9/; Lief- - ! PHONE NO. ! ) S7/ -_ COQD MAILING ADDRESS 2..3 lie Z ?Ad C'< 3J L-f1 S RIZ r CO to , t it) State Zip DESCRIPTION OF BUILDING (ex. house. mobile)modular home, shop, office)_ NOOSE SITE/LOCATION ADDRESS Zj 4{O L cu ('/E'3C / S4 Ltc•_ City State /Zipp LEGAL DESCRIPTION PT PT SECTION I TOTS NSHIPq 4/ RANGE 64 CCU SUBDIVISION -_ LOT BLOCK FII ING CENCUS TRACT LOT SIZE/ACRES COMMERCIAL YES /NO RESIDENTIAL YES /NO NUMBER OF PERSONS 2- BASEMENT PLUMBING YES /NO BEDROOMS 3 BATHROOMS - FULL X 3/4 1/2 WATER SUPPLY - PUBLIC YES NO NAME CE-4.4-rf%L. Weld e0 t-7 w41-Cf- Q's 'f. PRIVATE /NO WELL YES/NO CISTERN YES/NO WELL/CISTERN# SYSTEM SIZE: Septic tank material is constructed oc7@ C1 Cand has /OGO gallons cape itv. FIELD: French square feet or Bed / /320 square feet YEAR INSTALLED /q cps- You are required to draw a diagram of the system on the reverse side of this form in black ink nnls and indicate location, length, width, and distance from the dwelling. The undersigned property owner hereby certifies that the above described septic system is in fact installed, as described, and exists at this time on the parcel of ground identified by the above legal description and further states that the system is/is not in good working order and to the best of his/her knowledge is/is not failing to function properly. I further understand that any falsification or misrepresentation may result in revocation of any permit granted based upon this information hereby submitted and in legal action for perjury as provided by law. DATE OWNER Subscribed and sworn to before me this day of 20 By Witness my hand and official seal. My commission expires DATE NOTARY PUBLIC STATEMENT OF EXISTING REVIEWED BY ENVIRONMENTAL HEALTH SPECIALIST }-IouS I I I sl SFP¢k. I e 7A�K tdrt SfaiioN W J L P%eccL ELC[ BEd Li % i 4 _ ur Hello