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N p1P^Z PIO L V aw9lri PIO P »ob o O N 4E. Z w I ° x w 8 I-ii cn O. ^ in = 9C8° , emU o � EEE: z 0 z E%3 otEo Eig ES1 s s»b I -; ��m T2 E E EE =fa o"I,fl°,�� £b'45£ n Z9'8£Z o $ _ (paaq.ad) SO'£65 �' H,100,£To00N .Pg_ MI FI4 (Pa3014 SI uapoaS So WI as aWSo cuq Isa(d tEs i ®Sae oil iz LL i(4)U iE t a v iao" W IIDe DEPARTMENT OF PLANNING SERVICES Q SUBDIVISION EXEMPTION COLORADO ADMINISTRATIVE REVIEW Applicant: Carl Olander Case Number: SE-1189 Request: Subdivision Exemption for a Lot Line Adjustment Legal Description: Part NW4SE4 of Section 18, T2N, R68W, Weld County, Colorado Parcel Number: 131318000008 & Parcel size: Smaller Parcel: Planner: C. Gathman 131318000009 Before: +/- 1.77 acres After: +/- 1.50 acres Larger Parcel: Before: +/- 2.34 acres After: +/-2.50 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. The Applicant has proposed a well as the source of adequate water for the Subdivision Exemption lot. Property owners are advised that the quantity of water available for usage may be limited to specific uses, i.e., "Domestic Use Only," etc. Because each situation is unique, the Department of Planning Services encourages property owners to contact the Office of the State Engineer, Division of Water Resources (1313 Sherman Street, Room 818, Denver, Colorado 80203. Phone 303-866-3581), to discuss each individual situation. 2011-1101 S //gq • • 3. Topographic or physical features of the proposed lots, such as ravines, ditches, streams etc. may limit the area available for a new or replacement septic system. Prior to recording the plat the Weld County Department of Public Health and Environment recommends that the applicant review the Weld County Code pertaining to septic systems to assure that any installed septic system will comply with all setback requirements found in the Code. In the event the proposed lot is not of sufficient size to allow the installation of a septic system the lot may need to be enlarged. 4. Prior to recording the plat: �A.. The plat shall be titled: Subdivision Exemption No. 1189 The applicant shall submit a sketch of the existing septic system for the western lot (Lot 1) in relation to the proposed lot line to the Weld County Department of Public Health and Environment. Evidence of approval shall be submitted to the Department of Planning Services. C. The SE Lots shall use the existing access points as no additional accesses shall be granted. D. A 30 foot wide joint easement extending across Lot 1 (the western lot) from County Road 20.5, for the benefit of Lots1 and 2 (the eastern lot), shall be shown clearly on the plat. The joint access easement shall be dedicated for the use as shown using the language set forth in the Weld County Code, Appendix 24-F.E. The easement shall be graded and drained to provide all weather access. E. All approved accesses shall be clearly shown on the plat. KCounty Road 20.5 is designated on the Weld County Road Classification Plan as a collector road, which requires 80 feet of right-of-way at full build out. There is presently 60 feet of right-of-way. A total of 40 feet from the centerline of County Road 20.5 shall be delineated on the plat as future County Road 20.5 right-of-way. This road is maintained by Weld County. The western Subdivision Exemption Lot (Lot 1) shall comply with the one (1) acre net minimum lot size required by Section 24-8-40.L of the Weld County Code. The eastern Subdivision Exemption Lot (Lot 2) shall comply with the two and one-half (2 1/2) acre net minimum lot size required by Section 24-8-40.L of the Weld County Code. H. 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. 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) Potential purchasers should be aware that the lot may not be eligible for a domestic well permit which allows for outside irrigation and/or the watering of stock animals. The State Division of Water Resources issues all well permits. 6) Potential purchasers should be aware that groundwater may not meet all drinking water standards as defined by the Colorado Department of Public Health and Environment. The Weld County Department of Public Health and Environment strongly encourages well users to test their drinking water prior to consumption and periodically there after. 7) Potential purchasers should be aware that approval of this Subdivision Exemption does not guarantee that well permits will be issued for the lots. Any lot may be deemed non- buildable if the lot owner is unable to obtain a well permit. The State Division of Water Resources issues all well permits. 8) 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. 9) 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.B.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. 10) 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) 11) 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) 13) WELD COUNTY'S RIGHT TO FARM: Weld County is one of the most productive agricultural counties in the United States, typically ranking in the top ten counties in the country 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 long-standing 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 areas: 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; hunting and trapping activities; shooting sports, legal hazing of nuisance wildlife; and the use of pesticides and fertilizers in the fields, including the use of aerial spraying. It is common practice for agricultural producers to utilize an accumulation of agricultural machinery and supplies to assist in their agricultural operations. A concentration of miscellaneous agricultural materials often produces a visual disparity between rural and urban areas of the County. 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. Water has been, and continues to be, the lifeline for the agricultural community. It is unrealistic to assume that ditches and reservoirs may simply be moved "out of the way" of residential development. When moving to the County, property owners and residents must realize they cannot take water from irrigation ditches, lakes, or other structures, unless they have an adjudicated right to the water. Weld County covers a land area of approximately four thousand (4,000) square miles in size (twice the size of the State of Delaware) with more than three thousand seven hundred (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. 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. People 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, and open burning present real threats. Controlling children's activities is important, not only for their safety, but also for the protection of the farmer's livelihood. 6. The applicant shall submit two (2) 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. 7. 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(@caweld.co.us. 8. 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: February 11, 2011 Chris Gathman ❑ Planner III • • c3E 11 gel Plat Checklist POC Planner Item Comments Check Check Proper size and material 24" x 36" or 18" x 24"/Minimum 3 millimeter polyester sheet t✓ Lettering No stick-on lettering / Minimum 8 pt. lettering i.------ Boundaries of Lots Scale Suitable Scale?(1"=200'or 1"=100') .9`"' Accesses indicated Shared Access? If so, is easement Certificate included? a Roads labeled, including N&d "tb 31©4) J6ftl/W►t'7w'ZN U,¢9�/ itsj 61 R.O.W f/ Building Envelope(s) P I A $ Vicinity Map Suitable Scale?(Minimum 1"=2000') North Arrow 1/- Legal Description Notes from Planner/ / Development Standards !� Conditions of Approval ,4y O . 7-OLXtc. 0 Owner's Certificate Notarial Certificate included?All owners must sign the plat, / check the deed. (/ Surveyor's Certificate and All surveyed plats / Surveyor's Stamp Note:USR plats do not need to be surveyed fr" Director of Planning Notarial Certificate included? (RE, SE, SPR,Final PUD if r• /A Certificate Staff Approved) Planning Commission (USR,COZ,Minor Sub. Final) Ore Certificate pp,,�� Board Certificate (USR,COZ„Minor Sub Final) —,Y (Final PUD,RE, SE&ZPMH if Board approved) Typical Road Cross Section (COZ,Final Minor Sub. and Final PUD) Easements L.----- Please return the plat to the CAD Technician within 24 hours of receiving the plat. VtA •oyC�J(na 3/21/1 I Planner on Call: (Initials) Planner Signature: Date: WELD COUNTY, COLORADO DEPARTMENT OF PLANNING SERVICES 1555 N 17TH AVENUE GREELEY, CO 80631 /) PHONE:970-353-6100, EXT. 3540/FAX: 970-304-6498 Date: 11`x-;\ I 20 ! j Receipt No. i 5 9' I j Received From: L -� Permit Type No. Description Fee 4221-RE/ 4221-ZPMH 4221-USR 4221-SITE PLAN REVIEW 4221-CHANGE OF ZONE 4221-PUD 4221-MINOR/MAJOR SUB #OF BUILDABLE LOTS 4 4221-ADDITIONAL 30% FEE FOR SUB's 4221-RE-SUBDIVISIONS 4221-BOA 4221-ZPCV/ZPAS 4430-MAPS/POSTAGE 4430-COPIES 4730-INVESTIGATION FEE 6560-RECORDING FEE 1 •}C - ) ;7 ❑CASH$CHECK NO. L''_f 7 I ❑CREDIT CARD TOTAL FEE I I , 1 ReceiptedBy: 2 ;,; / ;di;-<<-. DL# ( Exp. I J WELD COUNTY, COLORADO DEPARTMENT OF PLANNING SERVICES 1555 N 17TH AVENUE GREELEY,CO 80631 PHONE: 970-353-6100, EXT.3540/FAX:970-304-6498 Date:/2/i) 20_2(2__ Receipt No.1 5j 7 r. 0 Receivedd From: C . Cy , , ft t r Permit Type No. Description Fee 4221-RE/SE (� (NE 1 di 4221-ZPMH 4221-USR 4221-SITE PLAN REVIEW 4221-CHANGE OF ZONE 4221-PUD 4221-MINOR/MAJOR SUB 1. #OF BUILDABLE LOTS 4221-ADDITIONAL 30% FEE FOR SUB's 4221-RE-SUBDIVISIONS 4221-BOA 4221-ZPCV/ZPAS 4430-MAPS/POSTAGE 4430-COPIES 4730-INVESTIGATION FEE 6560-RECORDING FEE (� sA{ ❑CASH t�CHECK NO. `C, ❑CREDIT CARD TOTAL FEE Receipted By: �6 DL# Exp. S • Chris Gathman From: Heidi Hansen Sent: Tuesday, March 29, 2011 2:00 PM To: Chris Gathman Subject: RE: SE-1189 plat Attachments: image003.png; image004.png 15'does not meet our minimum...l see on their original submittal that the house is just over 15' from the property line so I'm sure that is why they are showing 15'so as not to put an easement through the house but they also have that 30' easement from the other access. I think it's cleaner to take the 15' easement off and leave the 30' easement. I also don't see the ROW research info for WCR 20.5. Thanks, Heidi Heidi Hansen, P.E. Engineer II Weld County Public Works 1111 H Street Greeley, CO 80632 970-304-6496 ext. 3745 l�11 2;J; I w E i'CI-JC'o;3 N 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: Chris Gathman Sent: Tuesday, March 29, 2011 1:22 PM To: Heidi Hansen Subject: SE-1189 plat Heidi, Here is a draft SE-1189 plat.They are showing a joint 15' foot access along the west property line. Is this acceptable to Public Works? Thanks, Chris Gathman Planner III Weld County Department of Planning Services 1555 N. 17th Avenue,Greeley CO.80631 1 • • Chris Gathman From: Chris Gathman Sent: Tuesday, March 29, 2011 2:20 PM To: 'andrewjpatterson@comcast.net Subject: SE-1189 (Olander) plat changes Dear Andrew, Staff has reviewed your draft SE-1189 plat and has the following changes/revisions: 1) Remove the Certificate of Approval by the Board of County Commissioners 2) Label the smaller lot as"Lot 1" and the larger lot as "Lot 2" 3) Modify the Legal Description: Change "Lot A" to "Lot 1" and change "Lot B" to Lot 2". 4) The right-of-way documentation for County Road 20.5 shall be indicated on the plat. 5) "10' future Co. Rd. 25.5 R-0-W" shall be changed to "10' Future Co. Rd. 20.5 R-0-W". 6) Remove the 15-foot joint access easement indicated along the western property line as access to Lot B is already provided/indicated through the joint 30-foot access easement. 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 P6 1{1II iv F s'tL'C .1 N uo 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 • t RICEIVED N1AR 2 3 2011 Weld County Planning Department Patterson Partners GREELEYof 9176 Aljan Drive, Longmont Co. 80503 Ph 303-678-7072 fax 303-678-9663 Date: 3-18-11 Project: SE-1189 Olander Subdivision Exemption Attn: Chris Gathman @ Weld Co. Planning Dept Hi Chris. Here are your 2 copies of the drawing for review. Thank you once again and I'll be looking forward to hearing from you soon. /5-R An rew at et rson 303- -7072 andrewjpatterson@comcast.net M 0 Chris Gathman From: Chris Gathman Sent: Tuesday, March 15, 2011 7:45 AM To: 'andrewjpatterson@comcast.net' Subject: RE: SE-1189 Olander Administrative Recommendation Andrew, The Health Department has OK'd the septic condition. The lot line revision that you have shown is acceptable.The next step is getting the plat drafted. Upon my review and OK of the draft plat—the mylar can be prepared. Sincerely, 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 i3i , . 7? , ii wt.'Ll..-s w1 ` 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: andrewjpatterson@comcast.net [mailto:andrewjpatterson@comcast.net] Sent: Friday, March 11, 2011 9:31 AM To: Chris Gathman Subject: Re: SE-1189 Olander Administrative Recommendation Hi Chris. Hope all is well. The client called to check in so I told him I'd ask you how the review was comming. Thanks for your time and hope you have a great weekend. Andy Patterson Original Message From: "Chris Gathman" <cgathman@co.weld.co.us> To: andrewjpatterson@comcast.net Sent: Tuesday, February 22, 2011 7:16:09 AM Subject: RE: SE-1189 Olander Administrative Recommendation 1 O O Chris Gathman From: Lauren Light Sent: Wednesday, February 23, 2011 11:36 AM To: Chris Gathman Subject: RE: SE-1189 Olander Administrative Recommendation Attachments: image001.png Conditions of approval for SE-1189 have been met to the satisfaction of Environmental Health. From: Chris Gathman Sent:Tuesday, February 22, 2011 7:19 AM To: Lauren Light Subject: FW: SE-1189 Olander Administrative Recommendation Here is the septic sketch for SE-1189. 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 dti TOti W f :'f] F CJ.J' N 'r' 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: andrewjpatterson@comcast.net [maiito:andrewjpatterson@comcast.net] Sent: Monday, February 21, 2011 8:27 PM To: Chris Gathman Subject: Re: SE-1189 Olander Administrative Recommendation Here you go Chris. I also added the dimensions from the septic field to the proposed lot lines. Will that take care of what the Weld Co Dept of Public Health & Environment needs to see and will you get this to them or would you need me to do that? The owner also asked me to ask you if the taxes that are due this April would be considered delinquent now. Do they need to be paid on both lots before this would be approved? Thanks for looking at this for us and hope to talk to you soon Andy Patterson Original Message From: "Chris Gathman" <cgathman@co.weld.co.us> 1 • i Chris Gathman From: Chris Gathman Sent: Tuesday, February 22, 2011 7:16 AM To: 'andrewjPatterson@comcast.net' Subject: RE: SE-1189 Olander Administrative Recommendation Attachments: image003.png; image004.png Andrew, I will forward this to the Health Department. I think this will take care of their requirement. In regards to taxes—taxes are not due and are therefore not considered delinquent.The applicants are not required to pay the taxes before they record the plat. Sincerely, 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 I B ? 1 I 1 W E I 1 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: andrewjpatterson@comcast.net [mailto:andrewjpatterson@comcast.net] Sent: Monday, February 21, 2011 8:27 PM To: Chris Gathman Subject: Re: SE-1189 Olander Administrative Recommendation Here you go Chris. I also added the dimensions from the septic field to the proposed lot lines. Will that take care of what the Weld Co Dept of Public Health & Environment needs to see and will you get this to them or would you need me to do that? The owner also asked me to ask you if the taxes that are due this April would be considered delinquent now. Do they need to be paid on both lots before this would be approved? Thanks for looking at this for us and hope to talk to you soon Andy Patterson 1 • Plot Plan Proposed Conditions for Carl Ray Olander Properties Address: 0498 &498 Weld Co Rd. 20.5 Weld Co Rd. 20.5 No line of the NW Car., SE 1/4 Sec. 18, 12N, R688 S88°25'00"W 310.13' SE 1/4 of Section 18 • 195.40' 114.73' 9" e8 o '" 10r 30'R-O-W for Co Rd.20.5 SCALE 1••1or Deli 2-21-2011 eAN CC T o r cO <•;, qcb�'p Tank Lot Line 15.8' 7 w Cr, • fQpV Shed �''[[�111��T tle ded Trt Shed c ' Gross 1.58 acres+/- 32 1/2'no NS Net 1.45 acres+/- tn a to ' b 81 K_J E o 4 S88°25'00"W 193.42' tiOut 1 8 Itt Building Proposed Lot Line Area Gross 2.64 acres+/- Net 2.56 acres+/- • fV a0 N Dirt Drive 130.00' _ 180.15' ••••••' S88°25'00'W310.15' . •• 4 • • DEPARTMENT OF PLANNING SERVICES irc1555 N 17th AVE f GREELEY, CO 80631 PHONE: (970) 353-6100, Ext. 3540 FAX: (970)304-6498 I O COLORADO December 15, 2010 Carl Olander do Andrew Patterson 9176 Aljan Dr Longmont CO 80503 Subject: SE-1189 -A Subdivision Exemption located on a parcel of land described as Part NW4SE4 of Section 18, T2N, R68W 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 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 subdivision exemption. If you have any questions concerning this matter, please call me. Sincerely, Digitally signed by Kristine Ranslem ° Q _ Reason: am the author of this document Location: 1 1555 N 1 Ave Date:2010.12.15 15:25:2 133-0700' Chris Gathman Planner (II lW APPLICATION FLOW SHEET �`P LORADO APPLICANT: Olander CASE #: SE-1189 REQUEST: Subdivision Exemption for a Lot Line Adjustment. LEGAL: Part NW4SE4 18-2-68 LOCATION: South of and adjacent to CR 20.5 and 1/2 east of CR 1. PARCEL ID #: 131318000008 & 131318000009 ACRES: +/- acres Date By Application Received 12/10/10 Application Completed 12/10/10 Referrals listed 12/15/10 CG Vicinity map prepared //nn File assembled 12/ 5Itj Nr-- Case logged in computer Letter to applicant mailed Referrals mailed Field check by DPS staff /� p Administrative Review decision: fir Q(OU 2410 / I I l� Board of County Commissioners hearing (if applicable) Date By County Commissioners Hearing Date Surrounding property owners notified Presentation prepared CC action: CC resolution receivedod Da Plat recorded and filed dL'll By Overlay Districts No �(r> .+.� Y1o�0. N S Zoning Agricultural at a.. MUD Yes_No_X_ f� IGA Yes_X_No_ _ Dot 5 ^ a w Airport Yes No_X_ G�� A fit - Cac. — n0 Geologic Yes No_X_ ✓I Flood Hazard Yes No_X__ Panel#080266 A Ca2- % an e" L9-S Ith: SUBDIVISION EXEMPTION (SE) APPLICATION FOR PLANNING DEPARTMENT USE DATE RECEIVED: RECEIPT/AMOUNT# /$ CASE#ASSIGNED: APPLICATION RECEIVED BY PLANNER ASSIGNED: TYPE OF EXEMPTION REQUESTED (check one) Property line adjustment ❑ Used with Recorded Exemption ❑ Financing Purposes ❑ Public Utility Facility Parcel Number / 3 / - / 8 - O - 66 -nO 80 /3/3 -/8 ' o _oO - 009 (12 digit number-found on Tax I.D. information,obtainable at the Weld County Assessor's Office,or www.co.weld.co.us) Legal Description Pr/iW�i 5 G Yy of , Section /6 Township 2 North, Range68 West Has the property been divided from or had divided from it any other property since August 30, 1972? Yes 0 No W Is this parcel of land, under consideration, the total contiguous land owned by the applicant? Yes RC No O FEE OWNER(S) OF THE PROPERTY: Name: CARL RAY CL.ANDE/2 Work Phone# Home Phone#303-77(-838oEmail Address Address: C^y9S G✓CCD Co , Rz' ZOYZ City/State/Zip Code L o' '*Mow r-3 Co. ao s o y APPLICANT OR AUTHORIZED AGENT J (See Below:Authorization must accompany applications signed by Authorized Agent) Name: ,e4A-DX6 1 P/9/Zlz5on) Work Phone#3'678 707e Home Phone# 3 - 7YC, 70YS Email Address 4,vio2cl✓ "PA>7eRS0n) Address: 9/740 /9 4---7-47/V .DR, c orieAs. �N� � City/State/Zip Code 2-OAJ 6floAdT) C -c ; a0So3 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. Signa!dre: ne or Authorized Agent Date Sig atur wner orcuthorized Age-6D Date -4- Plot Plan Existing Conditions for Carl Ray Olander Properties Address: 0498 &498 Weld Co Rd. 20.5 N NW /4 Weld Co Rd. 20.5 North line of the s°e is. rat 888°25.00"W 310.13' SE 1/4 of Section 18 1 . 30'R-aW for Co Rd 20.5 IP 180.14' m t9 0 '" 10° 2999' ttnr.1•-m 04&13-00-2[X0 8 A a q� 7mh 0 158' P i i 99 yg 00 O Area N 8 h Gross 1.77 acres+/- unfounded a jNet 2.68 saes+/- 9"a° di h `o e 3W „ Area Gross 2.45 acres+/- ti g i Net 2.34 acres+/- 1 c VI 8 $ m a c I U w 8 3en 8 „ „ I 8 x "1 I_.—.J 8 Z Dirt Drive 130.00' .180.15' '-.1: = — S88°25' — "W— - - - - 310.iS 00 11111 • Plot Plan Proposed Conditions for Carl Ray Olander Properties Address: 0498 &498 Weld Co Rd. 20.5 N NW Coe., SE 1i. Weld Co Rd. 20.5 Notch line of the Sec. 18, TW, R88W S88°25'00"W 310.13' SE 1/4 of Section 18 • 114.73' a e ea ter195.40' 50' a 30'R-O-W for Co Rd.20.5 Sfi1lF 1•-1ro' Oda ia-ae-nao I I 1C 0, V 6 va O N mob ' i 4...,4 ,,,. °� F Proposed qb 4 ,ea 0 Lot Line 1518' P {y 2 a M I I 1 I Q Z as O Area N g c Gross 1.64 acres+/- unfounded „b j Net 1.50 acres+/- Shed S88°25'00"W ° 5a 75.10' Area V Q. Gross 2.58 acres+/- al v P. sit Net 2.50 acres+/- 0 3 u3, w n w en AU cg en 38 Ow I 8 $ z z S88°25100"W 1118.87' Proposed S-, Lot Line it; Ditt Drive —._.—.—.180.15' ---,-`- _- - r -:tu'&na S88°254:704- 8 °25'80 - --.-.- 310.15' .-._.. - - 0 "W II • Agent Authorization Form I, Carl Ray Olander hereby authorize Andrew Patterson to be an agent for me to assist in the Subdivision Exemption process at the offices of Weld County, Colorado, for the properties located at 0498 &498 Weld County Road 20%, Longmont. i U/ t ;,ern-i l /2,C-1 7L, Carl Ray Olander Date: 12-6-10 Attn: Weld County Planning Department Project: Subdivision Exemption of adjoining Ray Olander properties 0498 & 498 Weld Co. Rd. 20 'h, Longmont We have property that is comprised of 2 adjoining parcels in the NW ''A of the SE ''A of Section 18, Township 2 North, Range 68 West and we would like to adjust the common line between the 2 parcels to make the properties more usable as they lie now. The neighbor to the east would like to buy the property adjoining his for agricultural purposes but the grass (front) yard and septic system encroach onto part of that parcel. We propose to move the division line between the parcels so that the yard and septic system are included with the parcel that has the house on it (Westerly parcel) and take a comparable amount of land at the back of that parcel and add it to the vacant Easterly parcel. Thank you for reviewing this project. ` An Patterson 303-678-7072 andrewjpatterson@comcast.net 40�. y� Weld County Public 0.�cs Dept. IIIII s� 1111 H Street ACCESS PERMIT g ,0 P.O. Box 758 ° "' APPLICATION FORM G � " -�'� �' Greeley, CO 80632 e....An N° Phone: (970)304-6496 Fax: (970)304-6497 Applicant /fJ c�) J� 7 Property Owner(If different than Applicant) Name r4D/ZEl^J ,5 ERsOAJ Name CARL RAy C9tt JPC,C Company e�9i CRso v PAR TivLres Address Oy96) WCR Z-o VZ Address 9/ 7!0 ✓4C3AN b/R. City LoAj4rr1o&JT State Co Zip g0,5'Oy City Lvr/GMo,vr State Ca Zip 80 6-0.-.3 Phone 303 - -77(o - 8380 Business Phone 303--&78- 707Z Fax Fax 303 -fo78 - 96,63 E-mail E-mail 4/voleC1-,-/ TPA1,CR5O^J Ny eOMCAST.NE—A= Existing Access A= Proposed Access Parcel Location&Sketch The access is on WCR Zo i/Z <:- Nearest Intersection:WCR / &WCR 2-0 /2. WCR Zc7'/2 / Distance from Intersection '/ 2. M/ C-6 /L H'�E Parcel Number /3/3/ 8 40000 8 c 9 ' Section/Township/Range /2 --7-ff 0 AJ -R eoaW t ye 2 Is there an existing access to the property?OYES NOO N 3 Number of Existing Accesses 4 Road Surface Type&Construction Information Asphalt kr Gravel ❑ Treated 0 Other WCR ZO Culvert Size &Type N 0/d≤ Materials used to construct Access )ZOAD @A SC Construction Start Date 19&4 t Finish Date /9 10161 Proposed Use OTemporary(Tracking Pad Required)/$75 0 Single Residential/$75 0Industrial/$150 OSmall Commercial or Oil &Gas/$75 ()Large Commercial/$150 OSubdivision/$150 'Field (Agriculture Only)/Exempt Is this access associated with a Planning Process? ONo OUSR ORE 0 PUD fif Other 5g 5030, ds 6x-0-/Pr/ Required Attached Documents - Traffic Control Plan -Certificate of Insurance -Access Pictures (From the Left, Right, & into the access) By accepting this permit,the undersigned Applicant, under penalty of perjury,verifies that they have received all pages of the permit application;they have read and understand all of the permit requirements and provisions set forth on all pages;that they have the authority to sign for and bind the Applicant, if the Applicant is a corporation or other entity;and that by virtue of their signature the Applicant is bound by and agrees to comply with all said permit requirements and provisions,all Weld County ordinances,and state lay regarding facilities constrpctyn.---.� ��// (� Signature < ., oil? Printed Name ,yNazew YAK/2SON Date /; - 7-/O l� Weld County Treasurer Statement of Taxes Due Account Number R5625886 Parcel 131318000009 Assessed To OLANDER C RAY 498 CR 20.5 LONGMONT,CO 80504 Legal Description Situs Address 25180-C PT W2SE4 18 2 68 BEG S0D13'W 593.04'&N88D25'E 130'FROM NW COR N88D25'E 180'N0D13'E 593'S88D33'W 180'S0D13'W TO BEG Year Charges Billed Payments Balance 2009 Tax $4,022.34 $4,022.34 $0.00 Grand Total Due as of 12/06/2010 $0.00 Tax Billed at 2009 Rates for Tax Area 2330-2330 Authority Mill Levy Amount Values Actual Assessed WELD COUNTY 16.8040000• $852.80 1 AC TO LIT 5 AC $175,000 $50,750 SCHOOL DIST RE1J 46.2680000 $2,348.10 Total $175,000 $50,750 NORTHERN COLORADO WATER 1.0000000 $50.75 (NC ST VRAIN LEFT HAND WATER(S 0.1840000 $9.34 MOUNTAIN VIEW FIRE 11.7470000 $596.16 HIGH PLAINS LIBRARY 3.2550000 $165.19 Taxes Billed 2009 79.2580000 $4,022.34 *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 • • Weld County Treasurer Statement of Taxes Due Account Number R5625786 Parcel 131318000008 Assessed To OLANDER CARL RAY B 0498 CR 20 1/2 LONGMONT,CO 80504 Legal Description Situs Address 251808 PT W2SE4 18 2 68 BEG NW COR SE4 S0D13'W 593.05'N88D25'E 130'N0D13'E 498 20.5 CR WELD 000000000 593.05'M/L S88D33'W 130'MIL TO BEG(1.76A M/L) Year Charges Billed Payments Balance 2009 Tax $2,544.97 $2,544.97 $0.00 Grand Total Due as of 12/06/2010 $0.00 Tax Billed at 2009 Rates for Tax Area 2330-2330 Authority Mill Levy Amount Values Actual Assessed WELD COUNTY 16.8040000* $539.57 SINGLE FAM.RES.- $180,000 $14,330 SCHOOL DIST RE1J 46.2680000 $1,485.66 LAND NORTHERN COLORADO WATER 1.0000000 $32.11 SINGLE FAM.RES- $223,425 $17,780 IMPROVEMTS (NC ST VRAIN LEFT HAND WATER(S 0.1840000 $5.91 Total $403,425 $32,110 MOUNTAIN VIEW FIRE 11.7470000 $377.20 HIGH PLAINS LIBRARY 3.2550000 $104.52 Taxes Billed 2009 79.2580000 $2,544.97 *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 ��,], l rw' 4 a..re ti•A r A d 1 � - A.4R2rs s r a.t2 y l ,�'t e v r'% ;f „I��, 4 il,' '/r i-) sf 1 .e"L I.i,I d 154,.., ...,4,,' `,, 41 2., 9 ,III*-4411 rih �R Hrt-- / CERTIFICATION OF fVV�ITALR CORD ,yr 1� �� i as i N ��1 EjKr a I t � .. STATE OF COLORADO �'f �.trrc A HOLD TO LIGHT TO VIEW WATERMARK x" :fts v 1a STATE OF COLORADO I'' STATE FILE NUMBER `� CERTIFICATE OF DEATH EEM jAI I lI? 1 DECEDENT NAME(Pm Shirleyeel e TT .Y Thad2.SE ' 3 DATE OF DEATH INonm,DThadhir J. OLANDER F March 23, 2004 4 SOCu'_6EOUnn' .AGE . 5b UNDER I YEAR 5c.LINDER I DA( fipA'EOr BIPiX ].MP?NPILACE.ICrry lord SIM.o.Fompn i y NUMBER BlrtnOrylYYl:il W, 'Div! Nrt rMlnf IMOnM.O.n VeiNfir 521-50-8320 61 June 8, 1942 Lgnnmont. Colorado e S.WAS FORCES, DS IN Si.PLACE OF DEATH 9Lneceo` �� O U.S.ARMED FORCES, HOSPIiY.c i 01HEP �. 3 a.. WNo OMMwnI ']ER:I]u,wli.o' fDOA IYA 110me ,�Paiimnw ODmer lSua[ilH IS � , r9 PoCACILTY NAMEIll nd,mnnvxwu pY.FNYel ene nurrAen B[ILItt.1bN S.OP LOCATION CF DEATH I Ad COUNTY O'DEA➢ [1114 498 Weld County Road 20 1/2 Longmont Weld I�� I D. FSCEOENT'9 USUAL OCCUPATION I!DD.N'HDO'BUFINE66Y1NDUSTPv r , ' s13.SPOUSEIII NIe.PNe maban name) -I ,,r,.a, ID.W a000,Nn.Napn.eurrnv mun„l.orxrnvnh. DvmceolSPH-nN mwa!Awned CC1 DP.21I0AI ,d e ls Homemaker Own Home Married C. Ray Divider �O Iy.RESIDENCE STATE ISo.OOUN'1 TOWN OP LOCtTION 1016TPEETAND NUMYEP —v e Colorado Weld I Longmont 498 Weld County Road 20 1/2 rail00 ! _ 1Ge.CITY Ill.ZIP CODE •.155o PDN DECEDENT :OE II A0.IIEtCUF 0,5.1, Is•aAcE,Wen.NC.159.01 M I6.vvacompiled)Elamlllbappal, AA,0o1M1FIpnnel Sp y LIMITS, �/ Puerto PA.n el' Pa PINrw 21 College OS Nous,1 o,1].1 DNo UeNo OYR J-0. W 80504 pp,p,F white 12 �N41 1`EATHER-NAME (FOIL Mlddlt 4.031 In MOtnLR NAME (hat MtldN.Lail lWmm H.mel) II IHFOPMANTMAME and nunMmrp m bCCwao. O� 0 PAHFnTS Floyd Inskeep Maida Pentecost m.Ier,..,.m.,o„. C. Ray Olander - Husband 4 20e.LOCATION G Torn slate O 2JFloyd00FII0R LD1TON 20D.PLACE 'la"' lFoothillsION Dhow oln hoI fQ msPosnfUN %Burial 0 CVmNIon 0RemorMfrom Slala of Memory Gardens iaral 0 001,2 I01 ool.er aPaall of Memory Cemetery Longmont, Colorado +=g y/ I• SIA bIG,yAJil{1E tit FUNERAL DIRECTOR OR PERSON ACTING AS SUCH 21b NAME AND ADDRESS Oa Many -CS '^1 / ��/ ///��7 AHLBERG FUNERAL CHAPEL �am ; RE S N U/ `�" 26 Terry Street, Longmont, Colo zip 80501 aC ��EEE CCC 220.DATE FILED wonth Day Pearl MIIIIIM�ED. aa. s u �� C �"Q DEPt 4: — E �—.- TPA OP DEATH 24 .^T P•...a•JUP...0;0 2E. nc R NER HDTI D2 ��O Now Iva or Not 7:30 A " March 23 2004a 7:30AM Yes rtaS O) TppE COMPLETED ONLY eVCERi1FY1NGPHYYI72:7.4 IAN 100E COMPLETES BY CORONER 261n Inv dm Y nPudpa al ma data aM pMw�ero Oua 1p ^— 2].OmHe Cu.fld of amaallananolarrmeatp loran�Y mrin,nISSA. xurnPalina Mb.Smolz kin d //gym d �AOt AIE EA o.UCn.Nn00ueplee Eaueaµl Naiad¢� CFnTIFIc slpn ,a\ }/` •" Fri OATS r.� m ._,,• 2626,DATE SIGNED Warmth.per.Oa 29 L{t(�/-1F1/L! 2p.OATS SIGNED(Mora Day.Y..0 III yl Rao O0 MANE,TITLE AND ranioNA ADDRESS OF CERTIFIERECORON ER I1YPeionno ' Christy Ryan, M.D. , 2345 Bent Way, Longmont, Colorado :IP_ 80503 i JI NAME OP ATTENDING PHYSICIAN IF OTHEREs THAN CERTIFIERilyw/PnnII )32 MANNER Of DEATH 3]a DATEOFINJ URY 1330.THMIE0F c wig AT ale DESCRIBE HOW INJURY OCCURRED i �'NMIAI O lotion Yaer N ONo O,UrL m4,Fd OB Spode ~oaf SBa.PUCE OF\NJURY-MN I,rq afro Warn alike Sal.LOG.rON(i,aMWNunlsi>Ib,MPPp.II'Maia,r Gtl.C'°IaaY.B1aM) Ida LrradNp MOIPIaaRF1 ��{Y�% �� ' S. { FART 3A IMMEDIATE CAYEE IL 0N11 E CAUSE PER LINE FOR raj Ip11 AND IQ not only hate S 00m(ep.Cardiac m RanPra1NY MIWIMme iN 744-1 CPOSE(1F IM HA�� O ��—" fwlaean onset O f.ATII FDNOGgN6 DUET bPR6 RCON8EOVFNCE i ..d paNN WHICH piSE TO (q In1In1 L.Man Dow EDIRTE CAUSE DUE TO OP A6 A CONSEWENCe DF and death LASTIXDTHE 1MOEPLVINGGUSE LAST HI PART OTHER SIGNIFICANT CONOITION5-COn1eom mNrtoullnq,.death PH no.nYted20 owe on 35.AUTOPSY IF*.RR plgparMa�Jd..A,10 II PART INS.,Ricoh abw,poorly.WIMAD1l. TIPIII 4 No THIS IS TO CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF THE OFFICIAL RECORD WHICH IS IN MY CUSTODY. %DRS 16 1-BB IRev.E-91) �QR 2 6 2004 °�"'"'u -°� '"°I°'"Ia �I �TanwammuUq i 4rp n q �*'I° I blq� DATE ISSUED RONALD S.HYMAN �. ,, • �S 4 P• IW STATE REGISTRAR e � + \ �L /' °4n @ -+ \ y /„.J Do not accept unless prepared on security paper with engraved border displaying the Colorado state ₹ E t.,ZEE, O seal and signature of the Registrar. PENALTY BY LAW, Section 25-2-118, Colorado Revised w., is§ Statutes, 198.2, if any person alters, uses,attempts to use or furnishes to another for deceptive Ise .\�* *'-] "" �' t g any vital statistics record.NOT VALID IF PHOTOCOPIED r DID � , • */ el REpa :r ,� afr + ' 3 M \WWc5A1%. l SKLD LG SKL10422 WE 3243116-2004 . 003 REFERRAL LIST Name: Carl Olander Case#: SE-1189 County _Attorney Towns & Cities Fire Districts x Health Department _Ault _Ault F-1 _Extension Office _Berthoud _Berthoud F-2 _Emergency Mgt Office - Ed Herring _Brighton _Briggsdale F-24 _Sheriffs Office _Dacono _Brighton F-3 x Public Works _Eaton _Eaton F-4 _Housing Authority _Erie _Fort Lupton F-5 _Airport Authority _Evans _Frederick _Building Inspection _Firestone _Galeton F-6 _Code Compliance_S.-Ann_N-Beth _Fort Lupton _Hudson F-7 _ Kim Ogle (Landscape Plans) _Frederick _Johnstown F-8 _Lin (Addressing Change of Zone) _Garden City _LaSalle F-9 _Ambulance Services _Gilcrest _Mountain View F-10 _Greeley _Milliken F-11 State _Grover _Nunn F-12 Div._ of Water Resources _Hudson _Pawnee F-22 _Geological Survey _Johnstown _Platteville F-13 _Department of Health _Keenesburg _Platte Valley F-14 _Department of Transportation _Kersey _Poudre Valley F-15 _Historical Society _LaSalle _Raymer F-2 _Water Conservation Board _Lochbuie _Southeast Weld F-16 _Oil & Gas Conservation Commission _Longmont _Union Colony F-20 _Mead _Wiggins F-18 Division of Wildlife _ _Milliken Windsor/Severance F-17 _South Hwy 66 (Loveland) _New Raymer _North Hwy 66 (Greeley) _Northglenn Commissioner _Division of Minerals/Geology _Nunn _ _Pierce Soil Conservation Districts _Platteville _Big Thompson/FTC _Severance _Boulder Valley/Longmont _Thornton _Brighton/SE Weld _Windsor Centennial _Greeley/West Greeley Counties _Platte Valley _Adams _West Adams _Boulder _Little Thompson _Broomfield _Larimer Federal Government Agencies _US Army Corps of Engrs Other _USDA-APHIS Vet Service School District RE- _ _Federal Aviation Admin (Structures _Central Colo. Water Cons over 200 ft or w/in 20000 ft of Pub _RR Airport _Ditch Company Federal Communications Comm _Art Elmquist(MUD Area) • • toprit: t,r, viigWeld County Referral C December 15, 2010 COLORADO The Weld County Department of Planning Services has received the following item for review: Applicant Carl Olander Case Number SE-1189 Please Reply By January 15, 2011 Planner Chris Gathman Project Subdivision Exemption for a Lot Line Adjustment Legal Part NW4SE4 of Section 18, T2N, R68W of the 6th P.M., Weld County, Colorado. Location South of and adjacent to CR 20.5 and 1/2 mile east of CR 1. For a more precise location, see legal. Parcel Number 1313 18 000008 & 1313 18 000009 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. ❑ We have reviewed the request and find that it does/does not comply with our Comprehensive Plan ❑ We have reviewed the request and find no conflicts with our interests. ❑ See attached letter. Comments: Signature Date Agency +Weld County Planning Dept. +1555 N 17"'Ave, Greeley, CO.80631 +(970)353-6100 ext.3540 +(970)304-6498 fax • • tiri :3146 uL DEC 172010 Weld Cou December 15, 2010 • COLORADO The Weld County Department of Planning Services has received the following item for review: Applicant Carl Olander Case Number SE-1189 Please Reply By January 15, 2011 Planner Chris Gathman Project Subdivision Exemption for a Lot Line Adjustment Legal Part NW4SE4 of Section 18, T2N, R68W of the 6th P.M., Weld County, Colorado. Location South of and adjacent to CR 20.5 and '/= mile east of CR 1. For a more precise location, see legal. Parcel Number 1313 18 000008 & 1313 18 000009 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. ❑ We have reviewed the request and find that it does/does not comply with our Comprehensive Plan ❑ We have reviewed the request and find no conflicts with our interests. 71. See attached letter. Comments: Signature o C Date 2 t ' Agency uLLC tont Ic +Weld County Planning Dept. :•1555 N 17'"Ave, Greeley, CO.80631 +(970)353-6100 ext.3540 :•(970)304-6498 fax ~ • • Weld County Planning Department GR.LEL;Y(it OFFI E MEMORANDUM tECEIVED r.:] 25 ?nit C TO: Chris Gathman, Planning Services DATE: January 21, 2011 FROM: Heidi Hansen, P.E., Public Works Department 44 COLORADO SUBJECT: SE-1189, Carl Olander 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: WCR 20.5 is a collector road and requires an 80-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: 1. The applicant shall utilize the existing accesses to the property. No new accesses will be granted. 2. 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-1189 U:\Referrals l s\S E\S E-1189\PW-RE-1189.d ocx Page 1 of l • • Chris Gathman From: Heidi Hansen Sent: Wednesday, February 09, 2011 9:20 AM To: Chris Gathman Subject: olander Attachments: image003.png Chris, Please have them show an access easement from one of the existing accesses to the other lot. Looking at their fencing I think they might have to do the western access and run an access easement along the property line straight south to the other lot.They could move one of the accesses but I don't think they'll want to because of the fencing and all. We couldn't give them a new access to the other lot because the road is a collector so they've got to find a way to share an existing access. You can have them call me if they have questions. Thanks for catching this one! Heidi Heidi Hansen, P.E. Engineer II Weld County Public Works 1111 H Street Greeley, CO 80632 970-304-6496 ext. 3745 I &4 I iI 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 Memorandum TO: Chris Gathman, W.C. Planning DATE: January 11, 2011 • FROM: Lauren Light, W.C. Department of Public COLORADO Health and Environment CASE NO.: SE-1189 NAME: Olander Environmental Health Services has reviewed this proposal for a property line adjustment. The septic system serving the existing home is currently located on the adjacent lot. The lot with the home will decrease in size from 2.68 acres to 1.5 acres. The vacant adjacent parcel will increase in size from 2.34 acres to 2.5 acres. The existing home is served by Left Hand Water District and an individual sewage disposal system (SE-1000032). The vacant parcel will be served either with an individual well or a tap from Left Hand Water District, if available. A septic system will be installed when a house is constructed. The following conditions are recommended to be part of any approval: 1. A Weld County Septic Permit is required for the proposed home septic system and shall be installed according to the Weld County Individual Sewage Disposal Regulations. Please note, the lot owners shall verify with the nearest Town/City or Sanitation District to determine the location of the nearest sewer line. In accordance with the Weld County Code, if a sewer line exists within 400 feet of the property and the sewer provider is willing to serve the proposed structure, a septic permit cannot be granted by the Weld County Department of Public Health and Environment. 2. All septic systems must be located on their respective lots and meet all lot line set back requirements. Provide a drawing of the septic system, with dimension and distances from lot lines, to W.C. Department of Public Health and Environment for verification of setbacks. Additionally, please note the following: 1. This application is proposing a well as its source of water. The applicant should be made aware that while they may be able to obtain a well permit from the Office of the State Engineer, Division of Water Resources, the quantity of water available for usage may be limited to specific uses, i.e. domestic use only, etc. Also, the applicant should be made aware that groundwater may not meet all drinking water standards as defined by the Colorado Department of Public Health and Environment. We strongly encourage the applicant to test their drinking water prior to consumption and periodically test it over time. 2. Topographic or physical features of the proposed lot, such as ravines, ditches, streams, etc. may limit the area available for a new or replacement septic system. Prior to recording the plat the Division recommends that the applicants review the County Code pertaining to Septic Systems to assure that any installed septic system will comply with all setback requirements found in the Code. In the event the proposed lot is not of sufficient size to allow the installation of a septic system the lot may need to be enlarged. CERTIFICATE OF CONVEYANCES WELD COUNTY STATE OF COLORADO DEPARTMENT OF PLANNING SERVICES COUNTY OF WELD Land Title Order No.: Olander-2 The Land Title Guarantee Company 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 tract of land located in the West half of the Southeast Quarter of Section 18, Township 2 North, Range 68 West of the 6`h P.M., more particularly described as follows: Beginning at the Northwest corner of the Southeast Quarter of Section 18, Township 2 North, Range 68 West of the 6`h P.M., thence South 0 degrees 13' West 593.05 feet; thence North 88 degrees 25' East 130 feet, the true point of Beginning; thence North 88 degrees 25' East 180 feet; thence North 0 degrees 13' East 593.05 feet, more or less, to the north line of the southeast quarter of said section 18thence south 88 degrees 33' 41" west along said north line 180 feet to the Northeast corner of land conveyed in book 576, Reception No. 1497916, weld county, Colorado records; thence south 0 degrees 13' west along the east line of said tract to the true point of beginning. CONVEYANCES (if none appear, so state): Reception No. 1535924 , Book 614 vReception No. 1763104 , Book 841 VReception No. 3243116 This Certificate is made for the use and benefit of the Department of Planning Services of Weld County, Colorado. This Certificate is not to be construed as an Abstract of Title, nor an opinion of Title, nor a guarantee Title, and the liability of Land Title Guarantee COMPANY, is hereby limited to the fee paid for this Certificate. It Witness Whereof, Land Title Guarantee COMPANY, has caused this certificate to be signed by its proper officer this 8`t' day of November, 2010 at 5:00 o'clock P.M. LAND TITLE GUARANTEE COMPANY By: Kerri Allison Title Examiner i Ni614 "nee. $'� M ' AIS Mral.196$ sore yr N.rrr wen e6 — ELMS MAIM 1 tobs•atrsor h a - , - : :_._...onset Weld ,Pseud •i �S N M d t�y�y�Cyalor+Sa .kByryJ�P�tOymlW2MgoF�pa!Orr E �Bi,Ya gamer b feJ ,i 1rMo1107 ,! _j w SNP a. KIELTB end N6tDI V. HILLIS, ee Joint tenants, and not as IGI tenants in ocean', with right of •urvivonhip; I a re whet adA®b ..� Coaoty of 6 e Weld •ad ebbs! Colorado the fo0mier eel nab Is 1M 0 o Odrd Weld .end Stab of Cobra&b wit: A tract of land located in the West half (14) of the Southeast quarter Ill (60%) of Section ei .teen (18), taw ship two (2) North, Rasp eiaty-eight (68) Meet of the 6th P. M., Weld County, Colorado, wore particularly de- scribed as follow: Beginning et the Northwest corner of the SEA of Section 16, Twnship 2, North, I . 65, West of the 6th P. M., thence South 0' 13' West 593.05 feet; thence North 88' 25' East 190 feet, the true point of beginning; thence North N' 25' East 180 feet; thence North 0' 13' East 593.05 feet were or lees to the North line of the Southeast quarter (86%) of said Section eighteen (18): thence South Sr 33' '$1" West along said North line 110 fest to the Northeast comer of lath conveyed in Book 576, Reception No. 1h97916, Weld County Records; thence South 0' 13' West el q the East Lire of said tract to T150 point of beginning. RCETIILB with one acre foot of water as allotted by the Northern Colorado Water Conservancy District. CO ri 1 ri O with all Its gPparbaavna and warrant DO the lids to the sane.sublet to cs 1 1 Siased this 22d On or August 1969../�� / / e \!. .__.1F24�!kGatL.11f c�M {�jf_.._._ • SPATZ OF COLORADO. j at is et Conti et BASAER o O TM fabecieg IWrooeet was edsawhdgei before me this 22nd o Rep .......( - ,1969 ,by Blanche Slander - , 19]1;: s , tt8 ^' r m.erearlibir 4AF,5 erS . N..NU. Y�.�IY-ev.*et i—.LL en Isle.-0•1•44•••••••••GG,er,Ism a.,4 ewe..alms& . • . x:y..'l:aa.-o.<F^.;..•.Q.Y„ .yr c rn:nw SVE!f 4.:<ee.*: �'�T. '1.^9tt`JSNc^;r^TN.•.•T:'�•r.-rl.rr� Tr9410M Re:,.r ra.l a: �: ark ... 3;. AUG 10 1978 CW 600n L' SalSalILec .pdoo No, 1763104 MARY ANN FEOERSTEIN Recorder. O 1 JAMES A. HILLIS and HELEN V. HILLIS, a I whose address i• 1628 Northwestern Road, Longmont, Stan Docuroentoly Fee ' AUG 10 1978 County of Boulder ,State e. Dale _..-.___......._ a $ Cr:.50.._- �I Colorado .for the consideration of -------- To FIVE THOUSAND AND N0/100 ($5,000.00) -I dollars.in hand pied.hereby sell(%) and convey lx) to o h, I; C. MY OLANDER and SHIRLEY J. OLV.DER, as joint tenants, not tenants in common, `�\?.I' whose legaladdres(is 0498 Weld County Road 204, Longmont County of ° o weld • .mod State ofColorado the following real property in the N ,J ' CI O 17owtoy of Weld .and State of Colorado.to wit'. O $.S A tract of land located in the l41.5 of the SE4 of Section 18. Township 2 North. c I Range 68 West of the 6th P.M., more particularly described as follows: do BEGINNING nr the Northwest c ner of the SE12 of Section 18, Township 2. North, ' Range 68, West of the 6th I'.M., thence S. 013'F-at 593.05 feet; thence North 'Hi II 88° 25' East 130 feet, the TRUE POINT OF BECLNN NG; thence North 88° 25' East __ 180 feet; thence North 0° 13' East 593.05 feet, .wore or less to the North fine of the SEk of said Section 18; whence South 8S° 33' 41'' West along said North line 130 feet to the Northeast corner of land r'nveyed in Book 576, Reception :! No. 1497916, Weld County Records; thence South I° 13' West along the East line of said tract to TRUE POINT O} BEGINNING. TOGETHER with all water and ditch rights appurtenant thereto including one unit ' allocated to such land by the Northern Colorado Water Conservancy District. I: I Iab"kmrn)-.nn.t and(ninon II1ith all it' appetp-Iomecr,and aatrnml(y the till,'to oh,' s.m'e,subieat to Cane's .'nd as sea anon is for 19/S mod subsequent wars; commonts and rights of waver teenrd;I ' covenants, retarlegLm e t s and resrvaions of record; :Ind all and gas lease ' recorded In I1oek 804 as Reception 5o. 1726482, and any assignments thereof. I Signed On, 21rd day of May 19 78. , t l; 2/<L(c.o./ I', ,la cs A. 111111$ Melon V. Hill i.s )(CAA E OF COI,ot lcAD). �. vl .. BOULDER II )(CAA II Ile. nu"Is" , W L t na la' el ay .19 78 .iy I e H io n ' A. ,ll ItU Ile Ion V. Millis. I III 31y s, ae.-mn twin- Apr11 15, 1951 `` o"....2 Al I-md oft ei,' I • � i HF a oTARk /, e r --.„. , r:..' 40-e 1 t. PU81.\C ° Ii Y _.__ _ -I, 1111111IIN11111/III 111111111111111111III11111/III/III 3243116 12/10/2004 02:21P Weld County, CO 1 of 3 R 16.00 D 0.00 Steve Moreno Clerk& Recorder SUPPLEMENTAL AFFIDAVIT State of Colorado )ss County of Boulder In the matter of the title to real property in Joint tenancy. Neil E. Piller, being first duly sworn upon oath, deposes and says, that the undersigned affiant is of legal age and has personal knowledge of the fact that Shirly J. Olander is the same person as Shirly J. Olander referred to in the attached copy of the Death Certificate, certified in accordance with the laws of the State of Colorado on the date of March 26, 2004 and was at the time of death on the date of March 23, 2004, the owner in joint tenancy with Carl Ray Olander, of the following real property situate in the County of Weld, State of Colorado, to wit : SEE EXHIBIT A WHICH IS ATTACHED HERETO AND INCORPORATED HEREIN BY REFERENCE also known as : and that the undersigned affiant has no record interest in said real property. , X-e-w-e era- Neil E. Piller Subscribed and sworn to before me in the County of Boulder, State of Colorado on this 9th day of December, 2004 . - Nota Pubs ' 1j1jC /,3/ 8 ate of ;,"c;:orado My Commission Expires : �'/ :\Cato\Nep\32\o1antler.240092-30\SUPPLEMENTAL A22'1D.9VIT.129904.vptl De eembe[ 9, 2004 U:95PN112:412911 ♦E, SKLD LG SKL10422 WE 3243116-2004 . 001 mu IIIIIii iiii11111111111,11IIIIIIIIii IIII • 3243116 12/10/2004 02:21P Weld County, CO 2 of 3 R 16.00 D 0.00 Steve Moreno Clerk&Recorder EXHIBIT A Olander Legal Descriptions Parcel A: A tract of land located in the West half (W 1/2) of the Southeast Quarter (SE 1/4 ) of Section eighteen (18) , Township Two North (T2N) , Range Sixty-eight (68) West of the 6'h P.M. , Weld County, Colorado, more particularly described as follows : Beginning at the Northwest corner of the SE 1/4 of Section 18, Township 2 North, Range 68 West of the 6`" P.M. ; thence South 0° 13 ' West 593 . 05 feet; thence North 88° 25 ' East 130 feet; thence North 0° 13 ' East 593. 05 feet, more or less to the North line of the SE 1/4 of Section 18, Township 2 North, Range 68 West of the 6th P.M. ; thence South 88° 33 ' 41" West along said North line 130 feet, more or less to the True Point of Beginning. Parcel B; A tract of land located in the West %2 of the SE 1/4 of Section 18 , Township 2 North, Range 68 West of the 6" P.M. , more particularly described as follows: BEGINNING at the Northwest corner of the SE 1/4 of Section 18, Township 2 North, Range 68 West of the 6i° P. M. ; thence South 0° 13 ' West 593 . 05 feet; thence North 88° 25 ', East 130 feet, the TRUE POINT OE BEGINNING; thence North 88° 25 ' East 180 feet; thence North 0° 13' East 593 . 05 feet, more or less, to the North line of the SE 1/4 of said Section 18; thence South 88° 33 ' 41" West along said North line 180 feet to the Northeast corner of land conveyed in Book 576, Reception No . 1497916, Weld County, Colorado Records; thence South 0° 13 ' West along the East line of said tract to the True Point of Beginning. TOGETHER WITH all water and ditch rights appurtenant thereto including one unit allocated to such land by the Northern Colorado Water Conservancy 'District . C'.\°ata\.oaocs\estates\elanaev.tegal.+pa SKLD LG SKL10422 WE 3243116-2004 . 002 • • CERTIFICATE OF CONVEYANCES WELD COUNTY STATE OF COLORADO DEPARTMENT OF PLANNING SERVICES COUNTY OF WELD Land Title Order No.: Olander The Land Title Guarantee Company 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 tract of land located in the west half of the southeast quarter of Section 18, Township 2 North, Range 68 West of the 6`h P.M., Weld County Colorado, More particularly described as follows: Beginning at the Northwest corner of the Southeast Quarter of Section 18, Township 2 North, Range 68 West of the 6`h p.m.; thence south 0 degrees 13' west 593.05 feet; thence north 88 degrees 25' east 130 feet; thence north 0 degrees 13' east 593.05 feet, more or less to the north line of the southeast quarter of Section 18, Township 2 North, Range 68 West of the 6th p.m.; thence south 88 degrees 33' 41" west along said north line 130 feet, more or less to the point of beginning. CONVEYANCES (if none appear, so state): ception No. 1497916 , Book 576 -eception No. 3243116 This Certificate is made for the use and benefit of the Department of Planning Services of Weld County, Colorado. This Certificate is not to be construed as an Abstract of Title, nor an opinion of Title, nor a guarantee Title, and the liability of Land Title Guarantee COMPANY, is hereby limited to the fee paid for this Certificate. It Witness Whereof, Land Title Guarantee COMPANY, has caused this certificate to be signed by its proper officer this 8th day of November, 2010 at 5:00 o'clock P.M. LAND TITLE GUARANTEE COMPANY By: 244 daNciaL, Kern Allison Title Examiner . fill = 576 c. 4 5....CI t.. ) .. DE G t Persia Na..._j„4.)7'JIB ANN WOAD Rauh. -t(�� l --I RECORDER,STAMP TWA DEm, uw is: 33-d ..d neennber, I 100,Waft BLANCHE °LANDER I el dm Cray d Weld end•.G.:e of I Damao,of to bat pr ad CARL RAY SLANDER and SHIRLEY .3. BLANDER 1 d the Case el Weld W Shae of Cando el m woad pmt: W ITNESSEtH,Jar the old party el es Ent An ler ad be cemateratka el the or el Ten dollars and other valuable consideration [•Draw-S n . milts matany a the yon PW (S fin: n bad by .said PA..d the sea*part Yc reader tarotle ,y' beer m6...d ad•-'-padded pa 4utd.banai..d..ald ad owned.end be that parts d.. es pat bank..PA meal ea cocas ata the said wee e(tie setae put thee se:.ad add*(mea eat e®.my d peen W le Clog roman au at Iellnitig desnned w rend at add.alter.WAS ad help u the ' coed Weld ad State altv.aase Mu A tract of land located in the West half (WS) of the Southeast quarter (SE8) of Section eighteen (18), Township two (2) North. Ranee sixty-eight (68) West of the 6th P. H., Weld County. Colorado, sore particularly de- , scribed as Collars; cm Beginning at the Northwest corner of the SCE of 5oct:on 18, Township 2, North, Range 68, West nE the 6th P. H.; thence South Oe 13' West 593.05 I feet; thence North 8g• 25' East 130 feet; thence North 0. '3' East 593.05 feet, more or leas to the North line of the SCs of Section 18, Township 2,1 " North, Range 68, West of the 6th P. it. thence South 68' 33' el" West '0 I along said North :line 130 feat. more ar less to the point of beginning.. cMeld County, Colorado. an ToOZTLee eon a0 rag rear.be besWae and.pwn(sac..theses*beano .or 4 ..te:r appetaWaa.a.,eea.as ad ren.auA raaWn ad repaidul ran tow rd pa aft.thereof;ad all the `O mate rigs,.all•faun a dale ad d®a abater* .4ar Y d rev the' p the rental ale as he x N,:1y. 'I mu cla d be ad 4 the shoo barpMs p nba.with the bed,es*a and appeatrort at `0 HAVE AND 10 HOLD the old p:miae Um"hupipd ad!sacsr with rid app+nsv.A c.a.',PC ein d n ra pe. her ne d peei bee a+d weertree.Aat the r4 Arty e(he and pep,ler hens f . ; her heal tams...ad atatietraten dyes mama.gnat burgh aed um to ad with LLd*id pacta i. d arc screed part,dull Dora e.d mar*.that at the"a.el dm caeca**add ahoy et these p.mm she is wed..seed se are pnm4e.ant..aped,a d teal ma.perk..anima ad ladelaall easte et hareem.u I.a 0la Ewa,.ad wa goad tight.lad pain K Lard.aamr m mat ban.lt.dl ad era or dm tam is ma=cad l ana Wooed,a.C that Oa sand m Sr.. od dear Leaman Ism ad dhe W LL Wreathe as hat ma.aaav ea mraabrucn of wbutnat hied a aloe*err. .d,h ahe..amazed;man u the arm ad pouable p...a a!cu.m1 patio a die"cod pan tar ban I red.ne.l...t 45.4 eery puns or parse arcade laming car be dale the whole or W pee treml.We aid army d the Gat pan.WI ad all**REAM AND POREVER DEPEND. II I I :e WITNESS WDEStor*r t d wry d du fin,pan ha/,a a//hems.ether had ad II .d the day ad row WA are atria st,a_-e+- 4 U�..G�2'di eu._ Sired ads W DNrvd a due Neese d1 . .[SEALS II (SEALS I) IIJ ISPALI li li STATE or COLORADO. II Cased Boulder l" 'I VII "'ytye. 511 ,yy.q*:etc edmaadged bear 0e. 3rd daps December I :hey a Elamdas Blander I II :*?.i.� :A iy'a'nub:+t B. , r957 .warn ay irid.d pd iced ail Ij ;�+��ii)c}e ' ,e /i ,p[•, i J ll al +. e,+, Na.Ill,w m aZA-r.•.Y,r�,a—t,a',.f iabie G.Nua M..e.a,Dm,,one G:.er _ ...ales..rmod.'e e, n a -4-'4.W. ,.t..,, l a,m e..R:i.p._:a r..,. .,.aa r as e...N a..r .a.� v.ra.r.....r...,.u.II ,a.:�v,trn r.r........ra raw u—we.�.n II H� :::?-11::14177,—,....nH�l CWae,.1V+.a•4mah lNl. 111111111111 IINI 1111111111 IlNll 111111��11111��lilt fro 3243116 12/10/2004 02:21P Weld County, CO 1 of 3 R 16.00 0 0.00 Steve Moreno Clerk& Recorder SUPPLEMENTAL AFFIDAVIT State of Colorado ) ss County of Boulder In the matter of the title co real property in Joint ter, .ncy. Neil E. Piller, being first duly sworn upon oath, deposer and says, that the undersigned affiant is of legal age and has personal aowledge of the fact that Shirly J. Olander is the same person as Shirly J. Olander referred to in the attached copy of the Death Certificate, certified in accordance with the laws of the State of Colorado on the date of March 26, 2004 and was at the time of death on the date of March 23, 2004, the owner in joint tenancy with Carl Ray Olander, of the following real property situate in the County of Weld, State of Colorado, to wit: SEE EXHIBIT A WHICH IS ATTACHED HERETO AND INCORPORATED HEREIN BY REFERENCE also known as : and that the undersigned affiant has no record interest in said real property. er2ReC2e-- Neil E. Piller Subscribed and sworn to bef ire me in the County of Boulder, State of Colorado on this 9th day of December, 2004 . - Note Pub - "'I,C ote of .`o,oxac My Commission Expires : /fr8 ,Cn[e\Nep V2\Olenrte4.2400,2.32\su'FPLEMENTFi. Ar F':DAVIT.120404.vpd cecenme, 9, 2004 LI:4sPM,I z:41PM1 SKLD LG SKL10422 WE 3243116-2004 . 001 111111111 1111 111111 111111 111111 III 1111111111II1 3 • 243116 43116 12/10/2004, 02:21P Weld County, CO 2 of 3 R 18.00 D 0.00 Steve Moreno Clerk&Recorder EXHIBIT A Olander Legal Descriptions Parcel A: A tract of land located in the West half (W 1/2) of the Southeast Quarter (SE 1/4 ) of Section eighteen (18) , Township Two North (T2N) , Range Sixty-eight (68) West of the 6" P .M. , Weld County, Colorado, more particularl / described as follows : Beginning at the Northwest corner of the SE 1/4 of Section 18, Township 2 North, Range 63 West of the 6`" P.M. ; thence South 0° 13' West 593 . 05 feet ; thence North 88° 25 ' East 130 feet; thence North 0° 13 ' East 593. 05 feet, more or less to the North line of the SE 1/4 of Section 18, Township 2 North, Range 68 West of the 6`" P:M• ; thence South 88° 33 ' 41" West along said North line 130 feet, more or less to the True Point of Beginning . Parcel B: A tract of land located in the West lez of the SE 1/4 of Section 18, Township 2 North, Range 68 West of the 6`" P .M. , more particularly described as follows : BEGINNING at the Northwest corner of the SE 1/4 of Section 18, Township 2 North, Range 68 West of the 6`" P.M. ; thence South 0° 13 ' West 593 . 05 feet; thence North 88° 25 ', East 130 feet, the TRUE POINT OF BEGINNING; thence North 88° 25 ' East 180 feet; thence North 0° 13' East 593 . 05 feet, more or less, to the North line of the SE 1/4 of said Section 18; thence South 88° 33' 41" West along said North line 180 feet to the Northeast corner of land conveyed in Book 576, Reception No . 1497916, Weld County, Colorado Records; thence South 0° 13 ' West along the East line of said tract to the True Point of Beginning. TOGETHER WITH all water and ditch rights appurtenant thereto including one unit allocated to such land by the Northern Colorado Water Conservancy 'District . C \Data\W°°°G]\astaces\e LnaeL.legal.+oa SKLD LG SKL10422 WE 3243116-2004 . 002 • • - pp" Land Tide Guarantee Company CUSTOMER DISTRIBUTION Land Title (Ju.unnrcc cwvurt Date: 08-20-2010 Our Orde,r Number: FC25097350 Property Address: VACANT LAND LONGMONT , CO 80504 If you have any inquiries or require further assistance,please contact one of the numbers below: For ClosifLAssistance: For Title Assistance: Jennifer Engelldng Ft.Collins Customer Care 916 S MAIN ST 4301 LONGMONT,CO 80501 772 WHALERS WAY#100 • Phone;303-682-4081 FORT COLLINS,CO 80525 Fat 303-393-4885 Phone:970-282-3649 EMail: jeogelldng@ltgc.com Fax: 970-282-3652 EMail: urstomercare@hgc.com C RAY OLANDER GERALD L.MOISAN 498 COUNTY ROAD 20 1/2 0606 COUNTY ROAD 20 1/2 LONGMONT,CO 80504 LONGMONT,CO 80504 Copies:1 Copies:1 Sent Via US Postal Service Sent Via United Parcel Service 25097350.1 LAND TITLE GUARANTEE COMPANY 916 S MAIN ST 9301 LONGMONT,CO 80501 Attn: Jennifer Engelking Phone: 303-682-4081 Fax: 303-682-4096 Copies: 1 EMail:jengelldng@itgc.com • 09.30.10 Land Tide Guarantee Company Date: 08-20-2010 Land Title Our Order Number: FC25097350 4W¢AMT[[cnw.wr Property Address: VACANT LAND LONGMONT , CO 80504 • Buyer/Borrower: GERALD L. MOISAN Seller/Owner: C. RAY OLANDER Wire Information: Bank:FIRS7'BANK OF COLORADO 10403 W COLFAX AVENUE LAICEWOOD, CO 80215 - Phone:303-237-5000 Credit:LAND TITLE GUARANTEE COMPANY ABA No.:107005047 Account:2160521825 Attention:Jennifer Engrhing Need a map or directions for your upcoming closing?Check out Land Title's web site at www.ltgc.com for directions to any of'our 54 office locations. ESTIMATE OF TITLE FEES ALTA Owners Policy 06-17-06 $593.00 Deletion of Standard Exception(s) (Owner) 550.00 Tax Report $25.00 It Land Title Guarantee Company will be closing this transaction, above fees mill be collected at that time. TOTAL $668.00 r a z Dt/04 THANK YOU FOR YOUR ORDER! Old Republic National Title Insurance Company ALTA COMMITMENT Our Order No. FC25097350 Schedule A Cust.Ref.: Property Address: VACANT LAND LONGMONT , CO 80504 1. Effective Date: August 10, 2010 at 5:00 P.M. 2. Policy to be Issued, and Proposed Insured: "ALTA" Owner's Policy 06-17-06 • 334,000.00 Proposed Insured: GERALD L. MOISAN 3. The estate or interest in the land described or referred to in this Commitment and covered herein Is: A Fee Simple 4. Title to the estate or interest covered herein is at the effective date hereof vested in: C. RAY OI ANDER 5. The Land referred to in this Commitment is described as follows: SEE ATTACHED PAGE(S) FOR LEGAL DESCRIPTION Our Order No: FC25097350 LEGAL DESCRIPTION A TRACT OF LAND LOCATED IN THE WEST HALF OF THE SOUTHEAST QUARTER OF SECTION 18, TOWNSHIP 2 NORTH, RANGE 68 WEST OF THE 6TH P.M., MORE PARTICULARLY DESCRIBED AS FOLLOWS. BEGINNING AT THE NORTHWEST CORNER OF THE SOUTHEAST QUARTER OF SECTION 18, TOWNSHIP 2 NORTH, RANGE 68 WEST OF THE 6TH P.M., THENCE SOUTH 0 DEGREES 13 MINUTES WEST 593.05 FEET; THENCE NORTH 88 DEGREES 25 MINUTES EAST 130 FEET TO THE TRUE POINT OF BEGINNING; THENCE NORTH 88 DEGREES 25 MINUTES EAST 180 FEET; THENCE NORTH 0 DEGREES 13 MINUTES EAST 593.05 FEET, MORE OR LESS TO THE NORTH LINE OF THE SOUTHEAST QUARTER OF SAID SECTION 18; THENCE SOUTH 88 DEGREES 33 MINUTES 41 SECONDS WEST ALONG SAID NORTH LINE 180 FEET TO THE NORTHEAST CORNER OF LAND CONVEYED IN BOOK 576, RECEPTION NO. 1497916; THENCE SOUTH 0 DEGREES 13 MINUTES WEST ALONG THE EAST LINE OF SAID TRACT TO THE TRUE POINT OF BEGINNING, COUNTY OF WELD, STATE OF COLORADO. II • • ALTA COMMITMENT Schedule B-2 (Exceptions) Our Order No. FC25097350 The policy or policies to be issued will contain exceptions to the following unless the same are disposed of to the satisfaction of the Company: 1. Rights or claims of parties in possession not shown by the Public Records. 2. Easements, or claims of easements, not shown by the Public Records. 3. Discrepancies, conflicts in boundary lines, shortage in area, encroachments, and any facts which a correct survey or inspection of the Land would disclose and which are not shown by the public records. 4. Any lien, or right to a lien, for services, labor or material heretofore or hereafter furnished, imposed by law and not shown by the Public Records. 5. Defects, liens, encumbrances, adverse claims or other matters, if any, created, first appearing in the Public Records or attaching subsequent to the effective date hereof but prior to the date the proposed insured acquires of record for value the estate or interest or mortgage thereon covered by this Commitment. 6. Taxes and assessments not yet due or payable and special assessments not yet certified to the Treasurer's office. 7. Any unpaid taxes or assessments against said Land. 8. Liens for unpaid water and sewer charges, if any. 9. RIGHT OF WAY FOR COUNTY ROADS 30 FEET ON EITHER SIDE OF SECTION AND TOWNSHIP LINES, AS ESTABLISHED BY THE BOARD OF COUNTY COMMISSIONERS FOR WELD COUNTY, RECORDED OCTOBER 14, 1889 IN BOOK 86 AT PAGE 273. 10. RIGHT OF PROPRIETOR OF A VEIN OR LODE TO EXTRACT AND REMOVE HIS ORE THEREFROM SHOULD THE SAME BE FOUND TO PENETRATE OR INTERSECT THE PREMISES AS RESERVED IN UNITED STATES PATENT RECORDED NOVEMBER 25, 1872, IN BOOK 34 AT PAGE 28. 11. OIL AND GAS LEASE RECORDED OCTOBER 24, 1986 UNDER RECEPTION NO. 2074534 AND ANY AND ALL ASSIGNMENTS THEREOF, OR INTEREST THEREIN. 12. REQUEST FOR NOTIFICATION OF SURFACE DEVELOPMENT AS EVIDENCED BY INSTRUMENT RECORDED APRIL 21, 2006 UNDER RECEPTION NO. 3381148. NOTE: THE FOLLOWING NOTICES PURSUANT TO CRS 9-1.5-103 CONCERNING UNDERGROUND FACILITIES HAVE BEEN FILED WITH THE CLERK AND RECORDER.THESE STATEMENTS ARE GENERAL AND DO NOT NECESSARILY GIVE NOTICE OF UNDERGROUND FACILITIES WITHIN THE SUBJECT PROPERTY: (A) MOUNTAIN BELL TELEPHONE COMPANY, RECORDED OL IOBER 1, 1981 IN BOOK 949 • •' j '+' ` • .�r...z.1••;'. ' `4../..;:414-N:` ,• %•••-i .ls:' f l •'•r .. , li':..."1.;:--.,4 •:`sti;l ,t',�,1, , • ` ,'.. ':,1 ',t,,,.<e; l' Y . /,'::R K''' s'i't ';N `'.. t •0111 lit'•r., • Irt,r;t' 'r-.,;,,....,.,..4.&,,.,.. i.,:a . II, ::1 ✓•••-n •'1. .ti`........... {r+ ';.. ..L_i,••y .1. �' : �i;1 4., ;., x 0: �•l;tE �1., • '✓' ' .i,., /`� A1�•.y:J , ';,. .�� +. ,:,•};,,V., I •'" AL RECORD,- r ! = 1� -{'t ' CERTIFICATION OF VITAL • yy / $₹ '� STATE OF COLORADO ' liHOLD TO LIGHT TO VIEW WATERIIIARK a 14* STATE OF COLORADO STATE FILE NUMBER ++ N. 1 CERTIFICATE OF DEATH ' tI I $ SFr 3 GATE OF DEATH WORMD,1.YNA ' DECEDENT'S NAM (Feel 4I1000.Leen Shirley J. OLANDER F March 23 2004 bro rFCEUENT ...wire 40 C A.SOCIAL SECURIT• N AGE.Lim 50 UNDER I YEAR 5F.VNDER,DAY 6 DATE OF BIRTH 7.BIRTHPLACE{C,M1,^d 1Mh p every, t NUMBER 0011010:TN1J) 010, '0,'I Nrt 'Mlry IAgnrA.Day.VW) TJ 527 50-8320 61 June 8, 1942 Lonvmorit. Colorado �.�� e 5,WAS DECEDENT EVER lh W.PLAL OF DEATH ICnw en,wlq f V.S.ARMED FORCES, HOS►IT/ y I OTHER p r., y,NOjRNlwnw DOIM,fSOKII � 7,IP.fi.M 3 E R.Ou,P.I"nl 3 DOA 0 NV r,l,lq NpaM FT F a L 1 by FAOILTh'NAMEIII npfmN+lYhM VW f.N10^O nVmO.rl Sc GIN'.TfrNH,OP LOCATION OF DEATH �00 COVN7•'!0 DEATN 1/ 1 498 Weld County Road 20 1/2 _ Longmont Weld ' MARITAL STATUS•,N'ri3O. 1 E.0 USE III Hue.EP.,'.0.0 410.1 TEM DECEDENTS USUAL OCCUPATION I T00.KIND Or BUSINESS/IkO11STgv In Norm melded.Meowed, C(J l 0 np p1,NAr OOnl Ounrp moltpl MO.MrnE NrF Dlr«Ob 150Kr»kw Homemaker Own Nome Married C. Ray 014nder moo1J, RESIDENCE STATE 100.COUNTY '3U C'TY'OWN.011,101T16N 170.OTREET AND NUMIER a O 1 Colorado Weld Longmont 1 498 Weld County Road 20 1/2 � i •1 13. INSIDE '5'ZIP CODE 1, WA9 DECEDENT OF HISPANIC0'3lll' l5.RACE A.T I'CAn lndl,n. lb DECEDENTS EDUCATION f50..Nr plrynlEM„ CII' 1SNONY N0 01 v„•II NJ.10,RIt Cumin. BI•d.WMu,HCJ50001,1 0 I pn l 0)EII0011 10IYo',le 0IYTH1 )13I' . LIMITSn ,•IC•^.PVnln Mean 1,01 •�- I O T•, 80504 �TN° °r" white 12 �N� S N. S1.PIF 1 • 1` OATH E R•NAMIt, fT 11LM101R.1.11 IC ,5 OOIn EP.HOME ♦Fll 0140',1.61!mow N,0011 ' l0 1NFORMANT•NAME end,.MlIsni1,D to 4001141•0. NEM1 6" IIMMUEll Floyd Inskleep Maida Pentecost C. Ray 0lander - Husband g g l 20,.METHOD Or DISPOSITION 700.%.ACE"I"NOF DISPOSITION iN.mr d c.Mhl,.Cnm,101Y,01 EOe.LOCATION•CM 01 Town,Palo C2 j "^ P(Bun,I Pn n mO Gmllr. DR. vN lre.n 0401 ' Foothills Gardens rn. DSITIUN mono ma.0 i aD,,,,,.. Do^.,(5.00'01 of Memory Cemetery Longmont, Colorado $ {..illOil.61ONATI/RE Er FUNERAL DIRECTOR OR PERSON ACTING AS SUCH E1 p.NAME AND ADDRESS OF FACILITY a _n AHLBERIG FUNERAL CHAPEL �a r 1 4 � v.d �� 326 Terry Street, Longmont, Cob v 80501 ma raj I EE'.RE 'N V/ '0211 DATE PILED(MO'IA.O.Y.YHA NUM EC6 6b14°"4:?-1c5,..,. 1TRP` DEPUTY ?IARCB 2b NOR P p { 23 TIME OE DEAN '24.DAll�n UNEI N ECAD 76 wAS G R N R NOTIF IEOT i YN, NDu' IY..wN41 Yes %pJ ` I 7:30 A M, March 23 2004 7:30AM1 J TO ON COMPLETTD ONLY 0Y CIRTIWYING PHYSICIAN TO SE COMPLETED MY CORONER J511.000,111114rinfINE. Ih pccu,n0.1N Irn.,OAM MO place. Is E7.O:A Na p> .0,I00u�of hIc�wN, nO r•i^rM1:47.—."--- 4, 11r.TaV.,IN. m.nn•, .0 Uf,1,L CFRTIFIC Fi 5+,^•Iur II' $gnJlPn • 56.DATE SIGNED IM0nm.Oer.Yra E'.DAIS SIGNED 101.010,Did 0.1q z___... 1,,, y Roo 4.?C/1.- • 30 NAME.T a LE AHD MAIL IND A DRESS OF C tall TRR/CORD Writ 17 mF✓PriN1 3 -- Christy Ryan, M.D.', 2345 Bent Way, Longmont, Colorado z19 80503 Ili 51.NAME or AYTENOINO PHYSICIAN IT OYH Br 1 HNI 500,10IC R iYYO,/0nnli - 4 _ �32 MANE.OFOGT0 {31..DATEOF INJURY 1315 TIME OP 530.INJURY AT 354 DESCRIBE HOWINJURY OCCURRED -- I IMSnIII fHr•V..,, INJV RY WVRRT *Nq" 4(0 0.'1 ❑D.ndlnE 1 3 VII 0 N 5.le, In.Nnp.11ln M . O Aeold,M Il /1 QU ie rPAn,d C s.c.e. MNN1., MN PLACE OF E11JLIRY.N,.ete..tar,A MO,.t l.aoM1.,ll1w aa.LooATION qIr.«0N1Nun1L1!«R1,N RwM NWRM.G4.CsulOA w'.1 MOIrq KG ISIN+M .,.1511 NIM1M1 L NIJ 3A.IMMlOMTE CAUSE IE��NE� USE PEA Log(rOR f•4(01l AIM loll DP nol.nur r.ed,ddyrnO f•gC•'A•e in 0•604010,1 MNI111.NRI1 N//dL�y-,{tA�,,,Y��',,,,,thL'�/`1 L!/� ►ART n CAUSE fIF I lnM,r,I N,MNndnr.l itd-qTH GONDmON5 DUE O AS C PEEOVFNCE 11W depth IF Af:v WHICH DAVI TI15E TO III In M,Y,I 64444M,nNI IMMEQIATE CAUSE DUE TO OR A9ACOHSE DUENCT'-'p, and dWn ili ' STATING THE uNOEALYING CAUSE UST K1 PENT OTHER SON I rims HT CONDITIONS-Cd00n.c001$D1'n0 I.60 110 twl nd u„•Mete0IOum 35.AUTOPSY 30.IF YES will Mod.I56bMtl«•0 I II RAPT1f..p.•Ic0^W,O,�•.n1.PN.01,09111. Woo .I d,gNRN1ME00YNddMNT No THIS IS TO CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF THE OFFICIAL RECORD WHICH IS IN MY CUSTODY. ApRS•IB T$6(pev.l•9T} J,P S'` ��aclOvuv t MAR 2 6 2004 ot., i4i � �uyl 1. L,adgvah rmutl�tAl DATE ISSUED • 444 3i? NI, RONALD S.NYMAN t��• *L /.+T46✓ STATE REGISTRAR A, J.1.:-.1*-., ... Do not accept unless on a r with en raved border dis la in the Colorado state $- -1 P preparedsecurity paper B P Y g seal and signature of the Registrar. PENALTY BY LAW, Section 25-2-118,Colorado Revised ,f* *, •ASSIKKiJ \ ,t Statutes, 1982, if any person alters,uses,attempts to use or furnishes to another for deceptive use � } * J./ t `,. } any vital statistics record.NOT VALID IF PHOTOCOPIED. REV ., \* `" wf a $ t A G i \' , l`` w..E= 'ltilu. * ' � *k ANYALTE A11'N' E TSU EV•I•STHISCE TIFICATE� ' ' yyyy tis 7 .Elk:! .•SKLD LG SKL10422 WE 3243116-2004 . 003 • Left Hand Water District December 7, 2010 Andy Patterson for Ray Olander 498 CR 20 1/2 Longmont, CO 80504 - Re: 90 096 08 Acct # 3141.01 TO WHOM IT MAY CONCERN: The property located at the above address or legal description is within the "SERVICE AREA" of Left Hand Water District. The tap fee for the above named property has been paid. This entitles one living unit to receive water service at this location. If you have further questions regarding this matter, you may contact me at the District office. Sincerely, tc1' 047 f+l N Kim Lane Administrative Assistant Left Hand Water District P.O. Box 210-Niwot CO 80544-0210 ti Phone 303-530-4200 et.Fax 303-530-5252 as www.lefthandwater.dsico.us • • Date: 12-6-10 Attn: Weld County Planning Department Project: Subdivision Exemption of adjoining Ray Olander properties 0498 & 498 Weld Co. Rd. 20 ''A, Longmont Re: Water and Sewer services for the vacant easterly parcel At this time there are not existing water or sewer facilities on the vacant easterly parcel of this project. Left Hand Water supplies water to the area but the size of their line is insufficient to add any more taps at this time. They report that they may provide additional service in the area in the future if it is necessary. The proposed vacant easterly parcel will be used for agricultural purposes in the immediate future and won't require a water tap or sewer services. The 2.5 acre size of the parcel should allow for a water well in the future if needed and there is sufficient room for a septic field. Andr atterson 303-678-7072 andrewjpatterson@comcast.net • •• A.II ts`_ DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT rs a 1 a..4•4•. 1555 N. 1Ts Avenue V' Greeley, CO 80631 TIM Pa61icH/zkh Web:http://www.co.weld.co.us/deparhnents/heafthenvironmenu Heath Administration Public Meth&Meese Emkon,. 4 4 HeathVt&R.wds Senor Senbee a& Preparedness O Tale:970.304.6410 Tel:970.300.9920 T&e:970301.9015 T&e:970.34.9470 Tde:970.304.9420 Fez 970.34.6412 Fax 970.34.416 Fax 970.34.411 Fax 970.34.6452 Fax 970.34.6499 • -Our union:Together w.h taecbmu/abes we serve.we are rvkk9 b male Weld Cgmryllie healthiest pace to Pm leans work and play COLORADO October 12, 2010 Carl Ray Olander 498 County Road 20.5 Longmont,Colorado 80504 RE:Carl Ray Olander ISDS No.: 1000023 Permit No.: SE-1000032 On October 8, 2010,an evaluation of the existing individual sewage disposal system at: 498 County Road 20.5,Longmont,Colorado; Section 18,Township 02 North, Range 68 West, was conducted by Mary Even,an Environmental Health Specialist of this department. The existing individual sewage disposal system is not of sufficient size and capacity to adequately handle the proposed load. This evaluation is based on a final treatment capacity for a 4 bedroom residence. Based on the System Cleaner Checklist by Suc-N-Up Inc.,dated October 5, 2010,an inspection to determine the condition of the septic tank was not performed because the tank was too deep(7ft). Therefore, it cannot be determined if the tank is structurally sound and water-tight. Suc-N-Up did verify that the tank capacity is 1000 gallons and is constructed of concrete. The Department recommends that the septic tank be properly inspected to determine condition. Based on all available data the field is undersized by an estimated 40 percent. Because the system was installed prior to the adoption of statewide guidelines by the Colorado Board of Health, the County considers this system to be"grandfathered"and will not require that the system be brought into compliance with current regulations so long as the system functions in accordance with current regulations. The Department recommends that the absorption field be brought into compliance with current ISDS Regulations. Please be advised that should you decide to repair your system,a permit is required from this Department prior to any alterations. Be advised, 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 loan on the above property or in the report. This inspection was conducted for the purpose of determining compliance with current regulations and for detecting health hazards observable at the time of inspection. This does not constitute a warranty that the system is without flaw or that it will continue to function in the future. Inspections requested during periods •• RE:Carl Ray Olander ISDS No.: 1000023 • Permit No.: SE-1000032 of snow cover and high soil saturation may be of questionable value to potential buyers due to adverse conditions. Evaluations based on Statements of Existing(S.O.E.)relies on information the property owner provides, under oath, indicating current status of the system and representing to the best of his/her knowledge the system is not failing to function properly. If we can be of any further assistance, please contact our office at(970)304-6415. Sincerely, Mary Evett Environmental Health Specialist ME/ms lb' WE COUNTY DEPARTMENT OF PUBLICtE# Ve HEALTH AND ENVIRONMENT ORG PERMIT# n 1555 N. 17TH AVENUE REPAIR# • lilac GREELEY,PHONE: (97 ) 304 641�1D 5 80631 IS ##COLOSTATEMENT OF EXISTING FOR SEPTIC SYSTEM (PLEASE FILL OUT IN BLACK INK ONLY) PARCEL# 13131 g000008 e 9' PROPERTYOWNER(V. RAY bc4wa62 PHONE NO. (303)775-6334 77-�� t A/esgkbeit. 3o3 4 c —411(0 MAILING ADDRESS 0 98 WCo Co 22 Zo /Z) Lo.vonOA -, ` -%). So Soy City State Zip DESCRIPTION OF BUILDING (ex. house, mobile/modular home,shop,office) /-/OUSE SITE/LOCATION ADDRESS0'"2Cl Wpb Co Rn zo1/Z/ONcroNTICO. 8oso7 �� City State Zip LEGAL DESCRIPTION PT Ni/./l/y PT St f'/ SECTION /8 TOWNSHIP"Ziv RANGE C78 i SUBDIVISION LOT BLOCK FILING CENCUS TRACT LOT SIZE/ACRES lb Z RCKES COMMERCIAL YES /0) RESIDENTIAL j/NO NUMBER OF PERSONS / BASEMENT PLUMBING YES NO BEDROOMS .7 BATHROOMS FULL 3/4 1/2 / WATER SUPPLY-PUBLIC YE /NO L tFT /ii4N0 Witty- Stivitt PRIVATE YES/ WEL YE ! _ CISTERN YES e WELL/CISTERN# SYSTEM SIZE: Septic tank material is constructed ofCO41C -67C and has l7 000 gallons capacity. FIELD: Trench_3) ZO o square feet or Bed square feet YEAR INSTALLED / `j toy You are required to draw a diagram of the system on the reverse side of this form in black ink only 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 descri• '6 • and further states that the system;is is not in good working order and to the best of his/her knowledge i is no•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 perj as provided by law. GA.+ilo � 77 2 DATE OWN NATURE Subscribed and sworn to before me this 3 day of -.Sep fr.zi Ix, ,201 O by ✓/ /?.109 Ci6tn c%,/ Witness my hand and official seal -'‘. Mycontna sionexpires: (2/l-/Z., c DATE NOTAR BLIC STATEMENT OF EXISTING INSPECTION REVIEWED BY ENVIRONMENTAL HEALTH SPECIALIST DA] • • Weld Co Rd. 20.5 NW Cor., SE 1/4 Sec. 18, T2N, R68W $88°25'00"W 310.13' 30'R-O-W for Co Rd.20.5 Concrete 1000 Gallon Go 27,Septic Tank S4? in q 'Nu 4 *l'o a a° Septic Field 3 1001x 2'trenches — 8'Deep at south end 3,200 Square Feet O o° el re; a 32' In.moo v� g w 0 W cn P o W g 83 S88°25'00^W 310.15' Hello