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Description: Parcel ID#: 0453-26-0-00-005 Lot A Size: 4+/- acres Lot B 76+/-acres Size: Water Lot A: Proposed Well Sewer Lot A: Proposed Septic Source: Lot B: Well Permit#246886 System: Lot B: Septic Permit#SP-0000674 Septic Permit#SP-0900143 Criteria Checklist Yes No X 1. Conforms with Chapter 22 of the Weld County Code and any adopted municipal plan. X 2. Compatible with the existing surrounding land uses. X 3. Consistent with the intent of the zone district. X 4. Consistent with efficient and orderly development X 5. Complies with Recorded Exemption standards in Section 24-8-40 of the Weld County Code. X 6. Provides for adequate protection of the health, safety, and welfare of the inhabitants of the neighborhood and the County. Approved with Conditions The Weld County Department of Planning Services has determined through an administrative review that the standards of Section 24-8-40 of the Weld County Code have been met. This Recorded Exemption is approved with the following conditions in accordance with information submitted in the application and the policies of Weld County. 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. 2010-2074 S 2. The applicant has proposed a well as the source of adequate water for Lot A. 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. 3. 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 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. The West Greeley Soil Conservation District has provided information regarding the soils on the site. The applicant shall review the information and use it to positively manage on site soils. 5. Prior to recording the plat: ,C The plat shall be titled: Recorded Exemption No. 0453-26-1 RE-5006 B. The applicant shall submit to the Weld County Department of Planning Services evidence that any existing septic system meets all requirements of the Weld County Department of Public Health and Environment. The Weld County Department of Public Health and Environment will require all Weld County Individual Sewage disposal Systems (ISDS) regulations and policies to be addressed, including requiring septic permit SP-0900143 to receive a final inspection and obtain approval through the Department of Public Health and Environment.. ,e" Lot A is granted an access, no circle drives or additional accesses shall be granted. The access road shall be graded and drained to provide all weather access. Accesses shall be placed in such a location as to have adequate sight distance in both directions, shall not be placed below the crest of a hill or where physical obstructions are present and shall be a minimum distance of 75 feet from any intersecting County or State roadway. D. Lot B shall use the existing residential / agricultural / oil and gas / ditch road access points necessary for agricultural operations as no additional accesses shall be granted. c &C',.ro pow E. All approved accesses shall be clearly shown on the plat. The applicant shall contact the Weld County Department of Public Works to determine if a culvert is necessary at any approved road access point. If a drainage culvert is required, a 15 inch Corrugated Metal Pipe (CMP) is Weld Countyas minimum size. If the applicant chooses to place a larger culvert please contact the Weld County Department of Public Works to adequately size the culvert. County Roads 102 and 23 are designated on the Weld County Road Classification Plan as local gravel roads, which require 60 feet of right-of-way at full build out. The applicant shall verify the existing right-of-way and the documents creating the right-of-way. All setbacks shall be measured from the edge of future right-of-way. If the right-of-way cannot be verified, it shall be dedicated. These roads are maintained by Weld County. G. The applicant shall attempt to address the requirements (concerns) of Division of Water Resources, as stated in the referral response dated February 25, 2010. Evidence of such shall be submitted in writing to the Weld County Department of Planning Services. lib H. The applicant shall attempt to address the requirements (concerns) of the Department of Building Inspection, should construction be contemplated or undertaken on site, as stated in the referral response dated March 8. 2010. Evidence of such shall be submitted in writing to the Weld County Department of Planning Services. The applicant shall address the requirements of Weld County School District RE-9 as stated in the referral response dated March 3, 2010. Evidence of such shall be submitted in writing to the Weld County Department of Planning Services. All vehicles located on the property must be operational with current license plates, or be screened from all adjacent properties and public rights of way, or be removed from the property. All other items considered to be part of a noncommercial junkyard must also be removed from the property or screened from adjacent properties and public rights-of-way. Lot A shall comply with the less than thirty-five (35) acre maximum lot size required by Section 24-8-10.6 of the Weld County Code. Net acreage calculations should not include reserved road right-of-way. z,L! Lot A 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. Net acreage calculations should not include reserved road right-of-way. M. 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. N. The following notes shall be placed on the plat: 1) 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. 2) Any future structures or uses on site must obtain the appropriate zoning and building permits. 3) Lot A is not eligible for a future land exemption in accordance with Section 24-8- 20.C.1 of the Weld County Code. 4) Prior to the release of building permits, the applicant shall submit a recorded deed describing the Lot upon which the building permit is requested with the building permit applications. The legal description on such deed shall include the Lot designation and Recorded Exemption number. 5) Prior to the release of building permits, the applicant shall submit evidence to the Department of Planning Services that Lot A has an adequate water supply of sufficient quality, quantity and dependability. lb 6) Prior to the release of building permit, the applicant shall submit evidence of approval from the Nunn Fire Protection District to the Weld County Building Department. 7) Potential purchasers should be aware that Lot A 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. 8) 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. 9) Potential purchasers should be aware that approval of this Recorded 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. 10) 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. 11) 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. 12) Effective January 1, 2003, Building Permits issued on the proposed lots will be required to adhere to the fee structure of the County Road Impact Program. (Ordinance 2002-11) 13) 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) 14) Prior to the release of building permits on Lot A, the Lot owner shall verify with the nearest Town/City or Sanitation District to determine the location of the nearest sanitary sewer line. In accordance with the Weld County Code, if a sewer line exists within four hundred (400) feet of the property line 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. Evidence of such shall be submitted in writing to the Weld County Department of Planning Services. 15) 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 S 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. In accordance with Weld County Code Ordinance 2005-7 approved June 1, 2005, should the plat not be recorded within the required sixty (60) days from the date the Administrative Review was signed a $50.00 recording continuance charge may be added for each additional 3 month period. 8. The Department of Planning Services respectfully requests the surveyor provide a digital copy of this Recorded 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. 9. The Weld County Department of Planning Staffs approval of this Recorded Exemption Application is based on satisfying the Conditions of Approval. 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 Weld County Board of County Commissioners with a staff recommendation for denial. By Date April 4, 2010 Kim Ogle n Planner Mailed: Scott Hansen 10810 County Road 102 Nunn, Colorado 80648 • • DWELD COUNTY,COLORADO EPARTMENT OF PLANNING SERVICES 91810TH STREET GREELEY,CO 80631 PHONE:970-353-6100,EXT.3540/FAX:970-304-6498 I Date:. `� I 20 i I Receipt No. Received From: r � � � ( _ � I Permit Type No. Description Fee 4221-RE/SE 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/ ) l_ UJ ,1 MISC. CASH ❑ CHECK NO. TOTAL FEE I Receipted By: / PHI H I DL# Exp. • . Weld County Planning Department GREELEY OFFICE 1 I , MAR 18 nun Weld RE-9 School District CCEIVFl9 t'' V 44t® SCOTTJHANSEN PH.970-897-3131 82-26/1070 221C 1 C 10810 W C.R.102 u PO BOX 55 `"s '+ �y March 3,2010 NUNN,CO 80648 = DATE . l /Zr1l/J p / p,r • �J C .Scoot J. Hansen PAY TO�� pa 7 �` i, ,,d_ (31 1.CFI I $ F � i( PO Box 55 S THE ORDER OF {_*, _ / rnS - • h ha 6AR8 10810 WCR 102 ��. . ��, y�_ Nunn CO 80648 r , _ 0 First National Bank ri ,° RE#5006 =`'°Edu�.m.°`.® ' rz \^' - ,7,y/ /(( MEMOIlE—5—d0 co �,J(;ff`�1 I/ Cy44 T Dear Mr. Hansen, a ea 2 2 L 0 The Weld RE9 Sch., ,;: .x,_ "__ .,... .: :. :an; uu:r.una : tyu Cuurny rlanrung Department regarding your request for recorded exemption. The recorded exemption application shows the creation of one lot in addition to the original parcel for the purpose of future residential development. The Weld RE9 School District has established a methodology to determine in-lieu of land payment for new residential units created by the subdivision of land in order for the District to purchase land which will house future school buildings for the purpose of educating the children living in these potential residences. The total in-lieu of land payment per lot created for residential purposes is $759. Therefore, your obligation to the Weld RE9 School District is $759 for recorded exemption#5006. Payment can be hand delivered to: Weld RE-9 School District Administration Office 210 West First Street Ault, Colorado or mailed to: Weld RE-9 School District P.O. Box 68 Ault, Colorado 80610 G o CC DAT 7'✓✓ NO. 8353 c t r- RECEIVED FROM a M moo ADDRESS / Ca. o a / ! • 'v O N,� ACC.UNT HAW •AU F AMT.OF +�Lj ACCOUNT / 9 CASH AMT.PAID CHECK 4. LANCE MONEY : /, BA DUE ORDER S (1,� DEPARTMENT OF PLANNING SERVICES 918 10T" Street GREELEY, CO 80631 IPHONE: (970) 353-6100, Ext. 3540 WI l D c FAX: (970)304-6498 COLORADO February 23, 2010 Scott Hansen 10810 CR 102 PO Box 55 Nunn CO 80648 Subject: RE-5006 - A Recorded Exemption located on a parcel of land described as the E2 NE4 of Section 26, T9N, R67W of the 6th P.M.,Weld County, Colorado. Dear Applicant: Your recorded 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 recorded 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. It is the policy of Weld County to refer an application of this nature to any town or municipality lying within three miles of the property in question or if the property under consideration is located within the comprehensive planning area of a town or municipality. Therefore, our office has forwarded a copy of the submitted materials to the Nunn Planning Commission for their review and comments. It is recommended that you and/or a representative be in attendance at the Nunn Planning Commission meeting to answer any questions the Commission members may have with respect to your application. Please call Nunn at 970-897-2540, for further details regarding the date, time, and place of this meeting. If you have any questions concerning this matter, please call me. Sincerely, DReasollyn:signed brxnnme thistandem persorti amoreauthor Kofristine document LocaDate 20:91e 1011,23162eet Date:2010 03 33 16¢9x9.07 W' Kim Ogle Planner WELD COUNT44 COLORADO DEPARTMENT OF PEANNING SERVICES 918 10Th STREET GREELEY,CO 80631 PHONE:970-353-6100,EXT.3540/FAX:970-304-6498 Date: .. - _ 20 - Receipt No. • Received From: Permit Type No. Description Fee 4221-RE/SE 4221-ZPMH 4221-USR 4221-SITE PLAN REVIEW 4221-CHANGE OF ZONE 4221-PU D 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. ❑CASH U CHECK NO.,. TOTAL FEE Receipted By: DL# Exp. ‘84"sar- Wine APPLICATION FLOW SHEET COLORADO APPLICANT: SCOTT HANSEN CASE #: RE-5006 REQUEST: TWO LOT RECORDED EXEMPTION LEGAL: E2 NE4 26-9-67 LOCATION: SOUTH OF AND ADJACENT TO CR 102; WEST OF AND ADJACENT TO CR 23 PARCEL ID #: 0453-26-0-00-005 ACRES: 80 Date By Application Received 2-22-2010 Ogle Application Completed 2-23-2010 Ogle Referrals listed Vicinity map prepared File assembled 21/;41/1) Case logged in computer Letter to applicant mailed Referrals mailed Field check by DPS staff t Administrative Review decision: (,Cnclthisnw 16 Board of County Commissioners hearing (if applicable) Date By County Commissioners Hearing Date Surrounding property owners notified Presentation prepared CC action: CC resolution received Plat recorded and filed /pa. oil>a (J99 ci l 0 164B Overlay Districts Zoning Agricultural MUD Yes No 0_ IGA Yes No_0_ Airport Yes No_0_ Geologic Yes No_0_ Flood Hazard Yes No_0_ Panel #080266 Road Impact 0 • • RECORDED EXEMPTION (RE) APPLICATION FOR PLANNING DEPARTMENT USE DATE RECEIVED: RECEIPT/AMOUNT# /$ CASE#ASSIGNED: ' APPLICATION RECEIVED BY / PLANNER ASSIGNED: Parcel Number 0) / ( S 5 - 2 (0 - Q - c o - 0 0 5— (12 digit number-found on Tax I.D.information,obtainable at the Weld County Assessor's Office, ee,or www.co.weld.co.us) Legal Description g ,/2 0 Z A) L 71-{ , Section Township 7 North, Range67Westf {yPit Has the property been divided from or had divided from it any other property since August 30, 1972? Yes V.-No_ Is this parcel of land, under consideration, the total contiguous land owned by the applicant? Yes V No_ FEE OWNER(S) OF THE PROPERTY:Name: 9 C(t -1---r qq T , , ctvv S e in Work Phone#970 SS6 8821 Home Phone#770 - S ct a'21Email Address £co-frb7 YS C YaLon,c c .n Address: ( 0Etc (NCR (02 P,O , L',oN SS City/State/Zip Code /tI r_t v. r C0 'a)G b 4 8 APPLICANT OR C Agent) � AGENT(See Below:Authorization must accompany all applications signed by Authorized Agen Name: Jco-1' T NQV\ Sev\ �t-�p Work Phone#cf7 -S$6'W?2(Home Phone#92-cs6r88aI Email Address Sc'rH- 3f ' ) (t'GGoc.ccn--) Address: I C ? la u-' c R 10 .2_ Po' Eoh- s s City/State/Zip Code N c.0 v\v- CC' R0'6 4 Lot A Lot B Lot C Lot D Smaller Parcel Water Source 'U./ e_LL IAU et"- Type of Sewer Se ,J'c 575A, S ep ri-:c % 4 - Proposed Use R eS ie'Jej —ckc3 <� .- Rcs e4 ,E Acreage 1-1 .1:92.C 80 - Lt = -7c Existing Dwellings? If Yes, list addre s If Yes, list address If Yes, list address If Yes, list address below: O'3 below: / 0 gip wcP. below: below: X519 G l02 N`g'o6'?; If the property is vacant or unimproved write proposed water source and proposed sewer system for each parcel in the blanks above. For - example,if a well and septic is proposed state:proposed well, proposed septic. lY I (We) request that the following described property be designated a Recorded Exemption by the Weld County Board of County Commissioners. 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 1 the signatory has the legal authority to sign for the corporation. .qe / ,A 2-22 -j0 Signature: Owner or Auth ed Agent Date Signature: Owner or Authorized Agent Date -4- Seo+4- Stn seN • 2r22- I Quesfjo,n' o; ^e LOA) QVer Far Dorn e s3,e ca se crn knotivetcL cpcLC rred weLL /Lei, rv,- ;neltAdeo, s 2 y to ? 2(P �J a vt 07 Zoo 3 b_ No r 2 ,. New to+ woeA.lc4 use o eng;necria I' S DS ` Seyoi:e Reid otesryn Li. COS 80- infer: Corre•ror seu,°e pernn'r! -IzEIs = SP- 0000 (a7V/ aeqf -et r lloulrfoerm%f SP- a9061h{ 3 elon 3p C'urreset+ ) Par•n,hocae cr4 cc'{2acP\-1d r es;et6C yen z (V1vs+ aR -F\NQ g0 are ) is Drytavrol Wvvectir Fat edl we-FIN 'ho i rr �J a�cc r NoL;ves4ac . Pro pas Pi lac LO+ wouk & 27c >c660 eic.toLhns Lit lC7 acre e wad- Purr') ed on), u esl ho 1-R- Sin5lle firm; 1). dcoca Sr- n for uu et2 '23 / Ce�rece `rte &as{- half of_ tat-- C Pr)50 5 Tv. Propos-4 Ll , 16? ecte yob' +h-fir arc-- a (4o2eK +rcc S so-rAq t.vk0 h e Lief_ Ldl', �'` i � // L ,1 r e ‘AN rt oY aUn koU3e r R` e 42 £oJlott&y uv�iest,)Gvs Sec / �PrDsc� �1, IG1 aeee Loo- trNy u7?esf `nS house -t- Sarose neor vi c 23 4a a Lt-ow GP r-j L a tt, wh ea- - r,ti._v,2 ay, Cuesf h a(-r2 7. No business Cann ectio,s Tkts Cot'rr'4 • 1 is dr ° ( ad LUhead, uicrhi In0 iir��7 'cy or 1.-. c.e li+eaoCir, t t -ett.) ou,re+` 2 wa4 Rite '}v b(AI(cP q IN CU) kou aMd resdr4oe ycn-c _ NL;ves7toeL S Weld County Treasurer Statement of Taxes Due Account Number R8576000 Parcel 045326000005 Legal Description Situs Address E2NE4 26.9-67(2.71R) 10810 102 CR WELD 806310000 Account:R8576000 HANSEN SCOTT J PO BOX 55 NUNN,CO 80648 Year Charges Billed Payments Balance 2009 Tax $499.17 $0.00 $499.17 Grand Total Due as of 02/18/2010 $499.17 Tax Billed at 2009 Rates for Tax Area 0915-0915 Authority Mill Levy Amount Values Actual Assessed WELD COUNTY 16.8040000` $151.73 AG-DRY FARM LAND $1,998 $580 SCHOOL DIST RE9 26.1620000 $236.25 FARM/RANCH $106,128 $8,450 NUNN FIRE 2.3320000 $21.06 RESIDENCE-IMPS AIMS JUNIOR COLLEGE 6.3120000 $57.00 Total $108,126 $9,030 HIGH PLAINS LIBRARY 3.2550000 $29.39 WEST GREELEY CONSERVATION 0.4140000 $3.74 Taxes Billed 2009 55.2790000 $499.17 *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 Weld County Treasurer Prusuant to the Weld County Subdivision Ordinance, the attached Statement(s) of Taxes Due, issued by the Weld County Treasurer, are evidence of the current status as of this date of all property taxes, special assessments and prior tax liens attached to this (these) account(s). Curre t y is taxes due but not d&tit ,1'a+�t. J� #7-2(//1? ((�7� �` Signed: Ar, ' ( Date: 77 _4. 11,2/ IT • ACCOUNT# It8576000 REAL PROPERTY TAX NOTICE P.O.BOX.56 -t-'M p�Y� PARCEL# 045326000005 2009 TAXES DUE IN 2010 GREELEY.CO 50632-0456 ,&Ir4 I WELD COUNTY 2.03800 5.23400 151.73 .AND 1998 580 SCHOOLDISTRE9 26.16200 '0.00000' 236.25 IMPROVEMENTS 106128 8450 NUNN FIRE 233200 '0.00000 2L06 iERSONAL PROP 0 0 AIMS JUNIOR COLLEGE 631200 0.00000' 57.00 + R/VETEXEMPT (0) (0) HIGH PLAINS LIBRARY 3.25500 '0.00000' 29.39 f (WEST GREELEY CONSERVATION 0.41400 0.00000 3.74 I T TOTAL 108126 9030 TOTAL NET LEVY=55.27900 i SENIOR OR VETERAN EXEMPTION (0.M) ' TSB 25- In absence of State Legislative Funding, GRAND TOTAL 499.17 �1 Mating a Payment #2 Delinquent Payments your School General Fund mill levy would have been 40.65800 p13 Payment Receipt #4&5 Senior or Veteran Exemption SEE CORRESPONDING#ON BACK OF STATEMENT I I I The value of your property for 2010 will not change from the ,value shown on this tax notice unless the Assessor's office sends ou a notice of value in May or June of 2010. Property owners I ay appeal their value by fax,e-mail,letter,or in person.Contact the Assessor's office for date and times on the appeal process. ) 'LesY,".1 sr 'S'-1::"0,0,`y--:',17,1 T . E2NE4 26-9-67(2.7IR) No �Ip EROPERTY L&A1�11 102 CR WELD 806310000 I I First Half MAR 1,2010 24939 2010 §econd Half JUN 15,2010 249.58 I fEB i 8 Full Payment APR 30,2010 499.17 C.ry 'TREASURER _ R ----® 'Jake Checks°ayableTc: WELD COUNTY TREASURER t a HANSEN SCOTT J-R8576000 ,r r r r cr it s ,m,r.. _ PO BOX 55 .. p NUNN CO 80648-0055 y ffiiai .C35,i . A'_C. .CAGE COMP. N"KEEP This 79273AX.032 WELD: 0072682 a- - --- ,r.� • REFERRAL LIST Name: Scott Hansen Case#: RE-5006 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 x Sheriffs Office _Eaton _Eaton F-4 x Public Works _Erie _Fort Lupton F-5 _Housing Authority _Evans _Frederick _Airport Authority _Firestone _Galeton F-6 x Building Inspection _Fort Lupton _Hudson F-7 x Code Compliance Ann _Frederick _Johnstown F-8 Kim Ogle (Landscape Plans) _Garden City _LaSalle F-9 _Lin (Addressing Change of Zone) _Gilcrest _Mountain View F-10 _Ambulance Services _Greeley _Milliken F-11 _Grover x Nunn F-12 State _Hudson _Pawnee F-22 x Div. of Water Resources _Johnstown _Platteville F-13 _Geological Survey _Keenesburg _Platte Valley F-14 _Department of Health _Kersey _Poudre Valley F-15 _Department of Transportation _LaSalle _Raymer F-2 _Historical Society _Lochbuie Southeast Weld F-16 _ _Water Conservation Board _Longmont _Union Colony F-20 Oil & Gas Conservation Commission _Mead _Wiggins F-18 _Milliken ____Milliken F-17 Division of Wildlife _New Raymer South Hwy 66 (Loveland) _Northglenn Commissioner x North Hwy 66 (Greeley) x Nunn _ _Division of Minerals/Geology _Pierce _Platteville Soil Conservation Districts _Severance _Big Thompson/ FTC _Thornton Boulder Valley/Longmont _Windsor _Brighton/SE Weld _Centennial Counties x Greeley/West Greeley _Adams _Platte Valley _Boulder _West Adams _Broomfield _Little Thompson _Larimer Federal Government Agencies Other _US Army Corps of Engrs x School District RE-9 _USDA-APHIS Vet Service _Central Cob. Water Cons _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 S Kristine Ranslem From: Kristine Ranslem Sent: Wednesday, February 24, 2010 8:22 AM To: Ken Poncelow,'Ann Siron;'joanna.williams@state.co.us'; 'jeff.deatherage@state.co.us'; 'Billings, Sandra'', 'troy.florian@state.co.us'e; 'Joyce Wallace'; 'Tori McMechan"� 'jfowler@weldre9.k12.co.us'; 'nunnfire@ezlink.com' Subject: RE-5006 Referral Attachments: Referral Sheet.pdf; Application.pdf We have just received a case (RE-5006) in which we ask that you review the attached material and send a referral to us by March 23, 2010. Attached is the application and referral sheet. You may send your comments to the Planner assigned to this case, which is Kim Ogle (kogle(a�co.weld.co.us) If you have any problems or have any questions, please don't hesitate to contact me at the number below. Thank you! K.Vistbvte T2q vsslewi. Planning Technician Weld County Planning Services 918 10 Street, Greeley CO 80631 970-353-6100 ext. 3519 1 Print Form I • • ' Weld County Referral CFebruary 23, 2010 COLORADO The Weld County Department of Planning Services has received the following item for review: Applicant Scott Hansen Case Number RE-5006 Please Reply By 1 March 23, 2010 Planner Kim Ogle Project Two Lot Recorded Exemption Legal E2 NE4 of Section 26,T9N, R67W of the 6th P.M., Weld County, Colorado. Location South of and adjacent to CR 102;west of and adjacent to CR 23. For a more precise location, see legal. Parcel Number 0453 26 000005 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 42.1"We have reviewed the request and find no conflicts with our interests. • See attached letter. • Please notify me of any public hearings regarding this request. Comments: • a a-`el it va 40 0-g#(#./2o Mild 0621r.2 L( (°c-<' Signature ( Date 04-to Agency +Weld County Planning Dept. 4918 10'"Street Greeley,CO.80631 4(970)353-6100 ext.3540 4(970)304-6498 fax Print Form • • Weld County Planning Department GREELEY OFFICE 110---i-ses**%.%•\,H# 4 MAR 1 17011 RECEIVED Weld County Referral Illik February 23, 2010 COLORADO The Weld County Department of Planning Services has received the following item for review: IApplicant Scott Hansen Case Number RE-5006 Please Reply By March 23, 2010 Planner Kim Ogle Project Two Lot Recorded Exemption Legal E2 NE4 of Section 26, T9N, R67W of the 6th P.M., Weld County, Colorado. Location South of and adjacent to CR 102; west of and adjacent to CR 23. For a more precise location, see legal. Parcel Number 0453 26 000005 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. ❑ Please notify me of any public hearings regarding this request. Comments: Signature / ! Date 3-- 7 -11) 1) Agency (\_)(0 0/ *Weld County Planning Dept. 0918 10th Street Greeley,CO.80631 0(970)353-6100 ext.3540 0(970)304-6498 fax S Kristine Ranslem From: Kristine Ranslem Sent: Tuesday, February 23, 2010 4:31 PM To: 'ScottyJ H@yahoo.com' Subject: Case RE-5006 Attachments: Applicant letter.pdf Please see the attached letter. ICrLstLvt.e RP vLSLeok Planning Technician Weld County Planning Services 918 10 Street, Greeley CO 80631 970-353-6100 ext. 3519 1 REFERRAL LIST APPLICANT: SCOTT HANSEN CA : RE-5006 Count Towns &Cities Fire Districts _Attorney _Ault _Ault F-1 0 Health Department _Berthoud _Berthoud F-2 _Extension Office _Brighton _Briggsdale F-24 _Emergency Mgt Office- Ed Herring Dacono _Brighton F-3 0 Sheriffs Office _Eaton _Eaton F-4 0 Public Works _Erie _Fort Lupton F-5 _Housing Authority _Evans _Galeton F-6 _Airport Authority _Firestone _Hudson F-7 0 Building Inspection _Fort Lupton _Johnstown F-8 0 Code Compliance_S.-Beth_N-Ann _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 0 Nunn F-12 _Grover _Pawnee F-22 State _Hudson _Platteville F-13 0 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 Legal _South Hwy 66 (Loveland) _Northglenn Parcel ID# 0 North Hwy 66 (Greeley) 0 Nunn Zone Acres? _Division of Minerals/Geology _Pierce USDA _Platteville Airport Soil Conservation Districts _Severance Geo Haz _Big Thompson/FTC _Thornton FP? Panel# _Boulder Valley/Longmont _Windsor IGA? ORD# _Brighton/SE Weld MUD? Centennial Counties 0 Greeley/West Greeley _Adams _Platte Valley _Boulder West Adams —Broomfield Little Thompson _Larimer Federal Government Agencies Other _US Army Corps of Engrs 0 School District RE-9 USDA-APHIS Vet Service _Central Colo.Water Conservancy Dist _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 _ Commissioner 0 us LO 1 CN N 0 sz avow AINno3 o 4 0 re z D 0 O ) (O I CNI Weld County Planning Department • • GREELEY OFFICE MAR ' R 7i1i RECEIVED ret ‘H's Memorandum TO: Kim Ogle, W.C. Planning !Elk DATE: March 15, 2010 FROM: Mary Evett, W.C. Department of Public COLORADO Health and Environment CASE NO.: RE-5006 NAME: Hansen Environmental Health Services has reviewed this proposal to exempt 4 acres from an 80 acre parcel. Proposed lot A will consist of 4 acres and proposed lot B will consist of 76 acres. There is a proposed 2 bedroom residence and an existing residential garage (one bedroom) on proposed lot B. The existing residential garage is served by an individual sewage disposal system sized for 3 bedrooms (Permit No. SP-0000674) and an individual well (Permit No. 246886). The proposed 2 bedroom home will also be served by the existing individual well. Septic Permit No. SP-0900143 has been issued to add a septic tank and lift station for the proposed 2 bedroom home and to connect to the existing septic system (SP-000674). Proposed lot A is vacant and a new individual well and individual sewage disposal system will be installed when a residence 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 Weld County Individual Sewage Disposal System (ISDS) regulations and policies apply. Septic permit SP-0900143 must receive a final inspection through the Department of Public Health and Environment. 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. • DEPARTMENS PLANNING SERVICES 918 10th GREELEY, COLORADO 80631 PHONE (970) 353-6100, EXT.3540 FAX (970) 304-6498 COLORADO March 9, 2010 Applicant: Scott Hansen Project: Two Lot Recorded Exemption Case Number: RE-5006 Parcel Number: 0453 26 00005 1. Based on the applicant's narrative dated 2/22/10 (#7), the land owner proposes to build a new residents and garage. 2. A plan review is required for each building or structure for which a building permit is required. Two complete sets of plans drawn to scale are required when applying for each permit. Include a Code Analysis Data sheet for the Weld County Building Department for each structure that requires a permit. Submittal plans shall include a floor plan for each structure. Plans shall bear the wet stamp of a Colorado Licensed Architect or Engineer for the foundation. 3. Buildings shall conform to the requirements of the various codes adopted at the time of permit application. Currently the following has been adopted by Weld County: 2006 International Residential Code; 2006 International Energy Code; 2008 National Electrical Code and Chapter 29 of the Weld County Code. 4. All building plans shall be submitted to the Nunn Fire Protection District for review and approval prior to issue of building permits. Please contact me for any further information regarding this project. Sincerely, Ken Swanson Building Official 4. • 2 PMrgt6cfrin - fro Weld County Referral February 23, 2010 COLORADO The Weld County Department of Planning Services has received the following item for review: Applicant Scott Hansen Case Number I RE-5006 Please Reply By I March 23,2010 I Planner ,Kim Ogle Project Two Lot Recorded Exemption Legal E2 NE4 of Section 26,T9N, R67W of the 6th P.M.,Weld County, Colorado. Location South of and adjacent to CR 102;west of and adjacent to CR 23. For a more IL precise location, see legal. Parcel Number ; 0453 26 000005 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. O We have reviewed the request and find that it does/does not comply with our Comprehensive Plan CI We have reviewed the request and find no conflicts with our interests. ® See attached letter. ▪ Please notify me of any public hearings regarding this request. Commentg: Signature c\�F^ . Date (Karr 4, )2 D I n Agency I.Uf O . 2F-q Schnnl . tr�L� F>.Ast Co $Ot0lo *Weld County Planning Dept. 091810'Street Greeley,CO.80631 0(970)353-6100 ext.3540 0(970)304-6498 fax y • • Weld County Planning Department GREELEY OFFICE MAR ", 8 7(r;f Weld RE-9 School District, Highland Schools 2l0 W. First Street P.O. Box 68 Ault, Colorado 80610 (970) 834-1345 March 3, 2010 Scott J.Hansen PO Box 55 10810WCR102 Nunn CO 80648 RE#5006 Dear Mr. Hansen, The Weld RE9 School District has received notification from the Weld County Planning Department regarding your request for recorded exemption. The recorded exemption application shows the creation of one lot in addition to the original parcel for the purpose of future residential development. The Weld RE9 School District has established a methodology to determine in-lieu of land payment for new residential units created by the subdivision of land in order for the District to purchase land which will house future school buildings for the purpose of educating the children living in these potential residences. The total in-lieu of land payment per lot created for residential purposes is $759. Therefore, your obligation to the Weld RE9 School District is $759 for recorded exemption#5006. Payment can be hand delivered to: Weld RE-9 School District Administration Office 210 West First Street Ault,Colorado or mailed to: Weld RE-9 School District P.O.Box 68 Ault,Colorado 80610 Please include your Recorded Exemption (RE) number for reference. A receipt will be mailed to the party requesting the exemption. Please direct any questions to Robert Ring,Jr., Superintendent of Schools, 210 West First Street,Ault CO 80610,or by calling(970)834-1345. Sincerely, Robert Ring,Jr. Superintendent of Schools Weld RE-9 School District •• Print Form Weld County Plannin partment GREELEY OFFICE Ket wec;it: lift 6?SOO RECEWED ' Weld County Referral C. February 23, 2010 COLORADO The Weld County Department of Planning Services has received the following item for review: Applicant I Scott Hansen Case Number RE-5006 Please Reply By j March 23, 2010 Planner Kim Ogle Project Two Lot Recorded Exemption Legal E2 NE4 of Section 26, TON, R67W of the 6th P.M., Weld County, Colorado. Location South of and adjacent to CR 102;west of and adjacent to CR 23. For a more precise location, see legal. Parcel Number 0453 26 000005 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 Q We have reviewed the request and find no conflicts with our interests. © See attached letter. • Please notify me of any public hearings regarding this request. Comments: Signature ij,d/Z-67 Date �- 6 Agency (-WEST GREELEY CONSERVATION DISTRICT +Weld County Planning Dept. 4918 10th Street Greeley,CO.80631 4(970)353-6100 ext.3540 O(970)304-6498 fax -Applicant : ScOtAll Hansen di Case # RE -5006 Planner : Kim O • le �•' -ice .�1 e� `• ,i--�:r�:--�'� Y- ' iI} .l M L Slifk K . 1 lj��>}' � -, 62 f - ,gal I a �' •� ti County Road 10� U :ktil ount R 1 T---- " ill • :, .-..,4,, ,.,•.:A . 4. , . iv l' �� ( ♦ Tf • \�. ;- W • ♦ •-- ' ' "e e` )) i_,?meit N tit 1 i ;op -QC Co tyRo_ . \ 4. •J xl ^4� C! 1l lCV ism - , , :e _.. 1, ,� Ca( .W • \\%62 , , - „. li I 3, • i \, a 1 3. 137 *' ; • i ounty Road 102v . ' � ' ;_ . i 55 , ' : • . F;....,,,-. i' �� a 63• 44Nalit, � • , _ . .:, � r. r .k.2A tptit , . • w ,. . ..cifisi 41. kis: • G+ nty oad 100 -_ ^ A aillib471111/4:47, .. Will . 7 . � � Itst• � : - ..tt. , * S ice' t • �i .�..� — • -•:, ' seje; • 4 ,.k. 4Cor�nty Road 98 �� 1. ta, la 1IV t ;`1 I►" -i S"!• .� �i 1 �i.�� 1 . ,g 1 . - .� v '__ '. - � 1 ` 3 ) ° \ `% .4 ` . County load 96 ' ` `' -. "44:N‘ . 1 . • • ,ate . - ttiof • _ ., 1 A s . 1 ii‘ •• , _ _, 63 - County • Road 94 L _ 1/4 , r 1 ' ► ' •• t • _ .; P , III ; • , - )� Ct. -I r.• .-... t• le f: I '. ry3L .. '� ��. _ ii i 1 `•, -`.- County Road 92 y* County Road 92 �; 4 r (3 4 DI1' ��- k . . . 1 • »ALL - ' 1 1 <• - - . 11 . , . I , ' f !/ 2 7 I g 7 E o 4- E ; \ a — , E o / Tcs k © 0 .2 e / EU) 7 « i co o o [ L $ cn co 2 = 0 2 c � 0 > ■ § •a �C �Z - Z Z Z 0 D .tc I | c a) • o % 52 0 ' o / U@ — o o C | � C E a> -.0 - > > > > 3 � m < m; $ m' � ' � al t5 p — / 0 0. / ■ E Q 0 f , o R § 7 ■ | cO / @ o 03 $ & > \ / r �.o m ! I ) . ! c r...: c9 0 _c 2 / ,r) I§ E CO S G .— C U) a) 0 6 o 2 e@ e 2 § $ o 0 % § ■ ■ o ■ ' m 7 � 0 3 kka) k | kc ' c [ | �5 76 d g c co — 0 = o E 2 �L - / 532t � �t 3 2 / / f 2 U) a 2 � » / � 7 •cz Z. , > @ lii m § / 0 > �> 0) > 2 2 x o o = & � E > o w u) |co �'0 | E $ %C - e ,\ �o 0 a) = I �13 o � 11D0 7 � I � E kc cu 0 O = \ o o kiki> � o / LO O ® /�E �� O W U ./ U) c•CV c o 5 # CC U)I .\ Q o _co / J 2 o j �/ / f E CO 2 a) 2�_` | j� \ .o »ic c c § E 8 § _ Cii 2ikdm � � § a - 17 05 q 5 |— o CID 2 '7 \ ® 2 %�� ' $ �'� � § ° . a- flier- 3 ! | \ �k \ o i . f ; - , Kikik."%s;;; 1111kWeld County Referral February 23, 2010 COLORADO The Weld County Department of Planning Services has received the following item for review: Applicant Scott Hansen Case Number RE-5006 Please Reply By March 23, 2010 Planner Kim Ogle Project Two Lot Recorded Exemption Legal E2 NE4 of Section 26, T9N, R67W of the 6th P.M., Weld County, Colorado. Location South of and adjacent to CR 102; west of and adjacent to CR 23. For a more precise location, see legal. Parcel Number 0453 26 000005 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. ❑x See attached letter. © Please notify me of any public hearings regarding this request. Comments: Signature _- Sl�l��1� Date Agency Division o VV ater Resources Wield County Planning Dept. 4918 10'"Street Greeley,CO.80631 4(970)353-6100 ext.3540 (•(970)304-6498 fax • II OF trio\ DEPARTMENT OF NATURAL RESOURCES ,A „ o DIVISION OF WATER RESOURCES t\ x��*i, Bill Ritter,Jr. l 8 76 - Governor February 25, 2010 James B.Martin Executive Director Dick Wolfe,P.E. Director/State Engineer Kim Ogle, Planner Weld County Planning Department Weld County Planning Dept. GREELEY OFFICE 918 10th Street ;,RR 0 1 Win Greeley, CO 80631 RE: Hansen Exemption RECEIVED Case No. RE-5006 E1/2 NEY Sec. 26, T9N, R67W, 61h P.M. Water Division 1, Water District 1 Dear Mr. Ogle: We have reviewed the above referenced request for a two-lot recorded exemption. The submitted material does not qualify as a "subdivision" as defined in Section 30-28-101(10)(a) C.R.S., therefore, pursuant to the State Engineer's March 4, 2005 memorandum to county planning directors, this office will only perform a cursory review of the referral information and provide comments. The comments will not address the adequacy of the water supply plan for this property or the ability of the water supply plan to satisfy any County regulations or requirements. The applicant proposes to split a 4.167 acre parcel from an 80 acre parent parcel. Water is supplied to an existing home on the parent parcel by an existing well with permit no. 246886. This well was issued as the only well on a 40 acre parcel described as the NE 1/4 of the NE '/ of Section 26, and may be used for fire protection, ordinary household purposes inside up to three single-family dwellings, the watering of poultry, domestic animals and livestock, and the irrigation of up to one acre of home gardens and lawns. Permit no. 246886 is not affected by this land division. It is unclear from the submitted material what the proposed water supply is for the new 4.167 acre parcel. The 4.167 acre parcel is a portion of a 40-acre parcel encumbered by permit no. 246887; however, no well construction information has been received for this well, indicating that a well may not have been constructed under this permit. The expiration date for this permit was January 7, 2006. If the well was not drilled by that date, permit no. 246887 is expired. The applicant should either provide a letter to this office stating that a well was not constructed pursuant to permit no. 246887, or submit a copy of the well construction report for this well. Note that permit no. 246887 was issued as the only well on a 40 acre parcel described as the SE '% of the NE 'A of Section 26. As long as this permit is in effect, no additional permits will be issued for this 40 acres without a water court approved plan for augmentation. If no well was constructed under permit no. 246887 prior to the expiration date of the permit, then the 4.167 acre land area would no longer be considered to be encumbered and this office could issue a new household use only permit for the exempted parcel. This type of permit would allow construction of a well restricted to use for ordinary household purposes inside one single-family dwelling, with no irrigation or other outside uses allowed. Office of the State Engineer 1313 Sherman Street,Suite 818•Denver,CO 80203•Phone:303-866-3581 •Fax:303-866-3589 www.water.state.co.us • • Kim Ogle Page 2 of 2 February 25, 2010 This office has no objection to the continued use of the well with permit no. 246886 to supply water to the parent lot. If the water supply for the proposed 4.167 acre parcel is identified, this office would be willing to provide additional comments upon request. If you have any questions, please contact Sarah Reinsel of this office. Sincerely, Jeff Deatherage, P.E. Water Resource Engineer Cc: Brent Schantz, Water Commissioner JD/skr/Hansen Exemption ill id • • Ii 1 ' 1 =.a . A • �- , _ y a _ • .,,,,,-,,fil . , . ___ __ . . ____ , . . . . _ = _ . . , 4, „ i ti , .. , . , . . .. _. • I Or — • 'inarlS, . . • l 1 . . S • N !I 40 o EZ CI ki.Nf103 o — - ' ills ,•a _. i. z a .. • � .rli U } 'te;-TTt:t;..t 1 _ •r • • _ A 1 r I 1CD .. :' r- r .�p r • / , .. _ .. - _ - . I • . - < . . .. 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CR _ loZS 3'x10: P` S\10 z- fir-i. e e_ IHCdr ob.,t++ $ ep+;c -Nei el FO Or ft5 Dc, 5 .1 " C 29-foFr Lao uj\ne0.� D pry 73 N W P rop oSeoe /l4 c,✓ '----1` V I-1 ' l6? acs• Lot- Pr; _—. V2 m:te Saco.041- X02 III----1 j UJ a R r.7 3 _ Iit OD _A-% iJ1°' 3L.1.. 0 r-) v w cm is tI Do kQ Z C\ 1- L 6) I ¢ I (1 4%,_L 1 - - , 6 O la i i it . L , 0 KA ! Qr s C i Y CL... -s• I L _--- 1.L fie-- ,________________•________ • • 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• Road File#: Date: 2-22- 10 RE#: Other Case#: 1. Applicant Name $Co F I MaN1SCLn Phone 9?o-- 5-S---6 .- k'Y2 I Address /n,q-/o W Ca? 1 D 2 Po Box 5-5-City A/u•n v\ State Zip 20 1( 9' 2. Address or Location of Access /0 SIO UJ C t IO2_ OC 2 3-I— 02 V re e got-+t\ Section `2-co Township 9 Range (O7 Subdivision Block Lot Weld County Road#: 2. 3 Side of Road (Al Qs* Distance from nearest intersection \/2`�vi'I'\4- Jo 3. Is there an existing access to the property? Yes V No #of Accesses 4. Propo d Use: ,Permanent Residential/Agricultural ❑ Industrial ❑ Temporary ❑ Subdivision ❑ Commercial 0 Other ♦tRltOR ....*******t************************** ..,...***A A- r****'1Rtl* MMNR1tMf . i - N Ai 5. Site Sketch I nd for Access Description: e . 'o Z ZAG > = Agricultural ES = Residential �� O&G = Oil&Gas DR = Ditch Road 0 = House o = Shed Ii2"r,''�e Qo A = Existing Access ?to ° re A = Proposed Access �� \A acre N IrZ,r;le_ w NI uu c lop I o g - —I F--- . Tow„r OFFICE USE ONLY: m Road ADT Date Accidents Date Road ADT Date Accidents Date Drainage Requirement Culvert Size Length Special Conditions ❑ Installation Authorized ❑ Information Insufficient Reviewed By: Title: -7- S i 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: The E1/2 of the NE '/a of Section 26, Township 9 North, Range 67 West of the 6th PM County of Weld State of Colorado CONVEYANCES (if none appear, so state): Reception No. , 1525883 Reception No. , 1525884 " Reception No. , 1528885 Reception No. , 1660584 Reception No. , 1956837 Reception No. , 1956838 ' Reception No. , 1956840 Reception No. , 2733616 " Reception No. , 2766860 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 27`h day of, January 2010 , at 7:30AM. North American Title Company of Colorado Authorized Signature // c7/ coo: • o JAN 101969 cR y� /a Recorded.—..._ .a aa(�ra rat o'clock Y. 0.2 e�*V1J'L Reception No. .._. .A.a1NJVC7a) MN SPOMER Recorder. nor,- 1 t —% tii% !Eta, Made this e,WEI day of November in the o o N w year of our Lord one thousand nine hundred and sixty-eight between • m 0 ELSIE A. KENT and JESSIE E. WILLIAMSON o O\ '—of the County of Weld and State of Colorado, of the 2 n first part,and GEORGE W. ANDERSON and ELMA E. ANDERSON '1—, ti c0 T r of the County of Weld and State of Colorado, of the W m N01" r�-t second part: WITNESSETH:That the said parties of the first part,for and in consideration of the sum of ,—t ou OTHER GOOD AND VALUABLE CONSIDERATDN AND TEN AND NO/100 DOLLARS, to the said part ins of the first part In hand paid by the said parties of the second part, the receipt whereof is hereby confessed and acknowledged, have granted, bargained,sold and conveyed,and by then presents do ri grant,bargain,sell,convey and confirm unto the said parties of the second part,to pass not in tenancy in common but in joint tenancy,the survivor of them,their assigns and the heirs and assigns of such survivor forever,all the fol- o lowing described lot or parcel of land,situate,lying and being in the ' County ci Weld and State of Colorado,to-wit: o. •u 0 An undivided one-third (1/3) interest in and to the West Half (W)6) it of Sectan Twenty-one (21), Township Eight (B) North, Range Sixty- 9` seven (67) West of the 6th P.M., and the East Half (F.$) of Section Twenty-six (26), Township Nine (9) North, Range Sixty-seven (67) West of the 6th P.M. reserving unto grantors one-half (1/2) of the oil, gas and other mineral rights now owned by grantors with the right of ingress and egress for exploration, discovery and removal of same, TOGETHER with all and singular the hereditame,tts and appurtenances thereunto belonging, or in any wise appertaining, and the reversion and reversions, remainder and remainders, rents, issues and profits thereof; and all the estate,right,title,interest, claim and demand whatsoever of the said part ies of the first part,either in law or equity, of, in and to the above bargained premises,the hereditament,and appurtenances. TO HAVE AND TO HOLD the said premises above bargained and described, with appurtenances, unto the said parties of the second part,the survivor of them,their assigns, and the heirs and assigns of such survivor for- ,-,.- ever. And the said part ies of the first part, for thereat yes &heirs, executors, and administrators, do covenant, grant, bargain and agree to and with the said parties of the second part, the survivor of them, their .-I assigns and the heirs and assigns of such survivor,that at the time of the ensealin '�g c and absolute of these le estate, they are well seized of the premises above conveyed, a of good, sure,perfect,absolute and indefeasible estate of inheritance,in law,in fee simple,and ha ye good right, full power and lawful authority to grant, bargain, sell and convey,the same in manner and form aforesaid,and that the same are free and clear from all former and other grants, bargains, sales, liens, taxes, assessments and incumbrancea of whatever kind or nature aoever: Subject to inclusion within the Nunn Fire Protection District and West Greeley .—i Soil Conservation District and Weld County Zoning Regulations, 6 and the above bargained premises in the quiet and peaceable possession of the said parties of the second part, the o survivor of them, their assigns and the heirs and assigns of such survivor,against all and every person or persons lawfully claiming or to claim the whole or any part thereof,the said part ies of the first part shall and will WARRANT AND FOREVER DEFEND. IN WITNESS WHEREOF, the said part iegf the first pan ha ye hereunm set their heads and o seals the day and year first above written. . Signed, Sealed and Delivered in the Presence of .�_(.l-� C/,f /LC t t./ (SEAL) p Elsie A. Kent,(• nt ----------- eol—K_C✓- /1.+rui•a.Yri O t79. (SEAL) o 7Jessie L. Williamson o u -- — ___ .__..—.—._....__......___ (SEAL) ARIZONA_ r.-• STATE OF MI4RnMq,Ise. The foregoing instrument was acknowledged before me this— 'la-4_ day of coo County of WM; \)�' !q . ilARICOPA _aaogembeC___..._._....____„t9 63,by Elsie A_ Kent and Jessie E_ ':a .rt O1 A 4 ' 'a _. Williamson. —, .+ 'ate Witness My Hand and Official Seal ^ ` • ' '-:1 --Dee.31, 1968 C' t, (^ My Caanmhakm Expires __.— __ 'IP•.• ..\,. 0 f t 1 '- a a., Notary Public. WARRANTY DEED—Tn Joint Tenants"a'ado—''' •eW • • 3 Roeoed d _ _i 1969 $ ------O'clock cy JAN of Y. ✓ ✓ BOOR6r(tA 604 - Reception No 1....,,57-.5._8_ 81. ANN SpOMER Recorder. 4#10 NI Ell Pete,xxQQey made this ,L'/f—jsof day November in the 'm year of our Lord one thousand nine hundred and sixty-eight between i 4- O Ufa c i ELSIE A. KENT and JESSIE E. WILLIAMSON > m ON of •the c of the County of Weld and State of Colorado, J • =r first part,and LEONARD L. ANDERSON and BEVERLY JEAN ANDERSON E r OD co s� ' I .. of the County of Weld and State of Colordo, of the • f0 N N second part: en WITNESSETH:That the said parties of the first part,for and in consideration of the cum of Ni ti .ti OTHER VALUABLE CONSIDERATION AND TEN AND T10/100 DOLLARS, to the said part ies of the first part in hand paid by the said parties of the second part, the receipt whereof is hereby confessed and acknowledged, ha ve granted, bargained, sold and conveyed,and by these presents do grant,bargain,sell,convey and confirm unto the said parties of the second part,to pass not In tenancy in common r n but in joint tenancy,fire survivor of them,their assigns and the heirs and assigns of such survivor forever,all the fot- iowing described lot or parcel of land,situate,lying and being in the County of Weld and State of Colorado,to-wit: An undivided one-third (1/3) interest in and to the West Half w 0 (Mp) of Section Twenty-one (21), Township Eight (8) North, Range "s Sixty-seven (67) West of the 6th P.N., and the East Half (E;) of Section Twenty-six (26), Township Nine (9) North, Range Sixty- seven (67) West of the 6th P.M. reserving unto grantors one-half . (1/2) of the oil, gas and other mineral rights now owned by grantors with the right of ingress and egress for exploration, discovery and removal of same, 1).(. at.7 TOGETHER with all and singular the hereditaments and appurtenances thereunto belonging,or in any wise appertaining, and the reversion and reversions, remainder and remainders, rents, issues and profits thereof; and all the estate.right,title, interest, claim and demand whatsoever of the said parties of the first part,either in law or equity, of, in and to the above bargained premises,the hercditaments and appurtenances. TO HAVE AND TO HOLD the said premises above bargained and described, with appurtenances, unto the said parties of the second part,the survivor of them, their assigns, and the heirs and assigns of such survivor for- ever. Arid the said part ies of the first part,for thegelves & heirs, executors, and administrators, do covenant, grant, bargain and agree to and with the said parties of the second part, the survivor of them, their r� assigns and the heirs and assigns of such survivor,that at the time of the ensealing and delivering of these presents, they are well seized of the premises above conveyed, as .d good, sure, perfect.absolute and indefeasible estate of infieritance,in law,in fee simple,and have good right, full power and lawful authority to grant, bargain, ae8 and convey,the same in manner and form aforesaid, and that the same are free and clear from all former and other grants, bargains, sales, liens, taxes, assessments and incumbrances of whatever kind or nature soever: Subject to inclusion within the Nunn Fire Protection District' West Greeley Soil rm-t Conservation District and Weld County Zoning Regulatbns, I • I and the above bargained premises in the quiet and peaceable possession of the said parties of the second part, the o survivor of them, their assigns and the heirs and assigns of such survivor,against all and every person or persons lawfully claiming or to claim the whole or any part thereof, the said parties of the first part shall and will WARRANT AND FOREVER DEFEND. IN WITNESS WHEREOF, the said partiesof the first part have hereunto set their hands and o ' seals the day and year first above written. � / o Signed, Sealed and Delivered in the Presence of /-L.t_r Ly,/4:<i/ _(SEAL) ,y 'Elsie A. Kent, j CI —_- -____— ?4x.s_t__7r,UTSaa-Seer' —(SEAL) c' )Jess.te E. W>.11iaeson C 0 Zp —_--_(SEAL) STATE OF JsS'(dQ)r (p, e. lee. The foregoing instrument was acknowledged before me this__... day of county of„)ys1� f '1-.\y prl :the ICOPA t{oyrmhr„ .,,IffiIl_,by. Elsie A. Kent and Jessie E.__ '-i 4 y IJil t Y R`i' Witness Hy Hand and Official Seal • < y .Cca.St,193 , My Commission Expires - C ' r i A, t. t v� v MI -2' .a. • Notary Public. WARRANTY DEED—To Joint Tenants 4".....--5.".• .,00- • • :i 0,--n A 5 ^' too" Recorded at 8 —o'clock PY Ni. JAN 101969 ✓ BO INDEXED.' 604 Reception No. ..1....1,525.6I55- INN SPomER , Recorder. ! — ! ' KNOW ALL MEN BY THESE PRESENTS, That ELSIE A. KENT and JESSIE E. WILLIAMS0N of the County of Weld , and State of Colorado, O for the consideration of OTHER GOOD AND VALUABLE CONSIDERATION AND TEN --- Dollars, V\ in hand paid, hereby sell and convey to MARTIN L. ANDERSON co co of the County of Weld and State of Colorado, ln N the following real property, situate in the County of Weld In and State of Colorado, to-wit: .--INI In a in rl • O ri An undivided one-third (1/3) interest in and to the West Half (19'1) of °..._• O n Section Twenty-one (21), Township Eight (8) North of Range Sixty-seven jam• 2 (67) West of the 6th P.M. and the East Half (E'i) of Section Twenty-six 3 0 (26), Township 9 North of Range Sixty-seven (67) West of the 6th P.M. o reserving unto grantors one-half (1/2) of the oil, gas and other mineral cc: rights now owned by grantors with the right of ingress and egress for exploration, discovery and removal of same. m Pi0 rr '2 1)r l iG with all its appurtenances, and warrant the title to the same, subject to inclusion within the Nunn Fire Protection District and West Greeley Soil Conservation District and Weld County Zoning Regulations. •--.' rf rn .-I Signed and delivered this 2 y;1 day of November q , A. D. 1968. I In the presence of G.1�a.-f G' .11.-/- .4. (SEAL) sie A. Kent �� .u-E.i' a-#.4 2,..., -enmv (SEAL) essie E. Williamson (SEAL) ARIZONA • STATE OF Y BH&, ) COUNTY OF y(ITb(Fp. )ss. HAPICDPA0 The foregoing instrument was acknowledged before me this ?7c day of NovemberQ' 1968 , bye Elsie A. Kent and Jessie E. Williamson. N O WITNESS my hand and official seal. o My commission expires 0 Notary Public. o rI T t imflf tiy,natural person or persons herein insert name or names; if by persons .A'cting ice're{Iresentative or official capacity or as attorney-in-fact, then insert name kirof$ersotfats executor, attorney-in fact or other capacity or description; if by officer oltcorrratia, then insert name of such office or officers, as the president or other itofficers of Eaich corporation, naming it. -- STATUTORY ACKNOWLEDGMENT, •' vwSE6SION N4'9i4;7. g.r pn1' ♦. • • WARRANTY DEED -- Statutory Form 1-}"' • / ny., • I Ill • or 0 y Recorded at .__6 � o'clock MAY 19 1975 Roc. No, 1660584 S. Lee Shohte, Jr., Recorder CO SOCK 1-I O 739 P. Reception N0_._......._. .... - Recorder. GEORGE W. ANDERSON and MA E. ANDERSON I , whose address is =toleo. County of Weld ,State of a Colorado , £or the consideration oY other m valuable consideration and Ten and no/100 o dollars,in hand paid,hereby sell(s) and convey(s) to ti LEONARD L. ANDERSON and BEVERLY JEAN ANDERSON in joint tenancy an undivided 1/6 interest; and MARTIN L. ANDERSON, a single man, an undivided 1/6 interest m whose address is , County of o Weld , and State of Colorado the following real property in the coo o o County of Weld ,and State of Colorado,to wit: if: o ri }^ The East 1/2 of Section 26, Township 9 N, Range 67 West of the 6th P.M. ON and the West 1/2 of Section 21, Township 8 N, Range 67 West of the 6th P.M., Weld County, Colorado. a-1 Reserving however unto the Grantors, for their lifetimes, and for a minimum period, based upon the Colorado Mortality Table based upon I - _ — _.tiot_fl tors ages at the-date of thia deed, ore-sixth (1/6) of all I i -_._..... crops produced from said property, and in the-event said property-- - -- -"e is sold during Grantors lifetimes, or in the event of premature deaths, this reservation shall terminate, and the Grantees agree to pay to the Grantors or their estate the sun of $3,100.00 per year m for a period as determined by the Colorado Mortality Table from the year of such sale or premature death. s .p� • do Th,iti� ed being given in conjunction with the Deed recorded in Book 5`9I1p� , Reception No.1660583 and only.one aunu .o sl payment of o $3,100.00 is intended. o 0 19 c. with all its appurtenances,and warrant(a) the title to the same,subject to Deed of Trust of d t � • � record which Grantees assume. \ 1 s Signed this 15th day of May /1 ,75 /. IrW�LG�J�a-O' ); I r "treks/ A de elan .ot. '.�(�.I..jjP..I. ...r Erma E. Anderson STATE OF COLORADO, los. County of Weld The foregoing instrument was acknowledged before me this 15th day of May ,19 75 ,by George W. Anderson and Etna E. Anderson. Ajyteanthjat9n expires r--s- s, a ViEness mnietid and official seal. ::.e 1ARy ,,r. '' \(', ?t• 7 Nether Pubuo standon;AoeM.oiis yraaf.--If by natural ninon or persons lure Insert name or names;If by pergola earns in my or dove or offlebif ty oftiestrotu attorney-In-net Men insert name of parboil sexecutor atterpeeeldonot Or Otbor wp re of for w: poeI If naming it corporation then Insert name of etude officer orofficer, the president or other otllco No.set wuraaIV etM—aset enm—ese.ne-1.14 on.e.uehnnetmd PUNbmer Cos 112441 Meet Staub Dense,O,inede-111 • • 15 1021 REC 01956837 02/22/84 11:17 $3.00 1/001 erT-7 _r - - - uvnv_ a_- rhT•ERETEIN CLERK a RECORDER WELD CO. CO Rote➢• "• _— -- _ MARTIN L. ANDERSON -- uhoseaddressl' 46501 Weld Cty. Ro, 19, Nunn County of Weld State of Coloraco .for the consideration of exchange of stock in ANDERSON WHEAT FARMS, INC. dollars.m hand paid hereby wills:and convey:al to ANDERSON WHEAT FARMS, 1":C. uno5elegeladdressa44055 Welt Cty. Ro. 15, Fort 7oll:ns Coun,yof veld and State of Colorado the following rend proper:} m tn. County of he l c 4nd Stati of Colo:auo to N.• An One- .t/�) int ant to the :lest Half `i+�)` n or :cr. Twenty-ore (21), =our_ - �_ Elgr (3) ':ortn o^ ', Sixty-seven (677 of r.e toe ::al- 1'- : of „ect_o- t_y-six (26), .sn_:. 9 crth o` . tee Sixty-seven (,71 .._51 of the 6tn P.v. { v zits:,kmwn ac street ant numoer with all its a?purenanee. and wa:rant(.,; toe nth. to•_, +..n c ..uolect to or . .:n ..._ F..re_ .roc _ ., tt 5 0 .(eat 9r__,oy Dolt _. ,__ion strict Lna 4c lc -o_nt; It?_c£ Rag,Latto^s resery grantors cne-naLfof tne o_. ctner ._rera_ r.1::,htz .. rec Ly cantor.s ._ _ eg^_ss fcr 7.eo_ e ice _ -n , _Y.c tf __ c C^ teed r [ _t coo. nc. - r. ._ . .. c 5 _c__ _ ry 1G.^19E9 to _. Signed 0u. 2• na>of _ ;_ =b3/4 eatj--yy STATE OF COLORADO 1 County of 4.aA.n.�r4 f The foregoing ,nstru•rt^t a , aernowltd4.d refore r^e thn My eon e5 A t,3, / a- dieffscosiseal ANDERSON Er/e aka, noel.m °,- SKLD NA SKL10579 WE 1956837-1984 . 001 IIIAR195663E RocB 1021 REC 6838 02/22/84 11:17 $3.00 /001 F 1288 MARY FEU*ERSTEIN CLERK 6 RECORDER WELD CO ace.. LEONARD L. ANDERSON and BEVERLY JEAN ANDERSON to joint tenancy an .undivided 1/6 interest; ana 'MARTIN. L. ANDERSON, a single man, an un— ' divided 1/6 interest whoseaddre+s is 44065 Weld Cty. Rd. 15, Fort Collars sod 46501 weld Cty. Rd. 19, Nunn, respectively Counts of Weld .State of Colorado for the consideration of excnange of stock in ANDERSON WHEAT FARMS, INC. dollars.in hand paid.hereby sell(st and corn ey(s) to ANDERSOl; r.MEAT FARMS, -:C. whose leg,a:addressor 44065 WeIC C'•?. Rd. 15, Ft. Collins County of .ana Statc of Colorad,, _.. following rcal pr-pert} mire Counts of t•etc ..md State of Cohn-ago.w uH The East i of Section 25, Township N, ?an,e 67 dent cf e 6tn P.M. anc west of Section, 21 , -o: ^Ai: a ?ac_ .' :es: of the6tr ..eic ,.o .. ty, Ccnoraco. 'I f also iron n ac ctreet anc nt.m'.e: w t(h all ...appurtenances and uarran:tst the t .. to :he mine i11D1ett •o r derv_ Lo eatare Gam... .. r. ./ rri.T.tec trc -eorge . Anaerson anc 7. . sor. .. : _c. c__ May '1. In ;,_ok 739, No. 54.:54. Signed !h.s 21L_ das of . .. ..z-r; t9 '4 ( r1, 7 STATE OF COLOR;DO , County of ..1,r ttu6/,j foregoing 9/.1 T e wn^ :rstr..r.rn: uas acknowledged oefn:e tnis _ A^✓.,. �vt!-u�..c� . !S Y by ....., 'J f.,il n n .v .. 7 �... Ca} of ^"� lh comm. CI, l c1tnrL... V /? F76 Witn.'Sdf- lea official sea! {�L Notary Pubbe ANDrRSt .;600 .i raZ/. lafl.r \o !9' Xarraaty Deed—Short Form t:,%s.n I.u... . ,w..._..n _, WO. SKLD NA SKL10579 WE 1956838-1984 .001 e muisk.848 Re B 1021 REC 0�840 02/22/84 11:18 $S.00 /001 xz F 1290 MARY n_--t FEUERSTEIN CLERK & RECORDER WEL , CO LEONARD L. ANDERSON and BEVERLY JEAN ANDERSON uhoseaddrev r. 44065 yield Cty. Pd. 15, Ft. Collins Counts of Weld • State of Colorado .for the consideration of exchange of stock in ANDERSON WHEAT FARMS, INC. dollars.in hand paid"hereby sellfs) and corn ey(s) to ANDERSON WHEAT FARY'S, INC. whose legal address is 44365 7:eid County Pd. 15, Fort Collins Count,. o( i.eic .and State of COloradc fo::cw:nZ reel nrnperty vn the Counts of ••eiC nnc State of Coloraco to Wet Jnd;vV on ( 1/.74.i in terest est it and to rest v of lecticr T„enty_cre (21 ) , Townsndp Ei7nn '2' North, 'a:G Silt -'eve (67) 'nett of the 6th P.D. ; ant • East Half ( of Section Twenty-six '24' :os.->rip • I(?) `.oGrtn, ) .,.,ixty- eves 4'i Zest of the 6th P.M. j `` X4\ 1 also;meet ft as street arc n1T5er u itn a`.1 :ts appurtenances, aria warrant(s) the tafla to tte *city'a .,.ofect to cis:on. ... e tu:.r '21. . rpter .:- r - __. _ nest Oree.e/ .. .,,-r.la t..... �.o- s.. ?cis Zoning eg':_htic.._. n ` r.a. uC the U:! gar and. nines rineral^ .,O __ .. .. _ , n. . • -nso in t: e See- _Corte J .._r, Pr , /195, Signed th.s da o` rAt), ; ('19>4 (21, exe, et% oav STATE OF COLORADO. ,ss Coi.aty of /AA/A. 4- Tnt furego:ng instrument sa. acknns:es:q,d oefore me the. J/ day of f 19fY op .-......., 1 iJnG..c+ / r. -.1 1fy cornmisypjleFj4pires o'r4.44.t'- /3 Witnega i Rff'cial seal '. 441C- t _ RId1AR0l• _ L/n,FL. ary puhbr MiDERSiA fib: 6t-CCn , 4 n's13.l- -Co s4 goo= . rF tee, No 891, VSarnnty Deed—short Form n„mrna rono„mot• ,r•v eli u. :ne.,.c'o,n;',_.mo:,inw; ' SKLD NA SKL10579 WE 1956840-1984 . 001 • • QUIT CLAIM DEED Staf THIS DEED, made this /744day of November 1999, between Anderson Wheat Farms, Inc., a Colorado Corporation of the County of Weld, State of Colorado, Grantor, and Anderson Wheat Farms, Inc., a Colorado Corporation whose legal address is 11150 County Road 91, Haxtun, CO 80731, of the County of Logan, State of Colorado, Grantee. WITNESSETH, that the Grantor, for adequate consideration, the receipt and adequacy of which is hereby acknowledged, has remised, released, sold, and quit claimed, and by these presents does remise, release, sell, and quit claim unto the Grantee, its successors and assigns, forever, all the right, title, interest, claim and demand which the Grantor has in and to the real property, together with improvements, if any, situate lying and being in the County of Weld, State of Colorado, described as follows: The East 1/2 of the Northeast 1/4 of Section 26, Township 9 North, Range 67 West of the 6th P.M., in the County of Weld, State of Colorado. also known by street and number as: N/A TO HAVE AND TO HOLD the same, together with all and singular the appurtenances and privileges thereunto belonging or in anywise thereunto appertaining, and all the estate, right, title, interest and claim whatsoever, of the Grantor, either in law or in equity, to the proper use, benefit, and behoof of the Grantee, its successors and assigns forever. IN WITNESS WHEREOF, the Grantor has executed this deed on the date set forth above. dersoon Wheat Farms, Inc. t"r „��f Z/e.,y 43 A bot.r,7 ,-., tnct 7r by: 4:dg 2so.,ip WHfiff oci 45 Sdc. Paul J. Kenny, as attorney in fact for Anderson Wheat Farms, Inc. STATE OF COLORADO ) COUNTY OF LARIMER ) The foregoing instrument was acknowledged before me this /7 day of November, 19.99. by Paul J. Kenny, as attorney in fact for Anderson Wheat Farms, Inc.a Colorado Corparati©t . :,..,a Witness my hand and official seal �Y�� :�� 07 No, Pubile My Commijn Expires: /l-p/—Pei II IIIII 111111 IIIII 11111111111111111111111 1111 III 1 of 1g R 5.0011999 P 0.00 1:28A JA Sold Weld County CO ukamoto SKLD NA SKL10579 WE 2733616-1999.001 111111111111111111111111111111111111111111 11111 I'I I I 2766860 06/09/2000 12:33P JA Suki TEukamote 1 of 2 R 10.00 D 8.50 Weld County CO clod WARRANTY DEED p THIS DEED, made on 05/04/00 t,' between Anderson Wheat Farms, Inc., a Colorado Corporation of the county of Larimer and State of Colorado , grantor, and `CC 444( Scott S. Hansen whose legal address ie 1112 Davidson Drive bG6 Fort Collins, CO 80526 of the County of Larimer and State of Coloado , grantee: WITNESSETH, that the grantor, for and in consideration of the sum of Eighty five thousand dollars and no cents DOLLARS, the receipt and sufficiency of which if hereby acknowledged, has granted, bargained, sold and conveyed, and by these presents does grant, bargain, sell, convey and confirm unto the grantee, his heirs and assigns forever, all the real property, together with improvements, if any, situate, lying and being in the County of Weld and State of Colorado described as follows: The East Half (31/2) of the Northeast Quarter (NE1/4) of Section 26, Township 9 North, Range 67 West of the 6th P.M., County of Weld, State of Colorado. as known by street and numbers as: THD Weld County Rd 23 & 102 Wellington, CO 80549 TOGETHER with all and singular the hereditaments and appurtenances thereto belonging, or in anywise appertaining and the reversion and reversions, remainder and remainders, rents, issues and profits thereof, and all the estate, right, title, interest, claim and demand whatsoever of the grantor, either in law or equity, of, in and to the above bargained premises, with the hereditaments and appurtenances. TO HAVE AND TO HOLD the said premises above bargained and described, with the appurtenances, unto the grantee, his heirs and assigns forever. And the grantor, for himself, his heirs, and personal representatives, does covenant, grant, bargain, and agree to and with the grantee, his heirs and assigns, that at the time of the ensealing and delivery of these presents, he is well seized of the premises above conveyed, had good, sure, perfect, absolute and indefeasible estate of inheritance, in law, in fee simple and has good right, full power and lawful authority to grant, bargain, sell and convey the same in manner and form as aforesaid, and that the same are free and clear from all former and other grants, bargains, sales liens, taxes, assessments, encumbrances and restrictions of whatever kind or nature soever, except for general taxes and assessments for the year 2000 and subsequent years; and subject to easements, covenants, reservations, restrictions and rights of way of record, See Exhibit "A" attached hereto and made a part hereof The grantor shall and will WARRANT AND FOREVER DEFEND the above-bargained premises in the quiet and peaceable possession of the grantee, his heirs and assigns, against all and every person or persona lawfully claiming the whole of any part thereof. The singular number shall include the plural, the plural the singular, and the use of any gender shall be applicable to all genders. IN WITNESS WHEREOF, the grantor has executed this deed on the date set forth above. )1O, ✓✓✓a--,. . L mans,-," o. Anderson Wheat Farms, Inc. a Colorado Corporation By: Paul J. Kenny, Attorney-In-Fact STATE OF Colorado } SS. County of Larimer The foregoing instru as acknowledged before ma this 4th day of May 2000 by Paul J. Kenny n-Fact for Anderson Wheat Farms, Inc., a Color o �QI Corporation Q ' -.,0< (�(x1(1(loa of wit Witneeq-,my. hand and official ey/seal. ``,,^'myy�(/`�/cort.(s��sion expires 4.5f2TfOD i • ��n+" f l� 1 Notary Public 35: ;,'1 111471 Na,„tv No.933A.Rev.10-91 (Par Phatoeraehia Record) NORTH AM TITLE COMPANY .SKLD NA SKL10579 WE 2766860-2000. 001 111111111111111111 liii liii 111111111111 �� 11111 liii liii 2766860 05/09/2000 12:33P JA Suki Tsukamoto 2 of 2 R 10.00 D 8.50 Weld County CO Exhibit "A" Exceptions Any water rights or claims or title to water in, on or under the land. Right of way for ditches or canals or reservoirs constructed by the authority of the United States, as reserved in United States Patent recorded January 3, 1914 in Book 385 at Page 562. 1/2 interest in all oil, gas and/or other minerals as reserved by Deed recorded in Book 233 at Page 56, and any and all assignments thereof or interests therein. Reservations of 1/2 of all oil, gas, and other mineral rights in deeds from Elsie A. Kent and Jessie E. Williamson recorded January 10, 1969 at Reception Nos. 1525883, 1525884, and 1525885 . An easement for electric lines and incidental purposes granted to Poudre Valley Rural Electric Association by the instrument recorded March 13, 2000 at Reception No. 2755325. 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 October 1, 1981, in Book 949 under Reception No. 1870705. (b) Associated Natural Gas, Inc. recorded July 20, 1984, in Book 1037 under Reception No. 1974810 and recorded October 1, 1984, in Book 1045 under Reception No. 1983584 and recorded March 3, 1988, in Book 1187 under Reception No. 2132709 and recorded April 10, 1989, in Book 1229 under Reception No. 2175917. (c) Colorado Interstate Gas Company recorded August 31, 1984, in Book 1041 under Reception No. 1979784. File #111471 Anderson Wheat/Hansen a-- fr.Tifr 7"" lc..r — SKLD NA SKL10579 WE 2766860-2000.002 aka? -7 , 20 ( c Cco -- oLvspN a� ltll, v\, upeLL f el --6L--6- 2k (P Fr? QP; :•-e G`^ OLNN c“-7 2 2 cycL u a L L Quo(' E ix r op c„,,c, rY\nor 2e) e Rot UUx 75— to gta cR t 9-70 - cc12 - FW2 R ecuv k- P+3c-, RE- J ooL f� ) ,\ v„ ,,_, Kn^ 091C_ U✓21A Cain I tanv,cs,? rV RECEIVED le /64- MAY 072010 G.r,eP-r e Ca 20G5 (5 ( DIVISIOMURCES GREELEY,COLORADO • Form No. OFFICE OF THE STATE ENGINEER GWS-25- COLORADO DIVISION OF WATER RESOURCES • 818 Centennial Bldg.,1313 Sherman St.,Denver,Colorado 80203 (303)866-3581 LIC WELL PERMIT NUMBER 246886 DIV. 1 WD 1 DES.BASIN MD APPLICANT • APPROVED WELL LOCATION WELD COUNTY NE 1/4 NE 1/4 Section 26 SCOTT J HANSEN Township 9 N Range 67 W Sixth P.M. BOX 1515 DISTANCES FROM SECTION LINES WELLINGTON,CO 80549- 250 Ft.from North Section Line 1000 Ft.from East Section Line • (970)897-3131 UTM COORDINATES PERMIT TO CONSTRUCT A WELL Northing: Easting: ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit does not assure the applicant that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2,unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. 3) Approved pursuant to CRS 37-92-602(3)(b)(II)(A)as the only well on a tract of land of 40.00 acres described as the NE 1/4 of the NE 1/4,Sec.28,Twp.9 N.Rng.67 W,Sixth P.M.,Weld County. 4) The use of ground water from this well is limited to fire protection,ordinary household purposes Inside not more than three(3)single family dwellings,the watering of poultry,domestic animals and livestock on a farm or ranch and the irrigation of not more than one(1)acre of home gardens and lawns. 5) The maximum pumping rate of this well shall not exceed 15 GPM. 6) The return flow from the use of this well must be through an individual waste water disposal system of the non-evaporative type where the water is returned to the same stream system in which the well is located. 7) This well shall be constructed not more than 200 feet from the location specified on this permit. NOTE:Expired permit no.230672,was previously issued for this lot. J)b 1/7/03 APPROVED 640.• SKB State Engineer By %Receipt No.0503588 DATE ISSUED 01-07-2003 EXPIRATION DATE 01-07-2005 'ou'"°. “m31A�F WELL CONSTR,ON AND TEST REPORT For Office Use only C/94 STATE OF COLORADO, ICE OF THE STATE ENGINEER _ 1313 Sherman St.. Rm 818. Denxer._CO 80203 -I. WELL PERMf1 NUMBER 246886 2. OWNER NAME(S) SCOTT J HANSEN Mailing Address -736%1515 City, St. Zip WELLINGTON, CO. 80549 Phone ( ) a WELL LOCATION AS DRILLED: NE 1/4 NE 1/4, Sec. 26 Twp. 9 N , Range 67 v DISTANCES FROM SEC. LINES: 250 ft. from North Sec. line. and 1000 ft. from East Sec. line. OR jean or wavy SUBDIVISION: LOT BLOCK FILING(UNIT) STREET ADDRESS AT WELL LOCATION: 4. GROUND SURFACE ELEVATION ft. DRILLING METHOD AIR PERCUSSION DATE COMPLETED 1/4/05 . TOTAL DEPTH 540 ft. DEPTH COMPLETED 540 ft. 5. GEOLOGIC LOG: 6. HOLE DAM. (in.) From (ft) To (ft) Depth Description of Material(Type,Size,Color,Water Location) 10 0 40 0-31 Sandy Clay & Shale soft 6.5 40 540 31-240 Gray Shale med 240-246 Gray sand med $ 246-460 Gray Shale wed 7. PLAIN CASING 1a60-496 Gray sand wed XI OD (in) Kind Wall Size From(ft) To(ft) 1196-540 Gray shale med 7.0 STEEL .188 0 40 4.5 PVC .237 10 240 260 460 500 540 PERF. CASING: Screen Slot Size: .030 4.5 PVC .237 240 260 460 500 The testing of productibn of water Worn this well, as reflected by this report, is totally dependent upon conditions existing as of the date of a FILTER PACK: 9. PACKER PLACEMENT: testing and does not reflect any pro- Material Type FORMATION jectinn as to future prndiirtinn Thls Size is riepenriant en future ClInClft'gnS Interval Depth 100' , 160' 10. GROUTING RECORD: • M i1al Amount Density Interval Placement - REMARKS: rranarr 8 BGS 48 GAL 8-40ft MI%ED, PRD • 11. DISINFECTION: Type DRY HTH Amt. Used 3 CUPS 12 WELL TEST DATA: ❑Check box if Test Data is submitted on Form No. GWS 39 Supplemental Well Test. TESTING METHOD AIR LIFT • Static Level 168 ft. Datefrime measured 114/05 , Production Rate 60 gpm. Pumping level 540 ft. Date/Time measured 1/4105 , Test length (hrs.) 2 Remarks_ 13. I have read the statements made herein and know the contents thereof, and that they are true to my knowledge. (Pursuant to Section 24-4-104 (13)(a) C.R.S.,the making of false statements herein constitutes perjury in the second degree and is punishable as a class 1 misdemeanor.) CONTRACTOR INGRAM DRILLING, INC. Phone (970 ) 586-4542 _ Lic. No. 1099 . Mailing Address P.O. BOB 342 ESTES PARK, CO. 80517 Name/Title (Please type or print) Signature �J Date STEPHEN E. INGRAM PRES. � {� Q/ 1/5/05 • s DEPARTMENT OF PUBLIC HEALTH& ENVIRONMENT T 1555 N. 17T"AVENUE GREEI,E Y COLORADO 80631 WWW.CO.WELD.CO.US ADMINISTRATION(970)304-6410 PUBLIC HEALTH EDUCATION&NURSING (970)304-6420 FAX(970)304-6416 ENVIRONMENTAL HEALTH SERVICES(970)304-6415 FAX(970)304-6411 COLORADO • February 5, 2001 Scott J. Hansen 1112 Davidson Drive Apt#G-5 Fort Collins, Colorado 80526 RE: Individual Sewage Disposal System Permit No.: SP-0000674 Location: 10810 WCR 102 Nunn, Colorado Dear Mr. Hansen: This is to inform you that your Engineer Designed Septic System has been reviewed by the Weld County Board of Health and approved. A copy of the Weld County Board of Health I.S.D.S. Review Form and your I.S.D.S. Permit are enclosed. PLEASE NOTE THAT THE SYSTEM MUST BE INSPECTED BY A REPRESENTATIVE OF THIS DEPARTMENT AND BY THE DESIGNING ENGINEER, BEFORE THE SYSTEM CAN BE APPROVED FOR OPERATION. THE ENGINEER MUST CERTIFY TO THIS DEPARTMENT, IN WRITING, THAT THE SYSTEM HAS BEEN INSTALLED ACCORDING TO HIS/HER SPECIFICATIONS. Should you have any questions regarding your septic system, please contact this office at your earliest convenience at (970) 304-6415. Sincerely, WtY O1.11\A" Pam Smith ISDS Program Coordinator cc: Anthony J. Wernsman, CDS Engineering WELD COUNTY DEPARTMENSF PUBLIC HEALTH AND ENVIR( 4ENT 1555 NORTH 17TH AVENUE GREELEY, COLORADO 80631 PHONE (970) 304-6415 FAX (970) 304-6411 Permit #: SP-0000674 Sec/Twn/Rng:26-9-67 PERMIT Owner: HANSEN SCOTT J. Applied: 11/15/2000 Applicant: HANSEN SCOTT J. Expires: 11/10/2001 Permit Type: RNEW C=Commercial,R=Residential + NEW,REPair,VauLT Parcel #: 0453-26-0-00-005 Location: 10810 WCR 102 NUNN Legal Desc: Description: RESIDENTAL GARGAGE AND HOUSE Commercial: N Residential:Y Acres: 80 of-Persons: 2-___Basement-Plumbing:N -- # of Bedrooms: 3 Bathrooms - Full: 1 3/4: 0 1/2: 1 Water Public: N Water Source: Water Private: Y Cistern: N Well: Y Well Permit Number: APPLIED Co Percolation Rate tap Limiting Zone O ft o in Description fire % Ground Slope -- Direction — Soil Suitable (Y/N) Pd Engineer Design Required (Y/N) V In 100 Year Flood Plain (Y/N) Lt From the application information supplied and the on-site soil percolation data the following minimum installation specifications are required: Chambers Septic Tank 1 cro gallons, Absorption Trench square feet or Absorption Bed 4161 square feet In addition, this permit is subject to the following additional(terms and conditions: (COAS1'P--2C.-4 Accn�X)I'-"'7� z., k�iAt=�:lZ -1): ^ G4g1Xrt 1%4A 'PAD P Lam). C?J .1 �i 1oA.t, Ci� T -b, t-1 t5°i 5€ MAro-i - ,.t ��1 as.t �, . acs a2?>ALt lc.% cSc, O,99L, ft* G NOTICE This permit is granted temporarily to allow construction to commence. This permit may be revoked or suspended by the Weld County Department of Public Health and Environment for reasons set forth in the Weld County Individual Sewage Disposal System Regulations including failure to meet any term or condition imposed thereon during temporary or final approval. The issuance of this permit does not constitute assumption by the department or its employees of liability for the failure or inadequacy of the sewage disposal system. This permit is not transferable. Before issuing final approval of this permit the Weld County Department of Public Health and Environment reserves the right to impose additional terms and conditions required to meet our regulations on a continuing basis. Final permit approval is contingent upon the final inspection of the completed system by the Weld County Department of Public Health and Environment. This permit expires one year from the application date. e Form:S_PERMT Environmental Health Specialist Date • WELD COUNTY BOARD OF HEALTH ENGINEER DESIGNED SYSTEM REVIEW PROPERTY OWNER: Scott J. Hansen PERMIT NO.: SP-0000674 (RNEW) LEGAL DESCRIPTION: PT: SECTION: 26 TOWNSHIP: 9 RANGE: 67 SUBDIVISION: LOT: BLOCK: FILING: SITE ADDRESS: 10810 WCR-102-Nunn FACILITY: Residential 3 Bedroom home ACRES: 80 PERC RATE: 80 SOIL: Unsuitable WATER SUPPLY: Private well LIMITING ZONE: 0' 0" clay 6' 0" bedrock XXX ENGINEER DESIGN (3.5) EXPERIMENTAL DESIGN (3.14) ENGINEER: Anthony J. Wemsman ADDRESS: 165 2n° St. S. W. Loveland ESTIMATED FLOW: G.P.D. 675 PRIMARY TREATMENT: Standard tank CAPACITY: 1000 gallons DISPOSAL METHOD: Absorption/ET bed SIZE:4154 square feet REQUEST FOR VARIANCE: STAFF COMMENTS: The system is adequately sized for the proposed load. STAFF RECOMMENDATION: Approval ENVIRONMENTAL PROTECTION SPECIALIST: Steve Wiatrowski REVIEWED BY BOARD: 1/2}1J2001.23 B.O.H. DECISION: APPROVED: XI DENIED: TABLED: Chairman Weld County Board of Health MIENVPROISTEVEUSDSHEU.IDM errata review op • • • STAFF APPROVAL OF ENGINEER-DESIGNED SYSTEM Owner Name: Scott J. Hansen Location Address: 10810 WCR 102 Nunn The engineer-designed Individual Sewage Disposal System proposed for the above property, and designed by Anthony J. Wemsman is hereby approved subject to the following conditions: Construct according to the engineer design, except that for a combination abs/et system 4154 square feet must be installed. If a water balance is installed 2296 square feet must be installed. All Weld County ISDS regulations apply. I, _q r, ) -1bAw- , owner/applicant for I.S.D.S. Permit No.: SP-0000674 under the provision of the Weld County Individual Sewage Disposal System Regulations, do hereby understand and agree that after approval by the Director of Health Protection Services, I may proceed with the construction of my engineer- • designed sewage disposal system prior to approval by the Weld County Board of Health, but that the Board of Health reserves the right to disapprove any or all parts of the system design when it considers my application. I understand and agree that I proceed at my own risk and that I may be required by the Board to remove any or all of the system installed prior to Board of Health consideration of my application: E�ental Specialist Owner/Applican Date Date Welirunty Environmental Health Services eartment 1555 N. 17th Avenue • Greeley, CO 80631 Phone: (970) 304-6415 Fax: (970) 3044411 www.co.weld.co.us Septic Permit Application Application Number. SP-0900143 App Type: Health\Residential\New\Vault Applicant Name: SCOTT J HANSEN HANSEN SCOTT J PO BOX 55 NUNN, CO 80648 . Owner Name: HANSEN SCOTT J Parcel SS: 045326000005-R8576000 Legal Desc: E2NE4 26-9-67(2.71R)SITUS: 10810 102 CR WELD 806310000 Site Address: 10810 CR 102 WELD, CO 80648 • App Specific Info: 1/2 Bathrooms 0 3/4 Bathrooms 2 Basement Plumbing Yes Full Bathrooms 1 Location Description 10810 CR 102 NUNN, CO 80648. 4 MILES WEST OF NUNN ON 100, NORTH ON 23 TO 102 CORNER OF 102&23. Number of Bedrooms 2 Number of Persons 2 Parcel Acres 80 Private Water Supply Well Public Water Supply No Public Water Supply Utility TERMS AND CONDITIONS A permit fee,as set by separate ordiance of the Board cif Weld County Commissioners,shall be required of applicants for new individual sewage disposal systems(ISDS),payable at time of application.Permit fees we non-refundable;permit applications are non-trarroferable.If both a building permit and an ISDS are issued for the sane property and construction is riot commenced prior to the expiration date of the building permit,the ISDS permit shall wire at the sane tine as the building pwn5 If an ISDS permit is issued for a property that does not require a building permit,the ISDS permit char wire one year after its issuance if construction on the septic system has not commenced.Any change in plans or specifications after the permit has been issued invalidates the permit unless approval is secured from the Health Officer or Mather designated agent.Enpired pemmas can be renewed by payment of the pane fee only if: A.There has been no change in the plan and specifications of the proposed system as set out in the original application or such change is reviewed and approved by a Division Representative. B.The surrounding land,its use or zoning has not changed so-as-to cause the original application not to be acceptable under these regulations. NOTICE The completeness of this application Is conditional upon further mandatory and additional tests and reports as may be required by the Weld County Department of Public Health and Environment(WCDPHE).The issuance of the permit is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations adopted under article 10 title 25,CRS as amended.The applicant eetfies that the proposed system war not be located within 400 feet of a community sewage system.The undersigned certifies that all statements made,information and reports submitted herewith are,or will be,represented to be ere and correct to the best of hismmer knowledge and are designed to be relied on by the WCDPHE for evaluation for purposes of issuing the permit applied for herein.Applicant further understands that falsification or misrepresentation may result in the denial of the application or revocation of any permit granted,aid in legal action or perjury as provided by law. • X S44 fl 9-1 (+-07Owner/Applicant Date 1 • Weld County Environme I Health Services Department 1555 N. 17th Avenue Greeley, CO 80631 Ewe Septic Permit New Phone: (970) 304-6415 Fax: (970) 304-6411 www.co.weld.co.us COLORADO Application Number: SP-0900143 Applied: 09/14/2009 App Type: Health\Residential\New\Vault Applicant Name: HANSEN, SCOTT HANSEN SCOTT J PO BOX 55 NUNN, CO 80648 Owner Name: HANSEN SCOTT J Parcel Number: 045326000005-R8576000 Legal Desc: E2NE4 26-9-67(2.71R) SITUS: 10810 102 CR WELD 806310000 Site Address: 10810 CR 102 WELD, CO 80648 App Specific Info: 1/2 Bathrooms 0 3/4 Bathrooms 2 Application Date 09/14/2009 Associated Building Permit Assoriated Building Permit Number Basement Plumbing Yes Full Bathrooms 1 Location Description 10810 CR 102 NUNN, CO 80648. 4 MILES WEST OF NUNN ON 100, NORTH O1 23 TO 102 CORNER OF 102 &23. Number of Bedrooms 2 Number of Persons 2 Other Water Supply Utility Parcel Acres 80 Private Water Supply Well Private Water Supply Permit Reference Number Public Water Supply No Public Water Supply Utility Repair Reason Type New Septic Permit Expiration Date Waive Fees No Waive Fees Comment Year Installed Report ID: EHS00027v001 Page 1 of 2 Print Date-Time: 9/14/2009 11:41:52AM n� • Weld County Environmental Health Services Department 1555 N. 17th Avenue � � Greeley, CO 80631 �� Phone: (970) 304415 Septic Permit New Fax: (970)304-6411 COLORADO www.co.weld.co.us Percolation Rate r— Limiting Zone ft in Description %Ground Slope Direction Soil Suitable(YIN) _----- Engineering Design Required(Y/N) In 100 Year Flood Plain(Y/N) From the application information supplied and the on-site soil percolation data the following minimum installation specifications are required: Septic Tank /c250 gallons Absorption Trench sq ft or Absorption Bed sq ft Chambers: Standard Biodiffuser or Infiltrator EQ36 Trench Bed Infiltrator Quick4 Standard or Hi Capacity Trench Bed BioDiffuser Arc 36 Standard or Hi Capacity Trench Bed All Weld County ISDS regulations apply. In addition, this permit is subject to the following additional terms and conditions: NOTICE This permit is granted temporarily to allow construction to commence.This permit may be revoked or suspended by the Weld County Department of Public Health and Environment for reasons set forth in the Weld County Individual Sewage Disposal System Regulations including failure to meet any term or condition imposed thereon during temporary or final approval.The issuance of this permit does not constitute assumption by the department or its employees of liability for the failue or inadequacy of the sewage disposal system.nth permit is non-transferable and non-refundable.Before issuing final approval of this permit the Weld County Department of Public Health and Evnironment reserves the right to impose additional terns and conditions required to meet our regulations on a continuing basis. Final permit approval is contingent upon the final inspection of the completed system by the Weld County Department of Public Health and Environment. 9 / Q Envi nmen ealth Specialist Date Report ID: EHS00027v001 Print Date-Time: 9/14/2009 11:41:52AM Page 2 of 2 Weld County Environmental Health Services Department frisia: 1555 N. 17th Avenue Greeley, CO 80631 Phone: (970) 304-6415 Fax: (970) 304-6411 Ewe COLORADO RECEIPT September 14, 2009 Application Number: SP-0900143 App Type: Health\Residential\NewWVault Owner Name: HANSEN SCOTT J PO BOX 55 NUNN, CO 80648 Site Address: 10810 CR 102 WELD, CO 80648 Rcpt# Pmt Type Pmt Method Ref# Pmt Date Amount Cashier Comments EHS-0900271 Paid Check 7728 09/14/2009 $ 250.00 SGARCIA Total Payments: $ 250.00 Hello