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U U U il S 1. ° o Z _ . O ti ¢ Z a • t • _ ` U < W x v _" c $ a o lr! I 'N'O'M I La W In 0 U N t ._ • c t'-;4 3i « a I I J II II II III II E a . C fi • o: Z • • DEPARTMENT OF PLANNING SERVICES O' RECORDED EXEMPTION ADMINISTRATIVE REVIEW COLORADO Applicant: Lennard & Jason Simpson RE-5035 Planner C. Gathman Legal Description: SE4 Section 4, T7N, R65W of the 6th P.M., Weld County, CO. Parcel ID#: 070904000015 Lot A Size: +/-4 acres Lot B Size: +/- 156 acres Water Source: Lot A: Proposed North Sewer System: Lot A: Proposed Septic Weld County Water District Lot B: Existing Septic- Lot B: Existing North Weld County Water District Tap 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. 2010-3130 2. Prior to recording the plat: A. The plat shall be titled: Recorded Exemption No. 0709-4-4 RE-5035 B. The applicant shall address the following requirements of the Weld County Department of Public Health & Environment: KThe 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 Hrom T Weld Coty m a /I EnvironmentPublic ealth was andu nableEnvi ton Imo ocateent. a Ts eh permit founr the Depart septic system entof locatedPublic onHealth proposed j Lot B of this recorded exemption. Any existing septic system which is currently not ‘.:(F ` permitted through the Weld County Department of Public Health and Environment will �A require an I.S.D.S. evaluation prior to the issuance of the required septic permits. In the ti �� event the system is found to be inadequate, the system must be brought into compliance 6u\f with current I.S.D.S. regulations. c )(The applicant shall submit a sketch of the existing septic system in relation to the proposed (CC lot line to the Weld County Department of Public Health and Environment. Evidence of approval shall be submitted to the Department of Planning Services. Submit documentation from North Weld County Water District indicating that water service is provided for each residence and is available for proposed lot A. If individual wells provide water for the existing residences, provide copies of the well permits for each house. If a domestic well will be utilized for proposed lot A and a permit has been issued, provide a copy to this Department. The applicant shall address the following requirements of the Department of Public Works: r Lot A and B shall share a joint access point. Please utilize the existing easternmost access with an access easement to Lot A. An access permit is required for the shared access. The Li s application for an access permit is attached. Please contact the Public Works Traffic Engineer, Janet Carter, with any questions about the permit process. sr Public Works requires defined access points so that the traveling public can anticipate vehicles entering the roadway. The entire front lot appears to be open for access onto the County roadway. The applicant shall define three access points to the property (the access points can be defined by placing landscape materials, fencing or chaining in between). D. A 30 foot wide joint access and utility easement extending across Lot B from County Road 84, for the benefit of Lots A and B, shall be shown clearly on the plat. The joint easement shall be dedicated for the use as shown using the language set forth in the Weld County Code, Appendix 24-F.2. The easement shall be graded and drained to provide all weather access. E. All approved accesses shall be clearly shown on the plat. F. County Road 84 is designated on the Weld County Road Classification Plan as a local gravel road, which requires 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. This road is maintained by Weld County. • • G. County Road 43 is designated on the Weld County Road Classification Plan as a collector road, which requires 80 feet of right-of-way at full build out. There is presently 60 feet of right-of-way. An additional 10 feet from the centerline of County Road 43 shall be delineated on the plat as future County Road 43 right-of-way. All setbacks shall be measured from the edge of future right-of-way. The applicant shall verify the existing right-of-way and the documents creating the right-of-way. If the right-of-way cannot be verified, it shall be dedicated. This road is maintained by Weld County. I. According to the application and assessors records, there are two single-family residences on proposed Lot B. Currently one single-family residence is allowed per legal lot or parcel per Weld County Zoning regulations. The applicant shall do one of the following: Apply for a nonconforming use for one of the residences and provide evidence that this re idence has been lived in continuously (not abandoned for a period of 6 months or A longer). Apply for a subdivision exemption to separate the second residence onto a separate lot. h residences would need to meet the subdivision exemption criteria outlined in 24-8-30 of the Weld County Code. A separate survey plat would be required for the subdivision exemption and all existing buildings and septic systems would need to meet setback requirements. A (Agricultural) zoning regulations require a minimum offset of 1 foot per every three feet of building height from property lines and a minimum setback of 20-feet from the edge of future right-of-way. Apply for a zoning permit for a second residence for review and approval by the Department of Planning Services. As a part of this process, surrounding property owners within 500-feet will be notified of the application. If more than 30% of surrounding property owners object or have concerns with the application then a hearing will be scheduled before the Board of County Commissioners to review and decide on whether to approve or deny the application. 4) onvert one of the residences into an accessory structure. The applicant shall submit CO. vidence to the Department of Planning Services that the kitchen facilities have been ,6\8-%;>( removed and any septic systems have been disconnected from the accessory building for '`.5 . storage purposes. J. Lot A shall comply with the one (1) 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. 1,0° ` X The applicant shall provide the Weld County Department of Planning Services with a RigStatement of Taxes from the Weld County Treasurer showing no delinquent taxes exist for et the original parcel. L. 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. 6) Prior to the release of building permit, the applicant shall submit evidence of approval from the Ault Fire Protection District to the Weld County Building Department. 7) 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. 8) 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. 9) 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) 10) 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) 11) Potential Purchasers are hereby notified that a confined animal feeding operations (USR-1349 — dairy for up to 2,675 head) and (USR-1583 — dairy for up to 8,000) are located directly west and south of the intersection of County Roads 43 and 82 and directly west and south of County Roads 41 and 82. Off-site impacts that may be encountered include noise from trucks, tractors and equipment; dust from animal pens and odors from animal confinement, silage, and manure. 12) 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. 13) WELD COUNTY'S RIGHT TO FARM: Weld County is one of the most productive agricultural counties in the United States, ranking fifth in total market value of agricultural products sold. The rural areas of Weld County may be open and spacious, but they are intensively used for agriculture. Persons moving into a rural area must recognize and accept there are drawbacks, including conflicts with longstanding agricultural practices and a lower level of services than in town. Along with the drawbacks come the incentives which attract urban dwellers to relocate to rural area: open views, spaciousness, wildlife, lack of city noise and congestion, and the rural atmosphere and way of life. Without neighboring farms, those features which attract urban dwellers to rural Weld County would quickly be gone forever. Agricultural users of the land should not be expected to change their long-established agricultural practices to accommodate the intrusions of urban users into a rural area. Well run agricultural activities will generate off-site impacts, including noise from tractors and equipment; slow-moving farm vehicles on rural roads; dust from animal pens, field work, harvest, and gravel roads; odor from animal confinement, silage, and manure; smoke from ditch burning; flies and mosquitoes; and the use of pesticides and fertilizers in the fields, including the use of aerial spraying. Ditches and reservoirs cannot simply be moved out of the way of residential development without threatening the efficient delivery of irrigation to fields which is essential to farm production. Section 35-3.5-102, C. R. S., provides that an agricultural operation shall not be found to be a public or private nuisance if the agricultural operation alleged to be a nuisance employs methods or practices that are commonly or reasonably associated with agricultural production. Weld County covers a land area of over 4,000 square miles in size (twice the State of Delaware) with more than 3,700 miles of state and County roads outside of municipalities. The sheer magnitude of the area to be served stretches available resources. Law enforcement is based on responses to complaints more than on patrols of the county and the distances which must be traveled may delay all emergency responses, including law enforcement, ambulance, and fire. Fire protection is usually provided by volunteers who must leave their jobs and families to respond to emergencies. County gravel roads, no matter how often they are bladed, will not provide the same kind of surface expected from a paved road. Snow removal priorities mean that roads from subdivisions to arterials may not be cleared for several days after a major snowstorm. Snow removal for roads within subdivisions are of the lowest priority for public works or may be the private responsibility of the homeowners. Services in rural areas, in many cases, will not be equivalent to municipal services. Rural dwellers must, by necessity, be more self-sufficient than urban dwellers. Children are exposed to different hazards in the county than in an urban or suburban setting. Farm equipment and oil field equipment, ponds and irrigation ditches, electrical power for pumps and center pivot operations, high speed traffic, sand burs, puncture vines, territorial farm dogs, and livestock present real threats to children. Controlling children's activities is important, not only for their safety, but also for the protection of the farmer's livelihood. Parents are responsible for their children. • • 3. The applicant shall submit three (3) paper copies of the plat for preliminary approval to the Weld County Department of Planning Services. Upon approval of the paper copies the applicant shall submit a Mylar plat along with all other documentation required as conditions of approval. The Mylar plat shall be recorded in the office of the Weld County Clerk and Recorder by Department of Planning Services Staff. The plat shall be prepared in accordance with the requirements of Section 24-8-60 of the Weld County Code. The Mylar plat and additional requirements shall be submitted within sixty (60) days from the date the Administrative Review was signed. The applicant shall be responsible for paying the recording fee. 4. 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. 5. 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 dhuerterto7.co.weld.co.us 6. 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 July 29, 2010. Chris Gathman ❑ Planner III -5035 Plat Checklist POC Planner Item Comments Check Check Proper size and material 24" x 36" or 18" x 24"/Minimum 3 millimeter polyester sheet Lettering No stick-on lettering / Minimum 8 pt. lettering (/ Boundaries of Lots Scale Suitable Scale?(1"=-200'or 1"=100') L-------- Y-Accesses indicated Shared Access? If so, is easement Certificate included? -\- au+i Roads labeled, including MocQiC� C2 K3 RO1a cey�cvo a C�iit! R.O.W \a,-- -)c�2. Building Envelope(s) O/A Vicinity Map Suitable Scale?(Minimum 1" =2000') c-- ---- North Arrow 1..----- - Legal Description Notes from Planner/ Development Standards Conditions of Approval Owner's Certificate Notarial Certificate included?All owners must sign the plat, E z) a.o<rfi4t check the deed. (:,r gyp . Surveyors Certificate and All surveyed plats )rxi .9`j Surveyor's Stamp Note: USR plats do not need to be surveyed c/ `,c re Director of Planning Notarial Certificate included?(RE, SE, SPR, Final PUD if Staff - i`'"N `-- Certificate Approved) t/ c "`'` «j— Planning Commission (USR,COZ,Minor Sub. Final) N/A Certificate Board Certificate (USR,COZ„Minor Sub Final) (Final PUD,RE, SE&ZPMH if Board approved) N fp Typical Road Cross Section (COZ, Final Minor Sub. and Final PUD) N/Pi Easements f IA Please return the plat to the CAD Technician within 24 hours of receiving the plat. ? � -O S Planner on Call: (Initials) /"c-N' Planner Signature: a41.0 Date: VI , WELD COUNTY,COLORADO DEPARTMENT OF PLANNING SERVICE 918 10TH STREET GREELEY,CO 80631 PHONE:970-3534100,EXT.3540/FAX:970-304-6498 Date: i%/c-,c-, • 33 20 /(..) Receipt No. 1 5 .3 6 1 Received Fm: jjI ,,;-)c, `( I)v Permit Type No. Description Fee 4221,-RE/SE I 4/t (C , i 4221-ZPMH 4221-USR 4221-SITE PLAN REVIEW 4221-CHANGE OF ZONE 4221-PUD 4221-MINOR/MAJOR SUB #OF BUILDABLE LOTS 4221-ADDITIONAL 30% FEE FOR SUB's 4221-RE-SUBDIVISIONS 4221-BOA 4221-FHDP/GHDP 4430-MAPS/POSTAGE 4430-COPIES 4730-INVESTIGATION FEE 6560-RECORDING FEE MISC. ❑ CASH *CHECK NO. /o2- TOTAL FEE ll i/ < i<, Receipted By .r_ - &, 1_ 'DL# Sp. WELD COUNTY,COLORADO DEPARTMENT OF PLANNING SERVICES 1555 N 17TH AVENUE GREELEY,CO 80631 PHONE: 970-353-6100, EXT.3540/FAX: 970-304-6498 Date: / 7 j( 20 Receipt No. 1 5 6 rj Received From: // , .. r n ! 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-ZPCV/ZPAS 4430-MAPS/POSTAGE 4430-COPIES 4730-INVESTIGATION FEE 6560-RECORDING FEE / ' / / 3 .7 7/ � y1 ', ❑CASH QCHECK NO. / / OCREDIT CARD TOTAL FEE // t r Receipted By: DL# Exp. Chris Gathman From: Heidi Hansen Sent: Wednesday, September 01, 2010 3:39 PM To: Chris Gathman Subject: RE: RE-5035 Plat Check Chris, The accesses look okay so the plat is acceptable to PW. Thanks, Heidi Original Message From: Chris Gathman Sent: Monday, August 30, 2010 1:15 PM To: Heidi Hansen Subject: RE: RE-5035 Plat Check OK. No problem. Chris Gathman Planner III Weld County Department of Planning Services 1555 N. 17th Avenue, Greeley CO. 80631 Ph: (970)353-6100 ext. 3537 Fax: (970)304-6498 Original Message From: Heidi Hansen Sent: Monday, August 30, 2010 11:00 AM To: Chris Gathman Subject: RE-5035 Plat Check Chris, We need to hold RE-5035 for a few more days until I can get out there to take a look at their accesses. They spoke to Janet and got their access permit worked out and are showing the correct information on their plat so I just need to run out there and make sure they defined the access points (the entire front of their lot was an access before) . I'll try to get out there in the next day or two so that I can get you an answer. Thanks, Heidi Heidi Hansen, P.E. 1 Chris Gathman From: Heidi Hansen Sent: Monday, August 30, 2010 11:00 AM To: Chris Gathman Subject: RE-5035 Plat Check Chris, We need to hold RE-5035 for a few more days until I can get out there to take a look at their accesses. They spoke to Janet and got their access permit worked out and are showing the correct information on their plat so I just need to run out there and make sure they defined the access points (the entire front of their lot was an access before) . I'll try to get out there in the next day or two so that I can get you an answer. Thanks, Heidi Heidi Hansen, P.E. Weld County Public Works 1111 H Street Greeley, CO 80631 970.304.6496 ext. 3745 hhansen6co.weld.co.us <mailto:hhansen(dco.weld.co.us> i Chris Gathman From: Mary Evett Sent: Thursday, August 26, 2010 2:49 PM To: Chris Gathman Subject: RE-5035 The existing septic system has been permitted (SE-1000028), and a drawing showing the location of this septic system in relation to the proposed property lines has been submitted. The second home on the property (20727 CR 84) is also connected to this septic system. According to Coalson Construction, the owner is converting the second home into an accessory structure and will be disconnecting the structure from the septic system. Mary Evett Environmental Health Services Weld County Department of Public Health & Environment 1555 North 17th Avenue Greeley, Colorado 80631 Office #: 970-304-6415, Extension 2216 Fax #: 970-304-6411 1 Chris Gathman From: Janea Fowler ufowler@weldre9k12.co.us] Sent: Tuesday, July 27, 2010 10:31 AM To: Chris Gathman Subject: RE: RE-5035 (Simpson) referral Chris, We reviewed this and are not going to be requesting the in lieu fee for this recorded exemption. Do you want me follow with the letter in the mail? Janea Fowler Administrative Assistant Weld RE-9 School District 970-834-1345 Original Message From: Chris Gathman [mailto:cgathman@co.weld.co.us] Sent: Tuesday, July 27, 2010 8:18 AM To: Kristine Ranslem Cc: Janea Fowler Subject: RE: RE-5035 (Simpson) referral Kris, Would you mind resending this referral to the RE-9 school district? Thanks! Chris Gathman Planner III Weld County Department of Planning Services 1555 N. 17th Avenue, Greeley CO. 80631 Ph: (970)353-6100 ext. 3537 Fax: (970)304-6498 Original Message From: Janea Fowler [mailto:jfowler@weldre9.k12.co.us] Sent: Tuesday, July 27, 2010 8:15 AM To: Chris Gathman Subject: RE: RE-5035 (Simpson) referral Chris, can you resend the documents. I don't have this one in my file. We have had issues with our spam filter blocking legitimate emails, especially those with attachments. Thank you for checking with us. Janea Fowler Administrative Assistant Weld RE-9 School District 970-834-1345 1 • • Kristine Ranslem From: Kristine Ranslem Sent: Tuesday, June 15, 2010 8:14 AM To: Bethany Salzman; 'Billings, Sandra'; 'troy.florian@state.co.us'; 'Janea Fowler'; 'Idsscooter@msn.com' Subject: RE-5035 Referral Attachments: Application.pdf; Referral Sheet.pdf We have just received a case (RE-5035) in which we ask that you review the attached material and send a referral to us by July 14, 2010. Attached is the application and referral sheet. You may send your comments to the Planner assigned to this case, which is Chris Gathman (cgathman(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! }<Asti ke rzavvsLewt. Planning Technician Weld County Planning Services 1555 N 17th Ave, Greeley CO 80631 970-353-6100 ext. 3519 vO \6S w4 1706-1 ,� I I I0 ca 0.4 CJs • Jai . �n.%1 au Pcioca9. Mme. - No t vwl 1a& 1 Kristine Ranslem From: Kristine Ranslem Sent: Tuesday, June 15, 2010 8:15 AM To: 'blcoalson@aol.com' Subject: Case RE-5035 Attachments: Applicant letter.pdf Please see the attached letter. KYIStLve RGtwsLevv. Planning Technician Weld County Planning Services 1555 N 17th Ave, Greeley CO 80631 970-353-6100 ext. 3519 1 S DEPARTMENT OF PLANNING SERVICES 1555 N 17th AVE GREELEY, CO3541 fi PHONE: (970) 35370) Ex t. 3540 FAX: 1(900(970) 3044-6498 COLORADO June 14, 2010 Lennard & Jason Simpson do Juliana Coalson 35735 CR 59 Gill CO 80624 Subject: RE-5035 - A Recorded Exemption located on a parcel of land described as SE4 of Section 4, T7N, R65W of the 6th P.M., Weld County, Colorado. Dear Applicants: 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 staff determines that the application does not meet the approval criteria or if staff has concerns with the application, staff may elect to forward the application for review to the Board of County Commissioners. You will be notified and asked to appear before the Board of County Commissioners at a public hearing. You will be informed of the hearing date prior to the hearing. The Board of County Commissioners will then consider your application and make a final decision on the recorded exemption. If you have any questions concerning this matter, please call me. Sincerely, Digitally signed by Kristine Ranslem Reason.I am the author of this document ,•yL y yJ „_ Location':1555N 17th Ave Date 2010 06.1 a MI5 39-0600' Chris Gathman Planner i Motari , W APPLICATION FLOW SHEET i`D� COLORADO APPLICANT: Lennard & Jessica Simpson CASE #: RE-5035 REQUEST: Two-Lot Recorded Exemption LEGAL: SE4 4-7-65 LOCATION: North of and adjacent to CR 84 and West of and adjacent to CR 43. PARCEL ID #: 0709 04 000015 ACRES: +/- 160 Date By Application Received 5/28/10 Application Completed 5/28/10 Referrals listed 6/14/10 CG Vicinity map prepared File assembled 0/4110 Case logged in computer Letter to applicant mailed Referrals mailed Field check by DPS staff 7/Z7 1(0 E Administrative Review decision: rime. as 141 I (0 ecW. Board of County Commissioners hearing (if applicable) Date By County Commissioners Hearing Date Surrounding property owners notified Presentation prepared CC action: CC resolution received Date vi_ p_v\nBy Plat recorded and filedrfi 01 S�C 2 � Overlay Districts �aptinCf� \ 00 (,G�2 Zoning Agricultural a" IcI 2 - ‘ MUD Yes No_X_ n 4`�pxc9 J �S IGA Yes No_XNI Oa_ r( k NW Airport Yes No_X_ — �o , Any.", Geologic Yes No_X Pig2L' 2) Flood Hazard Yes_XNo (a portion of SW corner) Oa" I Sei ' twa` • • RECORDED EXEMPTION (RE) APPLICATION FOR PLANNING DEPARTMENT USE DATE RECEIVED: RECEIPT/AMOUNT# /$ CASE#ASSIGNED: APPLICATION RECEIVED BY PLANNER ASSIGNED: Parcel Number 0 1 Q CI - 0 `I - 0- - 0 0 - 0 IS (12 digit number-found on Tax I.D. information, obtainable at the Weld County Assessor's Office, or www.co.weld.co.us) Legal Description 5R V1 S/ , Section '-I , Township '7 North, Range (p5 West Has the property been divided from or had divided from it any other property since August 30, 1972? Yes No X Is this parcel of land, under consideration, the total contiguous land owned by the applicant? Yes )C No FEE OWNER(S) OF THE PROPERTY: Name: I. tnncr'd Sionp'on cold Jason 6impson Work Phone#q70 371 O2 q Lo Home Phone# Email Address Address: ao'ioq wCR u S-J and &o'7?'7 wcia RZ4 (both Iota-fed on paheat City/State/Zip Code Ault, en. So(cl D pci at, APPLICANT OR AUTHORIZED AGENT (See Below:Authorization must accompany all applications signed by Authorized Agent) Name: ftt(t akin Coa(scn Work Phone#'3#(no 619-i 555/p Home Phone# Email Address 191 coal5on @ aol . Corn Address: 35'1;35 EiUCR- Sci City/State/Zip Code G111 CO. SSOlc2i-I Lot A Lot B Lot C Lot D Smaller Parcel Water Source Nf.UClt71t' AJWEL&O Type of Sewer ?rivab -Private Proposed Use IZesi61Yntia.1 Farl'VI Acreage 11 t/. 1 5(p r/ Existing Dwellings? If Yes, li-stt address If Yes, list address If Yes, list address If Yes, list address 64.a g4 below:(20'109 Wag fi4I below: below: di) 0CIZ 9q L * If the property is vacant or unimproved write proposed water source and proposed sewer system for each parcel in the blanks above. For l�!'/ example, if a well and septic is proposed state: proposed well,proposed septic. (I 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 the signatory has the legal authority to sign for the corporation. r `anal SSon 5.25-200 Sigry dr�e: Own r Authorized Agent Date Signature: Owner or Authorized Agent Date V -4- • • Clerk and Recorder. The applicant shall be responsible for paying the recording fee. No recorded exemption shall be considered complete nor shall lots be transferred until the plat has been recorded. If a well is proposed as the source of water for the proposed lot(s), the applicant should be aware the quantity of water available for usage may be limited to specific uses, i.e, domestic use only, etc. Because each situation is unique, DPS encourages the applicant to contact the Office of the State Engineer, Division of Water Resources, to discuss your individual situation. The applicant should also be aware that groundwater may not meet all drinking water standards as defined by the Colorado Department of Public Health and Environment. If the proposed access is via a state highway the applicant shall contact the Colorado Department of Transportation regarding the access permit(s). Additional Information is available on request LDETACH, SIGN AND SUBMIT IF APPLICABLE)_ ACREAGE WAIVER FORM (If including more land than required) zik I have been informed by the Weld County Planning Department that the Recorded Exemption process requires inclusion of 0 acres. I am aware that the inclusion of the entire 160 acre parcel into this Recorded Exemption is not necessary at this time. I understand that by including the entire hIWC-, acre parcel into this Recorded Exemption, rather then doing a Recorded Exemption on the gO acre parcel, I waive my opportunity to further divide my property without utilizing the Recorded Exemption process. I have been informed that I am eligible to apply for a Subdivison Exemption in conjunction with this Recorded Exemption. I waive my opportunity to obtain an additional lot utilizing the Subdivision Exemption process. I have been informed by the Weld County Planning Department that the Recorded Exemption process allows for a total of four lots. I am aware that this Recorded Exemption is for three lots and that by not including the fourth lot. I waive my opportunity to create additional lots until such time that I may by eligible again to further divide my property by utilizing the Recorded Exemption process per Section 24-8-20.C.2 of the Weld County Code. Signatures of all fee owners of property must sign this application or if an Authorized Agent signs, a letter of authorization from all fee owners must be included with the application. If a corporation is the fee owner, notarized evidence must be included showing the signatory has to legal authority to sign for the corporation. it �o lO Sigy�aiure: Ow�Authorized Agent Date Signature: Owner or Authorized Agent Date The foregoing instrument was subscribed and sworn to me this[J day of . WITNESS myhand and official s al. lO L1 n My Commission Expires: bp/JtI/ /� 1 BILLIE J. MOORE NOTARY PUBLIC Notary STATE OF COLORADO -4- • • May 25, 2010 Dear Weld County Planning Department: We, Lennard Simpson 20709 WCR#84 and Jason Simpson 20727 WCR#84, authorize Coalson Construction, Inc.and specifically Juliana L.Coalson to act as our agent in the recorded exemption process for the property described as Southeast Quarter(SEX)of Section Four(4),Township Seven (7) North, Range Sixty-five(65)West of the 6th P.M.,Weld County,Colorado. Sincerely, Lennard Simpson J son Simpson Recorded Exemption Questionnaire • 1) There is a North Weld Water Line that is available for use. The line is located in the road and North Weld is preparing a letter stating that NWCWD will be able to provide (1) additional residential water service to the new 4+/-acre lot being created by this recorded exemption. Additionally,there are two domestic water wells. One of those domestic permits has been included with this application,the other well is from the 1950's and a copy of that permit will be coming. The customer will decide based on cost whether they will be using NWCWD or one of the already existing domestic water wells to provide water service to the new 4+/- acre lot. The 160 acre parent parcel currently has irrigation wells for the farm which will stay with the parent parcel. These wells (as listed on the Quitclaim Deed) are: Simpson Well No. 2, Simpson Well No. 2 South Siphon, Simpson Well No. 2 East Siphon, Simpson Well No. 3, Simpson Well No. 3 Siphon, and Simpson Wells Nos. 4, 5, 6, and 7. 2) The new 4+/-acre lot will use a septic system that will be designed, permitted and constructed according to Weld County ISDS requirements. 3) The parent parcel has several buildings which are all clustered together as they were part of the original farm. These include:two existing farm houses (20709 and 20727 WCR#84, Ault), 5 barns, 2 shops, and an old garage/cellar from the original farm. The parent parcel is used for farming of various crops which include alfalfa, beets, corn, beans and wheat. Irrigation of these crops comes from the existing irrigation wells (located on-site, as shown on Quitclaim Deed). Crops are irrigated by flood irrigation from the North of the property to the South. Livestock on the parent parcel consists of 150 sheep and 40 hogs. There are currently no oil/gas wells or batteries located on the property. 4) A small 4+/- acre parcel will be split off the 160 acre parent parcel, along County Road #84,just East of the existing, original, farm buildings and to the North of County Road #84 . The location of this split allows for minimal disruption to the farming acreage and direct county road access. It is being created for a single family dwelling site for the Simpson Family. 5) The ditch which supplies the irrigation water from the on-site irrigation wells runs along the North side of the property and flood irrigates to the South. There are no other unique physical characteristics on the site. 6) No building envelopes are being requested. 7) None. • Weld County Treasurer Statement of Taxes Due Account Number R0902786 Parcel 070904000015 Legal Description Situs Address 13941 SE4 4-7-65(4R) 20709 84 CR WELD Account: R0902786 SIMPSON LENNARD T& 20709 CR 84 AULT, CO 80610 Year Charges Billed Payments Balance 2009 Tax $2,573.83 $2,573.83 $0.00 Grand Total Due as of 05/24/2010 $0.00 Tax Billed at 2009 Rates for Tax Area 0905-0905 Authority Mill Levy Amount Values Actual Assessed WELD COUNTY 16.8040000* $716.37 AG-FLOOD $85,188 $24,700 SCHOOL DIST RE9 26.1620000 $1,115.28 IRRRIGATED LAND FA NORTHERN COLORADO WATER 1.0000000 $42.63 S $130,060 $10,350 RE (NC RESIDEDENNCCH CE-IMPS AULT FIRE 6.8430000 $291.71 OTHER BLDGS.- $26,145 $7,580 AGRICULTURAL AIMS JUNIOR COLLEGE 6.3120000 $269.08 HIGH PLAINS LIBRARY 3.2550000 $138.76 Total $241,393 $42,630 Taxes Billed 2009 60.3760000 $2,573.83 *Credit Levy ALL TAX LIEN SALE AMOUNTS ARE SUBJECT TO CHANGE DUE TO ENDORSEMENT OF CURRENT TAXES BY THE WELD COUNTY TREASURER Pursuant to the Weld County Subdivision Ordinance, the attached Statement(s) of Taxes Due, issued by the Weld County Treasurer, are evidence that, as of this date, all property taxes, special assessments and prior taxes liens currently due and payable connected with the parcel(s) identified therein have been paid in full. Signed Date 21/M REFERRAL LIST Name: Lennard & Jason Simpson Case #: RE-5035 County Towns & Cities Fire Districts _Attorney _Ault x Ault F-1 x Health Department _Berthoud _Berthoud F-2 _Extension Office Brighton _Briggsdale F-24 _Emergency Mgt Office - Ed Herring _Dacono _Brighton F-3 _Sheriffs Office _Eaton _Eaton F-4 x Public Works _Erie _Fort Lupton F-5 _Housing Authority _Evans _Frederick _Airport Authority _Firestone _Galeton F-6 x Building Inspection _Fort Lupton _Hudson F-7 x Code Compliance _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 _Nunn F-12 State _Hudson _Pawnee F-22 _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 _Windsor/Severance F-17 Division of Wildlife _New Raymer _South Hwy 66 (Loveland) _Northglenn Commissioner x North Hwy 66 (Greeley) _Nunn _ _Division of Minerals/Geology _Pierce _Platteville Soil Conservation Districts _Severance Big Thompson/ FTC _Thornton _Boulder Valley/Longmont _Windsor _Brighton/SE Weld _Centennial Counties _Greeley/West Greeley _Adams _Platte Valley _Boulder _West Adams _Broomfield _Little Thompson _Lorimer Federal Government Agencies Other _US Army Corps of Engrs x School District RE-9 USDA-APHIS Vet Service _Central Colo. 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 n c--1) ; Referral List E — S03 c Name: SW(0SO , • Case# 2— So 3S County Towns&Cities FireDistricts Attorney Ault A Ault F-1 Health Department Berthoud Berthoud F•2 Mill homes) Fxtension Office Brinhton Briaasdale F-24 Fmeraencv Manaaement Office-Ed Herrina Da.ono Briahton F-3 — Sheriffs Office Eaton Faton F-4(Will charge 81 x Public Works Erie Fort Lupton F-5 { Housing Au(fority Evans Galeton F-6 Airport Authority _firestone Hudson F-7 K Building Inspection Fort Lupton Johnstown F-8 x Code Compliance-BethX Ann Frederick LaSalle F-9 Garden City Mountain View F-10 Kim Ode(I andscaoe PlansL _ Gllcrest Milliken F-1 t tin or Peaav(Addressing Chance of Zone) Greeley Nunn F-12 ' Ambulance Services Grover Pawnee F-22 State Hudson Platteville F-13 Div.of Water Resources Johnstown Platte Valley F-14 Geological Survey Keenesbura Poudre Valley F-15 Deoartmentof Health Kersey Ravmer F-2 Deparment of Transportation I aSalle Southeast Weld F-16 Historical Society I ochbuie Union Colony F-26 Water Conservation Board Lonamont Western Hills F-20 Oil&Gas Conservation Commission Mead Wiaains F-18 Division of Wildlife Milliken Windsor/Severance F-17 South Hwy 66(Loveland) New Ravmer ,A North Hwy 66(Greelevl Nortalenn Legal Division of Minerals/Geology Nunn Parcel ID/4 Son Conservation Districts _ Pierce •Zone Acres? Sic Thompson Platteville USDA Boulder Valley Severance ' -° Airport Briahton Thornton t Gen Haz Centennial Windsor FP's Li<g Panel it (p44- s" 5°ectw) Fort Collins Counties Road Impact Fee Area? Greeley Adams (SW#1 #2 #3 Windsor 1 Longmont Boulder IGA? ORD# Morgan Broomfield MUD'S Platte Valley- Southeast Weld Other - _West Adams Central Cola.Water Conservancy Dist Federal Government Agencies _Left Hand Water US Army Corps of Engrs XSchool District RE- 1 USDA-APHIS Vet Service _Art Elmquist(MUD Area) r Federal Aviation Admin(Structures over _Ditch Company, over 200 ft or w/in 20000 ft of Pub Airport Commissioner _Federal Communications Comm • • —, 1 Mseff it° JUN 15 2010 C.0 Weld County Referral June 14, 2010 COLORADO The Weld County Department of Planning Services has received the following item for review: Applicant Lennard & Jason Simpson Case Number RE-5035 Please Reply By July 14, 2010 Planner I Chris Gathman Project Two Lot Recorded Exemption Legal SE4 of Section 4, T7N, R65W of the 6th P.M., Weld County, Colorado. Location North of and adjacent to CR 84; west of and adjacent to CR 43. For a more precise location, see legal. Parcel Number 0709 04 000015 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. Le See attached letter. ❑ Please notify me of any public hearings regarding this request. Comments: • Signature rM Date 7 1'5 ~ /v Agency ��C +Weld County Planning Dept. +1555 N 17'"Ave, Greeley, CO. 80631 +(970)353-6100 ext.3540 +(970)304-6498 fax Weld County Planning Department • • GREELEY OFFICE KitMEMORANDUM REC rnEIVED'(jf'I IDTO: Chris Gathman, Planning Services DATE: July 13, 2010 C FROM: Heidi Hansen, P.E., Public Works Department(;{-k-k COLORADO SUBJECT: RE-5035, Lennard &Jason Simpson The Weld County Public Works Department has reviewed this proposal. Staff comments made during this phase of the process may not be all-inclusive, as other concerns or issues may arise during the remaining application process. Issues of concern must be resolved with the Public Works Department. Our comments and requirements are as follows: COMMENTS: WCR 49 is an arterial road, which requires a 140-foot right-of-way at full build out. There is presently a 60-foot right-of- way. This road is maintained by Weld County. Pursuant to the definition of SETBACK in the Weld County Zoning (23-1- 90), the required setback is measured from the future right-of-way line. REQUIREMENTS: 1. Lots A and B shall share a joint access point. Please utilize the existing easternmost access with an access easement to Lot A. An access permit is required for the shared access. The application for an access permit is attached. Please contact the Public Works Traffic Engineer, Janet Carter, with any questions about the permit process. 2. Public Works requires defined access points so that the traveling public can anticipate vehicles entering the roadway. The entire front of the lot appears to be open for access onto the County roadway. The applicant shall define three access points to the property (the access points can be defined by placing landscape materials, fencing or chaining in between). Photographic evidence of these access improvements is required. 3. Pursuant to Chapter 15, Articles I and II of the Weld County Code, if noxious weeds exist on the property or become established as a result of the proposed development, the applicant/landowner shall be responsible for controlling the noxious weeds. All vegetation, other than grasses, needs to be maintained at a maximum height of 12 inches until the area is completely developed. FLOOD HAZARD DEVELOPMENT STANDARDS: This area IS NOT in a Special Flood Hazard Area (SFHA) as determined by the Federal Emergency Management Agency (FEMA). pc: RE-5035 Page I of 1 M:\PLANNING—DEVELOPMENT REVIEW\RE-Recorded Exemption\RE-5035.docx • 6,6C tit), Weld County Public'ks Dept. 1111H Street ACCESS PERMIT d fr FOP.O. Box 758 G 5' Greeley,CO 80632 APPLICATION FORM e</C*0Q Phone: (970)304-6496 Fax: (970)304-6497 Applicant Property Owner(If different than Applicant) Name Name Company Address Address City State Zip City State Zip Phone Business Phone Fax Fax E-mail E-mail ♦= Existing Access A= Proposed Access Parcel Location&Sketch The access is on WCR Nearest Intersection:WCR &WCR WCR Distance from Intersection Parcel Number Section/Township/Range t z z Is there an existing access to the property? YES NO N 3 3 Number of Existing Accesses Road Surface Type&Construction Information Asphalt Gravel Treated _ Other WCR Culvert Size&Type Materials used to construct Access Construction Start Date Finish Date Proposed Use o Temporary(Tracking Pad Required)/$75 o Single Residential/$75 ❑ Industrial/$150 o Small Commercial or Oil & Gas/$75 o Large Commercial/$150 o Subdivision/$150 o Field (Agriculture Only)/Exempt Is this access associated with a Planning Process? ❑ No ❑ USR ❑ RE o PUD o Other Required Attached Documents -Traffic Control Plan -Certificate of Insurance -Access Pictures (From the Left, Right, &into the access) By accepting this permit,the undersigned Applicant,under penalty of perjury,verifies that they have received all pages of the permit application;they have read and understand all of the permit requirements and provisions set forth on all pages;that they have the authority to sign for and bind the Applicant,if the Applicant is a corporation or other entity;and that by virtue of their signature the Applicant is bound by and agrees to comply with all said permit requirements and provisions,all Weld County ordinances,and state laws regarding facilities construction. Signature Printed Name Date Approval or Denial will be issued in minimum of 5 days. Approved by Revised Date 6/29/10 II • 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: RE # : Other Case#: 1. Applicant Name L2nnard Sl �fl J .5t?rl Jt ecflPhonect10 39t -- 027u, Address ao7O9 aid ao7a t<CR' City u. State Co Zip Stn1p/C) 2. Address or Location of Access-) APpty 35' LI c:, 209 ai or l at-10' \ D`, (VOL q-3 GL Section 4 Township 1 NI Range LD5 V%) Subdivision Block Lot Weld County Road#: SA Side of Road i‘l Distance from nearest intersection I��D la,'�D - O,-,A CA.Cl. " vu O(2_4%43 3. Is there an existing access to the property?tt AYes No X #of Accesses Lot a _ x ob Accey,e > a 4. Proposed Use: Permanent %, Residential/Agricultural ❑ Industrial ❑ Temporary ❑ Subdivision ❑ Commercial ❑ Other 5. Site Sketch Legend for Access Description: 1. .... AG = Agricultural RES = Residential O&G = Oil&Gas DR = Ditch Road O = House O = Shed • = Existing Access A = Proposed Access 3f=G }%rot)oSeel Akac'ned fUeuu A 5+',e ` .fold 1.VIE , ..1. -for cal N I -I n OFFICE USE ONLY: 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- is 'C3 6 3 T r r r a (2 to s O n f ciAc- (:, Ili 'air-- I s 6 � `nz� ii CDN� s 1 -1Io La-c Do I m � d CEO • r Memorandum TO: Chris Gathman, W.C. Planning DATE: July 6, 2010 • FROM: Lauren Light, W.C. Department of Public COLORADO Health and Environment "' CASE NO.: RE-5035 NAME: Simpson Environmental Health Services has reviewed this proposal to exempt 4 acres from a 160 acre site. Proposed lot A will consist of 4 acres and proposed lot B will consist of 156 acres. There are two existing residences on proposed lot B. It is not clear from the submitted application materials how potable water is provided to each residence. In addition, this Department could not locate septic permits for either residence. There is also a small area located in the floodplain on the south west corner of proposed lot B. A tap from North Weld County Water District or an individual well and an individual sewage disposal system will be installed on proposed lot A when a residence is constructed. The following conditions are recommended to be part of any approval: 1. All septic systems located on the property shall have appropriate permits from the Weld County Department of Public Health & Environment. The Environmental Health Division of the Weld County Department of Public Health & Environment was unable to locate a septic permit for the septic systems located on proposed Lot B of this application. Any existing septic system which is not currently permitted through the Weld County Department of Public Health & Environment will require an I.S.D.S. Evaluation prior to the issuance of the required septic permit. In the event the system is found to be inadequate, the system must be brought into compliance with current I.S.D.S. regulations. 2. 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. 3. All septic systems must be located on their respective lots and meet all lot line set back requirements. Provide a drawing of the septic systems, with dimension and distances from lot lines, to W.C. Department of Public Health and Environment for verification of setbacks. 4. The installation of any septic system within the 100-year flood plain shall comply with the Weld County I.S.D.S. flood plain regulations. In accordance with the Colorado I.S.D.S. Regulations, no septic systems shall be installed within the floodway. Please contact Weld County Public Works to verify flood plain vs. floodway. 5. Submit documentation from North Weld County Water District indicating that water service is provided for each residence and is available for proposed lot A. If individual wells provide water for the existing residences, provide copies of the well permits for each house. If a domestic well will be utilized for proposed lot A and a permit has been issued, provide a copy to this Department. 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. • • Print Form jt 0 Weld County Referral C•wo June 14 2010 COLORADO The Weld County Department of Planning Services has received the following item for review: Applicant Lennard &Jason Simpson Case Number RE-5035 Please Reply By July 14, 2010 I Planner Chris Gathman Project I Two Lot Recorded Exemption Legal SE4 of Section 4, T7N, R65W of the 6th P.M., Weld County, Colorado. Location North of and adjacent to CR 84; west of and adjacent to CR 43. For a more precise location, see legal. Parcel Number 0709 04 000015 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 O We have reviewed the request and find no conflicts with our interests. © See attached letter. O Please notify me of any public hearings regarding this request. Comments: Upon review of my case files and computer,no ACTIVE violations were noted. Signature ��.l If (. Date 06/15/2010 • Agency Zoning Com• 'a r- Of i,er II +Weld County Planning Dept. +1555 N 17th Ave, Greeley,CO.80631 5(970)353-6100 ext.3540 4(970)304-6498 fax • • Print Form Weld County Planning Department GREELEY OFFICE JUN 2_ 1 2111n RECEIVED CWeld County Referral• June 14 2010 COLORADO The Weld County Department of Planning Services has received the following item for review: Applicant Lennard &Jason Simpson Case Number RE-5035 Please Reply By July 14, 2010 Planner Chris Gathman Project Two Lot Recorded Exemption Legal SE4 of Section 4, T7N, R65W of the 6th P.M., Weld County, Colorado. Location North of and adjacent to CR 84;west of and adjacent to CR 43. For a more precise location, see legal. _ Parcel Number 0709 04 000015 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. In We have reviewed the request and find that it does/does not comply with our Comprehensive Plan a We have reviewed the request and find no conflicts with our interests. ❑ See attached letter. ❑ Please notify me of any pubiic hearings regarding this request. Comments: 1/4 Signature .../ CfIJ._("^eN Date 4 -162 Agency CPO(,- +Weld County Planning Dept. +1555 N 17"Ave, Greeley,CO.80631 +(970)353-6100 ext.3540 +(970)304-6498 fax _ ...w '"'T w... ,.iafSfi*°^'"' - r,�—ac�cv--^•�n,,..r. �-.i 'R 1• ,. 1.y*,( l J .-,..--,-:....,•......":1,..7.41...... :'.'- ,':..".'...:-1".':,:•;:•.';H-';','..r..;-....;...,•7,;';';‘,- .:,.::,-,„:::::::.;,.:7:.:-.',,''.:.,. -. ':•,,...--'..-:..'1••••,-,.•..-•',.,.•:.:',. ,J..- ,,,,,,,:`,,,','",,','.::',:,,-,, ,...-.„-,•,;..,-:,-„--....,,,i.#''',.,',..7i4,,,*.,,:,`,-:,-;„?.i';`,,T,,,':f.;;,-„14...,",';;A:/!'f,..e....4,....f.e.'..',T..,,,,',./. ., . A(.,.!i•,.;: I,._ . k }_ l +.s-� '4 • • F ,..„,(-4,,-;;,.....,,,„",...„..,..;‘,.,r,.•., & � �� „ ,..A0 tit tp .,.:„.. _.,.....,.,...:.!•,.___,„...,.:,•_. ....,-s -1i i'r+F' -r te , rx *� s C ` We 9� '�F L } I. +� y / t -- -'i'3 .Mr r x e ✓r'. L .' �kl, i,'`r il.. ryes a' '� , r�i..,f�x. .. .,., t'.:, � �i. >,L. I r' r I, . 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S '.• . ,,—,M a4ryi,a:,, s ,r� S4 . u,ro„., N? • F „:„.4.....,...,,A.4.,..--,,- wt.,-, �aF"- ''..•!-•,- . : + i�a=�waYF 44 x4 ,�, 'i at• ., yws ;n.,,,.at,4 aq �.•,•-•'".", .:41,,••, _x +?srw �„+wfa≥r,w + ,,via r WI•' t w nsc� '+ t,r l , 5'� 'r,Ea.,,.a'41� w '*�`�''2� . •,. aim ¢ F �' 4,i • , ,,} a G4- u k e d.+ .�"'1 " t „ '. - - •-•,-"S"- .7tl 4,.",. ,..." _"" >OFy"zw6K '''?,,,'•'....;-,...,,,..,,,o,-.40:4,-0,,',...`",:-.777'.'"'•'::..rTh .m.,- —V.- '� ♦ ^t+` �'N�R> rAq�`.''" y",,��,� r l '..✓ ! 4 - •- r .qtr ✓ r rv. r 'Rla rqr k`"" ':- arb rw • ,g, .y • e `y.,„*. r L .:::'1'...'......L) . `, A• tz r n yk, 14rAt'.:t<. '�,o,,4Fils :, 8 z: :meMY w.rrr>,r .u,c 'N•r. 'f 1,7ii .'..'. ('�*�' s o +°''` "s-. . Jr a+. 11 ri dd� .. e '� 'j` w' rw „R'*A'. .r Jam. ` F , , 3rd it .1ra 4e q m a ,w (twee r r,-;." ' - , �' !F7 r' n.}. "� �rt f x�'v'� �i.�.a -r;`,r,�+ � 7 � g �- , ' '''''''4"-•4,:i'''' ''� erers�" ,,nr w�o-w.r«r' r e rl i fir;.. U F6 `^Y" 1.,. 1 # iw+f�'ib+Y MM1 b .P ......,•.!,.....,',.::::,.„,, - • " �a.l 6N'GKi ,lciryq {I.fl 14 P h- u1 ..�F�-7 '— • T.�,�i4 hi,,.,,...+u,.,-+ 1rw -a ^6 t Ya�te^sN'4r,�n�� s y t. -" 9 �fM,Z4kf.s t▪ :w " _ :e irY U.,3 .dti A - fff if -,..., t • -.‘"7--j"'" ,, , ,i't „ ..'...:0::',..:-.:1-:—. ' b}•1 Y'1 1 • CERTIFICATE OF CONVEYANCES WELD COUNTY STATE OF COLORADO DEPARTMENT OF PLANNING SERVICES COUNTY OF WELD Land Title Order No.: Simpson The Land Title Guarantee Company TITLE INSURANCE or ABSTRACT COMPANY hereby certifies that it has made a careful search of its records, and finds the following conveyances affecting the real estate described herein since August 30, 1972, and the most recent deed recorded prior to August 30, 1972. Legal Description: The Southeast Quarter of section 4, Township 7 North, Range 65 West of the 6`h P.M., County of Weld, State of Colorado. CONVEYANCES (if none appear, so state): Reception No. 1483147 , Book 561 Reception No. 1487315 , Book 565 )Reception No. 1707159 , Book 785 Reception No. 2254777 , Book 1303 Reception No. 2945137 Reception No. 2953228 v Reception No. 3011155 ,) Reception No. 3031641 J Reception No. 3031642 4 Reception No. 3031643 This Certificate is made for the use and benefit of the Department of Planning Services of Weld County, Colorado. This Certificate is not to be construed as an Abstract of Title, nor an opinion of Title, nor a guarantee Title, and the liability of Land Title Guarantee COMPANY, is hereby limited to the fee paid for this Certificate. It Witness Whereof, Land Title Guarantee COMPANY, has caused this certificate to be signed by its proper officer this 18th day of May, 2010 at 5:00 o'clock P.M. LAND TITLE GUARANTEE COMPANY By: Ai \ Kerri Allison Title Examiner • tut i do 561 3 p FEB 2 4 1966, n exit • Accorded at �'ciork M, _ \' ma;frOHl1 Reception No. _�t4�1,, )el? Recorder. z-, KNOW ALL MEN BY THESE PRESENTS, That LEO B. SIMPSON, DAVID M. nI1tSON, MIA R. SIMPSON, GEORGE E. SIMPSON, PETTY 7, MALONEY d nuTlf K ItEYNOLDR ri al pith° County of Weld , and State of Colorado, for the consideration of other valuable coanideratione and Ten Dollars, In hand paid, hereby sell and convey to DAVID N. SINPSON S MADALINE E. SIMPSON, IN JOINT TENANCY of the County ofd MA 1 id State of Colorado, the following real property, ailnnte in the County of Wad ..d State of Colorado, to-wit t ea The Southeast Quarter (SEb) of Section Four (4), Township Seven (7) North, Ringo Sixty-five (65) West of the Gth P.M., togethor with all water and , water rights appurtenant thereto and especially to seven (7) irrigation wells end pumping plants with two (2) siphons used in connection there- :: with, including Simpson No. 2; Simpson No. 2 South Siphon; Simpson No. 2 o East Siphon; Simpson No. 3; Simpean No. 3 Siphon; Simpson Noe. 4, 5, 5 o and 7 wells having Subterranean Water Priority No. 12 S.W. an decreed o in Case No. 11217, In the Matter of the Adjudication of priorities C Rights to the Use of Water in Water District No. 3, water Division No. 1, at the State of Colorado, in the District Court of Lorimer County, ,, ., Colorado, and recorded in Book 1370, Page 271, Weld County Raeordn, -r iv 7 rdi q Nile I II OC1�00- •• 'It in hereby declared tho above property in convoyed in Joint Tenancy, • h all Its appurtenances, and warrant the title to the same, subject to r condltlmm, reservations, exceptions. easements and restrictions of . record, and to 1966 taxes, payable in 1967. • i . I • :Sigried and delivered this 2Sth day of January A. D. 19 66 hntbwWrwra,asd � (SEAL) . (l 11L(o.`�roa,`cr� ...:�(AFbL) I (SEAL) ,1J 4 1 a' .Amur .r.r/(jtr4L) EA Lt o bBF WEL J. )aa. /a..a._-./...,� SEA,) COUNTY OF WELD. ) a ea„„s' Thu foregoing ln°trumen[was acknowledged before me this 2/ ' *nit 1966 , bY° Leo D. Simpson iol 96I r . WITNESS my hand and official seal, Ia °J _ _ra' 'i My cpmmission expires ainiiii-i.S /964 10.a isli y) Oa !a' • a . „c ,•• iiivil NotnP yPlic. eliby natural parson or persons herein Inne rl name or name.; If lily, possone acting In representative or official capacity ar an attorney-In-fact, theyinserl name of personae executor, attorney-in fact or other capacity pr description; if,by officer of corporation, then insert name of such office or officers, ae the preeldQ sit or other officers of such•corporation, naming It. -- STATU'ICi4Y ACKNOWLEDGMENT',. ,{ SESSION 1927. WARRANTY DEED -- Statutory Form 'f;d r.rt�JZs'r vtiR sat STATE or )a, 148314 7 P- ? .9- county el ) ,,((..,,''__ / The foregoing instrument was acknew1edgcd before me this c uy .- < of Zi-�!.....-..-� , 1966, by David M. limpnon. Ody-yids�Q wltYBa.. ey hard and official deal. a I , commission aapireai 3I^ILf �a • Note, . ,• s fla Jo/)an 'P ..,'Is r*. ! going instrument vas acknowledged before me this day T , 19(6, by tails 9. Simpson. o ay and and official seal. .itst„ . vision expires: at.4.4....:41. /96f i.i •a°.e� b.,.a... 0 P,F.,, .i',.!f 77 9r;2i..�. -.a•. u.. - •avei•• Notary Public SU .11;k114;17-1.-4" ' —N )se st i ing instrument was aelmcraledged before m_ thin 7.t/,.day 4 , 1966, by George C. Simpson. 's is, d and official seal. U',1 . lk4y. con expires: QJv..,:G„n,C!•6. w°Pi \.eili e e.1...es:LG..]? 9G P:..zu o.i 1loturylic + �® \for going instrument was acknowledged before me this ii — day t �i ; by Betty J. !Money. -I+, ,e•. , pye\l„ S Wry Wax: and official seal. t. • y Wry expires: \ or . Notary Public 'a[Com :loon o;on Moth u.u:.7 ,t •!4 foregoing instrment was acknowledged before me this 7/1 doy y� �0 , 1966, by Ruth M. Reynolds. f re my hand and official seal. fRF is k.^'.o Myayconn ieaion expires: 2p.wit 20,/966 .weea Notary Public %t•W I ,{ 9 iI I v 3 L 1 e Q.-a a Y Y ® 2 I @✓i• ....— •t g , o m 1 �4 i`] o CO U.-113 Y .;� d1 S �� i. •.5 O M a s -�; , Osic aa B 6,Y• L I T V O kID Y 7 P v 1 • a I. w J m � .: i I vii 9 4 nrt 9 il m ;.... )._eOC'5435 ama.e.d,.__APR°0�6E .v2.'/_ o'clock f'u. . , Semi's:.Na a.1 ti7't'(ry__s.sae. Rectt5tr. "„� QUIT(CLAIM Orana}. — I — Wirth &Fib. Made dna 31st day of March ' in the year of our Lord one thousand nine hundred sixty-Six , wan Betty J. Simpson, by marriage Betty J. Maloney and Ruth M. , aimpson, by marriage, Ruth M. Reynolds, of the County of ,and thetaxmde@dmtthl,of the ts n first p=1,and David N. Simpson and Madalinc E. Simpson, , " of the County of Weld ,and the State of Colorado,of the second part; W'ITNESSETH.That the said past of the first part,mid for and in consideration of the sum of other consideration and Ton and no/1D0 Dollars, or to the said port Les of the first part in hand paid by the said parties of the second part,the re- mitt whereof is hereby confessed and acknowledged,Irate remised,released,sold,conveyed and QUIT CLAIMED,and by these presents do remise,telcase,sell,convey and QUIT CLAIM unto the said nudes of the secoml pu6[heimuns and assigns forever,all the right,title,interns, claim lad demand Aida the said pan ies of the first part have in and to the following d:cribed real estate situate,lying and being in the County of WELD and State of Colorado,to-wit: The Southeast Quarter (SEk) of Section Four (4), Township Seven (7) North, Range Sixty-five (65) West of the Gth P. M., together with all water and water rights appurtenant thereto and especially to seven (7) irrigation wells and pumping plants with two (2) siphons used in connection therewith, including Simpson No. 2; Simpson No. South Siphon; Simpson No. 2 last Siphon; Simpson No. 3; Simpson .•• No. 3 Siphon; Simpson Nos. 4, 5, 6 and 7 wells having Subterranean Water Priority No. 12 S. W. as decreed in Case No. 11217, In the Matter of the Adjudication of Priorities of Rights to the Usc of • Water in Water District No. 3, Water Division No. 1, of the State of Colorado, in the District Court of Larimer County, Colorado, and recorded Book 7370, Page 271, Weld County Records. (This deed is given to fdenttfy grantors. ACTUAL CONSrnF.RATTON LESS THAN $,00.00 To Have and To Hold the emit,together with all and singular the appurtenances and priv- ileges thereunto belnogiog or io anywise thneunto appertaining,and all the estate, right, title, in- terest and claim whatsoever,of the said part of the first part,either in law or equity,to the only proper use,benefit and behoof of the said part of the second part, heirs and sarigas forever. IN WITNESS WHEREOF,The said part ie of the first part ha vehereunto sethei toad s and seals the day and year first above written. / '.. Signed In the Presence of ... -,..Y... .. ....`}R.. .v+ . .E•rv._..(Su!) —( `racy, c„ l ly `'.!da.J ._...._ .. t._. .. ...... ...(Seal) ORt•c'ad STATE OF 2BE6it4DO.l ss. The foregoing instrument was acknowledged before me COUNTY OP WEte f /ns7J:e,>H this I3gi day of (2L.-.-1 ,A.D.Iv65 . by Betty J. Simpson, by marriage Betty J. f t10b'Ry Maloney. lY -• `n• - Witness my Hand and Official Seal. pDCLiL My Commission Ex m �-•... 'O'•' Pares .' r '0,a OF apf .r' v evmm:xm„camet Feb as,1440-6 19 •.) t., "a. .,`. ,,• D// Notary Plu5at. bra ,0 2-tor- .___ 't. , IOClt "' In .hi, DEC 2.7 976 RrrnnMl al wt. • miY MIN fflKa N N %1:1� ItwN;lan Ra .... iil ,, .. .. _..ham. ._.... .. _. .. Rre+nNr. I DAVID N. St11PSnf and 'miming '. SIMPSON, nuar and and wt fe„I pint tenants wttMRRddnrmIN County of 'fold ,State of I �1 Colorado consideration and Ulltion other rood o dollars.in hand paid,hemp'soli tennd convey/A to �I DAVID 4, SI'(PSON and 'aAnALIIIE E. SIMPSON n *Kallididdi:kr County of ,a -- lie lel ,and State of Colorado the following red property in the County of Weld ,and State of Colorado,to wit: • The Sout.reast Quarter (SE1/A) of Section Four (1I), Township Seven (7) forth, Range Slaty—five ('+5) West of' the 5th r.'t. , i- together with all water and water rirhts annurtenant thereto . and especially to seven (7) irrtgntton walla and numninp; nlants tes with two (2) siphons used in connection therewith, includinr, Simpson .In. 2; Simpson No. 2 South Siphon; Stoma on flo. 2 East Siphon; Simpson No. 3; Itmeaon Ho. 3 Siphon; Sienson 4os. II, 5, i and 7 walls havtnr, Subterranean Water Priority No. 12 S.Y. 1 as decreed to Cane Ilo. 11217> In the Metter of the Adjudication ( of Priorities of lights to the Use or Water in 'dater District ; ;Jo. 3, Water Division Ho. 1, or the State of Colorado, in the Diotr.ict Court of Lorimer County, Colorado, and recorded in i Book 1370, Page 271, Weld County Records. I I I I IS (HEREBY DECLan.ICD THE ABOVE PROPERTY IS CENPDtYED III TENANCY IN Cn'rfpil. I I i it i iI with all Its appartersnces.and wamsnt(s) the title to the same,subject to :I Ii it Sired this v?7 As' day of .. c E?rb!/(19 iG e7 i ...... !-.-z......cc-.C✓'msorx . 's ..._t-, ( STATE OF COLORADO. iI u county of Weld II zi The((n,,,,CCaagoing instrument was acknowledged before me this -y7 ' day of.l....,...-rc... .19%w ,by David r Simpson and Madeline E. it S1mpaon, and ench of then. : My commission expires --.0-.0•-••••me I. /97l Wl ww,> hand and nlflelal seal. ✓. - i �� DD � � / l 4.7 pn._'.er-. etdd....... ..-74,.K-1.. I r W f -' 'IC • , III 0 ' °et ,`a Knife. w..r,Ana n,Vn. n.a.M Wm.V.n..Dual%..w,..,N....-c.,nt- Lw n2291727: i • Ilk . E 1303 REC 02254777 06/28/91 15:44 $10.00 • 1/002 P 0377 WARE ANN PEDERSTEIN CLERK fi RECORDER WELD CO; CO • • DEED OF DISTRIBUTION • BY 'PERSONAL REPRESENTATIVE THIS DEED is made by HARRY D. SIMPSON, as Personal.Represen- tative of the Estate of David M. Simpson, Deceased; Grantor, to. ` MADALINE E. SIMPSON; whose address is 20709 Weld County Road- 84, " . ; Ault, Colorado 80610, for life, .with the remainder at the tine of ; ,,, , ,' her death to. HARRY D.' SIMPSON and JEAN 0. LANKFORD'.; Grantees,. „ ' 'whose addresses. are 2072.7' Weld County :Road 84,'�Ault, Colorado . 80610 and•'4517B.North Carefree Circle, Colorado Springs, Colorado'. 80917, respectively. ' . WHEREAS, the .above-named .decedent in his lifetime: made. end;. executed his Last Will and Testament dated December 27, 1976; and ' ; codicil thereto dated January 31, 1979, which wili.and,;codicil . . were duly admitted to informal probate on September 26, 1990, by - ' ,theDistrict Court in and for the County of Weld and State of Colorado, Probate •No. 90: PR ,232; WHEREAS$,Grantor,was duly appointed Personal Representative , of said Estate. on September 26, 1990, and. is now qualified and t •. acting in said capacity; and. . WHEREAS, part' of Paragraph III. of the Last Will and Testament ' of the decedent provides, as f• ollows: "III. I give and devise to my wife, Madeline E. Sampson,. if she 'sur-;. vives me,,a Life.Estate in and to all interests I nay own, at my death',' ' r. in.and to' all real' estate, together with all waterrights, for and. ' during .her natural life, the remainder at the •time of her death. ' ' ' . to my children, Harry D. Simpson and Jean 0. Lankford, in equal . . • shares; . . ." NOW, THEREFORE, pursuant to the powers conferred upon Grantor`: by CRS, 16-1-803 and .15-12-907.of' the Colorado Probate:Code;.;Grantor ' sells, conveys, assigns, transfers, and releases. to Grantees,the following real property in Weld County, Colorado: The .Southeast'',Quarter- (SE1/4) of Section Four'(4), .. Township Seven,, (7) North, Range Sixty-five , (65) West of the 6th P.M:, Weld County, •Colorado, together with'" • all water•and. water rights. .. ' , with all appurtenances. Executed. this' day of , A.D. "19 9t , - ., Harry D. S mpson, a Personalitepre . sentative f the Es ate•of David N ' • . ' . Sampson, D ceased _ STATE OF COLORADO ) ' '.' COUNTY OF WELD , ) ss.. • . . The foregoing 'instrument' was acknowledged before me this -c_- day of .1,...L..." , 19q $ s, by Harry D. Sampson; as Personal i! • • -1- :SKLD LG SKL10422 WE 2254777-1991 . 001 :•,:�FLi` 8 1303 REC 02254777 06/28/91 15:44 ;10.00 2/002 F, `0378 MARY ANN REDERSTEIN CLERK a RECORDER WELD CO, CO I . . Representative of the Estate of David M. 'Simpson, Deceased., • • WITNESS:my hand' and official' seal. • is My commission_expires �(..,.., �„� �'/9'4 `till NOT 2Y PUS cryrr ,-. d. 4y.�+D�•S�' • • ,r, v n • • • • • • • • • • • • • • • • • • • O F VCd SKLD LG SKL10422 WE 2254777-1991 , 002 .. A1/ A.r'./ CERTIFI( ATION OF VITAE RECORD:\ll/ -- --1.‘!.111.r� "' '� ` STATE OF COL RADO `' 9 4c,` STATE OF COLORADO STATE FILE NUMBER CERTIFICATE OF DEATH 1V DEGMOENT'NAME V.ml,"Mdie..I/MI 2.SEX 6 DATE OF DEATH(Moron os TWO d iiii Fena1 April 8, 2002 8 Madeline Edith SIMPSON _ A NLWGSlEWPRY GA AUE'Ina My VMpEP1YFAR f4 UNDEPI DAY � lWOn DATE M,on V.1 1,Lro EE IGry/N 51/I,Or iwnpn G NIIMEEP E'""°�11"//rd M,I :w+' NIl •""+ February 3, 1915 Camden, West Virginia USNE 524-90-8809 S LWMDE,1150 EVfPIN ' So.PLACE OF DSOsMirwr&DNM LL6 AP EN FOONNLese> NOErmc rmNEP Hnn, OPwM.nw BoMrls.wnpHoapice Inpatient ._C Oros gM0 ,511 1.1 DEPamouom 0EOL 1 LTNonn YO.FALLS',NAME III noI NrMUN[A Frr.WON OFe IOW Sc.CITY,TOWN,OP LOCATION OF DLTN �Be COUNTY OF DEATH r, North Colorado Medical Center Greeley Weld p•r• lot MCCAW;WUAL OCCUPATION 160.NINO OF EUSINEMAXDVETA' I- MARITAL STATUS-Maned. 1.I USE III elm. MMNI"rnl �yC Il i 1 Now Mme,WMvr/M1/> pe 11""0n rWnNM/I0, M./wi Meta !., -a tom! Homemaker Own Home Widowed David M. Simpson --- in in ,rM ,y.AEMOFNCEATAT' IH.COUNTY I19c EItt,TONS.OP LOCATION I3S STREET AND NOOSES • ID Colorado Weld Greeley 4750 25th Street �_� • ICI II.FCt'*sullen Inds,, It.DECEDENTS UCCATGN ROrJly ons ADMM _00 'I ts..I E 13r.,,CODE u.WAEDECGENTDF SW...HISPANI MVellit sootily �P wit wdm 4/OA'NM/'rLc lS,/NYr mSeO 121CoNN(]through I 0 th 7+130 Pie O •. LNYK> MFrbl,hr/•R1 '+M¢J ., _ �, mr., o.., White 12 --No I;. ono 80634 QS I.FATHER-NAME FIN MItlpN Loll (e,MDTHEMNAME VAIL&Ma 1V41YM/AMMMI 19.INFOP.IMIT-NAME/w•Wdeashm lo NwwN. �OO Emory B. White -10pie O'Dell Riddle $ernadene S.efflet-Daughterduisw Eem es • �.�CJ ct COIL METHOD 0C.. DISPOSITION >e0.p rp.NaDINDMTbxw.r/.I..MMrN dM.MIOrh or 20s LOGnOx•CWar Tows wro 5 "K l 35p.m OGF'rn1M 0PMnor"limn WM O G Dontro COIrrUP.Mm - Eaton Cemetery Eaton, Colorado MII.�CC Ill SIONATUPE OF FUNERAL OWPAMC).CTOP ON AMON ACtIAMC). SID NAKANO ADDRESS Of FACILITY: T. n T n p � ��rr�� IYvJyCt/_L�Q--uhf` Al],nutt RIBBED.' Service - Macy Chapel 'H l L7.,/• 702 13th St., Greeley/ Colorado zl^H0631 ID �CAI� �`""��'A`NPE inn DATE PILED Work Day.Mr) _ Em TIMEo�F..tA l" `s MUTT APRIL,.AO, UKI2 .' t a WASoy SuI EN kkanneue ' ]S TIME D N. TE N4fDDo Yea - 'ion, llw or M01 • 8:05 P" April 8 ,. 2002 20:051 No j .\ TO et COMPLETED ONLY EYCEIRIFYIMO',IMME TO SE COMPLETER EY COPONSA M To IMONtMmy M M .M/INo bIIEdMEwliM,MM snows,,"OMM 1r.onl pMmNOu/ IMatz.r.:rsty YmdsS � D....sr, TE W IN SIe(�wl .11.11111 II synnuN, • sgnnlP, I• 71 D,TCEIQYED IYOnY..pPN Y//r) • Y__ Pfi.DATE WINDS Gloat owl lOl ,� 4w. t_ ro.NAMETILE AND MAJLINO A00A5M OFCEPfiflkk/COPONEPRFW5II0n a— Ethan Cary, MD 1900 16th Street, Greeley, Colorado is, 80631 3 sI.NAME OF ATTENDING PHYSICIAN IF OTHER IRAN CEPTVIE^IlNMN,M TIME OF "(AC MJIIPY AT SM DESCRIBE NOWINJUIW OCCDIPED PI 4 32 WANNER OF DEATH 3f DAn01M,NM EA CEO, NORPT IEIOMh wA rwP $xwYN oeI1M WOO ONO 6_ lq/llen O SONSI 4 O UNMr,mlr,/dI/M■qE0 S O6uMM/ N/mr ]w�EE�JI�NN NMnE,Ions MnKIWwY,Oa E61.LOCATION MI'./Iwre NurM>AW RMENM,PM,EIry.CeYM/.MW �.11 O HM[M N.IMMEDMlI CAUSE VNTE^ONLY ONE CAUSE HP LAWS FOR MIN M0 MO In.!I�rC EAIM(W WO...PwPrrrY MrwOMwr •,^';'T!?""E'"°"/rl I 4•� RAPT YT t FOruJGL.,.r.� `Ins. N4gE1I IS1 W InMmlNMwn Oral ,Y' CONDITIONS DUE TO OPASAC EOIIe^CFa Epgal IF ANY WHICH E'%E/e�r•J•^"E— �L.+-w�-0 Y'�"�� GAVE RISE TO ryl wwl m INOTH[CAUSE DUE TO OP AS A CONSEQUENCE 01 Ntl Mxn UNDERLYING CAUSE a LAST SI NI 3P.AUTOPSY 34.V YOw.THeWE W O,MAeM PAST OTHE I.IGNIFlGM I*CONDONE-'AMIIIM/MYrEUMVroNNnbl not wNl/e to wvw In IYwa NM MG"InnM, C E II PAST I m.s./NWIOI room ober&&cwl 'i No 1 I THIS I;;alIG5QTIFr(T ET THIS IS A TRUE AND CORRECT COPY OF THE OFFICIAL RECORD WHICH IS IN MY CUSTODY. f1qq 5— , I i ' a DATE ISSUED Q'PR 1 0 ZOUL STATE R B HT AN STATE REGISTRAR ' .vr •J U«4 / fAct_4if;frki,,4, til L6TDo not accept unless prepared on secunty paper with engraved border displaying the Colorado state �� 6ath, <L I dlif ft ,A J � ...sit; seal and signature of the Registrar, PENALTY BY LAW. Section 25-2-118, Colorado Revised )r DS 1 jw1+v' '@*3 �� lr14l� Statutes, 1982,if any person alters uses, attempts to use or furnishes to another for deceptive use •r N's L ��y any vital statistics record.NOT VALID IF PHOTOCOPIED x /yr lY _ ._.. __• _ -_ 'kN1'`fy .. H nr. .,. • ! / I.'SANS ALTERATION OH ERASURE VOIDS THIS CERTIFICATIE/.� } / ,� a i-,• 1 y� 1\ SKLD LG SKL10422 WE 2945137-2002 . 001 1111111111111111111III1111IIIIII111111I 11111 II • 2953225 0512112002 02:18P well,county o A11 1 of 1 R 5.00 a 5 J.A."Sukl Tsukamoto PERSONAL REPRESENTATIVE'S DEED 228 THIS DEED is made by BERNADENE E. LEFFLER, as Personal Representative of the Estate of Harry D. Simpson, Deceased, Grantor, to BERNADENE E. LEFFLER, as to an undivided one-half (1/2) interest, and LENNARD T. SIMPSON, DEENA R. SUGHROUE, and JASON T. SIMPSON, as to an undivided one-half (1/2) interest, Grantees, whose legal address is do Bernadene E. Leffler, 37495 WCR 33, Eaton, CO 80615. WHEREAS, the above-named decedent died intestate at Weld County, Colorado, on May 23, 1994; WHEREAS,Grantor was duly appointed personal representative of said estate by the District Court in and for the County of Weld, and State of Colorado, Probate No. 94 PR 193, on June 20, 1994, and re-appointed on May 13, 2002, and is now qualified and acting in said capacity. NOW THEREFORE, pursuant to the powers conferred upon Grantor by the Colorado Probate Code, Grantor does hereby sell, convey, assign, transfer, and set over unto said Grantees, as the persons entitled to distribution of the property in the above-captioned estate, the following-described real property situate in the County of Weld, State of Colorado: All of the decedent's undivided interest in and to: The Southeast Quarter (SE1/4) of Section Four (4), Township Seven (7) North, Range Sixty-five (65) West of the 6' P.M., Weld County, Colorado, together with all water and water rights. With all appurtenances. Executed this 'C V day of May, 2002. a-r—?Lt.--C 07 �j/e----' Bernadene E. Leffler, Personal Representative of the Estate of Harry D. Simpson, Deceased STATE OF COLORADO ) ss. COUNTY OF WELD ) The foregoing instrument was acknowledged before me this \ '\\\) day of May, 2002, by Bernadene E. Leffler, as Personal Representative of the Estate of Harry D. Simpson, Deceased. WITNESS my hand and official seal. My commission expires'l, \- \v,. , ' ),2\l'z. "1iv5. NOTARY P SKLD LG SKL10422 WE 2953228-2002 . 001 % District Court,Weld County, Colorado Court Address: 9"'Avenue and 9"'Street, Greeley, Colorado 80631 IN THE MATTER OF OTHE ESTATE OF: MADALINE E.SIMPSON,also known as Madaline Simpson, ❑x Deceased U Protected Person U Minor❑ Incapacitated Person A COURT USE ONLY Wm. H. Southard Case Number. 02 PR / C' 1025 9th Avenue, Suite 309 J Greeley, CO 80631 Phone Number: (970)353-1292 E-mail: FAX Number: (970) 353-7504 Atty. Reg.#: 1223 Division I Courtroom LETTERS Jean O. Lankford was appointed or qualified by this Court or Its Registrar on (date) APR 1 9 2002 as: IM Personal Representative. ❑These are Letters of Administration. (The decedent did not leave a will.) ❑x These are Letters Testamentary. (The decedent left a win.) ❑Special Administrator in ❑an Informal ❑a formal proceeding. These are Letters of Special Administration. ❑Conservator. These are Letters of Conservatorship. ❑The protected person is a minor whose date of birth is ❑Guardian. These are Letters of Guardianship for ❑an incapacitated person. ❑ a minor whose date of birth is Appointment or qualification is by O court order. ❑will. ❑written instrument. These Letters evidence full authority,except for the following limitations or restrictions,If any: APR 1 9 2002 i)CutriS (�• �`, DATE: (Deputy)Clerk or Registrar of Court ��"'•r.,,, CERTIFICATION \ 1110cat[or�$f fiP or Certified to be a true copy of the original in my , .. �� custody and to be in full force and effect as of: • APR 1 9 2007 SEAL'� L = Date tJ1 ; G . •S • IT .: f/Ty, CC�� (Deputy)Clerk of Court 111111111111HMI 111 111111111111111111111111111111111 3011165 D 0.00 04:24F Weld County, DO 11 of 1 R 6.00 J.A. "Suki" Tsukamolo SKLD LG SKL10422 WE 3011155-2002 . 001 ►► illli►1►►�II111►►�M111u►►1u► 11111►► t • B1 • 3310841 02110!2003 03:32P Weld Coupe/CORecorder 1 of 1 R 8.00 0 0,00 Steve MINIM Clerk b CORRECTION PERSONAL REPRESENTATIVE'S DEED THIS CORRECTION rXFr) is made by BERNADENE E. LEFFLER, as Personal Representative of the Estate of Harry D. Simpson, Deceased, Grantor, to BERNADENE E LEFFLER, as to an undivided one-half (1/2) interest, and LENNARD T. SIMPSON, DEENA R SUGHROUE, and JASON T. SIMPSON, as to an undivided one-half (1/2) interest, Grantees, whose legal address is do Bemadene E. Leffler,37495 WCR 33,Eaton,CO 80615. WHEREAS, the above-named decedent died intestate at Weld County, Colorado, on May 23, 1994; WHEREAS,Grantor was duly appointed personal representative of said estate by the District Court in and for the County of Weld, and State of Colorado, Probate No. 94 PR 193, on June 20, 1994, and re-appointed on May 13, 2002, and is now qualified and acting in said capacity. WHEREAS, a Personal Representative's Deed, dated May 17, 2002, was executed and recorded in connection with distribution from the Estate of Harry D. Simpson, Deceased, which omitted the detailed identification of the irrigation wells located upon and serving the premises being distributed and conveyed to the above Grantees, which irrigation wells were decreed by the District Court of Larimer County,Colorado,in Civil Action No. 11217 on September 10, 1953, a certified copy of which was recorded October 5, 1953, in Book 1370, Page 102, Weld County Records. NOW THEREFORE, pursuant to the powers conferred upon Grantor by the Colorado Probate Code, Grantor does hereby sell, convey, assign, transfer, and set over unto said Grantees, as the persons entitled to distribution of the property in the above-captioned estate, the following-described real property situate in the County of Weld,State of Colorado: All of the decedent's undivided interest in and to: The Southeast Quarter (SE1/4) of Section Four(4), Township Seven (7) North,Range Sixty-five (65) West of the 6th P.M., Weld County, Colorado, together with all water and water rights, including but not limited to Simpson Well No.2,Simpson Well No.2 South Siphon, Simpson Well No. 2 East Siphon,Simpson Well No.3,Simpson Well No. 3 Siphon, and Simpson Wells Nos.4,5,6,and 7. THIS CORRECTION PERSONAL REPRESENTATIVE'S DEED IS INTIIJDED TO CORRECT TFE PERSONAL REPRESENTATIVES DEED RECORDED ON MAY 21, 2002, RECEPTION NO. 2953228, WELD COUNTY RECORDS. With all appurtenances. Executed this id' ' day of December,2002. 8 ' dene E. s Personal Representative of the Estate of Harry D. Simpson,Deceased STATE OF COLORADO ) ) ss. COUNTY OF WELD ) The foregoing instrument was acknowledged before me this 3.i- day of December, 2002, by Bemadene E. Leffler, as Personal Representative of the Estate of Harry D. Simpson, Deceased. W TNESS my hand and official seal. My commission expires �,.006..3 7'Y cL. NOTARY PUBLJC,' r .'ii t%.4.\i., A. A—i v ht /r % ' n r SKLD LG SKL10422 WE 3031641-2003 . 001 111111111111111111 Iill 0111111111 ellil Iiii Iui • 842. 3031642 0211012003 03:32P Weld Coeoly.CO 1 of 1 R 6.00 D 0.00 Steve Moreno Clerk d RecoMef PERSONAL REPRESENTATIVE'S DEED THIS DEED is made by JEAN O. LANKFORD, as Personal Representative of the Estate of Madaline E. Simpson, also known as Madaline Simpson, Deceased, Grantor, to JEAN O. LANKFORD, as to an undivided one-half (1/2) interest, and LENNARD T. SIMPSON, DEENA R. SUGHROUE, and JASON T. SIMPSON, as to an undivided one-half (1/2) interest, Grantees, whose legal address is do Jean O. Lankford, 4517 B N. Carefree Circle, Colorado Springs, CO 80917. WHEREAS, the Last Will and Testament of the above-named decedent was made and executed in the lifetime of the decedent, and is dated June 17, 1994, which will was duly admitted to informal probate on April 19, 2002, by the District Court in and for the County of Weld, State of Colorado, Probate No. 02 PR 135; WHEREAS, Grantor was duly appointed personal representative of said estate on April 19, 2002, and is now qualified and acting in said capacity. NOW THEREFORE, pursuant to the powers conferred upon Grantor by the Colorado Probate Code, Grantor does hereby sell, convey, assign, transfer, and set over unto said Grantees, as the persons entitled to distribution of the property in the above-captioned will, the following-described real property situate in the County of Weld, State of Colorado: All of the decedent's undivided interest in and to: The Southeast Quarter (SE1/4) of Section Four (4a, Township Seven (7) North, Range Sixty-five (65) West of the 6 P.M., Weld County, Colorado, together with all water and water rights, including but not limited to Simpson Well No. 2, Simpson Well No. 2 South Siphon, Simpson Well No. 2 East Siphon, Simpson Well No. 3, Simpson Well No. 3 Siphon, and Simpson Wells Nos. 4, 5, 6, and 7. With all appurtenances. s% wu”# o3 Executed this 30tia day of eru200/. jt& Jean O. Lankf d, a Pe sonal Repr sentative of the Estat Madaline E. Simpson, also known as Madaline Simpson, Deceased STATE OF COLORADO ) ) ss. COUNTY OFF! ?a ) The fo'r^e,aping instrument was acknowledged before me this -9J— day of gar B ei.,,,1".,, n.q , by Jean O. Lankford, as Personal Representative of the Estate of Madaline E. Simpson, also known as Madeline Simpson, Deceased. WITNESS my hand and official seal. My commission expires U- IS-. 'cc• �' y' ' NOTARY PUBLIC f , ,1% 'a% `1 .0 Q-. ' ,� Op Col.°. \ MyComialan EtpYete160006 SKLD LG SKL10422 WE 3031642-2003 . 001 1 111111 IIIII IIIIIII IIII IIIII IIIIII IIII�IIII III IIII �3 3031Q43 02/10/2003 03:32? Weld County,CO III 1 0l / R 6.00 0 0.00 Steve Moreno Cleric 6 Recorder ' QURCLAIM DEED BERNADENE E.LEFFLER,37495 WCR 33,Eaton, CO 80615, DEENA R. SUGHROUE, 1103 W. 42n° Street, Kearney, NE 66845, and JEAN O. LANKFORD, 4517 B N. Carefree Circle, Colorado Springs, CO 80917, Grantors,for the consideration of other valuable consideration and Ten and No/100 Dollars,in hand paid, hereby sell and quitclaim to LENNARD T. SIMPSON, 20709 WCR 84, Ault, CO 80610, and JASON T. SIMPSON, 20727 NCR 84, Ault, CO 80610, Grantees, the following real property in the County of Weld,and State of Colorado,to-wit: All of the grantors'undivided Interest in and to: The Southeast Quarter(SE1/4) of Section Four(4), Township Seven (7) North, Range Sixty-five (65) West of the 6'" P.M., Weld County, Colorado, together with all water and water rights, including but not limited to Simpson Well No.2,Simpson Well No.2 South Siphon, Simpson Well No. 2 East Siphon,Simpson Well No.3,Simpson Well No. 3 Siphon, and Simpson Wells Nos.4,5,6,and 7. Wdh all appurtenances, subject to reservations, restrictions, conditions, easements, and exceptions existing or of record, and to 2002 taxes due and payable in 2003. Executed this -30 day of December,2002. d :rte ' Bernadene E.Leffler 00 Deena Sug o - 2 Lankford yy Jean Lankford STATE OF COLORADO ) ) ss. COUNTY OF WELD ) The foregoing instrument was acknowledged before me this clay ••pL, ,[). .&,---- , 2002, by Bernadene E. Leffler. WITNESS my hand and offic�1gea1,• j o Commission expires ...< c1..),... r cj= fx ; Xl�fe�c. " ;rlc Notary Public �'n �:..:. ,•i STATE OF COLORADO ) -: ) ss. /. COUNTY OF WELD ) The foregoing instrument was acknowledged before me this 30." day of .r ..,.46....—, 2002, by Deena R. Sughroue. WITNESS my hand and official seal.r,.My Commission expires C')., . , C -2•ow3 <<; Notary PubIXJ �7: j j p.• w 'L : 4., STATE OF COLORADO ) •'.�D Q ' ) ss. COUNTY Orel Pat...a ) The foregoin'gg,,,,j�nstwment was acknowledged before me this 3044— day of 7n ni i -,by Jean O.Lankford. WITNESS my hand and official seal. My Commission£rxpires l t--lc .Jaro 5 NNotary Public f, %le:\A,, O per: 1r r� F O co'-0./ fll f CawNYbn 46'266152006 SKLD LG SKL10422 WE 3031643-2003 . 001 111111111111 Iflllll Jill i111�iiiui 11111 Milli �3 3031643 02/10/2003 03:32P Weld County, Co Ill 1 of 1 R 6.00 D 0.00 Steve Moreno Clerk& Recorder QUITCLAIM DEED BERNADENE E. LEFFLER,37495 WCR 33, Eaton, CO 80615, DEENA R. SUGHROUE, 1103 W 42"" Street, Kearney, NE 68845, and JEAN O. LANKFORD, 4517 B N. Carefree Circle, Colorado Springs, CO 80917, Grantors, for the consideration of other valuable consideration and Ten and No/100 Dollars, in hand paid, hereby sell and quitclaim to LENNARD T. SIMPSON, 20709 rv-ictc WCR 84, Ault, CO 80610, and JASON T. SIMPSON, 20727 WCR 84, Ault, CO 80610, Grantees, the following real property in the County of Weld, and State of Colorado, to-wit: you` All of the grantors' undivided interest in and to: The Southeast Quarter (SE1/4) of Section Four (4), Township Seven (7) North, Range Sixty-five (65) West of the 6'h P.M., Weld County, Colorado, together with all water and water rights, including but not limited to Simpson Well No. 2, Simpson Well No. 2 South Siphon, Simpson Well No. 2 East Siphon, Simpson Well No. 3, Simpson Well No. 3 Siphon, and Simpson Wells Nos. 4, 5, 6, and 7. 'Nth all appurtenances, subject to reservations, restrictions, conditions, casements, and exceptions existing or of record, and to 2002 taxes due and payable in 2003. Executed this -3d day of December, 2002. Be�adene�Leffler ci 714,O,c_12_ Deena . Sug o �) Jean . Lankford STATE OF COLORADO ) ) ss. COUNTY OF WELD ) The foregoing instrument was acknowledged before me this day "(tit .L,€_•. , 2002, by Bernadene E. Leffler. WITNESS my hand and official seal c, >. Commission expires <l-.-___9 .1-e-c- . �,3 13 . jS, .i" Cti � : Notary Public STATE OF COLORO ) ' ,Ji "c .. AD / COUNTY OF WELD ) ss. The foregoing instrument was acknowledged before me this 34).a day of } 2002, by Deena R. Sughroue. WITNESS my hand and official seal..:,..,My Commission expires 4,-,-,.-,_. G . Notary Public A\ 2 .f W, STATE OF COLORADO ) .' . i n °' • ,'.' ) ss. COUNTY OF!1 }EGA,) ) The foregoin nstrument was acknowledged before me this 30`'� day of -t)rut ,fl-, by Jean O. Lankford. WITNESS my hand and official seal. My Commission€xpires( .—l5 maw 5 oQ\l;•�•A•Oy Notary Public ev•."p•TA14}•l,, S . • 4 • : 1.. yyT•,QsL\Grp S ‘‘ OF Co. ,13 = Iyconrelesicn EvIres&152005 c TES o RECEIPT MU DATE ) 1A+110 _NO..� 124321 ® RECEIVED FROM y�/� \Jvu MUA' �i�0A- sd' v - A-60 I ADDRESS A`i jtj d 7709 `. /a gat g ° LT dl D 50. 00 cx p0 l O0 m FOR ---- C1O 0) ACCOUNT HOW PAID -O i AMT.OF d d c) ACCOUNT (' CASH �}�. = J PAID 5601 CHECK a)5C n 17pr' t BALANCE MONEY BY ��*++++lllla1121 /i � Q DUE ORDER Z ?O2085 REuPORN( 8L810 Dater U2tte r c-11-O4-Y-1 tJ CAA)O ll \ t CA) oe\r+-� un a- 3 .1/4.A.>e e->=S . e r C.---W6 S un flL)r`3) / cibwrt as o- C is oica — letter w''\ td site - tLt gyp -Ac Ptim) r: C ..x /kS -roc _ 9-E, CtS fi=t 1 S V O.c axtt. 54,e oxt&e•c- RE Guszs-V‘`,Y-.r-,a:,,re.. a . i . CO'ADO DIVISION OF WATER RESOURCES. RECEIVED • WR.7�5-?l O 101 Columbine Bldg.,1845 Sherman Street,Denver,Colorado 80203 $$�� 22 _ � __ BE COLLETED BEFORE ACCEPTANCE ,(2 , TYPE OR PRINT IN BLACK INK. APPLICATION MUST fit(, b1`L APPLICATION FOR: GROUND WATER TO BE `A \.�' x A PERMIT TO USE GROUND WATER x DOMESTIC (1) °•• _ COMRCIA(0 A PERMIT TO CONSTRUCT A WELL LIVESTOCK (2) INDUST $) -"/REPLACIINNT FOR NO. Not registered MUNICIPAL (8) IRRIGATION (6) z A PERMIT TO INSTALL A PUMP an/OTHER Household said *ard: OTHER WELL LOCATION APPLICANT pave simmpsan COUNTY Weld - Street Address Rt. 1 Box 138 AV[.' 11 of the SE 4 of Section 4 .T City & State Ault. Co1b. 8065,0 _3___ worth , R. 6k_ West , 6 P.M. IN ADDITION TO THE ABOVE, THE WELL MUST BE Telephone No. 8344212 LOCATED WITH REFERENCE TO GOVERNMENT SURVEY NAME OF AQUIFER GROUND WATER IS TO BE OBTAINED CORNERS, MONUMENTS OR SECTION LINES BY DISTANCE AND BEARING (DOMESTIC WELLS MAY BE LOCATED BY FROM: Aluyial LOT, BLOCK, & SUBDIVISION.) PROPOSED TOTAL DEPTH OF WELL 3Q Ft. 30 ft. from South section line (North or South) ESTIMATE") MAXIMUM PUMPING RATE 15 GPM 28217 ft. from Hest section lin( (East or West) AVERAGE ANNUAL AMOUNT OF GROUND WATER TO BE LOT BLOCK FILING # APPROPRIATED X Acre-feet SUBDIVISION ANTICIPATED GROUT PROGRAM Ground Water Basin Material c rent Water Mgmnt. Dist. Intervals 0 ..- 15 Anticipated drilling date Aug. 19 72 Placement Method Owner of land on which well is located: PROPOSED CASING: fiA►A Plain g, in. from t, ft. to 20 ft. Other water rights on this land in. from ft. to ft. Perf. k in. from 20, ft. to 30 ft. Nro"at in. from ft. to ft. r /7 /� f Leah Drilling Co. N°' ,(//,rye-'.!{// Driller —2'L Signature of J licant Address *rat cam. IF WELL Ig USED FOR IRRIGATION, BACK SIDE OF THIS APPLICATION MUST BE COMPLETED. FOR OFFICE USE ONLY 374/3 3 r..p CONDITIONS OF APPROVAL APPLICATION APPROC/ED: VALID FOR M (1) YEARS This we'I shall be us2•ti in :uc', a v:a,as to not cause AFTER DATE ISSUED UNLESS EXTENDED FOR GOOD rnot riat inyury to ex s'r;z watt.r.iah . The issuance CAUSE SHOWN TO THE ISSUING AGENCY. of this Kull decs r t assur;tli e c7ii cant that no 7[T 6441.9 • other r PERMIT NO. injury will oLc4r to 2t:•.::u,. 1:-iru v.Zt,.i right or preculda another 0V:i.;ci a ;Ie' J water right from SEP 1 8 1972 seeking relief in a civil court action. DATE ISSUED --,' ND Approved as a replacement of an existing wall. ' e STAT �+'� INEER , BY -e �/ Colorado's WellView Web - VieDetails: Receipt 9065028 Page 1 of 2 • • Well Constructed Help Last Refresh:5/27/201012:02:20 AM Receipt: 9065028 Division: 1 Permit#: 64419-- Water District: 1 Well Name/#: County: WELD Designated Basin: Management District: Case Number: WDID: [-] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip Unknown-Present SIMPSON DAVE RT 1 BOX 138 AULT,CO 80610 [-] Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines SW SE 4 7.0N 65.0W Sixth 50 5 2625 E Northing(UTM y): 4494002.0 Easting(UTM x): 528116.6 Location Accuracy: Spotted from section lines Physical Address Subdivision Name City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: [-] Permit Details Date Issued: 09/18/1972 Date Expires: Use(s): DOMESTIC Aqu rALL UNNAMED AQUIFERS Special Use: (s): Area which may be irrigated: 1 acres Maximum annual volume of appropriation: Statute: Permit Requirements: Totalizing Flow Meter Geophysical Log Abandonment Report No No No Cross Reference Permit Number Receipt Description Permit(s): Comments: [-] Construction/Usage Details Well Construction Date:09/27/1972 Pump Installation Date: Well Plugged: 1st Beneficial Use:09/27/1972 Elevation Depth Perforated Casing(Top) Perforated Casing(Bottom) Static Water Level Pump Rate 30 20 30 75 15 Lic# Name Address Phone Number Driller 21 IESH JR.,ED BOX 56-113 S HVJ'85 AULT,CO 80610-0056 970-839-2868 [-] Application/Permit History Well Construction Report Received 12/07/1972 First Beneficial Use 09/27/1972 Well Constructed 09/27/1972 Permit Issued 09/18/1972 Application Received 07/26/1972 [-] Imaged Documents http://www.dwr.state.co.us/WellViewWeb/View.aspx?receipt=9065028 5/27/2010 • - LESH DRILLING CO . ft PH.834 - 2868 `�� 113 SO.H W Y.85 SEP 12 72 t r • • AULT, COLORADO WAI-R RESOURCES L;' STATE ENGINEERC0M .ON P�GpVp TO WHOM IT MAY CONCERN: This is to certify that Dave Simpson, owner, purchased this property in the fall of 1919, and the well for which replacement is desired, was in existence at that time, r I iffThis is to certify that Edwin Lash, Jr„ Dash Drill Company knows of the existence of said well since S'PL'° L y 'f' a , I Lounty8f wiarado The forego-tng was signed and Rig9rn to before me a Notary::Public & said County this day of August, y Davit Simpson and E=dwin D, Lesh,Jr, 012—J Notary blic My Commission expires lacy 16, 194 DOMESTIC, IRRIGATION AND SOFT WATER WELLS PLUMBING-TRENCHING- RACK HOE TURBINE PUMPS AND WATER SYSTERI I THE LOCATION OF THE PROPOSED WELL MUST BE SHOWR AxilltE AREA TO B . IRRIGATED MUST BE SHADED OR CROSS-HATCHED ON THE DIAGRAM BELOW This diagram represents nine (9) sections. Use the CENTER SQUARE (one section) to indicate the location of the well, if possible. e--1 Mile IP --. , 1 1 I I • + - + - + - + - + - I F I I I ' I - + — + T + — + — -4- NORTH SECTION LINE I 1 I I w w - + - + I- n + - + - N z z `!� I I o o I I d w w 2 m m ei I I SOU'I+H SECTION LINE + - I • + + T + - + + - + - I I I I I I - + - + - + - + + 1 I I I I l THE SCALE OF THE DIAGRAM IS TWO INCHES EQUALS ONE-MILE This well when replaced will furnish sister for domestic household use for Owner of my seasons' help. The only outside use of water Iit leyeotoscmetarden AV-i?rigeted land I have other domestic and irritation wells an ig OGOmxireattidm Legal description of irrigated land : WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep. 1 cubic foot per second (cfs) . ... 449 gallons per minute 1 acre-foot .... 43,560 cubic feet .... 325,900 gallons. 1,000 gpm pumped continuously for one day produces 4.42 acre-feet. 100 gpm pumped continuously for one year produces 160 acre-feet. • ';e PUMP INSTALLATION HEPOR. a`, ^F, .a. Unknown �' Pump Make _ ,,.� \� Type Powered by — HP 'r' • Pump Serial No.- y 3 J` WATER Motor Serial No. W �W TABLE W F J Date Installed _ J is ¢ a Pump Intake Depth _ _ __ _ _ _ _ _ __ ,X _ __ _ Remarks _ • es t9 a z n i * s :; i x sy a I WELL TEST DATA WITH PERMANENT PUMP a. 4 V II- a Date Tested tinknotap ≤ z a' CONE OF DEPRESSION Static Water Level Prior to Test F o , . Length of Test Hours Sustained yield (Metered) GPM `. ..t Pumping Water Level I' Remarks V c;et' _ t CONTRACTORS STATEMENT The undersigned,being duly sworn upon oath,deposes and says that he is the contractor of the well or pump installation described hereon; that he has read the tement m r ; knows the content thereof, and that the: ': true of his ow Signature Toeh • CQ b License No. 21 State of Colorado, County of _t_ SS SS Subscribed and sworn to before methis t2I day of . c iii , 7971 My Commission ekCpires: L,!etc ey /6 , 7976 Notary Public ( J.c -czf'''' R a-- FORM TO BE MADE OUT IN QUADRUPLICATE: WHITE FORM must be an original copy on both sides and signed. WHITE AND GREEN copies must be filed with the State Engineer.PINK COPY is for the Owner and YELLOW COPY is for the Driller. Hello