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Home My WebLink About20070342.tiff RESOLUTION RE: APPROVE NONEXCLUSIVE LICENSE AGREEMENT FOR THE UPGRADE AND MAINTENANCE OF WELD COUNTY ROAD 35.5 AND AUTHORIZE CHAIR TO SIGN - UNITED STATES EXPLORATION, INC. WHEREAS,the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS,the Board has been presented with a Nonexclusive License Agreement for the Upgrade and Maintenance of Weld County Road 35.5 Right-of-Way between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County,on behalf of the Department of Public Works, and United States Exploration, Inc., 804 Grand Avenue, Platteville, Colorado 80651, with terms and conditions being as stated in said agreement, and WHEREAS,after review,the Board deems it advisable to approve said agreement, a copy of which is attached hereto and incorporated herein by reference. NOW,THEREFORE,BE IT RESOLVED by the Board of County Commissioners of Weld County,Colorado,that the Nonexclusive License Agreement for the Upgrade and Maintenance of Weld County Road 35.5 Right-of-Way between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County,on behalf of the Department of Public Works, and United States Exploration, Inc., be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said agreement. The above and foregoing Resolution was,on motion duly made and seconded,adopted by the following vote on the 7th day of February, A.D., 2007. BOARD OF COUNTY COMMISSIONERS WEL UNTY, COLTIADO ATTEST: P,/; , Fck ,� ,:j h`�-,, avid E. Long, Chair Weld County Clerk to the �r -r• ' . t ; 1\ , { ` 7Ilia H. lePro-Tem Deputy Cleric to the Boar. illi F. Garcia ASS • a k d)---- Robert D. Masde� ounty orney -2J a/2(47/o.7 as adema heF� Date of signature: 2007-0342 EG0056 co . o2J PL,.�}re, 03 15 7 MEMORANDUM "lige TO: Clerk to the Board DATE: 2/2/2007 FROM: Donald Carroll, Public Works COLORADO SUBJECT: Agenda Item Please submit this enclosed item for the Board's next agenda: Nonexclusive License Agreement for the Upgrade and Maintenance of Weld County Right-of-Way with United States Exploration Inc. The appropriate documentation is attached. Enclosures pc: Planning staff M:\Francie\AgendaDonald nonex.doc 79 1 M: \Francie\AgendaDonald nonex. doc 2007-0342 Zi NONEXCLUSIVE LICENSE AGREEMENT FOR THE UPGRADE AND MAINTENANCE OF WELD COUNTY RIGHT-OF-WAY THIS NONEXCLUSIVE LICENSE AGREEMENT, made and entered into this l slay of na e rrs',2Q , 2006, by and between WELD COUNTY, COLORADO, by and through the Board of County Commissioners of Weld County, Colorado, whose address is 915 Tenth Street, Greeley, Colorado 80631, as First Party, and t>,,\,iFD STAYr`t LxPLutAT,or4 nIC , as Second Party whose address is 904 (iszaa0 AJ'cnloc P, n rrc,I,u F C o �cx s i • WITNESSETH: WHEREAS, Second Party desires to more effectively access property located at the fA P Pol r4 r so‘yr u s t 0 of Section 13 ,Township 1 North,Range(o to West of the 6th P.M. in Weld County, Colorado,and WHEREAS,First Party is the owner of the right-of-way known as WCR— for a distance of MILC WCR — and located as follows: lit 'vs,LE VJesr of wce37 AND W r J R rnF of W LQ B between Sections 13 v0 '1 z and r3 e township 1 North,Rangewp West,in Weld County,Colorado,which is hereinafter referred to as "ROW," and WHEREAS, ROW is currently not being maintained by First Party, and WHEREAS,Second Party wishes to upgrade and thereafter maintain ROW at his/her/its sole expense in order to provide said more effective access. NOW,THEREFORE, in consideration of the covenants contained herein and the agreements of said Second party to be performed hereunder, and upon the conditions herein stated, First Party does grant to Second Party, its successors and assigns,a nonexclusive license to upgrade and maintain ROW without gating or fencing across the same. The conditions by which Second Party may upgrade and maintain ROW are as follows: 1. First Party retains the right to revoke this Nonexclusive License Agreement at any time for any reason, but such revocation shall not prohibit Second Party's continued use of the ROW for access to Second Party's property,to the extent that such continued use is consistent with the right of the public to use the ROW. First Party shall give Second Party written notice of its intent to revoke this Nonexclusive License Agreement at least ninety(90)days prior to the intended date of revocation. Such notice shall be sent to Second Party by Certified Mail to its address written above or served upon Second Party in accordance with the Colorado Rules of Civil Procedure. Second Party shall have the duty of informing First Party of Second Party's change in address from his address written above. 2. The upgrade and maintenance of ROW by Second Party shall be done in such manner as reasonably prescribed by First Party, which manner shall include, but not be limited to, the following: a. ROW shall be constructed and maintained as a graded and drained all-weather road. 1 111111 11111 11111 111111 IIII 1111111 VIII III VIII IIII IIII 3459261 03/01/2007 03:55P Weld County, Co 1 of 5 R 0.00 D 0.00 Steve Moreno Clerk& Recorder � �,›, / 2(C/ b. If the installation of a cross culvert is required through an existing drainage pattern or ditch, Second Party shall be responsible to supply and install such culvert, which shall be inspected by First Party to ensure adequacy of capacity, strength, and length. Second Party shall be responsible to maintain the culvert after its installation, including periodically cleaning the same. c. If the installation of a cattle guard is required,Second Party shall be responsible to supply and install such cattle guard, which shall meet County standards. Second Party shall be responsible to maintain the cattle guard after its installation,including periodically cleaning the same. d. This Nonexclusive License Agreement does not grant the right to gate or fence ROW for private use,but is intended to provide access to private property. e. Prior to commending work within the ROW, Second Party shall, through the services of a licensed registered surveyor hired and paid for by Second Party, mark the location of the exterior boundaries of the ROW. 3. The upgrade and maintenance of the ROW by Second Party, including those items set forth in Paragraph 1.,above, or any other requirements stated by First Party, shall be at its own expense and without the aid or use of Weld County funds. Second Party shall be responsible for snow removal from ROW, if required to gain access, as part of the maintenance responsibilities referred to herein. 4. Except for the negligence of First Party, Second Party shall indemnify and save harmless First Party, its successors, assigns, employees, and agents from any damage or loss sustained by them or any of them to the extent caused by Second Party's negligence with respect to the upgrade and maintenance of the ROW. 5. Except for the negligence of First Party,Second Party agrees to protect First Party and save and hold it harmless from any and all third party claims and damages that said upgrade and maintenance may directly or indirectly cause to the extent attributable to the negligence of Second Party. Second Party hereby releases First Party,its successors,assigns,employees,and agents from any and all claims and damages of whatsoever character to property owned by Second Party resulting from any act,either on the part of the First Party or on the part of any third party. 6. Second Party shall not assign any or all of its rights under this Nonexclusive License Agreement without first obtaining written consent to such assignment from First Party,which consent shall not be unreasonably withheld. 7. The parties hereby agree that neither has made or authorized any agreement with respect to the subject matter of this instrument other than expressly set forth herein,and no oral representation,promise,or consideration different from the terms herein contained shall be binding on either party hereto,or its agents or employees. This Nonexclusive License Agreement embodies all agreements between the parties hereto and there are no promises, terms, conditions, or obligations referring to the subject matter whereof other than as contained herein. 8. If any term or provision of this Nonexclusive License Agreement, or the application thereof to any person or circumstances shall, to any extent,be held invalid or unenforceable, the remainder of this 2 1 11111 VIII 11111 111111 Ell HIM VIII III VIII IIII IIII 3459261 03/01/2007 03:55P Weld County, CO 2 of 5 R 0.00 D 0.00 Steve Moreno Clerk& Recorder Nonexclusive License Agreement, or the application of such terms or provisions, to a person or circumstances other than those as to which it is held invalid or unenforceable, shall not be affected, and every other term and provision of this Nonexclusive License Agreement shall be deemed valid and enforceable to the extent permitted by law. 9. No portion of this Nonexclusive License Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess, nor shall any portion of this Nonexclusive License Agreement be deemed to have created a duty of care which did not previously exist with respect to any person not a party to this Nonexclusive License Agreement. 10. It is expressly understood and agreed that the enforcement of the terms and conditions of this Nonexclusive License Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Nonexclusive License Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Nonexclusive License Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Nonexclusive License Agreement shall be an incidental beneficiary only. 11. There shall be a $150 fee for the fabrication and installation of blue and white cross roads signs identifying the section line road intersection for the use of addressing and emergency response. The blue and white signs identify a non-maintained County right-of-way. Distance and location from the nearest maintained County road may require additional information signs. If existing signs are in place, the fee maybe waived. It is mutually understood and agreed that this Nonexclusive License Agreement and all the terms and conditions hereof shall extend to and be binding upon the parties hereto, their successors, and assigns. 3 111111111111 IIII' 111111 IIII IIIIIII IIIII III 11111 IIII IIII 3459261 03/01/2007 03:55P Weld County, CO 3 of 5 R 0.00 D 0.00 Steve Moreno Clerk& Recorder EXECUTED IN DUPLICATE the day and year first above written. FIRST PARTY: WELD COUNTY, COLORADO, by and through the BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO r ATTEST: Lie/ j its; Clerk to the Board By. y? i .,ql, By. or 6 Deputy Clerk i '�:" hair P tY ✓ David E. Long, FEB 7 2007 SECOND PARTY: NAME NAME By: £tc�(,c/ 440447 By: SUBSCRIBED AND SWORN to before me this' day of /vG✓4 Mam h - , 2006, By L, v„/1?t p1. CoatiJ7,_ la , WITNESS my hand and official seal/ earthv ._ IKATHRYN PORTUS Notary Public NOTARY. PUBLIC °S !° ` JLORADO MY COMMISSION EXPIRES 22009 M:\WPFILESWGREEMNTVJon-exclusive\AGREEMENT FORM.doe 4 1 111111111111111111111111111111111 III VIII IIII I'll 3459261 03/01/2007 03:55P Weld County, CO 4 of 5 R 0.00 D 0.00 Steve Moreno Clerk& Recorder 1. ' a N ,+�'� r<g � • t. .r K N O sii O W ] T ..t.. y .sex 00_ a { � F c. d ice w I co h `- 3 1 a7 .f 0;;;;;4:‘,' m c_ �1 - M . ;. I �� a. n Y:! *v 9 ....1 r Al.„,' �p h � t dT48 F� t J s .:. f ;;' i, i,H� ' + xtt��k" J 5.> te Y st "— wS hYr '.Gt.xr. `'-` , ` " ] Y . t * #.r "�� .r � � m4{e3. r a r !! • -- S I' . k i. ` IIi�'•n /- r yS. v > .. RR.. 'fir# '1 :. N' v -c):. it> li, z raP F, *s'r e . �,�" �,�J� ..f•a eve 4 Z ci vDoa tt«eNe4 .: /l it---- ?- APq,891974 _ , • `N 713 ��•eaee No 1635396 �1.s,in watt,A f • a • A. E. PILKINGT0N AND BEATRICE D. PILKINGTON / s. I when"boo h 25 Cherry Street h De nver,nv oarb,o Colorado 80220 sa4� ,r • ,tr*s;;: • a Denver , d BtsN of i s yt . ,for the eoasidention otother valuable .' tI ''` ' • .0 consideration nt,k)k • in n DoUsn,is head poi:, :" 2 hereby sells) and quit otatm(s) to Weld County . ,,,,, :: whoa addresis Greeley, Colorado ' n ' c, Casty of Weld ,and Sna of Colorado :„. ,tie following rest • 1P,, property,is the Comty of Weld ,sad 64to of Colorado, wit, - ; cr fit , .4„, co 1 4 f A strip of land forty (40) feet in width for road and utility purposes described as follows: k g r . • Beginning at the S 1/4 corner of Section 13, Township 1 North, tt Range 66 West; thence East 40 feet; thence North 00. 32' 45• _ East to a point 220 feet South and 40 feet,East of the center of said Section 13; thence West 40 feet to North-South center line of said Section 13; thence South along *aid North-South center line to the S 1/4 corner of said RA 13 .; k with all in gpetesasr ,9'... • Binatido 29th dgst April .1174 . s.. ' • A. E.�tngton ;- r r ' • Beatrice, D. Pilkington • BTATN OW COLORADO, Casty of weld T tenets botanist as soksnt.dpd bet®we this 29th day a April Z 9 ,1I 74 .by A. E. Pilkington and • Beatrice 1). Pilkington • My eipina a .rr /977 r .;--F - r , rer « .... r..,r r�'�� j rr r.r..re..« • w. • - ° listsa eon cuss ssssaw '`"It r .`T .&..,. . ,:, -.... •r er.. ,1 .,\,„,�s,,,.h�'as: Noble Energy Pagel of 1 'Production. Inc. 1625 Broadway,Suite 2000 Denver, CO 80202 VENDOR NAME VENDOR NO. CHECK DATE CHECK NUMBER AMOUNT WELD COUNTY PUBLIC WORKS DEPT. 387592 Jan-18-2007 239910 5100.00 VOUCHER VENDOR INV # INV DATE TOTAL PRIOR PMTS NET AMOUNT & DISCOUNTS AMOUNT 11-AP-72000 11506WE 11/15/06 100.00 0 .00 100.00 PAYMENT FOR APPLICATION FEE FOR ROAD USE ON THE BRANDT USX WW 13-10 TOTAL INVOICES PAID 100. 00 II• NIT •CCE'T THIS CHECK with•ut C•nfirmin• .r-s-nc- •f Artifici.l W.t-rm.rk •n •.ck. • - s-curit f-.tur-s .r lisle• .n • ck. v `A' ' Want' \ela. ahk N.A. a`,. c`` 671 ;1 Noble F ergy ,p a;,) h� Grt twill bbthCarolina CJ ;?,` 532 7'`N° 39910 Prod'uctiun.Inc. 'Kr `:R In Coo{stahon 8.Payable if Desiredt .i\'‘) . ' �`y 1625 BroapviBy,Suite 2000 4, n"'W f56 fi rgo Bank,N.A. �✓ C` over CO'eo202 "� `�` *VOIDAF� R1 DAY3" Ak S. f',.+`' 4759-614530 ---V• -"h„,\''' Q ,� TJU, �,.+. Wit' . . HECK NUMBER ,(DOTE v. PAYE%ACTLV EXACT; OdO1SOQ6 j$ `w "°s � 239910 tin-4'3007 $7\20,049 ,,,.....--:. 1 NOtle Energy Productlpn In&ey- TH WELD COUNTY PUBLIC WORKS DEPTE . ,; 4 /°r" �� )�° -' ORDER PO BOX 758 7 �. OF GREELY, CO 80632 ' �� ` ,* 1. O CT) 3y� C� MP 02399LOil° ':0532000L9': 20 799 7 10 5 70BSll■ Identify Results Page 1 of 1 WELD COUNTY ASSESSOR PROPERTY PROFILE Account#: R6224986 Parcel*: 147113000009 Tax Area: 2214 Bordering County: Acres: 2.23 Township Range Section Quart.Sec. Subdivison Name Block# Lot# 01 - 66- 13 -0 - - Owners Name&Address: Property Address: WELD COUNTY Street: WELD COUNTY COURTHOUSE City: GREELEY, CO 80631 Business/Complex: Sales Summary Sale Date Sale Price Deed Type Reception # $0 Legal Description 15874-B PT SE4 13 1 66 BEG S4 COR SEC E40' N0D32'E TO PT 220'S&40'E OF CEN SEC W40'TO N-S C/L SEC TH S TO 54 COR SEC Land Valuation Summary Land a Abst Code Unit of Number of Assessed ryp Measure Units Actual Value Value Exempt 9139 Acres 2.23 Land Subtotal: 2.23 $26,760 $7,760 No Buildings on Parcel ( �4 http://maps2.merrick.com/Website/We1d/setSgl.asp?cmd=QUERY&DET=PP&pin=1471... 11/17/2006 ' Identify Results Page 1 of 1 WELD COUNTY ASSESSOR PROPERTY PROFILE Account#: R4227606 Parcel#: 147113200012 Tax Area: 2218 Bordering County: Acres: 308 Township Range Section Quart.Sec. Subdivison Name Block* Lot# 01 -66- 13 - 2 - - Owners Name&Address: Property Address: SW LOCHBUIE LLC(50% INT)& t,-)COP P4 -'L L-LC f>G% Street: 333 W HAMPDEN AVE City: ENGLEWOOD,CO 80110 Business/Complex: Sales Summary Sale Date Sale Price Deed Type Reception# 1/18/2006 $1,584,000 WD 3357107 Legal Description PT W2 13-1-66 BEG SW COR SEC N89D57'E 2648.64' N0D32'E 5235.86' N89D58'W 669.35' NOD01'E 20' N89D58'W 1977.74' SOD33'W 5259.06'TO BEG(12D) Land Valuation Summary Land Type Abst Code Unit Number of Actual Value Assessed Measure Units Value Agricultural 4107 Acres 20 Agricultural 4147 Acres 216.682 Agricultural 4147 Acres 7.42 Agricultural 4147 Acres 60.25 Agricultural 4167 Acres 3.648 Land Subtotal: 308 $9,916 $2,880 No Buildings on Parcel http://maps2.merrick.com/Website/Weld/setSgl.asp?cmd=QUERY&DET=PP&pin=14711... 11/8/2006 -t� SE_4 1.' 1 ::i.: ':- 5330 fat EXC.' G NW COR 8E4 E1000 ' T C ..,. 'W �'�3 W1f.3i71:3 ' J > nom. l� t',I a1G.a14,630 I c.D 2 f"3 ' TO BEG (5A MIL) •OTAL VALUE 2..• 00 ': PROFILE F'F5; L_EGAL5 PF 7:NE X 1- PARCEL PF1 1 ;MENU F4: OWNERS PF6E DEtT:: I-'7_- T PF1O: FLOC F='F1�2 , MESSAGE: . REAL 4f:r O-001 32:, PARC TF': R PARCEL INQUIRY ASSMT YR 1992 ATIINo2'99r:PIN: 6224986 PARC; 14711.3 00c_)(,9 T 2 ,•7 WELD COUNTY LAST UPDATE: !3 r _S`, 199198- ACTIVE ON: 09/16/1996 INACTIVE ON: / / WELD COUNTY COURTHOUSE.. MAP GREELEY CO 80631 TAX AREA 03{_35 . 077215 1990 DATE LAST ASSESS 04/16/1991 LAST ASSESS LAND 7230 LAST ASSESS DLDGS 0 TOTAL AL LAST ASSESS 3270 _ f i PRIOR YEAR ASSESS 3270 TOT LAND REC DT 04/29/74 DEED TP MDC.i� '•: �'} NUMBER 7130 01635396 WOL 1)01: FEE 0. 00 1.5974--B PT 6E4 13 1 66 BEG 84 COR OF SEC E40 ' TOT BLDG[ 0 0 NOD.32 'E TO A PT 220 'S & 40 'E. OF CEN OF SEC TOTAL PF. PROFILEENU F'FS:L ECALS PF7e NEXT PARCEL F'i�'4 a OWNERS HIST 7. 1 : MEiti,U EAL F'F6: DOC H I ST F'F: ). PLOC) P'F 12: REAL MESSAGE: 41's i—00 O_O0 PARC TP: �_. NO2 PARCEL INQUIRY ASSMT YR: 1992 ATIINc?'2:198 PIN: 0215287 PARC: 147114000000 LAST�FtT UPDATE: l3,j/1f;/19a "1.98 MATHEWS ROY C ACTIVE ON: 05/18/1997 INACTIVE ON: / �, MAF'#: 2462 96 LOOKOUT MTN RD GOLDEN CO 80401 . TAX AREA 0319 . 075350 1990 DATE LAST ASSESS 04/16/1991 x LAST ASSESS LAND 920 LAST ASSESS BLDG 0 ; TOTAL LAST ASSESS �•�- 1640 r 2r_' 4147 180. 74 920 1640 PRIOR YEAR ASSESS 920 TOT LAND REC DT 01/19/1981 DEED TP OCD 920 NUMBER 9240 01846053 WOL N DOC FEE 0. 00 N30 ' OF F- W1322. 99 ' r �: 14 ,., ,..., & • TOT BLDGS I_�G S (;3 1640 OF :. 68 (2, f_;" R) TOTAL. VALUE 92 0 f"r. PROFILE L.E _' e; : MENL F'F-,5 L._OALS PF7: NEXT PARCEL PF=4 OWNEF`S P 6 DOCl H f`_31 F'F 1 1 : MENU: REA[_ Mi"t�:;S�`iCE a PF 1 f:� PLC1L' F'F 12: REAL 18 0-0C 0-00: I United States Exploration, Inc. 804 Grand Avenue Platteville, CO 80651 November 8, 2006 RE: notification of proposed road on existing Weld County Right of Way Leonard A. Brandt and Ann R. Brandt 17747 WCR 8 Brighton, CO 80601 Leonard and Ann, This letter is to notify all property owners adjacent to the Weld County Right of way located in the South half of Section 13 Township 1 North, Range 66 West. The subject Right of Way lies on the West 40 feet of the Southeast '/ and basically runs North from Weld County Road 8 approximately .4 miles. It is our intent to install a road for access to a new tank battery to be installed in the Northwest corner of the Southeast % of Section 13 . The Road would be located within the 40 foot Right of Way currently owned by Weld County Parcel # 147113000009. The reason for this for this notification is that Weld County Public Works requires that we notify all adjacent surface owners. Please acknowledge that you have been notified of the proposed road and plans for it use by signing and returning this letter. I have included a self-addressed, stamped envelope for your convenience. Your signature on the certified mail receipt will also acknowledge notification. If you have any questions that I might be able to answer for you please feel free to call me at 303 916-2121. Graham C. Biles, Jr. Land Department ACKNOWLEDGEMENT: e di le co, 0-Y14A ?n //-9-Do Print name Date United States Exploration, Inc. 804 Grand Avenue Platteville, CO 80651 November 8, 2006 RE: notification of proposed road on existing Weld County Right of Way SW Lochbuie LLC and Wood Park LLC 333 W. Hampden Ave. Englewood, CO 80110 Gentlemen, This letter is to notify all property owners adjacent to the Weld County Right of way located in the South half of Section 13 Township 1 North, Range 66 West. The subject Right of Way lies on the West 40 feet of the Southeast '/, and basically runs North from Weld County Road 8 approximately .4 miles. It is our intent to install a road for access to a new tank battery to be installed in the Northwest corner of the Southeast '% of Section 13 . The Road would be located within the 40 foot Right of Way currently owned by Weld County Parcel # 147113000009. The reason for this for this notification is that Weld County Public Works requires that we notify all adjacent surface owners. Please acknowledge that you have been notified of the proposed road and plans for it use by signing and returning this letter. I have included a self-addressed, stamped envelope for your convenience. Your signature on the certified mail receipt will also acknowledge notification. If you have any questions that I might be able to answer for you please feel free to call me at 303 916-2121. Graham C. Biles, Jr. Land Department SENeE•: C.M LETE THIS SECTUN C.M'LETE THIS SECTI•N eN •ELIVE•y • Complete items 1,2,and 3.Also compfete A. SI, :,re ACKNOWLEDGEMENT: item 4If Restricted Deliveryisdesired. X ElAgent • Print your name and address on theleverse O Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date• 0=' ery • Attach this card to the back of the mailpiece, rl c or on the front if space permits. ' G D. Is delivery address different from item 1? Y,< 1. Article Addressed to: If YES,enter delivery address below: O No Sw u' - %MtC LLC Ate v4oc) Print name PP.t2JL LUC 5-33 \4 NAMPOtt i #!Vt 3. Service Type *Certified Mali O Express Mall EAtt.6',.30001 011 ¶O l l L ❑Registered O Return Receipt for Merchandise O insured Mail O C.O.D. 4. Restricted Delivery?(Extra Fee) O Yes 2. Articl(bane Number (ilans(er horn service label) 7006 0100 0006 5511 2228 PS Form 3811,February 2004 Domestic Return Receipt 102555-02-M-1540 WELD COUNTY ROAD ACCESS INFORMATION SHEET Weld County Public Works Department Date: tJ t.S, zoc) 1111 H Street, P.O. Box 758, Greeley, Colorado 80632 Phone: (970 )356-4000, Ext. 3750 Fax: (970) 304-6497 1. Applicant Name V N,Tc.Cj 5-sA-N Pk.ov_Rry,ni i n1C Phone Address S;O4 C,►2,ANO fWE P City pyft h State co Zip got,, 2. Address or location of access '1z M,Lc nF WSJ-?c1 on") iVJ CA , Section Township t IJocertA Range told ")1. Subdivision Block Lot Weld County Road # Side of Road t od r& Distance from nearest intersection 'It rv►► 3. Is there an existing access to the property? Yes No )( #of accesses 4. Proposed Use: 1i Permanent ❑ Residential/Agricultural O Industrial ❑ Temporary O Subdivision O Commercial Other ACt2SS TO Go e 5. Site Sketch Legend for Access Description: L.. AG = Agricultural = Residential _. O&G = Oil&Gas ------ D.R. = Ditch Road O = House D = Shed CE-.) =Proposed Access p = Existing Access A f O by vJt_�� **.*.*****.A......****,..*******.******************.***********.*********....**********.**.*********.**,....*************** OFFICE USE ONLY: Road_ ADT Date Accidents Date Road ADT Date Accidents Date Drainage Requirement Culvert Size Length Special Conditions O Installation authorized ❑ Information Insufficient Reviewed By: Title: 6 INVOICE PUBLIC WORKS DEVELOPMENT REVIEW FEES WELD COUNTY PUBLIC WORKS DEPARTMENT P.O.BOX 758 GREELEY,CO 80632 Date No,/ 1St OCQ 970-356-4000,EXT.3750 APPLICANT Applicant/Owner EmailAddress U t..) rT Ei� 53 fl- E X 9Loitcv t r u4( A b%sli �)t.1 Of Ii fR►E F t i. tocibLe E i►pS L.Cot Street Address card (1.2.Ai.c- AJE City State Zip Phone Number Fax Number Pt.A-,rE MLLE Coucaafl0 `,ols 1 rill? C)Q IS c� Case# Subdivision/Case Name North County Road East County Road tAl 37 Wee-- t►z Mt 6E elk57 Lot Section Township Range #Proposed Lots A emC WE FEE SCHEDULE QTY DESCRIPTION UNIT PRICE TOTAL Development Construction Permit(Subdivisions) ❑ Dwelling units $150/lot LI Non-Dwelling Units $750/lot Offsite Road Agreement/Haul Route Agreement Review $500 Flood Hazard Development Permit $180 Storm Water Review $180 Geologic Hazard Permit $180 Non-exclusive License Agreement $100 (oo Fabrication and Installation of Cross Road Signs(Blue&white) $150 TOTAL DUE 100."o Reviewed by: Title: M:IPLANMNG-DEVELOPMENT REVIC WIINVOICE-PLANNING(28-Jul-2006).doc Hello