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HomeMy WebLinkAbout20071148.tiff RESOLUTION RE: GRANT PERMIT FOR TEMPORARYASSEMBLYTO FRANK'S RIDE FOR CHILDREN, CIO GREG RISEDORF - MAY 2q 2007 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,Frank's Ride for Children,Go Greg Risedorf,2544 Jarrett Drive,Mead,Colorado 80542, has presented the Board of County Commissioners with an application for a Permit for Temporary Assembly on land within the unincorporated portion of the County of Weld, State of Colorado, to be held from 6:00 a.m. until 10:00 p.m., on May 20, 2007, on property described as follows: Dandy Acres Painted Horse Farm, 1763 Weld County Road 20.5, Longmont,Colorado,80504;being further described as part of Section 18, Township 2 North, Range 68 West of the 6th P.M., Weld County, Colorado WHEREAS, said applicant has paid to the Weld County the sum of ONE-HUNDRED DOLLARS ($100.00) for said Weld County Permit for Temporary Assembly, and WHEREAS,having examined said application, the Board deems it appropriate to grant a Weld County Permit for Temporary Assembly to Frank's Ride for Children, c/o Greg Risedorf, and WHEREAS,said permit shall be issued subject to compliance with the terms and conditions as set forth in the application materials and upon the express condition and agreement that the temporary assemblage will be conducted in strict conformity to all laws of the State of Colorado,and WHEREAS,any violation to said terms and conditions shall be cause for revocation of said permit and forfeiture of bond. NOW,THEREFORE,BE IT RESOLVED by the Board of County Commissioners of Weld County,Colorado,that said Weld County Permit for Temporary Assembly on May 20,2007,be,and hereby is, granted to Frank's Ride for Children, c/o Greg Risedorf, to conduct a temporary assemblage at the hereinabove described location,in accordance with the terms and conditions set forth in the Permit and as set forth in the memorandum of Dan Joseph, Environmental Health Specialist, Weld County Department of Public Health and Environment, dated April 10, 2007. 2007-1148 LC0022 c sow /x,O,O1 Os/a h'7 PERMIT FOR TEMPORARY ASSEMBLY - FRANK'S RIDE FOR CHILDREN, CIO GREG RISEDORF PAGE 2 The above and foregoing Resolution was,on motion duly made and seconded,adopted by the following vote on the 23rd day of April, A.D., 2007. ` BOARD OF COUNTY COMMISSIONERS _�A ��►�� ). / WELOUNTY,,CC�OLORADO ATTEST: "IJ J . ` vid E. Long, Chair Weld County Clerk to the - Pin 704 ��G!i �, • l dliarp� I 7 -Tem BY: - .1'L1 1 0 !.,,.(�` .I �( J ' Dep ty Cle to the Board William F. Garcia APP D AS T EXCUSED Robert D. Masden aunty Attorney Douglas ademach Date of signature: shle 1 2007-1148 LC0022 WELD COUNTY PERMIT FOR TEMPORARY ASSEMBLY By action of the Board of County Commissioners of the County of Weld,State of Colorado, taken this 23rd day of April,2007, IT IS HEREBY GRANTED a permit fora temporary assemblage on land within the unincorporated portion of the County of Weld,State of Colorado,to be held from 6:00 a.m. until 10:00 p.m., on the 20th day of May, 2007, on property described as: Dandy Acres Painted Horse Farm,1763 Weld County Road 20.5, Longmont,Colorado 80504;being further described as part of Section 18, Township 2 North, Range 68 West of the 6th P.M., Weld County, Colorado This permit authorizes Frank's Ride for Children. c/o Greg Risedorf to hold such an assemblage so long as it is in accordance with Chapter 12 of the Weld County Code and all other applicable State and County statutes and regulations. This permit is subject to compliance with the terms and conditions as set forth in the application materials and to additional conditions set forth by the Board and attached hereto. PERMIT (APPROVED) this 23rd day of April, 2007. ��..� BOARD OF COUNTY COMMISSIONERS L UNTY, COLORADO ATTEST: gta i �f .r�. , .`'' a"' 4 tcc4 s;, ;� � E. Long, Chair Weld County Clerk to the BoPory -;� •• `� �G� 1 N i`' lia Icy ro-Tem BY: 'jute,I J(11 C � De y Clerk.to the Board, �/� William F. Garcia APP AS TO FO EXCUSED Robert D. Masden ounty Attorney Douglas Radematier NOTE: THIS PERMIT MAY BE REVOKED AND THE BOND FORFEITED FOR FAILING TO MEET THE CONDITIONS SET FORTH HEREIN. 2007-1148 LC0022 APPLICATION FOR TEMPORARY ASSEMBLY INSTRUCTIONS TO APPLICANT: Complete each section and mark"N/A"where not applicable. Additional sheets may be attached and maps, sketches or drawings may be substituted for the verbal description of plans for the assembly site. All required information must be furnished before the application will be processed. NAME: 6-re.tor‘A 1k _ Riseckorc AGE: 39 RESIDENCE a5 qg b r• fl* a.ck ( c o cct a-- MAILINGADDRESS: Sctvna (AR cioo✓e PYcorte - 41O -535 -ogo(, NAME: AGE: RESIDENCE: MAILING ADDRESS: NAME: AGE: RESIDENCE: MAILING ADDRESS: NAME: AGE: RESIDENCE: MAILING ADDRESS: (This must list all partners in a partnership, officers of an unincorporated association, society or group, or, if there are no officers, by all members of such association, society or group. IF A CORPORATION, ATTACH A CERTIFIED COPY OF THE ARTICLES OF INCORPORATION.) 1. Address and legal description of all property upon which the assembly is to be held: tile3 W,C, 1O% Lot.odno,r0- cc Osoil. . Q Pr\Vc.L.J-2 3 CLC Can an \oc. e.d v�5� occs,de n aC enevca✓n ent )C-.D , A. Name, residence and mailing address of the record owners of such property(Attach a notarized statement by the record owners of such property consenting to the assembly if application is not made by all of the record owners.) NAME: c )E' SS a- 'Thor. as RESIDENCE: h lc 3 W ,CQ Lo \/i Lorvyaz J-\Cp 80cpq MAILING ADDRESS: Boat ay; 03,aeO-t NAME: RESIDENCE: MAILING ADDRESS: 1 M:\CTB\CTBFORMS\Foasmbly.wpd 2007-1148 2. Nature or purposes of the assembly: Rra, 5 Riate ck.1k' oi 0.{t' pcoceed5 raised . at +-bais Qie- ct " hulaktftinisit aM 0 cye-A tiz- On i-trim" ran( 5 wishes o ilex e tw.% i*1& 1 rFe 011 r 2A t'e va ll SSCS • 3. Dates and hours during which the assembly is to be held: 1n&LAN a-00-1 (9 0O avrl uvt* ( IU ".OOfrn . U 4. Maximum number of persons to be allowed at assembly at any one time: 1 001 . hn moatirnkvn . Gin --(Ls-Fimatt o4 ape r ox 1 vrtakil rO p-FDew. 5. The maximum number of tickets to be sold, if any:k) Pa 4-4-i e i pccn+c, pa-5 a �1m�ati o1\ fee o�+ Eve wti i cis \ s 4-ht s& ckcni4-e.d -t-0'140.ke.0.W,sk", 6. Identify plans to limit number of persons to the maximum identified above: Nn+ ca PPlicalolt . IJo /rlaxi &twr1 . Please See &hove 7. Identify plans for supplying potable (drinking) water, including the source, number, and location of facilities, and type and means of disposing of waste deposited: .£nM\td_ wa+er is be\no No✓le1/4-4-kA- Q'v d wit( bt placed- I1 (•n✓t`F&iviers c4 i(2 ih nuvr\erolks l °c.o.: lo6S a,-ro u.v\d 'Ws e iQA* co r Pa r4i c I4.e.I p 8. Identify the plans for holding, collecting, and disposing of solid waste materials: `1'we +rask cA vls w; ii be_ placed- aro ma o cc, rol\ oc4 dwa&pskr iS beirk0) c..amat-Q_CIL -ce r a-il -}rash , 9. Identifythe plans for providing separate toilet facilities for males and females,including the source, number, and location, type and the means of disposing of wastes deposited: f�.er� wi It be, 3/4-t.,reP ou+t2o uses acceSIbie. males) 4-krQL Cn ce.v leS ) ct./A_cL crr-t, -car- haw-5 . are. b Q i f e J�4 2d cuvuk will be dvvmpcsl \ c4P\ec' a( Cr- ' , 2 M:\CTB\CTBFORMS\Foasmbly.wpd 10. Identify the plans to provide for medical facilities, including the location and construction of any structures, the names, addresses, and hours of availability of emergency medical technicians and nurses and provisions for emergency ambulance service: Lovvrevd- a tpnnCry) rtLt wit provide ° Mbn,(&n'P/ yn nL �J Sef vicl s . `1112 ctinivicaAiamt.et cc-wk 'tc kVntc 61-✓i5 W e tk 1oQ to ca+ed of -(-tne pr)pp-rb Coy- 4-lne olucco..�,on 11. Identify the plans,if any,to illuminate the location of the assembly,including the source and amount of power,and the location of lamps:^ a- 62.00 a mc c 2_nL%rc±o r (to��o fP Wit\ Proy1` �� � r" ewer (iv) ce csoa- -(o ru.vL #ieq\12-tc -4o i IIwrvwflo At s o . d p AA& b ct+k coo rr\ c-r20.s , 12. Identify the plans for parking vehicles, including size and location of lots,points of highway access and interior roads, including routes between highway access and parking lots: P e sec 4Arks_ O11-arksai- d4 rairn • as4t',_,s oc ,P r2 gal-2, tnp rSc -(ax r r re are to h wC3...J t 0-C re ss 4; parking \o� c � J wt. er po,r-k i v a racx c W i ( t 6P ciLLsa r 4 vv a -1cc 1c. n„nQt eyO,rc W l tl dj;rea Pcr4-i ct(-^'d 5 x 1'14-8 C�RSignaf L poL YU? r re_a-S . 13. Identify the plans for communications with hospital, police, and fire services,including the source,' I amount,and location of communication equipment: �a� Ww..Xi Lan ()Ai hapa,rkrnek-oA (1ft-rs en.rJ (� pAn9C ateswwv ' tJ iet..) ire Pro LP 0v t,s'i-ri d- oe oe cSornkQ L vat Lk call kie.r_ Pre 5c 44 - m& + , e,t/ercfr pre vn.'se S . 14. Identify the plans for camping facilities, if any: f\df a pp 3 M;CTB\CTBF0RMSWoasmbly.wpd 15. Iden 'fy the plans for fire protection: Ill fl vI L4flt Vi e c;re.Yr 4t(*\tDr\ Jt i s+ i e+ I 0 c0 €d_ P-1 W , C,R, . .. W.C A 2Yz viill proV'ick £4're, pro42C-iOY 16. Identify the plans for security,including the number of guards,their deployment,their names, addresses,credentials and hours of availability and description of peer group control,if any: The �F.V�'I-1 re.. " Fcn.,vdc.c a,v dJG S a F{' oc c,e nProl( IvAct-�eli lot yvtomiher5 Oil. us Sect r �i� osh- of 4ht W' Wi4-i2 A.I�n wf -1-0 10 M21x,x s 04: 0 X.pP_ r i-tYi Ce_ U)r)r k.I in) (WA i c €A1-6, . 17. Identify the plans for sound control and sound amplification, if any, including numb @r, location, and power of amplifiers and speakers: P ro x ,� �r \-e-lw\ '-/\ NCO arnl p ( C u p �5 v,) \\ 1 o coJccL et t\-4/LP S o.v"? & a S \A ch \ \12 't t& AiCve pass-\/ c rS , 18. If applicable, identify plans for meeting County health standards for food concessions and concessionaires who will be allowed to operate on the grounds, including the names and addresses of all concessionaires and their license permit numbers: r of Cceif) 'i Oxicike, . '—v i ct t> U 1\1t LQ - Off) C CCsscorvaire. 5 . J 19. Identify the plans, if any, for an electrical system: t V..zit w I l �_. kn Sok 011vtrc>A-ors ?roJi(h,v� 1,CC-F,, c 4 MACTBCTBFORMSWoasmbly.wpd 20. Identify the plans to ensure that trees, underbrush, large rocks, and other natural features shall be left intact and undisturbed, and natural vegetative cover retained, protected and maintained so as to facilitate drainage,prevent erosion,and preserve the scenic attribu s; and the plans to abate dust on the site: —nAR_ S 1--2. IS tkv\cls€ o rse k as-V u xic. -}-1/2A+ s 1 an ,r rc9. + a VA) (�� }rt C w wv\OL tn.J 'kV\ 1v Arne t , Ess-cvd c u vu h(A 4n ua \\ ( o-vi -�b44A,R. 21. Attach a statement by a bonding company licensed to do business in the State of Colorado indicating its intent to furnish a bond required in Section 12-1-30.6.13 of the Weld County Code to ensure performance by the applicant of each of the terms and conditions of the temporary assemblage permit. 22. Attach a statement by an insurance company licensed to do business in the State of Colorado stating its intent to provide liability insurance,as required by Section 12-1-30.6.14 of the Weld County Code, to protect against injury to persons or property occurring as a result of such an assembly. 23. Submit$100.00 fee for each eventwhere three-hundred fifty(350)or more people assemble or can reasonably by anticipated to assemble at any one(1)location, unless the location is properly zoned for such assembly, in which case one permit shall be required for the total number of events scheduled for that location for the reminder of the calendar year, not to exceed ten (10) events per year. As used herein, the term event means an assembly or anticipated assembly which is scheduled to last for three (3) consecutive days or less. BY THIS APPLICATION,APPLICANT(S)AGREES TO INDEMNIFY AND HOLD HARMLESS WELD COUNTY OR ANY OF ITS AGENTS, OFFICERS, SERVANTS, AND EMPLOYEES FROM ANY LIABILITY OR CAUSES OF ACTION WHICH MIGHT ARISE BY REASON OF GRANTING OF A TEMPORARY ASSEMBLAGE PERMIT, AND FROM ANY COSTS INCURRED IN DEFENDING AGAINST SUCH ACTIONS OR IN CLEANING UP ANY WASTE MATERIAL PRODUCED OR LEFT BY THE ASSEMBLY. 5 M:\CTB\CTBFORMS\Foasmbty.wpd The applicant, and each of them, swears, (affirms)that, to the best of his knowledge, the statements contained in the application are true and correct. App ' ant's signatur r 4 i!Ci o4 4 Applicant's Onnted name `7vir4/I-/ ,'+'1,9v'9Si%G. Applicant's position SUBSCRIBED AND SWORN to before me this ((Q day of 1172 A.- 20 S _. Witness my hand and official seal. 1 otary Pu lic My commission expires: g 09010 �p1.. W.• W• OTA1.:F`L`T I� gl •.•UBL\,. O� \\\`OF COIOPP My Commission Expires: •• • 6 M:1CTBICTBFORMS\Foasmbly.wpd :-BV for C[dranccbooths _.a Food Scrvin5 Arcq- 3 - StoppL -. .. ._ _ -1 . 8orn_..3To1IG�.../_o.ciI;4:cs. L . Cookcrs 7-Two ycva *cajCivr\ - � i . A rcn— . .fl.cc4y.Eyck ro,ncc IQ_ ..c r cc_ tacterIter - Prams Holes 11- Strr bJ.._50►\ i 3- Fence_ /y (-74.4t. ... /Os de-S r\c cA -rot rtedic.a1 Fo.c.l� in�Cm `moo S 1 v W • PvK ` \ p \ Vr . i--- I • I 1 3j a a I jl ` io r5 _.,i z 3 I o f R • E5 g ,41,;: ';'.1 I D ' (1 •F5 I -_ . e- ID i I £11F5 6 5-AI o C. �v Ld - I vI I..l Ka ________________Ab__LCA ow __L___ 4 I -763 ti,) 20 72_ LETTER OF CONSENT I Jesse Thomas, do hereby authorize the use of my property for the sole purpose of hosting the event known as Frank's Ride for Children. This event benefits Make-A-Wish foundation of Colorado and is scheduled for Sunday May 20th 2007. I do understand that there will be approximately 1,000 — 1,500 people attending, as well as, staff members from Frank's Ride and Make-A-Wish Foundation of Colorado. It is also my understanding that there will be a pig roast (served with all the trimmings), alcoholic/non alcoholic beverages, as well as, live entertainment on the event premises. My property is completely fenced with one main gate serving as the main entrance to the event premises. Respectfully, /ad— Jesse Thomas 1763 W.C.R 20 '/ N' WO `\\ Longmont, Colorado 80504 �� OT AR Olre-% tio i t � 9 • • / . / • • ls..*•..0 , 'A......'po_ « „ v '/a "I� From:Kelly Garrett At:Brown 8 Brown Insurance of Arizona,Inc. FaxID: To:Make A Wish Foundaton of Colorado Date:3202007 04:47 PM Page:2 of 3 ACORD- CERTIFICATE OF LIABILITY INSURANCE OPID K9 DATE(MMND WI MAKER-1 03/20/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown 6 Brown Insurance of AZ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 2800 N. Central Ave. , #1600 HOLDER.THISCERTIFICATEDOESNOTAMEND,EXTENDOR P.O. Box 2800 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phoenix AZ 85002-2800 Phone: 602-277-6672 • INSURERS AFFORDING COVERAGE INAICA INSURED INSURER A. IBlladelphta Indemnity Iv Co. INSURER B' Make A Wish Foundation of INSURER NsuRERc 7951 E. Maplewood Ave. #126 INSURER Greenwood Village CO 86111 j INSURER E COVERAGES THE POLICIES OF INSLR.ACE'LISTED BELOW rAVE BEEN ISSUED TO THE INSURED WANED ABOVE FOR THE POLICY PERIOD INDICA-ED NONaTHSTANDINC AIY REOUIREAENT TERM OR CONDITION OF AN,CONTRACT CR OTHER DOCUMENT WV,RESPECT TO WHICH THIS CERS.FICATE MAY BE ISSUES'OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERNS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAJE BEEN REDUCED BY PAID CLAIMS Drat(Nuu L IPOLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIARS LTR INSRD TYPE OF INSURANCE DATE(MMND/YYI DATE IMWDDMII GENERAL LIABLLITY I I EACH OCCURRENCE I$ 1000000 A X X I COIN EROAL GENERA LIABILITY PHPK188466 09/01/06 '. 09/01/07 aREnls 6iEaZ-tuerce'i 13 300000 I I I CUAIMs MPCE Ix I occor+ +ED EXIT L'rs one person; $ 15000 :X :Host Liquor Liab PRIMARY COVERAGE PERSONAL a ADV INJURY '3 1000000 'IBlkt Addl Insd PI-SE001 (08/04) ! I GENERAL AGGREJATE t 2000000 I GENT AGGREGATE LIMIT APPLES PER PRODUCTS-CONK/OP AGO 3 2000000 IPOLIC/7PjEEy- i.00 � I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT f 1000000 A X AN/AJTO I PNPK188466 09/01/06 09/01/07 (EaaccIOenl; I ALL OWNED ALTOS IBODILY INJUR, (Per person) SCHEDULED AUTOS X I HIRED AUTOS BODILY INJURY 1 i X NON-OWNED AUTOS (Per accident) PROPERT(DAMAGE 1 (Per acciaert) 1 GARAGEUABLLWY I AUTO ONLY-EA ACCIDENT I1 ANY AUTO OTHER THAI EA ACC 1$ I AUTO ONLY AGO :$ I E�XCESSRIMBRELLA LIABILITY j EACH OCCURRENCE i$ 10000000 A NIX I OCCUR I ]CLAIMS MADE PHUB069748 09/01/06i 09/01/07 AGGREGATE $ 10000000 I I $ r'DEDUCTIBLE $ XII RETENTION $10000 I 1 wLJIMIIS IVlli IEMPLOYERS' WORKERS COMPENSATION AND TORY OMITS I ER EMPLOYERS'TORIPALIABILITY I ANY PROPRIETOR NARTNER/EHECUTIVE EL.DISEASE ACCIDENT $ OFFICER/MEMBER EXCLUDED? EL.DISEASE-E?EMPLOYEE 4 II yes,describe eer SPECIAL PROVISIONS naaw I �E L.DISEASE-POLICY L(MIT $ I OTHER I DESCRIPTOR OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS AWED BY ENDORSEMENT I SPECIAL PROVISIONS *Except ten (10) days notice for non-payment of premium. RE: Frank's Ride for Children to be held on May 20, 2007. Weld County Government is named as additional insured with respects to General Liability per form PI-SE-001 (08/04) . *MAWF of Colorado* CERTIFICATE HOLDER CANCELLATION WELDCOl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MALL 30♦ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FALURE TO DO SO SHALL IMPOSE NO OBLIGATOR OR LIABILITY OF ANY KIND UPON THE INSURER.R5 AGENTS OR Weld County Government REPRESENTATIVES. 1762 WeldCounty Road 20 1/2 ALmI°RI DR rneserrI . t J� t Longmont CO 80504 ��d/ ..A/f�/,(/ oV' ACORD 25(2001/08) O ACORD CORPORATION 1988 Ll ..........„,.................................,........„....w l...cP�F�... J JcP (zi r„. Pioneer General Insurance Company I. P CONTINUATION CERTIFICATE P59913 5 Pioneer General Insurance Cow any hereby continues in force Bond No. 5 FRANK'S RIDE FOR CHILDREN 2003 briefly described as .—.-----_---_- _ - WELD COUNTY __. . aon behalf of r_5 3,000.00 �` - --- --- - February 25th, 2007 in the sum of$ .. Dollars, for the term beginning and 0 Februarys ending _.__. subject to all the covenants and conditions of the original bond f3 rq referred to above. re} This continuation is issued upon the express condition that the liability of the Pioneer General Insurance Company under said Bond and this and all continuations thereof shall not he cumulative and shall in no event e exceed the total sum above written. i lth December 2006 • �i Dated this ____.._---._. .._. .. . day di PIONEER GENERAL INSURANCE COMPANY S 2 5 l ruct II. l_owticrmilk. President El ic ,,,,,.,I pm ft., pom TIIIS"Continuation Certificate"MUST RE FILED WITH THE ABOVE BOND 1 L. 5 C� NOTICE OF APPLICATION FOR TEMPORARY ASSEMBLY Pursuant to the Weld County Code, a public hearing will be held in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Centennial Center, 915 10th Street, First Floor, Greeley, Colorado 80631, at the time specified. If a court reporter is desired, please advise the Clerk to the Board, in writing, at least five days prior of the hearing. The cost of engaging a court reporter shall be borne by the requesting party. In accordance with the Americans with Disabilities Act, if special accommodations are required in order for you to participate in this hearing, please contact the Clerk to the Board's Office at (970) 336-7215, Extension 4226, prior to the day of the hearing. The complete case file may be examined in the office of the Clerk to the Board of County Commissioners,Weld County Centennial Center, 915 10th Street,Third Floor, Greeley,Colorado 80631. E-Mail messages sent to an individual Commissioner may not be included in the case file. To ensure inclusion of your E-Mail correspondence into the case file, please send a copy to egesick@co.weld.co.us DOCKET#: 2007-28 DATE: April 23, 2007 TIME: 9:00 a.m. APPLICANT: Frank's Ride for Children Go Greg Risedorf 2544 Jarett Drive Mead, Colorado 80542 REQUEST: Application for a temporary assembly of more than 350 persons on May 20, 2007 LEGAL DESCRIPTION: Part of Section 18, Township 2 North, Range 68 West of the 6th P.M., Weld County, Colorado LOCATION: Dandy Acres Painted Horse Farm, 1763 Weld County Road 20.5, Longmont, Colorado, 80504 (See Legal Description for precise location.) BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO DATED: April 6, 2007 PUBLISHED: April 11, 2006, in the Fort Lupton Press NOTICE OF APPLICATION PROOF OF PUBLICATION FOR TEMPORARY ASSEMBLY de,Pursuant to the wWeld be Coheld FORT LUPTON Code,a public m hearing will held in the Chambers of the BoardW lof d STATE OF COLORADO County Commissioners of only County, Colorado, Weld County __centennial Center, 915 10th COUNTY OF WELD SS. 'reef, First Floor, Greeley, ilorado 80631, at the time .,pecified. If a court reporter is desired, please advise the Clerk to the I Karen Lambert do solemnly swear that I Board,in writing,at least five days r am r prior of the hearing. The cost of am the Publisher of the Fort Lupton Press; engaging a court reporter shall be borne by the requesting party. In that the same is a weekly newspaper printed accordance with the Americans with Disabilities Act, if special and published in the County of Weld, State accommodations are required in order for you to participate in this of Colorado and has a general circulation hearing, please contact the Clerk r to the Board's Office at(970)336- therein; that said newspaper has been 7215,Extension 4226,prior to the day of the hearing. published continuously and uninterruptedly The complete case tie may be examined in the office of the Clerk in said count of Weld for aperiod of more to the Board of County Y p Commissioners, Weld County than fifty-two consecutive weeks prior to the Centennial Center, 915 10th Street.Third Floor, Greeley, first publication of the annexed legal notice Colorado 80631.E-Mail messages sent to an individual or advertisement; that said newspaper has Commissioner may not be included in the case file. To been admitted to the United States mails as ensure Inclusion of your E-Mail correspondence case second-class matter under the provisions of file, please send a copy to egesick@co.weld.co.us the act of March 3, 1879, or any DOCKET#:2007-28 amendments thereof and that said DATE:April 23,2007 t TIME`9:00a.m. newspaper is a weekly newspaper duly APPLICANT: qualified for publishing legal notices and Frank's Ride for Children do Greg Risedorf advertisements within the meaning of the 2544 Jarett Drive Mead.Colorado 80542 laws of the State of Colorado. That the REQUEST: Application for a annexed legal notice or advertisement was temporary assembly of more than y LEGAL DESCRIPTION:0Pa published in the regular and entire issue of LEGAn DESToIPTION: Part of 9 caption 18, Township 6th North, every number of said weekly newspaper for ge 68 West of the P.M., d County,Colorado LOCATION:Dandy Acres Painted the period of 1 consecutive insertion(s); and Horse Farm, 1763 Weld County that the first publication of said notice w as Road 20.5. Longmont, Colorado, 80504 (See Legal Description for in the issue of newspaper dated 11th day of precise location.) r April, 2007, and the last on the 11th day of BOARD OF COUNTY COMMISSIONERS April, 2007. WELD COUNTY.COLORADO DATED:April 6.2007 PUBLISHED:April 11,2006,in the Fort Lupton Press Puublishe�e sworn ererrle,,thisthe 6th day of April, 2007.• \ St 1OQQ 7 CASE NO.401951 key 40171 MEMORANDUM To: Jenny VanEgdom, Deputy Clerk to the Board April 12, 2007 Inge From: Bethany Salzman, Zoning Compliance Officer, Dept. of Planning Services COLORADO Subject: LC0022 Review of the following Temporary Assembly Permit by the Department of Planning Services shows the following: Applicant: Frank's Ride for Children do Greg Risedorf 1544 Jarrett Drive Mead, CO 80542 Location of Event: Dandy Acres Painted Horse Farm 1763 CR 20.5 Longmont, CO 80504 Zone District: A(Agricultural) /MUD (Mixed Use Development)Area Upon review of my case files and computer, no violations were noted. The Department of Planning Services staff does not have any additional information. SERVICE,TEAMWORK,INTEGRITY,QUALITY TEMPORARY ASSEMBLY REVIEW FORM Date: April 5, 2007 TO: {DEPUTY} FROM: John Broderius SUBJECT: Liquor License Check Please review all records on the following property for any associated reports during the last year and return your report to the Weld County Clerk to the Board's Office within seven days. Your report will be used by the Board of County Commissioners in considering issuance of a Temporary Assembly Permit. A copy of the file will be sent through interoffice mail for your review. PLEASE RESPOND NO LATER THAN: APRIL 13, 2007 EVENT INFORMATION: FRANK'S RIDE FOR CHILDREN CIO GREG RISEDORF 1763 WCR 203 LONGMONT, COLORADO 80504 EVENT DATE: MAY 20, 2007, FROM 6:00 A.M. - 10:00 PM xNo concerns Deputy's Initials The Sheriff's Office had a concern and the deputy has mutually worked with the property owner/event manager to correct the concern. (Complete Attached Worksheet) Unresolved concerns exist requiring a Probable Cause Hearing scheduled by the Board of County Commissioners. (Complete Attached Worksheet) ******************************************************************************************************** Please notify at Extension of the date and time of the Board of Commissioner's Temporary Assembly hearing. iitz,4-- , Memorandum III ' C TO: CLERK TO THE BOARD From: Dan Joseph, Environmental Health Specialist COLORADO• DATE: 04/10/07 SUBJECT: Temporary Assembly Permit and Special Events Liquor License for LC0022 In response to your request, Environmental Health Services has reviewed the Special Events Permit and Temporary Assembly Permit, LC0022, for Frank's Ride for Children 2007, located at 1763 Weld County Road 20.5, Longmont, Colorado. The following are the recommendations made by this Department: 1) Temporary food service guidelines be followed (attached). 2) Temporary hand washing stations be located outside the portable toilets. In addition, provide temporary hand washing stations that are accessible only by food preparation staff. 3) In the application it is stated that there will be 7 portable toilets available for the estimated 1,000-1,500 participants. Based on this number of participants we are recommending that the event have at minimum 12 portable toilets. 4) That the applicant submit a Temporary Event Vendor Application for food,with the intent that this department can provide guidance and assistance to ensure that the food is being served in a safe and sanitary manner (application provided). Should you have any questions regarding this matter, please contact me at extension 2206 or via e-mail at dioseph(aico.weld.co.us. Thank you. CC: Cindy Salazar, Environmental Health Services a DEPARTMENT OF PUBLIC HEALTH & Kik ENVIRONMENT 1555 N. 17th Avenue WWin C Greeley, CO 80631 WEBSITE: www.co.weld.co.us ENVIRONMENTAL HEALTH SERVICES: (970) 304-6415 COLORADO FAX: (970) 304-6411 Vendor's Application to Conduct a Temporary Event Food Booth *Please note this application form has changed. ** Late or incomplete applications will not be approved. Review carefully and complete all information. A separate application may be required for each event you plan to participate in (separate application is needed if all events were not listed on this form, and/or if your menu/operation has changed significantly). Please return this Vendor's Application along with the enclosed Food Booth Worksheet, Food Booth Layout, and a copy of your current Colorado Food License (or tax-exempt status form) to the Health Department at least 14 days prior to the event. Food service is not permitted without health department approval. Event Name: Date of Event: (see second page to list other events) Event Location: Event Coordinator: Phone Number: Food Booth Name: Food Booth Vendor/Contact Person: Vendor's/Contact Person's phone number: Vendor's/Contact Person's fax number: Booth will be operating: (Dates & Times): FOR HEALTH DEPARTMENT USE ONLY Health Department Approval: Yes No Specialist Signature: Date: Environmental Health Specialist's Comments: Vendor Application Page 1 Vendor Application Page 2 List all other events that you will be attending (if the event is not listed on this form, a new application must be submitted (page 1 only-provided we received all required information previously and your menu/operation has not changed): Please Provide Date, Time (if known) and Name of other Events Vendors operating at events that are more than one (1) day in length must operate from an approved local commissary within the area. A letter of approval from the commissary must accompany the event application. Utensils must be washed at this site. The Health Department must approve the proposed commissary. (A commissary is not required for vendors who have self-contained concession trailers.) Commissary Name (if applicable): Full Address of Commissary: Phone number of Commissary: Contact Person at Commissary: **Please enclose a copy of the Commissary's current Food License** Do you have a current Colorado Retail Food Establishment License? Yes No If Yes: *Enclose a copy If No: Please see Vendor application for those who need a retail food establishment license Are you a Non-Profit Organization? Yes No If Yes: *Enclose a copy of the 501-c-3 If No: Please see Vendor application for those who need a retail food establishment license I HEREBY AGREE TO COMPLY WITH ALL SPECIAL EVENT GUIDELINES. WHEN THE SPECIAL EVENT FACILITY IS INSPECTED BY THE HEALTH DEPARTMENT AND FOUND TO BE IN VIOLATION OF ANY SPECIAL EVENT GUIDELINES, I WILL IMMEDIATELY CEASE OPERATIONS UNTIL AUTHORIZED TO RESUME BY THE HEALTH DEPARTMENT. Applicant Name (Please Print) Applicant Signature: Date FORM MUST BE COMPLETE FOR APPLICATION TO BE ACCEPTED. (it Le% :*** DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT 1555 N. 17th Avenue Greeley, CO 80631 WEBSITE: www.co.weld.co.us ADMINISTRATION: (970) 304-6410 FAX: (970) 304-6412 C PUBLIC HEALTH EDUCATION & NURSING: (970) 304-6420 O FAX: (970) 304-6416 ENVIRONMENTAL HEALTH SERVICES: (970) 304-6415 COLORADO FAX: (970) 304-6411 FOOD BOOTH WORKSHEET Submit on separate sheet of paper. Answer all questions. 1. List all food and drink items to be served (includes condiments,toppings main meals, all types of drinks). 2. Describe your process of food preparation that will take place at the event (how does your booth run, walk through your process from cold hold to serve-See example)? 3. What is the source of your food/meat items (from grocery store,restaurant,etc)? What is your source of Water/Ice? 4. List all food items that will be prepared prior to the event(An example of this would be the foods that are prepared at your commissary). 5. How and where will these foods be prepared prior to the event(describe the process- see example)? 6. How and where will each cold food product be stored prior to the event (Detail answer-not just in fridge)? 7. Once cooked, how will hot foods be cooled to 41°F in less than 6 hours? (Describe the process in detail- state what techniques are used-cooler,shallow pan, ice wand...) 8. If reheating cooled foods, how and where will foods be reheated to 165°F (note: cannot be performed in steam table)? 9. While transporting food to the event, what equipment will be used to maintain food at 41°F or below(cooler with ice,refrigerated truck,other)? 10. While transporting food to the event, what equipment will be used to maintain food at 135° F or above (in cambros,no foods transported hot,other)? 11. How will hot food items be stored at 135°F or above at the event site (use a grill, in steam table,crock pot,propane heater,... "Note: sterno will not be allowed)? 12. How will cold food items be stored at 41° F or below at the event site (in coolers with ice, in a refrigerator, other)? Food Booth Worksheet Page 2 13. How will food cook temperatures and food holding temperatures be checked on site? How often will they be checked? 14. What are the proper cook temperatures for potentially hazardous items that you are serving (such as chicken,hamburger,pork) and how will they be cooked (what type of equipment will you use)? 15. As foods are sold, how will product be re-supplied to the booth? (Replenishing new product into old product is prohibited.) 16. How will the food product, water and ice be stored on site (note: must be 6 inches off ground unless in a container such as a cooler)? 17. How will waste water, such as wiping cloth water, hand wash water, or water from cooking processes be collected (In a bucket,storage tank,part of your unit,etc.)? 18. Where will waste water be disposed (location on site, at commissary,RV Dump,other)? 19. Describe the hand washing facilities that you will provide on site (do you have soap, paper towels that are dispensed, have a cooler with spigot that provides constant flow of water,powered hand washing sink,etc... Note: Hand sanitizers may not be used as a replacement for hand washing). 20. How will you prevent Bare Hand Contact with ready to eat foods (You cannot touch any product that will not be cooked with bare hands)? 21. What type of Sanitizer are you going to use Bleach/Quaternary Ammonia(products like 409 and Lysol are not approved for use)? 22. Do you have test strips for the sanitizer you are using (bleach should be white, Quaternary Ammonia strips are orange in color)? 23. How will you keep raw and cooked foods separated? 24. If the event is two (2) days or more: a. How will leftover and extra food products be cooled and stored for the next day's use? (List equipment and procedures) b. How and where will utensils be washed, rinsed, sanitized, and air-dried? c. How will leftover food be reheated to 165° F prior to serving the next day? THE COOLING AND REHEATING OF FOODS AT TEMPORARY EVENTS IS STRONGLY DISCOURAGED. Food Booth Layout Drawing of Temporary Food Establishment In the following space, provide a drawing of the Temporary Food Establishment. Identify and describe all equipment including cooking and cold holding equipment, hand washing facilities, work tables, dish washing facilities (if applicable), food and single service storage, garbage containers, and customer service area(a legend if very helpful/label each piece of equipment-see example): TEMPORARY EVENT CHECKLIST FOOD VENDORS USE ONLY VENDORS: DO NOT RETURN WITH APPLICATION. KEEP FOR YOUR OWN USE. 1. Covered thermal insulated container with a SPOUT THAT STAYS ON for washing hands 2. Clean, warm water in the thermal insulated container for washing hands 3. Five gallon bucket to catch waste water from hand washing 4. Hand soap 5. Paper towels 6. Metal, stem food thermometer (0° - 220° F) to monitor food temperatures 7. Thermometer inside each refrigerator to monitor air temperature 8. Labeled Sanitizer and bucket or spray bottle for sanitizing solution 9. Wiping cloths 10. Chemical test kit for sanitizer 11. Adequate number of serving spoons, spatulas, tongs, scoops, ice scoop, etc. 12. Adequate number of tables with washable surfaces 13. Method for elevating food and paper goods 6 inches off the ground 14. Covered trash receptacle with plastic garbage bags 15. Overhead roof or canopy 16. Equipment to maintain cold foods at 41° F or below 17. Equipment to maintain hot foods at 135° F or above 18. Gloves or other items/utensils to prevent Bare Hand Contact. (SEE LAST PAGE FOR DIAGRAM OF HAND WASH STATION) Example Hand Washing Station HANSDWASH STATION • THERMAL OONT 721. 5TNME USE TOWELS s Cat LOHS of r'ri&wAHY wLTEZ OMO 100000 SPOUT THAT!TITS OH 5 GALLON WASTE WST'lBCC= • • s+PHd/99 Page 1 of 1 Jennifer VanEgdom From: Bruce Barker Sent: Monday, April 23, 2007 9:30 AM To: Jennifer VanEgdom; Esther Gesick; Elizabeth Strong Subject: Additional Language for Frank's Ride Add to the end of the NOW, THEREFORE, BE IT RESOLVED paragraph: " . . . , in accordance with the terms and conditions set forth in the Permit and as set forth in the Memorandum of Dan Joseph, Environmental Specialist, Weld County Department of Public Health and Environment, dated April 10, 2007." 4/23/2007 Hello