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SITE SPECIE DEVELOPMENT PLAN AND USE. .SY SPECIAL
REVIEW (USR) APPLICATION •
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FOR PLANNING DEPARTMENT USE DATE RECEIVED:
RECEIPT#/AMOUNT# /$ CASE#ASSIGNED:
APPLICATION RECEIVED BY PLANNER ASSIGNED:
Parcel Number - - Z-QQ-3 3 8
(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 Part of NW4 . N W 4 , Section3Z, Township 2 North, Range 65 West
Flood Plain: Mi n - C Zone District: AG , Total Acreage: 3.154 , Overlay District: N/A
Geological Hazard: N/A ,Airport Overlay District N/A
FEE OWNER(S)OF THE PROPERTY:
Name: Marilyn M. Taylor
Work Phone# 101-516-DlRn Home Phone# Same Email Address:MTPVAIataol .Com
Address: 7507 WCR 19
City/State/ZipCode Fort I iiptnn CO R0621
Name:
Work Phone# Home Phone# Email Address:
Address:
/'• City/State/Zip Code
Name:
Work Phone# Home Phone# Email Address:
Address:
City/State/Zip Code
APPLICANT OR AUTHORIZED AGENT (See Below:Authorization must accompany applications signed by Authorized Agent)
Name:
Work Phone# Home Phone# Email Address:
Address:
City/State/Zip Code
PROPOSED USE:
Develop and operate an assisted Living residence designed with a
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theme specific to aviators and aviation enthusiasts. The home will
accommodate 16 residents, with fourteen private bedrooms and two
double rooms.
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 indicating that
the signatory has to legal authority to sign for the corporation.
ma,w4.t) 1k ,1alc2 8/i/06 EXHIBIT
Signature: OWner or Authori d Agent Date Signature: Owner or Authorized
2007-0143 1
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SITE SPECIFIC DEVELOPMENT PLAN AND USE BY SPECIAL
REVIEW(USR) QUESTIONNAIRE
1. The property will be used for the development and operation of an assisted living
residence designed with an aviation theme throughout, catering to aviators and
aviation enthusiasts. Eagles Nest Aviator Home will be designed to
accommodate seniors who share a common bond in their love for aircraft and
flying. A total theme environment reflecting the history and nostalgia of flight
will cater to the passion of aviators and aviation enthusiasts who can no longer
live independently.
The home will be furnished in a style reflective of the 40's and decorated with
aviation memorabilia and artifacts from WWI, WWII and early general aviation
history. In addition,there will be a comfortable library/theater room housing a
collection of aviation books and publications, and a variety of aviation videos and
DVD movies to be enjoyed by the residents and their families and visitors.
Finally, background music in the common areas will complete the nostalgic theme
with favorite selections from the Big Band Era, etc. These standard features in
Eagles Nest will keep the memories and the residents alive and thriving.
The location is integral in the theme environment. The parcel being developed for
Eagles Nest is located adjacent to Platte Valley Airport, a privately owned/public
use facility where general aviation flying and related activities can be viewed and
enjoyed by the residents on a daily basis. The home will include a large front and
side porch area ideal for viewing aircraft departures and landings. There will be
transportation available for residents who wish to visit their neighboring aviation
community. The residents without leaving the comfort of their home and
neighborhood can enjoy seasonal fly-ins, barbecues, etc. The location enables the
residents to feel that they are part of the aviation lifestyle, surrounded by people
who make them feel connected and who keep life purposeful and fun.
The Home
The single story house design will be environmentally friendly and energy
efficient. All exterior and interior areas will be handicapped accessible. All safety
requirements such as fire sprinkler system, fire alarm, etc. will be installed. The
common area to include a large country kitchen, dining room, great room with
fireplace and library will provide a comfortable home environment for all of the
residents. The expansive front and side porch will offer a view of the neighboring
airport and runway. Fourteen private bedrooms and two double occupancy
bedrooms each with a full bath will adjoin the common area. All bedrooms will
have intercom systems and call buttons for emergency assistance if required.
Several bedrooms will be larger in size to accommodate a retirement couple if
necessary. The furnishings throughout the country style house and bedrooms will
be reminiscent of the nostalgic time frame of the 1940's, however, the residents
may provide their own bedroom furniture if desired.
Services
Eagles Nest will offer the traditional care services as well as specialized amenities
to include:
• The warmth and personal comfort of beautiful homelike surroundings,
enhanced by a total aviation theme environment
• Large private bedroom with full bath
• In room intercom system and emergency call button
• Private telephone jack or use of house phone
• Nutritional home cooked meals with substitutions available to accommodate
all residents
• 24 hour snack bar with beverages, fresh fruit, etc.
• Linen, laundry, and daily housekeeping services
• 24 hour access to care and assistance
• Assistance with bathing, dressing,personal care and other activities of daily
living if necessary
• Medication administration
• Individualized and group daily activities
• Transportation to local community services, medical, etc.
• Transportation to aviation related events, functions, etc.
• Transportation to neighboring airport community
• Trained staff; including first aid and CPR certification
and dementia care training
Staffing
Eagles Nest staff members will be selected based on their dedication to eldercare
dignity and the resident's quality of life. Their training will be thorough in first
aid and CPR certification, as well as dementia care training. Attractive employee
benefits and excellent salaries will help encourage dedication to our mission of
providing a safe and fulfilling lifestyle for our aviation family of residents.
Providing a rewarding and fulfilling working environment for our valued staff
will also ensure their longevity and loyalty to Eagles Nest.
2. The Eagles Nest development is consistent with the Weld County Comprehensive
Plan in many ways. The development property is not located with in a natural
hazard area. In addition, the facility will be environmentally friendly in all
aspects of building construction and overall operation. The home construction
will adhere to all Weld County Code requirements with proper adjustments made
in safety, sanitation, etc., as necessitated by requirements and regulations for state
approved assistant living facilities.
Eagles Nest will not have any negative impact on the health, safety and welfare of
the surrounding County residents. The agricultural tradition of Weld County will
be maintained as the facility will be surrounded on the north, south and east sides
by active farmland. This agricultural influence is also a benefit to the Eagles Nest
development as it enhances the "country home"lifestyle we will strive to create.
3. The Eagles Nest proposal is consistent wit the intent of the C-2 (General
Commercial) Zone District. The assisted living facility will provide a viable
service for senior citizens from Weld County and surrounding communities, while
maintaining compatibility with the neighboring agricultural areas and adjacent
PUD residential and commercial zones.
Eagles Nest development will be in compliance with the following required
Design Standards:
Stormwater Management: The required retention pond will be designed by High
Plains Engineering of Fort Lupton and designated on the prepared grading and
drainage plan.
Parking: Due to the nature of the business,parking requirements for residents will
be minimal. Adequate parking for staff and visitors will be designed according to
Appendix 23-B of the Weld County Code.
Street Access: Access for the Eagles Nest site has been established with the
Recorded Exemption No. 4053,providing a"Local Street"to the site obtained
from a dead-end cul-de-sac encasing WCR 16 and WCR 39. Please refer to the
County Road Access Sheet.
Required Yards: Setback and offset areas for the facility will adhere to the
required performance standards outlined in Section 23-3-250, and will be
designated on the required site plan.
Required Landscaping Areas: Specific landscaping will be designed according to
water well permit limitations. Minimal grass areas with shrubs, etc., will be
maintained for aesthetic value and the enjoyment of residents. The remaining
ground will be planted in natural grasses and appropriate vegetation to maintain
weed control and prevent erosion.
Trash Collection will be screened accordingly and designated on the site plan.
Water Supply: Adequate potable water will be provided by Commercial Well
Permit# 64660-F
Sewage Disposal: Adequate septic design for the facility will be provided by High
Plaines Engineering and designated accordingly on the site plan.
Outside Storage: No outside storage is projected. If a need arises, appropriate
screening will be in place.
Eagles Nest development will be in compliance with the following Operations
Standards:
Noise and Air Quality: Due to the nature of the business and limited activities
associated with an assisted living facility, there will be no noise or air quality
concerns.
Water Quality: The facility water system will be designed and operated in
accordance with the standards established by the Colorado Water Quality Control
Commission as outlined in Sec. 23-3-250. In addition, water quality will be
maintained as designated by the Colorado Department of Public Health and
Environment as outlined in the state regulations pertaining to assisted living
facilities.
Radiation and Radioactive Materials/Heat/Light: Not Applicable
Property Maintenance: Landscaping plans will maintain property maintenance
with natural vegetation to maintain weed control.
4. Eagles Nest Aviator Home will be totally compatible with the surrounding land
uses. The facility site is adjacent to several active aviation entities, Platte Valley
Airport and the Colorado International Aviation Museum. The concept for
the aviator home, which is to provide a service for aviators and aviation
enthusiasts, corresponds perfectly with the objectives for these neighboring land
uses. In addition, the serenity and non-obtrusive presence of the nostalgic country
home fits with the remaining agricultural surroundings.
5. a) The assisted living facility will accommodate 16 residents when at full
capacity. In addition, there will be an estimated two to three visitors daily.
b) Staffing will include two employees on site from 6:00am to 8:00pm, and one
night shift employee from 8:00pm to 6:00am. The facility will be staffed twenty
four hours daily, seven days per week.
c) The facility will be open and staffed 24/7.
d) The one story single structure will be a country/ranch design, proximately
7000 square feet in size.
e) Residents will be allowed small pets upon approval and compatibility. At no
time will the number of domestic animals exceed Weld County Code restrictions.
t) Vehicular traffic accessing the site will be primarily personal cars. The activity
will be minimal as the majority of residents will no longer be driving and guest
traffic will be moderate. Minimal commercial vehicle activity would result from
trash removal, etc.
g) The home will be equipped with sprinklers throughout and a fire alarm system.
The site is in the jurisdiction of the Hudson Fire District.
h) Water for the facility will be provided by a commercial well.
i) Sewage disposal will be accomplished with two septic and leach field systems,
.-. designed by High Plains Engineering.
j)No storage or warehousing is proposed.
6. Landscaping will be limited per the approved well permit. Minimal lawn areas
with shrubbery will be in place for aesthetic value and resident enjoyment, with
the remaining property maintained in natural vegetation.
7. N/A...due to the feasibility of the concept and the continual natural demand for
long term health care services.
8. Storm water drainage will be accommodated with an appropriately located
retention pond designed by High Plains Engineering.
9. The projected opening for the facility is scheduled for September 2007.
Following permitting approval and financing, construction will begin in
December 2006. Landscaping will take place as appropriate with the final
construction phase, prior to occupancy.
10. There will be no storage and/or stockpile of waste on the site.
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WELD COUNTY ROAD ACCESS INFORMATION SHEET •
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Weld County Department of Public Works
111 H Street, P.O. Box 758, Greeley, Colorado 80632
Phone: (970 )356-4000, Ext. 3750 Fax: (970)304-6497
Road File#: Date: _August 8. 2006
RE # : Other Case#:
1. ApplicantName Marilyn Taylor/Eagles Nest Aviator Homes, Ip1e 303-536-0380
Address 7507 WCR 39 City Fort Lupton State CU Zip 80621
2. Address or Location of Access 6994 WCR 39, Fort Lupton, CO 80621
Section NW-1/4-32iownship 2N Range 65W Subdivision Block Lot
Weld County Road#: 3q Side of Road Distance from nearest intersection 1 Mile
3. Is there an existing access(es)to the property? Yes No XX #of Accesses
**Note: 30 foot road access has been proposed on
4. Proposed Use: $Recorded Exemption No. 1307-32-2 RE-4053 extending
❑ Permanent O Residential/Agricultural a industrial- jfrom intersection of WCR 39 & WCR 16
Temporary ❑ Subdivision O Commercial O Other
Y,YYf,,,,,,fYffY******Y,R1„***********************************,Wt„******,M************1„1,k***********Y„*******,*„1******
5. Site Sketch
Legend for Access Description: Re O
B A ROS
AG = Agricultural ESTw1E5 WCR 16
RES = Residential
O&G = Oil&Gas
D.R. = Ditch Road
= House
O = Shed
cm
D = Proposed Access A kip
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• = Existing Access G, p
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Ni ma
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*4
WCR 14
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»*111*****„1,111,,,,*,,**1„*****1**, •
OFFICE USE ONLY:
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Road ADT Date Accidents Date
Road ADT Date Accidents Date
Drainage Requirement Culvert Size Length
Special Conditions
❑ Installation Authorized ❑ Information Insufficient
Reviewed By:
Title:
NOTE: This irrmation will need to be modifie^nd updated upon
construction completion, prior to openiny.
FOR COMMERCIAL SITES, PLEASE COMPLETE THE FOLLOWING INFORMATION
r BUSINESS EMERGENCY INFORMATION:
Business Name: Eagles Nest Aviator Home Phone: 303-536-0380
Address: 6994 WCR 39 City, ST, Zip: Fort Lupton, CO 80621
Business Owner: Marilyn Taylor Phone: 303-536-0380
Home Address: 7507 WCR 39 City, ST, Zip: Fort Lupton, CO 80621
List three persons in the order to be called in the event of an emergency:
NAME TITLE ADDRESS PHONE
Marilyn Taylor, Owner/Administrator 7507 WCR 39, Ft. Lupton, CO 80621 303-536-0380
Anna Christiansen, Director/Administrator
James Taylor , Director/Administrator
Business Hours: 24 hours daily Days: Year round / 365 Days
Type of Alarm: None Burglar Holdup • Fire Silent Audible
Name and address of Alarm Company: TAD
Location of Safe: N/A
MISCELLANEOUS INFORMATION:
Number of entry/exit doors in this building: Location(s): TBD with final construction
Is alcohol stored in building? NO Location(s):
Are drugs stored in building? YES Location(s): TBD per regulations set forth for assisted living
facilities by the Colorado Department of Public Health
Are weapons stored in building? Location(s): and Environment.
The following programs are offered as a public service of the Weld County Sheriff's Office. Please indicate the programs
of interest. XXX Physical Security Check Crime Prevention Presentation
UTILITY SHUT OFF LOCATIONS:
Main Electrical: TBD
Gas Shut Off: TBD
Exterior Water Shutoff: TBD
Interior Water Shutoff: TBD
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Report Date: 07/11/2006 12:25PM WELD COUNTY TREASURER Page: 1
STATEMENT OF TAXES DUE
SCHEDULE NO: R3797405
,r• ASSESSED TO:
RILEY MARGARET H
19462 WELD CO RD#16
FT LUPTON, CO 80621
LEGAL DESCRIPTION:
I1/21W4 32-2-65 LOT A REC EXEMPT RE-4053 (.51 R)
PARCEL: 130732200037 SITUS ADD:
,TAX YEAR CHARGE TAX AMOUNT INTEREST FEES PAID TOTAL DUE
2005 PROCESSING FEE 5.00 0.00 0.00 5.00 0.00
2005 TAX 0.68 0.00 0.00 0.68 0.00
TOTAL TAXES 0.00
GRAND TOTAL DUE GOOD THROUGH 07/11/2006 0.00
ORIGINAL TAX BILLING FOR 2005 TAX DISTRICT 2214-
Authority Mill Levy Amount Values Actual Assessed
WELD COUNTY 17.900 0.19 AGRICULTUR 16 10
SCHOOL DIST RE3J 32.145 0.32 ----------
CCW WATER 0.607 0.01 TOTAL 16 10
CCS WATER 3.350 0.03
HUDSON FIRE 3.550 0.04
AIMS JUNIOR COL 6.357 0.06
WELD LIBRARY 3.281 0.03
--------- ---------------
TAXES FOR 2005 67.190 0.68
ALL TAX LIEN SALE AMOUNTS ARE SUBJECT TO CHANGE DUE TO ENDORSEMENT OF CURRENT TAXES BY THE LIENHOLDER
OR TO ADVERTISING AND DISTRAINT WARRANT FEES. CHANGES MAY OCCUR AND THE TREASURER'S OFFICE WILL NEED TO BE
CONTACTED PRIOR TO REMITTANCE AFTER THE FOLLOWING DATES: PERSONAL PROPERTY AND MOBILE HOMES-AUGUST 1,
^REAL PROPERTY-AUGUST 1. TAX LIEN SALE REDEMPTION AMOUNTS MUST BE PAID BY CASH OR CASHIERS CHECK.
'.O. Box 458
Greeley,CO 80632
(970)353-3845 ext.3290
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 tax liens currently due and payable connected with the parcel(s)
identified therein have been paid in full.
Signed *COPS Date '741"
l '0
ea\
Report Date: 07/11/2006 12:25PM WELD COUNTY TREASURER Page: 1
STATEMENT OF TAXES DUE
'6CHEDULE NO: R3797305
ra' ASSESSED TO:
RILEY MARGARET H
19462 WELD CO RD#16
FT LUPTON, CO 80621
LEGAL DESCRIPTION:
NW4 32-2-65 LOT B REC EXEMPT RE-4053(.50R)
PARCEL: 130732200038 SITUS ADD:
TAX YEAR CHARGE TAX AMOUNT INTEREST FEES PAID TOTAL DUE
2005 PROCESSING FEE 5.00 0.00 0.00 5.00 0.00
2005 TAX 0.68 0.00 0.00 0.68 0.00
TOTAL TAXES 0.00
GRAND TOTAL DUE GOOD THROUGH 07/11/2006 0.00
ORIGINAL TAX BILLING FOR 2005 TAX DISTRICT 2214-
Authority MITI Levy Amount Values Actual Assessed
WELD COUNTY 17.900 0.19 AGRICULTUR 15 10
SCHOOL DIST RE3J 32.145 0.32 -----_______ ----------
CCW WATER 0.607 0.01 TOTAL 15 10
CCS WATER 3.350 0.03
HUDSON FIRE 3.550 0.04
AIMS JUNIOR COL 6.357 0.06
WELD LIBRARY 3.281 0.03
TAXES FOR 2005 67.190 0.68
ALL TAX LIEN SALE AMOUNTS ARE SUBJECT TO CHANGE DUE TO ENDORSEMENT OF CURRENT TAXES BY THE LIENHOLDER
OR TO ADVERTISING AND DISTRAINT WARRANT FEES. CHANGES MAY OCCUR AND THE TREASURER'S OFFICE WILL NEED TO BE
CONTACTED PRIOR TO REMITTANCE AFTER THE FOLLOWING DATES: PERSONAL PROPERTY AND MOBILE HOMES-AUGUST 1,
REAL PROPERTY-AUGUST 1. TAX LIEN SALE REDEMPTION AMOUNTS MUST BE PAID BY CASH OR CASHIERS CHECK.
D.O. Box 458
Greeley, CO 80632
(970)353-3845 ext. 3290
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 tax liens currently due and payable connected with the parcel(s)
identifie therein have been paid in full.
Signed Date CH l
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