HomeMy WebLinkAbout20063588 itetitt) DEPARTMENT OF PLANNING SERVICES
RECORDED EXEMPTION
ADMINISTRATIVE REVIEW
COLORADO
Applicant: Tim & Melanie Totems RE-4415 Planner: Kim Ogle
Legal Description: Lot B of SE-470; being part of the W2 SW4 Section 20, T1 N, R67W of the
6th P.M., Weld County, CO.
Parcel ID#: 1469-20-300027
Lot A Size: 5 +/- acres Lot B Size: 7 +/- acres
Water Source: Lot A: Proposed Well Sewer System: Septic
Lot B: Permit# 109843-A
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.
cf#1°Cli -35 8 8
2. The Applicant has proposed a well as the source of adequate water for Lot A. Property owners are
advised that the quantity of water available for usage may be limited to specific uses, i.e.,
"Domestic Use Only," etc. Because each situation is unique, the Department of Planning Services
encourages property owners to contact the Office of the State Engineer, Division of Water
Resources (1313 Sherman Street, Room 818, Denver, Colorado 80203. Phone 303-866-3581), to
discuss each individual situation.
3. Prior to recording the plat:
efte The plat shall be titled: Recorded Exemption No. 1469-20-3 RE-4415
B. Lot B shall use the existing residential access point per Reception Number 2406322, (SE-
470), as no additional accesses shall be granted.
C. Lot A shall submit to the Weld County Department of Planning Services the following:
1) A recorded copy of any agreement signed by all of the owners of the property
crossed by the access. The access shall be for ingress and egress and shall be
referenced on the plat by the Weld County Clerk and Recorders reception number.
D. All approved accesses shall be clearly shown on the plat. The applicant shall contact the
Weld County Department of Public Works to determine if a culvert is necessary at any
approved road access point. If a drainage culvert is required, a 15 inch Corrugated Metal
Pipe (CMP) is Weld County's minimum size. If the applicant chooses to place a larger
culvert please contact the Weld County Department of Public Works to adequately size the
culvert.
E. County Road 6 is designated on the Weld County Road Classification Plan as a collector
status road, which requires 80 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. If the right-of-way
cannot be verified, it shall be dedicated. This road is maintained by Weld County.
F. The applicant shall address the requirements (concerns) of the Department of Building
Inspection, as stated in the referral response dated May 2, 2006. Evidence of such shall be
submitted in writing to the Weld County Department of Planning Services.
G. The applicant shall attempt to address the requirements (concerns) of Mountain View Fire
Protection District, as stated in the referral response dated May 5, 2006. Evidence of such
shall be submitted in writing to the Weld County Department of Planning Services.
H. The applicant shall address the requirements (concerns) of the Department of Planning
Services, Division of Code Compliance, as stated in the referral response dated April 21,
2006. Evidence of such shall be submitted in writing to the Weld County Department of
Planning Services.
I. The applicant shall address the requirements of Weld County School District RE-8 as stated
in the referral response dated April 27, 2006. Evidence of such shall be submitted in writing
to the Weld County Department of Planning Services.
J. All vehicles located on the property must be operational with current license plates, or be
screened from all adjacent properties and public rights of way, or be removed from the
property. All other items considered to be part of a noncommercial junkyard must also be
removed from the property or screened from adjacent properties and public rights-of-way.
K. Lot A shall comply with the two and one-half (2 1/2) acre net minimum lot size required by
Section 24-8-40.L of the Weld County Code. Net acreage calculations should not include
reserved road right-of-way.
L. The applicant shall provide the Weld County Department of Planning Services with a
Statement of Taxes from the Weld County Treasurer showing no delinquent taxes exist for
the original parcel.
M. 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) Potential purchasers should be aware that Lot A may not be eligible for a domestic
well permit which allows for outside irrigation and/or the watering of stock animals.
The State Division of Water Resources issues all well permits.
7) Potential purchasers should be aware that groundwater may not meet all drinking
water standards as defined by the Colorado Department of Public Health and
Environment. The Weld County Department of Public Health and Environment
strongly encourages well users to test their drinking water prior to consumption and
periodically there after.
8) Potential purchasers should be aware that approval of this Recorded Exemption
does not guarantee that well permits will be issued for the lots. Any lot may be
deemed non-buildable if the lot owner is unable to obtain a well permit. The State
Division of Water Resources issues all well permits.
9) 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.
10) 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.
11) 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)
12) 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)
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.
4. The applicant shall submit two (2) paper copies of the plat for preliminary approval to the Weld
County Department of Planning Services. Upon approval of the paper copies the applicant shall
submit a Mylar plat along with all other documentation required as conditions of approval. The
Mylar plat shall be recorded in the office of the Weld County Clerk and Recorder by Department of
Planning Services' Staff. The plat shall be prepared in accordance with the requirements of
Section 24-8-60 of the Weld County Code. The Mylar plat and additional requirements shall be
submitted within sixty(60) days from the date the Administrative Review was signed. The applicant
shall be responsible for paying the recording fee.
5. 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.
6. The Department of Planning Services respectfully requests the surveyor provide a digital copy of
this Recorded Exemption. Acceptable CAD formats are .dwg, .dxf, and .dgn (Microstation);
acceptable GIS formats are ArcView shapefiles, Arclnfo Coverages and Arclnfo Export files format
type is .e00. The preferred format for Images is .tif (Group 4). (Group 6 is not acceptable). This
digital file may be sent to maps(@co.weld.co.us.
7. The Weld County Department of Planning Staff's 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 June 9, 2006
Kim Ogle v Planner
WELD COUNTY, COLORADO
DEPARTMENT OF PLANNING SERVI..-2 1
4209 CR 24.5
LONGMONT, CO 80504
PHONE:720-652-4210, EXT. 8730/FAX: 720-652-4211
Date: i9'2.3 20CC,
Receipt No. 1234
Received From: 1 t M I UM-MS
Permit Type No. Description Fee
4221-RE/SE
4221-ZPMH
4221-US R
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-FHD P/G HDP
4430-MAPS/POSTAGE
4430-COPIES
4730-INVESTIGATION FEE
6560-RECORDING FEE "21. leE 44A5
MISC.
2 P3
, CASH IJCHECK NO. TOTAL FEE
Receipted By: , DL# Exp.
4-r z--/26 OP-e-4 VfZu , an4
.AnC - cevrnmc, Q, vdc- J Ceti`
July 26, 2006
Regarding the comments per Fire Marshall Penfold
We(Tim and Melanie Totems)do acknowledge and comply with the fire codes and
county requirements. Specifically,that any residence exceeding 3,600 square feet on 2.5
acres or more may require additional water supply.
July 26,2006
In response to RE-4409 paragrap s 1-7, e(Tim&Melanie Totems)do fully
acknowledge and comply with the c.•es, laws, and building requirements mentioned.
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July 26, 2006
Regarding Weld County Referral
Upon your request we spoke with a Bethany Salzman(zoning compliance officer)and
per her comments and writings all requirements regarding the building permit BCS-
030534 are on track and will be finished within time parameters set out in permit guide.
Bethany will confirm the above with e-mail to both Michelle and Kim.
.zoso �ln1
Page 1 of 2
Kim Ogle
To: David Yoshida
Subject: RE: Totems RE-4415 Redlines
Attachments: 02406322.001; Kim Ogle.vcf
Easement Certificate: This certificate shall be used when any easement crosses any of the
proposed lots of the Exemption. The plat shall also identify the benefitted lot and purpose of
the easement.
I (We), the undersigned, do hereby dedicate, for the benefit of the property(ies) shown or
described hereon, easements for the purposes shown or described hereon.
Tim Allan Totems (Signature)
Melanie Jean Totems (Signature)
Typed or printed name Typed
or printed name
Given the size of the image area, staff beleives that a larger scale may be benefical for this plat.
2. you wrote "SUGGEST to increase scale to 1:100 "
May we respectfully request to keep the drawing at 1"=200' as we feel that the plats does not pose
ant illegibility issue, and changing the plat to 100 scale would require more drafting time delaying the submittal
process.
See attached image for recorders office concerning the legal.
Thanks,
Kim Ogle
Planning Manager
Southwest Weld Service Center
4209 CR 24.5
Longmont, CO 80505
720.652.4210 extension 8730 T
720.652.4211 Facsimile
kogle@co.weld.co.us
From: David Yoshida [mailto:dyoshida@powersurveying.com]
Sent: Thursday, June 29, 2006 10:52 AM
To: Kim Ogle
Subject: Totems RE-4415 Redlines
06/30/2006
Page 2 of 2
Mr. Ogle,
I have a few questions regarding your redline Notes of June 27, 2006 for the Totems RE-4415 project.
1. you wrote under the property owners certificate "ESMT CERTIFICATE? 3.C. OF COMMENTS"
what does this mean?? can you provide a copy of the certificate you want on the survey?
2. you wrote"SUGGEST to increase scale to 1:100 "
May we respectfully request to keep the drawing at 1"=200' as we feel that the plats does not pose
ant illegibility issue, and changing the plat to 100 scale would require more drafting time delaying the submittal
process.
3. you wrote in the surveyed legal description " SE.470; being"with a leader pointing to the space between where
we cite the township and range.
I am unclear as to what you would like us to do in this area.
Thank You
David Yoshida
Drafting Manager
Power Surveying Co., Inc.
7800 Miller Drive, Unit C
Frederick, CO 80504
303-702-1617
dyoshida@powersurveying.com
attachments
06/30/2006
DEPARTMENT OF PLANNING SERVICES
rs SOUTHWEST OFFICE
4209 CR 24.5
LONGMONT, CO80504
PHONE: (720)65 652-42104210, Ex t. 8730
FAX: (720) 652-4211
COLORADO
April 18, 2006
Tim & Melanie Totems
7173CR6
Brighton CO 80603
Subject: RE-4415 - A Recorded Exemption located on a parcel of land described as W2 SW4 located in
Section 20, Ti N, R67W 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 the staff determines that the application does not meet the approval criteria or if staff has
concerns with the application, staff may elect to forward the application for review to the Board of County
Commissioners. You will be notified and asked to appear before the Board of County Commissioners at a
public hearing. You will be informed of the hearing date prior to the hearing. The Board. of County
Commissioners will then consider your application and make a final decision on the recorded exemption.
It is the policy of Weld County to refer an application of this nature to any town or municipality lying within three
miles of the property in question or if the property under consideration is located within the comprehensive
planning area of a town or municipality. Therefore,our office has forwarded a copy of the submitted materials
to the Dacono and Northglenn Planning Commission for their review and comments. It is recommended that
you and/or a representative be in attendance at the Dacono and Northglenn Planning Commission meeting
to answer any questions the Commission members may have with respect to your application. Please call
Dacono at(303)833-2317 and Northgleen at(303)450-8743,for further details regarding the date,time, and
place of this meeting.
If you have any questions concerning this matter, please call me.
Sincerely,
f
Ki ..
m g
Planner
totit ivRL-
COLODAPPLICATION FLOW SHEET
DO
APPLICANT: TIM & MELANIE TOTEMS
CASE#: RE-4415
REQUEST: TWO LOT RECORDED EXEMPTION.
LEGAL: W2 SW4 located in Section 20, T1N, R67W of the 6th P.M., Weld County, Colorado.
LOCATION: North of CR6; and approximately 1/4 mile east of CR 15.
PARCEL ID it: 1469-20-300027
ACRES: 12 +/-
Date By
Application Received 4-17-2006 Hatch
Application Completed 4-17-2006 Ogle
Referrals listed
Utility Board: Action: I. ,ryry
File assembled ` •\g. Dt
Case logged in computer 4-tg • olo
Letter to applicant mailed • \ R .O(co
Referrals mailed - .0U/
Field check by DPS staff
Board of County Commissioners hearing (if applicable) Date By
County Commissioners Collateral Hearing Date
Plat Recorded and Filed
Recorded Plat sent to Applicant
? 21C9'
Overlay Districts
Zoning Ag
MUD Yes No_Z_
'GA Yes No_Z_
Airport Yes No_Z_
Geologic Yes No_Z_
Flood Hazard Yes No Panel #080266 0000 C
Road Impact Yes_Z_
T �tl 03 vSA ► bu I ���
WELD COUNTY,COLORADO
DEPARTMENT OF PLANNING SERVICES
4209 CR 24.5
LONGMONT, CO 80504
PHONE:720.652-4210,EXT. 8730/FAX:720.652-4211
Date:
7 20 t) 6 Receipt No. i 052
Received From: .771.
Permit Type No. Description Fee
4221-RE/SE l / C- / C w QL-
4221-ZPMH
4221-USR
4221-SITE PLAN REVIEW
4221-CHANGE OF ZONE 4221-PUD D Witco�i
4221-MINORlMAJOR SUB kla7,
#OF BUILDABLE LOTS r}
4221-ADDITIONAL 30%
FEE FOR SUB's
4221-RE-SUBDIVISIONS 141\f, brO-MAg
4221-BOA Mv4P-19O
4221-FHDP/GHDP
4430-MAPS/POSTAGE
4430-COPIES
4730-INVESTIGATION FEE
6560-RECORDING FEE
MISC.
t u.
❑CASH CHECK NO. -� 7 7 TOTAL FEE
Receipted By:A DL# Exp. '
g
RECORDED EXEMPTION (RE) APPLICATION
FOR PLANNING DEPARTMENT USE DATE RECEIVED:
RECEIPT/AMOUNT # 1$ CASE #ASSIGNED:
APPLICATION RECEIVED BY PLANNER ASSIGNED:
Parcel Number / '" Cf - - 3 - 0 O - L' 7
(12 digit number-found on Tax I.D. information,obtainable at the Weld County Assessor's Office,or www.co.weld.co.us).
Description SEE ATTACH ) , Section.a0, Township / North, Rangeb'/ West
Has the property been divided from or had divided from it any other property since August 30, 1972? Yes No
Is this parcel of land,under consideration, the total contiguous land owned by the applicant? Yes /No
FEE OW NER(S) OF THE PROPERTY: -�
Name: _7 olo�'rAij ,'!�/3-i /0 reins LL dal /�Gz n—vE c3 /G' rein S
Work Phone# ,J(3-' /0-9g%Home Phone# Q'_h/-66`5-0/4'Email Address - ---
Address: /. 44)C-k- IU
City/State/Zip Code f i,4(o4 FZI60
APPLICANT OR AUTHORIZED AGENT (See Below:Authorization must accompany all applications signed by Authorized Agent)
Name: L} '/ T1 la5 6Lin .)vernS
Work Phone #3�7 Vfl-cN ome Phone#3G'3-66-# //O11 Em ail Address plkhi-VALSC1-rr-14-9td 6<c/ n=
Address/4'`1 /h(ie— 6
City/State/Zip Code GC��,y, N i SO 6 <g—t
Lot A Lot B Lot C Lot D
Smaller Parcel
Water Source Watt (AFvVC-0) li} 4--6i$flN≥j
Type of Sewer treSjO77 (4GPz) r"IC — -t- .. /SO/1/9
Proposed Use g6.37001./T//L Ir-S/DE-J>•/Le_//-/l7
Acreage Jc.t — /t{et. .-- '7f-/
/ Existing Dwellings? If Yes, list address If Yes, list address If Yes, list address If Yes, list address
f, below: below:-7i s� V( 1 • below: below:
Jf A�C 7/G3 6
If the property is vacant or unimproved write proposed water source and proposed sewer system for each parcel in the blanks above. For
example, if a well and septic is proposed state:proposed well,proposed septic.
I (We)request that the following described property be designated a Recorded Exem ption 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 to legal authority to sign for the corporation.
/rte Authorized
� D/- 30 — d
Signature: Owner or A Agent / �ate Signature: O r or Authorized A ent Date /,
)i 'J.4IuGC�+t✓
/ y/2-c
-4-
I,Tim Totems Jr. and I,Melanie J. Totems give jurisdiction to Tim Totems Sr.and Jan
Touts to work on this recorded exemption.
•
'CO 39Vd 6Tb8DEL8BL OSLO 900E/DS/DB
RESPONSES TO RECORDED EXEMPTION(RE) QUESTIONNAIRE
1. Water supply
Well permit to be applied for from Division of Water Resources will supply water
to Lot A. Water for Lot B is provided by well permit# /0q9-'/3 H
Neither Lot has irrigation water.
2. Sewage disposal
Septic permit to be applied for from Weld County Dept. of Public Health and
Environment for Lot A and septic constructed according to Weld County ISDS
requirements; existing septic, permit # Ci-i9 /Ob-% services Lot B.
3. Property use
Lot A has been used for pasture for fewer than 10 cows. There is a gas head
midway on the far south boundary, a cottonwood tree on the southeastern boundary, and
a water ditch near the western boundary.
Lot B has an existing home near the far southwestern boundary, a pond at the
southwestern boundary, an oil well to the north of the house, and an oil and gas tank
battery at the northeastern boundary. Western boundary is water ditch. Used to pasture
fewer than 10 cows.
4. Characteristics
Lot A will be a 5 +/- acre building site that allows domestic animals. An oil and
gas access road runs north from County Road 6 to the property. The access road is
approximately Y mile from CR 15 and'/. mile from CR 17.
Lot B will be 7 +/- acres. It contains an existing custom home and several oil and
gas structures. Access is north from CR 6 to the southwestern edge of property by an
established easement road.
5. Physical attributes
Lot A has sole cottonwood tree at southeastern edge. Fence line along northern
boundary. Oil road along southern boundary. Water ditch near western boundary. Gas
head at mid-southern boundary.
Lot B has existing home near southern boundary,just to the north of a pond at
southwestern boundary. An oil well is to northwestern edge of property. A gas/oil
battery is to the northeastern edge. The oil/gas road runs along the northern boundary,
ending at the western edge.
6. Building envelope
Lot A building envelope designation is not requested. Lot is rectangular in nature
with several possibilities.
Lot B building envelope designation is not requested. Existing building.
7. Business or Use by Special Review
N/A for either lot.
Report Date: 08/17/2006 03:49P WELD COUNTY TREASURER Page: 1
STATEMENT OF TAXES DUE
SCHEDULE NO: R2685204
ASSESSED TO:
TOTEMS TIMOTHY ALLAN &
7173 COUNTY RD 6
BRIGHTON, CO 80601
LEGAL DESCRIPTION:
PT W2SW4 20-1-67 BEG SW COR SEC N0D141N 1350.11'S89D53'E 701.48'TO TPOB TH S89D53'E 615.4'TO E
LN SD W2SW4 TH S0D19'E 842.04' N90DW 369.99' S0D14'E 60.91' N90DW 246.67' N0D14W 904.06'TO TPOB
AKA LAND REF TO AS PARCEL B OF SUB EXEMPT SE-470 SITUS: 7153 6 CR WELD 00000
PARCEL: 146920300027 SITUS ADD: 7153 6 CR WELD
TAX YEAR CHARGE TAX AMOUNT INTEREST FEES PAID TOTAL DUE
2005 TAX 663.72 0.00 0.00 663.72 0.00
TOTAL TAXES 0.00
GRAND TOTAL DUE GOOD THROUGH 08/17/2006 0.00
ORIGINAL TAX BILLING FOR 2005 TAX DISTRICT 2512 -
Authority Mill Lev Amount Values Actual Assessed
WELD COUNTY 17.900 185.97 AGRICULTUR 144 40
SCHOOL DIST RE8 18.399 191.16 AGRICULTUR 130,003 10,350
MTN VIEW FIRE(BOND 2008) 0.220 2.29
AIMS JUNIOR COL 6.357 66.05 TOTAL 130,147 10,390
CARBON VALLEY REC 6.657 69.17
WELD LIBRARY 3.281 34.09
TRI AREA AMBULANCE 3.250 33.77
WEST ADAMS CONSERVATION 0.000 0.00
MOUNTAIN VIEW FIRE 7.817 81.22
TAXES FOR 2005 63.881 663.72
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.
P.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 a u ' •ble connected with the parcel(s)
identified therein have been .id in full.
Sigit€dL ,Ct. Date ' i7 'e,6
!T" •
Report Date: 04/13/2006 03:56P WELD COUNTY TREASURER Page: 1
STATEMENT OF TAXES DUE
SCHEDULE NO: R2685204
ASSESSED TO:
TOTEMS TIMOTHY ALLAN &
7173 COUNTY RD 6
BRIGHTON, CO 80601
LEGAL DESCRIPTION:
PT W2SW4 20-1-67 BEG SW COR SEC N0D14'W 1350.11'S89D53'E 701.48'TO TPOB TH S89D53'E 615.4'TO E
LN SD W2SW4 TH S0D19'E 842.04' N90DW 369.99'S0D14'E 60.91' N90DW 246.67' N0D14'W 904.06'TO TPOB
AKA LAND REF TO AS PARCEL B OF SUB EXEMPT SE-470 SITUS: 7153 6 CR WELD 00000
PARCEL: 146920300027 SITUS ADD: 7153 6 CR WELD
TAX YEAR CHARGE TAX AMOUNT INTEREST FEES PAID TOTAL DUE
2005 TAX 663.72 0.00 0.00 0.00 663.72
TOTAL TAXES 663.72
GRAND TOTAL DUE GOOD THROUGH 04/13/2006 663.72
ORIGINAL TAX BILLING FOR 2005 TAX DISTRICT 2512 -
Authority Mill Lev Amount Values Actual Assessed
WELD COUNTY 17.900 185.97 AGRICULTUR 144 40
SCHOOL DIST RE8 18.399 191.16 AGRICULTUR 130,003 10,350
MTN VIEW FIRE(BOND 2008) 0.220 2.29
AIMS JUNIOR COL 6.357 66.05 TOTAL 130,147 10,390
CARBON VALLEY REC 6.657 69.17
WELD LIBRARY 3.281 34.09
TRI AREA AMBULANCE 3.250 33.77
WEST ADAMS CONSERVATION 0.000 0.00
MOUNTAIN VIEW FIRE 7.817 81.22
TAXES FOR 2005 63.881 663.72 •
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.
P.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 of the status as of this date of all
property taxes; special assessments and prior tax liens attached to this (these) account(s).
Current year's taxes are due but not delinquent.
•
Signed:-• .f_ - f ,x. 11 c Date: L.,/ • I .'
Identify Results Page 1 of 2
WELD COUNTY ASSESSOR
PROPERTY PROFILE
Account#: R2685204 Parcel#: 146920300027
Tax Area: 3601 Bordering County:
Acres: 12.26
Township Range Section Quart.Sec. Subdivison Name Block# Lot#
01 - 67 - 20 - 3 - -
Owners Name&Address: Property Address:
TOTEMS TIMOTHY ALLAN& Street: 7153 6 CR
P O BOX 97 City: WELD
ABERDEEN, ID 83210-0097
Business/Complex:
Sales Summary
Sale Date Sale Price Deed Type Reception #
9/19/2005 $0 QCN 3328642
Legal Description
PT W2SW4 20-1-67 BEG SW COR SEC N0D14'W 1350.11'589D53'E 701.48'TO TPOB TH S89D53'E 615.4'TO E LN SD W2SW4 TH
S0D19'E 842.04' N90DW 369.99'50O14'E 60.91' N90DW 246.67' N0D14'W 904.06'TO TPOB AKA LAND REF TO AS PARCEL B OF
SUB EXEMPT SE-470 SIT
Land Valuation Summary
Land Type Abst Code Unit of Number of Assessed
Actual Value
Measure Units Value
Agricultural 4147 Acres 12.26
Land Subtotal: 12.26 $144 $4O
Buildings Valuation Summary
# Property Type Actual Value Assessed
Bldg# p Value
1 Residential
Improvements Subtotal: $323,692 $25,77O
Total Property Value $323,836 $25,81O
Building Details
Account#: R2685204 Parcel#: 146920300027
Owners Name&Address: Property Address:
TOTEMS TIMOTHY ALLAN & Street: 7153 6 CR
P O BOX 97 City: WELD
ABERDEEN, ID 83210-0097
Building# Property Type
1 Residential
Individual Built As Detail
•
Built As: Ranch 1 Story Year Built: 1971
http://maps.merrick.com/Website/Weld/setSyl.asp?cmd=QUERY&DET=PP&pin=14692... 06/05/2006
Identify Results Page 2 of 2
Exterior: Frame Hardboard HVAC: Forced Air
Interior Finish: Drywall Built As SQ Ft: 4433
# of Baths: 1 Roof Type:
# of Bdrms: 3 Roof Cover: Composition Shingle
# of Stories: 1
Rooms: 0 Units: 0
Garage:
Attached SQ Ft: Detached SQ Ft
Basement:
Total SQ Ft: Finished SQ Ft:
http://maps.merrick.com/Website/W eld/setSgl.asp?cmd=QUERY&DET=PP&pin=14692... 06/05/2006
REFERRAL LIST
Name: TOTEMS Case#: RE-4415
County Towns&Cities Fire Districts
_Attorney Ault _Ault F-1
Z Health Department _Berthoud _Berthoud F-2
_Extension Office _Brighton _Briggsdale F-24
_Emergency Mgt Office- Ed Herring Z Dacono Brighton F-3
_Sheriffs Office _Eaton _Eaton F-4
Z Public Works _Erie _Fort Lupton F-5
Housing Authority _Evans Galeton F-6
_Airport Authority _Firestone Hudson F-7
Z Building Inspection - _Fort Lupton Johnstown F-8
Z Code Compliance S.-Ann_N-Beth _Frederick _LaSalle F-9
Kim Ogle(Landscape Plans) _Garden City Z Mountain View F-10
_Lin (Addressing Change of Zone) _Gilcrest _Milliken F-11
_Ambulance Services _Greeley _Nunn F-12
_Grover Pawnee F-22
State _Hudson _Platteville F-13
Div.of Water Resources _Johnstown _Platte Valley F-14
_Geological Survey _Keenesburg _Poudre Valley F-15
_Department of Health Kersey Raymer F-2
_Department of Transportation _LaSalle _Southeast Weld F-16
Historical Society _Lochbuie _Union Colony F-20
Water Conservation Board _Longmont Wiggins F-18
_Oil&Gas Conservation Commission _Mead _Windsor/Severance F-17
_Milliken
Division of Wildlife _New Raymer Legal
South Hwy 66(Loveland) Z Northglenn Parcel ID#
North Hwy 66 (Greeley) _Nunn Zone Acres?
Division of Minerals/Geology _Pierce USDA
_Platteville Airport
Soil Conservation Districts _Severance Geo Haz
Big Thompson/FTC _Thornton FP? Panel#
_Boulder Valley/Longmont _Windsor IGA? ORD#
Brighton/SE Weld MUD?
_Centennial Counties
_Greeley/W est Greeley _Adams
_Platte Valley _Boulder
_Z_West Adams Z Broomfield
_Little Thompson _Larimer
Federal Government Agencies Other
US Army Corps of Engrs Z School District RE-8
_USDA-APHIS Vet Service Central Cob.Water Conservancy Dist
_Federal Aviation Admin (Structures _RR
over 200 ft or w/in 20000 ft of Pub _Ditch Company,
Airport _Art Elmquist(MUD Area) r
_Federal Communications Comm
•
Commissioner
isitir**4-:;)
Weld County Referral
April 18, 2006
COLORADO
The Weld County Department of Planning Services has received the following item for review:
Applicant Tim & Melanie Totems Case Number RE-4415
Please Reply By May 16, 2006 Planner Kim Ogle
Project Two Lot Recorded Exemption
Legal W2 SW4 located in Section 20, Ti N, R67W of the 6th P.M., Weld County,
Colorado.
Location North of CR 6; approximately 1/4 mile east of CR 15. For a more precise location,
see legal.
Parcel Number 1469 20 300027
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.
U We have reviewed the request and find that it does/does not comply with our Comprehensive Plan
U. We have reviewed the request and find no conflicts with our interests.
❑ See attached letter.
Comments: kkk,fin Cel%1 Q I U (50-,( LiLey C Xth c n2v.�lt t Ce (I
\Ric a flOnA0 WOK.
�ry \ l� . P . cGAI Pence t� (�J�p?.x-14
\ LAS �t VJ\� tit e
SignaturePapr
Agency 7-n,.(,1)ezhAtiticwi Date
❖Weld County Planning Dept. ❖4209 CR 24.5, Longmont,CO 80504 +(720)652-4210 ext.8730 +(720)652-4211 fax
'eld County Planning Department
d SOnr}alEST BUILDING
Ap 11 C rMAY " z 2006
Weld Cou ,w :�` :Cr :',, al
C. April 18, 2006
COLORADO
The Weld County Department of Planning Services has received the following item for review:
Applicant Tim & Melanie Totems Case Number RE-4415
Please Reply By May 16, 2006 Planner Kim Ogle
Project Two Lot Recorded Exemption
Legal W2 SW4 located in Section 20, TIN, R67W of the 6th P.M., Weld County,
Colorado.
Location North of CR 6; approximately 1/4 mile east of CR 15. For a more precise location,
see legal.
Parcel Number 1469 20 300027
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.
U We have reviewed the request and find that it does/does not comply with our Comprehensive Plan
We have reviewed the request and find no conflicts with our interests.
❑ See attached letter.
Comments:
Signature • irk J -/-Q G
Agency ),f1 IV Ui1'Gl A f�)Ij n{Qjvit,r Date
❖Weld County Planning Dept. +4209 CR 24.5, Longmont,CO 80504 +(720)652-4210 ext.8730 •(720)652-4211 fax
Weld County Referral
WII!Dc.
April 18, 2006
_ APR 2 1 M6
COLORADO The Weld County Department of PI:i. :W
ARMGai46@Tf',lowing item for review:
Applicant Tim & Melanie Totems Case Number RE-4415
Please Reply By May 16, 2006 Planner Kim Ogle
Project Two Lot Recorded Exemption
Legal W2 SW4 located in Section 20, Ti N, R67W of the 6th P.M., Weld County,
Colorado.
Location North of CR 6; approximately 1/4 mile east of CR 15. For a more precise location,
see legal.
Parcel Number 1469 20 300027
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
U We have reviewed the request and find no conflicts with our interests.
See attached letter.
Comments:
Signature r 5- 9 - O Co
Agency c l� G � � Date
❖Weld County Planning Dept. {•4209 CR 24.5, Longmont,CO 80504 ❖(720)652-4210 ext.8730 •(720)652-4211 fax
c2 Weld County Planning DepartmeO Weld tounty Planning DepartnlOil.
Set ITHWEST BUILDING "''F_LFY OFFICE
s 4i. MEM GRAND UM RECEIVED
MaY Z006
t & IVERI:
D
IIITO: Kim Ogle, Planning Services DATE: May 9, 2006
Re
FROM: Donald Carroll, Engineering Administrator N
SUBJECT: RE-4415, Tim & Melanie Totems
COLORADO
The Weld County Public Works Department has reviewed this proposal. Our comments and requirements are
as follows:
COMMENTS:
Weld County Road Classification Plan (FHU): (June 2002)
WCR 6 is a collector road and requires an 80-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 Ordinance (23-1-90), the required setback is measured from the future right-of-way line.
WCR 15 is a local gravel road and requires a 60-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 Ordinance (23-1-90), the required setback is measured from the future right-of-way line.
REQUIREMENTS:
The applicant shall utilize the existing residential access to this parcel. (Lot B)
Utilize the existing access for residential use to this parcel. (Lot A)
Utilize the existing agricultural, oil and gas, and ditch roads that are necessary for your agricultural operation.
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.
The applicant shall indicate specifically on the plat the type of right-of-way/easement and indicate whether it is
dedicated, private, or deeded to provide adequate access to the parcel.
In accordance with Section 24-7-50 J of the Weld County Code, Chapter 24, Article VII, the flag lot
configuration will be avoided where possible. The minimum width of a flag lot is 30 feet.
pc: RE-4415 M:\PLANNING-DEVELOPMENT REVIEW\RE-Recorded Exempdon\RE-4415.DOC
rescii(‘-"N
Weld County Referral
hiDeApril 18, 2006
COLORADO
The Weld County Department of Planning Services has received the following item for review:
Applicant Tim & Melanie Totems Case Number RE-4415
Please Reply By May 16, 2006 Planner Kim Ogle
Project Two Lot Recorded Exemption
Legal W2 SW4 located in Section 20, T1 N, R67W of the 6th P.M., Weld County,
Colorado.
Location North of CR 6; approximately 1/4 mile east of CR 15. For a more precise location,
see legal.
Parcel Number 1469 20 300027
The application is submitted to you for review and recommendation. Any comments or recommendation you
consider relevant to this request would be appreciated. Please reply by the above listed date so that we may
give full consideration to your recommendation. Any response not received before or on this date may be
deemed to be a positive response to the Department of Planning Services. If you have any further questions
regarding the application, please call the Planner associated with the request. Please note that new
information may be added to applications under review during the review process. If you desire to
examine or obtain this additional information, please call the Department of Planning Services.
❑ We have reviewed the request and find that it does/does not comply with our Comprehensive Plan
❑ We have reviewed the request and find no conflicts with our interests.
See attached letter.
Comments:
Signature
Agency S 7/I/94UIorn Date
❖Weld County Planning Dept. ❖4209 CR 24.5, Longmont,CO 80504 ❖(720)652-4210 ext.8730 ❖(720)652-4211 fax
Kit 6
DEPARTMENT OF PLANNING SERVICES
BUILDING INSPECTION
NORTH OFFICE
918 10'"Street
I GREELEY, COLORADO 80631
VI D PHONE (970) 353-6100, EXT.3540
C. FAX (970) 304-6498
SOUTHWEST OFFICE
COLORADO 4209 CR 24.5
LONGMONT CO 80504
PHONE (720)652-4210 ext. 8730
FAX (720)652-4211
May 2, 2006
Tim & Melanie Totems
Two Lot Recorded Exemption
RE- 4409
1. 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 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 or water for watering or washing of livestock or poultry.
2. A plan review is required for each building except for buildings that meet the definition of Ag Exempt
buildings. Plans may require the wet stamp of a Colorado registered architect or engineer.
3. Buildings shall conform to the requirements of the codes adopted by Weld County at the time of permit
application. Current adopted codes include the 2003 International Residential Code; 2003 International
Building Code; 2003 International Mechanical Code; 2003 International Plumbing Code;2003 International
Fuel Gas Code; 2002 National Electrical Code and Chapter 29 of the Weld County Code.
4. Each building will require an engineered foundation based on a site-specific geotechnical report or an
open hole inspection performed by a Colorado registered engineer. Engineered foundations shall be
designed by a Colorado registered engineer.
5. Fire resistance of walls and openings,construction requirements, maximum building height and allowable
areas will be reviewed at the plan review. Setback and offset distances shall be determined by the Zoning
Ordinance.
6. Building height shall be measured in accordance with the 2003 International Building Code for the
purpose of determining the maximum building size and height for various uses and types of construction and
to determine compliance with the Bulk Requirements from Chapter 23 of the Weld County Code. Building
height shall be measured in accordance with Chapter 23 of the Weld County Code in order to determine
compliance with offset and setback requirements. Offset and setback requirements are measured to the
farthest projection from the building.
7. Provide letter of approval from Mountain View Fire Protection District prior to new residential construction.
Please contact me for any further information regarding this project.
SE, a ely,
er igl
la
uilding Official
Service,Teamwork, Integrity,Quality
O Weld County Planning Department
SOUTHWEST BUILDING
MAY 1 7 2006
Kit ‘2.-- MemorandivED
TO: W.C. Planning, Kim Ogle
IDATE: May 9, 2006
• FROM: , EH Services, Deborah Blandin
COLORADO
CASE: RE- 4415
APPLICANT: Tim & Melanie Totems
Environmental Health Services has reviewed this proposal; the following conditions are
recommended to be part of any approval:
1. A Weld County Septic Permit is required for the proposed home septic system(s)
and shall be installed according to the Weld County Individual Sewage Disposal
Regulations.
Additionally, please note the following:
1. This application is proposing a well(s) 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.
Weld County Planning Department /'
SOUTHWEST BUILDING G 2,5'kiln
v.
MAY S 2006 ik
�.:� ri ► County Referral
IIiDc.
April 18, 2006
COLORADO
The Weld County Department of Planning Services has received the following item for review:
Applicant Tim & Melanie Totems Case Number RE-4415
Please Reply By May 16, 2006 Planner Kim Ogle
Project Two Lot Recorded Exemption
Legal W2 SW4 located in Section 20, Ti N, R67W of the 6th P.M., Weld County,
Colorado.
Location North of CR 6; approximately 1/4 mile east of CR 15. For a more precise location,
see legal.
Parcel Number 1469 20 300027
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.
U We have reviewed the request and find that it does/does not comply with our Comprehensive Plan
❑ We have reviewed the request and find no conflicts with our interests.
See attached letter.
Comments:
Signature Q C Cgt,J s_ S_o�
y �.�.
A9enc �. U�e.� -F-� rt �I�cYc{� Date
+Weld County Planning Dept. ❖4209 CR 24.5, Longmont,CO 80504 ❖(720)652-4210 ext.8730 ❖(720)652-4211 fax
anwiN
toUNTA/p 'MOUNTAIN VIEW FIRE PROTECTION DISTRICT
• e Administrative Office:
9119 County Line Road• Longmont, CO 80501
(303) 772-0710• FAX(303) 651-7702
WENS
May 5, 2006
Mr. Kim Ogle
Weld County Planning Department
4209 Weld County Road 24.5
Longmont, CO 80504
Dear Mr.Ogle:
I have reviewed the submitted material pertaining to the recorded exemption for the Totems
property, located at 7153 Weld County Road 6 (Case Number: RE-4415). The Fire District does
not object to the request, but does have the following comments and requirements should a
residence be constructed or a modular home be installed on the parcel created:
• All construction shall be in accordance with the provisions of the Fire Code, as ratified by the
Weld County Commissioners, and all other codes and ordinances, as enforced by Weld
County.
• Water supply for fire protection may be required for a new dwelling. In instances when a
request is for a recorded exemption and not a subdivision, water supply for fire protection is
not required for a single family residence that is not larger than 3,600 gross square feet and is
placed on at least a 2.5 acre site. If a residence exceeds 3,600 gross square feet, or is placed
on less than 2.5 acres, water supply for fire protection requirements may apply. All other
structures may require water supply for fire protection depending on the use of the new
structure.
We appreciate being involved in the planning process. Should you have any questions, please
contact me at(303)772-0710.
Sincerely,
` 0 ICJ
LuAnn Penfold
Fire Marshal
LMP/lp
cc: project file
Ip05.08.06
Station 1 Station 2 Station 3 Station 4 Station 5 Station 6 Station 7
9119 Cnty Line Rd. 14308 Mead St..Unit B P.O.Box 575 P.O.Box 11 10911 Dobbin Run 50 Bonanza Dr. P.O.Box 40
Longmont,CO Longmont,CO 299 Palmer Ave. 8500 Niwot Road Lafayette,CO Erie,CO 100 So.Forest St.
80501 80504 Mead,CO 80542 Niwot,CO 80544 80026 80516 Dacono,CO 80514
WELD CbVINTY SCHOOL DISTRICT R L.48unty Pinning Department
Fort Lupton Public Schools MAY 3 2006
Administration Building
301 Reynolds StreetR T z
Fort Lupton, Colorado 80621 '�w�� L D
Ph: 303-857-3200 www.ftlupton.k12.co.us Fax: 303-857-3219
April 27, 2006
Kim Ogle
Weld County Planning Department
918 10th Street
Greeley, CO 80631
RE: Weld County Referral
Tim & Melanie Totems
Recorded Exemption
Case Number RE-4415
Thank you for referring the Tim & Melanie Totems Recorded Exemption to 'he
School District . Based upon expected student aeneraticn rar_cs i-O.:
appears to be the possibility of a new single-farm sOs
generate approximately 1 new student to be accommoo tea ci _ . _
transportation would likely be provided.
It is understood that approval of the proposed new lot does not yet add
residential units to enrollment potential. However, certain school issues
should be considered at this important juncture, including school site
planning, transportation access and facility capacity.
The current facilities that would serve this lot are Twombly Elementary or
Butler Elementary, Fort Lupton Middle School and Fort Lupton High School.
Capacities and enrollments of these schools are:
Student Ec l:rcn�
School (Grades Served) Capacity
Twombly Primary (K-5) 53c - - ----.
Butler Elementary (5-5) 668 bIte
Fort Lupton Middle School (6-8) 890 046
Fort Lupton High School (9-12) 770 '07
The District is on record as not opposing growth so long as the growth is
planned and is manageable from a student enrollment stnndpoinc.. . ___
development could impact all levels of schools . dd. ::. t. , ,
this project, completion of other previously approved developments would
generate more students than can be accommodated by the exist__nq schoo'_s .
A COMMUNITY WHICH BELIEVES EDUCATION IS A SHARED RESPONSIBILITY
2
As the volume of developments increases with no alleviation of the existing
capacity conditions, the ability to provide the same quality education for
these new students becomes increasingly difficult. Weld County _.
District Re-8 requests the cooperation and participation of the developer to
provide cash in-lieu of land dedication fee, (currently $939 per lot ) , to
address the need for future school sites . Further, the Dist .(,
that the County assist with monitoring residential growth woskiro an (
consider facility capacity impacts upon the schools '_n derermi:._n
new project should be approved.
We appreciate your cooperation and the opportunity to comment upon the issues
of interest to both the County and the School District . We ask that the
recorded exemption not be approved until the applicant demonstrates that the
cash in-lieu of land dedication fee has been paid, or that arrangements have
been made with the School District. If you have any questions or need
additional information, please do not hesitate to aontoct _ . -
3210.
Singerely,
J. W
Director of F. ancial Services
s 4 Administration Office www.ftlupton.k12.co.us
W
I'p r 301 Reynolds Street Ph: 303-857-3200
' Fort Lupton, CO 80621 Fax: 303-857-3219
fort Lupton,colorado
August 15, 2006
Kim Ogle
Weld County Planning Department
918 10th Street
Greeley, CO 80631
RE: Weld County Referral
Tim and Melanie Totems
Recorded Exemption
Case Number RE-4415
The purpose of this letter is to inform you that Tim & Melanie Totems have
satisfied the District' s request for cash in-lieu of land dedication fee on
the recorded exemption noted above. Weld County School District Re-8 has no
objection to the issuance of building permits to the partnership or the
purchaser of the lots.
We appreciate your cooperation on this issue of great importance to the
School District. If you have any questions or need additional information,
please do not hesitate to give me a call at (303) 857-3210.
Sincerely, (/'J� \ \
Bren d`11,- 2 •R
on
Business Manager U
Cc: Tim & Melanie Totems
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WELD COUNTY ROAD ACCESS INFORMATION SHEET
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 ft: Co Date: S.-9-Oa,
RE#: !,[C,!/.' Other Case#:
07-1. Applicant Namey A7 retrsrr me�rEs Phone 3
7ihTH wgN D 3" 'I -9 S 617
Address 7153 Ia City Ml6Hr6nl state pa Zip t(e,o3
2. Address or Location of Access
Section 21) Township I Range_&_q__WS S bdivision — Block — Lot —
Weld County Road#:�/! L'�Side of Road� Distance from nearest intersection 7� m
cps- C.c. !
3. Is there an existing access to the property? Yes !/ No #of Arcnsses / 7
4. Proposed Use:
❑ Permanent t8 Residential/Agricultural ❑ Industrial
❑ Temporary ❑ Subdivision ❑ Commercial ❑ Other
5. Site Sketch
IV CI $
t/-
Legend for Access Description: 3/yRI;
AG = Agricultural • m. rl} i
RES = Residential k —*
O&G = Oil&Gas
D.R. = Ditch Road
o = House Lora a
A
= Shed
=Proposed Access t
♦ =Existing Access A4
O is L
NI ♦
Nfi -1 I
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:
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CERTIFICATE OF CONVEtENCES Wit, D COUNTY
STATE OF COLORADO DEPARTMENT OF PLANNING SERVICES
COUTY OF WELD
The Security Title Guaranty Co. TITLE INSURANCE or ABSTRACT COMPANY hereby certifies that it
has been made a careful search o 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:
Parcel B of Subdivision Exemption No. 470,being a part of the West 1/2 of the Southwest 1/4 of Section
20,Township 1 North,Range 67 West of the 6th P.M., County of Weld, State of Colorado.
CONVEYANCES if none appear, so state)
Reception No. Page 313 ,Book 1364
Reception No. 1817821 ,Book 896
Reception No.2158645 , Book 1212
Reception No.2455368 , Book 1511
Reception No. 3217408 ,Book 2004
Reception No. 3328642 ,Book 2005
Reception No. , Book
Reception No. ,Book
The certificate is made for the use and benefit of the Department of Planning Services of Weld County,
Colorado.
This certificate s not to be constructed as an Abstract o Title no an opinion of Title,nor a guarantee of Title
and the liability of Security title Guaranty company, is hereby limited to the fee paid for this Certificate.
In witness Whereof, Security Title Guaranty Company,has caused this certificate to be signed by its proper
officer this 6th day of April, 2006, at 8:00a.m..
Security T. le ty Coompan
By C
Author' Signature
Security Title Guaranty Co.
3690 W.10th St.,2nd Fl.,7251 W.20th St.,Bldg.A
Greeley,CO 80634
(970)356-3200 - Fax:(970)356-4912
Toll Free:1-888-825-3215
ay '1 I11-11111 IIIII IIII 1111111111111111���lit�ll!����
3217408 09/09/2004 02:57P Weld County, CO
1 01 2 R 11.00 D 0.00 Steve Moreno CIc:A&Recorder
/I QUITCLAIM DEED
Tills DEED,made this 9th day of September .4x2001}
between Timothy Allan Totems and
EJanice Lynn Totems
-_ g of the 'County of Weld and State of
ec
moms O•D Colorado ,grantor,and
ma= Timothy Allan Totems and Melanie Jean Totems
moo whose legal address is 7153 Weld COUNTY Road 6
sr=9 e Brighton, Co 80603
d2
�3 a> of the County of ',y old and State of Colorado .grantees:
d
ii Wei I WITNESS,that the grantor,for and in consideration of the sum of ten and no/100 O0•00)
DOLLARS,
t�a o the receipt and sufficiency of which is hereby acknowledged,has remised,released,sold and QUITCLAIMED,and by these presents does
6 C remise,release,sell and QUITCLAIM unto the grantees,their heirs,successors and assigns forever,not in tenancy in common but in joint
3g tenancy,all the right.title,interest,claim and demand which the grantor has in and to the real property,together with improvements,if any,
s Q r situate,lying sod being in the County of Meld and State of Cdorado,
o
described as follows:
intro C
NN
� .- See Exhibit A attached hereto and incorporated herein.
•
li
also known by street and number as:
assessors schedule or parcel number.
TO I IAiS E AND TO HOLD the same,together with all and singular the appurtenances and privileges thereunto belonging,or in anywise
thereunto appertaining,and all the estate,right,title,interest and claim whatsoever of the grantor,either in law or equity,to the only proper
use,benefit and behoof of the grantees,their heirs and assigns forever.
The singular number shall include the plural,the plural the singular,and the use of any gender shall be applicable to all genders.
IN WITNESS WHEREOF,Q/ the grantor has executed this deed on the date set forth above.,/p mss,
__-a, (,f�C.Q.y1 ! N/ LGL 1/�' /kL(R`PC_h, ".,`.B'e'vy
Tlmotp y Allan Totems
yy" �� Lianice Lynn Totems
:414ld7lty 0-QJM. GG'k�113(= nP Y✓ rGi9'/<o lllV///
STATE OF COLORADO
ss.
County or AckLUAA.c
n Ct75
The foregoing instrument was ackno. a before me this ' day ofJ,p't-a 9
by ::
j•' t��TARF= . Witness my hand and official seal.
L My commission expires: pg1gCL,le
yl,\PUOLtC11, , )
\
,117 . .•• k
*If in Denier.insert"City and'.
`.1!FC4w+ <� � NOWr Pvwe
Aly Cali=EV Can
Name and Addees of Person Crtaiing Newly Created Legal Description It 5P:35.106.5.DM
R C)
No.967.Rev.4-94. QUITCLAIM DEED 0o Met Tamara) Bedford Pubbahing 1713 9/wee Sr,Oenwa CO 80202—13031293.3500-698
UIINE11111111111111111111 It 1111
M17408 09/09/2004 02:57P Weld County, CO
1 R 11.00 D 0.00 Steve Moreno Clerk& Recorder
t EXHIBIT A
0
u
m
o.ri PARCEL B
v
'me2it A parcel of land located in the west half of the southwest guar-
_ ter of section 20 , Township 1 north, Range 67 west of the 6th
iiicSE P .M. , Weld County, Colorado and being more particularly described
milmilt as follows :
_.—_3 Commencing at the southwest corner of said section 20 and consid-
d
�, eeing the south line of said southwest quarter to bear south 90° •
iiia4to 00 ' 00" east with all other bearings contained herein relative
moo thereto;
o Thence north 00° 14 ' 44" west , 1350 . 11 feet along the west line of
b'o said southwest quarter :
ao 0o Thence south 89°53 ' 42" east , 701 . 48 feet to the true point of
Leuihhihy ;
°mun e- Thence south 89°53 ' 42" east . 615 . 40 feet to the east line of said
aza
IIMMI v N west half of the southwest quarter ;
===.6°:"o Thence south 00° 19' 56" east , 842 . 04 feet along said east line to
a point , from which point the southeast corner of said west half
CM of the southwest quarter bears south 00° 19 ' 56" east . 505 . 68 feet;
Thence north 90°00 ' 00" west , 369 . 99 feet ;
Thence south 00° 14 ' 44" east , 60 . 91 feet ;
Thence north 90° 00 '00" west , 246 . 67 feet :
Thence north 00° 14 ' 44" west . 904 . 06 feet to the true point of
beginning;
Said parcel of land contains 12 . 2606 acres , more or less , and is
subject to any right-of-way or other easements as granted or
reserved by instruments of record or as now existing on said
parcel of land .
The grantor, Timothy Allan and Janice Lynn Totems, reserves all
mineral rights to the parcel of land iden .ified as parcel B above.
such mineral rights shall be retained by Timothy Allan and Janice
Lynn Totems, and is specifically excepted from the transfer cot<ta-
ined herein.
Recorded at clock M
2455368 8-1511 P-39 09/13/95 12:24P PG 1 OP 3 REC DOC
AR2tI5 S368 Weld County CO Clerk & Recorder 16.00
QUIT CLAIM DEED
THIS DEED,Made this day of .19 ,
between Lawrence and Alyce Totems Trust
of the 'County of We id and State of
Colorado,grantor,and
Timothy Allan Totems and Janice Lynn Totems
whose legal address is 7173 Weld County Road 6
Brighton, CO 80601
of the County of Weld and State of Colorado,grantees, - !
WITNESSEI'H,That the grantor,for and in consideration of the sum of ten and no/100 ($10.00)
DOLLARS
the receipt and sufficiency of which is hereby acknowledged.has remised,released,sold.conveyed and QUIT CLAIMED,and by these
presents does remise.release,sell convey and QUIT CLAIM unto the grantees,their heirs,successors and assigns forever,not in
tenancy in common,but in joint tenancy,all the right.title,interest,claim and demand which the grantor has in and to the teal property,
together with improvements,if any,situate,lying and being in the County
of Weld and State of Colorado,described as follows:
See Exhibit A attached hereto and incorporated herein.
also known by street and number as:
TO HAVE AND It)HOLD the same,together with all and singular the appurtenances and privileges thereunto belonging or in
anywise thereunto appertaining,and all the estate,right,title,interest and claim whatsoever,of the grantor,either in law orequity,to the
only proper use,benefit and behoof of the grantees,their heirs and assigns forever.The singular number shall include the plural,the II
plural the singular.and the use of any gender shall be applicable to all genders.
IN WITNESS WHEREOF,The grantor has executed this deed on the date set forth above.
7� align- 7?ae t%,,
, 6-tvs �+y4 Ti , et-.T adtei
Timomy Allan Totems, Co-trustee Alydde Totems, Co-trustee
of Lawrence and Alyce Totems of Lawrence and Alyce Totems
Trust Trust
STATE OF COLORADO,
County of 6.4/10a
The foregoing instrument was acknnvledgedbefore me in the County of (/"“ spo•
State of (Q,(s,sp(p .this 7 dry of �/./esatst y-;vatQ'I0J 3/
so j
.
by �c24#1,44/ 'e.ttt t CD-2Zc.4t?as/ a/r ...saw,. CD 4��61 IK�Y •�a.,.
My commission expires 3/S ,19 f ,Witness my hand and official seal.s f /d3'e•-6
jt 4O lYl(l
�7/�
'If in Denver,insert"City and."
No.M2.Wu,544. QUIT CLAIM DECD 1NjNM Royal andMAd hMm,jM,5125 w as Aur.,take..SS,CO 60114-tel5 2334900
Nay .l•Jr
2455368 B-1511 P-39 09/13/95 12:24P PO 2 OF 3
EXHIBIT A
ARCEL A
A parce and located in the west half of the Southwest quar-
ter of Section 20, Township 1 north, Range 67 west of the 6th
P.H. , Held County, Colorado and being more particularly described
as follows:
Beginning at the Southwest Corner of said section 20 and consid-
ering the south line of said southwest quarter to bear south 90°
00'00" east with all other bearings contained herein relative
thereto;
Thence north 00°14'44" west, 1350.11 feet along the west line of
said southwest quarter:
Thence south 89°53'42" east, 701.48 feet;
Thence south 00°14'44" east, 904.06 feet;
Thence south 90°00'00" east, 246.67 feet;
Thence north 00°14'44" west, 60.91 feet;
Thence south 90°00'00" east, 369.99 feet to the east line of said
west half of the southwest quarter;
Thence south 19' 56" east, 315.68 feet along said east line to a
point, from which point of the southeast corner of said west half
of the southwest quarter bears south 00° 19' 56"east, 190.00 feet;
Thence north 90°00'00" west. 312.00 feet;
Thence south 00° 19'56" east, 190.00 feet to the south line of
said southwest quarter;
Thence north 90° 00'00" west, 1006.90 feet along said south line
to the point of beginning;
said parcel of land contains 27.1884 acres, more or less, and is
subject to any rights-of-way or other easements as granted or
reserved by instruments of record or as now existing on said
parcel or land. In addition thereto said parcel of land contains
2.36 shares of Standley lake, (FRICO) as recorded at certificate
number 6977. Such shares of Standley lake shall also be trans-
ferred with this property.
�� IIII I
•
2455368 B-1511 P-39 09/13/95 12:24P PG 3 OF 3
/PARCEL B
A parcel of land located in the west half of the southwest quar-
ter of section 20, Township 1 north, Range 67 west of the 6th
P.M. , Weld County, Colorado and being more particularly described
as follows:
Commencing at the southwest corner of said section 20 and consid-
ering the south line of said southwest quarter to bear south 90°
00'00" east with all other bearings contained herein relative
thereto;
Thence north 00°14'44" west, 1350.11 feet along the west line of
said southwest quarter;
Thence south 89°53' 42" east, 701.48 feet to the true point of
beginning:
Thence south 89°53'42" east, 615.40 feet to the east line of said
west half of the southwest quarter;
Thence south 00°19'56" east, 842.04 feet along said east line to
a point, from which point the southeast corner of said west half
of the southwest quarter bears south 00°19'56" east, 505.68 feet;
Thence north 90°00'00" west, 369.99 feet;
Thence south 00°14'44" east, 60.91 feet:
Thence north 90°00'00" west, 246.67 feet;
Thence north 00°14'44" west, 904.06 feet to the true point of
beginning;
Said parcel of land contains 12.2606 acres, more or less, and is
subject to any right-of-way or other easements as granted or
reserved by instruments of record or as now existing on said
parcel of land.
The grantor, Lawrence and Alyce Totems Trust, reserves all miner-
al rights to the parcels of land identified as parcel A and
parcel B above. Such mineral rights shall be retained by the
Lawrence and Alyce Totems Trust. and is specifically excepted
from the transfer contained herein.
II III c
I a !
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f �Y �' 1 + >�" h ird c � a� a d-'i�i+� � Y I,C 3Jt}� f i� � F nl.}' sx y� ,t` b�F;`+ ^xe Y �
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'1- f .l r i 1r '�'� °3 b ,g� J' 4M1 e PM'1 h t F h 5 �.�( Il s o S ' 'sY i' � u ,s,1
xl { 14 . '.1 FAL}}tAi�t?¢ �t ti. 11' "L v'5 t� Jt title dA R` ,} fyt-s fi, .!. t } e', -°r ` ! {j
i" dal ' rs� Ll k.Ff�` i:. I+ 8 5 alU�4J. h\ .. .7u, fad.�t_aC .�
$3.00 1/001 `s,}H>' ` kta°1.1
B 1729 AEC 02159645 10/14/88 12:49CO i She `S
A RT.15d645 p 1179 MARY ANN pgGER5T IN CLEAR & RECORDER WELD CO: 54.5 ! '$ 'm t11
lk. _. (Air CLAIM DEED � d, a^74:'"a a,:i'-
:f 0 Deed for Title Purposes Only ( t°,'
'I p df l '1 4 ,vr �' fl AF
Iii THIS DEED.iladethi' lOtH day nr mercrsSlz .198&: { T� .,,41
It between 7 c• `z 1 n 1 .0 frt-1.,
Y • II Lawrence Totems I' eti sir r 6
I�. r < NTc\- - -14""
nnh rind-countynl Weld and State of 's "
radr,h Lawrence and Alyce Totems Trust
•
,.nnc lre,I,J°2,. . 7' 73 Weld Cocnt' Dead 6 -- f i d � s
9righton, CO 80601 ��'��
.a Ow r.,,nry .r We Id and Sum of Colorado.granteelni. �4 ' r Tf w'i 'F°ikY
.cif -fi . -_r-,_
a,
r clatation ;� .,..,/.. .. ,,.
t , • fur in a,n•idcration o•tnc.ttn.f Execution of a e ,..Y(:..Fm..:r'
V IT*II SSr.T! Th the grantor's,. , !'"f .xs..Y , �/1 f.
DOLLARS r< Y a T'71
i
of Trust�e the p � I '[money fwhich' M1 F twit 114 I ha remised.rdcascA.sold.conveyed and QUIT CLAIUCD and by I 3}7 'a.'cT'� am I
Meth presents I is release. II and QUIT CLAIM unto the eran¢ch) Its 1. Iucoecnor'and assigns j m... ;:::fa- : 1
�^ low. I n -rl t t tl :t la' d 1 n and fi ch the grantor(s) has in and to Ih. l prepen I gether with `'
Adcrew,. t t !roc and being the Count Weld and State of I ys h r
fl
Colorado.described follows ± t W av its restnctims, rererntions cc rigflts-ofmny of rezvtd '$ p !
That part of the West one-half of the Southwest one-quarter of Section 20, II i c f df :
Township 1 North. Range 67 hest of the Sixth Principal Meridian, Weld �II yklk4, to
? County, Colorado described as: Beginning at the Southwest corner or. said )7if{ 'R^a ia, bge , :.
ftI Section 20; Thence NOO°14 44 W on an assumed bearing along the West line 1`s ' fi ¢"° ` ?� C'
'rn' 9Pfp,�h1�
+:4i said Section 20 a distance of hw t1. feet; Thence id9Section parallel
e=' with the North line of the Southwest one-quarter said Section 20 a distance 'i a" gilt* ���'
' of 1316.88 feet to a point on the East line said West one-half Southwest ` t ts^ ! `war
:�
F one grarte Thence 530'15'56'E along said East line a distance of 1347.72 i
feet to the Southeas' comer of the West one-half Southwest one quarter 7x v r r.
s id !ction 20, Then :. 100'00'03 l along the South line said Section 20 a t g r, _
Md'd distance of 76.64 feet; Thence 1\0019 56'W a distance of 185.08 feet: L t
t 9. -I ence 90'00'00"W a distance of 235 36 feet; Thence 500°13'56"C a distance e i '#'dJ �" a-,
y� ci i85.08 feet to a pi nt on the South line said Section 20; Thence t'�. a.F,,iii,
. .- N90'00'00'W along said South line a distance of 18.00 feet to the Southeast 1I At'R
corner of a parcel d criled in Book 1387, Page 70 of the Weld County I '�\ 7>b j 1,9
recor c 7:rence along the perimeter of said parcel. by the following three zi e {i ftd
it-
'1 courses; NOO 19'56"W parallel with the East line said West one-half South- ' ,� N,hyr t id
5 west one quarter a distance of 260.00 feet; N90°00'00"W a distance of 140.00
net: S00 19 n E a distance of 260.00 feet to a point on the South line 16'1' tea �{ S`sn t
a1' dJ/I(dJsd,4A/56d/AmmA4/6/said Section 20 Thence N°0 00 007N along said South line a w n a } ,i�
at/kVa distance of 848.90 feet to the point of beginning " 3
j y TO II\ L AND TO IICI D the c together with all and singular heappurtenances and privilege,.th. m longing arm 'FY ii - }FfI Vii� '(•t
;hereunto attest -lining. t the ^ ht iii interest J h -h t. fth ground ci either i or equity.to 5 j 1 y .4.s..�``. ,
•�`� the I, pother use.hone i and b hoof of the gn ,clni I s heirs and g (orcv n t _- t F
X t I IN WITNESS V:HFREnf The grant t I r S e,ecu cd this deed on the dale set(orthanew. +' � et
1 , c j 0...c.,.4,_hk:C ----:9,41-4-,42,-,.. '¢H r}xP^Y AH4A,17 0. j�d z
g. II
IS : L
-+ 3 Lawrence Totems ° aN .*a t,T{'°'� ,,y tol'irk'
+ IIt
•II ST TE Op COLORADO. .x,1'4' yF V §y r
f '? .ro8�i. lyai, r _ di1
a �� t m i, lr.p do How me / ! 1! day t c TGCi !`- .71'7'''g.+ to �≥4
a nLn 1 na Tot r. l5 9"He A O e.
e ak t fyse rS.
welt \I nm )peatn: '/-i I, 19 p/ Rnncas 'hand a-d official cal. x S ;e fiL III
l t - r, ,s �r/11 . 177 /I,'1!.{.G `G:L� 41'2;4_ ),,' ' ;7y, 1'r' 'K
1 i i e . P l)o•- _ 'k 3 Tet-�p-��,.,t(a E.+1'y
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_4. .:' -•=s-1- ,:- . tit 4 .K-- 1.._ Recorded of.. .—'.T .......eclrk .!A_..,k..Sw�..2 -f�W _{ i
\
e..'4 ti...96N .' F>v t , t A J
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Y pr No 1817821 Iirli I'n' IP�u/ w + gq y <t c
d'z .7 v •�'"� of-i V � axfiw-,r rosr -,
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h- �( ' F a'4i� 4 2,•:-• A-,* 4f=f -y,,w ,(49.- rs . ..time °I ColmndoaL Recur .Clerk G Recorder ,- ,� } <
elhS li<°ept on p...., . ..... ... Recorder.— 4 ro a r° 4-‘'"h041'44-m fo
an c ' .__--____-- ---� {4?4 ••,:,!,..=.7 y e
'‘'Fl ‘` s. ` , .ct"`y" • Tnls DEED, Made this 19th day of Februar�•1R 80 " " ' ' ' 3
�
u ti,:S` between ZELLA M. GLARUON and MARGUERITE TOTEMS {1�' �
a d a£-•' .4 'M
ka4,,1'.=-4-.',' w£- of the +w'.^
„b € County of Weld n„a State of Colorado, or the first part, and
LAWRENCE TOTEMS
' L who,e legaladdreesls 7173 Weld County Rd.f6rBrighton ( r }.
: ut e of the County of Weld and State of n _
V• ta'4 Colorado,of the second Dart:
3+a' •" \Y1TNEp'5E1'n,That the said parties°[the first pox,for and in consideration of the sum of I N J=.
' One Dollar and Natural Love and Affection 9B1•''*� i
t \ c the receipt whereof is .r°''i (.
s, to the said part ies of the first part in'tad p:1d by said party of the second part, zT- r Win,
hereby confessed and nclmowi:deed,have granted,L.A.-gained,sold and conveyed,and by these presents do ' '+
-t,:,,
c - , ,-213 O grad,t,bargain, sell,convey and confirm,unto the said party o£ the second part,his helm and coigns for- • ^cii.t iL
,� a p ever.rii tF.e follomrg described sa parcel °f:and,s- coipt and b=^g•n rh• -I
sad State °f Colorado,r°.xl:^uescription attached hereto: . „ter _
Irca T
+, --- .. That part of the West one-half of the Southwest one-quarter of >. e'
.' Section 20, Township 1 North, Range 67 West of the Sixth Principal , Arum e 'e*.
4 V.,, „,/-.), Meridian, Weld County, Colorado described as: Beginning at the ....&1";.74:- t '41
Southwest corner of said Section 20; Thence N00°14'44"id ont an '` Y.wwn-�-ae
'4-'3:ev assumed bearing along the West_ line snit' gerr,nn 20 a distaece of > •«-,...
r 1 .\ 1350.11 feet; Thence S89°53'43"E parallel with the North line of '+� d` rid .�
' ° ' na ` t the Southwest one-quarter said Section 20 a distance of 1316.88 s ,..4.•,4 r .
k
Ttif feet to a point on the East line said test one-half Southwest one-
' ' o" quarter; Thence SOO°19'56"E along said East line a distance of * ,�
, 1347.72 feet to the Southeast corner of the West one-half Southwest Y 7,
ty�f fig. one_-quarter said Section 20; Thence N90°00'00"W along the South
t ''',-14:‘, tai: line said Section 20 a distance of 76.E4 feat; Thence NO0°19'56" a U .
-. w'` distance of 185,08 feet; Thence N90°00'00"W a distance of 235,36
' i� Y +,C feet; Thence 500°19'56"E a distance of 185.08 feet to a point on
7.2.4 ;"
*^ `L y'' t the South line said Section 20; Thence-N90°00'00"W along said a ''.L,4`3
tri "' ri K air South line a distance of 18.00 feet to the Southeast corner of a 3 z-'
r.-. `.;.11 r ;., rips , T parcel described in Book 1387, Page 70 of the Weld County Records; ate ti,i )t i b;:,
b . spar J Thence along the perimeter of said parcel by the following three ,._ '
r rv`s courses; NOO°19'56"W parallel with the East line said West one- ..t1/4•:-.=
of�d' gilk $star„' aalf distanccwest of 140.00ttfeet; SOO°19'56arter a "£ a distance.00 eof260.00 feet et; k - �f'v . :4y., `
y •ieA�°n �dx7f to apoint on the South line said Section 20; Thence N90°00'00"W 0 ydF:,. , e�
t4t.t.r'!F . g; kk-.04VA.,444.4' ,
t4t.t.h!Fs ..F.c .4.-T along said South line a distance of 848.90 feet. to the point of it Kb"3 t'rwdq y�y.
R' Tl ;,r ning; Contains 38,97 acres more or less. t ''fe f'
'1 A t' Topvthnr t?lth 4.36 shares of the capital stool-. of the Farmers
� '4 t77• P.Cservoir and Irrigation Company, Ilk A,='-*'�'R,d37
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�9�a 181'7821
cll t ,b "`0,',T•11 :
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r - xY} 4..7: ° R also,:helve as street Set and number vacant ground -�
F '
t* s 't .'alit. yg 414.( y TOGETHER with all and singular the hereditamenks and appurtenances thereto belonging, or in e. -a,e r r '"
G�^J "�' i d: appertaining, and the reversion and reversions, remainder am!remainder.,:cry eu^s and profits;hems:,and all E,2,freime r 'J
ea Ow estatc, ht,title,onbreet,e,^'m and demand whatscever of the said parties of mho firm part,either{rr law al h...,'.$h
,,,,...,,,,,r2„,,- isy or equity, of,in and to the above bargained premises, with the hereditnments and appurt_naae•s � e t4
� 'q tire TO HAVE AND TO HOLD the said premises above bargained and described with the appurtenances,unto Y
G.74 ?" *� ":41‘,/, said part y of the C c`nd art, his heirs and assigns forever. And the said parties of the first part, ` e
\lC.11 CY,' s tz:-- 6 rt, for them eel yes, 3°,rs executors,and administrators,do covenant,grant,bargain,and agree to and I 4b 4 t' xn' 45nz
k. 4 - 4'vfe wi:h the said part y of the second part,his heirs and assigns,that at the time of the resealing and delivery G 'y.`d,Pst4L if, p
°' 9A h t aae_n1 of these presents,they arewell seized of the premises above conveyed,as of good,sure,perfect,absolute and
p[ ie indefensiose estate of inheritance,in law,in fee simple,and have good right,full power and lawful authority ,
�`c,t r7Sfi ,,ti to grant,bargain,sell and convey the same in manner and form as aforesaid,and that the snare are free and clear I t' zy
It . ti c from all former and other grants,bargains,sales,liens,taxes, assessments and encumbrances of whatsser kind or .d( z'm'
;c,
�-t7"n;.,0ftsrgy > nature server. „{ s,.
! dL t.�
�'r aF�^U ra .�L `'�, (i,{ ,ne.),`, Est
x n, L �i:l
`iC \.irH oo,}�{�. ( Wy�'7� i�`n and the above bargained premises in the quiet and peaceable possession of the said part y of the second part, „I
°t,yi y-a'.,`tra itzziaz. 2 3 his heirs and assigns against all and every person or persons lawfully claiming or to claim the whole _ ydd,� k �,
r 4 R ! ! n say part therm!,the said Far!le9 0o the first Pint shall and will WARRANT AND FOREVER DEFEND. v`"i
l 7} 4 et.ir 1"71 r lit WITNESS WHEREOF,the said part tes of the first part ha ye beneath set the i;ands ' r��'�
r as and seal the day and 5' arfirst shove written.
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e. ��'5 ).7.174:-F1.7.. .� to:.��.;=r:4s e;tie:.tat ere is ptr.G �i'43 1 : a € f7;r;�d the t�69 tw.rt(se of the c!tho3 rut,ties -ergt Correa: 4 ill
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wy,,.;„ ti r•,1 r :.,7
t >P, ...‘,..,,i,, ,, .,[ I Eectior, Twenty (20), Township Ore, Range 67 nest of the 6th
:`t' t(�}. Vin{ ate. S.. 3eld County, •Co_.erade; reserving to the grantor l:er:uer.t e i r
'rl`.VilEil1:toi i; t s $ Tote a a life_ estaate in said property, including possession, _ x:.t
rl
4'.,I ii,1:5.•,1*..i'•' • and •
tall rents, profits, and issues fr^z se id ?:rop'rtr during the
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1..~_y Y• ; ' Te' Te lyre,L]. '. y•'•1.3 H.Rr:T.T!v.Tenet•ee Ilr:t w.�. ebn 01bn N'ML�•�S el 3,ere
L I.,1 R11.r.or tY H
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t; .
DEC-02-05 09:31 FROM-DIVISION OF ""ER RESOURCES 3038662223 T-636 P.02/06 F-442
. ---—f':1
•
writ-S-Re..70 COLORADO DIVISION OF WATER RESOURCES .
aw Cenanniai Bldg-, 1818 Sherman St.,Denver,Colorado 80203
(� PERMIT APPLICATION FORM
Application missy E
be complete where (5{)A PERMIT TO USE GROUND WATER
applicable.Type or MAR 1.6191'1 101 A PERMIT TO CONSTRUCT A WELL Oz-3e-s? 10
:3i n
pint in BLACK FOR: U(1 A PERMIT TO INSTALL A PUMP 13'`17`' 5.0.X! 1 �
or tenuroves
kes ICUS prey m
or irawres unless a6aLelf Dig REPLACEMENT FOR No. I rY-(g c M
initialed. "S. I I OTHER
WATER COURT CASE NO. irdtttl M
Y.
(1) APPLICANT-mailing address FOR OFFICE USE ONLY: DO NfWRITILIN THIS COLUMN
-1 ?^,T„?SS1
NAME L-QIA) ettre' 3. TE Fesus _ Receipt No. 7 31 SG r
STREET 1(12N Wert Cc' 1i -*re Basin Dist.CITY slv4Z44en { en aim I - CONDITIONS OF APPROVAL
TELEPHONE NO. ( C S' — a1 8lF This sus(( shag be used in such a way as to cause
_ no material injury TO existing water rights. The
(2) LOCATION OF PROPOSED WELL issuance of the permit does not assure the applicant
that no injury will occur to another vested water
right or preclude another owner of a vested water
County_ ]� right from seeking relief in a civil court action.
SW 36 of me St° %.Section aC
Mamie
I r..DANT TO C.R.B.
Rm., pi. R . '27 1,g__. t4 P.M. -eDr�a2 C FOR THE 9LooATION OF
IN.A 1E.N, ;44 1 . . THE
IN11 WILL . PLoalli3
AAD �
IS)WATER USE AND WELL DATA 'AM Tp y ROMS] AD
Proposed maximum pumping rate(giro) j Sro) � ) OB O OP ! �L.
_1►
IOW
GMAT TM
Average annual 3 amount of ground water 0 WELL VAS PLUMED
tow appropriated lade feen). 2 TN UTE OF GROOM h16LL
Number of acres to be irrigated: QQ I - i -r� s AIITLT
Proposed total depth(teen):_ 574 DWELL= S
4NA!{'lO�Mj OAF Up AND I r
Aquifer ground water is to be optalnal from: _ PNO�KTION YM'i1 �y $�
Lavnunsie. — Firo1c Fills v:;j' .,�y2 TEE. IV ITS INTERVAL
8gp:�p�.�:r
Osner s well designation — _____."gi TWITALAL WE
CAS
GROUND WATER TO BE tap) FOR: PROSI 04IQN FROM OTHER sons.07st
I I HOUSEHOLD USE ONLY -no Irrigation(0)
PS DOMESTIC(11 I I INDUSTRIAL(5)
DC LIVESTOCK 12) I I IRRIGATION(6)
l I COMMERCIAL (a) ( I MUNICIPAL(81
l I OTHER (9) APPLICATION APPROVED
DETAIL THE USE ON BACK IN (1 I) p //��
PERMIT NUMBER I 098Li3-A
{4) DRILLER
DATE ISSUED APR 2 41987
Name &I Nuer .S Dr()I1 EXPIRATION DATE APR 2 4 1989
Strom -MG i Weld Ci2. Rd. S' 0"/../ c/
Cry Ft. Lip-'on I I 1CDe 4062I IST NG
ran
Telephone No. 5-f--204iLic.No. 503 _ BY
-- — -- - I.D. /- O COUNTY €2-
12/02/2005 FRI 09:28 Max NO 5316] 0002
DEC-02-05 09:31 FROIFDIVISION OF 'TER RESOURCES 3039662223 T-636 P.03/06 F-442
l
(6)mg LOCATION OF THE PROPOSED WELL and the area on (6)THE WEI-L MUST BF LOCATE!?BELOW
the water wt l be used must be indicated on the diagram below. by distances from section lines.
Use the CENTER SECTION (1 section. 640 awes)for the well location
t — f- — 1-- — i- — +— -(- — 'I' — -} — - �r4j�' f't,from (Raw« ooh.) Eec line
I 14--t M14R.6200 FEET--►i I �!°C)en
from ` sec.line
fret or twat
+ + + -I- 1- -I- ± t 1- LOT fr CK_ FILING w
] t I
+ — 4 - WORTH
SECT,
., I — } —
t SUBDIVISION
I I I I (7) TRACT ON WHICH WELL WILL BE
WORTW LOCATED gym, L L. S 1 mss(-, ins,
+ + — + — — + — 1. t + No.of acres 40 . WIN this pa
I I I ;
the only well on this tract? Year.-Q+ Q+-Tillyme
' ' (81PROPOSED CASING PROGRAM
I Plain resins
+ + ft.
-- 4- - + + 6 tin.from 1 ft.to+ 3(
F — [- A I 1I) tn..from ft.to `SS..5 ft.
I I NON ON INE — "* — ��
I ' in.from sC ft w 8m ft.
1- + + + 4 4 4 + + in from ft.to It.
I I I I I (9) FOR REPLACEMENT WELLS give distance
4- — -i- — -I- — ± — t- — + -- + — -I- — + anddirection fromoldwell and plans for(*pglrg
it:
L
The scale of the diagramdiagramh 2 inane*a 1 mils - j l0♦INQY}yi awl ?.0th♦l,les'cT
Each small square represents 40 acres. 12 old
et
��i
WATER EQUIVALENTS t c TAWS Inoun4a! Figural
P1 _et
An Kraf=ot coat I acre of Rnd 1 tool cap 3v e�p l
I ask too;wr and t ap.-.Manly1tr9 woos pwmtno hid dr J O�
I famlY of .will 660resortw rirpeota- 32 1 trawl=of warty per war. p� Lt
1000 ggm..-4.d co nrw katudy for pa.tap rodepilaw.
1,000 own P..eaw0 aatt4=.ouYy for=nt day produces 4.42 sert.rta.
(10) LAND ON WHICH GROUND WATER W!LL BE U gD:
Owner(d: L_at V`H? e -C • 1 -1,O1inS No.of error 40
Lead Asscription: W- 1 SW A- 1 Sea. 2v (1 (IJ 1 K. !07 W 1 (({ti Plat.
(i 1)'QETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal
tem
sys To be es ed 4 V'es idetn.ca_& (4i er t IA 3a.-ter; or p,„( , Anniea{Zc.
l'
d. o
s
(12) used on this land. inducting wells. Give 'evasion and Water Court Case Numbers.
Type or right Used for(purpose) Description of land on which used
Tuvn+evSlr✓Hep CD. tretry ph go we_ as ;-been in rg kcve
cv), 1y taue
It7 ern —as cL,a♦fi
(13)THE APPLICANTS) STATES) THAT THE INFORMATION SET FORTH HEREON IS
TRUE TO THE BEST OF,,HIS KNOWLEDGE.
9/GAafTrIRF OF 4d. L -
use additional sheets of paper if more space is required. I
- - • - - -- - - --J
12/02/2005 FRI 09:28 [T%/R% NO 5316] RI 003
DEC-02-05 09:31 FROM-DIVISION OF "'VER RESOURCES 3038662223 T-636 P.04/06 F-442
. . alraVgiVrete — . _ n ! 7
, FOR-28.77
JUL 231987 AV\Ekt3 12f7 /,
COLORADO DIVISION Of WATER RESOURCES
THIS FORM 1313 S Zeeman Sweet-Roam 88
WITHIN SO DA Denver, Colorado 00203
OF THE WORK HERE-
ON.TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION REPORT
INK • PERROTNUNnR_444843..4______
WELL o%NER Lawrence J . Totems SW _II of the SW X of sec 20
ADDRESS 7173 WCR 6, Brighton, CO T _1 N R 67 ii 6th P.M-
DATE COMPLETED July 7 )9 87
87
, HOLE DIAMETER
WELL LOB 5 7/8in,tram 0 to 725 ft.
Water
From To Typo and Color of Malarial Loc. - in. from to ft
0 10 Top soil & clay in.from to ft.
10 43 Clay DRILLING METHOD Rotary
43 95 Shale
95 Rack 96 Rock CASING RECORD; elsi1,
eying
96 106 Sand Sire 4. &kind steel from 0 To 626 ft.
106 138 Shale
138 159 Sandy Shale Size_& kind from _to -ft.
159 180 Shale
180 190 Shale & Coal Size &kind from to ft.
190 305 Shale
305 306 Rock
306 327 Shale PetferaIedCome
327 329 Coal Size 4 &kind_steel from 626 to 725 ft,
329 350 -Shale & Rosk
350 394 Shale Size . &kind from _to ft.
394 405 Sandy shale
405 457 Coal & Shale Size & kind from to ft
457 468 Shale
¢68 478 Coal & Shale
478 499 Sand & Shale OHOUTING RECORD
499 531 Coal & Shale Material 11 & #2 cement
531 540 Sand
540 563 Coal & Shale intervals Continuous 0 to 625
563 574 Shale
574 606 Sand & Shale Placement Method Pumped down inside casing
606 618 Shale up outside casing
618 680 sand. x aRAVEI PACK: Size680 710 Sand & Shale x •
710 725 :3hale Interval
TEST DATA
Date Tested July 7 19 87
Static Water Level prior to Test 413 ft.
Type of Test Pump Submersible
Length of Test 3 hrs.
Sustained Yield (Metered) 15
TOTAL DEPTH 725 Use WaiOalal mess necessary to cemaiuse its. final Pumping Water Level 506
12/02/2005 FRI 09:28 [TI/RI NO 53161 Iij004
DEC-02-05 09:32 FROM-DIVISION OF "-TER RESOURCES 3038662223 T-636 P.05/06 F-442
PUMP INSTALLATION REPORT c . .
S
Pump Make Goulds t, -.
Type Submersible •'• 'r. N
;_`= —�
powered by Electricity HP
4 tr
Pump serial No..10 e430412
' WATER
Motor Serial No. s .' _ W TAale
Oats Installea July 3, 1987 fi
r
Pump Intake Depth 609 T
Remarks
M
(1
.` a •i
Q -.
yX r 4,
WELL TEST DATA WITH PERMANENT PUMP Is - :t
Date Tested July 7, 1987 cont. OP
A `• DSPRESSION
Static Water Level Prior TO Test 413 V;
Length of Test 3 lyre_ Hours r,
Sustained yield(Metered) li GPM
Pumping Water Level 48n
Remarks , •► -
`
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 statement made hereon; knows the content
thereof,and that the same is true of his own knowledge.
Signawre License No. 49R
State of foredo, of�• /'d �XI SS
Subscribed and sworn to betore r me thiaiday of 91:4. . 196e.2.
My Commission exp. :✓!,�4y el 7 , 19 re.
Notary Publ
FO
j( RM TO ■E MACE OUT IN QUADRUPLICATE: WHITE FORM deter W en mini* copy en with ea end Seed.
IWHITE AND GREEN cope must re filed eddy the Sur Engineer.PINK COPY is 1m the Oa and YELLOW COPY is ter are Oreler.
12/02/2005 FRI 09:28 [T%/R% NO 53161 faO05
DEC-02-05 00:32 FROM-DIVISION OF WATER RESOURCES 3038662223 T-636 P.06/06 F-442
i
DENVER BASIN EXFNPT DATA SHEET
^� By: 7i Date: 0,4.s
APPLICA AP. -K NAr_4791_—-, -s..a� REi3�p� PERMIT NO./D�9rf�
SOURCE F DATA: DENVER BASIN ATLAS , OTHER(EXPLAIN)
IS PROPERTY WITHIN SERVICE BOUNDARIES OF MUNICIPALITY OR QUASI MUNICIPALITY S.B. CONSENT NAPS?'
NO YES
INFORMATION ON SUBDIVISION OR TRACT OF LAND (SPECIAL INSTRUCTIONS) :
IF SUBDIVISION IS AUGMENTATION PLAN, CASE NO. , DIV.
IF SUBDIVISION WAS RECOMMENDED FOR APPROVAL BY WATER SUPPLY BRANCH, DATE OF LETTER IS
NO, OF ACRES }}
' _5(4)5401 .moo, /,...1, b7Zr/
AQUIFER SURFACE AQUIFER AQUIFER SATURATED
ELEVATION ELEVATION/TOP ELEVATION/BOTTO SANDS
DEPTH DEPTH 70 SPECIFIC
TO TOP BOTTOM YIELD
/ IO 7
C LCUL NS/NOTES
AQUIFER AQUIFER AQUIFER SATURATED SANDS
ELEVATION/TOP ELEVAT ON/BOTTOM SPEC F C
EPTH EPTH TO YIELD
TO TOP SOTTO
CALCULATIONSiNOTES
AQUIFER AQUIFER AQUIFER SATURATED SAND
ELEVATION/TOP ELEVATION/BOTTOM
EPTN EPTH TO SPECIFIC
TO TOP BUTTON YIELD
CALCULATIONS'NOTES
12/02/2005 FRI 09:28 [TI/RI NO 5316] g]006
DEC-02-05 09:32 FROM-DIVISION OF WATER RESOURCES 3038662223 T-636 P.06/06 F-442
DENVER BASIN EXEMPT DATA SHEET e.25ii7
•
C � - By: �i Date: 3 �gj
APPL ICA �¢,[ -46-4 -"��s t�-,�. , /
_ �l PERMIT N0./o9�i��
SOURCE F DATA: DENVER BASIN ATLAS ✓ , OTHER(EXPLAIN)
IS PROPERTY WITHIN SERVICE BOUNDARIES OF MUNICIPALITY OR QUASI MUNICIPALITY S.B. CONSENT MAPS?
HO YES
INFORMATION ON SUBDIVISION OR TRACT OF LAND (SPECIAL INSTRUCTIONS) :
IF SUBDIVISION IS AUGMENTATION PLAN, CASE NO. , DIV.
IF SUBDIVISION WAS RECOMMENDED FOR APPROVAL BY WATER SUPPLY BRANCH, DATE OF LETTER IS
NO, OF ACRES
Jc )SW .-o, b7t)
AQUIFER SURFACE AQUIFER AQUIFER SATURATED
ELEVATION ELEVATION/TOP ELEVATION/SOTTO SANDS
DEPTH DEPTH 70 SPECIFIC
TO TOP BOTTOM YIELD
//O Seas 2 'Ter
CONS/NOTES
AQUIFER AQUIFER AQUIFER SATURATED SAN"
ELE 470N/TOP ELEYATION/BOTTOM SPECIFIC
EPTH EPTH TO YIELD
TO TOP. BOTTOM
CALCULATIONS, NOTES
AQUIFER AQUIFER AQ1IIfER SATURATED SAND
ELEVATION/TOP ELEVATION/BOTTOM
EPTH EPTH TO SPECIFIC
TO TOP BOTTOM YIELD
CALCULATIONS:NOTES
12/02/2005 FRI 09:28 [TX/RI NO 5316] a006
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cile
APPLICATION F'R INDIVIDUAL SEWAGE DISPt1SAL SYSTEM No. � °
WELD COUNTY HEALTH DEPARTMENT New
ENVIRONMENTAL HEALTH SERVICES
Repair
1818 Hospital Road, Wesley, CO 80831
353-0540 EXT. 270 P BP
OWNER s tea,: r e. ADDRESS ,1/73 /J ;,;% � ac! PHONE ,< ,
ADDRESS OF PROPOSED SYSTEM -)('''' e
LEGAL DESCRIPTION OF SITE: PT Li;4' " $ 21) 11Pitt / R
SUBDIVISION LOT ,.BLOCK , FILING
USE TYPE: RESIDENTIAL C INSTITUTION
COMMERCIAL OTHER
SERVICES: PERSONS BAT ROOMS 0- LOT SIZE 79
BEDROOMS it ff� � G RID WATER SUPPLY //1P��
TYPE OF SEWAGE DISPOSAL REQUESTED:
Applicant acknowledges that the completeness of this application is conditional upon further mandatory and additional tests
and reports as may be required by the Weld County Health Department to be made and furnished by the applicant or by the
Weld County Health Department for purposes of the evaluation of the application; and the issuance of the permit is subject
to such terms and conditions as deemed necessary to insure compliance with rules and regulations adopted under Article 10,
Title 25,CRS 1973, as amended.The applicant certifies that the proposed system will not be located within 400 feet of a com-
munity sewage system. The undersigned hereby certifies that all statements made, information and reports submitted here-
with and required to be submitted by the applicant are, or will be, represented to be true and correct to the best of my knowl-
edge and belief,and are designed to be relied on by the Weld County Health Department in evaluating the same for purposes
of issuing the permit applied for herein. I further understand that any falsification or misrepresentation may result in the denial
of the application or revocation of any permit granted based upon said application and In legal action for perjury as provided by law.
Application fee ^7 � 7-1(7C;
Reo'd by /4-1r Date,/9 Owner/Agent Signature Date
FOR DEPT. PERCOLATION RATE / h 1.2.5 tni v WATER TABLE DEPTH
USE ONLY 801E TYPE Ck f PERCENT GROUND SLOPE
REQUIRES ENGINEER DESIGN ( )YES,() No -
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
From the application information supplied and the on-site soil percolation data, the following minimum installation specifi-
cations are required:
SEPTIC TANK /l ('7 GALLONS,ABSORPTION TRENCH h ` y SQ. FT.
or
ABSORPTION BED n". ./ sa FT. '
In addition,this Permit is subject to the following additional terms and conditions:
,:., c/ '-'/,:) /[3G,'T;': 2.3 / •.•••9 4'; l�ars'�% fir'n4- -ii !
This Permit is granted temporarily to allow construction to commence. This Permit may be revoked or suspended by the Weld
County Health Department for reasons set forth In the Weld County individual Sewage Disposal System Regulations,including
failure to meet any term or condition imposed thereon during temporary or final approval. The Issuance of this Permit does not
constitute assumption by the Department or Its employees of liabili/tty.ftVthhe/.allure orl , uacy of the amigo disposal system.
frat/ ry
Environmental Specialist Date
This Permit is not transferable and shall become void If system construction has not commenced within one year of its Issuance.
Before issuing final approval of this Permit the Weld County Health Department reserves the right to impose additional terms
and conditions required to meet our regulations on a continuing basis. Final Permit approval Is contingent upon the final in-
spection of the completed system by the Weld County Health Department.
SYSTEM CONTRACTOR FINAL INSPECTION _ ��A/LctiP�
SYSTEM ENGINEER APPROVAL
Env ronmental Specialist to
The issuance of this Permit does not imply compliance with other state, county or local regulatory or building requirements,
nor shall It act to certify that the subject system will operate in compliance with applicable state, county and local regulations
adopted pursuant to Article 10, Title 25, CRS 1973, as amended, except for the purposes of establishing final approval of an
Installed system for issuance of a local occupancy permit pursuant to CRS 1973 25.10.111 (2).
Original-Applicant;Copy-WCHD WCHD—EHS February, 1981
1.9
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