HomeMy WebLinkAbout20062997.tiff SITE SPECIFIC DEVELOPMENT PLAN AND USE BY SPECIAL
REVIEW (USR) APPLICATION
FOR PLANNING DEPARTMENT USE DATE RECEIVED:
RECEIPT#/AMOUNT# /$ CASE#ASSIGNED:
APPLICATION RECEIVED BY PLANNER ASSIGNED:
Parcel Number 1053 18 000028
(12 digit number-found on Tax I.D.information,obtainable at the Weld County Assessor's Office,or www.co.weld.co.us).
Legal Description: part of Lot C, RE-4205, part of the W2 Section 18 Township 04 North, Range 64 West
Flood Plain: No Zone District: A , Total Acreage: /65•U'1-L Overlay District: Airport Geological Hazard: No
FEE OWNER(S) OF THE PROPERTY:
Name: Petro-Canada Resources(USA) Inc.
Work Phone# (303) 297-2300 Home Phone# Email Address:
Address: 1099 18th Street, Suite 400
City/State/Zip Code Denver, CO 80202-1904
Name:
Work Phone# Home Phone# Email Address
Address:
City/State/Zip Code
Name:
Work Phone# Home Phone# Email Address
Address:
City/State/Zip Code
APPLICANT OR AUTHORIZED AGENT (See Below:Authorization must accompany applications signed by Authorized Agent)
Name: Todd Hodges Design, LLC
Work Phone#: (970)613-8556 Home Telephone#: N/A Email Address: toddhodgesdesignCilgwest.net
Address: 1269 North Cleveland Avenue
City/State/Zip: Loveland, CO 80537
PROPOSED USE:
A Site Specific Development Plan and Use by Special Review Permit for a Oil and Gas Support and
Service operation (Use by Special Review in the Agricultural Zone District per Weld County Code Section
23-3-40.A.2) including, but not limited to the use of a pre-manufactured office building as a field office and
parking areas as well as uses outlined in the definition of "Oil and Gas Support and Service" found in
Section 23-1-90 of the Weld County Code.
I (We)hereby depose and state under penalties of perjury that all statements, proposals, and/or plans submitted with
or contained within the application are true and correct to the best of my(our)knowledge. Signatures of all fee owners
of property must sign this application. If an Authorized Agent signs, a letter of authorization from all fee owners must
be included with the application. If a corporation is the fee owner, notarized evidence must be included indicating that
the signatory has to legal authority to sign for the corporation.
EXHIBIT
S n ure: Owner or Authorized Agent Date Signature: Owner or Authorized Age
2006-2997
Petro-Canada Resources (USA) Inc.
1099 18th Street, Suite 400
Denver, CO 80202-1904
To Whom It May Concern:
Please be advised that I, Susan Miller, Regulatory Analyst, hereby authorize Todd
Hodges Design, LLC, to represent Petro-Canada Resources (USA) Inc., in our endeavor
to obtain a Use by Special Review Permit for our property located in part of the West half
of Section 18, Township 4 North, Range 64 West of the 6`h P.M., Weld County,
Colorado.
an Miller date
Petro-Canada Resources (USA) Inc.
1099 18th Street, Suite 400
Denver, CO 80202-1904
To Whom It May Concern: ///'''
Please be advised that I, (44K/el A/ g��Qr�VP Engineering & Operations,
hereby authorize Susan Mi ler, Regulatory Analyst to represent Petro-Canada Resources
(USA) Inc., in our endeavor to obtain a Use by Special Review Permit for our property
located in part of the West half of Section 18, Township 4 North, Range 64 West of the
6th P.M.,Weld County,Colorado.
Charles W. Po lard VP Engineering&Operations 3/39/04
NAME,TITLE date
F7
priu.... Petro-Canada Resources (USA) Inc.
May 24, 2006
Via Overnight Mail
Weld County Planning Services
918 10th Street
Greeley, CO 80634
RE: USR Application — LaSalle Office Building
Legal Location: W/2 of Section 18, T4N, R64W, 61h P.M.
Weld County, Colorado
To Whom It May Concern:
On behalf of Petro-Canada Resources (USA), Inc., this letter serves as a request
to Weld County Planning Services that Kim Ogle process this particular Use by
Special Review application. Our request is due to Kim's knowledge of USR-
1571, a Use by Special Review application occurring on the same property. We
have had a meeting with Kim Ogle regarding this process. He is familiar with the
proposed application submitted herein as well as USR-1571. His familiarity with
both cases is beneficial to the County, Planning Services as well as Petro-
Canada Resources (USA), Inc.
Your consideration of this request is greatly appreciated.
Sincerely,
Petro-Canada Resources (USA), Inc.
Susan Miller
Regulatory Analyst
Enclosures
Suite 400, 1099 18th Street • Denver,CO 80202-1904
Office:(303)297-2300 • Fax(303)297-7708 • www.petro-canada.ca
tv (.
Todd Hodges Design, LLC
Use by Special Review Application
Prepared for:
Petro-Canada Resources (USA) Inc.
1099 18th Street, Suite 400
Denver, CO 80202-1904
Prepared by:
Todd Hodges Design, LLC
1269 North Cleveland Avenue
Loveland, CO 80537
Submitted:
July 6, 2006
1269 North Cleveland Avenue • Loveland, Colorado 80537 • (970) 613-8556 • fax: (970)613-8775
email: toddhodgesdesign(agwes7.net.net
Todd Hodges Design, LLC
Table of Contents
1 . Application Form
2. Authorization Forms
3. Ensign Well Services, Inc. letter dated May 24, 2006
a. Weld County Planning response letter dated June 26, 2006
4. Use by Special Review Development Questionnaire
5. Weld County Road Access Information Form
6. Reduced Use by Special Review Plat, 8-1/2 x 11 inch format
7. Soils Map and Associated Narrative
8. FEMA FIRM Community Panel
9. Evidence of Adequate Water Supply
10. Emergency Information Sheet
11 . Airport Authority Email dated April 6, 2006
12. Surrounding Property Owners List
13. Mineral Affidavit
14. Certificate of Conveyances -
a. Deed
b. Name Change Affidavit
15. Certificate from Weld County Treasurer indicating no delinquent taxes
due for the property
16. Soil Percolation Test and Septic System Design by Northern Colorado
GeoTech dated January 26, 2006; letter dated March 30, 2006
17. Evidence of Application Fee Check in the amount of $2,500.00,
Attached to Original Submittal
1269 North Cleveland Avenue • Loveland. Colorado 80537 • (970) 613-8556 • fax: (970)6/3-8775
emai/: Ioddhodgesdesigna;qtve,s't; et.net
miRoNitwt, POD-Gnodo Sources(USA)Inc.
May 12,2005
Ms. Sheri Lockman
Weld County Department of Planning
1555 North 17th Avenue
Greeley,Colorado 80631
Re: Authorization to Sign
Use by Special Review Applications
Weld County,Colorado
Dear Ms. Lockman:
Please accept this letter as authorization for Ms. Susan M. Miller,Operations Technician
for Petro-Canada Resources(USA)Inc.,to execute the referenced applications and all related
documents thereto on behalf of Petro-Canada.
Thank you for your consideration in this regard.
Sincerely,
rcf&JcaCy
Edward L.McLaughlin, Vice President
Land& Business Development and Director
ELM/kv
Enclosures
cc: Susan Miller
Suite 400,1099 18th Street • Denver,CO 80202-1904
Office:(303)297-2300 • Fax(303)297.7708 • www.petro-canade.ce
2402
WCR 46
ENSIGN LaSalle, CO80645
tel (970) 284-6006
Well Services Inc. fax (303)659-6842
www.ensignusd.com
May 24, 2006
Mr. Kim Ogle
Weld County Planning Services
918 10th Street
Greeley, CO 80634
Dear Mr. Ogle:
We operate the Use by Special Review(AmUSR-734)activities occurring on Lot A,RE-
4205 located in the northwestern portion of Section 18,Township 3 North, Range 64
West of the 6th P.M., Weld County,Colorado. We understand Petro-Canada Resources
(USA), Inc. will be moving the modular structure from our site to Lot C, RE-4205. This
move is not a major change from our Use by Special Review application. We request
your approval of this move and that the move does not constitute a major change from
AmUSR-734 in accordance with Section 23-2-280 of the Weld County Code. We would
like to keep the footprint on the AmUSR plat in the event a building is needed. We
would, of course,coordinate this potential with you prior to action.
Your response is requested. Please confirm your approval of this minor change to
AmUSR-734 in writing to the above address as well as to the representatives of Petro-
Canada Resources(USA), Inc_ at the address below.
Sincerely,
Guy Hass
District Manager
Copy: Todd Hodges Design, LLC
1269 North Cleveland Avenue
Loveland,CO 80537
DrIviog to Zero
mono-ware
5/
ti.. CD
DEPARTMENT OF PLANNING SERVICES
Planning Division
SOUTHWEST OFFICE
4209 CR 24.5
LONGMONT,CO 80504
kogle@co.weld.co.us
PHONE: (720)652-4210, Ext.8747
WI
C
FAX: (720)652-4211
COLORADO
June 26, 2006
Guy Hass
District Manager
Ensign Well Services Inc.
24020 County Road 46
LaSalle, Colorado 80645
Subject: Modular Structure
Land Use Case No. AmUSR-734
Legal: Lot A, RE-4205, Part NW4 18-3-64
Dear Mr. Hass:
The Department of Planning Services is in receipt of your letter dated May 24, 2006 regarding the
removal of a modular structure associated with Petro-Canada Resources (USA), Inc from a site
identified as AmUSR-734 to adjacent lands under their jurisdiction and ownership.
The Department of Planning Services has determined that this relocation is not a substantial
change to the existing USR for this site and Ensign Well Services Inc., may at any date unknown
at this time, move a similar structure onto these lands with the appropriate permits obtained
through Weld County Government.
Should you have any questions or need further information, I may be reached at the above
address, telephone number or e-mail address.
Sincerely,
Kim.O
Planning Manager
Enclosure:
File:AmUSR-734
pc: Todd Hodges Design,LLC
1269 North Cleveland Avenue
Loveland,CO 80537
Property Research 18-3-64
SITE SPECIFIC DEVELOPMENT PLAN AND
USE BY SPECIAL REVIEW (USR) QUESTIONNAIRE
PETRO-CANADA RESOURCES (USA) INC.
This application has been prepared by established guidelines found in the Weld County Code,Section 23-2-
260,Use by Special Review Application Requirements,and the most current Weld County Procedural Guide
for a Use by Special Review Application as found on the Weld County Web Site.
1. Explain, in detail, the proposed use of the property.
The proposed use of the site will remain consistent with the Agricultural Zone District and
surrounding property uses. Pre-manufactured office building(s)will be moved to this site as a field
office for Petro-Canada's LaSalle field personnel.
The intended use of the property as an Oil and Gas Support and Service operation as defined in the
Weld County Code Section 23-1-90. This use is a Use by Special Review in the Agricultural Zone
District(23-3-40.A.2)and shall also adhere to the definition of"Oil and Gas Support and Service"
found in Section 23-1-90 of the Weld County Code. The desired use of the property is for an office
for field personnel, storage, and additional parking of vehicles associated with the office use. The
location of these uses are illustrated on attached plats.
The applicant respectfully requests a simultaneous Building Inspection plans examination and
building permit issuance pending approval and plat recording of this application. The applicant
respectfully requests this review also include the review and permit for the use of manufactured
structures per the provisions of Section 23-4-130 of the Weld County Code,if applicable,by current
County standards.
Approximately twenty (20) field personnel will access the site in the morning,park their personal
cars on site, leave the site in a company vehicle and return at the end of the day to retrieve their
personal car, leaving the company vehicle on site. Two (2) personnel will remain as staff at the
office. The area surrounding the office and personnel parking will be fenced with a 6-foot chain link
fence.
2. Explain how this proposal is consistent with the intent of the Weld County Code,Chapter 22
(Comprehensive Plan).
This Use by Special Review application has been prepared utilizing the process outlined in the Weld
County Code and Procedural Guides. The Guiding Principles of the Comprehensive Plan found in
Section 22-1-120 states,"Land use changes must afford flexibility based on the specific location and
the particular circumstances encountered within this locality. It is also important to weight the
cumulative impacts that specific land use changes will have." This proposal is respectful of the
surrounding uses and meets a need for Petro-Canada Resources(USA)Inc.to locate a field office in
the LaSalle vicinity. The impact to surrounding properties is anticipated to be minimal as the office
will be accessed by approximately twenty staff members.
The uses proposed will be compatible with the future development of the surrounding area as
permitted by the existing zone district and with future development as projected by Chapter 22 of
this Code and any other applicable code provisions or ordinances in effect, or the adopted Master
Plans of affected municipalities. The operations conducted on site are confined to the enclosed
area and building. Most activities occur on contract jobsites.
• The property is not located within the I-25 Mixed Use Development area.
• The property is not located within an Intergovernmental Agreement Boundary or standard
Urban Growth Boundary.
• The site is located within the Greeley—Weld Airport Authority overlay district. The
applicant has made contact with the Greeley-Weld Airport Authority. Mr. Michael
Reisman indicated the location does not warrant an Avigation Easement or other
agreement.
• Surrounding land uses include agricultural uses including the following Special Use
Permits: existing Oil and Gas Support and Service operations, a Confined Animal
Feeding Operation, a 4,000-head Dairy, Private Air Strip, Roping Arena, and a turf farm.
3. Explain how this proposal is consistent with the intent of the Weld County Code, Chapter 23
(Zoning) and the zone district in which it is located.
This application has been filed in accordance with Article 2,Division 4,Chapter 23 of the Weld County
Code, starting with Section 23-2-200. Application materials submitted comply with Article V of
Chapter 23 of the Weld County Code (Overlay Districts).
• The property is not located within the I-25 Mixed Use Development area.
• The property is not located within an Intergovernmental Agreement Boundary or standard
Urban Growth Boundary.
• Use by Special Review Design Standards as found in Section 23-2-240 of the Weld County
Code were consulted in preparing this application.
The site is located within the Greeley — Weld Airport Authority overlay district. As stated
previously, no agreement or easement documents are required per Mr. Reisman.
The intended use of the property is for an Oil and Gas Support and Service operation as defined in
the Weld County Code Section 23-1-90. This use is an Use by Special Review in the Agricultural
Zone District (23-3-40.A.2) and shall also adhere to the definition of"Oil and Gas Support and
Service"found in Section 23-1-90 of the Weld County Code. The end use shall include an office for
field personnel(pre-manufactured), storage, and additional parking of vehicles associated with the
office use. The plat includes a storage area to be used for the storage of new and used miscellaneous
equipment such as pipe, tanks, separators, etc.
Adequate provision has been made to protect the health, safety and welfare of the inhabitants of the
neighborhood and the County. Operation Standards as found in Section 23-2-260 of the Weld
County Code were consulted in preparing this application as stated previously in application
materials. Conditions of Approval and Development Standards will ensure the proposed use upholds
the purpose and intent of the Weld County Code, Chapter 23 as listed in Section 23-1-40. Such
Conditions of Approval and Development Standards as found in the Weld County Code, Referral
Agency responses and Staff Comments shall be considered and appropriately incorporated into the
final use and site design.
n
4. What type of uses surround the site? Explain how the proposed use is consistent and
compatible with surrounding land uses.
Surrounding land uses include agricultural and Special Review uses as stated previously. The
proposal is consistent and compatible with the existing and future land uses, including a similar
use on property located adjacent and west of this site as well as USR-1517 located north and
adjacent to the site on the same legal parcel. These two Use by Special Review permits are
contiguous on one legal parcel. Each does not create a separate legal lot,just separate uses
covered by separate Special Use Permit applications.
5. Describe, in detail,the following:
a. How many people will use this site
b. How many employees are proposed to be employed at this site?
c. What are the hours of operation?
Twenty(20)people with utilize this site for short periods of time during the early morning
and at the end of a regular business day(5 p.m.). One to Two (1 to 2)persons will occupy
the building during regular business hours of 8 a.m.to 5 p.m. Employees may access the site
on an as-needed basis before 8 a.m. and after 5 p.m.
d. What type and how many structures will be erected (built)on this site?
The only new building to be located at this site will be the pre-manufactured office
building(s). Parking will be placed around the building as illustrated on the attached plans.
A six(6) foot fence will be placed around the building and parking area.
e. What type and how many animals, if any,will be on this site? This is not applicable.
f. What kind (type,size,weight) of vehicles will access this site and how often?
There will be nineteen' -ton pick-up trucks at the location for a short period of time in the
early morning. A 4WD %ton SUV will also be on site during regular business hours.
g. Who will provide fire protection to the site? The Kersey Fire Protection District.
h. What is the water source on the property? Central Weld County Water District. Please
see attached letter.
i. What is the sewage disposal system on the property?
An engineered septic system will be utilized on this location. Design specifications have
been included for review and approval by the Weld County Department of Public Health and
Environment as part of the applicant's respectful request for a simultaneous Building
Inspection plans examination,building permit,and septic permit issuance pending approval
and plat recording of this application. Please see letter from Northern Colorado Geotech,
Doug Leafgren, P.G., attached.
j. If storage or warehousing is proposed,what type of items will be stored?
The plat includes a storage area to be used for the storage of new and used miscellaneous
equipment such as pipe, tanks, separators, etc.
6. Explain the proposed landscaping for the site. The landscaping shall be separately submitted
as a landscape plan map as part of the application submittal.
Landscaping is not proposed with this amendment as the use will occur internal to the entire site.
7. Explain any proposed reclamation procedures when termination of the Use by Special Review
activity occurs.
Appropriate site clean-up from construction operations will be completed.
8. Explain how the storm water drainage will be handled on the site.
Historic drainage will not be altered. The applicant does not anticipate"major run-off'due to the
absence of large impervious surfaces at this location.
9. Explain how long it will take to construct this site and when construction and landscaping is
scheduled to begin.
Construction will take approximately two (2) months upon approval of the USA and building
permits.
10. Explain where storage and/or stockpile of wastes will occur on this site.
Wastes will not be stockpiled. Garbage generated by office-related activities will be stored in a 3-
yard dumpster and collected weekly by Waste Management Co, 1925 ls`Ave.,Greeley, CO 80631,
Phone 970/352-6124. The dumpster will be located on the south side of the building.
A
FOR COMMERCIAL SITES, PLEASE COMPLETE THE FOLLOWING INFORMATION
BUSINESS EMERGENCY INFORMATION:
Business Name: Petro-Canada Resources (USA) Inc. Phone: (303) 297-2300
Address: 1099 18th Street, Suite 4000 Denver, CO 80202-1904
Business Owner: Petro-Canada Resources (USA) Inc. Phone: (303) 297-2300
Address: 1099 18th Street, Suite 4000 Denver, CO 80202-1904
List three persons in the order to be called in the event of an emergency:
NAME TITLE ADDRESS PHONE
Dave Gipson (970) 284-6006
Josh Thomason (303)297-2300 (8 a.m.—5 p.m.)
24-Hour Answering Service (970) 284-6006 or 1-800-766-7762
Business Hours: 8 a.m. —5 p.m. (limited employees earlier&later) Days: Monday-Friday
Type of Alarm: Security System
Name&address of Alarm Company: First Class Security, 3835 W 10th St, Ste 300C, Greeley, CO 80634,
Ph 970/339-2449
"'^ Location of Safe: n/a
fRMMR1(4wRt S.... MR1,RfiM` +l4feRRkIMMIR/iw--A....-A********kMMf*lMn £Si*********** **.,. AAMNtfRil Rftl(RklRtf4fRRfeRlM'!R4 eYtfM
MISCELLANEOUS INFORMATION:
Number of entry/exit doors in this building: 3 entry/exit doors Location(s): 1 at either end
of the front of the building and 1 more on back side of building
Is alcohol stored in building? No Location(s):
Are drugs stored in building? No Location(s):
Are weapons stored in building? No Location(s):
The following programs are offered as a public service of the Weld County Sheriff's Office. Please indicate the
programs of interest. _ Physical Security Check _ Crime Prevention Presentation
UTILITY SHUT OFF LOCATIONS:
Main Electrical: in the center of the north side of the building
Gas Shut Off: center of west wall of building
Exterior Water Shutoff: adiacent to gas shut off on west wall of the building
Interior Water Shutoff: adiacent to water meter on west interior wall
•
Anne Johnson of Todd Hodges Design, LLC
From: "Miller, Susan" <Susan.Miller@petro-canada.com>
To: <AnneJohnson@Qwest.net>
Sent: Thursday, April 06, 2006 4:40 PM
Subject: FW: LaSalle USR -
Please see Mike's e-mail-great!
Original Message
From: Michael A. Reisman [mailto:Reisman@gxy.net]
Sent: Thursday, April 06, 2006 4:35 PM
To: Miller, Susan
Cc: kfreiberg@gxy.net
Subject: RE: LaSalle USR -
Susan:
I have reviewed the location of your project based upon the Section, Range and Township information you have
provided. The site is located directly underneath the Approach Surface of the main north/south runway at the Greeley-
Weld County Airport, and, subsequently, within the Airport Zoning Overlay District as adopted by Weld County ordinance.
However, given the distance of the site from the airport, and elevation of the Approach Surface over that site, the
placement of typical single story structures should not have any impact on the height zoning limitations contained in the
Weld County ordinance. Additionally, since the existing and/or proposed use of the site is commercial and/or industrial in
nature, the activities which will take place on the site are not considered an incompatible land use for the airport. For that
reason, an avigation easement over the property will likely not be requested by the airport during the referral review
period. However, since the property is located directly underneath the approach path for the airport's main runway,the
...land owners can reasonably expect an increasing number of aircraft overflights over time. For that reason, it is likely that
trough the referral process, the airport would recommend to Weld County that a notation concerning the proximity of the
site to the airport be placed on the official plat and recorded.
I hope that this information satisfies your needs. Please call me at 33-3001 if I can provide you with any additional
assistance.
Mike Reisman
Greeley-Weld County Airport
(970) 336-3001
Reisman@gxv.net
e
Report Date: 06/01/2006 08:22AM WELD COUNTY TREASURER Page: 1
STATEMENT OF TAXES DUE
SCHEDULE NO: R0068288
r^ ASSESSED TO:
PETRO-CANADA RESOURCES (USA) INC
C/O LOGAN&FIRMINE INC
3615 S HURON ST STE 200
ENGLEWOOD, CO 80110
LEGAL DESCRIPTION:
8885 PT NW4 &PT SW4 18 4 64 DESC AS BEG NW COR SEC N88D28'E 240216' TO N4 COR SEC S0D33'E
2912.94' N84D36'W 2420.23'ALG FENCE LN (AGREED TO AS PROPERTY LN PER AFFD BK 1046 REC#
1985675)TH N TO POB (4F 3D 16S) %24020 WCR 46% SITUS: 24020 46 CR WELD 00000
PARCEL: 105318000028 SITUS ADD: 24020 46 CR WELD
TAX YEAR CHARGE TAX AMOUNT INTEREST FEES PAID TOTAL DUE
2005 TAX 3,933.50 0.00 0.00 3,933.50 0.00
TOTAL TAXES 0.00
GRAND TOTAL DUE GOOD THROUGH 06/01/2006 0.00
ORIGINAL TAX BILLING FOR 2005 TAX DISTRICT 0742-
Authority Mill Levy Amount Values Actual Assessed
WELD COUNTY 17.900 1,210.59 COMMERCIA 230,668 66,890
SCHOOL DIST RE7 23.812 1,610.41 AGRICULTUR 2,562 740
CCW WATER 0.607 41.05
CWC WATER 0.000 0.00 TOTAL 233,230 67,630
CCS WATER 3.350 226.56
PLATTE VALLEY FIRE 2.438 164.88
AIMS JUNIOR COL 6.357 429.92
WELD LIBRARY 3.281 221.89
WEST GREELEY CONSERVATION 0.417 28.20
TAXES FOR 2005 58.162 3,933.50
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 and payable connected with the parcel(s)
identified therein have been paid in full.
Signed 7-,_aCl n_.) Date 40/0 h
r
eqert
•
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•
•
asal
STATE OF. COLORADO
DEPARTMENT OF
STATE
CERTIFICATE
I, NATALIE NEM, Secretary of State of the State of
Colorado hereby certify that the prereguisites sor the
issuance of this certificate have been fulfilled in campli-
saoe with law and are found to conform to Saw.
Accordingly, the undersigned, by virtue of the authority
vested in me by law, hereby issues A CERTIT2CATE or WOKS
PO LERSBYDR7120PNENT =your= (COLORADO CORPORATION)
INTO GOLDEN WORM PETROL== CORPORATION (COLORADO
CORPORATION), TEE 117272708.
Dated: SSPTEM8ER 50, ISSN •
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s 1223 REC 02169975 02/03/89 11:37 $12.00 2/004
P 1453 MARY ANN yEDERSTEIN CLERK i RECORDER WELD CO, CO
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