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HomeMy WebLinkAbout20051624.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 1 0 5 3 _ 0 8 _ 0 _ 0 0 _ 0 3 3 (12 digit number-found on Tax I.D.information,obtainable at the Weld County Assessors Office,or www.co.weld.co.us). Legal Description See attached legal desC . , Section 8_, Township 4 North, Range 64 West Flood Plain: Zone District: , Total Acreage: ,Overlay District Geological Hazard: _,Airport Overlay District FEE OW NER(S) OF THE PROPERTY: Name: Marcum Midstream 1995-2 Business Trust, dba Conquest Disposal Serv. Work Phone 4303-785—$08Q-tome Phone#_ Email Address Address: 303 E. 17th Ave. , Suite 660 City/State/Zip Code Denver , ('O 80203 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: Conquest Oil Company, Operator Work Phone #870-356—h�55601omppel Phone 2Z#pp_0p Email Address raeconquesaol .com Address: 1610 Greeley, (0 8U6.i4 City/State/ZpCode --_ PROPOSED USE: I (We) hereby depose and state under penalties of perjury that all statements, proposals,a nd/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 corporatbn is the fee owner, notarized evidence must be included indicating that the signatory has to leg I authority to sign for the corporatbn. i— 03/04/05 _ Signature:Owner or Authorized Agent Date Signature: Owner or Authorized Agent Date = E�IBIT 2005-1624 r-. SURFACE FEE A tract of land located in the SE1/4 of Section 8, Township 4 North, Range 64 West of the 6th P.M., County of Weld, State of Colorado, and being that tract of land lying South of the Southerly right-of-way of the Gilmore Canal as described in Book 262, page 118, recorded December 23, 1911, in the Weld County records and being more particularly described as follows: Beginning at the Southeast corner of said Section 8 and considering the East line of said Southeast quarter to bear North 00 degrees 00 minutes 00 seconds East, and with all other bearings contained herein relative thereto; Thence North 00 degrees 00 minutes 00 seconds East, 697.64 feet along said East line to a point on the Southerly right-of-way line of said Gilmore Canal, said Southerly right-of-way line lying 25 feet Southerly as measured at right angles from the described centerline of said canal; Thence along said Southerly right-of-way line by the following 7 courses: South 66 degrees 02 minutes 00 seconds West, 83.51 feet; South 86 degrees 59 minutes 00 seconds West, 199.75 feet; South 64 degrees 56 minutes 00 seconds West, 196.31 feet; North 87 degrees 18 minutes 00 seconds West, 185.43 feet; South 66 degrees 48 minutes 00 seconds West, 83.06 feet; South 39 degrees 00 minutes 00 seconds West, 258.88 feet; South 16 degrees 40 minutes 00 seconds West, 366.73 feet to the South line of said Southeast quarter; Thence North 89 degrees 37 minutes 25 seconds East, 983.29 feet along said South line to the Point of the Beginning. FOR COMMERCIAL SITES, PLEASE COMPLETE THE FOLLOWING INFORMATION BUSINESS EMERGENCY INFORMATION: Marcum Midstream 1995-2 Bus . Trust Business Name: by Conquest Oil Co. , Operator__ _Phone: 970-356-5560 Address: 25849 WCR 46 City, ST Zip: Kersey, CO 80644 , BusinessOwner:Marcum Midstream 1995-2 Bus. Trust Phone: 970-356-5560 — HomeAddress: 1610 29th Ave. P1 . #200 —City,ST,Zip: Greeley, 80634 List three persons in the order to be called in the event of an em ergency: NAME TITLE ADDRESS PHONE Jim Goddard Gen. Mgr. 1314 51 Ave. , Greeley 381-5005 Dave Gage Fac. Mgr. 4634 W. 2 St. , Greeley 381-6871 Steve Meyer Fac . Mgr. 3139 49th Ave Ct, Greeley 381-4245 Business Hours: Days:_ Type of Alarm: None Burglar Holdup Fire Silent Audible Nameand address of Alarm Company:-_Dicto_guard Security Alarm Systems , 914 14 St. Location of Safe: N/A MISCELLANEOUS INFORMATION: Number of entry/exit doors in this building: 3 Locations : Main building Is alcohol shied 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 Sheriffs Office. Please indicate the programs of interest. _Physical Security Check Crime Prevention Presentation UTILITY SHUT OFF LOCATIONS: Main Electrical: South side of main building by transformer Gas Shut Off: North side of main building — 1 " line with ball valve ExteriorWaterShutoff: N/A InteriorWaterShutoff: N/A _ft_ Hello