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Home My WebLink About20043225.tiff RESOLUTION RE: GRANT RENEWAL OF MOBILE HOME PERMIT, ZPMH #1197 - HERBERT WAGNER WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS,the Board of County Commissioners of Weld County, Colorado,on the 8th day of November, 2004, considered the request of Herbert Wagner, 174 Weld County Road 65, Keenesburg, Colorado 80643, to renew Mobile Home Permit, ZPMH#1197, for a mobile home to be used as a Temporary Accessory to the Farm, and WHEREAS, said mobile home is to be occupied in the A (Agricultural) Zone District on a parcel of land being more particularly described as follows: Part of Section 33,Township 1 North, Range 63 West of the 6th P.M., Weld County, Colorado WHEREAS,the Board of County Commissioners, having heard all of the testimony, finds that said request should be granted subject to the following conditions: 1. The applicant shall submit a statement of an exit plan acknowledging that the temporary permit shall cease to exist at any such time as the mobile home is used for other than the permitted use. Such statement shall include a detailed plan for removal of the mobile home upon expiration of the permit,or at such time the permit is not renewed by either the Department of Planning or Board of County Commissioners, the applicant will have 30 days to put the exit plan into place. 2. The mobile home will be occupied by persons principally employed at,or principally engaged in,the operation of the use where the mobile home is located. Accessory farm use of the mobile home shall be established and revalidated on an annual basis as follows:evidence shall be submitted by the applicant or property owner by the first of each year for review and acceptance by the Department of Planning Services verifying that the mobile home occupant is principally employed at,or engaged in,the farming operation on the subject property. The evidence shall consist of tax records, employment agreements or other documentation as determined suitable by the Department of Planning Services. Failure to submit the required documentation may result in cessation of the allowance of the mobile home for temporary accessory farm use. 3. The mobile home will not be used as an income source by the applicant for rental to persons who are not principally employed upon the lot. 4. The applicant shall submit documentation to the Department of Planning Services by September 1st of each year describing the status of the accessory farm unit. This permit is temporary and shall terminate once the use ceases to exist, or at which time is used for purposes other than those permitted, at which time the applicant shall have thirty(30) days to remove the mobile home from the property. 2004-3225 PL1467 CCU PL �L u -.3C -oC/ RENEW ZPMH #1197 - HERBERT WAGNER PAGE 2 5. All temporary permits for mobile homes shall not be transferable by the applicant and/or owner to any successor;the zoning permit shall terminate automatically upon conveyance or lease of the property. The mobile home shall be removed from the property, or a new zoning permit shall be applied for and approved. 6. The property is in violation of Chapter 23 of the Weld County Code (VI-0200022). Within thirty(30)days following the date of this Resolution,the applicant shall submit to the Department of Planning Services an application fora Non-Conforming Use for the mobile home placed on the property prior to 1972. The applicant shall schedule a final inspection with the Weld County Zoning Compliance Officer within six (6) months following the date of this Resolution and submit a copy of the closure letter indicating compliance with Chapter 23 of the Weld County Code. The applicant shall maintain compliance with Section 23-4-170 of the Weld County Code at all times. NOW,THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County,Colorado,that the request of Herbert Wagner to renew Mobile Home Permit,ZPMH#1197, for a mobile home to be used as a TemporaryAccessoryto the Farm on the above described parcel of land, which was found to be in compliance with Chapter 23, Article IV, Division 3, of the Weld County Code, be, and hereby is, granted subject to the hereinabove listed conditions. The above and foregoing Resolution was,on motion duly made and seconded,adopted by the following vote on the 8th day of November, A.D., 2004. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO 4' IE fid tr 1861 I�-�` ° -, k to the Board Robert D. Masden, Chair ® W / EXCUSED w 14.1 William H. rke, Pro-Tem Deputy Clerk to the Board C t',6 M. eile APPROVED AS TO FORM: )4/Ai-tit C/Aitt David . Long k-51—,Co Att y u Glenn Vaad Date of signature: 117/20X f X 2004-3225 PL1467 Page 1 of 1 Debra Miller From: Bruce Barker Sent: Monday, November 08, 2004 10:28 AM To: Debra Miller; Carol Harding; Jacqueline Hatch Subject: Condition#6 for ZPMH 1197 6. The property is in violation of Chapter 23 of the Weld County Code (VI-0200022). Within thirty (30) days following the date of this Resolution, the applicant shall submit to the Department of Planning Services an application for a Non-Conforming Use for the mobile home placed on the property prior to 1972. The applicant shall schedule a final inspection with the Weld County Zoning Compliance Officer within six (6) months following the date of this Resolution . . . (rest is the same) 11/8/2004 fz)9 -3aas MEMORANDUM Cri To: Board of County Commissioners (((/q•Q� WIC \I From: Jacqueline Hatch wink Subject: ZPMH-1197 COLORADO Date: September 24, 2004 This is case ZPMH-1197, a renewal for a Zoning Permit for a mobile home permitted as a Temporary Accessory to the Farm. The legal description is part of Section 33, T1 N, R63W of the 6`h P.M., Weld County, Colorado. The property is located east of and adjacent to CR 65 and south of adjacent to CR 4. The property owner is Herbert Wagner. ZPMH-1197 was approved by the Board of County Commissioners on August 20, 1986 for a second mobile home for accessory to the farm. Mr. Wagner's property currently has three homes on it. The principal dwelling unit is a stick built. The first mobile home was placed on the property prior to 1972. The second mobile home was originally permitted under ZPMH-1197 as a Temporary Accessory to the Farm. Mr. Wagner switched out the second mobile home for another and at that time he was asked to re- justify the Temporary Accessory to the Farm. The Department of Planning Services staff met on June 25, 2004, to discuss the re-justification of the mobile home being used as a Temporary Accessory to the Farm. In a letter dated June 25, 2004 staff recommended two options to Mr. Wagner. First, that he could apply for a Recorded Exemption in conjunction with a Subdivision Exemption. By applying for these permits, all three homes would be placed on separate lots. Second, staff suggested that Mr. Wagner could apply for a Non-Conforming Use for the first mobile home that was put on the property prior to 1972 and that ZPMH-1197 would need to be taken to the Board of County Commissioners for a final determination. Staff would be requesting denial for the of the second mobile home as there is not enough justification for an additional home to continue as an accessory to the farm. Section 23-4-170.A.2 states the mobile home is necessary for the effective and economic operation of the use and or protection of the agricultural use. According to Mr. Wagner the homes are both currently unoccupied and Mr. Wagner has expressed interest in having his daughter move into one of the mobile homes in the future. The Department of Planning Staff is recommending that the mobile home under ZPMH-1197 be removed from the property and an application for a Non-Conforming Use be submitted for review and approval or Mr. Wagner can apply for a Recorded Exemption and Subdivision Exemption on his property placing each home on its own individual lot. As outlined for Mr. Wagner in a letter dated June 25, 2004 by Staff. Should the Board approve for the use to continue, the Department of Planning Services recommends the following conditions be amended into the existing permit: 1. The applicant shall submit a statement of an exit plan acknowledging that the temporary permit shall cease to exist at any such time as the mobile home is used for other than the permitted use. Such statement shall include detailed plan for removal of the mobile home upon expiration of the permit, or at such time the permit is not renewed by either the Department of Planning or Board of County Commissioners, the applicant will have 30 days to put the exit plan into place. 2. The mobile home will be occupied by persons principally employed at or principally engaged in the operation of the use where the mobile home is located. Accessory farm use of the mobile home shall be established and revalidated on an annual basis as follows: evidence shall be submitted by the applicant or property owner by the first of each year for review and acceptance by the Department of Planning Services verifying that the mobile home occupant is principally employed at or engaged in the farming operation on the subject property. The evidence shall consist of tax records, employment agreements or other documentation as determined suitable by the Department of Planning Services. Failure to submit the required documentation may result in cessation of the allowance of the mobile home for temporary accessory farm use. 3. The mobile home will not be used as an income source by the applicant for rental to persons who are not principally employed upon the lot. 4. The applicant shall submit documentation to the Department of Planning Services by September 15' of each year describing the status of the accessory farm unit. This permit is temporary and shall terminate once the use ceases to exist, or at which time is used for purposes other than those permitted, at which time the applicant shall have thirty (30) days to remove the mobile home from the property. 5. All temporary permits for mobile homes shall not be transferable by the applicant and/or owner to any successor; the zoning permit shall terminate automatically upon conveyance or lease of the property. The mobile home shall be removed from the property, or a new zoning permit shall be applied for and approved. 6. The property is in violation of Chapter 23 of the Weld County Code (Violation #0200022). The applicant shall schedule a final inspection with the Weld County Zoning Compliance Officer and submit a copy of the closure letter indicating compliance with Chapter 23 of the Weld County Code. The applicant shall maintain compliance with Section 23-4-170 of the Weld County Code at all times NOTICE Pursuant to the zoning laws of the State of Colorado and the Weld County Code, a public hearing will be held in the Chambers of the Board of County Commissioners of Weld County, Colorado,Weld County Centennial Center, 915 10th Street, First Floor, Greeley,Colorado, at the time specified. If a court reporter is desired, please advise the Clerk to the Board, in writing, at least five days prior of the hearing. The cost of engaging a court reporter shall be borne by the requesting party. In accordance with the Americans with Disabilities Act, if special accommodations are required in order for you to participate in this hearing,please contact the Clerk to the Board's Office at (970) 356-4000, Extension 4226, prior to the day of the hearing. The complete case file may be examined in the office of the Clerk to the Board of County Commissioners,Weld County Centennial Center,915 10th Street,Third Floor,Greeley,Colorado. E-Mail messages sent to an individual Commissioner may not be included in the case file. To ensure inclusion of your E-Mail correspondence into the case file, please send a copy to charding@co.weld.co.us. DATE: November 8, 2004 TIME: 9:00 a.m. APPLICANT: Herbert Wagner 174 Weld County Road 65 Keenesburg, Colorado 80643 REQUEST: Renew Zoning Permit for a Mobile Home,ZPMH#1197,for a Mobile Home to be used as a Temporary Accessory to the Farm LEGAL DESCRIPTION: Part of Section 33, Township 1 North, Range 63 West of the 6th P.M., Weld County, Colorado BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO DATED: October 28, 2004 CERTIFICATE OF MAILING The undersigned hereby certifies that a true and correct copy of the foregoing Notice of Hearing was placed in the United States mail, first class mail, postage prepaid, addressed to the following property owners. DATED this 28th day of October, 2004. HERBERT WAGNER 174 WELD COUNTY ROAD 65 KEENESBURG CO 80643 Cvv Deputy Clerk to the Board n DEPARTMENT OF PLANNING SERVICES 6Ii \c' PHONE (970)353-6100, EXT.3540 FAX (970) 304-6498 I WEBSITE:www.co.weld.co.us ViD C GREELEY5COLORADO 8 635 N. 17TH E1 COLORADO June 25, 2004 Herbert Wagner 174CR65 Keenesburg, CO 80643 Dear Mr. Wagner: The Department of Planning Staff met on Friday,June 25th, 2004, to discuss your property and your options, which are as follows: 1. Apply for two land use permits,a recorded exemption and a subdivision exemption. By applying for these permits, all three homes would be placed on separate lots. 2. The mobile home that has been on site prior to 1972, unless placed on a separate lot, is a non- conforming use, which means that it can remain on site but would not be able to be replaced should it be destroyed or extended more than 50% of its replacement cost. The second mobile home permitted under ZPMH-1197, would need to go before the Board of County Commissioners for a final determination, and staff would be recommending denial of this permit as it does not meet the intent of Section 23-4-170 of the Weld County Code. I understand this may all be confusing. I would recommend coming in and talking to either myself if I am available, or to a Planner. By appointment, you could see Jacqueline Hatch. I would also recommend should you wish to pursue the recorded exemption/subdivision exemption, that you hire someone to help you through this process. Should you have any further questions, please contact our office at the above address or telephone number. Please notify our office as to how you wish to proceed within 10 days of receipt of this letter. Sincerely, 1 endi Inloes Planning Technician II (Ali tip rfl 441 , DEPARTMENT OF BUILDING INSPECTION Code Compliance Division ' WWW.CO.WELD.CO.US W.CO.W ELD.CO.US E-mail Address: pgregory@co.weld.co.us 1555 N. 17th Avenue, Greeley, CO 80631 Q Phone (970) 353-6100x3540 Fax (970)304-6498 COLORADO April 6, 2004 Herbert Wagner 174CR65 Keenesburg CO 80643 Subject: VI-0200022, Part of Section 33, Ti N, R63W of the 6th P.M., Weld County, Colorado Dear Mr. Wagner: The property referenced above remains in violation of the Weld County Code. I have scheduled a meeting with the Board of County Commissioners on May 11, 2004, at 10:00 a.m., to consider the violations. The property is in violation of the following Section(s) of the Weld County Code: Chapter 23,Article III, Div 1 "A (Agricultural)Zone District" Section 23-3-20 "Uses allowed by right" Section 23-3-20.A "One (1) Single-Family Dwelling Unit and Auxiliary Quarters per Legal Lot" Section 23-3-30 "Accessory uses" Section 23-3-30.F "Mobile Homes subject to the additional requirements of Article IV, Division 3 of this Chapter" Section 23-3-40.M. "Multi-Family Dwellings for persons PRINCIPALLY employed at or engaged in farming, ranching or gardening" Chapter 23, Article IV, Div 3 "Mobile Homes' Section 23-4-130 "Permit Requirements" No MOBILE HME may be located or relocated in the County after August 25, 1981, except in accordance with this Division,including the issuance of any zoning permit which may be required by this Section. Each MOBILE HOME located or relocated in the County after said date must have a BUILDING permit for a MOBILE HOME issued pursuant to Chapter 29 of this Code." Section 23-4-170 "Temporary accessory farm use" Chapter 29,Article II "Building Permits" Chapter 29,Article VII "Mobile, Manufactured or Factory-Built Home Permits" Section 29-7-10 "No mobile, manufactured or factory-built home, as defined in this Building Code, may be located or relocated within the County without a building permit issued by the Building Official. Section 29-8-40 'Expiration of permit" To bring your property into compliance: The existing mobile home shall be re-justified or removed. Submit application for a Recorded Exemption to create separate parcels. All inspections shall be completed on building permit number PR-0030343 and a Certificate of Occupancy issued provided the home is approved for re-justification. Herbert Wagner April 6, 2004 page two This meeting will take place in the County Commissioners' Hearing Room, First Floor, Weld County Centennial Center,915 10th Street,Greeley, Colorado. It is recommended that you or a representative be in attendance at this meeting to answer any questions the Board of County Commissioners might have regarding the violation. The Department of Building Inspection will be recommending that the Board of County Commissioners authorize the County Attorney to proceed with legal action to remedy the violation. Our records indicate that you were made aware of the nature of the violation, the action necessary to correct the violation,and that you were given sufficient time to remedy the violation. If you have any questions concerning this matter, please contact me at the above address, telephone number or e-mail address. Sinr.rely ( Pe:frig OM Building Compliance Officer pc: VI-0200022 PR-0030343 Wendi Inloes, Planning Technician Bruce Barker, County Attorney SERVICE,TEAMWORK,INTEGRITY,QUALITY DEPARTMENT OF BUILDING INSPECTION Code Compliance Division Website: WWW.CO.WELD.CO.US E-mail Address: pgregory@co.weld.co.us D 1555 N. 17th Avenue, Greeley, CO 80631 Phone: (970) 353-6100, Ext. 3540 co Fax: (970) 304-6498 COLORADO WELD COUNTY BUILDING CODE VIOLATION NOTICE March 15, 2004 Herbert Wagner 174 CR 65 Keenesburg CO 80643 Subject: VI-0200022, Part of Section 33, Ti N, R63W of the 6th P.M., Weld County, Colorado Dear Mr. Wagner: It has been determined that the property located at 174 County Road 65 is currently in violation of the following Section(s) of the Weld County Code: Chapter 23,Article III, Div 1 "A (Agricultural)Zone District" Section 23-3-20 "Uses allowed by right" Section 23-3-20.A "One (1) Single-Family Dwelling Unit and Auxiliary Quarters per Legal Lot" Section 23-3-30 "Accessory uses" Section 23-3-30.F "Mobile Homes subject to the additional requirements of Article IV, Division 3 of this Chapter." Section 23-3-40.M "Multi-Family Dwellings for persons PRINCIPALLY employed at or engaged in farming, ranching or gardening" Chapter 23,Article IV, Div 3 "Mobile Homes" Section 23-4-130 "Permit Requirements"No MOBILE HOME may be located or relocated in the County after August 25, 1981, except in accordance with this Division, including the issuance of any zoning permit which may be required by this Section. Each MOBILE HOME located or relocated in the County after said date must have a BUILDING permit for a MOBILE HOME issued pursuant to Chapter 29 of this Code." Section 23-4-170 Temporary accessory farm use" Chapter 29,Article III "Building Permits" Chapter 29, Article VII "Mobile, Manufactured or Factory-Built Home Permits" Section 29-7-10 "No mobile, manufactured or factory-built home,as defined in this Building Code,may be located or relocated within the County without a building permit issued by the Building Official. Section 29-8-40 "Expiration of permit" To bring your property into compliance with the Weld County Code: The existing mobile homes shall be re-justified or removed. Submit application for a Recorded Exemption to create separate parcels. All necessary inspections shall be completed on building permit number PR-0030343 provided the home is approved for re-justification. Herbert Wagner page two March 15, 2004 It is the intention of this office to assist and cooperate with you without imposing undue hardships; however, we have no discretion in this matter if you fail to correct this violation. You have 30 (thirty)days from March 15, 2004, to correct this building violation. Failure to do so will result in this office scheduling the violation before the Board of County Commissioners to consider whether to refer the violation to the County Attorney's Office for legal action. Any information you have that may help to resolve this matter will be helpful. Should you have any questions regarding this letter, or if you need any further information, please feel free to contact me at the above address, telephone number or e-mail address. If you wish to see me personally, please call to schedule an appointment so that I may reserve a sufficient amount of time with you. Sincerely, (28yr Ain Peggy Gregory Building Compliance Officer pc: PR-0030343 VI-0200022 ZPMH-1197 Wendi Inloes, Planning Technician II tit t' ‘ , DEPARTMENT OF PLANNING SERVICES D' PHONE (970) 353-6100, EXT.3540 WI FAX (970) 304-6498 C WEBSo.us 15 N. 17T AVENUE O 1555 N. 17TH AVENUE GREELEY, COLORADO 80631 COLORADO -a- _ January 13, 2004 Herbert Wagner 174 CR 65 Keenesburg, CO 80643 RE: Three Mobile Homes located on property known as Section 33, T1 N, R63W of the 6`h P.M., Weld County, Colorado. Dear Mr. Wagner: This letter is in regards to the mobile homes located at the above referenced site. When we met, we discussed the options of re-justifying the mobile homes, removing them,and a recorded exemption to create separate parcels. To date you still have one of the mobile homes in violation with the building department as it was never finaled, and all three need to be justified. To avoid any further violations, please contact our office so that we can determine your best options with you. Should we not hear anything from you or have no resolution within 14 days of receipt of this letter, a violation will be issued. Should you have any further questions, please contact me at the above address or telephone number. Sincerely, 9 MdLrice,/:/G4a Wendi Inloes Planning Technician II . pc: Peggy Gregory rstiot; DEPARTMENT OF PLANNING SERVICES PHONE (970)353-6100, EXT.3540 FAX (970) 304-6498 ' WEBSITE: www.co.weld.co.us WC 1555 N. 17TH AVENUE GREELEY, COLORADO 8 631 COLORADO September 16, 2003 Herbert Wagner 174 CR 65 Keenesburg, CO 80643 RE: ZPMH-1197 - Zoning Permit for more than one mobile home used for temporary accessory to the farm units. Dear Mr. Wagner: It has come to the attention of the Department of Planning Services that your zoning permit for the existing mobile homes located on your property have not been re-justified for some time, and need to be updated. These permits are to be renewed on a yearly basis. At this time,we are asking that you complete and return the enclosed information for review. Our records indicated that you have three (3) mobile homes on your property, and we need an update as to what these are being used for at this time, along with any justification for them. Please complete and return the packet of information as soon as possible to avoid any future violations. Should you have any further questions, please contact me at the above address or telephone number. Sincerely, (nal Wendi Inloes Planning Technician II Identify Results Page 1 of 3 WELD COUNTY ASSESSOR PROPERTY PROFILE Account#: 86533386 Parcel#: 147733000004 Tax Area: 2449 Bordering County: Acres: 616 Township Range Section Quart.Sec. Subdivison Name Block# Lot* 01 - 63 -33 - 0 - - Owners Name&Address: Property Address: WAGNER HERBERT E Street: 0174 WELD CO RD 65 City: KEENESBURG, CO 80643 Business/Complex: Sales Summary Sale Date Sale Price Deed Type Reception# $0 Legal Description 7181 ALL 33 1 63 EXC THAT PT NE4NE4NE4 LYING E OF PROSPECT LATERAL CANAL(6A) (11.25R5.50D) Land Valuation Summary Land Type Abst Code Unit of Number of Actual Value Assessed Measure Units Value Agricultural 4167 Acres 3 Agricultural 4127 Acres 613 Land Subtotal: 616 $43,871 $12,730 Buildings Valuation Summary Bldg# Property Type Actual Value Assessed Value 1 Residential 2 Out Building 3 Out Building 4 Out Building 5 Out Building Improvements Subtotal: $223,977 $21,940 Total Property Value $267,848 $34,670 Building Details Account#: R6533386 Parcel#: 147733000004 Owners Name&Address: Property Address: WAGNER HERBERT E Street: 0174 WELD CO RD 65 City: KEENESBURG, CO 80643 Building# Property Type 1 Residential Individual Built As Detail Built As: Ranch 1 Story Year Built: 1973 Exterior: Frame Masonry Veneer HVAC: Hot Water Baseboard http://maps.merrick.com/Website/Weld/setSgl.asp?cmd=QUERY&DET=PP&pin=147733000004&acct... 07/26/2004 Identify Results Page 2 of 3 Interior Finish: Drywall Built As SQ Ft: 1294 #of Baths: 3 Roof Type: #of Bdrms: Roof Cover: Composition Shingle # of Stories: 1 Rooms: Units: 0 Garage: Attached SQ Ft: 330 Detached SQ Ft: Basement: Total SQ Ft: 1294 Finished SQ Ft: 1094 Account#: R6533386 Parcel#: 147733000004 Owners Name&Address: Property Address: WAGNER HERBERT E Street: 0174 WELD CO RD 65 City: KEENESBURG, CO 80643 Building# Prgpertv Tvoe 2 Out Building Individual Built As Detail Built As: Shed - Utility Year Built: 1973 Exterior: HVAC: None Interior Finish: Built As SQ Ft: 3200 #of Baths: 0 Roof Type: # of Bdrms: 0 Roof Cover: # of Stories: 0 Rooms: 0 Units: 0 Garage: Attached SQ Ft: Detached SQ Ft: Basement: Total SQ Ft: Finished SQ Ft: Account#: R6533386 Parcel#: 147733000004 Owners Name&Address: Property Address: WAGNER HERBERT E Street: 0174 WELD CO RD 65 City: KEENESBURG, CO 80643 Building# Property Type 3 Out Building Individual Built As Detail Built As: Shed - Utility Year Built: 1981 Exterior: HVAC: None Interior Finish: Built As SQ Ft: 1 #of Baths: 0 Roof Type: #of Bdrms: 0 Roof Cover: #of Stories: 0 Rooms: 0 Units: 0 Garage: Attached SQ Ft: Detached SQ Ft: Basement: Total SQ Ft: Finished SQ Ft: Account#: R6533386 Parcel#: 147733000004 Owners Name &Address: Property Address: WAGNER HERBERT E Street: 0174 WELD CO RD 65 City: http://maps.merrick.com/Website/W eld/setSgl.asp?cmd=QUERY&DET=PP&pin=147733000004&acct..: 07/26/2004 Identify Results Page 3 of 3 KEENESBURG, CO 80643 Building# Property Type 4 Out Building Individual Built As Detail Built As: Grain Bin Year Built: 0 Exterior: Metal HVAC: None Interior Finish: Built As SQ Ft: 1 # of Baths: 0 Roof Type: #of Bdrms: 0 Roof Cover: #of Stories: 0 Rooms: 0 Units: 0 Garage• Attached SQ Ft: Detached SQ Ft: Basement:. Total SQ Ft Finished SQ Ft: Account#: R6533386 Parcel#: 147733000004 Owners Name&Address: Property Address: WAGNER HERBERT E Street: 0174 WELD CO RD 65 City: KEENESBURG, CO 80643 Building# Property Type 5 Out Building Individual Built As Detail Built As: Shed - Utility Year Built: 0 Exterior: HVAC: None Interior Finish: Built As SQ Ft: 1 # of Baths: 0 Roof Type: # of Bdrms: 0 Roof Cover: # of Stories: 0 Rooms: 0 Units: 0 Garage: Attached SQ Ft: Detached SQ Ft: Basement: Total SQ Ft: Finished SQ Ft: http://maps.merrick.com/Website/Weld/setSgl.asp?cmd=QUERY&DET=PP&pin=147733000004&acct... 07/26/2004 • I Cp)(4Grlf 9? Hen RESOLUTION RE: GRANT MOBILE HOME PERMIT NO. 1197 - HERBERT E. WAGNER WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board of County Commissioners of Weld County, Colorado, on the 20th day of August, 1986, considered the request of Herbert E. Wagner for a mobile home to be used as more than one mobile home as an accessory to a farm, and WHEREAS, said mobile home is to be occupied in an A-Agricultural Zone District on a parcel of land being more particularly described as follows: Section 33, Township 1 North , Range 63 Vast of the 6th P.M. , Weld County, Colorado WHEREAS, the Board of County Commissioners, having heard the testimony, finds that said request should be granted subject to the following conditions: 1) Prior to the issuance of a building permit, the owner shall submit evidence that the well is supplying water in such a manner as to be adequate in quality, quantity and dependability for the proposed use; and 2) The mobile home shall not be occupied until such time that the applicant has complied with the above mentioned condition. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the request of Herbert E. Wagner for permission to place a mobile home to be used as more than one mobile home as an accessory to a farm on the above described parcel of land, which was fund to be in compliance with Section 43 of the Weld County L_ning Ordinance, be, and hereby is, granted subject to the hereinabove listed conditions. U ECEIVE AUG 261986 • 1)L OO'i l L ge" Meld b. PISS Curds ,A y "t • . • , r Page 2 RE: ZPMH #1197 - WAGNER The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 20th day of August, A.D. , 1986. � TQ -J�- ' BOARD OF COUNTY COMMISSIONERS ATTEST: " I 4tLw�tLN WELD COUNTY, C•LORADO Weld County Clerk and Recorder \ �� _ �� U►. . and Clerk to the Board .3 eq = ne -on ,C airman B-Y nn-nt u- °hal , > Go acy -Tem eputy County Clerk � 6 APPROVED A . TO FORM: ene R. Brantner �l� C.W. K rby ounty Attorney ` Fran Yam g . . . .J . ,l• "_. 860831, -0.'.I40 .id al's.,I '.P. q,l Wily • zP H 114 7 To: Board of County Commissioners Date: August 20, 1986 • ZPMH-#1197 Applicant: Herbert E. Wagner This request is for one mobile home to be used as more than one mobile home as accessory to farm. Legal Description of Parcel: Section 33, TIN, R63W of the 6th P.M., Wald County, Colorado. Location: Approximately 3 miles east of Prospect Reservoir and east of Weld County Road 65 The Department of Planning Services staff has reviewed this request and recommends that the request be approved for the following reasons: WILL WILL NOT X Be compatible with the Weld County Comprehensive Plan. X Be compatible with the surrounding area. X Be in harmony with the character of the neighborhood. X Adversely affect the immedi.te area. X Be adequately served by water and sewage disposal facilities. X Adversely affect the general health, safety and welfare of the inhabitants of the area and the County. COMMENTS: The Department of Planning Services staff recommendation for approval is conditional upon the following: 1. Prior to the issuance of a building permit, the owner shall submit evidence that the well is supplying water in such a manner as to be adequate in quality, quantity, and dependability for the proposed use. 2. The mobile home shall not be occupied until such time that the applicant has complied with Condition 1 above. 9. 'Sheehan gall Lees +..� -1 .�mg .en » r.eo t - i .eer ( :, �.n C' I NOF'i . , ,,/ I „ ,LO •` 40)1„0 '•� 1g` NN 7._--. . .. ,rfr_," /) '• f ; .. \ c " 94P ))" �/ 1 4092 •!!1 N. \ 40X \ t BI�K \ 4907• .• al. ' pt...., eV 20 a 21 •r Q s� . ...4 1 .,of \..• 1. 1 • l 7 O . J .:‘ le'...%\ \\\c3I\in i4 .:.; i y 1 ` , r ellY 4979 \" \ . / I 4fre `' _) �' -t1-- ir7-- t4. s f0 •,:. .._,-,.... , \\ as ,.,..( ,,,\.,,,,, .._. ., , ,___ p, \ \ , i, NA , , 29 ";..\________D-----!..------ 2C\ • \ r/ I f Lry .aa / \ 7nQc ; N ' 0 '•1 • 4938 •9Y\\......... ...V\Ill I Ue . In / tit, a. 943 N. - „,.. 34 ' LJ\ vv rli y -,b, •„6, 1.r � \ I ii , 1 .. nrco .• ..�.r,'.. " zfrn)4 llg7 FIELD CHECK FILING NUMBER: ZPMH-1197 DATE OF INSPECTION: July 25, 1986 NAME: Herbert Wagner • REQUEST: Zoning Permit for a Mobile Home for more than ono mobile home as accessory to farm. LEGAL DESCRIPTION: Section 33, TIN, R63W of the 6th P.H., Weld County, Colorado. LOCATION: Approximately 3 miles east of Prospect Reservoir, east of Wald County Road 65. LAND USE: N Cropland E Cropland S Weld County Road 2 - Cropland W Weld County Road 65 - Crop and Pastureland ZONING: N Agricultural E Agricultural S Adams County W Agricultural COMMENTS: The access to the property is from Weld county Road 65, which is a gravel surfaced road. Existing on the site is a stick build home, an existing mobile home, and the proposed mobile home. BY 1Hf �` 4ILnA p Debbie deBesche Current Planner A • • ••• • w zp+� 14 11 q : • • REFERRAL LIST • f _ APPLICANT: Herbert E. Wagner CASE NUMBER: ZPMH-1197 SENT REFERRALS OUT: July 13, 1986 REFERRALS TO BE RECEIVED BY: August 4, 1986 • NO SR ER' NO SR NR • County Attorney • _ Weld County Health Dept.• , • Engineering Department , .:.... .. .,:1�..�7?f•"�7in �„yr.M�* wY. '•F,A 5;•;44"i40:4 t15'M'*i*relYntir,1444e T {{ County Extension Agent • Office of Emergency Mngmt X State Engineer • Division of Water Resources • . 1313 Sherman St:, Room 818 • • t'. Denver, CO 80203 • . . . . . . . .. • State Highway Department 1420 2nd Street • • Greeley, CO 80631 • Colorado Department of Health. 1 :: Water Quality Control Division 4210 East 11th Avenue • = Denver, CO 80220 . i • '• City of Greeley Planning Department 919 7th Street Greeley, CO 80631 _ Tri Area Planning Commission P.O. Box 363 Frederick, CO 80530 • NO-No Objection . SR-Specific Recommendations .NR-No Response.. • . . ♦ , • • • • t WELD COUNTY ?ARTMENT OF PLANNING SERVICES L_� ZONING PERMIT ` 915 10th Street / / 6 /-NoBILE HOME • Greeley, Colorado 80631 A i • Phone 356-4000 Ext. 4400 Z p r \A 1k 17 I1eORTANT — Complete all items on both sides. , Mark boxes where applicable. 1 APPLICANTS / (1 * n , / PHONE 73 ADDRESS 017 )4 LV ? /' 4g OWNER PHONE ADDRESS •S A m - STATh - ZIP LOT LOCK SUBDIVISION i0On'r i.te `f ib— `.C�}(1/ LEGAL DESCRIPTION /if Section ,:17A: , T 1 N, R t 3W. Total Acreage &ZO Application for zoning permit is made for: Staff Approval Board of County Commissioners Approval ❑ Temporary Use During Construction ❑ Use Beyond 18 months During Construction of a residence of a residence O Temporary Storage ❑ Extension Beyond 6 months for Temporary Storage Accessory to Farm Di More than one MH as Accessory to Farm O Accessory Use as an Office ❑ More than one MR as Accessory Use as O Accessory Use in C ll, 8�!�+ an Offices V �+ V ❑ More than one 1 .' as Accessory Use in O Accessory Structur 1! ^, ' 1986 C or I Zone District Temporary Use during Medical Hardship C°. Mania °m°I''WOO ❑ More than one accessory structure O Principal Dwelling The above requires an Application fee of e requires an Application fee of $55.00. 110.00 TYPE OF SEWAGE DISPOSAL TYPE OF I..1TER SUPPLY O Public or private company: Public or n / 0 private company: ® Septic Tank - Permit # (i1g acj O Individual (well, cistern) 1/ CI Permit #.TUArlmTh y7(p$ I Copy Attached: Yes No Cony Attached: Yes D No �Cjj'' DEPARTMENT OF PLANNING SERVICES USE ONLY ZONING DISTRICT ZONING PERMIT NUMBER Z.P01 19-1 APPLICATION FEE PAID .- at, RECEIPT NUMBER • DATE • CHAINDEXED 110 7-2.1-64. APPROVED BY: / El Staff Board of County Commissioners Hearing Date "41 ) ISSUED BY: ))I`��llll ,. DAIS MOBILE HOME BUILDING PERMIT NUMBER75 DATE ISS D-'n _ GA _�C Y • • A sketch plan is required as part of the application review. Please attach a sketch plan , ' of the site at the scale on one inch represents fifty feet or other suitable scale to show the proposed location of the mobile home, including distances from the property lines and other structures on the property; access to the mobile home, indicating whether the access is existing or proposed; location and measurements of any easements or right—of—ways; and any existing structures on the property. ,—. Sketch Plan attached: Yes E3 No - Deed or contract attached: Yes Qo • --What housing is available on the property and what is its present use? , cti CLn de fv �u ) Slop .�/z;dLet /zcc,edj e.,04,2,a, vs. cu,, . 2.0ni • How many mobile homes are on this property at the present time? * TEMPORARY USE DURING CONSTRUCTION OF A RESIDENCE Building Permit Number Date Building Permit Issued Zoning Permit valid for 6 months from date of issue. .__ —�� Zoning Permit issued • _ Valid from. -- — _to • RENEWALS: - — -- • FIRST - From Ito Fee: Reviewed-bApprove�—_ SECOND -From to Fee: Reviewed ;: Approved • . ACCESSORY FARM USE Type of farming operation on property: ....1 Number of Livestock ' A/64/4? ' Average number per year- • Acres Irrigated � 8 Acres Dryland 6. R C) Acres Pasture Number of employees now employed: Full time: pQ Part time: ACCESSORY USE IN C OR I ZONE DISTRICT 'Type_of commercial or industrial activity on-property------------- Number of employees: • Full time: Part-time: Mobile home will be used for: • IGN TURE OF APPLICANT PLZ ATTON DATE ... BUILDING PERMITS ARE REQUIRED FOR ALL MOBILE HOMES IN ADDITION TO THE ZONING PERMIT FOR MOBILE HOMES. THE BUILDING PERMIT MAY BE OBTAINED FROM THE BUILDING INSPECTION DIVISION, ROOM 342.. CENTENNIAL CENTER, 915 10th STREET, GREELEY, COLORADO 80631, PHONE 356-4000 EXT. 4425, AFTER APPROVAL OF THE ZONING PERMIT. • • • e-' z „S �� o O- _------"---------- zp N 1 t 47 -- o -_1 _ ._. . . . _._ . n Q F ,/ k -- - a_ t . . . • \ ..),„1:_„\ r- ____%A. t S • •I CERTIFICATION OF COMPLIANCE MOBILE. HOME AS AN ACCESSORY USE ON A FARM (Section 43.2.3, Weld County Zoning Ordinance) I, the undersigned, understand and agree to the conditions of this Zoning Permit which are as follows: 1. All zoning permits for mobile homes as accessory uses are temporary. Such permits shall automatically expire and the mobile home shall be removed upon the cessation of the use of the mobile home as an accessory use; and 2. A zoning permit for more than one mobile home in the "A" Agricultural Zone District as an accessory use may be issued only upon approval by the Board of County Commissioners. Further, I, the undersigned, meet the following conditions which are required to be eligible for this permit: 1. The mobile home will be occupied by persons customarily employed at or engaged in the operation of the use where the mobile home is located; • 2. The mobile home is necessary for the effective and economic operation of the use and/or protection of the agricultural use; Please state the reason(s) which show that the mobile home is necessary for the effective and economic operation of the agricultural r e. N., 3. The mobile home will not be used as an income source by the applicant for rental to persons not principally employed upon the lot; 4. Adequate water and sewage disposal facilities are available to the mobile home; and 5. The mobile home is not the first dwellin u,ni{t„ on thee pps.rcel of land. . .<.r.�iV,F�ra1FAirMNt tur ' The signature was acknowledged before me this day of A.D., 19 My Commission expires: Witness my hand and seal: Notary Public o o 14 gm _P-(- -el _tut) . frLs. .a z_nf e, tt) .maceJ .2 .LkU ,CLBrL) .) 5 � chi -G�J , L Wile Le idoetzei 8ry mac.-i3 Wv2- / (acur l03 _.;z, _exzeici.catenz � a% au `fry O/7 nco b.cueatose /- 5o3 .73a - -41 PF . NAMES •OWNERS OF PROPERTY WITHIN 500 *T Please print or type / NAME ADDRESS, TOWN/CITY, ASSESSOR'S PARCEL STATE AND ZIP CODE IDENTIFICATION # VIPs? 5naxgo i .Gdruaeni 9.51' /aCJ/6SC 4? voo on. rzi,auy, &(0-6'060/ U ti-14 ooh on? 029 0oo ooh aP/T n &Inn l )‘-P94 /� lv,C, �/� onn nav Gn 72/-oz c-ti .l 600 6/7 Latvia,64-4-Robla 4'ltzr'tc� • 772$711lf. e)v742.5nt)Dw nin4 "Re, 93 �-3 S/ 006 /VC- - stalrm nfined 47. ono On? Je, ,md' ,J'7.// .sere2.v, n 21��na '7npnal> 994" & dein) ,O? 000 d/ �u /y , &ea "1'oaat6 • 0 • . • . • , , . . . . , " • • • _icom t+ 11 • 7LiN FNi_ ,H ,_F-f: T Ei•i- ..... ;•' = _:7.f:.-1:.N • A. ' I. :.1::EITAL I'.�1A CREE. _.J :=-0633;33 E ' 2225 =•vIMER HERBERT E, WAGNER IAIii,R=.7S 0i74 i 4 w R 65 1'H (7.•;" 32-43Z , ' KEE_NESBUI':C. CO 9043 .1.DDRESS OF PROPOSED SYSTEM 0174 WCR 65 KEENESDURG CO 00643 F .EGAL DESCRIPTION OF SITE: SEC 33 TWF' 1 RNG 67,, • • UBDIVISIOiv: LOT 0 BLOCK 0 FILING 0 ' JSE TYPE: OTHER AGRICULTURE SERVICES: PERSONS . BATHROOMS 1 .00 LOT SIZE 620.00 ACRES BEDROOMS 2 BASEMENT PLUMBING NO WATER SUPPLY F'WELL APPLICANT ACKNOWLEDGES THAT THE COMPLETENESS OF THIS APPLICATION IS CONDITIONAL UPON FURTHER MANDATORY AND ADDITIONAL TESTS AND REPORTS AS MAY BE REQUIRED BY THE «EI_D 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 AP'P'LICATION; 4.ND 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, TIT._E 25, CRS 1973, AS AMENDED. THE APPLICANT CERTIFIES THAT THE PROPOSED SYSTEM WILL NOT BE LOCATED WITHIN 400 FEET OF A COMMUNITY SEWAGE SYSTEM. THE ,rNDERST;NED HEREBY CERTIFIES THAT ALL STATEi•iI NTS MATE, INFORMATION AND REPORTS . kj:BHITTE:D HEREWITH AND REQUIRED TO BE SUBMITTED BY THE APPLICANT ARE, OR WILL BE, REPRESENTED TO BE TRUE Ai40 CGIF ECT TO THE BEST OF MY KNOWLEDGE AND BELIE=', AND ;RE DESIGNED TO BE RELIED ON BY THE WELD, COUNTY HEALTH DE .aRTMENT IN EVALUATING • T IE SAME FOR NJRPOSES OF ISSUING THE PERMIT APPLIED FOR HEREIN. I FURTHER UNDER- 'T>?AND THAT ANY FALSIFICATION OR MISREPRESENTATION MAY RESULT IN THE DENIAL OF THE APPLICATION OR REVOCATION OF ANY PERMIT GRANTED BASED UPON SAID APPLICATION AND tN LEGAL ACTION FOR PERJURY AS PROVIDED BY LAW. A.PLI CATION FEE $150.00 HERBERT E. WAGNER. :EC. ' D BY RANGEL, NARY _�� C.ov �1L� 07/ 6/06 DATE 07/16/06 OWNER/AGENT SIG F2�aTU F DATE . aoz ' CV ADO DIVISION OF WATER RESOUR ., RERE/VFb 101 Co ine Bldg.,1845 Sherman St.,Denver,Colors 203 PERMIT APPLICATION FORM QUG 02'14 Application must be complete where l 1A PERMIT TO USE GROUND WATER coq(Pukka applicable. Type or A PERMIT TO CONSTRUCT A WELL . se rr[t4 print in BLACK FOR: ( )A PERMIT TO INSTALL A PUMP INK.No overstrikes or ensures unless I ) REPLACEMENT FOR NO. . initialed. ( )OTHER (1) APPLICANT• mailing address FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN NAME /71 4- ri/I/;7 F lip 4 'i•frEJZ Receipt No. !7d4e r , ' �� Lc - S Dist. `�- STREET fin / / `/ l 9 Basin CITY I< -.t?.,r (i,e. /), t.7• q $'o J!!•/ 3 (spy)(z..)CONDITIONS OF APPROVAL TELEPHONE NO. 73 ' --/-f/ ? Z V This well shall 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 �J right or preclude another owner of a vested water County lc/ ir .L •/9 right from seeking relief in a civil court action. • S it/ Y. of the c// 1+/ `A,Section 3 Twp._/L,Rng. 6',? !it' 6 P.M. (3) WATER USE AND WELL DATA Proposed maximum pumping rate(gpm) l D Average annual amount of ground water r1 / • • to be appropriated (acre-feet): F-f Number of acres to be irrigated: 2•9�el A/ /' ' Proposed total depth (feet): C n Aquifer ground water is to be obtained from: Owner's well designation GROUND WATER TO BE USED FOR: • ( ) HOUSEHOLD USE ONLY•no irrigation(0) (-4 DOMESTIC (1) ( I INDUSTRIAL (51 (`V LIVESTOCK (2) I ) IRRIGATION (6) ( 1 COMMERCIAL (4) ( I MUNICIPAL (B) • ( )OTHER (9) APPLICATION APPROVED PERMIT NUMBER 76000 . (4) QRILnLE}j DATE ISSUED AUG 12 1S74 Name /2 C4, A-4 SI4.- a o cl EXPJAPiTION DATE AUG 12197 Street /' t V / $^ 2/ _ T� r I ePi City 0 E L: A 1rA/C C. t. AO J.5 in y ISTATE ENGINEER) tsuu.n lip) DEF' Y By `:Iii P9 It.2/1. f/ f'71.:.CC:t •phone No.7/ 9 3 r-' ri Lic.No. 4/ 57 / s LD. - 0/ COUNTY 4.-1 0 z ,9 H. 1197• . - • ' (.HE LOCATION OF THE POSED WELL and the area on (6) THFFLL MUST,- BE LOCATED BELOW •• ' which the water will be used must ndicated on the diagram below. by di]�ces from section lines. Use the CENTER SECTION (1 section, 640 acres) hr the well location.• 7 y, / 2 ' O ft,from • .cr C••1141 sec.line ii } — 1 — — — T' — -I- — -1- — •--I- •— - - — •-1-. (north or south( I !'4---1 MILE.5280 FEET---1-1 I tr/ I ft.from l•.' a s7- sec.line lent or wC:•. I 1- -I- T T I ± I LOT BLOCK FILING I I I I — —I- — I' NORTH SECTION LINE — + — SUBDIVISION it- (7) TRACT ON WHICH WELL WILL BE I --�--- I I LOCATED 4-NORTH + 1 Z- — — — — 1I• + I No,of acres 6 it e .Will this be -- -- us I rn the only well on this tract? /1/0 el 4- fi_w .i. ._ I — + (8) PROPOSED CASING PROGRAM IA I ._ .. .. III I Plain Casing g �'— —_ — t — _m + f In.from r) ft.toi2CLft.I I I_ I 11 In.from_ ft.to ft + — + I SOUTH SECTION LINE — T — "I• Perforated using )) I I _- I I �_in.from / ft.to_ft. + - + +.--:-I- t 4 4- —I— in.from ft.to ft. I I -- I I (9) FOR REPLACEMENT WELLS gIvedistanee and direction from old well and plans for plugging -I- - .r• — + —. _ ± — + - + — I - -}- It: I The scale of the diagram is 2 inches- 1 mile . • Each small square represents 40 acres. WATER EQUIVALENTS TABLE (Rounded Figures) An acre.foot covers I acre of land 1 foot deep I cubic foot per second Icfs)...449 gallons per minute Igpm) A family of 5 will require approximately I acre-foot of water per year. - - I acre-loot...43.560 cubic-feet-r..325.900 gallons. 1,000 gpm pumped continuously for one day produces 4.42 acre-feet. • (10) .AND ON WHICH c GROUND WATER WILL BE USED: Owner(s):----- - -- - / h 'f'l t No.of acres: Legal description: (11) DETAILED DESCRIPTION of the use of ground water: - • H0ilelr G /bE ;In c.A • • _ (12) OTHFR WATFR RIGHTS used on this land, including wells. -Used for(purpose) Description of land on which used tee.. Type or right ' . I Odin (veil — p a Est FS1 , c (13) THE E(S) THAT THE INFORMATION SET FORTH HEREON IS - . TRUE-TO-THE BEST OF HIS KNOWLEDGE. n e ', SIGNATURE OF.APPLICANT( Use additional sheets of caner if more space is required. ib ,5.72 • CO,ADO DIVISION OF WATER RESOUIKS • • 101 Co mbine Bldg..1845 Sherman St., Denver,Colors 0203 ��31 17.^{,.^ �/ • •PERMIT APPLICATION FORM �ry�r�? 9A V Application must u ray;n 9 be complete where I ) A PERMIT TO USE GROUND WATER ; n ..` .., `�, applicable.Type or be I A PERMIT TO CONSTRUCT A WELL '' 9I S rr - print in BLACK FOR: ('c) A PERMIT TO INSTALL A PUMP r. ?. G INK.Nooverstrikes 'f?'• *r` ,�!• or erasures unless ( ) REPLACEMENT FOR NO. �rlc,c ,d;Cs%' initialed. , ( )OTHER (1) APPLICANT•mailing address FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN NAME H)Y' aY r-r . i✓14 6 1)14 r Receipt No. ita.fll / ' STREET F / Pox aG P 'B Basin Dist. IOC ! eire..f' sc CITY 81^U 'LD0yN (O(SrmO g(Zip)60� CONDITIONS OF APPROVAL TELEPHONE NO.tX 9- -14 7 g 7 This well shall 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 don not assure the applicant that no injury will occur to another vested water right or preclude another owner of a vested water County 11/ 1. D right from seeking relief in a civil court action. 5/1s/ t, of the 5/h/ %.Section R3 ZHE MULTI TT APPRUFRI i Ili .1 . FM n MI Twp. J N .Rng.Rng. 6 3 W 6 P.M. i 10ERR)TO BE MAMMA TO THE TERMS OF THIS PERMIT PURSUANT TO SECTION 148-184 CRS. (3) WATER USE AND WELL DATA Proposed maximum pumping rate(gpm) Vi°0 Average annual amount of ground water to be appropriated (acre-feet): 4 Number of acres to be irrigated: / r - Proposed total depth (feet): MO Ft Aquifer ground water Is to be obtained from: Owner's well designation GROUND WATER TO BE USED FOR: ( )HOUSEHOLD USE ONLY•no irrigation (0 INDUSTRIAL(5) (s'DDMESTIC (1) ( I 1 )6rLIVESTOCK (2) ( I IRRIGATION (51 - v ( I COMMERCIAL(4) ( )MUNICIPAL(8) 1 I OTHER (9) APPLICATION APPROVED • PERMIT NUMBER 68361 p (4) QRILLER DATE ISSUED APR 1 2 1973 Name u^^'"L-4, ra EXPIRATION DATE APR•1 2 197S a• StreetCs,..14 'fe e•a City 1 (STATE.ENGINEERI (slate) (2rn0) 1 n.-.:# W�iCi �i BY �•. IV's"•- Telephone No. Lic.No. - I.D. .C .. / - 0/ COUNTY K •nt. m 0 t "r-P r1 H 114'7 r THE LOCATION OF THE PRO•ED WELL and the area on (6) THE 1L MUST BE LOCATED BELOW which the water will be used must be indicated on the diagram below. by distances from section lines. • Use the CENTER SECTION (1 section. 640 acres) for the well location. SrlT 90 0 ft.from sec.line } _ 1 — 4_ — + _ •4- — y — _j.. — ,_. - 4 Ino.tn of south) I.4.-- I 1 ADD ft.from %V 'S I sec.line . I1RtILE,5280 FEET- - } feast of sees° I 1 — 1 t + T T -I- T I 1 LOT BLOCK FILING a SUBDIVISION — 4 — I NORTH SECTION LINE — + — (7) TRACT ON WHICH WELL WILL BE I i I I I LOCATED 1 NORTH+ W' _ + — — — — + .f. �s a O .Will this a , T Z a No.of acres N . I o i I m 1 the only well on this tract? YA G D"' ` n + P I I , -+- — w o (8) PROPOSED CASING PROGRAM I I i I r f I Plain Casing in i . * -i-- ;_ _ —I— _ — — +. _ -m -I- 4. In.from_D--ft.to 90 ft. I I I I In.from h,to ft. 1 I I — •+ - 4 Perforated casing T — + - SOUTH SECTION LINE I I I , I 4.,:itIn.from 90 ft.to 13'6 ft. + 4- + -I-• -I- T 4 -I- -I- in.from ft.to ft. (9) FOR REPLACEMENT WELLSgivedistance I I I I and direction from old well and plans for plugging The scale of the diagram is 2 inches- 1 mile - Each small square represents 40 acres. WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep 1 cubic foot per second(cis)...449 gallons per minute Isom) A family of 5 will require approximately 1 acre-foot of water per year. • 1 acre-foot...43.560 cubic feet...325.900 gallons. 1,000 9pm Dumped continuously for one day produces 4.42 acre-feet. (10) LAND ON WHICH GROUND WATER WILL BE USED• C a� Owner(s).7i t Q r7 WA G A �+ rr' P 'A No.of acres: Legal description: +see T p 33 S I NI '1 4„3 1,,, g yI • (11) DETAILED DESCRIPTION of the use of ground water: • hnact GArD.i N., \ST()Ch (12) OTHER WATER RIGHTS used on this land, including wells. ................. . Type or right Used for(purpose) Description of land on which used . (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS . TRUE TO THE BEST OF HIS KNOWLEDGE. • 4639-e".4 Se :A._... SIGNATURE OF APPUCANTIS) .. ..I-I-. .n- •�.••. -1 ...n.. '1 .w •. r.•.. .J • . f • eooK p n. ' MARS i73 wt 1� .1 (9 _ t, A, • ter.__ • , •• Recorded at. �` ro�'dr�o<k._N._.M., 5 `cI- l 83 Rerrnlion No JY1QOSN SPO'4u Recorder. ' .y 0 e—I • RECORDER'S STAMP . Tuts DEED, Madethfs 23th a_/ day of March , t073 ,between w I Si '~ 3 ' I DENNIS M. PRIL'DEN and SALLY J. FRIEDEN : I c I /V of the County of Weld' and State of 0 c 11 0 Colorado,of the first part,and , O .i HERBERT E. WAGNER and MARY M. WAGNER • v-t , NI of the County of Adams and State of Colorado.of the second parts , `+r W ITNESSETIJEVN the said part lee of the first part,for and in consideration of the sum of 0 IA ONE HUNDRED/THOUSAND AND NO/100 SOLLARS, `m c c. . o to the said part ics of the first part In hand paid by the said parties of the second part,the receipt whereof Is ei Cs hereby confessed and acknowledged,haVO granted,bargained,sold and conveyed,and by these presents do O .! CP grant,bargain,sell,convey and confirm unto the said parties of the second part,their heirs and assigns forever,not U • in tenancy in common but in Joint tenancy,all the following described lot or parcel of land,situate,lying and .-, being in the 'County of Weld and State of Colorado,to wits 19tr CI, US r.J ;t}} aC ' (SEE LEGAL DESCRIPTION ATTACHED) State MAR 29ry1� Date $ ....1t).42O TOGETHER with all and singular the hereditament' and appurtenances the••unto belonging, or In anywise appertaining, the reversion and reversions, remainder and remainders,rents,Issue: and profits thereof;and all the estate, right, title, interest, claim and demand whatsoever of the said part es of the first part,either in law or equity,of,in and to the above bargained premises,with the hereditament,and appurtenances. TO HAVE AND TO HOLD the said premises above bargained and described,with the appurtenances,unto the said parties of the second part,their heirs and assigns forever.And the said parties of the first part,for them selves .t e rheira,executors,and administrators do covenant,grant,barga'r and agree to and with the said parties of the second port,their heirs and assigns,that at the time of the instating and delivery of these pees. ents they se well seized of the premises above conveyed, as of good, sure, perfect, absolute and Indefeasible estate of inheritance,in law,in fee simple,and hate good right full:.over and lawful authority to grant,bar- — gain,sell and convey the same in manner and form aforesaid,and that the same ant free and clear from all former and other.grants.bargains, sales liens,taxes, assessments and encumbrances of wL.tever ird or nature sourer. • Except' taxes for 1973, reservations and exceptions ot k record, and • &. Deed of Trust for use of Colorado National Bank of Denver, Trustee Q in the principal amount of $56,250.00 which grantees expressly agree to assume and pay, �0 and the above bargained premises In the quiet'and peaceable possession of the said parties of the second part,their `, heirs and assigns,against all and every person or persons lawfully claiming or to claim rho whole or any part thereof, the said part ICS of the first part shall and will WARRANT AND FOREVER DEFEND. IN WITNESS WHEREOF the said part ics of the first hire hereunto set hands and seals the day and year first above written. ' Signed,Sealed and Delivered in the Presence of .Dennis _.G�L.__. r�i..arr.[SEAL] It Dis M. Frieden . _ .. m ,, 4LL a' _�.r5x :LL[SEALI ,(d , STATE OF COLORADO, Sally J Fr eden r as. r he! •..County of Q"t(n(.t here ., Jfhe foregoinctkument was acknowledged before ms this a8 — "Jof March nail": E14/4. 6 M. Frieden and Sally J. Frieden. laic cornmirfon stylist a et,`-6,., .2.0 ,Ig.23•witnees my hand andofficial coal J .,,r F v, ..`,; a `% wean Mira 7 13 688 • 1610092 •• LEGAL DESCRIPTION All of Section 33, Township 1 North, Range 63 West of the 6th P.M., EXCEPT that part of the NE4 NE4 NE4 of Section 33, Township 1 North, Range 63 West of the 6th P.M. , lying East of the Prospect LaLcral Canal more particularly described as that part of the NE; NE4 NE4 Section 33, Township 1 North, Range 63 West of the 6th P.;;. , com- mencing at the NE corner of said Section 33; thence South along the East side of Said Section 33, 660 feet; thence West parallel to the North side of said Section 33, 517 feet to the centerline of the Prospect Lateral Canal; thence along the centerline of said Prospect • Lateral for description purposes N 450 E. 110 feet; thence N 80 10 feet West along the centerline of said Prospect Lateral 590 feet to the North side of said Section 33; thence East along the North side of said Section 33, 533 feet to the point of beginning. Dfi • • • • • 4 • • if I,. a • C' . . . �,t ..n :.�eAt« ntl.•'�T�-n�a1 , lckc[ '.in� . : • /LAW ..Q4-CACAli pg-anuen, Re a �G mac. /rr y)no)w Z �J ..07v.4r a-wp4444 Gain . A;7v o-y Aw ,d ->4.6 . Zvi Ia•,w po- fu ±, ,c.t. Sic•de 0 /79a2d. 'at 6 Sl,_Qe tee K , 6-4. -8-0 6443 • /- '8O0 - J3a -Y.46'-6-2 1/ /ILV: o,: ChVE aJ1 211986 a.ec rain* a •• • 21 FLOW SHEET • IRE ,. �97 _ COUNTY COMMISSIONERS MEETING DATE: /91- APPLICANT:Su f LEGAL: LOCATION: 4 21,024,01, 3- -LilaCN �./ otM' "- n &1 G C1 G5 UT DATE BY Application Received 7-z=2l-96 Application Complete 7e7/_1h ,o xo Sign Given to Applicant Z,o rl I r!/n ,/ 1.._/,/1 Sign To Re Posted Ry:— �� /9/// O�/-X 1 �(`Jr�44J Letter to Applicant Drafted / /� (�f 774,,2-17n n 1 Referrals Listed . , OXQ Air Photo and Maps Prepared 7J 2e -�P Soils Map Prepared ! File Assembled "74-3-B6 Letter to Applicant Mailed Referrals Mailed Chaindexed exed Prop. F. //07(6�Mineral Owners Notified fy: 11�;�( .s. y Field Check By DPS Staff v C • DPS Recommendation Drafted DPS Recommendation Typed Packets Xeroxed CC Action: • Plat and/or Resolution Recorded -li 9- p History Card Completed R W. Recorded on Maps and/or Piled 9 • o • DEPARAVNT OF PLANNING SERVICES ,x t1 >x PHONE(303)356-41:C0 EXT.4400 -�;^ f 915 10Th STREET GREELEY.COLORADO 60631 14 1(R7 COLORADO August 6, 1986 Mr. Herbert Wagner 0174 Weld County Road 65 Reenesburg, Colorado 80643 Re: ZPMH-1197 - Request for a Zoning Permit for a Mobile Home to be seed as more than one mobile home as an accessory to farm on a parcel of land described Section 33, TIN, R63W of the 6th P.M., Weld County, Colorado. Dear Mr. Wagner: Your application and related materials for the request described above are complete and in order at the present time. I have scheduled a meeting with the Board of County Commissioners on Wednesday, August 20, 1986, at 9:00 a.m. This meeting will take place in the County Cot:.Issioners' Hearing Room, first floor, Weld County Centennial Center, 915 10th Street, Greeley, Colorado. It is recommended that you and/or a representative be in attendance to answer any questions the County Commissioners might have with - respect to your application. It is the responsibility of an applicant to see that a sign is posted on the property under consideration at least ten (10) days preceding the hearing date. Sometime prior to August 9, 1986, you o: a representative should contact me in this office to obtain a sign to be posted on the site no later than August 10, 1986. The Department of Planning Services staff will make a recommendation concerning this application to the Board of County Commissioners. It is the responsibility of an applicant to contact the Department of Planning Services office a few days before the date of the County 7ommissioner's hearing to obtain that recommendation. If you have any questions concerning this matter, please feel free to call me. Respectfully//,,- ;'w ^ ! n Debbie deBesche Current Planner DLD:rjg • • • z a" 7 REFERRAL LIST APPLICANT: Herbert E. Wagner CASE NUMBER: 2PMN-1197 SENT REFERRALS OUT: July 13, 1986 REFERRALS TO BE RECEIVED BY: August 4, 1986 NO SR NR NO SR NR • County Attorney Weld County Health Dept. Engineering Department County Extension Agent • / Office of Emergency Mngmt / X State Engineer Division of Water Resources 1313 Sherman St., Room 818 Denver, CO 80203 _ State Highway Department 1420 2nd Street Greeley, CO 80631 _ Colorado Department of Health Water Quality Control Division 4210 East 11th Avenue Denver, CO 80220 _ City of Greeley Planning Department 919 7th Street Greeley, CO 80631 _ Tr1 Area Planning Commission P.O. Box 363 Frederick, CO 80530 NO-No Objection • SR-Specific Recommendations NRNo Response •• ov•c0to • 1K \9 RICHARD D.LAMM ‘•• $ JERIS A.DANIELSON Governor w + State Engineer } 4187G OFFICE OF THE STATE ENGINEER DIVISION OF WATER RESOURCES 1313 Sherman Street-Room 818 Denver, Colorado 80203 (303) 866-3581 August 19, 1986 Ms. Debbie deBesche Weld County Department of Planning Services 915 10th Street Greeley, CO 80631 RE: Wagner ZPMN-1197 Sec. 33, TIN, R63W Dear Ms. deBesche: We have reviewed the above referenced proposal to allow a second mobile home to be placed on a 620-acre tract. There is an exis; Jag house, a mobile home, and two wells on the property (Permit Nos. 68361 and 76000). We see no conditions of the permits which would prohibit the proposed use. As long as this is the only expanded use requested, we can recommend approval. Sincerely, Hal D. im son, P.E. Deputy State Engineer RDS/JCM:cic cc: Alan Berryman, Division Engineer • Steve Lautenschlager • ° ECE . VE AUG 251986 Veld Co. Meath Cards m I cut re-t- • DEPAR*NT OF PLANNING SERVICES we, g,{ PHONE(303)3564000 Err.4400 I F 91510th STREET if toGREELEY,COLORADO mew I"Hinge COLORADO CASE NUMBER ZPMH-1197 July 23, 1986 TO WHOM IT MAY CONCERN: Enclosed is an application from Herbert E. Wagner for a Zoning Permit for a Mobile Home to be used as more than one mobile home as an accessory to farm. The parcel of land is described as Section 33, TIN, R63W of the 6th P.M., Weld County, Colorado. The location of the parcel of land for which this application has been submitted is approximately 3 miles east of Prospect Reservoir; east of Weld County Road 65. This application is submitted to your office for review and recommendations. Any comments or recommendations you consider relevant to this request would be appreciated. Your prompt reply will help to facilita, , the processing of the proposal and will ensure prompt consideration of your recommendations. If a response from your office is not received within fourteen (14) days of mailing from our office, it may be interpreted to mean approval by your office. If you are unable to respond within the fourteen (14) days (but wish to do so at a later date) please notify our office to that effect. Check the appropriate boxes below and return to our address listed above. Please reply by August 4, 1986, so that we may sive full consideration to your recommendation. Thank you very much for your hellr and cooperation in this matter. 1. We have reviewed the proposal and find no conflicts with our interests. 2. A formal recommendation is under consideration and will be submitted prior to 3. Please refer to the enclosed letter. Signed: Agency: Date: LL ebbie e �J12�' Current Planner -i O. seem 1 JJg7 � g • DEPAF�IENT OF PLANNING SERVICES # ii (� PHONE(309)3564000 EXT.4400 . : . �i 915 10th STREET . \I GREELEY,COLORADO 80631 • WIIDc. COLORADO July 23, 1986 Hr. Herbert Wagner 0174 Weld County Road 65 Reenesburg, Colorado 80643 Re: ZPMR-1197 - Request for a zoning permit for a mobile home to be used as more than one mobile home as an accessory to farm on a parcel of land described Section 33, TIN, R63W of the 6th P.H., Weld County, Colorado, Dear Mr. Wagner: Your application and related materials for the request described above are complete and in order at the present time. I have eche :led a meeting with the Weld County Board of County Commissioners on Wednesday, August 6, 1986, at 9:00 a.m. This meeting will take place in the County Commissioners' Rearing Room, first floor, Weld County Centennial Center, 915 10th Street, Greeley, Colorado. It is recommended that you and/or a representative be in attendance to answer any questions the County Commissioners might have with respect to your application. It is the responsibility of an applicant to see t''.!at a sign is posted on the property under consideration at least ten (10) days preceding the bearing date. Sometime prior to July 26, 1986, you or a representative should contact me in this office to obtain a sign to be posted on the site no later than July 27, 1986. The Department of Planning Services staff will make a recommendation concerning this application to the Board of County Commissioners. It is the responsibility of an applicant to contact the Department of Planning Services office a few days before the date of the Commissioner's bearing to obtain that recommendation. If you have any questions concerning this matter, please feel free to call me. Respectfully, kWh; Debbie deBesche `' Current Planner ✓'S.t ,cli M` H- I l DEPAR' NT dF PLANNING SERVICES 4 (` PHONE(303)356.4000 EXT.1100 � '/T 915101h8TREET , � OREELEY,COLORADO 80631 Ce COLORADO CASE NUMBER ZPMH-1197 August 6, 1986 TO WHOM IT MAY CONCERN: Enclosed is an application from Harbert E. Wagner for a Zoning Permit for a Mobile Home to be used as more than one mobile home as an accessory to farm. The parcel of land is described as Section 33, TIN, R63W of the 6th P.M., Weld County, Colorado. The location of the parcel of land for which this application has been submitted is approximately 3 miles east of Prospect Reservoir; east of Wald County Road 65. This application is submitted to your office for review and recommendations. Any comments or recommendations you consider relevant to this request would be appreciated. Your prompt reply will help to facilita .• the processing of the proposal and will ensure prompt consideration of your recommendations. If a response from your office is not received within fourteen (14) days of mailing from our office, it may be interpreted to mean approval by your office. If you are unable to respond within the fourteen (14) days (but wish to do so at a later date) please notify our office to that effect. Check the appropriate boxes below and return to our address listed above. Please reply by August 15, 1986 so that we may dive full consideration to your recommendation. Thank you very much for your help and cooperation in this matter. 1. We have reviewed the proposal and find no conflicts with our interests. 2. A formal recommendation is under consideration and will be submitted prior to 3. Please refer to the enclosed letter. Signed: Agency: Date: &J& L dicsR h Debbie deBescha Current Planner `;i • — Sla th w ,J �pp Recorded at - o'clock 4.ti'...M., - 688 Reception No 510092 `sr "OMEk Recorder. C) THIS DEED, Made this 28th _/ day of March RECORDER'S STAMP 1973 ,between cr- t .--i DENNIS M. FRIL'DEN and SALLY J. FRIEDEN G+ OCI of the County of Weld' and State of D .`G-Nj Colorado,of the first part,and O c—I HERBERT E. WAGNER and MARY M. WAGNER r . cu, r- of the County of Adams and State of Colorado,of the second part: `" WITNESSETE,t21 the said part i e:s of the first part,for and in consideration of the sum of O in ONE HUNDRED/THOUSAND AND NO/l0O DOLLARS, i' n to the said part ies of the first part in hand paid by the said parties of the second part, the receipt whereof is ='? hereby confessed and acknowledged, ha V e granted, bargained,sold and conveyed,and by these presents do o grant, bargain, sell, convey and confirm unto the said parties of the second part, their heirs and assigns forever, not c) in tenancy in common but in joint tenancy, all the following described lot or parcel of land, situate, lying and • -, being in the County of Weld and State of Colorado, to wit: CJ. (_T N fV (SUE LEGAL DESCRIPTION ATTACHED) State D ,ci, nt j;s [ e Dote $ -._ ' • 7 0 TOGETHER with all and singular the hereditaments and appurtenances thereunto belonging, or in anywise appertaining, the reversion and reversions, remainder and remainders,rents, issues and profits thereof; and all the estate, right, title, interest, claim and demand whatsoever of the said parties of the first part, either in law or equity, of, in and to the above bargained premises, with the hereditaments and appurtenances. TO HAVE AND TO HOLD the said premises above bargained and described,with the appurtenances,unto the said parties of the second part,their heirs and assigns forever. And the said parties of the first part,for them selves ,teirheira,executors,and administrators do covenant, grant, bargain and agree to and with the said parties of the second part, their heirs and assigns, that at the time of the ensealing and delivery of these pres- ents they rye well seized of the premises above conveyed, as of good, sure, perfect, absolute and indefeasible estate of inheritance,in law,in fee simple,and haze good right, full power and lawful authority to grant, bar- gain, sell and convey the same in manner and form aforesaid,and that the same are free and clear from all former and other grants, bar ains, sales liens, taxes, assessments and encumbrances of whatever kind or nature soever. Except taxes for 1973 , reservations and exceptions of record, and `r. Deed of Trust for use of Colorado National Bank of Denver , Trustee in the principal amount of $56 , 250 .00 which grantees expressly agree p. to assume and pay, /� and the above bargained premises in the quiet and peaceable possession of the said parties of the second part, their 'C heirs and assigns, against all and every person or persons lawfully claiming or to claim the whole or any part thereof, the said partlES of the first part shall and will WARRANT AND FOREVER DEFEND. IN WITNESS WHEREOF the said part ies of the first part hale hereunto set their hands and seals the day and year first above written. Signed,Sealed and Delivered in the Presence of " [SEAL] Dennis M. Frieden (SEA I.1 a9 7 l -r 2iii. [SEAL1 STATE OF COLORADO, 1 Sally}J✓ Fr eden ss. County of y�J F... -,._rI, '. 'The foregoing,irtsfyument was acknowledged before me this ,�.' - day of �1arc11 •v Agisairtriwpgitiothe M. Prieuc=n ar.ci Sally J. Frieden. M?reommistiion eltpi,es = , 19?.-J. Witness my hand and official seal. }-i / _ -i •..................F VNotary Public. j No.921. WARRANTY DEED—To Joint Tenanie.—Bradford Publishing Co.,1824-48 Stout Street,Denver,Colorado-1-78 •If by natural person or persons here insert name or names; if by person acting in representative or official capacity or as attorney-in-fact, then insert name of person as executor, attorney-In-fact or other capacity or description; if by officer of cor- poration then insert name of such officer or officers as the president or other officers of such corporation, naming it—Statutory Acknowledgment, Sec. 118-6-1 Colorado Revised Statutes 1953. All of Section 33,..4:ownship 1 North, Rang 63" st of the 6th P.M. , EXCEPT that part c the NEE; NE 4 NE 4 of Sc..:t ior. 33, Township 1 North, Range 63 West of the 6th P.M. , lying East of the Prospect Lateral Canal more particularly described as that ;Dirt of the NE?; c:E4 NE 4 Section 33, Township 1 North, Range 63 West of the 6th P.t;. , coil; mencing at the NE corner of said Section 33 ; thence South along the East side of Said Section 33, 660 feet; thei.ce West parallel to the North side of said Section 33, 517 feet to Idle centerline of the Prospect Lateral Canal; thence along the centerline of said Prospect Lateral for description purposes N 45° E 1lC feet; thence N 8° 10 feet West along the centerline of said Prospect Lateral 590 feet to the North side of said Section 33; thence East along t1“; North side of said Section 33, 533 feet to the point of beginning. i /'3T CERTIFICATE OF DEATH 1. DECEDENTS NAME(First.Middle,Last' 2. SEX 3. DATE OF DEATH(Month.Day,Year) DECEDENT Mary_ Mae WAGNER Female January 19, 1992 4.SOCIAL SECURITY Sa.AGE(YearsLast) 50. UNDER 1 YEAR Sc. UNDER 1 DAY 6. DATE OF BIRTH 7. BIRTHPLACE(City and State or Foreign NUMBER Birthday 522-08-3948 5O Mps :Days Hrs :Ming Month,Day Year) Country) October 11, 1941 Fort Sill, Oklahoma a.WAS DECEDENT EVER IN 9a. PLACE OF DEATH(Check only one) U.S.ARMED FORCES? O Yea MY* HOSPITAL: : OTHER O Inpatient ULER/Outpatient ❑DOA�I 0 Nursing Home ❑ Residence 2 Other(Seedily) 9b.FACILITY NAME(If not institution,give street and number) I Sc CITY,TOWN.OR LOCATION OF DEATH 9d.COUNTY OF DEATH North Colorado Medical Center Greeley Weld 10a.DECEDENTS USUAL OCCUPATION 10b. KIND OF BUSINESS/INDUSTRY l Give kind of work done duringmoatof workingfile. 11.Never MARITAL STATUS Widowed. Married,d12. SPOUSE(11 wile,give maiden name 0D fuse mind) Never Married,Widoweo. Divorced(Specify) Homemaker Own Home Married Herbert Wagner S 13a.RESIDENCE-STATE 13b.COUNTY 13c.CITY,TOWN,OR LOCATION 13d.STREET AND NUMBER Colorado Weld Keenesburg 0174 Weld County Road 65 13e.ICITYNSIDE 131.ZIP CODE 14.WAS DECEDENT OF HISPANIC ORIGIN? 15. RACE:American Indian, I6. DECEDENT'S EDUCATION(Specify only highest LIMITS? (Specify No or Yes'It yea,specify Cuban, Mesican, Puerto Rican,etc.) Black,White,etc.(Specify) pp ahr compfe)Co Elementary or secondary 39 No Q0Jo Oyes 10 mrougn 121 College lt3mrougn tfi or l)+1 80643 specify: White �I? FATHER-NAME (First,Middle.Last) 118. MOTHER-NAME (first,Middle.Last(Maiden Name)) 19. INFORMANT-NAME and relationship to deceased. Leonard Glen Ronald Etta Schnelle Herbert Wagner Sr. - Husband 20a.METHOD OF DISPOSITION 20h. PLACE OF DISPOSITION(Name of cemetery,crematory.or 20c. LOCATION.City or Town,Stale DISPOSITION D03urial ❑Cremation ❑Removal from State other Mace) ❑Donation O Other(Specify) Mountain View Cemetery Bennett, Colorado 21 'IGNATURE O FUNERAL DIRECTOR OR PERSON ACTING AS SUCH 21b.NAME AND ADDRESS OF FACILITY: Stoddard Funeral Home e 1 11 3205 W. 28th St. GreeleY, CO ZIP: 80631 22a.REGISTRAR'S SIGNATURE 22b. DATE FILED(Month.Day.Year) 23.TIME OF DEATH 24.DATE PRONOUNCED DEAD (Yes Month 25.WAS CORONER NOTIFIED? Day Y m Npt 7:34P M January D 19 1992a 7:34 PM Yes TO BE COMPLETED ONLY BY CERTIFYING PHYSICIAN TO BE COMPLETED BY CORONER 26.To the best of my knowledge,death occurred at the time,date and place,and due to Ina cause(sl and manner as sAnQ 27.On the basis of examination and/pr investigation.in my opinion fated occurred at the CERTIFIER time,date and place and due toe cause(S)and manner a stated ( Signature SS. DSATE tin, /'/l��,y/ear) / f 1 28. DATE SIGNED(Monet,Day Year) 29.DATE SIGNED(hlon(q Day.YeKar)y�/ ) //I!/// 2 LLL 30. NAME.TITLE AND MAILING ADDRESS OF CERTIFIER/CORONER(Type/Print) January 21, 1992 3 Wesley E. Hall, Coroner, 922 9th Avenue, Greeley, CO Zip: 80631 31. NAME OF ATTENDING PHYSICIAN IF OTHER THAN CERTIFIER(Type/Print) 4 >32. MANNER OF DEATH JJ✓JJJ 33a DATE ODINJURY 33b.ITIME NJURY WORK? INJURY AT 33d.DESCRIBE MOW INJURY OCCURRED (Month.Day.Year) INJURY r) 1O Natural ❑Pending 5 Investigation O Accident N O Yea p No ❑Suicide O Undetermined 1 Manner 33e.PLACE OF INJURY-At home,farm,street factory,office 33f.LOCATION(Street end Number or Rural Route Number,City.County.State) building,etc.(Solidly)❑Nomiclda 34.IMMEDIATE CAUSE!ENTER ONLYONE CAUSE PER LINE FOR(a),(b).AND(c),)Do not enter mode of dying(e.g.Cardiac or Respiratory Arrest)atone. Interval between onset Cardiopulmonary Arrest CAUSE OF PART DEATH cogpinoNs (al and death DUE TO OR AS A CONSEQUENCE OF IF ANY WHICH Interval between onset GAVE RISE TO MObesit and death IMMEDIATE CAUSE Y STATING THE DUE TO OR AS A CONSEQUENCE OF UNDERLYING CAUSE Interval between onset LAST ICI (c) and death PART OTHER SIGNIFICANTCONDITIONS-Conditions contributing to death but not related to cause in II PART I leg,alcohol abuse,obesity,smoker). 35.AUTOPSY 36. IF YES were findings tad (Yes or No) of deaf in determining cause of death? No State of Colorado County of Weld I hereby certify that the above is a photo—copy of the original. Death Certificate filed with the Bureau of Vital Statistics. NNo, r\ Subscribed and sworn to before me this a3 day of `�l,k-AtaL;L� 1992 . My commission expires December 3, 1992 (x)\ 3205 W. 28th St. Greeley, CO 8O631 v • Notary Public 1. 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PERMIT NO. 76 coo NO STATEMENT OF BENEFICIAL USE HAS BEEN RECEIVED. THIS FORM IS BEING FILED IN LIEU OF THE STATEMENT OF BENEFICIAL USE. THIS DOES NOT CONSTITUTE EVIDENCE OF BENEFICIAL USE, NOR DOES IT ESTABLISH A WATER RIGHT. ANY FURTHER ACTION ON THIS PERMIT MUST BE PRECEEDED BY AN ACCEPTABLE STATEMENT OF BENEFICIAL USE. NAME k',IC--IV /9 ,xhi e r ADDRESS .fir, / , /3-(5)( /2C' ' CITY 'rE4/sis.f 5T ( 21) ZIP (1fr°E �-..� WELL LOC, R. (-3c:)) T. /,V s 33 V4 sco I /4 . PM. DISTANCES A-26.0 FT. FROM Fes, SOUTH ) SECTION LINE jcc' FT. FROM ( , WEST ) SECTION LINE DATE WELL COMPLETED G/-/7v TOTAL DEPTH OF WELL /mac) FT STATIC WATER LEVEL 27 FT. PUMPING RATE i` G. P. M. ANNUAL APPROPRIATION / ACRE FT. ACRES TO BE IRRIGATED , USE CODE DIV. /, CO. 6-Q , DIST. U/ ,BASIN _s , MAN. DIST 2 NO COLORADO DIVISION OF WATER RESOUL;CES RECt THIS FORM MUST BE SUBMITTED 300 Columbine Bldg., 1845 Sherman St. 1di WITHIN 60 DAYS OF COMPLETION (/ Denver, Colorado 80203 - JAt\Q 3 " OF THE WORK DESCRIBED HERE- I N.INK TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMP/r6�INSTALLATION RI F tRT '`' ^jp1 E'ENnee PERMIT NUMBER _ r e in y t,,, WELL OWNER ( / 4-" n rg2` 4/1 77 4/2---/C i5 4/ % of the _ (5 %'__.Y of Sec ? 5 ADDRESSyIt I /3v X / 96I; A-4 .TL/ 5/j%17t T. / ---, p._ 63 4-- , P.M. A r DATE COMPLETED S 7 19/4 HOLE DIAMETER WELL LOG - 7 in. from O to 'ILL' ft. Water From To Type and Color of Material Loc. — in. from _ to _.__ ft. CA m,,,4 in. from ._-_ to - _-.. ft. G� hi C`i1 a i DRILLING METHOD t ¢Ll Ti J CASING RECORD: Plsi 'asing �jJ /3, 37c "-4' 5 /fkJ) Size ji___ & kind from C' to /G' C ft. / 33 //, c S fit 4 l r Size & kinc from to ft. Size & kind _ _ from __ to ft. Pert )rated Casing Size 1)— & kind-4 ;-_--2-> from _L e to / 4/6 ft. Size & kind _ from to ft. Size & kind _ from to ft. GROUTING RECORD Material CL� Intervals (' - l C' Placement Method GRAVEL PACK: Size 4--EI n.. r Interval TEST DATA Date Tested >�-^ / 1"n 74 , 1972 / Static Water Level Prior to Test _? , ft. r Type of Test Pump "C-are-7— Sr Length of Test -7— /cl Sustained Yield (Metered) ____j_,.> TOTAL DEPTH /'1 e Use additional pages necessary to complete log. Final Pumping Water Level cy / .<7_ I /,. ••N /.r,. ,4 PUMON$TALLATION REPORT s:. - amp Make _ I 1'D (J i1 C-1< r.— ...__. : ype - .� C.., /3 1: >. 1 r` 3wered by _ HP imp Serial No. �' WATER " -v' w 3 otor Serial No. w TABLE W `,, W ate Installed 5 4- i 7 2 L/ J a .., cc to ;, w Jmp Intake Depth l/t!l a emarks • z , , r` a 3 L o '•i Q � � e, n.� "( .i \ W • / Q / z 't•, �`t _! Y ELL TEST DATA WITH PERMANENT PUMP a _?� liti c 4D ate Tested a H '• CONE OF F- a. DEPRESSION :atic Water Level Prior to Test i- n '-'1 3ngth of Test Hours .•. 4.1 A.� istained yield (Metered) GPM ,•cry^ imping Water Level '. emarks : `i, =i Y 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 th same is true o � knowledge. ��-..---rrr Signature l_�r �� License No. 4/ State of Colorado, County of � ez � —t— SS Subscribed and sworn to before me this day of 9 at. , 19 42-.,- ---- ____„;Qc,,,2_,4/ My Commission expires: , �-O , 19 _� c. Notary Public;;: ,: . c�,c.- t FORM TO BE MADE OUT IN QUADRUPLICATE: WHITE FORM must be an original copy on both sides and signed. WHITE AND GREEN copies must be filed with the State Engineer. PINK COPY is for the Owner and YELLOW COPY is for the Driller. WRJ-5.72 COLORADO DIVISION OF WATER RESOURCFS RECEivED �G 101 Columbine Bldg., 1845 Sherman St., Denver, Colorado 80203 C f PERMIT APPLICATION FORM 41/GO Application must 74 be complete where ( ) A PERMIT TO USE GROUND WATER W4 TER 4 applicable. Type or 1->e-..)__A PERMIT TO CONSTRUCT A WELL ,T; orNEE4� print in BLACK . FOR: ( ) A PERMIT TO INSTALL A PUMP INK.Nooverstrikes or erasures unless ( ) REPLACEMENT FOR NO. initialed. ( ) OTHER (1) APPLICANT - mailing address FOR OFFICE USE ONLY DO NOT WRITE IN THIS COLUMN NAME H E� 181f-A7 4 )4' /4 Receipt No. /J�� 5✓ / STREETR-t g_o X / `7. C Basin Lc `� .S Dist. _ CITY /`Li:'5 lJ 6-' J' ��' C' G� 3 (s,er (Zip) CONDITIOI\IS OF APPROVAL TELEPHONE NO. 73 2 -4/ 3 `�� This well shall be u• i in such a way as to cause no material injury • kting water rights. The (2) LOCATION OF PROPOSED WELL • issuance of the perm t dot: assure the applicant that no injury will occur L .other vested water right or preclude another ot. ter of a vested water County 41 right from seeking lief in a civil court action. S tt./ ''4 of the ., £ / '4, Section } 3 Twp.._( /Z, Rng. l')' . P.M. (3) WATER USE AND WELL DATA Proposed maximum pumping rate (gpm) C-./ Average annual amount of ground water 4; to be appropriated (acre-feet): -r Number of acres to be irrigated: ,-;•(/'• Proposed total depth (feet): 2 C Aquifer ground water is to be obtained from: Owner's well designation GROUND WATER TO BE USED FOR: ( ► HOUSEHOLD USE ONLY - no irrigation (0) (-4 DOMESTIC (1) ( ) INDUSTRIAL (5) (s.V LIVESTOCK (2) ( ) IRRIGATION (6) ( ► COMMERCIAL (4) ( ) MUNICIPAL (8) ( ) OTHER (9) APPLICATION APPROVED PERMIT NUMBER s�6000 }0 (4) DRILLER DATE ISSUED AUG 12 1174 �` Name C • A J 4..- G !� [� AUGU .S. n 1976 n EXPI R TION DATE Street l) a ' / r 2/ /e/574,-- City L /{ /2'./f l p �'� /n 3— (STATE—ENGINEER) L. �- !. 1r'_'i. /. 1 (State) (lip) L, BY L.2.:C.P t?zt ' [..i / ,i ':_; 'phone No.7( /--} 4 n J Lic. No. / .5 I.D. / — D� COUNTY C' _, - • (5) THE LOCATION OF THE PROPOSED WELL and the area on (6) THE WELL MUST BE LOCATED BELOW which the water will be used must be indicated on the diagram below. by distances from section lines. Use the CENTER SECTION (1 section, 640 acres) for the well location. -} _ _ _ ! 2 C Oft. from > Cr t.: /ty sec. line - _47 -- -�- _+- __-__ __.E_ __E_. _- -�_ (north or south) I . .'4------1 MILE,5280 FEET ----- ). I / C' 0 ft. from___L:'e:%7— sec. line 1 (east or west) + ^� I LOT BLOCK FILING * I 1 i I SUBDIVISION -I-. — --I- — 1 NORTH SECTION LINE I 1 — f ( I f (7) TRACT ON WHICH WELL WILL BE NORTH W- + T — LOCATED IL —m + J 1- No. of acres (' /y Z.) . Will this he o • O I I m ' the only well on this tract? it--/0 - -1 ! -4- — -{- w ! I 6 (8) PROPOSED CASING PROGRAM I I- Plain Casing -m + T l-- in. from C ft. to Z 6 ft. I I I I in. from ft. to ft. 4- — + - SOUTH SECTION LINE T — � Perforated casing 1� I l in. from 1 C ft. to - c' c' ft. i 4 `_ -')' + in. from ft. to ft. I I I I I (9) FOR REPLACEMENT WELLS givedistance and direction from old well and plans for plugging — _L — -I— — --_ — _.1__ — _f_ — -}_ --- -+-- — _- it: The scale of the diagram is 2 inches= 1 mile Each small square represents 40 acres. WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep 1 cubic foot per second (cfs) .. .449 gallons per minute (gpm) A family of 5 will require approximately 1 acre-foot of water per year. 1 acre-foot .. .43,560 cubic feet . ..325,900 gallons. 1,000 gpm pumped continuously for one day produces 4.42 acre-feet. (10) LAND ON WHICH GROUND WATER WILL BE USED: Owner(s): J Al. C No. of acres: Legal description: (11) QETAILED DESCRIPTION of the use of ground water: (12) OTHER WATER RIGHTS used on this land, including wells. • Type or right Used for (purpose) Description of land on which used I Dom kiECL (/ ct hi ,IF f7` / C i (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST OF HIS KNOWLEDGE. t✓ 7-t9..:" f, e4 t , SIGN TURE OF APPLICANT( Use additional sheets of paper if more space is required. PERMIT NO. & a- 36 / NO STATEMENT OF BENEFICIAL USE HAS BEEN RECEIVE ). THIS FORM IS BEING FILED IN LIEU OF THE STATEMENT OF BENEFICIAL Us ;, THIS DOES NOT CONSTITUTE EVIDENCE OF BENEFICIAL USE, NOR DOES IT ESTABLISH A WATER RIGHT. ANY FURTHER ACTION ON THIS PERMIT MUST BE PPECEEDED BY AN ACCEPTABLE STATEMENT OF BENEFICIAL USE. NAME /fer6ei-f E, Gvarer ADDRESS Al s#i , ,go/ Zak 8 /on ST._Ca_ZIP ,2044/ WELL LOC, R. 6 ?/,JT. /4/ ,S. �3 ,I/4 S'or1 ,I /4 -C6(2 G P.M. DISTANCES 900 FT. FROM 040214.I , SOU "H ) SECTION LINE veto FT. FROM (EAST , WES I ) SECTION LINE DATE WELL COMPLETED a / zs//7? TOTAL DEPTH OF WELL o FT. STATIC WATER LEVEL 6a __FT. PUMPING RATE /2- G. P. M. ANNUAL APPROPRIATION 'WKACRE FT. ACRES TO BE IRRIGATED , USE CODE 3 DIV. ._, CO. AZ , DIST. 0/ ,BASIN s, MAN. DIST. W HJ-26-?2 COLORADO DIVISION OF WATER RESOURCES / / RECEIVED WITHIN 60 DAYS OF COMPLETION 0i OF THE WORK DESCRIBED HERE- ON. Denver, Colorado 80203 TYPE OR PrIINT IN BLACK WELL COMPLETION AN9 PUMP INSTALLATION REPORT A IN 2 9'3 INK. PERMIT NUMBER&p 3.6/ N8„r -r; r WELL OWNER __ Sal ''% ofthe S11__. '/< of' Sec"v ADDRESS 27141:442S. __ . do -y T. / 1?� w , R. _ ,___ C. P.M. DATE COMPLETE 9 , 19'J HOLE� DIAMETER WELL LOG / in. from l/ to Lg ft. Water / r From To Type and Color of Material Loc. ` in. from�6 to _Ant ft. in. from, to__-- _ft.dinW!�/ CASING RECORD: Plain Casing a 7/ �o' 'i o "' Size4 & kind from a to >4 ft. 7/ h e e2ne,c�G� /00 /4 �� Size & kind from to !� ft. antella7/L iii /3D .,L (y'p'�' Size , & kind from/�S—to 7S� ft. ij, — � .� �/., deer j/ Perforated y Casing / Size d& kind 4t from .S. to DVS -ft. Size & kind from to ft. Size & kind .__ from to ft. GROUTING ECORD Material -- — Intervals 7 6 Placement Method G5 / — GRAVEL PACK: Size/mil.___ Interval TEST DATA Date Tested� , 19 Static Wate Level Prior to TesttJ fp/ 6 ft. Type of Test Pump HO-Jai Length of Test nth__ Sustained Yield (Metered) _l . TOTAL DEPTH Is'es Use additional pages necessary to complete log. Final Pumping Water Level .13 S PUMP INSTALLATION REPORT ,I, ake __ — --- �\ A ,\, A i I by —.—. HP ,, ; cc w trial No. -- I- WATER t[: '1 J 3 _l erial No. ._ w 0;w \ TABLE La 17_ La J aJ tailed I l ;take Depth a _ y ` _ _ _ s :t:: :`r z z Z O a . W % c / 2 EST DATA WITH PERMANENT PUMP a r 0 IO- '' sted J x CONE OF I-- a DEPRESSION later Level Prior to Test I- W of Test Hours td yield (Metered) GPM �~y. y .� g Water Level Kf ...,{ l ,ftd S {{-- Lt �i w y; r_` / ,7-- w INTRACTORS STATEMENT le undersigned, being duly sworn upon oath, deposes and says that he is the contractor of the well or imp installation described hereon; that he has read the statement made hereon; knows the content ereof, and that the same is true of his own knowledge. • -1t D Signature � License No. [7y---.__ / ; State of Colorado, County of , � � ' SS Subscribed and sworn to before me this.�i0 day of_ e=c- , 197. 7 My Commission expires Oct. 4, 19T' My Commission expires:; _ 19 ____ . Notary Public ( —h_�^ . x,e,--Lt_ FORM TO CE MADE OUT IN QUADRUPLICATE'. Vali I E EOtYi tnust ha an oriyinal cony on both siJ : (n al sign::... - IITE AND GREEN c.',p'es must be filed wltn the Sure Enpin.--, FI;NIC COPY .. for the Owner and YE LLO'VN COPY is for tiro Doris. I V:HJ-2t, 2 NLULivt_u COLORADO DIVISION OF WATER RESOURCES THIS FORM MUST BE SUBMITTED `r 300 Columbine Bldg., 1845 Sherman St. f(Ui 1 9 '73 WITHIN 60 DAYS OF COMPLETION Denver, Colorado 80203 OF THE WORK DESCRIBED HERE- "-- WATER I►[3ouCc ES ON.TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION REPORT stall LNOMEq COLO. INK. PERMIT NUMBER Z.) -/ WELL OWNER - .� _ .S V ''h of the of Sec. 3 3 ADDRESS 117-44/ AIL"4' /1-Y16. J14 / I rd)14 T. , R. .5 P.M. DATE COMPLETED . , 19 _ HOLE DIAMETER WELL LOG in. from to_ ft. 'Water From To Type and Color of Material Loc. — in. from to _ ft. in. from to ft. DRILLING METHOD �._.._ CASING RECORD: Plain Casing Size & kind from to ft. Size & kind from to ft. Size & kind from to ft. Perforated Casing Size & kind from to ft. Size & kind from to ft. Size & kind _ from _ to ft. GROUTING RECORD Material Intervals Placement Method GRAVEL PACK: Size Interval TEST DATA Date Tested , 19 Static Water Level Prior to Test _ ft. Type of Test Pump Length of Test_ Sustained Yield (Metered) TOTAL DEPTH Use additional pages necessary to complete log. Final Pumping Water Level PUMP INSTALLATION REPORT s • er mp Make I Gc—.�1r3 3 L � ipe St. e� M! O .in_c_ �,b -a u ' • u'■ \ ` A veered by in, r---12._ HP _. • — r mpSerialNo. � '� �S'� � __ - w /7 r{:. (�s• a� J WATER nor Serial No. / TABLE U1 Fw to Installed -7 /1 G /� ' H e CC N mp Intake Depth / 3 7 w marks kre.) r. z Z -- - - Pa. il.-r� �r - r` Z o '�, / ago-2c .Z 6 8Q3 a ?i-i:9 A it>h Co,/e , :LL TEST DATA WITH PERMANENT PUMP a I'•.. ,:I W Oo to Tested // ,5 73 ~ r - '' CONE OF �.1 F•- a i;. DEPRESSION 3tic Water Level Prior to Test Zj f / o w • ngth of Test / Hours ' stained yield (Metered) in_ GPM r mping Water Level /1-0. p. ,y marks . i, y,•:'•c Y 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. Signatura"17:7 9,y / 7et�, - License No. /-, State of Colorado, County of ‘i(%G1t-ice! rt---- SS Subscribed and sworn to before me this /7 day of L-27//:„iLe' / 1.1/111, 19'7- My Commission expires: ,1 ' ' 4 ._7 , 19/7 Notary Public &(C ,/„, , //c( e� /V/... /(� '&4, FORM TO BE MADE OUT IN QUADRUPLICATE: WHITE FORM must be an original copy on both sides and signed. WHITE AND GREEN copies must be filed with the State Engineer.PINK COPY is for the Owner and YELLOW COPY is for the Driller. v':!!l !, WRJ-F-72 COLORADO DIVISION OF WATER RESOURCES P. 101 Columbine Bldg., 1845 Sherman St., Denver, Colorado 80203rz, 1;. \ '\.-/ PERMIT APPLICATION FORM .n.°;.'' .7� ''\.0 1r , Application must - r ��< 'o p - ( ) A PERMIT TO USE GROUND WATER "p•� _be complete where „, n e, ,:, - i applicable. Type or be ) A PERMIT TO CONSTRUCT A WELL n 1. r ,7, ' °j print in BLACK FOR: ((Ai A PERMIT TO INSTALL A PUMP v y 4, c, ;' INK.No overstrikes 'o. or erasures unless ( ) REPLACEMENT FOR NO. 1-ir. � L\'? initialed. ( ) OTHER (1) APPLICANT - mailing address FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN NAME 4 1 J1. )--I-- Viet C N. Y Receipt No. a�?`cf"/ / STREET Rte/ in ox a6 --/B Basin Dist. LL-L<___ CV-E'•f`i.-.i CITY B.r IQ ig--ow ( o)O g C7 ,,O/ (State) (Zip) CONDITIONS OF APPROVAL TELEPHONE NO. 4S9- 4 7' 7 This well shall 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 ldx L ,D right from seeking relief in a civil court action. N5/11, 1% of the (S1)1/ '/d,Section a3 7HE:AMOUNT OF ATPRDFPh TE''3I?IN " - :FM n'la Twp. ) Al _, Rng. 6 3 W 6 P.M. CONSIDERED TO BE MATERIAL TO DIE TERMS OF MIS PERMIT PURSUANT TO SECTION 148-18-4 CRS. (3) WATER USE AND WELL DATA Proposed maximum pumping rate (gpm) 130 Average annual amount of ground water to be appropriated (acre-feet): Number of acres to be irrigated: / A C Proposed total depth (feet): ) '() Ft Aquifer ground water is to be obtained from: Owner's well designation GROUND WATER TO BE USED FOR: ( ) HOUSEHOLD USE ONLY -no irrigation (0) (✓f DOMESTIC (1) ( ) INDUSTRIAL (5) ( ) LIVESTOCK (2) ( ► IRRIGATION (6) ( ) COMMERCIAL (4) ( ► MUNICIPAL (8) ( } OTHER (9) APPLICATION APPROVED(4) DRILLER PERMIT NUMBER 68361 , Z �J�^ DATE ISSUED APR 1 2 1973 Name ��'-'�� u-% �' l EXPIRATION DATE APR 12 1975 Street • c'.., • .;, 71M1 .....:+a City f (STATBi ENGINEER) (State) (ZIP) A. l �r : h BY Tel � ' Telephone No. Lic. No. I.D. i) V _, COUNTY _ ' (5) THE LOCATION OF THE PROPOSED WELL and the area on (6) THE WELL MUST BE LOCATED BELOW which the water will be used must be indicated on the diagram below. by distances from section line;. Use the CENTER SECTION (1 section, 640 acres) for the well location. Q/� A A - — —I- — ---I- — + — 4_ __-_ 4-- ---- - --- _+I_ -- 4- 7 0 C7 ft. from -,.7.r..O%—(_(' ‘Z— _.sec. line —� (north or south) 1 IA --v-----1 MILE,5280 FEET ----- - !i I 10 O ft. from ___-.. _ � S�_sec. line (cast u+ west) LOT BLOCK FILING * II NORTH SECTION LINEr I _ + _ SUBDIVISION-i- (7) TRACT ON WHICH WELL WILL BE NORTH I LOCATED T ? — T + D T1- + No. of acres tom 0 . Will this be en I z I I - I 0m II` the only well on this tract? YX- S ,f)cirT tu o (8) PROPOSED CASING PROGRAM I z w r I Plain Casing - - — — + — -_ ^ Jm + f ta, in. from 0 ft. to 9° ft. I I in. from ft to ft. + SOUTH SECTION LINE - -4- - —i-• Perforated casing 1 'JO 1 I 6j in. from ft. to / d ft. + 4 + + in. from ft. to ft. I I I I (9) FOR REPLACEMENT WELLS give distance 1 - and direction from old well and plans for plugging - -f- - + - + - -- - + - 4__ - -1— it: The scale of the diagram is 2 inches = 1 mile Each small square represents 40 acres. WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep 1 cubic foot per second)cfs) . . .449 gallons per minute (gpm) A family of 5 wiii require approximately 1 acre-foot of water per year. 1 acre-foot . ..43,560 cubic feet ...325,900 gallons. 1,000 gpm pumped continuously for one day produces 4.42 acre-feet. (10) LAND ON.s WHICH GROUND WATER WILL BE USED: iOwner(s): 1- 1 !" I ,F'. w'd4 G N.� r No.of acres: 6 a0 Legal description: Z G 33 77$ 1 !1 R 6.3 W 6* A '1 (11) DETAILED DESCRIPTION of the use of ground water: h - u.,c .i , G',4 r DI-N, S7-� c ft (12) OTHER WATER RIGHTS used on this land, including wells. Type or right Used for (purpose) Description of land on which used (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST OF HIS KNOWLEDGE. SIGNATURE OF APPLICANT(S) Use additional sheets of paper if more space is required. BOARD OF COUNTY COMMISSIONERS' SIGN POSTING CERTIFICATE THE LAST DAY TO POST THE SIGN IS Rt 2-94? THE SIGN SHALL BE POSTED ADJACENT TO AND VISIBLE FROM A PUBLICALLY MAINTAINED ROAD RIGHT-OF-WAY. IN THE EVENT THE PROPERTY BEING CONSIDERED FOR A SPECIAL REVIEW IS NOT ADJACENT TO A PUBLICALLY MAINTAINED ROAD RIGHT-OF-WAY, THE DEPARTMENT OF PLANNING SERVICES SHALL POST ONE SIGN IN THE MOST PROMINENT PLACE ON THE PROPERTY AND POST A SECOND SIGN AT THE POINT AT WHICH THE DRIVEWAY (ACCESS DRIVE) INTERSECTS A PUBLICALLY MAINTAINED ROAD RIGHT-OF-WAY. I, Jacqueline Hatch, HEREBY CERTIFY UNDER PENALTIES OF PERJURY THAT THE SIGN WAS POSTED ON THE PROPERTY AT LEAST TEN/FIFTEEN DAYS BEFORE THE BOARD OF COMMISSIONERS HEARING FOR LPHµ-itniN THE AGRICULTURAL ZONE DISTRICT. vc 1.,.i a /1v4'rc y� Name of Person Posting Sign Signature of /Arson Posting Sign STATE OF COLORADO ) ) ss. COUNTY OF WELD ) � The foregoing instrument was subscribed and sworn to me thiday of l i( be r , 2004. WITNESS my hand and official seal. pp ilETNARY 01�p�:! 4`,711 My Commission Expires: yC)``(4'\i~( if o� Pt f) r Si z : - - v Y w r r. ,• • � ' • r yY, r g. r i► .r f '7 ' M� '��SS a�€ �1,1140-41/42,...14 1 F. { • IiiiiaaN""T rs.. i. Hello