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HomeMy WebLinkAbout20013540.tiff RECORDED EXEMPTION NO. 1475- 13 2 RE 3173 OF A PORTION OF SECTION 13. TOWNSHIP 1 NORTH, RANGE 64 WEST OF THE 6TH P.M.. COUNTY OF WELD, STATE OF COLORADO "S WgINNs,,, n�aillei U Nue ant iw la', phi TeelWlw.1 -D- ''j I1un 1 A1aw lijni"o0.gao Weld o°a"Pro MELD COUNTY ROAD /0 it. w:r in‘ V\ v lnnm EASEMENT CERTIFICATE. ill3$ NOTES. minimum .,....e. ..... Nwi.wiw.w.SASS....._. ..:..w m...p.._m r ^) "a' 1L7 0 1. N proposed the wexisting structures will a el the m setback d offset requirements wck =et "`0.a"fie�=' _ I y,.r corrouttWELD xv ra m w .m r R in the Weld eC district l2 9 Or in whichdinance,property the required l m[OacN gsamea to the from definition IM1 future�9M of Swot. . _ A I 7T a`. +g,, w.wry.n��<...`.in ai.e'..ur"u.L,6." n.an� „.2.rr.. ' :b'•wv LOT A lad `�"..... ri m, $ x.�A vim.ram w 4 e '.e' g r structure % defined a limited t those apo«e. Fated as Groups a B E C..ri..ai t: aii.timj yw i. Inn.wiz ea m W too m red I V = ,Ter . r M e or a Table i tt of the i9g> Uniform Building Code, enrol et. constructed worn o 200 O5�"� v.„.i_ wise. SSW.. ore -,{i .N o root radius of any tankradius battery a or within batterya 15 foot e at any welt' eel Mr construction s r'^ "�u `^'e°M •�• » y,<R' p within variance 200 tool terms auses ec tankor t50he foot radius of nY wellhead shall require a 4y 1 Oran a from the temu of Section 23-6-10 at the Weld County Code. (((��� W,e1,r ) 2 My future structures or site must obtain the appropriate zoning and building permits. I . S . .Z„ /.�.., >/ ,O,IGe;.. Oa art' I 3. Prior to the release of buildin permits, the applicant will be required to submit o recorded aon S. aVry deed describing the rot upon which the building permit is requested with the building permit applications. The legal description on such deed shall include the lot designation and recorded exemption number. (.� 1X15 SnIBOL INCACATE5 M'ACCE9s LO 4. Prior to the release of building permits the aplicant shall submit evidence to the Deportment I PROPOSFO LD1S n NdD B - SEE TABLE ? I of Planning Services that Lots A and B hove an adequate water supply of sufficient quality. Sf1.0 k quantity ond dependabgdy. Potential purchasers should be aware that groundwater may not meet all drinking water standards os defined by the Colorado Deportment of Public Health and r rx m sou on e r Environment. the Weld County Department of Public Health and Environment strongly encourages A CE55 IDENTIFICATION TAR F well users to test theirdrinking wafer prior to consumption and periodically thereafter. • EXISTING RESIDENML ACCESS q B EXISTING FARM ACCESS p 5. POtenba purchasers enaald be vw a that Lm A may tot Ee eligible fora dome tic wen prime C EXISTING FARM ACCESS A which avows for Outside irrigation and/or the watering 0l stack Onimals. The Stone Division 0 5551140 FARM ACCESS of Water Resources issues oil well permits. E PROPOSED RESIDENTIAL ACCESS • EXISTING FARM ACCESS 6. Prior to the release of building permits for any structure exceeding 3,600 squarefeet. the G EXISTING FARM ACCESS applicant must can' with the requirements of Appendix III-A of the Uniform Fire Code. 7. Should noxious weed exist on the property or become established as a result of the proposed Lamm sae ie develpursuant to C aptement. the rIIS,applicant/landowner mais„ be thee"sWeldwCouble ntyr Coderolliry the noxious weeds, y and a O g 8 Prior t0 the release of budding permits on Lots A and B, the Lot owner shall verity with the neoresf g Town/City or Sanitation District to determine the location of the nearest sonilary sewer line. OWNERS. O ' In accordance with the Weld County Cme, if a Ime exists within four hundred(400) feet s of the property and the sewer provider :s willing ou to serve the aproposed structure a We, the undersigned, being the sole owners in fee of the above described property do hereby septic permit n not be ganted by me Weld Count Department f Public Heonn and subdivide the shown m the Hacnm map. We understand thifor econd is located i.' q Enmmn et. Evidence of such shall be submitted in writing to the Weld County Department of the A-Agriculture a e district and also intended to provide areas for the conduct of others Z$ i Plonning services. uses accessory uses, uses review. by right, and by special « O LOT B 9 WELD COUNTY'S RIHT TO FARM U 5550 Weld County is one of the most productive agricultural counties in the United Stntes, ranking (LQ., S I F� Yd 'C G Fifth in total marvel value f agricultural products sold. aThe rural circus of Weld County may Alan S. Bur d—(1 81 be open one spacious, but they o intensively used for agriflicts , Persons moving into o Burry ot rural area must recognize c there ore level at services including conflicts with long-standing O—w agriculture!mthe practices and o lower incentives which attract ban Ins and than in con town andAthe rural ong with l the atmosphere drawbacks d way COUNTY OF WELD ) of life. Without neighboring farms.r those features which ottroct urban dwellers to rural Weld STATE OF COLORADO )s County would quickly be gone forever. The foregoing instrument was acknowledged before me this 10X1. day of azintk eh , yAgricultural 1 users of the dno should not be expected tl to change their 1 g t br he 20 pl. .. 6g 9- it 1 practices.t cat the intrusions of Ail users t area Well yY55110152. EXvixr. run agriculturala -1 generate off—site impacts, gravel including noise 1 (rectors ondhim My Commazon expires )1110112,2002 ,`/ PQ_I\O ^ i. confinement,qf dust 1 a animal pens, field he k harvest. d 9 roads: d ! animal • \` silage. a n k from ditch burning; flies and Wt esi the use of Witness my nand ond Official Seol. CD-0' pesticides and fertilizers the fields, including the of renalspraying. Ditches and li I t JOAN j reservoirs cannot simply be moved t.of theway ofresidential development without threatening �T/q—,�" O,RR //cri the efficient delivery of irrigation to fields which essential to form production. Notary Publ=V 60, JC/ Section 35-3.5-102, C.R.S., provides that an anculturot operation shall not be found to be in n F .DIV, a public or private if the agriculturol operotion alleged to be a employs I. Edward L. Berber registered Rafm nol Land Surveyor in the Stale of Colorado. do methods or practicesuithat are commonly an reasonably associated with agricultural production hereby certify that this Recorded Exemption plat is the result of a land survey of Lot A. and that this plat and said survey were prepared under my personal supervision, responsibility, and Weld County Covers a loud area square over 4.000 squa miles in size (twice the State of Delaware) checking, and that this plat IS on accurate representation thereof I further certify that this with more than 3,700 miles of state and couny roads outside of municipotities. The sheer plot complies with all applicable rules, regulations, and laws of the State of Colorado. State magnitude of the o to be served stretches available resources. Law enforcement is based on Board Oof Registration fan Professional Engineers and Professional Land surveyors, and Weld responses to complaints more than on patrols of the county the distances which must be County raveled may delay all emergency responses, including law enforcement, ambulance, and fire. Fire protection is usually providedby volunteers who must leave their jobs and families to �. respond to emergencies, County gravel a matter no often they are blades will not V roads efrlom subdivisions leai aarterioleace rompy n not be pared u for se al days now l oh major mean IMl v xwa r mix ant x or mo be Sn 1 t lti m !b ! p" lr f, p bf Oas a / elf �,✓, u xxsr r ham snsmq be private responsibility of the homeowners. Services many Edward L _ `1 5 case will not be equivalent to municipal services. Rural dwellers must, by s salty. be Date ! C r 5. 2001 0®1 self—sufficient than urban dwellers. 9 Children are exposed to different hazards in the county than in an urban or suburban setting. ter"a sal i"i"Oni"nyl W siqWM SNE or„ma Farm uipment nd oil held equipment, ponds. and igotion ditches, electrical power far iTOricun'tirmrr'2my�n`y2iwW rues urn umrc.n.ssm, pumps and center pivot operations, high speed traffic sand burs. puncture vines, territorial eu sans form dogs, and livestock present real threats to children. Controlling children's activities The plot is accepted and Approved for 6680is import M, not only for their safety, but also for the protection of the farmers livelihood. Parents are responsible for their children. ?OW.°MUMS US PWLS .wawa rWa �O4 x,mWV®.aver � rotItoir aL" ww. �t of Planning MCP wort enTais aruiu can Dep merit of Ptannirq Services Director n we COUNTY OF WELD ) ' STATE OF COLORADO )ss VICINITY MAP BASIS OF BEARING: The egong instrument won acknowledged before me this �0 day of VKCRWGY •%amm•'we and whit Mwiiek m•approximate Considering the North I' of the Northwest Quarter f Sect on 13 Township s . 00�. w d� Lend Survey. Those Awnntow See North. Runge 64 West of the 6th P.M. monumented by a 3/4' diameter„bar w-zt��7s1"A c. wao own now to nod esMe Ow al a Ap ww be with a 2 1/2'diameter p P.LS. 13482 t the Northwest comer and My commission expires 1-41-03. rsaiFS Lots ran�y ether purpose. M rue Survey of „winoa e. tit the Noih Outlier f said 9 u 13 t e n assumed bearing of IRRIGATION EASEMENT DETAIL 31: LOT A „leis d ti LLona survey The aauiptioo d La a NoNM1 89'4511" East with all bearings ontpned hereon motive thereto. WiI y nand 0 Seal. -p{rrvir i�D is net determined by the Scary. Survey f Lm E n f y : 0 /��a /��1 ����/ required determine agnizUon a LM e. Th. e L. ��AWlAIJ alA. /.MILW/rtAl/ ` t.— " LOT B M»ne'cm. m a.ns 8 ie the Lorenzo of t we»ta.an from drenal ewnerwie µiecorde wort Rxvpese g =raw use or LOT•Ale De v or n olio iav Notary Public n l S•v A 9 Ma 27360Te:ld A 9 LOT A by • NAIL No righey, nor ts-of-way or merits, except those shown hereon, were determined by this a I£r' NQ 8' s w • "6 s. per the lM1'e request 1 the s any nconducted to determine the existence of additional 4 t Y ® EY5ttC MpMMExI(we dur q'n x mmence•ymbd an drawxq) p s HOiMF Pc dn9 l C ao Y 1 r tooth 1 1' M M p Y SET /3 6 REBw wfm rELtm Ftw51C defect lti ry M tM y fte yo T t d v d n ON et 1 y cit P. 5. CB55(f�ypm Ms symm LOT B any o ti based p fly defect the survey be commenced than t years f to on thin, m ) Scale. 1• w pOD' date of th rtF F n hereon. Land Surveyors f Colorado, d/ Edward L. B ill Don_—~ —x Es151*'O utc sat et. u a f ath the cost of this Land Se y and then y t the Cl t �plp�r�y sc r - so' this suave n hereon es by signed work authorization. m certification of Scale. I - 2000' a ANGLE 4067(MO far reference army. 0 IDD`—"�o4Do LAND SURVEYORS OE COLORADOalim. tns survey hall not and e, not extend e third parties. Acceptance % of this •mg arwasPThob may�iogtr la daMO) s SIM PUSS yso-s%"0 ix G^"yy o p 90 100 instrument for any Purpose, constitutes agreement by al parties 1 u terms hereon. 0t.• "1000 2000 4000 G.wry,CYwedo seem 1 M3 w F _ L File No. 8)20-01-W01 46)t* DEPARTMENT OF PLANNING SERVICES W �`D 0 • ED EXEMPTION ADMINISTRATIVE RECORD REVIEW COLORADO Applicant: Alan Burry RE-3173 Planner:ko Legal Description: Part NW4 Section 13, Ti N, R64W of the 6TH P.M., Weld County, CO Parcel ID#: 1475 13 000022 Lot C Size: 150 +/-acres I Lot B Size: 5+/- acres Lot A Size: 5+/- acres Water Source: Individual Wells Sewer S stem: Septic Criteria Checklist Yes No X 1. Conforms with Chapter 22 of the Weld County Code and any adopted municipal plan. X 2. Compatible with the existing surrounding land uses. X 3. Consistent with the intent of the zone district. X 4. Consistent with efficient and orderly development. X 5. Complies with Recorded Exemption standards in Section 24-8-80 of the Weld County Code. X 6. Provides for adequate protection of the health, safety, and welfare of the inhabitants of the neighborhood and the County. Approved with Conditions Approved with Conditions The Weld County Department of Planning Services has determined through an administrative review that the standards of Section 24-8-40.B.1 through 24-8-40.8.6 of the Weld County Code have been met. This Recorded Exemption is approved with the following conditions in accordance with information submitted in the application and the policies of Weld County. 1. A Weld County septic permit is required for any proposed home. The septic system shall be installed according to the Weld County Individual Sewage Disposal System (I.S.D.S.) regulations. The existing septic system located on the larger lot was evaluated in June 2001 and found to be undersized by 42 percent for the 2 bedroom house. However,due to the date of installation the system is considered "grandfathered". The department recommends that the system be brought into compliance with current Weld County ISDS Codes. �- 3-S'40 t9/- 2. The Applicant has proposed a well as the source of adequate water for Lots A, B and C. Property owners are advised that the quantity of water available for usage may be limited to specific uses, i.e., "Domestic Use Only," etc. Because each situation is unique, the Department of Planning Services encourages property owners to contact the Office of the State Engineer, Division of Water Resources (1313 Sherman Street, Room 818, Denver, Colorado 80203. Phone 303-866-3581),to discuss each individual situation. 3. Topographic or physical features of the proposed Lot B, such as ravines, ditches, streams etc. may limit the area available for a new or replacement septic system. Prior to recording the plat the Weld County Department of Public Health and Environment recommends that the applicant review the Weld County Code pertaining to septic systems to assure that any installed septic system will comply with all setback requirements found in the Code. In the event the proposed lot is not of sufficient size to allow the installation of a septic system the lot may need to be enlarged. 4. Prior to recording the plat: A. The plat shall be titled: Recorded Exemption No. 1475-13-2 RE 3173 _'B. The applicant shall submit to the Weld County Department of Planning Services evidence that any existing septic system meets all requirements of the Weld County Department of Public Health and Environment. The Weld County Department of Public Health and Environment was unable to locate a septic permit for the septic system located at 3538 Weld County Road 59. Any existing septic system which is currently not permitted through the Weld County ' Department of Public Health and Environment will require an I.S.D.S. evaluation prior to the rI�� issuance of the required septic permits. In the event the system is found to be inadequate, the system must be brought into compliance with current I.S.D.S. regulations. `C. . The applicant shall submit a sketch of the existing septic system in relation to the proposed lot J line to the Weld County Department of Public Health and Environment. Evidence of approval (Al shall be submitted to the Department of Planning Services. \ a D. The applicant shall submit a joint ownership,access and/or operation maintenance agreement 11-a J for the shared Well located on Lot A of RE 676. This agreement shall be delineated on the plat V 1, and an appropriate certificate using the language set forth in the Weld County Code,Appendix 1 I ,/\; 24-F.E shall be included. E. In accordance with Chapter 8, Article II of the Weld County Code, Lot A and Lot B shall be granted one residential/agricultural access. Direct access from a public road shall be limited to one access per legal parcel for residential use, no circle drives or additional accesses shall be granted. The road shall be graded and drained to provide all weather access. Accesses shall be placed in such a location as to have adequate sight distance in both directions, shall not be placed below the crest of a hill or where physical obstructions are present and shall be a minimum distance of 75 feet from any intersecting County or State roadway. (1/(;\ K, 1 C shall use the existing residential access point as no additional accesses shall be granted. J I DIA G. Lot C shall use the existing agricultural /oil and gas/ditch road access points necessary for agricultural operations as no additional accesses shall be granted. H. All approved accesses shall be clearly shown on the plat. The applicant shall contact the Weld County Department of Public Works to determine if a culvert is necessary at any approved road access point. If a drainage culvert is required, a 15 inch Corrugated Metal Pipe(CMP) is Weld County's minimum size. If the applicant chooses to place a larger culvert please contact the Weld County Department of Public Works to adequately size the culvert. Weld County Road 10 is designated on the Weld County Transportation Plan Map as a local , gravel road,which requires sixty(60)feet of right-of-way at full build out.There is presently sixty (60)feet of right-of-way. A total of thirty (30)feet from the centerline of Weld County Road 10 shall be delineated right-of-way on the plat. This road is maintained by Weld County. ,,_, J. Weld County Road 59 is designated on the Weld County Transportation Plan Map as a local paved road, which requires sixty (60)feet of right-of-way at full build out. There is presently sixty(60)feet of right-of-way.A total of thirty(30)feet from the centerline of Weld County Road 59 shall be delineated right-of-way on the plat. This road is maintained by Weld County. v lAr G ! K� All vehicles located on Lot C must be operational with current license plates, be screened from ,lam all adjacent properties and public rights of way,or be removed from the property.All other items \� „ r considered to be part of a noncommercial junkyard must also be removed from the property or V screened from adjacent properties and public rights-of-way. Evidence of compliance shall be rjubmitted to the Department of Planning Services. L. The following notes shall be placed on the plat: 31) All proposed or existing structures will or do meet the minimum setback and offset requirements for the zone district in which the property is located. Pursuant to the definition of setback in the Weld County Code, the required setback is measured from the future right-of-way line. * No building or structure as defined and limited to those occupancies listed as Groups A, B, E, H, I, M and R in Table 3-A of the 1997 Uniform Building Code, shall be constructed within a 200-foot radius of any tank battery or within a 150-foot radius of any wellhead. Any construction within a 200-foot radius of any tank battery or 150-foot radius of any wellhead shall require a variance from the terms of the Section 23-6-10 of the Weld County Code. ) 2) Any future structures or uses on site must obtain the appropriate zoning and building permits. —'— 3) Prior to the release of building permits, the applicant shall submit a recorded deed describing the Lot upon which the building permit is requested with the building permit applications. The legal description on such deed shall include the Lot designation and Recorded Exemption number. ---. - ) Prior to the release of building permits, the applicant shall submit evidence to the Department of Planning Services that Lots A and B have an adequate water supply of sufficient quality,quantity and dependability. Potential purchasers should be aware that groundwater may not meet all drinking water standards as defined by the Colorado Department of Public Health and Environment. The Weld County Department of Public Health and Environment strongly encourages well users to test their drinking water prior to consumption and periodically there after. -------_,5) Potential purchasers should be aware that Lot Lots A and B may not be eligible for a domestic well permit which allows for outside irrigation and/or the watering of stock animals. The State Division of Water Resources issues all well permits. __._3 6) Prior to the release of building permits for any structure exceeding 3,600 square feet,the applicant must comply with the requirements of Appendix III-A of the Uniform Fire Code. _.7) Should noxious weeds exist on the property or become established as a result of the proposed development the applicant/landowner shall be responsible for controlling the noxious weeds, pursuant to Section 15-1-10, Article I and II of the Weld County Code. • • hoo5z: or 97 8) Prior to the release of building permits on Lots A awl- 'The Lot owner shall verify with _� t3 the nearest Town/City or Sanitation District to determine the location of the nearest sanitary sewer line. In accordance with the Weld County Code, if a sewer line exists within four hundred (400)feet of the property line and the sewer provider is willing to serve the proposed structure, a septic permit cannot be granted by the Weld County Department of Public Health and Environment. Evidence of such shall be submitted in writing to the Weld County Department of Planning Services. 9) WELD COUNTY'S RIGHT TO FARM Weld County is one of the most productive agricultural counties in the United States, ranking fifth in total market value of agricultural products sold. The rural areas of Weld County may be open and spacious, but they are intensively used for agriculture. Persons moving into a rural area must recognize and accept there are drawbacks, including conflicts with longstanding agricultural practices and a lower level of services than in town. Along with the drawbacks come the incentives which attract urban dwellers to relocate to rural area: open views, spaciousness, wildlife, lack of city noise and congestion, and the rural atmosphere and way of life. Without neighboring farms, those features which attract urban dwellers to rural Weld County would quickly be gone forever. Agricultural users of the land should not be expected to change their long-established agricultural practices to accommodate the intrusions of urban users into a rural area. Well run agricultural activities will generate off-site impacts, including noise from tractors and equipment; slow-moving farm vehicles on rural roads; dust from animal pens,field work, harvest, and gravel roads; odor from animal confinement, silage, and manure; smoke from ditch burning;flies and mosquitoes;and the use of pesticides and fertilizers in the fields, including the use of aerial spraying. Ditches and reservoirs cannot simply be moved out of the way of residential development without threatening the efficient delivery of irrigation to fields which is essential to farm production. Section 35-3.5-102, C. R. S., provides that an agricultural operation shall not be found to be a public or private nuisance if the agricultural operation alleged to be a nuisance employs methods or practices that are commonly or reasonably associated with agricultural production. Weld County covers a land area of over 4,000 square miles in size (twice the State of Delaware) with more than 3,700 miles of state and county roads outside of municipalities. The sheer magnitude of the area to be served stretches available resources. Law enforcement is based on responses to complaints more than on patrols of the county and the distances which must be traveled may delay all emergency responses, including law enforcement, ambulance, and fire. Fire protection is usually provided by volunteers who must leave their jobs and families to respond to emergencies. County gravel roads, no matter how often they are bladed, will not provide the same kind of surface expected from a paved road. Snow removal priorities mean that roads from subdivisions to arterials may not be cleared for several days after a major snowstorm. Snow removal for roads within subdivisions are of the lowest priority for public works or may be the private responsibility of the homeowners. Services in rural areas, in many cases, will not be equivalent to municipal services. Rural dwellers must, by necessity, be more self-sufficient that urban dwellers. Children are exposed to different hazards in the county than in an urban or suburban setting. Farm equipment and oil field equipment,ponds and irrigation ditches,electrical power for pumps and center pivot operations, high speed traffic, sand burs, puncture vines, territorial farm dogs, and livestock present real threats to children. Controlling children's activities is important, not only for their safety, but also for the protection of the farmer's livelihood. Parents are responsible for their children. • • 5. The applicant shall submit a Mylar plat and a paper copy of the Mylar plat to the Weld County Department of Planning Services to be recorded in the office of the Weld County Clerk and Recorder. The plat shall be prepared in accordance with the requirements of Section 24-8-70 of the Weld County Code. The plat shall be submitted within sixty(60)days from the date of approval by the Weld County Department of Planning Services. The applicant shall be responsible for paying the recording fee. 6. The Weld County Department of Planning Staffs approval of this Recorded Exemption Application is based on satisfying the Conditions of Approval. Should an applicant be unwilling or unable to meet any one of these conditions within 60 days of approval, then this case will be forwarded to the Weld County Board of County Commissioners with a staff recommendation for denial. By , Date September 6, 2001 Kim Ogle ❖ nner II • Plat POC Planner lat Checklist - Item Comments , Check • I Check Proper size of plat 24" x 30" or 13" x 24" Boundaries of Lots N.s I 1 Scale Suitable Scale? (Approximately 1"=200' or 1"=.00') ` V _._. Accesses indicated Shared Access?If so. is easeme :Certificate :ncluded? Roads labeled.including. R.C.'V 'Building Envelope(s) Y;cir.ityMap Suitable Scale?((Approximately 1"=2000') North Arrow l 'I\',. I J I Legal Description 1 Notes fromPlanner' f ,\►J_ \<,,,, v� C___ AD i ". Development Standards ) h r 1\ . / Conditions of Approval ,'lAk , ,v o 0')-rk -1.. 1 xt( &Q6t.... Owner's Certificate Votariai Certificate included?All owners mast sign the plat, check the deed. ''1 Surveyor's Certificate and All surveyed plats . Surveyor's Stamp Note: USR plats do not need to be surveyed Director of Planning Notarial Certificate included?(RE,SE, SPR,Final PUD if \ t Certificate Staff Approved) V Planning Commission (USR, COZ,Minor Sub. Final) Certificate 11/ H Board Certificate (USR, COZ„Minor Sub Final) (Final PUD,RE,SE&ZPIVIH if Board approved) 1 Typical Road Cross Section (COZ,Final Minor Sub. and Final PUD) J Easements Ni/ Please return the plot to the CAD Technician within 24 hours of receiving the plat. Planner on Call: (Initials) Planner Signature: Date: WELD COUNTY,COLORADO DEPARTMENT OF PLANNING SERVICES 1555 N. 17TM AVENUE GREELEY,CO 80631 PHONE(970)353-6100, En.3540-Fax(970)304.6498 DATE: /2/2/ 20 0/ RECEIPT i? 079 8 ' RECEIVED FROM: C t MCl I 7 NO. TYPE FEES 4221 -RE/SE 4221 -ZPMH 4221 -USR 4221 -SITE PLAN REVIEW 4221 -COZ i3 4221 -PUD 4221 -SUBDIVISION 4221 -BOA 4221 -FHDP/GHDP 4430-MAPS/PUBLICATIONS 4430-POSTAGE 4430-COPIES 4730-INVESTIGATION FEE 656 CORDING F +-• j misc. Z q O CASH HECK NO: 1108' TOTAL BY: A/ 1/ WHITE-CUSTOMER CANARY-FINANCE PINK-FILE WELD COUNTY,COLORADO EPARTMENT OF PLANNING SERVIC 1555 N. 17TH AVENUE GREELEY,CO 80631 PHONE(970)353-6100, EXT.3540-FAX(970)304-6498 DATE: \ C\\\ .�� 20 t•c3\ RECEIPT N. J 18 9 ='- RECEIVED FROM: NO. TYPE FEES 4221 -RE/SE 4221 -ZPMH 4221 -USR 4221 -SITE PLAN REVIEW 4221 -COZ 4221 -PUD 4221 -SUBDIVISION 4221 -BOA 4221 -FHDP/GHDP 4430-MAPS/PUBLICATIONS 4430-POSTAGE 4430-COPIES 4730-INVESTIGATION FEE 06560-RECORDING FEE' ` iZ f-__ j i.-- \O misc. f •C I ' 9CASH O CHECK NO: TOTAL BY: WHITE-CUSTOMER CANARY-FINANCE PINK-FILE • • gb I' REALTY CO. Serving Northern Colorado for over 70 years REALTORS 0 1212 8th Avenue, Greeley, Colorado 80631 (970) 352-1212 November 15, 2001 Department of Planning Services Kim Ogle This letter is in response to Item # 4, B&C of the approval with conditions for RE-3173, for Alan Burry. We are hereby submitting the Statement of Existing for Septic System permit No. SE-0100076 issued by the Weld County Health Department on July 3, 2001. The sketch of said system is on the back of said permit as required by the Health Department. Also attached hereto is a letter from the Health Department which states that the system is "grandfathered" and will not require that the system be brought into compliance with current regulations. The current system is located some distance North of the South property line of proposed Lot B. Here again the Health Department did a visual check on the system and did not indicate it was to close to any property line. Res ectfully, , Doug Windsheimer As Agent It t REALTOR. .�•.w vvvi.. • ..... r.....nr... ... . ..r.r... .•a.R , ,• vet.! • .v CLTH AND ENVIRONMENT ORG PERMIT# liact- � lip N. 17'"AVENUE • REPAIR# GREELEY, COLORADO 80631 LOAN# Yli`k PHONE: (970) 304-6415 ISDS# Q/-oh,i FAX: (970) 304-6411 COLORADO STATEMENT OF EXISTING FOR SEPTIC SYSTEM (PLEASE FILL OUT IN BLACK INK ONLY) PARCEL# l y7s'/300 op a PROPERTY OWNER A-IA-N S, B u,e,¢.c/ PHONE NO. (San) 75 -. - S/5/6 '7 MAILING ADDRESS 3s-38 to/a R.1 s 4.ewes 6c'ty do r Pn 6 5f3 City State Zip DESCRIPTION OF BUILDING (ex. house,mobile/modular home,shop,office) he vse SITE/LOCATION ADDRESS 3 s'se aid kets-f 2(_wss bczy e0 t 06 s/3 City State Zip LEGAL DESCRIPTION PT N al PT SECTION 1.J TOWNSHIP / 1 RANGE 4c/ SUBDIVISION LOT BLOCK - FILING - CENCUS TRACT - LOT SIZE/ACRES /S P COMMERCIAL YES%i O RESIDENTIAL 6 ACY/NO NUMBER OF PERSON / BASEMENT PLUMBING YES/ BEDROOMS i- BAI'IiROOMS FULL 1 3/4 1/2 WATER SUPPLY PUBLIC YES/t) UTILITY N PRIVATE YES/ TO) CISTERN YES el, WELL /NO WELL PERMIT# /S 92-2 7 SYSTEM SIZE: Septic tank material is constructed of Ce mg/eh? and has / a-OO gallons capacity. FIELD: Trench square feet or Bed_ ?LPG square feet YEAR INSTALLED /o& / You are required to draw a diagram of the system on the reverse side of this form in black ink only and indicate location,length,width,and distance from the dwelling. The undersigned property owner hereby certifies that the above described septic system is in fact installed,as described,and exists at this time on the parcel of ground identified by the above legal description and further states that the systeis not in good working order and to the best of his/her knowledge i /is no failing to function properly. I further understand that any falsification or misrepresentation may result in revocation of any permit granted based upon this information hereby submitted and in leg cti n for perjury as vided law. DATE O 7 . Subscribed and sworn to before me this__ , \. day of JL&.r.L.. , 1A9"1nl , • by Alan S. Burry ` � tr. Py` i %.St %"41-•'E '' Vt COMMISSION EXPIRES Witness my hand and official se•. 1' i ', y commission expires: z. MARCH 12, 2002 JOAN 3 s, �� e DERR ' �0�; OTAR LI DATE • it�•lte /.......\�OQ�= 7 - 3-6,1 STATEMENT OF EXISTING RE i.v.C_ ONMENTAL HEALTH SPECIALIST c VOW. / • . • co N a Anse 4te zo • •iJ; `. rf '14 `. • l a• `y rJ f4 J ‘‘. ‘totsvig‘4, DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 N 17TH AVE GREELEY, CO 80631 Wlipe WEBSITE: www.co.weld.co.us ADMINISTRATION (970) 304-6410 FAX (970) 304-6412 PUBLIC HEALTH EDUCATION AND NURSING (970) 304-6420 FAX (970) 304-6416 COLORADO ENVIRONMENTAL HEALTH SERVICES (970) 304-6415 FAX (970) 304-6411 July 10,2001 Alan S.Burry 3538 County Road 59 Keenesburg,Colorado 80643 RE:Alan S.Burry ISDS No.: 01-068 Permit No.: SE-0100076 Dear Mr.Burry: On July 3,2001,an evaluation of the existing individual septic disposal system at 3538 County Road 59, Keenesburg,Colorado, Section 13,Township 01 North,Range 64 West,was conducted by Deborah Blandin,an environmental specialist of this department. The existing individual septic disposal system is not of sufficient size and capacity to adequately handle the proposed load.This evaluation is based on a final treatment capacity for a 2 bedroom residence. Based on all available data the field is undersized by an estimated 42 percent. Because the system was installed prior to the adoption of statewide guidelines by the Colorado Board of Health,the County considers this system to be"grandfathered"and will not require that the system be brought into compliance with current regulations. The Department recommends that the adsorption field be brought into compliance with current Regulations. Please be advised that should you decide to repair your system,a repair permit must be obtained and a site evaluation must be conducted prior to any alterations to the system. Be advised,neither the County of Weld nor any of its agents or employees undertake or assume any liability to the owner of the above property,to any purchaser of the above property or to any lending agency making a loan on the above property or in the report. This inspection was conducted for the purpose of determining compliance with current regulations and for detecting health hazards observable at the time of inspection. This does not constitute a warranty that the system is without flaw or that it will continue to function in the future. Inspections requested during periods of snow cover and high soil saturation may be of questionable value to potential buyers due to adverse conditions. Evaluations based on Statements of Existing(S.O.E.)relies on information the property owner provides,under oath,indicating current status of the system and representing to the best of his/her knowledge the system is not failing to function properly. If we can be of any further assistance,please contact our office at(970)304-6415. Sincere De orah Blandin Environmental Health Specialist DB/ske/buny alan s Enclosure = REALTY CO. Serving Northern Colorado for over 70 years REAL TORS ® 1212 8th Avenue, Greeley, Colorado 80631 (970) 352-1212 November 15, 2001 Department of Planning Services Kim Ogle Kim, This letter is in response to Item # 4, D of the approval with conditions for RE-3173, for Alan Burry. Mr. Burry abandoned his use of the well located on Lot - A of RE-676 in the year 1991 when he drilled his well,permitted as Well Permit Number 159227 with the Colorado Division of Water Recourses dated January 22, 1991. Mr. Burry has not used said well located on Lot-A of RE-676 for his home addressed as 3538 WCR 59, Keenesburg Co. or for any other use on his farm since drilling his well, permit number 159227, located in the SW quarter of the NW quater of Section 13, T 1N, R 64 W. This permit was submitted with the application as far as we know and if it wasn't a copy is hereby attached. This is the only well used for Lot B of proposed RE-3173. Respectfully,jibiDoug Windsheimer As Agent It REALTOR • Form No. OFFICE OF THE STATE ENGINEER GWS-25 COLORADO DISON OF WATER RESOURCES • 818 Centennial Bldg., 131 erman St.. Denver, Colorado 80203 (303) 866-3581 698 OWNER'S COPY WELL PERMIT NUMBER 153227 APPLICANT DIV. 8 CNTY. 62 v/D 1 DES. BASIN 5 MD 9 APPROVED WELL LOCATION COUNTY WELD SW 1/4 NW 1/4 Section 3 3 ALAN BURRY 3538 WCR 59 Twpl N , Range64 W . P.M. KEENESBURG, CO 80643 DISTANCES FROM SECTION LINES 2610 Ft. from North Section Line 75 Ft. from Wegt_ Section Line PERMIT TO CONSTRUCT A WELL CONDITIONS OF APPROVAL 1) This well shall be used in such a way as to cause no material injury to existing water rights. The 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 right from seeking relief in a civil court action. 2) Approved pursuant to CRS 37-90-105. 3) Water from this well may be used for domestic purposes inside one (1) single family dwelling. 4) The maximum pumping rate shall not exceed 15 GPM. 5) The annual appropriation shall not exceed 1.5 acre-feet. 6) The irrigated area shall not exceed 1 acre of lawn and garden. ) This well shall be constructed within 300 feet of the location specified on this permit. 8) Water from this well may be used for the watering of livestock on range and pasture. ) Production is ihnited to the Laramie-Fox Hills aquifer, which is located 770 feet below land surface and extends to a depth of 1050 feet. Plain casing must be installed and sealed to prevent the withdrawal of ground water from other aquifers and the movement of ground water between aquifers. Note: Noncompliance with the procedures outlined on the attached information sheet (form GWS-5) may void your well permit. APPROVED: a . 4 ��\ RC State Enginee 1991 By ), CII ., Receipt No. 0321310 DATE ISSUED SAN 2 2 EXPIRATION DATE y "' =� B 1219 a 02165577 12/20/88 14 :11k $3. 00 1/001 482165577 F 0807 Y ANN FEOERSTEIN CLERK & ORDER WELD CO, CO EASEMENT AGREEMENT This agreement, made and entered into this 16th day of December, 1988 by and between The Citizens State Bank of Keenesburg, a Colorado corporation, as owner of a part of the W%„ Sec. 13, T1N, R64W, Weld County, Colorado, described as Lot "A" of recorded exemption No. 1475-13-3-RE676, recorded August 22nd, 1984 in Book 1040 as Reception No. 1978641, and Alan S. Burry and Linda L. Burry, owners of the NW' of Sec. 13, TIN, R64W, as follows: Said Alan S. Burry and Linda L. Burry have an "Agreement" for joint ownership and use of a domestic well as recorded in Book 692 as Reception No. 1613938, and such well is situated on above described Lot "A" of recorded exemption 1475-13-RE676, Weld County, Colorado. The Citizens State Bank, as owner of said Lot "A" is desirous of specifically conveying an easement for the water lines extending from the domestic well described in the "Agreement", over and across said Lot "A" to property owned by Alan S. Burry and Linda L. Burry in the NW4, Sec. 13, T1N, R64W, Weld County. The Citizens State Bank hereby conveys an easement across said Lot "A" for the use of domestic well water lines as now constructed and in the location now installed. By acceptance of this conveyance, Alan S. and Linda L. Burry agree to maintain the lines so that no damage or impairment of use is made onimgovements or landscaping on said Lot "A". In the event the well described in the "Agreement" is ever abandoned from use, then this easement is terminated. ATTEST: TH CI IZENS STATE BANK .'99d' 42-e�r�y rye' J ald C. rks, President V •/ 1� c ec ti it, kit :game. • y, FSlO ,' 9TAT,B,AF"COLORADO COUNTY OF WELD Acknowledged before me this 16th day of December, 1988 by Jerald C. Starks as President of The Citizens State Bank. .My Oommission expires: 3-4-90 s. N tary Public 7�'•: pc. Philip G . Bowles , Notary For Cod' Box 299 . Keenesburg , Colo 80643 . � • • REALTY CO. Serving Northern Colorado for over 70 years REALTORS ® 1212 8th Avenue, Greeley, Colorado 80631 (970)352-1212 November 15, 2001 Department of Planning Services Kim Ogle Kim, This letter is in response to Item #4, K of the approval with conditions for RE-3173 for Alan Burry. All vehicles on the above described property are used and licensed, and as per the referral letter from the zoning compliance officer they found no conflicts. Respectfully, Doug Windsheimer As Agent It REALTOR' i • • ;Man REALTY CO. Serving Northern Colorado for over 70 years REALTORS a0 1212 8th Avenue, Greeley, Colorado 80631 (970)352-1212 August 30, 2001 Weld County Department of Planning Services Mr. Kim Ogle, Kim this letter is in response to your phone conversation with me on August 29, 2001 regarding proposed RE-3173. You advised me that after research you had discovered that Mr. Alan Burry has 160.02 acres with his farm instead of the close to 159 we had thought at application time. Mr. Burry does want to do the three lot exemption instead of the two lot exemption. I am sending the new sketch you asked for along with this letter. It shows that both lots "A" and"B"will be located side by side in the Northwest corner of the property as we discussed. Thanks again for your attentiveness in this matter and please let me know if there is anything else I can do to help the process move smoothly. Re ectfully, Doug indsheimer Agent Site e%C,u -D Ag4oAt I • REALTOR. 2622.10 County Rd. 10 Lot Lot A B 466.00 5 acre 5 acre rn/l r1/l o 3 467.00 467.00 -] • Q. Ur '0 Lot C 149 Acres 2551.94 r1/l 2661,99 t) R,d1�Ayn• ,� SCALE 1' = 500 466.00 t,Sl l(,� F existing • I building site 467.00 5 acres rn/l 500.00 -T 110.04 2121.36 • • DEPARTMENT OF PLANNING SERVICES Kit cits LH. 1555 N. 17th Avenue Greeley, CO 80631 Phone(970) 353-6100, Ext. 3540 Fax(970) 304-6498 COLORADO August 13, 2001 Doug Windsheimer 1212 8`"Avenue Greeley, CO 80631 Subject: RE-3173 A Recorded Exemption located on a parcel of land described as Part of the NW4 of Section 13, T1 N, R64W of the 6th P.M., Weld County, Colorado. To Whom It May Concern: Your recorded exemption application is being processed. If it is determined that the application meets the approval criteria of Chapter 24 of the Weld County Code, you will be notified that the recorded exemption is approved. If the staff determines that the application does not meet the approval criteria or if staff has concerns with the application, staff may elect to forward the application for review to the Board of County Commissioners. You will be notified and asked to appear before the Board of County Commissioners at a public hearing. You will be informed of the hearing date prior to the hearing. The Board of County Commissioners will then consider your application and make a final decision on the recorded exemption. It is the policy of Weld County to refer an application of this nature to any town or municipality lying within three miles of the property in question or if the property under consideration is located within the comprehensive planning area of a town or municipality. Therefore,our office has forwarded a copy of the submitted materials to the Keenesburg Planning Commission for their review and comments. It is recommended that you and/or a representative be in attendance at the Keenesburg Planning Commission meeting to answer any questions the Commission members may have with respect to your application. Please call Keenesburg at(303)732- 4281, for further details regarding the date, time, and place of this meeting. If you have any questions concerning this matter, please call me. Sincerely, • Kim Ode Planner • EICIE3 REALTY CO. Serving Northern Colorado for over 70 years REALTORS O 1212 8th Avenue, Greeley, Colorado 80631 (970) 352-1212 June 27, 2001 Department of Planning Services 1400 North 17th Street Greeley, Colorado 80631 To whom it may concern, I hereby authorize Doug Windsheimer, a Broker associate with Scott Realty Co., to represent my interest or to act on my behalf to apply for and obtain a Recorded Exemption on property owned by myself, located in the Northwest Quarter of section 13, township 1 north, range 64 west of the 6th p.m. County of weld, state of Colorado. Respectfully, 44,1 Alan S. Burry W( a 44D L A(-4"4 — Y 4/7 I► REALTOR L�r►i'�'` APPLICATION FLOW SHEET WE COLORADO APPLICANT: Alan Burry CASE#: RE 3173 REQUEST: Two Lot Recorded Exemption in the Ag Zone District LEGAL: Part NW4 Section 13, T1 N, R64W of the 6TH P.M., LOCATION: South of and adjacent to WCR 10; east of and adjacent to WCR 59 PARCEL ID #: 1475 13 000022 ACRES: 159 +/- ADDRESS: 3538 WCR 59, Keenesburg Date By Application Received 8-8-2001 Lockman Application Completed 8-10-2001 ogle Referrals listed 8-10-2001 ogle File assembled b• 13 oI `11 Letter to applicant mailed b.13•O1 Y9 Ot Vicinity map prepared Referrals mailed 8.13.O11 Chaindexed 8.1?yO1 `WA Field check by DPS staff • 6 14 bt Administrative Review decision: At4 ' bt W' Date By Planning Commissioners Hearing Date (if applicable) Surrounding property owners notified Air photo and maps prepared CC action: CC resolution received Recorded on maps and filed 22-;2/.2(9 Overlay Districts Road Impact Fee Area Zoning A- PRIME Airport Yes No_x_ Yes No Geologic Yes_ No_x_ SW Weld#1 #2 #3 Flood Hazard Yes No_x_ Windsor Panel#: 080266 1025 and 1050 C Dolt/ wtuosrrettnc;n. 3r»- tuv ,EPARTMENT OF PLANNING SERVICa 5 N. 17th Avenue, Greeley, Colorado 8 Phone (970) 353-6100, Ext. 3540-Fax#(970) 304-6498 APPLICATION FOR RECORDED EXEMPTION Application Fee 4gb r Receipt Number 73CS Case Number Recording Fee Receipt Number Zoning District Application Checked By V-'p Planner Assigned to Case re) TO BE COMPLETED BY APPLICANT: (Print or type only except for required signatures). I (we), the undersigned hereby request that the following described property be designated a recorded exemption by the Weld County Board of County Commissioners. Legal Description: PTNW% , S13 , T1N, R6 4W Total Acreage: 159 Zoning AG Parcel Number 1 4. 7 5 1. 3 0 0 0 0 2 2 (12 digit number-found on Tax I.D. Information or obtained at the Assessor's Office). Has this property been divided from or had divided from it any other property since August 30, 1972? Yes No X Is this parcel of land under consideration the total contiguous land owned by the applicant? Yes X No Does the parcel of land under consideration lie in any of the following Overlay Districts? Flood Hazard: Yes_ No X ;Airport: Yes_ No X ; Geological Hazard: Yes_ No X FEE OWNERS OF PROPERTY 303 Name: Alan S. Burry Home Phone#732-4464 Work Phone# Address: 3538 WCR 59 City/State/ZipCode Keenesburq, Co . 80643 970 Applicant or Authorized Agent: Doug Wind she imer Phone#352-1212 Address: 1212 8th Ave City/State/ZipCodeGreeley, Co. 80631 Name: Home Phone# Work Phone# Address: City/State/Zip Code Larger Parcel Smaller Parcel Smaller Parcel Applicable only for 3-lot Recorded Exemption Water Source t)/Well Well Type of Sewer Septic Septic Proposed Use Aa Aa Acreage 154 +/_ 5 +/— Existing Dwellings Yes or No Ye No Existing Dwellings Address (if applicable): Larger Parcel 3538 WCR 55 Smaller Parcel None Smaller Parcel(applicable only for 3-lot Recorded Exemption) I hereby state that all statements, proposals,or plans submitted with this application are true and correct to the best of my knowledge. y v: 1/3/01 Sly t caner or Authorized Agent • • R.E. QUESTIONNAIRE RESPONSES BURRY, LOCATED IN THE NORTH WEST QUARTER OF SECTION 13,TOWNSHIP 1 NORTH RANGE 64 WEST OF THE 6TH P.M. 1. Water supply: (a) Domestic water is currently supplied to proposed Lot"B" by a domestic well as permitted by the state of Colorado. Domestic water to proposed Lot"A"would be supplied by a domestic well. (b) Irrigation water to the farm is supplied with the inclusion of 158 acres in the Henrylyn Irrigation District. 2. Sewage disposal for proposed Lot"B" is supplied by a septic system currently in place. Sewage disposal for proposed Lot"A" shall be provided by a I.S.D.S. as permitted by the Weld county Health Department. 3. The property is currently an operating farm with the exception of the improvements located on proposed Lot "B". There is a home, garage, outbuildings and corrals located on proposed Lot "B". The existing building site totals approximately 5 acres. Proposed Lots "A"would be a 5 acre parcel located in the North West area of the property. That would leave approximately 153 acres more or less as Lot"B". The owner feels that by placing Lot "A" in the North West area of the property this would have less impact on the future placement of a center pivot sprinkler system on the property, and it also would have less impact on the flood irrigation of the property as it is now irrigated. The soil types are 79 Weld Loam and 15 & 16 Colby Loam and 40 Nunn Loam with the main portion of the farm being soils type Colby. 4. The owner is going to continue to farm the land as he has in the past. The owner feels that by placing Lot"A" where he has, he would not adversely affect the operations of the farm since the sizes of the Lot has been kept minimal and the land it would occupy is comprised of some non farm able ground and less productive ground due to alkali conditions. All lots will remain within the compliance of the Agricultural zoning. 5. The property is located approximately 3.5 miles south of Keenesburg on Weld county Road 59. Weld County Road 10 borders the property on the North. It consists of 159 acres +/- including the existing home site. The present use of the area is mainly agricultural. 6.None 7. To the Owners knowledge all existing structures meet minimum setbacks and offset requirements and any proposed structures will be required to meet the same per Weld county Zoning Regulations. 8. No 9. A primary building envelope will not be designated on Lot "B" as it has existing improvements located on it. Lot"A"has already been kept to the size of a normal building envelope so the owner wishes not to show an envelope on Lot "A". 10. The proposed Lots "A" and"B" are consistent with the Weld County Comprehensive Plan in that they promote limited growth in the agricultural sector. 11.& 12. The proposed use will still be compatible with the existing surrounding land uses. There are limited number of small residentiallagricultural tracts in the area surrounding the parcel. The proposed lots would not adversely affect the agricultural use of the property or the area. 13. The proposed lots are consistent with the weld County Subdivision Ordinance, section 1.3 because: the lots are not high density development in the Ag zoned sector. Lots "A" and"B" should promote the health and safety and general welfare of the residents of Weld County; since fee simple ownership should maintain the sites and any improvements thereon in a responsible manner. There are no hazards associated with access onto County roads. The proposed lots should not promote any loss or injury from land slides, mud flows, or other geological hazards. None of the lots should add expenditures for flood relief and control projects. The property is located in the "C"minimal flood plain with minimal flooding, and any other type of overlay District is unknown to the present owner. Approval of the proposed Recorded Exemption will not create major problems in the area of crop production, also the proposal is limited in scope and does not create multiple lots in the Agricultural zoned sector. Thank you for your consideration, Doug Windsheimer, Agent r 2634.60 County Rd. 10 -- - Lot I B 466.00 5 acre m/l n O c 3 I- 467.00 • m Q J1 `° Lot C 149 Acres 2551.94 r1/ 2661.98 N SCALE 1' = 500 466.00 existing • building site 467.00 5 acres ri/l -- 500.00 110.04 2121.36 Permits on SLIC: • Qlc'L4ir ►" G1 L Date: ,o vU. From: gyarlt.te To: r 4 Legal Description: W2 10 1 (4.4. )(4:.v- , ,, -ttv►t+ u --U Date: 1 to 104 — From:, }e 6414. Iff Atetw•i• To: !'1,A.IP,y1A),S 4 Legal Description: PT taci a i4,ite t Date: 1 lo $4 I From:01 GWI[�iQ lw1 A To:A t Aca 4t r�A &A L Legal Description: S 2 13 1 r' Date: ti 1 v From:Awma AtipA To: A 14 lw2Yiti (— Le_gal Description: 9T kiv 1. It (ref . Date: From: To: Legal Description: Date: _ From: To: Legal Description: Date: From: To: Legal Description: Date: From: To: • a Legal Description: Date: From: To: Legal Description: • • 4 Report Date: 12/14/2001 01:11 PM WELD COUNTY TREASURER Page: 1 STATEMENT OF TAXES DUE SCHEDULE NO: 136492186 ASSESSED TO: BURRY ALAN S 3538 WELD CO RD 59 KEENESBURG, CO 80643 LEGAL DESCRIPTION: 8274-A NW4 13 1 64 EXC BEG S2551.94' OF NW COR N89D46'E 500' S110.04' N89D46'E 2121.36' S2620.84' S89D47'W 2620.62' N2730.51'TO BEG EXC UPRR RES (4R) %3538 WCR 59%SITUS: 3538 59 CR WELD 00000 PARCEL: 147513000022 SITUS ADD: 3538 59 CR WELD TAX YEAR CHARGE TAX AMOUNT INTEREST FEES PAID TOTAL DUE 2000 TAX 2,276.56 0.00 0.00 2,276.56 0.00 TOTAL TAXES 0.00 GRAND TOTAL DUE GOOD THROUGH 12/14/2001 0.00 ORIGINAL TAX BILLING FOR 2000 TAX DISTRICT 0317- Authority Mill Levy Amount Values Actual Assessed WELD COUNTY 22.038 592.16 AGRICULTURAL L 54,660 15,850 SCHOOL DIST RE3J 47.700 1,281.70 AGRICULTURAL B 19,833 5,750 CCW WATER 1.117 30.01 AGRICULTURAL R 54,119 5,270 LCGW WATER 0.851 22.87 S. E. WELD FIRE 3.419 91.87 TOTAL 128,612 26,870 AIMS JUNIOR COL 6.351 170.65 WELD LIBRARY 3.249 87.30 84.725 2,276.56 -TAXES FOR 2000 ALL TAX LIEN SALE AMOUNTS ARE SUBJECT TO CHANGE DUE TO ENDORSEMENT OF CURRENT TAXES BY THE LIENHOLDER OR TO ADVERTISING AND DISTRAINT WARRANT FEES. CHANGES MAY OCCUR AND THE TREASURER'S OFFICE WILL NEED TO BE CONTACTED PRIOR TO REMITTANCE AFTER THE FOLLOWING DATES: PERSONAL PROPERTY AND MOBILE HOMES-AUGUST 1, REAL PROPERTY-AUGUST 1. TAX LIEN SALE REDEMPTION AMOUNTS MUST BE PAID BY CASH OR CASHIERS CHECK. P.O. Box 458 Greeley, CO 80632 (970)353-3845 ext. 3290 WELD COUNTY TREASURER Pursuant to the Weld County Subdivision Ordinance,the attached Statement(s) of Taxes Due, issued by the Weld County Treasurer, are evidence that, as of this date, all property taxes, special assessments and prior taxes liens currently due and payable connected with the parcel(s) identified therein have been paid in full. Signed ka/rThrias Date J Report Date: 08/07/2001 08:31AM WELD COUNTY TREASURER Page: 1 STATEMENT OF TAXES DUE SCHEDULE NO: R6492186 ASSESSED TO: BURRY ALAN S 3538 WELD CO RD 59 KEENESBURG, CO 80643 LEGAL DESCRIPTION: 8274-A NW4 13 1 64 EXC BEG S2551.94' OF NW COR N89D46'E 500' S110.04' N89D46'E 2121.36' S2620.84' S89D47'W 2620.62 N2730.51'TO BEG EXC UPRR RES (4R) %3538 WCR 59% SITUS: 3538 59 CR 001 WELD 00000 PARCEL: 147513000022 SITUS ADD: 3538 59 CR WELD TAX YEAR CHARGE TAX AMOUNT INTEREST FEES PAID TOTAL DUE 2000 TAX 2,276.56 0.00 0.00 2,276.56 0.00 TOTAL TAXES 0.00 GRAND TOTAL DUE GOOD THROUGH 08/07/2001 0.00 ORIGINAL TAX BILLING FOR 2000 TAX DISTRICT 0317- Authority Mill Levy Amount Values Actual Assessed WELD COUNTY 22.038 592.16 AGRICULTURAL L 54,660 15,850 SCHOOL DIST RE3J 47.700 1,281.70 AGRICULTURAL B 19,833 5,750 CCW WATER 1.117 30.01 AGRICULTURAL R 54,119 5,270 LCGW WATER 0.851 22.87 S. E. WELD FIRE 3.419 91.87 TOTAL 128,612 26,870 AIMS JUNIOR COL 6.351 170.65 WELD LIBRARY 3.249 87.30 84.725 2,276.56 - TAXES FOR 2000 ALL TAX LIEN SALE AMOUNTS ARE SUBJECT TO CHANGE DUE TO ENDORSEMENT OF CURRENT TAXES BY THE LIENHOLDER OR TO ADVERTISING AND DISTRAINT WARRANT FEES. CHANGES MAY OCCUR AND THE TREASURER'S OFFICE WILL NEED TO BE CONTACTED PRIOR TO REMITTANCE AFTER THE FOLLOWING DATES: PERSONAL PROPERTY AND MOBILE HOMES-AUGUST 1, REAL PROPERTY-AUGUST 1. TAX LIEN SALE REDEMPTION AMOUNTS MUST BE PAID BY CASH OR CASHIERS CHECK. P.O. Box 458 Greeley, CO 80632 (970)353-3845 ext. 3290 WELD COUNTY TREASURER Pursuant to the Weld County Subdivision Ordinance, the attached Statement(s) of Taxes Due, issued by the Weld County Treasurer, are evidence that, as of this date, all property taxes, special assessments and prior tax liens currently due and payable connected with the parcel(s) identified therein have been paid in full. Signed Date: W 0 / • REFERRAL LIST NAME:Alan Burry CASE NUMBER: RE-3173 REFERRALS SENT:August 13,2001 REFERRALS TO BE RECEIVED BY: September 3,2001 COUNTY TOWNS and CITIES Attorney Ault _X Health Department Brighton Extension Service _Broomfield _Emergency Management Office Dacono Sheriffs Office _Eaton _X Public Works _Erie _Housing Authority _Evans Airport Authority _Firestone _Building Inspection _Fort Lupton _X Code Enforcement Frederick STATE _Garden City _Division of Water Resources Gilcrest _Geological Survey Greeley Department of Health _Grover Department of Transportation _Hudson Historical Society _Johnstown Water Conservation Board _X_Keenesburg _Oil and Gas Conservation Commission _Kersey Division of Wildlife: _LaSalle _Loveland Lochbuie _X_Greeley- East of 1-25 Longmont _Division of Minerals/Geology _Mead FIRE DISTRICTS _Milliken _Ault F-1 New Raymer _Berthoud F-2 Northglenn Briggsdale F-24 _Nunn Brighton F-3 _Pierce _Eaton F-4 _Platteville Fort Lupton F-5 _Severance _Galeton F-6 _Thornton Hudson F-7 Windsor _Johnstown F-8 _La Salle F-9 Mountain View F-10 COUNTIES Milliken F-11 Adams _Nunn F-12 _Boulder _Pawnee F-22 Larimer Platteville F-13 Platte Valley F-14 FEDERAL GOVERNMENT AGENCIES _Poudre Valley F-15 US Army Corps of Engineers Raymer F-2 _USDA-APHIS Veterinary Service X Southeast Weld F-16 _Federal Aviation Administration Windsor/Severance F-17 _Federal Communication Commission Wiggins F-18 _Union Colony F-20 SOIL CONSERVATION DISTRICTS _Brighton OTHER _Fort Collins _School District RE- Greeley _ _X Ditch Company-Henrylyn Irrigation Longmont _X_Ginny Shaw(MUD) _West Adams X Southeast Weld • REFERRAL LIST APPLICANT: Alan Burry CASE#: RE 3173 COUNTY TOWNS and CITIES Attorney Ault Legal _x_Health Department Brighton Extension Service Broomfield Zone Dist Emergency Management Office Dacono Sheriffs Office Eaton FP _x_Public Works Erie Housing Authority Evans Panel# Airport Authority _Firestone _Building Inspection- Dennis Renley Fort Lupton Airport _x_Code Compliance Frederick STATE Garden City Geo Haz Division of Water Resources Gilcrest Geological Survey Greeley Pin# Department of Health _Grover Department of Transportation Hudson Historical Society _Johnstown Water Conservation Board _x_Keenesburg Oil and Gas Conservation Commission Kersey Division of Wildlife: LaSalle _West of I-25 (Loveland) Lochbuie _x_East of 1-25(Greeley) Longmont Division of Minerals/Geology Mead FIRE DISTRICTS Milliken Ault F-1 New Raymer Berthoud F-2 Northglenn Briggsdale F-24 Nunn Brighton F-3 _Pierce Eaton F-4 Platteville Fort Lupton F-5 Severance Galeton F-6 Thornton Hudson F-7 Windsor Johnstown F-8 La Salle F-9 Mountain View F-10 COUNTIES Milliken F-11 Adams Nunn F-12 Boulder Pawnee F-22 Larimer Platteville F-13 Platte Valley F-14 FEDERAL GOVERNMENT AGENCIES Poudre Valley F-15 US Army Corps of Engineers Raymer F-2 USDA-APHIS Veterinary Service x Southeast Weld F-16 Federal Aviation Administration Windsor/Severance F-17 Federal Communication Commission Wiggins F-18 Western Hills F-20 SOIL CONSERVATION DISTRICTS x Southeast Weld OTHER Fort Collins Central Colo. Water Conservancy Dist. Greeley Panhandle Eastern Pipe Line Co. Longmont School District RE 3J West Adams _x_Ginny Shaw(MUD) _xDitch Company: Henrylyn Irrigation COMMISSION/BOARD MEMBER atill6 • • RECEIVED AUG 14 2001 WELD COUNTY viik Weld County Raferrar COLORADO August 13, 2001 The Weld County Department of Planning Services has received the following item for review: Applicant Alan Burry Case Number RE-3173 Please Reply By September 3, 2001 Planner Kim Ogle Project Two-Lot Recorded Exemption in the Agriculture Zone District Legal Part of the NW4 of Section 13, Ti N, R64W of the 6th P.M., Weld County, Colorado. Location South of and adjacent to WCR 10; east of and adjacent to WCR 59. For a more precise location, see legal. Parcel Number 1475 13 000022 The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. Any response not received before or on this date may be deemed to be a positive response to the Department of Planning Services. If you have any further questions regarding the application, please call the Planner associated with the request. ❑ We have reviewed the request and find that it does/does not comply with our Comprehensive Plan ❑ We have reviewed the request and find no conflicts with our interests. xi See attached letter. Comments: Signature zd/ 4t#ze 6- 16 0( Agency Date +Weld County Planning Dept. +1555 N. 17th Ave.Greeley,CO.80631 +(970)353-6100 ext.3540 +(970)304-6498 fax • 1 ,r MEMORANDUM TO: Kim Ogle, Planner II DATE: August 16, 2001 „,tt FROM: Donald Carroll, Engineering Administrator 4 "✓ SUBJECT: RE-3173, Alan Burry COLORADO The Weld County Public Works Department has reviewed this proposal. This project falls primarily under the Weld County Recorded Exemption Standards. Our comments and requirements are as follows: COMMENTS: WCR 10 is designated on the Transportation Plan Map as a loal gravel road, which requires a 60-foot right-of- way at full build out. There is presently a 60-foot right-of-way. This road is maintained by Weld County. Pursuant to the definition of SETBACK in the Weld County Code, Chapter 23, Article III, Section 23-3-50, the required setback is measured from the future right-of-way line. WCR 59 is designated on the Transportation Plan Map as a local gravel road, which requires a 60-foot right- of-way at full build out. There is presently a 60-foot right-of-way. This road is maintained by Weld County. Pursuant to the definition of SETBACK in the Weld County Code, Chapter 23, Article III, Section 23-3-50, the required setback is measured from the future right-of-way line. REQUIREMENTS: The Weld County Public Works Department recommends approval of this application with concerns on location of the proposed lot B, being located in the center of lot C creating a double frontage. The access shall be placed in such a location to have adequate sight distance in both directions and not below the crest of a hill or where physical obstructions are present. (Lot B) If a drainage culvert is required, a 15-inch corrugated metal pipe is the County's minimum size requirement. If the applicant chooses to place a larger culvert, please contact the Public Works Department to adequately size your culvert. (Lot B) The applicant shall utilize the existing residential access to this parcel, and no additional accesses shall be granted. (Lot C) Utilize the existing agricultural, oil and gas, and ditch roads that are necessary for your agricultural operation. No additional accesses shall be granted. (Lot C) Pursuant to Chapter 15, Articles I and II of the Weld County Code, if noxious weeds exist on the property or become established as a result of the proposed development, the applicant/landowner shall be responsible for controlling the noxious weeds. We County Planning Dept. RECEIVED pc: RE-3173 planl 1 RE wpd Road File# /6 . • • • APPENDIX B Other Case No. WELD COUNTY ROAD ACCESS INFORMATION SHEET • Weld County Public Works Department Date: 1111 H Street,P.O.Box 758, Greeley,CO 80632 Phone: (970)356-4000,Ext.3750 Fax: (970)304-6497 I. Applicant Name Alan S. Burry Phone 303-732-4464 Address 3538 WCR 55 City Keenesburq State CO Zip 80643 2. Address or location of access Same Section 13 Township 1 N Range 64 W Subdivision Block Lot Weld County Road # s q z in Side of Road R & S Distance from nearest intersection 7 5 & 150 3. Is there an existing access to the property? Yes X No #of accesses 3 4. Proposed Use: ❑ Permanent cl Residential/Agricultural O Industrial ❑ Temporary O Subdivision O Comruercial O Other *********w*s****ssss******w*******s**s*s*****s**s**s*************s********************s**www***s**s******* 5. Site Sketch l pill s Legend for Access Description: ° °� AG. = Agricultural �b 61„ RES = Residential —,/l. toL 1 O&G= Oil&Gas D.R. = Ditch Road he Ny /it, f riul+ • 7 7 .......................***********.**********.*******************..*****.*****..........*************....... OFFICE USE ONLY: Road Ri ADT - Date Accident Date Road 4' ADT Date - Accident Date Drainage Requirement Culvert Size . Length Special Conditions *********************************************************************s*******ssss*********ssss************* D Installation authorized , 0 Information Insufficient Reviewed By: Title: 8 • • RE:Road File/4 Other Case No. APPENDIX B WELD COUNTY ROAD ACCESS INFORMATION SHEET • Weld County Public Works Department Date: 1111 H Street,P.O.Box 758, Greeley,CO 80632 Phone: (970)356-4000,Ext 3750 Fax: (970)304-6497 1. Applicant Name Alan S. Burry Phone 303-732-4464 Address 3538 WCR 55 City Keenesburg State CO Zip 80643 2. Address or location of access Same Section 13 Township 1 N Range 64. W Subdivision Block Lot Weld County Road # q q x in Side of Road R & S Distance from nearest intersection 7 5 & 15 0 3. Is there an existing access to the property? Yes X No_ /4 Of accesses 3 4. Proposed Use: O Permanent b Residential/Agricultural O Industrial 0 Temporary O Subdivision • O Commercial O Other **s»»******s*r**t»t*****t********»***t***********s**s*************»************s******»**s****»*s**»»»*t** 5. Site Sketch ) p(1 L__ Legend for Access Description: ° tei, le � AG. = Agricultural RES = Residential �./_� /o W O&G= Oil&Gas D.R. = Ditch Road TSB p, l Abfrzeo- krtistiaii. • 7 7 »*********************************************sss************►********************■****sat*********t******* OFFICE USE ONLY: Road ADT Date Accident Date Road ADT Date Accidents Date Drainage Requirement Culvert Size Length Special Conditions s**********t**********»******s***************t******s*******s*s********»***************sins**************** 0 Installation authorized 0 Information Insufficient Reviewed By: Title: 8 • MemorandMm AitTh(7 TO: Kim Ogle, W.C. Planning III Weld Ccunty Flann!ng Dept. DATE: September 4, 2001 FROM: Peden, EH Services • COLORADO CASE: RE-3173 RECE a' w r k , APPLICANT: Burry, Alan Environmental Health Services has reviewed this proposal; the following conditions are recommended to be part of any approval: 1. A Weld County Septic Permit is required for the proposed home septic system and shall be installed according to the Weld County Individual Sewage Disposal Regulations. 2. Prior to the release of building permits on lot A, the lot owners shall verify with the nearest Town/City or Sanitation District to determine the location of the nearest sewer line. In accordance with the Weld County Code, if a sewer line exists within 400 feet of the property and the sewer provider is willing to serve the proposed structure, a septic permit cannot be granted by the Weld County Department of Public Health and Environment. Additionally, please note the following: 1) This application is proposing a wells as its source of water. The applicant should be made aware that while they may be able to obtain a well permit from the Office of the State Engineer, Division of Water Resources, the quantity of water available for usage may be limited to specific uses, i.e. domestic use only, etc. Also, the applicant should be made aware that groundwater may not meet all drinking water standards as defined by the Colorado Department of Public Health and Environment. We strongly encourage the applicant to test their drinking water prior to consumption and periodically test it over time. 2) The existing septic system located on the larger lot was evaluated in June 2001 and found to be undersized by 42 percent for the 2 bedroom house. However, due to the date of installation the system is considered "grandfathered". The department recommends that the system be brought into compliance with current Weld County ISDS Codes. 3) Topographic or physical features of the proposed lot, such as ravines, ditches, streams, etc. may limit the area available for a new or replacement septic system. Prior to recording the plat the Division recommends that the applicant review the County Code pertaining to Septic Systems to assure that any installed septic system will comply with all setback requirements found in the Code. In the event the proposed lot is not of sufficient size to allow the installation of a septic system the lot may be need to be enlarged. M:\ENVIRONMENTAL HEALTH SERVICES\PLANNING\RE-3173.rtf • • Weld County Referral COLORADO August 13, 2001 The Weld County Department of Planning Services has received the following item for review: Applicant Alan Burry Case Number RE-3173 Please Reply By September 3, 2001 Planner Kim Ogle Project Two-Lot Recorded Exemption in the Agriculture Zone District Legal Part of the NW4 of Section 13, Ti N, R64W of the 6th P.M., Weld County, Colorado. Location South of and adjacent to WCR 10; east of and adjacent to WCR 59. For a more precise location, see legal. Parcel Number 1475 13 000022 The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. Any response not received before or on this date may be deemed to be a positive response to the Department of Planning Services. If you have any further questions regarding the application, please call the Planner associated with the request. U We have reviewed the request and find that it does/does not comply with our Comprehensive Plan We have reviewed the request and find no conflicts with our interests. U See attached letter. Comments: \,crw- h%Wu) obc t iinrnotacr F, F\--th UndPn ate. dOCAC 2rLF1 O/La-Amer, v161n LittLIL cOlinnt. Signature 7 �� Date Agency n;Np (ri-m ptiawe. 4Weld County Planning Dept. ,1555 N. 17th Ave.Greeley,CO. 80631 4(970)353-6100 ext.3540 +(970)304-6498 fax Ket a • _� a• �r� �VtJ 6g -! S illilC. rs .Y ... a ,t t lV' eid County Referral COLORADO August 13, 2001 The Weld County Department of Planning Services has received the following item for review: Applicant Alan Burry Case Number RE-3173 I Please Reply By September 3, 2001 Planner Kim Ogle Project Two-Lot Recorded Exemption in the Agriculture Zone District Legal Part of the NW4 of Section 13, Ti N, R64W of the 6th P. A., Weld County, Colorado. Location South of and adjacent to WCR 10; east of and adjacent to WCR 59. For a more precise location, see legal. Parcel Number 1475 13 000022 The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. Any response not received before or on this date may be deemed to be a positive response to the Department of Planning Services. If you have any further questions regarding the application, please call the Planner associated with the request. ❑ We have reviewed the request and find that it does/does not comply with our Comprehensive Plan U We have reviewed the request and find no conflicts with our interests. s-See attached letter. Comments: Signature - ,— // Zee/ Date Agency — rn1 Sr' +� •:•Weld County Planning Dept. +1555 N. 17th Ave.Greeley,CO.80631 +(970)353-6100 ext.3540 +(970)304-6498 fax • • Southeast Weld Soil Conservation District 57 W. Bromley Lane-Brighton, CO 80601 -Phone(303) 659-7004, Ext. 3 August 28,2001 CASE NUMBER: RE-3173 APPLICANT: Alan Burry PROJECT: Two-Lot Recorded Exemption in the Agriculture Zone District PLANNER: Kim Ogle NRCS REPRESENTATIVE: Rae Obrey In consultation with the Natural Resources Conservation Service(NRCS),we have reviewed the above referenced case and have the following comments. SOILS/LIMITATIONS: The soil found on this parcel of land is somewhat limited for septic tank absorption fields and shallow excavations. It is not limited for dwellings with or without basements. Drainage is limited. The soil is generally well suited for windbreak and landscape plantings. PRIME FARMLANDS: No Prime Farmlands will be taken out of production. SOIL EROSION POTENTIAL: The potential for erosion by water is moderate. OTHER: If future land use will include grass establishment and grazing, we would recommend that the new landowner contact the local NRCS office for guidelines on establishing and maintaining the grass and grazing management. Additionally,the future landscape plan should address the reduction of water use with the use of Xeriscape. We also recommend that Ron Broda,Weld County Vegetation Management Specialist be contacted to assist the landowner in developing a weed management plan. Ron can be contacted at 970-356-4000 x3770. The District welcomes the opportunity to review and comment on proposals such as this. Conservation and wise use of our natural resources are foremost in our goals and objectives. We look forward to working with you in the future. If you or the applicant should have any questions,please feel free to contact the NRCS representative at 303-659-4177#3. Sincerel Ce /tLlSo t Weld Board of Supervi s CONSERVATION - DEVELOPMENT - SELF-GOVERNMENT Yv8'L1 Cv;.l r1*'/ • • R. E CIL WIlD Weld County Referral COLORADO August 13, 2001 The Weld County Department of Planning Services has received the following item for review: Applicant Alan Burry Case Number RE-3173 Please Reply By September 3, 2001 Planner Kim Ogle Project Two-Lot Recorded Exemption in the Agriculture Zone District Legal Part of the NW4 of Section 13, TIN, R64W of the 6th P.M., Weld County, Colorado. Location South of and adjacent to WCR 10; east of and adjacent to WCR 59. For a more precise location, see legal. Parcel Number 1475 13 000022 The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. Any response not received before or on this date may be deemed to be a positive response to the Department of Planning Services. If you have any further questions regarding the application, please call the Planner associated with the request. ❑ We have reviewed the request and find that it does/does not comply with our Comprehensive Plan We have reviewed the request and find no conflicts with our interests. U See attached letter. Comments: Signature �,/ �� D v^< �" _oiDyadv/ Agency p( 91* ( +Weld County Planning Dept. +1555 N. 17th Ave.Greeley,CO.80631 +(970)353-6100 ext.3540 ••x(970)304-6498 fax • • WELD COUNTY TITLE COMPANY Downtown-1221 8th Avenue, Greeley,Colorado 80631 (970)356-3232 Fax(970)356-3248 West-1009 37th Ave. Ct., Suite 101,Greeley, Colorado 80634 (970)351-0007 Fax(970)351.6633 TITLE TRANSMITTAL Date: JULY 31 , 2001 WCTC Order No.: WU59160A Purported Address: 3538 CR 59 KEENESBURG, COLORADO 80643 Owner/Borrower: ALAN S. BURRY Purchaser: Title Examiner: LIZ WOODS - DOWNTOWN - (970)356-3232 Designated Closer: Enclosed please find: Title Commitment Tax Certificate Copy of Covenants (attached to Purchaser's copy of commitment) Copy of Plat(attached to Purchaser's copy of commitment) Endorsement to Commitment ,/ 0ther ..5od«-1Q 1 Cor1S'tcoAe t1coi\MO-0NCr Customer: SCOTT REALTY` CO. 1212 8TH AVENUE GREELEY, COLORADO 80631 ATTN: DOUG WINDSHEIMER - - Copy List - - We appreciate the opportunity to provide your title insurance and closing needs. CERTIFICATE OF CONVEYANCES WELD COUNTY DEPARTMENT OF PLANNING SERVICES STATE OF COLORADO) COUNTY OF WELD ) Order No. WU59160A The WELD COUNTY TITLE COMPANY hereby certifies that it has made a careful search of its records, and finds the following conveyances affecting the real estate described herein since August 30, 1972 , and the most recent deed recorded prior to August 30, 1972 : LEGAL DESCRIPTION: See attached "Exhibit A" CONVEYANCES (If none appear, so state) : Book 635 J Reception No. 1557264 Book 1018 \j Reception No. 1953711 Book 1018 Reception No. 1953712 Book N/A f Reception No. 2736074 Book Reception No. Book Reception No. Book Reception No. Book Reception No. Book Reception No. Book Reception No. Book Reception No. Book Reception No. Book Reception No. This Certificate is made for the use and benefit of the Department of Planning Services of Weld County, Colorado. This Certificate is not to be construed as an Abstract of Title nor an Opinion of Title, nor a Guarantee Title, and the liability of WELD COUNTY TITLE COMPANY is hereby limited to the fee paid for this Certificate. In Witness Whereof, WELD COUNTY TITLE COMPANY has caused this Certificate to be signed by its proper officer this 20th day of July, 2001 at 7 : 00 A.M. WELD CO Y TLE TANY WooAp By: Authorized Signatory • "Exhibit A" • Part of the W1/2 of Section 13, Township 1 North, Range 64 West of the 6th P.M. , Weld County, Colorado, being more particularly described as follows: Beginning at the Northwest Corner of Section 13, and considering the West line of said Section 13 as bearing South 00°00 '00" West, with all other bearings contained herein being relative thereto; thence South 00°00 '00" West along the West line of said Section 13, 2551.94 feet; thence North 89°46'51" East, 500.00 feet; thence South 00°00'00" West, 110.04 feet; thence North 89°46'51" East, 2121.36 feet; thence North 00°00'57" East, 2661.98 feet to a point on the North line of said Section 13; thence South 89°46'25" West, along the North line of said Section 13, 2622.10 feet to the Point of Beginning. • t CIt { Recorded at- 4- / o'dock_l..- .M., NOV U�9�0 -J H - .2 35 Reception No 15.r71.L264.- .�-.ANN..SPDMER..............Recorder. r--I 1, t - v 2 aw ay\ ItECOrtDF.R'S STAMP Tins DEED, Made this % �^ day o yf:e e e,,.-c,b- 1070,between JOSEPH P. STREMEL and o• P t KATHERINE B. STREMEL Smut. DA'umcnlary Fee .-s C /'pw zkili I D.,ia ..N^OV..1.0.1970 I J t l., a. D` :y .... `....1- I Y 1 yst`t'tp.' of the county of Weld and State of 0 I, En�� 'D Colorado.of the first port.and RUSSELL M. RICHARDSON, i- N SIDNEY F. RICHARDSON, RONALD M. RICHARDSON i' �, and RUBY E. RICHARDSON e it T ' . in�` ' ) r•t :'V • ,I.,,I.,... . h . `ur.i of the County of Weld and State of Colorado,of the second part: t: .-It WITNESSETII,that the said port ies of the first part,for and In eonsider¢Lien of the sum of e One Hundred Seventeen Thousand and no/100 COLLARS. co + , _f r g` •'e o to the said part ies of the first part in hand pald by the said parties of the second port,the receipt whereof is o0 '` .•}`:., o hereby confessed and acknowledged,have granted,bargained,sold aid conveyed,nail by then presents do n gran!,bargain,.di,convey end confirm unto the said parties of the second part,their heirs and assigns foforever,forever, c not j In tenancy in common but In Joint tenancy,all the following described Int or parcel of land,situate,lying and -': 4 a being in the County of Weld and State of Colorado,to wit: 11 ren o • r.d O a: s-„ The West 1/2 of Section 13, Township 1 North, Range 64 r--. West of the 6th P.M.; EXCEPT Reservations as contained i §.a 4 in Patent recorded in Book 201, Page 401 and in Deed • (.1,...1.,.O , recorded in Book 233, Page 120, Weld County Records, 4 ;3 Together with all water and water rights appertaining y, , FC'•, thereto and to which said land is entitled by reason of ' � Yi � "`` its inclusion in� the Henrylyn Irrigation District, ?,: # - - County of Weld, State of Colorado. '" e t' �. 3,--;,;;;;;;1-7.,f,.,V> TOGETHER with all and singular the hereditament. and appurtenances thereunto belonging, or In anywise [ appertaining, the reversion and reversions, remainder and remainders,rents,issues and profits thereof:and all the ... ? I. estate,right, title,interest,claim and demand whatsoever of the sold part ies of the first part,either In law or { equity,of,In and to the above bargained premises,with the hereditament%and appurtenances. e "or. 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 ill" k t' - selves the i`leirs, executors,and administrators do covenant,grant,bargain and agree to and with the ` r said parties of the second part,their heirs and assigns,that at the time of the enseealing and delivery of these pros. §� entathey are well seized of the premises above conveyed, as of goad, sure, perfect, absolute and Indefeasible C r• t� estate of inheritance,In law,In fee simple,sad he.ye good right,full power and lawful authority to grant,ban I•n !: T gain,sell and convey the same In manner and form aforesaid.and that the same are free and clear from all farmer and other grants,bargains,sales,liens, taxes,assessments and encumbrances of whatever kind or nature never. -. y; ry Except easements, restrictions, reservations and rights—of—way ?- of record, if any, and 1970 taxes, and the above bargained premises in the quiet and peaceable possession of the avid parties of the second part, their t c✓ a.L thereof, .3 r heirs and assigns,against all and every person or persons lawfully claiming or to claim the whole or any 1:art the said part ieS of the first port shall and will WARRANT AND FOREVER DEFEND. IN WITNESS WHEREOF the said parties of the first part ha ve hereunto s'19heir hands and '+� a > seal s the day and year first above written. �� l ti --- rr.4(:/ [SEAL] ] Signed.Sealed and Delivered in the Presence of ‘71 seph F. Stremel • I( Y I h .. .... . . .. .... . .. . .. .[SEAT.] I+1: •a. .. .... .. ... 1\`t1a.Lr v'if(4 ..-e t) ' PI,:/[SEAL] STATE OF COLORADO. 1 !Katherine D. Stremel es. j • ,••,,,County of a...A.. ........ c fJ oar of fLw� !d r \114forogoidg,imihument was acknowledged before me this 111.}1]�hCaT.jq�e ' ist, F. Stremel and Katherine B. Stremel e' -" : ': -` : -Ai.. 19'3. witness m9 hand and official seal. _t•M9 eDmmiiYon lxpir<s `/14A-PA. �/ y LS 7/-,-,,-I._.: ,t We ta-1 PlIbliC. �x No. 921. WARRANTS DELD—Te thine Ten<al.,pnareN Pcbllslne C<.1124.44 Stout aoutl Stng In t mmvr..<C,Ie mlae o!(helhv off icer of cat e'Z J - / *It by natural ce. thenD< n Demons hate Ine. se nexheC t r.any.1!it r.,c:n'ether capacity or afaerlptlea: b, p • eOnen.Ithen theseInsert of p<nOn a• 1 t deknote then ignore alien Of o enter or offices 19...pRalavn;or other officers at such corporation. nminV IC—Slatutary dekne¢IrCamenp San 111-6-t Colorado Revised.5 ialUlca N 1 -Str ..' �sl" N•,,,, �18 PEC 01953711 01/20/84 16142 • $3,00 1/001 °i .� ' + ,a !.41953711 308 MAP'/ ANN FFUEPSTEIN CLERK S PFCOPDEP WELD CO, CO • '•,,„ �� r e.: ,R CACHE NATIONAL BANK OF GREELEY tit ':- - •a I, s,!d,... I- 1 ys 2600 11th Avenue, Greeley r...Hoy„f Weld .:Ind::fop•„f c •'d Colorado �,AS7'; 7 . Other valuable consideration and "ak Ten and No/100 Iwllar In II:II •;pail. �.,�iO 1.4 "n,” x Ronald M. Richardson, Ruby E. Richardson, Russell tg .- :;I,.M,.•RliHbardson and Sydney F. Richardson L_. ft. ._. <Z t ),1'7.2 f V4.- •., Weld .:II II s.:,...•.! Colorado .'1 •.j'.t' ,r,.r••:,I a a ?a« e I..:u'''. ,1 Weld .and}I:J• „Ir „I ,1,1 !•.:•:U. Part of the West Half (wl) of Section 13, Township 1 North, Range 64 West of rr the 6th P.M., Weld County, Colorado, being more particularly described as follows: Beginning at the Northwest corner of Section 13, and considering s o - the West line of said Section 13 as bearing South 00.00'00"West with • all other bearings contained herin being relative thereto; Thence South F u 00 00'00" West along the West line of said Section 13, 2551,94 feet; thence '{ North 29`45'51" East, 500.00 feet; thence South 00•'00'00" West, 110.04 feet; thence.. ' i'.fi 1. .- North 29'46'51" East, 2121.36 feet; thence North 00'00'57" East, 2661.98 feet a ' • . . •'," J•• to a point on the forth line of said Section 13; thence South 89'46'25'• West, - - n along the North line of said Section 13, 2622.10 feet to the point of beginning �`. ^' '1 Said described tract of land contains 158.947 acres, more or less including a a ray strip of ground 30 feet in width along the North and West sides for County road ate,a :', • right or way purposes, and is subject to any rights of way or other easements - • •..,i& as recorded by instruments of record or as now existing on said tract of land. i..4•,., > 4 V..'1'. S . - p t. • f' • •,.•I.I , 10th '.,- •.. January .r24 .. ::1-,•-.i,1::'. .. . CALK NATIONAL BANK. Or GY:LEY Attest: .. a f, BY: ..i :*?a + Shirley Hanson, Vice President r—c� f7 —� and Cashier ,d7 Rol pf T. Anders, '/lee President • ,aotl' . 'T:\'If.:nh I III iqt •,I,r,. i • r 'rie1d Yy "' 1, ,.pn It i •I I ,. I :: .r..n Ir••I e. I:.r, u,,.•I, 10th ,I:r, • I January . I:• 84 .L' s.I' \I':, nu1111 I Ii• el•II..- 5-11-85 Y c'� \tlf n,. !u;,'hn,nl :Ir..;•,fl Fin . They! O. Turner 'x" 4074: - 2600 11th Avenue ' • "1 4, I Greeley, CO 80631 • \4,.- :II II:I.11M 1„I1, •I,+•Il..,• I,.CI!:A•, y u,..e •,e+.u, ,u,.,, .,, w,. .. - s ...,t:-T1•17-....i. ..-` X +J�y$y,r!R9 R.u: �• 'e..;r ,..... - alItl .$ 712 Recorded aL_....�. _....o , ,y y AK1963 B 1018 P.EC 01953712 .01/20/84 16:42 53,00 1/001 f##. .., _ ;51,; F 2309 MARY ANN FEUERSTEIN CLERK 6 RECORDER WELD CO, CO '4 seatxlRDxe'SerrAnr • A nag DEED, Wade this 24th day of May A. ' . FD 73.betw.m RONALD M. RICHARDSON, RUBY E. RICHARDSON, 130'.1 I RUSSELL M. RICHARDSON and SYDNEY F. RICHARDSON Store Doru:ppnta a ,. ..F t' I mote._iAN L O 1964 of the county of Weld and Stab of "" . ...._ w Colorado,of the tint part,and • � _ 7 r ALAN S. BURRY and LINDA L. BURRY elif, I of the County of Weld end Stets of Colorado,of the second part: it..r.1,:‘ I WITNESSETE,that the said part ies of the lint part,for and In consideration of the ram of • ...-1,4".<, -. ,,' Other valuable consideration and Ten and No/100 -DOLLARS, ri te the said part ie6 of the Pint part In hand paid by the said parties of the second part,the receipt whereof is '- • • - . , .-`2114f,:?..•tr.". ' hereby confessed and acknowldgd,ha Ve granted,bargained,sold and conveyed,and by these prmenb do • I grant,bargain,sell,convey and confirm unto the said Dartlthe sec ond of cond part,their heirsand lulgna forever,not • '11:7-d7. -.-.. ..': 's I In tenancy In common but In joint tenancy,all the following described lot or parcel of land,situate.lying and ""•F':-.2“,'"' .p a being in the County of Weld and Stay of Colorado,to wit: }� a !art of the West 'Half (w'y1 o£ $ection 13, Township 1 North, Rang': .. :_ 69 West of the 6th P.M. , weld county, Coorado, being more particul rly' . e described as flows: 'c#' ' Re in in at the Northwest corner of Section 1 d considering th $l,>,f = o t roe f seLd section 1{ s bee_iin south up000 00 west with t I. a other h¢atr118 ptainea ierein being r lativ€ thereto; ' • 3e' ! Tfii ❑❑cee SOUth 00 00'00 West a Gnq he We t 01 De said Section 13 i li 25 1.74 fet; thence North 89046 51 East, 50.00 feet; thence Sant a 00 00'00" West,.o 0.4p4 feet; c N rth 83 46'51" East 2121.36 et; .-i”,,,,,27,1, '!`" I thence North.0 7p,p1•:al East 2b�4 $g ;get to a point on the North 4 ne rrr- , , of said Section 13; thence south 89 4 25" West, along the North li . t: !- of said Section 133, 2622.10 feet o the point of beginning. Said ,.izi.r; ,;,. I described tract t a d r-oi pttes 58t947 a res, mare r less i clued g d+o j- %, I eou €tprgadgET Ri of 42 tn6Dnxi ,erriFn`>ist sb7sEthtJnvareWecigaRe efff ay - I 4y._ � or of er easem•rats as r_c r y instruments o recur or s now 4;1; •- 8 existing on said tract of land: : 1 x I:ii TOGETHER with all and singular the Wredltamanb and appurtenances thereunto belonging, or In anywise l 4r I appertaining,the rennin,' and minions, remainder and nmainden,rent••issues and profits thereof;and all the . . J mate, right,title, interest, claim and demand whatsoever of the said part ies of the fir,t part,either in law or `^' L!i equity,of,in and to the shove bargains! premises,with the herdiament&and appurtenance,. ., . _- -I TO HAVE AND TO HOLD the said premise above bargained and described,with the appurtenances,unto the said sall partln of the second part,their heirs and saslgra forever.And the said part i es of the tint part,for them • � _ � mitres Pairs, administrators,exe ,and covenant,grant, bargain and agree to and with the ' I mid putts of the second part,their Mrs and assigns,that at the time of the eraealing sad delivery of them prea- .. - t 3-t I eats and are well seised of the premises above conveyed, as of good, sate, perfect, absolute and Indefeasible Vq^' I mate of inheritance,In law,in fee simple,and ha ye god right,full power and lawful authority to grant,bar. Igain,sail and convey the same In manner end form aforesaid,and that the same an free and clear from all former q and other grans,bargain., sales,liens,ern,aawsmenb and encumbrances of whatnar kind or nature leaver. I , h : Subject to easements, restrictions, reservations, right of way of I record and 1973 taxes and Oil and Gas Lease of record. I 2 II I j and the above bargained premlavl In the quiet and peaceable posseulen of the said parties of the manned part,their • lr `'""' �� I! helm and assigns,against ell and every person • . Ior parsons lawfully calming or to claim the whole or any pert thereof. I _ , k ., the said part • - SeS of the fins Dart shall and will WARRAlfTI4ND FOREVER DEFEND. 4 IN WITNESS WHEREOF the said part ies of the flnrpart have ,il�r'pbtg oetLhe iband, and seal e the day and year lint above written. /li/n,y ffr�41.2/7/ 4r./�,' (swl.-,..4/ . . . . I� 91gned,Seabd and Delivered In the Preanee of7.,--;):,--.,-.2_. /i- t .,'i2,.._..:u...—. [SEAL)6 , / - / r_ ._ (SEAL) a I; I t/ / ., /!.%' ff:./S/:..'F. i5F:A1.; .. .. ac !I STATE OFCOLOkA DO, Iu. 'I� II County of I 11 II I( The foregoing Inatment was acknowledged before me this 24th day of May - n 1D73 .bf Ronald M. Richardson, Ruby E. Richardson, Russell M. Richardson. - - _ . 0 and Sydney F. Ri 5tardsor.. 173'Wlenem my hand and official.eel. ` le• ,�dy( lasion expires/-w—c?7 pi! I: t\OT4RI. z/L.� k• ..;r•-J I _ -.-- Moan Pore.,.. I O. I' -0-.:s—O- 4.' I .. ' - T'e:/_�.Rd+irrr D�•r.s+.n r....�ar.u..a nau.emu ce,lax,-.s scot a.,..c De.a.Calan4.-r--r Y • ,t `• I(�r natural person g penove bar VT;sane or vary:Ir er nrery active to npni.v:alire r Or:lcl.l Oaec:^er r 10-Ia<L a/O leylR y-e O( RtmO al al r. al eseest or of r elver el of sOC 4r OtaU9p000.Ir lr uIL—G t u „f jekAh.Of ppR came o[sots ado g n*Meal al GUI mrrCut or other v:[lean or raved mrporanv6 vamlm IL—etMala.r - �Y imeet'°°Lay..ear.gee Ilai-1 CobrWe WtLeO Sumut 1151. 8a� _- QUIT CLAIM DEED O9 4 THIS DEED,Made this 18th day of November,1999,between ALAN S.BURRY mid LINDA L. BURRY of the County of Weld and State of Colorado,grantor(s),and ALAN S. BURRY of 3538 Weld County Road 59, Keencsburg, CO 80643,grantee(s), WITNESSETH, That the grantor(,), for and in consideration of the sum of TEN and 001100 DOLLARS the receipt and sufficiency of which is hereby acknowledged,has remised,released,sold,conveyed and quit claimed,and by these presents does remise, release, sell,convey and quit claim unto the grantee(s). his heirs,successors and assigns, forever, all the right, title, interest,claim and demand which the grantor(s) has in and to the real property, together with improvements.if any.situate.lying and being in the County of Weld and State of Colorado,described as follows: Part of the West Half(W'h)of Section Thirteen(13),Township One(1)North, Range Sk ty.four(64)West of the 6th Principal Meridian.County of Weld.State of Colorado.being more particularly described as follows: Beginning at the Northwest Corner(NW Cor)of Section 13,and considering the West line of said Section 13 as bearing South 00°00'00"West.with all other bearings contained herein being relative thereto; thence South 00'00'00"West along the West line of said Section U.2551.94 feet; thence North 89"46'5l"East,500.00 feel; tpewce South 00"00'00"West, 110,04 feet; thence North 89°46'51"East,2121.36 feet; • thence North oo°00'57"East.2661.98 feet to a point on the North line of said Section 13; thence South 89°46'25"West,along the North line of said Section 13,2622.10 feet to the Point of Beginning. Together wilt,n pro-rntn interest in the Nenrylyn Irrigation District by reason of the inclusion of the above described property in said District. • TO HAVE AND TO HOLD the same,together with all and singular the appurtenances and privileges thercunto belonging or in anywise thercunto appertaining, and all the estate, right, title, interest and claim whatsoever, of'the grantor(s), either in law or equity, to the only proper use, benefit and behoof of the grantee(s),his heirs and assigns forever. IN WITNESS WHEREOF,The grantor(s)has executed this deed on the date set forth above. inch L.Burry Afan S. Burry (f • STATE OF COLORADO )ss. COUNTY OF Weld The foregoing instrument was acknowledged before me this AS day of November, 1999, U1 S Ce1/4 Burry. . O4 • WITNESS my hand and official seal. • o. My commission expires: ItktDIaDUa .. ' OF v a Notary Public 2. 136°1 + 1 111111111!1111111 101 1111111111 111111 III 11111111111 2736074 12/02/1999 01:01P JA Sukl Tsukamoto 1 of 2 R 10.00 D 0.00 Weld County CO • . • 111 EN I�I��I�iii �Il I iii iaiio ii i 181 2706074 12/02/1999 01:01P JA Saki Tsukamoto 2 at 2 R 10.00 0 0.00 Weld County CO STATE OF COLORADO 3 )ss. COUNTY OF Weld ccs.6cY The foregoing instrument was acknowledged before me this.•day of i4twei bsr, 1999, by Alan S. . ntyt}nu and official scat. \r.. 't�' lee Aires: 8� to_aoo3K_SA r �rfila�� Notafy Public • )i= C.Dv, II • r-V1CORDED EXE,TION NO, 1475-17 - E-- 676 i I F�£_ ' e'41 1 i IO U o R64W Sec. 3TIN, 'NW Corner I I N89°46'30"E— 5298.62 3?-2? a 6 1 I NE Cor. { ROAD _10 sec.13. U — —I I — �`—" — 2622.10 - _ FOUND - - 2676.52 4392 CAP I W i ) 3 0—Pin Set I Fine, + E } � Section Corner � ! Q I !1 % NII I v o1 o SCALE: N 3II _ C4 . I ti 111=1000' 0 N -I N Oi • � 0 y , _ 1 -I• x o Imo w in aI O" Q h o U 1 I .aM1 CO TRUE N POINT OF Nag°46'40"E O°° h ✓ DEGINNING..., 500.00 O N df V W CD S _ N69°46`45°E-2621.36 2662.90 3 N ` _ b � j LOTA _`° i 2121.36 ,, 0 0 W 2.296 Ac. I sag"4 45 - 4- soo.ao o. m —I N p , N °0 • W cw o Q I - 0 _p o O ti~ N 31 2 0 ce i i a 1) Q -1 rC4 z .t W I N F-3. 0 R �I N 0 m LOT B • a o `° 156.655CD Yi N O M Acres * 3 N O N N -CO r 0 O • CD 2 I O 1 M 11 (si I ! 30' For Roads tO SW Cot I I FOUND L.S.4392 CAP l SE Cor. Sac. 13, — ___ - I Sec.I3. ___ r -' -' S89°47`00°W- 2620.62 `-TROAD 8 `2649.31 - - - I I I tit 3538. S89° 47100"W__._ 5269.93 ' • , i__ TRUE OZ I 3 TDLIvESTOC "A '•� /P.O.B.\j4 to3 0 'r�`� 470.00 O J . O 3 \EXISTING ' ^ri O 0w WATER LINES sk.er.-��` < • O FT— (APPROX. LOCATIONS) 4 S r- a ••s' 3 pt3S09 i. d�ftE I<�irl s L-z.JN co �-c ' ��� 0 -0 5.to2 AC. 36.6 EXISTING LOT A k•t o o �, WELL 2.296 Ac,. 0 R ° ; of o S NCO N '1 470.00 X30 S89°46'45°W --500.00 I1 IRRIG. v cl . ' DITCH DETAIL i ,, SCALE :I'I:100` . - OWNER: -r:. ,'r N 9 {vss .sae• s RICHARD L.HEIN • 6386 W.C. ROAD 23 • \ \ FT. LUPTON• CO. 80621 \ • e • PREPARED BY: - --- / \ , ALPHA ENGINEERING -. ss+o 617 5TH STREET • Aso I , f' FT. LUPTON, CO. 80621 �\OT IV _..1A \ ',13 a9sa A 1 $`I Sloe ' LOT A 2.296 Location Map �' J LOT B' 156:655 Scale:I =2000) LOT B ► \ I TOTAL 158951 . _w DATE: 6 -15-84 4976 1052 - -` SHEET I OF 2 FILE: I3-1N4--0I PLJRPORTFn r r, Form No. OFFICE OF TH TATE ENGINEER GWS-25 COLORADO DIN OF WATER RESOURCES • 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 (303) 866-3581 698 OWNER'S COPY WELL PERMIT NUMBER 159227 APPLICANT DIV. 8 CNTY. 62 WD 1 DES. BASIN 5 MD 9 APPROVED WELL LOCATION COUNTY WELD SW 1/4 NW 1/4 Section 13 ALAN BURRY 3538 WCR 59 Twp1 N , Range64 W _S_ P.M. KEENESBURG, CO 80643 DISTANCES FROM SECTION LINES 2610 Ft. from North Section Line 75 Ft. from Watt_ Section Line PERMIT TO CONSTRUCT A WELL CONDITIONS OF APPROVAL 1) This well shall be used in such a way as to cause no material injury to existing water rights. The 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 right from seeking relief in a civil court action. 2) Approved pursuant to CRS 37-90-105. 3) Water from this well may be used for domestic purposes inside one (1) single family dwelling. ) The maximum pumping rate shall not exceed 15 GPM. 5) The annual appropriation shall not exceed 1.5 acre-feet. 6) The irrigated area shall not exceed 1 acre of lawn and garden. ) This well shall be constructed within 300 feet of the location specified on this permit. ) Water from this well may be used for the watering of livestock on range and pasture. Production is ii.nited to the Laramie-Fox Hills aquifer, which is located 770 feet below land surface and extends to a depth of 1050 feet. Plain casing must be installed and sealed to prevent the withdrawal of ground water from other aquifers and the movement of ground water between aquifers. Note: Noncompliance with the procedures outlined on the attached information sheet (form GWS-5) may void your well permit. APPROVED: (/t . /V` RC \_ State Engine Receipt No. 0321310 DATE ISSUED JAN 2 O D 1991 BY EXPIRATION DATE k' ' 1 =� WE COUNTY DEPARTMENT OF PUBLIC SE# i8HEWH AND ENVIRONMENT + ORG PERMIT# j� 1555 N. 17T"AVENUE REPAIR# GREELEY, COLORADO 80631 LOAN# PHONE: (970) 304 ISDS# FAX: (970) 304-6411 COLORADO STATEMENT OF EXISTING FOR SEPTIC SYSTEM (PLEASE FILL OUT IN BLACK INK ONLY) PARCEL# I'7�7r 1300 OO (2]-- PROPERTY OWNER A/A-N S- 8 LIRA.y PHONE NO. (3Q3) 73 a -y`/6 V MAILING ADDRESS 'S 38 Ufa Al St Keewes6a,ty (Do 2465/3 City State Zip DESCRIPTION OF BUILDING(ex. house, mobile/modular home,,shop,office) he vse SITE/LOCATION ADDRESS 3 s- 3✓t' L!/J e Rd ,s- icss kci,ty do to 6 V-P City State Zip LEGAL DESCRIPTION PT N L(1 PT SECTION I.? TOWNSHIP / RANGE lam SUBDIVISION LOT - BLOCK - FILING - CENCUS TRACT - LOT SIZE/ACRES /S"t COMMERCIAL YES/.4 0 RESIDENTIAL V.OAC^/NO NUMBER OF PERSON / BASEMENT PLUMBING YES/ BEDROOMS i- BATHROOMS FULL / 3/4 1/2 WATER SUPPLY PUBLIC YES/ d UTILITY N PRIVATE YES/® CISTERN YES sec WELL /NO WELL PERMIT# 7 SYSTEM SIZE: Septic tank material is constructed of Ce NCP.•Ye and has / J.0 O gallons capacity. FIELD: Trench square feet or Bed_?tea square feet YEAR INSTALLED S_ You are required to draw a diagram of the system on the reverse side of this form in black ink only and indicate location,length,width,and distance from the dwelling. The undersigned property owner hereby certifies that the above described septic system is in fact installed,as described,and exists at this time on the parcel of ground identified by the above legal de cription and further states that the systeis not in good working order and to the best of his/her knowledge i is n failing to function properly. I further understand that any falsification or misrepresentation may result in revocation of any permit granted based upon this information hereby submitted and in le cti n for perjury as vided law. DATE O Subscribed and sworn to before me this _c . day of axa, , 199,a3 I, by ' MY COMMISSION EXPIRES Witness my hand and official se'. / . y commission expires: i. PARCH 12. 2002 JOAN 1 I cfi% DERR =� DATE OTARY•PUBLI STATEMENT OF EXISTING RE �' i_!�•: ENVIRONMENTAL HEALTH SPECIALIST O3/41 Hello