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HomeMy WebLinkAbout20003333.tiff I MIDI IIIII Hill 11111111111111111111III IIIII II III I I AMENDED RECORDED EXEMPT/ON NO, 1053-07+NNtE-630 L 0052103 10942000 00:•0 JAPE T0bmelo M"U l of 18 10.00 0 0.00 Weld Count C0 (19Z I a 3 s 2440'z DATE: OCIC9Ji 6,2000 AI•CS CA-.,S&'-R. SAE Cot.Sec.1.r4A1,R45W, OWNERS: CHARLES WAYNE JERKE d JOYCE A. JERKE AND WILLIAM HAPPY!EWE 22651 WELD WAJTY FORD 39 33003 WELD CBJATY ROAD 39 943.1,east.) AAL'qq/L'a ariMo LJ3eSINEI LA SALLE. CO. 00645 LA SALLE, CO. 80645 LS-MALon 0-4--IL •I f N I i/ \ <ADI .43. LEGAL DESCRIPTION LOTS 4 d B OF RECU&5D EXEMPTION X0. 1055-OT-I-RE 630. RECORDED SEF4E14ER 12, 190} a UNDER RECEPTION NJ. 1940064,WELD COUNTY RECORDS AND LC ATED IN THE NORTHEAST la \\ QUARTER OF SECTION 7. TOWNSHIP 4 FORTH, RANGE 65 WEST OF THE 6th P.M., WELD COUNTY, 1.1E '/a + COLORADO.•• boo. HD'ease/Val Ba—AIk ,a '. ���� ,,,,o„..e...... I t _ . --- Wd� 71`— OWNERS. CERTIFICATE „ WE, THE UNDERSIGNED, BEIM THE SOLE OWNERS IN FEE OF THE ABOVE DESCRIBED PROPERTY W LO HEREBY SUBDIVIDE THE SAME AS SHOWN ON THE ATTACHED MAP. WE UNDERSTAND THIS N) O PROPERTY IS LOCATED IN THE"T•AGRICULTURAL ZONE DISTRICT AND IS ALSO INTENDED TO I \ I N NO_ _ - PROVIDE AREAS FOR THE COWT OF OTHER USES BY RIGHT. ACCESSORY USES,AND USES BY 21 am .m - — --ma SPECIAL F₹VI211, AND CO HEREBY DEDICATE, FOR DIE BENEFIT OF THE PROPERTY SHOWN OR DESCRIBED HEREON, EASEMENTS FOR THE PURPOSES SHOWN�OR DESCRIBED�H/ERREON.N..�P Left •.p.. / U54e59.00•E AID I J lK..c-nS.'WF].nY lilt 'gm,E 41 5 / 145.[0' - I w I _- CHARLES WAYNE JERK MILL N4 MARRY J RKE Gross.154,5 Ac.i ��I - — N / /050 '400°0 III J0 A. E / 43w• Bd err I•'•O�'�'±ion Map s rE of coLortAn�(/ I s14AW.•00'E SWIe:I";20 ' oxMTY DF vELD )zs • / 1400' THE FOREGOING CERTIFICATION WAS ACOYNLEWGE0 BEFORE ME THIS/914. A I I I J .. 1.143•08.9"e I W Cr HYYCONI551001 EXPIRES: - 3WO WITH 3AM.*0.V0 AND SEAL .. U46•2243* p$ fO 1.;: o. LJ�rL'�,^. i.`. �p-tAq`s l al • 4Y . F Lot WA II J �cat°v `e. I: Y Gross=3.5SU.AL.t .3 D > "' R.aw.-0.3414 Ac.t I �J EA L;.,W 000- , iossi2Naca Litt •s.W?t aG.� I mIpIWE,D Mae OOKNANe • lie! ... I Vale OmmsanoM Y OM:mdpete>a 1p * eopus A th snrsWin di TS . avkN Gouda miry teepee sod eaeEs,ERA hey are nal ' can WE . as s Pan COME Noi IWSw must ward=Mere me NNWtS .SOWN wWLM bpWUbp eOmabNa PWNn—a leer lard agate,M Into. (AObESS(''°° /gbNMDMI005'. ' lbnWY R 10 Nap MW0° .1 Mad wrdatl SLAVEYOR•S CERTIFICATE 5/6 i0' j M•t6i•b•WmmA1b MYMWsanynly,Wb•RWoIs WHE *,,YON I, ROBERT A. WORT, A REGISTERED LAW SURVEYOR IN THE STATE OF COLORADO CO HEREBY CERTIFY / EJ•OSOD'W'W SJ'1.45 Pew. IWoosv.•p sot aidnY.basamrAsIWaasw..—.. OILSod ins Al Wn.MM eat IipE OSPnel mat edVFdn ana mono ld.awe M WarIW% THAT THIS RECORDED E%EMN ION PLAT WAS PREPARED UNDER MY PERSONAL SUPERVISION, AND THAT I em!Wm,t rise•Mg end n046i.M m a passion and Waage FM Yds. THIS PLAT IS AN ACCURATE REPRESENTATION THEREOF. I FARTHER CERTIFY THAT THE SURVEY AND M4Y5MnetlaaY4a2Y•. 'lm•S1(N.S' •am✓WW0WbIUwdVW0M•aa/ THIS PLAT O]PLIES WITH ALL APPLICABLE RILES, REGULATIONS,AID LAWS OF THE STATE OF I / 0° EI%PWnwevme A YARN•to atm bMV aWIWe6 b feels b n NI 7 g I a NµybYNpMe1n. COLORADO, STATE BOARD OF REGISTRATION FOR LAND SURVEYORS, AND WELD COUNTY. LC; as d WI.M C.•ba paw en tlwr4.000 ware Wee In YON Pete MASON*al DdawdeN in I none=LAO la.aeWnd aW*105 300010 .ma Mpenw0d.of ROBERT A. SHORT. REGISTERED RAID 31PNEYCR, Sec.7. MwbM VRM•YaYlaaeELlYleas 1aW'apwal',bend 801 wa�00 COLORADO REG. NO. 7343 Asa. T4 Al,0051.0mIW6FYnmMaaoWedSW WUeg004tO wNMmminovoss.gbbv A, a NNiO•SIPllw,5 10 MNYlan.L aal►s.ad Ina EnmCa RER YmN /• 9 aauedhnbra.Nna WRaI Y.ddrrPaewmdbal.•.da Own DATE: /O-6-z000 • 2440'_ olaldW.dammrmeant.WNmwpd.I.Nnl0StaSk.rptlaleln:0paed /r' E'k Coe.,Sec.1.740J. I beewde au.•l toot ids•FS seememt YSwWS N1 brYaew"errWIW * P4sw,tie Al.CA .set I not nstikrplrpwbameyblMpArslo . eid•OWIWYwwlb•. (RCAF b LS 23501 on 3"3°1 Services 0 oases b mmrywa MNb•aMlenlb IEEU . l O. or Ia-13-035 Qef.by LS lLJ2 On 4-7-Oi� Wenn asem emcee' t p0.4. •estela ISO a p l••••Pam 05500warned ere a MU purse ponds rid MIDreA Odes et4•M pow ex's-amp ad area Owla•tmedloh amid En and WM pSaa4 Nnee.bmrbbmrdwe for :WSW Kam:red Mob 64HM.Ca- N'- YeaMb b bpNW,NM/Y •••VMS.W Mb bet pdM/OnaMM✓eC.Nmd.. Para We nepavebrMWdiwt. - - LEGEAID TY natal ^ CWIAPPROVAL J I) A2 propased wow Aware.will M Im or el M BS0000 WelM YM Iado THIS PLAT IS ACCEPTED AND APPROVED FOR FILING. Ay'4 )4 n II Y • MonoMC',ts FoundAS nqulRaonbb MEmedeOCNMehee property',located.PA lbM uBn I T , DEPT P N [mi ' Described deY,um tl•eda%tO Wed Cw,9 Zas•Oaten.M reaaed set wk til N ANT Ind the Name•MgwryM xO ARIAL BEFORE CERTIFICATE _ p MONJmeNs $ek:kW Ph5j$0{' BegF1TY1S: THE FOREGOING CERTIFICATION WAS ACKNOWLEDGED BEFORE ME THIS E4eer-w/`,,�LS'/t4e .1 He baring a4 INS lo �LP/�` T� Gmum&B.E M I.M and R in Tat 3d 00419%Undameveli SOM. DAY OF �(3WIRES: WITNESS MI NANO nib SDI. Assume 'IL Sec. Line 3100 be Co•Ouibd'MYtln a.My E0IHue a y'I�I IGI'Aeyey^I . of the UEY4.Ser-7 tdoleaadw tlap Wem.sd. .ny. a4dbl er09tSl1•aalaaanr Kr cwNssR EXPIRES: • rcc nail Or�':Ie to Deere S00.00•rxte anklnlb00150000mwaanaelbad MO Wwae•verec.tom wA D Assess Stint As MonvmevlMd WaM Aw toady l°nWp dYmbe slwaet a. R-Reside t al 2) My More SGctm a uses m w muM aB.H M•ppreasb wnEA0 and WES'ml SdLOES �c01e : 1'= IW' A-Aaiu,lam) IWddwamM. W9131INOTARY lOES ^� 22 D- 3) PMbMlebm•abed'e•anas.MwacanlM 5lIsboWerNw0a0•ed BLiC STATED COLd2ADo OROC D' SD' IES' ADD' j(b' deo*iee he lot pon site toe b dL1 Soil le request's ea the bulling DermYw eMion d e R Rea--M EAap4 n net/Tee lege;ee10000 on•W lee]Y W ROSS 0010 pas. AT TN(NEOVESJ OF OUR CE/ENT, RECORDED EASEMENTS AND N/CNTS-OF-WAY NAVE NOT SEEN RE- 41 Pr b M WNW a balding WNW lla:•rylunl NW, 's evidence to se-snot Sr vs Ov sxar0 OF Tres AA r. rat(As(MENTs AND Roars-OF-PAT?meN MAY SE STOWS HEREON ART Mr SE Ca/AETE,ARE DARED ON AMA MI.mrosuaJme,Alp ARE TOLE/580 ONLY OF MIS Cp)EET. the MamBSaPlen no SwMs MI the lot Isar Sequels easy sie00 tta0IN6 To COLORADO AF too*NET COMMENCE ANY EO N SAS(O IT a A1RYm' WpYWy'aAdW0 NA d•aWdAly A MIS',SUME m R TOO FIRST CYSCO✓EREO SO DEFECT. s) S 7 508*4•words cns4 .pp Sce'w,wmrAdn•nwa [TENT wr ARC C C SAxo IIaMNNARVADRAW..THIS slaver et COMMERCE°MORE THAN TEN YEARS PROM THE DACE DE M PrWand dn•bawd BeM wpeanlvtlomr shell a;wwMs la THE cewrMrcA>ro.W xmYN/PREP. wBoWog the wbn weeds,1MlWslb Weld Cowes Oaime56*& I Air/.F R C1-1/)Pr /A//e ,07, °F.. A:,, 12O1-Z-/Z-. /,:,,, N„A.. I DEPARTMENT OF PLANNING SERVICES RECORDEDEXEMPTION ADMINISTRATIVE REVIEW COLORADO Applicant: Joyce & Charles Jerke AmRE-630 Planner kogle Legal Description: Lot A of RE-630; being part of the NE4 of Section 7, Township 4 North, Range 65 West of the 6T" P.M., Weld County, CO Parcel ID#: 1055 07 000044 Lot C Size: n/a Lot B Size: 157 +/- acres Lot A Size: 3 +/- acres Water Source: Central Weld County Water District .. ,_,. Sewer System: Septic Criteria Checklist Yes No X 1. Conforms with the Weld County Comprehensive Plan 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 11.8 of the Weld County Subdivision Ordinance. X 6. Provides for adequate protection of the health, safety, and welfare of the inhabitants of the neighborhood and the County. Approved with Conditions The Weld County Department of Planning Services has determined through an administrative review that the standards of Section 11.4.2.1 through 11.4.2.6 of the Weld County Subdivision Ordinance 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. 2. Prior to recording the plat: ,A! The applicant shall submit to the Weld County Department of Planning Services k2V v.» MA k40 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 c'iy 1,,.y`;, Health and Environment was unable to locate a septic permit for the septic system located at 23003 Weld County Road 39. 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 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. B Lot A shall use the existing residential/agricultural/oil and gas/ditch road access points necessary for agricultural operations as no additional accesses shall be granted. C. 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. D. Weld County Road 39 is designated on the Weld County Transportation Plan Map as a Collector status road, which requires eighty (80) feet of right-of-way at full build out. There is presently sixty (60) feet of right-of-way. A total of forty (40) feet from the centerline of Weld County Road 39 shall be delineated right-of-way on the plat as right- of-way reservation for the future expansion of WCR 39.This road is maintained by Weld /� County. \(l� \� E. The applicant shall provide the Weld County Department of Planning Services with a \ certificate from the Weld County Treasurer showing no delinquent taxes exist for the original parcel. F. The following notes shall be placed on the plat: N 1) All proposed or existing structures will or do meet the minimum setback and offset requirements for the zone district in which the property is located. Pursuant to the definition of setback in the Weld County Zoning Ordinance, 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 Weld County Zoning Ordinance, Section 61.3. �j 2) Any future structures or uses on site must obtain the appropriate zoning and building permits. V 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. ."' ,\4) Prior to the release of building permits, the applicant shall submit evidence to the Department of Planning Services that the lot has an adequate water supply of sufficient quality, quantity and dependability. 5) 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 Weld County Ordinance 169A. 6) RIGHT TO FARM COVENANT: Weld County is one of the most productive agricultural counties in the United States. The rural areas of Weld County may be open and spacious, but they are intensively used for agriculture. Persons \v\ moving into a rural area must recognize there are drawbacks, including conflicts with longstanding agricultural practices and a lower level of services than in town. 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; dust from animal pens, field work, harvest, and gravel roads; odor from animal confinement, silage, and manure; smoke from ditch burning; flies and mosquitoes; 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. 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. Children are exposed to different hazards in the country 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. 3. The applicant shall submit a 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 11.7 of the Weld County Subdivision Ordinance. 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. • • 4. 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 August 18, 2000 Kim 0 l ❖ Planner r • vycul Flat Checklist Case Number Item Comments Check Proper size of plat 24" X 36" or 18" X 24" Boundaries of Lot(s) Scale Suitable Scale? (Approx. 1"=200' or I"=100') N.N. Access indicated Shared access? If so, is Easement Certificate include Roads labeled. including R.O.W. Building Envelope(s) All)/j, Vicinity Map Suitable Scale? (Approx. 1"=2000'); Not on SE North An-ow Legal Description Notes from Planner/ Development Standards Conditions Of Approval completed? Cii‘\)"( „ Owner's Certificate Notarial Certificate included? If deed indicates two owners, have both signed the plat'? Surveyor's Certificate. All surveyed plats Note: USR plats do not need to be surveyed Surveyor's stamp Director of Planning Certificate Notarial Certificate included? (RE, SE, SPR, Final PUD. if Staff Approved) Planning Commission Certificate (USR's, COZ,) Board Certificate (USR's, COZ.Final PUD but not if it was Staff approved) *RE, SE&ZPMH, if Board approved. Typical Road Cross Section If a COZ, Final PUD Easements If Final PUD Please return thei plat to CAD Tech. within 24 hours of receiving the plat. LPlanner On Call: (Initials Planner Signature: Date: [/] / �'�Jj'" 0 I • WELD COUNTY, COLORADO DEPARTMENT OF PLANNING SERVICES • 1555 North 17th Avenue Greeley, CO 80631 (970)353-6100-Fax (970) 304-6498 DATE , - 19 ! RECEIPT u" J 618 6 RECEIVED FROM i I NO. TYPE FEES 4221 -RE1SE 4221 -ZPMH(MHZPIZPAD 4221-USR 4221 •SITE PLAN REVIEW 4221 -COZ 4221 -PUD • • 4221 •SUBDIVISION 4221 -BOA 4221 -MINOR SUB 4221 •FHDP!GHOP 4221 -REPLI.- --- 6560-RECORDING FEE '4430:MAPS1,PUBL1CATIDNS 4730-INVESTIGATION FEE I ; 4430•POSTAGE/HANDLING y--- CASH E:1 CHECK NO: ` ' TOTAL 8Y •• WHITE-CUSTOMER CANARY;`FINANCE COPY I - WELD CUUN I Y,UULUKAUU DEPARTMENT OF PLANNING SERVICES -V- PLEASE TAKE THIS SLIP TO THE FRONT DESK• DATE 127 ( RECEIVED FROM J C /c1 C-- NO. TYPE FEES 4221 - EISE �j` ' 221 ZPMH/MHZP/ZPAO v 4221-USR 4221 •SITE PLAN REVIEW 4221 •COI 4221 -PUD 4221 •SUBDIVISION 4221 •BOA 4221 -MINOR SUB 4221 MOP/DROP 4221 REPEAT 6560•RECORDING FEE 4430•MAPS/PUBLICATIONS 4730-INVESTIGATION FEE 4430 POSTAGE/HANDLING ON-CALL PLANNER /it • U CASH HECK NO. 51-76'6 • TOTAL RECEIPT # DEPARTMENT OF PLANNING SERVICES a 1555 N. 17th Avenue Greeley, CO 80631 Phone (970) 353-6100, Ext. 3540 Fax (970) 304-6498 ik COLORADO July 19, 2000 Joyce A. and Charles W. Jerke 22631 Weld County Road 39 Lasalle, Colorado 80645 Subject: AmRE-630 A Recorded Exemption located on a parcel of land described as NE4 of Section 7, Township 4 North, Range 65 West of the 6th P.M., Weld County, Colorado. Dear Joyce and Charles Jerke: . Your amended recorded exemption application is being processed. If it is determined that the application meets the approval criteria of the Weld County Subdivision Ordinance, you will be notified that the recorded exemption is approved. If the staff determines that the application does not meet the approval criteria, 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 Evans, and Lasalle Planning Commission for their review and comments. It is recommended that you and/or a representative be in attendance at the Evans, and Lasalle Planning Commission meeting to answer any questions the Commission members may have with respect to your application. Please call the Town of Evans at 970-339-5344 and the Town of Lasalle at 970-284-6931,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 Og Planner nit ft Auk APPLICATION FLOW SHEET COLORADO APPLICANT: Joyce & Charles Jerke CASE#: AmRE 630 REQUEST: Amendment to Lot A to include an additional 2 acres LEGAL: The NE4 of Section 7, Township 4 North, Range 65 West LOCATION: North of WCR 46, West of and adjacent to WCR 39 PARCEL ID#: 105/07 000044 ACRES: 160 Date By Application Received 07-12-2000 ra Application Completed 07-19-2000 ko Referrals listed 07-19-2000 ko File assembled r1` 19 - , y s Letter to applicant mailed 1-DO-U v 1S Vicinity map prepared � Referrals mailed �, 0— wd) 15S Chaindexed r a / —O-a <S Field check by DPS staff Administrative Review decision: '-1o"" %' IZ ter Date By County Commisioners Hearing Date (if applicable) Surrounding property owners notified Air photo and maps prepared 70)M CC action: CC resolution received Recorded on maps and filed %U7,2 V1h Overlay Districts Road Impact Fee Area Zoning Airport Yes No_x_ Yes No Geologic Yes No x_ SW Weld #1 #2 #3 Flood Hazard Yes No x_ Windsor Panel#: 080266 0775 C EPARTMENT OF PLANNING SERVICE • a N. 17th Avenue, Greeley, Colorado 8011.1 Phone (970) 353-6100, Ext. 3540 - Fax# (970) 304-6498 APPLICATION FOR RECORDED EXEMPTION Application Fee Receipt Number Case Number Recording Fee Receipt Number Zoning District Application Checked By Planner Assigned to Case 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::F NE Pr/ 7-y(s', Zot 4 fj, Total Acreage: / Zoning /4 Parcel Number: ss O 5" SO 2L a o�YZ(12 digit number-found on Tax I.D. Information or obtained at the essor's Office). Has this property been divided from or had divide from it any other property since August 30, 1972? Yes ,X No Is this parcel of land under consideration the total contiguous land owned by the applicant? Yes )( No,K Does the parcel of land under consideration lie in any of the following Overlay Districts? Flood Hazard: Yes No X ; Airport: Yes NoY; Geological Hazard: Yes Npk' FEE OWNRS OF y PROPERTY gre A, Ja �e Name: ( -- iv• J es.,Fe Home Phone# c rtY 7,2,1Work Phone# — Address: )--2 6-3/ IOr% �� V3T /City/S/tate/Zip Code /c J-*�6 C- e":56,15.- Applicant or Authorized Agent: CS `k/ e-k'Te Phone# of 94/ 606/ Address: aloo3 Iti,E't' 29 City/State/Zip Code LaJr/7e C, 7.406-51-- 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 Co / &f(.( `a-,- / (1,4? Type of Sewer SB�_! S�1/2.-/ Proposed Use /// e Se Acreage /Cos / fa Existing Dwellings Yes or No )/`'-c Yt's Existing Dwellings Address (if applicable): Larger Parcel J-300] 4 /? 3 y Smaller Parcel �.2 6 3/ 4' L/? 2r /4 J.t, 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. 7- ese Rev: 1-27-97 Signature: Owner or Authorized Agent 5 I RECORDED EXEMPTION QUESTIONNAIRE ANSWERS FOR CHUCK JERKE 1 . A. CENTRAL WELD COUNTY WATER DISTRICT IS DOMESTIC WATER SOURCE . B. THERE WILL BE NO IRRIGATION WATER TO THE NEW HOME SITE. ALL IRRIGATION WATER WILL BE RETAINED FOR IRRIGATING CROPS ON MAIN FARM. 2 . THE HOME HAS A SEPTIC TANK AND LEACH FIELD AS PERMITTED WHEN HOME WAS BUILT. 3 . THE PROPERTY IS NOW A SINGLE FAMILY HOUSE IN AG ZONING. APPLICANT WISHES TO AMEND ORIGINAL RECORDED EXEMPTION BY ADDING APPROXIMATELY 2 ACRES . 4 . THE ADDITIONAL LAND WILL BE USED FOR AGRICULTURE BUT GIVE APPLICANT MORE BREATHING ROOM. 5 . THIS LAND IS CURRENTLY IN ALFALFA AND IS SOUTH OF CURRENT HOME AND EAST OF WESTERN DITCH MAKING THE ROWS PAINFULLY SHORT AND UNPRODUCTIVE . 6 . I DON'T KNOW OF ANYTHING THAT MAKES THIS SITE UNIQUE . 7 . THE HOME MEETS ALL SETBACK AND OFFSET REQUIREMENTS. 8 . THE APPLICANT IS NOT WILLING TO DO A CONSERVATION EASEMENT, OR DEDICATE ANY LAND TO OPEN SPACE. 9 . THERE WILL BE NO PRIMARY OR ALTERNATIVE BUILDING ENVELOPES ON EITHER SITE . 10 . THE WELD COUNTY COMPREHENSIVE PLAN ALLOWS FOR RECORDED EXEMPTIONS . I DON'T BELIEVE THE TOWN OF LASALLE WILL HAVE ANY CONCERNS WITH APPLICANT ADDING 2 ACRES TO SITE . 11 . THE MAIN FARM WILL BE USED FOR CROP PRODUCTION AS IS COMMON IN OUR DISTRICT. THERE ARE MANY SMALL ACREAGES AND TRACTS WITHIN 2 MILES OF OUR PROPOSED HOME SITE THAT ARE SIMILAR IN SIZE AND USE TO OUR PROPOSAL. 12 . I DON'T BELIEVE THAT THE WELD COUNTY ZONING ORDINANCE OR THE COMPREHENSIVE PLAN WOULD FIND ANYTHING INCONSISTENT ABOUT OUR PROPOSAL. 13 . I BELIEVE THAT THIS PROPOSAL IS CONSISTENT WITH EFFICIENT AND ORDERLY DEVELOPMENT. WELll CUUN'1'Y '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: �A / /St WELD COUNTY 22.038 383.47 Land 14,n/ J,4ZU SCHOOL DIST RE1 41.289 718.42 Exempt 0 0 NCW WATER 1.000 17.40 Improve 164,078 15,980 CWC WATER 0.000 0.00 LASALLE FIRE 5.111 88.93 Total 178,645 17,400 AIMS JUNIOR COI_ 6.343 110.37 WELD LIBRARY 3.249 56.53 WEST GREELEY SOIL 0.414 7.20 79.444 1,382.32 - TAXES FOR 1999 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 L TAX LIEN SALE REDEMPTION AMOUNTS MUST BE PAID BY CASII OR CASHIERS CHECK. P.O. Box 458 Greeley, CO 80632 (970) 353-3845 ext. 3290 /j ZzY - 7773 . REFERRAL LIST • NAME:Joyce&Charles Jerke CASE NUMBER:AmRE-630 REFERRALS SENT: July 19, 2000 REFERRALS TO BE RECEIVED BY: August 10, 2000 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 _X_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 _Keenesburg Oil and Gas Conservation Commission _Kersey Division of Wildlife: _X LaSalle _Loveland Lochbuie _X_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 _X_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 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 X_School District RE-1 _X_Greeley X_Ditch Company Western Mutual Longmont _West Adams O "lig Weld County Referral • COLORADO July 19, 2000 The Weld County Department of Planning Services has received the following item for review: Applicant Joyce & Charles Jerke Case Number AmRE-630 Please Reply By August 10, 2000 Planner Kim Ogle Project Amendment to Lot A to include an additional 2 aces Legal NE4 of Section 7, Township 4 North, Range 65 West of the 6th P.M., Weld County, Colorado. Location North of WCR 46, West of and adjacent to WCR 39. For a more precise location, see legal. Parcel Number 1053 07 000044 .rrv++rvw.wnnwwvvnmmm+nwweronwwarvrwv .. . mwn+mwmm . .. mrvwv..wmnnrvwwvrcmrcmmvnm+mmrwwwmmwmvmmmmm.�mnar«wvnvn�en4 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. LI See attached letter. Comments: r� tAccfl Vti-etitrvi r V.:Q Yi O) c';tc3- 0r€o QYYl CNIA:LacCri co QM ye. V l 010±i crOf WICAL Cr)trd wrri QA 4-intalOrNe., Dr parc -t . Signature El NON Agency � t-r C y ` , �Ce Date +Weld County Planning Dept. +1555 N. 17th Ave. Greeley,CO.80631 +(970)353-6100 ext.3540 +(970)304-6498 fax - r--f- I>_, all • !'Veld County Planning Dept MEMORANDUM r,; �.r: C;9 200{6 q°� Kim O le Planner II L' E s5 00 TO: g O 11 I FROM: Donald Carroll, Engineering Administrator i • SUBJECT: AmRE-630, Joyce and Charles Jerke COLORADO The Weld County Public Works Department has reviewed this proposal; the following requirements are recommended to be a part of any approval: COMMENTS: WCR 39 is designated on the Transportation Plan Map as a collector status road, which requires an 80- foot right-of-way at full build out. There is presently a 60-foot right-of-way. This road is maintained by Weld County. Pursuant to the definition of SETBACK in the Weld County Zoning Ordinance (Ordinance 89, as amended), the required setback is measured from the future right-of-way line. WCR 46 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 Zoning Ordinance (Ordinance 89, as amended), the required setback is measured from the future right-of-way line. REQUIREMENTS: The Weld County Public Works recommends approval of this application. The applicant shall utilize the existing residential access to this parcel, and no additional accesses shall be granted. Pursuant to Ordinance 169A, 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. pc: AmRE-630 plan3re Pfli\ II"- • • RECEIVED JUL 24 2000 PUBLIC WOLD RKS DEPT O 1111 D Weld County Referral • COLORADO July 19, 2000 The Weld County Department of Planning Services has received the following item for review: Applicant Joyce & Charles Jerke Case Number AmRE-630 Please Reply By August 10, 2000 Planner Kim Ogle Project Amendment to Lot A to include an additional 2 ace Legal NE4 of Section 7, Township 4 North, Range 65 West of the 6th P.M., Weld County, Colorado. Location North of WCR 46, West of and adjacent to WCR 39. For a more precise location, see legal. • Parcel Number 1053 07 000044 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. See attached letter. Comments: ' `, Signature ry�, awaff 6-- I - °U Agency et i Date •:•Weld County Planning Dept. +1555 N. 17th Ave.Greeley,CO.80631 •:(970)353-6100 ext.3540 4(970)304-6498 fax be signed by its proper offices day of 20 ,at Company By: Authorized Signature Road File# RE: Other Case No. APPENDIX B WELD COUNTY ROAD ACCESS INFORMATION SHEET Weld County Public Works Department Date: 2—/A2/2/0 `a 1111 H Street, P.O. Box 758, Greeley, CO 80632 Phone: (970)356-4000, Ext. 3750 Fax: (970) 304-6497 1. Applicant Name e4 —7es 4 Ni.2 /fie Phone 2Fy— 7272 Address 4, t" ? 3i City /.- e//c State�.. Zip jbcrp 2. Address or location of access 2 6 3/ 4/ Pie 3q/ Jct J./4 Section Township Y Range `S Subdivision -- Block Lot Weld County Road # 3 1 Side of Road w es 7' Distance from nearest intersection 3. Is there an existing access to the property? Yes X No #of accesses 4. Proposed Use: Permanent Residential/Agricultural O Industrial ❑ Temporary ❑ Subdivision ❑ Commercial ❑ Other ******************************************************rrs**r r r r r****************************************** 5. Site Sketch SY Legend for Access Description: AG = Agricultural , __t�w_; RES = Residential ac O&G = Oil&Gas D.R. = Ditch Road o- w Vg 7 a r • _ MEMORANDUM TO: Kim Ogle DATE: July 31, 2000 O FROM: Sheble McConnellogue, Environmental Health • COLORADO SUBJECT: Jerke, Joyce & Charles CASE: AmRE-630 Environmental Health Services has reviewed this proposal; the following conditions are recommended to be part of any approval: 1. The Environmental Health Division of the Weld County Department of Public Health & Environment was unable to locate a septic permit for the septic system located at 23003 WCR 39 on the larger parcel of this application. Any existing septic system(s) which is not currently permitted through the Weld County Department of Public Health & Environment will require an I.S.D.S. Evaluation prior to the issuance of the required septic permit(s). In the event the system(s) is found to be inadequate, the system(s) must be brought into compliance with current I.S.D.S. regulations. sm/AmRE630 Weld County Planning Dept IUI_ 31 2000 RECEIVED 08/07/2000 15: 44 9703510392 USDA SERVICE CENTER PAGE 01 • • 5 zio LA-_SQ-a-c Weld County Referral COLORADO July 19, 2000 The Weld County Department of Planning Services has received the following item for review: Applicant Joyce & Charles Jerke Case Number AmRE-630 Please Reply By August 10, 2000 Planner Kim Ogle Project Amendment to Lot A to include an additional 2 aces Legal NE4 of Section 7, Township 4 North, Range 85 West of the 6th P.M., Weld County, Colorado. Location North of WCR 46, West of and adjacent to WCR 39. For a more precise location, see legal. Parcel Number 1053 07 000044 auspwra- 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. d 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. CI See attached letter. Comments: - • Signature 7/107) Agency LC 6S 60 D to *Weld County Planning Dept. +1555 N. 17th Ave. Greeley,CO.80631 +(970)353-6100 ext.3540 +(970)304.6498 fax Pie/08/2000 15: 19 970-284-E042 LA SALLE FIRE PAGE 01 • • rs ti;ess Weld County Referral COLORADO July 19, 2000 The Weld County Department of Planning Services has received the following item for review: Applicant Joyce &Charles Jerke Case Number AmRE-630 Please Reply By August 10, 2000 Planner Kim Ogle Project Amendment to Lot A to include an additional 2 aces Legal NE4 of Section 7, Township 4 North, Range 65 West of the 6th P.M., Weld County, Colorado. Location North of WCR 46, West of and adjacent to WCR 39. For a more precise location, see legal_ Parcel Number 1053 07 000044 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 xWe have reviewed the request and find no conflicts with our interests. ❑ See attached letter. Comments: Signature p f r OO Agency Sw �e �c`re r r« �o. s ate +Weld County Planning Dept. +1555 N. 17th Ave.Greeley,ca 80631 +(970)353-6100 ext.3540 O(970)304-8498 fax JUL-25-00 TUE 10:00 CITY EVANS FAX NO. 303 5344 P. 01 reita Willi • Weld County Referral COLORADO July 19, 2000 The Weld County Department of Planning Services has received the following item for review: Applicant Joyce & Charles Jerke Case Number AmRE-630 Please Reply By August 10, 2000 Planner Kim Ogle Project Amendment to Lot A to include an additional 2 aces Legal NE4 of Section 7, Township 4 North, Range 65 West of the 6th P.M., Weld County, Colorado. Location North of WCR 46,West of and adjacent to WCR 39. For a more precise location, . see legal. Parcel Number 1053 07 000044 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. ❑ See attached letter. Comments: SignatureOA' r tart/ 7! ( V v Agency -/t i Date 4Weld County Planning Dept. 41555 N. 17th Ave.Oreoley,CO.80631 +(970)353-6100 ext.3540 4(970)304.6498 fa 4 Weld Caity Planning Dep'. Ill 6 & givil‘kn , ,r. 1, l 2000 , . p . % Fn riFi 9 q 108!1 R. Et , 1V$ Weld County Referral VIM il O COLORADO July 19, 2000 The Weld County Department of Planning Services has received the following item for review: Applicant Joyce & Charles Jerke Case Number AmRE-630 Please Reply By August 10, 2000 Planner Kim Ogle Project Amendment to Lot A to include an additional 2 aces Legal NE4 of Section 7, Township 4 North, Range 65 West of the 6th P.M., Weld County, Colorado. a Location North of WCR 46, West of and adjacent to WCR 39. For a more precise location, see legal. Parcel Number 1053 07 000044 _ ... „� .� a .v .. , .�.� .� 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. ❑ See attached letter. Comments: Signature _ 41)0,0f2a--_c__±. 2/ {1 Ica Agency ��Al._IN v Date 4Weld County Planning Dept. 4x1555 N. 17 A e. Greeley,CO.80631 :•(970)353-6100 ext.3540 4x(970)304-6498 fax aiDEPARTMENT OF PLANNING SERVICAlk , 55 N. 17th Avenue, Greeley, Colorado MIMI Phone (970) 353-6100, Ext. 3540 - Fax# (970) 304-6498 APPLICATION FOR RECORDED EXEMPTION Application Fee Receipt Number Case Number Recording Fee Receipt Number Zoning District Application Checked By Planner Assigned to Case 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. �j Legal Description::,NE%5'y 7-9 65, Cal` Al 6-15340 TotalAcreage: / Zoning �y Parcel Number: D S S D 2 L a o o_y y (12 digit number-found on Tax I.D. Information or obtained at the ssessor's Office). Has this property been divided from or had divicIe,0 from it any other property since August 30, 1972? Yes No Is this parcel of land under consideraf a total contigu uo suo siand owned by the applicant? Yes )( NoX y Does the parcel of land under consi&Lation liein.anyoffie ffollowing Overlay Districts? Flood Hazard: Yes_ No )( ; Airport: Yes Nox; Geological Hazard: Yes Nqt' FEE OWN�Rs OF PROPERTY ay oe A• Jai-Ae l r� Name: C eg�/as &• J e�,Ee Home Phone # oV V-7J +Nork Phone # — Address: D-2 63/ toll) nnl' VST /City/S/tate/Zip Code /a Jse/4 C d'oO'J— Applicant or Authorized Agent: LS ` eF,C- e Phone# c)-d9 V-- dead/ Address: L-2oa3 42—t'IE' 3 y City/State/Zip Code Zrif T// c. Poch 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 �o l4 / K,e1,( Ca-r -/ (1./ Type of Sewer S��`i S-771/2/ Use Proposed / p //'7�'h e Acreage /_C•9 / fo 3 Existing Dwellings /l Yes or No ) "1 )/v� Existing Dwellings Address (if applicable): p Larger Parcel L-3 ' 4 '/?°I ' -39 Smaller Parcel ).2 6' 3/ /O• P� 2r /v ft 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. Rev: 1-27-97 Signature: Owner or Authorized Agent 5 RECORDED EXEMPTION QUESTIONNAIRE ANSWERS FOR CHUCK JERKE 1 . A. CENTRAL WELD COUNTY WATER DISTRICT IS DOMESTIC WATER SOURCE. B. THERE WILL BE NO IRRIGATION WATER TO THE NEW HOME SITE. ALL IRRIGATION WATER WILL BE RETAINED FOR IRRIGATING CROPS ON MAIN FARM. 2 . THE HOME HAS A SEPTIC TANK AND LEACH FIELD AS PERMITTED WHEN HOME WAS BUILT. 3 . THE PROPERTY IS NOW A SINGLE FAMILY HOUSE IN AG ZONING. APPLICANT WISHES TO AMEND ORIGINAL RECORDED EXEMPTION BY ADDING APPROXIMATELY 2 ACRES. 4 . THE ADDITIONAL LAND WILL BE USED FOR AGRICULTURE BUT GIVE APPLICANT MORE BREATHING ROOM. 5 . THIS LAND IS CURRENTLY IN ALFALFA AND IS SOUTH OF CURRENT HOME AND EAST OF WESTERN DITCH MAKING THE ROWS PAINFULLY SHORT AND UNPRODUCTIVE . 6 . I DON'T KNOW OF ANYTHING THAT MAKES THIS SITE UNIQUE. 7 . THE HOME MEETS ALL SETBACK AND OFFSET REQUIREMENTS. 8 . THE APPLICANT IS NOT WILLING TO DO A CONSERVATION EASEMENT, OR DEDICATE ANY LAND TO OPEN SPACE. 9. THERE WILL BE NO PRIMARY OR ALTERNATIVE BUILDING ENVELOPES ON EITHER SITE . 10 . THE WELD COUNTY COMPREHENSIVE PLAN ALLOWS FOR RECORDED EXEMPTIONS. I DON'T BELIEVE THE TOWN OF LASALLE WILL HAVE ANY CONCERNS WITH APPLICANT ADDING 2 ACRES TO SITE. 11 . THE MAIN FARM WILL BE USED FOR CROP PRODUCTION AS IS COMMON IN OUR DISTRICT. THERE ARE MANY SMALL ACREAGES AND TRACTS WITHIN 2 MILES OF OUR PROPOSED HOME SITE THAT ARE SIMILAR IN SIZE AND USE TO OUR PROPOSAL. 12 . I DON'T BELIEVE THAT THE WELD COUNTY ZONING ORDINANCE OR THE COMPREHENSIVE PLAN WOULD FIND ANYTHING INCONSISTENT ABOUT OUR PROPOSAL. 13 . I BELIEVE THAT THIS PROPOSAL IS CONSISTENT WITH EFFICIENT AND ORDERLY DEVELOPMENT. Rug 14 00 09: 49a Division of Wildlife 1 -970-339-5208 p. 1 • • Weld County Referral COLORADO July 19, 2000 The Weld County Department of Planning Services has received the following item for review: Applicant Joyce& Charles Jerke Case Number ArnRE-630 • Please Reply By August 10, 2000 Planner Kim Ogle • • Project Amendment to Lot A to include an additional 2 aces • Legal NE4 of Section 7, Township 4 North, Range 65 West of the 6th P.M., Weld County, Colorado. Location North of WCR 46, West of and adjacent to WCR 39. For a more precise location, : see legal. • Parcel Number 1053 07 000044 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 69:1 / r OQ767_�Q )41 Agency GO 4?VVV��� Date Dept. +Weld County Planning +1555 N.17th Ave. Greeley,CO.80631 +O70)353-6100 ext3540 4(970)304-6498 fax 14ECCiFIDED E E %TEO NO. 1055-7-I-RE-630 SHEET 2 OF 2 ir� � r.E, rvr � _ s +S �• Sr -"�$ _ Lent __8 i r % 4' ff/ Lot * - „lOr‘11 Pc :, sc .. / � l 0' Sc)' /00 /50' 200' v ' ' a I P �' id Scaled "e boo' . • : Pins round 0 - Pins sel •: Marlssef LOCATION MAP N.Ea'r. See. 7, SCALE �"-2000' 74N, R65 Lili 2040'f 30' 30' \--A/ /4 Car. $'ee. 7, T 4A1., R.65 W. it d' M Lei B o /59 0e. W 0 0 SS9° 57'OO14/ a % /45. 8' om +r c3 0 o I o� S5/° /4'OO "W !'sr � �` p Q 98. /' i Q%�` 947°4600"k/ 5er I d a7. 7' E° Loll A I Z c r ��Q too c.c. 943° 08' ao" W ' 6/. 92' i /' 286. 42' 30' Or (`/ JAI 90° OO'O0" E 3/6. 62'xec 7 . ; '-. . • . - -• . ( . : - - . .1 \teCfi. Sew. 7, r -� �` Ef4a. 5'ec. 7, �74A4 x.651✓. / T•4N, ?765W l 2�40f PROJECT he McRAE & SHORT, INC. 1227 - 8th Avenue Gr•eisy, Colorado 80831 63/50 r • • } • O J / /� / 4/1)/ ,4 to E n7 d �� A I 8 (Y 4. — V to 3 co LF a, p/ c. J b i // pt V be signed by its proper offices day of •,20 ,at Company By: Authorized Signature • Road File# RE: Other Case No. APPENDIX B WELD COUNTY ROAD ACCESS INFORMATION SHEET Weld County Public Works Department Date: 2—/A-.7,J `c' 1 111 H Street,P.O. Box 758, Greeley,CO 80632 Phone: (970 )356-4000, Ext. 3750 Fax: (970)304-6497 t. Applicant Name ez`a-/ts �• Je /e Phone 2773 Address 162 / 4, PR 35 City . . (. /% State . Zip nrinc!S' 2. Address or location of access 2 2 6 3/ 4' PR Za J.1/e Section 2 Township V Range 6'3-- Subdivision Block r Lot \Veld County Road # 3 T Side of Road W es 74 Distance from nearest intersection `i %/ye 3. Is there an existing access to the property? Yes X No #of accesses 4. Proposed Use: W Permanent Ar Residential/Agricultural ❑ Industrial ❑ Temporary ❑ Subdivision ❑ Commercial ❑ Other ********************************************************************************************************** 5. Site Sketch Legend for Access Description: 4 AG = Agricultural .(fib RES = Residential S O&G = Oil & Gas t� D.R. = Ditch Road ?� /34. Y6 •#iii+###4M•##t#4MMiih#******##t#+###+Yi##+t•M*******#kiYtt***********ttf###***********#YY###iiit#i#Mrt#•h** 7 • CERTIFICATE OF CONVEYANCES WELD COUNTY DEPARTMENT OF PLANNING SERVICES STATE OF COLORADO) COUNTY OF WELD ) Order No. WT54832 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: LOT A OF RECORDED EXEMPTION NO. 630, BEING A PORTION OF THE NE1/4 OF SECTION 7, TOWNSHIP 4 NORTH, RANGE 65 WEST OF THE 6TH P.M. , WELD COUNTY, COLORADO. CONVEYANCES (If none appear, so state) : Book 645 Reception No. 1566911 Book 765 4- Reception No. 1686896 Book 1047 Reception No . 1986670 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 5TH day of JUNE, 2000 at 7 : 00 A.M. WELD COUNTY TITLE COMPANY By:` _` )\�A'+`�1 Autho ' zed Signatory • • CERTIFICATE OF CONVEYANCES WELD COUNTY DEPARTMENT OF PLANNING SERVICES STATE OF COLORADO) COUNTY OF WELD ) Order No . WT54236 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: LOT B, RECORDED EXEMPTION NO. 1055-7-1-RE630 BEING A PART' OF THE NE1/4 OF SECTION 7 , IN TOWNSHIP 4 NORTH, RANGE 65 WEST OF 2HE 6TH P.M. , WELD COUNTY, COLORADO, AS PER MAP RECORDED SEPTEMBER 12 , 1983 IN BOOK 1007 AS RECEPTION NO. 1940084 . CONVEYANCES (If none appear, so state) : Book -6-4-5^ Reception No. 1566911 Book 7-66- Reception No. 1-6-8-6-&4& 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 . 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 16TH day of _ MAY , 2000 at 7 : 00 A.M. WELD COUNTY C � TITLE :OMPANY By: Authorized Signatory tIN . war , ‘, I-11 LPt t tERS TEHAYEYtAnY. AOftt5UtRATlotr. CO]lrfV4t6rt7IIIP. MtAY$IUP. Etc. EA .1;911 IL-7 C45 P ...... BOOK i- �7 ^06..i .. STATE OF COLORADO, 155. In the District Court COUNTY OF WELD J 'CD Jill. 3 i Fll 3 . II44e. P- J./',('-r In the Matter of the Estate of • 1 ;; Letters -- HARRY WILLIAM JERKE, C_GGi: Tr:STAMENTARY • aka Harry W. Jerke, Deceased. The People of the State of Colorado, tc all whom these Presents shall come—GREETINGS: KNOW YE, That whereas, at the January Term, A.D. 191.3... of the District Court of said County, holden at the City of Greeley, in said County, ..F:i.Tst._national...Dank..of,..GrosJ..Y.,._Colorado of said County, war.; on the . 31st day of July , A. D. 1969 ,by an order of said Court made and entered of record; duly appointed' EXECUTOR -----.------ --- of the estate of Harry Willian Jerke, deceased, who' ...t.char..tc.....this...life...on....the ',4th..tlay...ot_.July....19G9; NOW, THEREFORE, We do hereby cons;itutc and appoint the said .F1rs.4..hationl 1.._Flank --- '- - of Greeley, Colorado .._.__.. • to be Executor of the estate of the said 1larry...Willian.-Jerk°.,.. aka ;Larry W._Jeri:e,.. Deceased • °•\;1TfYl' +�ROfERT W. Rrtoo:.s, Clerk of the said Di(trict Court of Weld County, at his office in ^ • Greek m slid_Countt�his ....,2L.,:L.C. day of July , A. 1). O. CO.,and the .eal of said Curt hhrcuntniiffi4ed. --- .I _/ 1,�. y:cc\NCO - G`�p� �) , STATE OF COLORADO, Jt T J55. _- COUNTY OF WELD I,ROBERT W. RHODES,Clerk of the District Court of said County, do hereby certify that the above Is a • full and true copy of the original letters now in my office properly remaining and that said letters arc at this date and have been ever since the date of issuance in full force and effect. WITNESS my hand and the seal of said Court, this . day of July, A.D. 19.69... -- , Clerk ,d _....... ' ...,_. By , Deputy 'Departed Lh's life or the _ day at __ _. _.- _.. _. _.___ _ _....._. A 0 19 or -` f wan adjudge] m be D+ata'.•II: on the __ __.._. _._ day of -- __- —.__..._ _ -. .__... A D. - ' IS_..._._,or la a rloor.or Is A tne.1 tally carpe•eot p-,:Don. .as the Cave may be. -• Mal J • • 5. o 765 WOK • 2siin -_ /�r „ .. !�t RKmded a _&t.. o'clock . 422_. 976 L',v.. gm No. 1686896 5. In Slw.... Jr.. R.carMr • .``P. I SPECIAL WARRANTY DEED - ^, KNOW ALL MEN BY THESE PRESENTS, That k, THE FIRST NATIONAL BANK OF GREELEY, of Greeley, Colorado, a national banking corporation, as co TRUSTEE o - •.o to terminate a Trust, without cash consideration, hereby - ___. "4 sells and conveys to • CHARLES WAYNE JERKE -"roe .o of the County of Larimer, and the State of Colorado, and .. ..,_. o WILLIAM HARRY JERKE 0 of the County of Weld, and the State of Colorado, to-wit: e r- '- 5o The Northeast Quarter (NE}) of Section Seven (7), -. ^J in Township Four (4) North, Range Sixty-five (65) oe. West of the 6th P.M. , together with 16 shares of the Western Mutual Ditch Company and three electric pumping plants, together with all equipment and appliances therewith. Subject nevertheless to reservations in United States Patent, Union Pacific 5r,, Railroad Company Deed and any and all rights of way or easements now existing over and across said premises, and subject further to any liens arising by virtue of said premises being included within boundaries of Northern Colorado Water Conservancy District and West Greeley Soil Conservation District. } with all appurtenances, but warrants to guarantee title that was held by the Testator. IN WITNESS WHEREOF, the Grantor has caused its corporate name to be hereunto subscribed by its Vice President, and its corporate seal to be he, unto affixed, and attested �by its Cashier, this , er L. day of/1 f';G , 1976. The First National Bank of Greeley — /7 , B yd� ' Vice Pres' nt_ a d Trust Officer \. .1 I1��,.• y , ' ATTEST: . L Cashier — STATE OF COLORADO) COUNTY OF WELD' ) ss. •The foregoin instrument was ack �yvl edged before me this 7 PC- day of,4A'' 1.4- , 1976, b .4/AFV 6' >0ra4 ..,. . , • r as Vice President and Trust Officer and all • i`fF•^i^s CO as Cashier of The First National Bank of Greeley, of Greeley, -cc:r_,O�`,tY Colorado.rf �/ .'�,^ I. WITNESS MY Hand and Official Seal P\-, - /CG( : c / i '.--:"-& '°• _ ___ - ;._: Notary Public •It. ft— My Con—.:s.1.1 E 9'res Apr.l 25, "7g MI Bill cros! AR11A6670 B 1047 RE" 1966670 10/29/84 14,43 13. 1/001 F 1654 ANN FEOEPSTU�Y CLERK 6 RECORDER CO: CO r- THIS DEED, Made thin 29th day of OCTOBER ,19 94, FILING MTAM I' !! between WILLIAM HARRY JERKE and CHARLES WAYNE JERKE of the said County of Weld unit Stair of II I Colorado,of the first part,and CHARLES WAYNE JERKS and JOYCE A. JERKS li , I whose legal address is I of the said ('minty of Weld and State of i Colorado.of the second part: WI TN ESSETII.that the said party of the first part.Hm a nil in rnns,dernl ion of the aim of • II TEN & OTHER VALUABLE CONSIDERATION idll.1.ARx and other good and valuable considerations to the said party of the first part m hand paid by the said parties of the ' n shy eonfussed and Acknowledged,hum grante•I,hargni tied.!Old and conveyed,and I: whereof , . J: ICI thepart,lli receipty , by(lees pr..rrn.dries Rnnl,bargain.sell.m,nr,•y and a.nfirm unto the said pansy.of second part,their heirs and ii'I assigns forever.not in tenancy in common but i„to,ntr•nnnry,all he following d..tr,aol lot or parcel of hind.situtle,lymR and being in the said ('r,unry'n( Weld and State of Colora,lo,to wit: '• ' Lot A of recorded exemption $630, being a portion of the NE% of Section 7, Township 4 North, Range 65 West • ,. Sof the 6th P.M., Weld • County, Colorado (containing 1.00 acres more or less) _ • I. also known 1A at reef end number TOGETHER with all and singular the hereditament%and lotto r ten a non.thereon,.belonging.or in anywise sapper-it�'I taming and the revrr,iun and rever•non•, •coiamiler anal remainders, rent.. 'states and profits thereof; and all the l; rat ate.right,title.interest,claim anti denin nil windows er of the nand partyof the frst part,rot her in law or equity.of.in '! and tnihe above bargained 1,rem......wit!,the hered,t a menti,a nil appurtenances. To NAVE ANN 711111,1,111 he nod premises above bargained and de.rnlwd,with the uppnrtenanres.Love.the•ant • Hparties of the second part.t heir heir.and ann,gn. former.And the and party of the first part,for himself.hi.heirs, _ - - Itheir heirs and assigns.that at the time of thetnu'nling and'trine') of these presents.lien well'riled.(the ptenu..•. Iabove conveyed,as of good.sue.,per fen.al•.dute and md,•L•ns,ile,.state„f',Montane...in law,it,fee simple.and has IIgood right.full power and lawful authority I.'omit,Israeli,.till and contey the earne in manner and Ham aforesaid. • II and that the warn.are free and clear horn all f•irom,and i the, ('•ant..Largmns,star.,Ions.tote., art.ail encumbrancer of whatever kind or rut ore sieve^. l l' and the ale,ve bargained premise. :n ,be owe( and penrru Lin p....'.inn of t e .aid party. of the .,,,•m: past,tiie ' mire. l so e.or of then,.th. .,,r a. gnn tool the hens arid n,sign, of anal. .,,t wor.against all am!every pr,.,n,or p'non. l lawfullyrbitnina or to claim the whole o,an urt,hereof,the.:ml par,".tithe fn-,par,.L alt aid will IA ARRANT AND ti FY,REVER.FIEND.Inc' .i„rich.ainib,1r Than nirmd,•th,.talusal.iiie'turn',t••..mgnlnn.grid w,. any g„rider Ii shall be applicable to all gender.. i . II IN WITNESS WHEREOF the.aid rat'.,.f n he fi..t P is art h .h.,.00,t..sit his blend and the a !t r fire? I. ale,.,written. P /J� f/ `• II Signed.Sealed and Deliveredm thr l•r,..e n,e,d LI�f•MM HARRY'JERY.5 . LJC.. II .brS/r>-t_2ra.-yst�—l/Y--IS. �ISE AL.I CHARLES WAYNE: CERKE li 19l:A1.1 STATE ftp COLt1RAHo 1 e E �i• 9/ eels r •.. Ra . The farrRm nRi �Y ke nwledged balim me tlu. 29th dap of October H by WILLLiH' tend CHARLES WAYNE JERKS mI March 28 it. 85 .WO, •.. • nod toot.dfi t oil MY Cnmmlumn rx�e •J y nn n Q II: j 4' 4%t.,' - - 9213 3 3t St. Greeley, CO 'r..... No.921A. w%itkA'Tt DEED_T.lens T .- arm:ford Yubbihma Cs..ron..c cder.do II-7T I COM CENTRAL WELD COUNT7•gAii D►a 1+UC�' 2235 2nd Ave. Ph.352-1284 Greeley,Colorado 80631 WATER&.SL PREVIOUS PRESENT PREVIOUS PRESENT READING READING E DATE 06/01 07/01 ' - •• GALS. I CURRENT CHARGE I PAST DUE 53 81 .69 0.00 , _ -P' Usage Shown In SE AMOUN i Thousands of Gallons Tr.S� ACCOUNT NO. i> yt 111320_ 81 .69 ave CENTRAL WELD COUNT-LINK DEON 2235 2nd Ave. Ph.352-1284 Greeley,Colorado 80631 N/ATE=EIU_ PREVIOUS PRESENT PREVIOUS PRESENT DATE DATE READING READING 06/01 07/01 - - •■ - • - - • GALS. I CURRENT CHARGE I PAST DUE ® 0.00 ^snge nThousands of of Gallons OL ACCOUNT NO. pu 111320 81 .69 I "r==-+Sit• ��ft�tn,ltfnttl�tli,�lilt APPLICATION FIB INDIVIDUAL SEWA ,t1D14SP L- S�I ST 7, 1404,E / ,," A, eii .,, w ���tt WELD COUNTY HEALTH DEPARTMENT r:,, • New; /S ENVIRONMENTAL HEALTH SERVICES(+ ..: _ L'+e; i„ , ,`"; r 1516 Hospital Road, Greeley, CO 80631 , Si:,-/1/44i.:-*, t• a ;Repair HT?" �(( 353-0540 EXT. 270 � r�., (( � g 4°'�' OWNER -0 Ve'rr Y" (t/hr/p ' Jf°"ADDRESS ?•?OS'' , '77e.„, ,-1 ? /1,:a/ /SFr PHO E S3� - -' -' ADDRESS.OF PROPOSED SY EM"c22 '37 l l ,''d 5 9 .t:, "v ''•h, S 1 C(`'. ,� jD�8�3�$if�t�� LEGAL DESCRIPTION OF SITE: PTA i/_S ,T' SUBDIVISION " LOT BLOCK\ FILING f USE TYPE: RESIDENTIAL X /'GT.// c 1 INSTITUTION` "' h'el ,. `'., fi R -I • ). .: ;COMMERCIAL"° "-a . f v ! ' i ; OTHER -_• •• ye,t,"-.4. .I j::„..+Bi SERVICES�' , ''!PERSONS Ls ` ,BATHROOMS L0TiSIZE I I„f/, . 'C,nne m I''fri ttta I ' ' -.BEDROOMS -�.. ''�� ` 'BASEMEhIT PLUMBING / •-'• LY CL (-(-'C Ter... TYPE OF SEWAGE DISPOSAL REQUESTED:' 1; c- Q/1/� +°,pr• I , ,,, *I t J Applicant acknowledges th• at the completeness:of this application isjconditlonel upon further mandatoryrand;additional,tests - and reports.as maybe required by.the_Weld.County Health.Department-to be'made`and'furnlshed„tiy the;appl�idaii orybytthe Weld County Health;Department for purprpses of the evaluation ofrt;e application and the issuahce of thelpermit is,subject. tv to such terms and conditions as`deemed necessary to Insure compliance.with,rules:and_regulation ado.e ed;uder+Articleal0,. P. , 4 yv: Title 25, CRS 1973,(as amended:Th applicant.certifies that the proposed system will not`'be Iocatedlwithipt400rfeet ofla corn munity sewage system.The undersigned hereby certifies that all statements made, Information!and reports sjuP,r., i to t, eW ee with and required-to-besubmitted;by'the the-applicant-are, or will be;representedto be true and correctJto the'best of my know,' edge and belief, and are designed to'be relied'on by the Weld County. HealthtDepartment-1p evaluatl g theisame for purposes of issuing the permit applied-for:hereln.-l.further`understand that an falsification or misrepresent'aii`o may res tin,the dµenial of the application-or``revocation,of any permit granted based upon said application and in legal actionrforr ., qurytas:prrovidedlby aw ; �j/7 r.....-'. -"7.:-.4:7 1 4,-' 5 b �t Sy .? Application.fee /l ` •,; a Off t!Cc( . <_ / '/fi g t Date` T 1 OwnerlAgent• �gnature r at ,a Dat ,te yJaJJaa• ,, , Recd bx a s * * * sii* •.• * • x * i ♦ ♦t♦ 1, •„aa_� ♦, r ♦ ♦ ♦ • ♦ a * * a ayr ry aaria ♦ a a + a - a a r FOR DEPT "—PERCOLATION:RATE-h -Th1 W7-N C " t WATER'JABLE DER/ .q a 4u?+ rV Ir t .}s s v ti�'�. USE ONLY SOIL TYPE' S4N t \ PERCENT GROUND,SLOP, ' `� -G " REQUIRES ENGINEER DESIGN (,)NYES(a-IQo 1 • ♦ ♦ ♦ a ♦ ♦ • a a ♦ • ♦ a r a ♦ ♦ f r ♦ a • • a a R a. • a a • .• a r a r'aNa •Ra r a aWa-'t�TW^aNra a awj' INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT,%�, tlf N 3 A'. "r"-,.. .,241, - /t F From the application Information supplied and the on-site soil p rcolationdata, the following mminimumrinstallan stiopeoifi cations are required_ „ SEPTIC TANK/2-'o GALLONS, ABSOR TION TRENCH SQ. FT l �( ' v To ABSORPTION BED SajFr--t." ""- In addition, this Permit is subject to the.following additional,term and conditions: • 1 j ,me,!/ow.,;G .,-,_0� S'4#a,! '. �'.�,4/I `17io �-.2-0v�'�;I N.y, ...... /t1 S� la •Yt scam 'h word . This Permit-is granted,temporarily to aliow•constructtorYto comma ce.Shls,Pfermit maylbe.trevoked,'or s0 pegle b the,Weld - County Health Department for reasons set forth in the Weld Count IndivIdual;SewageDisposai system Ftegulatioons ncluding failure to meet any term or condition Imposed thereon during temp rary or final approval i.7h�e lseuance R pr s P,a {t o r constitute assumption by the Department or its.employees of liability fort failure, 11 degUacyy o_$i seWege .13 o l ste crest ^G`r »r ���j// ( eTC._ (0-1 5_3 Environmental.Specialist t ' 'a� " Dated *1 ' r * „• .• t"ic t This Permit is not transferrable and shall become voiq if system construction has;not commenced within onetyear ofylts issuance„it Before Issuing final approval of this Permit the Weld-County Health'Department reservesithe rightito Imposetaddhlonalter s and conditions required to meet our regulations on a continuing basis. Final;Permlt°approval Iyorltingent�uPorntthe flnlal ln- spection of the_completed system by the Weld County Health Department. $j y` ° " f" t "' SYSTEM CONTRACTOR " , FINAL INSPECTION.:'I , e Attu '4 h a � Tc / P L Environs mental Speclalis wit; 4u pate 52• The Issuance of this Permit does of ImplIA 'om (lance with othe c_ll.,re SYSTEM ENGI EER APPROVAL r state, county or local regulatory,,or buildingprequ�remente nor shall it act to certify that the subject system will operate in compliance with applicable.state,`countyfandllocalir'egUlations ' adopted pursuant'to Article 10, Title.25,CRS,r1973, as amended,except for the purposes of establishing,final approval of anrt; installed system'for Issuance of a local occupancy permit pursuant to CRS.1973 25.10.111 (2). �'°. s: t ,., �, Original-Applicant; Copy-WCHD 1 WCHD—EHS February' 1981 lei /7.., I _ .r • wf� l .:. Uc/ L.' ^.� APPLICATION FS INDIVIDUAL SEWAGE DISP AL SS STEM ' No �___ agt 1nL4 r �kz� td.- ."q WELD COUNTY HEALTH DEPARTMENT New ENVIRONMENTAL HEALTH SERVICES" Repaft 1518 Hospital Road, Greeley, CO 80631 n*,j-f.-i} ,�1 1:. �r� tom:'353-0540 EXT 270 2[ -J*# -BP OWNER �Gy! T C lil+r�p 3 ADDRESS 3.?GF! /2/9- rc;'1yY if, P PHO F S3.� sue( / ADDRESS OF PROPOSED SY T£EM _921;E 3l 4.i CI�J /. J` 9 -z ''ty,Y'- • �'At` , �30D3 n ty� I p - '. LEGAL bESCRIPTION OFSITE PT I'll9fO[s O T ` 7 R = wM t LOT' ' BLOC e FILING -•t SUBDIVISION // 4, A I I •• I f USE TYPE RESIDENTIAL ' •• f1e it INSTITUTION , I ' .s,. 7 COMMERCIALrn,r„.t . a /r; I I l OTHER — , ( —" # h SERVICESP r-h IPERSONS I LBATHROOMS'''' LOT SIZE I kilt . A nzet m r i%'• i' bin : € , 13IN �- t - ` BEDROOMS t ` "'BASEME4T PLUMBING / WATER S/UPPLY � f�I TYPE OF SEWAGE DISPOSAL REQUESTED - • �' a/,,< /p 9 NY! ! o Applicant acknowledges that the completeness of this application is;conditional upon further mandatory and additional tests t • and reports:as may be_requUed by`_the Weld..County;Health-Department-to be made•and°furnished-by`the'applicanror'by°the"" Weld County Health„Departmentforpurpipses of the evaluation of tie application; and tie issuance of the permit is subject , to such terms and conditions as;deemed n, eoessary toansure compJiagcerwlth;rules:and.regulationatadopted.under-Article110, 1 ; Title 25, CRS 1973,(iiimelidatt The'app icantcertifles that the proposed system will not:':be locatediwIthin'400.feet of.a corn"- ,") munity sewage system.The undersigned hereby certifies that all statements madee_Informatio�-,nand repo2ts, submitted,here,, _ with and-required-to-be-submittedrby the;applicantarg,or will be,representedto be true and correct)to the best of my.krjowiF ' edge and belief, and are designed to'be relied`on by the Weld County Health;:Department_in evaluating-the'same for purposes ! of issuing the permitapplied-for-herein.I further understand that any falsification or"misrepresentat(o i made ylt lYn t t denial t "� of the application or(�revocation.%,any-permit granted based upon said.applicationland In legal action fort' rjury as'provid�la�- APPlicatro fee Y`✓-Q� C t.__ 1_"h ; i_. C7 �yfik t ).• , ^« r '. Date : t 4 �*tr'.f. � in • * t3_. ..� • ♦ � • ♦ • •�♦ • + • w r • :„�, ♦ •+w fed r5�tr»v wr� 7 FOR DEPT. I ` PERCOLATION'RATE`r� Hi! /1' i"N C ' " ' ` WATERgABLE'DEPTH ' USE ONLY SOIL TYPE i S4A/€'' -PERCENT-GROUND SLOPE REQUIRES ENGINEER DESIGN ( )"'ES$.'.)-IQo * * * * * * * * * * * * * * * y • ** �R-* * * * * * , • * f • * *..• • *.-*...* * * / *•1• '*--*--*-•G*- ♦"°*'•'* * 4'^'•••• I ' ,INDIVIDUAL'SEWAGE DISPOSAL SYSTEM PERMIT. .,,. .« h --i ,i Iication•Informationsup lied and_ the on-site soil p rcolation data, the following minimum;installation specifi From the ereJ .,�,., ,.PP cations are required..... ;...i.::..:.....« ) � I-. .:,. `_._._> -__ __:.. ...i........../÷5 1 } 5 0_ .. Co SEPTIC TANK/ GALLONS,ABSOR TION TRENCH � n SQ FT. ,�r t 2 Y I ABSO TION BED FT In addition,this Permit is subject to the-following additional term and conditions t �;n//our,.GvI Le 7 9,ce- -rolig/1 '&�°e' t o j/44' Mg.— i Af+s7` #11 .„4.4. s „-is ,t'' , 4 _ This Permftas granted-temporarily to allow constructLo�to_comme ce.This-._This maybe revoked or srrsped,,brthe Weld-p •' County Health Department for reasons set.forth in the Weld Count Individual,Sewage;Disposal System Regulations,+ ncluding € failure to meet any terr0 or condition:imposed thereon,during temp ran/or final approval:The Issuance'oi rls"fitPermit oes gOtyy«/ constitute assumption by the Department or its employees of liability for !all}u�re,�. l dequacy''0 sewage dlsppp I . sfe 5V '.. `F ,€ '/� 3 sue` .- . ,txt t Jr 51-2 a Date ,• € �G ��� Environmental pecialist �• ,,y,��,�. This Permit Is not transferrable and shall become void If system construction has not commenced within one'year of itslissuance. Before Issuing final approval of this Permit the WeldCounty Health'0epartment reserves the right,to impose addltional'terjns and conditions required to meet our regulations on a continuing basis. Final?Permit"approval iscontingeent upon•the final In- - spection of the completed system by the Weld County Health Department. Ii 4, l ,. ...":4? SYSTEM CONTRACTOR ''. FINAL INSPECTIONS j' . cif SYSTEM ENGIaEER APPROVAL Qp r4 Environpmental Sppecllalis�" i, ' ,, ` Date k The Issuance of this Permit-does notimpl>rcompliance with other state, county or local regulatory,or building requ cements, Inor shall it act to certify that the subject operate in compliance with applicable state, county.and local;regulati0ns r adopted pursuant to Article 10,Title 25, C�RS,t1973, as amended,except for the purposes of establishing final approval of an installed system for Issuance of a local occupancy permit pursuant to CRS19 3 25-10-111 (2). . f v , Original-Applicant;Copy-WCHD ,, WCHD—EHS February,1981 I. 7 • i Hello