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Home My WebLink About880835.tiff RESOLUTION RE : GRANT MOBILE HOME PERMIT NO. 1440 - VICENTE G. MARTINEZ WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS , the Board of County Commissioners of Weld County, Colorado, on the 17th day of August, 1988 , considered the request of Vicente G. Martinez for a mobile home to be used as a principal dwelling, and WHEREAS, said mobile home is to be occupied in an A-Agricultural Zone District on a parcel of land being more particularly described as follows: Lot 2 , Block 6 , Aristocrat Ranchettes Subdivision, Weld County, Colorado WHEREAS , the Board of County Commissioners , having heard the testimony, finds that said request should be granted subject to the following conditions: 1. The applicant shall apply for a building permit for the mobile home within thirty days from the date of approval by the Board of County Commissioners. 2. Prior to the issuance of a building permit, the owner shall submit evidence that a domestic well is supplying water in such a manner as to be adequate in quality, quantity, and dependability for the proposed use. The applicant shall submit evidence that a water supply of 500 gallons or more is available on the property to supply water for the outside uses on the lot or that another legal water source is available to supply both in-house and outside uses on the lot. 3 . The applicant shall agree not to withdraw his petition for a water tap with the Aristocrat Ranchettes Water Project and agrees to connect to such tap when it becomes available 4 . The domestic well on the property shall be limited to inside use only for one single family dwelling and shall not be used outside the house for any purpose. 5. The return flow from the use of the well must be through an individual waste water disposal system of the non-evaporative type where the water is returned to the same stream system in which the well is located. 880835 _Page 2 RE: ZPMH #1440 - MARTINEZ 6 . The mobile home will not be occupied until the applicant has complied with the conditions above. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the request of Vicente G. Martinez for permission to place a mobile home to be used as a principal dwelling on the above described parcel of land, which was found to be in compliance with Section 43 of the Weld County Zoning Ordinance , be, and hereby is, granted subject to the hereinabove listed conditions. The above and foregoing Resolution was , on motion duly made and seconded, adopted by the following vote on the 17th day of August, A.D. , 1988 . � �� ,.�� BOARD OF COUNTY COMMISSIONERS ATTEST: t&w13i 7,J WEL OUNTY, COLORADO Weld County lerk and Recorder �i and Clerk to the Board ene R. Bra ner, Chairman O�jt� �. C.W. Kirby, Pfr-Tem eputy County erk // EXCUSED DATE OF SIGNING (AYE) APPROVED AS TO FORM: Jacquel ' hn n / County Attorney Frank Y maguchi 880835 / ?Y 2ziLa-vic) 6 In G 2litt no a2a.ezaJa,/r4, 4, R id. /2 , , EXN/Blt zpnk—s X380835 • • 1(/'/F'/l%'/I/i�rrr , C 1�-i -& '4 '1--GYAz / V' 476 ,- - -9,rZlif) Pi / ,yu440e-- 1 No 64106< 5 'EP ON McMILLAN INC ELIZABETH N J07208 / 880835 WLR-26 7 r r ' rt ' ro,•,"+'x ' COLORADO DIVISION OF WATER RESOURCES', THIS FORM MUST BE SUBMITTED 1313 Sherman Street Root 818 ,r•r WITHIN 60 DAYS-OF COMPLETION ' I . OF THE WORK DESCRIBED HERE +u x r ti< s Denver Colorado-80203 Y ON.'TYPE OR PRINT INBLACK {'`-,.WELL'COMPLETION•AND PUMP INSTALLATION REPORT` 1 INK - 1 sS''' '''''''' a u r PERMIT NUMBER 150994 ` • WELL OWNER - V,acente D Martine 1 �, NIU ' .,! rt ?en-xy _ '/.b the :NW % o •,27 ADDRESS 15236 Hiway 52 Ft ='T,upton, CO , 80621a�;i yr, 2 N4. r` q, . fSec. �`g ,�>�� +��, y T y}. R „ 66�,� ., W 6th • P.M. ,d,v; a,tiksrktiap*:��y0x y,0 * tty4 `^ � g . ..tr_sy.., t-t.,, z" :Y .U' 4 s ,?u ! DATE COMPLETED •tr ' a#'4t i, r4 4-g 11•4,ro'4•1 9 8 A R ci ,...,.;::.:/1— ' .�, 19 • HOLE DIAMETE 7" t { .i iif,. _ ia' s' y s 'P7 r� �, :z i g," t,t,t4 9v' ,,,,} °afrp vE , x wht £. rT ,F wu ' 6 ...:,..;....,..c.,*',r' 'rm'' �r. �, r ' i1'i` ''.1t-$.a s�WELL•LOG w(, rm ai' y. ^fr R 114 'infrom x. 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Y� 5x T [�.r ' '5 .v- s f : a e, '' t W W r .` ,43 Y q`st_, Yr„ 'a f iS�" .awl s ' .!'tav Mrz' erf•ra ,4 gu T. t"�c' ' 1 - `rvk 1,5S a *x k'", ,y d,<,J ° "f !t .Sx ''A :;a Y t } mod. IA, : v !S - Y ' '.A aA„r. :c; . 3 by rr 48•?- U4 U.s. tiSF iA IZ 5 4ti6-Tit+.) � qir•11t 1 '#.f5@t• 1 ` tft. [yC Pt 5 �' �`. ats ra : ,16 Atat n r ,F aao- rte' • ' '. & y 1, rr.�Y '$' ` 3.,t �' s 2"' #. y ':•"-'1•"44 A - L i, i' In a "V¢ p m a 2 x , , $ '1', °..;t a t i,P y,fi r yt$IZe t' a &..)C 1 I ° t ' .: rom . f. "',to_ ' ` ft. n + .aa. a r + i4.° .� av „"fia 1 e #w W �. s a"^v w ¢ 4r' d a t �t ,.pi, j{+y > K lyia j^',�.M !3 x t q'fit 'dygr �°.t. ,� .',h':'" ^' .-Ve AR fY' %' x..r " } $ mar ( �a ;,a sscW�YL.7A,�, i. x1# ,,,,,ii: " .:,v & I °yam y�M'. n 4ry.; .t��'t ai -, ,7;"+ ¢ �� from to ft. t is r r�( + F• r .+ fit. �t a - r hzt 4 c .+ex*Y " . , a o kfi l 9M' , N. i f4 EF 4i^. 1. 4 .{➢ Sl bj b.. )� lv .f ! S h�F> # )'J F 3�rf' t azl Rr � F '( J r r S {v.' L 1, J3 I ,',.:,:,4:1,,,,,;';,-.7.:.\',,, ' ik- 1 t yu�'"5 y1 M r i " ey t§�,: .1,-:.•,t11 GROUTING RECORD .t ,a�'"` " r' ! , ss 5' y ` Material - ' CPrriallt` ' }` ^ ... , l' Intervals' 0 20' sin , a t 4' L Pour � � � Placement Methon _ iSiZe 3/8" pea 'gravel' � r K. 'Interval 18-19O' TEST DATA • Date Tested 7-12 , 19 88 Static Water Level Prior to Test 36 ft. Type of Test Pump Air 3 hrs. 880835 Length of Test Sustained Yield (Metered) 12 GPM TOTAL DEPTH 190' __ _Use additional pages necessary to complete iog. Final Pumping Water Level Jetting at 190' PUMP INSTALLATION REPORT Pump Make ,2:44A.7:1,? a, ,1"; • Type r - r • ;.. c {Y i.t t a' r t � ta � r , ,asp Powered byr \\ Pump Serial No " r. x Motor Serial No =ae s ri r{. .fio aF x`+r ty. v �RF vx k e J "WATER ' 3 J Date Installeo, r 1 e ' ri,, M:-", i?'x' ✓ i t > TAB +' uA T 'c» "I''''''',44;', -C,' LEA, ,h. z r ,p 'yjr x } �. y4, v M t' 4 r J 1—W i� 4 v•Pump'Intake Depth p- -t 1-.i ' m .- � , ' .. t4, M i 1 r ',...24.i:,,,.4,. ',xt` Remarks y' tA. ; 1 -1 1 A (7 4 a '-.,P A +.4"^p s +W.k ., �y ,.� ,` rjSrth. S`.roxv' .t,�� 'I Y c �' r'3 x'�? rr�} �j .N'. `L3 1.t t1iiØ '!' 1J 4IPIi ' '� � v'1' '+ r 7 14,,,# 3Ti.d P' - ?jss z a�'' -h° r F 6f,YT,P P a 1 Z cti F{ • '. x-,,�+5teh&;;,44Y qt.xi }y dx ^.r* , a kbi s' ,z „"+;a W b c t +..T Date Tested e% ,ir ., f t , ] , r , x t v t Static Water 'Lev Ptlr'1YerTest } `s , , i i' W `` Vci ; Sr k D EPRF �.rI�`H4. K c ..s,fgy,yst. t k.& r rr >n r - '5 ,•, - "%^1 } k F , s ; W*, M r` ,h, y.fX, , .t• w•a,t q°,,,, w - ry 'B ' r 'ta c 1 ' "-„,t4 S °4 5 - > i � Remarks ' '•I s f e ,'S`" �° "f A 5 : A <..i.' b 41. C f e �Jw,;' cT W a .S ,1 t s y *y tri.. f ,�i `e�i. 'J�f ♦�'y"a7Ty Pyr 9 t.. ,/ IS YhY A a skd * s ry X ` ' , � n r% a �"' �4 % 'SS � t3 rbdg a3e:� A .r Go 4 At r '" � �. CONTRACTORS STATEMENT <• ` The undersigned,being duly sworn upon oath or,'deposes and says that he is the contract of the well or' a pump installation described hereon, that he has read the statement made hereon; knows the content' thereof, and that the"same is true of his own knowledge: Signature O �f License No. 827 State of Colorado, County of Jefferson • ss Subscribed and sworn to betore me this 15 day of July19 88 My Commission expire • 19 90 Notary Public I 0 I) _ ;, 880835 FOftM TO ei f.1gOE OUT IN OL: OH UPLICATE: vim-FE FOP,M must be an original o copy on both sides and sinner; Permit # 150994 INVOICE 857-2091 JOHN'S DRILLING, INC. ROUTE 1, BOX 640 GOLDEN, COLORADO 80401 303/423-5246 SOLD TO SHIP TO Vicente G. Martinez 15236 Hiway 52 Ft. Lupton, CO. 80621 CUSTOMER'S ORDER SALESMAN TERMS SHIPPED VIA F.O.B. DATE N/A LCJ ON COMPLETIdN 7/14/85 190' Water well drilled & cased - 8 3/4" hole $10.00' $1,900.00 20' 6 5/8" steel surface casing 6.00' , 120. 00 5 bags Cement @ 5,?9 76 45 4 T. Pea gravel-inc. hauling 50.00 50.00 Tax on materials + 19 99 TOTAL DUE $2,110.44 r 880835 '" SPAIN'S SERVICE, INC. 0�s �� JACUZZI PUMP SALES & SERVICE 1 �.J17"-?09 1 2021 WELD COUNTY RD. 27 FT. j�j/}FFT. LUPTON, COLO. 80621 Q PHONE 659-15844 M . tJ {.�� `CX in 7 ' 'Ct. ' "S.QA�' ' (J _I I 19 O Address 1 5 3 to /-(t i 1-e 5 V"i-, .72),.. c4-0-,-, // ACCT. 1,0_1-Pi L:)e-- I5/ e__� 7 L/ LDP i ' / FORWARD I— I . \ 44 rrO IL)@.. ik‘:?,Arvin 5 PR r-g 61 8- o O_ .al A ' 705 S4 ono !7C' ff — 8[o 1- a 5 / ()-9.v-�Q-x rh.epj ,j< It 53 Ja73R7 Sf5 — 7' ' - f " c),c,P . �O .v.-7,) pG 1/ 7 3 ) ,1,19 /—* I " ?� �.,..• AA. 9R '. 4" itsri ton / g7 '— iC- or ¢9Pj) t�r-C3Jp hl/ f 9 0 r7 2; 3 ' " to _, __0_, F � o „�b.,,9 i , v1 )4 r% I,' - 12� I\2c5fls/X 1,..t nA0 J4J I 3c7 1 - ! " ( D3 -lC `% Ocengsr� ,,;-,1 SSco l ti, '")000c4---, I — I " C'l y Siz. �Jn '.re i /c €/( / 1 - ''� / �r l, ° L)I ''-19 l/ !c! / < / r ^ • rJ� n l 1 - - _^ 7� 'aRtir o�v ,-dj ' 3 50 1 I- r7tC-t y f..1 n1 �ct..(a_, ,, - 9 (. 2--)-e, / % '11v.th NM t iy `� 0a A -r el'; 1 .55OO/lc., . ' y 90 ,r, — 880835 ' C v :,A 'l I - . • "SINCE 1943" 05021 ( 21"4"1:1114 4" ` SPAIN'S SERVICE, INC. JACUZZI PUMP SALES & SERVICE 2021 WELD COUNTY RD.27 FT. LUPTON, COLO. 80621 PHONE 659-1584 p R- 1 19b5 Address ( `D 11 `j(r 4-1k. tioX�� - to rYnO • , s) &Li f3r.tR n FORWARD cC1 ACCT. R. no '� - ��55 e " x a" f/MJ • 3 ? ) " c.n.�\� 1 \ctQo R k\c‘fettA w/w>v:;,1?'d 3 a r1 t f 'C ^ 1! i`k " 2)./5/44 . ;9/ S 6 r rZ 5 -7 / - ��1r�2OY � �cr � rIC`�'`� I � ' `r=r1r. tier - 1c..., 5D a- RLt�'l° ti{UU-1Th"‘-,- !,� 1 - " )r 0t`Yk..n1„ LA Cr/ i =A' " ('-m t 22 3_y_Ci -r f? L4- f -i a6 1 r ' rr, VAC", /- 4 ger Q t , , 6 s. .. 880835 • • • • • Neb Ele.ctric Inc. 3517 1051-Denver Avenue, Ft. Lupton, CO 80621 8572201 572-9156 785-2110 �7./ y' Ft. Lupton Brighton Metro % :'` P 9 Platteville •1;reeley DATE �' r 3ESS •/-.4•:•-• -5(( //1(-J-4"-- A-5.-: -: 1 1 ESCRIPTIGN �!.--i' ! . ( /C(. (i≥...;t D ':....�.L.E'.(// r'.(..0{/ Quan. MATERIAL UniiPr. AMOUNT ! J 1(4,--( , ./74_,4 ; ,O.&i e IC ".—.I s . • MATERIAL Linn! Pr. II AMOUNT "_ I+--- I. I ' I II i I I _ I �h I : i I f I 7 f f I MATERIAL :f -- ;- STATE TAX ' i i CITY TAX i j PERMIT • T`— ' :I LABOR + - I 880835 TOTAL • • . .6P .I.ND.i.V.I.DUAI... SEWAGE DISPOSAL SYSTEM PERMIT G-080134 WELD COUNT '( HEALTH DEPARTMENT N:- W PERMIT ENVIRONMENTAL HEALTH SERVICES 1516 HOSPITAL AL. ROAD , GREELEY , CO 806. i 353-0635 EXT., 222-• .NE-Fi i'1AR'TINE::Z , VICE NTE G. ADDRESS S 15236 HIGHWAY 52 PH ( 503 ' h..857-20912O91 FORT LU TON CO 806"2'i .=,DDRE-_•SS OF PROPOSED SYSTEM 15164 WCR i 8 FORT I_.UPTOi`'! CO 80621 LEGAL DESCRIPTION OF SITE : SW4 SEC 26 TWP ' Ri.OG 66 . SUBDIVISION : ARISTOCRAT Fti NCHE:TT•E:S LOT 2 6 FILING {i USE TYPE: : RESIDENTIALTRESIDENTIALALSO LOTS. 1 . 7 , & 8 BLK 6 M.H.BLOCK SERVICES : PERSONS 4 BATHROOMS 1 .50 LOT SIZE 1 .00 ACRES BEDROOMS 3 BASEMENT::.'=_' T PLUMBING NO WATER ,S'i.JF'F'LY 1='WELL.. APPLICATION FEE $150,00 f:i:::i ' D BY COFFEE . DIANNE ' SIGNED BY VINC;LNTL'"-: G . MARRTINEZ DATE 07/01 /88 DATE 07/01 /88 / 6PERCOLATION RATE .11_ MIN PER INCH LIMITING ZONE 7 EET SOIL T••YF'E ≤u tr-A-Bc 'ERCEN T• GROUND SLOT-'L. REQUIRES ENGINEER DESIGN /DO_ FROM TI•'IE: APPLICATION ION INFORMATION SUPPLIED AND THE ON-SITE SOIL PERCOLATION DATA THE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED : SEPTIC TANK /Odra GALLONS , ABSORPTION TRENCH 5`?e1 SG. FT. OR ABSORPTION Ijl:-.{) 7 Siai. FT. IN ADDITION , THIS' PERMIT IS SUBJECT TO THE FOLLOWING ADDITIONALTL T :..::. �f'J•i w AND .;INi.}:i: i :Fi.i'i,.. _._____......__....._.__ . .._.........___._..___ ____._.._..______.___.._..._.___..___._._.....:.__.______..__..__...... THIS F'ERIi:ET IS GRANTED TEMPORARILY TO ALLOW CONSTRUCTION TO COMMENCE. THIS PERMIT °ii=iY BE REVOKED OR SUSPENDED BY THE:: WELD COUNTY HEALTH DEPARTMENT FOR REASONS St:iN OF TH IN THE WELD COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS INCLUDING .AILUi E TO MEE:T ANY TERM OR CONDITION IMPOSED THEREON DURING TEMPORARY ORFINAL .:-IP,::ROVi��L. THE ISSUANCE OF THIS PERMIT DOE NOT CONSTITUTE JEPARTHE; T c:ai ITS EMPLOYEES OF AB:I:i._ FOR i �_;; INADEQUACY ' .,,...E. . ....... DISPOSAL ,.,..:.,....,..... . _... Er".' ..i•lfyl)F.:t�IJ�=�C: OF THE ..__ .A........ ..0$4;_.,41Z)____..__ . a IF.ONiEi.••I s-I_ SPECIALIST DATE HIS PERMIT MIT IS NOT TRANSFERABLE AND SHALL BECOME VOID .._1111 ...,1111..,1111. ... .:T} . = CONSTRUCTION ..i..i i�.. •, i-._ .. . ;, O i CONliENCED WITHIN ONE:: YEAR OF ITS ISSUANCE. BEFORE ISSUING FINAL TAPPROVAI...I I OF.,.,., ,..,. ,1111 !..::. rERi"i:ET THE WEi...D COUNTY I-I1=AL..TH DEPARTMENT THEN•i E,. F:'RVI= RIGHT - ,...:...,::•, _ ..I. ..il:.,. ... RESERVES THE i1 IMPOSE ADDI- !+i••?rii... :::.rti�•i,::• AND CONDITIONS r•:i:O'i�NS I?1:-1 LJI F�'I:::F+ TO MEET OUR i�'ii_�::,i.JI_riT.T.Oi' ON CONTINUING:-, PERMIT r� .. .. .. F• : 31... . E t r1.I: I APPROVAL a: CONTINGENT UPON FINAL INSPECTION T C :Ct A ... "..iED `'T•I:::i•1� s:;-S, THE WEI...D COUN..i.,Y. HEALTH DEPARTMENT , r THE ,t..I E i.I,. .,_ 1111 i•,.•�I r i 88©835 • i"1SF'10(.:P •• INDIVIDUAL SEWAGE DISPOSAL :,. _ SYSTEM i I.i`'1 PERMIT • 4 <:' 0134 • WELD COUN'r,r HEALTH DEPARTMENT ENVIRONMENTAL r"tL HEALTH vERVICE NEW PERMIT l.[ I 1516 HOSPITAL ROAD ,, GRE'1:1...[::'r : J,i :• I CO.. 80631 353-0635 EX T.2225 n._ :5 OWNER srr°tRT7:Nw:,. , G'.l'(=iWNTL:: G. ADDRESS 15236 HIGHWAY 52 F�'I--1 (�;�'�; } 857-2091 F ORT LLJF'TON ADDRESS OF PROPOSED SYSTEM C;f7 # ;;,;`'.'f 15164 W l.;R 18 .: 691 LEGAL DESCRIPTION OFOFc= I I aA ION L .. FORT Ir'L...(SUBDIVISI _ d • ARISTOCRAT Itii=1i''1' I"iF.'I'Ti:, - 2 I i w'E TYPE : RESIDENTIAL ^' LOT(• BLOCK �� FILING c7 h:i.::;_'l' i•NTIAL ALSO LOTS 'i � SERVICES : "r : �i s'; :t:�I...I 6 M.H. • PERSONS <; BATHROOMS 1 .50 LOT SIZE .00 3 BASEMENT I'I...I.Ji~MBING NO WATER h 1 ACRES BEDROOMS ,wUF'I=`I_.Y F'WE:L_L APPLICATION FEE $150.00 F:E::u ' D I:t'`i f'CiFF'F EY , DIAN NE SIGNED �.•c ( 'J:I:rJ i~E N T E G . P'i r•`•,R T..i:iV i:::a:'DATE 07/01 /08 DATE 07/01 /88 PERCOLATION COLrs I .ION RATE: 0,0 MIN PER INCH SOIL.. TYPE. UNSUITABLE PERCENT GROUND SLOPE 0% ZONE 0 FEET i REQUIRES hr4GINh.:EI�: DESIGN NO I l I L" r)IFiEC;'rIOi�! FROM THE APPLICATION INFORMATION SUPPLIED AND THE ON—SITE SOIL PERCOLATION DATA THE FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED : SEPTIC TANK 00 GALLONS , ABSORPTION TRENCH EQ. FT., OR I I'd try Ii I):i. ; !(:Jib , r I I:[: PERMIT 1 ,:> :' ABSORPTION T:;E D E Q. 1=T. .UBJEC T TO THE FOLLOWING ADDITIONAL TERMS AND CONDIT'IONE • _________________________________ _......_._..___ __________________ THIS PERMIT IS GRANTED TEMPORARILY TO ALLOW CONSTRUCTION TO COMMENCE, THIS PERMIT JAY BE REVOKED:-D ► R SUSPENDED:NDI::() BY THE WELD COUNTY HEALTH DEPARTMENT FOR REASONS.I;i;,.T.,..i IN THE WELD COUNTY INDIVIDUAL SEWAGE �: ... JAI._ DISPOSAL O r r" .r:'F" r..t.I.i._Hr'•:1� TO MEET ANY TERM OR CONDITION IMPOSED THEREON .. .. INCLUDING ::;;::'F�'I�.�t::?''';:,i...:. THE ISSUANCE i i•_ THIS, r_, . ,_._ DURING ._ OR FINAL . rh, REGULATIONS C' llraTi•JC' i .-11.;xi i�F`I r r;t l F'I j�:l it TEMPORARY i'�S F't i j��:A i'''Y E ...I PERMIT DOES NOT CONSTITUTE ASSUMPTION BY THE . OR I EMPLOYEES rl:::t:, F LIABILITY FOR THE FAILURE URE OR INADEQUACY OF I.. E I (.1r t E DISPOSAL SYSTEM. SCOTT PERKINS 07/05/8a /8G ENVIRONMENTAL SPECIALIST DATE "HIE PERMIT IS NOT TRANSFERABLE AND SHALL BECOME !isii COMMENCED WITHIN ONE YEAR OF IT,:: ISSUANCE, BEFORE ISSUING •-"li�M ,- VOID 7••�'t 'i I V SYSTEM ("z. •�"r F't(i i'�; 'r C i�� HAS '-I:I:, PERMIT THE 411:`!._:() COUNTY HEALTH DEPARTMENT...., ._ ... .. .. ... APPROVAL oF �.'..11'•li._ ..I.i:_I";l'•i;' AND CONDITIONS .. . _, ._ .1�r4'�' II"IIw(JlTfxi•iTr 't!(?I Ii`•11='('ii:itr :i"; 1'�... E I'i��' „iNI. CON I r ION) 'QUIRE i' ' ::....� ° ::': , ,....~. .. ... ..... REQUIRED..... TO ..... isFll:: 1 ;;I:�:I: 1.JL..;.i..i..l:t:Ji'•J;:' ON i�i CONTINUING I ..,i,it... I-I:;iii i I••tl-'I-'ri.I':+'r°tl... is CONTINGENT ii �,: MEET • •r•f+I'i' ••t i f•J ' ...,... I ,..-..: ..: r TL1' D THE WELD COUNTY HEALTH 'ii' 1:: rN.... INSPECTION OF iii-. l..t'.:it.. i 1•�r'` —:::T ......I 1 .._......_............................ ......... .. ... .. �`i • a Cii• �' .. .,.. i i L.1...J.:J: ...U(+v L' / �E six/880835 _..;"......:......:...-......._ ........ ... CE :ij: 'I';..; ; .i.ROT i:Jl... . L ... I• .. _ , t• OTHER i il:. I THA • N ;Pi IJr.',::' " • ' APPLICATION FOR INDIVIDUAL ;;SWAGE DISF'O :AL SYSTEM NO., G7.8801 34 WELD CIJI..JNTY HEALTH DEPARTMENT • NEW APPLICATION ENVIRONMENTAL HEALTH SERVICES 1516 HOSPITAL ROAD , GREELEY , CO 00631 3._?"'0635 E ( .222.:. OWNER MARTINE . , VICENTE G.- ADDRESS 1 236 HIGHWAY 52 PH (30. ) 857_.20 .'1 FORT LUPTON CO 80621 ADDRESS OF PROPOSED SYSTEM 15164 WCR 18 FORT LUPTON CO 80621 LEGAL DESCRIPTION OF ,. :ITE : .LI4 SEC :26 TWI»' :;! RN; 66 SUBDIVISION :: ARISTOCRAT I�:ANCHL:TTEE " USE TYPE : RESIDENTIAL ALSO , LOTS f . •r, , & O BLI< 6 M , H, _ .;1. �. FILING e} I••rE'i �� f.. SERVICES : PERSONS 4 BATHROOMS 1 .90 0 LOT SIZE 1 , 00 ACRES BEDROOMS 3 BASEMENT PLUMBING NO I4ATI:R SUPPLY F'LJELL APPLICANT ACKNOWLEDGES THAT THE COMPLETENESS OF THIS APPLICATION IS CONDITIONAL UPON FURTHER MANDATORY AND ADDITIONAL TESTS AND REPORTS AS MAY BE REQUIRED BY THE WELD COUNTY HEALTH DEPARTMENT TO BE MADE AND FURNISHED BY 1111: APPLICANT OR BY THE WELD COUNTY HEALTH DEPARTMENT FOR PURPOSES ES OF THE EVALUA'T'ION (Jr THE APPLICATION ; Ai''li) THE ISSUANCE OF THE PERMIT IS SUBJECT TO SUCH TERMS AND CONDITIONS AS DEEMED NECESSARY TO INSURE COMPLIANCE WITH RULES AND REGULATIONS ADOPTED UNDER ARTICLE 1 0 , TITLE 25 . CRS 1973 , AS AMENDED. THE APPLICANT CERTIFIES THAT THE PROPOSED SYSTEM WILL NOT BE LOCATED WITHIN 400 FEET OF A COMMUNITY SEWAGE SYSTEM. THE: UNDERSIGNED HEREBY CERTIFIES THAT ALL ,iTAT•EMENTS MADE , INFORMATION AND REPORTS SUBMITTED HEREWITH AND REQUIRED TO BE SUBMITTED B'r THE APPLICANT ARE , OR WILL BE . REPRESENTED TO BE TRUE AND CORRECT TO THE BEET OF 1'(Y KNOWLEDGE AND BELIEF , AND ARE DESIGNED TO BE RELIED ON BY THE WELD COUNTY HEALTH DEPARTMENT IN EVALUATING THE SAME FOR PURPOSES OF ISSUING THE PERMIT APPLIED FOR HEREIN. J: FURTHER UNDER— STAND THAT ANY FALSIFICATION OR MISREPRESENTATION MAY RESULT IN THE DENIAL OF THE APPLICATION 014 REVOCATION O1= ANY PERMIT GRANTED BASED UPON SAID APPLICATION AND IN LEGAL ACTION FOR PERJURY AS PROVIDED BY LAW. APPLICATION FEE $150.00 VINCENTE G. MARTINl=Z E(' ' .If BY COFFEY , DIANNE j/r-G'.c�tI, /— . it 1 ,L ,,�? ;_... DATE E 07/01 /88 OWNER/AGENT IGr .ATUR;E " DATE. !— /I_ V — 4",s i.? /' L . + T .7 '1-7 ^ ^ P 880835 : 19219 'Veld County Health Department t '5+6 k05P,TAL ROAD 1 GREELEY. COLORADO 80631 (303) 353-0586 • I 1 Date 6 '1-1 19 J Recepv ed of I.) ACS-v,.C . '1Y1cJW,VV. I! Acdress I I I i AMOUNT I S I I Dollars ' C^ i I ; I I i i s 1"ticCK SaSG I'•etFT iC=_ ° I I For `f\ L'..` 'P.,z_flilv`it l#' 3 S'0 I ?4 i i F.oC u --- Si -d— I 880835 • • • • • • • • • CASH STUB FOR PAYMENTS ON GAS 40506 AND.CR ELECTRIC OR MERCHANDISE CYC CIV LED FOLIO CNCE. COLORADO 19 Z 4X 1--3c/ 3X f� 3Y CN CC' NAME ; • GAS AND ELECTRIC OTHER ADDRESS TOWN CD CHARGES DESCRIPTION • xjt'LT jtg. n a 11' °1� 1 ) CUSTOMS R's ORDER � •ADV. PAY. ,d- TOTALAMoU COPY NUMBER A9.5 OWN PAY. PAID. RECEIVED BY THIS STUB CONSTITUTES A VALID RECEIPT ONLY WHEN SIGNED BY AN AUTHORIZED COMPANY REPRESENT-ATIVE OR PROPERLY RECEIPTED- FORM IE)650-04-0425 PUBLIC SERVICE COMPANY OP COLORADO 880835 Form(A)820 -30 -3741 ELECTRIC DISTRIBUTION LINE EXTENSION AGREEMENT EXT. NO. 3 J-8,�,�S0 THIS AGREEMENT,made this 1;1 day of i 19 by and between PUBLIC SERVICE COMPANY OF COLORADO,a Colorado corporation,hereinafter referred to as "Company" and 1'` ,a - :. corporation hereinafter referred to as Applicant,WITNESSETH: WHEREAS, Company is a public utility supplying electric energy and electric service to various areas in the State of Colorado, and WHEREAS, Applicant has requested Company to construct and install the necessary electric distribution facilities to provide _.. :.;(; service to serve , _ . .' � . • ,_in , .. _�. . ..... - ,. -.. C;., . - , ' 'C' C'' , Colorado. WHEREAS, Company's Service Connection and Distribution Line Extension Policy requires a Construction Payment for the installation of said facilities. NOW, THEREFORE, in consideration of the mutual covenants and promises herein contained, it is mutually agreed as follows: 1) Company agrees to construct with reasonable promptness, the electric distribution facilities for which the Appli- cant has made a Construction Payment, (including(excluding Service Laterals), and to notify Applicant when construction is completed and service is available(the Extension Completion Date). 2) Applicant agrees, upon execution of this Agreement, to advance to Company a Construction Payment in the amount of 11 n r . . , 3) Company agrees that said Construction Payment may be refundable in part or in its entirety during a five (5) year period commencing with the Extension Completion Date. Any refunds will be made in accordance with the terms and conditions of the Company's Service Connection and Distribution Line Extension Policy. In no event will the refund exceed the Construction Payment nor will any refund be made after five(5)years from the Extension Completion Date,as determined from the Company's records. 4) In the event Applicant should require additional electric distribution facilities other than for which the Con- struction Payment has been made hereunder, such facilities shall be provided by separate agreements. 5) Applicant agrees to execute the Company's standard right-of-way agreements granting free of charge to Company, such rights-of-way as may be required, and recognizes this Agreement is contingent upon Company obtaining any other rights-of- way from other parties if required. IT IS MUTUALLY AGREED that the application and interpretation of this Agreement, including the definitions of terms used herein, shall be in accordance with Company's Electric Service Rules and Regulations, including Company's Service Connection and Distribution Line Extension Policy, on file and in effect from time to time with The Public Utilities Commission of the State of Colorado and that said Rules and Regulations constitute a part of this Agreement and are binding on the parties hereto. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the day and year firstabove written. PUBLIC SERVICE COMPANY OF COLORADO APPLICANT By �! //l —C—17 � Name/Firm W E By , ;≥Co (Title) Mailing Address 880835 APR\ t r„ pry To: Board of County Commissioners Date: August 3, 1988 ZPMH-#1440 Applicant: Vicente G. Martinez This request is for 1 mobile home to be used as a principal dwelling. Legal Description of Parcel: Lot 2, Block 6, Aristocrat Ranchettes Subdivision, Weld County, Colorado • Location: Approximately 1 mile north of the City of Fort Lupton. The Department of Planning Services' staff has reviewed this request and recommends that the request be approved for the following reasons: This request: WILL WILL NOT X Be compatible with the Weld County Comprehensive Plan. X — _ Be compatible with the surrounding area. X Be in harmony with the character of the neighborhood. X Adversely affect the immediate area. X Be adequately served by water and sewage disposal facilities. X Adversely affect the general health, safety and welfare of the inhabitants of the area and the County. The Department of Planning Services' staff recommendation for approval is conditional upon the following: 1. The applicant shall apply for a building permit for the mobile home within thirty (30) days from the date of approval by the Board of County Commissioners. 2. Prior to the issuance of a building permit, the owner shall submit evidence that a domestic well is supplying water in such a manner as to be adequate in quality, quantity and dependability for the orppo ed use. J The applicant shall also submit evidence available on the property and-a supply water for the outside uses on the lot or that another legal water source is available to su ly both in-house and outside ;'SPs__oat_the lot � 76(4/� o /...G� F 880835 al,/,cwt ,trees i`o #07- t✓. �r,: _, =�_ area 7eV /1 tL J( 7G( W hir 880835 RESOLUTION RE: RESCIND RESOLUTION OF AUGUST 3 , 1988 , CONCERNING DENIAL OF MOBILE HOME PERMIT NO. 1440 - VICENTE G. MARTINEZ WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, on August 3 , 1988 , the Board considered and denied the request of Vicente G. Martinez to place one mobile home to be used as a principal dwelling on a parcel of land described as Lot 2 , Block 6 , Aristocrat Ranchettes Subdivision, Weld County, Colorado, and WHEREAS, the Board now deems it advisable to rescind the Resolution of denial. _IOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Resolution of August 3 , 1988 , denying ZPMH No. 1440 to Vicente G. Martinez , be, and hereby is, rescinded. BE IT FURTHER RESOLVED by the Board that it shall again consider the request of Vicente G. Martinez for ZPMH No. 1440 on August 17, at which time Mr. Martinez is to provide further evidence concerning the well on the parcel hereinabove described. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 8th day of August, A.D. , 1988 . BOARD OF COUNTY COMMISSIONERS ATTEST: WEL OUNTY, COLORADO Weld County lerk and Recorder and Clerk to the Board Gene R. Bran ner, Chairman C.W. Kirby, P -Tem puty County erk EXCUSED APPROVED AS TO FORM: Jacque i Joh on on E. County Attorney EXCUSED Frank Yam guchi fir- `�„ 880835 / • q .; , C -880808 . �1 OFFICE OF COUNTY ATTORNEY PHONE(303)356.4000₹XT.4391 P.O. BOX 1948 r - GREELEY,COLORADO 80632 COLORADO August 8 , 1988 Vicente G. Martinez 15236 Highway 52 Fort Lupton, CO 80621 RE: Rescission of Original Decision and Consideration of ZPMH #1440 on August 17 , 1988 Dear Mr. Martinez: As per our telephone conversation on Monday, August 8 , 1988 , the Board of County Commissioners of Weld County, Colorado, has rescinded its decision to deny ZPMH #1440 which the Board made on August 3 , 1988 . The effect of the rescission is to place the matter on the Board' s agenda for August 17, 1988 . The -Board will consider ZPMH #1440 on that date during its regularly scheduled meeting at 9 :00 a.-m. in the First Floor Meeting Room, Centennial Center Complex, 915 Tenth Street, Greeley, Colorado. During the course of the debate regarding the rescission, the Board informed me that it wishes to have you present certain 1 information on August 17th. Specifically, the Soard would like to i hear about the water well which you drilled pursuant to Colorado Division of -Water Resources Permit No. 150994 . The Board asks you tc present information concerning the well ' s quality and quantity of water, and whether the well is now completed and ready to use. The Board will also hear any other evidence that you may wish to present concerning how you intend to provide water to the lot. 1f you should have any questions or comments concerning this letter, or concerning the hearing cn August 17 , 1988 , please feel free to call me at 356-4000 , Extension 4391 . Very truly your Bruce T. Barker Assistant County Attorney BTB: ss xc: Chuck Cunliffe 880835 v address ENDER: Complete Items I and when additional eervkn re 'sired and omptete Items 3 and-4 m; as d " Space wr.�..v Put your address in the "RETURN-TO" Spereverseon the re aide. Failure to do this sell prevent this card-from being returned to you. The return receipt fee will provide you the name of the oerwq ditlyeredt to and the date of delivery.For additional fees the requested. following-services are available. Consult p ester for fees and check boxw)for additional service(s). requested. tricted ••^ • .,..r.44,.. 1.-7 Show to whom delivered,c date,and addressee's address. 2, O Restricted Delivery I. $ i(Extra charge It _ ,6r�t/Exiro oharge/t %` , 3. Article Addressed to t1° 4. Article Number 'oC�vl}C 6 . "J.4arhnei " ' . '�, 9t. Type ofZervice• .: 1523 fish n � •t 4) 52 � _ O Registered ' ❑ Insured a tLJYL A -ytyOV D CertifExprelad "'', ..1[] COD ; .? r . `" '. ❑ Express Mall r,d a '-'6 7,1";' ' . . , _ r • •Tway,obtain signature of addressee `m , ., tg �, gent and DATE DELIVERED. �-,: 6, atu dresses �` :iv .dressee's Address(ONLY if e X� �, � 'uerred and fee paid) es - .w'�+,;: b w 5 6. °nature—Agen e e " w , ., ' �6�/� �SZ/. 7. Date eliver _/ a s = � „ -PS For 98 1, Mar.1987 -#us.G.P.o.t$87-178.288 DOMESTIC RETURN RECEIPT 'S Form 3800, Feb. 1982 * U.S.G.P.O.1984-448.014 -, o 31 ,x D N n -Dm T N N 4 N 0_ m A n j N - _o m 3 Ea* C n n m Oka "1 z m --1 —r, am av m v a m ?Jim., N, c az m D o m a=. 0,CD a D m (1'm tfa --cn o m - oo - `m 0 'a 9 (t jo n m m rig nN R .C c 6 2� 1 r mf mo m m m ym y a on of -n m yr . 11 m m-. co m a �o O J41 0 om mm z° J a S • m` nom m r m* m H OD 1 p a e m kl �3 O - �o m r in "TO r) N r o 1, 880835 To: Board of County Commissioners Date: August 3, 1988 ZPMH-111440 Applicant: Vicente G. Martinez This request is for 1 mobile home to be used as a principal dwelling. Legal Description of Parcel: Lot 2, Block 6, Aristocrat R-anchettes Subdivision, Weld County, Colorado Location: Approximately 1 mile north of the City of Fort Lupton. The Department of Planning -Services' staff has reviewed this request and recommends that the request be approved for the following reasons: This request: WILL WILL NOT R Be compatible with the Weld County Comprehensive P1-an. X Be _compatible with the surrounding -area. X Be in harmony with the _character _of the neighborhood. R Adversely affect the immediate -area. X Be adequately served by water and sewage disposal -facilities. X Adversely affect the general health, safety and welfare of the inhabitants of the area and the County. The Department of Planning Services' staff recommendation for approval is conditional upon the following: 1. The applicant shall apply for a huilding permit for the mobile home within thirty (30) days from the date of approval by the Board of County Commissioners. 2. Prior to the issuance of a building permit, the owner shall submit evidence that a _domestic well is supplying water in such a manner as to be adequate in quality, quantity, end dependability for the -proposed use. She applicant shall also submit evidence that -a 1,000 gallon _or larger, cistern is available on the property and can supply water for the _outside uses on the lot _or that another legal water source is available to supply both in-house and outside uses on the lot. 880835 86079-6 Board of County Commissioners ZPMH-1440 August 3, 1988 Page 2 3. The domestic well on the property shall be limited to inside use only for one single family dwelling and shall not be used outside the house for any purpose. 4. The return flow Iron the use of the well must be through an individual waste water disposal system of the nonevaporative type where the water is returned to the same stream system in which the swell is located. 5. The mobile home -will not be occupied until the applicant has complied with the conditions above. d27Vatiori 3 l9Y7 Currenner Date 880835 WELD COUNTY DhPARI≥thN1 Ur eLANNtNU StKVLUtb LUNLINU etnnt 915 10th Street MOBILE HOME Greeley, Colorado 80631 Phone 356-4000 Ext. 4400 IMPORT-ANT - Complete all items on both sides . Mark boxes where applicable. APPLICANT r /�1 -'� c- n q 1✓/ C C/+L L it LX , / 1 A 12 / Lni Z PHONEp �J l_ aC / / ADDRESS /��/! ' // id�� S = t R 2 L Ip I I\i Co , 0c41 OWNER PHONE ADDRESS CITY - STATE - ZIP LOT , rag, lSUBDIVI�N — ---- GG t7Z!N^ /oCJJA) i RNCl/EJIAP £N, LEGAL DESCRIPTION Section , T N, R W. Total Acreage Application for zoning permit is made for: Staff Approval Board of County Commissioners Approval ❑ Temporary Use During Construction O Dse Beyond 18 months During Construction of a residence of a residence OTemporary Storage ❑ Extension -Beyond 6 months for Temporary Storage O Accessory to Farm O More than one MH as Acc-essory to Farm OAccessory Use as an Office ❑ More than one MH as Accessory Use as OAccessory Use in C or I Zone District an Office 0 Accessory Structure O More than one NH as -Acc-essory Use in C or I Zone District ❑ Temporary Use during Medical -Hardship 0 More than one accessory structure E Principal Dwelling The above requires an Application lee of The abov_e Tequir2s an Application fc3 of 475.00 4125.00 .- +r ' 3 a TYPE OF SEWAGE DISPOSAL TYPE OF WATER SUPPLY a C I Public orprivate company: Public orprivate company: m r ❑ mP Y 0 P Y ^ w ❑ Septic Tank - Permit 4kr. `,pp /,3 �/ i21 Individual (well, cistern) j �o )__..-- We 11 PErmit # /Sc1919 e j -� iL Copy Attached: Yes -12 No ❑ Copy Attached: Yes 1 No Q )� ' DEPARTMENT OF PLANNING SERVICES USE -ONLY i. r ZONING DIS -RICT ZONI G PERMIT NUMBEF., ` -A /4O-r rLL ) +�n it-CU �Pf -Pyvv APPLICATION 4EE PAID RECEIPT Ny ER DATE CHAINDEXED '/c.t5 /4 -�15— 7/5" Qa APPROVED BY: OStaff O B-oard of County Commissioners Hearing Date ISSUED BY: DATE MOBILE HOME BUILDING PERMIT NUMBER DATE ISSUED A sketch plan is required as part of the application review. Please attach a sketch plan of the site at the scale on one inch represents fifty feet or other suitable scale to show the proposed location of the mobile home, including distances from the property lines and other structures on the property; access to the mobile home, indicating whether the access is existing or proposed; location and-measurements of any easements or right-of-ways; and any existing structures on the property. Sketch Plan attached: YesO No Deed or contract attached: Yesill No O What housing is available on the property and what is its present use? _.,11/<O1/F; How many mobile homes are on this property at the present time? jticoA/Ir TEMPORARY USE DURING CONSTRUCTION OF A RESIDENCE Building Permit Number Date Building Permit Issued Zoning Permit valid for 6 months from date of issue. Zoning Permit issued Valid from to -RENEWALS: -FIRST - From to Fee: Reviewed & Approved SECOND - From to Fee: Reviewed & Approved ACCESSORY FARM USE Type of farming operation on property: Number of Livestock Average number per year Acres Irrigated Acres Dryland Acres Pasture Number of employees now employed: Full time: Part time: ACCESSORY USE IN C OR I ZONE DISTRICT Type of commercial or industrial activity on property: Number of employees : Full time: Part time : Mobile home will be used for: ArtIGNATURE OF QLIC4NT _c1.4 IAPPI;CATION DATE YK let/ � u l i ' / 5 ' , / U / BUILDING PERMITS ARE REQUIRED FOR ALL MOBILE HOMES IN ADDITION TO THE ZONING PERMIT IFOR MOBILE HOMES. THE BUILDING PERMIT MAY BE OBTAINED FROM THE -BUILDING INSPECTION DIVISION, RDOM 342, CENTENNIAL CENTER, 915 10th STREET, GREELEY, COLORADO 80631 , PHONE 356-4000 EXT. 4425 , AFTER APPROVAL OF THE ZONING PERMIT. 880835 1• : • � '• • O • , I • ' I. 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F 4 ( 41- 1 S't •r°.1 .'a r Y ,,-4 t l • Y L F ` r s, •t • ' ¢ F. k. , • .,1' t r .!. 14 S,rrs .) , la ti D 'ie f 1 is �'rl..a X3.9 pt J b � '' "' + - --=!*;* °1 ;R. ti!,,s,........, + . tls d44 ' !.X�tFt f .n • i . r . •r 7.t ,, '�p� • ir'.Ve r %,dry " 'e. 9G. t y '' ` ♦ °,. .7 'gip L%«t` 1"as e1. „,......, ,, ,,. f. 1, 9+.`t• 4,' iT 5. -4 '`j ♦ r.. .. ; e. , . • -• a .* �1yT• r+;•. i r � 'rq yrYt o. '.W---•r• fiFMy' i r' S se`s Y ! .+e i '�. i.„1/4• •! tt �� y7ti�. -- t �i.�� l' r ,�+ : ' .rs '1c y`� �� r r w�• 1401:. ~'r, t A•`•t,s t " n'y it r W, ! 's��#[ r hl , w f,. - 'jn L0.. ••y �y•, ;.S - 1 t .z. `yt.' x' Li l' ' ,. .•'IC..., ` •;' n '(`• ke1/41- 4.♦ z w F ., r!„t rh y, t ,y.?,./ t"R ° y..„::.,fY!'i s',44‘,...,.."i��Df + i •"'s r711 • ry h'. • , . '}t •lr.,i ✓1 n... `.e.. ,•' �y:"�?.2 1.s . _ .. . .:'.c! 11" __ ` x . ,tfi aw. ,.. +', r, .. kii „b„ ..., , t s r�,.,� k Aria•4„. . e - , . 35 • '1r* y 1 9 �J ' «- ( iiik 4 •y r sti� IM >, .-. •.'ilta. ii '1iL xz • h- . i ftw.wd « s�r,.• r}. . K' . F FIELD CHECK FILING NUMBER: ZPMH-1440 DATE OF INSPECTION: July 25, 1988 NAME: Vicente G. Martinez REQUEST: Zoning Permit for a Mobile Home to be used as a Principal Dwelling LEGAL DESCRIPTION: Lot 2, Block 6, Aristocrat Ranchettes Subdivision, Weld County, Colorado. LOCATION: On the south side of Weld County Road 18, approximately .25 miles east of Weld County Road 31 LAND USE: N Weld County Road 18, one residence E Vacant lot S Vacant lot W Vacant lot ZONING: N A (Agricultural) E A (Agricultural) S A (Agricultural) W A (Agricultural) COMMENTS: Access to this lot is from Weld County Road 18, a gravel road. The surrounding vacant lots are in natural vegetation. B tel �C/t✓G?�woe�� e J. w son Curr t P ner 880836 WELD COUNTY DEPARTMENT OF PLANNING SERVICES 915 TENTH STREET GREELEY, COLORADO 80631 SIR : REASON FOR APPLYING FOR A ZONING PERMIT FOR A MOBILE HOME ON LOT 2 BLOCK 6 ARISTOCRAT RANCHETTES INC . SUBDIVISION ALSO KNOWN BY STREET AND NUMBER AS 15164 ROAD 18. IS TO IMPROVE THE VACANT LAND AND A POSSIBLE SALE. Aivel F VICENTE G .MARTINEZ 15236 HIWAY 52 FORT LUPTON CO. 80621 857-2091 880835 1 zitqr IL r ` j cot k •l ro iy u 1 L� ! � Illjjjj 4 HSP106P -APPLICATION FOR INDIVIDUAL _SEWAGE DISPOSAL SYSTEM NO. G-880i WELD COUNTY HEALTH DEPARTMENT NEW APPLICATION ENVIRONMENTAL HEALTH SERVICES 1516 HOSPITAL ROAD . GREELEY . CO 80631 353-0635 EXT.2225 )WNER MARTINEZ . VICENTE G. ADDRESS 15236 HIGHWAY 52 PH (303) 857-20 FORT LUPTON CO 8062i DDRESS DF PROPOSED SYSTEM 15164 WCR 18 FORT LUPTON CO 80621 .EGAL DESCRIPTION OF SITE : SW4 SEC 26 TWP 2 RNG 66 ;UBDIVI55ION : ARISTOCRAT RANCHETTES LOT ,. BLOCK 6 FILING 0 JSE TYPE : RESIDENTIAL ALSO . LOTS ' , 7 . & 8 BLI< 6 M.H. NERVICES : PERSONS 4 BATHROOMS 1 .50 LOT SIZE 1 .00 ACRES BEDROOMS 3 BASEMENT PLUMBING NO WATER SUPPLY PWELL ►PPLICANT- ACKNOWLEDGES THAT THE COMPLETENESS OF THIS APPLICATION IS CONDITIONAL ►F'ON FURTHER MANDATORY AND ADDITIONAL TESTS AND REPORTS AS MAY BE REQUIRED BY THE IELD COUNTY HEALTH DEPARTMENT TO BE MADE AND FURNISHED BY THE APPLICANT OR BY THE IELD COUNTY HEALTH DEPARTMENT FOR PURPOSES OF THE EVALUATION OF THE APPLICATION ; AD THE ISSUANCE OF THE PERMIT IS SUBJECT TO SUCH TERMS AND CONDITIONS AS DEEMED !ECESSARY TO INSURE COMPLIANCE WITH RULES AND REGULATIONS ADOPTED UNDER ARTICLE 0 . TITLE 25 . CRS 1973 , AS AMENDED. THE APPLICANT CERTIFIES THAT THE PROPOSED 'YSTEII WILL NOT BE LOCATED WITHIN 400 FEET OF A COMMUNITY SEWAGE SYSTEM. THE NDERSIGNED HEREBY CERTIFIES THAT ALL STATEMENTS MADE . INFORMATION AND REPORTS UBMITTED HEREWITH AND REQUIRED TO BE SUBMITTED BY THE APPLICANT ARE . OR WILL BE . EPRFSSENTED TO BE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF . AND RE DESIGNED TO BE RELIED ON BY THE WELD COUNTY HEALTH DEPARTMENT IN EVALUATING HE SAME FOR PURPOSES OF ISSUING THE PERMIT API:.LIED FOR HEREIN. I FURTHER UNDER.... TAND THAT ANY FALSIFICATION OR MISREPRESENTATION MAY RESULT IN THE DENIAL OF THE PPLICATION OR REVOCATION OF ANY PERMIT GRANTED BASED UPON SAID APPLICATION AND N LEGAL ACTION FOR PERJURY AS PROVIDED BY LAW. P'PLICATION FEE $150.00 VINCENTE G. MARTINEZ ED ' D BY COFFEY, DIANNE _V_-� rl- 41.1-17P-41 __ 07/01 /88 DATE 0 ;/01 /88 (JWi`N!ERi t'!T SIC . T(.JRE DATE ✓(: J�� INK $ ' / j, 7/ — ec, — J'' l if' L-2- 17 7- le—�1 880835 .rr rl,... .IT.,.. zJM�..w .-.., .,Di,n WRJ.5.?ev. 76 COLPnADC DIVISION OF WATER RESOURCES • 818 Cent ail Bldg., 1313 Sherman St., Denver, color.* CD RECEIVED. • - - - PERMIT APPLICATION FORM Application must APR C 71988 APR 0 '1 ) 88 T 0 be complete where ' ( ) A PERMIT TO USE GROUND WATER "-- applicable. Type or ( #.) A PERMIT TO CONSTRUCT A WELWLT't RESOURCES �:t% Revs„ag ' -print. in BLACK OR: ( ) A PERMIT TO INSTALL A.PUMP - star-pawn r..'„, W 'J4 - INK.No overstrikes FE82 61988 - OWL nu: -or erasures unless ( ) REPLACEMENT FOR NO. initialed. wnm WARM= ( I OTHER r MUM WATER COURT CASE NO. (1) APPLICANT • mailing address FOR OFFICE USE ONLY: gs32#J2T WFii3Tig,LT'J THIS COLUMN ' 2 �!3 Z inWX5DE; Pooh. NAME 1.1‘..:-D 74,,, 4. /771.r t/4el Receipt No. �i IL / 60.00 STREET 15 iA l i,...y c2 Basin iiiECdE bi.i.ao :.:4:zDist. :.«C r CITY P7 L..1a to ., 6,4- ;r c.lc i." - TTf i I , (State( (zip) CONDITIONS OF etiP OVAL TELEPHONE NO. ''S7- .2.0 Qf This well shall be used in such a way as to cause no material injury to existing water rights. The (2) LOCATION OF PROPOSED WELL issuance of the permit does not assure the applicant that no injury will occur to another vested water right or preclude another owner of a vested water County &Ofi d right from seeking relief in a civil court action. _ 11 'h of the Alai_ 14,Section 27 1Z APPROVED PURSUANT TO CBS 37-92-602 (3)(b) Y-4 ?' vin N (II) AS THE ONLY WELL ON A RESIDENTIAL SITE OF Twp._.. , Rng• (-(< si, (.. P.M. 4 ACRES DESCRIBED AS LOTS 1 2, 7 AND 8, BLOCK (N.si E.WI 6 ARISTOCRAT RANCHETTES, WILD COUNTY. (3) WATER USE AND WELL DATA 21THE TOTAL DEPTH OF THE WELL SHALL NOT -EXCEEL 1 FEET, WHICH CORRESPONDS TO THE BASE OF THE ARAPAHOE AQUIFER- 3) THE USE OF GROUND WATER FROM THIS WELL IS Proposed maximum pumping rate (gpm) /C LIMITED TO ORDINARY HOUSEHOLD PURPOSES INSIDE ONE SINGLE FAMILY DWELLING, AND SHALL NOT BE Average annual amount of ground water ' USED OUTSIDE -THE HOUSE FOR ANY PURPOSE. to be appropriated (acre-feetl: / 4) THE RETURN FLOW FROM TEE USE OF THE WELL ✓r, 4,-4-82 MUST BE THROUGH AN INDIVIDUAL WASTE WATER Number of acres to be irrigated: E OA/117--t DISPOSAL SYSTEM OF THE NON—EVAPORATIVE TYPE �� WHERE THE WATER IS RETURNED TO THE SAME STREAM Proposed total depth (feet): ^"-C— / 9,o ' SYSTEM IN WHICH THE WELL IS LOCATED. (NOTE: TO INSURE A MAXIMUM PRODUCTIVE LIFE OF Aquifer ground water is to be obtaCed fromT ?Y THIS WELL PERFORATED CASING SHOULD BE SET THRO1 L)' i L./f /TCA f•`J.9 A c F APPROVED O WELL, NOR AAQUTIRE IFFER INDICATED DUCING VABOVE.AL OF )� Owner's well designation ___ LOB• 4//(.1 ecs:GROUND WATER TO BE USED FOR: O� (k) HOUSEHOLD USE ONLY - no irrigation (0) �� (t0) DOMESTIC (1) ( ) INDUSTRIAL (5) ( ) LIVESTOCK (2) ( ) IRRIGATION (6) <`51 ( ) COMMERCIAL (4) ( ) MUNICIPAL (8) ( I OTHER (9) APPLICATION APPROVE 4"... DETAIL THE USE ON BACK IN (11) (, .t1 141 DRILLER PERMIT NUMBER 7`f R / DATE ISSUED APR 2 0 1988 Name I\ o�.. P- S140 (_k P AYR Z U 1990 / EXPIRATIO !>CTE! Street /.�/6'7r g, :` 1, Ya -, g(/ q . -/„ {i, City IKn.tir0 Se., J Li; 4. M't,Yr ? ATEEfNGG`NEER•t)�-�-+' -JO (State( � L). / r/�! Telephone No. st-YY-St/7a Lic. No. t t BY '� LD. -- COUNTY/ v- 6—ft- (5) THE LOCATION OF THE PRC )SED WELL and the area on (6) THE .LL MUST BE LOCATED BELOW el which-the water will be used most-be Indicated on the diagram below. (Cm telt1 tances from section lines. - -. Use the CENTER SECTION. (1 section,-640 acres) for the well location. - + - t - -L - • + - + — + - + - + - + ' ft. from /✓r f(7 sec:line p morns or soutn) v'r' .Po G I I MILE,5280 FEET I .it+from.- .- . bUrC sec. line l 1 + + ✓r- ' • :.UJwest or west) + 4- 1 LOlL QCK, /a FILING : I I I .. '- .. �J _ - I NORTH SECTION LINE - + I SUBDIVISION r Gn/ 4-/-Pet/Je t- iJC1/P/hr _ I — T I l �.. I (7) TRACT ON WHICH WELL WILL BE +NORTH+ - + _ - + - + LOCATED Owner: , p • W —m 1. Z No. of acres m ' y Will this be I z ) y I o I m the only well on this tract? Stet '" 5 (8) PROPOSED CASING PROGRAM y_6-;; I 5 I I , I Plain Casing ft- "I" 31- - - -} -- 4- _ _m T • �. 6 f S-in. from O ft. to ft. I I I I 96 If-Lin. from hVC ft,to y80 ft. — + SOUTH SECTION LINE — "+ — —I' Perforated casing II I I I in. from ft. to_t ft. T 1 ..I ' �" T in. from ft. to ft. ft- S I I ' �1- I (9) FOR REPLACEMENT WELLS givedistance ''Ii "' ` and-direction from old well andplans for plugging 4- . — L i'.1. �- I P 99 9 .t 'lu ,.,!e r., . ... I i11 , ,11,'. T — T it: 'if+':' ,tr :I,..r.�: ?,H'" v 'tl I The scale o'f the�di9gram is iI incnes='1 mile l; Each small square represents 40 acres. .' .4iit?;-! :'a.:'."I):: '1 i:,I MATER EQU!LALENTSTAEILE IRourioed Figures) ' An acre-foot coven 1 acre of land 1 foot deep ' 1 cubic foot per second Icfsl . .'.449 gallons per minute (gpml-° A family of'5 will seclude approximately 1 acre-foot of water per year. ' 1 acre-foot-,.,'43560 cubic feet. ,..325,900 gallons ' .1,000 gpm pumped continuously for one day produces 4.42 acre-feet. (10) LAND ON WHICH GROUND WATER WILL BE USED: ';C' Owner(s): ' "' '.,]Ct's.G_ ' y No. of acres: .'legal description: • 'Sa•.1 p' , .• (11)-DETA I LED DESCRIPTION of the V use ypgf ground water: Household use and domestic wells must indicate type of disposal system to be used. n i✓/✓ G eiY t+ !, a ! ,fa- f(<IG/Jr 11,-,�, , /r/ 71t Clv I/ ( ,y J6; -..----e.- /l z..-) ,i� LFfG/� Cr/ • (12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers. Type //or'right Used for (purpose) Description of land on which used NOr, ` - (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO T E BEST OF HIS KNOWLEDGE. / -O1- t. ?4.v --7 - g '-/O SIGNATURE OF APPLICANTISI/ J • 880835 Use additional sheets of paper if more space is required. B 1186 REC 0.7 11584 02/22/88 11 :58 $3 . 00 1/001 AR21J1584 _ F 0501 MARY A..d FEUERSTEIN CLERK & RECO, ER WELD CO, CO WARRANTY DEED THIS DEED, Made this 19th day of FEBRUARy State 7c mentory Fee l 8 ,between PHYLLIS J. WILLIAMS �. Date .. , Go,�i9.f�.. $ _... of the 'County of wan and - State of Colorado, grantor,and VI ,E G. MARTINEZ GERALDINE C. MARTINEZ whose legal address is 15236 HIWAY 52, FORT LUPTON,CO 80621 of the County of WELD and State of Colorado, grantees: WITNESS, that the grantor, for and in consideration of the sum of **($16,000.00) ** **SIXTEEN THOUSAND DOLLARS AND NO/100ths*** DOLLARS, the receipt and sufficiency of which is hereby acknowledged, has granted,bargained, sold and conveyed, and by these presents does grant,bargain,sell,convey and confirm unto the grantees,their heirs and assigns forever,not in tenancy in common but in joint tenancy, all the real property, together with improvements, if any, situate, lying and being in the County of WELD and State of Colorado,described as follows: LOTS 1,2,7 and 8, BLOCK 6, ARIS'IOURAT RANC HE.(TES INC. SUBDIVISION A SUBDIVISION OF WELD COUNTY also known by street and number as VAS+ LAND TOGETHER with all and singular the hereditaments and appurtenances thereunto belonging, or in anywise appertaining and the reversion and reversions,remainder and remainders,rents, issues and profits thereof, and all the estate,right, title, interest,claim and demand whatsoever of the grantor, either in law or equity, of, in and to the above bargained premises, with the hereditaments and appurtenances. TO HAVE AND TO HOLD the said premises above bargained and described,with the appurtenances,unto the grantees,their heirs and assigns forever. And the grantor,for himself,his heirs and personal representatives,does covenant,grant,bargain and agree to and with the grantees,their heirs and assigns,that at the time of the ensealing and delivery of these presents,he is well seized of the premises above conveyed, has good,sure, perfect,absolute and indefeasible estate of inheritance, in law, in fee simple, and has good right, full power and lawful authority to grant,bargain,sell and convey the same in manner and form aforesaid,and that the same are free and clear from all former and other grants, bargains,sales, liens,taxes, assessments,encumbrances and restrictions of whatever kind or nature soever, except the general real estate taxes and assessments for 1988 and subsequent years;reservations, restrictions, easements and rights of way of record if any. The grantor shall and will WARRANT AND FOREVER DEFEND the above-bargained premises in the quiet and peaceable possession of the grantees, their heirs and assigns, against all and every person or persons lawfully claiming the whole or any part thereof. The singular number shall include the plural, the plural the singular, and the use of any gender shall be applicable to all genders. IN WITNESS WHEREOF the grantor has executed this deed on the date set forth above. ,// / / Lv1/ _1 e-nTQ� P IS J LLIAMS STATE OF COLORADO 55. County of WILD The foregoing instrument was acknowledged before me this 19th day of k1,73RUARY , 1988 by PHYLLIS J. WILLIAMS te . ..�x:Ct.KkCJ:itt i �. j Witness my hand and official seal. fr,'°q1�`y' ., 6,4111:M! My Commisison expires 8/27/89 , 19 ii f Fu)IAA L. auck Q 'Notary Ml,lic LM U tt .Psl'�:41, 1800 LAWRENCE ST D CO r.... ,w•••�p[ f •If in Denv\d,:i4erf7Fittz¢'p 5 890935 -- 9 SA+^,Rer,^9r4-t 8)! k des + qntnA p�0•' P y�.I7Z.7', A�3�) Bradford Publishing,5825 V/.6th Ave.,Lakewood.CO 80214—(707)i)J.6900 Bfl6 Oyy SURROUNDING PROPERTY OWNERS ZPMH-1440 Vicente G. Martinez Ms. Christy R. Wagner 14980 Harrison Street Brighton, CO 80601 Ms. Rae Ann Brevig 15890 Casler Street Fort Lupton, CO 80621 -Ms. Pauline Maestas 15859 Lamb Avenue Fort Lupton, CO 80621 -William A. and Barbara A. Blank 7394 Woodruff Street Fort Lupton, CO 80621 N.J. McConahay -9500 West 26th Avenue Lakewood, CO 80215 Ms. Kathleen L. Clancy Ms. Theresa D. Beatty 7344 Woodruff Fort Lupton, CO 80621 H.W. Siddle 7345 Patrick Street Fort Lupton, CO 80621 Loren Marvin & Vesta L. Tow 7346 Patrick Fort Lupton, CO 80621 Jimmie & Helen I. Reeves 7306 Patrick Fort Lupton, CO 80621 Raymond B. and N. Larue McCoy 7216 Patrick Street Fort Lupton, CO 80621 Mr. Charles E. Busha 1401 9th Street Fort Lupton, CO 80621 Robert F. and Joyce J. Mills 7486 Patrick Street Fort Lupton, CO 80621 p 880835 SURROUNDING PROPERTY OWNERS ZPMH-1440 Vicente G. Martinez Page 2 Mr. Daniel Martinez 15126 Colorado Highway 52 Fort Lupton, CO 80621 Mr. Robert D. Pixler Ms. Marie E. Scuffham 7164 Woodruff Street Fort Lupton, CO 80621 William R. and Fay W. Pixler 7165 Patrick Street -Fort Lupton, CO 80621 Richard P. and Madelyn I. Pacheco 7114 North Woodruff Fort Lupton, CO 80621 Raymond K. and Betty L. Bouge 15975 Good Avenue Fort Lupton, CO 80621 Mr. Clyde I. Vance P.O. Box 84 Fort Lupton, CO 80621 Ms. Amy Rhodes Mr. Glen Powers 7163 Woodruff Street Fort Lupton, CO 80621 Wayne D. and Debra L. Carson P.O. Box 321 Fort Lupton, CO 80621 Thomas and Beverly R. Trostel 9885 Weld County Road 11 Longmont, CO 80501 Lonnie J. and Carolen M. Smiley 15897 Coleman Avenue Fort Lupton, CO 80621 Gale W. and Louellen Pevler P.O. Box 116 Fort Lupton, CO 80621 880835 Hello