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Home My WebLink About851029.tiff RESOLUTION RE: APPROVAL OF RECORDED EXEMPTION NO. 720 - POLOHASKE 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, pursuant to its authority under Section 30-28-101 (10) (d) , CRS, as amended, did determine at a public meeting held in the Chambers of the Board, that a certain parcel of land, to be divided into two parcels, as shown on the plat known as Recorded Exemption No. 720 , does not come within the purview of the definition of the terms , "subdivision" and "subdivided land" , and WHEREAS , the request for Recorded Exemption No. 720 was submitted by Ralph and Eleanore Polohaske for property which is located in the NW4 SW4, Section 22 , Township 6 North, Range 62 West of the 6th P.M. , Weld County, Colorado, being more particularly described in the plat which shall be provided by the applicant and known as Exhibit "A" , said plat to be recorded, and WHEREAS , this request is to divide the property into parcels estimated to be approximately 4 acres and 37 acres. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the hereinabove described parcel of land be, and hereby is, exempt from the definition of the terms, "subdivision" and "subdivided land" . BE IT FURTHER RESOLVED by the Board that this approval is conditional upon the applicant submitting a mylar plat to the Department of Planning Services to be recorded in the office of the Weld County Clerk and Recorder. The plat shall be drawn in accordance with the requirements of Section 9-2C. (4) of the Weld County Subdivision Regulations. The plat shall be submitted within sixty days from the date of approval by the Board of County Commissioners. 351029 Page 2 RE: RE #720 - POLOHASKE The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 24th day of April, A.D. , 1985 . BOARD OF COUNTY COMMISSIONERS ATTEST: WELD COUNTY, COLORADO Weld County Jerk and Recorder \mar (NAY) and Clerk to the Board J cqu ine Joh4LSon, Chairman EXCUSED v// fi`124---IYi-c2i (Z-m..1-4--,--; a) Gene R. Brantner, Pro-Tem —Dputy County Crk (AYE) APPROVED AS TO FORM: C.W�Ki (AYE) P�/Z.4::2 G r County Attorn (AYE) Frank Yam uchi 851029 DEPARTMENT OF PLANNING SERVICES PHONE(303)356-4000 EXT.4400 4t1v�.r•Lt 915 10th STREET ^u REELEY,COLORADO 80631 WIIDG COLORADO April 22, 1985 y' 1 Board of County Commissioners Weld County Centennial Center 915 Tenth Street Greeley, CO 80631 Re: Recorded Exemption #720 Dear Commissioners: This request for a recorded exemption is submitted by Ralph and Eleonore Polohaske. The parcel of land on which this request is being made is described as the NWT SW1;, Section 22, T6N, R62W of the 6th P.M. , Weld County, Colorado. The property is located 9 miles east of Barnesville; south of Weld County Road 68. The parcel of land under consideration is the total contiguous land holdings of the applicant. The request is to divide the property into parcels of 4 acres and 36.9 acres, more or less. Mr. and Mrs. Polohaske propose to divide a parcel of land that was created by a land contract dated January 4, 1973 (Book 683, Reception #1604753 in the Weld County Clerk and Recorder's Office) . This property is a legal lot located in the High Country Farms Subdivision. Subdivision of this land into 40 acre lots occurred prior to the adoption of the zoning regulations requiring minimum lot size of 80 acres for irrigated land and 160 acres for dryland (December 16, 1973) . Based upon the submitted information and policies of the County, the Department of Planning Services staff recommends the request be denied for the following reasons: - The request does not comply with Section 9-2 E. the Standards and conditions for approval of a recorded exemption. Tt is the responsibility of the applicant to demonstrate that the proposal is consistent with the intent of the district in which the use is located. e 5.1.029 Board of County Commissioners April 24, 1985 Page 2 - The subject site is located in an Agricultural Zone District outside of a projected town growth area. The minimum lot size in the Agricultural Zone District is eighty (80) acres for irrigated land and one hundred sixty (160) acres for dryland. The further subdivision of a 40.9 acre parcel into two (2) lots is inconsistent with efficient and orderly development in the agricultural zone district outside of a projected town growth area. - It is the responsibility of the applicant to demonstrate that the proposed use will be compatible with the future development of the surrounding area as permitted by the existing zone and with future development as projected by the Comprehensive Plan of the County. - The Weld County Future Land-Use Map indicates the type of development at the subject location is intended to remain agricultural and the zone district is intended to remain agricultural. As explained in the Comprehensive Plan on page forty-four (44) , "scattered development in rural areas has other implications. Residential development in rural areas necessitates an increase of public service to that area. More people in the area places additional strain on expenditures for road maintenance, police protection, fire protection, and educational services. It has not been demonstrated that the increased revenues generated by development will pay for the required new facilities and services. The creation of an additional building site through the recorded exemption process will have little impact on the need for services; however, if the recorded exemption becomes the norm and numerous similar proposals are granted, the above impacts can be expected to develop. Tn this regard, the cost of County services can be reduced if development is encouraged around existing population centers and future town growth areas. Development in town growth areas reduces the conflict that arises between rural and urban land-uses. Respectfully, Glo is V. Dunn rent Planner CVD:rjg t?'SIP 29 FIELD CHECK FILING NUMBER: RE 720 DATE OF INSPECTION: 11-5-84 NAME: Ralph and Eleonore Polohaske REQUEST: Recorded Exemption LEGAL DESCRIPTION: NW' , SW1, Section 22, T6N, R62W LOCATION: 9 miles east of Barnesville; south of WCR 68 and east of WCR 79 LAND USE: N Pasture/rangeland and residence E Pasture, mobile home S Rangeland/pasture, residence W Rangeland/pasture ZONING: N Agricultural E Agricultural S Agricultural W Agricultural COMMENTS: Access to the site is from WCR 791 gravel road. Subject site is approximately 9 miles west of Barnesville an unincorporated community. Improvements consist of a single family residence and garage. Land is used as pasture or rangeland. Slope is to the south. 1BY: throe: J a es R. Mayerl /7 / rrent Planner 851O29 (C� 10 11 9 aootiy O L 39 I o Wwdm 11 +478 � � o - A 4829 0 I_ -,I' A K. X ,. 4750 00I O A ep0' 15 14 \ \��_/ Praha School t 43 O I \ 1_6M - ` J BM 0 i - � � + ,.'4725 -F- �� ` 4673 1 �S.- it - \4896 1 � / ry5p Iliad maI MILES, a900 4700 2Q ore iI21 4721x 2 I 800 r co I 4700 Nndmi 35 470 W'na780.o T 0 0\ - �� 26 I 28 �� 1 0 �� 0 0 Svc v v p0v 47 +468i_,_ ' 4662+C — x r 4732 O I. 00 4680 l. nclmilt I .5iO�� APPLICATION FOR RECORDED EXEMPTION PHONE: 356-4000, Ext. 4400 Department of Planning Services, 915 10th Street, Greeley, Colorado 80631 FOR PLANNING DEPARTMENT USE ONLY: / APPL. FEE toga - 115a 7 a. CASE NO. 46 72o RECORDING FEE ZONING DISTRICT _44421-eagle �f/�/_ RECEIPT NO. DATE /6 - /3 - 67 APPL. CHECKED BY it TO BE COMPLETED BY APPLICANT: (Print or type only except for r quired 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: The Northwest Quarter (NWa) of the Southwest Quarter (SW4) of Section Twenty-two (22) , Township Six (6) North, Range Sixty-two (62) West of the Sixth (6th) P.M. , Weld County, Colorado TOTAL ACREAGE: 41 .91 acres Has this property been divided from or had divided from it any other property since August 30, 1972? Yes No XX Is this parcel of land under consideration the total contiguous land owned by the applicant? Yes XX No FEE OWNERS OF PROPERTY: Name: Ralph E. Polohaske Address: 39250 Weld County Road #68, Box 33, Phone: 1 -656-3662 Lucerne, Colorado 80646 Name: Eleonore A. Polohaske Address: 39250 Weld County Road #68, Box 33, Phone: 1-656-3662 Lucerne, Colorado 80646 Name: Address: Phone: WATER SOURCE: Larger Parcel well Smaller Parcel well TYPE OF SEWER: Larger Parcel septic Smaller Parcel septic PROPOSED USE: Larger Parcel g Smaller Parcel g agriculture residence ACREAGE: Larger Parcel 36.91 Smaller Parcel 4 EXISTING DWELLINGS: (Yes or No) Yes (Yes or No) No I hereby depose and state under the penalties of perjury that all statements, proposals, and/or plans submitted with or contained within this application are true and correct to the best of my knowled COUNTY OF WELD ) I:- -?' °c'-'-.-°/ L /�y 7s STATE OF COLORADO ) ignature: ! Cz74� gnature: Owner or Authorized Agent SuLsztihcd and sworn to before me this /0 day of ge ia.tn� , 19 84. ;SEAL) otary Public a -2/, /917 fission expires: Co : 851029 Ar2$A f_A? SaeAJ ,7C1 ,13 ''H #A O ”zrtv—e- cot 3, .352- erN SHELTON, KINKADE AND LAMBDEN ATTORNEYS AT LAW UNION COLONY BANK BUILDING 1701 23RD AVENUE, SUITE A GREELEY, COLORADO 80631 JAMES H.SHELTON JOHN W.KINKADE RONALD J.LAMBDEN (3O3)352-8673 March 12, 1985 Mr. James R. Mayerl Current Planner Weld County Dept. of Planning Services 815 - 10th Street Greeley, Colorado 80631 Dear Jim: RE: Recorded Exemption 720 Our efforts to sell a portion of the Polohaske property to the neighbor have failed. I think it will be necessary to schedule this matter for hearing before the Board of County Commissioners on the request for recorded exemption. I appreciate that the Department of Planning Services for various technical reasons must oppose our request. If there is any item which we may change or modify which would make the request more palatable to the Planning staff, we would be happy to do so. Sincerely, SHELTON, 1CIfWKADE A D;tA)DEN Ronald J. Lam den RJL:skr ,/ / xc: Mr/ and Mrs. Ralph Polohaske P. 0. Box 33 Lucerne, Colorado 80646 0]-11.6;1311\-'11 1 J -I 1 cJ k. Weth CG. PISSIII lk I;IItlIIIIIssioli 851.029 i '' mss'- y"- S Aa&- II _ gas/SA. - _ , a ,-kt, Ii_ G� 77-O ///__ //zsO�Gd G4, /I/_ V4-"e v /�)1F-5_ !,-aney 'I 4779 z--"Alleillfgr --a/ le-Ae. •,-,--ad./4/ / l: - /V' A A ,. /ijr-, a - ,....„ „:72._re_s_s_.s.,/ I f /iii < /o,f_- 7 s!/- i, 't ii ,1, ,c__ ____,/ cca•VA_________ 5 Aii2",tce gzide____ ii - - ,, II II • 1 , •i,l !' 85'1.029 NARRATIVE: RECORDED EXEMPTION APPLICATION: RALPH E. POLOHASKE, ELEONORE A. POLOHASKE NWa of SWq of S 22, T6N, R62W of the 6th P.M. The requested Recorded Exemption is to divide a 40.91 acre parcel into two lots of 4 acres and 36.91 acres. The purpose is to divide the current residential portion of the property from the larger, unoccupied portion. Mrs. Polohaske, the co-owner of the proposed Recorded Exemption property, suffers from chronic obstructed pulmonary disease and diabetes. Because of this, she and her husband cannot profitably use the entire 40.91 acre parcel and can use the income from the sale of the proposed 36.91 acre lot for health- related costs and fixed living expenses. The land included in the proposed Recorded Exemption is located in the A-Agricultural Zoning District. The 32 Sections in which the proposed Recorded Exemption property is located were divided into seventy-two 40 acre parcels in 1973 and sold as exurban residential lots. The land, according to the General Topographical Map of Weld County, is range land, and, according to the Land Use Map of Colorado, the land ranges from range land to sage brush; therefore, the division of this parcel will not take prime agricultural land from production or break up a large block of agricultural land or degrade the agricultural economy of Weld County. The existing uses surrounding the proposed Recorded Exemption include residential , grazing, and some farming. The proposed Recorded Exemption would not affect these surrounding uses, nor would it interfere with orderly development in the area. The area is marginal land for agriculture, and little or no development is foreseen in the near future other than the ex- urban residential use now in existence. The proposed Recorded Exemption is not located within an Overlay District Area. Well water is available on both parcels. A septic system exists on the proposed 4 acre parcel , and the 36.91 acre parcel will support a septic system. Both parcels have access to a County-maintained road. P31.029 74- NW COR. �_ SEC. 22 N N N89°58'56° E 1346,77' I 417.42' (4.00± Acres) LOT 'A' WEST LINE SEC. 22 a N fN barn ` 7 TT i_iiAces r f` Roa 7 2House co SEvnc+TMK417.42 p N N M m , — N 3? M 0.) W LOT ' B' ct in (36.91 ± Acres) o 0 10 o cr co 0 6 NW I/4 SW 1/4 SEC. 22, T6N, R62W 30'x-0 Z d cr jAccess Road G. 0.2--s MED -WELL S89°57'56"W 1351.24' ' SCALE: Ill= 200' I ■- PIN FOUND • - PIN SET OWNERS: R. 8f E. POLOHASKE 39250 W.C. R. 68 i6 .c. -. .8 16 _ 14 P. O. BOX 33 ;Ile T6N LUCERNE , CO 80646 Barnesarrn les ZI 23 yr 22 'a"e' II 'I 27 '"a. 28 16 VICINITY MAP 851029 Scale; I" = 2000' FREESE ENGINEERING 1984-127 •iw.i.z5ss RECEIVED • COLORAwO DIVISION OF WATER RESOuRCES SEP 061S 4 TYPE OR 818 Centennial Bldg., 1313 Sherman St. PRINT IN BLACK INK. COPY OF ACCEPTED Denver, Colorado 80203 WATER M$OURCES STATEMENT MAILED $TXTE•E$fINUS ON REQUEST. STATE OF COLORADO ) AFFIDAVaks, 1} SS. COUNTY OF STATEMENT OF BENEFICIAL USE OF GROUND WATER AMENDMENT OF EXISTING RECORD LATE REGISTRATION /" /PERMIT NUMBER / 36 9 4 LOCATION OF WELL THE AFFIANT(S) ,f/4'//4 /20 `Q JAC C „Linty A.ict la whose mailing f2 address is C. lJ . /504- /3/3 ( / j (// NW / A of/the S U—� 'u,oSeection City ZvC e/C /J/ i 17 (1 (/(.'>r�c- Twp. it (ntN/ I , Rng. 62_OP SI 1_�)1474- �D M ITT.Trl IzIPI being duly sworn upon oath, deposes and says that he (they) is (are) the owner(s) of the well described hereon the well is /3 CO A3P 47 5° located as described above, at distances of /a 7O feet from the 4-. section line and t2 ' feet from the ...ono.. Wd section line; water from this well was first applied to a beneficial use for the purpose(s) described herein on the I(a5T 0. wIST) day of , 19 ; the maximum sustained pumping rate of the well is 7S gallons per minute, the pumping rate claimed hereby is i S gallons per minute; the total depth of the well is I Z • feet; the average annual amount I of water to be diverted is 1 acre-feet; for which claim is hereby made for 50/11t..--S7/c r S:23cdc purpose(s); the legal description of the land on which the water from this well is used is of which ___I—acres are irrigated and which is illustrated on the map on the reverse side of this form; that this well was completed in compliance with the permit approved therefor; this statement of beneficial use of ground water is filed in compliance with law; he (they) has (have) read the statements made hereon; knows the content thereof; and that the same are true of his (their) knowledge. (23„..(11#0]...._a � REVERSE SIDE OF THIS FORM) Signature(s) FOR OFFICE USE ONLY Subscribed and sworn n to before me on this O(1), day of , 19 WIN ,C0 80551 Court Case No. My Commission expires- /� � MY CO • • Dires March 8. 1988 ISI..I . Prior. �'��_\� AVicS Y.. UC/ / . T. T PUBLIC ...�ggY///•�IIMVVV//I///A.LAM•.[L///-.dii///• + ,___{ \J \ \O,C tty. ACCEPTED FOR FILING Y THE STATE ENGINEER OF COLORADO \^{l�\��OY PURSUANT TO THE FOLLOWING CONDITIONS: Sec 'r.. ''A. :. t rit 2-'-.-..• InkT ZU.Ar TO C.R.4 !-'4+ Well Use :s.',..till (1.'(.....b.....). Dist. _ Basin Mon. Drs. , S E P 171984 WV ars/ .S�>_>p . 1re.taSeatli DATE STATE ENGINEER BY Assistant 851029 Well drilled by Lic. No. Permanent Pump installed by Lic. No. Meter Serial No. ❑ Flow Meter Date Installed Owner of land on which • water is being used THE LOCATION OF THE WELL MUST BE OWN AND FOR LARGE CAPACITY IRRIGATION WELLS THE AREA ON WHICH THE WATER IS USED MUST fBE SHADED OR CROSSHATCHED ON THE DIAGRAM BELOW. This diagram represents nine (9) sections. Use the CENTER SQUARE (one section) to indicate the location of the well, if possible. I I I I I I + — + — + — + — + — + - I I I I I I — .+ — + -- + — + — + — + — NORTH SECTION LINE NORTH I rn V + — + — int eea. 6 I I .._ I : 11: it ul a + — + - r in 1 SOUT'HSECT ION LII4E — -f — + — + + + + I I I A I THE SCALE OF THE DIAGRAM- ,Fr INCHES E alALS ONE-MIL E — + — + — + — + — ± — ± — ( ( --1( M i I e , WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of land 1 foot deep. 1 cubic foot per second (cfs) . . . 449 gallons per minute (gpm). 1 ocre-Foot . . . 43,560 cubic feet . . . 325,900 gallons. 1,000 gpm pumped continuously for one day produces 4.42 acre-feet. 100 gpm pumped continuously for one year produces 160 ocre-feet. (WHITE AND I TO BE FSTATEILED ENGINEER PINK COPY WILL BE RETURNED TO OWNER) 51029 wR,1-372 C0LO: DO DIVISION OF-WATER RESOUR( 11o1.Cotsenbine Bldg.,1845 Sherman St..Denver.Colorado 00203 `if.'i i • r- 3 PERMIT APPLICATION FORM NI7 P Af5C•CAr FS Application must ti'Ali iNGinFFe . be complete where 4 J A PERMIT TO USE GROUND WATER cote. applicable. Type or 1 A PERMIT TO CONSTRUCT A WELL print in BLACK FOR:(X)A PERMIT TO INSTALL A PUMP INK.No overstrikes or erasures unless I ) REPLACEMENT FOR NO. initialed. ( )OTHER (1) APPLICANT- mailing address `, 1 FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN NAME PO C I) P !( yye j'/ !�V D,PE Receipt No. V 0 0 r7 l STREET / 1/ bF y/ %A1 Basin Dist. CITY/' U RDR/7 L- t L o . SO0A2 CONDITIONS OF APPROVAL (state) (Zip) Y TELEPHONE NO. ---;ii 3 - '7 Z 9 77 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 �) n right from seeking relief in a civil% court action. NO '4„„oa/f the -SW . ..Section . 7 /r ta Twp. 1.O LAC, Rng-.1,2 1AL. (n 1 h P.M. (� (3) WATER USE AND WELL DATA i Proposed maximum pumping rate(gpm) c A A L Average annual amount of ground water ' to be appropriated (acre-feet): Number of acres to be irrigated: No A) a Proposed total depth (feet)': ) CO Aquifer ground water is to.be obtained from: . Owner's well designation GROUND WATER TO BE USED FOR: ( I HOUSEHOLD USE ONLY-no irrigation(0) IX DOMESTIC (1) ( ► INDUSTRIAL (5) ( ) LIVESTOCK (2) ( ) IRRIGATION (6) ( I COMMERCIAL (4) ( 1 MUNICIPAL (8) • • ( ) OTHER (9) APPLICATION APPROVED 6'7219 PERMIT NUMBER (4) DRILLER Ilk' 241 973 DATE ISSUED t n Name '- ) C" L= A 6C). EXPIRATION DATE {AN 2 4 1975 Street r<er :4� City I (�STP. ENG '(r cR) (Slate) 1Zip) itOr2k9S Telephone No. Lic. No. ............... 851A29 • (5) THE LOCATION Of THE PROPOSED WELL end the area on (6) THE WELL MUST BE LOCATED BELOW which the water will be used must be indicated on the diagram below. by distances from section lines. Use the CENTER SECTION 11 section, 640 saes)for the well location. �3b Q O V 7'4 .Lt.� 1 1 ft.from sec.line T — -t- � --F -I— — --I-— -4— — —� � -�- — 4- { (north or south) 14----1MILE.S2a — L e FEET ►I I Lib ft.from toi Es r(asst or nap sec.line l 4- 4- + + + --f— + 1 LOT BLOCK FILING - t I + - 4 — -' NORTH SECTION LINE — + _ 1 SUBDIVISION I I I I (7)TRACT ON WHICH WELL WILL BE I LOCATED 4_NORTH z i + _ , _ + _ _m + /� T z No,of acres / . Will this be I ) o I ) m the only well on this tract? Y� 5 4- W o-I- I ) -I- - 4 k (8) PROPOSED CASING PROGRAM ) O GO r I Plain Casing W = '� 3- - + - - - --I- - -m + + _ 5 in.from O ft.to _ _ft I I I in.from ft.to ft. 4- _- _f_ _ i I I - 4- _ 4 Perforated casing SOUTH SECTION LINE _ I I I I S _in.from I'7 5 ft.to 2 C° ft. + -I- + + 4 -I- -} -1- -F in.from ft. to ft. I I I I I (9) FOR REPLACEMENT WELLS give distance and direction from old well and plans for plugging t — -)- — -I- — ± — -I- — _4_ _ 4_ - -F- - " _ it: The scale of the diagram is 2 inches-1 mile /y/ f Each small square represents 40 acres. WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of bid 1 foot deep 1 cubic foot per second(cfs) ...449 gallons per minute lgpm) 'A family of 5 will require approximately 1 acre-foot of water per year. 1 acre-foot...43,560 cubic feet...325.900 gallons. 1,000 Qom pumped continuously for one day produces 4.42 acre-feet. (10) LAND ON WHICH GROUND /WATER WILL L BE USED: /' Owner(s): kJ PliAit'`ZE 1—OLoh rs /1 t' 7 No.of acres: Lt Legal description: t=)tLn In Ni;i 't✓4 rf cf.)0's Kt,22 T(7N R(oaNJ 671, Nr7 (11) DETAILED DESCRIPTION of the use of ground water: /nuts /Ie/-n 1A?Qe - tifaeA (12) OTHER WATER RIGHTS used on this land, including wells. - • Type or right Used for(purpose) Description of land on which used (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST OF HIS KNOWLEDGE. -- . -G"7! r—Icy /41414— 2*-7 SIGNATURE OF APPLICANT(S) 851029 WELD COUNTY HEALTH DEPARTMENT 1555 17th Ave. tr. No. 1 I Greeley, Colorado Ph. 353-0540 M.H. No. Application for Permit to Install, Construct, Alter or Repair Individual Sewage Disposal Phone stem. Own Address Address er . r1.3 -7O9 as a � Le Des ptioaC. , • / Direction � _"'S 92..8). tarea-2,4%, _ -l'$- /z rit` Septic Tank General Informationp(>� Gallons 1. Living Units / 1. Liquid Capacity / > 2. Dimensions W L D 2. No. of Bedrooms 3. Material 4. No. of Baths — 4. Type Inlet 4. Basement Drain gyps Outlet 5. Automatic Dishwasher — 6. Garbage Disposal Secondary eotment 7. Automatic Lo Laundr 8. Size of Lot Field (� Bed 9. Type of Soil . i 10. Percolation Test ' 1. No.of distribution fines 4 11. Water Supply 2. Trench: Width_ ngt 0../ 12. Lot Grade 3. Type Filler Material 1/1-`O- 13. Water Table Depth 4. Depth of Filler Material " ' ` " '-k-- 14. Other 5. Gravel Size ,V.-/-.,7 Y'- 6. Type Tile '_ 7. Depth of Cover I .,/,‘,41.41,...,..--,A -— > 8. Other • The Permit is to remain in full force and effect for six (6) months from date, until revoked for non-compliance. This system will be constructed in accordance with the above specifications and regulations governing non- municipal sewage disposal systems, in accordance with Regulation 1 f the Weld County Health De- partment. Owner cannot transfer permit.q Owner: eve Date �Z"'�"o', ,R6/ / 7 c Applicant: The plans and specifications as shown are approved, pending payment��it fger ^1 Sanitarian: y� // J Date: ' / - 3 ` 73 00 The above system inspected and found to comply with the plan and description. Da Installed by O Sanitaria v PERMIT FEE $ \J„.......-914b A(._ 2 — Date Received by Please use reverse side for Plot Plan or uses ate sheet of paper. 1 851.023 ."._- I ( Li I STATEMENT FOR PROFESSIONAL SERVICES I • h C`, ;tj H .T . Horsley Jr. M . D . y_ Denver Cardiology Group «� 2045 Franklin St . #706 Denver , Colorado 80205 861-4993 F p Eleanore Polohaske STATEMENT DATE 7/ 2/ 81 P .O . Box 33 Lucerne , Co . 80646 !ACCOUNT NO I 953190 J L AMOUNT ENCLOSED S TO INSURE PROPER CREDIT TO YOUR ACCOUNT THIS CHARGES on PAYMENTS AFTER STATEMENT DATE ORTANT: PORTION OF THE STATEMENT M�,4T_BE RETURNED WILL APPEAR ON YOUR NEXT STATEMENT _SATE DESCRIPTION CHARGE CREDIT 29/ 81 Office 90020 History & Physical - Office Visit $75 . 00 93O00 Electrocardiogram $30 . 00 • 4 , 5 , 7 / 81 IH ' 90250 Hospital Visits x 3 @ $20 . Per $60 . 00 6/81IH 93015 Graded Exercise Treadmill Test $60 . 00 3/81 IH 90240 Hospital Visit x 1 @ 1p, Per — $10 . 00 DX : Chronic Obstructive Pulmonary Disease \---- THIS STATEMENT MAY BE SUBMITTED DIRECTLY TO YOUR INSURANCE COMPANY . �__----' .TEMENT-.OVER OVER OVER OVER BALANCE LANCE DUE DATE ACCOUNT NO.CURRENT 30 DAYS 60 DAYS 90 DAYS I 20 DAYS__ / 2/81 953190 $235 . 00 - - RETAIN THIS PORTION OF THE STATEMENT FOR YOUR RECORDS i5.4PIT-'.---- -- - ---" - . T - ...--•• .. - -- - . . ... . ..--- At-'1,40: iI }1}: l !, . 4 it itL1„ ."*.i '4:,:j''' fix,' 4..;1 ' 't,„4,0;--i-' :, -,; . . 8Si.429 DIV,ISIONOF MEDICAL IMAGING S.T. LUKE'S r'OSPII AL DENVER, CO'_‘J-v: . Dagnisoc R:%,vuyv Q DEPARTMENT OF RADIOLO Dlaonosllc Wvasoune Nuclear Mecicne PROCEDURE REPOR RADIATI0N0N'.oto( N 0 Aa'estac M j E R Wurlket/acn.M D D Ric ha,cso^.M D V:'. Fink M D S Mush¢.M D T.R Mueller, M / F Mallnews. M S 8 <I ird e' al zl C of 261338 Thallium Scan of the Myocardium This 49 year old female was admitted for evaluation of arrhythmia . She is a diabetic . There are no current cardiac medications . Resting EKG suggests an inferior wall myocardial infarction of indeterminate age . The stress echocardiogram demonstrates 1 to 1 . 5 mm. ST wave depression in horizontal leads . There were no ectopics . BP response was adequate . Thallium Scan : Following intravenous injection of 2 mcs . of Thallium 201 without apparent reaction , there is a slight decrease in activity in the area of inferoapical distribution . This is approximately equal between rest and stress and would suggest an area of scar . There is nothing to indicate an area of ischemia at this time . The differential between stress aid rest is best a-preciated through the computerized counts rather than purely by observation . IMPRESSION: ABNORMAL THALLIUM MYOCARDIAL SCAN SUGGESTING INFARCT IN THE INFEROAPICAL AREA . NO APPARENT AREA OF ISCHEMIA IS IDENTIFIED . T . R .MUELLER ,M . D . \IV\ rd z, 1/15/81 Z. M---NOSI :DER DATE TIME ORDER NO PRIORITY DO ON DATE TIME REASON FOR EXAM/DIAGNOSIS ,DE SORG DATE PREG OAP !NITS. REQUESTING PHYSICIAN REMOVE DRESSING iICEDUFE5 REQUESTED "' - YES O NOD C 5 ' ifr- -o—' cL : : c : MCAT INF Q'iMAIION PATIENT INFORMATION .I .. 1 -L.•... - . l �. ... . 1, r ��1.029 A I - ACn 12 �i K refit . „ AR E;I NI OP Pi,.vbJING SEHHVICE PITON (303)356 4000 EX T. QTp \ 91510TH STREET GREELEY COLORADO 80631 C. CASE NUMBER RE-720 COLORADO October 26, 1984 REFERRAL TO WHOM IT MAY CONCERN: Enclosed is an application from Ralph and Elenore Polohaske for a rprnrded exemption . The parcel of land is described as the NWT SW1, Section 22, T6N, R62W of the 6th P.M. , Weld County, Colorado The location of the parcel of land for which this application has been submitted is 9 miles east of Barnesville; south of Weld County Road 68 and east of Weld County Road 79 This application is submitted to your office for review and recommenda- tions . Any comments or recommendations you consider relevant to this request would be appreciated. Your prompt reply will help to facili- tate the processing of the proposal and will ensure prompt considera- tion of your recommendations. If a response from your office is not received within 14 days of mailing from our office, it may be in- terpreted to mean approval by your office. If you are unable to respond within 14 days (but wish to do so at a later date) please notify our office to that effect . Check the appropriate boxes below and return to our address listed above. Please reply by November 7. 1984, so that we may give full consideration to your recommendation. Thank you very much for your help and cooperation in this matter. 1 . We have reviewed the proposal and find no conflicts with our interests. 2. A formal recommendation is under consideration and will be submitted to you prior to 3 . Please refer to the enclosed letter. Signed Agency Date mes R. Mayerl, ent Planner JRM:rj g 851.029 • DEPARTMENT OF PLANNING SERVICES PHONE(303)356-4000 EXT.4400 915 1L:h STREET taito ,\Y,1' GREELEY,COLORADO 60631 wilk COLORADO October 18, 1984 Ralph and Eleonore Polohaske 39250 WCR 68 Box 33 Lucerne CO 80646 Re: RE 720 -- Request for a Recorded Exemption on a parcel of land described as NWT SW1, Section 22, T6N, R62W of the 6th P.M. , Weld County, Colorado. Dear Mr. and Mrs. Polohaske: Your application and related materials for the request described above are complete and in order at the present time. I have scheduled a meeting with the Board of County Commissioners on November 14, 1984 at 9:00 a.m. This meeting will take place in the County Commissioners' Hearing Room, first floor, Weld County Centennial Center, 915 10th Street, Greeley, Colorado. It is recommended that you and/or a representative be in attendance to answer any questions the Board of County Commissioners members might have with respect to your application. The Department of Planning Services staff will make a recommendation concerning this application to the Board of County Commissioners. It is the responsibility of an applicant to contact the Department of Planning Services office a few days before the date of the Board of County Commissioners hearing to obtain that recommendation. If you have any questions concerning this matter, please feel free to call me. Respectfully, / tames R. Mayerl J Current Planner cc: Ron Lambden 1701 23rd Ave. IIA Greeley, CO 80631 352-8674 851.929 �_t� DEPARTMENT OF BUILDING INSPECTION t, tt„ „ PHONE(303)356-4000, EXT 4425 915 10TH STREET GREELEY,COLORADO 80631 October 24, 1984 1 COLORADO Ralph and Eleonore Polohaske 39250 Weld County Road 68 P.O. Box 33 Lucerne, Colorado 80646 Re: Recorded Exemption #720 Dear Mr. and Mrs. Polohaske: The Board of County Commissioners has cancelled the November 14, 1984, public meeting. Your request scheduled with the County Commissioners on November 14, 1984, at 9:00 a.m. in the County Commissioners' Hearing Room, First Floor, Weld County Centennial Center, 915 Tenth Street, Greeley, Colorado has been rescheduled. The new hearing date is Tuesday, November 13, 1984. The time and place will remain the same. It is recommended that you and/or a representative be in attendance to answer any questions the Board of County Commissioners might have with respect to your application. If you have any questions concerning this matter, please feel free to call me. Sincerely, dant,...6e727,,,i ames R. Mayet' Current Planner JRM:rjg cc: Ron Lambden Attorney at Law 1701 23rd Avenue #A Greeley, Colorado 80631 DEPARTMENT OF PLANNING SERVICES PHONE (303)3564000 EXT.404 915 10TH STREET GREELEV,COLORADO 80631 III D COLORADO March 15, 1985 Ralph & Eleonore Polohaske 39250 Weld County Road 68 Box 33 Lucerne, CO 80646 RE: RE-72O Request for a recorded exemption on a parcel of land described as the NW' SW11 of Section 22, T6N, R62W of the 6th P.M. , Weld County, Colorado. Dear Mr. & Mrs. Polohaske: Your request for a recorded exemption has been rescheduled. Your new hearing date is April 24, 1985 at 9:00 a.m. as requested by your attorney Ron Lambden. The meeting will take place in the County Commissioners' Hearing Room, first floor, Weld County Centennial Center, 915 10th Street, Greeley, Colorado. If you have any questions concerning this matter, please feel free to call me. Respectfully, n James R. Mayerl f/// ii/Current Planner cc: Ron Lambden 1701 23rd Avenue #A Greeley, CO 80631 Pt029 LEGAL DtSCRIPTION HHW4SW4 5m. 22 . 6.62 CASE NO. RE -72O Y• s k . to 72 P 5 • 13' p 44 .. *ag 74 q 74 ?? 44 1 i 52 56 38 4 { CLASSIFICATION SOIL NO. IRRIGATE NON-IRRIGATED PRIME -X¢ e VI e Q"029 €Otriecrin j d {{ DFF;Af3TPAFNT OF Pi_ ,'�� J NG SERVICES �`�7{�+'i4+^ }'+� "cif PHONE (303i 3564000 EXT. 40(10-4644"16 i`�� 91510TH STREET 11 OCT 2 6 1984 [ GREELEY,COLORADO 80631 ... � _ LLJLLL 119 € roanWEL i G'De a ( CASE NUMBER RE-720 €€ti oriilg Department of COLORADO October 26, 1984 REFERRAL TO WHOM IT MAY CONCERN: Enclosed is an application from Ra]ph and Elenore Polohaske for a rernrded exemption • The parcel of land is described as the NWZ SW1, Section 22, T6N, R62W of the 6th P.M. , Weld County, Colorado The location of the parcel of land for which this application has been submitted is 9 miles east of Barnesville; south of Weld County Road 68 and east of Weld County Road 79 This application is submitted to your office for review and recommenda- tions . Any comments or recommendations you consider relevant to this request would be appreciated. Your prompt reply will help to facili- tate the processing of the proposal and will ensure prompt considera- tion of your recommendations . If a response from your office is not received within 14 days of mailing from our office, it may be in- terpreted to mean approval by your office. If you are unable to respond within 14 days (but wish to do so at a later date) please notify our office to that effect . Check the appropriate boxes below and return to our address listed above. Please reply by November 7, 1984. so that we may give full consideration to your recommendation. Thank you very much for your help and cooperation in this matter. 1 . We have reviewed the proposal and find no conflicts with our interests. 2. A formal recommendation is under consideration and will be submitted to you prior to 3 . Please refer to the enclosed letter . Signed 64924/Agency Date -- 91984 , gym Weld Co. Planning unmmiSSian mes R. Mayerl, C rent Planner JRM:rj g 851.029 0 a . - n • WARRANTY DEED THIS DEED, made this 1st day of May, 1978, between Ivan D. Knopp, Marvin L. Knopp, Jimmy W. Rogers and Roland Fleck, of the first part , and Ralph E. Polohaske and Eleonore A. Polohaske 39250 Weld County Road #68, Briggsdale Colorado, 80611 of the second part: P WITNESSETH, That the said parties of the first part, for and in • consideration of the sum of other valuable considerations and Ten Dollars to the said parties of the first part in hand paid by said parties of the second part, the receipt whereof is hereby confessed and ack- • nowledged, have granted, bargained, sold and conveyed, and by these presents do grant , bargain, sell convey and confirm, unto the said parties • of the second part, their heirs and assigns forever, all the following described lot or parcel of land, situate, lying and being in the e- County of Weld and State of Colorado, to wit : 0 N The Northwest Quarter (NWl) of the Southwest Quarter o (SW$) of Section 22, Township 6 North, Range 62 West of o the 6th P.M. , Weld County, Colorado TOGETHER with all and singular the hereditaments and appurtenances c•-1 thereto belonging, or in anywise appertaining, and the reversion and t reversions, remainder and remainders, rents, issues and profits thereof, c and all the estate, right, title, interest , claim and demand whatsoever, of the said parties of the first part , either in law or equity, of, in and to the above bargained premises, with the hereditaments and appur- tenances. TO HAVE AND TO HOLD the said premises above bargained and described with the appurtenances, unto the said parties of the second part, their heirs and assigns forever. And the said parties of the first part, for themselves, their heirs, executors and administrators , do covenant, grant , bargain, and agree to and with the said parties of the second c_ part , their heirs and assigns, that at the time of the ensealing and Li � J delivery of these presents, they are well seized of the premises above 1-4 sJd conveyed, as of good, sure, perfect , absolute and indefeasible estate i„ of inheritance, in law, in fee simple, and have good right , full power v and lawful authority to grant , bargain, sell and convey the same in manner and form as aforesaid, and that the same are free and clear from all former and other grants, bargains, sales, liens, taxes, assessments and encumbrances of whatever kind or nature soever, except those of record, and the above bargained premises in the quiet and peaceable possession c of the said part ies of the second part, theirheirs and assigns against all and every person or persons lawfully claiming or to claim the whole or any part thereof, the said parties of the first part shall and will WARRANT AND FOREVER DEFEND. IN WITNESS WHEREOF, the said p rties of the first part have hereunto s their hands and seals th y d year first above written. MARVIN L. KNOPP 0"' �+3+3�•�"`:,:,,,,,,4 - 1O s .+' at .• Jas ROLAND��F _ eg JTtvi Y W.� GERS ��s• f vi> % ° 1‘. 3 Y STATE O rav ) TE OF COLORADO) i W: d' :O_•-;,16 fi L N- Y OP )ss. COUNTY OF WELD )55. g'+ rt € '.The r Bing instrument was ack- The foregoing instrui �•.�w s•,atck-s -.noWl died fore me this �i 2 day of nowledged before me thit�;. �.Y/jjy vpl , 1978 by Ivan D. Knopp. ,c9 ..e/ , 1978 by Mari o;,;d,o.atnopp. WI•T my ha nd official seal . TN;ESS m hand and official seal . vNotary Public Gsc Notary Public. My commission ex es: My comet ssi-o expires:2ec . /9, /9e/ f�ommfsslon Expires June 19, 1981 STATE OF)N STATE OF COLORADO)ss. COUNTY OF @ .1.-)s s• COUNTY OF -MOM )Aid t D The foregoing instrument was ack- The foregoing instrument was ack- nowledged before me this /I, day of no dged before me thisela4.'ay of 78 :by Roland Fleck / , 1978 by++;J''tm.. Wat7 ftpgers. W TNESS + Ne79.��Kl_,official seal. ITNESS my hand anik.4ciatt 1 . ‘ r : Notary Public , S rc � hill is My co 1°-_.p P : : 4 - 4 -g3 My commission xPf� ;: 9 sa / . r- :, t � r It c., + _b in { p• or Vic* '=elf �.:�, 4 L.,`'`F^. N CO Ptif:Pl .(4^!.ER-CTA �' �6 V1+,'�+�+' !: 4- a . My Com..1:tis, Lrprct M:! 6, 11,13 , .i,.5 (29 -p,c- ..e.,i:,,,,aVCS .So '. Y....�::�=.,+c.i- C . f i ,4. 890 '= DEC 121979 Recorded -at G"1. o'clrck M,�........... ... Rec. Na. 1811719 711ps n �eu , ,t. /—/ / State of Colorado, Weld County Clerk & Recorder L J ,t -c) i1(1i_ss/n.�e f//'5-- - //))=/f s7�-' ' --- or. _7,x.0 ✓ ��i/ krt yl/6 G X/ ✓`f.7i/v:5 JT 3 /Y -5".2--"C"-L- G A L-cam .,--c-c- -�1 ec .// c.;- C17, .. A, / & wt274 e-- -c<2z✓ 1--cr-j-/24,-, A A Lsit,,,, a, „oh„:7> dc,._5_,,, 7: -,,,,t7,2, 7z fi..),,,_ 4c t-iv 2 rz---Th . _ ✓ /r. dl`s ✓✓ e i 029 t RECORDED lExEmraTION N2r• 0797a2� 3 RE 720 3v NW COR. s ., e in(p SEC. 22 ' C0N � a . I'tPO.B. r81-3 i ' N89°58'56"E 1346.' `;7' ' °. "at A 929.35' 5 ,,41742' �� rr ,'d; ' x # fri • ' * Aires) , ow"' LIN SEC. 22 �a � 'LOT. .A� I/ a ,r,r S" i 4 i r 1 . t N _N sr r^ ,„ r. Y it t}t! ` a; .. • . d it d 46 IF 5 W ' Ac‘i 44 ii r M . t X51"'' 4 n.. ch LOT : ' y Tr W � A J (36.91 acres) v sew cr o NW.1 SW % SEC.22,TEN;- a 30�—.g .- 4 4 d ^ rii, r y ;r N5 ., • r Rasa d Ayy c. 1 i4 Mtn W- t .4 ^r i 142-4 e f S89°57'56i'W 1351.24' ' SCALE: I' =200 5 II- PIN FOUND ,, i'' • *, •- PIN SET OWNER k 1, ' , R. a E. ROL A 39250 W.CR. 68. R.62W ,4. P.O. BOAC 33 : .,' ; /- • . 9 LUCERNE, C � 46 , bar I •--7.s ,i.6 T6N >. :,, 5t LOT 'Mrs ' •4; 6 ES LOT 'B''036.9i♦' ACRES '• TOTAL - 40.91t ACRES 25 21 „-` 22 S er • f yu " . sir a 28 '- s , r , 1.029 4.VICINITY MAP . 4 " ' fi s Scale: I" • 2000' FREESE Ewell.: .` ` ' 1984-127 I IRECORDED ' EXEMF --TI ON N° : 0797-22 3-RE 720 O • LEGAL DESCRIPTION s 0 f The Northwest Quarter (NW3 ) of the Southwest Quarter (S14) of Section 22, Township 6 North, Range 62 West of the 6th P.M. , Weld County, Colorado,,;being more particularly described as follows: Beginning at the Northwest Corner of said Section 22 and considering the West line of said Section 22 as bearing South 01°46'15" West, and with all other bearings contained herein being relative thereto: Thence South O1°46' 15" West, 2,642.64 feet to the TRUE POINT OP BEGINNING; Thence North 89°58'56" East, 1,346.77 feet along the North line 'of NW34SW3; Thence South Ol°34'39" West, 1,320.80 feet along the East line of 1410,004; Thence South 89°57'56" West, 1,351.24 feet along the South line of NW3451434; Thence North O1°46'15" East, 1,321.32 feet along the West line elf-Section 22 to the TRUE POINT OF BEGINNING. The above described parcel contains 40.91 acres, more or lees, end is subject to any rights-of-way or other easements as recorded by instruments of reeord or es now existing on said described parcel of land. LOT "A" All that part of the Northwest Quarter (141434) of the Southwest Quarter; (51434) of Section 22, Township 6 North, Range 62 West of the 6th P.M. , Weld County, Colorado, being more particularly described as follows: Beginning at the Northwest Corner of said Section 22 and considering the West line of said Section 22 as bearing. South 01°46'15" West, and with all other bearings contained herein being relative thereto: 1 " Thence South 01°46' 15" West, 2,642.64 feet; Thence North 89°58436" East, 929.35 feet along the North line of NW34SW3 to the T.P.O.B.; Thence centinniet North 89.58'56" East, 417.42 feet; Thence South 01°34'39" West, &L7.42 feet along the East line of NW3SW3; Thence South 89°58'56" West, 417.42 feet; Thence North O1°34°39" East, 417.42 feet to the TRUE POINT OF BEGINNING. w Said described parcel contains 4.00 acres, more or less, and is 'Subject to any rights— of—way or other easements as recorded by instruments of record or as now existing on said described parcel of land. SURVEYOR'S CERTIFICATE 4 PER att. •€ I hereby certify that I have prepared this legal description. , e I I •• 11 TY 4392 * JA.P'R REESE •+ Co •r do P.E. 8 'T1 . et PROPERTY OWNERS' APPROVAL tit COLOR aaaaaa We, Ralph E. and Eleonore A. Polohaske, being the sole owners-'41n fee of the above bed pro. rte .o hereby subdivide the same as sh �on�the � d� P Ral t�{ "' ""r`r Eleonore A. Polohaske \ ation was acknowledged before me thisg jet , day of Witness my hand and seal. • MyyA '•�'4r + fr24(02/) /917 C.` /, Notary Public COUNTY COMMISSIONER'S CERTIFICATE The accompanying plat is accepted and approved for filing. , ATTEST: County Clerk '-(,/7 ff'""rYYlla` :oard of County oslaiesi �?. B ----y 4 � b 4. Y: S�, l G. �....„ Dated: /}'; 7 4/, ', Dr :e` �A.. r 4 OCT. 25,1984 ,I 0 FREESE ENGINEERING 1029 984`-127 Hello