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J �� N,hit Ca 3 ssag N; g� W 42`9 Zi r DEPARTMENT OF PLANNING SERVICES RECORDED EXEMPTION ADMINISTRATIVE REVIEW Applicant David Dewey Case Number RE-1956 Legal Description E % NE %of Section 28, T7N, R64W of the 6th P.M., Weld County, Colorado Parcel Identification Number 071128000023 Larger Lot Size 70 acres, more or less Smaller Lot Size 10 acres, more or less Meets Criteria Criteria Checklist Yes No X 1. Conformance with the Weld County Comprehensive Plan and any adopted municipal plan. X 2. Compatible with the existing surrounding land uses. X 3. Consistent with the intent of the zone district. X 4. Consistent with efficient and orderly development. X 5. Complies with Recorded Exemption standards in Section 11.8 of the Weld County Subdivision Ordinance. X 6. Provides for adequate protection of the health, safety, and welfare of the inhabitants of the neighborhood and the County. Approved with Conditions 1. The Department of Planning Services has determined through the review, that the standards of Section 11.4.2.1 through 11.4.2.6 of the Weld County Subdivision Ordinance have been met. This Recorded Exemption is approved with the following conditions in accordance with information submitted in the application and the policies of the County. 2. A Weld County septic permit is required for any proposed home. The septic system shall be installed according to the Weld County Individual Sewage Disposal System (ISDS) regulations. 3. Prior to recording the plat, the applicant shall: A. The Environmental Protection Services Division of the Weld County Health Department was unable to locate septic permits for the septic system serving the home involved in this application. Any existing septic system(s) which is not currently permitted through the Weld County Health Department will require an I.S.D.S. Evaluation prior to the issuance of the required septic permit(s). In the event the system(s) is found to be inadequate, the system(s) must be brought into compliance with current I.S.D.S. regulations. B. The following note shall be placed on the plat: All proposed or existing structures will or do meet the minimum setback and offset requirements for the zone district in which the property is located. C. All access shall be clearly shown on the plat. D. The number of animal units on Lots A and B shall not exceed the maximum number allowed in the agricultural zone in Weld County. E. One single family dwelling unit per legal lot shall be permitted, as set forth in Section 31 of the Weld County Zoning Ordinance. 6. The applicant shall submit 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 prepared in accordance with the requirements of Section 11.7 of the Weld County Subdivision Ordinance. The plat shall be submitted within sixty (60) days from the date of approval by the Department of Planning Services. The applicant shall be responsible for paying the recording fees. By e ) 1/11-. /,C-GCS Date November 21, 1996 Sara McGuire+ Current Planner • • WELD COUNTY,COLORADO DEPARTMENT OF PLANNING SERVICES O 1400 N. 17TH AVENUE • GREELEY,CO 80631 (970)353-6100 EXT.3540•FAX(970)352.6312• DATE ✓� 19 RECEIPT NO: 0 0 '7 1 8 RECEIVED FROM ��-� r! ^ ,Thc NO. TYPE FEES 4221 -RE/SE 4221 ZPMHIMHZPIZPAD 4221.USR 4221 -SITE PLAN REVIEW 4221 -COZ 4221 PUD 4221 -SUBDIVISION 4221 BOA 4221 -MINOR SUB 4221 FHDPIGHDP 4221 -REPLAT 6560-RECORDING FEE 1� 4430-MAPSIPOBHCATIONS 4730-INVESTIGATION FEE 4430-POSTAGE/HANDLING /It') LI CASH IP CHECK NO-, / TOTAL ( I BY rr� ":2(, OC\- JVVHITE-CUSTOMER CANARY-FINANCE COPY Les. DEPARTMENT OF PLANNING SERVICES PHONE (303)353-6100,EXT.3540 FAX (303)352-6312 O WELD COUNTY ADMINISTRATIVE OFFICES • 1400 N. 17TH AVENUE COLORADO GREELEY,COLORADO 80631 October 22, 1996 David E. Dewey 412 3rd Street PO Box 126 Kersey, CO 80644 Subject: RE-1956, located in the East 'A, of the NE4 of Section 28, T7N, R64W of the 6th P.M., Weld County, Colorado. Dear Mr. Dewey: Your recorded exemption is being processed. Included in your application is a copy of a quit claim deed which describes your ownership of"The East Half of the East Half(E1/2E1/2) of Section Twenty-eight (28), Township Seven (7)North, Range Sixty-four (64) West of the 6th P.M., Weld County, Colorado P.M., Weld County, Colorado P.M., Weld County, Colorado..." The legal description on your application is different (East 'A, of the NE %a of Section 28, T 7N, R 64W). Prior to recording the plat, our office will need a copy of a deed that contains the same legal description as your application. Please provide our office with a copy of the correct deed at your earliest convenience. In addition, if any surviving tenant holds a life estate on the property at this time, the signature of such tenant would be required on any recorded plat. If it is determined that the application meets the approval criteria of the Weld County Subdivision Ordinance, you will be notified that the recorded exemption is approved. If the staff determines that the application does not meet the approval criteria, you will be notified and asked to appear before the Board of County Commissioners at a public hearing. You will be informed of the hearing date prior to the hearing. The Board of County Commissioners will then consider your application and make a final decision on the recorded exemption. If you have any questions concerning this matter, please call me. Sincerely, 571/c t / Sara McGuire Current Planner • • Field Check inspection date: October 30, 1996 Case Number. RE 1956 Applicant: David E. Dewey Request: Recorded Exemption, divide 80 acre parcel into 70 (plus/minus) acre lot and I 0 (plus/minus) acre lot. Legal Description: East '/ of the Northeast ''A, Section 28, T 7N, Range 64 West of the 6th P.M., Weld County, Colorado P.M., Weld County, Colorado. Parcel Number: Location: West of& Adjacent to WELD COUNTY ROAD 55. Northeast corner of proposed Lot B is located at intersection of WELD COUNTY ROAD 78 and WELD COUNTY ROAD 55. Zoning Land Use N A (Agricultural) N Agricultural; wheat; residence to northeast E A (Agricultural) E Agricultural; wheat S A (Agricultural) S Agricultural W A (Agricultural) W Agricultural, residence Unsafe Conditions: Old electrical wiring to house appears unsafe, roof on house is old sheet metal with tires securing it, 5 outbuildings in fair to poor condition Comments: Unclear if house is currently inhabited, access to 70 acre parcel (lot B) from the road is not clear. Lot B is pasture. Old farm implements on site, corral. APPL►CA7TION FLOW SHEET CASE# RE 1956 APPLICANT: David E. Dewey T, REQUEST: Recorded Exemption, Lot A 70 Acres, Lot B 10 Acres LEGAL: E , NE 1/4, Section 28, Township 7N, Range 64W LOCATION: South &Adjacent to WELD COUNTY ROAD 78; West&Adjacent to WELD COUNTY ROAD 55 PARCEL NUMBER: Date By Application Received 10-11-96 KDK Application Completed 10-11-96 KDK Referrals listed 10-21-96 SMc File assembled IO QpIQ( -"rid Letter to applicant mailed J/y-5' 9 o 5 Mc Vicinity map prepared ( I lb (JAC Referrals mailed 1603/41P Chaindexed 10-21-96 f II, SMceig Field check by DPS staff t0 30' 1(G SM.A-C, Administrative Review decision:;rII II a II ' cj (-9I V History card completed jy ✓ W/I/I ALL 3-5-q7 Date By COMMISSIONER HEARING DATE Surrounding property owners notified Air photo and maps prepared CC action: CC resolution received History card completed Recorded on maps and filed Overlay Districts O � — u l qs t Zoning Agricultural_ p �5 Airport Yes No x 4- A 3-1 67't Geologic Yes No x_ (� \ . I Rood Hazard Yes No x [ 4 U ;1Q4--1. `m�C s DEPARTMENT OF PLANNING SERVICESS punning Dept Weld County Administrative Offices, 1400 N. 17th Avenue, Greeley, Wj(,13iirAt ? Phone(970) 353-6100, Ext. 3540 - Fax#(970) 353-6312 APPLICATION FOR RECORDED EXEMPTION 0CT 11 1996 Application Fee 11--- Receipt Number . ��( �' Case Nu Recording Fee -I ? R eipt Number 11 Zoning Di ri Application Checked By WY Planner Assigned to Case t TO BE COMPLETED BY APPLICANT: (Print or type only except for required signatures). I (we), the undersigned hereby request that the following described property be designated a recorded exemption by the Weld County Board of County Commissioners.Legal Description: E th_ NE Y'/ 2 8 - /N ' 10 LAO Total Acreage: p Q 0 4 Parcel Number 0 IL 131 0 O o O 13 (12 digit number- found on Tax I.D. Information or obtained at the Assessor's Office. Has this property been divided from or had divided from it any other property since August 30, 1972? Yes No 1� Is this parcel of land under consideration the total contiguous land owned by the applicant? Yes No ✓ Does the parcel of land under consideration lie in any of the following Overlay Districts? Flood Hazard: Yes_ No 1,"; Airport: Yes_ No V ; Geological Hazard: Yes_ No V FEE OWNERS OF PROPERTY Name: D a-v ID G , 7�V EWEI/ Home Phone# 3 C 3 - 300 Address: 14 12 .3 Cjt P a Pox 1 z_ k Work Phone# 35- 3 -e.300 City/State/Zip Code }f-E )Z 5 5/�/ r G o �j o(o tt y Name: — Home Phone# Address: Work Phone# City/State/Zip Code �r4P Water Source: Larger Parcel W/CWD AVR4L$ LfmallerParcel ELL ) N UCSE Type of Sewer: Larger Parcel 5 .P 1 I C- Smaller Parcel 5 EP T I C— P e5 T IA R E Vvx het L. Proposed Use: Larger Parcel R5S 1 DENCE dr- Smaller Parcel R F4I D E Nc ' > p Asp(RE Acreage: Larger Parcel 70 ± Smaller Parcel I E } Existing Dwellings: (Yes or No) N 0 Existing Dwellings: (Yes or No) Y 5-5 Existing Dwellings Address (if applicable): Larger Parcel Smaller Parcel "J, 171 tiJ C R 5 S 1= 1I- I CAI I G D $1Uk I S I hereby state that all statements, proposals, or plans submitted with this application are true and correct to the best of my knowledge. gnatu : Owner r A horize Agen - 5 October 9 , 1996 Department of Planning Services Weld County Administrative Office 1400 N. 17th Avenue Greeley, CO 80631 To Whom It May Concern: Please consider the enclosed application for recorded exemption on my Weld County farm based on the following recorded exemption questionaire information. Recently I received an 80 acre parcel of dry land from my father ' s estate. I do not wish to retain this smaller parcel with the old house, barns , outbuildings and windbreak tree lot as part of my family ' s irrigated farming operation. I want to sell this land in two parcels and reinvest in irrigated farm land. The smaller 10 acre parcel is in the southeast corner of the 80 acres , adjacent to WCR 55 between SCR 76 and 78 . It has a usable domestic well , but North Weld County Water is available as evidenced by the enclosed water supply statement. Electrical and telephone services are in use. It has an adequate septic system presently in use. The smaller parcel will be maintained as a principle dwelling with minimal pasture. The larger parcel is in seeded grass and is big enough to maintain its agricultural integrity compatible with the surrounding dryland farming/pasture area. Neither parcel has any oil or gas production facilities . The proposed parcels are in the Galeton Fire Protection District and Eaton School District. This proposal is consistent with the Weld County Comprehensive Plan ' s intent because it does not include prime irrigated farm ground for food production and does not change its use in the future. It is not in a flood plain or geologic hazard area and will promote the health, safety and general welfare of residents through orderly development. nc / Sincerely, e ,/ David E. Dewey IT P. 0. 126 �/ 412 3rd Street Kersey, CO 80644 •/0‘144-A-e4 � • f%z N y _ SEc►cvN _ zg- 7A) t % w orC ¶4E to T+l wELp Couty Y , CoLoRkPb I.o-rg A-c 4E5 Lo-r fF 1p+- "E"N GrtTE AcRF5 _ 504-LE- weP. 140, tioT HAS 7-1-F o1Sic ,Ni L FeRm ¶3c(LQJA � F ko _AND Qom_ 4_T! __w ELL , N_ o- -ai C,•(-6 wc_LLpRD P.tic_a t-vn? FI cf_LLI'1F5 I Lot F3 TtfERE 15 ND. gAIS'LP06 _51[Y!tie-Tbaef IR &[G it_PN _ DITct} 5 o g 0 643 w L P_1S0_DucTLdN_ F/rc-.IL1Tl ES - 0_!J._ Tµ!5 _ L,iR- lv_P i • • RECORDED EXEMPTION CRITERIA CHECKLIST Staff Use 1. What is the SCS soil cla ification for this site? No - p(, '-v\ t (bTher kv. • JJJJJJ Yes No N/A 2. Will the proposed configuration of the site make future farming practices 2. LotA o Al o less efficient? 112 Lot B ❑ Pi( ❑ 3. Will either of the lots be used for agricultural production? 11.3 3. Lot A o o ❑ Lot B o o o 4. Is the applicant willing to place a conservation easement or some other 4. Lot A ❑ ❑ ❑ mechanism on the property to maintain farm production or open space? 11 3 Lot B ❑ o ❑ 5. Does the application meet the Weld County Public Works Access requirements 5. Lot A }$ ❑ ❑ as cited in Ordinance 180? 11.3.13.4 Lot B 4 ❑ o 6. Will the site utilize existing housing? 11.3.6 6. Lot A o o o Lot B o ❑ X 7. Will the applicant designate a building envelope on either lot? 11.3.8 7. Lot A ❑ ❑ Y Lot B o o A 8. Is the in-house use water supply sufficient in terms of quality, quantity and 8. Lot A Y. ❑ ❑ dependability'? 11,3.4 Lot B )?1 ❑ ❑ 9. Is water available to irrigate the site for crops, lawns, gardens, and adequate 9. Lot A ❑ ❑ o for the maximum number of animal units allowed by right or Special Review Lot B ❑ ❑ ❑ permit. 11 3.4 10. Has irrigation water been removed from the site? If so,when 10. Lot A ❑ g ❑ 11.3.4 Lot B ❑ p1 ❑ 11. Is the proposed land division consistent with current or future land use patterns? 11. &. ❑ o 113.9/113.10/11.3A 1 12. This application does not create lots which would make further land divisions 12. X ❑ ❑ possible 113.9111.3.1 to 1.3.11' 13. Neither of the parcels related to this application are part of a previously 13. Lot A ❑ ❑ 0 recorded exemption 11.8.8 Lot B ❑ 0 ❑ 14. How many recorded exemptions are adjacent to9this_parcel or Section ? When were they created? Q C Pit G ;,I A) Lc/ 1 /TA', Moody 1 i2/02 ' tk)'1 >, of 5'/z- /e i 9PCSntvn.,,h); C 72313026 1757 L7av; o Dewey ' l-b-/to-7s1 11.3,9/11.3.10/11.3.11', / Yes No N/A 15. Are surrounding parcels larger than the minimum lot size'? 11.3.10 15. 0 0 0 16. Are there unique physical characteristics on this site? 11.3.13.8 16. Lot A o ❑ Lot B o ❑ a5(L ci\,— 'Ur 1 Yes No N// 17. Is the site in compliance with the zone district regulations and applicable Weld 17. Lot A ❑ ❑ County Health Department requirements? 11.3.5 Lot B ❑ ❑ Engineered Sewage System(s) kc i t-1#v )f, nc l a L I P to Oct(4C .Septic eerrti}f {Cr ccf-f c tiysfr`m /or u4ca OK Ytfe Yes No N/A Let A, tni`c tfci v'eq,,i;rc LSMS EValuaci,,vl. ❑ ❑ ❑ 18. Does this request comply with the Weld County Comprehensive Plan or 18. Comp Plan is( ❑ ❑ applicable Intergovernmental Agreements 11.3.9 IGA a ❑ IGA 19. What is the proposed use of the site? LotA KC drvvCC fitn, vwa pczS1c+v�C Loth ^a SFLire o vck ✓es,devtre_ 20. Did the referral agencies recommend approval of this request? 20. Yes No Nil If no, why not? of( ❑ ❑ 21. What impact, if any,will this land division have on adjacent properties? Nc af1c i'd Q cTiLCr5C I pGCt, STAFF USE ONLY Date Received Size of Parcel Legal Description Location APPROVED-BOARD OF COUNTY COMMISSIONERS HEARING: Date STAFF APPROVED: Date 54 (REI••LIST) 66 RI::iFi.t: : HST _. . • NAME: �AJ, cIL �E' � e `/ CASE NUMBER: jt j� S �j REFERRALS SENT: REFERRALS TO BE RECEIVED BY: COUNTY TOWNS and CITIES Attorney Ault 'x Health Department Brighton Extension Service Broomfield Emergency Management Office Dacono Sheriff' s Office Eaton Via$- u)( PV Erie Housing Authority Evans Airport Authority Firestone Building Inspection Fort Lupton Frederick STATE Carden City Division of Water Resources Gilcrest Geological Survey Greeley Department of Health Grover Highway Department Hudson Historical Society Johnstown Water Conservation Board Keenesburg Oil and Gas Conservation Commission Kersey La Salle FIRE DISTRICTS • Lochbuie Ault F-1 Longmont Berthoud F-2 Mead Briggsdale F-24 Milliken Brighton F-3 New Raymer )( Eaton F-4 Northglenn Fort Lupton F-S Nunn Galeton F-6 Platteville Hudson F-7 Severance Johnstown F-8 Thornton La Salle F-9 Windsor Mountain View F-10 Milliken F-11 COUNTIES Nunn F-12 Adams Pawnee F-22 Boulder Platteville F-13 Larimer Platte Valley F-14 Poudre Valley F-15 FEDERAL GOVERNMENT AGENCIES Raymer F-2 US Army Corps of Engineers Southeast Weld F-16 USDA-APHIS Veterinary Service Windsor/Severance F-17 Federal Aviation Administration Wiggins F-18 Federal Communication Commission Western Hills F-20 SOIL CONSERVATION DISTRICTS OTHER Brighton Central Colo. Water Conservancy Dist. Fort Collins Panhandle Eastern Pipe Line Co. K Greeley Tri-Area Planning Commission Longmont West Adams LE - 1 Col-on 1 COMMISSION/BOARD MEMBER sckoo/ REFERRAL LIST NAME: David E. Dewey CASE NUMBER: RE-1956 REFERRALS SENT: October 22, 1996 REFERRALS TO BE RECEIVED BY: November 12, 1996 COUNTY TOWNS and CITIES Attorney Ault _X_Health Department Brighton Extension Service Broomfield Emergency Management Office _Dacono Sheriffs Office Eaton X_Public Works Erie Housing Authority Evans Airport Authority _Firestone Building Inspection Fort Lupton Frederick STATE Garden City Division of Water Resources Gilcrest Geological Survey Greeley Department of Health Grover Department of Transportation Hudson Historical Society Johnstown Water Conservation Board Keenesburg _Oil and Gas Conservation Commission Kersey La Salle FIRE DISTRICTS Lochbuie _Ault F-1 Longmont Berthoud F-2 Mead Briggsdale F-24 Milliken Brighton F-3 New Raymer _X_Eaton F-4 Northglenn Fort Lupton F-5 _Nunn Galeton F-6 Pierce Hudson F-7 Platteville Johnstown F-8 Severance La Salle F-9 _Thornton Mountain View F-10 Windsor Milliken F-11 Nunn F-12 COUNTIES Pawnee F-22 Adams Platteville F-13 Boulder Platte Valley F-14 Larimer Poudre Valley F-15 Raymer F-2 FEDERAL GOVERNMENT AGENCIES Southeast Weld F-16 US Army Corps of Engineers Windsor/Severance F-17 USDA-APHIS Veterinary Service Wiggins F-18 _Federal Aviation Administration Western Hills F-20 Federal Communication Commission OTHER SOIL CONSERVATION DISTRICTS Central Colo. Water Conservancy Dist. Brighton Panhandle Eastern Pipe Line Co. Fort Collins Tri-Area Planning Commission _X_Greeley _X_RE-2 Eaton School District Longmont West Adams COMMISSION/BOARD MEMBER { • RECO/Eh OCT 2 t/�n a DEPARTMENT PLANNING SERVICES PHONE (9(970) 353-6100, EXT.3540 FAX (970) 352-6312 WELD COUNTY ADMINISTRATIVE OFFICES 11 g1400 N. 17TH AVENUE C GREELEY, COLORADO 80631 "Weld County Planning Dept. COLORADO OCT 2 v 1996 October 22, 1996 RE-1956 TO WHOM IT MAY CONCERN: Enclosed is an application from David E. Dewey for a Recorded Exemption. The parcel of land is described as located in the E2 of the NE4 of Section 28, T7N, R64W of the 6th P.M. Weld County, Colorado. The location of the parcel of land for which this application has been submitted is south and adjacent to Weld County Road 78; west and adjacent to Weld County Road 55. For a more precise location, see legal. This application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Your prompt reply will help to facilitate the processing of the application and will ensure prompt consideration of your recommendation. Please reply by November 12, 1996, so that we may give full consideration to your recommendation. The failure of any agency to respond within 21 days may be deemed to be a favorable response to the County. Please call Sara McGuire, Current Planner, if you have any questions about the application. Check the appropriate boxes below and return to our address listed above. 1. We have reviewed this request and find that it does/does not) comply with our Comprehensive Plan for the following reasons. 2. We do not have a Comprehensive Plan, but we feel this request (is/is not) compatible with the interests of our town for the following reasons: 3. `Y We have reviewed the request and find no conflicts with our interests. 4. A formal recommendation is under consideration and will be submitted to you prior to: 5. Please refer to the enclosed letter. Signed: 0,()t)'"'r""f . Agency: Date: ( c - • V WELD COUNTY ROAD ACCESS INFORMATION SHEET Weld County Public Works Department 933 North 11th Avenue, P.O. Box 758, Greeley, Colorado Phone: (970) 356-4000, Ext. 3750 1. ApplicantName Doi- I P 1 EWE Phone S 3 _j3o0 Address 2 'o[:� _ 1K'� City - E State cx Zip $O WI 2. Addressor location of access 3 7 /7 Vii t Q 5-5 El 1Jt NE J/cf Section Z$ Township 7 A/ Range_ It 14) Subdivision Block Lot _ Weld County Road# 55 Side of Road 7b +79 N S Xor Ws Distance from&number of intersecting *ft MILE NORTH O F wcg 7(0 3. Is there an existing access to the property? Yes ✓ No #of accesses Z-- 4. Site Sketch: 1 I . Log T e WLE5 1 EXrs7rNr�, r _ 1.... _ i--,..5 cp.. 5.Proposed use: Permanent Residential/Agricultural _ Industrial Temporary _ Commercial _ Subdivision _ Other OFFICE USE ONLY Road ADT Date Accidents Date Road ADT Date Accidents Date Drainage Requirement: Culvert Size Length Other Comments: Installation authorized _ Information Insufficient — Special Conditions Reviewed by: Title: 7 • WELD COUNTY ROAD ACCESS INFORMATION SHEET Weld County Public Works Department 933 North 11th Avenue, P.O. Box 758, Greeley, Colorado Phone: (970) 356-4000, Ext. 3750 1. Applicant Name DV} I P / LWE Phone S 3 -4,3co Address 'i.. = — o : 2 - City E State ct Zip $o b4 2. Addressor location of access 3 75-77 LU L 7Q 5-5 E Vet NE Yit Section _g Township 7 /I/ Range 60 t k' Subdivision Block Lot• Weld County Road# SS Side of Road 74 y'7 b N S gor$ _ Distance from&number of intersecting ',1 PmL.E Nb12 i hi o F wcR 7(O 3. Is there an existing access to the property? Yes V No #of accesses Z- 4. Site Sketch: A � p Lo T I�_,J L A 1 g JJW`" WL12. 55 + l_1( ��tr;Z; lr _5 5.Proposed use: V Permanent ✓Residential/Agricultural _ Industrial Temporary _ Commercial _ Subdivision _ Other — OFFICE USE ONLY Road 65 ADT 115 Date 8/`ft, Accidents 56 Date Road 7B ADT IS Date Accidents 0 Date Drainage Requirement: Culvert Size Length Other Comments: Installation authorized _ Information Insufficient Special Conditions i-(5e T'C Ekr5TinJG ACCESS To Lor A ' OFF r'o -t west, SC Reviewed by: Title: 7 • i ‘11f(i mEmoRAnDum Wi`'k Sara McGuire Weld County Planning November 1, 1996 To Date COLORADO Trevor Jiricek, Supervisor, Environmental Protection Servi 1)429 From Subject: Case Number: RE-1956 Name: Dewey, David Environmental Protection Services has reviewed this proposal; the following conditions are recommended to be part of any approval: 1. The Environmental Protection Services Division of the Weld County Health Department was unable to locate a septic permit for the septic system located on the smaller parcel of this application. Any existing septic system(s) which is not currently permitted through the Weld County Health Department will require an I.S.D.S. Evaluation prior to the issuance of the required septic permit(s) . In the event the system(s) is found to be inadequate, the system(s) must be brought into compliance with current I.S.D.S. regulations. TJ/rb-1254 ('t``-J V U 0 • • rs DEPARTMENT OFPLANNING SERVICES (9 PHONE (970)353-6100, EXT.3540 FAX (970) 352-6312 WELD COUNTY ADMINISTRATIVE OFFICES "lig1400 N. 17TH AVENUE C. GREELEY, COLORADO 80631 COLORADO October 22, 1996 RE-1956 TO WHOM IT MAY CONCERN: Enclosed is an application from David E. Dewey for a Recorded Exemption. The parcel of land is described as located in the E2 of the NE4 of Section 28, T7N, R64W of the 6th P.M. Weld County, Colorado. The location of the parcel of land for which this application has been submitted is south and adjacent to Weld County Road 78; west and adjacent to Weld County Road 55. For a more precise location, see legal. This application is submitted to you for review and recommendation. My comments or recommendation you consider relevant to this request would be appreciated. Your prompt reply will help to facilitate the processing of the application and will ensure prompt consideration of your recommendation. Please reply by November 12, 1996, so that we may give full consideration to your recommendation. The failure of any agency to respond within 21 days may be deemed to be a favorable response to the County. Please call Sara McGuire, Current Planner, if you have any questions about the application. Check the appropriate boxes below and return to our address listed above. 1. We have reviewed this request and find that it does/does not) comply with our Comprehensive Plan for the following reasons. 2. We do not have a Comprehensive Plan, but we feel this request (is/is not) compatible with the interests of our town for the following reasons: 3. We have reviewed the request and find no conflicts with our interests. 4. A formal recommendation is under consideration and will be submitted to you prior to: 5. Please refer to the enclosed letter. Signed: 71��da<{ f-��o-<-1 Agency: idt-41-- Alf - A-01-1 '1 Date: 06i —?S, 0CT 3 1 i9C, a DEPARTMENT OF PLANNING SERVICES PHONE (970) 353-6100, EXT.3540 FAX (970) 352-631252-6312 COUNTY Y ADMINISTRATIVE OFFICES II I 1400 N. 17TH AVENUE C GREELEY, COLORADO 80631 51 COLORADO NUV 690 October 22, 1996 RE-1956 TO WHOM IT MAY CONCERN: Enclosed is an application from David E. Dewey for a Recorded Exemption. The parcel of land is described as located in the E2 of the NE4 of Section 28, T7N, R64W of the 6th P.M. Weld County, Colorado. The location of the parcel of land for which this application has been submitted is south and adjacent to Weld County Road 78; west and adjacent to Weld County Road 55. For a more precise location, see legal. This application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Your prompt reply will help to facilitate the processing of the application and will ensure prompt consideration of your recommendation. Please reply by November 12, 1996, so that we may give full consideration to your recommendation. The failure of any agency to respond within 21 days may be deemed to be a favorable response to the County. Please call Sara McGuire, Current Planner, if you have any questions about the application. Check the appropriate boxes below and return to our address listed above. 1. We have reviewed this request and find that it does/does not) comply with our Comprehensive Plan for the following reasons. 2. We do not have a Comprehensive Plan, but we feel this request (is/is not) compatible with the interests of our town for the following reasons: 3. We have reviewed the request and find no conflicts with our interests. 4. A formal recommendation is under consideration and will be submitted to you prior to: 5. Please refer to the enclosed letter. Signed: Valli K4 L, rf Agge =ATOM - RE PROTECTION DISTRICT Date: //—a/ 96 PO. BOX 582 EATON, CO 80615 07n 454-2677 , ` • • . z . 0 itF'w u \1 y -- --\/\ i 2 ;; !§ } (\ | § 2 r ; ; , |; - § 2 w ` TI ` » § ° ° E( i �§ } § ! S � \ � _ _ @` B� ` : \): . . / 9 ®\ §; ) \\ a : §\L r _ : e§ ! _ \ ' / | i / § 2 - ./ �\V § / w q0 : I ° , ; i _ _I _ r I \\ �w v 0 . > / 1 | \/ ) | , ! ( : $ ` -t / | » ®v` ` )§ ` ° g ! , i j/ a \ a • ° § , ~ - § TO. © ` r , � r . h( r2) & ` ! »-: \§ § § `� , 7 ` E ! < - I !{ § ` ;} )` )$ | . §|§ ~ ( § ) : a § cw §t . 1 ` ) \ I-: ° [ \| / �� ) m R © T7 — — #�� I - - / Q ® � _ �= — --g T. I. . . . . ® § \3 ) ® \ | . . \ 9 § ; \ , ) _ ) ; , / : y § ! { ( § § Bi T. -------- _ t > • . % _ \ . m 4 • ` • WELD COUNTY TITLE COMPANY Downtown-1221 8th Avenue, Greeley, Colorado 80631 (970)356-3232 Fax(970)356-3248 West•1009 37th Ave. Ct., Suite 101, Greeley, Colorado 80634 (970)351-0007 Fax(970)351-6633 WCTC Order No.: WP38673 Title Examiner: LIZ WOODS - DOWNTOWN- 356-3232 Designated Closer: Purported Address: Current Owners: DAVID E. DEWEY Proposed Owners: Tax Cert Ordered: NO Survey Ordered: NO Original To: DAVID E. DEWEY P.O. BOX 126 KERSEY, CO 80644 Copy To: Copy To: Copy To: Copy To: WE APPRECIATE YOUR BUSINESS!! • ' • CERTIFICATE OF CONVEYANCES WELD COUNTY DEPARTMENT OF PLANNING SERVICES STATE OF COLORADO) COUNTY OF WELD ) Order No. WP38673 The WELD COUNTY TITLE COMPANY hereby certifies that it has made a careful search of its records, and finds the following conveyances affecting the real estate described herein since August 30 , 1972 : LEGAL DESCRIPTION: THE E 1/2 OF THE NE 1/4 OF SECTION 28 , TOWNSHIP 7 NORTH, RANGE 64 WEST OF THE 6TH P .M. , WELD COUNTY, COLORADO. CONVEYANCES (If none appear, so state) : Book 1167 Reception No. 2111563 Book Reception No. Book Reception No . Book Reception No . Book Reception No. Book Reception No. Book Reception No. Book Reception No. Book Reception No. Book Reception No. Book Reception No. Book Reception No. Book Reception No. This Certificate is made for the use and benefit of the Department of Planning Services of Weld County, Colorado. This Certificate is not to be construed as an Abstract of Title nor an Opinion of Title, nor a Guarantee Title, and the liability of WELD COUNTY TITLE COMPANY is hereby limited to the fee paid for this Certificate . In Witness Whereof, WELD COUNTY TITLE COMPANY has caused this Certificate to be signed by its proper officer this 2ND day of OCTOBER , 1996 at 7 : 00 A.M. WELD COUNTY TITLE COMPANY By: lD lU6rfck� Authorized Signatory , 1 l57 11 555533 oogg//22qq gg77 11 116,2 pp j`� AR2111Sb3 --- B }767 IRi„EC 02NN1 FEUEEsTETN/CLERA2RECORDR WELD COIOCO il QUIT CLAIM DEED ' 5T � �k ' 'f lllti DEED,Made(Ink I day of .M 87. II twts'een George A. Dewey and Helen F. ewey l it l ti of the "County of Weld anti State of kl j Colorado.minim-Isl.and lit David i:. Dewey I `'.'.'f wh,,w lee;d adtrevs is Y.O. Box 126, Kersey, CO 80644-0126 PH.'li �1 : }Fl f i of the County of Weld and Some of Colorado,grantee !' ) 1( .Ii WI'INIS 51111.That the Fant tsd for and in ide (.1 O1 the sum of 41 Other Good and Valuable Considerations and One and no/l00 DOLLARS V.fit the main( d sufficiency oft wh h is hereby kn wledgel nD.) rell iDetl.released,sold.., s eced and QUIT CLAIM_D.and by 11i; flame presents do remise.release.sell convey and OE IT CLAIM unto the granteeµ). his heirs.successors and assigns If li, f. vc all the right, title interest.t. claim and demand which ch the grantorls) have in and to the real property, together with : CI imp ru mrnt- if any,situate,lying and hying in the County of Weld and Slate of .' LILT Colorado.disci bed as follows. I ise East Half of the East Half (E1/2E1/2) of Section Twenty-eight (28), Township !I Seven (7) North, Range Sixty-four (64) Wes[ o£ [he 6th P.M., Weld County, { C Colorado, II il Ira- l hf{k�I Reserving, however, unto grantors, as joint [enants, a life estate in and to 'r I the above-described premises for and during their natural lifetime, or the ,j 'P survivor thereof. ':.r ' NJ - Ile,,. 7 v � iii I1 13Il4 {lay. also known by stmet:nd number as: Fj TO IIAVf.AND TO HOLD the same.together with all and singular the appurtenances and privileges(hereunto belonging or in anywise there unto ip1iertainiag and all the estate,right,title,interest and clam whatsoever,of the grantor(s).either in law or equity,to ( {+ the only pmper use al benefit and behalf of the granteehe. his heirs and assigns forever. '1111 IN WITNESS WHEREOF,The grantor(s)have eeccuted this deed on the date set forth above. y dd Le P o 4 f p„ 8 George A. ewey Ii ''t. Helen F. Dewey(_( n l f /1 )y Ifs .v+ i,'.0STATE OF COLORADO. }a.. 'Ile) Rnt a a Weld led The G,m n InstnuCounty of acknowledged me the ,efday of .1987 , gm g g �� .C.. -di by George A. Dewey and Helen P. Dewey. !Ill i • (I l MY c0.nUr Irssen fifpues /h a,.� o'j�y .191/.Witness my hand and official oils .. 4/h 0 I Nasty Public n�' A •.• f'UL l tv- ft'j f ^If In DV9V(.InCCrr("City and." 'VIII'i . . Nn.931 Res.,. 5. QUIT CLAIM nf:rn 'DADA.)Publishoy,DO W r0X Ave.Won))),CO Care—O031 233'rME nXA • 2517568 B-1574 09 10/28/96 12:14P PG 1 OF aREC DOC 5U f Weld County CO JA Suki Tsukamoto Clerk & Re er 6.00 QUITCLAIM DEED THIS DEED made this 28th day of October, 1996 between DAVID E. DEWEY of the County of Weld and State of Colorado, grantor( s) , and DAVID E. DEWEY whose address is P. 0. Box 126, Kersey, CO 80644-0126 of the County of Weld and State of Colorado, grantee(s) : WITNESSETH, That the grantor(s ) for and in consideration of the sum of One Dollar and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, has remised, released, sold and QUITCLAIMED, and by these presents does remise, release , sell, QUITCLAIM unto the grantee(s ) , his heirs, successors and assigns forever, all the right, title, interest, claim and demand which the grantor( s) has in and to real property, together with improvements, if any, situate, lying and being in the County of Weld and State of Colorado, described as follows: The East Half of the Northeast Quarter ( E1/2NE1/4) Section 28, Township 7 North, Range 64 West of the 6th P.M. , County of Weld, State of Colorado TO HAVE AND TO HOLD the same, together with all and singular the appurtenances and privileges thereunto belonging or in anywise thereunto appertaining, and all the estate, right, title, interest and claim whatsoever, of the grantor( s) , either in law or equity, to the only proper use, benefit and behoof of the grantee( s) , his heirs and assigns forever . IN WITNESS WHEREOF, the grantor( s ) has executed this deed on the date set forth above.Wald County Planning Dept. 41-6/ Q OCT 2 9 1996 David E. Dewey SIKlb ADO � .. ) ss . COUNTY' .OF 'WELD ehe: foregoing instrument was acknowledged before me this 28th I : c�,y, p�GOcAcbber, 1996 by David E. Dewey. ate C • %/zsitees mY hand and official seal . 444zet(51 lion expires: 5/ /7 Notary Public 'YY`tm'•' / 1 i.'N \/neylOW r, 1ce,,'fAIR Day*:i °sidli rU, x r w`m !!i1'_ a +`d V+m• F�II}�f!�„ M'Wr r `f l+k "X('[fY0. Vt.,r vxr r. j 2 Y� tr�I II . MTIFlC(_I •-- •4- 9uu, ' EC- -s� 1,, 1 ` :1 '" `* f Pr aK2vv�s32 ti .. ...... I. t ,, STATE OF COLORADO rl� -�,.'�, rLT Y(- ♦ STATE OF COLORADO STATE FILE NUMBER - - CERTIFICATE OF DEATH ti ST. el 3 immni I DECEDENTSNAME 24,4 944 l a:l slx 3.DATE OF DEA TNIMonm.wY.Year) * I t{lyl1 a GEORGE ALBERT DEWEY kale May 13, 1995 = k S. SOCIAL SECURITY Sa AGE Last SG UNDER I YEAR SC UNDER 1 DAY 2 DATE OF BIRTH T_OPTHPLACE(CO and Slarsu ForvRn Iyf;, t NUMBER OT ln6ry,Yea 1 Mos bays IMmN,Day.Yur) Coumry) ir. 524-07-4882 90 I IRry August 3, 1904 Denver, Colorado 7, a WAS DECEDENT EVER IN 9a.PLACE OF DEATH(Check anyone, -4 a' Ill S.ARMED FORCES, , 1r CI Yes R No HOSPITALa Inpatient 0ER/Oupauent 900A j.Muarq Home I]RNdenoe IIOner IT°xu,) '• a: .(:j SO-FACILI1 NAME III Ia,munon.u;.e a,nelananomperl 2.CITY.TOWN.OR LOCATION OF DEATH 93 COUNTY OF DEATH E,` ,ly. Bonell Good Samaritan Center Greeley Weld SCI 10a DECEDENTS USUAL OCCUPATION KINDOF EMPRESS/INDUSTRY I I.MARITAL STATUS marred 12-SPOUSE III wd*TOr mantes name) I\EL 4{ (One rndd•,or done during most oleo n2vIe Nev Marr Wpwed. a Co 1 Sorted(Soh, 11' Farmer Agriculture Widowed Helen Williams !si: 13a.RESIDENCE STATE 13G COUNTY 1]c CITY.TOWN DR LOCATION 13d STREET AND NUMBER Colorado Weld $ate.....—'-."' a 37577 WCR 55 . 3a.INSIDE 1T.zIPCODE _ ASDFCED_csoltHl$PAry1CORIG A a rW n. lb..OECEOEN(s EDUCATl NR�taiIyyo tlnI ' i CITY a l5oealy Nop(YM-l y j' c 01 �a l IS aT» Q�ad�comol.T Eam.n $ L $i M N e1Efy � . Te, 10 through/21CcAlege113 elm!.16 w 1241 \.0 Yes 44sI�� R 80615 "" _ 'ME HOST --..., - 7 It,•: gi 1 FATHER NAME (9rsl.Mae L n to MOTs NA E 1F (Mapn`IL . 1 D(FOPMANT-NAME and teatmiNP to deceased .� ARENTE 4��, /E� 'S lftE) Alfred Carey Dewey ,. l/�da Cora 1Rg ''1�_t�. `\.said Eugene Dewey Son • 20a METHOD OF DISPOSITION g rt pl.PLACEDFD a . M •Ib(Y "-av \LOCATION City(groan Stale frt':. TitI{BwDN O Cremallon O Remw 1 4 aAxW ! �+'t/I ` _ aIS •SITIsN Ar CI Donation DOS(ITPwr» i Q1' / T TJF \'" T Eh C eL ,... A , sE ri Eaton, Colorado r -- _ 21a .W UNEM}a RE Il/ry-{ EfbMat' COM MSVCN' $16 YlAME�yW1A0DNFnS30FFA�II r , t. \ i j� 8275th Street Greeley, CO r,P:80631 1 22a.R ST SIGN MIRE t t �..._.,l 22G ttED QI m0, Ds) y�r'� - ePnfY-1 Y I\5 1995 ti 1 t. P: 23. DEATH s DATEq RS s NCEo 71 I f �✓ -a I i d 25 WA Ep NOTIFIED? /' r 4:15 A.+Thee ,. �t '? 19954 AS A:M.2 No y€ 20 RECOMPLETEltONLY BY cegnnI • TO SE COMPLETED BY CORONER q' ��p M TolMbn•ara mantled• "th cce,:d b d�:714 NCpy� _ Salad M hen n="drnganm""CiMon N•m o¢uned an" r 1 - -. . meawelalaN ma+,n" ell a _ \\ ._` • MuuelsleM mamarN nalel �' V.I CERTIFIER t t- um. / V. Ognaam, .C lI iI - T 2S.OATS SIGNED IM 10.Day fie•' D.AT NEDw Da Tog NtlI 1 1 t 1 — ��'. 3 yL XAME.TELEANDMAILINGADDRESS OF CEPIIF EP/CANOR 2 T. E'f1: \ A7. 'T. Stanley 0. Edwards M.D_ 201UtEieet Greeley, Colorado 73T2 80631 . 31 NAME OF ATTENDING PHYSICIAN IF OTNER THAN CERTIFIERIT,PYPnnt1 A{,t 0 >32 MANNER OF DEATH 33a DATE OF I NJURY 3d4 NME OF SIB INJURY AT 336 DESCRIBE NOW INJURY OCCURRED 'MP.' bY, Moon Datt reel INJURY *05(2 i.11\a I W t OPoMIrq DYr ONo C 5 lending n M , 0 Acadenl 0 SWNS CUMelermined ya PLACE OF MUURY4 Maea Ram.WN1.na,an. 33/LOCATIONPon,.nd Runds a RIM RNA.Nu1L•r.Ots , h,Shea) —k_ISPO Mir 34 IMMEDIATE CAIRO LENTEN ONLY ONEUVSE PER LINE FOR IBA M AND(PM 443.4....,o.sd*q Oct C•#El•e w saints Armalaont Merril ImiotonarNI {L.. PART t [ sides 8,222 CAUSE OF I IN C 1—< IC. DEATH CONDITIONS DUE TO OR AS ACONSEOUENCE a in la OF Interval between onset }ACONDITIONSCONDITIONS IF ANY WHICH /' .lam / •N death II GAVE RISC IC OA ( s r4-1.-..4-1-_}u._ - A. / ,74.4 -1-,/-,,7,..,;.._.., .1 .S/, . - STATORIMMEDIATE THE DUE TOORASA COXSEGIIENCE f / • 'm I%.Masnala.l Al UNDERLYING CAUSE emigrant V' J LAST NI R1 PART /OTHER S(IIGNII/FFIIC1AWTNNTCONODITII+ONN/S-C.wMdwMCon4Nutlrq lod.W but InKKynYt.ol Samson Q Si AUTOPSY 3S IF YESwn MJngscwMNYM { _ q AiicAn'An T's// 7 71t , at.' cLa /Y. / /l. Wee or NdM or W..so - ei� No 0 ifi 1:i' ItI 2440532 B-1494 P-208 05/31/95 03:49P PG 1 OF 1 REC DOC r Weld County CO Clerk & Recorder 5.00 •>, 1 . 7 THIS IS TO CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF THE OFFICIAL RECORD WHICH IS IN MY CUSTODY J / U ;4� ,........\\A\A\"611, , DATE ISSUED � /(/ -- ,,...... \\\\eon,ylll :I. f r. 44, JOSEPH D.CARNEY Q CCU r " Y5" L' ' .(1/, MAY 1 5 1995 STATE REGISTRAR �z.: Q•P /) VVV Do not accept unless prepared on security paper with engraved border displaying the Colorado state F,/ %a A % fi7 Ej,-q.}._ seal and signature of the Registrar. PENALTY BY LAW, Section 25-2-118, Colorado Revised '4 :To.. " O ti 7 er,,TT J 1 Statutes, 1982 if any person alters,uses,attempts to use or furnishes to another for deceptive use any y * 7(,, / �I"�• ._._ vital statistics record:NOT VALID IF PHOTOCOPIED. t - ',008 12/94 � 'K *4...,..,,.1.-i" i�.... o -.,,wla••aa.e••aa.M.••a•A.••aA ;txIM TA i0 • „JarrA.RIA.Lre.w„....A. eeel.oe Md000 IA 4 cewnF dra ti. xa*.-g'.,. ,+arK _sue.. B6•(VYI 2 B l ._ \[c,0 f RED _ T T, e I -Mon ,,I: iition P�� y�,3`r - t" Y `. �o ru. >r I T( x�... r .T `"F�'rj�r" rA�I�A`A' mw 'f. ql *` e P `11' Nli, ir.r«EyVq ,.",..- 4 - 4� .�. ,,. �I 4 a� 'f�'Iltz t ti { v '" r 'ItS' r' " ,,,1, ' YE @`' F 'CIF ARdM3�98y STATE OF COLORADO all 2437984 B-1491 P-730 05/11/95 03:49P PG 1 OF 1 RFC DOC kli Weld County CO Clerk & Recorder 5.00 ,:' 1141 ' STATE OF COLORADO STATE FILE NUMBER CERTIFICATE OF DEATH G 1 (PHYSICIAN OR CORONER, . F • jig= SwuE 6.m MRPe.yW 2 SEX 3.DATE OF OEMTNWwn Day row,'I �� OECE➢ENr HELEN FRANCES DEWEY FE September 7, 1990 : IG 111- pi a SOCIt SECURITY RA G,' Hawn. It UNDER 1 YEAR sc UNDER I Day GDATE OF BIRTH 7.BIRTHPLACE ICrrr Ara STN,-Haan NUMBER Ym .n Dar YawlCo.snvl - 6 522-64-8593 75 "" June 21, 1915 Clinton, Missouri. i.-; Yrii A.was DECEDENT(VEX IN SA PLACE w DEATH law., 'Ni... US nRYEDipICES _ �,,''R Tap NyRRMI •OTHER -'I =ERRl/e.wa.,..‘-1-00A.. :1Y.i ra.row, 'J Rweno OOm.rrfoloM E' k ;�� - be.FACILRV"AYE in 44.4.44'444 444 onr .4444 ..-7 ----44.GTY. K OR LOCATION Of DER1" fa COUMTIDF DEATH �• ..Z_ Bonell Good Samaritan Center - Grreelej_. Weld 1 y mi.OECEDE"rS Usua„oc VPAigN DE RIND K SUSiNEssaugeSTP r R Pl LECATUS....nee 1s.SPOUSE W.wt Inv OS.nm O1 00.W no awed) ,Errnrvwwror--'- y" ' 6 VNMr mw¢ `�iy 1 a W^�r..E.MCI r ^i-^ �"- A.'�..,.. INK DaQ'T�a WwIN I'll:' y4 1 : Housewife U '^' �p�§ " y ' ' < !r!� ♦♦h plea q' 719.,:- a.ed George Dewey 134 REYDENCESTATE 1a COUNTY/ ,qn, la, fx art loma nPEssotoN - i 3 FE1.4.0 NUMBER 1 �. <,„. 5_ Colorado Weld o� Eaton -fit. 719. `IWCA 55 1'1 6 13.g5WE I .LP CODE WAS DECEDE YCPJ115P KP / i '0)N RPEo.VCE Ott" tea. Y � 14. E ,w.,y t It DECEG..n..4UClib.6Pwrrw,Aprea WATS, 7 ,: H.cj Ce!... ` �.yyl��. Yak Rm ma T2)C o Ili e,wmwur = r > �E / .Ar h^IR Gf}E14 7 _A- DM",� *11,, R mrEa T3)444434(13 w4.,14417.1 -?t SNO Jaa SRO CI Tat . ✓ '/ IL L -- VA _ M SD615 ° �°�"' WW �,te ! ifIN8 h - PARENTS rT FATNEwNA,.E Om mattyl,Ru�y. 1 It$40 ncRtat,€,¢ Y77. ." .,,x I�w I E Mm.wuuNo se e,arMa {.; James David WSLi,. y Stella Irene Se l (ledge[Dewey Husband I5 ` ,{1�1'yO NA METHOD OF DISPOS lIOM I a Iota PtAC di4POSZT kiMMPr a E Ei ww.¢w lot Lg.A IN-Cry m 1o,,n.saC. f, E DISPOSRION bBM,N OC mila 0Rr,YlmmittaT. ,` ,e' r. 4 / li: _ oow..l.�.nrrl -" vP Eaton Colorado D t, on Eat Cemetery':Na ya'" I,SIGNARtRE OF FUNERAL:wit MI OR PERDUCT r, INC AS SUCH, uNy1E ARO A0ORPJ50FIFACALITY' 7— -, +�%: AbAN50j1 ₹t AHY ?: ; e-- - EMh'' S'1:`.; ----.S. /S t' ets..C6reeley. CO ar 80631 u EOF DF.A D (x YMt CGONEP MOTRIEO? \_ i to - '''''2.1s." : l I ?marmot , f'i j �()� 1:00 F.M." teml;er Y._ .----,,,,,,..„,1,,90--'"'T:1�iffim• 4 NO I `�J TOU maniacrosay ERnrVTR - t. 9 TOOL CGY.4TBP SICOwO.Iu k.. 1J I It MOrwIYYI�"0 '+,Eay�1a m.reuM 'E _ 1•'. r U`°� /I/,��5q �J 3-•�YhOwelo PwaMMro1wowiralaw-rIurR.vrY.s,s P¢rnRP q Rte(. OERi,FlETI se..., �++... r"'. Sere", S�'I •ri 10� 21 DATE SIGNED Darr w IS DATE SIGNED Isom.Oat T.O Sp.NAMc TItLEAMD NA14NOAppgE550F CERTIF1EpROppNEp n,RyGy.ID ]:;' to " t2 Stanley 0. Edwards M.D. 2020 — 16th Street, Greeley, Colorado ac 80631 t At 31.NAME OF ATTENDING PMYSyaN N OTHER THY.CERTIFIER IT,w,Yn.. l . Iti \ T SL RE TURF �J 11 DATE FILED Wawa Day Fyn (�pH gtrf�� E LQ Deputy I September 19, 1990 13 /yMM.xkR DE.M 8441 1y DATEUFUr.f4 TIME OF ala.HAIRY At N6 DEYRtlE NDWPyURY OCCURRED .. �,.,.f IYo.Mn.D/ExfaitNIVRY RORR+ ��, mgw . ). 1 ' 14_ 2-,5_ OSaO, O,...., 'd 3'w PLACE�w 4a lsw. ww..Irr.YSICR 351LOCATORII .iwe Nwcww Runs Raa x.ro. Ohtaar.sw, {.11 3110seale M ryEDIATE CAUSE'EN YE*ONLY ONE CAUSE PER LIRE FOR W.P.A D.CN Dona r'rr Hew yMq.a}CNM1aCp Mrpwy A.rr FART cat / 1.4 // ..44awpl—an o.w. r-iCAUSE OF I Cam Sal /4 Q�ea/a-.� 4{-CI .�N� �w - OEATM IF CONOMossWHIC DDE tOORESACDMSEDVErICE DF warCnwr arne� r GAVE SE TO Narrp peaBl gam*, I=.. OAVEMSETD wMEDM,ECJV5E IN — VARNDTHE DUE ID OR A5 ACONSEWENCE OF I J UHOEPLYND CAUSE r Ma YaOn GG LAST ki • MIT OTHER SFrFCAMTCONOTIOr6 agmen Nw.ewgRfl,.. lMq Mingle rare ST AUTOPSY M 1IF YES w..MMp.cpN"wW U PART II. MalicE •.PCrwY.ragmen Ms or Mm paynln.q caned peen+ ki 'r '+ y»r,4 6 AB,o.E O if '✓i 4 it, NO WI THIS IS TO CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF THE OFFICIAL RECORD WHICH IS IN MY CUSTODY. t • , ) -- /"' u D4y1 -DATE 1S "" /(/ ....AAALugljy St I * �,S i' IIIIIIjI Ay 0 21995 JOSEPH D.CARNEYqG I STATE REGISTRAR �4 COCD 9� GG s -{+ Do not accept unless prepared on security paper with engraved border displaying the Colorado state Q'� p 67 4022 seal and signature of the Registrar. PENALTY BY LAW, Section 25-2-118, Colorado Revised L •j i i , ,� — Statutes, 1982,if any person alters,uses,attempts to use or furnishes to another for deceptive use any �,*- �'� A� * I it \\,, vital statistics record.NOT VALID IF PHOTOCOPIED. .I* :,,f, r j 1 VR 100S 129E qll "Ev .IFa u.AIN....: ...� ul.[..m..... .N,...-,u...,................................. ...,,... uu.....m...N..0 ..w..,uu.ua .............a..., ,N.....,,..u. .,....... ,l3jil 8 6 '�_, . . ... ., .. .w r- ..�D x_44.;: • • BOARD OF DIRECTORS �� GARY SIMPSON ' y NORTH WELD COUNTY WATER DISTRICT ERNEST ROSS HIGHWAY 85 • LUCERNE,COLORADO 80646 W.M. McKAY eiti)M a' CHARLES ACHZIGER 9 G y LYLE NELSON, MGR. ROBERTARNBRECHT ;e _-+s P.O. BOX 56 • PHONE 970-356-3020 • FAX 970-395-0997 July 24 , 1996 RE: Water Service Dear Sirs, This letter is in response to your inquiry regarding water service to the following described property: Two water taps @ Ell of the NE; of Section 28-7N-64W 1. Water service is presently being provided to the above described property. 2. X Water service can be made available to the above described property provided all requirements of the District are satisfied. If contracts have not been completed with North Weld County Water District within one year from the date of this letter, this letter shall become null and void. Additional comments: Sincerely, 214ey L D. Nelson, Manager orth Weld County Water District David E . Dewey Hello