HomeMy WebLinkAbout20201654.tiff EXHIBIT
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BEFORE THE WELD COUNTY , COLORADO , PLANNING COMMISSION Lb 2-O - �� c I
RESOLUTION OF RECOMMENDATION TO THE BOARD OF COUNTY COMMISSIONERS
Moved by Tom Cope , that the following resolution be introduced for passage by the Weld County Planning
Commission . Be it resolved by the Weld County Planning Commission that the application for:
CASE NUMBER USR20-0001
APPLICANT : HARD KNOCKS HOMESTEAD . LLC , C/O GERALD AND JACQUELINE
MONROE
PLANNER : DIANA AUNGST
REQUEST A SITE SPECIFIC DEVELOPMENT PLAN AND USE BY SPECIAL
REVIEW PERMIT FOR MULTI - FAMILY DWELLINGS FOR PERSONS
PRINCIPALLY EMPLOYED AT OR ENGAGED IN FARMING WITH THE
H2A PROGRAM IN THE A (AGRICULTURAL ) ZONE DISTRICT .
LEGAL DESCRIPTION : LOT A REC EXEMPT RE-3090 , PART W2SE4 SECTION 5 , T4N , R64W
OF THE 6TH P . M . . WELD COUNTY . COLORADO .
LOCATION : NORTH OF AND ADJACENT TO CR 48 , APPROXIMATELY 0 . 4 MILES
WEST OF CR 53 .
be recommended favorably to the Board of County Commissioners for the following reasons :
1 . The submitted materials are in compliance with the application requirements of Section 23-2 -260 of
the Weld County Code .
2 . It is the opinion of the Planning Commission that the applicant has shown compliance with Section
23-2 -220 of the Weld County Code as follows :
A . Section 23-2 -220 . A . 1 . -- The proposed use is consistent with Chapter 22 and any other
applicable code provisions or ordinance in effect .
Section 22-2-20. A . - A . Goal 1 states "Respect and encourage the continuation of agricultural
land uses and agricultural operations for purposes which enhance the economic health and
sustainability of agriculture . "
The site contains a farming operation with an existing house , barn and outbuildings . The
applicant is requesting to convert the office area in the barn to a living area for four (4 ) people
part of the H -2A seasonal farm labor. This USR is surrounded by the applicant' s crop land , with a
residence to the south of CR 48 . This USR is in an area that can support this development and
the Development Standards and the Conditions of Approval will assist in mitigating the impacts
of the facility on the adjacent properties and ensure compatibility with surrounding land uses and
the region .
Section 22-2-20. H. - A . Goal 8. states "Ensure that adequate services and facilities are currently
available or reasonably obtainable to accommodate the requested new land use change for
more intensive development. "
The site is served by Central Weld County Water District for potable water. According to the
Department of Public Health and Environment there is an on -site wastewater treatment system
( OWTS ) that is permitted for a four (4 )- bedroom house , five (5)-person office and an outside
restroom for seasonal workers . The OWTS is sized for 6 bedrooms which includes the office
and separate outside restroom . As this request will add two extra people per bedroom . the
system must be reviewed by an engineer. There is an outdoor bathroom connected to water and
septic that is located close to the barn . There is another bathroom in the storage unit and the
indoor bathroom is in the H -2A living quarters or in the house if needed . All these bathrooms are
within a quarter mile from all work sites , according to the application materials .
Section 22-2- 120. D. - R. Goal 4. states, "Residential development should support agriculture, and
be supported in agricultural areas, in accordance with the goals and policies of Section 22-2-20
of this Article. "
RESOLUTION USR20-0001
HARD KNOCKS HOMESTEAD, LLC, C/O GERALD AND JACQUELINE MONROE
PAGE 2
This USR is for the multi-family housing for on-site employees that will be working for an
agricultural operation This USR is supported by and is consistent with Section 22-2-20 -
Agriculture goals and policies of the Weld County Comprehensive Plan
B Section 23-2-220 A 2 --The proposed use is consistent with the intent of the A (Agricultural)
Zone District
Section 23-3-10—Intent states, 'The A(Agricultural)Zone District is established to maintain and
promote agriculture as an essential feature of the County"
Section 23-3-40 T — Uses by Special Review, of the Weld County Code states, "multi-family
dwellings for persons pnncipally employed at or engaged in farming"This code section allows
the applicant to apply for a USR for multi-family housing The H-2A program helps employers
who anticipate a lack of available domestic workers to bring foreign workers to the U S to
perform temporary or seasonal agricultural work
C Section 23-2-220 A 3 -- The uses which will be permitted will be compatible with the existing
surrounding land uses
The adjacent lands consist of pastures,crops,rural residences The closest residence is south of
the site on the other side of CR 48 The house on this site is approximately one-quarter(1/4)mile
from the barn on the subject property There another residence approximately 550 feet
southeast of the site
There are fourteen(14)USRs within one mile of this site USR-1701 for a kennel and a second
dwelling, USR-663 for a recreational facility, USR12-0078 for a construction business, USR18-
0077 for a non-1041 major facility pipeline, USR-1479 for a second dwelling, 2nd Major USR18-
12-1792 for a mineral resource development facility,USR18-0027 for a high pressure natural gas
pipeline, USR12-0006 Non 1041 major facility pipeline, USR11-0016 for a greater than 12 inch
natural gas pipeline, USR-1137 for an airstrip, USR17-0076 for agriculture and horticulture
services, USR-1447 for an oil and gas support facility, USR-1244 fora roping arena,and USR-
556 for a pallet and ag service
The Weld County Department of Planning Services sent notice to three(3)surrounding property
owners within 500 feet of the proposed USR boundary One phone call was received to discuss
the USR
D Section 23-2-220 A4 — The uses which will be permitted will be compatible with future
development of the surrounding area as permitted by the existing zoning and with the future
development as projected by Chapter 22 of the Weld County Code and any other applicable
code provisions or ordinances in effect, or the adopted Master Plans of affected municipalities
The site is located within the three (3) mile referral area of the Town of Kersey The Town of
Kersey's referral agency comments dated January 31, 2020 stated no concerns
The site is also located within the Cooperative Planning Agreement (CPA) for the Town of
Kersey As part of the pre-application process,the Town of Kersey was notified of the proposal
by Planning staff and was provided Notice of Inquiry forms by the applicant The Town of
Kersey's returned a Notice of Inquiry form dated January 7, 2020, stated that they are not
interested in annexation of the property
Even though the CPA of the Town of Kersey extends to CR 48 the Kersey Comprehensive Plan
shows the Kersey Influence Area extending only to CR 50 Therefore,the Future Land Use Map
for the Town of Kersey does not delineate the subject property
The site is not located with a Regional Urbanization Area (RUA) or Urban Growth Boundary
(UGB)
RESOLUTION USR20-0001
HARD KNOCKS HOMESTEAD, LLC, C/O GERALD AND JACQUELINE MONROE
PAGE 3
E Section 23-2-220 A 5--The application complies with Chapter 23,Articles V and XI, of the Weld
County Code
The property is not within the MS4,the Geologic Hazard Overlay District,a Special Flood Hazard
Area or the Airport Overlay District Building Permits issued on the lot will be required to adhere
to the fee structure of the County-Wide Road Impact Fee Program Building Permits issued on
the proposed lot will be required to adhere to the fee structure of the County Facility Fee and
Drainage Impact Fee Programs
F Section 23-2-220 A 6 -- The applicant has demonstrated a diligent effort to conserve prime
agricultural land in the locational decision for the proposed use
The proposed facility located on soils designated as "Prime (Irrigated)" per the 1979 Soil
Conservation Service Important Farmlands of Weld County Map This USR will utilized an
existing building and will not take any"Prime (Irrigated)" Farmland out of production
G Section 23-2-220 A 7--There is adequate provisions for the protection of the health,safety,and
welfare of the inhabitants of the neighborhood and County
The Design Standards(Section 23-2-240,Weld County Code),Operation Standards(Section 23-
2-250,Weld County Code),Conditions of Approval and Development Standards can ensure that
there are adequate provisions for the protection of health,safety,and welfare of the inhabitants
of the neighborhood and County
This recommendation is based,in part,upon a review of the application materials submitted by the applicant,
other relevant information regarding the request, and responses from referral entities
The Planning Commission recommendation for approval is conditional upon the following
1 Prior to recording the map
A If the existing on-site wastewater treatment system (OWTS)for the residence(SP-0100450) is
utilized for additional people,the OWTS shall be reviewed by a Colorado registered professional
engineer to determine sizing limitations The review shall consist of observation of the system
and a technical review describing the system's ability to handle the proposed use The review
shall be submitted to the Environmental Health Services Division of the Weld County Department
of Public Health and Environment In the event the system is found to be inadequately sized for
the proposed use,the system shall be brought into compliance with current OWTS regulations or
a new OWTS may be installed (Department of Public Health and Environment)
B The USR map shall be amended to delineate the following
1) All sheets of the map shall be labeled USR20-0001 (Department of Planning Services)
2) The attached Development Standards (Department of Planning Services)
3) The map shall be prepared per Section 23-2-260 D of the Weld County Code (Department
of Planning Services)
4) The applicant shall delineate on the map the trash collection areas Section 23-2-240 A 13 of
the Weld County Code addresses the issue of trash collection areas (Department of
Planning Services)
5) The map shall delineate the lighting, if applicable (Department of Planning Services)
6) The map shall delineate the parking area on the map (Department of Planning Services)
RESOLUTION USR20-0001
HARD KNOCKS HOMESTEAD, LLC, C/O GERALD AND JACQUELINE MONROE
PAGE 4
7) County Road 48 is a gravel road and is designated on the Weld County Functional
Classification Map as a local road which requires 60 feet of right-of-way at full buildout The
applicant shall delineate and label on the site map or plat the future and existing right-of-way
(along with the documents creating the existing right-of-way)and the physical location of the
road All setbacks shall be measured from the edge of right-of-way This road is maintained
by Weld County (Department of Public Works)
8) Show and label the entrance gate if applicable An access approach that is gated shall be
designed so that the longest vehicle (including trailers) using the access can completely
clear the traveled way when the gate is closed In no event,shall the distance from the gate
to the edge of the traveled surface be less than 35 feet (Department of Public Works)
9) Show and label the parking and traffic circulation flow arrows showing how the traffic moves
around the property (Department of Public Works)
2 Upon completion of Condition of Approval #1 above, the applicant shall submit one (1) electronic
copy(pdf)of the map for preliminary approval to the Weld County Department of Planning Services
Upon approval of the map the applicant shall submit a Mylar map along with all other documentation
required as Conditions of Approval The Mylar map shall be recorded in the office of the Weld County
Clerk and Recorder by the Department of Planning Services The map shall be prepared in
accordance with the requirements of Section 23-2-260 D of the Weld County Code The Mylar map
and additional requirements shall be submitted within one hundred twenty(120)days from the date of
the Board of County Commissioners Resolution The applicant shall be responsible for paying the
recording fee (Department of Planning Services)
3 In accordance with Weld County Code Ordinance#2012-3,approved April 30,2012,should the map
not be recorded within the required one hundred twenty (120) days from the date of the Board of
County Commissioners Resolution,a$50 00 recording continuance charge shall be added for each
additional three (3) month period (Department of Planning Services)
4 The Use by Special Review is not perfected until the Conditions of Approval are completed and the
map is recorded Activity shall not occur, nor shall any building or electrical permits be issued on the
property, until the Use by Special Review map is ready to be recorded in the office of the Weld
County Clerk and Recorder or the applicant has been approved for an early release agreement
(Department of Planning Services)
RESOLUTION USR20-0001
HARD KNOCKS HOMESTEAD, LLC, C/O GERALD AND JACQUELINE MONROE
PAGE 5
Motion seconded by Richard Beck
VOTE
For Passage Against Passage Absent
Bruce Johnson
Michael Wailes
Tom Cope
Gene Stile
Lonnie Ford
Richard Beck
Elijah Hatch
Skip Holland
The Chair declared the resolution passed and ordered that a certified copy be forwarded with the file of this
case to the Board of County Commissioner's for further proceedings
CERTIFICATION OF COPY
I, Kristine Ranslem, Recording Secretary for the Weld County Planning Commission, do hereby certify that
the above and foregoing resolution is a true copy of the resolution of the Planning Commission of Weld
County, Colorado, adopted on May 19, 2020
Dated the 19th of May, 2020
45V-643,11 Ai1662AL
Knstine Ranslem
Secretary
RESOLUTION USR20-0001
HARD KNOCKS HOMESTEAD, LLC, C/O GERALD AND JACQUELINE MONROE
PAGE 6
SITE SPECIFIC DEVELOPMENT PLAN
USE BY SPECIAL REVIEW PERMIT
DEVELOPMENT STANDARDS
Hard Knocks Homestead, LLC c/o Gerald and Jacqueline Monroe
USR20-0001
1 A Site Specific Development Plan and Use by Special Review Permit, USR20-0001,for multi-family
dwellings for persons principally employed at or engaged in farming with the H-2A Program in the A
(Agricultural) Zone District, subject to the Development Standards stated hereon (Department of
Planning Services)
2 Approval of this plan may create a vested property right pursuant to Section 23-8-10 of the Weld
County Code (Department of Planning Services)
3 The number of on-site employees dwelling on-site shall be four (4) (Department of Planning
Services)
4 The parking area shall be maintained (Department of Planning Services)
5 The property owner or operator shall be responsible for controlling noxious weeds on the site,
pursuant to Chapter 15,Article I and II, of the Weld County Code (Department of Public Works)
6 The access to the site shall be maintained to mitigate any impacts to the public road, including
damages and/or off-site tracking (Department of Public Works)
7 There shall be no parking or staging of vehicles on public roads On-site parking shall be utilized
(Department of Public Works)
8 Any work that may occupy and or encroach upon any County nghts-of-way or easement shall acquire
an approved Right-of-Way Use Permit prior to commencement (Department of Public Works)
9 The historical flow patterns and runoff amounts on the site will be maintained (Department of Public
Works)
10 Weld County is not responsible for the maintenance of onsite drainage related features (Department
of Public Works)
11 Waste materials shall be handled, stored, and disposed in a manner that controls fugitive dust,
fugitive particulate emissions, blowing debris, and other potential nuisance conditions The facility
shall operate in accordance with Chapter 14, Article 1 of the Weld County Code (Department of
Public Health and Environment)
12 Fugitive dust should attempt to be confined on the property Uses on the property should comply
with the Colorado Air Quality Commission's air quality regulations (Department of Public Health and
Environment)
13 Adequate drinking,handwashing and toilet facilities shall be provided for employees of the facility,at
all times Any septic system located on the property must comply with all provisions of the Weld
County Code, pertaining to On-site Wastewater Treatment Systems A permanent, adequate water
supply shall be provided for drinking and sanitary purposes (Department of Public Health and
Environment)
14 The operation shall comply with all applicable rules and regulations of the State and Federal
agencies and the Weld County Code (Department of Planning Services)
,
RESOLUTION USR20-0001
HARD KNOCKS HOMESTEAD, LLC, C/O GERALD AND JACQUELINE MONROE
PAGE 7
15 Sources of light shall be shielded so that light rays will not shine directly onto adjacent properties
where such would cause a nuisance or interfere with the use on the adjacent properties in
accordance with the plan Neither the direct, nor reflected, light from any light source may create a
traffic hazard to operators of motor vehicles on public or private streets No colored lights may be ,
used which may be confused with,or construed as,traffic control devices (Department of Planning
Services)
16 A building permit may be required, per Section 29-3-10 of the Weld County Code Currently the
following has been adopted by Weld County 2018 International Codes, 2006 International Energy
Code, 2017 National Electrical Code, A building permit application must be completed and two
complete sets of engineered plans bearing the wet stamp of a Colorado registered architect or
engineer must be submitted for review A geotechnical engineering report performed by a registered
State of Colorado engineer shall be required or an open hole inspection (Department of Building
Inspection)
17 The property owner or operator shall be responsible for complying with all of the foregoing
Development Standards Noncompliance with any of the foregoing Development Standards may be'
reason for revocation of the Permit by the Board of County Commissioners (Department of Planning
Services)
18 Necessary personnel from the Weld County Departments of Planning Services, Public Works, and
Public Health and Environment shall be granted access onto the property at any reasonable time in
order to ensure the activities carried out on the property comply with the Conditions of Approval and
Development Standards stated herein and all applicable Weld County regulations (Department of
Planning Services)
19 The Use by Special Review area shall be limited to the plans shown hereon and governed by the
foregoing standards and all applicable Weld County regulations Substantial changes from the plans
or Development Standards, as shown or stated,shall require the approval of an amendment of the
Permit by the Weld County Board of County Commissioners before such changes from the plans or
Development Standards are permitted Any other changes shall be filed in the office of the
Department of Planning Services (Department of Planning Services)
20 Construction or USE pursuant to approval of a Use by Special Review Permit shall be commenced
within three(3)years from the date of approval, unless otherwise specified by the Board of County
Commissioners when issuing the original Permit, or the Permit shall be vacated The Director of
Planning Services may grant an extension of time,for good cause shown, upon a written request by
the landowner
21 A Use by Special Review shall terminate when the USE is discontinued for a period of three (3)
consecutive years, the USE of the land changes or the time period established by the Board of
County Commissioners through the approval process expires The landowner may notify the
Department of Planning Services of a termination of the USE,or Planning Services staff may observe
that the USE has been terminated When either the Department of Planning Services is notified by
the landowner,or when the Department of Planning Services observes that the USE may have been
terminated,the Planner shall send certified written notice to the landowner asking that the landowner
request to vacate the Use by Special Review Permit
22 RIGHT TO EXTRACT MINERAL RESOURCES STATEMENT Weld County has some of the most
abundant mineral resources,including,but not limited to,sand and gravel,oil, natural gas,and coal
Under title 34 of the Colorado Revised Statutes, minerals are vital resources because(a)the state's
commercial mineral deposits are essential to the state's economy, (b)the populous counties of the
state face a critical shortage of such deposits,and(c)such deposits should be extracted according to
a rational plan,calculated to avoid waste of such deposits and cause the least practicable disruption
of the ecology and quality of life of the citizens of the populous counties of the state
RESOLUTION USR20-0001
HARD KNOCKS HOMESTEAD, LLC, C/O GERALD AND JACQUELINE MONROE
PAGE 8
Mineral resource locations are widespread throughout the County and person moving into these
areas must recognize the various impacts associated with this development Often times, mineral
resource sites are fixed to their geographical and geophysical locations Moreover,these resources
are protected property rights and mineral owners should be afforded the opportunity to extract the
mineral resource
23 WELD COUNTY'S RIGHT TO FARM STATEMENT Weld County is one of the most productive
agricultural counties in the United States, typically ranking in the top ten counties in the country in
total market value of agricultural products sold The rural areas of Weld County may be open and
spacious, but they are intensively used for agriculture Persons moving into a rural area must
recognize and accept there are drawbacks, including conflicts with long-standing agricultural
practices and a lower level of services than in town Along with the drawbacks come the incentives
which attract urban dwellers to relocate to rural areas open views,spaciousness,wildlife,lack of city
noise and congestion, and the rural atmosphere and way of life Without neighboring farms, those
features which attract urban dwellers to rural Weld County would quickly be gone forever
Agricultural users of the land should not be expected to change their long-established agricultural
practices to accommodate the intrusions of urban users into a rural area Well-run agricultural
activities will generate off-site impacts, including noise from tractors and equipment, slow-moving
farm vehicles on rural roads,dust from animal pens,field work, harvest and gravel roads,odor from
animal confinement,silage and manure,smoke from ditch burning,flies and mosquitoes,hunting and
trapping activities, shooting sports, legal hazing of nuisance wildlife, and the use of pesticides and
fertilizers in the fields, including the use of aerial spraying It is common practice for agricultural
producers to utilize an accumulation of agricultural machinery and supplies to assist in their
agricultural operations A concentration of miscellaneous agricultural materials often produces a
visual disparity between rural and urban areas of the County Section 35-3 5-102, C R S , provides
that an agricultural operation shall not be found to be a public or private nuisance if the agricultural
operation alleged to be a nuisance employs methods or practices that are commonly or reasonably
associated with agricultural production
Water has been, and continues to be, the lifeline for the agricultural community It is unrealistic to
assume that ditches and reservoirs may simply be moved "out of the way" of residential
development When moving to the County, property owners and residents must realize they cannot
take water from irrigation ditches,lakes,or other structures,unless they have an adjudicated right to
the water
Weld County covers a land area of approximately four thousand(4,000)square miles in size(twice
the size of the State of Delaware)with more than three thousand seven hundred (3,700) miles of
state and County roads outside of municipalities The sheer magnitude of the area to be served
stretches available resources Law enforcement is based on responses to complaints more than on
patrols of the County,and the distances which must be traveled may delay all emergency responses,
including law enforcement, ambulance, and fire Fire protection is usually provided by volunteers
who must leave their jobs and families to respond to emergencies County gravel roads, no matter
how often they are bladed, will not provide the same kind of surface expected from a paved road
Snow removal priorities mean that roads from subdivisions to arterials may not be cleared for several
days after a major snowstorm Services in rural areas, in many cases, will not be equivalent to
municipal services Rural dwellers must, by necessity, be more self-sufficient than urban dwellers
People are exposed to different hazards in the County than in an urban or suburban setting Farm
equipment and oil field equipment, ponds and irrigation ditches, electrical power for pumps and
center pivot operations, high speed traffic, sandburs, puncture vines, territorial farm dogs and
livestock,and open burning present real threats Controlling children's activities is important,not only
for their safety, but also for the protection of the farmer's livelihood
EXHIBIT
3-\\mki;-0 SUMMARY OF THE WELD COUNTY PLANNING COMMISSION MEETING
5 ( 9 zcac Tuesday , May 19 , 2020
A regular meeting of the Weld County Planning Commission was held in the Weld County Administration
Building , Hearing Room , 1150 O Street , Greeley , Colorado . This meeting was called to order by Chair,
Michael Wailes , at 12 : 30 pm .
Roll Call .
Present : Michael Wailes , Bruce Johnson . Gene Stille , Tom Cope , Lonnie Ford , Richard Beck , Elijah Hatch ,
Skip Holland .
Also Present : Kim Ogle and Diana Aungst , Department of Planning Services ; Lauren Light , Department of
Health ; Mike McRoberts , Melissa King and Zack Roberson , Public Works ; Bob Choate , County Attorney ,
and Kris Ranslem , Secretary .
CASE NUMBER : USR20-0001
APPLICANT : HARD KNOCKS HOMESTEAD . LLC
PLANNER DIANA AUNGST
REQUEST A SITE SPECIFIC DEVELOPMENT PLAN AND USE BY SPECIAL
REVIEW PERMIT FOR MULTI - FAMILY DWELLINGS FOR PERSONS
PRINCIPALLY EMPLOYED AT OR ENGAGED IN FARMING WITH THE
H2A PROGRAM IN THE A (AGRICULTURAL ) ZONE DISTRICT .
LEGAL DESCRIPTION : LOT A REC EXEMPT RE -3090 . PART W2SE4 SECTION 5 . T4N . R64W
OF THE 6TH P . M . . WELD COUNTY . COLORADO
LOCATION : NORTH OF AND ADJACENT TO CR 48 : APPROXIMATELY 0 . 4 MILES
WEST OF CR 53 .
Diana Aungst , Planning Services , presented Case USR20-0001 , reading the recommendation and
comments into the record . The Department of Planning Services recommends approval of this application
with the attached conditions of approval and development standards .
Zack Roberson . Public Works , reported on the existing traffic , access to the site and drainage conditions
for the site .
Lauren Light , Environmental Health , reviewed the public water and sanitary sewer requirements . on -site
dust control . and the Waste Handling Plan .
Gerald Monroe . 25525 CR 48 , Kersey . Colorado , stated that they have an 84-year vegetable farm with four
(4) generations raising vegetables . He said that they sell their vegetables through a program called
Community Supported Agriculture ( CSA) , as well as through farmers markets and a few restaurants . They
are requesting a change of use from the existing office to housing as it is increasingly more difficult to find
labor.
The Chair asked if there was anyone in the audience who wished to speak for or against this application .
No one in the room wished to speak and no emails were received from the public who were viewing the live
stream .
The Chair asked the applicant if they have read through the Development Standards and Conditions of
Approval and if they are in agreement with those . The applicant replied that they are in agreement .
Motion : Forward Case USR20-0001 to the Board of County Commissioners along with the Conditions of
Approval and Development Standards with the Planning Commissions recommendation of approval ,
Moved by Tom Cope , Seconded by Richard Beck .
Vote : Motion carried by unanimous roll call vote ( summary : Yes = 8 ) .
Yes : Bruce Johnson , Elijah Hatch , Gene Stifle , Lonnie Ford , Michael Wailes , Richard Beck , Skip Holland ,
Tom Cope .
1
Meeting adjourned at 6 15 pm
Respectfully submitted,
Kristine Ranslem
Secretary
2
ATTENDANCE RECORD
NAME - PLEASE PRINT LEGIBLY ADDRESS EMAIL
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