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Home My WebLink About20192058.tiffRESOLUTION RE: APPROVE SPECIAL EVENTS PERMIT AND AUTHORIZE CHAIR TO SIGN - CEIBA PROJECT 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, Ceiba Project presented to the Board of County Commissioners of Weld County, Colorado, an application for a Special Events Permit for the sale of fermented malt beverages for consumption by the drink on the premises only, subject to the rules and regulations found in Article 5, Title 44, C.R.S., and WHEREAS, said applicant has paid the sum of ONE HUNDRED DOLLARS ($100.00) to Weld County, Colorado, pursuant to the laws providing therefore in payment for a Special Events Permit, subject to the rules and regulations found in Article 5, Title 44, C.R.S., for events scheduled on June 30, 2019, July 21, 2019, August 31, 2019, and September 22, 2019, from 10:00 a.m. to 6:00 p.m., outside the corporate limits of any town or city in the County of Weld at the location described as follows: 18233 County Road 96, Pierce, Colorado 80650; being further described as being part of the W1/2 SW1/4 of Section 6, Township 8 North, Range 65 West of the 6th P.M., Weld County, Colorado WHEREAS, said applicant has also paid the sum of FOURTY DOLLARS ($40.00) to the Colorado Department of Revenue and has exhibited a State Special Events Permit Application for the sale of fermented malt beverages for consumption by the drink on the premises only, subject to the rules and regulations found in Article 5, Title 44, C.R.S. NOW, THEREFORE, BE IT RESOLVED that the Board of County Commissioners of Weld County, Colorado, having examined said application and the other qualifications of the applicant, does hereby grant Special Events Permit Number 2019-12 to said applicant to sell fermented malt beverages for consumption by the drink on the premises only, at retail at said location; and the Board does hereby authorize and direct the issuance of said permit by the Chair of the Board of County Commissioners, attested to by the Clerk to the Board of Weld County, Colorado, which permit shall be effective on June 30, 2019, July 21, 2019, August 31, 2019, and September 22, 2019, from 10:00 a.m. to 6:00 p.m., providing that said place where the permitee is authorized to sell fermented malt beverages for consumption by the drink on the premises only, shall be conducted in strict conformity to all of the laws of the State of Colorado and the rules and regulations relating thereto, per Article 5, Title 44, C.R.S., heretofore passed by the Board of County Commissioners of Weld County, Colorado, and any violations thereof shall be cause for revocation of the permit. c-c-:SO(RSISniacJ, CGi('CiC), C IPPL C Event C 1cr & Lr OCo/13f 19 2019-2058 LC0022 RE: SPECIAL EVENTS PERMIT - CEIBA PROJECT PAGE 2 BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said application and permit. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 3rd day of June, A.D., 2019. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST:); Weld County Clerk to the Board BY: a. EXCUSED Barbara Kirkmeyer, Chair Mike Freeman, Pro-Tem eputy Clerk to the Board EXCUSED Sean P. onway APP. of K. James unty ilney Steve Moreno Date of signature: CXo! ( 1 119 2019-2058 LC0022 THIS PERMIT EXPIRES SEPTEMBER 22, 2019, AT 6:00 P.M. trealidriefireenrnearrrnnirraCreCtriThf.../� �J�.J` �...1� .�J�J� :'.../� ..�..��1 Permit Number 2019-12 STATE OF COLORADO Permit Fee $100.00 COUNTY OF WELD sP B\ AUTHORITY OF THE BOARD OF COUNTY COMMISSIONERS annikomis TO SERVE FERMENTED MALT BEVERAGES This is to Certify, that Ceiba Project, of the State of Colorado, having applied for a Permit to serve fermented malt beverages, and having paid to the County Treasurer the sum of One Hundred and [00/100] ($100.00) Dollars; therefore, the above applicant is hereby permitted to serve fermented malt beverages containing more than 3.r u Alcohol by weight, by the drink for consumption on the premises, at the address of 18233 County Road 96, Pierce, Colorado 80650, in the County of Weld, State of Colorado, for a period beginning at 10:00 a.m. and ending at 6:00 p.m. on June 30, 2019, July 21, 2019, August 31, 2019, and September 22, 2019, unless this Permit is revoked sooner as provided by law. This Permit is issued subject to the Laws of the State of Colorado and especially under the provisions of Article 5 of Title 44, Colorado Revised Statues, as amended. IN TESTIMONY WHEREOF, the Board of County Commissioners has hereunto subscribed its name by its officers duly authorized this 3rd day of June, 2019. A I LEST: theifm, ado;„k, Deputy Clerk to the Board BY The Board of County Commissioners Chair Pro -Tern, Board of County Commissioners of Commissioners cira.j.CJCJCJCJCJFJCJJCJija k) TO BE POSTED IN A CONSPIC OUS PLACE. NON -TRANSFERABLE. DR 8427 (08/01/2012) COLORADO DEPARTMENT OF REVENUE 1697 Cole Blvd, Suite 200 Golden, CO 80401 STATE OF COLORADO DEPARTMENT OF REVENUE VALID ONLY FOR THE ORGANIZATION AT THIS LOCATION CEIBA PROJECT 18233 COUNTY ROAD 96 PIERCE CO 80650 Permit Number: 05-02557 Event Manager: ANA 0RNELAS-M0REN0 SPECIAL EVENTS PERMIT FERMENTED MALT BEVERAGE VALID ONLY FOR THE FOLLOWING PERIODS EVENT 1: 06/30/2019 10:00 am - 6:00 pm EVENT 2: 07/21/2019 10:00 am - 6:00 pm EVENT 3: 08/31/2019 10:00 am - 6:00 pm EVENT 4: 09/22/2019 10:00 am - 6:00 pm EVENT 5: This permit is issued subject to the laws of the State of Colorado and especially under the provisions of Title 44, Articles 4, 3, and 5, CRS 1973, as amended. This permit is nontransferable and shall be conspicuously posted in the place above described. This permit is only valid during the event date(s) shown above. In testimony whereof, I have hereunto set my hand. 6/11/2019 LSS Cory Amend, Interim Division Director Lu Cordova, Executive Director CERTIFICATE OF DELIVERY DATE: June 11, 2019 FROM: Chloe A. Rempel, Deputy Clerk to the Board SUBJECT: Special Events Permit — Ceiba Project I hereby certify that I have provided the below documents in accordance with the requirements of Weld County and the Colorado Department of Revenue, Liquor Enforcement Division, on this day of June, 2019. One copy of the signed Weld County Resolution approving Special Events Permit — Ceiba Project One original Weld County Special Events Permit One copy of Colorado Special Events Permit One Liquor Sale and Consumption Warning Sign nrI Print ame GL (3 lq Date Signat Weld County • Clerk to the Board's Office • 1150 O Street, Greeley, CO 80631 • (970) 400-4213 • crempel@weldgov.com DR 8439 (12/21/18) COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division (303) 205.2300 Departmental Use Only Application for a Special Events Permit In and order to qualify for One of the Following Social • Fraternal 0 Patriotic NI Political a Special Events Permit, You Must Be Nonprofit (See back for details.) I Athletic 0 Chartered Branch, Lodge Or Chapter U Of A National Organization Or Society ill Religious Institution Ill Philanthropic Institution In Political Candidate • Municipaity Owning Arts Facilities LIAR 2110 2170 Type of Special Event Applicant is Applying for: Malt, Vinous And Spirituous Liquor $25.00 Per Day Fermented Malt Beverage $10.00 Per Day DO NOT WRITE IN THIS SPACE Liquor Permit Number 1. Name of Applicant Organization or Political Candidate Ceiba Project State Sales Tax Number (Required) 9 800q35"f6 2. Mailing Address of Organization or Political Candidate (include street, city/town and ZIP) 5045 W 1st Ave Denver, CO 80219 3. Address of Place to Have Special Event (include street, city/town and ZIP) 18233 CR 96 Pierce, CO 80650 Name Date of Birth Home Address (Street, City, State, ZIP) Phone Number 4. Pres./Sec'y of Org. or Political Candidate Mavis Salazar 5500 W 5th Ave, Lakewood, CO 80226 720-231-4711 5. Event Manager Ana Omelas-Moreno 6736 E 123rd PI, Brighton, CO 80602 720-626-1315 6. Has Applicant Organization or Political Candidate been Issued a Special Event Permit this Calendar Year? ® NO n YES HOW MANY DAYS? 7. Is premises now I__I NO licensed under state liquor or beer code? YES TO WHOM? 8. Does the Applicant Have Possession or Written Permission for the Use of The Premises to be Licensed? U. Yes 0 No List Below the Exact Date(s) for Which Application is Being Made for Permit Date 06/30/19 Hours From 10a .m. To 6p .m. Date 07/21/19 Hours From 10a .m. To 6p .m. Date 08/31/19 Hours From To 10a .m. 6p .m. Date 09/22/19 Hours From 10a .m. To 6D .m. Date Hours From .m. To .m. Oath of I declare under penalty of perjury in the second degree that I have that all information therein is true, correct, and complete to the best Applicant read the foregoing application and all attachments thereto, and of my knowledge. Signature /� (Title Executive Director Date 05/07/19 n (Jj�) �h!; �� I 1 ' \� ( . Re ort an • • •a� . ' ►'censing Authority (City or County) The foregoing application has been ex • In= • - • ,l�'i ; �'rt+usiness conducted and character of the applicant is satisfactory, and we do report that such permit, if g ., r, 0,!1:4.4I'1., *+rovisions of Title 44, Article 5, C.R.S., as amended. '``- • � ICATION IS APPROVED. 0. ., i' -tom Local Licensing Authority (City or County) "" Weld County, Colorado f �l , , , .• City HI county Telephone Number of City/County Clerk (970) 400-4213 Signature 'ettll►'. allijormillik rl,e2 Title Mike Freeman, Pro-Tem County Commissioners Date 6/3/2019 DO NOT WRITE IN THIS SPACE - FOR DEPARTMENT OF REVENUE USE ONLY Liability Information License Account Number Liability Date State Total $ • -750 (999) (Instructions on Reverse Side) DR 8439 (12/21/18) Application Information and Checklist The following supporting documents must be attached to this application for a permit to be issued: Iii Appropriate fee. Diagram of the area to be licensed (not larger that 81 /2" X 11" reflecting bars, walls, partitions, ingress, egress and dimensions. Note: If the event is to be held outside, please submit evidence of intended control, i.e., fencing, ropes, barriers, etc. XI Copy of deed, lease, or written permission of owner for use of the premises. Certificate of good corporate standing (NONPROFIT) issued by Secretary of State within last two years; or ❑ If not incorporated, a NONPROFIT charter; or ❑ If a political Candidate, attach copies of reports and statements that were filed with the Secretary of State. ✓ ✓ Application must first be submitted to the local licensing authority (city or county) at least thirty (30) days prior to the event. The premises to be licensed must be posted at least ten (10) days before a hearing can be held. (44-5-106 C.R.S.) An approved application must be received by the liquor enforcement division at least ten (10) days prior to the event. Check payable to the Colorado Department of Revenue (44-5-102 C.R.S.) A Special Event Permit issued under this article may be issued to an organization, whether or not presently licensed under Articles 4 and 3 of this title, which has been incorporated under the laws of this state for the purpose of a social, fraternal, patriotic, political or athletic nature, and not for pecuniary gain or which is a regularly chartered branch, lodge or chapter of a national organization or society organized for such purposes and being non profit in nature, or which is a regularly established religious or philanthropic institution, and to any political candidate who has filed the necessary reports and statements with the Secretary of State pursuant to Article 45 of Title 1, C.R.S. A Special Event permit may be issued to any municipality owning arts facilities at which productions or performances of an artistic or cultural nature are presented for use at such facilities. If an event is cancelled, the application fees and the day(s) are forfeited. RECEIVED M;V .7 20i9 WELD COUNTY COMMISSIONERS WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE INSTRUCTIONS TO APPLICANT: Complete each section and mark "N/A" where not applicable. Additional sheets may be attached. All required information must be furnished before the application will be processed. Please note: a Colorado Department of Revenue, Liquor Enforcement Division, application for a Special Events Permit (DR 8439) and all associated documents and fees must be submitted in conjunction with the Weld County Special Events Permit Questionnaire. All permits are subject to the rules and regulations of the local licensing authority, Articles 3, 4, and 5, of Title 44, C.R.S., and 1 C.C.R. 203-2. PERMIT FEE: $100.00 Submit a $100.00 fee payable to Weld County, as well as the Colorado Department of Revenue, Liquor Enforcement Division, fee payable to the Colorado Department of Revenue, at the time of application submittal. APPLICATION CHECKLIST: Appropriate fees payable to Weld County and the Colorado Department of Revenue. f Diagram of the area to be licensed (not larger than 8 1/2" X 11"); reflecting bars, walls, partitions, ingress, egress, dimensions of the property, and the location of liquor storage (lockable). Diagram of vehicle parking plan, including size and location of lots, points of highway access and interior roads, and routes between roads/highways and parking lots. Copy of deed, lease, or written permission of owner for use of the premises. Certificate of Good Standing issued by the Secretary of State within last two years, or if not incorporated, a non-profit charter. n IA If a political canditate, attach copies of reports and statements that were filed with the Secretary of State. riS.dc� rove Copies of training certificates (if applicable). ,- Copy of food license agreement and Temporary Event Food Permit (if applicable). 2019-2058 WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE QUALIFYING NON-PROFIT APPLICANT: Name of Organization or Political Candidate: Ceiba Project Name of President or Secretary of Organization, or Political Candidate: Mavis Salazar Name of Event Manager: Ana Ornelas-Moreno Event Manager Phone: Organization or Political Candidate Phone: 720-626-1315 720-231-4711 Event Manager E-mail Address: Imperialhrf@gmail.com Mailing Address of Organization or Office of Political Candidate: 5045 W 1st Ave. City: Denver State: CO Zip Code: 80219 ADDRESS AND LEGAL DESCRIPTION OF ALL PROPERTY UPON WHICH THE EVENT IS TO BE HELD: Address: 18233 CR 96 City: Pierce State: CO Zip Code: 80650 Legal Description: Part of the W1/2 SW1/4 of Section 6, Township 8 North, Range 65 West of the 6th P.M, Weld County Colorado NAME AND ADDRESS OF THE RECORD OWNERS OF SUCH PROPERTY (ATTACH A COPY OF THE DEED TO THE PROPERTY, AND IF APPLICATION IS NOT MADE BY THE RECORD OWNERS, A NOTARIZED STATEMENT FROM THE RECORD OWNERS CONSENTING TO THE ASSEMBLY): Name: Ana Ornelas-Moreno Address: 6736 E 123rd Place City: Brighton State: CO Zip Code: 80602 Name: Leonel Ornelas Address: 6736 E 123rd Place City: Brighton State: CO Zip Code: 80602 Page 2 of 10 M:\CTB\SPECIAL EVENTS PERMITS\FORMS WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE FIRE DISTRICT: Nunn Volunteer Fire Department 487 Logan Ave, Nunn, CO 80648 AMBULANCE DISTRICT: Benner Health Service Ambulance 1801 16th St. Greeley, CO 80631 LAW ENFORCEMENT DISTRICT: Weld County Sherriff Department 1950 O Street, Greeley, CO 80631 1. DESCRIPTION OF THE NATURE OR PURPOSE OF THE EVENT: The purpose of these events are to hold horse races in order to come up with funds that will benefit Ceiba Project USA. 2. EXPLAIN, IN DETAIL, THE NATURE OF YOUR ORGANIZATION, ITS FUNCTION, AND WHO OR WHAT BENEFITS FROM ITS OPERATIONS (ATTACH A SEPARATE PAGE IF NECESSARY): Ceiba Project USA is dedicated to empower and unite communities by developing strong leaders through education, cultural expression and building social responsibility with community programs to promote health, nutrition, exercise and wellness. Ceiba Project USA's mission is to cultivate our communities to grow into strong, healthy, and safe environments through education and leadership development. Ceiba Project USA was located in the Westwood neighborhood of Denver, Colorado form 2010 through 2015 the first three years. Ceiba Project USA recognized the need for culturally based community programs not available to youth or residents in this under-resourced community, and is now part of a community Co-op to address health and wellness needs. 3. WHO OR WHAT ORGANIZATION WILL BE THE RECIPIENT OF FUNDS DERIVED FROM THIS EVENT: The funds from these event will go directly to Ceiba Project USA to continue to run the many activities for youth, and victims of crime who need support. Page 3 of 10 M:\CTB\SPECIAL EVENTS PERMITS\FORMS WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE 4. MAXIMUM NUMBER OF PERSONS TO BE ALLOWED AT EVENT AT ANY ONE TIME: 2,000 persons 5. DATES AND HOURS DURING WHICH THE EVENT IS TO BE HELD: 06/30/19 10am to 6pm 7/21/19 10am to 6pm 08/31/19 10am to 6pm 09/22/19 10am to 6pm 6. WHAT TYPE OF SECURITY, IF ANY, WILL BE PROVIDED AT THIS EVENT (LIST SECURITY PLAN INCLUDING NUMBER OF SECURITY MEMBERS, HOW SECURITY WILL BE IDENTIFIED, WHERE SECURITY WILL BE LOCATED, HOW ALCOHOL WILL BE CONTROLLED, ETC.): The number of security personnel on -site will be two (2) security personnel for the first one hundred (100) participants and 1 (1) additional security professional for each additional fifty (50) participants. Company: Rodriguez Security Agency 1901 5th St, Greeley, CO 80631 Adrian Rodriguez: 970-324-6488 Security are identified by professional security attire. Will be located by entrance to search cars for any alcohol coming unto property which if found it will be confiscated. Other security personnel will be among spectators monitoring. 7. WHERE WILL SURPLUS ALCOHOL BE STORED AND LOCKED DURING THE EVENT: Inside permanet on -site food truck. Page 4 of 10 M:\CTB\SPECIAL EVENTS PERMITS\FORMS WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE 8. HOW WILL ALCOHOL BE OBTAINED (DESCRIBE, IN DETAIL, WHERE ALCOHOL WILL BE DONATED OR PURCHASED FROM): Alcohol will be purchased from whole sale supplier. 9. WHAT METHOD WILL BE USED FOR CHECKING THE IDENTIFICATION FOR PROPER AGE OF ATTENDEES (IDENTIFICATION CHECKED AT THE DOOR, AT THE BAR, ETC.) AND HOW WILL UNDERAGE PATRONS BE IDENTIFIED SO AS NOT TO BE SERVED ALCOHOLIC BEVERAGES (STAMPS, MARK ON THE HAND, WRISTBANDS, ETC.): Identification will be checked at food truck from where alcohol will be sold from. Underage patrons will be either marked as a minor by stamp on the hand or color coded wristband. Page 5 of 10 M:\CTB\SPECIAL EVENTS PERMITS\FORMS WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE 10. IF THIS EVENT IS BEING HELD OUTDOORS, HOW WILL THE EXTERIOR BOUNDARIES OF THE PREMISES BE MARKED AND CONTROLLED (FENCED, ROPED, ETC.): The whole boundaries of the premises is currently fenced. 11. WHAT TYPE OF ENTERTAINMENT, IF ANY, WILL BE PROVIDED FOR THIS EVENT: Horse Races 12. HOW, AND BY WHOM, WILL THE CONDUCT AND LEVEL OF INTOXICATION OF ATTENDEES BE MONITORED: Security personnel will be in charge of monitoring level of intoxication of attendees as well as the person in charge of dispensing the alcohol. Page 6 of 10 M:\CTB\SPECIAL EVENTS PERMITS\FORMS WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE 13. HAVE VOLUNTEERS OR MEMBERS OF YOUR ORGANIZATION BEEN TRAINED IN THE SALE/SERVICE OF ALCOHOLIC BEVERAGES (E.G. TIPS TRAINING), AND IF SO, WHAT TRAINING HAVE THEY RECEIVED (ATTACH COPIES OF TRAINING CERTIFICATES): No 14. WHAT TYPES OF ALTERNATIVE BEVERAGES AND FOOD/SNACKS WILL BE AVAILABLE: Licensed food truck vendors will be available on site providing food and other non-alcoholic beverages. 15. IDENTIFY PLANS FOR MEETING COUNTY HEALTH STANDARDS FOR FOOD, CONCESSIONS, AND CONCESSIONAIRES WHO WILL BE ALLOWED TO OPERATE ON THE GROUNDS, INCLUDING THE NAMES AND ADDRESSES OF ALL CONCESSIONAIRES AND THEIR LICENSE PERMIT NUMBERS (ATTACH A COPY OF FOOD LICENSES IF APPLICABLE). PLEASE NOTE: THE DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT MAY REQUIRE A TEMPORARY EVENT FOOD PERMIT (CONTACT HE-tempevents@weldgov.com / (970) 304-6415 FOR MORE INFORMATION): See attached information Page 7 of 10 M:\CTB\SPECIAL EVENTS PERMITS\FORMS WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE 16. IDENTIFY PLANS FOR HOLDING, COLLECTING, AND DISPOSING OF SOLID WASTE MATERIALS: Trash crew will be on -site collecting trash and disposing of it at the provided trash containers provided throughout the property. At the end of the event, trash from containers will be collected and disposed of at large dumpster that is routinely serviced by: Maverick Disposal 970-590-5539 17. IDENTIFY PLANS FOR PROVIDING TOILET FACILITIES, INCLUDING THE SOURCE, NUMBER, LOCATION, TYPE, AND THE MEANS OF DISPOSING OF WASTES DEPOSITED (ATTACH CONTRACT, AGREEMENT, OR E-MAIL IF APPLICABLE): One (1) portable toilet shall be provided for every hundred (100) people. Portable toilets are provided and cleaned by: Country John's Portable Toilets P.O Box 27 Gill, CO 80624 Debbie Lohr: 970-397-3834 18. EXPLAIN HOW THIS EVENT WILL BE MARKETED, DESCRIBING WHAT METHODS OF ADVERTISING WILL BE USED AND WHAT TYPE OF MATERIALS WILL BE DISTRIBUTED, AND THE TARGETED RECIPIENTS OF SUCH MATERIAL: Social Media: Facebook Word of mouth Page 8 of 10 M:\CTB\SPECIAL EVENTS PERMITS\FORMS WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE 19. IDENTIFY PLANS FOR PARKING VEHICLES, INCLUDING SIZE AND LOCATION OF LOTS, POINTS OF HIGHWAY ACCESS AND INTERIOR ROADS, AND ROUTES BETWEEN ROADS/HIGHWAYS AND PARKING LOTS: Security personnel guide and monitor parking. See map for location. 20. IN CASES OF LARGE OUTDOOR EVENTS: 1) HAVE EMERGENCY RESPONDERS BEEN NOTIFIED, 2) WILL THERE BE A FIRST AID STRUCTURE, AND 3) HAVE AMBULANCE SERVICES BEEN CONTRACTED FOR AN ON -SITE AMBULANCE DURING THE EVENT: Yes 21. IDENTIFY PLANS FOR CAMPING FACILITIES, IF ANY: N/A Page 9 of 10 M:\CTB\SPECIAL EVENTS PERMITS\FORMS WELD COUNTY SPECIAL EVENTS PERMIT QUESTIONNAIRE 22. IDENTIFY PLANS, IF ANY, TO ILLUMINATE THE LOCATION OF THE EVENT, INCLUDING THE SOURCE AND AMOUNT OF POWER, AND THE LOCATION OF LAMPS: N/A 23. IDENTIFY PLANS, IF ANY, FOR SOUND CONTROL AMPLIFICATION INCLUDING THE NUMBER, LOCATION, AND POWER OF AMPLIFIERS AND SPEAKERS: N/A I/WE HEREBY CERTIFY, UNDER PENALTY OF PERJURY, THAT THE INFORMATION PROVIDED TO THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, COLORADO, CONTAINED IN THIS AFFIDAVIT IS TRUE AND ACCURATE. CYAo,\IiR 3 et ia-FaL. AUTHORIZED REPRESENTATIVE (PLEASE PRINT) SIGNATURE DATE 311q119 AUTHORIZED REPRESENTATIVE (PLEASE PRINT) SIGNATURE DATE Page 10 of 10 M:\CTB\SPECIAL EVENTS PERMITS\FORMS OFFICE OF THE SECRETARY OF STATE OF THE STATE OF COLORADO CERTIFICATE OF FACT OF GOOD STANDING I, Jena Griswold, as the Secretary of State of the State of Colorado, hereby certify that, according to the records of this office, Ceiba Project is a Nonprofit Corporation formed or registered on 05/01/2011 under the law of Colorado, has complied with all applicable requirements of this office, and is in good standing with this office. This entity has been assigned entity identification number 20111259881 . This certificate reflects facts established or disclosed by documents delivered to this office on paper through 05/16/2019 that have been posted, and by documents delivered to this office electronically through 05/17/2019 @ 12:30:08 . I have affixed hereto the Great Seal of the State of Colorado and duly generated, executed, and issued this official certificate at Denver, Colorado on 05/17/2019 @ 12:30:08 in accordance with applicable law. This certificate is assigned Confirmation Number 11579863 . Secretary of State of the State of Colorado *********************************************End of Certificate******************************************* Notice: A certificate issued electronically from the Colorado Secretary of State's Web site is fully and immediately valid and effective. However, as an option, the issuance and validity of a certificate obtained electronically may be established by visiting the Validate a Certificate page of the Secretary of State's Web site, http://www.sos.state.co.us/biz/CertifcateSearchCriteria.do entering the certificate's confirmation number displayed on the certificate, and following the instructions displayed. Confirming the issuance of a certificate is merely optional and is not necessary to the valid and effective issuance of a certificate. For more information, visit our Web site, http:// www.sos.state.co.us/click "Businesses, trademarks, trade names" and select "Frequently Asked Questions." Document must be filed electronically. Paper documents will not be accepted. Document processing fee Fees & forms/cover sheets are subject to change. To access other information or print copies of filed documents, visit www.sos.state.co.us and select Business Center. -FIIed Colorado Secretary of State Date and Time: 05/01/2011 08:55 PM ID Number: 20111259881 $50.00 Document number: 20111259881 Amount Paid: $50.00 ABOVE SPACE FOR OFFICE USE ONLY Articles of Incorporation for a Nonprofit Corporation filed pursuant to § 7-122-101 and § 7-122-102 of the Colorado Revised Statutes (C.R.S.) 1. The domestic entity name for the nonprofit corporation is Ceiba Project (Caution: The use of certain terms or abbreviations are restricted by law. Read instructions for more information.) 2. The principal office address of the nonprofit corporation's initial principal office is Street address Mailing address (leave blank if same as street address) 5500 W 5th Ave (Street number and name) Lakewood (City) CO 80226 (State) (ZIP/Postal Code) United States (Province — if applicable) (Country) (Street number and name or Post Office Box information) (City) (State) (ZIP/Postal Code) (Province — if applicable) (Country) 3. The registered agent name and registered agent address of the nonprofit corporation's initial registered agent are Name (if an individual) OR (if an entity) (Caution: Do not provide both an individual and an entity name.) Street address 5500 W 5th Ave (Last) Ceiba Project (First) (Middle) (Suffix) ARTINC_NPC (Street number and name) Lakewood (City) Co 80226 (State) (ZIP Code) Page 1 of 3 Rev. 02/28/2008 Mailing address (leave blank if same as street address) (Street number and name or Post Office Box information) (City) (The following statement is adopted by marking the box.) n The person appointed as registered agent above has consented to being so appointed. CO (State) 4. The true name and mailing address of the incorporator are Name (if an individual) OR (if an entity) (Caution: Do not provide both an individual and an entity name.) McFalls (ZIP Code) Mavis Anna (Last) (First) (Middle) (Suffix) Mailing address 5500 W 5th Ave (Street number and name or Post Office Box information) Lakewood CO 80226 (City) (State) (ZIP/Postal Code) United States • (Province — if applicable) (Country) (If the following statement applies, adopt the statement by marking the box and include an attachment.) (l The corporation has one or more additional incorporators and the name and mailing address of each additional incorporator are stated in an attachment. 5. (if the following statement applies, adopt the statement by marking the box.) n The nonprofit corporation will have voting members. 6. (The following statement is adopted by marking the box.) n Provisions regarding the distribution of assets on dissolution are included in an attachment. 7. (If the following statement applies, adopt the statement by marking the box and include an attachment.) n This document contains additional information as provided by law. 8. (Caution: Leave blank if the document does not have a delayed effective date. Stating a delayed effective date has significant legal consequences. Read instructions before entering a date.) (If the following statement applies, adopt the statement by entering a date and, if applicable, time using the required format.) The delayed effective date and, if applicable, time of this document is/are (mm/dd/yyyy hour.•minute am/pm) Notice: Causing this document to be delivered to the Secretary of State for filing shall constitute the affirmation or acknowledgment of each individual causing such delivery, under penalties of perjury, that the document is the individual's act and deed, or that the individual in good faith believes the document is the act and deed of the person on whose behalf the individual is causing the document to be delivered for filing, taken in conformity with the requirements of part 3 of article 90 of title 7, C.R.S., the constituent documents, and the organic statutes, and that the individual in good faith believes the facts stated in the document are true and the document complies with the requirements of that Part, the constituent documents, and the organic statutes. ARTINC_NPC Page 2 of 3 Rev. 02/28/2008 This perjury notice applies to each individual who causes this document to be delivered to the Secretary of State, whether or not such individual is named in the document as one who has caused it to be delivered. 9. The true name and mailing address of the individual causing the document to be delivered for filing are McFalls Mavis Anna (Last) 5500 W 5th Ave (First) (Middle) (Suffix) (Street number and name or Post Office Box information) Lakewood CO 80226 (City) (Province — if applicable) (State) United States (Country) (ZIP/Postal Code) (If the following statement applies, adopt the statement by marking the box and include an attachment.) n This document contains the true name and mailing address of one or more additional individuals causing the document to be delivered for filing. Disclaimer: This form/cover sheet, and any related instructions, are not intended to provide legal, business or tax advice, and are furnished without representation or warranty. While this form/cover sheet is believed to satisfy minimum legal requirements as of its revision date, compliance with applicable law, as the same may be amended from time to time, remains the responsibility of the user of this form/cover sheet. Questions should be addressed to the user's legal, business or tax advisor(s). ARTINC_NPC Page 3 of 3 Rev. 02/28/2008 DR 0160 (02/18/11) COLORADO DEPARTMENT OF REVENUE DENVER CO 80281-0013 THIS LICENSE IS NOT TRANSFERABLE CERTIFICATE OF EXEMPTION FOR STATE SALES/USE TAX ONLY USE ACCOUNT NUMBER LIABILITY INFORMATION for all references 98004356 ISSUE DATE N 051514 Jun 08 2016 5500 W 5th Ave, Lakewood CO 80226 IIuIIIIIIIIIIIJIIIIInLuIIIJliIJ111'III,IIIIIIIJI,Jill'JIIIIII CEIBA PROJECT - USA 5500 W 5TH AVE LAKEWOOD CO 80226-1932 Executive Director Department of Revenue INTERNAL REVENUE SERVICE P. O. BOX 2508 CINCINNATI, OH 45201 Date: SEP222014 CEIBA PROJECT - USA 3600 MORRISON ROAD DENVER, CO 80219-0000 Dear Applicant: DEPARTMENT OF THE TREASURY Employer Identification Number: 45-3502266 DLN: 26053646001554 Contact Person: CUSTOMER SERVICE ID# 31954 Contact Telephone Number: (877) 829-5500 Accounting Period Ending: December 31 Public Charity Status: 509(a)(2) Form 990/990-EZ/990-N Required: Yes _ Effective Date of Exemption: May 15, 2014 Contribution Deductibility: Yes Addendum Applies: No We're pleased to tell you we determined you're exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). Donors can deduct contributions they make to you under IRC Section 170. You're also qualified to receive tax deductible bequests, devises, transfers or gifts under Section 2055, 2106, or 2522. This letter could help resolve questions on your exempt status. Please keep it for your records. Organizations exempt under IRC Section 501(c)(3) are further classified as either public charities or private foundations. We determined you're a public charity under the IRC Section listed at the top of this letter. Based on the information you submitted on your application, we approved your request for retroactive reinstatement under Section 4 of Revenue Procedure 2014-11. Your effective date of exemption, as listed at the top of this letter, is retroactive to your date of revocation. If we indicated at the top of this letter that you're required to file Form 990/990-EZ/990-N, our records show you're required to file an annual information return (Form 990 or Form 990-EZ) or electronic notice (Form 990-N, the e -Postcard). If you don't file a required return or notice for three consecutive years, your exempt status will be automatically revoked. If we indicated at the top of this letter that an addendum applies, the enclosed addendum is an integral part of this letter. For important information about your responsibilities as a tax-exempt organization, go to www.irs.gov/charities. Enter "4221 -PC" in the search bar Letter 5436 -2- CEIBA PROJECT - USA to view Publication 4221 -PC, Compliance Guide for 501(c)(3) Public Charities, which describes your recordkeeping, reporting, and disclosure requirements. Sincerely, ..v;a.64,04) Director, Exempt Organizations Letter 5436 Ana Ornelas-Moreno Leonel Ornelas 6736 E. 123"' Place Brighton, CO 80602 May 10, 2019 To whom it may concern: As owners of property located at: 18233 CR 96 Pierce, CO 80650 Legal Description: Part of the W1/2 SW1/4 of Section 6, Township 8 North, Range 65 West of the P.M. Weld County, Colorado We, Ana Ornelas-Moreno and Leonel Ornelas grant permission to Mavis Salazar, Executive Director of Ceiba Project USA to use our property to hold events where liquor sales will occur, and fully support the process for obtaining the permits required. For further questions please feel free to contact us directly at: 720 626 1315. Thank you, Lcone. Utnc% Leonel Orn las 4319007 07/18/2017 09:26 AM Total Pages: 1 Rec Fee: $13.00 Doc Fee: $10.00 Carly Koppes - Clerk and Recorder, Weld County, CO Doc Fee: $10,00 WARRANTY DEED This Deed, made July 17, 2O17 Between Jacob E. Varra of the County Weld, State of COLORADO, grantor(s) and Leonel Ornelas and Ana Ornelas-Moreno, JoE. 19(.3kd y qs Pt legal r�if$t',(_'n 1 no e� County of Weld, and State of( COLORADO, grantee. ru(� c WITNESS, That the grantor, for and in the consideration of the sum of ONE HUNDRED THOUSAND DOLLARS AND NO/100'S (S100,000.00) the receipt and sufficiency of which is hereby acknowledged, has granted, bargained, sold and conveyed, and by these presents does grant, bargain, sell, convey and confirm, unto the grantee, their heirs and assigns forever, all the real property together with improvements, if any, situate, lying and being in the County of Weld, State of COLORADO described as follows: The West Half of Southwest 1/4 of Section 6, Township 8 North, Range 65 West of the 6'h P.M., County of Weld, State of Colorado. **SELLER SHALL EXCEPT AND RESERVE ALL OIL, GAS, AND RELATED HYDROCARBONS (BUT EXCLUDING COAL, URANIUM, SAND, GRAVEL, AND SURFACE ROCK), WHICH ARE OWNED BY SELLER AND WHICH ARE LOCATED IN, ON, OR UNDER THE SURFACE OF THE PROPERTY. also known by street and number as intersection of CR-96 & CR-37, Nunn, CO 80648 TOGETHER with all and singular hereditaments and appurtenances, thereunto belonging, or in anywise appertaining, and the reversion and reversions, remainder and remainders, rents Issues and profits thereof, and all the estate, right, title, interest, claim and demand whatsoever of the grantor, either in law or equity, of, in and to the above bargained premises, with the hereditaments and appurtenances. TO HAVE AND TO HOLD said premises above bargained and described, with the appurtenances, unto the grantee, his heirs and assigns forever. And the grantor, for himself, his heirs and personal representatives, does covenant, grant, bargain and agree to and with the grantee, his heirs and assigns, that at the time of the ensealing and delivery of these presents, he is well seized of the premises above conveyed, has good, sure, perfect, absolute and indefeasible estate of inheritance, in law, in fee simple, and has good right, full power and lawful authority to grant, bargain, sell and convey the same in manner and form as aforesaid, and that the same are free and clear from all former and other grants, bargains, sales, liens, taxes, assessments, encumbrances and restrictions of whatever kind of nature so ever, except for taxes for the current year, a lien but not yet due and payable, and those specific Exceptions described by reference to recorded documents as reflected in the Title Documents accepted by Buyer in accordance with section 8.1 (Title Review) of the contract dated March 29, 2017, between the parties. The grantor shall and will WARRANT AND FOREVER DEFEND the above -bargained premises in the quiet and peaceable possession of the grantee, his heirs and assigns, against all and every person or persons lawfully claiming the whole or any part thereof. The singular number shall include the plural, the plural the singular, and the use of any gender shall be applicable to all genders. IN WITNESS WHEREOF, the grantor has executed this on the date set forth above. SELLER: Jac b E. Varra STATE OF COLORADO COUNTY OF WELD The foregoing instrument was acknowledged, subscribed a Witness my hand and official seal. Wdw p Theresa E Myers Notary Public State of Colorado My Commission Expires: Apra 05.2M.1 uCt< 19034004mA ss: Note My Commissi• xpires: ESCROW NO. 459-110500403-081-T314' arra. 1.11 lobs. • 90041 1! , *0 - ', 1-1 ;fly t.. US / - alresrejarefaoThit.r. MJsat f0' RADILW 1 i A i t.xxxx 1 • OVOtf AINf100 073M 4, too ` OEt Q 100 W, • • • • • • M • • • • IOW • • • • • • • • • • • • • • • \ • • • • I I • • • • • • • \\ • • • • • Ns, • no, RAf)1llti 4 WWI MPNCk (TY►1CAt 5003 NUS - w w WELD COUNTY ROAD 96 ' I, 1 . • • .• .• • .� 0' tAilt ' 3/4- PIRQ RAIL k, i4Hl If 1 I fT I WHIT" II trirming It OATS I, PS PS 5' St St St St St St St St - a - \` St 15(1 h. ..z . I 7(40440Attleittlo / sin - a a t 1 I ti Ri(1t+T OF WA't t1. '(INi,N-iliertI ()FWit T ant I n ''. ) In I 4 fait'S, AC SSS ire LEGEND S • . .« SUSJSCT SOUNDAR R1DI4T•OP•WAY P'IM P*NCI WINS PING* ROAD (AS TRAVELED) T$APPIC PLOW ARROW D$ ANAO$ PLOW ARROW KEY FENCED OPTIIJNRL PREMISES #2 "PORTNBLETOILETS " SELLING RI CIJHOL :24-0011 TRUCNj lIPOPIIONRI PREM ES #1 i no n Inn /oft SPECIAL EVENT AHEAD itiORXZONE SPEED LIMIT SPECIAL EVENT AREA' SUMMARY OF DEVICES 4 - SPECIAL EVENT AHEAD 2 - WORK ZONE 2 - SPEED LIMIT 40 2 - BE PREPARED TO STOP BE PREPARED TO STOP Notes: 1. Sign spacing 500', or as space allows 2. Plan is for Horse Race Events 3. Work hours shall be determined by contractor 4. Changes shall be implemented where applicable BE PREPARED TO STOP {)2018Gc WCR 96 SPEED LIMIT vw.invarian.c N r NOT DRAWN TO SCALE SPECIAL EVENT AHEAD ioo; 1'i 1:j[61 criL ntwo , rF4;\rri:IG cON EWA. INC. • ROA0 Garrett Martinez , WORK Mr ANSA Project Manager Greeley: 970-356-6881 Metro: 303-659-1729 * Fax: 970-356-5862 1712 1st Ave ` PO Box 490 ` Greeley, Co 80623 garrett.martinez@nocotraffic.com AFTER HOURS EMERGENCY rIUMSsER 41U-356-688 i OWNER WELD COUNTY PROJECT NAME HORSE RACE EVENTS PROJECT NUMBER SJ21731 PRIME CONTRACTOR TRAFFIC CONTROL CONTRACTOR I.H.R.F N.C.T.C. PHONE SHEET NUMBER ANA ORNELAS MHT#1 720-626-1315 DATE 5/20/2019 PREPARED BY Garrett Martinez CCA EXP. 05/2020 FriIP WELD COUNTY Special Events Permit Application - Cei doe% ONLINE MAPPING oa Project 13,504.9 0 6,752.43 1.3, 504.9 Feet WGS_1984_Web_Mercator _Auxiliary_Sphere CJ Weld County Colorado This map is a user generated static output from an Internet mapping site and is to! reference only Data layers that appear on this map may or may 'm t be accurate, current, or .'orwise reliable THIS MAP IS NOT TO BE USED FOR NAVIGATION Jr Legend USR - Uses by Special Review Floodplain - 500 Year Floodplain - 100 Year Zone A Floodplain - 100 Year Floodwa Floodplain - 100 Year Zone AE Floodplain - 100 Year Zone AI- Floodplain - 100 Year Zone AC Highway Road Road Highway j County Boundary • Notes 18233 County Road 96 Pierce, CO 80650 I I WELD COUNTY - ONLINE MAPPING Special Events Permit Application Cep � oa Project rUSR-763 RADIO TOWER 370 FT 100Year A U' RECREATIO WCR USR-1242 AG SERVICES/ PROCESS FAC ?a4 'SE RACING 6,752.4 0 SR 508 FERITLIZER STORAGE'&SALES -WCR 94 3,376.21 WGS_1984_Web_Mercator_Auxiliary_Sphere c) Weld County Colorado 6,752.4 Feet This map is a user generated static output from an Internet mapping site and is fat reference only. Data layers that appear on this map may or may riot be accurate, .rent, or otherwise reliable. THIS MAP IS NOT TO BE USED FOR NAVIGATION 1 O • J Legend Parcels USR - Uses by Special Revievk Floodplain - 500 Year Floodplain - 100 Year Zone A Floodplain - 100 Year Floodwa Floodplain - 100 Year Zone AE Floodplain - 100 Year Zone AF- Floodplain - 100 Year Zone AC Highway Road Road Highway j County Boundary Notes 18233 County Road 96 Pierce, CO 80650 NMI Air, II WELD COUNTY Special Events Permit Application - Ceiba Project ONLINE MAPPING 3,376.2 0 1,688.11 WGS_ 1984_Web_Mercator_Auxi liary_Sphere } Weld County Colorado 3,376.2 Feet This map is a user generated static output from an Internet mapping site and is for reference only. Data layers that appear on this map may or may not be accurate, c .-ent, or otherwise reliable THIS MAP IS NOT TO BE USED FOR NAVIGATION • r Legend j1 Parcels Highway Road Road Highway County Boundary Notes 18233 County Road 96 Pierce. CO 80650 •; WELD COUNTY - ONLINE MAPPING Special Events Permit Application Cei oa Project 1,688.1 844.05 WGS_1984_Web_Mercator_Auxiliary_Sphere c; Weld County Colorado 1,688.1 Feet 1 his map is a user generated static output from an Internet mapping site and is for reference only Data layers that appear on this map s lay or may not be accurate, ,,Trent, or otherwise reliable THIS MAP IS NOT TO BE USED FOR NAVIGATION t I . , • s r .5. — Legend ral L_J Parcels Address label Highway County Boundary Notes 18233 County Road 96 Pierce, CO 80650 5/17/2019 Property Report Weld County 4ingte PROPERTY PORTAL Property Information (970) 400-3650 Technical Support (970) 400-4357 Account: R8947689 May 17, 2019 Account Parcel Space Type Account Tax Year Buildings Actual Value Assessed Value 7 R8947689 055106300024 Agricultural 2019 2 23.322 6,760 Legal PT W2SW4 6-8-65 Subdivision Block Lot Land Economic Area t 8201 NUNN Property AddressI Property City Zip Section Township Range 18233 ROAD COUNTY 96 WELD 06 1 08 65 Account Owner Name Address R8947689 ORNELAS LEONEL 6736 806029650 E 123RD PL BRIGHTON, CO R8947689 ORNELAS-MORENO ANA https://propertyreport.00.weld.co.us/?account=R8947689 1/5 5/17/2019 Property Report Reception Rec Date Type Grantor Grantee Doc Fee Sale Date Sale Price 4319007 07-18-2017 WD VARRA JACOB E ORNELAS LEONEL, ORNELAS- MORENO ANA 10 00 07-17-2017 100,000 4372674 02-02-2018 USR USR17- 0024 USR17- 0024 0 00 12-28-2017 0 Building 1 AccountNo Building ID Occupancy R8947689 1 Shed - Cattle ID Type NBHD Occupancy Complete Bedrooms Baths Rooms 1 Out Building 8801 Shed - Cattle 100 0 ID Exterior Roof Cover Interior HVAC Perimeter Units Unit Make 1 Gable None 70 0 ID Square Ft Condo SF Total Basement SF Finished Basement SF Garage SF Carport SF Balcony SF Porch SF 1 600 0 0 0 0 0 0 0 Built As Details for Building 1 ID Built As Square Ft Year Built Stories Length Width 1 00 Shed - Cattle 600 2018 1 30 20 No Additional Details for Building 1 https //propertyreport co weld co us/7account=R8947689 2/5 5/17/2019 Property Report Building 2 AccountNo Building ID Occupancy R8947689 2 Shed - Equipment ID Type NBHD Occupancy Complete Bedrooms Baths Rooms 2 Out Building 8801 Shed - Equipment 100 0 ID Exterior Roof Cover Interior HVAC Perimeter Units Unit Make 2 99 0 ID Square Ft Condo SF Total Basement SF Finished Basement SF Garage SF Carport SF Balcony SF Porch SF 2 1,170 0 0 0 0 0 0 0 Built As Details for Buddin4 2 ID Built As Square Ft Year Built Stories Length Width 2 00 Shed - Equipment 1,170 2018 1 39 30 No Additional Details for Building 2 https //propertyreport co weld co us/7account=R8947689 3/5 5/17-2019 Property Report Type Code Description Actual Value Assessed Value Acres Land SqFt Improvement 4279 I . FARM SUPPORT BLDGS RANCH 14.320 4,150 0.000 0 Land 4127 DRY LAND- AGRICULTURAL FARM 8.977 2.600 77.000 3,354.120 Land 4167 WASTE LAND 25 10 3.000 130.680 Totals - - 23,322 6,760 80.000 3,484,800 Comparable sales for your Residential property may be found using our SALES SEARCH TOOL Tax Area ID District District Name Current Levy Mill 0916 0700 AIMS JUNIOR COLLEGE 6.305 0916 1050 HIGH PLAINS LIBRARY 3.252 0916 __ 0301 (NCW) NORTHERN COLORADO WATER 1.000 0916 0514 1 - NUNN FIRE 4.028 0916 -- -+ le 0209 ' 1-- SCHOOL DIST RE9-AULT 27.814 0916 0100 WELD COUNTY 15.038 0916 1200 i WEST GREELEY CONSERVATION 0.414 Total - - 57.851 https://propertyreport.co.weld.co.us/?account=R8947689 4 5 5/17/2019 Property Report NO SKETCH Copyright © 2019 Weld County, Coloraco. All rights reserved. Privacy Policy & Disclaimer I Accessibility Information https.//propertyreport.co.weld.co.us/?account=R8947689 5/5 5/15/2019 579588208.jpg , 'A� -i:>,. ` 2' : a _ .'x :.}.._ \'Ai {1`nA,iiNt0aitopt J"ineket'•'45L1 t_' DR 0140 (02/15/111 DEPARTMENT OF REVENUE DENVER CO 80261.0019 Must collect taxes for: RTD/CD LIABILITY INFORMATION ISSUE DATE month day LICENSE VALID TO TAX DECEMBER 3t SALE T LICENSE 875799-Q000_ -P006-QQ1 L 010119 Jan 28 19 2019 THIS LICENSE MUST BE POSTED AT THE FOLLOWING DENVER CO 80216-2944 CATION THIS LICENSE IS NOT IN A CONSPICUOUS PLACE: 4790 THOMPSON CT TRANSFERABLE unilYi at, IMLd11s"v two tteb4rly data year STATE COLORADO U S E ACCOUNT NUMBER for all references tlltatill�I�is'ItItliitllliiuuilthulillulllllh'i'ill'II1I'11If1lt EL TACO RODEO LLC 479Q THOMPSON CT DENVER CO 80216-2944 A Detach Here A NOW THAT YOU HAVE YOUR SALES TAX LICENSE... Go to www.Colorado.gov/RevenueOnline and register for access to file, pay and manage your sales tax account. i Executive Director Department of Revenue Letter Id: L0349683.&48 Get Access To get first time access to Revenue Online, go to www,Colorado.gov/RevenueQahne, click on Create a Login ID under Sign Up and follow the step-by-step instructions. You will need your Letter Id referenced above (right side). File To file your sales tax return, log in to Revenue Online and access your sales tax account by clicking on the Account lot Click File Now to file your sales tax return. Select your filing method and follow the step-by-step instructions. Pay To pay your sales taxes after you have submitted your return, Click Pay to make a payment. You can pay electronically by EFT, E -Check or Credit Card. Select your payment option and follow the step-by-step instructions Manage Your Account • Add / Change an EFT Account; View EFT Account Numbers • Submit Power of Attorney • File a Site (Branch) File a Protest • Close Account • Update or Add a mailing address • Send and view secure messages • View Filing History and Letters • Amend a return Important: A return must be filed for each reporting period even if no tax is due. To avoid late penalties and interest, file through Revenue Online on or before the due date, • ., zit 1. 1'41,t P4P, https://mail.google.com/mail/u/1/#inbox/FMfcgxwCggBFmlHTfhcfdRrsKjFhVcXx?projector=1 &messagePartld=0.1 1'1 i TriCountyealth Department AQ1mt.Arapahoe endDouylamCoantNt Colorado i'ayvtcnt Dcy.rIption 2019 mobdc hccn - - - - — - p 1I[�t oy cs>riMR 1 eptec to i. thi, obit, anon n.cordmK m the h�nn outluead so my Tr✓ hY .-' Chloe Rempel From: Sent: To: Subject: Ana Ornelas <lachikisss23@gmail.com> Friday, May 17, 2019 9:58 AM Chloe Rempel Fwd: Events Caution: This email originated from outside of Weld County Government. Do not click links or open attachments unless you recognize the sender and know the content is safe. Hi Chloe! Here is the email of the portable toilet company if you need it. Thank you, Ana Forwarded message From: Debbie Lohr <lohr.countryjohns@gmail.com> Date: Fri, May 17, 2019, 9:40 AM Subject: Re: March Event 2018 To: Ana Ornelas <lachikisss23@Rmail.com May 16, 2019 IHRA Re: portable restroom confirmation Event dates: 06/30/19,07/21/19,08/31/19,and 09/22/19. (Exception if it rains or is rescheduled. The portable restrooms will be available at site) . Portable Restrooms at site. Required to be serviced be before and after each event. Location: 18233 CR 96, Pierce, CO (6) Portable restrooms are secured at site as of now. Includes two rolls of toilet paper per unit and alcohol free hand sanitizer. The amount of units may vary from each event. We will be working closely with Ana and her company IHRF, Inc. members to provide portable restrooms for each of her events. If there are any questions or concerns please let me know. 1 Lohr, Inc. dba Country Johns Debbie LOhr 970-346-0479 lohr.countryjohns@gmail.com 2 Ceiba USA @ceibausa Home Posts Reviews Videos Photos About Community ub Like A Share Posts :- Ceiba USA shared an event. Leib 22 hrs C, 0 Send Message Ceiba USA Alternative & Holistic Health Service in Denver, Colorado 5 ***** * * * SPECIAL EVENTS PERMIT APPLICATION - CEIBA PROJECT Notices SIGN POSTING AFFADAVIT DATE: May 17, 2019 FROM: Chloe A. Rempel, Deputy Clerk to the Board SUBJECT: Ceiba Project Pursuant to Article 3, Title 44, C.R.S., notice given by posting shall include a sign of suitable material, not less than twenty-two inches wide and twenty-six inches high, composed of letters not less than one inch in height and stating the type of license applied for, the date of the application, the date of the hearing, and the name and address of the applicant, and such other information as may be required to fully apprise the public of the nature of the application. I hereby certify that I provided the Notice Sign for notification of hearing to consider a Special Events Permit application on this 16th of May, 2019. OS I tCo/ 19 n�oe A. Rempel, Deputy Clerk to a Board Date Weld County • Clerk to the Board's Office • 1150 O Street, Greeley, CO 80631 • (970) 400-4213 • crempel@weldgov.com Chloe Rempel From: Sent: To: Subject: Attachments: Ana Ornelas <lachikisss23@gmail.com> Wednesday, May 15, 2019 4:20 PM Chloe Rempel Sign image001 jpg; 20190515_160059.jpg; 20190515_160045.jpg; 20190515_160124.jpg Caution: This email originated from outside of Weld County Government. Do not click links or open attachments unless you recognize the sender and know the content is safe. Here you go! Thank you, Ana Ornelas On Wed, May 8, 2019, 3:57 PM Chloe Rempel <crempel@weldgov.com>wrote: Good afternoon, Please see the attached final resolution signed by the Board of County Commissioners. Forward as necessary. Sincere regards, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 0 Street Greeley, CO 80631 tel: 970-400-4213 1 4i NOT CE PURSUANT TO THE LIQUOR LAWS OF COLORADO AND THE AUTHORITY OF THE WELD COUNTY BOARD OF COMMISSIONERS Cei bet- Pro* ec-+ HAS REQUESTED THE LICENSING OFFICIALS OF: WELD COUNTY, COLORADO TO ISSUE A(N): HEARING ON APPLICATION TO BE HELD AT: WELD COUNTY ADMINISTRATION BUILDING 11500 STREET GREELEY, CO 80631 TIME AND DATE: 9:00 AM ON �� X20 I g__ ___ FOR FURTHER INFORMATION, PLEASE CONTACT In _ 1O!, A1/4. _ RarnpaL AT THE WELD COUNTY CLERK TO THE BOARD'S OFFICE AT (970) 400-4225 LIQUOR AND BEER LICENSE HEARING SIGN .. ,w ISINE !UM i, 21 a.r May 17, 2019 CLERK TO THE BOARD PHONE: (970) 400-4225 FAX: (970) 336-7233 1150 O STREET P.O. BOX 758 GREELEY, COLORADO 80632 www.weldgov.com ATTN: MAVIS SALAZAR CEIBA PROJECT 5045 WEST 1ST AVENUE DENVER, CO 80219 ANA ORNELAS-MORENO 6736 EAST 123RD PLACE BRIGHTON, CO 80602 RE: SPECIAL EVENTS PERMIT APPLICATION — CEIBA PROJECT Dear Applicant: This is to advise you that the Weld County Board of Commissioners will hear your request for a Special Events Permit at the property described as: 18233 County Road 96, Pierce, Colorado 80650. The meeting is scheduled for Monday, June 3, 2019, at 9:00 a.m., in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Administration Building, 1150 O Street, Assembly Room, Greeley, Colorado 80631. If you have any questions concerning this matter, please do not hesitate to contact me at (970) 400-4213 or crempel@weldgov.com. Sincerely, Chloe A. Rempel Deputy Clerk to the Board cc: Weld County Attorney's Office Chloe Rempel From: Sent: To: Subject: Attachments: Good afternoon, Chloe Rempel Friday, May 17, 2019 1:38 PM imperialhrf@gmail.com; Ana Ornelas Notice of Hearing to Consider Special Events Permit Application Notice of Hearing - Special Events Permit.pdf This is to advise you that the Weld County Board of Commissioners will hear the request for a Special Events Permit at the property described as: 18233 County Road 96, Pierce, Colorado 80650. The meeting is scheduled for Monday, June 3, 2019, at 9:00 a.m. Please see the attached letter for further information (hard - copy to follow). Sincere regards, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel: 970-400-4213 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 1 WELD COUNTY SPECIAL EVENTS PERMIT CERTIFICATE OF MAILING FIRST NAME LAST NAME COMPANY ADDRESS 1 CITY STATE POSTAL CODE MAVIS SALAZAR CEIBA PROJECT 5045 WEST 1ST AVENUE DENVER CO 80219 ANA ORNELAS- MORENO 6736 EAST 123RD PLACE BRIGHTON CO 80602 imperialhrf@gmail.comand lachikisss23@gmail.com I hereby certify that I have sent a notification of hearing date letter in accordance with the notification requirements of Weld County in the United States Mail, postage prepaid First Class Mail by letter as addressed on the attached list this 17th day of May, 2019. Chloe A. Rempel Deputy Clerk to the Board NOTICE Pursuant to the liquor laws of the State of Colorado and the Weld County Code, a public hearing will be held in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Administration Building, 1150 O Street, Assembly Room, Greeley, Colorado 80631, at the time specified. If a court reporter is desired, please advise the Clerk to the Board, in writing, at least five days prior to the hearing. The cost of engaging a court reporter shall be borne by the requesting party. In accordance with the Americans with Disabilities Act, if special accommodations are required in order for you to participate in this hearing, please contact the Clerk to the Board's Office at (970) 400-4213, prior to the day of the hearing. The complete case file may be examined in the office of the Clerk to the Board of County Commissioners, Weld County Administration Building, 1150 O Street, Greeley, Colorado 80631. Petitions and comments may be filed in the office of the Clerk to the Board of County Commissioners. E-mail messages sent to an individual Commissioner may not be included in the case file. To ensure inclusion of your e-mail correspondence into the case file, please send a copy to crempel@weldgov.com. HEARING DATE: June 3, 2019 HEARING TIME: 9:00 a.m. APPLICANT: Ceiba Project 5045 West 1st Avenue Denver, CO 80219 EVENT LOCATION: 18233 County Road 96 Pierce, CO 80650 DATE OF APPLICATION: May 16, 2019 REQUEST: To grant a Special Events Permit for the sale of fermented malt beverages for consumption by the drink on the premises only, with proposed events occuring on June 30, 2019, July 21, 2019, August 31, 2019, and September 22, 2019, from 10:00 a.m. to 6:00 p.m. LEGAL DESCRIPTION OF NEIGHBORHOOD SERVED: Part of the W1/2 SW1/4 of Section 6, Township 8 North, Range 65 West of the 6th P.M., Weld County, Colorado BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO DATED: May 21, 2019 WELD COUNTY SPECIAL EVENTS PERMIT APPLICATION CERTIFICATE OF MAILING FIRST NAME LAST NAME COMPANY ADDRESS 1 CITY STATE POSTAL CODE LEONEL ORNELAS 6736 EAST 123RD PLACE BRIGHTON CO 80602 - 9650 ANA ORNELAS- MORENO NORMA MORENO- CHAVARRIA SHIPPS FARMS, LP 17164 COUNTY ROAD 100 NUNN CO 80648 - 9760 NORTH WELD GRAVEL, RLLP 13480 COUNTY ROAD 100 NUNN CO 80648 - 8704 MILLER FAMILY INVESTMENTS, LLC 1935 65TH AVENUE, APARTMENT 1 GREELEY CO 80634 - 8556 I hereby certify that I have sent a notice of hearing to consider a Special Events Permit Application in accordance with the notification requirements of Weld County in the United States Mail, postage prepaid First Class Mail by letter as addressed on the attached list this 22nd day of May, 2019. aacie iii(v-vt4_, Chloe A. Rempel Deputy Clerk to the Board WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 5/17/2019 1:18:01 PM THE UNDERSIGNED, States that to the best of his or her knowledge the attached list is a true and accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners of the property (the surface estate) within 500 feet of the property being considered. This list was compiled utilizing the records of the Weld County Assessor available on the Weld County Internet Mapping site, http://www.co.weld.co.us, and has not been modified from the original. The list compiled for the records of the Weld County Assessor was assembled within thirty days of the applications submission date. Property Owners Within 500 Feet of Parcel # 055106300024 ©5!17/19 Date Account Parcel Owner Mailing Address R2260103 055106200015 SHIPPS FARMS LP 17164 COUNTY ROAD 100 NUNN, CO 806489760 R8947689 055106300024 ORNELAS-MORENO ANA R8947689 055106300024 ORNELAS LEONEL 6736 E 123RD PL BRIGHTON, CO 806029650 R8947690 055106300025 MORENO-CHAVARRIA NORMA R8947690 055106300025 RIVERA LEONEL ORNELAS R8947690 055106300025 ORNELAS-MORENO ANA 6736 E 123RD PL BRIGHTON, CO 806029650 R0061395 055107000019 NORTH WELD GRAVEL RLLP 13480 COUNTY ROAD 100 NUNN, CO 806488704 R0626986 055301000010 WELD COUNTY 1150 O ST GREELEY, CO 806319596 R0627586 055301000019 SHIPPS FARMS LP 17164 COUNTY ROAD 100 NUNN, CO 806489760 Parcels: 7 Owner Records: 10 Page 1 of 3 WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 5/17/2019 1:18:02 PM THE UNDERSIGNED, States that to the best of his or her knowledge the attached list is a true and accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners of the property (the surface estate) within 500 feet of the property being considered. This list was compiled utilizing the records of the Weld County Assessor available on the Weld County Internet Mapping site, http://www.co.weld.co.us, and has not been modified from the original. The list compiled for the records of the Weld County Assessor was assembled within thirty days of the applications submission date. Property Owners Within 500 Feet of Parcel # 055106300024 Re,re Signature aS/(�/ (9 Date Account Parcel Owner Mailing Address R0631986 055312000009 MILLER FAMILY INVESTMENTS LLC 1935 65TH AVE APT 1 GREELEY, CO 806348556 Parcels: 7 Owner Records: 10 Page 2 of 3 WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE 5/17/2019 1:18:02 PM THE UNDERSIGNED. States that to the best of his or her knowledge the attached list is a true and accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners of the property (the surface estate) within 500 'eet of the property being considered. This list was compiled utilizing the records of the Weld County Assessor available on the Weld County Internet Mapping site, http://www.co.weld.co.us, and has not been modified from the original. The list compiled for the records of the Weld County Assessor was assembled within thirty days of the applications submission date. Property Owners Within 500 Feet of Parcel # 055106300024 Parcels: 7 Owner Records: 10 Signature o5Rr-i(rq Date Page 3 of 3 SPECIAL EVENTS PERMIT APPLICATION - CEIBA PROJECT \t UNTY ,GO� Receipts 0 o -O o c13 O y O O U - N O O O T. O 0 am O O O T W PO Box 758 PO Box 758 Greeley CO 80632 Greeley CO 80632 RECEIPT DATE OS/IS/ �Qtq NO. 90477 RECEIVED FROM Ca; ba, - (J SA ADDRESS 5O4 S (Lj• St Owe.) OeyVef .CO Q tci Ore. t--Iur,drea acd OO/t©o s too •OO FOR coo n -T( `1p ''_i2..wen fS PCron;* CaS h HOW PAID CASH CHECK IOC) 00 MONEY ORDER RECEIPT RECEIVED FROM C CHECK MONEY ORDER r=mt3 SFP BY DATE 0 k 5 /aOVci No. 90478 SPECIAL EVENTS PERMIT APPLICATION - CEIBA PROJECT Staff Referral Responses Chloe Rempel From: Sent: To: Subject: Attachments: Good afternoon, Chloe Rempel Friday, May 17, 2019 4:33 PM Alan Caldwell; Bethany Pascoe; Bob Choate; Bruce Barker; Curtis Hall; Dan Joseph; Dawn Anderson; Don Dunker; Elizabeth Relford; Gabri Vergara; Hannah Dutrow; Jose Gonzalez; Joshua Noonan; Karin McDougal; Lauren Light; Robin Cochran; Roy Rudisill; Tom Parko Jr.; Wendi Inloes SPECIAL EVENTS PERMIT APPLICATION - Ceiba Project Staff Referral Memo - Ceiba Project.pdf; Special Events Permit - Ceiba Project.pdf; 20190954 - 1MUSR18-17-0024.pdf In accordance with the procedure for processing Special Events Permit applications, please complete and return the attached "Staff Referral Memo — Ceiba Project". Your report will be used by the Board of County Commissioners in considering the Applicant's permit application. PLEASE RESPOND NO LATER THAN: Friday, May 31, 2019 Please note: 1. Applicant: Ceiba Project Mavis Salazar, Executive Director Ana Ornelas-Moreno, Event Manager Event: 18233 County Road 96 Pierce, CO 80650 2. The proposed events are for the property at 18233 County Road 96, Pierce, CO 80650, which is permitted under Amended Use by Special Review Permit, 1MUSR18-17-0024 (attached). 3. The Special Events Permit application is for fermented malt beverages only (no vinous or spirituous liquors). 4. The application is for horse racing events, but the non-profit would receive the proceeds from the sale of fermented malt beverages. Thank you, Chloe A. Rempel Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel. 970-400-4213 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return 1 MEMORANDUM TO: Board of County Commissioners FROM: Roy Rudisill DEPARTMENT: Office of Emergency Management DATE: 5/20/2019 SUBJECT: Special Events Permit Application The Weld County Clerk to the Board's Office has received an application for a Special Events Permit in Unincorporated Weld County: Applicant(s): Address: Ceiba Project (Mavis Salazar - Executive Director; Ana Ornelas-Moreno - Event Manager) 18233 County Road 96, Pierce, CO 80650 Date(s) of Event: June 30, 2019, July 21, 2019, August 31, 2019, and September 22, 2019, from 10:00 a.m. to 6:00 p.m. Reply By: Friday, May 31, 2019 The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. If you have any further questions regarding the application please do not hesitate to contact me at (970) 400-4213 or crempelweldqov.com. We have reviewed the request and find no conflicts with our interests. We have reviewed the request and find that we are NOT in support of the requested Special Events Permit. We have reviewed the request, and recommend approval given that the below or attached conditions are met. See attached letter, or comments below. MEMORANDUM TO: Board of County Commissioners FROM: Jose Gonzalez DEPARTMENT: Building DATE: 05/20/2019 SUBJECT: Special Events Permit Application The Weld County Clerk to the Board's Office has received an application for a Special Events Permit in Unincorporated Weld County: Applicant(s): Address: Ceiba Project (Mavis Salazar - Executive Director; Ana Ornelas-Moreno - Event Manager) 18233 County Road 96, Pierce, CO 80650 Date(s) of Event: June 30, 2019, July 21, 2019, August 31, 2019, and September 22, 2019, from 10:00 a.m. to 6:00 p.m. Reply By: Friday, May 31, 2019 The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. If you have any further questions regarding the application please do not hesitate to contact me at (970) 400-4213 or crempel(a�weldoov.com. We have reviewed the request and find no conflicts with our interests. We have reviewed the request and find that we are NOT in support of the requested Special Events Permit. We have reviewed the request, and recommend approval given that the below or attached conditions are met. See attached letter, or comments below. MEMORANDUM To: Chloe Rempel, Deputy Clerk to the Board From: Hannah Dutrow, Zoning Compliance Officer, Dept. of Planning Services Subject: LC0022 Upon review of the Temporary Assembly Permit by the Department of Planning Services shows the following: PERMIT INFORMATION: Applicant: Ceiba Project Ana Ornelas Address: 6736 E. 123rd Place Brighton, CO 80602 Event Address: 18233 County Road 96 Pierce, CO 80650 Event Dates: June 30, 2019, July 21, 2019, August 31, 2019, and September 22, 2019, from 10:00 a.m. to 6:00 p.m. Maximum number of people: 2000 PROPERTY INFORMATION: Zone District: Agriculture Acreage: 82 +/- acres Land Use: 1MUSR18-17-0024 (Pending) — Diana Aungst (Planner) STAFF COMMENTS: Upon review of my case files and computer, no active Zoning Violations were noted. No Compliance comments. No Planning comments. SERVICE. TE.ANWORK. INTEGRITY. QUALITY MEMORANDUM TO: Board of County Commissioners FROM: Josh Noonan DEPARTMENT: Weld County Sheriff's Office DATE: May 29, 2019 SUBJECT: Special Events Permit Application The Weld County Clerk to the Board's Office has received an application for a Special Events Permit in Unincorporated Weld County: Applicant(s): Address: Ceiba Project (Mavis Salazar - Executive Director; Ana Ornelas-Moreno - Event Manager) 18233 County Road 96, Pierce, CO 80650 Date(s) of Event: June 30, 2019, July 21, 2019, August 31, 2019, and September 22, 2019, from 10:00 a.m. to 6:00 p.m. Reply By: Friday, May 31, 2019 The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. If you have any further questions regarding the application please do not hesitate to contact me at (970) 400-4213 or crempel(a�weldgov.com. We have reviewed the request and find no conflicts with our interests. We have reviewed the request and find that we are NOT in support of the requested Special Events Permit. We have reviewed the request, and recommend approval given that the below or attached conditions are met. See attached letter, or comments below. We searched our local records management system for 18233 WCR 96, Mavis Salazar and Ana Ornelas-Moreno. We found no records. MEMORANDUM TO: Board of County Commissioners FROM: Dan Joseph DEPARTMENT: Environmental Health Services DATE: 5/30/19 SUBJECT: Special Events Permit Application The Weld County Clerk to the Board's Office has received an application for a Special Events Permit in Unincorporated Weld County: Applicant(s): Address: Ceiba Project (Mavis Salazar - Executive Director; Ana Ornelas-Moreno - Event Manager) 18233 County Road 96, Pierce, CO 80650 Date(s) of Event: June 30, 2019, July 21, 2019, August 31, 2019, and September 22, 2019, from 10:00 a.m. to 6:00 p.m. Friday, May 31, 2019 Reply By: The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. If you have any further questions regarding the application please do not hesitate to contact me at (970) 400-4213 or crempel(a�weldcov.com. We have reviewed the request and find no conflicts with our interests. We have reviewed the request and find that we are NOT in support of the requested Special Events Permit. We have reviewed the request, and recommend approval given that the below or attached conditions are met. See attached letter, or comments below. Notes: In the past vendors have sent us mixed messages on the number of events occurring. The Department approves of the event provided the dates listed are correct. MEMORANDUM TO: Board of County Commissioners FROM: Dawn Anderson DEPARTMENT: Public Works DATE: June 3, 2019 SUBJECT: Special Events Permit Application The Weld County Clerk to the Board's Office has received an application for a Special Events Permit in Unincorporated Weld County: Applicant(s): Address: Ceiba Project (Mavis Salazar - Executive Director; Ana Ornelas-Moreno - Event Manager) 18233 County Road 96, Pierce, CO 80650 Date(s) of Event: June 30, 2019, July 21, 2019, August 31, 2019, and September 22, 2019, from 10:00 a.m. to 6:00 p.m. Reply By: Friday, May 31, 2019 The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. If you have any further questions regarding the application please do not hesitate to contact me at (970) 400-4213 or crempelCa�weldgov.com. ❑ We have reviewed the request and find no conflicts with our interests. We have reviewed the request and find that we are NOT in support of the requested Special Events Permit. We have reviewed the request, and recommend approval given that the below or attached conditions are met. See attached letter, or comments below. *A Traffic Control Plan has been submitted per the conditions set forth for 1 MUSR18-17-0024 and is under review by Public Works. The applicant shall work with Public Works to address any comments in regards to the plan. *Applicant shall apply for a Right -of -Way Use permit in order to have temporary traffic control signage within Weld County right-of-way. *No staging or parking of vehicles shall be allowed in County right-of-way. SPECIAL EVENTS PERMIT APPLICATION - CEIBA PROJECT Miscellaneous Correspondence Chloe Rempel From: Sent: To: Subject: Attachments: Ana Ornelas <lachikisss23@gmail.com> Tuesday, June 11, 2019 7:08 AM Hayley Balzano; Tom Parko Jr.; Chloe Rempel Right-of-way use application Doc - Jun 11 2019 - 7-04 AM.pdf C, :tion: This email originated from outside of Weld County Government. Do not click links or open attachments unless you recognize the sender and know the content is safe. Good morning Hayley, Attached is the application. I will be in Greeley later today if you need me to stop by and pay fee. Thanks Ana Ornelas 1 Permit Use type: Utility Oil and Gas Weld County Department of Public Works 1111 H Street, PO Box 758 Greeley, CO 80632 Phone: 970-304-6496 Send applications to: ROWPermits@weldgov.com RIGHT-OF-WAY USE APPLICATION Private /( Remediation Annual Line Abandonment or Retire Certificate of Public Convenience and Necessity (CCPCN): Applicant (Permittee): Primary Contractor: Business Name: ''1- t\\c-1..r“„ • Business Name: Contact Name: t'N(1 CJ ( r\L\ a 5 Contact Name: Address: (a1 Flo E • 123,Cl PO Box: Address: PO Box: City: Fjr\,-\\State: CA Zip: aOloC31- City: State: Zip: J Contact Phone: (office) Contact Phone: —ILO 1oLk.° V5‘5 (cell) E-mail:--1-metA:“Ahf C t (SY"4;‘ \ " c'enn E-mail: Agent: Secondary Contractor. Business Name: Business Name: Contact Name: Contact Name: Contact Phone: (office) Contact Phone: (office) (cell) (cell) E-mail: E-mail: (office) (cell) Traffic Control Contractor: (' t Reclamation Contractor: Business Name: or\�nur1 ` s�\occ c) ) "cYn\i\c. Business Name: Contact Name: -last 4.\" 1.4'2,-r}`r1-� Contact Name: Contact Phone: ck-1O '5 5 lo k..0%%\ (office) Contact Phone: (cell) E-mail:ll¢C( \\.mUAf\e_l_ Cc\OLo4so.4“.... Cc3O') Inspector: Business Name: Contact Name: Contact Phone: (cell) Email: E-mail: (office) (cell) Page 1 of 12 Project Name: \\pcAL-A Location: CR g `Q Between CR -131 and CR 7.3q ROW Type: Maintained Non -Maintained if Non -Maintained verify ROW width and documents creating ROW: ROW Width Recording Information Road Classification: ?.i: Local Collector Arterial Project Classification: Residential "2 Commercial Municipal Parcel Number: 0551 - 01,3- )-- - Parcel Number (Opposite side for crossings): Z_ Legal (Section/Township/Range): li) 25vJ k c -y:.,:• to . Legal (Opposite side for crossing): iow:,,5\;,p. 3N , Ro,.)t: to 5'44 Service Address: 1%2 3 1\r, Does Project disturbance exceed 1 Acre: Yes No Subdivision: Provide If applicable: Grading Permit #: CDPHE Permit #: Planning Case # Other Permits: Impacted Surface (check all that apply): Asphalt Concrete Gravel Treated Gravel Outside of Roadway Unmaintained Native Other Type of Use (check all that apply): Communications Electric Potable Water Non -Potable Water Sanitary Sewer Natural Gas -Utility Natural Gas Pipeline Crude Oil Pipeline Produced Water Pipeline Fresh Water Transfer Irrigation Storm Water_ Other Provide Detailed Description Of Project: Pccm-,(\e_ �IO ct_ cow- - \ de�v,�ts ?Ivr\r•o, V•ke-vnk.s. pcx\rri,r. GI tc)t. s . (41301‘A ,7/2-‘114 9,7_2 I )9, lnl',\\ Of\ OA_ 6o...\ -t_5 . (SRr L 8�3t I�q Page 2 of 12 Construction Detail (check or complete all that apply): line type: Appurtenance Cable Casing/Sleeve Conduit Fiber optic Pipeline Powerline Composition of Une: Asbestos Concrete (AC) Aluminum Carbon Steel Conductor Copper PVC _ Steel ,Flex Steel _ Ductile Iron Polyethylene (PE) _HDPE Lay flat _CMP _RCP _Other Une Size: Inside diameter: Outside Diameter: Appurtenance type: Cabinet Manhole Meter Hand hole Valve Utility pole Pedestal Monitor well Vault Other (Describe) Appurtenance Dimensions: length Width Height Classification of Work: Temporary New Service Maintenance Occupation Overhead Underground Potholing Culvert install Tree Trimming Road improvements Relocation Disconnect Surveying Road maintenance Traffic control X Retire or Abandon line Other Construction Methods: Directional Bore Open cut Excavation Trenching Plow or Cable puller Core Drilling Paving Gravel placement Topsoil replacement Debris removal Snow removal Reseeding Open cut/excavation/trench details: Length Width Restoration Methods: Asphalt (HMA) Flowable fill Compaction testing Non -shrink Grout Structural fill Road base Surface Gravel Fugitive dust product Native material Reseeding Mulching Erosion Control Future location markers Requested Start date: Projected Completion date:()c‘ V c'• Weekend Hours Requested: Yes A No Any Additional Information As required By Staff: Permittee Signatur Printed name: Y -\o_ ©cnL\o_S Date: (oill / 17 Page 3 of 12 June 3, 2019 CLERK TO THE BOARD PHONE: (970) 400-4225 FAX: (970) 336-7233 1150 O STREET P. O. BOX 758 GREELEY, COLORADO 80632 COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION P.O. BOX 17087 DENVER, CO 80217-0087 RE: SPECIAL EVENTS PERMIT APPLICATION — CEIBA PROJECT To Whom It May Concern: Please see the attached Special Events Permit application, a copy of all supporting documentation, and the associated fees for FMBs at four (4) events. The Weld County Board of Commissioners approved the application on Monday, June 3, 2019. If you have questions or need additional information, please do not hesitate to contact me at (970) 400-4213. Very truly yours, eaam.a. Rt,,,,t,cJ Chloe A. Rempel Deputy Clerk to the Board crempel@weldgov.com 6/3/2019 FedEx Ship Manager - Print Your Label(s) v rn C) O 0 0 6651 Z£01 £51L OO OO M i -� rn v dOC:P Nnr 5o m J191019010701uv 0 < C MO COW cJ+ m WC m 0 03 m ~ m O m C) 0 O g = o m yOy 77 0 r- 0 -El rp OoOD 0m c.03 - •••.1m0 TJ m > E m� O 0� T V) m0 m z m m 565J1O210/23AD After printing this label: 1. 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Written claims must be filed within strict time limits, see current FedEx Service Guide. https://www.fedex.com/shipping/shipmentConfirmationAction.handle?method=doContinue 1/2 6/3/2019 FedEx Ship Manager - Print Your Label(s) Fed Shipment Receipt Address Information Ship to: LIQUOR ENFORCEMENT DIVISION COLORADO DEPARTMENT OF REVENUE PO BOX 17087 DENVER, CO 802170087 US 3032052300 Ship from: CHLOE REMPEL WELD COUNTY 1150 O STREET RM 166 GREELEY, CO 80631 US 9704004225 Shipment Information: Tracking no.: 775370327599 Ship date: 06/03/2019 Estimated shipping charges: 5.84 USD Package Information Pricing option: FedEx Standard Rate Service type: FedFx 2Day Package type: FedEx Envelope Number of packages: 1 Total weight: 0.50 LBS Declared Value: 0.00 USD Special Services: Pickup/Drop-off: Drop off package at FedEx location Billing Information: Bill transportation to: COUNTYOFWELD-483 DEPARTMENT NAME: WELD CLERK TO THE BOARD SENDER NAME: CHLOE A. 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