Loading...
HomeMy WebLinkAbout20160275.tiff TALLGRASS ENERGY Tallgrass Terminals,LLC 370 Van Gordon Street• Lakewood,Colorado 80228.303.763.3305 Water Supply Information Summary Name of Development as Proposed: Buckingham Terminal Location: Lot B, Recorded Exemption No. 0539-34-3 RECX 14-0059 SW/4 of Section 34,Township 8 North, Range 59 West of the 6th P.M An application is pending with the State Engineer's Office, Division of Water Resources to provide water to the permanent facilities for drinking and sanitation purposes via a commercial exempt water well. During construction, bottled water will be provided. 1ALLGRASS ENERGY Tallgrass Terminals,LLC 370 Van Gordon Street• Lakewood,Colorado 80228•303.763.3305 Septic Permit Information Summary Name of Development as Proposed: Buckingham Terminal Location of Parcel: Section 34, Township 8 North, Range 59 West An application will be submitted to the Weld County Department of Public Health and Environment to seek a permit to install a septic system and leach field for sanitation purposes at the above described locations, referred to as the Buckingham Terminal site. During construction,temporary portable facilities will be available to construction personnel. 4091508 Pages: 1 of 2 03/19/2015 11:54 RI1 R Fee:$16.00 0 Fee:$0.00 Carly Koppes Clerk and Recorder Weld County CO �IZ1(42Krg9OAR III III SPECIAL WARRANTY DEED THIS DEED is made, entered into and effective the ill day of March,2015 by and between. TALLGRASS TERMINALS, LLC, whose address is 4200 W. 115th St., Suite 350, Leawood, KS 66211 ("Grantor"), and TALLGRASS TERMINALS, LLC, whose address is 4200 W. 115th St., Suite 350, Leawood, KS 66211 ("Grantee"). WITNESS, that the Grantor, for and in consideration of the sum of TEN DOLLARS and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, hereby grants, bargains, sells, conveys and confirms unto the Grantee and Grantee's successors and assigns forever, all the real property, together with improvements, if any, situate, lying and being in the County of Weld,and State of Colorado, described as follows: Lot B, Recorded Exemption No. 0539-34-3 RECX14-0059, according to the map recorded October 9, 2014 at Reception Number 4052598, being a portion of the Southwest quarter of Section 34, Township 8 North, Range 59 West of the 6th Principal Meridian, County of Weld, State of Colorado. TOGETHER with all and singular hereditaments and appurtenances thereunto belonging or in anywise appertaining and the reversions, 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; subject to all taxes, questions of survey, zoning ordinances, reservations, covenants, restrictions, easements and rights-of-way of record or in place. TO HAVE AND TO HOLD the said premises above bargained and described, with the appurtenances, unto the Grantee and Grantee's successors and assigns forever. Note: This deed is executed pursuant to the requirements of Recorded Exemption No. 0539-34-3 RECX14-0059. No Doc. Fee Required C.R.S. 39-13-102(2)(a) The Grantor shall and will WARRANT AND FOREVER DEFEND the above-bargained premises in the quiet and peaceable possession of the Grantee and Grantee's successors and assigns, against all and every person or persons claiming the whole or any part thereof by, through or under Grantor, but not otherwise. Grantor transfers and quit claims to Grantee alt right, title, and interest in and to all warranties and covenants of title previously created of record as to the interests involved and which have inured to the benefit of the Grantor. The singular number shall include the plural, the plural the singular, and the use of any gender shall be applicable to all genders. IN WITNESS WHEREOF, the Grantor has executed this deed on the date set forth above. [Signature and acknowledgement on following page.] 100158372 I ) 4091508 Pages: 2 of 2 03/19/2015 11.54 AM R Fee:$16.00 D Fee:$0.00 Carly Koopes Clerk and Recorder Weld County. CO IIill kiliffi 9 A jiglei.:10,4Ci,kl I,Frit tlfil1,<T Ki'ti. Il III Tallgramina s, LLC. ,per Dick Sears,Vi e President `� STATE OF 6,,lora.do ) ss. COUNTY OF 7jef4e.rso.. ) On this 1 t day of /1«rcL in the year 201S' before me, the undersigned notary public, personally appeared 2:61.,...ti Q_ 5e..r, as V, F', of Tallgrass Pony Express Pipeline (Colorado), Inc., known to me to be the person whose name is subscribed to the within Instrument, and acknowledged that he executed the same for the purposes therein contained. In Witness Whereof, I hereunto set my hand and official seal. The foregoing instrument was acknowledged before me this II r) day of hlo.i-eC , 20137 Z �-1 Nota Public My commission expires: t -1 7-1/ ICODY L.WAGONER STATE O NOTARY COLORADO � MY MO YEXPIRE�S L R 13,2018 ;00158372 1 1 2 4051635 Pages: 1 of 2 Steve Moreno.10/06/2014 02:56 PM R Fee:$16.00 D Fee:$0.00 1111 Clerk • '��11LhKili''V IVF1:VI i II III SPECIAL WARRANTY DEED THIS DEED is made, entered into and effective the 2nd day of September, 2014 by and between: TALLGRASS PONY EXPRESS PIPELINE(COLORADO), INC., a Colorado corporation, whose address is 370 Van Gordon Street, Lakewood, CO 80228("Grantor"), and TALLGRASS TERMINALS, LLC, whose address is 4200 W. 115"'St., Suite 350, Leawood, KS 66211 ("Grantee"). WITNESS,that the Grantor, for and in consideration of the sum of TEN DOLLARS and other good and valuable consideration,the receipt and sufficiency of which is hereby acknowledged, hereby grants, bargains, sells,conveys and confirms unto the Grantee and Grantee's successors and assigns forever,all the real property,together with improvements, if any, situate, lying and being in the County of Weld, and State of Colorado, described as follows: All that portion of the SW1/4 of Section 34,Township 8 North, Range 59 West,6'" P.M., lying South and West of that parcel of land described in the instrument recorded August 12, 1982 at Reception No. 1900288, County of Weld, State of Colorado. TOGETHER with all and singular hereditaments and appurtenances thereunto belonging or in anywise appertaining and the reversions, 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; subject to all taxes, questions of survey, zoning ordinances, reservations, covenants, restrictions, easements and rights-of-way of record or in place. TO HAVE AND TO HOLD the said premises above bargained and described, with the appurtenances, unto the Grantee and Grantee's successors and assigns forever. The Grantor shall and will WARRANT AND FOREVER DEFEND the above-bargained premises in the quiet and peaceable possession of the Grantee and Grantee's successors and assigns, against all and every person or persons claiming the whole or any part thereof by, through or under Grantor, but not otherwise. Grantor transfers and quit claims to Grantee all right, title, and interest in and to all warranties and covenants of title previously created of record as to the interests involved and which have inured to the benefit of the Grantor. The singular number shall include the plural, the plural the singular, and the use of any gender shall be applicable to all genders. (00158372.1 ) IN WITNESS WHEREOF, the Grantor has executed this deed on the date set forth above. TALLGRASS PONY EXRESS PIPELINE (COLORADO) INC. Doug P. J hnso ,Vice President and General Manager STATE OF COLORADO ) ss. COUNTY OF JEFFERSON The foregoing instrument was acknowledged before me this 2nd day of September,2014, by Doug P. Johnson, as Vice President and General Manager of Taligrass Pony Express Pipeline (Colorado), Inc., a Colorado corporation. Witness my hand and official seal. Notary Public ,,,,,,,,,,,,,,,,,.,,. My commission expires: // ..T-0/? p•,•0.103 0 jj • 4051635 Pages: 2 of 2 10/06/2014 02:58 PM R Fee:$16.00 0 Fee:$0.00 Steve Moreno Clerk and Recorder, Weld County, Co ■ii (00158372.1 ) 2 21382 1/1 a' 0 o #1 ' ti : =i ii t Ili, � 1. !' 'at ii ; i +i " 3 O,. {s[[+i1 kg! iig 1ill M it I L°,., 1, M 1F + lj, iii I'1 1 i I i I iri M ifs ' ii 11 ill !s flf I l € 1f1 i1; ll t ,e :Ili ' t i• ii1 'Elie t ; : i I.' i i i$I l ' Ooei3 ial . ita 1 !„;t; 1 E t' i 71, ?3� E Ji! zt�! t € }f+ '' F i tj ! E IP; !i'' 11= t[ t lii!i F l' iI I I I I' .1i I I 1 I it 1if(.�` ill F ll Ill _ __.. i I :II Ft ! 1 , t 4 r' If J ' 3 I a aE 3 ,t•` W < . CI) g i QI . iiai t g; lal; .,di ,$la,� fii2 1 - r- 'ara L'w aWo k ` �3 .' .t l,aa' i i'\ <—z•Sit 111 9� R )l2$ _ % i. I l; iiii - li •B . " by I * i } t 4iil, i' <". - e 1 , ii 1, f =t II (i f I ir£ i ndP t , jji 1 f Y� k.a i e'� e Eilpq ii I I ,t; ;; 4 i� 1 !i7 .1'/ ; .41k 1 I , ; 2' '1 'i i I! t I- ' `: '� ii 5i= . iOf 11 I IiiH r! li }1 Ht � 3_ N n•eaa,•w.as..>._' I _ _— ww.auar_ - , F l . inf ! s €€ Pi •il lir l( ! {$ii 1i Ili ill dill ti 1 ill tiiA 3 °' is €1 ill: — — — fE=iti 3 RHI 1 ;} ` . I iiis' } +firgi 1 1 'iiii ti l! ll I fiillf ii iiii (iirl.f it! itFa ! ItU;w1 r, ifiili ,t ii f }f ill t 1111.; t11110,1 ,f }3 € i' i _::-,1-2:-:..,--17-.. - i i a it S t sal: ' i is Ig ' 1I I'I ► ,i ,}t! + i d 'fall !'111'1 'II:ff 11illif, Ili. , -...�. T. :�: . 7 tiiI1is 8 11 J. i !6 !I. lg }t flit (110111 fill#,It! Ili 11811111 111>r -.:- it lE 0l i" } {{ } + ,l {ii ii s•i i� l: t fi f i!iI _ , rlfit i tiE!ielli II F• t} la is a t i+ , i ti } t; li'I iji E� Ili 2 F St} I , p� l }}fil , r ,�-₹• _� 7tip;' Z ' .?'i.•. v it f I il3! llE 1 t �+ ii, S Sit{1tr Iii'i IVl fll lL`'elil 1111 3 A., F. {. i +i +. )r ti' r1 r }aF tt}' , if.t,=li it a}} }a, ..r:-:' • ":,r'.;''> ir' it} 1 f { t t } it ill i !t li Fit' l€ S f .• .a ," ..i. �;,�, +'—i l i S ! i ii ,s €t + i Z ;S "€ 1l E' IJI ei Sl lei `v ro l�s + + i ,i iii �'i ; i : 3 `s tJ3,f fjlt� i: l} t€'Sid! a is „s�,,• 4,.. �r ,f! t 3 t i 11 i f, i��, t t 143 i ! t ill tt it€ tl: ,d_,. ' S` ,. r-1}' . , ! i l} i= i_ ill E =(t t i fat F e4 }+1;3,7p j,F .;la= €, ? .„,-,... ,i.:„... ..,•.r i.'Y." 7_.} f` !y 1 ..; a+ f ti~1 1 1 €ti )ff €` 1 , r 4 ' IV-II i i �I. i [i {,1 ISf i 3 it i iE p_ii;E _f tip ;!. if,- it [ }i1 sill �S ?,-,-,:.:4,,2 z ths 4. i , i , ,l +i; ytl•, : iga ft iil {_� t 3 ? j,, s 1!1 ?�'�t.z - d lC}iiii s ai Ili Ii ft Ill !Si 1,1 Ili' #1 i} 511111! !t€'iiF1f; ;iii t ult 1 iiil li 1+ : -J .._. _ t,LL ..1_, �. "I - _ - - . _ - _ , , _ Elt 4015497 Pages: 1 of 2 05/12/2014 03:29 PM R Fee:$16.00 Steve Moreno. Clerk and Recorder, ,leid County, Co ■I!l FigriVallti5ilid kAM M, 11111 CORRECTION GENERAL WARRANTY DEED THIS DEED is made, entered into and effective the day of , 2014 by and between: DORIS W.WILLIAMS and LANE GEORGE WILLIAMS ("Grantor"whether one or more),and TALLGRASS PONY EXPRESS PIPELINE (COLORADO), INC., a Colorado corporation, whose address is 370 Van Gordon Street,Lakewood,CO 80228("Grantee"). WITNESS, that the Grantor,for and in consideration of the sum of TEN DOLLARS and other good and valuable consideration,the receipt and sufficiency of which is hereby acknowledged, hereby grants, bargains, sells, conveys and confirms unto the Grantee and Grantee's successors and assigns forever, all the real property, together with improvements, if any, situate, lying and being in the County of Weld, and State of Colorado,described as follows: All that portion of the SW1/4 of Section 34, Township 8 North, Range 59 West,6th P.M.,lying South and West of that parcel of land described in the instrument recorded August 12, 1982 at Reception No. 1900288, County of Weld, State of Colorado. *This Correction General Warranty Deed is given to correct that Warranty Deed recorded January 14,2014 at Reception No. 3989827,County of Weld, State of Colorado. TOGETHER with alt and singular hereditaments and appurtenances thereunto belonging or in anywise appertaining and the reversions, 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, reserving, however, unto the Grantor all oil, gas and other minerals in, on or under the above referenced lands and further provided, however, that Grantor shall not use the surface of the premises and that no extraction of such oil, gas or other minerals by Grantor shall interfere with or affect the Grantee's use of or activities on the premises or the Grantee's improvements or facilities placed, or to be placed, upon the premises conveyed hereby; TO HAVE AND TO HOLD the said premises above bargained and described, with the appurtenances, unto the Grantee and Grantee's successors and assigns forever. The Grantor, for Grantor and its successors and assigns, does covenant, grant, bargain and agree to and with the Grantee and Grantee's successors and assigns, that at the time of the ensealing and delivery of these presents, it is well seized of the premises above conveyed, has good, sure, perfect, absolute and indefeasible estate of inheritance, in law, in fee simple, and has good right, full power and lawful authority to grant, bargain, sell and convey the same in manner and form aforesaid, and that the same are free and clear from all former and other grants, bargains, sales, liens, taxes, assessments, encumbrances and restrictions of whatever kind or nature soever. The Grantor shall and will WARRANT AND FOREVER DEFEND the above-bargained premises in the quiet and peaceable possession of the Grantee and Grantee's successors and assigns, against all and every person or persons 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. {00158372.i } 4015497 Pages: 2 of 2 05/12/2014 03:29 PM R Fee:$16.00 Stove Moreno: Clerk and Recorder, Wald County, CO ail f ird rtial'Ii :s+ I L��,+>��I;�� 'dot F� �;r'ay lI III IN WITNESS WHEREOF, the Grantor has executed this deed on the date set forth above. GRANTOR: Doris W.Williams Lane George William GRANTEE: By: 74- p aQ?S Title: R,Aprts er+-in v� For. Tallgrass Pony Express Pipeline (Colorado), Inc.,a Colorado Corporation STATE OF C 6 ) ss. COUNTY OF (,(a-ld ) The foregoing instrument was acknowledged before me this I� day of rn , 2014, by Doris W.Williams and Lane George Williams. Witness my hand and official seal. JOHN maim BLY H NOTARY PUBLIC STATE OF COLORADO tart' blic NOTARY ID 2013407299e ,Ally co mission expires: // W COMMON EXPIRES NOVEMBER 11k 1D11 STATE OF CoLOp..Aa0 ) ) ss. COUNTY OF 1.EItSCN ) The foregging instrument was acknowledged before me this 7 , day of Mfly 2014, by R►c.hA. ei P Seats , as t?4..prtss4‘ ivt , of Tallgrass Pony Express Pipeline (Colorado), Inc.,a Colorado corporation. Witness my hand and official seal.• No ry Public CODY L.WAGONER My commission expires: 12 - II - i4 NOTARY PUBLIC STAOF COLORADO NOTE►o 200 7465 MY Ct� �sDEMMER iA 2018 (00158372.1 } 3989827 01/14/2014 10:01 AM Total Pages: 1 Rec Fee:$11.00 Doc Fee:$14.32 Steve Moreno-Clerk and Recorder,Weld County,CO After Recording Return to: TallGrass Pony Express Pipeline(Colorado),Inc,a Colorado corporation company Land&ROW Dept. 370 Van Gordon St. Lakewood,CO 80228 Doc Fee: $14.32 WARRANTY DEED This Deed,made January 31,2014 Between Doris W Williams and Lane George Williams of the County Weld,State of COLORADO,grantor(s) and TallGrass Pony Express Pipeline(Colorado),Inc,a Colorado corporation company, whose legal address Is 370 Van Gordon St., Lakewood,CO 80228 County of Weld,and State of COLORADO,grantee. WITNESS,That the grantor,for and in the consideration of the sum of ONE HUNDRED FORTY-THREE THOUSAND TWO HUNDRED DOLLARS AND NO/100'S($143,200.00)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: All that portion of the SW1/4 of Section 34,Township 8 North,Range 59 West of the 6"P.M.,lying South and West of that parcel of land described in the instrument recorded August 12,1982 at Reception No.1900288,County of Weld, State of Colorado. also known by street and number as TBD,Greeley,CO 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 simp;e,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 November 25,2013,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. SELLERS: Doris W Williams Lane George Williams STATE OF COLORADO }ss: COUNTY OF WELD The foregoing instrument was acknowledged,subscribed and sworn to before me January 31,2014 by Doris W Williams and Lane George Williams. Witness my hand and official seal. • ) 2i Ty ublic L$AL6ONAOO My mission expires: n*to Idyt�era:rm E.••, t:,1Jvv ,?015 t ICA 20044uue WQcolp ESCROW NO 598-H0389537..ea.i.LL9 1-7-r@)`© QUIT CLAIM DEED THIS DEED is made and entered into this 9'h day of October 2013, between DORIS W. WILLIAMS,whose address 57875 WCR 86,New Raymer CO 80742,Grantor,and EDWARD L. ZORN,whose address is 626 E.Platte Avenue,Fort Morgan CO 80701,Grantee. WITNESSETH,that the Grantor,for and in consideration of Ten Dollars and other good and valuable consideration,the receipt and sufficiency of which is hereby acknowledged, has remised, released, sold, conveyed and QUIT CLAIMED, and by these presents does remise, release, sell, convey and QUIT CLAIM unto the Grantee, his heirs, successors and assigns forever, all of the Grantor's interest in and to the following described real property situate in the County of Weld, State of Colorado,to-wit: Township 8 North,Range 59 West of the 6'h P.M.,Weld County CO: Section 27: EYz Section 34: Safi This deed Is made for the purpose of disjoining the joint tenancy title to the above described real property. For that purpose there is no consideration for this transfer. TO HAVE AND TO HOLD the same, together with all and singular the appurtenances and privileges thereunto belonging or in anywise thereunto appertaining, and all the estate, right, title, interest and claim whatsoever of the Grantor,either in law or equity,to the only proper use,benefit and behoo£of the Grantee, his heirs, successors and assigns forever. The singular number shall include the plural, the plural the singular, and the use of any gender shall be applicable to all genders. IN WITNESS WHEREOF,the Grantor has executed this deed on the date set forth above. • Doris W.Williams STATE OF COLORADO ) ss. COUNTY OF MORGAN ) The foregoing instrument was acknowledged before me this 9'h day of October 2013 by Doris W. Williams. WITNESS my hand and official seal. SUSAN87 E.LOPEZ (Ag.//X1 19874153038 ublic STATE OF COLORADO NOTARY PUBLIC cplpkti mom EXPIRES JUNE 1.2015 3Q7e1/2013 01 Pages: of 1 Rt Fee:$11.00 0 Fee:e0.00 Slue Aorano. Clerk and Recorder, Weld County. C0 tIIIN"r--PIr11247 Ci Yat+M1�RA�fii��AY}i,N'YL41,11111 QUIT CLAIM DEED THIS DEED is made and entered into this 9t1i day of October 2013,between EDWARD L. ZORN,whose address is 626 E. Platte Avenue,Fort Morgan CO 80701,Grantor,and DORIS W. WILLIAMS, 80701whose address 57875 WCR 86,New Raymer CO 80742,Grantee. WITNESSETH,that the Grantor, for and in consideration of Ten Dollars and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged,has remised, released, sold, conveyed and QUIT CLAIMED, and by these presents does remise, release, sell, convey and QUIT CLAIM unto the Grantee, his heirs, successors and assigns forever, all of the Grantor's interest in and to the following described real property situate in the County of Weld, State of Colorado,to-wit: Township 8 North,Range 59 West of the 6th P.M..Weld County CO: Section 27: E%: Section 34: S% This deed is made for the purpose of disjoining the joint tenancy title to the above described real property. For that purpose there is no consideration for this transfer. TO HAVE AND TO HOLD the same, together with all and singular the appurtenances and privileges thereunto belonging or in anywise thereunto appertaining, and all the estate, right, title, interest and claim whatsoever of the Grantor,either in law or equity,to the only proper use,benefit and behoof of the Grantee, his heirs, successors and assigns forever. The singular number shall include the plural, the plural the singular, and the use of any gender shall be applicable to all genders. IN WITNESS WHEREOF,the Grantor has executed this deed on the date set forth above.) %Y Edward L.Zorn STATE OF COLORADO ) ss. COUNTY OF MORGAN ) The foregoing instrument was acknowledged before me this 9lh day of October 2013 by Edward L. Zorn. WITNESS my hand and official seal. SUSAN E.LOPEZ 196741[33038 tary Public STATE OF COLORADO NOTARY PUBLIC `CoimaSSIONEXPIRESJUNE t.2otd 3970159 Pages: 1 of 1 10/11/2013 01:11 Ph R Fee:511.00 0 Fee:$0.00 Steve Moreno Clerk and Recorder. Weld County CO Ell MFAO 11�ti HID 11111111111111111111111111111111 III I11II IIII IIII 038 3485038 06/26/2007 01:56P Weld County, Co 1 of 1 R 6.00 D 0.00 Steve Moreno Clerk&Recorder - Alter Recording Return to Doris Williams - SPECIAL WARRANTY DEED Sfr This Deed,made this 0(1 of June,2007 Between Lane George Williams,of the County Weld,State of Colorado,grantor(s)and Lane George Williams and Doris W.Williams, as Joint Tenants,whose legal address is County of Weld,and State of COLORADO,grantee(s) WITNESSETH, That the grantor(s), for and in the consideration of the sum of TEN and NO/100 DOLLARS Dollars ($10.00) 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(s),his 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: Parcel I: The SE V.of Section 34,Township 8 North,Range 59 West of the 6th P.M., County of Weld,State of Colorado. Parcel 2: The SW V.of Section 34,Township 8 North,Range 59 West of the 6th P.M., County of Weld,State of Colorado, EXCEPT that portion thereof as conveyed to Division of Highways,State of Colorado by Deed recorded August l2, 1982 at Reception No, 1900288. This deed is exempt from payment of the documentary fee pursuant to C.R.S.39-13-104(1)(b) also known by street and number as 57875 County Road 86,New Raymer,CO 80742 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 low 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, their heirs and assigns forever. The grantor(s), for themselves, their heirs and personal representatives or successors,does covenant and agree that they shall and will WARRANT AND FOREVER DEFEND the above-bargained premises in the quiet and peaceable possession of the grantee(s),their heirs and assigns,against all and every person or persons claiming the whole or any part thereof,by,through or under the grantor(s). 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. U"Q,te) C>-t,atgR1 ID Antis/1.42) Lane George Willia STATE OF COLORADO )ss: COUNTY OF Weld / st The foregoing instrument was acknowledged before me this of June, 2007 by Lane George Williams. •. - Witness my hand and official seal. Notaly Public ra ar CC mmission ex res: /o/3//Q 7 L' sy N� \T ' PUBLIC/43/1 ESCROW NO.815-110[7 1433.0274Sn COL d WDS9)4 +.............••• y ommission Expires 10/31/71707 1)11111111111111111111111111 VIII 111111 III 11111 lIII 1111 3486035 06/26/2007 01:56P Weld County,C0 1 of 1 R 6.00 D 0.00 Steve Moreno Clerk&Recorder Ancr According Return to Doris Williams • SPECIAL WARRANTY DEED This Deed,made this .(1 of June,2007 Between Doris Williams aka Doris W.Williams,of the County Weld,State of Colorado,grantor(s)and Lane George Williams, a Tenant in Severality,whose legal address is County of Weld,and State of COLORADO,grantee(s) WITNESSETH, That the grantor(s), for and in the consideration of the sum of TEN and NO/100 DOLLARS Dollars ($10.00) 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(s),his 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: Parcel I: The SE'/.of Section 34,Township 8 North,Range 59 West of the 6th P.M., County of Weld,State of Colorado. Parcel 2: The SW%.of Section 34,Township 8 North,Range 59 West of the 6th P.M., County of Weld,State of Colorado, EXCEPT that portion thereof as conveyed to Division of Highways,State of Colorado by Deed recorded August 12,1982 at Reception No.1900288. This deed is exempt from payment of the documentary fee pursuant to C.R.S.39-13-104(I)(b) also known by street and number as 57875 County Road 86,New Raymer,CO 80742 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, their heirs and assigns forever. The grantor(s), for themselves, their heirs and personal representatives or successors,does covenant and agree that they shall and will WARRANT AND FOREVER DEFEND the above-bargained premises in the quiet and peaceable possession of the grantee(s),their heirs and assigns,against all and every person or persons claiming the whole or any part thereof,by,through or under the grantor(s). The singular number shall include the plural,the plural the singular,and the use of any gender shall be applicable to all genders. /•/� IN WIITNESS WHEREOF,the grantor has executed this on the date set forth above. Doris Williams aka Doris W.Williams STATE OF COLORADO }ss: COUNTY OF Weld S/- The foregoing instrument was acknowledged before me this �, of June,2007 by Doris Williams aka Doris W.Williams. . - Witness my hand and official seal. L. Not Public �ti, M omtnission expires: 3/1/2009/a/3// • � oPCO1-�/ NYCD/nmisEXp,�s d/�f/10�� ESCROW NO RI5-!10[7[433-027-JSH WDSpecial 111111111f11111111111111111111111111111111111!11111 I1I1 3253336 01117/2005 09:35A Weld County, 1 of 3 R 16.00 D 0.00 Steve Moreno Clerk&Recorder corded at o'clock M., Reception No. Recorder QUITCLAIM DEED TITLE OF DOCUMENT Exempt- per C.R.S. 39-13-104((b)) - Any deed granting or conveying title to real property in consequence of a gift of such property; THIS deed, Made this C./A day of , 20 c'/, between Doris Williams, also known as Doris W. Williams and Lane Williams, as joint tenants, of the City of New Raymer, County of Weld, and State of Colorado, GRANTOR, and Doris Williams, whose legal address is 57875 Weld County Road 86, of the City of New Raymer, County of Weld and State of Colorado, GRANTEE: WITNESS, that the grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, has granted, bargained, sold and conveyed, and by these presents does, quitclaim to the Grantees, their heirs and assigns forever, all the right title and interest which the Grantor has in and to the real property, together with improvements, if any, situate, lying and being in the City of New Raymer, County of Weld, and State of Colorado, described as follows: SEE EXHIBIT"A" ATTACHED HERETO AND BY THIS REFERENCE MADE A PART HEREOF. ALSO known by street and number as: 57875 Weld County Road 86 Assessor's Schedule or Parcel Number: R0542486 Prior Recorded Doc. Ref.: Deed: Recorded November 5, 2003; Doc. No. 3123823 Subject To: Restrictions, Conditions, Covenants, Rights, Rights of Way, and Easements now of record, if any. Together with all the hereditaments and appurtenances thereunto belonging, thereof, and all the estate, right, title, interest and claim whatsoever of the Grantor, either in law or equity, of, in and to the above bargained premises. To have and to hold the said premises above bargained and described, with the appurtenances, unto the Grantees, their heirs and assigns forever. The singular number shall include the plural, the plural the singular, and the use of any gender shall be applicable to all genders. 1111111 111 11111 11111 11111 11111111111 III 11111!Milli 3253336 01/17/2005 09:35A Weld County, CO 2 of 3 R 16.00 D 0.00 Steve Moreno Clerk& Recorder In witness whereof the GRANTOR has executed this deed on the date set forth above. Doris Williams a/k/a Lane Williams Doris W. Williams STATE OF C'Ci 16✓u COUNTY OF (X Cd _} ss / The foregoing instrument was acknowledged before me this�v day of /�� - , 20I{Y , by Doris Williams a/k/a Doris W.Williams and Lane Williams. NOTARY STAMP/SEAL 4p�pR�'.Ue�/C tart' Mc y Co "ssion Expires: — UJ BERRY h--61.1 t -tom sv‹} r--o:,.t -to: : STEF FrM C da% After o: ,0,•.. , Prepared By: Doris Williams iT,•'••....... Doris Williams 57875 Weld County Road 86 f Of CZ';f 57875 Weld County Road 86 New Raymer, Colorado 80742 New Raymer, Colorado 80742 1111111111111111111111111111111111111111111111111111111 3253336 01/17/2005 09:35A Weld County, CO 3 of 3 R 16.00 0 0,00 Steve Moreno Clerk&Recorder EXHIBIT "A" LEGAL DESCRIPTION -7---Wititalou'inTT-eetelitlie9r-lus--sconi 1/2 OF SECTION v4)4, TOWNSHIP 8•NORTH, RANGE 59 WEST OP THE Val P.M, / WSL,l3 C DUN 'X, COLORADO, 18E FAST 1/2 OF SECTION 27 TOWNSHIP 8 NORTH 1/2 OF SECTION 10, TOWNORTP 7 NORTH, RANGE 69 WEST OF THE 6TH P.M., WELD COUNTY, COLORADO, EXCEPT THAT PARCEL A3 00WEITO TO DIVISION OF HIGHWAYS, STATE OF COLORADO HY DEED RFppRoED AUGUST 12, 1982 A8 RECEPTION NO, 1905260 IN BOOK 974 IND HY' DEED REOORDED JANUARY 10, 1982 AS RECEPTION NO.1880071 IN BOOR 959.ALSO KHQWN BY FITREWT ,AND NUMBER A9 57875 WELD COUNTY RD 86, NEW RAINBR, COLORADO 50742. HUM 1111111111111111(IIII 11111 IIIIII 11111111 IT IIII 3123823 11/05/2003 11:58A Weld County,CO 1 at 1 R 6.00 0 0.00 Steve Moreno Clerk&Recorder 823 QUIT CLAIM DEED THIS DEED, Made this 20th day of October, 2003 between Doris W. Williams of the County of Weld and State of Colorado, grantor,and Doris W. Williams and Lane Williams whose legal address is 57875 Weld County Road 86, New Raymer, Colorado 80742 of the County of Weld and State of Colorado, grantees: WITNESSETH, That the grantor(a) for and in consideration of the sum of TEN AND 00/100, ($10.00) Dollars, the receipt and sufficiency of which is hereby acknowledged, has remised, released, sold and QUIT CLAIMED, and by these presents does remise, release, sell and QUIT CLAIM unto the grantees , their heirs, successors and assigns forever, not in tenancy in common, but in joint tenancy, all right, title, interest, claim and demand which the grantor has in and to the real property, together with improvements, if any, situate, lying and being in the County of Weld and State of Colorado, described as follows: The Northwest 1/4 of Section 33, Township 8 North, Range 59 West of the 6th P.M., Weld County, Colorado, the South 1/2 of Section 34, Township e North, Range 59 West of the 6th P.M., Weld County, Colorado, the East 1/2 of Section 27 Township 8 North, Range 59 West of the 6th P.M., Weld County, Colorado, the North 1/2 of Section 10, Township 7 North, Range 59 West of the 6th P.M., Weld County, Colorado, except that parcel as conveyed to Division of Highways, State of Colorado by deed recorded August 12, 1982 as Reception No. 1900288 in Book 974 and by deed recorded January 18, 1982 as Reception No. 1880071 in Book 959. also known by street and number as 57875 Weld County Rd 86, New Raymer, Colorado 80742 TO HAVE AND TO HOLD the same, together with all and singular appurtenances and privileges thereunto belonging or in anywise thereunto appertaining, and all the estate, right, title, interest and claim whatsoever, of the grantor, either in law or equity, to the only proper use, benefit and behoof of the grantees, their heirs and assigns forever. 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 executed this deed on the date set forth above. Doris W. Williams STATE OF COLORADO, } ss. The foregoing instrument was acknowledged before County of Weld ) me this 20th day of October, 2003, by Doris W. Williams Witness my hand and official seal. ^� My commission expires TINA KINNEY NOTARY PUBLIC c,1 STATE OF COLORADO ��Cti NOTARY PUBLIC My Commission Expires 08/09/2005 3 90 Union Blvd. Suite 310 No.962 Rev. 5-84 Lakewood, COLORADO 80228 • -. RECORDER'S MEMORANDUM AR2Q23&94 AT THE TIME OF RECORDATION, THIS ;IN- STATE OF COLORADO STRUMENT WAS FOUND TO EE INADEQUATE FOR THE BEST PHOTO:IRAPHIC (:EPR000CT►ON; BECAUSE OF ILLEGIBILITY, CARBON.OR PHOTO' CERTIFICATE OF DEATH COPY. DISCOLORED PAPER. ETC. 238-338 •n,.. ....... ..._ ..., ...:4 r r,Re:4 r • DECEASED_NAME •`•' _.. ••• St I GATT ri•DI AT. .. I ; ' George Earl :4illiaws Male f August 18, 1968 • -- I iiiE•r.c r.. .•ro...•. ...t...:.• ... 1.-'... ... _ - 71 r1.4:.-".....- I r.r — ,r,DD:•rr ry,Atn i • White ,. 42 Icy I • oApr. 2, 1926 r. Weld 'CITY.)O.OTT;OR LOCATION Or OTA:A �...}'Lt C•ll, .•ITt• MGSPIr AL OR GI M[R IMSI IrJ:•.:N_NA•E .•...p. _ y ;;k:':Greeley I,, Yes •, Weld County General Hospital. ; _?STATEOF,IINTH••r••P••.c.. ..,...IC,1.<FN OF.MAT CC1..�::, ✓•4t-IIU Nt'+L0 a.RRILC. I S::4EI-.a ST-CL•SE ...cc.G••r..•.r a•..•.t Colorado 1 USA .3:`.7.1•iP.o,,o:C1- Webster • ..',...-%': i. = .. ,; harried` h, Doris W. ebster - .SOCIAL SECURITY NUMALR UU 0..::f,JPA la,....,,.............. ..... c..c..._ ..-o FIND OF OUSI•:ESS OR MIDUSTRY :1- ".:.522 .30 5028 „•. Rancher „L• Ranch CADENCE-STATE COUNTY 'CITE TL•,.OR LOCATION .-.cc c•I••w.•,. ''�Y1• ' - ..ie. ,• STREET AND NL VtlER • : -,4 -.:Colorado I.O. Weld I,<, New Raymer It. No u. 6 miles west. :FATHER'S NAME •..., ..ee•r ..•. m0 MLr.S•.+.DEN N4rE ..... •;r r cr.c Is:: " • Clauda R. Williams ,A, Helen Gertrude Fischer^, 2 NFORStANT.NAME Rtl•T,Cri TO DECEASED MAILING AGGRESS ••1.“•Oa•...]-..a_Cr"C•Tow_.;n P., 4.,S. . , IT.: Doris W. Williams [life ,,L, New Raymer, Colorado 80742 ---.I ti.CAUSE OF DEATH •r.•rn•.•.:•o••e,•..t+r•.....t..••e S ..a•r. I .r:nna wa�DrAir'•` r."RT I _J.._;. IMMEDIATEGUSEI•) NAassife Pulmonary Contusion of Lungs 1 -hr 20'a- Mw{v.T,t.; nt Crushed Chest (Left I.) -..'y l. TART IL.OTHER SIGNIFICANT CGI.DITIONS- ee..c.•.e.•eR..•.•,.-...;,a ot••..,,•..E..r•A•.0•o ea.•.t e.•.0••••..•le. AUTOPSY IF YES-.•{..Me..e•sO!.�-:6` "'•':`. Yes. 04Yesl-,.,....;,....., IN• t.Oft '.•A T.SLOCIDE.HOMICIDE DATE aHOUR OF INJURY •.......-t.•-.c•+..e✓.. HD.RAMJET OCCURRED. ,On....ft,,.p,..,Ill...: -:AVI1,iccident' ,o.. Aug 18 1968 1:25A1f TE<-Deceased was in'car s that,was hit,In-the'•4 • T.AT vORE. - PL.CE OF INMW L t T••.o...•• .•,.t • er „a.• ,'i itte.t-Tv . • •• A<re...e.roe...ea_c•<.••••c.••• LOCATION ew....d»o,:c.•.e..e.•, • ear by another-catI₹ I 4as+i lOr{:• Highway :cr. i miles.south Ault, Colo. ,:..�•�•"rs� {P w L-PNTSICIAN 20..O o re :,c,....-,..G. .4l.-A • •:•7E'NRATM PGLRw..O4• ✓.G.•.,O••{ .V•t:.w]•O..C.,).O.M.....t]e{- •y.•TLGAJs[.•-.`i:- ••:�y CEc.,o.v T)ON-CopG..EA-o.• ... - _ ........•••.• THE DECEDENT.4s P4CMDUNC_D DEAD ..e-..,?yj; lwTt TO,wC wMrt a- r.ev-•.•V.i)...%7.:•:-.Z... .D. •• ••'+•••'-a •.. a.. a•• .GA. '. ftft 2z:-=:- H_<-Rom A son Coroner a 2:45 AM M. n. August 18, 1968 2c45 AH` (-CERTIFIER-SIGH • •-�C:. D.r••.■ DATE EISNED w.c+:w.AA..rc•..'" "' �! �L•r De.tit an Coroner Au• 19 1968 �" i •'CERnfuEe-NAME I.. ......• M ..._, nS. _ i w w AILiAG AvDOESS Ow b.r •-._e A•. a,.- - ...• Reed P. Adamson n.. 827 5th St. Greele Colorado 80631. -:t:; EURtAt;CRE$AT,ON.REMOVAL r.•cP,•• CEP.ETERT OR COENA TORT-NAME f�•. ,..i' • LOCATION CIT.o+To... y: r `•--`c : .'. -- . zcl. 7-Fr ymer C-rn- v Err_' N-TJ :a ,I- • • - ,•• _"; :. ay ,,•• �si.,-. • ..n.. ,P• .. •-• - • FUNERAL NOME-NAME AND ADDRESS . . •<.r.e.•e.+..r.rc A.•. _ •.q - `�se.&- ''Atu• 22_x,:6: is.. •�damson Mortuar 82: 5th 5t. Greele • Colorado ='80631: ==+-f �,�E �__ REGIS t T, .bc! TS•. I. . . IA . ...If-ADa $.. ••• I HEREBY CERTIFY THIS DOCUMENT IS A TRUE AND CORRECT COPY OF THE RECORD IN MY CUSTODY.AS_;REQUIRED BY LAW. ;,,,1+,r,r,„�••"-`- Witness My hand and Seal NOT • .' � l, :,�• This 30th day of August , 1985 LO REG I S;Ts �g ;. �(v�,, `� .:,1�x 19-4.L, 6 1 I t t i fycn t r✓\ Deputy •:x.44.5 ;� LOCAL REGISTRAR OF VITAL STATISTICS R. WOo�ele 401, MPH Registration District Number 238 : '- tts {�c ter Greeley , Colorado PENALTY BY LAW if any person alters, uses, attempts • DEPARTMENir+(' fiEALTIi to use, or furnishes to another for deceptive use any vital statistics certificate. ' B 1083 REC 02023894 09/06/85 15:22 $3.00 1/001 F 1103 MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO ! • ny,,-k..,•.-,:t,:t.,...y?-. =.,...,-. „...,„:.-..s• . . • •,_i_ . .. .....__._ ::....::_:...:.:...:::..... .--,,,,‘,-..,. ..._._ . . ...._ .)t. . • "e_............ _._..145815t) _ _ANN SP°'"E` ..00munt na[�- efjt 3Inbenture, made this....._.._ .. ......_....._...........,!e t3a year of Our Lord One Thousand Nine Hundred and. -five ,between.......Sixty .. ................................................ ... .. .......... Willard A. Schmehl Administrator As- of the Eatat.of.. William G. Schmehl, Deceased ..,party of the ant pert,and._George E,._•lJillixms_and Doris Williams, not as tenants in common, but in joint tenancy, with survivor- ship, • of thp .County of. . 14's id ,and State of. Colorado part le S of the second part,Wltneaseth that ' •tt District , Whereas.In the 1iaiey Court of the County of Lari.mer In the State of Colorado,on the, 3rd ,day ur. March ,A.D.19.6.5,In the natter of the eutete of. William G. Schmehl,, Deceased, an older authorizing and directing sale of the Real Estate hereinafter describe)was made and entered of recant. And Whereas,The said par Y. of the fleet part did,on the. 3rd day or. March Seven thousand five hundred A.D.19..65.,veil at Priva te sale,for the total sum of. DOLLARS, ' to the part.le9 of the arcon'I part,the hereinafter,Icecr,I,c,I real estate pursuant to and In full compliance with said order of the Court And Hh , On the .deed dry or A1nrt;h ,A.D.19 65,the sold part.Y i of the first port,no. ,!rli'in1str,ltor of:mid estate us aforesaid,submitted to the said Court a report of such sale on madeasaforeeuid; And Tleres!ter,en order cunflrnung the said sale of Real Estate wan male and entered of record in the matter of said estate,which order la an follows,to-wit: __ IN Tlll ('01(1'1' 11ivisI„n II In and for the Ceualy of 1 11 r i me r anti Slab of Cam rode I No, it,',/ IN'rot: MATTER OF'THY: Y:s'rATY:or 1 WILLIAM G. .;I:IihiElll , 1 ::C':r:,\iii) / Order Confirming Sale of Real F,state ., Tine In¢tter unninn nn 1.,be heard tide day upon the Iepn er of Ow sole at private oats 10 I:i 1 i,ir,l I'. it hm^h 1 the .\rUn i tt i'F r e n t"r N (Tn4 O11.,......0•,....I.. of Ihn uhnve entitle.'entitle,to O Gear;'•'" 1:. Will l FIuu't .decd i)'.r'I'. '..1 t 1 hon.; I 'i of the following dsacdbeel real i estate located (unleu otherwise stated) In the County of I,i abt•of Colorado: II , I bout hwest quay-,.,•- (.., :1 ,.I ,• , ' (,-t. ',4 in T..wnah, . N. gilt. is hl'P :)J .1- ' •:I Ili i:.'I, 11 • 11 •I ,.. 1 111. I. „ It 1 . Ili. I ~Ltl I i.1 .11•.i. :edit,• ,,F I' , u ,I 1 C7 F: • N,,s:-4.r.(1001i •e.,.,n...: «..g. .4r•.,c : «,,., ...,I,. ....e .e4r,o.. f.+ , w«,I., , ..,,.e.,,e e,.,.«.C... ,s,, , ,., ,r —_l•—'--- ----l.- - nn • •I t. ;I . ''''.f? -.-t_, Ili '' ,i •1j'G ., ;x�j'3:.. (M h'��{ Y')'e..,,�ry� t�_r�•'f`qtr 7 4+'... ..�....• ,. . t1" '*FfiY 'x::l+:vn':h Qi6tilrill��•�l��dlr2 ` �� �:''�` ---.•:—....v.y • [ v536 t.. 145Re; � • ,,for 7,500,00 .ugh;•wag. ... . . dolOcalieccsaidoillakniaddiftadoladasamousba=SW Afaurnalumanaucablximatahlimplitildanc MOW tramattiviatoped 7r<7g rid� and It appearing to the Court,and b s]�mdapa the Court finds: that sold ads was legally made and fairly conducted;that the aunt bid was not dlsproportlonate to the value of the property sold,and we..not Ire than the appraisal value; IT IS 0R0h:IW D, OW said report and Sala are confirmed and that the personal representative(o) execute a conveyance of the premises sold and described In said report,and herein,to the geld purehaser(s)thereof, II Done and aliened in open Court this .. ,- March • BY TM.COURT; i • -L� JOB, R IIT MlLLc.i = DLse't•ict tietmor'nmus 'Mel.wNl.t M.r.•r..pb that In.esaene.L.. Tao ear.rN e.1 ral,r amnia.O.rte.'N C.C.A. • • • 536 1458354) .y 5-- New Thorofare,This Indenture Marah,That the said party ...of the lirt part,in eaddderation of the promisee. and ale farther consideration of the said some of Sevrn Tousand,_Fiye,. }{undrocl- - - - - - DOLLARS,to .h in'..In hand paid by the said pattit' .,ot the ooeond part,the receipt of which la hereby acknowledged, has ...cold and conveyed,and by these presents del ...sell and convey onto the said panics of the amend pert, • not as tenants in common, but in joint tenancy, with survivorship. •t,j ir . ...,heirs and assigns,all the right,title and Interest width the said W.illian...G.. S chmehl depth tluS1..._in his_.Lif>tim.- and.._ai_..the....timp of..his/ In and to the following described lot. or parcel. .of land,situate in the County of . W^id State of Colorado,to•wlt: Southwest quarter (Sid.) of Section 34, in Township 8 North, Range 59 best of the Sixth Principal Meridian, consisting of 138 acres, more or less. . lrtaxcul' •.tMxr na•.INP t10 attar 1. " .•r 'ii'. ' tm1RLLenutr` tlmUutanaate C'• O I • To Hare and to Hold the Sane.With all the appurtenances thereunto belonging,or in anywise appertaining,to the proper use, benefit and behoof of the said part 1"S....of the second part, t.h.(`ir _heirs and aseigna forever sul,jert ro agricultural lease dared Jon., " 1964, ro George r .di11 Tams, cxpirini' Ueeember 31, 1965, and subject ro rights of wry for railroad, hi.,t.,..,.. r-- e,••�•'�, .•'e.,s, sang.t.lu•n anti uciiicies (,s now censtrut tech or of record, it any, anti subject to mineral rese rya rions or leases of record, if any, In Witnesa Whereof,The said part. ....of the first port,as Adm i n i.ti trot or ..of said estate ao aforesaid, ho S. hereunto*et ..h )S .hand and seal .the day and year first herelnabove written. rr 1/O4.-t-Les /I, 4 et I. ,e (LA 1 52l . mJ As the 0dm i a l s r t•n!t•t• .of the Eetute of Will inn, G, irEon"h1 , Uereaserl ,•.• (W cOf.0f,1Do. /�i t"ter ( - (��;''f he for rI,o t evtrument was ncknnxletigod before me thin ...w•1•-r� day of a!% -c it �' ';b)'••�ytifl�orc! ,t• .Schur"h1, dmin s tCiTl,r of the Estate of will iarl i,_. .rt Ip!l,•h1, j),•,_ray",1 ' My comoiselon irpiren/) /7 /'./ '. ..' 1YItneile nu• `eta and omelal r , , "1/ r ,. PI.. . _[... _ •. r:,, 1: o�,.`0". ,, 'I i (I$r}o.ttr rtlut.to ••••"'i'''nn"th A .3ahq:iOlt :Lc['1. of the fly Court In and for the Cnunty of, (, •1..1 r line t' . _..aced State of Colorado,do hereby certify that the order confirming Sale of • Real plata,'.as aoi.ilei,ln•t)te within and foregoing heed,is a full,true,and complete copy of the came us It remains of • re^gr'°'e, on file in hiy"ce. fY -t"„.� lrw,r)•{!m I' I rn.1/2,n `•—y^�O ,.`eal of sail Court at or c, _Colored„1n said County, .dry nr Mori 11 ,A.D. IOC'S . ' .. �.... .. _....L He ran,et.a.uwi...mh'.:4*awe.,lawn the.,.nl.••nvl In l arwl.ta and.,rot,brq era '.,Ii'.en.)In r..d e.,.N{..,.el. .,n weal.•• .ld 0.,.an.,.„i.In..,h., ...vac"..M In rem el..a.main,.the curl.`ted.I.nee oboe ha m..r,wat.la Sa.toec" r ./ AFFIDAVIT OF INTEREST OWNERS SURFACE ESTATE Property Legal Description:��{{JJ �� /Col B. RQ Q�a��/a &i -.yf++� pR.-&CX i i-oo-" r t pc—•, o - T& S(,- cl SSG# c 3'1 \OWK}N.iv A) 4t.� R,ta.� S Us I, Parcel Number Os 3 4_ 3 Y - '3 _ 0 p - 0 p g (12 digit number-found on Tax I.D. information,obtainable at the Weld County Assessor's Office,or www.co.weld.co.us) (Include all lots being included in the application area. If additional space is required,attach an additional sheet) THE UNDERSIGNED, being first duly sworn, 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 property (the surface estate) within five hundred (500) feet of the property being considered. This list was compiled from the records of the Weld County Assessor, or a person qualified to do the task, and shall be current as of a date no more than thirty days prior to the date the application is submitted to the Department of Planning Services. Signatures of all fee owners of property must sign this application. If an Authorized Agent signs, a letter of authorization from all fee owners must be included with the application. If a corporation is the fee owner, notarized evidence must be included indicating the signatory has the legal authority to sign for the corporation. I (We) hereby depose and state under the penalties of perjury that all statements, proposals and/or plans submitted with or contained within the application are true and correct to the best of my(our) knowledge. nature Date Signature Date Signature Date -5- Parcel Fee Owner of the Legal Description Number Property UET Midstream, LLC 053934300007 SW4,Sec 34,T8N-R59W 225 Union Blvd Suite 200 Lakewood, CO 80228 Atkinson, Bruce 053933000018 N2SE4&W2NE4,Sec 33,T8N-R59W 327 Cielo Grande Alamogordo, NM 88310 Atkinson, Bruce 053933115001 2619 ALL BLK 17 2ND ADD BUCKINGHAM 327 Cielo Grande Alamogordo, NM 88310 Myers, Roger L 2617 L1 TO 10 BLK18 2ND ADD Myers, Sharlene D 053933114001 BUCKINGHAM C/O Laura Swain 8690 Aumsville HWY SE Salem,OR 97317 2001 Properties, LLC 053934000016 NW4, Sec 34,T8N-R59W 22791 Highway 39 Weldona, CO 80653 Williams, Doris W 053934300004 SW4, Sec 34,T8N-R59W Williams, Lane George 57875 County Road 86 New Raymer, CO 80742 Williams, Doris W 05393400006 SE4,Sec 34,T8N-R59W Williams, Lane George 57875 County Road 86 New Raymer, CO 80742 Daniels, Harold L 072103000013 N2NE3,Sec 3,T7N-R59W Daniels, Madeline P P.O. Box 180 Milliken, CO 80543 Wickstrom Land, LLC 072103000015 W2/S2NE4, Sec 3,T7N-R59W 33052 County Road 3 Orchard, CO 80649 Wickstrom Land, LLC 072104000012 NE4, Sec 4,T7N-R59W 33052 County Road 3 Orchard, CO 80649 Castor, Betty Jean 053933000016 SW4/S25E4, Sec 33,T8N-R59W C/O Wells Fargo Bank I P.O. Box 13519 Arlington,TX 76094 FOR COMMERCIAL SITES, PLEASE COMPLETE THE FOLLOWING INFORMATION BUSINESS EMERGENCY INFORMATION: Business Name:Tallgrass Terminals, LLC Phone:303-763-3305 Address:370 Van Gordon Street City, ST, Zip:Lakewood, Colorado 80228 Business Owner:Tallgrass Teminals, LLC Phone:303-763-3305 Home Address:370 Van Gordon Street City, ST, Zip: Lakewood, Colorado 80228 List three persons in the order to be called in the event of an emergency: NAME TITLE ADDRESS PHONE Emergency Notifications Line 303-763-3110 Blaine Johnson Manager, Operations 36617 Hadley Rd,Wray,CO 80758 970-630-1986 Jerry Adolf Manager, Operations, Oil 28244 E Hwy 6, Sterling, CO 80751 970-630-6882 Business Hours:6am-6pm Days: 7 Type of Alarm: None Burglar Holdup Fire Silent Audible Name and address of Alarm Company: Location of Safe: MISCELLANEOUS INFORMATION: Number of entry/exit doors in this building: Location(s): Is alcohol stored in building?No Location(s): Are drugs stored in building?No Location(s): Are weapons stored in building?No Location(s): The following programs are offerer,a public service of the Weld Count-stiffs Office. Please indicate the programs of interest. Physical Security Check Crime Prevention Presentation UTILITY SHUT OFF LOCATIONS: Main Electrical: Gas Shut Off: Exterior Water Shutoff: Interior Water Shutoff: Facility Emergency Action Plan Tallgrass Terminals, LLC Buckingham Terminal Facility Phone # TBD 1. Name: Tallgrass Terminals, LLC; Buckingham Terminal 2. Location: 57251 WCR 86, New Raymer, CO 80742 40°36'45.01"N, 103°58'3.25"W 3. Emergency Telephone Numbers: Dam Night Facility Primary: TBD TBD Facility Secondary: 855-220-1762 (24/7 Emergency Call) Fire District 911 911 Raymer Stoneham Fire Protection District Ambulance Service Area 911 911 Weld County Ambulance Weld County Regional Communications Center 911 911 Other Chemtrec (Chemical transportation Emergency Center) (800)424-9300 Northern Colorado Medical Center (970) 350-6000 4. Agency Notification Non Emergency: Phone# Fire Department/District: Raymer-Stoneham Fire Protection District 970-437-5713 Ambulance Service Area: Weld County 303-353-5700 Law Enforcement Agency: Weld County Sheriff 970-353-5700 Communication Center 970-350-9600 Office of Emergency management 970-304-6540 5. Surrounding Occupancies & Land Use Adjacent and West: Unincorporated Weld, agricultural, 1 residence Adjacent and North: Unincorporated Weld, agricultural, USR15-0013 Adjacent and East: Unincorporated Weld, agricultural, 1 residence Adjacent and South: Unincorporated Weld, agricultural 6. Personal Protective Equipment Available: Location TBD with Fire Department Consultation 7. Location of Emergency Equipment & Supplies: Phone# TBD with Fire Department Consultation 8. Location & Types of Water Supplies: Commercial Exempt Well planned to be on site. 9. Transportation routes: Most product is delivered by third party trucking companies and O&G operators via eastbound Highway 14 and WCR 86 intersection, west 'A mile, north into facility. 10. Action Items and Response: The top three worst case scenarios that may occur at the site include: • Tank fire- tanks will be equipped with foam fire suppressant to be deployed in the event of fire. • Fire at unloading bay-bays will be equipped with fire extinguishers. • Crude oil spill- spills at the bays will be captured in an underground vault, where the product will be captured with a vac-truck and disposed at a qualified disposal site. Secondary containment around the storage tanks will capture any leak or spill there. There will be an SPCC plan in place at the facility. Tanks and structures will be grounded and equipped with lighting strike prevention devices. All employees will be trained in the implementation of Tallgrass Emergency Response Plan. 11. Coordination with First Responder Agencies: Initial contact has been made with Raymer-Stoneham Fire Protection District. A Tier H Report will be completed through consultation with the Fire Department. 12. Safety and Training Review: Each year, all employees are provided with all necessary information concerning the proper handling of a chemical spill or accident. This information shall be in the form of a review sheet detailing proper procedures, which shall be signed and dated by each employee when all items are understood. Also, proper use of cleanup and containment tools and procedures will be demonstrated as necessary. Any new or updated information or procedures will be taught to employees immediately when applicable. Facility Manager Date Fire Dept. Official Date Weld County OEM Date Tel: 303-792-2450 P.O.Box 630027 EUGENE G. COPPOLA P.E., PTOE Fax: 303-792-5990 Littleton,CO 80163-0027 July 31, 2015 Cody Wagoner Sr. Agent, Land & Right of Way Tallgrass Energy 370 Van Gordon St. Lakewood, CO 80228 RE: Tallgrass Buckingham Tank Terminal Traffic Assessment CR 86, West of SH 14 Weld County, CO Dear Cody: I have evaluated site traffic related to the Tallgrass Energy Buckingham Truck Terminal in Weld County. The site is located along the north side of CR 86, west of SH 14 on the west side of the existing Tallgrass meter station. Specific traffic assessments for Phase 1 and II of development are documented in the following sections of this traffic letter. PROJECT OVERVIEW The Buckingham Truck Terminal (Buckingham) will be built in two phases. Phase I will have four truck bays and operate 12 hours per day from about 6:00 AM to 6:00 PM. Phase II will expand the facility by up to 11 bays with operating hours expanded to 24 hours per day. Phase II may or may not increase the number of bays to 15 depending on whether or not the individual users wish to have dedicated bays for their use. Accordingly, the number of bays will not be directly proportional to site activity. Phase I is expected to be operational in 2016. Phase II might be built in about 5 years; however, that time frame is subject to change based on market demands. The existing meter station driveway to CR 86 will be moved to the west and will serve both the truck terminal and the meter station. A preliminary concept plan is provided on the following page. Each phase of development is described and evaluated below. .. 1 - - O 11 It w III U 1i D Q `Li EL I nnn I 1 I I ti ! �" 'I L z I ---- , ! 6 .211 llg - - - - -�'— L---r-1~\.. ; ! 3 ' ~ EL �•ie / \�'� villa 1 t r 7 g I ... .. 6,, 1 a JJ I 00 ii d I I Jli g' r , ,.._ ....L. ii %RITA I Soto _' -. , li ia 41 L-=----- I Il r7 '--- __I • . • ' \I 1 1i 177-7- - - 1% /LW . ` 11 i Ii �, ` err/ '._--�� �I II I !1'I' ! it \ V l!I le d��15 al Sri al � 1 Ii II-II 11 II N i r�t11I��C�I1� li iII 1 II I L it - % I 1 � IU- II 74rti4;:= :-. I q ! ii i ii ia 1 j I I 1 a _ x R I I 1 . -I 2 Tallgrass has updated the site traffic expected with this site. The updated site traffic is significantly lower than previously thought; however, the earlier estimate was simply a number to cover any future possibilities. An email from Tallgrass documenting site traffic demands is attached. Phase I Phase I will be built with four truck bays and support facilities. It is expected that the tank terminal will serve 40 trucks per day from about 6:00 AM to 6:00 PM. Three employees will be on site in conjunction with Phase I. Peak hour and daily traffic for this phase of development is shown below. PHASE I SITE TRAFFIC AM Peak Hour PM Peak Hour Daily In Out In Out Round Trips Trucks 3 3 3 3 40 Cars/Pickups 3 0 0 3 3 TOTAL. 6 3 3 6 43 As indicated, Phase I will generate 9 peak hour trips and 43 daily round trips. Site traffic is expected to arrive and depart the site based on traffic distributions associated with the service area for this site. These distributions are shown below. 3 e o co 0 SITE 20% 0% CR 86 1 o o V LEGEND: Trucks Employees SITE TRAFFIC DISTRIBUTION Anticipated site peak hour and daily traffic at the site access and the SH 14 - CR 86 intersection are shown below for Phase I. 4 g 0 co C O+ / + + I- I- .d+co F ✓ M N 3 O M + + + N 1D • i0 H •- M y 6/3(3T+3C/3T+OC) 17 69 CR 86 1/1 (1T+OC/1T+OC)- 2/5(2T+OC/2T+3C) -4 1/1 (1T+OC/1T+OC) 4 o M r 2 N LEGEND: AM/PM Peak Hour(Vehicle Type AM/PM) T=Trucks C=Cars PHASE I SITE TRAFFIC Daily The number of bays expected with Phase II is uncertain at this time. A doubling of the number of bays over Phase I is likely; however, there may be additional bays for customers who want exclusive dedicated bays. The number of employees will increase to six. In either case, the amount of site traffic at build out is shown below. PHASE II SITE TRAFFIC (Build Out) AM Peak Hour PM Peak Hour Daily In Out In Out Round Trips Trucks 5 5 5 5 80 Cars/Pickups 6 0 0 6 6 TOTAL 11 5 5 11 86 5 Phase II site traffic was distributed to area roadways. This was done using the same traffic distributions as Phase I with one exception. The exception is that Tallgrass estimates that one third of the employees will arrive and depart the site using SH 14 south of CR 86 at build out. Truck distribution is expected to remain consistent with Phase I. Resultant Phase II peak hour and daily traffic are shown below. V d p C O + I + I- C O 0 ~r..• � O O a-• at co r at 11/5(5T+6C/5T+OC) A 34 138 CR 86 4 ♦ 1/1 (1T+OC/1T+OC)-- 4/8(4T+OC/4T+4C) 1/3(1T+OC/1T+2C) 0 c) N r I- _ .1... LEGEND: AM/PM Peak Hour(Vehicle Type AM/PM) N T=Trucks C=Cars Daily PHASE II SITE TRAFFIC 6 IMPROVEMENTS Turn Lanes Turn lane needs related to the Tallgrass facility with Phase I and at build out were assessed using the Weld County turn lane warrants shown below: • More than 10 peak hour vehicles turning left into the facility warrants a left turn deceleration lane • More than 25 peak hour vehicles turning right into the facility warrants a right turn deceleration lane • More than 50 peak hour vehicles turning right out of the facility warrants a right turn acceleration lane Site traffic was compared to the County turn lane warrants at all intersections. These warrants are the same as CDOT warrants for SH 14 in this area. This comparison determined that Tallgrass traffic will not require any turn lane improvements at site build out. Dust Mitigation Current daily traffic on CR 86 is 37 vehicles per day based on County sources. This is consistent with peak hour observations at the SH 14 - CR 86 intersection. During those observations only 1 - 2 pickup type vehicles turned either on to or off of SH 14 from or to CR 86 in the morning. A similar number of turning vehicles made similar movements in the afternoon. Furthermore, the vehicles observed were construction related traffic associated with the meter station. Accordingly, these vehicles are considered temporary traffic. No other meaningful traffic was noted during the observation times. Dust mitigation is typically required when daily traffic exceeds 200 vehicles per day on unpaved roadways. In the case of CR 86, Phase I will add 69 vehicle trips to CR 86 between the site and SH 14, which will be the busiest section of CR 86. Phase II will add 138 trips. Consequently, with Phase I operational, 106 vehicles per day will use CR 86 just west of SH 14 with Phase II increasing the number of vehicles on CR 86 to 175 7 vehicles. Accordingly, dust mitigation will not be needed on CR 86 between the site driveway and SH 14 with build out site traffic. SUMMARY Based on the above documented analyses and investigations, the following can be concluded: • Current conditions in the area of the tank farm site are very acceptable. • Phase I of this development will add 9 peak hour trips and 86 daily trips to area roadways. These trips are considered minor. • Phase II, which represents site build out, will add 16 peak hour trips and 172 daily trips to area roadways. • Site traffic will not meet County triggers for turn lanes. This statement applies to both Phases I and site build out. • With the addition of site traffic, daily traffic on CR 86 between the site driveway and SH 14, the busiest section of CR 86, will increase to 106 vehicles with Phase I and 175 vehicles at site build out. These levels of traffic do not reach the 200 daily traffic level requiring dust control and therefore, dust control will not be needed. • No improvements are needed to serve build out traffic demands associated with this development and therefore, the existing roadway system can adequately serve site traffic. • Tallgrass Energy's Buckingham truck terminal is viable from a traffic engineering viewpoint. I trust this traffic assessment will meet your current needs. Please give me a call if you have any questions or need any further assistance. Sincerely, E ene G. Coppo a, P.E., PTOE r*•° �15945 i*j sON • :41 ,�Up COQ- v TrafficPE (Gene Coppola) From: Wagoner, Cody[cody.wagoner@tallgrassenergylp.coml Sent: Friday, July 31, 2015 1:27 PM To: trafficpe@comcast.net Subject: Updated Buckingham Traffic Numbers Attachments: 2749-G1-29Jul2015.pdf Gene, I have some revised,solidified numbers to be utilized on the Traffic Study.These numbers are significantly less than what was previously provided.Also attached is an updated preliminary site plan. Phase I • 40 truck trips/day • Operating 12 hrs/day;6-6.Traffic is anticipated to be equally dispersed across operating hours. • 3 employee trips/day; medium duty pick-up trucks; likely coming from eastbound Hwy 14,turning right onto CR 86. • 80%of traffic would come from Hwy 14&CR 86 intersection. o 80%of the 80%of traffic coming from Hwy 14 would turn right onto CR 86. o 20%of the 80%of traffic coming from Hwy 14 would turn left onto CR 86. • The other 20%of total traffic would come from the intersection of CR 86& 115. Phase II (Includes Phase I) • 80 truck trips/day(cumulative of Phase I) • Operating 24 hrs/day.75%of traffic between 6am-6pm, 25%from 6pm-6am. • 6 employee trips/day(4 from eastbound Hwy 14,turning right onto CR 86; 2 from westbound Hwy 14,turning left onto CR 86) • Traffic dispersion would be the same percentages as Phase I. I think these numbers will answer your questions. Let me know if you need more. Cody Wagoner Sr. Agent, Land&Right of Way Tallgrass Energy 370 Van Gordon St Lakewood CO 80228 P: 303-763-3305 C: 970-301-2299 Cody.Wagoner@tallerassenergylp.com TALLGRASSIs� 1 TABULAR SUMMARY OF VEHICLE COUNTS EUGENE a COPPOLA,P.E. Intersection: SH 14&CR 86 P.O.Box 630027 Littleton,CO 80163 Date: 7116(2015 Observer: Phone: (303)792-2450 Day: Thursday City: Weld County,CO Time Northbound: CR 86 Southbound: Total Eastbound: SH 14 Westbound: SH 14 Total Total Begins L S R Total L S R Total , northlsouth L S R Total L S R Total , eastlwest All 06:00 0 0 0 0 0 . 10 1 11 0 26 26 37 37 06:15 0 0 0 0 0 9 1 10 0 23_ 23 33 33 06:30 1 0 1 0 1 12 0 12 0 31 31 43 W 44 06:45 0 0 0 0 0 13 0 13 1 29 30 43 43 07:00 0 1 1 0 1 17 1 18 0 , 21 21 39 40 07:15 0 0 0 0 _ 0 20 0 20 0 26 26 46 46 07:30 0 0 0 0 0 19 0 19 . 0 16 16 35 35 07:45 0 0 0 0 0 21 0 21 1 19 20 41 41 I6:30-7:30 0 1 0 1 1 1 0 1 0 1 0 0 1 1 0 1 62 1 1 63 1 1 1071 0 108 171 1 172 I PHF 0.25 J 0.79 0.87 04:00 0 0 0 0 0 11 1 12 , 0 12 12 24 24 04:15 0 0 0 0 0 13 0 13 0 11 11 24 24 04:30 0 1 1 0 1 16 0 16 0 12 12 28 29 04:45 1 0 1 0 1 13 0 13 0 14 14 27 28 05:00 0 0 0 0 0 15 0 15 0 13 13 28 28 05:15 1 0 1 0 1 14 1 15 0 16 16 31 32 05:30 0 0 0 0 0 14 0 14 0 14 14 28 28 05:45 0 0 0 0 0 15 0 15 0 13 13 26 28 4:30.5:30 2 I 0 I 1 3 0 1 0 1 0 0 3 10 158 1 1 59 0 1 55 1 0 55 114 j 117 I PHF 0.75 0.92 _ _ 0.86 - L-left turn S=straight R=right turn TALLGRASS ENERGY Tallgrass Terminals,LLC 370 Van Gordon Street• Lakewood,Colorado 80228•303.763.3305 Waste Handling Plan Name of Development as Proposed: Buckingham Terminal Location: Lot B, Recorded Exemption No. 0539-34-3 RECX 14-0059 SW/4 of Section 34,Township 8 North, Range 59 West of the 6th P.M 1. Any general office waste generated on-site will be collected in a trash dumpster provided on- site. Drums will be provided on-site to collect oily rags and filters. All of this waste will be collected by Waste Management and taken to: North Weld Landfill 40000 WCR 25 Ault, CO 80610 970-686-2800 2. No permanent disposal of wastes will take place at this site. 3. Fugitive dust, blowing debris, and other nuisance conditions will be minimized during construction. 6 TALLGRASS ENERGY Tallgrass Terminals,LLC 370 Van Gordon Street• Lakewood,Colorado 80228•303.763.3305 Dust Abatement Plan Name of Development as Proposed: Buckingham Terminal Location: Lot B, Recorded Exemption No.0539-34-3 RECX 14-0059 SW/4 of Section 34,Township 8 North, Range 59 West of the 6th P.M 1. A Water Truck will be utilized, as necessary,to control dust on the site. 2. The road will consist of gravel road base. 3. Waste materials shall be handled, stored, and disposed of in a manner that controls fugitive dust, fugitive particulate emissions, blowing debris,and other nuisance conditions. 4. Fugitive dust and particulate emissions will be controlled on site. 5. All development standards will be adhered to. STATE OF COLORADO ov•�o� COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT '�`` AIR POLLUTION CONTROL DIVISION o TELEPHONE:(303)692-3150 *�* „; } �*j876 CONSTRUCTION PERMIT PERMIT NO: 14WE1593 Issuance 1 DATE ISSUED: April 30, 2015 ISSUED TO: Tallgrass Terminals, LLC THE SOURCE TO WHICH THIS PERMIT APPLIES IS DESCRIBED AND LOCATED AS FOLLOWS: Oil and gas facility, known as the Buckingham Station, located in Section 34, Township 8 North, Range 59 West, in Weld County, Colorado. THE SPECIFIC EQUIPMENT OR ACTIVITY SUBJECT TO THIS PERMIT INCLUDES THE FOLLOWING: Facility AIRS Equipment Point Description ID Tanks T- Four(4) 5000 BBL internal floating roof storage tanks used to store 888-51 to 001 condensate. Emissions from these tanks are controlled using a Tanks T- floating internal roof. 888-54 Tanks T- Two (2) 150,000 BBL internal floating roof storage tanks used to 888-1501 002 store condensate. Emissions from these tanks are controlled using and T-888- a floating internal roof. 1502 Fugitives 003 Equipment leaks (fugitive VOCs) from a crude oil and condensate receiving station. THIS PERMIT IS GRANTED SUBJECT TO ALL RULES AND REGULATIONS OF THE COLORADO AIR QUALITY CONTROL COMMISSION AND THE COLORADO AIR POLLUTION PREVENTION AND CONTROL ACT C.R.S.(25-7-101 et seq),TO THOSE GENERAL TERMS AND CONDITIONS INCLUDED IN THIS DOCUMENT AND THE FOLLOWING SPECIFIC TERMS AND CONDITIONS: REQUIREMENTS TO SELF-CERTIFY FOR FINAL AUTHORIZATION 1. YOU MUST notify the Air Pollution Control Division(the Division)no later than fifteen days after commencement of operation,by submitting a Notice of Startup form to the Division. The Notice of Startup form may be downloaded online at https://www.colorado.gov/pacific/cdphe/other-air-permitting-notices. Failure to notify the Division of startup of the permitted source is a violation of Air Quality Control Commission (AQCC) Regulation No. 3, Part B, Section III.G.1 and can result in the revocation of the permit. AIRS ID: 123/9D38 Page 1 of 15 Condensate Tank TM Version 2012-1 Colorado Department of Public Health and Environment Air Pollution Control Division 2. Within one hundred and eighty days (180) after commencement of operation, compliance with the conditions contained in this permit shall be demonstrated to the Division. It is the owner or operator's responsibility to self-certify compliance with the conditions. Failure to demonstrate compliance within 180 days may result in revocation of the permit. (Reference: Regulation No. 3, Part B, III.G.2). 3. This permit shall expire if the owner or operator of the source for which this permit was issued: (i)does not commence construction/modification or operation of this source within 18 months after either, the date of issuance of this construction permit or the date on which such construction or activity was scheduled to commence as set forth in the permit application associated with this permit; (ii)discontinues construction for a period of eighteen months or more; (iii) does not complete construction within a reasonable time of the estimated completion date. The Division may grant extensions of the deadline per Regulation No. 3, Part B, III.F.4.b. (Reference: Regulation No. 3, Part B, III.F.4.) 4. The operator shall complete all initial compliance testing and sampling as required in this permit and submit the results to the Division as part of the self-certification process. (Reference: Regulation No. 3, Part B, Section III.E.) 5. The operator shall retain the permit final authorization letter issued by the Division, after completion of self-certification,with the most current construction permit. This construction permit alone does not provide final authority for the operation of this source. EMISSION LIMITATIONS AND RECORDS Emissions of air pollutants shall not exceed the following limitations (as calculated in the Division's preliminary analysis). (Reference: Regulation No. 3, Part B, Section II.A.4) Annual Limits: Facility AIRS Tons per Year Emission Type Equipment ID Point NO, VOC CO Tanks T-888-51 to Tanks T- 001 --- 8.8 --- Point 888-54 Tanks 1-888- 1501 and T- 002 -- 24.4 --- Point 888-1502 Fugitives 003 6.1 --- Fugitive See"Notes to Permit Holder"for information on emission factors and methods used to calculate limits. Annual records of the actual emission rates shall be maintained by the owner or operator and made available to the Division for inspection upon request. 7. The emission points in the table below shall be operated and maintained with the control equipment as listed in order to reduce emissions to less than or equal to the limits established in this permit (Reference: Regulation No.3, Part B, Section Ill.E.) Facility AIRS Pollutants Equipment Point Control Device Controlled ID AIRS ID: 123/9D38 Page 2 of 15 Colorado Department of Public Health and Environment Air Pollution Control Division Tanks T- 888-51 to 001 Internal floating roof VOC and HAPS Tanks T- 888-54 Tanks T- 888-1501 002 Internal floating roof VOC and HAPS and 1-888- 1502 8. Point 003: The operator shall calculate actual emissions from this emissions point based on representative component counts for the facility with the most recent liquids analysis,as required in the Compliance Testing and Sampling section of this permit. The operator shall maintain records of the results of component counts and sampling events used to calculate actual emissions and the dates that these counts and events were completed. These records shall be provided to the Division upon request. PROCESS LIMITATIONS AND RECORDS 9. This source shall be limited to the following maximum processing rates as listed below. Annual records of the actual processing rates shall be maintained by the owner or operator and made available to the Division for inspection upon request. (Reference: Regulation 3, Part B, II,A.4) Process/Consumption Limits Facility AIRS Equipment Point Process Parameter Annual Limit ID Tanks T- 888-51 to 001 Condensate throughput 20,000,000 Tanks T- BBL/yr 888-54 Tanks T- 888-1501 002 Condensate throughput 75,000,000 and T-888- BBL/yr 1502 STATE AND FEDERAL REGULATORY REQUIREMENTS 10. The permit number and AIRS ID point number(e.g. 123/4567/890)shall be marked on the subject equipment for ease of identification. (Reference: Regulation Number 3, Part B, III.E.) (State only enforceable) 11. Visible emissions shall not exceed twenty percent(20%)opacity during normal operation of the source. During periods of startup, process modification, or adjustment of control equipment visible emissions shall not exceed 30%opacity for more than six minutes in any sixty consecutive minutes. Emission control devices subject to Regulation 7, Sections XII.C.1.d or XVII.B.2.b shall have no visible emissions. (Reference: Regulation No. 1, Section II.A.1. &4.) 12. This source is subject to the odor requirements of Regulation No.2. (State only enforceable) AIRS ID: 123/9D38 Page 3 of 15 Colorado Department of Public Health and Environment Air Pollution Control Division 13. Points 001 and 002: This source is subject to the recordkeeping, monitoring, reporting and emission control requirements of Regulation 7, Section XII. The operator shall comply with all applicable requirements of Section XII. 14. Points 001 and 002: The stabilized condensate tanks covered under AIRS points 001 and 002 are subject to the New Source Performance Standards requirements of Regulation No. 6, Part A, Subpart Kb,Standards of Performance for Volatile Organic Liquid Storage Vessels (Including Petroleum Liquid Storage Vessels) for which Construction, Reconstruction, or Modification Commenced after July 23, 1984 including, but not limited to, the following: • 40 CFR, Part 60, Subpart A—General Provisions • §60.112b-Standard for volatile organic compounds (VOC) • §60.112b(a)The owner or operator of each storage vessel either with a design capacity greater than or equal to 151 m3 containing a VOL that,as stored, has a maximum true vapor pressure equal to or greater than 5.2 kPa but less than 76.6 kPa...shall equip each storage vessel with one of the following: ■ §60.112b(a)(1)A fixed roof in combination with an internal floating roof meeting the following specifications: ■ §60.112b(a)(1)(i)The internal floating roof shall rest or float on the liquid surface (but not necessarily in complete contact with it) inside a storage vessel that has a fixed roof.The internal floating roof shall be floating on the liquid surface at all times, except during initial fill and during those intervals when the storage vessel is completely emptied or subsequently emptied and refilled. When the roof is resting on the leg supports, the process of filling, emptying, or refilling shall be continuous and shall be accomplished as rapidly as possible. • §60.112b(a)(1)(ii) Each internal floating roof shall be equipped with one of the following closure devices between the wall of the storage vessel and the edge of the internal floating roof: • (A) A foam- or liquid-filled seal mounted in contact with the liquid (liquid-mounted seal). A liquid-mounted seal means a foam-or liquid-filled seal mounted in contact with the liquid between the wall of the storage vessel and the floating roof continuously around the circumference of the tank. • (B) Two seals mounted one above the other so that each forms a continuous closure that completely covers the space between the wall of the storage vessel and the edge of the internal floating roof. The lower seal may be vapor-mounted, but both must be continuous. • (C)A mechanical shoe seal. A mechanical shoe seal is a metal sheet held vertically against the wall of the storage vessel by springs or weighted levers and is connected by braces to the floating roof. A flexible coated fabric(envelope) spans the annular space between the metal sheet and the floating roof. AIRS ID: 123/9D38 Page 4 of 15 Colorado Department of Public Health and Environment Air Pollution Control Division • §60.112b(a)(1)(iv) Each opening in the internal floating roof except for leg sleeves, automatic bleeder vents, rim space vents, column wells, ladder wells, sample wells, and stub drains is to be equipped with a cover or lid which is to be maintained in a closed position at all times (i.e., no visible gap) except when the device is in actual use. The cover or lid shall be equipped with a gasket. Covers on each access hatch and automatic gauge float well shall be bolted except when they are in use. • §60.112b(a)(1)(v) Automatic bleeder vents shall be equipped with a gasket and are to be closed at all times when the roof is floating except when the roof is being floated off or is being landed on the roof leg supports. • §60.112b(a)(1)(vi) Rim space vents shall be equipped with a gasket and are to be set to open only when the internal floating roof is not floating or at the manufacturer's recommended setting. • §60.112b(a)(1)(vii) Each penetration of the internal floating roof for the purpose of sampling shall be a sample well. The sample well shall have a slit fabric cover that covers at least 90 percent of the opening. • §60.112b(a)(1)(viii) Each penetration of the internal floating roof that allows for passage of a column supporting the fixed roof shall have a flexible fabric sleeve seal or a gasketed sliding cover. • §60.112b(a)(1)(ix) Each penetration of the internal floating roof that allows for passage of a ladder shall have a gasketed sliding cover. • §60.113b—Testing and procedures • The owner or operator of each storage vessel as specified in §60.112b(a)shall keep records and furnish reports as required by paragraphs(a), (b), or(c)of this section depending upon the control equipment installed to meet the requirements of§60.112b. The owner or operator shall keep copies of all reports and records required by this section, except for the record required by(c)(1),for at least 2 years. The record required by (c)(1) will be kept for the life of the control equipment. • §60.113b(a)(1) Visually inspect the internal floating roof, the primary seal, and the secondary seal (if one is in service), prior to filling the storage vessel with VOL. If there are holes, tears, or other openings in the primary seal, the secondary seal, or the seal fabric or defects in the internal floating roof, or both, the owner or operator shall repair the items before filling the storage vessel. • §60.113b(a)(2) and (3) If the roof is equipped with a liquid mounted or mechanical shoe primary seal or a double seal system then the testing will follow the procedures outlined in §60.113b(a)(2) or(3), respectively. • §60.113b(a)(4) Visually inspect the internal floating roof, the primary seal, the secondary seal (if one is in service), gaskets, slotted membranes and sleeve seals (if any) each time the storage vessel is emptied and degassed. If the internal floating roof has defects, the primary seal has holes, tears, or other openings in the seal or the seal fabric, or the secondary seal has holes, tears, AIRS ID: 12319D38 Page 5 of 15 Colorado Department of Public Health and Environment Air Pollution Control Division or other openings in the seal or the seal fabric, or the gaskets no longer close off the liquid surfaces from the atmosphere, or the slotted membrane has more than 10 percent open area, the owner or operator shall repair the items as necessary so that none of the conditions specified in this paragraph exist before refilling the storage vessel with VOL. In no event shall inspections conducted in accordance with this provision occur at intervals greater than 10 years in the case of vessels conducting the annual visual inspection as specified in paragraphs (a)(2) and (a)(3)(ii) of this section and at intervals no greater than 5 years in the case of vessels specified in paragraph (a)(3)(i) of this section. • §60.113b(a)(5) Notify the Administrator in writing at least 30 days prior to the filling or refilling of each storage vessel for which an inspection is required by paragraphs (a)(1) and (a)(4) of this section to afford the Administrator the opportunity to have an observer present. If the inspection required by paragraph (a)(4) of this section is not planned and the owner or operator could not have known about the inspection 30 days in advance or refilling the tank, the owner or operator shall notify the Administrator at least 7 days prior to the refilling of the storage vessel. Notification shall be made by telephone immediately followed by written documentation demonstrating why the inspection was unplanned. Alternatively, this notification including the written documentation may be made in writing and sent by express mail so that it is received by the Administrator at least 7 days prior to the refilling. • §60.115b—Reporting and recordkeeping requirements • §60.115b(a)After installing control equipment in accordance with§60.112b(a)(1) (fixed roof and internal floating roof), the owner or operator shall meet the following requirements. • §60.115b(a) (1) Furnish the Administrator with a report that describes the control equipment and certifies that the control equipment meets the specifications of§60.112b(a)(1) and §60.113b(a)(1). This report shall be an attachment to the notification required by§60,7(a)(3). • §60.115b(a) (2) Keep a record of each inspection performed as required by §60.113b (a)(1), (a)(2), (a)(3), and (a)(4). Each record shall identify the storage vessel on which the inspection was performed and shall contain the date the vessel was inspected and the observed condition of each component of the control equipment (seals, internal floating roof, and fittings). • §60.115b(a) (3) If any of the conditions described in §60.113b(a)(2) are detected during the annual visual inspection required by§60.113b(a)(2), a report shall be furnished to the Administrator within 30 days of the inspection. Each report shall identify the storage vessel, the nature of the defects, and the date the storage vessel was emptied or the nature of and date the repair was made. • §60.115b(a) (4) After each inspection required by§60.113b(a)(3)that finds holes or tears in the seal or seal fabric, or defects in the internal floating roof, or other control equipment defects listed in §60.113b(a)(3)(ii), a report shall be furnished to the Administrator within 30 days of the inspection. The report AIRS ID: 123/9D38 Page 6 of 15 Colorado Department of Public Health and Environment Air Pollution Control Division shall identify the storage vessel and the reason it did not meet the specifications of§61.112b(a)(1) or §60.113b(a)(3) and list each repair made. • §60.116b- Monitoring of operations • §60.116b(a) The owner or operator shall keep copies of all records required by this section,except for the record required by paragraph(b)of this section,for at least 2 years.The record required by paragraph(b)of this section will be kept for the life of the source. • §60.116b(b) The owner or operator of each storage vessel as specified in §60.110b(a)shall keep readily accessible records showing the dimension of the storage vessel and an analysis showing the capacity of the storage vessel. • §60.116b (c) Except as provided in paragraphs (f) and (g) of this section, the owner or operator of each storage vessel either with a design capacity greater than or equal to 151 m3 storing a liquid with a maximum true vapor pressure greater than or equal to 3.5 kPa or with a design capacity greater than or equal to 75 m3 but less than 151 m3 storing a liquid with a maximum true vapor pressure greater than or equal to 15.0 kPa shall maintain a record of the VOL stored, the period of storage, and the maximum true vapor pressure of that VOL during the respective storage period. • §60.116b (d) Except as provided in paragraph (g) of this section, the owner or operator of each storage vessel either with a design capacity greater than or equal to 151 m3 storing a liquid with a maximum true vapor pressure that is normally less than 5.2 kPa or with a design capacity greater than or equal to 75 m3 but less than 151 m3 storing a liquid with a maximum true vapor pressure that is normally less than 27.6 kPa shall notify the Administrator within 30 days when the maximum true vapor pressure of the liquid exceeds the respective maximum true vapor vapor pressure values for each volume range. • §60.116b(e) Available data on the storage temperature may be used to determine the maximum true vapor pressure as determined below. • §60.116b(e) (2) For crude oil or refined petroleum products the vapor pressure may be obtained by the following: • §60.116b(e) (2) (i)Available data on the Reid vapor pressure and the maximum expected storage temperature based on the highest expected calendar-month average temperature of the stored product may be used to determine the maximum true vapor pressure from nomographs contained in API Bulletin 2517 (incorporated by reference—see §60.17), unless the Administrator specifically requests that the liquid be sampled, the actual storage temperature determined, and the Reid vapor pressure determined from the sample(s). ■ §60.116b(e) (2) (ii) The true vapor pressure of each type of crude oil with a Reid vapor pressure less than 13.8 kPa or with physical properties that preclude determination by the recommended method is to be determined from available data and recorded if the estimated maximum true vapor pressure is greater than 3.5 kPa. AIRS ID: 123/9D38 Page 7 of 15 Colorado Department of Public Health and Environment Air Pollution Control Division In addition, the following requirements of Regulation No. 6, Part A, Subpart A, General Provisions, apply. a. At all times, including periods of start-up,shutdown,and malfunction,the facility and control equipment shall, to the extent practicable, be maintained and operated in a manner consistent with good air pollution control practices for minimizing emissions. Determination of whether or not acceptable operating and maintenance procedures are being used will be based on information available to the Division, which may include, but is not limited to, monitoring results, opacity observations, review of operating and maintenance procedures, and inspection of the source. (Reference: Regulation No. 6, Part A. General Provisions from 40 CFR 60.11 b. No article, machine, equipment or process shall be used to conceal an emission which would otherwise constitute a violation of an applicable standard. Such concealment includes, but is not limited to, the use of gaseous diluents to achieve compliance with an opacity standard or with a standard which is based on the concentration of a pollutant in the gases discharged to the atmosphere. (§ 60.12) c. Written notification of construction and initial startup dates shall be submitted to the Division as required under § 60.7. d. Records of startups, shutdowns, and malfunctions shall be maintained, as required under§ 60.7. e. Written notification of opacity observation or monitor demonstrations shall be submitted to the Division as required under § 60.7. f. Excess Emission and Monitoring System Performance Reports shall be submitted as required under§ 60.7. g. Performance tests shall be conducted as required under§ 60.8. h. Compliance with opacity standards shall be demonstrated according to § 60.11. 15. Point 003: This source is subject to Regulation No. 7, Section XII.C General Provisions (State only enforceable). All condensate collection, storage, processing and handling operations, regardless of size, shall be designed, operated and maintained so as to minimize leakage of volatile organic compounds to the atmosphere to the maximum extent practicable. The operator shall comply with all applicable requirements of Section Xi I. 16. Point 003: Minor sources in designated nonattainment or attainment/maintenance areas that are otherwise not exempt pursuant to Section II.D. of Regulation No. 3, Part B, shall apply Reasonably Available Control Technology(RACT)for the pollutants for which the area is nonattainment or attainment/maintenance(Reference: Regulation No.3, Part B, III.D.2.a). This requirement to apply RACT shall be satisfied by installing/implementing the following emission controls: a. Directed Inspection&Maintenance as described below shall satisfy the requirement to apply RACT. i. Auditory/visual/olfactory inspection (AVO) will be performed on a quarterly basis. ii. For each leak found in the AVO inspection, a gas detector may be used to determine the size of the leak. The gas detector shall be regularly calibrated. Component leaks greater than 10,000 ppm shall be managed in accordance with item (vi) below, unless it is unfeasible to make the AIRS ID: 12319D38 Page 8 of 15 Colorado Department of Public Health and Environment Air Pollution Control Division repair without shutting down the affected operation of the facility. Component leaks less than 10,000 ppm shall not require repair. For such component leaks that require a shutdown to be repaired, repair shall occur during the first shutdown of the affected operation after the leak is discovered. iii. For repair,valves adjacent to the equipment to be repaired will be closed if practicable, minimizing the volume released. iv. Repaired components shall be re-screened using AVO to determine if the leak is repaired. v. The following records shall be maintained for a period of two years: • The name of the site screened via AVO inspection and the name of the inspector. • Components evaluated with the gas detector. • Repair methods applied. • Dates of the AVO inspections, gas detector calibrations, attempted repairs, successful repairs, repair delays, and post- repair screenings. vi. Leaks shall be repaired as soon as practicable, but no later than 15 calendar days after detection, unless it is technically or operationally infeasible to make the repair within 15 calendar days. Records documenting the rationale shall be maintained if it is technically or operationally infeasible to make the repair within 15 calendar days. OPERATING & MAINTENANCE REQUIREMENTS 17. This source is not required to follow a Division-approved operating and maintenance plan. COMPLIANCE TESTING AND SAMPLING Initial Testing Requirements 18. Point 003: Within one hundred and eighty days (180) after commencement of operation, the operator shall complete a hard count of components at the source and establish the number of components that are operated in "heavy liquid service", "light liquid service", "water/oil service"and"gas service". The operator shall submit the results to the Division as part of the self-certification process to ensure compliance with emissions limits. ADDITIONAL REQUIREMENTS 19. A revised Air Pollutant Emission Notice(APEN)shall be filed: (Reference: Regulation No.3, Part A, II.C) a. Annually by April 30th whenever a significant increase in emissions occurs as follows: For any criteria pollutant: For sources emitting less than 100 tons per year,a change in actual emissions of five (5)tons per year or more, above the level reported on the last APEN; or AIRS ID: 123/9D38 Page 9 of 15 Colorado Department of Public Health and Environment Air Pollution Control Division For volatile organic compounds(VOC)and nitrogen oxides sources(NOX) in ozone nonattainment areas emitting less than 100 tons of VOC or NO, per year, a change in annual actual emissions of one (1) ton per year or more or five percent, whichever is greater, above the level reported on the last APEN; or For sources emitting 100 tons per year or more, a change in actual emissions of five percent or 50 tons per year or more,whichever is less,above the level reported on the last APEN submitted; or For any non-criteria reportable pollutant: If the emissions increase by 50% or five(5)tons per year,whichever is less, above the level reported on the last APEN submitted to the Division. b. Whenever there is a change in the owner or operator of any facility, process, or activity; or c. Whenever new control equipment is installed,or whenever a different type of control equipment replaces an existing type of control equipment; or d. Whenever a permit limitation must be modified; or e. No later than 30 days before the existing APEN expires. GENERAL TERMS AND CONDITIONS 20. This permit and any attachments must be retained and made available for inspection upon request. The permit may be reissued to a new owner by the APCD as provided in AQCC Regulation No. 3, Part B, Section II.B upon a request for transfer of ownership and the submittal of a revised APEN and the required fee. 21. If this permit specifically states that final authorization has been granted,then the remainder of this condition is not applicable. Otherwise, the issuance of this construction permit does not provide"final"authority for this activity or operation of this source. Final authorization of the permit must be secured from the APCD in writing in accordance with the provisions of 25-7-114.5(12)(a) C.R.S. and AQCC Regulation No. 3, Part B, Section III.G. Final authorization cannot be granted until the operation or activity commences and has been verified by the APCD as conforming in all respects with the conditions of the permit. Once self-certification of all points has been reviewed and approved by the Division, it will provide written documentation of such final authorization. Details for obtaining final authorization to operate are located in the Requirements to Self-Certify for Final Authorization section of this permit. 22. This permit is issued in reliance upon the accuracy and completeness of information supplied by the owner or operator and is conditioned upon conduct of the activity, or construction, installation and operation of the source,in accordance with this information and with representations made by the owner or operator or owner or operator's agents. It is valid only for the equipment and operations or activity specifically identified on the permit. 23. Unless specifically stated otherwise, the general and specific conditions contained in this permit have been determined by the APCD to be necessary to assure compliance with the provisions of Section 25-7-114.5(7)(a), C.R.S. 24. Each and every condition of this permit is a material part hereof and is not severable. Any challenge to or appeal of a condition hereof shall constitute a rejection of the entire permit and upon such occurrence,this permit shall be deemed denied ab initio. This permit may be revoked at any time prior to self-certification and final authorization by the Air Pollution AIRS ID: 123/9D38 Page 10 of 15 Colorado Department of Public Health and Environment Air Pollution Control Division Control Division (APCD) on grounds set forth in the Colorado Air Quality Control Act and regulations of the Air Quality Control Commission (AQCC), including failure to meet any express term or condition of the permit. If the Division denies a permit, conditions imposed upon a permit are contested by the owner or operator, or the Division revokes a permit,the owner or operator of a source may request a hearing before the AQCC for review of the Division's action. 25. Section 25-7-114.7(2)(a), C.R.S. requires that all sources required to file an Air Pollution Emission Notice (APEN) must pay an annual fee to cover the costs of inspections and administration. If a source or activity is to be discontinued, the owner must notify the Division in writing requesting a cancellation of the permit. Upon notification, annual fee billing will terminate. 26. Violation of the terms of a permit or of the provisions of the Colorado Air Pollution Prevention and Control Act or the regulations of the AQCC may result in administrative, civil or criminal enforcement actions under Sections 25-7-115 (enforcement), -121 (injunctions), -122 (civil penalties), -122.1 (criminal penalties), C.R.S. By: 1 11,(,L `OI,R.IDU- Stephanie Chaousy, PE Permit Engineer Permit History Issuance Date Description Issuance 1 This Issuance Issued to Tallgrass Terminals, LLC. Newly permitted condensate tanks and associated fugitive emissions at a true minor facility. AIRS ID: 123/9D38 Page 11 of 15 Colorado Department of Public Health and Environment Air Pollution Control Division Notes to Permit Holder at the time of this permit issuance: 1) The permit holder is required to pay fees for the processing time for this permit.An invoice for these fees will be issued after the permit is issued.The permit holder shall pay the invoice within 30 days of receipt of the invoice. Failure to pay the invoice will result in revocation of this permit(Reference: Regulation No.3, Part A, Section VI.B.) 2) The production or raw material processing limits and emission limits contained in this permit are based on the consumption rates requested in the permit application. These limits may be revised upon request of the owner or operator providing there is no exceedance of any specific emission control regulation or any ambient air quality standard. A revised air pollution emission notice (APEN) and complete application form must be submitted with a request for a permit revision. 3) This source is subject to the Common Provisions Regulation Part II, Subpart E, Affirmative Defense Provision for Excess Emissions During Malfunctions.The owner or operator shall notify the Division of any malfunction condition which causes a violation of any emission limit or limits stated in this permit as soon as possible, but no later than noon of the next working day, followed by written notice to the Division addressing all of the criteria set forth in Part II.E.1 of the Common Provisions Regulation. See: ht colorado.gov/pacific/cdphe/aqcc-rect 4) The following emissions of non-criteria reportable air pollutants are estimated based upon the process limits as indicated in this permit. This information is listed to inform the operator of the Division's analysis of the specific compounds emitted if the source(s) operate at the permitted limitations. Uncontrolled Emission Are the Controlled AIRS Rate emissions Emission Point Pollutant CAS# (lb/yr) reportable? Rate (Ib/yr) Benzene 71432 148 No 148 Toluene 108883 299 Yes 299 001 Ethylbenzene 100414 36 No 36 Xylenes 1330207 274 Yes 274 n-Hexane 110543 1050 Yes 1050 Benzene 71432 260 Yes 260 Toluene 108883 371 Yes 371 002 Ethylbenzene 100414 107 No 107 Xylenes 1330207 57 No 57 n-Hexane 110543 2294 Yes 2294 Benzene 71432 65 No 65 Toluene 108883 109 No 109 003 Ethylbenzene 100414 27 No 27 Xylenes 1330207 19 No 19 n-Hexane 110543 568 Yes 568 AIRS ID: 123/9D38 Page 12 of 15 Colorado Department of Public Health and Environment Air Pollution Control Division 5) The emission levels contained in this permit are based on the following emission factors: Point 001: Emission Factors Uncontrolled CAS# Pollutant lb/1000 gal Source Condensate Throughput VOC 0.02095 EPA Tanks and AP-42 71432 Benzene 0.00018 EPA Tanks 108883 Toluene _ 0.00036 EPA Tanks 100414 Ethylbenzene 0.00004 EPA Tanks 1330207 Xylenes 0.0003262 EPA Tanks 110543 n-Hexane 0.00125 EPA Tanks Point 002: Emission Factors Uncontrolled CAS# Pollutant lb/1000 gal Source Condensate Throughput VOC 0.01550 EPA Tanks and AP-42 71432 Benzene 0.00008 EPA Tanks 108883 Toluene 0.00012 EPA Tanks 100414 Ethylbenzene 0.000034 EPA Tanks 1330207 Xylenes 0.00002 EPA Tanks 110543 n-Hexane 0.00073 EPA Tanks Point 003: Component Gas Service Heavy Oil Light Oil ervi S Water/Oil Service Connectors 0 0 370 0 Flanges 0 0 150 0 Open-ended Lines 0 0 12 0 Pump Seals 0 0 8 0 Valves 0 0 60 0 Other* 0 0 35 0 VOC Content(wt. 1 1 1 1 fraction) Benzene Content(wt. 0 0 0.0054 0 fraction) Toluene Content(wt. 0 0 0.009 0 fraction) Ethylbenzene(wt. 0 0 0.0022 0 fraction) Xylenes Content(wt. 0 0 0.0016 0 fraction) n-hexane Content(wt. 0 0 0.0469 0 fraction) AIRS ID: 123/9D38 Page 13 of 15 Colorado Department of Public Health and Environment Air Pollution Control Division *Other equipment type includes compressors, pressure relief valves, relief valves, diaphragms, drains, dump arms, hatches, instrument meters, polish rods and vents TOC Emission Factors (kg/hr-component): Component Gas Service Heavy Oil Light Oil Water/Service ervice l Connectors 2.0E-04 7.5E-06 2.1E-04 1.1E-04 Flanges 3.9E-04 3.9E-07 1.1E-04 2.9E-06 Open-ended Lines 2.0E-03 1.4E-04 1.4E-03 2.5E-04 Pump Seals 2.4E-03 NA 1.3E-02 2.4E-05 Valves 4.5E-03 8.4E-06 2.5E-03 9.8E-05 Other 8.8E-03 3.2E-05 7.5E-03 1.4E-02 6) In accordance with C.R.S. 25-7-114.1, each Air Pollutant Emission Notice (APEN) associated with this permit is valid for a term of five years from the date it was received by the Division.A revised APEN shall be submitted no later than 30 days before the five-year term expires. Please refer to the most recent annual fee invoice to determine the APEN expiration date for each emissions point associated with this permit. For any questions regarding a specific expiration date call the Division at (303)-692-3150. 7) This facility is classified as follows: Applicable Status Requirement Operating Permit Minor Source NANSR Minor Source MACT HH Area Source Requirements: Not Applicable NSPS OOOO Not Applicable 8) Full text of the Title 40, Protection of Environment Electronic Code of Federal Regulations can be found at the website listed below: lath: ecfr.ipoaccess.uo\ Part 60: Standards of Performance for New Stationary Sources NSPS 60.1-End Subpart A—Subpart KKKK NSPS Part 60, Appendixes Appendix A—Appendix I Part 63: National Emission Standards for Hazardous Air Pollutants for Source Categories MACT 63.1-63.599 Subpart A—Subpart Z MACT 63.600-63.1199 Subpart M—Subpart DDD MACT 63.1200-63.1439 Subpart EEE—Subpart PPP MACT 63.1440-63.6175 Subpart QQQ--Subpart YYYY AIRS ID: 123/9D38 Page 14 of 15 Colorado Department of Public Health and Environment Air Pollution Control Division MACT 63.6580-63.8830 Subpart ZZZZ-Subpart MMMMM MACT 63.8980-End Subpart NNNNN—Subpart XXXXXX 9) A self certification form and guidance on how to self-certify compliance as required by this permit may be obtained online at: http:l/www colorado.gov/pacific/cdphe/air-permit-self-certification AIRS !D: 123/9D38 Page 15 of 15 Hello