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HomeMy WebLinkAbout20160366.tiff Application Review Notification Card Application Review Notification Card A public hearing will be held before the Weld County Planning A public hearing will be held before the Weld County Planning 1Ar Commission (PC) and a subsequent hearing will be held with �_„_8G , �".►- Commission (PC) and a subsequent hearing will be held with m the Board of County Commissioners (BOCC). Both hearings r C. the Board of County Commissioners (BOCC). Both hearings `,..� — S. will be held in the Hearing Room, Weld County Administration �� �, will be held in the Hearing Room, Weld County Administration II 1 J Building, 1150 O Street, Greeley, Colorado. Please note the T Y J� Building, 1150 O Street, Greeley, Colorado. Please note the z-G 0 ; % hearing dates and times listed on the other side of this card for L-G O N hearing dates and times listed on the other side of this card for I the proposed project. the proposed project. If you would like more information regarding this proposal and the conditions that must If you would like more information regarding this proposal and the conditions that must be met, the file is public information and is available for review at our office. You may be met. the file is public information and is available for review at our office. You may also view the file online at https://accela-aca.co.weld.co.us/citizenaccess) by inserting also view the file online at https://accela-aca.co.weld.co.us/citizenaccess/ by inserting the case number. Comments or objections related to the request should be submitted the case number. Comments or objections related to the request should be submitted in writing to the Weld County Department of Planning Services, 1555 N 17th Ave, in writing to the Weld County Department of Planning Services, 1555 N 17th Ave, Greeley CO 80631 , on or before the date of public hearing. Greeley CO 80631 , on or before the date of public hearing. For your convenience, we have posted the agenda on our web page. For your convenience, we have posted the agenda on our web page. ATTENTION: Proposed Conditions related to this Site Specific Development Plan and Use by ATTENTION: Proposed Conditions related to this Site Specific Development Plan and Use by Special Review Permit request including, but not limited to, the number of allowable employees. Special Review Permit request including, but not limited to. the number of allowable employees, hours of operation, screening, and number of allowable vehicles and vehicle trips are subject to hours of operation. screening, and number of allowable vehicles and vehicle trips are subject to change or removal at both the Planning Commission and Board of Commissioners hearings, change or removal at both the Planning Commission and Board of Commissioners hearings. Application Review Notification Card Application Review Notification Card A public hearing will be held before the Weld County Planning A public hearing will be held before the Weld County Planning ig�i , jam . ..;1 . ' so ' , ~. „_a Commission (PC) and a subsequent hearing will be held with :� Commission (PC) and a subsequent hearing will be held with 11 r t j 1\ the Board of County Commissioners (BOCC). Both hearings t' r7 the Board of County Commissioners (BOCC). Both hearings will be held in the Hearing Room, Weld County Administration �� = — '�3/4L will be held in the Hearing Room, Weld County Administration v't 4 I J Building, 1150 O Street, Greeley, Colorado. Please note the 41 �I J� Building, 1150 O Street, Greeley, Colorado. Please note the 2- 0 o L' T - ' hearing dates and times listed on the other side of this card for �- C C L ti T - hearing dates and times listed on the other side of this card for the proposed project. the proposed project. If you would like more information regarding this proposal and the conditions that must If you would like more information regarding this proposal and the conditions that must be met, the file is public information and is available for review at our office. You may be met, the file is public information and is available for review at our office. You may also view the file online at https://accela-aca.co.weld.co.us/citizenaccess/ by inserting also view the file online at https://accela-aca.co.weld.co.us/citizenaccess/ by inserting the case number. Comments or objections related to the request should be submitted the case number. Comments or objections related to the request should be submitted in writing to the Weld County Department of Planning Services, 1555 N 17th Ave, in writing to the Weld County Department of Planning Services, 1555 N 17th Ave, Greeley CO 80631 , on or before the date of public hearing. Greeley CO 80631 , on or before the date of public hearing. For your convenience, we have posted the agenda on our web page. For your convenience, we have posted the agenda on our web page. ATTENTION: Proposed Conditions related to this Site Specific Development Plan and Use by ATTENTION: Proposed Conditions related to this Site Specific Development Plan and Use by Special Review Permit request including, but not limited to, the number of allowable employees. Special Review Permit request including. but not limited to. the number of allowable employees. hours of operation. screening, and number of allowable vehicles and vehicle trips are subject to hours of operation. screening. and number of allowable vehicles and vehicle trips are subject to change or removal at both the Planning Commission and Board of Commissioners hearings. change or removal at both the Planning Commission and Board of Commissioners hearings. Case #: USR15-0067 Case #: USR15-0067 Name: D & C Farms LLLP, c/o NGL Water Name: D & C Farms LLLP, c/o NGL Water Solutions DJ, LLC Solutions DJ, LLC Proposed Project: USR for Oil and Gas Proposed Project: USR for Oil and Gas Support and Service Facility (Class II Oilfield Support and Service Facility (Class II Oilfield Waste Disposal Facility—saltwater injection Waste Disposal Facility—saltwater injection facility) in the Agricultural Zone District. facility) in the Agricultural Zone District. Location: West of and adjacent to CR 19; OM, , � Weld County Planning Services Location: West of and adjacent to CR 19; � � Weld County Planning Services approximately 1 ,200 feet south of CR 6. �" r r 1555 N 17th Ave approximately 1 ,200 feet south of CR 6. J 6" r 1555 N 17th Ave Greeley CO 80631 I 1. Greeley CO 80631 Planner: Kim Ogle (970)353-6100 ext. 3540 Planner: Kim Ogle (970)353-6100 ext. 3540 PC Hearing Date: Jan. 5, 2016 at 12:30 pm PC Hearing Date: Jan. 5, 2016 at 12:30 pm BOCC Hearing Date: Jan. 27, 2016 at 10 am BOCC Hearing Date: Jan. 27, 2016 at 10 am 4 - till — . _ . 1111 Thln - _.f_ 1i , / `, lT tit — J��_ _ _�,...,...�_ I h ' eta !- -_ giSr \•..a- 0 -, 0 I ', _ .S I 1 ---- ---* 1 C a C n '4 .. A41.'1 Iank\C n -r1 ..- 9"4 11lt 41— Cr-C—TE ... ick Case #: USR15-0067 Case #: USR15-0067 Name: D & C Farms LLLP, c/o NGL Water Name: D & C Farms LLLP, c/o NGL Water Solutions DJ, LLC Solutions DJ, LLC Proposed Project: USR for Oil and Gas Proposed Project: USR for Oil and Gas Support and Service Facility (Class II Oilfield Support and Service Facility (Class II Oilfield Waste Disposal Facility—saltwater injection Waste Disposal Facility—saltwater injection facility) in the Agricultural Zone District. facility) in the Agricultural Zone District. Location: West of and adjacent to CR 19; IMP I � � :P;Weld County Planning Services Location: West of and adjacent to CR 19; Weld County Planning Services approximately 1 ,200 feet south of CR 6. �" r , 1555 N 17th Ave approximately 1 ,200 feet south of CR 6. � r ; 1555 N 17th Ave Greeley CO 80631 Greeley CO 80631 Planner: Kim Ogle Planner: Kim Ogle PC Hearing Date: Jan. 5, 2016 at 12:30 pm (970)353-6100 ext. 3540 PC Hearing Date: Jan. 5, 2016 at 12:30 pm (970)353-6100 ext. 3540 BOCC Hearing Date: Jan. 27, 2016 at 10 am BOCC Hearing Date: Jan. 27, 2016 at 10 am I� (^ _Li c s N...I I' II I, , I t i. 6 C ) C C6 nt �f NI I in I-1 _, L fl i , fl—� — - 4 _ � I f -1-- � J.FL, ELI------ -,,,ki a —T— 1 SURROUNDINGFROPERTYLDWNERS USR151J067 NAME ADDRESSLI ADDRESS22 CITY/LSI-ATE ZIP LORI/IAYIT 7057LM\BERDEENLLURV WOODBURYiv1N 55125 JOHN[1EELING 2044 RA.7 BRIGHTONITO 80603 DENNISIFOGGENSEE 2034]R117 BRIGHTONLICO 80603 BTZLANDILC 9709LALKIRE5T ARVADALLO 80005 KIRKLIDENNIS 1880.CR[19 FTIUPTONLCO 80621 PUBLIC. ERVICEIO_DF.ICOLO C/OLTAX DEPARTMENT POLBOXL1979 DENVERICO 80201 JAEC}IOLDINGSELLC POt OXE75 ERIEIO 80516 ENCANAtHL&I ASEXUSA)f NC C/01/1ERITAPPRAISALIffAX3r0 POL13OXL 30 GAINESVILLELTX 76241 TYPLERLSTILSON 16254EYDENLST BRIGHTONLLO 80602 ERNI ITDLFARTNERSHIP C/OIRNESTIARLENGO 2550LIL LORALFL DENVER[31.0 80210 DARRELLIIOHNSTON 2492.ICRI11 ERIECO 80516 MICHAEL HARE 8451CRC19 BRIGHTONL[O 80603 KIM]\JAMANNY 8448ItRL4 BRIGHTON. .O 80603 JENNIFERLIARGEN 848CRL47 BRIGHTONIO 80603 CERTIFICATECFAMAILING L ereby ertify hatillhaveLplacedLiirueC nd orrectiopybfC he urroundingVropertOwners7nbccordance3Yvith[ hehotification requirementsbflNeld .ountylniaseQUumber .JSR15X062 T nAheElJnited3tatesWail,VostageprepaidkirstilassNailL yletter[bs addressedln[thettached.fist[thisgth. layfecember, 2015. DatediiheNth[ IaOfIlDecember, 2015 Digitally signed by Kristine Ranslem 461,661; / ivLiu . Date: 2015 . 12 .07 14:03:37 -0700' KristineERanslem Recording5ecretarylfor.PIanninglCommission Application Review Notification Card Application Review Notification Card ,±., This is to notify you that the project listed on the x. This is to notify you that the project listed on the other side of this card is within five-hundred l`ijj �. ! 11 other side of this card is within five-hundred .......--1---- I ►r - (500) feet of your property. You will be notified I,� (500) feet of your property. You will be notified c o 1 T Y of any future meetings regarding the proposed -° 1 Y' ` of any future meetings regarding the proposed project on this property. project on this property. If you would like more information regarding this proposal and the If you would like more information regarding this proposal and the conditions that must be met, the file is public information and is conditions that must be met, the file is public information and is available for review at our office . You may also view the file online available for review at our office. You may also view the file online at https://accela-aca . co .weld . co . us/citizenaccess/ by inserting the at https://accela-aca . co .weld . co. us/citizenaccess/ by inserting the case number. Comments or objections related to the request should case number. Comments or objections related to the request should be submitted in writing to the Weld County Department of Planning be submitted in writing to the Weld County Department of Planning Services, 1555 N 17th Ave, Greeley, CO 80631 Services, 1555 N 17th Ave , Greeley, CO 80631 Application Review Notification Card Application Review Notification Card ,,. This is to notify you that the project listed on the � Noi This is to notify you that the project listed on the II T ) other side of this card is within five-hundred ji` ji _. other side of this card is within five-hundred �N (500) feet of your property. You will be notified ~-'��(( 1 (500) feet of your property. You will be notified �1 c o ,� N T Y� of any future meetings regarding the proposed �� v ° of any future meetings regarding the proposed g g g p p g g g P p project on this property. project on this property. If you would like more information regarding this proposal and the If you would like more information regarding this proposal and the conditions that must be met, the file is public information and is conditions that must be met, the file is public information and is available for review at our office . You may also view the file online available for review at our office. You may also view the file online at httos://accela-aca . co .weld . co. us/citizenaccessi by inserting the at https://accela-aca . co .weld . co . us/citizenaccess/ by inserting the case number. Comments or objections related to the request should case number. Comments or objections related to the request should be submitted in writing to the Weld County Department of Planning be submitted in writing to the Weld County Department of Planning Services, 1555 N 17th Ave, Greeley, CO 80631 Services, 1555 N 17th Ave , Greeley, CO 80631 Case #: USR15-0067 Case #: USR15-0067 Name: D & C Farms LLLP, c/o NGL Water Name: D & C Farms LLLP, c/o NGL Water Solutions DJ, LLC Solutions DJ , LLC Proposed Project: USR for Oil and Gas Proposed Project: USR for Oil and Gas Support and Service Facility (Class II Oilfield Support and Service Facility (Class II Oilfield Waste Disposal Facility—Saltwater Injection Waste Disposal Facility—Saltwater Injection Facility) in the Agricultural Zone District. Facility) in the Agricultural Zone District. Location: West of and adjacent to CR 19; Location: West of and adjacent to CR 19; Weld County Planning Services " Weld County Planning Services approximately 1200 feet south of CR 6. _-U 1555 N 17th Ave approximately 1200 feet south of CR 6. r i 1555 N 17th Ave Planner: Kim Ogle d Greeley CO 80631 Planner: Kim Ogle . _i • Greeley CO 80631 (970)353-6100 ext. 3540 (970)353-6100 ext. 3540 4 V --Li y__„ •a F .� • • r IcL\ * . \ hre G6 C CI I" (4------- , I � i` c. --1L-a-9- cp, ri- r ._:. 1 I 1 a", - , Case #: USR15-0067 Case #: USR15-0067 Name: D & C Farms LLLP, c/o NGL Water Name: D & C Farms LLLP, do NGL Water Solutions DJ, LLC Solutions DJ, LLC Proposed Project: USR for Oil and Gas Proposed Project: USR for Oil and Gas Support and Service Facility (Class II Oilfield Support and Service Facility (Class II Oilfield Waste Disposal Facility—Saltwater Injection Waste Disposal Facility—Saltwater Injection Facility) in the Agricultural Zone District. Facility) in the Agricultural Zone District. Location: West of and adjacent to CR 19; Location: West of and adjacent to CR 19; approximately 1200 feet south of CR 6. " 1555 Weld County 17th Ave fnning Services Weld County Planning Services Napproximately 1200 feet south of CR 6. " ;,I r j- 1555 N 17th Ave Planner: Kim Ogle Greeley CO 80631 Planner: Kim Ogle Greeley CO 80631 (970)353-6100 ext. 3540 (970)353-6100 ext. 3540 i . f I Ei k I 1 I I I 7 ._t_, , _ sr- i�' 1 _ _ r____ :� =�:= _ --, _ - - ---, — \ fl r—r- , .On \ _ rn 2S r r !t 01�' (�, CC 1 Sri C 7.--"Il C.i 7 >r _ C.J l- SURROUNDINGFROPERTYLDWNERS USR151J067 NAME ADDRESSLI ADDRESS22 CITY/LSI-ATE ZIP LORI/IAYIT 7057LM\BERDEENLLURV WOODBURYiv1N 55125 JOHN[1EELING 2044 RA.7 BRIGHTONITO 80603 DENNISIFOGGENSEE 2034] R117 BRIGHTONLICO 80603 BTZLANDILC 9709LALKIRE5T ARVADALLO 80005 KIRKLIDENNIS 1880.CR[19 FTIUPTONLCO 80621 PUBLIC. ERVICEIO_DF.ICOLO C/OLTAX DEPARTMENT POLBOXL1979 DENVERICO 80201 JAEC}IOLDINGSELLC POC: OXE75 ERIEIO 80516 ENCANAtHL&I ASEXUSA)f NC C/01/1ERITAPPRAISALIffAX3r0 POL13OXL 30 GAINESVILLELTX 76241 TYPLERLSTILSON 16254ILEYDENLST BRIGHTONLLO 80602 ERNI ITDLFARTNERSHIP C/OIRNESTIARLENGO 2550LIL LORALFL DENVER[31.0 80210 DARRELLIIOHNSTON 2492.ICRI11 ERIECO 80516 MICHAEL HARE 8451CRC19 BRIGHTONL[O 80603 KIM]\JAMANNY 8448ItRL4 BRIGHTON. .O 80603 JENNIFERLIARGEN 848CRL47 BRIGHTONIO 80603 CERTIFICATECFAMAILING L ereby ertify hatillhaveLplacedLiirueC nd orrectiopybfC he urroundingVropertOwners7nbccordance3Yvith[ hehotification requirementsbflNeld .ountylniaselNumber .JSR15M062 T nAheElJnited3tatesWail,VostageprepaidkirstilassNailL yietter[bs addressedlbn[the ttached.list[1his_i28th1lay Dctober,Li2015. Datedlhe[28thliayL ftictober,[2015 PI Digitally signed by Kristine Ranslem 43\dithill ij17 ' p, Date: 2015. 10.28 15:41 :49 -06'00' Kristinellitanslem Recording5ecretarylforLPIanningFCommission WELD COUNTY COLORADO LAND RECORDS 9/10/2015 AFFIDAVIT OF INTERESTED LAND OWNERS 4:08:16 PM SURFACE ESTATE THE UNDERSIGNED, States that to the best of his or her knowledge the attached list is a true and accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners of the property(the surface estate)within 500 feet of the property being considered.This list was compiled utilizing the records of the Weld County Assessor available on the Weld County Internet Mapping site, http://www.co.weld.co.us, and has not been modified from the original.The list compiled for the records of the Weld County Assessor was assembled within thirty days of the applications submission date. n L \ Signature Is) tC Date Property Owners Within 500 ft of Parcel#146928200002 Account Parcel Owner Mailing Address R3550005 146920400011 LOR MAY T 7057 ABERDEEN CURV WOODBURY, MN 551251667 R6051986 146921000012 KEELING JOYCE L R6051986 146921000012 KEELING JOHN C 2044 COUNTY ROAD 17 BRIGHTON, CO 806038910 R6052086 146921000013 POGGENSEE LOIS E R6052086 146921000013 POGGENSEE DENNIS L 2034 COUNTY ROAD 17 BRIGHTON, CO 806038910 R6052186 146921000014 HOWARD D GARY(5/12 INT) R6052186 146921000014 HOWARD JOHN E & DIANA G (2/12 INT) R6052186 146921000014 D & C FARMS LLLP (5/12 INT) 8709 COUNTY ROAD 4 BRIGHTON, CO 806038901 R6054586 146922000023 WRIGHT HERB P (1/4 INT JT) WELD COUNTY COLORADO LAND RECORDS 9/10/2015 AFFIDAVIT OF INTERESTED LAND OWNERS 4:08:16 PM SURFACE ESTATE THE UNDERSIGNED, States that to the best of his or her knowledge the attached list is a true and accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners of the property (the surface estate) within 500 feet of the property being considered.This list was compiled utilizing the records of the Weld County Assessor available on the Weld County Internet Mapping site, http://www.co.weld.co.us, and has not been modified from the original.The list compiled for the records of the Weld County Assessor was assembled within thirty days of the applications submission date. Signature Date Property Owners Within 500 ft of Parcel#146928200002 Account Parcel I Owner Mailing Address R6054586 146922000023 WRIGHT MONTEZ R6054586 146922000023 BTZ LAND LLC (3/4 INT) 9709 ALKIRE ST ARVADA, CO 800051317 R6074386 146927000013 DENNIS TONI A R6074386 146927000013 DENNIS KIRK W 1880 COUNTY ROAD 19 FORT LUPTON, CO 806218402 R1757602 146927100017 HOWARD DONALD GARY(1/8 INT) • R1757602 146927100017 HOWARD JOHN E (1/8 INT) R1757602 146927100017 HOWARD MARLA SUE (1/8 INT) R1757602 146927100017 JOHNSON JAMES HOWARD 1/6 INT R1757602 146927100017 SPAFFORD JULIA HELEN 1/6 INT WELD COUNTY COLORADO LAND RECORDS 9/10/2015 AFFIDAVIT OF INTERESTED LAND OWNERS 4:08:16 PM SURFACE ESTATE THE UNDERSIGNED, States that to the best of his or her knowledge the attached list is a true and accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners of the property(the surface estate)within 500 feet of the property being considered.This list was compiled utilizing the records of the Weld County Assessor available on the Weld County Internet Mapping site, http://www.co.weld.co.us, and has not been modified from the original.The list compiled for the records of the Weld County Assessor was assembled within thirty days of the applications submission date. Signature Date Property Owners Within 500 ft of Parcel#146928200002 Account Parcel ' Owner Mailing Address R1757602 146927100017 ZIMMERMAN LINDA JO 1/6 INT R1757602 146927100017 HOWARD DAVID E FAMILY TRUST(1/8 INT) 8709 COUNTY ROAD 4 BRIGHTON, CO 806038901 R1757502 146927300016 PUBLIC SERVICE CO OF COLORADO TAX SERVICES DEPT PO BOX 1979 DENVER, CO 80201-1979 R0291887 146928000021 PUBLIC SERVICE CO OF COLO TAX SERVICE DEPARTMENT PO BOX 1979 DENVER, CO 802011979 R6787645 146928200001 JAEC HOLDINGS LLC PO BOX 975 ERIE, CO 805160975 R6787646 146928200002 HOWARD D GARY(5/12 INT) R6787646 146928200002 HOWARD DIANA G (1/12 INT) R6787646 146928200002 HOWARD JOHN E (1/12 INT) WELD COUNTY COLORADO LAND RECORDS 9/10/2015 AFFIDAVIT OF INTERESTED LAND OWNERS 4:08:16 PM SURFACE ESTATE THE UNDERSIGNED, States that to the best of his or her knowledge the attached list is a true and accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners of the property (the surface estate)within 500 feet of the property being considered.This list was compiled utilizing the records of the Weld County Assessor available on the Weld County Internet Mapping site, http://www.co.weld.co.us, and has not been modified from the original.The list compiled for the records of the Weld County Assessor was assembled within thirty days of the applications submission date. Signature Date Property Owners Within 500 ft of Parcel#146928200002 Account Parcel I Owner Mailing Address R6787646 146928200002 D &C FARMS LLLP (5/12 INT) 8709 COUNTY ROAD 4 BRIGHTON, CO 806038901 R6781243 146928400004 ENCANA OIL&GAS (USA) INC C/O MERIT APPRAISAL&TAX CONSULTING PO BOX 330 GAINESVILLE,TX 762410330 R1111502 146928400025 HOWARD DONALD GARY(OWNER 1/6 INT) 1A6fletRan002.8_40WARD JOkU+LF_DWARD(n WAIF-R4/6-114-T)— R1111502 146928400025 HOWARD MARLA SUE (OWNER 1/6 INT) R1111502 146928400025 D&C FARMS LLLP (1/2 INT) 8709 COUNTY ROAD 4 BRIGHTON, CO 806038901 R6077486 146929000045 HOWARD D GARY (5/12 INT) R6077486 146929000045 HOWARD JOHN E& DIANA G (2/12 INT) R6077486 146929000045 D &C FARMS LLLP (5/12 INT) 8709 COUNTY ROAD 4 WELD COUNTY COLORADO LAND RECORDS 9/10/2015 AFFIDAVIT OF INTERESTED LAND OWNERS 4:08:16 PM SURFACE ESTATE THE UNDERSIGNED, States that to the best of his or her knowledge the attached list is a true and accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners of the property(the surface estate)within 500 feet of the property being considered. This list was compiled utilizing the records of the Weld County Assessor available on the Weld County Internet Mapping site, http://www.co.weld.co.us, and has not been modified from the original.The list compiled for the records of the Weld County Assessor was assembled within thirty days of the applications submission date. Signature Date Property Owners Within 500 ft of Parcel#146928200002 Account Parcel Owner Mailing Address BRIGHTON, CO 806038901 R6077586 146929000046 STILSON SARA E R6077586 146929000046 STILSON TYLER S 16254 LEYDEN ST BRIGHTON, CO 806027971 R6783724 146929200040 ERN LTD PARTNERSHIP C/O ERNEST P ZARLENGO 2550 E FLORA PL DENVER, CO 802106826 M0144903 146929200040 JOHNSTON DARRELL 2492 COUNTY ROAD 11 ERIE, CO 805168201 R8038399 146932000015 HOWARD DONALD GARY (1/6 INT) R8038399 146932000015 HOWARD JOHN EDWARD (1/6 INT) R8038399 146932000015 HOWARD MARLA SUE (1/6 INT) R8038399 146932000015 D & C FARMS LLLP (1/2 INT) 8709 COUNTY ROAD 4 BRIGHTON, CO 806038901 R8045799 146933000006 WARE JEANNE L WELD COUNTY COLORADO LAND RECORDS 9/10/2015 AFFIDAVIT OF INTERESTED LAND OWNERS 4:08:16 PM SURFACE ESTATE THE UNDERSIGNED, States that to the best of his or her knowledge the attached list is a true and accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners of the property(the surface estate)within 500 feet of the property being considered.This list was compiled utilizing the records of the Weld County Assessor available on the Weld County Internet Mapping site, http://www.co.weld.co.us, and has not been modified from the original.The list compiled for the records of the Weld County Assessor was assembled within thirty days of the applications submission date. Signature Date Property Owners Within 500 ft of Parcel#146928200002 Account Parcel Owner Mailing Address R8045799 146933000006 WARE MICHAEL A 845 COUNTY ROAD 19 BRIGHTON, CO 806039228 R1453202 146933200022 NAMANNY PEGGY ANN R1453202 146933200022 NAMANNY KIM SCOTT 8448 COUNTY ROAD 4 BRIGf1R eN-C-0-806030904 R6784085 146933200036 BARGEN JENNIFER M 848 COUNTY ROAD 17 BRIGHTON, CO 806038908 CERTIFICATION RE: NOTIFICATION OF MINERAL INTEREST OWNERS AND LESSEES The undersigned Applicant certifies compliance with the provisions of C.R.S. § 24-65.5- 103(1), and in support thereof, states and certifies as follows: 1. That Applicant has provided notice, (a copy of which is attached hereto as Exhibit "A"), containing the time and place of the initial public hearing on its application for Case Number;lc h • 00 , the nature of the initial public hearing, the legal description by section, township and range of the property which is the subject of the initial public hearing, and the name of the applicant; 2. That said notice was provided thirty (30) days prior to the scheduled public hearing, that it was provided by certified mail, return receipt requested, or by a nationally recognized overnight courier; 3. That said Exhibit A includes the list of the names and addresses of the surface owners, mineral estate owners and lessees of mineral interests to whom the notice was sent, including those persons who have requested receipt of such notices, pursuant to C.R.S. § 24-65.5-103(3). APPLICANT: JENNA DiGENNARO t l y STgTE � BUC in 5 LLL, MY NoTARy COMMIS ONEXPIREgF4 JARY19,1018 � L INAVCY ce11,r1 10103 ) LL.C STATE OF l (,!Etj≤IlC COUNTY OF I Uj , 17 Subscribed__ and sworn to before me this 1 j day of )C C� i�� 9('1 , 2015, by )thl'1C _PICif V'1Vi(,- 1' C1 . otary Public Note: This Certification must be received by the Weld County Department of Planning Services prior to or at the initial public hearing. If the Certification is not received by that time, the hearing will be rescheduled to a later date, and Applicant must re-notify all owners of mineral interests. AFFIDAVIT OF INTEREST OWNERS SURFACE ESTATE i PT N2/SW4 LOT B REC EXEMPT RECX13-0046 Property Legal Description: Section 28/Township 1 N/Range 67 West Parcel Number / y G q - a_, - 2- 00 - 00 �. (12 digit number-found on Tax LD. information, obtainable at the Weld County Assessor's Office,or www,co.weld.00.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. Signature Date Signature Date Signature Date -5- Hello