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Home My WebLink About20151787.tiff RESOLUTION RE: APPROVAL OF SUBDIVISION EXEMPTION, SUBX15-0007 - LARSON FARMS, LLC WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board of County Commissioners, pursuant to its authority under Section 30-28-101(10)(d), C.R.S., and Section 24-1-20 of the Weld County Code, did determine at a public meeting held in the Chambers of the Board, that certain parcels of land to be divided, as shown on the plat known as Subdivision Exemption, SUBX15-0007, does not come within the purview of the definition of the terms, "subdivision" and "subdivided land," and WHEREAS, the request for Subdivision Exemption, SUBX15-0007 was submitted by Larson Farms, LLC, do Bruce Johnson, 29995 County Road 68, Gill, Colorado 80624, for property which is located in part, being more particularly described as follows: Part of the SE1/4 of Section 13, Township 6 North, Range 64 West of the 6th P.M., Weld County, Colorado NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the above described parcels of land be, and hereby are, declared to be exempt from the definitions of "subdivision" and "subdivided land" as set forth in Section 30-28-101(10), C.R.S., and Section 24-1-40 of the Weld County Code. BE IT FURTHER RESOLVED by the Board that approval of Subdivision Exemption, SUBX15-0007, submitted by Larson Farms, LLC, be, and hereby is, conditional upon the following: 1. Topographic or physical features of the proposed Subdivision Exemption, such as ravines, ditches, streams, etc., may limit the area available for a new or replacement septic system. Prior to recording the plat, the Weld County Department of Public Health and Environment recommends that the applicant review the Weld County Code pertaining to septic systems to assure that any installed septic system will comply with all setback requirements found in the Code. In the event the proposed lot is not of sufficient size to allow the installation of a septic system the lot may need to be enlarged. 2. Prior to recording the plat: A. The applicant shall submit documentation from the North Weld County Water District indicating that water service is currently provided to the parcel by a separate tap. Cei:brutid J 41:?LC,4) gh 2015-1787 SUBX15-0007 SUBX15-0007 - LARSON FARMS, LLC PAGE 2 C. The applicant shall provide the Weld County Department of Planning Services with a Statement of Taxes from the Weld County Treasurer showing no delinquent taxes exist for the original parcel. D. Items to be included on the plat: 1) The plat shall be titled: Subdivision Exemption No. 0801-13-4 S U BX 15-0007. 2) All approved accesses shall be clearly shown on the plat and labeled with the approved access permit number (AP15-00108). 3) County road 68 is a paved road and is designated on the Weld County Road Classification plan as a Collector road, which requires 80 feet of right-of-way at full buildout. The applicant shall verify and delineate on the plat the future and existing right-of-way and the documents creating the existing right-of-way. If the existing right of way cannot be verified, it shall be dedicated. All setbacks shall be measured from the edge of future right-of-way. This road is maintained by Weld County. 4) County Road 61 is a gravel road and is designated on the Weld County Road Classification plan as a Local road, which requires 60 feet of right-of-way at full buildout. The applicant shall verify and delineate on the plat the future and existing right-of-way and the documents creating the existing right-of-way. If the existing right-of-way cannot be verified, it shall be dedicated. All setbacks shall be measured from the edge of future right-of-way. This road is maintained by Weld County. 5) Show the floodplain and floodway (if applicable) boundaries on the plat. Label the floodplain boundaries with the FEMA Flood Zone and FEMA Map Panel Number and/or appropriate study. 6) All recorded easements shall be delineated on the plat by book and page number or reception number. E. The following notes shall be placed on the plat: 1) This Subdivision Exemption was approved in conjunction with Recorded Exemption RECX15-0018 for the purpose of dividing off 2015-1787 SUBX15-0007 SUBX15-0007 - LARSON FARMS, LLC PAGE 3 a second set of existing residential improvements from the parcel. This exemption is not eligible for a future land exemption in accordance with Section 24-3-80 A.1 of the Weld County Code. 2) All proposed or existing structures will meet the minimum setback and offset requirements for the Zone District in which the property is located. Pursuant to the definition of setback in the Weld County Code, the required setback is measured from the future right-of-way line. No building or structure as defined and limited to those occupancies listed as Groups A, B, E, F, H, I, M and R in Section 302.1 of the 2012 International Building Code, shall be constructed within a 200-foot radius of any tank battery or within a 150-foot radius of any wellhead or within a 25-foot radius of any plugged or abandoned oil and gas well. Any construction within a 200-foot radius of any tank battery or 150-foot radius of any wellhead shall require a variance from the terms of Chapter 23 in accordance with Subsection 23-6-10.C of this Code. 3) Any future structures or uses on the site must obtain the appropriate zoning and building permits. 4) A Flood Hazard Development Permit is required for all construction or development occurring in the floodplain or floodway as delineated on Federal Emergency Management Agency (FEMA) FIRM Community Panel Map # 08123C-1600C (Crow Creek floodplain). Any development shall comply with all applicable Weld County requirements, Colorado Water Conservation Board requirements as described in Rules and Regulations for Regulatory Floodplains in Colorado, and FEMA regulations and requirements as described in 44 CFR parts 59, 60, and 65. The FEMA definition of development is any man-made change to improved or unimproved real estate, including, but not limited to, buildings or other structures, mining, dredging, filling, grading, paving, excavation, drilling operations, or storage of equipment and materials. 5) FEMA's floodplain boundaries may be updated at any time by FEMA. Prior to the start of any development activities, the owner should contact Weld County to determine if the floodplain boundaries have been modified. 6) The existing septic system may be within the 100-year floodplain. The installation of any septic system within the 100-year floodplain shall comply with the Weld County Onsite Wastewater Treatment System (OWTS) floodplain regulations. Specifically, if the septic tank lids are not above the floodplain elevation, then the access to the tank manhole lids must be covered with 10 ml PVC and sealed with plumbers cement. In addition, a one-way valve must be 2015-1787 SUBX15-0007 SUBX15-0007 - LARSON FARMS, LLC PAGE 4 installed on the effluent line between the tank and the absorption field. Therefore, any future pumping of the septic tank will require that the tank lids be sealed prior to backfilling, and any future upgrade of the septic system will require that a one-way valve be installed on the effluent line. 7) Prior to the release of Building Permits, the applicant shall submit a recorded deed describing the Lot upon which the Building Permit is requested with the Building Permit applications. The legal description on such deed shall include the Subdivision Exemption number. 8) Should noxious weeds exist on the property, or become established as a result of the proposed development, the applicant/landowner shall be responsible for controlling the noxious weeds, pursuant to Chapter 15, Articles I and II, of the Weld County Code. 9) The approved configuration of the Subdivision Exemption Lot does not constitute justification for further land splits. 10) Building permits shall be obtained prior to the construction of any building. Buildings that meet the definition of an Agricultural Exempt Building, per the requirements of Sections 29-1-20 and 29-3-20.B.13 of the Weld County Code do not need building permits; however, a Certificate of Compliance must be filed with the Department of Planning Services and an electrical and/or plumbing permit is required for any electrical service to the building or water for watering or washing of livestock or poultry. 11) Building Permits issued on the proposed lot will be required to adhere to the fee structure of the Weld County Road Impact Fee Program. 12) Building Permits issued on the proposed lot will be required to adhere to the fee structure of the County Facility Fee and Drainage Impact Fee Programs. 13) Potential purchasers are hereby notified that a Confined Animal Feeding Operation (USR-1245 — Dairy for up to 2,000 cows) is located directly west and south of the intersection of County Roads 57 and 70 and (USR-1602 - Dairy for up to 4,500 cows) is located directly west and north of the intersection of County Roads 57 and 70. Off-site impacts that may be encountered include noise from trucks, tractors and equipment; dust from animal pens and odors from animal confinement, silage, and manure. 2015-1787 SUBX15-0007 SUBX15-0007 - LARSON FARMS, LLC PAGE 5 14) The Weld County Right to Farm Statement, as it appears in Section 22-2-20.J.2 of the Weld County Code, shall be placed on the map and recognized at all times. 3. The plat shall be prepared in accordance with the requirements of Section 24-8-60 of the Weld County Code. The applicant shall submit one (1) paper copy or one (1) electronic copy of the plat for preliminary approval to the Department of Planning Services. Upon approval of the plat, the applicant shall submit a Mylar plat along with all other documentation required as conditions of approval. The Mylar plat shall be recorded in the office of the County Clerk and Recorder by the Department of Planning Services. The Mylar plat and additional requirements shall be recorded within one hundred twenty (120) days from the date the Board of County Commissioners Resolution was signed. The applicant shall be responsible for paying the recording fee. 4. In accordance with Weld County Code Ordinance #2012-3, approved April 30, 2012, should the plat not be recorded within the required one hundred twenty (120) days from the date the Board of Weld County Commissioners Resolution was signed, a $50.00 recording continuance charge shall added for each additional three (3) month period. 5. The Department of Planning Services respectfully requests the surveyor provide a digital copy of this Subdivision Exemption. Acceptable CAD formats are .dwg, .dxf, and .dgn (Microstation); acceptable GIS formats are ArcView shapefiles, Arclnfo Coverages and Arclnfo Export files format type is .e00. The preferred format for Images is .tif (Group 4). (Group 6 is not acceptable). This digital file may be sent to maps@co.weld.co.us. 2015-1787 SUBX15-0007 SUBDIVISION EXEMPTION, SUBX15-0007 - LARSON FARMS, LLC PAGE 6 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 17th day of June, A.D., 2015. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, CO ORADO ATTEST: ve 0;4. arbara Kirkmeyer, Chair Weld County Clerk to the Board ,� & lal Mike Freeman, Pro-Tern BY. ► Cuty Clerk to the Beard �� c—�`—� _ a�jan P. Conway D AS �,�. , . ism (` :.. t E t USED / 1% .� A. Cozad County Attorney -7b jSteve Moreno Date of signature: 2015-1787 SUBX15-0007 _ W III r � �, DEPARTMENT OF PLANNING SERVICES SUBDIVISION EXEMPTION 7 i!'LP _ I ADMINISTRATIVE REVIEW - COUNTY PLANNER: Chris Gathman HEARING DATE: June 17, 2015 CASE NUMBER: SUBX15-0007 APPLICANT: Larson Farms LLC, C/O A. Bruce Johnson ADDRESS: 29995 County Road 68, Gill, CO 80624 REQUEST: Subdivision Exemption in conjunction with a Recorded Exemption RECX15- 0018 LEGAL DESCRIPTION: Part of the SE4 of Section 13, T6N, R64W of the 6th P.M., Weld County, CO PARCEL NUMBER: 080113400026 PARCEL SIZE: +/-0.7 acres ZONE DISTRICT: Agricultural WATER SOURCE: Proposed North Weld County Water District water SEWER SOURCE: On-Site Wastewater Treatment System (SE-0400112) Description: The applicants are proposing a subdivision to divide off a second residence associated with a recorded exemption application associated under case # RECX15-0018. The residence is to be served by a proposed North Weld County Water District tap and an existing septic system. The size of the overall parcel (50.79 acres) is large enough to make the lots larger, however, the applicant has indicated that existing onsite improvements (corrals and a creek to the north, the location of the existing septic system) do not make it possible to meet the 1 acre requirement). The Department of Planning Services' staff has reviewed this request and could not approve this request since the Department of Planning Services does not have the authority to grant an exception to Section 24-8-40.L of the Weld County Code. Section 24-8-40.L states: The minimum size of any lot proposed with a public water supply is not less than one (1) acre net. The minimum size of any lot proposed with a well as the water supply is not less than two and one- half (2%) acres net. Minimum lot sizes do not apply in zone districts which allow smaller lots or where exempted by the Board of County Commissioners. Should the Board of County Commissioners approve this request, the Department recommends the following conditions be attached: 1. Topographic or physical features of the proposed subdivision exemption, such as ravines, ditches, streams etc. may limit the area available for a new or replacement septic system. Prior to recording the plat the Weld County Department of Public Health and Environment recommends that the applicant review the Weld County Code pertaining to septic systems to assure that any installed septic system will comply with all setback requirements found in the 2015-1787 SUBX15-0007 Nagel Code. In the event the proposed lot is not of sufficient size to allow the installation of a septic system the lot may need to be enlarged. 2. Prior to recording the plat: A. Submit documentation from North Weld County Water District indicating that water service is currently provided to the parcel by a separate tap. B. The Colorado Department of Transportation (CDOT) has jurisdiction over all accesses to the state highways. Please contact CDOT to verify the access permit or for any additional requirement that may be needed to obtain or upgrade the permit(SH392). C. The applicant shall provide the Weld County Department of Planning Services with a Statement of Taxes from the Weld County Treasurer showing no delinquent taxes exist for the original parcel. 1. Items to be included on the plat: A. The plat shall be titled: Subdivision Exemption No. 0801-13-4 SUBX15-0007 B. All approved accesses shall be clearly shown on the plat and labeled with the approved access permit number(AP15-00108). C. County road 68 is a Paved road and is designated on the Weld County Road Classification plan as a Collector road, which requires 80 feet of right-of-way at full buildout. The applicant shall verify and delineate on the plat the future and existing right-of-way and the documents creating the existing right-of-way. If the existing right of way cannot be verified it shall be dedicated. All setbacks shall be measured from the edge of future right-of-way. This road is maintained by Weld County. D. County road 61 is a Gravel road and is designated on the Weld County Road Classification plan as a Local road, which requires 60 feet of right-of-way at full buildout. The applicant shall verify and delineate on the plat the future and existing right-of-way and the documents creating the existing right-of-way. If the existing right of way cannot be verified it shall be dedicated. All setbacks shall be measured from the edge of future right-of-way. This road is maintained by Weld County. E. State Highway 392 requires 160 feet right-of-way at full build out. A total of 80 feet from the centerline of State Highway 392 shall be delineated as right-of-way on the plat. F. The Colorado Department of Transportation (CDOT) has jurisdiction over all accesses to State Highways. Please contact CDOT to verify the access permit or for any additional requirements that may be needed to obtain or upgrade an access permit to the Subdivision Exemption Lot. G. Show the floodplain and floodway (if applicable) boundaries on the plat. Label the floodplain boundaries with the FEMA Flood Zone and FEMA Map Panel Number and/or appropriate study. H. All recorded easements shall be delineated on the plat by book and page number or reception number. 2. The following notes shall be placed on the plat: SUBX15-0007 Page 2 1) This Subdivision Exemption was approved in conjunction with Recorded Exemption RECX15-0018 for the purpose of dividing off a second set of existing residential improvements from the parcel. This exemption is not eligible for a future land exemption in accordance with Section 24-3-80 A.1 of the Weld County Code. 2) All proposed or existing structures will or do meet the minimum setback and offset requirements for the zone district in which the property is located. Pursuant to the definition of setback in the Weld County Code, the required setback is measured from the future right-of-way line. *No building or structure as defined and limited to those occupancies listed as Groups A, B, E, F, H, I, M and R in Section 302.1 of the 2012 International Building Code, shall be constructed within a 200-foot radius of any tank battery or within a 150-foot radius of any wellhead or within a twenty-five-foot radius of any plugged or abandoned oil and gas well. Any construction within a two-hundred-foot radius of any tank battery or one-hundred-fifty-foot radius of any wellhead shall require a variance from the terms of this Chapter in accordance with Subsection 23-6-10.C of this Code. 3) Any future structures or uses on site must obtain the appropriate zoning and building permits. 4) A Flood Hazard Development Permit is required for all construction or development occurring in the floodplain or floodway as delineated on Federal Emergency Management Agency (FEMA) FIRM Community Panel Map # 08123C-1600C (Crow Creek floodplain). Any development shall comply with all applicable Weld County requirements, Colorado Water Conservation Board requirements as described in Rules and Regulations for Regulatory Floodplains in Colorado, and FEMA regulations and requirements as described in 44 CFR parts 59, 60, and 65. The FEMA definition of development is any man-made change to improved or unimproved real estate, including by not limited to buildings or other structures, mining, dredging, filling, grading, paving, excavation, drilling operations, or storage of equipment and materials. 5) FEMA's floodplain boundaries may be updated at any time by FEMA. Prior to the start of any development activities, the owner should contact Weld County to determine if the floodplain boundaries have been modified. 6) The existing septic system may be within the 100-year flood plain. The installation of any septic system within the 100-year flood plain shall comply with the Weld County OWTS flood plain regulations. Specifically, if the septic tank lids are not above the flood plain elevation, then the access to the tank manhole lids must be covered with 10 ml PVC and sealed with plumbers cement. In addition, a one-way valve must be installed on the effluent line between the tank and the absorption field. Therefore, any future pumping of the septic tank will require that the tank lids be sealed prior to backfilling, and any future upgrade of the septic system will require that a one-way valve be installed on the effluent line. 7) Prior to the release of building permits, the applicant shall submit a recorded deed describing the Lot upon which the building permit is requested with the building permit applications. The legal description on such deed shall include the Subdivision Exemption number. SUBX15-0007 Page 3 8) Should noxious weeds exist on the property or become established as a result of the proposed development the applicant/landowner shall be responsible for controlling the noxious weeds, pursuant to Chapter 15, Articles I and II of the Weld County Code. 9) The approved configuration of the Subdivision Exemption Lot does not constitute justification for further land splits. 10) Building permits shall be obtained prior to the construction of any building. Buildings that meet the definition of an Ag Exempt Building per the requirements of Section 29- 1-20 and Section 29-3-20.B.13 of the Weld County Code do not need building permits, however, a Certificate of Compliance must be filed with the Planning Department and an electrical and/or plumbing permit is required for any electrical service to the building or water for watering or washing of livestock or poultry. 11) Building Permits issued on the proposed lots will be required to adhere to the fee structure of the Weld County Road Impact Program. 12) Building Permits issued on the proposed lots, will be required to adhere to the fee structure of the County Facility Fee and Drainage Impact Fees. 13) Potential Purchasers are hereby notified that a confined animal feeding operation (USR-1245 - Dairy for up to 2,000 cows) is located directly west and south of the intersection of County Roads 57 and 70 and (USR-1602 Dairy for up to 4,500 cows) is located directly west and north of the intersection of County Road 57 and 70. Off- site impacts that may be encountered include noise from trucks, tractors and equipment; dust from animal pens and odors from animal confinement, silage, and manure. 14) WELD COUNTY'S RIGHT TO FARM: Weld County is one of the most productive agricultural counties in the United States, typically ranking in the top ten counties in the country in total market value of agricultural products sold. The rural areas of Weld County may be open and spacious, but they are intensively used for agriculture. Persons moving into a rural area must recognize and accept there are drawbacks, including conflicts with long-standing agricultural practices and a lower level of services than in town. Along with the drawbacks come the incentives which attract urban dwellers to relocate to rural areas: open views, spaciousness, wildlife, lack of city noise and congestion, and the rural atmosphere and way of life. Without neighboring farms, those features which attract urban dwellers to rural Weld County would quickly be gone forever. Agricultural users of the land should not be expected to change their long-established agricultural practices to accommodate the intrusions of urban users into a rural area. Well-run agricultural activities will generate off-site impacts, including noise from tractors and equipment; slow-moving farm vehicles on rural roads; dust from animal pens, field work, harvest and gravel roads; odor from animal confinement, silage and manure; smoke from ditch burning; flies and mosquitoes; hunting and trapping activities; shooting sports, legal hazing of nuisance wildlife; and the use of pesticides and fertilizers in the fields, including the use of aerial spraying. It is common practice for agricultural producers to utilize an accumulation of agricultural machinery and supplies to assist in their agricultural operations. A concentration of miscellaneous agricultural materials often produces a visual disparity between rural and urban areas of the County. Section 35-3.5-102, C.R.S., provides that an agricultural operation shall not be found to be a public or private nuisance if the agricultural operation alleged to be a nuisance employs methods or practices that are commonly or reasonably associated with agricultural production. SUBX15-0007 Page 4 Weld County covers a land area of over 4,000 square miles in size (twice the State of Delaware) with more than 3,700 miles of state and county roads outside of municipalities. The sheer magnitude of the area to be served stretches available resources. Law enforcement is based on responses to complaints more than on patrols of the county and the distances which must be traveled may delay all emergency responses, including law enforcement, ambulance, and fire. Fire protection is usually provided by volunteers who must leave their jobs and families to respond to emergencies. County gravel roads, no matter how often they are bladed, will not provide the same kind of surface expected from a paved road. Snow removal priorities mean that roads from subdivisions to arterials may not be cleared for several days after a major snowstorm. Snow removal for roads within subdivisions are of the lowest priority for public works or may be the private responsibility of the homeowners. Services in rural areas, in many cases, will not be equivalent to municipal services. Rural dwellers must, by necessity, be more self-sufficient than urban dwellers. People are exposed to different hazards in the County than in an urban or suburban setting. Farm equipment and oil field equipment, ponds and irrigation ditches, electrical power for pumps and center pivot operations, high speed traffic, sand burs, puncture vines, territorial farm dogs and livestock, and open burning present real threats. Controlling children's activities is important, not only for their safety, but also for the protection of the farmer's livelihood. Water has been, and continues to be, the lifeline for the agricultural community. It is unrealistic to assume that ditches and reservoirs may simply be moved "out of the way" of residential development. When moving to the County, property owners and residents must realize they cannot take water from irrigation ditches, lakes, or other structures, unless they have an adjudicated right to the water. Weld County covers a land area of approximately four thousand (4,000) square miles in size (twice the size of the State of Delaware) with more than three thousand seven hundred (3,700) miles of state and County roads outside of municipalities. The sheer magnitude of the area to be served stretches available resources. Law enforcement is based on responses to complaints more than on patrols of the County, and the distances which must be traveled may delay all emergency responses, including law enforcement, ambulance, and fire. Fire protection is usually provided by volunteers who must leave their jobs and families to respond to emergencies. County gravel roads, no matter how often they are bladed, will not provide the same kind of surface expected from a paved road. Snow removal priorities mean that roads from subdivisions to arterials may not be cleared for several days after a major snowstorm. Services in rural areas, in many cases, will not be equivalent to municipal services. Rural dwellers must, by necessity, be more self-sufficient than urban dwellers. People are exposed to different hazards in the County than in an urban or suburban setting. Farm equipment and oil field equipment, ponds and irrigation ditches, electrical power for pumps and center pivot operations, high speed traffic, sand burs, puncture vines, territorial farm dogs and livestock, and open burning present real threats. Controlling children's activities is important, not only for their safety, but also for the protection of the farmer's livelihood. 3. The plat shall be prepared in accordance with the requirements of Section 24-8-60 of the Weld County Code. The applicant shall submit one (1) paper copy or one (1) electronic copy of the plat for preliminary approval to the Department of Planning Services. Upon approval of the plat, the SUBX1S-0007 Page 5 applicant shall submit a Mylar plat along with all other documentation required as conditions of approval. The Mylar plat shall be recorded in the office of the County Clerk and Recorder by the Department of Planning Services. The Mylar plat and additional requirements shall be recorded within sixty (60) days from the date the Board of County Commissioners Resolution was signed. The applicant shall be responsible for paying the recording fee. 4. In accordance with Weld County Code Ordinance 2005-7 approved June 1, 2005, should the plat not be recorded within the required sixty (60) days from the date the Administrative Review was signed a $50.00 recording continuance charge shall added for each additional 3 month period. 5. The Department of Planning Services respectfully requests the surveyor provide a digital copy of this Subdivision Exemption. Acceptable CAD formats are .dwg, .dxf, and .dgn (Microstation); acceptable GIS formats are ArcView shapefiles, Arclnfo Coverages and Arclnfo Export files format type is .e00. The preferred format for Images is .tif (Group 4). (Group 6 is not acceptable). This digital file may be sent to mapsCoijco.weld.co.us. 6. If the exemption plat has not been recorded within sixty (60) days from the date the administrative review was signed, or Board of County Commissioners resolution, or if an applicant is unwilling or unable to meet any of the conditions within sixty (60) days of approval, the application will be forwarded to the Board of County Commissioners with a staff recommendation for denial. The Director of Planning Services may grant an extension of time, for good cause shown, upon a written request by the applicant. SUBX1S-0007 Page 6 • 1861 DEPARTMENT OF PLANNING SERVICES 1555 N 17th AVE GREELEY, CO 80631 I '- '� WEBSITE: www.weldgov.com E-MAIL: selkins@weldgov.com L ' PHONE: (970)353-6100, Ext. 3528 Col; NT FAX: (970)304-6498 February 18, 2015 LARSON FARMS LLC C/O JACK LARSON 29470 COUNTY ROAD 66 GILL CO 80624 Subject: SUBX15-0007 - SUBDIVISION EXEMPTION IN CONJUNCTION WITH RECORDED EXEMPTION RECX15-0018 On parcel(s)of land described as: PT SE4 SECITON 13, T6N, R64W of the 6th P.M.,Weld County, Colorado. Dear Applicant: Your application and related materials for the request described above are complete and in order at this time. I will schedule a meeting with you at the end of the review period to discuss the referral comments received by our office. If you have any questions concerning this matter, please call. Respectfully, Digitally signed by Tonya Johnson ' j,_ Reason:l am the author of this document Date:2015.02.1813:26:02-07'00' Steve Elkins Planner • From: $ruse Johnson To: Chas Gathman Subject: Re: RECX15-0018/SUBX15-0016-Recorded Exemption Date: Wednesday,June 10,2015 9:43:55 PM Chris, sorry for the delay getting back to you. The problem first of all is the corner being out. Then the creek to the north and the corals on the north, both should go with the lot B ie the farm because Larson's need all three but do not need the houses nor the sheds. The septic tank on the east side of the west house (Lot A ) causes the boundary between the two houses to be where I drew it. The west boundary as I drew it is as far west as I could go to keep the gated pipe pad for the field with the Lot B field. My original drawing in the application was by stepping it off. The redraw was after a basic survey and the use of gps. There is ample room for each of the house lots and a replacement septic system. I hope this ads some clarity to the situation. Please let me know of any other problems. I am a wear of the acre requirement however I do not have an idea how else to solve the problem. I appreciate your help and will try to do what else is needed to solve the Larson's situation. Again thanks! Bruce On Tue, Jun 9, 2015 at 6:46 PM, Chris Gathman <cgathmanCalco.weld.co.us> wrote: Dear Bruce, I know we talked about this recorded exemption/subdivision exemption. However, given the application originally indicated the lots would be larger than 1 acre. I need a written response from you/the applicant detailing the argument as to why the lots cannot meet the minimum lot size. Thanks, Chris Gathman Planner III Weld County Department of Planning Services 1555 N. 17th Avenue, Greeley CO. 80631 Ph: (970)353-6100 ext. 3537 Fax: (970)304-6498. Ar tj r ' - 4, �M r i - co Nty Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. SUBDIVISION EXEMPTION (SE) APPLICATION FOR PLANNING DEPARTMENT USE DATE RECEIVED: z L.c RECEIPT/AMOUNT# /$ CASE#ASSIGNED: (�s. "Y — L 7 APPLICATION RECEIVED BY PLANNER ASSIGNED: ` o.wa. TYPE OF EXEMPTION REQUESTED (check onej ❑ Property line adjustment XUsed with Recorded Exemption ❑ Financing Purposes ❑ Public Utility Facility Parcel Number ° 8 0 1 . 1 3 . 4 . 00 . 0 a 6 (12 digit numbbe'r-found��np on Tax I.D.information,obtainable at the Weld County Assessor's www.co.wel ).Office,or d.co.us Legal Description-14, i-P Sg'7 Scr , Section t 3 , Township 4?North, Range 44West Has the property been divided from or had divided from it any other property since August 30,1972? Yes_No 1C Is this parcel of land,under consideration,the total contiguous land owned by the applicant? Yes X No FEE OW NER(S)OF THE PROPERTY: Name: bona(d s. R.0-41 ar,A MVW'& M. 72.04- Work Phone# Home Phone# 3S3 —O o to Email Address Address: ail 9 f S Unit. o 8 City/State/lp Code_ G-7 & 24 APPLICANT OR AUTHORIZED AGENT(See Below:Authorization must accompany applications signed by Authorized Agent) Name: A. Brute_ _►,oVIv)SOf Work Phone# 3S4-b//D Home Phone# 394-8177 Email Address brurPioctbritt olloan.canl Address: Ir?O/ 14-t • t4 -cn 1+i 22.0 City/State/Zip Code 1$ YeLEI l e V �f. gee3 / I(We)hereby depose and state under 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. 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 showing the signatory has to legal authority to sign for the corporation. I (we),the undersigned hereby request the Department of Planning Services to review this Subdivision Exemption on the above described unincorporated area of Weld County. Signs ure: Oxaa r Authorized Agent Date Signature: Owner or Authorized Agent Date -4- fl January 16, 2015 Department of Planning Services 1555 N. 17th Avenue Greeley, Colorado 80631 To whom it may concern: Please send all correspondence with applicant to: A. Bruce Johnson 801 8th Street, Suite 220-I Greeley, Colorado 80631 Who is our agent in this matter. If you need any further information, he will try to accommodate your reasonable requests. 1. Attached is a complete Subdivision Exemption Application(SE) package. The current owners are Donald G. Roth and Anna M. Roth who are under contract to Sell to Larson Farms LLC, who is the applicant as well as the applicant in the simultaneously submitted Recorded Exemption. (RE) The property is located in the SE1/4 SE1/4 of Section 13, Township 6 North, Range 64 West of the 6th P.M., Weld County, Colorado 2. The purpose of this application is to divide 2 residences from an existing 53+ acre parcel. The Roth's desire to move to Evans and have sold the property to their neighbor Larson Farms LLC. Larson's already have more houses than they need. Therefore, they desire to sell the existing buildings, excluding the corrals which they could use, to the growing demand for rural housing. The joint process of a Subdivision Exemption and a Recorded Exemption allows this to occur. Larsons intend to sign the mylars after the sale takes place. 3. The Certificate of Conveyance from Land Title Guaranty is included in the RE Application and has the Deed showing the Roth's as owner. Also included in the RE package is a Title Commitment showing the Larson's proposed ownership in the property. 4. Included is a copy of the original Weld County Road Access Information Sheet. The original sheet is in the RE package. There are no additional accesses requested in either application. All accesses are existing and necessary for full access and utilization of the properties. 5. Attached are two 8 'h x 11"maps drawn to show the before and the proposed after the approval of both the RE and the SE. Also included on the maps are acreages of the proposed lots as well as the original property, boundary of each proposed lot, all existing roads and accesses, easements,oil and gas facilities, irrigation ditches, pens and buildings. 6. Attached is a copy of the Real Estate Taxes Statement from the Weld County Treasurer. This statement is not due yet,however, they will be paid at time of closing of the sale from Roth's to Larson's. 7. Enclosed is the application fee of$180.00. I do not believe and investigation is needed for this joint RE/SE application. 8. Attached is a letter from North Weld County Water District explaining the water availability for the 3 proposed lots. 9. Attached are statements of existing Septic Systems. 10. The Subdivision Exemption Plat will be signed by Larson Farms LLC after the sale is completed and the application approved. The recording fee will be submitted at the time the Mylar is submitted. Thank you for your assistance in this matter. Sincerely, Larson Farm,ss LLC A. race Jo son J Larson Attachments: Application and cover letter Ownership Deed Road access information sheet Existing map (before) Proposed map (after) RE Cert. of Taxes Due Check for application fee N.W. C. W. D. Water letter WELD COUNTY ROAD ACCESS INFORMATION SHEET Weld County Department of Public Works 111 H St PO Box 758 Greeley CO 80632 Phone: (970 )356-4000 x3750 Fax: (970)304-6497 Road File #: _ Date: ,„7-Q„yl(,(Qry /4, Z-O)- RE # : / Other Case#: 1 Applicant Name Lo 7�SOY'1 f&Yvvi S LL-e. Phone_97D- 35,1 -2 11 1 Address a 9 470 11)G R G b City G , if State C - zip_ 4'O(,'7—4 2. Address or Location of Access ."t, 499s s kJG to k& a. II, Gs. RO ti z44 Section 13 Township (p N Range &'I W Subdivision Block Lot _ Weld County Road #: Side of Road Al Distance from nearest intersection 3. Is there an existing access(es)to the property? Yes X No #of Accesses oti 4. Proposed Use: O Permanent X Residential/Agccultural ❑ Industrial ❑ Temporary 0 Subdivision 0 Commercial ❑ Other 5. Site Sketch Legend for Access Description: AG = Agricultural I.4 RE& = Residential O&G = Oil&Gas D.R. = Ditch Road = House Q 5 = Shed .)y O =Proposed Access i3 • =Existing Access AA 044 Nfi Grt�� C � M a cR 68 co_ OFFICE USE ONLY: Road ADT Date Accidents Date Road ADT Date Accidents Date Drainage Requirement Culvert Size Length Special Conditions Installation Authorized J Information Insufficient Reviewed By: Title: -7- 1 Weld County Referral fr February 18, 2015 The Weld County Department of Planning Services has received the following item for review: Applicant: LARSON FARMS LLC Case Number: SUBX15-0007 Please Reply By: March 13, 2015 Planner: Steve Elkins Project: SUBDIVISION EXEMPTION IN CONJUNCTION WITH RECORDED EXEMPTION RECX15-0018 Location: NORTH OF AND ADJACENT TO CR 68.WEST OF AND ADJACENT TO CR 61. SOUTHEAST OF AND ADJACENT TO STATE HWY 392. Parcel Number 080113400026-R4675407 Legal: PT SE4 SECTION 13,T6N, R64W of the 6th P.M., Weld County,Colorado. The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. Any response not received before or on this date may be deemed to be a positive response to the Department of Planning Services. If you have any further questions regarding the application, please call the Planner associated with the request. Please note that new information may be added to applications under review during the review process. If you desire to examine or obtain this additional information, please call the Department of Planning Services. nWe have reviewed the request and find that it does/does not comply with our Comprehensive Plan because: We have reviewed the request and find no conflicts with our interests. . See attached letter. Signature BPascoe Date 02/19/2015 Agency Zoning Compliance Weld County Planning Dept. 1555 N 17th Ave.Greeley,CO.80631 (970)353-6100 ext.3540 (970)304-6498 fax tr} i5. �y 5„�rvA * $ry �yE � Weld County Referral „� r COUNT February 18,2015 The Weld County Department of Planning Services has received the following item for review: Applicant: LARSON FARMS LLC Case Number: SUBX15-0007 Please Reply By: March 13, 2015 Planner Steve Elkins Project: SUBDIVISION EXEMPTION IN CONJUNCTION WITH RECORDED EXEMPTION RECX15-0018 Location: NORTH OF AND ADJACENT TO CR 68. WEST OF AND ADJACENT TO CR 61. SOUTHEAST OF AND ADJACENT TO STATE HWY 392. Parcel Number: 080113400026-R4675407 Legal: PT SE4 SECTION 13, T6N, R64W of the 6th P.M., Weld County, Colorado. The application is submitted to you for review and recommendation. Any comments or recommendation you consider relevant to this request would be appreciated. Please reply by the above listed date so that we may give full consideration to your recommendation. Any response not received before or on this date may be deemed to be a positive response to the Department of Planning Services. If you have any further questions regarding the application, please call the Planner associated with the request. Please note that new information may be added to applications under review during the review process. If you desire to examine or obtain this additional information, please call the Department of Planning Services. nWe have reviewed the request and find that it does/does not comply with our Comprehensive Plan because: O We have reviewed the request and find no conflicts with our interests. ■ See attached letter. Signature Dale Trowbridge, General Manager Date 2/15/15 Agency New Cache La Poudre Irrigating Co Weld County Planning Dept. 1555 N 17th Ave,Greeley,CO.80631 (970)353-6100 ext.3540 (970)304-6498 fax _ 1861 _ Memorandum �r TO: Steve Elkins, W.C. Planning G0UNTY DATE: March4, 2015 FROM: Lauren Light, W.C. Department of Public Health and Environment CASE NO.: SUBX15-0007 NAME: Larson Farms Environmental Health Services has reviewed this proposal to create a 3 acre subdivision exemption (SE) lot in conjunction with RECX15-0018. The parcel has a residence which will be served by North Weld County Water District and on-site wastewater treatment system (SE-0400112). The floodplain traverses the parcel. The Environmental Health Services Division recommends the following: Prior to recording the plat: 1. Topographic or physical features of the proposed lot, such as ravines, ditches, streams, etc. may limit the area available for a new or replacement septic system. The Division recommends that the applicants review the County Code pertaining to Septic Systems to assure that any installed septic system will comply with all setback requirements found in the Code. In the event the proposed lot is not of sufficient size to allow the installation of a septic system the lot may need to be enlarged. 2. Submit documentation from North Weld County Water District indicating that water service is currently provided to the parcel by a separate tap. The following should be included as a note on the plat: 1. The existing septic system may be within the 100-year flood plain. The installation of any septic system within the 100-year flood plain shall comply with the Weld County OWTS flood plain regulations. Specifically, if the septic tank lids are not above the flood plain elevation, then the access to the tank manhole lids must be covered with 10 ml PVC and sealed with plumbers cement. In addition, a one-way valve must be installed on the effluent line between the tank and the absorption field. Therefore, any future pumping of the septic tank will require that the tank lids be sealed prior to backfilling, and any future upgrade of the septic system will require that a one-way valve be installed on the effluent line. MEMORANDUM TO: Steve Elkins, Planning Services DATE: 3/6/15 _COUNTY j FROM: Jennifer Petrik P.E., Development Engineer SUBJECT: RECX15-0018, SUBX15-0007 Larson Farms LLC The Weld County Department of Planning Services-Engineering has reviewed this proposal. Staff comments made during this phase of the application process may not be all-inclusive, as other issues may arise during the remaining application process. COMMENTS: Parcel(s): 08 01134 00026 Triangular parcel proposed to be split with proposed Lot A at the SE corner and the remainder as Lot B. This parcel sits between CR68, CR61 and SH392. Approximate Access Location: An access permit has been approved for these parcels. AP15-00108. There are three ag accesses on CR68 and one on CR61 for the proposed Lot B. There are two residential accesses on CR68 and two on CR61 for proposed Lot A. REQUIREMENTS: A. The Colorado Department of Transportation (CDOT) has jurisdiction over all accesses to the state highways. Please contact CDOT to verify the access permit or for any additional requirement that may be needed to obtain or upgrade the permit (SH392). (Department of Public Works) B. The plat shall be amended to delineate the following: 1. County road 68 is a PAVED road and is designated on the Weld County Road Classification plan as a COLLECTOR road, which requires 140 feet of right-of-way at full buildout. The applicant shall verify and delineate on the plat the future and existing right-of-way and the documents creating the existing right-of-way. If the existing right of way cannot be verified it shall be dedicated. All setbacks shall be measured from the edge of future right-of-way. This road is maintained by Weld County. 2. County road 61 is a GRAVEL road and is designated on the Weld County Road Classification plan as a LOCAL road, which requires 140 feet of right-of-way at full buildout. The applicant shall verify and delineate on the plat the future and existing right-of-way and the documents creating the existing right-of-way. If the existing right of way cannot be verified it shall be dedicated. All setbacks shall be measured from the edge of future right-of-way. This road is maintained by Weld County. 3. Show the approved access(es) on the plat and label with the approved access permit number(AP15-00108). (Department of Public Works) 4. Show the approved Colorado Department of Transportation (CDOT) and Weld County accesses on the plat and label with the approved access permit numbers. (Department of Public Works) 5. The applicant shall indicate specifically on the plat any right of way and/or easements and indicate whether they are dedicated, private, or deeded and label with recorded document, book and page and/or reception number to provide adequate access to the parcel. C. Add the following notes to the Plat: 1. Should noxious weeds exist on the property, or become established as a result of the proposed development, the applicant/landowner shall be responsible for controlling the noxious weeds, pursuant to Chapter 15, Articles I and II, of the Weld County Code. (Department of Public Works) 2. The historical flow patterns and runoff amounts will be maintained on the site. 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O a r " , li s M " g 1 w Z a LL N 1 e? O O O in(11 N . . W Z cci O O wto •�1 m J st w J 1 0) uih. H Oco R -CO U ' N ('r)' . Z W W W WLLJ w Z .. pd ;� . J Z N M rn N Cn Q of a r Q M o N " Q 1]7 N W dO00 Q SL. O M OI cc CO~ +1 Y 1 O ? Z Vf Z �,/_�`1 OZ O O 1 f'1 I^ s 1 W _ u I� _ Z ? J J _J g %1 - 184.02' 30.00'1 iM 0 Q ~ w 1 w S00'31'27"E 214.02' T Q Z O co , O a Ju in L ~ in W 0O CC v O W N Ln 0Y': c, O CO 1 0 o O Z V) +1 I ra . V n O c, II a p ^ 186.80' 1.4 30.00'1 `o A a.Q � NOO'31'27"W 216.60' a , Lii i `" U in 1-1.1.60N / 7 b-2/PI --J 4117 L4s, S 1 t, t 'o -V cl 4 1 j .C93.) 4 la ''‘I el — 0 Tta t--.. I s'Isr (11 aI " Tfilay *id ears, 1/4 it 1/4 � ,cy �f I --3 w $..�t / 1 k u_.),,,, ; o ) o )1 i., 4 I --15„3.414:44. 4 .. J W p 't' d r A tz + — • '' I4z I. \ x 1VC1.x x A.t,. ,ie ? my wO 44) ....tI 41 3 A / 7 )0in -V ; P I ET l I v 21 g I + ' 1- C1 L A r_niN) q I Y Ca ; • iii .I , 4 ( - (11, , ..,4 4 ,-, _____I isi _ _.. an,aQ IP /AV C D. 7 U I — r6 AA. n "' .,,,„,..---4-1 .7.. ,�1 r y ._ 3 s M ,. __ .... 1i - k 1* • .-..7, >vit. -- ,,,„...,\--s,o, ..,..TT... ' 1 \ V1\ s :_,:\ It—. . e (- eo y-i' M Z M \\ cLo I � I— 3 ""*"j -?,-. 3 \A CERTIFICATE OF CONVEYANCES WELD COUNTY STATE OF COLORADO DEPARTMENT OF PLANNING SERVICES COUNTY OF WELD Land Title Order No.: ROTH-2015 The Land Title Guarantee Company(TITLE INSURANCE or ABSTRACT COMPANY)hereby certifies that it has made a careful search of its records,and finds the following conveyances affecting the real estate described herein since August 30, 1972,and the most recent deed recorded prior to August 30, 1972. Legal Description: SE1/4 OF SECTION 13, TOWNSHIP 6 NORTH,RANGE 64 WEST OF THE 6Th P. M.,EXCEPT A PARCEL OF LAND CONVEYED BY DEED RECORDED IN BOOK 1015 AT PAGE 275 AND A PARCEL CONVEYED BY DEED RECORDED IN BOOK 300 AT PAGE 304 AND EXCEPT PARCEL CONVEYED AT RECEPTION NO. 3440847,COUNTY OF WELD, STATE OF COLORADO. CONVEYANCES(if none appear,so state): Book 1502 page 307 Book 789 Reception No. 1711158 Book 932 Reception No. 1853760 This Certificate is made for the use and benefit of the Department of Planning Services of Weld County,Colorado. This Certificate is not to be construed as an Abstract of Title,nor an opinion of Title,nor a guarantee of Title,and the liability of Land Title Guarantee COMPANY,is hereby limited to the fee paid for this Certificate. It Witness Whereof,Land Title Guarantee COMPANY,has caused this certificate to be signed by its proper officer this 13th day of JANUARY, 2015 at 5:00 o'clock P.M. LAND TITLE GUARANTEE COMPANY By:`7(0C./ yr MAY 8 - 1958 m /03' _ r'-- y 91 e ,r.r..,: vr'f c...•..4 �bG� . .l;(. ai X3( WAARANPY 1flD — TO JOINT TSRANTS THIS DEED, ipde this 24th day of April, A.D. 1958 between .JACOB DRiN and KATIE DWII of the County of Weld and State of Colorado, of the first part, and DANIEL J. DOW and LAURA B.•DalN of the County of Weld and State of Colorado, of the second part, WITNESSETH: That the acid parties of the first part, for end in consideration of the ewe of Ten Dollars and other valuable considerations to the adid parties of the first part in hand paid by the said parties of the second part, the receipt whereof is hereby confessed end acknowledged, y have granted, bargained, sold and conveyed, and by these presents go c At, bargain, sell, convey and confirm unto the said parties of the "second part to pass in joint tenancy, the survivor of them, their assigns and the•heirs and assigns of such survivor forever, all the C following described land, situate, lying and being in the CWWrY OF 3 WILD and STATE OF 00LWAD0, to-wits E The Southeast Quarter (SS}) of Section Thirteen (13), Township 6 4 Six (6) North, Range Sixty-tour (64) West of the 6th P.M., except a parcel of land containing 3.7 acres conveyed to The Great Western Sugar w j Company by deed recorded in Book 1015, Page 275;. and except 12.39 acres I. conveyed to Union Pacific Railroad Company for railroad right of say 4 i by deed recorded in Book 300, Page 304, both Weld County Records; Together with four (4) shares of the capital stock of The New 'Cache la Poudre Irrigating Company; eight (8) shares of the capital stock of The North Side Lateral. Company; eight (8) stares of the capital stock of The North Side Extension Ditch Company, and 140 acre-feet of water allotted to said land from Northern Colas do Water Conservancy District; All that portion of Section Twenty-four (24), Township Six (6) North, Range Sixty-tor (64) West of the 6th P.N. described a a follows: Beginning at a point on the North line of Section Twenty-four (24) aforesaid, whence the Northwest corner of said Section Twenty-four • (24) bears south 89 deg. 29 min. West (variation 14 deg. 30 mint. East) 1720e5 feet distant; thence by true bearings as followst Smith 5 deg. 52 min. West 148 feet; thence South 19 deg. 11 min. East 305 feet; thence South 11 deg. 9 min, West 154 feet; thence South 15 deg. 3.9 min. Pat 167 feet; thence South 53 deg. 46 min. East 185 feet; thence south 41 deg. 16 min. East 138 feet; thence South 514 deg. 10 min. East 190 feet; thence South 1732.6 feet to center line of Grow Creek; thence • North 78 deg. 31 min. Nest 40 feet following Crow Creek upstream; thence North 59 deg. 29 min. East 225 feet; thence North 31 deg. 20 min. Rest 123 feet; thence South 85 deg. 30 min• East 105 feet; thence South 16 deg. 214 min. East 146 feet; thence South 62 doge 38 min• Bast 77 feet; thence North 52 deg. 15 sin. Nast 1140 feet;min.thence Norfeet; 11 deg. 36 min. East 249 feet; thence North 4 deg. 55 • Beat 1% thence North 82 deg. 55 min. East 194 test; thence North 41d ea. 02 min. East 183 feet; thence North 7 deg. 11 min. East 506 feet; thence North 15 deg. 0 min. West 223 feet; thence North 214 deg. 10 min. Nast 128 feet; thence North 76 deg. 18 min. Bast 228 feet; thence North 35 dettheence7Norteh 22& d g. 138 6 min. Easte253rth 9 feet;dthence North B1 min. and g. 12 1eet; min. East 201 feet; these* North 3 deg. U min. West 220 feet; thence North 38 deg. 45 min. gast 165 feet, to the North line of Said section Twenty-four (24), whence the Northeast corner of said Section bears North 89 deg. 29 min. East 1463 feet distant; thence South 89 deg. 29 min. West 2112 feet on the North line of said Section Twenty-four (24) to the point of beginning; except right of way 150 feet wide conveyed to Union Pacific' Railroad Company by deed recorded in Book 310, Page booth Weld and rCounty Reoht of ords;;vanddtooggether w deed ithrded in Rook 46 a e deetoofr Page water 392, SKLD, Inc. La 66111751 WE 1277744-1956.001 aul;i A5t)2 W(3081 all.oted to said land from Northern Colorado Water Conservancy District; The total acreage intended to be conveyed hereby being 220 acres, more or less. Together with all irrigation systems, pumping plants, motors,• water rights, ditches, equipment and appurtenances now or hereafter placed on said premises or used in correction with irrigating said land, and especially as above described, IT IS HEREBY DECLARED THIS PROPERTY IS CONVEYED IN JOINT TENANCY. TOGETHER with all and singular the hereditaments and appurtenances thereunto belonging, or in any wise appertaining, and the reversion and reversions, reinsinder and remainders, rents, issues and profits thereof; and all the estate, right, title, interest, claim and demand whatsoever of the said parties of the first part, either in law or equity, of, in and to the above bargained premises, the hereditaments and appurtenances. TO HAVE AND TO HOLD the said premises above bargained and de- scribed, with appurtenances, unto the said parties of the second part, the survivor of them, their assigns, and the heirs and assigns of such survivor forever. And the said parties of the first part, for themselves, their heirs, executors, and administrators, do covenant, grant, bargain and agree to and with the said •parties of the second part, the survivor of them, their assigns and the heirs and assigns of such survivor, that at the time of the alsealing and delivering of these presents, they are well seized of the premises above con- veyed, as of good, sure, perfect, absolute and indefeasible estate of inheritance, In law, in fee simple, end have good right, full power and lawful authority to grant, bargain, sell and convey, the sane in manner and form aforesaid, and that the same are free and clear a Prom all former and other grants, bargains, sales , liens, taxes, assessments and incumbrances of whatever kind or nature soever, except subject to a First Deed of Trust recorded in Book 1466, Page 84, Weld County Records, securing a promissory note to The Kansas City Life Insurance Company, on which there is a principal balance due,as of April 24, 1955�8s $14200.00, together with interest from Perch 1, 1958, which mortgage indebtedness Grantees assume and agree to pay; subject to rights of way for roads and irrigation ditches, lien for assess- ments by reason of the inclusion of said property within Northern Colorado Water Conservancy District, and allotments of water to said lands, reservations contained in U.B. Patent, and subject to taxes for the year 1958, payable in 1959, and subsequent years, and the above bargained premises in the quiet and peaceable possession of the said parties of the second part, the survivor of them, their assigns and the hdrs and assigns of such survivor, against all and every person or persons lawfully claiming or to claim the whole or any part thereof, the said parties of the first port shall and will WARRANT AND FOREVER DEFEND. IN WITNESS WHEREOF, the said parties of the first part have here- unto set their hands and seals the day and year first above written. b —b Q% d✓YoL (SEAL) Dorn Jao Dorn /�54ri 10 4C248EAL) Katie Dorn SKID, Inc. LG SAL11751 WE 1277744-1958.002 h ty 1502 F,u,u 3x19 STATE OF COLORADO) County of Weld )33 • . • A. The foregoing��a instrument was acknowledged before me this acnd each of thQ1h. , A.D. 1958, by JACOB DORN and KATIE DO , WITNESS my band and official seal. dFg commission expires: My Co .mission expires Dec. .11, 1958 d.•t O Y y •t e , / G6/?�rr r r /r %/�f `` o N�tery Yu51iO mom , a I �inj ',nit-91;1111n. . ,r• i Zy �n 'Y'. ��j r, vK 5 .i � t N .7•-••...,;. $1 . ', 0 1 1 • fl SKLD, Inc. LG SXL11751 WK 1277744-1958.003 -----!--.7-" . '7. ,� �e . a(f)ar 4r'})j lugalfils) Y k y N jp+,� DD*=t i, f' hk .07,- 'tir't a 'lh� t, . t 1 iviu 11 �2}J',t , �a t.1 'I.,1'.7i.4,17 ♦ , l [ ,Cars 41✓/N Jm .f 'C e w. J >>t. fro ♦ ,S y. 1,.1�� r' DIY I J „S rr� i.' i .s** ,..,ew a.l0 can.. . .a_U8_.1 4 1977 ;° 7.• It..9 i.,c Nw �.a�uq_4�ry Ma/.win.. i.. .,, ;: N' 4. :i' �•1 WAAMNTY Dino ) J kJ, , rule DEM, Dada this j_p__D_ day of February. 1077. between 85MIa J. 'iv ' D0M and MUMA 0. DOAN (he.. as mad wife), also enwe as DANINI, J. DODO r+ 61 fd . and LASSA SELL OOPS (h,i.Nind and elf.), of the County of Said and State 7.r of Colorado. of the first part, and JACYM 0. ISMS and LILLIAM WILLS of the Come . Comet, of Wald and State of Colorado, of the second pert: ,di 4. w17fuet'I. that tad said parties m the tint part. ton mad 1a L7 coanderatios et lbe se of ON r01120 WNW taste sad MD/ISOtbe SOLLASS. mid amabauge of propeety located is'hems Comity. Stases, to „ .,I , tee maid partW ad paid Massieel the first part in heed by tsie parer of the second pert. the read Merest is hereby.aafseend aamid meson- E. i • edged. Ws created, beptsW, sold sad ooe.eyed. sad by suttee presents n N. do na grant. Nightie, call, navvy sod wftma. mate the maid partt of :1", the second pert, their Mies ad .s515se fiesta., all Ike following0e. 1' denertW lets ee paresis of lead, ettate lying sad being le the County of told mad Sate of Mlrido, to-wit: fl$QD. q: Ii. lotbeset purt.e (5531 ad Ssets Thirteen L.•':-. (ii). 7'wYship Sb (f) lama k, 5a a ffrty-tor (NI Noe eA :':::. tad Ninth Principal Seridin, Coney of Weld, Rate of Cele- !� rade, except a parcel of teed aeetelaif 5.7 awes cowered !use, to wee Meat Wolters Sugar hempen by deed rewarded in host ;b i:; ,- 1010, at page 376; W swept 15.15 •ores aestgM to ales .Ht: 'settle Wlroed Ngaer for railroad right of weltby died recorded is Seek PM. at page 304, both Weld toasty Weeds. eAucul, p: The lost malt (W+) 1 tad PRaseet Quarter (A3) 7 S. is le.piest.ma ten), Tww West of tbs_up Ott a) Mortb r.se .!f IS ) of Meld Staarot te sf Coletas, together tU all lth ['risotto' atest end ditch rights and peittag a mapertaittli so arhei,, es sear F;;.!: ': 9-Y• totop roe'•.�lal• lWsWaP. WW fl W fl&. anptetr. U,. I•1 ELM*. a Sees M61 at pp 366, Weld Cagy Mnorde. olcat- "�;:,, 19, dug therefres a peel et land prefolwly ease ged to the Departs% of Sagtwye State of Colorado, by Special Warranty gi...'. Deed receded is leek 1444 at peso 63, Weld Corey lenerde, PAR3C�Cj(..J03: All that portico of Sectlee tent,-four (141. j=' Tesu3fp gin (6) North. Range Sixty-fear (64) West of the Vista Principal Meridiem. County of weld, State of Colorado, decoribed Se fellows: Sesggisa ma tag at a 001st the Mora Ile* et Section tas w ty-fe (14) aforesaid thence the Northwest cone' of said Mottos twenty-tour (4) been Scot. R'M' Wort (nnistlw 14'M' last) 1710.5 fad diatoms: therm by tree Wrap am felloee: South 6.36' Mat lee feet' these, tenth 16'11• het 306 feet; stole Dammonlon.r.s theme Math 11'40' Seat 106 feel; theses Swath 16•141' Mee u7 feet; o,..__fE8_19IdZ2. y, Mesas South 63'4S' nest III feet; I , y!.nn theses loath 41•id' Seat 144 feet: It them, Meth 64'10' Wet 100 fast; theme Mato 1736.6 feet to.eater lire of Crew Crecm; +•' thesesthresw. North 70'31' 31' Sit 49feet Collwah Crow Cream upstream: I';. %bean,Mora 31.10' flat 133 feet, t South ' • lest 106 feet, � hem 1010 .,C th.eoo hath IONS' Out 14► foot; Slam* bulb 61'36' Oast 77 few: thence Werth 61'16' gst 140 feet these,Were 11.36' Sent 340 feet, SfllD, Inc. LC 31(,11751 ICE 1711158-1977.001 , . • , NNt yy • j�� ' r y r ��l 'a p 1 S ,„r ' :.:4 dlt t' .r.!k.tit lv`•fl•)yi II IAA <}i s r !ice td , 4 t Sr •' •tff.(q r , 1 , , d p,l I1 ''r ,C1( dl/,1 11 d ., C '.t•. •'+t` 4Y 1f:. I • ,..1 ....el°,.. It.'. t dilltt�v ;.: r• r ' :11/4-7,.,:•'IT' 6Y)r„14. 1 .. I , ! d NI. TI ,..+�f749 7.71;T5B k4 4-9 ._q gyya '-t-'3 bean North 1.06' West 186 fat; hems North 67.66' Past lad tat; a_Ii 1 Li hews North 41.67• set 177 fat; ' bane Ports 9.11' see 666 feet; 14', 1.4beet North 16.0' rat Sr tat; r ', , home North 74.10• sat 142 fat;j ten. 4:' e Perth Neer' We Sr96 lest 4 tat; ,2,Ij, knee North 96.91' tit 197 tat; SearNorth 9.11' Mt 946 tats r., has.. Norte 91•ib' bet 969 t te at; • F�'' bore North 11.12' Mt l fat; M1l' these.North ell' Nest ISO a ry 6 te st; t,1 '. theta*North 96.42' rut lei fete, to the Werth line of said Notre tar(141 tenet trthse sorter of id Nor- (`' ties bears brs North aS( test w Is w es a • t 1422 feed sYtwt; renew rule z,. a•re' West 1212 tat a the North lies et rid antics flnsty- ,•,:: vole (14) te the Mee at Pacific 4.52 open Elmer of ay 168 tat deed recorded in leek55110ed to Vane 4,, at Mem 'SO, oil right ofd Conan a .yal by 1551 re- .. corded is look uS at peg. M. Mb Mid County Naode. . tgatb.t with tan (r) abara of the orbital 'tone et the On (": Cache favaNes irflntlad O+s ry; twelve (Ill .Nana of to !�'!:'. eapiMl steak et re Norte ride teal Ouray; sad Min f12) ti ream et the eaytal stook r the Myrtle ride atet.i.n /lee k. r C'oepsny; aid tour (4) thaw et the ores Caen Labiate eserretr Ody Ma ; W sere ales the Ire s test ad ate allotted t.aid `', ) Lade tree 11e Met hen Colorado rater Oteeansw9 saniotl to- i#_i tether nth all laitaa tl erets. potpie pant., meter*, otter 1 ragas. dit ket, it allatt mad teperteelree sew or baiter .l\., &teeth an all praM a a i or used °eutectics ties irrigating -j'.. nil Lad. sad nyeelally es above dowered; sad tolatbee with +nom ail lateral as ditch rights at privileges resetting. to l , 9 a enamel is tat aerate warranty reel recorded is auk PS, V ' ea its Irriq♦{a rill sad the �il�a`�yf/,��j.t Re. etaam6ivit fads Ml! i aaera p". • _10 �dlgl ilsod nth ere iadre a I.and d eewlf (1/r) /; of all oil. .mo sad other arenas lwimh la and eider. and that rya prettied tb °from teptber with the rlebt of nos, erred ltd..RS ten paper if etploatito to awl removing ;,. Now. It L tea Stoat at W r..erratleu to reserve as the patty the undivided she-alt of all ail. Rs ad star now- y; div orw.tb aimed by the gra/a and te rimy the otter .n- gnn.. it of all;l eu and other antra ate the masted. (Parente 1. 3.1 Septba with as undivided eaeJ;alf (1/2) arrest M ell and rot ad elarel lane dated alb 26, 7010. Grouted by basin J. Ma the Lane R Owe, a laser sad 1. I. Metes lease, 1 r for a preen tea of tea (10) ware sad as leas thereafter as y, al, gat set ether hydrocarbon or other mienain are predated t3 fra aid lad berw.det, or driller or resort sportier ore ooadeotet tea aid load heretser sr drilling or r.toekW -�•1 operation are redacted thereon. H rennet with all see atM°ler the hereditament° tad.pprteaaea 1 bolagLl, or is ay nee Gmrtaiafts, ad eke reversion and r.- +j and allsthe esta tentatter, eighsad t Sottatat.rouV sad d sad prolate tithe of ththe ereat; said tartlet et in fleet part, either is la er equity, it, Man te the stews beGMS prsdan, with M herd/421ste ad appettaaesa. -9- SKID, Inc. LG SKLI1751 WE 1711158-1977.002 ,;, a ,t '.}fit 17. fx i .?4 yzr ,w `' y t,� y1,�ttd' wh" . 271".1.8 V 'yE9 to a,, to TO LAWS AND 1e NOLO the said eremien ewe baegale ad d described.ewe .. with the app:rteseces mato the alt evils et the/wand port, their . heirs and e,es.iu fermate. And the said potion of the first part, for �•' , ehesa,e their Mn M i , executors, sod adtMtrtten, do aoteasl, .ti. net, bargain sad dues to sad with the mild partite of the second part, ,;': 1 their Sin tad sash w es, that at the time of the eetline sod delletry . of these protests they pre well salted of the seats alms wonted. N of Scot are, aerteet,absent and todefeaelhletessttattof to -Fee ',f..,. taste, is it is tee simple, tad here good right, enthoelty to pant appals, well and convey tie won in enter sod fors • e aforesaid, ad grant, the ewe are fret sod claw Ora all Power W attar Seta ethane, ales. liege, etas, /sweate and entebrawees of ehetevw aim) or eaten seer, bet ac feet to: ii:/: 1. A rseprnttian eoetaled it the tatted Mates Patent boards, retard- Y;_;: N Sarah 10, 1559. Se Mee 161, at pop a Weld Calmly ntah stow as follows: Yet stadia, and tweet- t.F' in. trim Ile teener y these pressers "Ail Mistral tat" I:,. neeld say such be fond to sett la the taste described is the foregM4, het this matelot an eseeytion, wanness to the torso of the statute. tell set be eeatrus, to le- fq: tr elude "Coal tad Moe Lei". (Panel It) Si:.'. S. A resonation as aanta/eod is the teed Eras The esis Phi- tic Satan papay to lobe S. O. Milt recede rebrary N. lee, is noel SAY at se 101 Weld tWy Weeds.eeds. • net stater fallow: 7 a Spar to id par end Ste ty assigns. all coal that say be eedesaata the aeries at the ��. lard bents described; sloe sea right of ear she other t,.:, - pond* sa se a racssae7 tee the proper operpremise flran cal mina tat ay he Melee,and d for . the traepartatie et the en tree the one." (Panel Ii) f,'` r, 1. A Months as ocr with it Ail teed from Tillie S. Dolly, se the Asewiet te. Witt the till tasaad of the estate of F.,: Mona Allen recto, deemed to lees Dora a d Matto Sees, reeanod a mutes VT, 1tdt, in Bead LIDS at Pere dn, Weld Cnatl Stara, Axel steer so talisman •mmepter esadla re- A,:, enini all w1. Oil, potntee prodecte sod other miser- ' ale naia OF asarltag efid lsdr. cetotter with the sa- �.... oirita rite to preseset for red reeve the saw, wed the „ rights atregretingress, epees tad regret upon tut ea of se t�'.' ash oai sad list r say he ervaient or asasasya f • tnties of net prospect planes. wises, wells, pipeline eild ': rode es are proper tat alopna sa t of said rerntien." theca 11.1 F` 4. A raeoerat/r ea auetaieed Is the Deed Ss Sophie S. lames to Jacob Oen ad Yetis Bra, retarded February le, WS, la j Moot 1100 at pyre al, NU amity Swords. Sob stets se its, sods other Ser ad e titbit a aaddeerlyltn petroleum s aid Lade. tret se with the eeothetve net to prurpwet tor old /exec the same. sad she rises et amass, epees ad reerea ups w wet sash et sad lade ass be weeds/ or t assary for operetta of ash prospect phew. sirs elle, pit�lte�ed reads r Panel see Proper for ealytrt anal • S. 011, tan sod atonal Lena dated arch 17, Ion, snouted by Judith Mors Mess. enlist is her sale sad eepaeste property: Virgin* lard Stith, a married nee, dialled in ��.. her eel.tad sopo r rnte property, se lesser, and Aaoeo Radon- . -t- Sp7.D, Inc. LG 8KL11751 WE 1711158-1977.003 ,..� :y, 1.. at. rl R w`rs'i - . F'p tr iy! - k y1•N7,,.4 'll•J •t Y , '5, ( 4 t'l. �tl( (x\^iS t),,,{' RA J t 1G 41-4.,1lf f �1 t." YY0 Pil i()titi x ^ I c; (ttk Yl.,f \ J° } �1 t J . Jft r! E.J r..tI ,, t 1, I ', Yt °•-- 4,-,..,...,t,.. N F r �rf aF r'4 J tJ 1J r7x r t 1 ... ((� i L 1 J h 't �(^utJ .1' t f I \ I alb 4,11..•T'•!2:* ..�' ' _ J '1B tJy:.` • 171.'159 �� ( I net Ongear lose. recorded Aot 3, Meg, in Beet 171 under ecepetw a riser irecordedSwotM100, for a primary term of tie IS) w as ;•'� . rests S l tern:tor as oil, es, other hydtoca .•,-•J e less orWeal to-0rop ran tree eid land herende' e ':i { Tireartless or maeette operations l sae id sad ed Uwe. tlaf-: , •es west aawtate of ace lessee et other i this at- I� o twttaB It. Ustaret H the Iasea are lot mews l0 this ill( �• policy. (Basal A/ -. B. It raterratfw aoataded La the reed fnatw matest recorded s."': Bwwwr 10 1001. La took 100. Ct pet N0, Veld County ywrds, thtae state as Relies: Yet wcl$diag wed from wcaltiM }�"� f tad be ewes ew All Weal Wt" any snob he triad w wise hi tun teens dreaetbnd 1a the ter tofse at theeletbtat�,wthan sotion sad s oowtns*to \beo the is s "Coal ' 1 i dad Iron Yod". (Biwel re) t 7. BYatwt to d reservation a ewwted la Cho Bed free tee .,. • Willa Railroad Cogee to Shown 1. gellatie, reeed.d Wren t, leg is last Bp. H Bede L. lied Conty assede. ., thick state a fallen; Ysopteai sun resents( to aid '.,f. Nit mastic eallraad Ceder. Its wKeeee some met I2'•i rine7, all eel and nieces within or sederlyls raid tad.. •i';1': ii StOsq ealglwe right to prespat is and tow said lad for eel ad other minerals penis or stereed to ma Weis, and g 111 to else for t relies from "ism tblryht oad otheroff t we o G..'. ML toed phase y J egress w regress span eta lac to 1• adpurest :I_ more all nest awl end other tlerall. t- to usea mica land t''t' a k pneiwe ar sunny far to rietet-err to tad tree snob trot0et please or ores sod for as ell ra prow �!. operation t mach prospect place, ems era to rade and arpraesMt prints, or for the meal theatre et oil. rats' ' awl. ma rigid or other SatireWeal: to ..feats and :j YOiple, the right to aid Saline Wee o operant its rallrsad is III present term Of emtrwatle sad to make say skeet is the tow of eattee or esited of ee w a Bs oati add welted." ( rcol pet der: t. A etditie sgtsiae fe the Vatted States rater recorded April 2, 1101. in Ire 101 at page 01, told Nasty awrds. wee states so Palms "sebjwt toa sop ste tort.staid water rights fee Wag, agricultural, .asfwtete Or other ptrtcsw' sun else is Woke and reeerNdw use is m ewtlem mien sock ratell rights. ear a rewash tslswtedod er the lose O cotta. Ian end saon f of es, sod sloe subject to the right of the praprtatae of t , a rats eV lode to unrest tar rears his Oro tetofre. 1, Weld to use he toad to peeetrmta or interest to preens hereby granted, a provided by aw." (Panel A 1101) O. 4 aesdltioh aasteW is a.Vatted Matte ataCerny recorded October N, 10A, is ben H as ego Wwhich ar rit►s for aisle,felon: erialttstl.et to oaamatsctoy oiing a sad rho ether parent. W right to attains see reefraire and is coswotiw nett we eater flies. se ray be reaaatpstlld sad eetreledeed by to local custm, Ian tad deelsies of Nary, ad aide.east to tire ripe of to proprietor of a vein a lads to atwae ad sore his ore to rsfee. rebid tire we be Scaldp to torpep000te perorate Law."t.teaset the press tun hereby gmasiM, vs • , d- SKIM, Inc. LG SKL11751 WE 1711159-1977.004 -•o. 5 ' r �.r ry. 2,,,, 11'",-'Vac i°«' lx ' i irk tt rY a � 'N' ..l k..,...,'.*)?:-.. , r , P t K. F t� �}�! - i t'Yk4kr ,z I li l err «r� n il;;; �'acyr '9 . t t St,rk 7,16 ry ). -Tb�.rY +ri)�r�Hbire'.: tr3 /,i ,l S. P.,.y₹ • ,ll J'l'ti.a4nn'r 4-t. :9k" ,e•.i:1 'lie-• .,, 1'. ,s,».l �t y} 1 J.4,,,..24.:•„,::..,.421`k'.n:., E1°7.4-1' .'A. O-••r't Asa? .731 E:flee es 10. A coriti contained le the United States Lecorded Oct- '�yi � stir 31, 1541, in teak 57 at pegs 32, Weld Coasts recorde. 'blob elates ao feller! Nabfmet to day tooted sr ermeed rte rights IS silting, agricultural. reetsotertM a otter f;t.i'. purrs. and right to ditches and retenetre red is oorao� *''ysi ties wit.orb mete rights, es day Mes resslsed and eheesl- n: edged by the local customs, len and decries of Corte, and also r est to tM fleet of the proprietor of a vein as lore fo t p rese or to nrsest the therefrom, p rises berry greeted, c' es ea pdd vio bypa daral M WOW)provided by Low." ( St. A ooedlties astsieed is the gaited States Nitwit reread G;.� October Sip VAT. la Sack it at rte 21, Weld Carty ao.Mt. rah stets. r fellers "Sure{ to an torte Sr error eater rights ler steins. rrtotlterl, esp/soturle sr a r ethos ticse e`hwith soot str right to ts,,`a`s sayr be bra.olnedled end street- edged by th, local miser. laws sr Sosts/ob of brts, sob i',', aloe oajrt be the right et tee prMtetor of S tomes or lea to extract sad remove hie we liberates, read the sea be is red to by"in,or" (IIsraell AAo,Set)prises hees0y granted, u. Oil, Go. sob g/rrl Leese dated Nara 5., lglo, exerted by ' r daaia. 4• ea sad Mr n Lars S. Da, Its ws lee s 7. S. Pre. es lore wryer Nay It IPSO, la re grad. eedae beep- es i.;;. ti No. 104150., ter a primary ter of tee (10) yearrss sm. e/Me- lees thereafter as ell, pa. other hydro.! 10 r otter a ewer- 4', e1 r panted tram paid land berwsser, leg crestless ere conducted tweoe. (rarest A) 15. gout to inclusion is The Northern Colorado Watepan rCtrtet. '� very ULtrttt aid West .reek, Sell Carry (Peresli at, 02 lt. it the yS 1Mgreseal. (1.16.11 s#1, It and n)or the year L17 due and payable 1.. rCI r raos.att a dales of esaette sot shoes by the public rerad. 15. Meet and �siesta reservation. tolDettel J`.`Dinrsad`d Laur Sellhmrs. dated.steer 0, 1901. 11. Wirt to disrepair-es. eestliote ix bgltdarf lira. short- see it arse,aenceraabrats. end any facto which a wrest are sea ere by the walerr°ecoorrds. `or disclose sr each thhee saaidaeon pa ties of 11Ob0be premises ees Wirt."thheiribelts coma portable pessaries s 4`oM all and eery porn or person Wray Glaring or to class the whole or WI pe at o pert thereof, ref,O Cr mad parties of the first part shall sad till Warr* IN ttTlreS vifA, yspr� the said prtirof the tint part hair hereunto net their bade sod eal iris the ear a5d i0.' tint sire,rittss. 1 ''t., ) OVAL) d lJaso ltd Ysn !. ba+, alma hawses Mattel 4. Dora sad • Mora Sell ire, (brhend and vita). -5_ SiCLD, Inc. LG SICL11751 WS 1711158-1977.005 Garr Mill Or colaRADO) ... COUNTY Of WILD ) I . . �5• 0 a-Notary Public La atd for the sep y, tot to efareseid do hereby certify tat OaYill. J. DOSS hew S. DOat, also boon a. DINId J. DOSS a d LIVIA IML DORN. (Whew and wife), who aro perthe to beau to sea be the pares shows t d 1 parses subscribed he the edged tha hew+.ensnared Yeaaflerr�e MbaselNow that they missed, Malmo hew delivered the raid pep` •eteeNant at .+peas M cape free sad vwlmetaryetary ant hew 4 ,,rye+, Union mod PerocPertnessthereto eet forth. �, ......• .� : aria divert seder my head sad official seal this t.` dIp O Q yebrearyr 1171. My cooiS in expires: NtOwri.a*wNar MOM, ?"1/4":" lie crr ateee' Address, Route 1, Mr 35 - Gill, Colorado 80824 • • • -8- • SI¢,D, Inc. LC 8RL11751 WE 1711158-1977.006 5triA 932 MAR 3 t 1881 3p° P /.{rd2...TttaA d7«.f , -warp.� °'' .. . .. .,, r.^�. x In tlht7fls Beth, Made Ude net days Marsh la ilia you d ear fad C ' an-Hearn an Mean tad olghty-anti bourn JACKSON B. ICUS I LILLIAN NRA3r 1 'iambs In Ctrmon whine tiler a/taw Y I IIBO Mald Cauntr Bd.t63,Cityulnaof 0111 ,and I L1 of to Coady.1 weld ad Mae of Ddrde,of the fun part,au • DONALD 0. ROTS AND AIM M. ROM e non elan duns Y 32400 Vold County Rd.063.Gty or Nowa of 0111 .W of ae Oemtyd Weld W else of Cana,of the and son: I o tllateeall That the old pert d the Net part,for aad le sea W apart d We awn at ONE NtIIDRDD SIGHT! TNOU1ANO AND NO/100 8- -----••••-•-------—------- Douauk e M the lad pea S of IS II /par le teal pal by the add parer d hard pot,do tools earn le ban,one a fan W�y�dsd,bon od,IWs4 all ad woge o4 W ba thou Peon a Wane basal-,a LI —n ad ads,as the SE argon lee inn peal,IS la leap I.wows bar le len new h salver al p ab than,that ripe ad the Met W art or ten oonvo Moon,all Se Why nand 4t or pan at had td 'd abaft lobe in Has Y the Cana Weld WYen ditYs•wN. Li BBD ADDENDUM 'Art ' rt p rn r'1 Male DIDDDDtRI Pee Dols MAR 3 11881 ' SP,DO F , 5b w; •,i C' • . • �e� Art�sR�s t a I True 1Asa sel.inadmW.rlw Yra.mWr W Mw:.w and tend;sr ell ho oa lour*th S h WM. . Waal.delaW natant of Sat adpnlee d h Sot NM Mau Y he newly,ob to wed is IS awn hamend pt na nth lMNSt preen. ad eap anew- Yi6aSIMBolthWpreen.ahoy Ile SW darh4aM h oho as the sell pan of X r4N ten.h vdosd play Wea 1p eel h Mho 444 d.dMeta seta Ines W h anima sae arm tat As*.tI that oil toe M toIA Hens•ad rnalafatn du -waters.Ono ' of wad▪ ad one r ad wM the path of h aamd pat,h gnaw ieele. yyare talr pall the Ian W aunt dataeats.Mot et In Ut,of tat seller ad anond Moe nun they are wmph, of h pens etaad▪ n ad en,net pant nein sad, lydtS arse lkhar and nom l. eIY W.N fa ample.WMad qo saran In and eau t maw raee a l Wawa War pane hoopla Mae lath tai uwotmWw all r'roode.end Ma mbroan of red the den Wphd Anna la h gnat sad peaceable panda of the mkt ante of IS and tinier, art,the� e teen.Mal algae W Me Muse sad manta on apWt all awl area an a pannelawny Io dela the whole manna head.IS veld pan lee of Si fins pan An MI uW MOUNT AND FOREVER DDVIaD. In Inoue awed ibo W M feed IS hat part ha hereunto ad their hula td W au..dye tyr LS stave*dun. BYed,laaW W pll es la h Paton of / • Cal—pSAW _ ____ . nal.Ta t.art. ..�u}y..3.Ai.�.___Sawrtvtolleaeera STATE OP OOLOIADO. Can*d.».... N�,_._.....,A TM fawns InwnM ma anaWOd tam n tYK.__._..31it_ ay d..._-Berth.__.»._._._au—AL.., W-Jflk&Da.B.._Be11I,.ant.Id33AALL NAllu • sea .;e.va'i.. . /a a? /9,3 . my wma,a,.'r O"J+r AS d .,per )''' .� G , , t^ 6a V^ �I _ 1CieoY lV a. _ .I c -1 a Dal_____ 7 ��µeel ' ..n, "away ono TO JOINT yoNasn -.m.O.V.H.*wed•tit a Li**,b,e.t.Ge ' , WW Aden —. I • tf0 issriso 932 AnOEtmUM "A" 4-q •The Southeast Quarter( (SET/4) of Section Thirteen (13), Township Six (6) North, • ex�ceptsaaparcel of6land containing 3 7Iaccrn�conveyed to of iThe5great Westeern�, Su2.39 gar Compaq!convoyedto iMMtPacifist Iiiist RMilroadd 15,Wow for railroad righ and t of wq by deed recorded in Book 300. at Pepe 364,both Weld County Records. All that portion of Section tarty-four (24), Township Six (6) North, Range Sixty-four(64) West of the 6th P.M., County of Weld, State of Colorado, described a follows: Beginning at a point on the North line of Section Twenty-four (24) aforesaid, whence the Northwest corner of said Section Twenty-four(24) bears South 89°29' Wert (variation 14!30)East 1720,5 feet distance; _ thence by true bearings a foiloa; South 6°62' West 148 feet: . thence South•19.11' East 308 feet; thence South 11.49' West 164 feet; - thence South 16.19' East 157-feet; F) • • - . thence South. 63.46' Eat 185 feet; J thence South 41.16' East 138 feet; ' thence South 5490' Eat 190 feet; thence South 1732.6 feet to tenter line of'Cra Creek; • thence North 78.31' East 40 feet follaeinp Crow Creel upstream; . thence North S9°29' Eat 226 feet; . •• thence North 31°20'.East 123 feet; ( . • thence South'86°30' East 106 feet; ;; "k .thence South W24' East.146 fat; , d . , thence South 62'38' Eat:77 feett x thence North 62.16' East,140 feet :-;;;;;''c,---7.1-...' i • these North 11.36' East:249ifeet; "/4 , .•, - thence North 4°65' West.166.feets .( • . • thanes North 82°66' Eat•194 feet 3,• et I thence North 41'02' East.183 feat; thence North 7e11' Eat 606 feet;... ..` --'t ' • ' thence North 15.0' West 223 feet;- thence North 24.10' East feet; ' . f:j thence North 76•l8' Eat 228 feats. " thence North 36.37' Eat 13$.feetrr':• ` ;i , thence North 9M1' East 345 fats.. .' ": . thence North 22.16' East 263 feat . thence North 12.12' Eat 201 feet; r . thence North Till' West 220 Net;- thence North 36°45' Eat 166 feet, to the North line of said Section Thant- four (24),whence the Northeast corner of said Section bears,North 89'29' East 1463 feat distant; thence South N79' West 2112 feet on the North line of said Section Twenty- four (24) to the Point of Beginning; except rigor of way 160 feat wide coned to Union Pacific Railroad Cowan? by deed recorded in look 310, at pate 450, and right of way conveyed by,.deed recorded in Book 669 at pega 392. both Wald Count' ;►cords. . Together with all Irrigation water belonging thereto and eepeeloilY toot (4) shares of the me CagM trrondre Irrigating Company. eight (al shares of The Norte nee lateral Co.pm.T, olghe no Shares of the worth side atmaiea Diteh Moony. la acre foot mite of The Northern Colorado Water Oteeenaan Diatrlat, and One (11 worth Weld paretic mater Top. 4080708 02/04/2015 08:28 AM Total Pages: 3 Rec Fee: $21.00 Doc Fee: $130.00 uu Carly Koppes- Clerk and Recorder, Weld County, CO D e Fe � 5 Warranty Deed s 134.40 (Parson to 38.30-113 CRS) THIS DEEM.made or Fdnay 03,2015 by ANNA M.ROTH AND DONALD G.ROTH Gramm(s),of the Cowtty of WELD and State of COLORADO for the consideration of(81,904,000.40) One Millen Thee Hunched Thousand and NE M a dollars in hand paid,hereby sells and conveys to LARSON FARMS,ILC,A COLORADO MATED LIABIL[IY COMPANY Grantee(s),whose sheet address is 29470 COUNTY ROAD 66 GILL,CO 80174,Cosny of WELD,and State of COLORADO,the following real property in the Canty of Weld,and State of Colorado,to wit: SEE ATTACHED"SIT A" EXCEPT ANY MINERALS,ABOVE AND BELOW SURFACE,CURRENTLY OWNED BY GRANTOR RELATED TO THIS PROPERTY SHALL REMAIN IN POSSESSION OF GRANTOR ANY GAS OR OIL LEASES CURRENTLY IN PLACE SHALL REMAIN Wall GRANTOR ALL MINERAL RIGHTS AND POSSESSION,WHETHER IN PRODUCTION AT THIS TIME OR IN THE FUTURE SHALL BE RETAINED BY GRANTOR. also}mown by street and number as:29495 COUNTY ROAD 48 GILL CD 40124 with all its appmtmaaas and warrants the title to the same,subject to general taxes fbr the year 2015 and those sped&Eceedans described ty rgimerce to recorded documents as reflected in the 11de Donsneei accepted by Gtatnn[(s)in accordance with Record Title Matters(Section 82)of the Contract to Buy and Self Real Estate relating to the above described real prong;thsvIbdon utility easements,(including cable TV);dose specifically described rights of t udpa ties not shown by the public recants of which Gnanx(s) has act knowledge and which were accepted by Grantee(s)In accordance with OfFRecord 7f[le Mattel(Section 83)and Current Survey Review(Section 9)of the Contract to Mgr and Sell Real Estate rdorhtg to S above described real new;inclusions ors of the Property withinany special tae district;and other (Lc in eddt, ANNA AL MYIR Ahx.. DONALD G.RQtSff� State of COLORADO )i4. Cony of WELD The foregoing inoumeat was acknowledged before me on this day of Fe nwy 43,2015 by ANNA M.BOTH AND DONALD G.ROTH NANCY A.t,OHR �`�Public ,h ii E FIY PUBLIC / ffJ / STATE OF COLORADO NOIARY N Public 10024000874 Ca„ OBon& ti+r &'20te My tarmdssion 7 4/6 When Recorded Return to: LARSON FARMS,LLC,A COLORADO anima LIABILITY COMPANY —. . ire 29470 COUNTY ROAD a6 GILL,CO 60e74 Form 13004 0]/1021 wd.odt Warranty Deed(Photographic) PC25127389 {10998882} 4080708 02/04/2015 08:28 AM Page 2 of 3 EXHIBIT A THE SOUTHEAST QUARTER(SE1/4)OF SECTION THIRTEEN(13),TOWNSHIP SIX(6)NORTH,RANGE SIXTY-FOUR(64) WEST OF THE 6TH P.M.,COUNTY OF WELD,STATE OF COLORADO, EXCEPT A PARCEL OF LAND CONVEYED TO THE GREAT WESTERN SUGAR COMPANY BY DEED RECORDED SEPTEMBER 8,1937 IN BOOK 1015 AT PAGE 275;AND EXCEPT THAT PART CONVEYED TO UNION PACIFIC RAILROAD COMPANY FOR RAILROAD RIGHT OF WAY BY DEED RECORDED APRIL 8,1909 IN BOOK 300,AT PAGE 3D4, AND EXCEPT THAT PORTION CONVEYED IN DEED RECORDED AUGUST 28,1957 IN BOOK 1484 AT PAGE 525,AND EXCEPT THAT PORTION CONVEYED IN DEED RECORDED DECEMBER 11,2006 AT RECEPTION NO.3440847 AND ALL THAT PORTION OF SECTION TWENTY-FOUR(24),TOWNSHIP SIX(6)NORTH,RANGE SIXTY-FOUR(64)WEST OF THE 6TH PM.,COUNTY OF WELD,STATE OF COLORADO,DESCRIBED AS FOLLOWS; BEGINNING AT A POINT ON THE NORTH LINE OF SECTION TWENTY-FOUR(24)AFORESAID WHENCE THE NORTHWEST CORNER OF SAID SECTION TWENTY-FOUR(24)BEARS SOUTH 89°29 WEST(VARIATION 14°30 EAST) 1720.5 FEET DISTANCE; THENCE BY TRUE BEARINGS AS FOLLOWS: SOUTH 5°52'WEST 148 FEET THENCE SOUTH 19°11'EAST 305 FEET; THENCE SOUTH 11°49'WEST 154 FEET; THENCE SOUTH 15°19'EAST 167 FEET; THENCE SOUTH 53°46'EAST 185 FEET; THENCE SOUTH 41°16'EAST 138 FEET; THENCE SOUTH 54°10'EAST 190 FEET; THENCE SOUTH 1732.6 FEET TO CENTER LINE OF CROW CREEK; THENCE NORTH 78°31'EAST 40 FEET FOLLOWING CROW CREEK UPSTREAM; THENCE NORTH 59°9 EAST 225 FEET; THENCE NORTH 31°20'EAST 123 FEET; THENCE SOUTH 85°30'EAST 105 FEET; THENCE SOUTH 16°24'EAST 146 FEET; THENCE SOUTH 62°38'EAST 77 FEET; THENCE NORTH 52°15'EAST 140 FEET; THENCE NORTH 118 EAST 248 FEET; THENCE NORTH 4%5'WEST 155 FEET; THENCE NORTH 82°55'EAST 194 FEET; THENCE NORTH 41°02'EAST 183 FEET; THENCE NORTH 7°11'EAST 506 FEET; THENCE NORTH 15°0'WEST 223 FEET; THENCE NORTH 24°10'EAST 128 FEET; THENCE NORTH 76°18'EAST 228 FEET; THENCE NORTH 35°37 EAST 138 FEET; L THENCE NORTH 9°41'EAST 345 FEET;THENCE NORTH 229f EAST 253 FEET; THENCE NORTH 12°17 EAST 201 FEET; THENCE NORTH 3°11'WEST 220 FEET; THENCE NORTH 38°4S EAST 165 FEET TO THE NORTH LINE OF SAID SECTION TWENTY-FOUR(24),WHENCE THE NORTHEAST CORNER OF SAID SECTION BEARS NORTH 89°29'EAST 1463 FEET DISTANT; THENCE SOUTH 89°29'WEST 2112 FEET ON THE NORTH LINE OF SAID SECTION TWENTY-FOUR(24)1O THE POINT OF Form 13004 01/2011 wd.odt Warmmy Deed(Photographic) PC25127399 (20956882) 4080708 02/04/2015 08:28 AM Page 3 of 3 BEGINNING; EXCEPT RIGHT OF WAY 150 FEET WIDE CONVEYED TO UNION PACIFIC RAILROAD COMPANY BY DEED RECORDED NOVEMBER Z 1909 IN BOOK 310 AT PAGE 450 AND MORE PARTICULARLY DESCRIBED IN QUITCLAIM DEED RECORDED JANUARY 16,1901 AT RECEPTION NO.1847239,AND RIGHT OF WAY CONVEYED BY DEED RECORDED APRIL 20,1920 IN BOOK 559 AT PAGE 392, Or Porn 19084 01/2011 w4.odt Winnoty Deed(Photographic) FC25127389 (2N3I802} BOARD OF DIRECTORS NORTH WELD COUNTY WATER DISTRICT CHARLES ACHZIGER 32825 CR 39•LUCERNE,CO 80646 GENE STILLE • RICK PICKARD,DISTRICT MANAGER GARY SIMPSON • TODD BEAN • P.O.BOX 56•BUS:(970)356-3020•FAX:(970)395-0997 ROBERT ARNBRECHT WWW.NWCWD.ORG •EMAIL:WATER@NWCWD.ORG February 2,2015 Larson Farms,LLC A.Bruce Johnson 29470 WCR 66 801 8"Street,#220 Gill,CO 80624 Greeley,CO 80631 970-396.8577 This letter is in response to your inquiry!to-yarding water service to the fallowing described property, Approx.29999 WCR 68, Proposed Lot SE and Approx.29985 WCR 68,Proposed Lot B in a portion of the SEI/4 of Section 13,T6N, R64W of the 6"Prime Meridian. (See attached North Weld County Water District sketch) Parcel 080113400026 1. Water Service is presently being provided to the above mentioned property through meter#1237 located at 29993 WCR 68,also known as Proposed Lot A. 2. North Weld County Water District is able and intends to provide water service to the above-mentioned property, provided all requirements of the District are satisfied. If contracts have not been completed with North Weld County Water District within one year from the date of this letter,the District may refuse to supply water to the above-mentioned property. The District reserves this right to refuse service,in the event that raw water is unavailable,and/or pipeline or Filter Plant capacity is not capable to provide additional service. Before a water tap may be purchased,the applicant must provide a copy of a Warranty Deed,a Physical Address,and this letter. 3. As additional consideration for this Letter of Intent to provide service,Property Owner agrees to sign and execute any necessary Easements and Rights-of-Way regarding specific locations,widths,size of pipeline(s)and descriptions for Water Lines as determined by the District. This Agreement is conditional upon execution and recording of the Easement and Right-of-Way Agreement,and until such Easement and Right-of-Way Agreement is finalized to the satisfaction of the District and recorded,District shall not be required to provide any services of any type. 4.The Distnct recommends that based on the number of family members and livestock along with other information provided in the Water Tap Request Form,your irrigated landscaping square footage not exceed approx.6,000 square feet. The recommendation is based on the Full Standard Tap allocation and should be utilized to optimize delivery without surcharge. Additional allocation should be purchased for landscaping areas larger than the recommended area. 5. The District recommends that anticipated raw water be purchased through the District. The District guarantees treatment and delivery of raw water purchased. All water that is delivered over the allocation(with surcharge)is subject to water availability. Water purchased through the District shall be 70%delivery of an Acre-Foot of water,if the allotment for Colorado-Big Thompson(CBT)project water,which is determined by the Northern Colorado Water Conservancy District is 50%or greater. North Weld County Water District will restrict the delivery as necessary when the CST allotment is less than 50%. A portion of the Raw Water Fee is utilized by the District to construct storage reservoirs, 6. Tap Options and Requirements Raw Raw Water Plant Distance Meter Water Allocation Plant Investment Water Storage Fee Investment Fee Set (Annually) Allocation Fee (Annually) Full Standard 100% 100% 100% 100% 100% 228,000 Gallons 228,000 Gallons Tap Lot Size greater than 0.33 Acres(14,500 sq h) 75%Tap 175% 75% I 75% I 75% I 100% 11171,000 Gagons 1171,000 Gallons RestrictionsLot sizes greater than 0.20 acres(8,800 sq ft)but less than 0.33 Acres(14,500 sq ft)OR landowners with verifiable irrigation rights or well permits for outside water use 50%Tap I 50% 50% I 50% I 50% 1 100% 1 I 14,000 Gallons 1 114,000 Gallons Restrictions Lot size less than.2 acres(8,800 sq ft)OR with a Board Approved Irrigation System OR a Board Approved Commercial Enterprise Conservation Blue Tap 100% 100% 0 0 100% 228000 Gallons' 0 Gallons If Qualified,taps may be used in combination with Conservation Tap(i.e.50%Water with a Restrictions Conservation 0 Plant Investment) • 'Gallons may vary depending on qualifying combination A tap may be allotted more than 1 unit of Water and/or Plant Investment. In this case the allotment is the class X 228,000 gallons=Annual Allocation.(i.e.Water Allocation 5 x 228,000=1,140,000 gallons Annual Allocation) Surcharge will be assessed when an account's year to date usage exceeds the Water and/or Plant Investment Allotment. See Page 2 for Rates. I of? 4 BOARD OF DIRECTORS NORTH WELD COUNTY WATER DISTRICT CHARLES ACHZIGER • 32825 CR 39•LUCERNE,CO 80646 GENE STILLS • GARY SIMPSON RICK PICKARD,DISTRICT MANAGER TODD BEAN P.O.BOX 56•BUS:(970)356-3020•FAX:(970)395-0997 ROBERT ARNBRECHT WWW.NWCWD.ORG •EMAIL:WATER(a NWCWD.ORG February 2,2015 The Tap Fees quoted below,shall be valid for ten(10)business days from the date the applicant receives this letter and the tap fees must be paid within the ten(10)business days to receive the fees as quoted below. The Meter Set Fee as stated below Is valid only for the location shown on the attached map. After ten(10)business days,the costs will be subject to the then in effect rates(current cost)established by the District. The District is not responsible for notifying individuals,banks,lenders,prospective buyers,real estate agents or anyone else,in any manner,of a change of rates and or fees. TAP FEES(Assumed for Fun Standard Tap) INSTALLATION COST Raw Water for One Acre-Foot Unit(AFU) $20,000 Meter Set Fee Per Lot $2,500 Storage Fee Portion of Raw Water Fee $1,000 Base Portion of Plant Investment Fee $7.500 Distance Portion of Plant Investment Fee $8,700 (29 miles) TOTAL Up-Front COSTS For STANDARD TAP(See Paragraph 6 for Options)PER TAP $39,700.00 Full Std Tap 1$23,500.00 Conservation Blue Tap Price is valid for ten(10 business days from receiving this letter. Minimum Pressure 35 psi Normal Pressure Range , Proposed SE Lot:55 psi to 75 psi;Proposed RE Lot 70 psi to 80 psi Maximum Pressure Proposed SE Lot:150 psi;Proposed RE Lot 110 psi After the water tap has been purchased(Raw Water AFU 8?lent Investment Fee)the applicant has one year in which to have the meter set. The District requires 45 days prior notice to setting a meter. If the meter has not been set within twelve months from the purchase date and the applicant requests to relinquish the meter,the District shall refund the applicant 98%uof the purchase price paid by applicant. If the meter remains unset for thirteen to eighteen months after the initial purchase date and the applicant requests to relinquish the meter,the District shall refund the applicant 90%of the purchase price paid by applicant litheapplicant does not choose to relinquish the meter within one year of the applicant purchasing the meter and the meter remains onset,the account will begin billing the minimum monthly amount. Usage Rates and Fees Usage Amount Charge or Rate Per Month 0 to 6,000 gallons $18.30 Minimum 6.000 gallons and up $3.05 per 1,000 gallons(Kgal) Water Surcharge Surcharge will be assessed when an account's year to date usage exceeds the annual water allotment. Currently the surcharge is $2.00 per 1,000 gallons in addition to the standard monthly usage fee. This fee is to recover the District's cost to obtain additional water rights for delivery. Rate Differential Charge North Weld County Water District's customers have the option of transferring Colorado Big Thompson(CBT)Project Water that they own or control to the District,on an annual basis. This water is utilized to increase the amount of raw water allocated to a tap. The District will treat and deliver this water without water surcharge. A Rate Differential charge of$29.00 per acre-foot will be assessed on all of these transfers. "Effective November 1,2015,the District will no longer accept water transfers. Plant Investment Surcharge Surcharge will be assessed when an account's year to date usage exceeds the Plant Investment Allotment. The transfer of additional water will not remove this charge. Additional Plant Investment Units must be purchased to increase the allotment and reduce the Plant Investment Surcharges.These rates are in addition to the standard monthly usage fee. 0 to 456,000 gallons above the Plant Investment Allotment $3.95 per 1,000 gallons More than 456,000 gallons above the Plant Investment Allotment $1.95 per 1,000 gallons Sincerely, Eric Larson,P E. North Weld County Water Distract rN oXi9lli 1 on reran i u,...,vn, 2 012 I- • ..., '4, ,TII, 9• i.' . . , -, \ i/' r Z _ ,,ry _ __. 1 —."-* ��..� s JC- r ,r..r. .�. - . r •sr r tiF•J. t '.1_• .•..sr•......•.1.:.'0.O a••-_'S- 0..............•• • .4.. -- e..., - 'm e,c ter+•-w...,.- ............• =..�.�..-r�--iiiii,r:r lir"' ' —1 . ii ., • ' .. N°.5. NURTNA,I1 � ELD CO(_-'\TY WATER niti I 1ZI�' l 7_ = -�. T f .� � _ ,� 11P RF UL EST -L_.ARSO\ F.•1R:\Is. ,,),,L)- L R -• a • / WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 NORTH 17TH AVENUE GREELEY, COLORADO 80631 PHONE(970) 304-6415 FAX (970) 304-6411 STATEMENT OF EXISTING SEPTIC PERMIT Permit it: SE-0400112 Sec/Twn/Rng: 13 06 64 PERMIT Owner: ROTH DONALD G & ANNA M Applied: 09/20/2004 Applicant: ROTH DONALD G & ANNA M Parcel#: 0801-13-0-00-009 a R 9 y S' Cie 4, 8 Location: 29995 WCR 68 Legal Desc: 9627 SE4 13 6 64 EXC 3A GWS CO ALSO EXC •ABDN RR R/W(3D 14.1 Description: BRICK HOUSE Commercial: N Residential: Y Acres: 129.71 #of Persons: 2 Basement Plumbing: N It of Bedrooms: 3 Bathrooms- (Full): 1 (3/4): 1 (1/2): 0 Water Public: Y Water Source: NWCWD Water Private: N Cistern: N Well: N Well Permit Number: Septic Tank: 300 Tank Material: CEMENT Absorption Trench: 270 sq. ft. Absorption Bed: 0 sq. ft. Year Installed: UNK • NOTICE The property owner/agent has certified by Notary Seal that the above described septic system is in fact installed as described,and exists at this time on the parcel identified above by the parcel number and/or legal description,and further states that the system IS/IS NOT in good working order and to the best of his/her knowledge IS/IS NOT failing to function properly. The property owner/agent further understands that any falsification or misrepresentation may result in the revocation of any permit granted based upon this information hereby submitted and in legal action for perjury as provided by law. The Statement of Existing Record relies on information the property owner or his/her representative provides,under oath,'indicating li current status of the system and representing to the best of his/her knowledge that the system IS/IS NOT failing to function properly. Issuance of the Statement of Existing Permit for any system does not constitute assumption that the site was evaluated or inspected during any phase of construction by this Department to meet regulations. X Enr y ,OS En tro tai Health Specialist Date Fun,,:SEXIST Hello