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Q V o V) ton N N Q CU • I- M w V) > tip Y M > Z 93- V) > O w V 0 D cu V) O '�' t O C N r v a, Cn O a) _C d- '_' N r w '� p >• O o r---- H a o a o ) a) V) o 4 .Q Q) be 0 v Q v) L cc a) w CC D U CC 0 O 0 ,_ 0 O CD C 0 O -O ...O O O Q up C E >•• in a) z E '- a) +a gt E in N Lc) ri o R3 R3 N O U w -p V 1E N Z a) C 4_, L C U — - (� >-. N C O a c - E c CD >-H (D > o v °; a w Z 2 U u a) k_ aw 0 _ _ -O CO _O O O 0 Q +1 C 0 > CC Q 2 1- V O O v� O +J -0 • Q) U — n O is) i +-' +� V) a) C O 1.11 C V1 Z 0 L, < u o I CC on O L. c O 4 w E -O (J to +' CC c-1 C w Q) - Q! - c L CC = G ~ in a) 0- -O +�-' N OU D v') < H U-1 _C (D -O a) 'i a) V) D Z vn U — L. R3 0 Y CC AFFIDAVIT OF INTEREST OWNERS SURFACE ESTATE Property Legal Description: Sec-c'reN e - hip 9 Ai �r{.v� e S7 w' Parcel Number U ) 3 - U e - G - L c - G' G y_ (12 digit number-found on Tax I.D.information,obtainable at the Weld County Assessors Office,or _. .. . (Include all lots being included in the application area. If additional space is required,attach an additional sheet.) THE UNDERSIGNED, being first duly sworn, states that to the best of his or her knowledge the attached list is a true and accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners of property(the surface estate)within five hundred feet of the property being considered. This list was compiled from the records of the Weld County Assessor, or a person qualified to do the task, and shall be current as of a date no more than thirty days prior to the date the application is submitted to the Department of Planning Services. Signatures of all fee owners of property must sign this application. If an Authorized Agent signs, a letter of authorization from all fee owners must be included with the application. If a corporation is the fee owner, notarized evidence must be included indicating the signatory has the legal authority to sign for the corporation. I (We)hereby depose and state under the penalties of perjury that all statements, proposals and/or plans submitted with or contained within the application are true and correct to the best of my (our) knowledge. (1 076K,K e" 7i, /i—/.51-)11 C4(14/reLez()(2n 0,101‘e 7/-/5-/ Sig. ture Date Signature Date Signature Date WELD COUNTY COLORADO LAND RECORDS AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE THE UNDERSIGNED, States that to the best of his or her knowledge the attached list is a true and accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners of the property(the surface estate)within 500 feet of the property being considered. This list was compiled utilizing the records of the Weld County Assessor available on the Weld County Internet Mapping site, http://www.co.weld.co.us, and has not been modified from the original. The list compiled for the records of the Weld County Assessor was assembled within thirty days of the applications submission date. , Signature Date Property Owners Within 500 ft.of Parcel # 047308000004 Account Parcel Owner Mailing Address R0458686 047316000001 COLORADO STATE OF 600 GRANT ST STE 640 DENVER CO 802033527 R0455786 047304000001 VAN CLEAVE COLBY N 50985 CONTY ROAD 135 NEW RAYMER CO 807429409 R0455886 047305000005 VAN CLEAVE COLBY N 50985 CONTY ROAD 135 NEW RAYMER CO 807429409 R0455986 047306000001 VAN CLEAVE COLBY N 50985 CONTY ROAD 135 NEW RAYMER CO 807429409 R0456186 047307000003 VAN CLEAVE COLBY N 50985 CONTY ROAD 135 NEW RAYMER CO 807429409 R0456286 047308000004 VAN CLEAVE COLBY N 50985 CONTY ROAD 135 NEW RAYMER CO 807429409 R0456386 047309000002 VAN CLEAVE COLBY N 50985 CONTY ROAD 135 NEW RAYMER CO 807429409 R0458986 047317000010 VAN CLEAVE COLBY N 50985 CONTY ROAD 135 NEW RAYMER CO 807429409 R0459086 047318000011 VAN CLEAVE COLBY N 50985 CONTY ROAD 135 NEW RAYMER CO 807429409 R0455786 047304000001 VAN CLEAVE SANDRA K R0455886 047305000005 VAN CLEAVE SANDRA K R0455986 047306000001 VAN CLEAVE SANDRA K R0456186 047307000003 VAN CLEAVE SANDRA K R0456286 047308000004 VAN CLEAVE SANDRA K R0456386 047309000002 VAN CLEAVE SANDRA K R0458986 047317000010 VAN CLEAVE SANDRA K R0459086 047318000011 VAN CLEAVE SANDRA K VAN CLEAVE PIT Use by Special Review for (Mining Operation) Location: CR 104 and CR 139 Prepared For Weld County Government Weld County Colorado P.O. Box 758 Greeley, Co 80632 Land Owner Colby Van Cleave 50985 CR 135 New Raymer, Co 80742 Operator VCA Aggregates LLC. 4558 W. Pioneer Ln. P.O. Box 336953 Greeley, Co 80633 CERTIFICATION RE: NOTIFICATION OF MINERAL INTEREST OWNERS AND LESSEES The undersigned Applicant certifies compliance with the provisions of C.R.S. § 24-65.5- 103(1), and in support thereof,states and certifies as follows: 1. That Applicant has provided notice, (a copy of which is attached hereto as Exhibit "A"). containing the time and place of the initial public hearing on its application for Case Number Lj.h - c; .1 7 , the nature of the initial public hearing, the legal description by section. township and range of' the property which is the subject of the initial public hearing. and the name of the applicant: 2. That said notice was provided thin) (30) days prior to the scheduled public hearing, that it was provided by certified mail, return receipt requested. or by a nationally recognized overnight courier; 3. That said Exhibit A includes the list of the names and addresses of the surface owners, mineral estate owners and lessees of mineral interests to whom the notice was sent. including those persons who have requested receipt of such notices, pursuant to C.R.S. § 24-65.5-103(3). APPLICANT: STATE OF C,v COUNTY OF Lax/ ..,. Subscribed and sworn to before me this /S./ day of a�tn v�; _, 20/5 by �2cr J: K�.7_..CJ hG—(e'ry / JIM LARSEN . - NOTARY PUBLIC Notary Pu 1 STATE OF COLORADO 64f,(-1) - 2>? ' 2-2%t g OTARY ID 201 4028699, Note: Thi,;41 " t�asioatetteiFtssMc nfedtby the Weld County Department of Planning Services prior to or at the initial public hearing. If the Certification is not received by that time, the hearing will be rescheduled to a later date, and Applicant fnust re-notify all owners of mineral interests. 4 = • • n Complete items 1,2,and 3.Aiav ci;rilpie e ^-Dnj"77`0'e /- item 4 if Restricted Delivery is desired. ❑Agent la Print your name and address on the reverse x,. • .`I . . . O Addressee so that we can return the card to you. B.--Received 6y(Printed Name).* C. Date of Delivery E1 Attach this card to the back of the mailpiece, I' or on the front if space permits. -- 0. Is delivery address different from item 1? O Yes 1. Article Addressed to: If YES,enter delivery address below: O No + ce . 3. ervi__Type O Priority Mail Express— . � r ' ' Q-Ger!iPied Maii% y p ;6- /rt .-; O Registered O Return Receipt for Merchandise r,. '-=-'..-' O Insured Mail O Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Y¢s 2. Article Numb 7014 2870 0000 1276 6410 (Transfer fron PS Form 3811,July 201.3 Domestic Return Receipt Hello