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Home My WebLink About20153033.tiff SITE SPECIFIC DEVELOPMENT PLAN AND USE BY SPECIAL �!�, REVIEW (USR) APPLICATION FOR PLANNING DEPARTMENT USE DATE RECEIVED: RECEIPT # /AMOUNT # /$ CASE # ASSIGNED: _ P.rE.' � / 5� ' C� �' � � _ APPLICATION RECEIVED BY PLANNER ASSIGNED: _ �7-� ,' p /� � // v Parcel Number C� � (, � - � � � � - � � - �! � � (12 digit number - found on Tax I.D. info�mation, obtainable at the Weld County Assessor's 0ffce, or www.co.weld.co.us) Legal Description P � 1�1�.� Tti� ��9y , Section �%, Township � North , Range �West Zone District:�_, Total Acreage: 1 +- r, ; , s} , Flood Plain: Geological Hazard : , /. SN t ' A< t Airport Overlay District: FEE OWNER(S) OF THE PROPERTY: N8fll6: 1 '1 . � �� i t . � � i �V � . �'c � � ��G� � �l: / ' � � ( �i, � ��Fi � � Work Phone # 'C - : �, Home Phone # �7 A Email ' � -� � - ,>.� Address: " Address 3 �ii / �;, , � i ,r c S :} ri ? � r r` City/State/Zip Code i ) � , � � c � < � �( 1 Name: Work Phone # Home Phone # Email Address: Address: City/State/Zip Code Name: Work Phone # Home Phone # Email Address: Address: City/State/Zip Code APPLICANT OR AUTHORIZED AGENT (See Below: Authonzation must accompany applications signed byAutho�ized Agent) Name: � 0 �E' ( `{- lz � � � u �i`� Work Phone # ;,r -,� e�ls� i �ia 4' ome Phone �t 7,7i - v�75= � % i 7 Email R i � ii�k„ Fr.•�,,� . � ,-. ��_ Address: i v � / (.s�., ,: i. , � ,; .{ tr �,� ; .T Address: City/State/Zip Code l )r „ < < . � /' �' {� �i '� PROPOSED USE: -1 � C� C f� Il �Ci � i;i j �l'.ic �,�� . Y7 ," G ( "� CY �Sl /�� l- � FC., i ' c �iiC � E�� V 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 Authoriied Agent signs, a letter of authorization from all fee owner must be included with the application . If a corporation is the fee owner, notarized evidence must be include i dicating th e ' tory has to legal authority to sign for the corporation l�- � � � �� Signature: Owner or Authorized Agent Date Signature: Owner or Authorized Agent Date � � SITE SPECIFIC DEVELOPMENT AND USE BY SPECIAL REVIEW ( USR) QUESTIONAIRE 1 . Explain, in detail, the proposed use of the property. It will be used as a storage facility for our out of service trucks and storage units. 2 . Explain how this proposal is consistent with the intent of the Weld County Code, Chapter 22 of the Comprehensive Plan . 3. Explain how this proposal is consistent with the intent of the Weld County Code, Chapter 23, (Zoning) and the zone district in which it is located 4. What type of uses surround the site (explain how the proposed use is consistent and compatible with surrounding land uses). The surrounding properties are used for Agricultural purposes. Many farming equipment is used for agriculture and being stored on each property. We are asking to have our land zoned to allow us to store excess vehicles on the land . 5 . Describe, in detail, the following: a . Number of people who will use this site. Employee living on the property to watch assets, it is a storage only facility. �a. Number of employees proposed to be employed at this site. 0 �, Hours of operation. Not applicable d. Type and number of structures to be erected (built) on this site. Not Applicable e. Type and number of animals, if any to be on this site. Not Applicable f. Kind of vehicles (Type, size, weight) that will access this site and how often. Mack trucks ranging in weight from 26800 to 42900 Ibs., length 25-35 feet. And homemade man camp sheds / Utility / Storage trailers that are 8x32 and weigh about 23,000 Ibs. They will seldom becoming on site, only to drop off or pick up a vehicle or trailer Number of vehicles to be stored on property: Passenger Cars/pickups — 4 Tandem Trucks / Company Vehicles - 15 Skid Shacks — 3 Traiiers — 8 Van Trailers -2 g. Who will provide fire protection to the site. Kersey Fire District, 207 1't St, Kersey, CO 80644 - 970-353-3890 h . Water Source on the property ( both domestic and irrigation). Central Weld County Water District, 2235 2n° Ave, Greeley, CO 80631 - 970-352-1284 i . Sewage disposal system on the property (existing and proposed) . Septic Tank Permit No. G-850161 j. If storage or warehousing is proposed, what type of items will be stored, Out of service trucks, homemade man camps & storage units. 6. Explain the proposed landscaping for this site. The landscaping shall be separately submitted as a landscape plan map as part of the application submittal. No landscaping will be done other than what is already there. 7. Explain any proposed reclamation procedures when termination of the Use by Special Review activity occurs. KCS is not doing any new construction we are just putting out of service vehicles on the property and they will be taken off the property at that time. 8. Explain how the storm water drainage will be handled on the site. Lot B lies East and West with the higher elevation being on the Westerly 1/3 of the property and drainage tending to run from West to East to a topographic natural depression located in the Easterly Y: of the lot. Two small naturally occurring depressions are located here and drain off to the South. There is some minor to medium run off from the Miller property on the North at a point approximately %: the distance between the NE corner and the NW corner of lot B. The Easterly 1/3 of lot B drains from the NE, E and SE to the Westerly located and natural occurring topographic depressions. 9 . Explain how long it will take to construct this site and when construction and landscaping is scheduled to begin. Not Applicable 10. Explain where storege and or stockpile of wastes will occur on this site. The only storage will be out of service trucks and movable sheds. Any waste that may occur will be put in the dumpster and dumped by Waste Management of Northern Colorado, PO Box 43350, Phoenix, AZ 85080 - 970-482-85080 11. Please list all proposed on-site and off-site improvements associated with the use (example: landscaping, fencing, drainage, turn lanes, etc.) and a timeline of when you will have each one of the improvements completed. Not Applicable. The Department of Planninq Services has reviewed vour application and has the followinp comments: • You have what appear to be arrows added to the Map. Please clarify on the map what these arrows are for. A) The arrows indicate the direction of water runoff and collection. • Answer Questions 2 and 3 of the questionnaire. A) See Attached If you have any questions you can contact myself (Chris Gathman) - see contact information below: Zoning Violation Case ZCV14-00246 _USR Application Question #2 Explain how this proposal is consistent with the intent of the Weld County Code, Chapter 22 of the Comprehensive Plan. (Please explain how your proposal is consistent with one or more of the following secrions of the Weld County Code.) Sec. 22-2-10. Agriculture. A. Historically, Weld County is one (1 ) of the economically lazgest agricultural producing counties in the nation, regulazly the top producer of traditiona] crops (i.e., when exduding citrus- or nut-producing counties). The agricultural sector is an important element of the overall County economy. The diversity of agriculture in the County ranges from crops, rangelands and feedlots to other forms of agribusiness, agri-tourism, agri-tainment and hobby farms. B. The intent of the agricultural Goals is to support all forms of the agricultural industry and, at the same time, to protect the rights of the private property owners to conved their agricultural lands to other appropriate land uses. The County recognizes the impoRance of maintaining lazge contiguous parcels of productive agricultural lands in nonurbanizing azeas of the County to support the economies of scale required for lazge agricultural operations. C. The diversion and application of irrigation waters to farmland in the County has been the main economic driver for the County since the 1860s. Currernly, the majority of these waters aze used for irrigation. In addition, shallow wells in alluvial azeas are also productive sources of irrigation. As the population expands, so does the need for domestic, commercial and industrial supplies. Land use regulations in the CounTy should protect the infrastructure used for the delivery of water to users. D, E�ctraction of natural resources is an important part of the economy of the Codnty. Such extraction operafions should minimize the impacts to agricultural lands and agricultural operallons. E. In keeping with the intent of the preamble of the Weld County Charter "to provide unwmplicated, unburdensome govemment, responsive to the people," development in rural azeas provides opportunities for land divisions that aze exempt from subdivision regulations and allows land use by small agricultural operations and home businesses. These lots retain the agricultural zoning designation and support a high-qualiry rural character, while maintaining freedom from cumbersome regulations. F. Land use policies should support a hi�-quality rural character which respects the agricultural heritage and traditional agricultural land uses of the County, as agricultwal lands are converted to other uses (excluding urban development). Rural chazacter in the County includes those uses which provide rural lifestyles, rural-based economies and opportunities to both live and work in rural azeas. The natura( landscape and vegetation predominate over the built environment. Agricultural land uses and development provide the visual landscapes traditionally found in rural azeas and communities. Sec. 22-2-20. Agriculture goals and policies. ,A. A.Goal 1. Respect and encourage the continuation oF agricultural land uses and agricultural operations for �- - �rposes which enhance the ec_onomic health and sustainability of agriculturey �l • A.Policy I . I . Establish and maintain an agricultural land use designation to promote the County's agricultural industry and sustain viable agricultural opportunities for the future. 2. A.Policy 12. Support the development of creative policies for landowners to voluntarily conserve agricultural �__ i�a: 3. A.Policy 13. Encourage management practices which sustain practical agricultural productivity when irrigated lands are conveRed to�nonirrigated agricultural uses through water transfers, dry-ups or land-idling programs. 4. A.Policy 1 .4. Recognize the changing dynamics of agricultural land uses, their locations and the size and scope of operations when developing land use regulations. S. A.Policy 1 .5. SuppoR and entice agriculturally related businesses and processing facilities. B. A.Goal 2. Continue the commitment to viable agriculture in Weld Counry through mitigated protection of established (and potentially eapanding) agriwltural uses From other proposed new uses that would hinder the operatious of the agricultural enterprises. l . A.Policy 2. 1 . Adjacent lands owned or leased by an agricultural operation should be used in determining allowable animal unit densities. 2. A.Policy 2.2. Allow commercial and indusirial uses, which aze directly related to or dependent upon agriculhue, to locate within a�icultural areas when the impact to surrounding properties is minima] or mitigated and where adequate services and infrashucture are currently available or reasonably obtainable. These commercial and industrial uses should be encouraged to locate in areas that minimize the removal of agricultural land from production. 3. A.Policy 23. Encourage development of agriculture and agriculturally related businesses and industries in underdeveloped areas where existing resources can support a higher level of economic activity. Agricultural businesses and industries include those related to ranching, confined animal production, farming, greenhouse industries; ]andscape production and agri-tainment or agri-tourism uses. C. A.Goal 3. County land use regulatious recognize and respect the rights afforded by the State Constitution and associated statutes of individually decreed water rights. Water rights are considered real property and should be protected as any other private property right. 1 . A.Policy 3. 1 . Land use regulations and policies should encourage water rights to voluntarily remain and be put to beneficial use in the County. 2. A.Policy 3.2. Land use regulations should not interfere with the transfer of water rights and/or their associated uses. 3. A.Policy 33. Land use regulations should consider the traditional and future operational viability of water- delivery infrastructure when applications for proposed land use changes are considered. 4. A.Policy 3.4. Land use regulations should attempt to limit increased exposure of liability to water-delivery entities when land use changes are considered. D. A.Goal 4. Promote a quality environment which is free of derelict vehicles, refuse, litter and other unsightly materials. l . A.Policy 41 . Proper[y owners should demonstrate responsibility of ownership by minimizing safety and health hazards resulting from, but not limited to, unsafe or dangerous structures and noncommercial junkyazds. E. A.Goal 5. Provide for the minimum buildable lat size of parcels in the agriwltural areas created without County approval to be in canformance with state statutes. _ 1 . A.Policy 5. 1 . Recognize that viable agricultural operations can function on small acreages. F. A.Goal 6. Provide mechanisms for the division of land in agricultural areas to support the continuation aF agriwltural production. 1 . A.Policy 6. 1 . Support the cominuation of division of lands in agicultural azeas that aze exempt from subdivision regulations. 2. A.Policy 6.2. Support opportunities, such as but not limited to hobby £arming and home businesses, to supplement family income and reduce living expenses for farm families and others who prefer a rural lifestyle. 3 . A.Policy 63. Encourage multi-generational, caretaker, guest and accessory quarters. 4. A.Policy 6.4. Encourage agi-tourism. G. A.Goal 7. County land use regulations should protect the individual property owner's right to request a land use change. 1 . A.Policy 7. 1 . County land use regulations should support commercial and industrial uses that are directly related to, or dependent upon, agriculture, to locate within the agricultural azeas, when the impact to surrounding properties is minimal, or can be mitigated, and where adequate services aze currently available or reasonably obtainable. 2. A.Policy 7.2. Conversion of agricultural land to nonurban residential, commercial and industrial uses should be accommodated when the subject site is in an azea that can support such development, and should attempt to be compatible with the region. 3. A.Policy 73. Conversion of agricultural land to urban residential, commercial and industrial uses should be considered when the subject site is located inside an Intergovernmental Agreement area, Urban Growth Boundary azea, Regional Urbanization Area or Urban Development Nodes, or where adequate services are currently available or reasonably obtainable. A municipality's adopted comprehensive plan should be considered, but should not determine the appropriateness of such conversion. H. A.Goal 8. Ensure that adequate services and facilities are currently available or reasonably obtainable to accommodate the requested new land use change for more intensive developmeot. l . A.Policy 8. 1 . The land use applicants should demonstrate that adequate sanitary sewage and water systems aze available for the intensity of the development. 2. A.Policy 82. The land use applicants are responsible for cotttacting and determining the status of a water well through the State Division of Water Resources and should be aware that ownership of a parcel of land with a well does not guarantee the use of the well. 3. A.Policy 83 . The ]and use applicants should demonstrate that the roadway facilities associated with the proposed development aze adequate in width, classification and structural capacity to serve the proposed land use change. 4. A.Policy 8.4. The land use applicanu should demonstrate that drainage providing stormwater management for the proposed land use change is adequate for the type and style of development and meets the requirements of county, state and federal rules and regulations. 5. A.Policy 8.5. The land use applicants should demonstrate that public service providers, such as but not limited to schools, emergency services and fire protection, are informed of the proposed development and aze given adequate oppor[unity to comment on the proposal. I. A.Goal 9. Reduce potential conflicts be[ween varying land uses in the conversion of traditional agricultural lands to other land uses. 1 . A.Policy 9. 1 . Employ consistency and fairness in the application of the principles of this Comprehensive Plan to help reduce conflicts between the residents, the County, the municipalities and the varying land uses. 2. A.Policy 9.2. Consider the individuality of the characteristics and the compatibility of the region of the County that each proposed land use change affects, while avoiding requirements that do not fit the land use for that specific tegion. 3. A.Policy 93 . Consider mi[igation techniques to address incompatibility issues. Encourage techniques and incentives, such as but not limited to clustered development and building envelopes, to minimize impacts on surrounding agricultural land. 4. A.Policy 9.4. Consider conservation of natural site features such as topography, vegetation and water courses, in conjunction with the conversion of land uses. 5. A.Policy 9.5. Applications for a change of land use in the agricultural azeas should be reviewed in accordance with all potential impacts to surrounding properties and referral agencies. Encourage applicants to communicate with those affected by the proposed land use change through the referral process. 6. A.Policy 9.6. Municipalities should be encouraged to include all private property owners, business owners and residents outside of their municipal boundazies in any growth management discussions and decisions that affect the future land use of such private property owners' land. 7. A.Policy 9.7. Protect privately owned open space. Privately owned agricultural lands provide relatively open landscapes. Unlike urban open space areas, public access to these lands is not allowed. These lands are not guaran[eed to remain traditional agricultural lands, but can be converted by the individual land owner to other uses through the appropriate land use processes. J. A.Goal 10. The County recognizes the right to farm. 1 . A.Policy ] 0. 1 . Distribute informational handouts and make available electronic sources of information pertaining to what should be expected of living in agricultural azeas, for use by rural homeowners, laridowners and residents. 2. A.Policy ] 0.2. In order to validate this recognition of a right to farm, the statement listed below should be incorporated into all land use plats and Homeowners' Association (HOA) documents. USR Application Question #3 Explain how this proposal is consistent with the intent of the Weld County Code, Chapter 23, Zoning and the zone District in which it is located. Please eaplain how your proposal is consistent with one or more of the following sections of the Weld County Code. A�icul[ural Zone District Agriculture in the COLINTY is considered a valuable resource which must be protected from adverse impacts resulting from uncontrolled and undirected business, industrial and residential land USES. The A (Agicultural) Zone District is esta6lished to maintain and promote agriculture as an essential feature of the COLJNTY. The A (Agricultural) Zone District is intended to provide areas for the conduct of agricultural activities and activities related to agricuUure and agricultural production without the interference of other, incompatible land USES. The A (Agricultural) Zone District is also intended to provide azeas for the conduct of USES by Special Review which have been determined to be more intense or to have a potentially greater impact than USES Allowed by Right The A (Agicultural) Zone District regulations aze established to promote the health, safeTy and general welfare of the present and future residents of the COUNTY. Sec. 23-3-40. Uses by special review. The following BUILDINGS, STRUCTURES and USES may be constructed, occupied, operated and maintained in the A (Agricultural) Zone District upon approval of a permit in accordance with the requirements and procedures set forth in Article II, Division 4 of this Chapter. A. Mineral resource development facilities including: �--- 1 . O[L AND GAS STORAGE FACILITIES. 2. O[L AND GAS SUPPORT AND SERVICE. 3 . Open pit MINING and materials processing, subject to the provisions of Article IV, Division 4 of this Chapter. 4. Asphalt and concrete batch plants. 5. Coal gasification facilities. 6. MINING or recovery of other mineral deposits located in the County, subject to the provisions of Article IV, Division 4 of this Chapter. 7. TRANSLOADING. B. Agricultural Service establishments primarily engaged in performing agricultural, animal husbandry or horticultural services on a fee or contract basis, including: 1 . Sorting, grading and packing fruits and vegetables for the grower. 2. Grain and/or feed elevators. 3. Crop dusting or spraying operations facilities (includes hangars, landing trips, fertilizer storage facilities, insecticide storage facilities, fuel storage facilities and OFFICES ACCESSORY to the crop dusting or spraying operation). Page 1 of 4 4. Farm equipment sales, repair and installation facilities. 5. Veterinary clinics or hospitals. 6. Grain and feed sales. 7. Commercial grain storage and drying. S. FeRilizer storage, mixing, blending and sales. 9. Seed production, processing, storage, mixing, blending and sales. ] 0.AN[MAL BOARDING and animal TRAINING FACILITIES where the maximum number of ANIMAL UNITS permitted in Subsection 23-3-S0.D below is exceeded and/or when the traffic that is generated by the boarding or training activity exceeds sixty (60) trips per day to and from the property. 11 . Alcohol production exceeding ten thousand (1Q000) gallons per year or the sale or loan of alcohol occurring to any other person not inwlved in the alcohol production opera[ion. 12. Animal waste recycling or processing facilities. 13. Custom meat processing. 14. L[VESTOCK sale barns and facilities. 15. Forage dehydration facilities. 16. L[VESTOCK CONFINEMENT OPERATIONS. 17. Rodeo Arenas, Commercial 18. Roping Arenas, to include both indoor and outdoor arenas, commercial. C. Recreational facilities and USES including: 1 . Race tracks and race courses. 2. DRIVE-IN THEATERS, subject to the provisions of Section 23-4-410. 3. Golf courses. 4. Shooting ranges, subject to the provisions of Section 23-4-370. 5. Guest farms and hunting lodges. 6. Fairgrounds. 7. PUBLIC or commercial camping. 8. RECREATIONAL FACILITIES such as water skiing lakes and dirt bike race courses, for example, that are used as public or private COMMERCIAL RECREATIONAL FACILITIES. D. Public Utilities facility, including: . 1 . Equipment storage or repair facilities, subject to the provisions of Section 23-4-420. Page 2 of 4 2. Storage tanks, subject to the provisions of Section 23-4-420. 3. MAJOR FACILITIES OF PUBLIC UTILITIES OR PUBLIC AGENCIES, subject to the provisions of Section 23-4-420. E. PUBLIC and quasi-PUBLIC BUILDINGS including: 1 . CHIJRCHES. 2. Private SCHOOLS. 3 . Administrative OFFICES or meeting halls for agricultural organizations. 4. County Grader shed in or adjacent to a platted subdivision or Townsite. F. AIRPORTS and AIRSTRIPS. G. Ji1NKYARDS or salvage YARDS. H. KENNELS, subject to the additional requirements of Section 23-4-400. I. Solid Waste Disposal sites and facilities, subject to the additional requirements of Section 23-4-380. J. Keeping, raising or boarding of EXOTIC ANIMALS. K. One (1) or more microwave, radio, television or other communication transmission or relay tower over seventy (70) feet in height per LOT. Commercial towers subject to the provisions of Section 23-4-800. L. TELECONIMLJNICATION ANTENNA TOWERS which require a Use by Special Review Permit, subject to the provisions of Article IV, Division 10 of this Chapter. M. One (1) SINGLE-FAMILY DWELLING LJNIT per LOT other than those permitted under Section 23-3-20 A above. N. MULTI-FAMILY DWELLINGS for persons PRINCIPALLY employed at or engaged in FARMING, RANCHING or GARDENING. O. Expansion or eartension of NONCONFORMING USES. P. HOME BUSiNESS. Q. ACCESSORY BUILDINGS with GROSS FLOOR AREA larger than four percent (4%) of the total lot area, as detailed in Section 23-3-30 above, per BUILDING on LOTS in an approved or recorded subdivision plat or LOTS part of a map or plan field prior to adoption of any regulations controlling subdivisions. R. CORRECTIONAL FACILITY. S. Any use permitted as a Use by Right, an ACCESSORY USE, or a Use by Special Review in the COMMERCIAL or industrial zone districts, provided that the property is not a Lot in an approved or recorded subdivision plat or lots parts of a map or plan filed prior to adoption of any regulations controlling subdivisions. PUD development proposals shall not be permitted to use the special review permit process to develop. T. CHILD CARE CENTER. U. BED AND BREAKFAST FACILITY. Page 3 of 4 V. More than one (1 ) semi-trailer when used as a personal storage unit, on lots in an approved or recorded subdivision plat or LOTS which are part of a map or plan filed prior to the adoption of any regulations controlling subdivisions; and more than two (2) semi-trailers on agricultural pazcels not in an approved or recorded subdivision plat of LOTS which are part of a map or plan filed prior to the adoption of any regulations controlling subdivisions in the A (Agricultural) Zone District. W. USES similaz to the USES listed above as Uses by Special Review as long as the USE complies with the general intent of the A (Agricultural) Zone District. X. PROCESSING. Y. RESEARCH LABORATORY. Z. HEAVY MAN(JF'ACTiJRING, PROCESSING. AA. WIND TURBINE. Height stipulation of seventy (70) feet or less does not apply. BB. More than the number of cargo containets allowed as a use by right per legal lot or parcel. CC. Cemetery. DD. RES[DENTIAL THERAPEUTIC CENTER. EE. WIND GENERATORS requiring the issuance of Use-by-Special Review Permit, as per Chapter 23, Article II, Division 4, and Chapter 23, ARicle IV, Division 12, of this Code. FF. BREWERY. GG. BREWPUB. HH. DISTILLERY. II. WINERY. JJ. NONCOMMERCIAL TOWERS greater than one hundred thirty ( 130) feet in height. (Weld County Codification Ordinance 2000-1 ; Weld County Code Ordinance 2001 -1 ; Weld County Code Ordinance 2002-9; Weld CounTy Code Ordinance 2003-10; Weld County Code Ordinance 2005-01 ; Weld County Code Ordinance 2D06-2; Weld County Code Ordinance 2007- 1 ; Weld Counry Code Ordinance 2007-14; Weld County Code Ordinance 2008- 16; Weld County Code Ordinance 2009-8; Weld County Code Ordinance 2010-6; Weld CounTy Code Ordinance 2011 -9; Weld County Code Ordinance 2012-3) Page 4 of 4 �� KIMZEY2 OP ID: DC ACORO� OATE �MMIDDM'YV) �� CERTIFICATE OF LIABILITY INSURANCE oa�os�zo� s THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSl1RER(5�, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certlficate holder is an A�DITIONAL INSURE�, the policy(les) must be endorsed. If SUBROGATION IS WAIVEO, su6ject to the terms and condltlons of the policy, certain policies may require an endorsement. A statement on this certificate does nat canfer rights to the certificate holder in lieu of such enOorsement(s�. PRODUCER CONTAGT 7homas J. Sisk & Com an , Inc. Nnre: Trevor Gilstrep-Accts Reassign 1700 Broadway, Suite �00� in",c°,"a, e.��: 303-831 -7100 I �a, x,?, 303-831 -7377 Denveq CO 90290 E-MAIL Trevor Gilstrep-Accts Reassign aooaess: . MSURER�S� AFFORDINGCOVERAGE NAICR iNsuRean : Great Midwest Ins Co. #18694 ir+suneo Kimzey Casing Service,- LLC iNsuaeRe � Rockwood Programs, lnc. #35505 3401 Quebec St, Suite 3200 iNsuaeac : lmperium Insurance Co. #35408 Denver, CO 80207 � iNsuaeao : Catlin Specialty Ins Co #15989 .15989 iNsunea e : Worker's Compensation Fund �r,suneaF : Hartfordlns Grou #19682 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTE� BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFlCATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 6Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM5, EXCLUSIONS AND CONDRIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN RE�UCED BY PAID CLAIMS ILTq I TYPEOFINSORANCE �ADDLSllORi � POLiCYEFF- � POLICYEXP � p yry POLICYNUMBEN MMIDD IMMlOD/VY`IV ' LIMITS A IX COMMERCIALGENERALLIABILITV EACHOGGURRENCE I $ � �OOO�OO ' OAMtiGE 76 RENiED CLnIM5-MAoe � OCCufi PPODD3545902 10l72/2014 10N2I2075 ppEM�sEs �eaocc�rrence? � 8 _ 100�00 A IIX UGREIPoII-Sudden �PPOD03545902 10N212014 10H2@015 � MEo �cpinnyonepereaN S 5�00 q I X StopGap-VYY PPOD03545902 1011212014 10112@015 PERsoNn� snoviNduav I a 1 ,OOQ00 � GEN'LAGGREGATELIMITAPPLIESPER�. GENERALAGGREGATE $ P�OOO�OO � X Poucv � � P4O r � 2 000 1FCT I I LOC PRODUCTS - COMPIOPAGO� 3 � �OO orneR�. Emp Ben. I s 1,000,00 AUTOMOBILELIABILITV � ' CQh161NfD51N6LELIMIi I E ��OOO�OO , (EaaccMeml _ _ . , A �i X ANYAUTO ' � CA0003549502 7017212014 10l72l2075 eooi�viNdurtv (Peroerson� 5 � ALLONMED -' SCHEDULED � 6ODILVINJURY (Pa� acci0enp S ,, , AUTOS NON-OWNED I PROaERTY�DAMAGE � b I HIRE� AUTOS _ ppTOS I (Peraccitlenl) _ ti $ � UMBRELL4LIFB I X OCCUR I I EACHOCCURRENCE $ �O�OOO�OO � � x . E%CESSLIAB �I CIAIMS-MA�E 'x$G-204901-70� 5 ��/� $�$��4 10��Z�ZQ� $ I qGGREGATE $ �Di��0 DEp RETENTION $ $ WORKERSCOMPENSATION I X � PER I I Th- AND EMPLOYER9' LIABILITY STATUTE ER C ANVPROPRIETORIPARTNER/EXECUTIVE Y � N IERD01 00 7 03 301 (PA) 'IO/� Y/PO14 'IOI'IYIYO'IS ELEACHACCIDENT �. $ 'I �OOO�OO OFFlCERIMEMBEREXCLUDEO? � N � p WC67�4�� 04l0112015 �4��2��8 EL. OISEASE - EFEMPLOYEE, S � r�0�i�0 B (ManEatory in NH) I, � f yes, tlescnbe untler ' ' DESCRIPTIONOFOPERATIONSbelaw I E.L. OISEASE - POLIGVLIMIT I � � .OOO,OO F Contractors Equipm �!34MSVT5494 10l1212074 10I1212015 ISched Equ 8,069,98 Chubb 135988126 10N212074 t0I12/2015 �Contents 51 ,50 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLE$ (ACORo 101, AOtlltlonal Remarks Sc�eEule, may Ee etteel�e0 il mo�e space Is requlretl) CERTIFICATE HOLDER CANCELLATION PROOFOF SHOULD ANY OF THE ABOVE OESCRIBED POLICIES 8E CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Proof of Coverege ACCORDANCE WITH THE POLICV PROVISIONS. AUTHORIZED REPRESENTAPVE � .�-�- O 7988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101 ) The ACORD name and logo are registered marks of ACORD ��a Kimzey Casing Service, LLC Lot B , Nl2 NWl4 Section 29 , T5N , R64W Drainage Narrative Lot B lies East and West with the higher elevation being on the Westerly 113 of the property and drainage tending to run from West to East to a topographic natural depression located in the Easterly Yz of the Lot. Two small naturally occurring depressions are located here and drain off to the South . There is some minor to medium run off from the Miller property on the North at a point approximately one-half the distance between the NE corner and the NW corner of Lot B. The Easterly 1 /3 of Lot B drains from the NE, E, and SE to the Westerly located and natural occurring topographic depressions. Consent Agreement Pre —Application #PRE15-0031 1. Waste Handling Plan : waste Management PO Box 43350 Phoenix, AZ 85080 970-482-6319 2 . Onsite Dust Abatement Plan: There is loose road grade pea gravel on the property and there will be a 5 mph sign placed on the front of the property. 3 . Noise Abatement Plan : Not Applicable as this is a storage facility and there will rarely be any employees on the property, except for the employee living on the property. 4. Sewage Disposal : Septic permit number G-850161, there will be no new septic system installed. 5. Potable water information : Not applicable For both water & toilet usage the employees on site will have the use of the toilet and water facilities in the house, they will also have their own water with them in their trucks. 6. Right-of-way will not be moved. 7 . Access Permit - 983'0 of traffic will be accessing the property via US-34 East, Right onto WCR 51 South, Right into property East. Vehicles will leave the property in reverse order. 2% of traffic will access the property via US-34 East, Right onto WCR 49 South, Left onto WCR 54 East ends in property driveway. When vehicles are accessing the property it will be during normal business hours 8am to Spm . Passenger cars/pickups will make an average of 2 roundtrips per day ( person living on site), Tandem Trucks & Semi-Truck/Trailer will make an average of 1 roundtrip per month. These vehicles are being stored on property for periods of time unknown. 8. Tracking Control — There is road grade pea gravel on the property, the tra�c will be very light since this is a storage facility. 9. Gates — There is no gate on the property 10. Traffic Narratives — See number 15 on the USR procedurel guide submittal checklist. 11. Drainage Narrative — See number 14 on the USR procedural guide submittal checklist. 12. Water Quality Feature Design: - See number 14 on the USR procedural guide submittal checklist. 13 . Weld County Greding Permit — Not Applicable since we will not be building/disturbing the property. 14. Site Plan — See number 2 on the USR procedural guide submittal checklist. I �` ' ��Q C 0(�2� Weld County Public Works Dept. 3 < 1111 H Street ACCESS PERMIT � P.O. Box 758 G ` �- Greeley, co so6sz APPLICATION FORM �� /Cy�J �Q Phone: (970�304-6496 Fax: (970�304-6497 Aqplicant Propertv Owner (If different than Applicant) j Name t� � •� �� I � �> Name Company X � � i 7 < i_('L�5-�.�5� , c,�l L' ' Address . ' ' '; ' �� (' 1-: '� � I � . nddress 3�/o t Ca� ,P i�r�r• 5 trPF + � •�3�r: � ciry ( �� , � � �� state C� r� z�p ` 'Ob:� l City � )C' n u r:�r' State �(' t� Zip < < � 1. ' Phone BusinessPhone � ( l � . 1 � l %� � '%� �� Fax Fax ! C- � . . .' �/.? - �`- /- ` > E-mail E-mail � I � I I . ' � i i D: :� � 7 � . , � i � ,<< • � �" �% � ♦ = Existing Access �= Proposed Access ParcelLocation & Sketch i � The access is on WCR ' Nearest Intersection: WCR � ) I & WCR �� 1 � � ,j � � r', ` Distance from Intersection � : Parcel Number �'�ll (" ' , � .X i (��r'�l`� t" ; i - �� 't- �'� Section/Township/Range � �I - � J � � ' � '{` � Is there an existing access to the property? YES NO N � 3 Number of Existing Accesses � Road Surface Tvne & Construction Information Asphalt _ Grevel _�, Treated _ Other wce ��\ �� Culvert Size & Type � ,4�> - - � Materials used to construct Access \ Construction Start Date I '} � Finish Date � I l �. � Pr000sed Use ❑ Temporery (Tracking Pad Required)/ $75 ❑ Single Residential/$75 ❑ Industrial/$150 �{ Small Commercial or Oil & Gas/$75 ❑ Large Commercial/$150 � Subdivision/$150 ❑ Field (Agriculture Only�/Exempt Is this access associated with a Planning Process? � No ❑ USR ❑ RE ❑ PUD ❑ Other Reauired Attached Documents - Traffic Control Plan -Certificate of Insurance - Access Pictures (from the Left, Right, & into the access) By accepting this permit, [he undersigned Applicant, under penalty of perjury, verifies that they have received all pages of the permit application; they have read and understand all of the permit requirements and provisions set forth on all pages; that they have the authority to sign for and bind the Applicant, if the Applicant is a corporation or other entity; and that by virtue of their signature the Applicant is bound by and agrees to comply with all said permit requirements and provisions, all Weld County ordinances, and state laws regardingfacili[ie onstruction. 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View Terms of Use http:/lwww.mapquest.com/print?a=app.core.a110ctl623B6bb87bf65f0992 1l1 Pagel of 3 Nik Customer: KIMZEY CASING SERVICE INVOICE Online WM ezPay ID: 00014-14252-23003 WASTE MANAGEMENT Invoice Date: 03/01/2015 WASTE MANAGEMENT OF NORTHERN Invoice Number: 3405607-2534-3 COLORADO Account Number: 855-1026288-2534-5 PO BOX 43350 Due Date: Due Upon Receipt PHOENIX,AZ 85080 (970)482-6319 Total Current Charges Total Amount Due 1-866-482-6319 82.99 240.36 Account Summary Failure to pay this balance could necessitate further Description _ _ _ _ collection action.Please process your payment In full Previous Balance 157.37 today. Total Credits and Adjustments 0.00 Total Payments Received 0.00 Total Current Charges _ 82.99 Total Amount Due 240.36 Total Amount Past Due 157.37 Service Period: 03/01/15-03/31/15 Description Amount Commercial 82.99 Total Current Charges 82.99 If full payment of the invoiced amount is not received within 30 days of the invoice date,you will be charged a monthly late fee of 2.5% of the unpaid amount, with a minimum monthly charge of $5.00, or such late fee allowed under applicable law, regulation or contract. Additionally, if your service is suspended for non-payment,you may be charged a resume fee to restart your service. For each returned check, a fee will be assessed on your next billing equal to the maximum amount permitted by applicable state law. Use your iPhone or Android mobile device to manage your account,pay your bill,and schedule a roll-off pickup,similar to wm.com More at wm.com/GoMobile. Current Due Over 30 I Over 60 Over 90 I Over 120 I Total Due 82.99 77.87 ii 79.50 0.00 1_ ___ 0.00 i 240.36 J 1__1m Payment Coupon Your Account Number To pay this bill online Please detach and send with checks only(no cash) 855-1026288-2534-5 and switch to paperless wader,*MANAQEMENT Please send all other correspondence to your local site. billing,go to WASTE MANAGEMENT OF NORTHERN COLORADO Invoice Date Your Invoice Number wm.com/paperless PO BOX 43350 PHOENIX,AZ 85080 03/01/2015 3405607-2534-3 (970)482-6319 r Due Date Total Due Amount Paid 1-866-482-6319 Upon Receipt 240.36 25348551026288034056070000000829900000024036 7 0070107015P 0090 "SNGLP T 705780631 -c02-P00000-n 10178027 Iq'gI1I111'III111'I"9IIIII'I1I1'4II°IIlIrlllelillIIII'1'III g llllrllllllllllll'lllllllI'rllllllll.lrl'Illllllll'IIIIlllllllIlI WASTE MANAGEMENT OF NORTHERN COLORADO N r..- KIMZEY CASING SERVICE PO BOX 78251 N ' 25974 WCR 51 PHOENIX AZ 85062-8251 GREELEY CO 80631 e 0 0 From everyday collection to environmental protection, Think Green! Think Waste Management. FOR CHANGE OF ADDRESS OR ANY SERVICE ISSUES CONTACT NUMBER ON PAGE 1 • Page 3 of 3 VIMA Customer: KIMZEY CASING SERVICE Online WM ezPay ID: 00014-14252-23003 WASTE MANAGEMENT Invoice Date: 03/01/2015 WASTE MANAGEMENT OF NORTHERN COLORADO Invoice Number: 3405607-2534-3 PO BOX 43350 Account Number: 855-1026288-2534-5 PHOENIX,AZ 85080 Due Date: Due Upon Receipt Service Location: 855-1026288 Kimzey Casing Service: 25974 Wcr 51: Greeley Co 80631 Date Ticket Description Quantity U/M Rate Amount 03/01/15 Lock fel 1.00 15.00 03/01/15 Container service fee 1.00 7.75 03/01/15 3 Yd fel 1.00 35.00 03/01/15 Fuel/environmental charge 12.97 03/01/15 Regulatory cost recovery chrg 2.27 03/01/15 Administrative fee 5.00 03/01/15 Late fee cm (30) _ _ 5.00 Total Current Charges 82.99 From everyday collection to environmental protection, Think Green' Think Waste Management. FOR CHANGE OF ADDRESS OR ANY SERVICE ISSUES CONTACT NUMBER ON PAGE 1 Waste Handling Plan There is a dumpster in the front of the property that is regularly dumped by: Dust Abatement Plan There is loose gravel on the property Also,we will be placing a 5 mph sign on the front of the property Flood Hazard Development Plan (FHDP) Not Applicable Geologic Hazard Development Plan (GHDP) Not Applicable The Department of Environmental Health has reviewed your application and has the following comments: 1) Please update the application and waste handling plan to address the following 2) How many employees and are they on site all day? (I know you indicate only 1 security person on site but how many employees would access the site on a daily basis (or if less frequent—a weekly or monthly basis) A) One employee lives on site with his family (2 Adults/2 Children.) Average employee traffic would one per week. 3) Who else comes to the site? A) Only KCS Employees. 4) I it a delivery and pick up site for the man camps? A) The Man Camps are storage only and are not being used. 5) Are the vehicles worked on there? if so how are waste fluids disposed of A) This is for storage only. All mechanical work is performed in our Greeley Shop. 6) How are leaking vehicles contained? A) All vehicles are checked weekly for leaks and any leaks are repaired in Greeley and the vehicle are returned to storage. Any spills or leaks on site are treated with absorbent materials, Bugs, and soil replacement 7) Please provide more information about the entire operation on site. A) The area is used for storage of idle assets normally used in our oilfield service business. This is a storage only area and no other activity takes place on this land. A) Note: if septic in house is used an engineer review is required if capacity of system is exceeded. B) The family of four that currently occupy the house are the only users of the bath room facilities. Zoning Violation Case ZCV14-00246 Hello