HomeMy WebLinkAbout20143423.tiff Application Review Notification Card Application Review Notification Card
A public hearing will be held before the Weld County Planning A public hearing will be held before the Weld County Planning
X861 Commission (PC) and a subsequent hearing will be held with . �,� lg�l Commission (PC) and a subsequent hearing will be held with
it If J 1the Board of County Commissioners (BOCC). Both hearings li r _.., the Board of County Commissioners (BOCC). Both hearings
= \ will be held in the Hearing Room, Weld County Administration � will be held in the Hearing Room, Weld County Administration
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Building, 1150 O Street, Greeley, Colorado. Please note the v Building, 1150 O Street, Greeley, Colorado. Please note the
G Ou N _ hearing dates and times listed on the other side of this card for C du NTT hearing dates and times listed on the other side of this card for
the proposed project. l the proposed project.
If you would like more information regarding this proposal and the conditions that must If you would like more information regarding this proposal and the conditions that must
be met, the file is public information and is available for review at our office. You may be met, the file is public information and is available for review at our office. You may
also view the file online at https://accela-aca.co.weld .co.us/citizenaccess/ by inserting also view the file online at https://accela-aca.co.weld.co.us/citizenaccess/ by inserting
the case number. Comments or objections related to the request should be submitted the case number. Comments or objections related to the request should be submitted
in writing to the Weld County Department of Planning Services, 1555 N 17th Ave, in writing to the Weld County Department of Planning Services, 1555 N 17th Ave,
Greeley CO 80631 , on or before the date of public hearing. Greeley CO 80631 , on or before the date of public hearing.
For your convenience, we have posted the agenda on our web page. For your convenience, we have posted the agenda on our web page.
ATTENTION: Proposed Conditions related to this Site Specific Development Plan and Use by ATTENTION: Proposed Conditions related to this Site Specific Development Plan and Use by
Special Review Permit request including, but not limited to, the number of allowable employees, Special Review Permit request including, but not limited to, the number of allowable employees,
hours of operation. screening, and number of allowable vehicles and vehicle trips are subject to hours of operation. screening, and number of allowable vehicles and vehicle trips are subject to
change or removal at both the Planning Commission and Board of Commissioners hearings. change or removal at both the Planning Commission and Board of Commissioners hearings.
Application Review Notification Card Application Review Notification Card
A public hearing will be held before the Weld County Planning A public hearing will be held before the Weld County Planning
'441/4 diff 1 Commission (PC) and a subsequent hearing will be held with ., �� 18fi1 %°' e Commission (PC) and a subsequent hearing will be held with
:DV-�
the Board of County Commissioners (BOCC). Both hearings li
r '� the Board of County Commissioners (BOCC). Both hearings
will be held in the Hearing Room, Weld County Administration will be held in the Hearing Room, Weld County Administration
� � -� Building, 1150 O Street, Greeley, Colorado. Please note the � Jj Building, 1150 O Street, Greeley, Colorado. Please note the
'- co N T z hearing dates and times listed on the other side of this card for tlC O ' Yc; hearing dates and times listed on the other side of this card for
the proposed project. I the proposed project.
If you would like more information regarding this proposal and the conditions that must If you would like more information regarding this proposal and the conditions that must
be met, the file is public information and is available for review at our office. You may be met, the file is public information and is available for review at our office. You may
also view the file online at https://accela-aca.co.weld .co.us/citizenaccess/ by inserting also view the file online at https://accela-aca.co.weld .co.us/citizenaccess/ by inserting
the case number. Comments or objections related to the request should be submitted the case number. Comments or objections related to the request should be submitted
in writing to the Weld County Department of Planning Services, 1555 N 17th Ave, in writing to the Weld County Department of Planning Services, 1555 N 17th Ave,
Greeley CO 80631 , on or before the date of public hearing. Greeley CO 80631 , on or before the date of public hearing.
For your convenience, we have posted the agenda on our web page. For your convenience, we have posted the agenda on our web page.
ATTENTION: Proposed Conditions related to this Site Specific Development Plan and Use by ATTENTION: Proposed Conditions related to this Site Specific Development Plan and Use by
Special Review Permit request including, but not limited to, the number of allowable employees, Special Review Permit request including, but not limited to, the number of allowable employees.
hours of operation, screening, and number of allowable vehicles and vehicle trips are subject to hours of operation. screening, and number of allowable vehicles and vehicle trips are subject to
change or removal at both the Planning Commission and Board of Commissioners hearings. change or removal at both the Planning Commission and Board of Commissioners hearings.
Case #: USR14-0034 Case #: USR14-0034
Name: Diamond Valley Energy Park LLC, c/o Name: Diamond Valley Energy Park LLC, c/o
Extraction Oil and Gas Extraction Oil and Gas
Proposed Project: USR for Oil & Gas Support Proposed Project: USR for Oil & Gas Support
and Service (oil storage tanks, misc. processing and Service (oil storage tanks, misc. processing
equipment along with a truck loading platform) equipment along with a truck loading platform)
in the Agricultural Zone District. in the Agricultural Zone District.
Location: North of and adjacent to Eastman =',..:22..]r- Weld County Planning Services Location: North of and adjacent to Eastman �,= L Weld County Planning Services
Park Drive (CR 66); approximately 1 mile east 1555 N 17th Ave Park Drive (CR 66); approximately 1 mile east
Greeley CO 80631 L 1555 N 17th Ave
°'I ' ' Greeley CO 80631
of State Highway 257. (970)353-6100 ext. 3540 of State Highway 257. (970)353-6100 ext. 3540
Planner: Diana Aungst Planner: Diana Aungst
PC Hearing Date: Oct. 21 , 2014 at 1 :30 pm PC Hearing Date: Oct. 21 , 2014 at 1 :30 pm
BOCC Hearing Date: Nov. 5, 2014 at 10 am BOCC Hearing Date: Nov. 5, 2014 at 10 am
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Case #: USR14-0034 Case #: USR14-0034
Name: Diamond Valley Energy Park LLC, c/o Name: Diamond Valley Energy Park LLC, c/o
Extraction Oil and Gas Extraction Oil and Gas
Proposed Project: USR for Oil & Gas Support Proposed Project: USR for Oil & Gas Support
and Service (oil storage tanks, misc. processing and Service (oil storage tanks, misc. processing
equipment along with a truck loading platform) equipment along with a truck loading platform)
in the Agricultural Zone District. in the Agricultural Zone District.
Location: North of and adjacent to Eastman =mss Weld County Planning Services Location: North of and adjacent to Eastman �' Weld County Planning Services
Park Drive (CR 66); approximately 1 mile east o ll r; 1555 N 17th Ave Park Drive (CR 66); approximately 1 mile east 1555 N 17th Ave
C`ij' Greeley CO 80631 "" " Greeley C 1%o8i54o
Planner: Diana Aungst Planner: Diana Aungst
PC Hearing Date: Oct. 21 , 2014 at 1 :30 pm PC Hearing Date: Oct. 21 , 2014 at 1 :30 pm
BOCC Hearing Date: Nov. 5, 2014 at 10 am BOCC Hearing Date: Nov. 5, 2014 at 10 am
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SURROUNDING PROPERTY OWNERS
USR14-0034
NAME ADDRESS 1 ADDRESS 2 CITY, STATE ZIP
BCG ENTERPRISES LTD LLLP 7725 E 88TH AVE HENDERSON CO 80640
BROE LAND ACQUISITIONS II LLC ATTN LAND ACCOUNTANT 252 CLAYTON ST 4TH FL DENVER CO 80206
EASTMAN KODAK COLORADO DIV C/O SANDRA SIMMONS 2400 MT READ BLVD ROCHESTER NY 14615
GRE HOLDINGS LLC 1331 17TH ST DENVER CO 80202
HAROLD STROMBERGER 2020 TRAIL RIDGE DR SEVERANCE CO 80615
UTES REAL ESTATE COMPANY 1726 HOVER ST LONGMONT CO 80501
WINDSOR RENEWAL I LLC 252 CLAYTON ST 4TH FL DENVER CO 80202
CERTIFICATE OF MAILING
I hereby certify that I have placed a true and correct copy of the surrounding property owners in accordance with the notification
requirements of Weld County in Case Number USR14-0034 in the United States Mail, postage prepaid First Class Mail by letter as
addressed on the attached list this 1st day of October, 2014.
Dated the 1st day of October, 2014
Digitally signed by Kristine Ranslem
43\1166/11'1 celandat- Reason : I am the author of thisdocument
Date: 2014.10.01 14:28:00 -06'00'
Kristine Ranslem
Recording Secretary for Planning Commission
Application Review Notification Card Application Review Notification Card
e ,. 1_ This is to notify you that the project listed on they 1861 . This is to notify you that the project listed on the
nit D1 other side of this card is within five-hundred '�( �� r� other side of this card is within five-hundred
t a ,- ≥ (500) feet of your property. You will be notified v�t �►�� (500) feet of your property. You will be notified
—G °�1 of any future meetings regarding the proposed °u 1 - of any future meetings regarding the proposed
project on this property. project on this property.
If you would like more information regarding this proposal and the If you would like more information regarding this proposal and the
conditions that must be met, the file is public information and is conditions that must be met, the file is public information and is
available for review at our office. You may also view the file online available for review at our office . You may also view the file online
at https://accela-aca . co .weld . co . us/citizenaccess/ by inserting the at https://accela-aca . co .weld . co . us/citizenaccess/ by inserting the
case number. Comments or objections related to the request should case number. Comments or objections related to the request should
be submitted in writing to the Weld County Department of Planning be submitted in writing to the Weld County Department of Planning
Services, 1555 N 17th Ave, Greeley, CO 80631 Services, 1555 N 17th Ave, Greeley, CO 80631
Application Review Notification Card Application Review Notification Card
��� This is to notify you that the project listed on the
""�: 6�,..�i This is to notify you that the project listed on the
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I , - other side of this card is within five-hundred r r --- 1�1 other side of this card is within five-hundred
7 (500) feet of your property. You will be notified �� ^ _�� (500) feet of your property. You will be notified
CodNTY1 . of any future meetings regarding the proposed �� ° N Y' of any future meetings regarding the proposed
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project on this property. project on this property.
If you would like more information regarding this proposal and the If you would like more information regarding this proposal and the
conditions that must be met, the file is public information and is conditions that must be met, the file is public information and is
available for review at our office. You may also view the file online available for review at our office . You may also view the file online
at https://accela-aca . co .weld . co . us/citizenaccess/ by inserting the at https://accela-aca .co .weld . co. us/citizenaccess/ by inserting the
case number. Comments or objections related to the request should case number. Comments or objections related to the request should
be submitted in writing to the Weld County Department of Planning be submitted in writing to the Weld County Department of Planning
Services, 1555 N 17th Ave, Greeley, CO 80631 Services, 1555 N 17th Ave, Greeley, CO 80631
Case #: USR14-0034 Case #: USR14-0034
Name: Diamond Valley Energy Park LLC, c/o Name: Diamond Valley Energy Park LLC, c/o
Tekton Energy Tekton Energy
Proposed Project: USR for Oil & Gas Proposed Project: USR for Oil & Gas
Support and Service (oil storage tanks, misc. Support and Service (oil storage tanks, misc.
processing equipment along with a truck processing equipment along with a truck
loading platform in the Agricultural Zone loading platform in the Agricultural Zone
District. District.
Location: North of and adjacent to Eastman Weld County Planning Services Location: North of and adjacent to Eastman Weld County Planning Services
Park Drive (CR 66 ; approximately 1 mile east Park Drive (CR 66); approximately 1 mile east �,:Ia:
)� pp y 1555 N 17th Ave )� pp Y -- 1555 N 17th Ave
of State Highway 257 -'==_• of State Highway 257
9 Y Greeley CO 80631 g Y I Greeley CO 80631
Planner: Chris Gathman (970)353-6100 ext. 3540 Planner: Chris Gathman (970)353-6100 ext. 3540
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Case #: USR14-0034 Case #: USR14-0034
Name: Diamond Valley Energy Park LLC, c/o Name: Diamond Valley Energy Park LLC, c/o
Tekton Energy Tekton Energy
Proposed Project: USR for Oil & Gas Proposed Project: USR for Oil & Gas
Support and Service (oil storage tanks, misc. Support and Service (oil storage tanks, misc.
processing equipment along with a truck processing equipment along with a truck
loading platform in the Agricultural Zone loading platform in the Agricultural Zone
District. District.
Location: North of and adjacent to Eastman Weld County Planning Services Location: North of and adjacent to Eastman Weld County Planning Services
Park Drive (CR 66); approximately 1 mile east t-It I� 1555 N 17th Ave Park Drive (CR 66); approximately 1 mile east ' '' 1555 N 17th Ave
MI of State Highway 257 of State Highway 257 y -
9 Y Greeley CO 80631 g Y >~ Greeley CO 80631
Planner: Chris Gathman (970)353-6100 ext. 3540 Planner: Chris Gathman
(970)353-6100 ext. 3540
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SURROUNDING PROPERTY OWNERS
USR14-0034
NAME ADDRESS 1 ADDRESS 2 CITY, STATE ZIP
BCG ENTERPRISES LTD LLLP 7725 E 88TH AVE HENDERSON CO 80640
BROE LAND ACQUISITIONS II LLC ATTN LAND ACCOUNTANT 252 CLAYTON ST 4TH FL DENVER CO 80206
EASTMAN KODAK COLORADO DIV C/O SANDRA SIMMONS 2400 MT READ BLVD ROCHESTER NY 14615
GRE HOLDINGS LLC 1331 17TH ST DENVER CO 80202
HAROLD STROMBERGER 2020 TRAIL RIDGE DR SEVERANCE CO 80615
UTES REAL ESTATE COMPANY 1726 HOVER ST LONGMONT CO 80501
WINDSOR RENEWAL I LLC 252 CLAYTON ST 4TH FL DENVER CO 80202
TOWN OF WINDSOR PO BOX 627 WINDSOR CO 80550
CERTIFICATE OF MAILING
I hereby certify that I have placed a true and correct copy of the surrounding property owners in accordance with the notification
requirements of Weld County in Case Number USR14-0034 in the United States Mail, postage prepaid First Class Mail by letter as
addressed on the attached list this 19th day of June, 2014.
Dated the 19th d56/ ay of June, 2014
iceziv- Digitally signed by Kristine Ranslem
149 iiinalLin., Date: 2014.06. 19 08:59:50 -06'00'
Kristine Ranslem
Recording Secretary for Planning Commission
AFFIDAVIT OF INTEREST OWNERS
SURFACE ESTATE
All that part of the SW1/4 of Sec. 23, T6N, R67W of the 6th P.M.,
Property Legal Description: county of Weld, State of Colorado, described as follows:
Beginning at the SW corner of Sec. 23; Thence N 2644.6 FT; Thence running E 1305 FT along
the county road; Thence N 2644.6 FT; Thence W 1302; Thence S 2647.6 FT to the place of
beginning. Except the following parcels: Railroad right of way as set forth in deed recorded
August 1, 1988 at Reception No. 2136577 in book 1191 and deed to Town of Windsor recorded
April 19, 2002 at Reception No. 294402.
Parcel Number 0 8 0 7 . 2 3 . 0 - 0 0 . 0 4 4
(12 digit number-found on Tax I.D.information,obtainable at the Weld County Assessors Office,or www.co.weld co us)
(Include all lots being included in the application area If additional space is required,attach an additional sheet)
THE UNDERSIGNED, being first duly sworn, states that to the best of his or her knowledge the attached
list is a true and accurate list of the names, addresses, and the corresponding Parcel Identification Number
assigned by the Weld County Assessor of the owners' of property (the surface estate) within five hundred (500)
feet of the property being considered. This list was compiled from the records of the Weld County Assessor, or a
person qualified to do the task, and shall be current as of a date no more than thirty days prior to the date the
application is submitted to the Department of Planning Services.
Signatures of all fee owners of property must sign this application. If an Authorized Agent signs, a letter of
authorization from all fee owners must be included with the application. If a corporation is the fee owner, notarized
evidence must be included indicating the signatory has the legal authority to sign for the corporation.
I (We) hereb-y 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.
I
Silnatu e 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 submissi date.
Signature
5 4-41
Date
Property Owners Within 500 ft. of Parcel# 080723000044
•
Account Parcel Owner Mailing Address
R0173689 080723000048 BCG ENTERPRISES LTD 7725 E 88TH AVE
LLLP HENDERSON CO 806408129
I R5226308 080727100014 BROE LAND ACQUISITIONS ATTN LAND ACCOUNTANT
II LLC 252 CLAYTON ST 4TH FL
DENVER CO 802064800
R0176188 080723000044 DIAMOND VALLEY ENERGY 200 PLAZA DRIVE STE 100
PARK LLC • HIGHLANDS RANCH CO 801292348 I
• R6780633 080726200026 EASTMAN KODAK C/O SANDRA SIMMONS
COLORADO DIV 2400 MT READ BLVD
ROCHESTER NY 146150001
R8610100 080722008001 GRE HOLDINGS LLC 1331 17TH ST
DENVER CO 802021566
R0587501 7 080722000075 STROMBERGER HAROLD J 2020 TRAIL RIDGE DR
SEVERANCE CO 806158625
R0173589 080723000047 STROMBERGER HAROLD J 2020 TRAIL RIDGE DR
•
SEVERANCE CO 806158625
R1584786 080723000001 STROMBERGER HARRY 10362 STATE HIGHWAY 392
TRUST(1/2 INT) WINDSOR CO 805503206
R1584786 080723000001 STROMBERGER VIOLET J
TRUST(1/2 INT)
i R8609900 080722007003 UTES REAL ESTATE 1726 HOVER ST
COMPANY LONGMONT CO 805017174
_ R6783084 080726200026 WINDSOR RENEWAL I LLC 252 CLAYTON ST 4TH FL
DENVER CO 802064800
' R0176088 080723000045 WINDSOR TOWN OF 301 WALNUT ST
PO BOX 627
WINDSOR CO 805505141
R0895402 080726000042 WINDSOR TOWN OF 301 WALNUT ST
PO BOX 627
WINDSOR CO 805505141
Account I Parcel Owner I Mailing Address
R0895502 080727000036 WINDSOR TOWN OF 301 WALNUT ST
PO BOX 627
WINDSOR CO 805505141
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 USR IL, -003q , the nature of the initial public hearing, the legal
description by section, township and range of the property which is the subject of the
initial public hearing, and the name of the applicant;
2. That said notice was provided thirty (30) days prior to the scheduled
public hearing, that it was provided by certified mail, return receipt requested, or by a
nationally recognized overnight courier;
3. That said Exhibit A includes the list of the names and addresses of the
surface owners, mineral estate owners and lessees of mineral interests to whom the notice
was sent, including those persons who have requested receipt of such notices, pursuant to
C.R.S. § 24-65.5-103(3).
APPLICANT:
i
131,ne
STATE OF COIOrOCIO
COUNTY OF WPl d
ft"
Subscribed and sworn to before me this I 2 clay of 'PTo l' P _ , 204/1-1? by
C ?c
Notary�'�tilic
Note: This Certification must be received by the Weld County Department of Planning
Services prior to or at the initial public hearing. If the Certification is not received by that
time, the hearing will be rescheduled to a later date, and Applicant must re-notify all
owners of mineral interests.
NOTARY PU8UC
STATE OF COLORADO
NOTARY D 20144010701
MY CO/MEEION EXPIRES Use 01.2010
PUBLIC HEARING NOTIFICATION
A Public Hearing will be held before the Weld County Planning Commission on Tuesday October 21,
2014 at 1:30 p.m. regarding Weld County USR14-0034. The hearing will take place in the Weld County
Administrative Building, 1150 O Street, Greeley, Colorado.
Applicant: Extraction Oil and Gas
Land Owner: Tekton Energy (Diamond Valley Energy Park, LLC)
Proposed Project: Weld County USR14-0034 is an application for a Site Specific
Development Plan and Use by Special Review Permit for an Oil and Gas
Storage and Oil and Gas Support and Service Facility (oil storage tanks
and miscellaneous processing equipment with a truck loading platform).
Legal Description: Part SW4 of Section 23, Township 6 North, Range 67 West of the 6th P.M,
Weld County, Colorado.
Property Zoning: A (Agricultural) Zone District
County Planner: Chris Gatham
If you would like additional information regarding this proposal and the conditions that must be met, the
file is public information and is available for review at the Weld County Department of Planning
Services, 1555 N. 17th Avenue, Greeley, CO 80631. You may also view the file online at:
http://www,co.weld.co.us/Departments/PlanningZoninq/CurrentPlanningCases/index.html
MINERAL NOTICE ADDRESSES
Diamond Valley USR14-0034
Public Hearing Notifications
1. Martin Lind
1625 Pelican Lakes Point, Suite 201
Windsor, CO 80550
2. Diamond Valley Energy Park
Attn. Scott Baily
200 Plaza Dr., Suite 100
Highlands Ranch, CO 80129
3. Bill Barrett Corporation
Attn. Colleene Kennedy
1099 18th Street, Suite 2300
Denver, CO 80202
Diamond Valley Energy Park
Certified Mail Receipts
USR14-0034
U.S. Postal Service..
CERTIFIED MAIL® RECEIPT
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Diamond Valley Energy Park
Certified Mail Receipts
USR14-0034
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SENDER:COMPLETE THI. 11„910 4111.01 3 8313AN340401ml,]MonS 33014 Qy
• Complete Items 1.2,and 3.Also complete A. Signature
Item 4 If Restricted Delivery Is desired. O Agent
▪ Print your name and address on the reverse X ❑Addressee
so that we can return the card to you. Received by(Pdn & e) C. Date of Delivery
• Attach this card to the back of the mallplece, 13 p1/x Ca e / < 1�
or on the front If space permits. L.3�Y c.y5' lit 31. j�
1. Article Addressed to: D. Is delivery address different from m 17 Yes
II YES,enter delivery� iow: O V ENo
Bill Bareit Cor iron 1 CE
Mtn: Colleen e Kennedy SEP 2 2 2014
►oya 18th Street/Suite 2300 3. s eery wilt,
tiled MCAIYt$i+deriy.AWliepross=—
CtAVW, Co 902oz Rs:Meted O Return Receipt for Merchandise
❑Insured Mall ❑Collect on Delivery
4. Restricted Delivery?(Extra Fee) O Yes
2. Article Number 7014 2120 0001 8421 6258
(Transfer from as. _ __ _
PS Form 3811,July 2013 DomestIc Return Receipt
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SENDER: COMPLETE THIS SECTION COfv2E,t n•,J ael,,,v,v 1.,.uc,.,vERV
• Complete Items 1,2,and 3.Also complete A. sign _
Item 4 If Restricted Delivery Is desired. / / ❑Agent
• Print your name and address on the reverse X / ❑Addressee
so that we can return the card to you. nte• Nam p C. ate of Delivery
• Attach this card to the back of the malipiece, .. ..-.4r: Q - r S 9. 91//r
or on the front If space permits. I'L i IU:1' hi
1 l e Addressed to: '''I D. Is dally' '1• - different from hem 1? O Yes
II YES ''livery address below: O No
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Polle Enemy 1I AiPI1smart B0► 1.y^P,latza Pr. 1�Suite 110 3. ,y„./I WS Ranch ,r Co r�11 Z ❑piece'stareddified kM O Priority
Receipt for Merchandise
O Insured Mall O Collect on Delivery
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(transfer from 7014 2120 0001 8421 6241
PS Form 3811,July 2013 --Domestic Return Receipt
Diamond Valley Energy Park
Certified Mail Receipts
USR14-0034
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3Nn eau=IV a1 i'ss3,maV Ntln13tl 331 Jo
SENDER: COMPLETE T IN.➢n JNl of 3d 013nN3 Jo dog IV uawans 30.VI VERY
• Complete hems 1,2,and 3.Also complete A. - . at
item 4 If Restricted Delivery Is desired. / 0 Agent
• Print your name and address on the reverse Ae, d ❑Addressee
so that we can return the card to you. lip — ed by(P red beme) C. Date of Delivery
■ Attach this card to the back of the maliplece,
or on the front if space permits. • OI•\ A,
D. Is delivery address if tem 1 ❑Yes
1. Mlcle Addressed to: 's irr +'� be No
Markin Lindawl Ow
I&25 Petiaan LQKea Poin f S: P 2 3 2014 cc. INK'
Suite 201 BY:_---a _,vevisa Q4 NI }
Wlndscr1 Co 80650 y Certified Mar PriorayR Express'
0 Registered 0 Return Receipt for Merchandise
0 Insured Mall 0 Collect on Delivery
4. Restricted Delivery?(Extra Fee) Cl Yes
2. Article Number 7014 2120 0001 8421 "6eP71
Mender from service la _
PS Fonn 3811,July2013 Domestic Return Receipt •
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