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Home My WebLink About1.0 Application( Community Development Department 108 8th Street, SUlte 401 Glenwood Springs, CO 81601 (970) 945.SZU www.garfield-coun i.v~ I TYPE J)F APPUCATIO~ 13 Ad ministrative Review a Lim ited Impact Review a Major Impact Review a Am endments to an Ap proved LUCP OUR OMtR OsuP a Minor Temporary Housing Faclflty CJ Vacation of a County Road/Public ROW a Loca t ion and Extent Review 0 Comprehensive Plan Amendment 0 Major D Minor CJ Pipeline Development LAND use GRANGE PERMl ili APPIJGAT:IQN· FORM 0 Development In 100-Year Floodplain 0 Developme nt In 100-Year Floodplain Variance 0 Code Text Amendment 0 Rezoning D Zone DlstrictO PUD D PUD Amendment 0 Administrative Interpretation D Appeal of Administrative Interpretation (J Areas and Act ivities of Sta t e Interest 0 Accommodation Pursuant to fair Housing Act 0 Variance --a llme Extension (also ch eck type of original application) I INVOlYEO PARTIES Owner/Applicant Name: FJ"o. f/g/ue Pfoc .e._ \,.J 1:-r il £-E.f-. 18 Phone: ( 9?t..J 187(~1;;fa<a MalllngAddress:dD /,.-.. &\ c).50 City: b '·, \ ..\-' Representative (Authorization Required) Name :,Or-T t1 b-o. m-\J a_. MallfngAddress: re: g 1& 1454 atv= Grws ! PROJECT NAME ANO LOCATION Project Name : Phone : ( <~ 70 > i tj,5 _ J.ss a 11?, 2-~ 2ri-0-k~l :I. State:~ Zip Code: __..r~-( .....,6 _..D_~--- Assessor's Parcel Nuanber: ~ L 2_;J_ -.d j_ L -JL. lJ_ -.11 !£,.!L. ~ PhyslcaVStreet Address: ,XO l D Ad ,:) .SD ( ,;J OOS {.(d (;?r5o) S;, / f= legalOescrlptlon: .,,$,QJ?, o±tcc..Mci deeJ5 1 L~ .tPrSo~(hUJ;"\ \ Zone Dfstrict (_"_R_v.._r _.c:\....._l ________ Property Size (acres): 0 ± vC'f7 •, c ( ProposedUse(FromUseTable3-403):......, P.e..srd~{\a./ ,,.. L..k1) J.n.c {k~\.r- Description of Project: J b' R I \ x' ,5,_;. I ~ f c.~ b ·:f-D f e F (q (' ,e --h-A.\ ler ±hat bu r 0 e Ji 1 (\ CJ e //1 Submission Requirements Er The Applicant requesting a Waiver of Submiss ion Requ i rements per Sect ion 4-202 . List: Sect ion : Y -Jo?i e Section :_Lf....,....~J .... M.--._-...... L _______ _ Section: 4-Q!0.2j Section : .__;4_~=~-0...;;;o'""""'fb...._ ______ _ Waiver of Standards D The Applicant Is requesting a Waiver of Standards per Sect ion 4-118. List : Sectio n: Section : _____________ _ Sect ion: Secti on : _____________ _ I have read the statements above and have provided the required attached Information which is correct and accurate to the best of my knowledse. :t&<L ~~Cf OaQ-L c::::v Signature of Property Owner File Number:(; a 2_'a_ ·fl~ ":l-.l . 00 Fee Paid: $_.'d-.....6D_...• ______ _ =6 Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www .garfield-county.com TAX PARCEL NUMBER: 2125-311-00-044 PRE-APP DATE: 3/24/15 PROJECT: Edna Place Accessory Dwelling Unit (ADU) OWNER: Edna Place ZONING: Rural SURVEYOR: Gamba & Associates COMPREHENSIVE PLAN: Residential Medium High (2 < 6 Ac/DU) PRACTICAL LOCATION: 2008 & 2010 County Road 250, Silt, CO 81652 TYPE OF APPLICATION: Administrative Review for Accessory Dwelling Unit I. GENERAL PROJECT DESCRIPTION The Applicant is proposing to construct an accessory dwelling unit on their 6 acre parcel located off of County Road 250. The proposed ADU would replace a previous mobile home unit that was destroyed by fire approximately 2 years ago. Initial information indicates that the unit would be an approximately 1386 sq.ft. (26' x 52') modular - manufactured home, It is proposed to share an existing well (well permit #141307) and would be provided with a new OWTS. The unit would utilize an existing driveway off of the County Road. Other structures on the property include the original homestead single family residence that would share the well with the proposed ADU and has an existing OWTS. II. SUMMARY OF REGULATORY PROVISIONS REQUIRED TO ADDRESS • Garfield County Comprehensive Plan 2030 as amended • Garfield County Land Use and Development Code as amended o Article 111, Zoning , • Rural Zone District -Lot/Building Requirements (Table 3-201) and Use Table (Table 3-403) o Article IV, Application and Review Procedures • Administrative Review Process (Section 4-103) • Common Review Procedures (Section 4-101) • Table 4-102 Common Review Procedures and Required Notice • Application Materials (Table 4-201 and Section 4-203) o Article VII, Standards ~ Division 1 General Standards, Division 2 General Resource Protection Standards, Division 3 Site Planning -as applicable • Additional Standards Applicable to an Accessory Dwelling Unit (Section 7-701 see excerpt below) A. Maximum Floor Area. The Floor Area of an ADU shall not exceed 1,500 square feet for a lot less than 4 acres. The Floor Area of an ADU shall not exce.ed 3,000 square feet for any lot 4 acres or greater. B. Ownership Restriction. An ADU is restricted to leasehold interest in the dwelling unit and is for residential or Home Office/Business use only. C. Compliance with Building Code. Construction shall comply with the standard.s set forth in this Code and with Building Code requirements. D. Minimum Lot Area. The minimum Lot Size for an ADU is either: 1. 2 acres, or 2. For lots in zone districts with a minimum Lot Size of less than 2 acres, the. minimum Lot Size is twice the minimum required Lot Size. E. Entrance to Dwelling Unit. A separate entrance to the Accessory Dwelling Unit is required. Ill. ADMINISTRATIVE REVIEW PROCESS In summary, the Application will follow the Administrative Review Process contained in Sections 4-101, 4-103 and Table 4-102: 1 . Pre-application Conference 2. Submittal of 3 hard copies of the Application along with 1 electronic copy on a CD or memory stick. 3. Review by staff for Technically Complete Status 4. If Technically Complete the Applicant will be notified, the request scheduled for a decision by the Director, and additional copies requested for referrals. If Not Technically Complete the Applicant will be advised of the deficiencies. 5. Applicant completes public notice mailing by certified mail to adjacent property owners within 200 ft. and mineral rights owners on the property. The mailing is required to be a minimum of 15 days prior to the Director's Decision. 6. Staff prepares a report including public and referral comments. 7. The Director's Decision is documented by letter as of the noticed date. 8. Director issues the Land Use Change Permit ten days following the Decision if no requests for a call-up are received and if all conditions of approval have been met. IV. SUMMARY OF SUBMITTAL REQUIREMENTS -KEY TOPICS • General Application Forms and attachments including agreement to pay form, application fees, evidence of ownership such as a deed for the property, and narrative description of the proposal. The general information also needs to include a list of property owners within 200 ft. and any mineral rights owners on the subject property • Vicinity Map (including the area generally within 3 miles of the site) • Site plan with information on proposed location of the ADU, other existing structures, and significant features on the property (i.e. easements, utilities, ditches etc.) • Grading & Drainage Plans - a submittal waivers to defer grading and drainage information to the time of building permit will be acceptable. Other conditions may be applicable. • Landscaping Plans -ADU applications are exempt. • Impact Analysis -basic descriptive information should be provided, however, submittal waivers from detailed plans including wildlife habitat will be acceptable based on developed character of the property. • Development and Improvements Agreements are not applicable (no vesting issues and no public improvements). • Traffic Study -submittal waiver will be acceptable based on the replacement of a previous existing unit with no net increase in traffic. • Water supply plan and supporting documentation (well permits, contracts with water conservancy district if needed, pump testing, and water quality testing). Waivers requesting deferral of testing requirements as a condition of approval may be considered. • Waste Water Plans and supporting documentation • Information to address applicable sections of Article 7, Division I, II, and Ill are needed. Application formats that respond to each section are recommended. Key topics include geologic hazards, comprehensive plan, utilities, access and ADU's standards in Section 7-701. Waiver requests from submittal requirements, Section 4-202 and from Standards, Section 4-118 need to address the applicable review criteria. V. APPLICATION REVIEW a. Review by: Staff for completeness recommendation and referral agencies for additional technical review b. Public Hearing: _lL Director Decision with notice (not a public hearing) _ Planning Commission _ Board of County Commissioners _ Board of Adjustment c. Anticipated Referral Agencies may include but are not limited to: Garfield County Road and Bridge Garfield County Attorney Fire Protection District ·Garfield County Environmental Health Manager Garfield County Vegetation Manager Garfield County Building Department VI. APPLICATION REVIEW FEES a. Planning Review Fees:$ 250.00 b. Referral Agency Fees: $ __ na __ (may be billed separately) c. Total Deposit: $ 250.00 (additional hours are billed at$ 40.50 /hour) VII. GENERAL APPLICATION PROCESSING Planner reviews the case for completeness and sends to referral agencies for comments. Planner will contact the Applicant and set up a site visit. Planning Staff reviews application to determine if it meets standards of review. Planner makes a recommendation of approval, approval with conditions, or denial to the appropriate hearing body which in the case of Administrative review is the Director of the Community Development Department. VIII. DISCLAIMER The foregoing summary is advisory in nature only and is not binding on the County. The summary is based on current zoning, which is subject to change in the future, and upon factual representations that may or may not be accurate. This summary does not create a legal or vested right. IX. PRE-APPLICATION SUMMARY PREPARED BY: Glenn Hartmann Senior Planner Date A. Section 4-103 Administrative ! E 0 u .• ~ E ,, ~ ~ "' ~ .c ~ c 0 E N _,,. ~ ~ • E ·~ c. c. < Admi.nistrative Review Process (Section 4-103) ' ·i ·:' ' 'f ~ " •May be waived by Director •AP.P.licant has 6 mon_ths to S1,1br:nft applicatlon Step 2: Application Submittal Step 3: Completeness Review •10 business day_s ta review •If incomplete,: 60 days to remedy deficiendes Step 4: Schedule Decision Date and Provide Notice •Mailed to adJaC:ent property owrlers withiil-200 feet a_nd mineral OWners at least 15 days prior. to decision date Step 5: Referral Step 6: Evalution by Director Step 7: Director1s Decision •tail~~p Period_ -.within 10 dciys of Director's Decision •AppliC:ant.has 1 :Vear to meet anycondiUons of approval EXQSjRP1"· .. FRPM · COMPREHEN$1Vi; PLAN FUJURI:: LANI;;) .. l:J$1:M,A.P . . Future Land Use Map ~arfield Coqnty Comprehensive Plan 20;10 as Amended ~ G-eenwaylrllil -uiban Growth Arell * Rt:Qiona/ timplcyureni Center __ ,,, Ill fndusfrilll ~!!II Spa~l::Jfcltmd -Mixed Use * ~ CcmelWillanEooome~ -Commercial Rl1vnCenf"1'" Cl Unfnoorporofod comrmmity -ReJJH(1/3T0<2ACIDU)" * Ruto.I Employment Center ~ Woter&SewerSe,nliceArea -ResMH(2.T0-:6ACIDu)~ Q Are3 d rn8UBt1«1 {3 mres) EZ] ResM(6T0<10ACiouJ * Village Center R~L(10+Ac/Du) Reso!Jf08 Pmductioo/NaturoJ . . . -. .. DJSCLAlll!f!I· e Garfield Coimty e i:!i.':tc'::;';;'~!:.':-==o;;.~::;::,~-:,~~.~·~:.:*'<;;::1;.:;::,;~:~ I I d .. ~ .. ,,.,,~ ·~· ... -""'~'"""'"''"""'"_.. ..... _ ............. ,,., ...... , -«->·~ ~-:.~-:.::.=~;c=.':' ... ~~<:l"~.':!;. .. ~~':.':.l!;i~;,:'~:.." .. ~";; ......... d ............. ~.~ .... , .. ...,_,..,~ .... ~ .. = ...... ~ ....... r..,. ................ , ....... ,_,,, •• = ............. "•""..,_ .......... ""''~ ~'!..~:.:::..".~·::.r::.",::.ir,:;,~.~:i=~':'.;:;,":~~'.!'!.1-,"!,.T:', . -~;,.......,,,, __ ,,,,,,~,, ,.,,, ............ "''""'' ... ~"•"•"'""''"' PAYMENT AGREEMENT FORM GARFIELD COUNTY ("COUNTY") and Property Owner ("APPLICANr") id.no £ ~ )ql'.e_ -----------=.,.-------------=.,.---agree as follows: 1. The Applicant has submitted to the County an application for the following Project: __ _ 2. The Applicant understands and agrees that Garfield County Resolution No. 2014-60, as amended, establishes a fee schedule for each type application, an.d the guidelines for the administration of the fee structure. 3. The Applicant and the County agree that because of the size, nature or scope of the proposed project, it is not possible at this time to ascertain the full extent of the costs involved in processing the application. The Applicant agrees to make payment of the Base Fee, established for the Project, and to thereafter permit additional costs to be billed to the Applicant. The Applicant agrees to make additional payments upon notification by the County, when they are necessary, as costs are incurred. 4. The Base Fee shall be in addition. to and exclusive of any cost for publication dr cost of consulting service determined necessary by the Board of County Commissioners forthe consideration of an application or additional County staff time or expense not covered by the Base Fee .. If actual recorded Cdsts exceed the initial Base Fee, the Applicant shall pay additional billings to the County fo reimburse the County forthe processing of the Project. The Applicant acknowledges that all billing shall be paid prior to the final consideration by the County of any Land Use Change or Division of Land. I hereby agree to pay all fees related to this application: Billing Contact Person: 'L Jo Q £. Pbc e tt "'"' e._, Phone: ( 976 ) ~7b -.;?804.::, Billing Contact Address: -"d=D_,f_,r-"->-R"-'-'=d'--_...;J"""".S,,,_,_O"'--------------- City: ~I ~ State: W Zip Code:~ { b5.:J.. Billing Contact Email: e_p\q<:£ Q 30.c(i e.JJ -C..Z:.c.u·'"iJ • ffil'Y\. Printed Name of Person Authorized to Sign: -""b'-"J"-'--o,_Q=-__,£~-·-p'--_{ q"-_ ~(_-€_..=-----~--- (Signature) (Date) Deed Index Reception # 296037- recorded July 27, 1979 Quit Claim Deed from Grandpa Johnson to the three youngest grandchildren at the time. Edna, Richard, Elmer Reception # 399689 – recorded March 9, 1989 Quit Claim Deed Richard selling his 1/3 interest to Edna Reception # 836444 –recorded June 7, 2013 Quit Claim Deed Elmer selling his 1/3 interest to Edna reserving mineral rights Reception # 852285 – recorded August 7, 2014 Quit Claim Deed Neighbors to the south (Raumans) signing the no man land from 1909 & 1910 .047 acre strip to Edna Reception # 860656 – Recorded March 23, 2015 Quiet Title Court Order for the no man land from 1909 & 1910 .047 acre strip to Edna Reception # 860494 – recorded March 18, 2015 Boundary Line Adjustment North end from Dottie Pretti to Edna Reception # 860495 – recorded March 18, 2015 Quit Claim Deed North end from Dorothy Pretti to Edna Table of Content Tab 1 Pre Application and Maps Tab 2 Site Plan and Legal Description Tab 3 Deeds for property and adjacent property and mineral owners Tab 4 House Plans Tab 5 Water Well Permit existing and draft new updated applications LEGAL DESCRIPTION A PARCEL OF LAND SITUATED IN SECTIONS 30 AND 31, TOWNSHIP 5 SOUTH, RANGE 91 WEST OF THE SIXTH PRINCIPAL MERIDIAN, COUNTY OF GARFIELD COUNTY, STATE OF COLORADO BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTH EAST CORNER OF SECTION 31; WHENCE THE NORTH QUARTER CORNER OF SECTION 31 BEARS S89°51'24"W A DISTANCE OF 2677.96 FEET; THENCE ALONG THE EAST LINE OF SECTION 31 S01°50'41"W A DISTANCE OF 422.12 FEET; THENCE N90°00'00"W A DISTANCE OF 669.28 FEET TO A POINT ON THE WEST LINE OF THE EAST ½ OF THE NE ¼, NE ¼ OF SECTION 31; THENCE ALONG THE WEST LINE OF THE EAST ½ OF THE NE ¼, NE ¼ OF SECTION 31 N01°49'24"E A DISTANCE OF 420.44 TO THE NORTH SECTION LINE OF SECTION 31; THENCE N00°00’00”W A DISTANCE OF 1.06 FEET TO A POINT ON THE CENTERLINE OF COUNTY ROAD 250; THENCE THE FOLLOWING TWELVE COURSES ALONG SAID COUNTY ROAD 250; 1. N88°50’53”E A DISTANCE OF 41.78 FEET; 2. THENCE 33.01 FEET ALONG THE ARC OF A TANGENT CURVE TO THE LEFT, HAVING A RADIUS OF 216.22 FEET, AN INCLUDED ANGLE OF 8°44’54”, AND THE CHORD BEARS N84°28’26”E A DISTANCE OF 32.98 FEET; 3. THENCE N80°05’59”E A DISTANCE OF 9.76 FEET; 4. THENCE 74.71 FEET ALONG THE ARC OF A TANGENT CURVE TO THE LEFT, HAVING A RADIUS OF 187.93 FEET, AN INCLUDED ANGLE OF 22°46’39”, AND THE CHORD BEARS N68°42’39”E A DISTANCE OF 74.22 FEET; 5. THENCE N57°19’20”E A DISTANCE OF 87.04 FEET; 6.THENCE 105.79 FEET ALONG THE ARC OF A TANGENT CURVE TO THE RIGHT, HAVING A RADIUS OF 602.99 FEET, AN INCLUDED ANGLE OF 10°03’06”, AND THE CHORD BEARS N62°20’53”E A DISTANCE OF 105.65 FEET; 7.THENCE 50.26 FEET ALONG THE ARC OF A TANGENT CURVE TO THE RIGHT, HAVING A RADIUS OF 331.01 FEET, AN INCLUDED ANGLE OF 8°42’02”, AND THE CHORD BEARS N71°43’27”E A DISTANCE OF 50.22 FEET; 8. THENCE N76°04’28”E A DISTANCE OF 16.82 FEET; 9.THENCE 96.72 FEET ALONG THE ARC OF A TANGENT CURVE TO THE RIGHT, HAVING A RADIUS OF 171.29 FEET, AN INCLUDED ANGLE OF 32°21’06”, AND THE CHORD BEARS S87°44’59”E A DISTANCE OF 95.44 FEET; 10 THENCE S71°34’26”E A DISTANCE OF 75.71 FEET; 11. THENCE 98.05 FEET ALONG THE ARC OF A TANGENT CURVE TO THE RIGHT, HAVING A RADIUS OF 381.71 FEET, AN INCLUDED ANGLE OF 14°43’05”, AND THE CHORD BEARS S64°12’54”E A DISTANCE OF 97.78 FEET; 12. THENCE 42.58 FEET ALONG THE ARC OF A NON‐TANGENT CURVE TO THE RIGHT, HAVING A RADIUS OF 105.10 FEET, AN INCLUDED ANGLE OF 23°12’40”, AND THE CHORD BEARS S45°15’01”E A DISTANCE OF 42.29 FEET TO A POINT ON THE EAST SECTION LINE OF SECTION 30; THENCE LEAVING SAID CENTERLINE S00°00'00"W A DISTANCE OF 47.87 ALONG THE EAST LINE OF SECTION 30 TO THE POINT OF BEGINNING. THE DESCRIBED PARCEL OF LAND CONTAINS 7.83 ACRES MORE OR LESS. THE PARCEL MAY BE SUBJECT TO EASEMENTS OR RIGHTS‐OF‐WAY FOR COUNTY ROAD 250 AND THE EAST LATERAL OF THE FARMERS IRRIGATION COMPANY DITCH (ALONG WITH ITS ASSOCIATED DITCH ACCESS ROAD). RECORDED DOCUMENTS FOR SAID EASEMENTS OR RIGHTS‐OF‐WAY DURING THE PREPARATION OF THIS DOCUMENT WERE NOT LOCATED IN THE PUBLIC RECORDS OF THE GARFIELD COUNTY CLERK AND RECORDER’S OFFICE. LEGAL DESCRIPTION PREPARED JANUARY 8, 2014 BY: MICHAEL J. GAMBA P.E. & P.L.S. GAMBA & ASSOCIATES, INC. 113 NINTH STREET, SUITE 214 GLENWOOD SPRINGS, CO 81602 PHONE: (970) 945‐2550 Recorded at II. /0 . Q J .-o'cloc~M., --==-Ul=-.::.=.2--'7'--=19'-'--79.,__ ___ -4.Bft!JOOC4'K~ 532 PAGE 1.30 296037 ~ /), . -4 Reception No .. ________ ~t:1V~ rr=--========================· ~=R=e=co=r=d=er=.==========::::;i 1 Recorder's Stamp THIS DEED, Made this day of II '1 19 79 , between ELMER JOHNSON, .AKA ELMER G. and JOSEPHINE JOHNSON, Husband and Wife, JOHNSON, JUL 2 7 1979 srm 11or.m.-1~11nRY m 1 1 1 , ~~i~;ado, of the first part, and ELMER EUGENE JOHNSON, and tenants, whose legal address is Silt, County of Garfield• State of EDNA JONES PLACE, RICHARD STREZA, as joint t;( L.w3•-~··--..-·-~-.. -~------ I ofthe County of Garfied_. and State of Colorado, of the second part: WITNESSETH, That the said part iesofthe first part, for and in consideration of the sum of :I TEN DOLLARS AND OTHER GOOD AND VALUABLE CONSIDERATION DOLLARS . I to the said partiesofthe first part in hand paid by the said parties of the second part, the receipt I! I whereof is hereby confessed and acknowledged, have remised, released, sold, conveyed and quit claimed, and by these presents do remise, release, sell, convey and quit claim unto the said j I I parties of the second part, their heirs and assigns forever, not in tenancy in common but in joint , tenancy, all the right, title, interest and demand which the said part ies of the first part 'I i ha ve in and to the following described lot or parcel of land situate, lying and 1• i II being in the i 1 II County of Garfield and State of Colorado, to wit: II The North six (6) acres of the E~ NE!t; NE!t; of Section 31, Township 5 South, Range 91 West of J the 6th Principal Meridian; I I I II I 1 also known as street and number 11 I I TO HAVE AND TO HOLD the same, together with all and singular the appurtenances and privileges thereunto belonging or in anywise thereunto appertaining, and all the estate, right, title, interest, and claim whatsoever of the said parties of the first part, either in law or equity, unto the said parties of the second part, their heirs and assigns forever, not in tenancy in common but in joint tenancy. 11 I ' IN WITNESS WHEREOF, The said parties of the first part have hereunto set their hand s and seal s the day and year first above written. 1 1 1 Signed, Sealed and Delivered in the presence of l ~ ~µ~<... [SEAL] ELMER JOHNS AKA ELMER G. JOHNSON I I . -1 :::~~ } i SS. ,1 County of The foregoing instrument was acknowledged before me this day of I 1.~J·Q~··~·,bY.'v"tr.:&r~R JOHNSON, AKA ELMER G. JOHNSON, and JOSEPHINE JOHNSON, husband I .a~.:.... wa,.fe; · ·. ..-:--· .. I 1 ~lMj-!·bo. !lltllli~~ldtf~P.ires /,A . '1-f' () ,,I IF -..../,• • '.()\}'\I I ( •• ~ I' \ t :·~~N-~\, .hhand and official seaL ;f ~ /& ~cj= 1 . I i.~. ". . j· I J ['1 \, . .: < ./ -,,. I... Notary Public. I\.>-·... ..·· .. • / '' ··.""l'r'·· ·· .. · '· ·" Ii IL:.7~~~:~f::·:·===:·---------=~~=~~=====ll No. 962. QUIT CLAIM DEED.-To Joint Tenants.-Brndford Publishing Co., 1846 Stout Street, Denver, Colorndo (573-6011)-7·78 · ""·'· .. ·· .· ... , ... ·· ~ STATE OF COLORADO, --------··----·--· ····-·······-----·----·-··-------------··1 :: \\ 11 \ \ THIS DEED, Made this 21st day of February .1989. I! \\ \\ between RICHARD STREZA of the Count~· of ~ .. of the fil'11~ 1iart, and and state of Orange EDNA JONFS PLACE calif ornia i' ; ' whoi,:u lugal addn•ss ii< Box 34, .Silt, Colorado ; : ofthl• and 11t'alu of County of. Garfield 'i Colorado, of the second part. , RECORDER'S STAMP BU0!t 750 p].~£417 \ "2tFff '§Lq9e9 Stde Dco0 F•~ $ __ .11 s .. s...,.;> ·····,. I WITNE8SETH .. That the ..:;1id 1i:11·t y of the fii·i;t f>'.ll't, for and in.c1>nsiclcrat.ion of the sum of I . SEVEN THOUSAND FOuR HUNDRED ($7 ,400) QOLLARS, ,. to the 11aid part y of the t'iri;t part in hand paid by the said party of the second part, the receipt whereof · i · is hureb~· confo11sed ancl ackn.owledgccl, has remised, released, sold, com·eyed and QUIT CLAIMED, and b)• these I i; present~ do es ren1ise, ~elcasc, scJI. convey nncl QUIT CLAIIvl unto the said Jlart y of the second pai-t, her L'heirs, i ! suc:cei;sors 0 and assigns. fot'e\·er, all the right, title, intere11t, claim and demand which the said party of the first part ! : ha s in and to thu following described lot or 1i:11·cel. of land situate, lying and being in the·· · County of Garfield and St.ate of' Colorado, to wit: :1 ·; ; : !:, The North (6) acres of the ~ NE% Nl!% of Section 31, Township 5 South, Range 91 T\Jest of the 6th Principal Meridian· :>-_ · .. TO HAVE AND TO HOLJ? the same, together with all and singular the appurtenances and privileges thereunto belonging or in anywise the1·eunto appertaining, and all the estate, right, title, interest and ~lahi1 whatsoever, of the , . said pa1·t y of the. fir11t part, either in law or equity, to the only proper use, benefit and be hoof of the said party of ; ' the second pai·t, her heirs and assigns fore\•er. IN WITNESS WHEREOF. The said part v of the !'ii-st pnrt has : ' and seal the. cla·y and year first above \vritten. [SEAL] Signed, Sealed and Deli\'ered in the Presence of '; ·----[SEAL] ! : : i ·------------[SEAL] : ~ County of OJel'"f/'v.G,f. ; : _The r:regoi~y)nstrument w~s ackn.~wledged beforP. me this , . 1a 'c5F/ • by ,,.-<f Au .-c. (.)/\.../1 4-. If.; e.~ ·day of !1 1; ;I Ii Ii [i i'. My commission expires ::<. } / ;:t..,) OFFICll\L SEAL SHARON 0. WEHR NOTARY PUBLIC· CALIFORNIA , ORANGE COUNTY My Comm E•pirus Fob. 12, 1991 , 19 '/ J • Witness rny hand and officiai seai. No. 933. QUIT CLAIM DF,ED. Bradford Publishing, SH2S W. 6th Av• .. Lakowood, CO 811214-(303J 2JJ.6900 Nolury ~ublic •. ... .----· .. -. --· i I i I .I I I JI: I I I. ii 11 II I II I' i! Ji ·I I 11 11 ·j! ii !i 11 I i ! . \ i I I' 1' i I i I I I ..l ~ .. o ·,. ·-· .. 1111 ~11111.i. ~~1 1l~J.~M l.~1 ! ~1 r,lrl'i:~,1·:~~11l"ll*l1 i.~"A 11111 Reception~: 836444 06/07/2013 03:49:51 PM Jean Alberico 1 of 1 Rec Fee $11 00 Doc Fee 2 47 GARFIELD COUNTY CO RETURN TO: Edna Place 2010 Rd 250 Silt, CO 81652 QUIT CLAIM DEED THIS DEED, Made this 1 Tl"i day of -::fun E'_. ,2013, Between, Elmer Eugene Johnson, of the County of Mesa and the state of Colorado, hereinafter referred to as Granter, and Edna Jones Place, whose legal address is 2010 County Road 250, Silt, Colorado 81652, hereinafter referred to as Grantee, WITNESSETH, That the Granter, for and in consideration of the sum of Twenty four thousand six hundred sixty seven and 00/100 ($24,667.00) DOLLARS the receipt and sufficiency of which is hereby acknowledged, has remised, released, sold and QUITCLAIMED, and by these presents does remise, release, sell and QUITCLAIM unto the Grantee, Grantee's heirs, successors and assigns, forever all the right, title, interest, claim and demand which the Granter has in the real property, together with improvements, if any, situate, lying and being in the County of Garfield and the State of Colorado, described as follows The North (6) acres of the E Y, NE V..NE '!.. of Section 31, Township 5 South, Range 91 West ofthe 6'h Principal Meridian; Except: Seller reserves if any, and all mineral rights, but with no right of surface occupancy Parcel# 212531100044 also known as street number: 2008 County Rd 250, Silt, CO 81652 TO HAVE AND TO HOLD the same, together with all and singular the appurtenances and privileges thereunto belonging or in anywise thereunto appertaining, and all the estate, right, title, interest and claim whatsoever, of the Granter, either in law or equity, to the only proper use, benefit and be hoof of the Grantee, Grantee's heirs and assigns forever. The singular number shall include the plural, the plural and the singular, and the use of any gender shall be applicable to all genders IN WITNESS WHEROF, the Granter has executed this deed on the date set forth above Elmer Eugene Johnson STATE OF COLORADO County of l-}vf/ i Id The foregoing instrument was acknowledged before me this 1-nJ day o~D (':, Elmer Eugene Johnson Witness my hand and official seal ASHLEY A KRAMER Notary Public AJ1 ~rQ;,i i 'I ~tary~ I 2013 by, State of Colorado Notary JD 20124078038 M Comm~sionE I S My commission expiresDc:3 ,;fC/I c 1111 ~,1 ~ .. ~~1'N~ll.M1J, ~~i IN~lrl,.ll'/Jl~1~'~1 ~1Ji.1 ~.i ~iiu~, 111111 ReceptionH: 860656 03/23/2015 11:20:09 AM Jean Alberico 1 of 4 Rec Fee·$26.00 Doc Fee·0.00 GARFIELD COUNTY CO DISTRICT COURT, GARFIELD (GLENWOOD SPRINGS) COUNTY, COLORA[ 0 Court Address: 109 8th Street, Ste. 104, Glenwood Springs, CO, 81601 DATE FILED: March 6, 2015 9:44 AM Plainliff(s) EDNA ELAINE PLACE v. Defendant(s) WW VORIS e_t al. /\ ,....n1 IDT 11cc: n~11 v A L..!...l ..,....,...,.,I ""oJ'-.._,l'ill .... I L..!...l Case Number; 2014CV30227 Division: F Courtroom: Order: Default Judgment and Decree Reforming Deed and Quieting Title .~-: The motion/proposed order attached hereto: GRANTED. More than 21 days have elapsed since the Court appointed an attorney to address the Servicemembers Civil Relief Act issues for unknown or unrepresented defendants. No objection or other response has been filed to the Motion for Default Judgment. All other matters in the case have been addressed procedurally. Accordingly, the Motion is GRANTED. Issue Date: 31612015 JOHN FOWLER NEILEY District Court Judge Page 1 of1 1111 rw .. 1'~1N~l ~u, rtir,11.:~i'r~r.111Vr 1A'> ~l.rlr ~JM~,1,1), 11111 Reception»: 860656 03/23/2015 11 :20:09 RM Jean Rlberico 2 of 4 Rec Fee:$26.00 Doc Fee·0.00 GRRFIELD COUNTY CO DISTRICT COURT, GARFIELD COUNTY, COLORADO Court Address: I 09 Eighth Street, Suite 104 Glenwood Springs, Colorado 8160 I EDNA ELAINE PLACE, Plaintiff, vs. W.W. vorus, DECEASED; THE SUCCESSORS, .. ASSIGNS AND HEIRS, IF ANY, OF W.\'!. VORIS; ,·<; ' .. AND ALL UNKNOWN PERSONS WHO CLAIM ANY ~ COURTJJSEDNLY ~ INTEREST IN THE SUBJECT MATTER OF THIS ' ,.. ACTION, Defendants. \ • " .::.;' Cas~·NO. 14 CV 030227 Div°:·' . --,Ctrm: ' '. , . ' " ' DEFAULT JUDGMENT AND . •. DECREE REFORMING DEED AND QUIETING TITLE ,, ' . { . . ' ; I . ·. :l ' :~ , ,.'( ... ~~~· ,(I )1:·;.· . ...,,,'.~~ t) ,r : 0 , ..... ;iH111: The Court, having reviewed Plaintfrfs' Verified Motion for Default Judgment and];/i;i-';.~'(:;.)'?:;: .. :./f.,\ ~ntry of De_cree Reforming Deedand.Quieting Title and the record herein and being fully ad~\~~,CJ~'i' ~·. B • g ~ m the premises, FINDS THAT: .·. • ~ . :::? o ::S: 1, . ~·<· ~ (_) ...... {:-' , _ • • , •-'. ~.I ,:t3, '·•'., , fi•r '' I. Each Defendant herein has been properly served under Rule 4 of the Colorado Rules of·· ..f?, > ;: C> · • • ' ·~ ', ~-' l : ('.,.") C1v1l Pr9cedure. : •·q, · ...... ~ ·'·!.~"" ·t; t" 2. Mel.ad/ ;,.;~s;ih, Attorney at Law, has been heretofore appointed and has appeared.for ~ny, -. ana aJIDefendants who are in the military service, as defined by the Servicemembers Civil- ,-. Relief Act, as amended. 3. This Court has personal and subject matter jurisdiction in this case and venue is proper in Garfield County under C.R.C.P. 98 because this is an action concerning real property in Garfield County, Colorado. 4. The time for responding to the Complaint and Plaintiffs' Verified Motion for Default Judgment and for Entry of Decree Reforming Deed and Quieting Title has expired. 5. The allegations of the Complaint and Plaintiffs' Verified Motion for Default Judgment and for Entry of Decree Reforming Deed and Quieting Title are true. ~ ' , •12-.:,:.! 6. Defendants have no title or interest in or to the real property situate, lying and being in the County of Garfield, State of Colorado described on Exhibit 1 attached hereto and incorporated herein. 7. Every claim made by Defendants to said real property adverse to the Plaintiffs is unlawful and without right. 8. In order to make the deed from W.W. Voris to Fred A. Barlow, executed on August 12, 1910, and recorded August 12, 1910 at Reception No, 40063 in the office of the Garfield County Clerk and Recorder, and all subsequent deeds in Plaintiff's chain qf \itl~ to the North Six Acres of the East !lo of the North East 0, North East ~~ of Section 31, ·Township 5 South, Range 91 West of the 61 " Principal Meridian, in Garfield c'aunty, Colorado conform to the actual intention of the parties, it is necessary tha.t the description therein be reformed to add all the real property situate, lying and being in th~ County of Garfield, State of Colorado described on Exhibit 1 attached hereto m,1d '.incorporated herein. I "· • I. WHEREFORE, IT IS HEREBY ORDERED, ADruDG.ED AND DECREED: ·. ' ....... THATat the time of the commencement of this proceeding, Plaintiff was and now is, the owner of fee simple title to and is in possession of all the real property situate, lying and being in the County of Garfield, State of Colorado described on Exhibit 1 attached hereto , and incorporated herein, together with all. appurtenances. ;-:i .• :. :.~. ~.) .. (.). 2. 3. 4. THAT .fe~ simple title in and to ~aid_ ·~ea! prope1ty shall be and the same hereby is quieted i~ ,~I·';?.:"''">·- the Plam!Iff. ·· ·.. _ ''-~)· .,·,-·"· .. (of' •' r_r,, 0 '•.,.. THAT each of the Defendants have no right, title, or interest in or to the said real proper!;.'· . -/' ~ "\ or any part thereof, and that they are forever enjoined from asserting any claim, right, title,~. '\ '3 f or interest in .or'io the said real property or any part thereof. ·' • °' . · : '~~ .... ··,/'...;. ···' :Q.5. THATthe deed from W.W. Voris to Fred A. Barlow, executed on August 12, 1910, and,_._~·=··'. ·Gt;<'<_ recorded August 12, 1910 at Reception No, 40063 in the office of the GarfieldCounty Clerk and Recorder, and all subsequent deeds in Plaintiff's chain of title to the North Six ·.Acres of the East Y, of the North East Y,, North East Y, of Section 31, Township 5 South, ·Range 91 West of the 61 " Principal Meridian, in Garfield County, Colorado shall be and hereby are reformed to include all the real property situate, lying and being in the County of Garfield, State of Colorado described on Exhibit I attached hereto and incorporated herein. DATED this ___ day of ________ , 2015. District Court Judge DATE FILED: January 14, 2015 3:53 PM E~hibit I to Default Judgment and Decree Reforming Deed and quieting Titte. ·Legal u4criptlon The •ole p11rpoo<: of tliis legal descrjptinf\ ls to describe llil area of lond situated between lheNorth-6-acres of the EosHlz of tho NF. ~.NE~ of8octlon 31 and the Sou!h l 4 ocrci crf the Ea•t \,\ of!be NE ~'NE !4 of Section 31. -· 1 An area ofiand loo~red in the Thi:_.st 112 oft.TieNE.l/4J NE !li1 ofS~t10n Jl. To\~lflsh.ip S South 1 ltailga 91 We>!! oftlwSixlhP.ri:ncipal Meridian, County of Garfield COU11ty, Stale ofColorodo bdng mote par!icularly d""crihed as follows: .; ·' . ; "' 1111 wi~ ... r~~111«i r~~'~ tti1~11a ~Wi!lt.r1tfl:1~ii hlJ~liW, 11111 Reception#: 852285 \ 08/97/2014 11:43:05 AM Jean Alberico 1 of 2 Rec Fee:$16.00 Doc Fee:0.00 GARFIELD COUNTY CO QUIT CLAIM DEED THIS DEED, made this __ j __ day of~ JJJO)j_, 2014, between RUSSELL A. RAUMAN and ROSE A. RAUMAN, of the County ofo";;.rt};;]<lt~d the State of Colorado, grantors, and EDNA JONES PLACE, whose legal address is 2010 County Road 250, Silt, Colorado 81652 of the County of Garfield and State of Colorado, grantee. WITNESSETH, that the grantors, for and in consideration of the sum of Ten ($10) dollars and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, have remised, released, sold and QUIT CLAIMED, and by these presents do remise, release, sell and QUIT CL.A.IM unto the grantees, their heirs, successors and assigns, forever, all the right, title, interest, claim and demand which the grantors have in and to the real property, together v.'ith improvements, if any, situate, lying and being in the County of Garfield and State of Colorado, described as follows: SEE EXHIBIT A ATTACHED HERETO AND IN CORPORA TED HEREIN BY THIS REFERENCE TO HA VE AND TO HOLD the same, together with all and singular the appurtenances and privileges thereunto belonging or in anywise thereunto appertaining, and all the estate, right, title, interest and claim whatsoever, of the grantors, either in law or equity, to the only proper use, benefit and behoof of the grantees, their heirs and assigns forever. IN "WITNESS WHEREOF, the grantors have executed this deed on the.date set forth above. _LIA:~ £~~ Russell A. Rauman STATE OF COLORADO ) COUNT'! OF GAii.FJELD ) SS. \ ) Rose A. Rauman J The foregoing instrument was acknowledged before me on this _l_ day of LL[tf'I---"' 2014, by Russell A. Rauman and Rose A. Rauman. Witness my hand and official seal. My commission expires~ ANNE KELLERBY Notary Public State of Colorado Commission # 20084024843 • My Commission Expires Jul 17, 2016 ' --- I?, d.OIU.. I (/.L/'\-" n ~11 :_ l ·~·· ~tary 'Publicj~-i)- 1111 w.1~,,r.·~1i~ 1.~M\~ !'+!Ir r+tl~.ll'tl!UtM'~ ra:111i ~~r:·ili 11111 Receptionl=I:: 852285 . OB/0712014 F11 : 43$·1. 065 ,,,~M 00 ~eF~e ~&b6f/GfiRFIELD COUNTY co 2 of 2 Rec ee: ·''""' · · EXHIBIT A A parcel of land located In the East % of the NEY., NE'A of ~on 31, Township 5 South, Range 91 West of the Sixth Principal Meridian, County of Garfield, State of Colorado being more particiilarly described as follows: Beginning at a point on the East line of Section 31 whence the North East comer of Section 31 bears North 01°50'41" West a distance of391.SO feet; thence along the East line of Section 31 South 01°50'41" West a distance of30.62 feet, thence North 90000'00" West a distance of 669.28 feet to a point on the West line of the East% of the NEY., NE% of Section 31; thence along the West line of the East% of the NE% of Section 31 North 01°49'24" East a distance of 30.62; thence North 90°00'00" East a distance of 669.29 feet to the Point cf Beginning. EXCEPTING the right of way for Garfield County Road 250 Gar.field County BOUNDARY LINE ADJUSTMENT AFFIDAVIT The undersigned affiants being first sworn upon thereof, depose and state as follows: 1) We are the owners of real property in the unincorporated area of Garfield County, which is described in Exhibit A (also known as a Quit Claim Deed) which is attached hereto and incorporated herein by reference. 2} \!tJe are desirous of adjusting the boundary lines of our parce[s and/or lots and sign this Affidavit in accordance with the Garfield County Land Use and Development Code. 3) We hereby represent that no new parcels or lots will be created and therefore, that Garfield County will not be required to issue any building permits, other than what it would be required to issue for the already existing parcels or lots. 4) We hereby represent that none of the parcels or lots involved in this boundary line adjustment are part of a previously platted subdivision of record. If one of the lots to be amended is a lot in a previously recorded subdivision, then a Final Plat Amendment is required which is more fully defined in article 5 of the Garfield County Land Use and Development Code. 5) We hereby represent that the boundary line adjustment made reference to herein will not cause the loss of access by road or to utilities, to any parcel or lot involved. 6) We hereby represent that the boundary line adjustment being made will not result in any of the parcels or lots involved being less than the minimum lot size in their applicable zone district allo\rved as a result of the boundary line adjustment or create any non-conforming setbacks for any existing structures. 7) We hereby represent that a copy of the Affidavit will be recorded with the Garfield County Clerk and Recorder. FURTHER AFFJANTS SAYETH NOT . . \-t~ A DONE this __ \L..!..,-__ day of ---t\:(J::l u 5f ' 20 \ 1.\- I Property Owner #1 Property Owner #2 Signature J)orotlr i Tre ft/ -' Signature / 1Cdna.. Print Name 1111 ~~JN::i'lfil 'U~~I rric riiJ.~k 1 '!l~l~J~ tJ1~TJHY1", ivj, 11111 Receptionn: 860494 03/18/2015 10:25:21 AM Jean Alberico 2 of 5 Rec Fee:$31.00 Doc Fee:0.00 GARFIELD COUNTY CO STATE OF COLORADO )ss COUNTY OF GARFIELD The forego in~ document was subscribed and sworn to before me in the County of Garfield, State of Colorado this I \-L day o~v.>T • 20 ~ by T»Po±b--. J?x-ctt-; and ___ · __________ _ I My Commission Expires: __ :r~-~"2=2~-~\S~----,]_t-t-J PEARL KNIGHT ~V ~Ai51~f NOTARY PUBLIC Notary Public STATE OF COLORADO NOTARY ID #19874109472 My Commission Expires July 22, 2015 STATE OF COLORADO )ss COUNTY OF GARFIELD oo.5'1 C.12.. 3lla,Stl..T, C.a Address The foregoing ~~ment w~ subscribed and sworn to before me in the County of Garfield, State of Colorado this cJ P day of lebrkli\ra , 20 15 by E4M ~}he~ and My Commission Expires: -~5~~ .... /~!).~J ~)Ql~D~\~\o~--- Notary Public 11/tl Pr-c.FtduM.o rke ~'lli,w81 (QSD Address ' 1111 WJ~_.~:..,1 111,1~ Ml\ llN, r~~~ tt~,~"·'~! I~~~~ Ill.vi, 11111 Reception~: 860494 03/18/2015 10:25:21 AM Jean Alberico 3 of 5 Rec Fee:$31.00 Doc Fee:0.00 GARFIELD COUNTY CO Exhibit A -Legal Description An area ofland located in the SEl/4, SE 1/4 of Section 30, Township 5 South, Range 91 West of the Sixth Principal Meridian, County of Garfield County, State of Colorado being more particularly described as follows: Beginning at the South East Corner of Section 30; thence along the West section line of Section 30 N00°00'00"E a distance of 47.87' to a point on the centerline of County Road 250; thence the following twelve courses along said County Road 250; 1. 42.58 feet along the arc of a non-tangent curve to the left, having a radius of 105.10 feet, an included angle of 23°12'40", and the chord bears N45°15'01 "W a distance of 42.29 feet; 2. Thence 98.05 feet along the arc of a tangent curve to the left, having a radius of 381.71 feet, an included angle of 14°43'05", and the chord bears N64°12'54"W a distance of 97.78 feet; 3. Thence N71°34'26"W a distance of75.71 feet; 4. Thence 96.72 feet along the arc of a tangent curve to the left, having a radius of 171.29 feet, an included angle of 32"21 '06'', and the chord bears N87°44'59"W a distance of95.44 feet; 5. Thence S76°04'28"W a distance of 16.82 feet; 6. Thence 50.26 feet along the arc of a tangent curve to the left, having a radius of 331.01 feet, an included angle of 8°42'02", and the chord bears S71°43 '27"W a distance of 50.22 feet; 7. Thence 105.79 feet along the arc ofa tangent curve to the left, having a radius of602.99 feet, an included angle of 10°03'06", and the chord bears S62°20'53''W a distance of 105.65 feet; r 8. Thence S57°19'20"W a distance of 87.04 feet; 9. Thence 74.71 feet along ihe arc ofa tangent curve to the right, having a radius of 187.93 feet, an included angle of 22°46'39'', and the chord bears S68°42'39"W a distance of74.22 feet; 10. Thence S80°05'59"Wadistance of9.76 feet; 11. Thence 33 .0 I feet along the arc of a tangent curve to the right, having a radius of 216.22 feet, an included angle of 8°44'54", and the chord bears S84°28'26"W a distance of32.98 feet; ~):i.'IJ12. Thence S88°50'53''W a distance of41.78 feet; ( 0 \1 -.1-s.,·R""""~;,,.J:o ~·rl·,., Gw1rrl<,r= Cf "I.~ in-I~{-;..., <1,.~cifuQtf ,..,,; ,..,~/ n~/,h,, b Thence leaving said cenr&line S00°00'00"E a distance of [06 feet to a pomt on the South Section line of Section 30; thence along said South Section line of Section 30 N89°51'24"E a distance of 669.49 feet to the point of beginning. The described parcel of land contains 1.36 acres more or less. The parcel may be subject to easements or rights-of-way for County Road 250 and the East Lateral of the Farmers Irrigation Company Ditch (along with its associated ditch access road). Recorded documents for said easements or rights-of-way during the preparation of this document were not located in the public records of the Garfield County Clerk and Recorder's Office. Legal Description prepared January 8, 2014 by: Michael J. Gamba P.E. & P.L.S. Gamba & Associates, Inc. 113 Ninth Street, Suite 214 Glenwood Springs, CO 81602 )fs;--\ Phone: (970) 945-2550 I\ ;tB 4 '"'~ 507 "-IJ. (1.. 3ygq17 P.,oo 1<.-t,,4d. Po_3e, 'f~ l *.;;< ~ ii. ~ ..,,, .3' ~ 3q'b8? I.. "[{?, 6 'N </ f!,l. 5 3.i. fs I 30 tK.. 750 ;3 4f 7 20 ~ 9 Fi:~ q~ gl a; oz ~0 :; u· $!:! ij ..... ii ~ Cl 2:::: ~ =~ .. wj "' f• .,. - "' 0 ~z r-~ ii-..., ;:;- -m ;ll ~ C> ::I ~ ~ -Cl.. --· • ::I g ~ "' -"' ::r b s -"' -~ ... "' . "' ~ ...,_ ---:e.:"" . "' "' ---Qrl s I _.. ~ ~ ~ = ~ • (jl :l> • ~3 ~m ")> -- • nGl ~g> ~ •3 • c '!' r-m ~ :::!;!) • z 0 • ~ .R> ::c ~> t:r1 ~ z (I) ~ ~ ~en "'" ~ ~o 5' • .n ~· ...,. "~-~z> to Z o-1 Ill ln·l"'l ~ ~rn z <" . ·-n ~z o •n 3 •. CURVE Cl3 Cl4 Cl5 Cl6 Cl7 ClB Cl9 CURVE TAEILE LENGTH RADIUS DELIA CHORD 42.58 105.10 23°12''40'' 42.29 98.05 381.71 14°43'05" 97.78 96.72 171.29 32°21'06" 95.44 50.26 . 331.01 8'42'02' 50.22 • 105.79 602.99 l 0'03''06' 105.65 74.71 187.93 22"'4b'39" 74.22 33.01 216.22 8'44'54" 32.98 ASSESSOR'S PARCEL# 2125-304-00-099 FENNO RANCH PARTNERSHIP (BK 852 PG 235) CHORD BEARING N45°l 5'01 "W N64°l 2'5ll'W N87°44'SS~'W S71'43'27'W S62'20'53'W S68 942'3S:'"W S84°28'26'W ASSESSOR'S PARCEL# 2125-304-00-099 FENNO RANCH PARTNERSHIP (BK 852 PG 235} P.O.B, 3)\ INS. DIA. B.L.M. ALUMINUM CAP 1989 ATTACHED TO STEEL CULVERT, LOCATED 1 FOOT EAST OF THE WEST END OF CULVERT, MONUMENTING THE CORNER COMMON TO SECTIONS 29, 30, 31 AND 32 T. 5 S., R.91 W. I I I I I I I I 0 II )> M ~ zl o::i m 0 I C"' -I ~o bi ~?'i' w I " V) t 0 '."ti Or 11 ~ u.il >Q ZI Z ,- :JI 01": 1-1 ;:: "' ""1 5>-' --u-s----~' z ~ _,.<1-i;-N~. //.' ~-I i!),:_, .,,.,,..---~ , ,, , ·...:..,..;._._,._/ 7/fj,~/.<..,(~, . l 16' ---.__ J m -o ,, _. ..... ~ / ·i·:-:~.r· · · -·,, -......._ .t>- 6 _,.,, / ::.~ . ; ... /,~~~~//~~~!.---.:. ~ : ~ b , ·~" ,', ~Y;" ..... .,./ ... ,,,.,. >'4~· t'// '/ ,:,'.,..,;_,. <? / ,-,0 ... ·, , . /'.~ .... ,.~ ."/,.',t~~~:i,t '. )' ..... ,. r-r~ J ~ -0 ,,... A-~' /V· .· /,u·-w,·.,,/~ .. ·///.";:'··~~"'$1 1..,., · · ,. ,,'..,(. '--....... 1 °' ,/' ·_y",..,/ .. .:---.,,·-<~~~~~/-//· .. ,/,..'-;<,',•'/';·~~~;1,/_ • .,,,.,,. ......... :,..(,.; 1 0 / //·· , , ~,,,'f.~1 •' ,.,.,,,,,.Y,.L' ~,&.'••,.-',·"'<.;.· (A' ~ .. ,,_,. , ,• •',.,-',1, ~,.1i 0 • /.t'//'/,'•,.•r/'//r';'....i,',. l"!t;."f_,.'\,,/ • •'.-,; • , /. . · /,, _.,.,,,..._./ -11~--" .... ~-;.< /'//./'/·._,._., .,,..., ..... /,, . .,. , .,.~~./'" . /,/ ,,,x...,<:<, ,,..;>~ ~•r•.r · .-.. r '·•·n~·" •·• CENTERLINE OF CR. 250 4 >..-~,~· :::-: .~.,..---~~'i?f~~-S~E_s~:tiRr(;•/..'Rf:E~+i'J~?.(_94~09~0.99:,.,;:,,.~.' :~. :.~~~:;, ,.'-:>:-,:, \ NORTHY.I SECTION 31 , 7r. / _,' ,',~ !~i't:," '.· / ~~·F,~N,Nb'~J>lCt;if~J~ERS~I~, >'· " . ..-< ;,.~//..:, .~"-.~~'}~~.£!, ,.... \ ,.,,. .,,... 1 '!!>1:>.r',"'~" /"/'" .. ·(J3~8~2PG'''3':5}/·.-.. ·_,.",./,./• '.',/ ':</' ·'"~{!!!o,i::::; _...c, "/·· .. · .. " -'· dif'*··· .,,. "',.'//,,..," .... " ;:;i_ ",.,.,,. ".,. /.',. ·"",./ .,, •• ,./ ··~/. I ,$\' "8£ '# " ; "y, rt: '/ ;/,/;' ""''"""'/ "''/,/ \" ;;/, ' , ; ,, '/ -'---N89"5 l '24"E 2008.4]' I )> /;; . ~ ?" rn m ?Q 22 );'. ~ ;io () ;io U'l n '10 m Q~ . o><''"" ~O~cc~ U!Z""tJ~r~Z ::;!J>-% o> 0~"' -oCJZ..., ..... ..... 0 Ul "'° -C°' "' ~ . -c:; Cl~ 3; 7' "'0 Q?' z-' "' ~ Ii -....../_4 \ ~ ;£~-.......__ \_ I' ,jjff' -........_CENTERLINE OF E. LATERAL OF FARMERS SOUTH LINE 1 • • ,{ft'r; IRRIGATION COMPANY DITCH OF SECTION 30 :\· J~~ .. I • AV ~ J'!!.'· ~\ ,~·/ ASSESSORS PARCEL# 2125-311-00-044 .-·~ R EDNA PLACE "' %1\. ~ '-DITCH ACCESS ROAD 2008 COUNTY ROAD 250 ~ ~,:. . . _J.~' (RECEPTION# 8:~6444) ~ ·~~ · ~i!· ----, 6.00 ACRE:::i "" ~· . . /;!' z ~" ~f ~ .r 'ilf~ "..__ :Jl . """ ' -"·' w ~~~,.,.. .... ~w-~~ ... z .... "<'l:'J'J.'~~{',•-"'' w "' ~ 0 "" w ·~ IQ LINt TABLE LINE LENGTH Ll 7 47.87 Ll 8" 75.71 Ll 9 16.82 L20 87.04 L21 9.76 L22 41.78 L23 1.06 lw IZ I :o I -I 3: I I ;,::~;.~~;! PARCEL AREA -1.36 ACRES MORE OR LESS I'./ .. ,,. .. //' BEARING NOO'OO'OO'E N71 '34'26"W S76'04'28"W S57'19'20"W S80'05'59'W S88°50'53nw S00°00'00"E •m ~ 1IXI 200 GRAPHIC SCALE IN FEET I INCH• ll)O F£1'1 " -1 "'I ZI 01 >=I u1 :Jj I ~1 01 WI ?;1 ~I !;; I wl 3:1 I I I I ) 0 I 1;;1 ~ ?~ . 7' ~ ~ ).. 0 u µ? ;.... ~ ~ o~ z ~ ~:::! ?;; ~~~Q ~"'ti "Tl' • =:!~'II: -uO;iot..> ::;; z c.n ..... ,, c "' ~ ~vi <~ § t;J oo z~ -0 "' .i:>O:;;o. Witi= ~~g~ UIN~.:--::uo .... __ ro-o - -o en, ;j ;i1Q:':~ ~ ~coi:!! """01~ tiJ.· CSI _.N~ -o ..... ca_-- oD.i:a.~ o" -I 0 • or;-~ .,,. -., -= ~ D iii!: o .... ---. 0-~ g~ ~ G'lo· m;:: ~o __.. ~ -~ "' ~r -= 0 .... " ... 0 ~ c -;;.. ~ .-= -< llE g ~ - 1111 Hi~ .. ~·11rl~! M\l.Ml~.1~:~~',•t',Ul~~~.·1 ~~.r.~il\'ri.\'/, 11111 RecepticnH: 860494 03/18/2015 10:25:21 AM Jean Alberico 5 of 5 Rec Fee:$31.0D Doc Fee·0.00 GARFIELD COUNTY CO RETURN TO: Edna Place 2010 Rd 250 SHI, CO 816S2 £-xli.ibi~ /, QUIT CLAIM DEED THIS DEED, Made this 8 day of August, 2014 Between, Dorothy Grace Pretti Individually and Personal Representative of The Estate of Robert Edward Pretti aka Robert E. Pretti , of the County of Garfield and the state of Colorado, hereinafter referred to as Granter, and Edna Elaine Place, whose legal address is 2010 County Road 250, Silt, Colorado 81652, hereinafter referred to as Grantee, WITNESSETH, That the Granter, for and in consideration of the sum of one and 00/100 DOLLARS the receipt and sufficiency of which is hereby acknowledged, has remised, released, sold and QUITCLAIMED, and by these presents does remise, release, sell and QUITCLAIM unto the Grantee, Grantee1 s heirs, successors and assigns, forever all the right, title, interest, claim and demand which the Granter has in the real property, together with improvements, if any, situate, lying and being in the County of Garfield and the State of Colorado, described as follows See Legal description Attachment also known as street number: TBD TO HAVE AND TO HOLD the same, together with all and singular the appurtenances and privileges thereunto belonging or in anywise thereunto appertaining, and all the estate, right, title, interest and claim whatsoever, of the Granter, either in law or equity, to the only proper use, benefit and behoof of the Grantee, Grantee's heirs and assigns forever. The singular number shaii inciude the piurai, the piurai and the singuiar, and the use of any gender shaii be applicable to all genders. IN WITNESS WHEROF, the Granter has executed this deed on the date set forth above STATE OF COLORADO County of (.'..A<z.F~cld 4\ The foregoing instrument was acknowledged before me this -11:__ day of Doroth Pretti Witness my hand and official seal PEARL KNIGHT NOTARY PUBLIC STATE OF COLORADO NOTARY 10#19874109472 My Commission Expires-Ju~ 22, 2015 2014 by, RETURN TO: Edna Place 2010 Rd 250 Silt, CO 81652 QUIT CLAIM DEED THIS DEED, Made this 8 day of August, 2014 Between, Dorothy Grace Pretti Individually and Personal Representative of The Estate of Robert Edward Pretti aka Robert E. Pretti, of the County of Garfield and the state of Colorado, hereinafter referred to as Grantor, and Edna Elaine Place, whose legal address is 2010 County Road 250, Silt, Colorado 81652, hereinafter referred to as Grantee, WITNESSETH, That the Grantor, for and in consideration of the sum of one and 00/100 DOLLARS the receipt and sufficiency of which is hereby acknowledged, has remised, released, sold and QUITCLAIMED, and by these presents does remise, release, sell and QUITCLAIM unto the Grantee, Grantee's heirs, successors and assigns, forever all the right, title, interest, claim and demand which the Grantor has in the real property, together with improvements, if any, situate, lying and being in the County of Garfield and the State of Colorado, described as follows See Legal description Attachment also known as street number: TBD TO HAVE AND TO HOLD the same, together with all and singular the appurtenances and privileges thereunto belonging or in anywise thereunto appertaining, and all the estate, right, title, interest and claim whatsoever, of the Grantor, either in law or equity, to the only proper use, benefit and be hoof of the Grantee, Grantee's heirs and assigns forever. The singular number shall include the plural, the plural and the singular, and the use of any gender shall be applicable to all genders. IN WITNESS WHEROF, the Grantor has executed this deed on the date set forth above STATE OF COLORADO County of (~'\2.F~c\d .c The foregoing instrument was acknowledged before me this \ \'-" Dorothy Pretti Witness my hand and official seal PEARL KNIGHT NOTARY PUBLIC day of -A<-=. 1 ,5\ I STATE OF COLORADO NOTARY ID #19874109472 My Commission Explres·July 22, 2015 My commission expires )-"2.2 -15 2014 by, 1111 Hi~.1P':1~·li•l,MU ~r.~ '1,1~·',!ll:if' (ii,·~ ~·~'IJ,'ilJi•,•), 11111 Reception": 860495 03/1812015 10:25:21 RM Jean Alberico 2 of 3 Rec Fee:$21.00 Doc Fee:O 00 GARFIELD COUNTY CO Exhibit A -Legal Description An area of land located in the SEl/4, SE 1/4 of Section 30, Township 5 South, Range 91 West of the Sixth Principal Meridian, County of Garfield County, State of Colorado being more particularly described as follows: Beginning at the South East Corner of Section 30: thence along the West section line of Section 30 N00°00'00"E a distance of 4 7.87' to a point on the centerline of County Road 250; thence the following twelve courses along said County Road 250; I. 42.58 feet along the arc of a non-tangent curve to the left, having a radius of I 05.10 feet, an included angle of 23°12'40'', and the chord bears N45°15'01 "W a distance of 42.29 feet; 2. Thence 98.05 feet along the arc of a tangent curve to the left, having a radius of381.71 feet, an included angle of 14°43'05", and the chord bears N64°12'54"W a distance of97.78 feet; 3. Thence N71°34'26"W a distance of 75.71 feet; 4. Thence 96.72 feet along the arc of a tangent curve to the left, having a radius of 171.29 feet, an included angle of 32°21 '06", and the chord bears N87°44'59"W a distance of 95.44 feet; 5. Thence S76°04'28"W a distance of 16.82 feet; 6. Thence 50.26 feet along the arc of a tangent curve to the left, having a radius of 331.0 I feet, an included angle of 8°42'02", and the chord bears S71°43'27"W a distance of50.22 feet; 7. Thence 105.79 feet along the arc ofa tangent curve to the left. having a radius of602.99 feet. an included angle of I 0°03'06", and the chord bears S62°20'53"W a distance of I 05.65 feet; 8. Thence S57°i9'20"W a distance of87.04 feei; 9. Thence 74.71 feet along the arc ofa tangent curve to the right, having a radius of 187.93 feet, an included angle of 22°46'39'', and the chord bears S68°42'39"W a distance of74.22 feet; I 0. Thence S80°05'59"W a distance of9.76 feet; 11. Thence 33.0 I feet along the arc of a tangent curve to the right, having a radius of 216.22 feet, an included angle of 8°44'54", and the chord bears S84°28'26"W a distance of32.98 feet; Wi;,•1112. Thence S88°5?'53"W a distance of 41.78 feet; ( • I'' ...,.,3, 'R-=.«.rV,,..,:f=. <..p,,+c Gmrrfe"""'cr f'f ;n-1~ ;,., a,,,d-1e.,,,,1r n,;,.,e,rq-1 n~t,+.s,, b Thence leaving said cent&fine S00°00'00"E a distance of r.06 feet to a point on the South Section line of Section 30; thence along said South Section line of Section 30 N89°51 '24"E a distance of 669.49 feet to the point of beginning. The described parcel qf land contains 1.36 acres more or less. The parcel may he subject to easements or rights-of-\vay for County Road 250 and the East Lateral of the Farmers Irrigation Company Ditch (along with its associated ditch access road). Recorded documents for said easements or rights-of-way during the preparation of this docu1nent were not located in the public records of the Garfield County Clerk and Recorder's Office. Legal Description prepared January 8, 2014 by: Michael J. Gamba P.E. & P.L.S. Gamba & Associates, Inc. 113 Ninth Street, Suite 214 Glenwood Springs, CO 81602 Phone: (970) 945-2550 DD ~ "~ iii n> ~ oz ~0 "- ~~ ' 2!.:: ~~ ~· ' . ~~ ~f -u 0 ~ > g ;;1 !J ~ ~ ~ §; ~ ~ ~ n 01 ;:!i ~ D. ~ ~ ~ ~ . .. ~ • Gl :~ . ~3: ~m -~ a' -... "' .,., - "' 0 f" -we .? = "'-_, -· . = v.-.,., =--"' "" .,. .... ...,_ ---::;:~ . .,. ... ---.!"' ~ ~· cr" ~ i;lj CURVE C13 C14 C15 C16 C17 C18 C19 CURVE TABLE LENGTH RADIUS DELTA CHORD 42.58 105.10 23"12'40" 42.29 98.05 381.71 14"43'0S" 97.78 96.72 171.29 32°21'06" 95.44 50.26 . 331.01 8°42'02'' 50.22 105.79 602.99 10°03'06" 105.65 7 4.71 187.93 22"46'39" 74.22 33.01 216.22 a~44'54" 32.98 ASSESSOR'S PARCEL# 2125-·304-00-099 FENNO RANCH PARTNERSHIP (BK 852 PG 235) CHORD BEAF:ING N45°l 5'01 "W N64"1 2'54"W N87°44'59'W S71"43'27"W S62"20'53"W S68"42'39"W S84"28'26"W ASSESSOR'S PARCEL# 2125-304-00-099 FEoJNO RANCH PARTNERSHIP (BK 852 PG 235) P.O.B: 3X INS. DIA. B.L.M. ALU.MINUMCAP 1989 ATTACHED TO STEEL CULVERT, LOCATED 1 FOOT EAST OF THE WEST END OF CULVERT,· MONUMENTING THE CORNER COMMON TO SECTIONS 29, 30, 31 AND :12 T. 5 S., R.91 W. 0 M z 0 Ei w ~ ~' QI wl ZI ::; I !;; I .____.,......,...,....____ lU I ~--· ~10 --,., \--6119 -~' l',, / -...... . ...,..~ I ~C: , , ,· ,:...~:...,~~'~<. ·· .. Lla .....__ 1 ~ _._.,., • ·;" ~ , .'-.t_,_, '-._ //. /.::.~~--: .. :· ~?:~ltf~~~~;~~~:~ /~~/-(..___,-. -~ ,' , ._,.,.-/ • ,:.~._ ·i"''',, ·' '</· ., •• ' ' • ..._,._, ·C'\-( ,~ •' /, ,.:%' /,)'if{ftl~·, · -:,i /,//•:.,<;;.~i~t // _,// ,....,_~ /-..,,.._ I / ,,,,~ ,.,..._ ,'.·/'··t:f.r.r .,..,_//,/ /;;.'.:7:->.A~ ,, --..._,•,· """""" / , ,,,,--<,·,.· ;:,.-:-_..._,.,/<-!~··#,'fi-"";/·/,//';(.<( ·'",•-f•:.;;;/1'./~f,·/'. ,'"'),:'..,,, ~ I I I I I ~ ro ~ c~ ,,~ ~o c~ ~~ >?; z ;IO o.,, ~ " z~ )> "' Gl " ~~ mo Zo -< ' ~ ~ 0 I CENTERLINE OF C.R. 250 NORTH):; SECTION 31 a>~::(,:~ :%~i~;~~".~~f;;~j·:;:~;j,~~;:~f :if~vi5'<;:(~~> ··:~l _,.,.""-<i: ·/~ / ·>"/:/ . /;.f,\'j ,>;ssEssoks·r1,Refr:ii~25,3p4'.oo.o99', ~)~··:<:"T/;f,r::.· ·~<·. \ ,, __ ,...:/··,•// -~~-·)!¥,/ /~,/·/' '•i•" '/,'•-'/'•-'_//-,/,,,//':>~;:.Et::.,.;-:,,,.:'''"· _ _ ._,/· / _,,,, .·',. . ,·,:;~ /,//~ .. ,~f.~.~~.-~))A~~~ f~RT~E~$1jl_~· /,. /·,/,. / /, ~">·'. :}~~:;.~~ .. ~\ r--- N89~51 '24"E 2008.47' \ )> )> [;: r-rn )> ~ . 0 ~ ~~ '°o n~ <Tii:?cmpl:;u 0 CJ F;;~ ~ ~o~~. U'l z ~ ~'*' ~~o~~ ~°'Zuit-J --' 0 c Y1 ,... ~w ':!1 !2 :; .::50 "'0 0· z o'. ~ ~-~\ 'O / --:"",., / ,-;,. ,·'/',·,_ '.,. '",,.J2f,.~,.~,,,.. _. ,/~/_,/. / ,t·(BJ<--85·2,PG/~3.5)_ '/'/ • >~/.'°,./,~ .-,. ~, //.'>,'/.; .. , /·~"t . ., :::i ~1 .. ,,;-:;, '-'/ ·,-_<C,t-••//I/., ,,-/,/ //'/ / /-'-' // ///··/,.• / ·~, '. J F ~f22 c195 ·"fa·V: . ', , ·.;,. /, ;}f"'' // ,. ·/ ". r;i·39·sri.4•,('./'·;-//,;'.//· 1;694°9'.'·. / • ·. /''. /". ·' -1---· " \ J:. .· __ •'ii' I W H · ""~-~'1t· ') I •,<'! . =, 't<'.6 ,,,!}'.~ I f i~Ji 'g"j .. i'' ~CENTERLINE OF E. LATERAL OF FARMERS '-SOUTH LINE ! I : ~)\. ,,,t:f; IRRIGATION COMPANY DITCH OF SECTION 30 1( I W\ ~~;f~ I I '!\ i•'?' 1\ 1 1 ~-;11: ifrJ' ASSESSOR'S PARCEL# 212.5-311-00-044 M 1 1 1) K.::, ~7" ~ I (;; \1~. ~'f!f EDNA PtACE Z I I . ";l'>_·. ,'fl DITCH ACCESS ROAD 2008 COUNTY ROAD 250 QI I I U .,~ 1•· • 1-I I~ 't~. _j·@;~ (RECEPTION# 836444) ~I ( )> I ~ «,-0, 0e:· 6.00 ACRES VJ I o !::::; I ~ \I.\ XlJ' LINE TABLE IL I l("j ' ?"" n:! I UJ '\-~. f,'§' 0 I ': ' ?' (:/; I 2:_ ~~ J.°f:' LINE LENGTH BEARING UJ I °'i ?"" 0 .... ~,;.~ ·"";;• z u ;:'O : ~ / '~, .,.,, (~~;/f' Ll7 47.87 NOO"OO'OO"E ;:::: lµJ § ~ I Z ·•~t:;~~,:t.~-Ll8 75 71 N71°34'26''W VJI }!:' rn > IUJ . w1 Zx--'~ !i!=" Ll9 16.82 S76°04'28"W ~I 0g:1:::!:!m I ;:'O>-"nr-: 0 L20 87 .04 S57°19·2o·w r ~ ~ ~ '*' 1 ~ l21 9 76 S80°05'59"W 1 ~ ~ ~ ::::! I UJ · I· "TI c t-.:i I IL L22 41.78 S88°50'53"W I 91 ~ ~ / ~ L23 1 .06 soo0 oo'OO"E ~ ~ I Z -o 1-I Oo -' ,,,,,,,,, \00 0 1aa wol z· : ;i ::'/;; PARCEL AREA -1.36 ACRES MORE OR LESS l"""""'iii I ~ I / ,· / / / GRAPHIC SCALE IN FEET I 1 INCH~ 100 FEET wo;;oml o~ftl == -w~~ W;J~-=- :;:oo .... ;;;mi ~mg~ ~o:i:=~ 111 .... ., "'00 ....... E:IHncn-- ~~IS) :iii: . ~ .. - 0 U) .-- ODO>-o" .....: 0 .,,.. o~ -.,~ ~ ., --. -.. D ..-a-- 0 -om -O• ...,,. G");;· ~ DO -. ,, -=-~ ~ ,... ~ a = ... ... ..,,... 0 0 c z -< -< 0 0 ~ .....-!!= - "'.... ' §2 ~ IMPROVEMENT SURVEY THE NORTH (6) ACRES OF THEE J2 OF THE NEl /4, NEl /4 OF SECT ION 3 1, TOWNSHIP 5 SOUTH, RANGE 91 WEST OF THE SIXTH PRINCIPAL MERIDIAN, GARFIELD COUNTY, COLORADO ASSESSOR'S PARCEL # 2125-304-00-099 FENNO RANCH PARTNERSHIP {BK852 PG235) .,..,,. «/' I ~~-5>--' Y' -\:.,,' , "' J ' ... ' ,,, ' =~~= ftC)~~·OA~~I~ ' ASSESSOR'S PARCEL# 2125-294-00-960 BUREAU OF LAND MANAGEMENT .. 099 -.~--~----.... a:::;; '' ASSESSOR'S PARCEL# 2125-304 00 -,~,-~ "'oo°" ""'' "mm=~u=~ FENNORANCHPARTNERSH IP llRIGATIONl'l't: . J ". . fOUHDlY.,1NS.o.<..•.LM.AU.1M1NUMe»~THE~COMMONro ' ~~~ ~-· l . "'-~""'"'=""· (BK852PG235) a"•~mwnw•-• '''', :. :,~,,'~~»-"~'"'"·'"• "' ~ ,,, ~ ,,., .. -·~'-0 '"""'""""""-00'" ' ·' ..,. ..... ~;;;;~~-""'"''' "•00'"'""''""''~,::~,';'7;M~u·~·· ., ~m '"""""'-·~· l\'.;:~~.Cot.SEC.31 ''·"'"•"''•"<""""', . ----.. ·. ~m~ "WO"" CO~OITT~ .?"-. • ..... ~>'~•N».~ NORTH ~SE CTlON31 ~ ·~ "'·" <AA~"',~~;:;; '""·''~00~ ,,,__,,.. ..~ _,,,., ''" ·~ "--="''-" I ·~ ~ -L -:c· ono·oJ.-m ....---' ~="'~ '"""~"y/9 ,,,.~J · "~'" ' ' -'~""'"--~__,,cY I \ fW"'TUSOUllafOltYAlOIUIGO.TIONj ~~~=~-~-~ • \< ~:."'~"/ ~" o~ ~"•=~~ '°"~·~ ..... All.IMINUMCAPPfiPl.S.l!IOl<I \~!~~TWJ. ~ 2STO«l'ltO<olf::O«I' ~~y ~)" \ ~"'·~-....... ··-·""'\.. r \ -·--0 ~·-'\ \ 0\ r · 'I ar --00'" ASSESSOR'S PARCEL# 2125-311-00-167 A.K.A. PARCEL B TRANT SUBDIVISIO N EXEMPTION ERIC & DONNA BOLEY REC# 595091 GRA~~~C~EF:FEET NOTICE : According to Colorodo low you MUST com"""""' ony 1egaJ <>dion boseduponCl<"IJ'defK1inlhil1"""8'fwill>inlh<eflyeor>alt.!tyoufirsldi~ 1...:hdefecl.lnnoevent,moyane>ctionboseduponony<Mledinlhil"""'8YDe com.....nc.d ..-ethon ten l"K'"' fromlhe 001e olth~ <:<>r!~icalionshown Mreon Sfll.1/l'Al.UMIHl.IMC>' ~.e. • ~.l.$. 1aau · i t I \ ,o t . . /·=-! ~ f ! ,, 3 I \ L,~"'._/ I I • o ~ .. ~. Ii I ,. ~·• c I "I ~·~·•K .I i p ·1 ~·· ;~ru }' i---'"'"'~•·~ If' l!l I ~·PVC -'L-c> ,/ '~"'~ ~· a~~ A ··~ifJ'x . _.,. 12"~/4 ·. ,.;""" ,:;~{fff,~y ( i.~..\.. ! i l I ' /! ,r--~ i v . . I l \ EDNA PLACE 2008 COUNTY ROAD 250 (RECEPTION # 836444) 6.00 ACRES _,,,,,,,, __ ()... ~A~ ~~i:;:,--=sJ ~.~.=-~"' ~ ASSESSOR'S PARCEL # 2125 -322 -00-196 A.K.A. LOT 1, PIFFER SUBDNISION EXEMPTION ELEANORM.P IFF ER ~ 0 fOUNOSECllOHMONUMENT,ASNOlID o"""'°~-.ASNOIB> Q ~~-.AS..OlW 0- 9 fl.ECTllCMEJH a TRffttClNll'l:om .... " .... ,~. ,.. . . .. ... ':'.:'::":';";.;;: , I -. ··-·- .. rn ~"""'-.... ~ .t.:------------:=: . .JN1' ·. ~ n"~~.~,;:~~"" .... ~···y e ~~, .. '.'.'."_'.=--~-.c~~cb ~~ccc::.;:;:;';;:7· '-::~ti;-==-~ w•o~••~ ASSESSO•S PARC~'s,';,i;~~.~~·~;,:,~N A.K.A. LOT ~'u~~ ROSE RAUMA.N PLllT'~rr ; .. ' ' w . = w ' ' ¢ . DE>o>\TCD ND'J.e,,2o>'S ('_ Z'5'5 P.M.. Rl=Ptl!N 10'.l~ 6i .... U: ~~ ~ ui'~ N 111 • 'O 1-0 ~ 8 ~~ o; ~ u • E:: c o~ cd d U>: ~ ;:I UI ~ 'O 0 <• "1.l u ell~ gg <~ o m~ ~ :E~ <~ CJU ~ ~~ ~ r ~-~5 "" ~a ~ 1- .. (j J i ~~ii E ~~;--~ ~ iJ -~ii na D ~· ~ii; ~· ~g ' ~ ~ IMPROVEMENT SURVEY THE NORTH (6) ACRES OF THEE }1 OF THE NEl /4, NEl /4 OF SECTION 31, TOWNSHIP 5 SOUTH, RANGE 91 WEST OF THE SIXTH PRINCIPAL MERIDIAN, GARFIELD COUNTY, COLORADO NOTES 1.The.....,it of rneOWfe forlh<iwrveyi•theU.S.wrveyfoot 2.Thebosi1olbeoringlortl1'swrveyisbosedonlhei>eoringo/NB9"Sl'2•"E~theNol1hl/<1C0<.....-ol SedionJl, TawnshipSSou!h,Ronge91 Weslolthe61hl'.M.ondtheNor1hEo1tCor1-o/Sedion31,T°""""""' 5Soulh,~91Wello/lhe61hl'.M l.Thefield..........,wos~~2,20llthrough~ll,2013 '· Thislmpr........... Surooeyisbosedana Cammitmenllor r• ......,.ancefrom FimAmeric.an r•1nwrance ~;FileNa.SS09·21:23600dated.July17.1013 5.lnr~lhe~tsal<ecard,anapparenlgopbe-.n....i.;.ciprape.tyandlhepropenyrolhe sauthha1bee<'lidentified.Thisll'Jpappear>rohaY9bffnoe<Jledinlhe~""""'l",,._a11heE(1$1lno/ NE 1/,,NE 1/( a1Sedian31 bffW.W. VorisintaMpc10"ateparcel1clncribedbffarea.On.July26. 1909.W.W. Voris<:OrWe)'edroRichardMallaythe SolllhUacre<oflheEo111nol NE1/(,Nf 1/•ofSedian31 ino Wa rranty Deed recoro.d "'-'gusl '· 1909 at Roce pr ian No. 37563. Sui>oe<l"'!lntly, W.W. Voris convey9d ro FtitdA BarlowlhoNor#>6acre1oflheEast l /2olNE l /(,Nf 1/(o/Sedion31 in 0Worronty 0eedrecorded""-'gu1t 12, l910atRe<:e9tionNo.,0063 lnrhep<ei:>0<atianollhilwrvey,GomboandAsoociatos,lnc.ha.s~inedlheboundoriesforlheEas1l/2al NE 1/,,NE 1/•als.aion31,andcolculaledthetotoloreowithin"-E(1$11nof NE 1/•.NE ll'o1Secrion31 robe10.(7acr ... lnportitianinglhesauth1•auesandin.north6acresalso;dE(1$1JnNE1/•,Nfl!•,o 0.•7acreoap~t.tt-iin.,....,P<l'"ce1s Oeedsofrecardwhid>doa.ome<>lwboequent~oincel909.albath!l..,l(acreandlhlJ6acreporceb inck>doleg.aldMcripliomlhalareidenlicolroin.or9n<>1dMdoidioilif..dab>w.lnl99•,1""1•acr•parc.elwos <ubdMdedintolhr .. M90<aleparuihvialheRaumanSubdMlion°"""PlianPlat,'4!COl"ded~S,l99•01 Rec.eplionNo.(61367.TheoolerbovodatyallhoRaumans..Gd......,Exempt;anPlatalsa~lheSou!hl• ocres ollho f(1$11nof NE 1/(, NE 11• ofSectK>n31. eo.-iue..q., lhis.._..mgap hoo not been oddresoed byanydeedsorr«ardeddacumentssOl'Qtheoriginolconveyonc.,;n\9090ndl910 6. No doc:umtntsofrer.o<d indiwting ea""""""orrig~t.of.woywt:fmlor !he current East Lateral of 1he Formel1 lrri!JOlianOilch~refauncf inthereoeord>/orthiowrvey.The 1u"'9ye(lcen~infl forsaid ditchi1.i.p;gitdhe<.an NOTIC E: According ro Calorocla law rau MUST «>mmel'Q any legal actian bos.oduponanyde/eclinlhio.....,..,ywilhin""-yea"olterraufitotd~ed such defect. In no-nl, may on oman bosed upanaoydeiectinlhi11"""9Ybe commencfld morelhantenyearsfromthedateollhecert<focatianohawnhereOt'J YKINllYMAJ' LEGAL DESCRIPTION TMnor1h6ag .. oflhe Eos11/'2 <>f th..NE1/<l ,NE1/<lo/S.C:.ion31,TownshipSSourh,Ron(lll91 w .. tolthe t.ti..:ncipglMe<idion,County o/Gorlield County.~o/Colorodobe'ng"""9portOwlorlyde1aibedos BeginningatlheNol1hEoslcornero/Sechoflll;whena.lt..No.11'10.-corne.olStdionl1 b.ars S89"51'2<1'Wodi$1orQo/2677.96feel;mi.nc..Cllonglf'leEos11into/5.dionllSOl"S0'"1''Wodisloruol 391.50'-;"*-N90'00'00'Wodisl<>notol669.?9i...toopoinlonlheWestineoltheEosr'hollheNE Y•, NE '/,ofStdionll;thence olongtheWes1lineolthe£ost'hollheNEYo,NE\l.o/Sedionll N01 °<19'2<1'Ea dislonmof389.82tolt.Ncwthsedionlineol5.dionll;~olonghNorlhlineofs.aion31N89"'51'2•'f adislanual669.,9rolttepaintalbeginning SURVEYOR'S CERTIFICATE ~~r::·:~'.:'.~::i"~,,~~::~~ ~ + ~; / 1/~./1· ./'\• J-------1337.'!' _________ t---~:!~--133+&6 ~:!!---r ~! ~1~ WES~~; ~,\• ,f'" r"~~; -· l ~1 1• 15EOIOHJ1 ~C#LSNO.l•llltNPIAQ §! +''/ i/f f j ;---~~~1:;;;=;.J !KTION 31 DITAll COUNTY SURVEYOR'S CERTIFICATE I, Mi<;hoel J. Gamba, a pro/~ssional ll>f'ld su.-...,.or IQl'lsed under-the krws of the $1(Jle of Colorodo, i-eby certify rha1,wbjt<t 1<>1her>01Mthownl>er.on,lhi1im pr..........i""'V9Y plot iotrue ondGOnectlOlhebestolmy know*lge; ls bo..d on u JUrwyolthe l"'~dna-ibed i-_. ?8f{onned in Sep......i-201l;wasmode c::..:~~;co<>formotoallCll>Plicobl.-krwsasdeMedinT.tle38,~50.51,ondSl Apprav«llorcontentandfarmanlyondnatlheoo:urocyol...,,,..,..,o;ok:ulatian1 or "°"'"'·-~oo•C.H.§3'·~;;; '°'· """'. DATED this __ dayo/ A0.,1Q13 A.itT DE.Pai',rr: " n Z.01~ <!... Z.<'$ p. M.. D;ro;t)U) ND<·u, Rfl'.:Ff<JicN "ND 9'-l 0 --=--,1, ;/, .&'l:CJlrfl;\___ N ------i ,.-- U: zo 0 -~ V) u;~ N .... "O .... (\)"' ci:~ u 0 -" ~o:: U• ~ € ~e :::: ;::: UI• "O 0 ci:• 1-Il u ell ~ 00 0 0 ci:~ o m~ N I:~ ci:~ C)U - ci: m :i'. ci: Cl 00~ ,._ ~ ~ .. ~~!i ~ .. "' 1: .. E .. > e .... .s ~~!' g~ Ui ~· ~ 1;; ~· ~g Adjacent Property Owners Russell & Rose Rauman 2158 Rd 250 Silt, CO 81652 Doug Piffer PO BOX 69 Silt, CO 81652 Joann Elderkin 1513 Rd 250 Silt, CO 81652 Eric & Donna Boley PO Box 3900 Eagle, CO 81631 Fenno Ranch Partnership 634 Rd 250 Silt, CO 81652 BLM c/o Colorado River Valley Field Office 2300 River Frontage RD Silt, CO 81652 Mineral Owners Dorothy Pretti 213 Rd 228 Silt, CO 81652 Elmer Johnson 3541 G RD Palisade, CO 81526 Edna Place 2010 Rd 250 Silt, CO 81652 March 25, 2015 To whom it may concern: I am trying to rebuild my residence that burned down in January 2013. I would like replace the house meeting today’s building codes. The house would be 26’ 8” by 52’, 1386 sq foot, 3 bedrooms, and two bathroom prefab home with a permanent foundation, on my 6 acre more or less parcel 2125-311-00-044. First let me give you a little history on the property and issues that have derived since the fire. I hope this helps explain the deeds that are in the packet. I had to find Elmer Johnson, the cousin that was still on the deed, from 1979 when Grandpa Johnson signed the 6 acre parcel over to the three youngest grandchildren. I had not seen Elmer since he was about 3 or 4 since his father and mother had gotten a divorce. Once I found Elmer I had to have the property appraised and pay him his 3rd. I applied for a loan so I could rebuild the house where I had been living since 1979, lived on the property since 1974. To obtain the loan I had to get a survey on the property since there had not been done, or if it had it hadn’t been recorded. Gamba and Associates that I hired to do the survey found 3 of the boundaries on the property out of kilter. The south end where the trailer was located was in no man’s land as the 20 acre section was 20.47 acres and all the Quit Claim deeds were worded as selling the south 14 acres in 1909 and the north 6 acres in 1910 leaving the .047 acre piece deeded to no one. The fence had been in the same location on the south end dividing the property for at least 50 plus years that I know of. I hired the lawyer Mr. LeMoine, to do the process of the Quiet Title action which was signed by the judge and recorded in March of 2015. The North end of the property which was part of my mom’s back yard, that is behind the original home was above the section line. I contacted Fenno’s whom the assessor’s office owned the property and told them how the section line was below the road and they owned part of the back yard. Louis and Barbara was going to sign the boundary line adjustment and quit claim deed but when the surveyor was doing the legal description they found that Dottie-aka Dorothy Pretti and Robert Pretti had not sold it to William Loring, who sold land to Mountain Capital Market Inc who Fenno’s bought it from didn’t show south of the ditch in the sell. Therefore I contacted Dottie and explained the situation, showed her the deeds and she agreed. That is why she signed the boundary line adjustment and the quit claim to Edna. The west side of the property which is Trant subdivision, parcel B which is now owned by Boley’s is partly on my property. This on Trant subdivision plat shows that a piece of parcel B is on my property. A shed that was built is there, but the fence line has been there for over 50 years that I know of so I am not concerned. Now for my plans for the property: The driveway that I would be using has been in existence since the late 1960’s when my grandparents owned the property and my oldest brother moved onto the property. It is off of County Road 250, Bendetti Lane. The address is 2010 County Road 250. The existing house is located at 2008 County Road 250, with a separate driveway. I also plan to put a new septic system, OWTS, in to meet regulations. (See attached map) I have contacted the Colorado River Basin Division 5 and found out the process to change the status on the existing well. I have their application which will be filed after I go thru the West Divide Creek Water Conservancy District application and process. I have contacted Mrs. Maddock and she is going to help me get thru the application process and get on the monthly agenda. Our goal is to get me on the April agenda. (See attached draft applications) I have contacted Mesa County Health Regional Laboratory to test the safety of water from the well. I am asking that the original pump testing be used and a waiver from a new one. I have researched the mineral right owners through deeds going back to patent in the Garfield County Clerk and Recorder’s office. The only rights reserved are on recent deeds attached to this application. See attached owner list. The adjacent neighbors land is single family rural farming properties. I am not aware of any geologic hazards, see attached map. The electric has been used since the 1960’s will be upgraded by Xcel energy as needed. The landscaping lawn, trees and rose bushes were put in at that time also and will remain the same. I do not anticipate disturbing the ground other than the foundation of the house. There is a ditch on the north end running east and west but no creeks. The east side of the property is fairly flat, then there is a draw in the middle running north and south with a small incline, then flattens out on the west side with head gates for neighbors to the south. It is important to me and my family as there is a lot of family history on this property. My grandparents purchased the property in late 50’s and my grandmother, grandfather and my dad passed away on the property. My oldest brother was killed in 1973 while living there, and I would like to keep the landscaping that they planted alive. My mother who is in her mid 80’s lives in other residence on the property. She has lived there since 1974. We have always had two homes on the property and our family has lived in both residences for over forty years. This has been a benefit as we can be close and help family members as needed when illness comes into play. Thank you for your consideration for this LUC and approval of ADU on my property. Sincerely, Edna E Place Edna E. Place SPECIAL ONE UNIT ONLY QUOTE# FLOOR PLAN LIGHT & VENT SCHEDULE ROOM AREA REC'D REQ'D LI GHT VENT BEDROOM#2 128.1 10 .2 5.1 NOTES: '· OC.~ofGN COMPlCCS 'lllTW M1'1RG ANO 201-4 NCC. 2. OC.~to.N lOAOtl:ROOrSNOW lCAO •.Wll'!>F,OU.Ot.O....O •:ZOPSF' l=lOORLIVC lOo'-.O •AOI="""'..# WINO PR~!;URl:i • 100 MPH 3 !ll:CONO OU3T (t t.XPOOURC. C ~. Po.AN M"Y CIC OUU Rf:.vt ~ot:D. -=""' "'4WNIJC&IMIMC'....-O OW::M;:11r.ot~VO.~ ""-•~"',.;:ll'«ll.tt....oL°""<.11111.C.'°l'tl>Tr;:O'>~. ~:=[~=~ .... ~~~ ~;~~":=~,~~=-'' ~~S:E-1'ml ~-1't.-~t1'Yl...,"l CA<~ lttfC.•n-,,l'ICH(t: f':N.t_\<IJ!'.1"'.t:.'.."_~)I. BEDROOM#3 112.5 DINING 116.7 KITCHEN 150.5 LIVING ROOM 233.3 MASTER BEDROOM 178.3 J <? 9.0 9.3 12.0 18.7 14.3 4.5 4.7 6.0 9.3 7.1 •. W1flj00Wf' ANOIOR ClOOR:t MAY Ot: FtCLOCArtO VMl'IJN ,t, ROOM, :>. 2 ~ ~ l:XTC~lO~WAU. FRAMil'IG ~~ (NOflol,~T~ICK~ SIOING .t.NC/O" tlt<ATli!ffO HOT INO...Ll'Da> I~ l<:XTCFUOR WN.J. T)ilO<NOlS. MIN. WAU.HCtcHT ~ T-8" 0. MAARll\Ot WAll.3 AAC 4• THICK.' ALL O™Ci;i l~TC::f\IOl't WAU.! M C ~ tf.l' 'Jl'llCK • UNt.."C~ ~OTt.O OT»r::~Wt3C..i" NONWAW 7. RllN<1C tiOOO IS 1()0 CFPJ AND l."i ~T'EO TO EXTt:IUO't ~-OAT H~vtNT FANS AACOUCTtOTOCXfl:;JllOR. Q.C...S RAHc;c:: 15 CT ANOAAO (ClC.CTRIC.AL.RMOCIBCPTKJlli:,l&.J. 10.0...:. GCALCD COIVDWTICIH.. FORCtDMA; ,UfU'lit.CI? onTt>. {0..CcnQc,FOAa:O AIR FURJriJriCC.13~N..l.'~ ~C. Wl10tL HOU&!vt:Hn..ATIOfl. 9N CONPLIAHCC wrTH l\C 30;1ANIDTJ.OU:M1ro7.3.Jl1) 11 . JO CAI.. 240 VOl T Q..[ClRlc w"~ HC.ATCR tO STMOAAD (•O 00 &O ~ ~oll,WO..T CLCCTRK:. J0,400A r.GGJrrl.. ~.,.,ATCR tltATt._,lll'fr.()PT1)HAL·DMt:c'rvt.MT. 12. nct~G HAS DCCH Dt~fO N(.t'T nc20121tCCC.QIX.Pf'CM.)COTkATTHl'.:!OOPCAT10NIS .. SUt.ATCO,.. ACCOl«>NICt V.,llt 111t.ArTl'I01U)liCUC>tt0<WOfo<SttCCT. 1l. II'" LOCALJUAUiO~ ~S RRk 9Pn.fiKLC.R GY51'04~srRINKl.CR PLAN 'Ml. OC PROVIXDPCRcooc_ '1<11. 2i;H'I FlOOR .IOfflTS :i;T~Nf{}_ ..=FLOOR TlUJM(Rl'IR.C: nfl'ntf<.C>Jr(t'lOOftASSCMI_Y~T Bt:.' "'OTt:.CTt'Dfltllt IA.C :\01 ,.l If" C".o!NG OVll:R 0~04T. THI:'! WOftK MO MATC~5 ltAC. TO Bt PROVDr.:O ~ 51'Tt: BY cm«:"5. 1~, 2'""1.V\.RfDGtetAM:i~MIC~UIW'IO. 7'-8 314" 13'-11 1/4" 5'-10112' 1. ~D'--0314'1. 14'-6112" 19'--0 112" 32'-1 3/4' 37'-1 3/4' 42'-<i' 52' 77 112 MASTER BEDROOM 3036 2 4660 DINING SUPPORT· POSTS LIVING ROOM 60" l\JB oo 108 6" BEDROOM #3 1111 1111 BEDROOM #2 4660t s· 13'-3" 18'-8" 3'-4" 25'-9" I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 2 1 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 3 7 38 39 40 I APPROVER'S SEAL I I MODIFICATIONS I I I MODEL: 05-896 MOD 28' X 56' 3 BEDROOM 2 BATH CHAMPION6 1--1---------------<--<----<TITLE: FLOOR PLAN O\> iE: PROPRIETARY AND CONFIDENTIAL DRAWN BY: STAFF DATE: 03-23-15 3200 ENTERPRISE AVE. YORK, NE 68467 THESt OAAWI NGS ANO SPECIFICATIONS AAE ~K;INAl , PROPRIETARY""'° C ONrlO~NTIAL MATERIALS c• CHAM PION. COPYRtGl-IT ~ 1976-:201 1 BY CHAllAPION ·--·------------------· SCALE: 1/8"" 1'-0" SHEET: FP-101 --------· --··-·-------- SPECIAL ONE UNIT ONLY QUOTE # ELECTRICAL LEGEND ~ ~_Q.l,IMOlllfftlollt v '""""' -</-Cf.llN(.UCl•IT ~l'Ol~1CO ... - $K.U'ICU ~:lt "·OlflC'Tt:i;~~(/ c:::::::J ~ll.IVl!t:KD'lfll(;tfT 11i.cu1:lt.i.••ucx.:g) t>..:XUl CIRCUIT INFORMATI ON _.,1-.:;~r ... ~ .0. t<M..luet<T WP. 'tltl<M.~ •Altff::" ,.. 11¥1-.""t ewe•~~ • M tlltiv---,";, wiatl'h.<D ,,, »o::rnlf/1)11_ ' .,., :,.., .:.-.. l:R ..,.,. "" • ... ._...... • , ~ ~ i..r.-1' w)mN-•ir;o""' Lr:JO!tDC"TctOP:Sa/f.t~m~rOP IKJOQ,_.,'114~ 1o••fll'JWjGM~l.PSfNA$ ~Ot:\1'.C'tll:TClltai~JtOOll.Jl,.llC"!JoN!l'J~!()HOr.'t:(:Of'illjtc;'l'olTOllN.nt[Nf otil(IKt.brn"·C"f~ 2.CUCTr«:l..,;10b~l'~UC'IMa'IStrrlll~. •uo• t'\ nr.~ ·"' ~Mli:.,;~-r~ ·"' l.lll..LQFClXT01~l'mGO.m .. Er. .... W ... ~~.~llt:.~1Ll\Jt::llOCIWS,l!;•~.rl:tlll~ e1~tw1~.i;."1,~,M N".Nll'IQlllOOlll:Ltwtac.!t:Clll:1;nor.1100Nll.LllJfOl"f~~llliWllC!t*~Cl(l.«!AKKJ:)I~ Qtl'U.lll;'f!Cf'fC.IU)BY A l.RITTl1tl/ttJAl.llCEl:I°~~ 4.~11Nll2l[;T011t,'QltlfG.l'll<lil~IT C"l lilt OllLOCll-taX. i.~~~f..wfllOff•a..ir.tllUft!TTl#AUollr'Mt/111~MFlo.•~tmlllftrKTFJllDllX'UI ~~A~Ol:l'TOIW·WCU.OOOIL "~tlCM;CIQG(HEH;tic;5~i<~M(l'l'llnMMrliTtMTOKl"l~llll..l.Cb••uJoE1.of,(HN)O!..WlitCU<i:O PMl ti!f'C.~C:1'!0 'f4:;"~1 • ~~~t A ltliCCINMt.o -·· ··-···- KITCHEN ~ I . t ' j --------- 01 ~1~2_ -w l ' ' ' ' gs 1 __ ) I n I ( ,, AK I I 111 I I 11 r •1 I AK I •1 1 ll ::::::::::::::::::::: ,----------------t :n ' y.s 11 MASTER .u ' BEDROOM "Vi'4 s is LI V ING RQO~------~------~) \1 ,, ,, ,, ,, ,, ,, ,, I I ' I : 5s ' BEDROOM#3 --~ r ff 6 __ ) BE ~OM#2 7 I I 2 3 4 I I 5 6 7 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 CHAMPION. 3200 ENTERP RISE AVE. YORK. NE 68467 I APPROVER'S SEAL I MODIFICATIONS I MODEL: 05~896 MOD PROPRIETARY ANO CO NFIDENTIAL THESE DRAWINGS ANO SPECIFICATIONS AAE OOIGINAI.. PROPRIETAR Y ANO CONFIOEl'ITIAL MATERIALS OF CHAMPION. COPYR~ o 1978-~11 BY CHAMPfON 28' X 56 ' 3 BEDROOM 2 BATH TITLE: ELECTRICAL PLAN DRAWN BY: STAFF DAT E: 03-23·15 SCALE: 1/s• 2 1'--0' SHEET: EP-101 FRONT ELEVATION REAR ELEVATION LEFT ELEVATION T. ,7,1~ l_ CHAMPIONt 3200 ENTERPRISE AVE. YORK, NE 68467 ' .- I APPROVER'S SEAL I MODIFICATIONS I MODEL: 05-896 MOD 28' X 56' 3 BEDROOM 2 BATH l-+-----------+----<----1TITLE: ELEVATION PLAN PROPRIETARY AND CONFIDENTIAL fHESE. ORAWlNGS ANO SPECIFICATIONS ARE ORJGINAL. PROPRIETARY AND CONFIOE.NTIAL MATERJ/l.LS OF CHAMPION. COPYRIGHT -o 191E·2<l 11 BY CHAMP10N DRAWN BY: STAFF DATE: 11-30-12 SCALE:3132" = 1'--0" RIGHT ELEVATION SHEET: EV-101 FRONT ELEVATION REAR ELEVATION LEFT ELEVAT ION CHAMPION. 3200 EN TERPRISE AVE. YORK. NE 68467 aa aa an I APPROVER'S SEAL I MODIFICATIONS I MODEL: 05-896 MOD 28' X 56' 3 BEDROOM 2 BATH 1-+---------+---+----tmLE: ELEVATION PLAN PROPR IETARY AND CONFIDENTIAL THESE DRAWINGS ANO SPECIACATIONS ARE OfUGINAL.. Pf\OPRIE'tARY ANO CONFIOENTW. MATERIAl.S OI' CHAMPIOH. COP"fRIGHYo197~2Qti &YCHA.MPK>N DRAWN BY: STAFF DAT E: 11-30-12 SCALE: 3132" = 1'--0" RIGH T ELEVATION SHEET : EV-101 v <D <D <?>I V.T.R I <Z> @ v ~ DRAIN LINE NOTES I. P'"f AllOF'lr:t<GSARl'Sl<EDWD<OPl'COWV. 2. COOIECTION '1F 8IJlDlliG OIWh 0011.ETS TOOE!lE!! g ll'EIR CON'EC!lON TO ll\llLDING SE\ltR TO OC OCIE AT JOB SITE BV 01')£,qs. 3. OPllONAI.: HOR20rfTAl.OfWNAGEPl?INGTIV\T AIJNSBflrJNF~OO~~StSMAY BE ourmo AHO AJ.L VERTICAL DRAIN PIPES SMBED OFF AT OR A80V£ BOlTOM '1f A.OOR.IOISTS '· l«lR!lOl<TAJ.llAAN'aPll'lltGSIW.LkAVEAINf-s.:P.: OfNOTlfSSn"NI 1.14"P::RRJOT. '· MRY ooy VE"1' S-W.l RISJ; VER'MCAU.Y To A hll<IMUM OF 6 l'IO<ES ABOVE THE F.LR. OF TH< HIGllESTTIW OR l'RAPPEl) AX!\JF<E SE..C VEllTEO. VJ.A. VEllTTHROOGHROOF(J"f'1PE A Mtl>'ILOJ~'1fl2"8E'.OWN<lll<l!OVE THE ROOF'klNEl I/. VENT THAT MAYCON:fiECTTO A. V.T.R. ORPl.AY EXTE·"IO INOIVlJUAU.Y TtlAOUGH THE ROOF. jl' Pf'E .-......"' 11' saow Nill f>iCifTHE ROOF LIE) CHAMPION6 3200 EN TERPRISE A VE. YORK. NE 68467 1 2 3 ' s 6 7 e 9 10 ® CV 1.112' PIPE 2" PIPE 3" PIPE 1.1,7 CONTINUOUS WASTE Hi· P-TIW' 2' P-TRAP J" P·TRAP 3· C\?WiCH~N H 2" ctEANOUTPLUG 2" ClEAllWTl'\.UG SPECIAL ONE UNIT ONLY QUOTE# V.T.R OPTIO NAL HIGH L OOP USED IF NOT VENTASLE THROUGH "" NEAREST W/lJ..l w DRAIN LI NE LEGEND 11 ,. CtEANOllT PLUG 21 3' LOtJG SWEEP 1U SENO 12 Q.OSET RANr.e 22 1-112" SAR TEE 13 1·112" ~OVENT 23 2"> 1·112"•1-liT $Ni. TEE 14 2' SAN. TEE 24 2"xl"•Hr<" SAN. TEE 1l 1-1~" WYl:W/FITT1NGC.0 .ADP. 25 y,J"•1·1t'2" SAN. TEE 16 1·112" tMBEt;ll 26 3":113°1 r SAN. TEE 11 2' 1U 8ENO 'Zl :r .a::r x2'x1-112" IJBL SAN. TEE 18 3" II< BE NO 28 3".11 T112"-.2" OOL SAN. TEE 18 1-112" LONG SWEEP ll<BENO :19 ···~· ~T.T,Y. w 2" LONG Sl'IEEP 1U B8'lll ~ 2" LT.T.Y, V.T.R. STOOL I@ -~ v ''"'-,.31 I :~ @ 1® (!) ~ ® I :@ 31 .. L.T.T,Y. JZ 2"&1-1fl"J t-lfl" LT.T.Y. 33 2"x2"1M12" k.f .T.¥. 34 2· )t 1·112" ~ 2· k.T.T.Y. 35 3"l l'l MIZ" LT.T.Y, 36 3"i.TiT LT.T.Y. .,, 1-112' 118W.0 J8 2" l ~BEllD J9 3• 1-SBENO '° 3"<3"•1·112" SAN. n:e wiz-S. lllLET v <D 41 3'"3"x3' •2 ... 3" 43 3"•2" " J"Ji:1·112" '' T :c Mfl" •6 3" •1 l"x3">2' '' 2" I APPROVE R'S S EAL I I MODIF ICATIONS I MODEL: 05-896 MOD PRO P RIETARY AN D CONFIDENTIAL THESE DRAWINGS ANO SPECIFICATIONS ARE ORIGllW.. PROPRtET AAY NW CONFtoENTIAL MATERtAL.S OF CtW.a>K>N. COPYRtGHT ~ 19TeM2011 SY CHAMPION 28' X 56' 3 BEDROOM 2 BATH TITLE: PLUMBING PLAN DRAWN BY: STAFF DATE : 03-23·15 S CALE: NOT TO SC/lJ..E Oet.. 1/l l!ENO Q.OSET llEND FLUSll REOUCER&JS!iV;G FLUSH REO\JCER BUSH>~G FLUSH REDUCER BUSHINC WYE l'IYE SN'i.TEE SHEET: PP-101 VANITY i I I I I ~' ', ,, ', ,, CHAMPION. 3200 ENTERPRISE AVE . YORK. NE 68467 SPECIAL ONE U N IT ON LY QUOT E# CROSS-OVER (SITE-{;ONNECTED) TUB ~ti& WATER SUPPLY NOTES & LEGEND 1, WATER ~y PIPING: EIMR PB W!INSERl FITTINGS Pt;R ASTM o..:il09, Off CP'JC PiPE & FrrnKGS (WJ REO\JIA:ED TR.VtSITION FrrtlNGS! PER .t.SlM 0-:25'16. MATERlo\J. SOW.L BE >ll PERMiTTEll BY STATE ANO.oo LOW CODES. 2. Pl?E SlitMG BASEC ON PRESSURE RAAIGE Of 4.fi TO 00 PSt lNlET TO 8£ CONNECT1'D TOFUJ.WAYVAL'I< ON CtSCliAAGE SIDE OF WATER METEH AT JOB SllHY O'T)lERS. l . HOT & COLD INLETS TO BE CONNECTED TO WATER H£ATEA ""D WATER SERlnCE AT JOB SITC BY O'!H~RS . 4. 314~ OAAIN PIPE FROM 7, & P. RELIEF VALVE SHALL TERMINATE PER UPC REOUl.REMENTS. :l£CTK>N 505.1, ~es. OOS.5. ANO S(CTION 1007.0 S. ll4• a Ir (MIN.) METAi. NIPPLES WI UNIONS TO W~TE.R I-EATER 6. WATER !-IEATCA. PAN AAC ~N INS'TALLED PER UPC Rf<MREM£NlS. 1. TUB FlLLER SllAlJ. NOT EXCEoO 12'l DEGREES &. WATER.HAMMERIAAREST~ ~ST 8E INSTAllEO A.S PER UPC SECTIONS, 8!19.10 &5C9.10.1 (l ~ CliP IS FtEOUIRED ATKITCHE.NSiNK 1/..,.HoPTIONALOl$HVIASHERAS PERl.J'C SEC1'10H8J7.4 ____, COLD WATER PIPl'IG >-c::ve NOii-FREEZE HOSE BISS WI llACKFt.OW i'R£VENTER ._ ___ .. HOT WATER PIP~G L WATER HAMMER I ARRESTOR ,__..... AXTURE SUPPi. Y VALVE ,_..... 112"-PFO .......... 314" FULLWAY VALVE """""""' 314"-PIPE I APPROVER'S SEAL I MODI FICATI ONS I MOD EL: 05-896 MOD 28' X 56' 3 BEDROOM 2 BATH t--+----------+---ll----1T IT LE: WATER LINE PLAN PROPRIETARY AND CO NFIDENTIAL THESE DRAWINGS AND SPEClFICATIONS ARE ORIGINAL, J:'ROPRl ~TAAY ANO CONF"IDENTIAL MAIE:RW..S Cl= CHAMPION, C~YRIGHT o 1976-:Wt 1 BY CHM1PION DRAWN BY : STAFF DATE: 1 1-30-12 SCALE: NOT TO SCALE SHEET: WP-101 SPECIAL ONE UNIT ONLY QUOTE# ~-----------------~ ALL DESIGN DETAILS AND NOTES ARE SUGGESTIVE ONLY AND ARE SUBJECT TO THE JURISDICTION OF STATE AND LOCAL CODES. CHANGES MUST BE MADE ACCORDINGLY . CONTACT YOUR LOCAL BUILDING DEPT. FOR FROSTLINE AND SOIL REQUIREMENTS. SEE CHAMPION FOUNDATION SETUP DETAILS FOR ADDITIONAL REQUIREMENTS AND SUGGESTIONS. ALL DIMENSIONS T(TBE FIELD VERIFIED . • = MANDITORY LOAD RIDGEBEAM SUPPORT LOCATION [~J =RECOMMENDED MATE LINE/ENTRY SUPPORT LOCATION 52' -,---,--~~-1r -------------------------------------------------------------------------------------------------------~ ~ ~ . , (") ..- . 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NE 68467 PROPRIETARY AND CONFIDENTIAL THESE DRAWINGS ANO SPECIFK:l\noNS ARE ORIGINAL. ~ROr>RIETARV Al\10 CONFIDENTIAL MATERlALS OF' CHAMPtON. COPYFUGHT c197G-:l0 11 BY CHA.f.A f)ION DRAWN BY: STAFF I DATE: 11-30-12 SCALE; 1 /8" = Nl" I I VOTI ·· c:~~1::;s1cN. ST~lP :;folALL Sitlf"A TCJl ~H(A tHING i • P:. 11100:1 DR o:;a. \.ll:OC£ SH-'LL BC RJPPCD lUMBl:R tJ S:Pf Olt DtTTCI:? ::io c;A_ ... 3# rMlN.) Gk.V. M('l"AL :S:'t&l:IP' F',.:01'CNCD C.AC~ S:ltl: IJr RIDC;t: f"UL1- ;~~·~n:ctg::c ~i:lC"~~r~· l'IST'f~L~~c. MA)( (SC[ ~T St:CUOtl rDP: 14Mt'. OPr?!JMS> F"AS1CM l:OOC:: P'AH. 1tl 'l"ituss PCR ~ SC:CTI[)).! UP?L:~ P"IL.$ OR R'ttc.t JJ!:,.N rOP rnn:fl-Gl.i'ISS :HiNtil..CS <Cl."':'.;~ C.) l~ST -'LL f>Cli.: HAMJr~lURCll'S ll\ISTAl.L,.,TION l~'JRLC'l'ICNS: <S:tilNCi;.C:S rCJl' 2;10 MPH :11N..I. l<IC:.l.:T llSTM D llC.l C1.ii.:;;:; F'> CDCl"RC~SlOW STRIP N. lrTICNN... 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STORY DESIGN LOADING (PLF) ROOF UVE LOAD MA~MUM ~CME17-..,;;;~nil"i;;;:;<;1!0b<,...rair,;,.'5;;-ii"i1"°h<i'">rTiraira,ii;.c,....i"Oh<i'""'raira,~,..,rn"h<c"'1ri.~ra,~;n;,.,,. ~DlH 24· 11110E· 1 1.2on-sso-r-1-:J-2TT-s281T.431-.------S91 --,,-,s11 1 8JJ r2.021 1 1.038 2 8' wiW-[f;J§411:0T4 T 1,4871 -1.0.:37 1 1,5211 1,101 T i;e-87 1.247 I 2.287 I 1.525 32' 'MOE I 1,519 I 1.111·· T 1,57fl --1,190 1·1:822 I 1,258 I 2.125 I 1,42e· I 2.581 I 1,734 .. 1'0UNOA llON LO.ln!NC PROVl:>ED r~ ON Silt rOUNOA TION EVAL.UA now AS RCOUIR£0 BY ~Al A.HJ PCR SPCCFlC 51Tt CCfllDITI~S Utril0£R THt OIR(CnON Cf A PRortSSIOHA.t.. ENCN~Ci:I:. Cl. !!.!l!l::.: 24' WiOE oPTION tS ~STRICltO TO 1-STOR'I' ONL. 'I'. ' STORY DESIGN LOADING (PLF) ROOF LIVE LOAO 20 PSf 30 PSF 60 PSF (2) \lo LACS Al s·-o o.c. STAGGERED-' I '-CENTER BEAM MAXIMUM HOME WIDTH c~~~~R I P£~~f,1ER c~~l~Rl rn~~~~ER c~~~~R I PE~~fLTER ?.8' 'MD£ 2.133 I %8 2.266 1 1.045 2.666 1.275 32' ~DE 2,399 I 1,097 2,541 l 1.183 2.9% I l.440 MINIMUM VERTICAL REINFORCEMENT FOR B" POURED CONCRETE WALLS (PER lRC ) SACKnLl SOIL CLASS MA X. WALL MAX. SANOS LOAM S HEIGH T UNBALANCED GW. GP, SW. SP CM. CC, SM, BACKflLL (JO) SM-SC, ML (•5) e·-o· 5·-0· ,. 0 .a· I~ o 48 9'-4" 7'-o· #5 0 48" ,6 0 48" 10·-o· 8'-0" IS o 48" N6 c ~2" 1. RE.CO~o.olENO CEO-TECHNICAL PROHSSIONA.L Cl.AS5'FY B"CKF"lll SOU.. 2. REfERCNCC fRC 2012 TA8LC R<WM.l.1(2) FOR Fo:E!Nf0RC£Mf:Nl C:RH[RIA WllH OTHCR BAOCnu. HCICHTS. CLAYS SC. ML-CL. CL (50) t6 0 46 NS o 40" HS N 24" (2) %" A307 BOLTS (OR EQUAL FOR POSITIVE CONNEC110"1) DETAIL 'D' (4) '>lo LACS (O~ ECU AL FOR POS:TIVE CCNNEC nON) SEE SHT. 2 ALTERNATE DETAI L 'D' F"!N. v"':°'~~_.t 7. V :J. V . • ~ '--.. 2x8 MtN. PRESSU RE TREATE D SILL •. -8 (MIN.) POUR<D CONCRETE • OR MASONRY BLOCK WALL ;· • (SEE CHART TH IS SHEET) I ,, ~~~l~:~CE-•· '.:1 4' CONCRETE FLOOR (MIN) ,,"' ·~ .. lf"y , . >--.-~,-.,~~~~-.~ ,.ft:.:::! •• ~ ->( )...?<.@.~ ~ · , v v ' v , ~J'-8x16" WALL CONCRHE ~J./)(-~»~~~~>Y' FOOTING WlTH (2)14 CONT ',~A''A'~\.'.',;.\.,~'-"'~' 0 r ERlMETER FOUNDATION WALL OliTA1l DETAI L { 0 TH~T. J"~ COL FOR UP TC <O psf· 4 •• COl. FOR 60 & 90 psr W/ )1x8<6" CAP PLATE WELDED TO CO LUMN. CCN~ECT W1T~ (2))1"Q HSB BOLTS TO BEAJ.< BASE PLATE 8x8x¥." (OVER .11· NON-SHRINK CROUT) 'MTH (4) J>"x6" LONG ANCHOR SOL TS ';:-;-p: ~! 0 0. .t ·' "' ~ '~ I CON CRETE FOCTINC .__ ~ • ~ • • · 0 (SEE F0-01.01) ----"~ · "'"· ®CENTER BEAM AT COLUMN OET All i CHAMPION ii ~:~G.!.~~~N,;;._ •1 ~ p ~<:::2~~~ ~! If ENOINE£Ft'$ / ,t..RCHITECTS ~L .I .-,PP'ROV(;R'O S.tA\. L F -MOClflCATIOiiO l. 1· .. 1L I TI1\,t· FULL BASEMENT 1, 1.5 & 2 STORY . F'OU"'-'DATIONPl,AN/DCTAU.5 ~ MOOC:L· I ' DATE·0012Q1'11 !:;c,t,ll.: DRAWN BY CORP. !CKE.CKEO BY: 61.rJO COOG: IAC 201:2 ---., CAlC5: M0.1:?:0 -~~--------------~--------'.! Fft.(NAM E.: ,:'OUNO ATION m:::CTION IRC 2012 ll~ttT NO.: FD-03.01 ••oc· 1OF2 , ...... ,. ..... ,. .. -1 PROPRtt:;.TMtr "'No cof:lf iopm•t J 'l<.&l'CIV.'MfrtOe"""'ll()P'l;CIHc#i1IONC)"lt't~ •. ~"'"""'...,.,'°*~ ..... 'f\""--.U.Of" c.""~"Olll("ou..Q(ltt l<oc. ~--»11¥'1'Cf4ooo""WJIN ''''''"'"'-"''"""--••+••••"'"'"'"'" .. '"'•-'-·.·-·•-.. •----··•••"••---~n•-·--···•••W"''"·'---.... -·---·--••••+ .. -•--•¥+••-••·~---·---•••unn"'''''~'"·'--··--·-·---·-.... ••~•••••--••""•<••••••••••••••-•••••""•"'"""---••••"•""'"""-•-•H••~""'""""--••••·-""'-"""--"""'"" """'••• PROVIDE CONCRETE PEDESTAL (W/ BOTTOM L_ --,·-· ~BELOW fROST "Nn UNDER EVERY PORCH ··-··.x·=·"-··-··-··-· COLUMN (SEE CHART FOR SIZES} -t:J--- I• I• I: I t r I~ 1 l1 l.Tt-J 11 i! "' " ~ ~ ~---cli -----til ~ l ~ I I ' I I ~ I; v 1""-h N ~tP 1 I :1 ii ~-=--~J::-=-==-i.:'-::.n==----.L r---e·-o· ("") LAYOUT I: PORCH ADJACENT SECTIONS PROVIDE CONTINUOUS FOOTING UNDER TH E HOUSE W,_L. __ \ ___ ~ _ _J r-" - --'·!·---------1-~--~---~ L .·-o· ,_,__J !~ LAYOUT 3: PORCH PARTIAL SECT!ON ~ [ZJ REQUIR(O CONCRETE PEDESTAL ~-~OP TIONAL CONCRETE PEDESTAL L.---' {DA!lll CN ~L 9.f'PCR'f R(OJJV.CNTS) PR0111DE CONTINUOUS FOOTI NG UNDER THE HOU: ~A:-~ ~ I I [ --- I I ~i : : I I i I I I I I I I I I I I I -·· -·· ._I I ,-" =@I-' -<-+--La-~~=-J LAYOUT 2: PORCH ONE SECTION FOUNDATION PLAN WI ENDWALL PORCH STRAPS PER EX-DZ.01 5/4 PLANKING PORCH FLOOR JOIST SEE TABLE BELOW FOR PIE R SIZES 4x6" POST . GRADE FOR POSITIVE DRAINAGE. RECOMMEND COVER IMTH G mil P LASTIC AND PE A GRAVEL PORCH PIER DETAIL MINl~UM t-'URCH Plt.R MAX. ROVt MARRIAGE LINE P1£RS• CORN ER POS1 PIERS LIVE LOAD UP TO 110 MPH UP TO 1~0 MPH W 10 110 MPH UP TO 150 MPH 20 30 40 80 90 ".'IOTY.: 221(22x42" 341e34x42~ 15x16x42" 24x24x42" 22x22x42" 34x34x42" l6)(16x42" 24x24x42" 22x22x42" 34x:54x42" l6xl5x42" 21x24)(42" 22x22x42" --161e16x42" -- 26x2Sx42" --18~18)C42R -ROUND OR SQUARE SONOTUB[ (OR EOUIVILLNT) OF EaUAL AREA & TA8ULATED DEPTH IS PERMITIED. -SEE GENERAL NOTES FOR SOIL ANO CONCRETE PROPERTIES. • MINIM UM DEPTH OR PE R LOCAL J URI SDIC TION FROST R(QUIREMENTS. r.--:1~ f ,~ I I I SID EWALL PORCH (SEE DC-02 FOR 'o · I MORE INFO) PR0\/10 £ CONTINUOUS I ~ FOOTINC UNDER TIHE RECESSED WALL l <D I :--~_J ill--~~ , S[E EX-0, --i ~~~:iEFRC~C~~NT~) ~~D~ES:AE~~~{ ~g;~~M COLUMN (SEE TABL E FOR S< ZES) FOUNDATION PLAN W I SIDEWALL PORCH Nol'F· SEE EX SECTION FOR PORC~ CONSTRUCTION l~FORMA TI ON 'C~~~~ TROY~ 4(1(184 f PMON[;: ~46-614.ll200 ' EN~NtE:~'::i f ARCH'lt(C"f::> Of.AL r l"=;.P=P=•o=....,=.,= .. =.,.=l======·1 L r-~·Mo""o1="Fic""•n~o""'Ns====;i mEND & SIDE WALL PORCHES FOVNDATtON !MOOE:L: CAre~09/ZOrT1 I SCALE DRAVVNOY:CORP. ICHECl<:EOBY: tu.OOCODE: IRC2012 CALC5'. MD-1tr.i Fllr°NAMc:.: ~00~A"f1op.,s ·~EcnaN IRC ::!012 :SHEET NO. FD-01.03 PAGt: ~OF3 11 co.-.... IO.}or,,,ut•L"'.:'.c~ .. ~~ " -,_ ·-=· _, ====w-1 1 CHAMPIONw WALi. Ul'l.ltT/O\'f.RTin1."1NCJ :-lTK.\l'S: ~PSON (OR ro.) TIC DOW!'< "NCHM ~1l<l1 <10tJ TOl AL AU.OWABiC TCNSION LOAD .. "9601 W/(lO) 0.1ll liAllS ft(}TT()M ~\VAl,l.~A'Jt.FA!::1CN {).1:lh3" 111.-.11.S T()(-"'AIU:D Pf lo! r A .. 01.02 j ll-'A.1.1. ':iHf.AM.· ril~l~ 7,{,.~ ">i TtO :#i[A!MINC ! :,J~~~1J!~~ "::-~~o~~ ~- ~TA~~~l);~;t!~~~1T~A~~c""ci~~ ;;:tv.) ~CMCNT. (~ M-~ r~ l«IR[ Of>'hONS.) l,..'St. {I) :>TRAP (A()l CNO <X stcutHt 'tll\iCRt. H)l(.a,fttl UY (•) (2) "infAPS C40H t:.Nb Of :l(;C'.:lM;kT WkC.!d Nl>ICATCO IN (n ) ...... u ~lfl'l\ll Y~l'(H oor.ou PlATC 10 ""' ·--I ~h:tr.• NAA-':i pt;I' f A-01,0l w.-\1 • '-t1""" .i.JO"'I, »• AHCHOfil: ooct~ ~roRPR!~~ ~ ~ rQft D1l£R cet1Nrcnc»r- 1 '4 BAA VlTl-l lN ::.:Jo(;AR VCDCC FCX.LOV l\Ct-318 A.N D ANtMOR "4ANV'f At l'uRt~ INSTRUCn ONS FOU~DATION CONNECTION WITH UPLIFT STRAP (REQU IRED AT SHEAR WALL SEGMENTS PER MWFRS SECTION) ":lf_J,,1,_~__ljOVt ltTl lRl.l lN'I· ~tSG'.NJGC'SfiJllls P£R TAB\.($ llril ~MTG ~CTION. ~')TI()M)':WAL\.i;wr"'k fASltM O.Uh.r tu.u lOC-twl.CO Pat r'A-Ol.02 w >-usiif AR. r~TCN '4'" 5V.Tto :'il<AnfN<:v f0"°"4CU..<r..1Ah1J10$1ll 'II/ 0.IJhlr.~ NA.l.5 P(f( f"A-01.QS :Tl ~ .,ocx·---. ,!;Ct 1.1~·~ r ortroM. Pt{("'~ u.x1:;: ... 0'"" CON..:c1.:;."""o ,: ..........._,.,. BAR fi fll.LOV ~~HIN OHCAA \JC ' _..,.CT.,.(~19 ""D A~ ': ltC1"1.CTl""" ' .. ---- 1 ',J_:,v :--a" FOUNDATION CONNECTION (SEE SHEARWALLS PER MWf'RS SECTION) FOUNDATION UPLIFT CONNECTIONS ENGINEERING 755 W. SIG Q~Vtl:R FIOAO SUIT( 1000 TROY'. Mt 48084 P~N£:2A.&-61 ~ -:.1~Re>t'rtCTS-~ I ·-· ... I APP ltOVE" ., ""'-"I. MOO~Ftc.\TION:; I Im'" CONNECTION · GENERAL NOTES FOUNDATION MOOEL: 1S C A(.E: Cttf:CKEO BY: i:-UNAMf.: foUNOATiON SECTION ~C: 2012 SHmTNO.: FD -01 .02 "'"~' 2 OF3 ! PROPFfl£TAR"! AND CONFN?f:rmA L , : 'M(fC!)MA_..~&"'tQP"ICllnooi...urc~ I i 1 1 ~"'"110"°""'1111tllf\l'L .... n~•Cllo' · ' C,WO.-l'Olot~$._lt«;.. '-==! j ~<-l'Olllr<'C""""10N , r;= -· ~~ ---=~-.· ··u CHAMPIONt1i GENERAL NOTES: 24. UAX. 2 . SHEATH Wl'!H SAME MAITRIAt AS MAIN ROO" l µ: 11F lr 1r lr-T··-11 '1-=r n ' -1' T ~ 4 ~ SHEAl><ING PER SHEET RF-01.01 :> II 2x4 NAILER. 1. MAXIMUM ROOF LIVE LOAD -90 PSI'. MAXIMUM Vv\NO SPcED -150 MPH. 3. THE DORMER SH ALL BE PLACED ON TOP or THE SH EATHING FOR THE MAIN ROO F. .. If THE Rl[)C( BOARD DoES NOl f "LL OIREClL Y OVER A TRUSS, B~OCI< THE TRUSS BAY WITH A 2xS (Ft.AT) AND FAS1£N IT TO THE TR USSES Will< (J) 0.131x3~· NAIL S INlO EACH END OF THE SLOCKING. 5. THE GABLE-EN D TRUSS SHALL BE BEVELED OR S>ill.IMED AS RE O\JIREO FOR BEARING ALONC THE TOP OF THE SIDEWALL 6. DIAPHRAGM CONTINUITY MUST SE MAINTAINED FOR HIGH "'ND ZONES. SY EITHER SHEATHING FULLY UNDER FALSE DOR"4ER OR BLOCKI NC EDGE. ~ '..,. "' _!__ ___ ---- r-i _ .. _____ • .. ·-···-·--······- BOTTOM CH,rD 2114 TOP CHORD TYP. SPAN RATED SHEATHING CO .. MON TRUSSES UNDER DORMER TYP. SIDE WALL ~ ?-.-t: x --Ft= -1t= -:s r ~t= r =;t= 1F =;t= ~r Ft= -; t= -; -; .; IL] Ill II i II II II Ill II II\[ I II f f 11 f 1L]t-8f= I LADDER OR O\JTLOOKER OVERHANG PER RF-04 ~ TYPICAL LADDER / "T°\1'1CAL RIDGE BOARO Ovt:RHANC 2x6 p SPF (MIN.) (SEE SECTION R•-04) ~" I --~ I -=;;;_;. ~~~ ; --~ U TYPICAL µAIN -WOOD SCREWS ROOI' TRUSS SIDE VIEW ·~On'.: THE RIDGE BOA RD MAY BE EX1£NOED --TO BECOME PA R1 OF 1HE OVERHANG. TYP. VERTICAL SUPPORTS PER SHEET 2 2> MOD ULE WIDTH (MAX.)------ TOP VIEW ~~ I~ 2x4 M2 S?f' (CHORD $PUCE WITH 2x4 __/ 12" LONG. USC 80% PVA CLUE ANO (5) l-f6•2Jl"x15CA. STA PL!:S EA. SlDE) FRONT VIEW ENGINEERING 15":JW. me BtAVfR ROAD :;u1TE.1000 Tl«JY."111 .4(IOIW PHOWC::· 248-614-8200 liNOER'5 )AJ!C>CTECTO !>'AL r-.R'S:SEAL. L [, 'I .; MoOrFICA !IONS ----, lmu;:.-! ROOF I DORMER MOOfL. o.r..TE.: coa&'1 1 SCA.LE: 1 oRAw;, ·sr::-CoRP. TCHEci<Eo av: ''8u>GCOD E:I RC~12 CALCS·NfM:xl SHECTHO: RF-06.0 1 [ ·~-~.~'.. . 1 OF 2 PRO~lf'.TA~YAWOCONFIO(N!IA\ rl<U"DtlAWWC...,WO ~iC.lofloo<~.-.QllllOIMAL ~'"""""'°tolf"ft.~~TDtlol.laOO' (>tol<-OCYCllA..Oal81<£. C°"""1Cl"ll 4>70'\19'f~ ~· FA_'l£~TNCf wrnl I?" M--\X. OVE.RHANC; FAS l EN GASLl-END 00klo11'R lO l<OOV TRUSSES Will< N8x5" WOOD SCREWS D 48" O.C. UP TO \ 10 mph @ 21" 0.C. UP TO 150 mph FA'Sff.~IM~WliH 121.MMAX.()VfRHA'-Kj •A$TEN CAt:M END DDRMlN ro ROOF TRUSSES Willi 18x5" WOOD SCREWS 0 35• O.C. UP TO 110 mph Q 1a· o.c. UP TO 150 mph A I TYPICAL GABLE-END TRUSS 2<4 SPt '#J V t:RTICAl.S FOR UP 10 1!>0 m ph AT 48" 0.C. FOR ROOF LL Of' 20 , 30, 40 p,.( AT 2 <" 0.C. FOR ROOF LL > 40 p ol :'\:Ol1~S: 2•< SPF N3 TOP CHORD (O» (OG0 \:""SEE DET AIL • A. roR INrORMA 110N N01 REP EA l EO 2. VE RTICALS ~A V NOT ALIGN OVER ROOF TRUSSE:S. (:l) 2x4, 13 SPr VER11CALS r ASTEN-, TOGETHER IN LAYERS WI TH: 0.1Jh3" \ NAILS AT 5• O.C., STAGGERED \ 2 x4, p SPF AT 24• oc.~ \ FASTEN VER TICALS WITH p) \ 0 1J1'J)I" NAILS INTO EACH END \ OOUSLE 2x4, 13 SPf TOP Pl.A TE FASTEN TOGETHER WlTH 0 1J1xJ" ~ NAILS AT 1~· QC, STACCERW NAILS INTO EACH END OF EACH VER TICAL: 2x4. IJ SPF BOTTO>.< PLA'TE N01'r.: SPAN RATED SHEATHING SHALL BE Af'PLllO TO THE FRONT OF CABLE-ENO TRUSS PER !>DEWALL NAILING PATTERN. 2<4 TOP CHORD (ON EOG£) ·-( 4) 0. 1J 1xJ" FOR ROOF LIVE LOAD Uf> 10 30 pof (5) 0.1~1,3• FOR ROOf' LIVE LOAD > JO pol V!:RllCA L POST 2x4 (TYPICAL) 1 YPICAL TRUSS 2x• BOTTOM CHORD 2x6 SPF RIDGE BOARD FAS TI: NED TO EACH RAFTER WITH (4) 0.131xJ" NAILS 1a.s· WOO D SCREWS c 48" o .c. UP To 110 mph C 24" O.C. UP TO 150 mph SECTION 'C' B I TYPICAL DORMER LADDER TRUSS (FRONT VIEW) c TYPICAL DORMER LADDER TRUSS (END VIEW) i -· -i .CHAMPIONt ' ENGINEERING ~ W . DX1 BfAVER RO-'D ~rt£ 1000 TRO'f'_W~ PffONE: 24&4t 4.0D l (NCINL\tlt01A•CHIT1'CT55fi.A-L 11 I l1 1-n~ Ii 'I I' _ _J MOO~RCAT10N$ ------, fTll\.E- 1 MOOCL.. DORM ER DETAILS Ol.TI!:OCtf2e/11 ~~ !O~'wW.iBY·CORP. !Cl-EC"'3:08V l\tOC.COOt: IRC :.'012 CALCS: MFM20 ;j ' -·-···-·---··-·-----·-··-1 Fl.f'.NAME:· AOOf" SECllON IRC 213'2 I SH€ET NO.; f--RF-06.02 ,PAGE · 2 OF2 PROPR IEJARV AHO CONF'PgN'TL6.t tf'C'lr:O--~AICJ~~Mfl.-~ ~utTAio,io~IDll:#tw.. ..... ~=tOI =/~~~~ CHAMPION t March 22, 2015 Factory Direct Housing 2465 US Hwy 6 & 50 Grand Junction, CO 81505 Champion Home Builders, Inc. P.O. Box 585 I 3200 Enterprise Avenue I York , NE 68467 402.362.4455 I 402.362.7724 FAX RE: IRC code home for customer: Place 2010 250 Road Silt, CO 81652 To Whom It May Concern: The home that has been selected by customer Place will be processed to be constructed to the IRC modular code to meet or exceed codes as listed below. The home will be compliant to the below listed codes: 2012 IRC 2014NEC 2012 IECC (or 2009 IECC as required by local department) 40# Roof Load Wind Load 100 mph Seismic Zone C The home will be completed and inspected by a third party State Inspector at the manufacturing facility. After delivery to site , there may be additional required inspections where the client will be notified of at that time, and the Colorado Division of Housing will issue a FB insignia stating that the home has met all modular code requirements. a fild-s, ___ .... Do~Tollin Zone Manager Champion Home Builders, Inc. 3200 Enterprise A venue York, NE 68467 ----, __ __.,- '- RD VICINITY MAP SCALE: l" = 2000' TIE: DITCH CENTERLINE TO N.W. COR. OF ASSESSOR:S PARCEL# 2125-304-00-099 FENNO RANCH PARTNERSHIP (BK 852 PG 235) PROPERTY BOUNDARY SITE PLAN EDNA PLACE PROPERTY I I ,t:J_/ " / ASSESSOR'S PARCEL # 2125-304-00-099 FENNO RANCH PARTNERSHIP (BK 852 PG 235) ClS ASSESSOR:S PARCEL# 2125-294-00-960 BUREAU OF LAND MANAGEMENT E.)\, NEY• NEY,, SEC. '1 BEARS Sl2"412l'E 15.86'~ f'ND OF 36" CULVERT NORTH Y. SECTION 31 "l·-~------------:-~ ~ SECTION LINE 10'X9.5' M<CAJ.SHED----0 · ---~====--=-=~\~;:::~::::::~;J;l"'"' ... ~ .... ::::...-_____ -;;~-------------''---7.!l~~'__'==...,~~--"~~SEC~TI~O~N~30~----------------~~-----------------;::;:o:E;;;M),:1E5<o;,c;:-.;~-__::~PC)E~~-~ FOUND 3 Y. INS. DIA. B.L.M. ALUMINUM CAP 1989 ATTACHED TO STEEL CULVERT, LOCATED 1 FOOT EAST OF THE WEST END OF CULVERT, MONUMENTING THE CORNER COMMON TO SECTIONS 29, 30, 31 AND 32 T. 5 S., R.91 W. N89°51'24'E 2677.96' \_ SECTION 31 TELEPHONE SERVICE BOX PO --;\---ff TIE: DITCH CENTERLINE TO PARTIALLY EXPOSED -4" PVC CONCRETE CISTERN WITH~ i ~.E. COR. SEC. 31 ~:£;;;,;/ ,. rND OF 36' CULVERT \ ~~: ~ SET WITNESS CORNER ON PROPERlY LINE "-~..-.:-:>: • EADGATE /' 14'FROMACTIJALCORNER-Al-l/2" ' \ EDGEOFDRIVEWAY_____,./ ALUMINUM CAP P.E. & P.L.S. 28036 "-"· \ ~ -~\ CENTERLINE OF E. LATERAL 'l-:7 /ARMERS IRRIGATION "-~-\ COMPANY DITCH ;-?-. i'?i ; '0 • \ :J c\ r -·~ I ;, \ '&~,, \\; ;' j "-\ ·~:~. />< STACKYARD j x\ '.}~' \c /x j I ,.1:.~ \ ~ DRIVEWAY PROPERTY BOUNDARY ~OGE OF DRIVEWAY / '::;/ I CENTERLINE OF E. LATERAL \.\RMERS IRRIGATION COMPANY DITCH IRRIGATION PIPE 3•4' X 3•4' IRON LID _ .· ~ BEARS N82"40'1 l'W30.90' <>'' °"£ ORP&l/AY n ~ 01t0- 6' DIA STOCK TANKWITH PUMP (WATER SOURCE FOR YARD IRRIGATION) 20' X 18' LOG OLIT BUILDING ~ I ('::C'f!li:sc;;""'~) ~a 11' X 6' TREEHOUSE // • TELEPHONE PEDESTAL CONCRETE WALK 2 STORY HOME 35' X 28' 2ND. STORY PORC PROPANE TANK_r PROPERTY BOUNDARY RETAINING WALL -~ '"' "1., LEGEND ~ FOUND SECTION MONUMENT, AS NOTED D FOUND MONUMENT, AS NOTED 0 SET MONUMENT, AS NOTED ® WELL cw POWER POLE 0 ELECTRIC METER l(lj TELEPHONE PEDESTAL TELEPHONE SERVICE BOX -c~c --c~c -c~c -OVER-HEAD ELECTRIC LINE PROPERTY BOUNDARY ADJOINING PROPEIUY BOUNDARY xi \ L,_ J x ~BWIRE FENCE CENTERLINE OF E. LATERAL OF THE FARMER'S IRRIGATION DITCH ASSESSOR:S PARCEL# 2125-311-00-167 A.K.A. PARCEL B TRANT SUBDIVISION EXEMPTION ERIC & DONNA BOLEY REC.# 595091 o ......... ~'---~~~~00 ......... 120 GRAPHIC SCALE IN FEET 1 INCH "' 40 FEET LINE TABLE LINE BEARING LENGTH ll S24"38'19'E 30.46 l2 Sl 1"55'39'E 54.54 L3 Sl7"19'29'E 33.80 L4 N46°03'26'W 14.96 l5 N86°36'15"E 9.07 L6 S35"39'24'W 8.65 L7 Sl 3"16'03'W 70.33 LB 541"20'43'W 14.99 L9 S29"42'42'W 66.93 LlO S72"13'23'W 56.59 lll S63"53'12'W 9.20 ll2 S71"31 '02'E 134.89 "' S60"52'14'E 37.45 Ll4 S61°07'04'E 29.43 Ll5 N58°42'33'W 19.81 Ll6 N80"44'1 aw 32.86 Ll7 SOO°OO'OO'W 47.87 ll8 S71"34'26'E 75.71 ll9 N76"04'28''E 16.82 L20 N57"19'20''E 87.04 l21 N80"05'59"E 9.76 l22 N88°50'53"E 41.78 "' NOO"OO'OrJW 1.06 NOTICE: According lo Colorado law you MUST commence any legal action based upon any defect in this survey within three years after you first discovered such defed. In no event, may an adion based upon any defect in this survey be commenced more than ten years from the date of the certification shown hereon. 14'XlO'WOOD SIDED SHED SET 1-1/2' ALUMINUM CAP P.E. & P.L.S. 28036 ~ HEADGATES 18A-18C I x I x I -I ;-""""D WlRE FENCE~-v I x \ xi x I x J !VERSION BOX PROPERlY BOUNDARY -----x----------x------ BARBED WIRE FENCE 7 .83 ACRE PARCEL WATER WELL INSIDE OF SHED 207.82' FROM EAST LINE OF SEC. 31 ·375.99' FROM NORTH LINE OF SEC. 31 PROPOSED O.S.W.T.S. (CONCEPTUAL LOCATION AND SIZE) 100' RADIU M WELL ~-f(ij!;;_,-~· X 6.5' SHED ASSESSOR:S PARCEL #~ 25-311-00-161 A.K.A. LOT 1, RAUMAN SUBDIVISION EXEMPTION RUSSELL & ROSE RAUMA PROPERTY BOUNDARY 5MAILBOXES -~.l'i l 13.2' x 10.4' WOOD-FRAMED SHED 14' x 10.2' METAL SHED _, __ , __ , __ , -BARBED WIRE FENCE ASSESSOR'S PARCEL# 2125-322-00-196 A.K.A. LOT 1, PIFFER SUBDIVISION EXEMPTION DOUGLAS L. PIFFER CURVE Cl C2 C3 C4 C5 C6 C7 CB C9 ClO Cll Cl2 C1' Cl4 Cl5 Cl6 Cl7 ClB Cl9 FOUND YELLOW PLASTIC CAP LS 13501 EARS S04"38'25'W A DISTANCE OF 0.84 FEET FROM CALCULATED BOUNDARY CORNER LENGTH 5.55 28.26 11. 17 40.40 28.92 22.23 21.49 36.75 60.91 85.33 9.29 76.89 -42.58 98.05 96.n 50.26 105.79 74.71 33.01 CURVE TABLE CHORD RADIUS DELTA DIRECTION 25.00 12"42'40' Nl8"16'59'W 300.00 5"23'50" Sl-4"3734'E 300.00 '"""'" N16"15'28'W 75.00 30"51 '59'' S30"37'27'E 35.00 47"20'19' S69"43'36'E 25.00 50"56'51" N61°07'49'E 55.00 22"23'20'' N24"27'44'E 75.00 28"04'39'' S27"18'23'W 300.00 11"38'01' N35"31'42'E 115.00 42°30'41' S50"58'02'W 50.00 10"38'48' N66"11'38'W 200.00 22"01'36" S69"43'22'E 105.10 23"12'-40'' 545"15'01 'E 381.71 14°43'05' S64°12'54'E 171.29 32"21'06" S87"44'59'E 331.01 8°42'02" N7l 0 43'27'E 602.99 10"03'06' N62"20'53'E 187.93 22"46'39'' N68"42'39'E 216.22 8"44'54" N84"28'26'E CHORD LENGTH 5.53 28.25 11. 17 39.92 28.10 21.50 21.36 36.39 60.81 83.38 9.28 76.42 42.29 97.78 95.44 50.22 105.65 74.22 32.98 .... .. .. ;; ~ ~ 0 ~ c 0 " Cl <Ii" --A. • • J!! E ·-"' "" < 0 Si! II ,_ "" ~ 6 ~ .. ii ~ 0 " I u i "' u w a ~ ~ '& "' w w I ~ ci:. m= c ~~ • ci:: ~· 1~ -I Ill -i I .. ~ (!) 0 :<: b ~~ 00 0 "' >-I~ u w < 0 Silt Grass Valley Reservoir F a r m ersIrrCo D i t c h W a re &H inds Ditch E L a t e r a l F a r m e r s I r r C o Ware & Hinds Ditch ELateralFarmersIrrCo EF456 EF237 EF298 EF250 EF260 EF261 EF214 EF233 EF266 EF228 EF229 EF451 EF236 EF216 EF455 EF235 EF261A EF238 EF468 EF231 EF502 EF500AEF214 960 955 003 171 046 385 337 384 002 202 203 021 448 032 696 099 382 957 128 627 002 086 095 462 007 196 199 388 678 058 003 296 085 142 153 042 063 080 002 097 079 049 048 514 023 308 057 062 193 390 713 116 026 644 192 052 645 220 565 140 052 001 021 020 060 515 166 084 208 030 729006 085 281 112 143 549 001 144 048 154 027 044 012 012589 041 001 040 098 280 048 048 042 012 026 080 059 564 082 004 053 045 003 060 081 567 030 087 395 006 059 083 019 011015 656 002 072 197 300 182 074 070 003 008 016 025 066 198 199 194 014 643 013 157 179004 566 012 178 015 069 006 670 011 061 062 063 026 068 009 078 007 079 065 181 301 054 158 049 057 002 067 159 058 195 001 025 012 053 010 064 061 642 055 160 056 077 614 150001 073 050 005 054 011 001 036 009 004 022 397 149 126 029 110 003 011 049184018 035 017 068 183 001 028 018 161 155 669 069 001 042 070 012 591 044 006 055 020 016 617 011 616 091 050 051 038 015 015 050 707 389 387386 093 001 207 264 005 671 035 044 006 045 148040 071 595624 111 037 017 001 197 071 008 014 007 031 009 010 300 067 004 009 010 156 012 002 412604 011 048 007 306 594 007 528 603 007 003 016 024 621 018 050 167 032 013 599 009 243 026 184 056 004 038 021 387 022 597 002 242 035 145 620 028 043 005 039 004 007 003 037028 041 023 018 054 022 043075 023 002 615 040 086 123 602 001 076 003 068 010 012 006 001 058 051 013 191 069 047 011 027 017 039 298 002 014 002 590 024 020 003 057 005 034 047012 002 143625 009 146 198 037 020 386 001 003 563 601 623 019 162 033 064 674 658 009 600 046 007 015 295 013 021 049 596 015001 014 042 003004 092 001 562 101 659657 695 055 357 013 632 005 147 622 003 031 693 034 163 004 001 003 003 091 675 619 008 708 006 012 709 002 013 329001677 039 003 694 014 003 008 005 004 008 012 092 706 038 011 024 004 013 010 040 093 002 016 014 013 021 009 013 429 189 043 605 010 032 190 008 003 001 297 044 012 002 031 007 676 011 008 001 006 063 297 011 014 002032 006 022 007 007 012 010 017 007 014 019 002018 050008 022 005 618 019 015 051 001 041 002 004 016 024 007 010 050 022 017052 046 006 302 016 004 004 003008 045 006 062 183 001002019 005307 012 008 040 043 016003 471 011008 003 011 004099 094 006 005 349 061003 025 006 094 006 029 042 009 059 142 010 006009 001 022 018 037058 001 014 008016 027 001 005 018 005 056 011005 017 085 022 059 047011001042 011 303 Source: Esri, DigitalGlobe, GeoEye, i-cubed, USDA, USGS, AEX, Getmapping, Aerogrid,IGN, IGP, swisstopo, and the GIS User Community Silt Grass Valle y Rese rvoir F a r m ersIrrCo D i t c h W a re &H inds Ditch E L a t e r a l F a r m e r s I r r C o Ware & Hinds Ditch ELateralFarmersIrrCo EF456 EF237 EF298 EF250 EF260 EF261 EF214 EF233 EF266 EF228 EF229 EF451 EF236 EF216 EF455 EF235 EF261A EF238 EF468 EF231 EF502 EF500AEF214 960 955 003 171 046 385 337 384 002 202 203 021 448 032 696 099 382 957 128 627 002 086 095 462 007 196 199 388 678 058 003 296 085 142 153 042 063 080 002 097 079 049 048 514 023 308 057 062 193 390 713 116 026 644 192 052 645 220 565 140 052 001 021 020 060 515 166 084 208 030 729006 085 281 112 143 549 001 144 048 154 027 044 012 012589 041 001 040 098 280 048 048 042 012 026 080 059 564 082 004 053 045 003 060 081 567 030 087 395 006 059 083 019 011015 656 002 072 197 300 182 074 070 003 008 016 025 066 198 199 194 014 643 013 157 179004 566 012 178 015 069 006 670 011 061 062 063 026 068 009 078 007 079 065 181 301 054 158 049 057 002 067 159 058 195 001 025 012 053 010 064 061 642 055 160 056 077 614 150001 073 050 005 054 011 001 036 009 004 022 397 149 126 029 110 003 011 049184018 035 017 068 183 001 028 018 161 155 669 069 001 042 070 012 591 044 006 055 020 016 617 011 616 091 050 051 038 015 015 050 707 389 387386 093 001 207 264 005 671 035 044 006 045 148040 071 595624 111 037 017 001 197 071 008 014 007 031 009 010 300 067 004 009 010 156 012 002 412604 011 048 007 306 594 007 528 603 007 003 016 024 621 018 050 167 032 013 599 009 243 026 184 056 004 038 021 387 022 597 002 242 035 145 620 028 043 005 039 004 007 003 037028 041 023 018 054 022 043075 023 002 615 040 086 123 602 001 076 003 068 010 012 006 001 058 051 013 191 069 047 011 027 017 039 298 002 014 002 590 024 020 003 057 005 034 047012 002 143625 009 146 198 037 020 386 001 003 563 601 623 019 162 033 064 674 658 009 600 046 007 015 295 013 021 049 596 015001 014 042 003004 092 001 562 101 659657 695 055 357 013 632 005 147 622 003 031 693 034 163 004 001 003 003 091 675 619 008 708 006 012 709 002 013 329001677 039 003 694 014 003 008 005 004 008 012 092 706 038 011 024 004 013 010 040 093 002 016 014 013 021 009 013 429 189 043 605 010 032 190 008 003 001 297 044 012 002 031 007 676 011 008 001 006 063 297 011 014 002032 006 022 007 007 012 010 017 007 014 019 002018 050008 022 005 618 019 015 051 001 041 002 004 016 024 007 010 050 022 017052 046 006 302 016 004 004 003008 045 006 062 183 001002019 005307 012 008 040 043 016003 471 011008 003 011 004099 094 006 005 349 061003 025 006 094 006 029 042 009 059 142 010 006009 001 022 018 037058 001 014 008016 027 001 005 018 005 056 011005 017 085 022 059 047011001042 011 303 Source: Esri, DigitalGlobe, GeoEye, i-cubed, USDA, USGS, AEX, Getmapping, Aerogrid,IGN, IGP, swisstopo, and the GIS User Community Silt Colorado Riv er Colorado Riv er Colorado Riv er Grass Valle y Rese rvoir LowerCactus Valley D i t c h W a r e &H i n d s D i t c h F a r m ersIrrCo D i t c h E L a t e r a l F a r m e r s I r r C o ELateralFarmersIrrCo EF456 EF298 EF250 EF237 EF260 EF261 EF214 EF235 EF233 EF266 EF228 EF229 EF451 EF236 EF216 EF455 EF261A EF238 EF468 EF231 EF502 EF500AEF214 960 955 003 046 385 337 384 002 202 203 021 448 032 696 099 382 957 150 194 128 527 627 002 086 012 462 678 645 351 007 008 196 199 388 515 058 003 195 296 085 729 142 153 042 002 049 048 514308 006 057 350 062 097 193 390 713 220 101 026 644 192 052 007 565 140 549 052 001 085 021 060 042 166 395 383 084 208 030 589 085 547 281 300 112 143 012 001 012 144 048 154 027 044 041 001 040 098 018 280 048 048 042 026 080 039 059 564 082 027 004 053 045 011 003 060 081 567 030 087 006 059 083 019 015 656 002 072 197 182 074 716 070 003 008 016 025 066 198 199 194 014 643 013 179004 566 445 012 178 015 069 006 670 011 061 062 063 026 068 009 078 007 079 065 181 301 054 049 057 002 067 058 195 001 025 012 053 010 064 061 642 055056 077 614 150001 073 050 005 054 011 001 036 009 004 022 397 149 126 029 203 110 003 011 049184018 017 035 017 068 183 033 001 028 018 161 548 669 069 413 001 042 070 015 012 591 044 006 055 020 016 617 011 616 091 050 051 001 038 015 015 041 050 707 389 387386 093 095 002 001 018 264 005 671 035 044 006 045 148040 071 009 595624 111 037 017 001 412 197 071 008 014 007 031 009 010 300 067 004 009 010 012 002 604 007 011 048 007 306 594 528 603 007 003 028 016 024 621 018 050 167 032 013 599 243 026 056 004 038 538 021 387 022 660 597 002 242 546 035 145 620 028 043 005 039 004 007 003 037028 041 023 018 054 002 022 043075 023 002 615 040 086 123 602 001 076 003 068 010 012 006 006 001 058 051 013 191 069 047 011 027 017 039 298 002 014 002 605 590 024 020 003 057 005 286 034 047012 002 143 035 004 625 009 146 198 037 020 386 001 003 563 601 031 623 019 162 033 064 062 674 658 009 026 600 006 046 007 015 295 013 021 049 596 015001 014 042 003004 092 001 562 008 659 037 657 695 004 055 003 357 013 003 632 005 147 622 003 031 693 036 034 003 163 004 001 003 003 091 675 619 002 008 002 708 006 012 709 003 013 329001 592 677 007 039 003 694 014 003 005 008 004 008 012 092 706 038 001 011 001 024 004 013 010 040 093 059 002 016 014 013 021 009 013 429 189 005 043 038 010 032 190 008 003 196 001 297 044 039 411 012 002 031 007 676 022 721 011 008 009 001 063 011 297 002 011 014 002032 006 022 007 001 012 010 017 007 014 019 553 002018 050008 022 005 618 003 027 019 015 014 051 001 041 002 004 016 024 007 010 050 022 017 175 052 002 046 006 302 016 004 004045 174 006 003 148 001 001 002 002 019 173 005 005 307 012 008 040 043 016 736 164 086 003 471 011 079 021 002008 001 114 083 079 003 011 111113002 008 025 004099 094 084 005 110 020 115 349 022 061003 001 010 025 003 009002 006006 029 085012 010 105 042 009 001 101 142 134 006009 001 003 022 018 116 037 001 001 003 008014016 005 017 171 027 005 003 162 017 010 001 004 005 146 004 041 007 018 002005 005 056 040 002 013017 007003 106 004 017 007 003 085 022 036 047 038057044017 001 042 303 001 Source: Esri, DigitalGlobe, GeoEye, i-cubed, USDA, USGS, AEX, Getmapping, Aerogrid,IGN, IGP, swisstopo, and the GIS User Community Silt Grass Valle y Rese rvoir F a r m ersIrrCo D i t c h W a re &H inds Ditch E L a t e r a l F a r m e r s I r r C o Ware & Hinds Ditch ELateralFarmersIrrCo EF456 EF237 EF298 EF250 EF260 EF261 EF214 EF233 EF266 EF228 EF229 EF451 EF236 EF216 EF455 EF235 EF261A EF238 EF468 EF231 EF502 EF500AEF214 960 955 003 171 046 385 337 384 002 202 203 021 448 032 696 099 382 957 128 627 002 086 095 462 007 196 199 388 678 058 003 296 085 142 153 042 063 080 002 097 079 049 048 514 023 308 057 062 193 390 713 116 026 644 192 052 645 220 565 140 052 001 021 020 060 515 166 084 208 030 729006 085 281 112 143 549 001 144 048 154 027 044 012 012589 041 001 040 098 280 048 048 042 012 026 080 059 564 082 004 053 045 003 060 081 567 030 087 395 006 059 083 019 011015 656 002 072 197 300 182 074 070 003 008 016 025 066 198 199 194 014 643 013 157 179004 566 012 178 015 069 006 670 011 061 062 063 026 068 009 078 007 079 065 181 301 054 158 049 057 002 067 159 058 195 001 025 012 053 010 064 061 642 055 160 056 077 614 150001 073 050 005 054 011 001 036 009 004 022 397 149 126 029 110 003 011 049184018 035 017 068 183 001 028 018 161 155 669 069 001 042 070 012 591 044 006 055 020 016 617 011 616 091 050 051 038 015 015 050 707 389 387386 093 001 207 264 005 671 035 044 006 045 148040 071 595624 111 037 017 001 197 071 008 014 007 031 009 010 300 067 004 009 010 156 012 002 412604 011 048 007 306 594 007 528 603 007 003 016 024 621 018 050 167 032 013 599 009 243 026 184 056 004 038 021 387 022 597 002 242 035 145 620 028 043 005 039 004 007 003 037028 041 023 018 054 022 043075 023 002 615 040 086 123 602 001 076 003 068 010 012 006 001 058 051 013 191 069 047 011 027 017 039 298 002 014 002 590 024 020 003 057 005 034 047012 002 143625 009 146 198 037 020 386 001 003 563 601 623 019 162 033 064 674 658 009 600 046 007 015 295 013 021 049 596 015001 014 042 003004 092 001 562 101 659657 695 055 357 013 632 005 147 622 003 031 693 034 163 004 001 003 003 091 675 619 008 708 006 012 709 002 013 329001677 039 003 694 014 003 008 005 004 008 012 092 706 038 011 024 004 013 010 040 093 002 016 014 013 021 009 013 429 189 043 605 010 032 190 008 003 001 297 044 012 002 031 007 676 011 008 001 006 063 297 011 014 002032 006 022 007 007 012 010 017 007 014 019 002018 050008 022 005 618 019 015 051 001 041 002 004 016 024 007 010 050 022 017052 046 006 302 016 004 004 003008 045 006 062 183 001002019 005307 012 008 040 043 016003 471 011008 003 011 004099 094 006 005 349 061003 025 006 094 006 029 042 009 059 142 010 006009 001 022 018 037058 001 014 008016 027 001 005 018 005 056 011005 017 085 022 059 047011001042 011 303 Source: Esri, DigitalGlobe, GeoEye, i-cubed, USDA, USGS, AEX, Getmapping, Aerogrid,IGN, IGP, swisstopo, and the GIS User Community Silt Grass Valle y Rese rvoir F a r m ersIrrCo D i t c h W a re &H inds Ditch E L a t e r a l F a r m e r s I r r C o Ware & Hinds Ditch ELateralFarmersIrrCo EF456 EF237 EF298 EF250 EF260 EF261 EF214 EF233 EF266 EF228 EF229 EF451 EF236 EF216 EF455 EF235 EF261A EF238 EF468 EF231 EF502 EF500AEF214 960 955 003 171 046 385 337 384 002 202 203 021 448 032 696 099 382 957 128 627 002 086 095 462 007 196 199 388 678 058 003 296 085 142 153 042 063 080 002 097 079 049 048 514 023 308 057 062 193 390 713 116 026 644 192 052 645 220 565 140 052 001 021 020 060 515 166 084 208 030 729006 085 281 112 143 549 001 144 048 154 027 044 012 012589 041 001 040 098 280 048 048 042 012 026 080 059 564 082 004 053 045 003 060 081 567 030 087 395 006 059 083 019 011015 656 002 072 197 300 182 074 070 003 008 016 025 066 198 199 194 014 643 013 157 179004 566 012 178 015 069 006 670 011 061 062 063 026 068 009 078 007 079 065 181 301 054 158 049 057 002 067 159 058 195 001 025 012 053 010 064 061 642 055 160 056 077 614 150001 073 050 005 054 011 001 036 009 004 022 397 149 126 029 110 003 011 049184018 035 017 068 183 001 028 018 161 155 669 069 001 042 070 012 591 044 006 055 020 016 617 011 616 091 050 051 038 015 015 050 707 389 387386 093 001 207 264 005 671 035 044 006 045 148040 071 595624 111 037 017 001 197 071 008 014 007 031 009 010 300 067 004 009 010 156 012 002 412604 011 048 007 306 594 007 528 603 007 003 016 024 621 018 050 167 032 013 599 009 243 026 184 056 004 038 021 387 022 597 002 242 035 145 620 028 043 005 039 004 007 003 037028 041 023 018 054 022 043075 023 002 615 040 086 123 602 001 076 003 068 010 012 006 001 058 051 013 191 069 047 011 027 017 039 298 002 014 002 590 024 020 003 057 005 034 047012 002 143625 009 146 198 037 020 386 001 003 563 601 623 019 162 033 064 674 658 009 600 046 007 015 295 013 021 049 596 015001 014 042 003004 092 001 562 101 659657 695 055 357 013 632 005 147 622 003 031 693 034 163 004 001 003 003 091 675 619 008 708 006 012 709 002 013 329001677 039 003 694 014 003 008 005 004 008 012 092 706 038 011 024 004 013 010 040 093 002 016 014 013 021 009 013 429 189 043 605 010 032 190 008 003 001 297 044 012 002 031 007 676 011 008 001 006 063 297 011 014 002032 006 022 007 007 012 010 017 007 014 019 002018 050008 022 005 618 019 015 051 001 041 002 004 016 024 007 010 050 022 017052 046 006 302 016 004 004 003008 045 006 062 183 001002019 005307 012 008 040 043 016003 471 011008 003 011 004099 094 006 005 349 061003 025 006 094 006 029 042 009 059 142 010 006009 001 022 018 037058 001 014 008016 027 001 005 018 005 056 011005 017 085 022 059 047011001042 011 303 Source: Esri, DigitalGlobe, GeoEye, i-cubed, USDA, USGS, AEX, Getmapping, Aerogrid,IGN, IGP, swisstopo, and the GIS User Community Silt Grass Valle y Rese rvoir F a r m ersIrrCo D i t c h W a re &H inds Ditch E L a t e r a l F a r m e r s I r r C o Ware & Hinds Ditch ELateralFarmersIrrCo EF456 EF237 EF298 EF250 EF260 EF261 EF214 EF233 EF266 EF228 EF229 EF451 EF236 EF216 EF455 EF235 EF261A EF238 EF468 EF231 EF502 EF500AEF214 960 955 003 171 046 385 337 384 002 202 203 021 448 032 696 099 382 957 128 627 002 086 095 462 007 196 199 388 678 058 003 296 085 142 153 042 063 080 002 097 079 049 048 514 023 308 057 062 193 390 713 116 026 644 192 052 645 220 565 140 052 001 021 020 060 515 166 084 208 030 729006 085 281 112 143 549 001 144 048 154 027 044 012 012589 041 001 040 098 280 048 048 042 012 026 080 059 564 082 004 053 045 003 060 081 567 030 087 395 006 059 083 019 011015 656 002 072 197 300 182 074 070 003 008 016 025 066 198 199 194 014 643 013 157 179004 566 012 178 015 069 006 670 011 061 062 063 026 068 009 078 007 079 065 181 301 054 158 049 057 002 067 159 058 195 001 025 012 053 010 064 061 642 055 160 056 077 614 150001 073 050 005 054 011 001 036 009 004 022 397 149 126 029 110 003 011 049184018 035 017 068 183 001 028 018 161 155 669 069 001 042 070 012 591 044 006 055 020 016 617 011 616 091 050 051 038 015 015 050 707 389 387386 093 001 207 264 005 671 035 044 006 045 148040 071 595624 111 037 017 001 197 071 008 014 007 031 009 010 300 067 004 009 010 156 012 002 412604 011 048 007 306 594 007 528 603 007 003 016 024 621 018 050 167 032 013 599 009 243 026 184 056 004 038 021 387 022 597 002 242 035 145 620 028 043 005 039 004 007 003 037028 041 023 018 054 022 043075 023 002 615 040 086 123 602 001 076 003 068 010 012 006 001 058 051 013 191 069 047 011 027 017 039 298 002 014 002 590 024 020 003 057 005 034 047012 002 143625 009 146 198 037 020 386 001 003 563 601 623 019 162 033 064 674 658 009 600 046 007 015 295 013 021 049 596 015001 014 042 003004 092 001 562 101 659657 695 055 357 013 632 005 147 622 003 031 693 034 163 004 001 003 003 091 675 619 008 708 006 012 709 002 013 329001677 039 003 694 014 003 008 005 004 008 012 092 706 038 011 024 004 013 010 040 093 002 016 014 013 021 009 013 429 189 043 605 010 032 190 008 003 001 297 044 012 002 031 007 676 011 008 001 006 063 297 011 014 002032 006 022 007 007 012 010 017 007 014 019 002018 050008 022 005 618 019 015 051 001 041 002 004 016 024 007 010 050 022 017052 046 006 302 016 004 004 003008 045 006 062 183 001002019 005307 012 008 040 043 016003 471 011008 003 011 004099 094 006 005 349 061003 025 006 094 006 029 042 009 059 142 010 006009 001 022 018 037058 001 014 008016 027 001 005 018 005 056 011005 017 085 022 059 047011001042 011 303 Source: Esri, DigitalGlobe, GeoEye, i-cubed, USDA, USGS, AEX, Getmapping, Aerogrid,IGN, IGP, swisstopo, and the GIS User Community COLORADO DIVISION OF WATER RESOURCES DEPARTMENT OF NATURAL RESOURCES 1313 SHERMAN ST., Ste 821, DENVER, CO 80203 Main: (303) 866-3581 Fax: (303) 866-2223 dwrpermitsonline@state.co.us RESIDENTIAL Note: Also use this form to apply for livestock watering Water Well Permit Application Review form instructions prior to completing form. Hand completed forms must be completed in black or blue ink or typed. 1. Applicant Information Name(s) Mailing address City State Zip code Telephone (w/area code) E-mail 2. Type Of Application (check applicable boxes) Construct new well Replace existing well Use existing well Change or increase use Change source (aquifer) Reapplication (expired permit) Rooftop precip. collection Other: _________________ 3. Refer To (if applicable) Well permit # Water Court case # Designated Basin Determination # Well name or # 4. Location Of Proposed Well (Important! See Instructions) County 1/4 of the 1/4 Section Township N or S Range E or W Principal Meridian Distance of well from section lines (section lines are typically not property lines) Ft. from N S Ft. from E W For replacement wells only – distance and direction from old well to new well feet Direction Well location address (Include City, State, Zip) Check if well address is same as in Item 1. Optional: GPS well location information in UTM format. GPS unit settings are as follows: Format must be UTM Easting: Northing: Remember to set Datum to NAD83 Zone 12 or Zone 13 Units must be Meters Datum must be NAD83 Unit must be set to true north Was GPS unit checked for above? YES 5. Parcel On Which Well Will Be Located (You must attach a current deed for the subject parcel) A. You must check and complete one of the following: Subdivision: Name Lot Block Filing/Unit County exemption (attach copy of county approval & survey) Name/# Lot # Parcel less than 35 acres, not in a subdivision attach a deed with metes & bounds description recorded prior to June 1, 1972, and current deed Mining claim (attach copy of deed or survey) Name/#: ______________ Square 40 acre parcel as described in Item 4 Parcel of 35 or more acres (attach metes & bounds description or survey) Other: (attach metes & bounds description or survey) B. # of acres in parcel C. Are you the owner of this parcel? YES NO _________________________ D. Will this be the only well on this parcel? YES NO (if no – list other wells) E. State Parcel ID# (optional): Office Use Only 6. Use Of Well (check applicable boxes) See instructions to determine use(s) for which you may qualify A. Ordinary household use in one single-family dwelling (no outside use) B. Ordinary household use in 1 to 3 single-family dwellings: Number of dwellings: ___________ Home garden/lawn irrigation, not to exceed one acre: area irrigated __________ sq. ft. acre Domestic animal watering – (non-commercial) C. Livestock watering (on farm/ranch/range/pasture) 7. Well Data (proposed) Maximum pumping rate gpm Annual amount to be withdrawn acre-feet Total depth feet Aquifer 8. Water Supplier Is this parcel within boundaries of a water service area? YES NO If yes, provide name of supplier: 9. Type Of Sewage System Septic tank / absorption leach field Central system: District name: ________________________________ Vault: Location sewage to be hauled to: ________________________ Other (explain) ____________________________________________ 10. Proposed Well Driller License #(optional): 11. Sign or Enter Name of Applicant(s) or Authorized Agent The making of false statements herein constitutes perjury in the second degree, which is punishable as a class 1 misdemeanor pursuant to C.R.S. 24-4-104 (13)(a). I have read the statements herein, know the contents thereof and state that they are true to my knowledge. Sign or enter name(s) of person(s) submitting application Date (mm/dd/yyyy) If signing print name and title Office Use Only USGS map name DWR map no. Surface elev. Receipt area only AQUAMAP WE WR CWCB TOPO MYLAR SB5 DIV _____ WD _____ BA _____ MD _____ Form GWS-44 (7/2012) COLORADO DIVISION OF WATER RESOURCES GWS-44 RESINST (7/2012) DEPARTMENT OF NATURAL RESOURCES RESIDENTIAL WELL PERMIT APPLICATION INSTRUCTIONS Applications must be computer generated online, typewritten, or printed in BLACK or BLUE INK. ALL ITEMS in the application must be completed. Incomplete applications may be returned for more information. Applications are evaluated in chronological order. Please allow approximately six weeks for processing. This form may be reproduced by photocopying. Reproductions must retain margins and print quality of the original form. If filing online see online filing instructions! You may also save, print, scan and email the completed form to: dwrpermitsonline@state.co.us DO NOT use this form for the registration of an existing well in use prior to May 8, 1972; (use Form GWS-12). FEES: This application must be submitted with the appropriate filing fee. The filing fee for applications is $100. Exceptions are as follows: 1) An application to replace or deepen an existing permitted well that is in the same source (aquifer) which does not have a “-F” or “-R” suffix after the original permit number is $60. 2) Applications to register an existing well (use Form GWS-12), and replace or deepen the well (use Form GWS-44) into the same aquifer is $100 if submitted together. Fees are nonrefundable. Acceptable forms of payment are check or money order, payable to the Colorado Division of Water Resources. Payment by Visa, MasterCard or Discover cards can be accepted by phone through the Records Office at 303.866.3581. USES: This form (GWS-44) is to be used when applying for a permit for the following types of uses: A. Ordinary household use inside one single-family dwelling (NO outside water use allowed): Generally, this is all that can be approved on parcels less than 35 acres. B. Ordinary household use in 1 to 3 single-family dwellings, irrigation of up to one acre of home garden and lawn, and watering of domestic animals: Generally, permits can be approved on parcels of land of 35 or more acres, or in areas inside the Designated Basins, the Denver Basin, limited areas on the Western Slope, and for subdivisions under a court- approved plan for augmentation that allow outside uses. C. Livestock watering on farm, ranch, range, or pasture (on parcels of 35 or more acres). ITEM INSTRUCTIONS: (numbers correspond with those on the front of this form) 1. The applicant is the entity for whom the permit is to be issued. Since the well owner is ultimately responsible for the use of the well, their name should be in this area. The mailing address is where the applicant currently receives mail. 2. Check all boxes that apply. If you check the box for Rooftop precip. collection, you must also complete and submit Form No. GWS-78. 3. Complete all boxes that apply. 4. You must provide a well spot location under the following circumstances: (a) the location is decreed by a water court; (b) the well will be inside the Denver Basin or other location where a site- specific well depth restriction will apply; (c) your application is for a permit to use an existing well. When a spot location is required, you must provide the county, ¼ of the ¼ section designation (example: NE ¼ of the SE ¼), section #, township, range, principal meridian, and either distances from section lines or a GPS location (UTM coordinates). If providing a GPS location, the required GPS unit settings must be as indicated on this form. Colorado contains two UTM zones (12 & 13). Zone 13 covers most of Colorado. The boundary between Zone 12 and Zone 13 is the 108th Meridian (longitude). West of the 108th Meridian is UTM Zone 12 and east of the 108th Meridian is UTM Zone 13. The 108th Meridian is approximately 57 miles east of the Colorado - Utah state line. On most GPS units, the UTM zone is given as part of the Easting measurement, e.g. 12T0123456. Check the appropriate box for the zone. For all other applicants, you must provide the following minimum information: (a) the county, section #, township, range and principal meridian; and, (b) the subdivision lot, block & filing/unit designations as applicable if in a subdivision. You do not need to provide distances from section lines or a GPS location (UTM coordinates). Provide the property address of the well location if one exists. If it is the same as the mailing address, check the box next to the well location address. 5. A current deed for the subject parcel must be attached. If the subject parcel is 35 or more acres, a complete metes and bounds type legal description or surveyor’s plat map that references a section point is required to enable us to plot the parcel in our mapping system. If the parcel is less than 35 acres and not in a subdivision, a deed with metes and bounds legal description, recorded prior to June 1, 1972 is required. Complete Items 5A through 5E (5E is optional). If you answered NO to Item 5C please indicate who the landowner is. If you are under a contract to purchase the subject property, please state this as well. If the parcel is inside the Denver Basin, the application must be in the name of and signed by, or their name entered by, the current landowner. If filing online please see online filing instructions for how to submit deed and or legal description attachments. 6. See above comments under USES to determine those uses for which you may qualify, and then check the applicable box or boxes. 7. The maximum pumping rate is limited to 15 gpm for most residential type well permits. The annual amount of water to be withdrawn is a volume measured in acre-feet. One acre-foot equals 325,851 gallons. For ordinary household use inside one single-family dwelling and no outside use, the annual amount will be about 1/3 acre-foot. For ordinary household use in three single-family dwellings, one acre of home garden/lawn irrigation, and watering of domestic animals, the annual amount will be about 3 acre-feet. For 100 head of livestock, the annual amount will be about 1.35 acre-feet. Please indicate the estimated depth of the proposed well. The proposed aquifer for the well must be indicated if the well is to be located within the Denver Basin (the approximate area of the Denver Basin extends south from Greeley to an area east of Colorado Springs and from Golden east to Limon), the San Luis Valley, the Southern High Plains basin in Baca or Prowers Counties, or in areas where it is believed the well will penetrate a confining layer. Aquifer information should be provided if known, for well locations outside of these areas. 8. The issuance of well permits may depend on the availability of another source of water, pursuant to CRS 37-92-602(6), such as water from a municipality or water district. (Statutes can be accessed through the CDWR web site.) 9. Check the applicable box, and complete or attach any additional information as requested in this item. 10. Wells must be constructed by a Colorado licensed well driller, or under the “private driller” provision as defined in CRS 37-91- 102(12). A listing of licensed well drillers/pump installers is available at http://water.state.co.us/groundwater/BOE/Pages/LicensedContract ors.aspx 11. The individual signing the application or entering their name (and title if applicable) must be the applicant or an officer of the corporation/company/agency identified as the applicant or their attorney. An authorized agent may also sign or enter their name on the application if a letter signed by the applicant or their attorney is submitted with the application authorizing that agent to sign or enter their name on the applicant’s behalf. Payment must be received via phone if filing online at 303.866.3581 (Records Office) prior to processing the application. IF YOU HAVE ANY QUESTIONS please call the Colo. Division of Water Resources (303-866-3581), or the nearest Division Field Office in Greeley (970-352-8712), Pueblo (719-542-3368), Alamosa (719-589-6683), Montrose (970-249-6622), Glenwood Springs (970-945-5665), Steamboat Springs (970-879-0272), or Durango (970-247-1845), or refer to the CDWR web site at http://www.water.state.co.us for general information, additional forms, and access to state rules or statutes. ~ I' '"' ;r[il)O" Mesa County Health Department Regional Laboratory 510 29.5 Rd, Grand Junction, CO 81504 US Mail: PO Box 20,000, Grand Junction, CO 81502-5033 (970) 248-6999 fax (970) 683-6608 http://health.mesacounty.us/lab Request for Analytical Services Customer Info Sample Info Customer Name: ________________________________ Address: _______________________________________ City: ___________________ State: _____ Zip: _______ Collected Date/Time: __________________________ Collected By: _________________________________ PWS ID CO0- ____________________- 000 Amount Paid:$ . Payment Info Name on Card: ______________________________ Billing Address: _______________________________ Credit Card Type: Visa Master Card Credit Card #: _______________________________ Expiration Date: _________________ Security Code: ___________ $20.00 $22.00 $24.00 City: ___________________ State: ____ Zip: _______ System: ________________________________________ Address: _______________________________________ Location: ______________________________________ Comments: __________________________________________________________________________________ Chlorine: ___________ mg/L Water Type:Purpose: Test Info Contact Name: ___________________________ Phone: ___________________________________ Fax: ______________________________________ Email: ____________________________________ Chain of Custody Relinquished by: __________________________________ Date/Time: _________________ Received by: _____________________________________ Date/Time: _________________ To Be Billed Credit Card (Fill Out Info Below) Check (Payable to MCHD) Cash (Dropoff Only) Drinking Raw Stream/River Spa/Pool Swim Beach Compliance Special Purpose Repeat Personal Info Routine Total Coliform (Present/Absent w/E.coli) E. coli (Enumerated) Heterotrophic Plate Count GWR Raw $30.00Pseudomonas (Present/Absent) $35.00Pseudomonas (Enumerated) _____ cases of bottles only _____ cases of bottles w/ cardboard mailing tubes Bottle Request Real Estate MESA COUNTY HEALTH DEPARTMENT REGIONAL LABORATORY PAYMENT TERMS AND CONDITIONS May 2010 REQUEST FOR LAB TESTING: All requests for laboratory testing must be submitted legibly to the MCHD Regional Laboratory and must be completed in full using the form provided by the laboratory. PAYMENT: All payments to the MCHD Regional Laboratory must be made by cash, check, credit card or money order in U.S. Dollars at the time the sample is submitted for testing unless prior arrangements for payment have been made with the laboratory. PROMISE TO PAY: By charging laboratory tests to your account, you are obligated to pay ALL charges associated with such tests. Payment is due upon receipt of Billing Statement and is considered PAST DUE if not received within 30 days from the date of the Billing Statement. LATE PAYMENT FEE: The MCHD Regional Laboratory will charge a late payment fee of $5.00 for payments 30 days past due. NSF CHECK: The MCHD Regional Laboratory will charge a fee of $25.00 for any returned check. The original amount owed shall remain outstanding and will incur a late charge. CHARGE DISPUTE: All disputes concerning a charge on the Billing Statement must be made in writing within 30 days of the Billing Statement and sent registered mail. The letter must be mailed to: MCHD Regional Laboratory Attn: Michelle Colon 510 29 ½ Road Grand Junction, CO 81504. The letter of dispute must provide your Account/Client name, telephone number, a copy of the Billing Statement, and a description of the error or dispute. Failure to follow the procedures as outlined herein will hold Account/Client responsible for the payment of all charges as outlined on the Billing Statement. REVIEW OF DISPUTE: MCHD Regional Laboratory will respond in writing within 30 days upon receipt of the dispute unless the dispute has been resolved with the Account/Client prior to the 30 day period. ALL disputes will be thoroughly investigated and no collection activity or consumer reporting will take place during this period. ALL other charges on the Billing Statement that are not being disputed must be paid in accordance to the terms as listed above. DISPUTE RESOLUTION: Upon completion of the dispute review process MCHD Regional Laboratory will notify Account/Client of its findings. If the dispute is found in favor of the Account/Client, the Account/Client will NOT be responsible for the disputed charge(s). If MCHD Regional Laboratory finds that no error or correction is in order, then the Account/Client will be responsible for the charges. COLLECTION COSTS: Outstanding Account/Client balances will be referred for collection or sent to a collection agency. Subject to any limits under applicable law, the Account/Client is responsible for all attorney fees, legal expenses, appeals, and/or any other expenses related to collection of any unpaid amount due to the Laboratory. INTEREST: Interest at the rate of 8% per annum shall accrue to the Laboratory on all unpaid accounts. TERMINATION OF ACCOUNT: MCHD Regional Laboratory reserves the right to terminate services to your account without notice if payments are not made in accordance with this agreement. This includes refusing to process further samples until balance is paid in full. ACKNOWLEDGEMENT AND AMENDMENTS: By signing this Agreement, Account/Client acknowledges the above and agrees to the TERMS and CONDITIONS as written herein. Account/Client further agrees to comply with the TERMS and CONDITIONS as outlined herein. Authorized Signature ______________________________ Date ________________ Company________________________________________ WEST DIVIDE WATER CONSERVANCY DISTRICT APPLICATION TO LEASE WATER 818 Taughenbaugh Blvd. #101, P. O. Box 1478, Rifle, CO 81650 970-625-5461 water@wdwcd.org 1. APPLICANT INFORMATION Name: _____________________________________________________ Mailing address: _____________________________________________ ___________________________________________________________ Telephone: _________________________________________________ Email: _____________________________________________________ Authorized agent:____________________________________________ 2.COURT CASE #s: Decree Case No. ________________________ Augmentation Plan Case No. ________________________________ 3. USE OF WATER RESIDENTIAL Number of main residences: _______ No. ADU’s _______ Subdivision: No. constructed units: No. vacant lots _____ Home garden/lawn irrigation of total sq. ft. Method of irrigation: flood____ sprinkler____ other____ Non-commercial animal watering of animals Fire Protection ____ Evaporation: Maximum water surface to be exposed: __________ Description of any use, other than evaporation, and method of diversion, rate of diversion, and annual amount of diversion of any water withdrawn from the pond: _________________________________ __________________________________________________________ ___________________________________________________________ Well Sharing Agreement for multiple owner wells must be submitted. If greater than two owners, application must be made under a homeowners association. COMMERCIAL Number of units: Total sq. ft. of commercial units: ________ Description of use: ___________________________________________ ___________________________________________________________ ___________________________________________________________ INDUSTRIAL Description of use: ___________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ Evaporation: Maximum water surface to be exposed:________________ Description of any use, other than evaporation, and method of diversion, rate of diversion, and annual amount of diversion of any water withdrawn from the pond: _______________________________________________ ___________________________________________________________ DIRECT PUMPING Tributary: __________________________________________________ Location: ___________________________________________________ ___________________________________________________________ 4. SOURCE OF WATER Structure: Structure Name: ______________________ Source: surface____ storage____ ground water____ Current Permit # __________________________________ (attach copy) 5. LOCATION OF STRUCTURE ___________________________________________________________________ County Quarter/quarter Quarter ___________________________________________________________ Section Township Range P. M. Distance of well from section lines: ____________________________________________________________ __________________________________________________________ Elevation: _______________________ Well location address: _________________________________________ ___________________________________________________________ (Attach additional pages for multiple structures) 6. LAND ON WHICH WATER WILL BE USED (Legal description may be provided as an attachment.) ____________________________________________________________ __________________________________________________________ Number of acres in tract:____________________ Inclusion into the District, at Applicant's expense, may be required. 7.TYPE OF SEWAGE SYSTEM Septic tank/absorption leach field____ Central System____ Other___ District name: _______________________________________________ 8. VOLUME OF LEASED WATER NEEDED IN ACRE FEET: (minimum of 1 acre foot except augmentation from Alsbury Reservoir where a lesser amount is allowed) Provide engineering data to support volume of water requested. Commercial, municipal, and industrial users must provide diversion and consumptive data on a monthly basis. A totalizing flow meter with remote readout is required to be installed and usage reported to West Divide. Applicant expressly acknowledges it has had the opportunity to review the District's form Water Allotment Contract and agrees this application is made pursuant and subject to the terms and conditions contained therein. ___________________________________________________________ Applicant Signature ___________________________________________________________ Applicant Signature Application Date:____________________________ ISSUED AS AREA B CONTRACT _______YES ________NO Printed portions of this form, except differentiated additions or deletions, have been approved and adopted by the West Divide Water Conservancy District. Form : WDWCD 2014 APPLICATION 6th WEST DIVIDE WATER CONSERVANCY DISTRICT WATER ALLOTMENT CONTRACT Edna E. Place Name of Applicant:-------------------------------------- Quantity of Water in Acre Feet:--------------------------------- Print Form Applicant, hereby applies to the West Divide Water Conservancy District, a political subdivision of the State of Colorado, organized pursuant to and existing by virtue of C.R. S. 1973, Section 37-45-10 I , wm., (hereinafter referred to as the "District") for an allotment contract to beneficially and perpetually use water or water rights owned, leased, or hereafter acquired by the District By execution of this Contract and the attached Application, Applicant hereby agrees to the following terms and conditions: I. Water Rights: Applicant shall own water rights at the point of diversion herein lawfully entitling Applicantto divert water, which will be supplemented and augmented by water leased herein. If Applicant intends to divert through a well, it must be understood by Applicant that no right to divert exists until a valid well permit is obtained from the Colorado Division of Water Resources. 2. Quantity: Water applied for by the Applicant in the amount set forth above shall be diverted at Applicant's point of diversion from the District's direct tlow water rights, and when water is unavailable for diversion pursuant to administration by the Colorado State Engineer during periods when said direct now water right is not in priority, the District shall release for the use of Applicant up to said quantity in acre feet per year of storage water owned or controlled by the District. It is understood that any quantity allotted from direct tlow, storage or otherwise, to the Applicant by the District will be limited by the priority of the District's decrees and by the physical and legal availability of water from District's sources. Any quantity allotted will only be provided so long as water is available and the Applicant fully complies with all of the terms and conditions of this Contract. The District and the Applicoot recognize that some of the District's decrees may be in the name of the Colorado River Water Conservation District, and the ability of the District to allot direct flow right to the Applicant may be dependent on the consent of the Colorado River Weter Conservation District. If et any time the Applicant determines it requires Jess water than the amount herein provided, Applicant may so notify the District in writing, and the amount of water allotted under this Contract shall be reduced pennanently in accordance with such notice. Rates shall be adjusted accordingly in following water years only. 3. Beneficial Use and Location of Beneficial Use: Any and all waler allotted Applicant by the District shall be used for the following beneficial use or uses: industrial, municipal, domestic and related uses, or commercial (except for commercial use from Alsbury Reservoir and except to the extent that Ruedi Reservoir water may not be available for commercial as that tennis defined on Page 5 of Contract No. 2-07 • 70-W054 7 between the United States and the West Divide Water Conservancy District). Applicant's beneficial use of any and all water allotted shall be within or through facilities or upon land owned, leased, operated, or under Applicant's control. 4. Decrees and De!iverv: Exchange releases made by the District out of storage from Ruedi Reservoir, Green Mountain Reservoir, Alsbury Reservoir, or other works or facilities of the District, or from other sources available to the District, shall be delivered to the Appl icent et the outlet works of said storage facilities or at the decreed point of diversion for said other sources, and release or deli very of water at such outlet or points shall constitute performance of the District's total obligation. Delivery of water by the District from Ruedi Reservoiror Green l Mountain Reservoir shall be subject to the District's lease contracts with the United States Bureau of Reclamation. Releases from other facilities available to District shall be subject to the contracts, laws, rules, and regulations governing releases therefrom. Furthermore, the District hereby expressly reserves the right to store water and to make exchange releases from structures that may be built or controlled by the District in the future, so long as the water service to the Applicant pursuant to this agreement, is not impaired by said action. Any quantity of the Applicant's allocation not delivered to or used by Applicant by the end of each water year (October I), shall revert to the water supplies of the District Such reversion shall not entitle Applicant to any refund of payment made for such water. Water service provided by the District shall be limited to the amount of water available in priority at the original point of diversion of the District's applicable water right, and neither the District, nor those entitled to utilize the District's decrees, may call on any greater amount at new or alternate points of diversion. The District shall request the Colorado Division of Wat er Resources to estimate any conveyance losses between the original point and any alternate point, and such estimate shall be deducted from this amount in each case. Water service provided by the District for properties located within the Bluestone and Silt Water Conservancy Districts is provided pursuant to Agreements with said Districts. The lntergovemmentnl Agreement between the District and the Silt Water Conservancy District, dated January 25, 2001, is recorded as Reception No. 575691, Garfield County Clerk and Recorder's Office. The Intergovernmental Memorandum of Understanding between the District and the Blueslone Waler Conservancy District, dated April 26, 2001, is recorded as Reception No. 584840, Garfield County Clerk and Recorder's Office. 5. Alternate Point of Diversion and Plan of Augmentation: Decrees for alternate points of diversion of the District's waler rights or storage water may be required in order for Applicant to use the water service contemplated hereunder. Obtnining such decree is the exclusive responsibility of Applicant The District reserves the right to review and approve any conditions which may be attached to judicial approval of said alternate point of diversion as contemplated or necessary to serve Applicant's facilities or lands. Applicant acknowledges and agrees that it shall be solely responsible for the procedures and legal engineering costs necessary for any changes in water rights contemplated herein, and further agrees to indemnify the District from any costs or losses related thereto. Applicant is solely responsible for providing works and facilities necessary to obtain/divert the waters at said alternate point of diversion and deliver them to Applicant's intended beneficial use. Irrespective of the amount of water actually transferred to the Applicant's point of diversion, the Applicant shall make annual payments to the District based upon the amount of water allotted under this Contract. In the event the Applicant intends to apply for an alternate point of diversion and lo develop an augmentntion plan and institute legal proceedings for the approval of such augmentation plan to allow the Applicant to utilize the water allotted to Applicant hereunder, the Applicant shall give the District written notice of such intent. In the event the Applicant develops and adjudicates its own augmentation plan to utilize the water allotted hereunder, Applicant shall not be obligated to pay any amount under Paragraph 19 below. In any event, the District shall have the right to approve or disapprove the Applicant's augmentation plan and the Applicant shall provide the District copies of such plan and of all pleadings and other papers filed with the water court in the adjudication thereof. 6. Contract Pavment: Non-refundable, one time administrative charge, in the amount determined by the Board of Directors of the District from time to time, shall be submitted with the application for consideration by the District. 2 Annual payment for the water service described herein shall be detennined by the Board of Directors of the District. The initial annual payment shall be made in full, within thirty (30) days after the dote of notice to the Applicant that the initial payment is due. Said notice will advise the Applicant, among other things, of the water delivety year to which the initial payment shall apply and the price which is applicable to that year. Annual payments for each year thereafter shell be due ond payable by the Applicant on or before eoch January I. If an annual payment is not made by the due dote a not $50 late fee will be assessed. Final written notice prior to cancellation will be sent certified moil, return receipt requested, to the Applicant at such address as may be designated by the Applicant in writing or set forth in this Contract or Application. Water use for ony part of a water year shall require payment for the entire water year. Nothing herein shall be construed so as lo prevent the District from adjusting the annual rate in its sole discretion for future years only. If payment is not mode within fifteen ( 15) days after the date of said written notice, Applicant shall at District's sole option have no further right, title or interest under this Contract without further notice, and deli vety may be immediately curtailed. The allotment of water, as herein made, may be transferred, leased, or otherwise disposed of et the discretion of the Board of Directors of the District. Upon cancellation of this water allotment Contract with the District, the District shall notify the Division of Water Resources offices in Denver and Glenwood Springs. The Division of Water Resources may then order cessation of all water use. 7. Additional Fees and Costs: Applicant agrees to defray any eitpenses incurred by the District in connection with the allotment of water rights hereunder, including, but not limited to, reimbursement oflegal and engineering costs incurred in connection with any water rights and adjudication necessary to allow Applicant's use of such allotted water rights. 8. Assignment: This Contract shall not inure to the benefit of the heirs, successors or assigns of Applicant, without the prior written consent of the District's Board of Directors. Any assignment of Applicant's rights under this Contract shall be subject to, and must comply with, such requirements as the District may hereafter adopt regarding assignment of Contract rights and the assumption of Contract obligations by assignees and successors. Nothing herein shall prevent successors to a portion of Applicant's property from applying to the District for individual and separate allotment Contracts. No assignment shall be recognized by the District eitcept upon completion and filing of proper fonns for assignment and change of ownership. In the event the water allotted pursuant to this Contract is to be used for the benefit ofland which is now or will subsequently be subdivided or held in separate ownership, the Applicant may only assign the Applicant's rights hereunder to: I) No more than three separate owners all of whom shall be party to a well sharing agreement satisfactory to the District; or 2) A homeowners association, water district, water and sanitation district or other special district properly organized and eitisting under the laws of the State of Colorado, and then, only if such parties, association or special district establishes to the satisfaction of the District that it has the ability and authority to perf onn the Applicant's obligations under this Contract In no event shall the owner of a portion, but less than nil, of the Applicant's property to be served under this Contract have any rights hereunder, except as such rights may exist pursuant lo a well sharing agreement or through a homeowners association or special district as provided above. Upon the sale of the real property to which this Contract pertains, Applicant shall make buyer aware of this Contract and proper fonns for assignment and change of ownership must be completed. 9. Other Rules: Applicant shall be bound by the provisions of the Water Conservancy Act of Colorado; by the rules and regulations of the Board of Directors of the District; and ell amendments thereof and supplements thereto and by all other applicable law. I 0. Oneration and Maintenance Agreement: Applicant shal I enter into an "Operation and Maintenance Agreement" with the District under tenns and conditions detennined by the board of Directors of the District. if and when, the Board of said District determines in its sole discretion that such an agreement is required. Said agreement may contain, but shall not be limited to, provisions for additional annual monetary consideration for extension of District delivery services and for additional administration, operation, end maintenance costs; or for other costs to the District which may arise through services made available lo the Applicant. 11. Change of Use: The District reserves the exclusive right to review, re-approve or disapprove any proposed change in use of the water allotted hereunder. Any use other than that set forth herein or any lease or sale of the water or water rights allotted hereunder without the prior written approval of the District shall be deemed to be a material breach of this Contract. 12. Use and Place of Use: Applicant agrees to use the water in the manner and on the property described in the documents submitted to the District at the time this Contract is executed, or in any operation and maintenance agreement provided by Applicant Any use other than as set forth thereon or any lease or sale of the water or water rights herein, other than as permitted in paragraph 8 above, shall be deemed to be a material breach of this agreement. 13. Title: It is understood and agreed that nothing herein shall be interpreted to give the Applicant any equitable or legal fee title interest in or to any water or water rights referred to herein. 14. Conservation: Applicant shall use commonly accepted conservation practices with respect to the water and water rights herein, and hereby agrees to be bound by any conservation plan adopted hereafter by the District for use of District owned or controlled water or water rights. 15. Restrictions: Applicant shall restrict actual diversions to not exceed the contract amount for ordinary household purposes, the watering of domestic livestock, fire protection, and the irrigation of lawn and garden as specified in the Application. Applicant shall also comply with all restrictions and limitations set forth in the well permit obtained from the Colorado Division of Water Resources. Watering of livestock shall be restricted to Applicant's domestic animals not to be used for commercial purposes unless Applicant obtains approval from the Colorado Division of Water Resources for commercial use/livestock watering, provided that in no event shall actual diversions exceed the amount of water provided by this Contract. Violation of this paragraph 15 shall be deemed to be a material breach of this Contract. 16. Well Permit: If Applicant intends to divert through a well, then Applicant must provide lo District a copy of Applicant's valid well permit before District is obligated to deliver any water hereunder. 17. Measuring Device or Meter: Applicant agrees to provide, at its own expense, a measuring device deemed acceptable by the District's Engineer after consultation, or a totalizing flow meter with remote readout to continuously and accurately measure et all times all 4 water diverted pursuant to the tenns of Applicant's water right and the terms of this Contract. Applicant agrees to provide accurate readings from such device or meter to District upon District's request. Applicant acknowledges that failure to comply with this paragraph could result in legal action to tenninate Applicant's diversion ofwoterby the State of Colorado Division of Water Resources. By signing this Contract, Applicant hereby specifically allows District, through its authorized agent, to enter upon Applicant's property during ordinary business hours for the purposes of determining Applicant's actual use of water. 18. Reareseutotions: By executing this Contract, Applicant agrees that it is not relying on any legal or engineering advice that Applicant may believe hos been received from the District. Applicant further acknowledges that it hos obtained all necessary legal and engineering advice from Applicant's own sources other than the District. Applicant further acknowledges that the District makes no guarantees, warranties, or assurances whatsoever about the quantity or quality of waler ovoiloble pursuant to this Contract. Should the District be unable to provide the water contracted for herein, no damages may be assessed against the District, nor may Applicant obtain a refund from the District. 19. Costs of Water Court Filing and Augmentation Plan: Should the District, in its own discretion, choose to include Applicant's Contract herein in a water court filing for alternate point of divetsion or pion ofougrnentation, then Applicant hereby agrees to pay to the District, when assessed, an additional fee representing the District's actual and reasonable costs and fees for Applicant's share of the proceedings. Applicant shall be assessed a pro-rota share of the total cost incurred by the District in preparing, filing and pursuing to decree the water court case. The pro-rota shore shall be calculated by dividing such total cost by the number of contractees included in the filing. To the extent that the District is caused additional costs because of objection filed specifically due to the inclusion of Applicant's Contract in the filing, such additional costs may be charged specifically to Applicant and not shored on a pro-rota basis by all contractees. 20. Binding Agreement: This agreement shall not be complete nor binding upon the District unless attached hereto is the fonn entitled "Application to Lease Water From West Divide Water Conservancy District" fully completed by Applicant and approved by the District's engineer. Said attachments shall by this reference thereto be incorporated into the terms of this agreement. All correspondence from the District to Applicant referring to or relating to this agreement is by this reference incorporated into this agreement as further tenns and conditions of this agreement. 21. Warning: IT IS THE SOLE RESPONSIBILITY OF THE APPLICANT TO OBTAIN A VALID WELL PERMIT OR OTHER WATER RIGHT IN ORDER TO DIVERT WATER, INCLUDING THE WATER ACQUIRED UNDER THIS CONTRACT. IT IS THE CONTINUING DUTY OF THE APPLICANT TO MAINTAIN THE VALIDITY OF THE WELL PERMIT OR WATER RIGHT INCLUDING FILING FOR EXTENSIONS OF PERMITS, FILING WELL COMPLETION REPORTS, FILING STATEMENTS OF BENEFICIAL USE, OR OTHERWISE LAWFULLY APPL YING THE WATER TO BENEFICIAL USE ON A REGULAR BASIS WITHOUT WASTE. 22. AREA B. CONTRACTS: IF APPLICANT'S WELL OR OTHER WATER RIGHT THAT IS THE SUBJECT OF THIS CONTRACT IS LOCATED OUTSIDE "AREA A" AS DESIGNATED BY THE DISTRICT, THEN THIS PARAGRAPH APPLIES: THE AUGMENTATION WATER PROVIDED BY THE DISTRICT UNDER THIS CONTRACT MAY ONLY PROTECT APPLICANT'S WATER RIGHT FROM A CALL ON THE COLORADO RIVER AND MAY NOT PROTECT APPLICANT FROM A CALL FROM ANY OTHER 5 SENIOR RIGHT. NO REPRESENTATION OTHERWISE IS MADE BY THE DISTRICT. IF THIS IS A CONCERN TO APPLICANT, THIS CONTRACT MAY BE RESCINDED UPON WRITTEN NOTICE DELIVERED TO THE DISTRICT BY THE APPLICANT WITHIN THE NEXT 30 DAYS FOLLOWING THE AFFIXING OF SIGNATURES ON THIS CONTRACT IN WHICH EVENT ALL SUMS PAID BY APPLICANT FOR THIS CONTRACT SHALL BE IMMEDIATELY REFUNDED TO APPLICANT. Edna E. Place Applicant Applicant STATE OF _______ ) ) SS. COUNTY OF ------- The foregoing instrument wns acknowledged before me on this ~ day of --------' 20 ____ , by -----------------·Witness my hand and official seal. My commission eitpires: _________ _ Notary Public STATE OF _____________ ) ) SS. COUNTY OF ______ _ The foregoing instrument wns acknowledged before me on this __ day of --------·• 20 ____ ., by ----------------· Witness my hand and official seal. My commission eitpircs: _________ _ Notary Public ORDER After a hearing by the Board of Directors of the West Divide Water Conservancy District on the Application, it is hereby ORDERED that said Application be granted and this Contract shall be and is accepted by the District. WEST DIVIDE WATER CONSERVANCY DISTRICT By President ATTEST: Secretary Date This Contract includes and is subject to the terms and conditions of the following documents which must accompany this Contract: I. Map showing location of point of diversion (use map provided) 2. Application and Dain Form fully completed and signed The printed portions orthls ronn, except differentiated additions or deletions, have bun approved and adopted by the West Divide Water Con5ervancy District. Fonn: WDWCD 01-01-08 CONTRACT. 6 THIS FOAM MUST BE SUBMITTED WITHIN 60 DA VS OF COMPLETION OF THE WORK DESCRIBED HERE· ON. TYPE OR PRIN1' IN BLACK INK. COLORADO DIVISION OF WATER RESOURCES 1313 Shernlan Street -Room 818 · .. ) ~ '~ ...... ', Denver. Colorado 80203 WELL COMPLETION AND PUMP INSTALLATION REPORT PERMITNUMBER j'f/ 3(27 llAf •. k RiOOUAC!S ~''"' . EH6lll&ll 001G. WELL OWNER-~£~ £~~7.~/)>l_ e,,S_ ___'_/i_);" __ Y. of the_ /V £ % of Sec. 3[ ADDREss2t?/O zsorLT.£'/0~~ _?/(S:..:l..T __ ,_£ s 'R _ _2j__ DATE COMPLETED _____ .. - ----1/11 ' 19 ~(,., WELL LOG Water From To Type and Color of Material Loe. ()I ts' "ve.,ie b"'" ~cl e.N ts-' d..D I I 1 1 'fe. b ~tJ cl"'1 :J..o' os-' b ~...i S" l...et l 'E!... s-s-' ~I 'J f..e.'j st...tt l 'E!.. ,~, 70 1 b#?.i.l -S5 ?O' <?S' 'J~e.•fSS -so~c ;ha.(e_ ~s' '1-o' 1teJ.{ + e.eJ ~ t...Q, I e.. qo' /l.01 ~~EJ.f 55 -s-~ s"'-"'''L /J.r::/ l:lS' ., /( e. '1 5 5 -w c<1-e..ie rzs' l?s--' ~5-:f $ /,.._c.,{e_ rJS" I 1</S 1~eJ-f -t-teJ <;'htt ( c TOTAL DEPTH l'i~ I Use additional pages necessary to complete log. HOLE DIAMETER __ 8_ _ m. from _Ct_ to 3 0 ft. -~ 'l'f. "' from 3.Q __ to _ _J _ _<f_,S-tt. --~-in. from---·---to ft. DRILLING METHOD __ AI'J:~'4f-+------- CASING RECORD: Plain Casing Size _6~ ~kind sreet from ± I to 30 ft. Size_!/!:_ & kind·-----from ___ to ___ ft. Size __ & kind _______ from ___ to ____ ft. Perforated Casing Size _ _ _ & kind ______ from ____ to ft. Size & kind ____ from ___ to ___ ft. Size & kind ________ from ___ to ___ ft. GROUTING RECORD Material _ C.edY'>et.J"t Intervals ts=' -~0 1 Placement Method _ i..,,g µ) GRAVEL PACK: Size------------- Interval------------------ TEST DATA DateTested ________ ~~--/~tS"" , 19'ik Static Water Level Prior to Test ___ _..fo.£_ ft. Type of Test Pump -~e~f.~e=c:...=~·-s-·~u~h~·~ __ _ Length of Test _ ----~'3~~b..._.fl-~<;~,----- '.2.13 <jfm Final Pumping Water Level--~''«>~~-'----- Sustained Yield (Metered) I PUMP INSTALLATION REPORT Pump Make Type Powered by HP Pump Serial No.------------ Motor Serial No. Date I nstalleo Pump Intake Depth ----------- Remarks ----------·--- WELL TEST DATA WITH PERMANENT PUMP Date Tested ·------------------ Static Water Level Prior to Test --------·--- Length of Test ____ _ Hours Sustained yield (Metered) __________ GPM Pumping Water Level -------- Remarks ----·--- -----------~~·~--~ CONTRACTORS STATEMENT ----- --- ' "' ~I :z: .... Q. l!: 0 .... ..J z: ~ .... Q. 0 ~ .... ' ' ' ' \ , .. ; .... ~; .. ~' ~: /:t ·::.· .:~·· , , The undersigned, being duly sworn upon oath, deposes and says that he is the contractor of the well or pump installation described hereon; that he has read the statement made hereon; knows the content 'thereof, and that the ~e is true oAhis own knowledge. Sigriature -.£LJ {j, K~ License No. (03'] ' itate of Colorado, County of 'fJl9.,rlJ.h-< J SS · 'suo~~bed and ~worn to betore me-this~ of-~-. 19~. My Commi$Sion expires: __ // 11 _ ,~9 ii. No~~ry Pub I ic _ -.~."'~"""f-----,,L.._{.;<A""-<'-7 FORM TO BE MADE OUT IN QUADRUPLICATE: WHITE FORM must be an original copy on both sides and signed. CONE QI' DEPRESSION WHITE AND GREEN copies must be filed with the Statt Enqineer. PINK COPY is for the Owner and YELLOW COPY is for the Driller. I RECEIVED MAR 1 3 1985 I /· Vif<J-5-Rev: 76 COLORADO DIVISION OF WATER REsouRRECEIVED 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 .• A!PiR -4 ~~$5 PERMIT APPLICATION FORM WATER Rl'SOURCl'S WATU llf5'1URCts SJAlf ·ENGINEER Application must be complete where applicable. Type or print in BLACK INK. No overstrikes or erasures unless initialed. (><)A PERMIT TO USE GROUND WATEPft...B:..~.!.N'ff ECEIV~ (;;><I A PERMIT TO CONSTRUCT A WELLn:l:.\;t.'M; .t.LJ FOR: i)<t,A PERMIT TO INSTALL A PUllAP ·~LJ SEP -9 1985 G 14 1985 I )REPLACEMENTFORN0. _____ ~~-- 1 I OTHER • WUU RESe~ftC WATER RESCJuftCl'S WATER COURT CASE NO. SUff·ENGl~Ee:s SJAlEa::IN.EER (1) APPLICANT -mailing address NAME_fdna.. £. ""Tone:, Pkce.. -g~ sTREET 43av ,-OJ ~010 Cb RcL.;:i SO c1TY Si /t-. C-olo 21/oj;).. (State) (.lip) TELEPHONE NOf{,f 8 7!r:r ,;)_8()p ----------·---------.-··· ________ ___J (2) LOCATION OF PROPOSED WELL aunty ba.r¥J e\d (}.). ,-'-f-"~-Y. of the n f Y., Section _,3~\~-- S. Rng 9J_ w ' (,.;ti-. P.M. iN,SI IE.WI (3) WATER USE AND WELL DATA Proposed niaximum pumping rate (gpm) · t',,, i~verage annual amount of ground water /, S' ~,.:y to be appropriated (acre-feet):----~~'--- '-'2~ Number of acres to be irrigated:_ J =:::._;('-""l)Q..LJN'-=Z:.-=- _, b Proposed total depth (feet): ----~/_-_S_CJ ___ _ Aquifer ground w~ter is to be obtained from: _L) jJ ;Y n t7 L-v-' Y2 ------- ,{.;,'ff&.;,ner's well designation------------Di;;-o GROUND WATER TO BE USED FOR: ~ HOUSEHOLD USE ONLY· no irrigation (0) DOMESTIC (1) I ) INDUSTRIAL (51 LIVESTOCK 121 I ) IRRIGATION (6) I I COMMERCIAL (4) I I MUNICIPAL 181 )0THER(9) _______ ~------ DETAIL THE USE ON BACK IN I 11) (4) DRILLER Name },e"e-Hsc-) ~ ).,, Street------------------ City~- (State) TelephorH~ Nii Lie. No. _____ _ FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN Receipt No. £ J ~ i \, Basin ------Dist. CONDITIONS OF APPROVAL This well shall be used in such a way as to cause no m:iterial injury to existing water rights. The issuG11h,;e G"f the pern1it Gnas Mt assure. the applicant that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. l) APPROVED PURSUANT TO CRS ' ·; , 37-92-602 (3)(b)(II) AS THE ONLY WELL ON A RESIDENTIAL SITE OF t, ACRES DESCRIBED AS T(f~ 1-lotrtt 'Act~s t?e THc CVz,.A/Ekt A1£V4; fec,31, T. ':;'$.1 ~.'ffW./~ /-'."'11 2) THE USE OF GROUNDWATER FROM THIS WELL IS LIMITED TO ORDINARY HOUSEHOLD PURPOSES INSIDE A SINGLE FAMILY DWELLING, AND SHALL NOT BE USED OUTSIDE THE HOUSE FOR ANY PURPOSE. 3) THE RETURN FLOW FROM THE USE OF THE WELL MUST BE THRU AN INDIVIDUAL Wl\STE WATER DISPOSAL SYSTEM OF THE NON • EVAPORATIVE lYPE WHERE THE WATER IS RETURNED TO THE SAME STREAM SYSTEM IN WHICH THE WELL IS LOCATED. :>.:?-m. ?-1.:l.-S-S- APPLICATION APPROVED (5) THE LOCATION OF THE PROPOSED WELL and the area on A 0 · which the water will be used must be indicated on the diagram below. ~ Use the CENTER SECTION (1 section, 640 acres) for the wall location. -tp ,/,r I ~-T-+-+-+-+-+-+-f I I 1 MILE, 6~80 FEET I + + + + + + + + + \ \ ) THE WELL MUST BE LOCATED BELQ.yil by distances from section line~· r;_...i..L.J...:::2!::'.::.ft. from (\ 0 ~ st!c. line (north or soutnf' ft. from -~~"'-=~--sec. line (east or west) LOT ____ BLOCK ___ F!L!NG # __ _ I + --l- IP. S .Sil.. q J i/J, C. -th P. ;fl\. NORTH SECTION LINE • "b-+ ~i__::S~U:BD~l~V~IS:IO~N'...=:::::::::::::=:=:======== +NORTH+ I i + t 7lJTRACT ON WHJCH WELL WILL BE v LOCATED Owner:l'doa. l. J0n'1.!> lfo<e Wo1 acreS . Will this be the only well on this tract?__;';;.i·._.e__,,,,,~,,,,_ ____ _ + + I + -+1-~~~~~~~'---'-~~~ (8) PROPOSED CASING PROGRAM +-+- +--+ - I I + t I +---s"'o-u=T-H_S_E.l.C-Tl_O_N_L_IN.l.E--~ ---+---+ I + + + -+ Plain Casing /, /_ 1:.S"'Jf';:\. from f!'fn"t'~ Perforated casing f 1 1 ~from in. from CJ ft. to ;:z 0 ft. ,( ft. to !_do ft. /J'O ft~ t~ I,.> CJ ft. ft. to ft. + + l +-+ +-+ -I- I + I +-+ +--+ (9) FOR REPLACEMENT WELLS give distance and direction from old well and plans for plugging it: . The scale of the diagram is 2 inches= 1 mile Each smal I square represents 40 acres. WATER EQUIVALENTS TABLE (Rounded Figures) An acre-foot covers 1 acre of lartd 1 foot deep 1 cubic foot per second (cfs) ... 449 gallons per minute (gpm) A family of 5 will require approximately 1 acre-foot of water per year. 1 acre-foot ... 43,560 cubic feet ... 325,900 gallons. 1,000 gpm pumped continuously for one day produces 4.42 acre-feet. ~ House ho-JcL n£ac No. of acres:---"::>----~---- (12) OTHER WATER RIGHTS used on this-land, including wells. Give Registration and Water Court Case Numbers. Type or right ffl c (Yl( c 1 I.er\!} qj;oo Used for (purpose) T!c\,Ba-koc. Description of land on which u.\\ d 1 o. <:. c e c£ b°'-v <-~l (13) THE APPLICAN1(S} STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST OF H!S '5AJ..OWLEDGE. ~&na. £ ~ro ~r o .. Use additional sheets of paper if more space is required. 7 Preliminary evaluation of your application indicates that the use of the proposed well for "Domestic" purposes may injure other water rights. It appears that a "Household Use Only" permit might be approved. You may wish to amend the application to request ''Household Use Only''. If You desire to do this please amend the application to reflect this change. Please remember that a "Houseliold" well can not be used outside the house for any purpose and can only serve one single family d1,elling. You may need to amend three areas of the application. Jl Item No. 3 "ATER USE AND l<ELL DATA: No irrigation is al lowed for RECEIVED SEP -9 1985 --~ -• EilGllfEI .... a Household wel 1. Indicate NONE! 2) Hem No. 3 GROUIW "ATER TO BE USED FOR: Indicate "HOUSEHOLD USE ONLY". 3f Item No. Jl DETAILED DESCRIPTION OF USE: Indicate "HOUSEHOLD USE ONLY", and type of disposal system. DATE AND INITIAL ALL CHANGES : : :