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Home My WebLink About1.0 ApplicationGarfield County Community Development Department 108 8v' Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-counk)L.com LAND USE CHANGE PERMIT APPLICATION FORM TYPE OF APPLICATION ,,,,,,,& ❑ Administrative Review ❑ ❑ ❑ Development in 100 -Year Floodplain Development in 100 -Year Floodplain Variance Code Text Amendment ❑ Limited Impact Review ❑ ❑ Major Impact Review Amendments to an Approved LUCP ❑ LIR ❑MIR ❑ SUP ❑ Rezoning ❑ Zone District❑ PUD ❑ PUD Amendment 13 Minor Temporary Housing Facility ❑ Administrative Interpretation ❑ Vacation of a County Road/Public ROW ❑ Appeal of Administrative Interpretation ❑ Location and Extent Review ❑ Areas and Activities of State Interest ❑ Comprehensive Plan Amendment ❑ Accommodation Pursuant to Fair Housing Act ❑ Pipeline Development ❑ Variance ❑ Time Extension (also check type of original application) INVOLVED PARTIES _WN Owner/Applicant Name: Caerus Piceance LLC Mailing Address: 1001 17th St., Suite 1600 Phone: ( 303 ) 565-4600 City: Denver State: CO Zip Code: 80202 E-mail: rhaddock@caerusoilandgas.com Representative (Authorization Required) Name: Reed Haddock, Sr. Regulatory Specialist Phone: ( 720 1880-6369 Mailing Address: 1001 17th St., Suite 1600 City_ Denver E-mail: rhaddock@caerusoilandgas.com PROJECT NAME AND LOCATION Project Name: 20F Pad Assessor's Parcel Number: 2405 _ 203 _00 __012 Physical/Street Address: Legal Description: SWNW, Sec. 20, T7S, R94W, Garfield County, CO state: CO Zip Code: 80202 Zone District: Property Size (acres): 12.33 acres (pad) PROJECT DESCRIPTION Existing Use: DO Pad, Proposed Use (From Use Table 3-403): Description of Project: This is an existing drill pad. Caerus Piceance LLC will drill 43 wells from this pad. Once the wells are completed and on-line the pad will be re-claimed back to 1.73 acres. REQUEST FOR WAIVM5 Submission Requirements u ❑ The Applicant requesting a Waiver of Submission Requirements per Section 4-202. List: Section: Section: Section: Section: Waiver of Standards ❑ The Applicant is requesting a Waiver of Standards per Section 4-118. List: Section: Section: Section: Section: I have read the statements above and have provided the required attached information which Is correct d accurate to the best ooff%my na ledge. October 15, 2017 Signature of Property Owner Date OFFICIAL USE ONLY File Number: Fee Paid: $ • BOOK$, Recorded at_[.,._ o'clock + M.t_ 9 198A tieception No. 5 MILDRED ALSDORF, RECORDER GARFIELD COUNTY, COLORADO JA$ 2 1986 IELD DEED OF PERSONAL REPRESENTATIVE State X)CO' Fee 0 1 -11, fl� _ THIS DEED made by Joan L. Savage as Personal Representative of the Estate of John W. Savage, Deceased, Grantor, granting to Joan L. Savage, 5953 - 320 Road, Rifle, CO 81650, Grantee. WHEREAS, Grantor is the qualified Personal Representative of said Estate, Probate No. 84PR36, Garfield County, Colorado; and WHEREXS, Grantee �s entitled to the hereinafter described real., property. THEREFORE, Grantor conveys, assigns, transfers and releases to the'Grantee all of the Estate's interest in the followinj real property in Garfield County, Colorado: More particularly described on Exhibit A attached hereto and by reference incorporated herein. No documentary fee: consi ion less than $500 with all appurtenances. Executed December 30, 1985. J an L. Savage, Personal Represent- ative of the Estate of John W. Savage, Deceased t BOOK 682 PAGE 992 State of Colorado ) ss. County of Garfield ) The foregoing instrument was acknowledged before me on December 30, 1985,. by Joan L. Savage, Personal Representative of the Estate of Jchn 11. Savage, Deceased. My commission expires: 12/21/88 Witness ,oy hand and official seal. otary Public ' EXHIBIT A G82 PAGE493 IDEALS TRACT T.7S.,-R.94W., 6th P.M. U.S. Mineral Survey 20357 being the Ideal Claims -Nos. 1, 6, 1, 8, 9, and 10, patented Placer Mining Claims REEVES HOMESTEAD DEAN T.7S., R.94W., 6th P.M. Sec. 19 : ESE14NE A , EhNE ; SEh Sec. 20: WhNE4SWh, NW 4SWJ4� , WhSE aNWh, SW OW 4 T.7S., R.94W., 6th P.M. Sec. 8:- WhSVIh SEFCOVIC T.7S., R.94W., 6th P.M. S.160 acres of the 5.200 acres of Se::.. 7: SE 4 + Sec. 18: I..1 + 2, ShNEy BINGHAW T.7S., R.94W., 6th P.M. Sec. 6: ShSEh, Sec. 7: EhNEa, Sec. 8: WhNW-;,- WAYMI RE T.7S., R.94W., 6th P.M. Sac. 5: ShSE., Sir?,-, 4 acres as described in Doc. No. 22047 Sec. 8: ANEq, NE 4NW a TRAHERN T.68., R.94W., 6th P.M. Sec. 28: NW45Ev?41 S#SW4, Lots 5, 6, and 7 BOOK 682 PAGE494 Sec. 29: S4SE4, Lots 5 and 6 North of County Road Lots 7, 8, and 9 Sec. 32: NE41 N4SE4 Sec. 33: SW4NE4, E4NW4 NW4NW4, Lot 3 T.7S., R.94W., 6th P.M. Sec. 8: ShNE4, SE4, E' SW4, SE4NW4 Sec. 9: SW4NE4, Lots 2, 3, 4, 5, and 6 Sec. 10: SW4, S4NW, Sec. 15: WhNW4 Sec. 17: SW 4NE 4, W4SE a, Lots 1 and 2 FERRIS T.7S., R.94W., 6th P.M. Sec. 9: S'E4NEa, Lot 1 Sec. 10: SW4NE4, WhSE4, Lot 2, 3, and 4 ■111 I��.rP�J�Mr I�I�.��i�P�� llxrw yllmla VII&I OI Ili Reception!# • 877229 0511612018 12:22:45 Ph Jean Riberiao 1 of 1 Rea Fee:511.00 Doc Fee:0.00 GARFIELD COUNTY CO Pursuant toS.R.S. §38-30-172, the undersigned executes this statement of Authority on behalf of CaAnAg rl t&ar#w a 1' m 'ird ' hj' torr (corporation, limited liability company, general partnership, registered limited liability artnershi , registered limited liability limited partnership, limited partnership association, government agency, trust or other), an entity other than an individual, capable of holding title to real property (the "Entity"), and states as follows: The name of the Entity is COJWL" Q; L-wAAeA- L.1 -10J and is formed under the laws of {,o ora" The mailing address for the Entity is—i 1,151 1 i5� The name and/or position of the person authorized to execute instrumconveying, encumbering, or otherwise affecting title to real property on behalf of the Entity is MN ntsA A. 0,4�'t-�7A{,� The limitations upon the authority of the person named above or hoNing the position described above to bind the Entity areas follows (if no limitations, Insert "None"): ont- Other matters concerning the manner in which the Entity deals with any interest in real property are (if no other matter, leave this section blank): EXECUTED this lbTM day of 'MA9 .20 1�. Signature;LL AT Name (prin d): Title (if any): ?R9A4D0 3r STATE OF 610i'Uo i )SS. COUNTY OF AhVE-r } The foregoing ins rument was acknowledged before me this. t� J 0 . day of _ SAN . 20_j b by 11in0. . WAC+Zb on behalf of CAUUeo P,�l.dY1 a . iimlk wo-V1115A tQnr+QL%+ Witness my hand and official eal. My commission expires: (Date) (Notary Public) [SEAL] ARMANDO TREVINO NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20134005025 MY COMMMION E1011MES JANUARY 26 2017