Matthew and Tiffiny Wulf

Joshua and Ashley Bristol

Raul Delgadillo

Subdivision Replat

Daniel and Sharon Kauffman

Special Use

PC Hearing Date of March 8, 2021 TABLE OF CONTENTS

• PC

o Agenda, File Summary, PC Minutes to be approved

• Additional Information

• Original Submittal

• Applicant Narrative

• Site Plan/Maps

• Proof of Ownership

• Utilities & Access

o Water, Sewer, Ditch Company, COOT or Road & Bridge, Architecture

Control Approval, any other utilities or access documentation

• Environmental Impacts

• Referrals & Responses

o Referrals sent and responses received, Landowner Letter sent and

any responses received, PC Notification and any responses received

• Technical

o Right to Farm, Application Fee Receipt, Tax Account Statement,

Mineral Rights Notifications, Animal Counts

o Minor Sub, Major Sub, and Planned Development Applications:

• Soil Map, Topography, Public Improvements, HOA &

Covenants "'Cl 0

PC PC Agenda PC File Summary PC Minutes to be approved MORGAN COUNTY PLANNING AND BUILDING DEPARTMENT

Monday, March 8, 2021 AGENDA

TO: Morgan County Planning Commission DATE: Monday, March 8, 2021 TIME: 7:00 P.M. PLACE: Assembly Room - Remote attendance via ZOOM

The County is abiding by the Social Distancing Requirements in Public Health Order 20-28 for this meeting. Due to limited space in the assembly room, remote attendance is encouraged. If you have any questions regarding attending the meeting, please contact Pam Cherry at 970-542-3526.

To participate remotely you must connect via Zoom Conferencing Access Information: https://us02web.zoom. us/j/84591112218 Or iPhone one-tap : US: +12532158782,,84591112218# or +13462487799,,84591112218# Or Telephone: Dial(for higher quality, dial a number based on your current location): US: +1253 215 8782 or +1346 248 7799 or +1669 900 9128 or +13017158592 or +1 312 626 6799 or +1646 558 8656 Webinar ID: 845 9111 2218 International numbers available: https://us02web.zoom.us/u/kb6hWNUqFP

AGENDA

Roll Call Minutes of December 14, 2020 Approval of Agenda

Applications:

APPLICANT AND LANDOWNERS: a. Matthew Wulf and Tiffiny Wulf Legal Description: A parcel ofland in the NW Y,. of Section 3, Township 3 North, Range 58 West of the 6th P.M. Morgan County, also known as Lot 2 of the Pickens West No 2 Minor Subdivision, Fort Morgan, addressed as 17792 Co Rd 15 Lot #3, Fort Morgan, CO 80701; and

Request: Replat to decrease Lot 2 of Pickens West No 2, from 27 acres to 16.34 acres b. Joshua Duane Bristol and Ashley Nicole Bristol Legal Description: A parcel of land in the NW Y,. of Section 3, Township 3 North, Range 58 West of the 6th P.M. Morgan County, also known as Lot 1 of the Pickens West No 2 Minor Subdivision, Fort Morgan, addressed as 17594 Co Rd 15, Fort Morgan, CO 80701

Request: Replat to increase Pickens West, Lot 1 from 5.7 acres to 11.53 acres; and c. Raul Delgadillo Legal Description: A parcel of land in the NW Y,. of Section 3, Township 3 North, Range 58 West of the 6th P.M. Morgan County, also known as Lot 2 of the Pickens West Minor Subdivision, Fort Morgan, addressed as 17696 Co Rd 15, Fort Morgan, CO 80701

Request: Replat to increase Lot 2 of Pickens West Subdivision from 5.0 acres to 10.09 acres.

APPLICANT AND LANDOWNER:

APPLICANT: Daniel L. and Sharon K. Kauffman LANDOWNERS: Daniel L. and Sharon K. Kauffman

Legal Description: A parcel of land in the N Y, of the NEY. of Section 9, Township 3 North, Range 57 West of the 6th p.m., Morgan County, addressed as 16985 County Road 21, Fort Morgan, 80701

Request: Special Use application to allow a winery with related uses to include a tasting room, wine sales and wine manufacture.

OTHER MATTERS:

ADJOURN:

Morgan County Government

MORGAN COUNTY PLANNING COMMISSION FILE SUMMARY February 23, 2021 March 8, 2021 hearing date

APPLICANTS AND LANDOWNERS: Joshua Duane Bristol and Ashley Nicole Bristol (Parcel A) Matthew D. Wulf and Tiffiny J. Wulf (Parcel B) Raul E. Delgadillo (Parcel C)

This application is for the Tradesman Minor Subdivision, a rep lat of Lot 2 Pickens West Minor Subdivision and of Lots 1 and 2 of Pickens West No. 2 Minor Subdivision and a replat of Lots 3 and 4 of the Pickens West 1 Minor Subdivision located in the WY, of the NW V. of Section 3, Township 3 North Range 58 West of the 6 h. P.M. Morgan County, .

The property is located on County Road 15 between Hwy 34 and County Road S with addresses of: 1. Wulf- 17792 County Road 15 #LT 3, Fott Morgan-1227-030-04-002 2. Delgadillo - 17696 County Road 15, Fmt Morgan - 1227-030-03-002 3. Bristol - 17594 County Road 15, Fort Morgan - 1227-030-04-001

The applicants and landowners are requesting a Replat to decrease Lot 1 of Pickens West Minor, Lot 2 from 27 acres to 16.34 acres (Wulf). Approximately five acres will be added to Pickens West No.2 Minor, Lot 2 (Delgadillo) to become 10.09 acres. Approximately five acres will be added to Pickens West No. 2 Minor, Lot 1 to become 11.53 acres. Neither subdivision has adopted restrictive covenants.

Subdivision Property Owner Existing Acres Results

Pickens West, Lot 2 Wulf 27 16.34 Pickens West 2, Lot 2 Delgadillo 5 10.09 Pickens West 2, Lot 1 Bristol 5.7 11.53

The Wulf and Delgadillo are developed with homes and other structures. The Bristol property is currently undeveloped, to be developed as residential in the future. The property is zoned Agriculture Production and all structures meet the setback requirements of the district.

In reviewing an application for a replat of a subdivision Planning Commission and the Board of County Commissioners shall apply the following criteria as listed from Section 10-400 of the Morgan County Subdivision Regulations:

(1) The replat complies with these standards and regulations, and the original conditions of approval.

Morgan County Government <£'-! 23 ·1 Ensign St ~ PO Box 596 Jl-d Fort Morgan, CO 8070 I Telephone (970) 542-3526 "'!! [email protected] (2) Nonconforming lots are not created, and in the case of nonconforming lots, the nonconformity is not increased.

(3) The replat is in keeping with the purpose and intent of the Subdivision Regulations.

(4) Legal and physical access is provided to all parcels by public rights-of-way or recorded easement, acceptable to the County in compliance with these Subdivision Regulations.

(5) The approval will not adversely affect the public health, safety, and welfare.

Wulf Del!rndillo Bristol Water Qualitv Water Tao 273 7 Qualitv Water Tao 2695 Qualitv Water Tao 2800 Seotic M 12-024 M 07-024 M 20-054 - New svstem Access (3) Existinl! Existinl! Existinl! Fire Fort Morgan Rural Fire Fort Mornan Rural Fire Fort Morl!an Rural Fire Soil map Provided Provided Provided R-T-F Comnlete Complete Complete

All appropriate notice requirements have been completed with no comments received as of February 24, 2021. Thirty-five property owners within 1,320 feet were notified of the application; comments have not been received either in support or opposed.

Pam Cherry Morgan County Planning Administrator

Morgan County Government ~~231 Ensign St <4! PO Box 596 .,y Fort Morgan, CO 8070 I Telephone (970) 542-3526 ""~ [email protected] z )> ,, 0 Oo :::0 - s::-l )> 0 -l z ADDITIONAL INFORMATION - )> Orz ~ny additional information received since PC packet was sent to members ORIGINAL SUBMITTAL

Original Application (/) 0 C :::0 OJ - s::G) =lz rr)> )> ··. .MORGAN COUNTY PLANNING, ZONING & BUILDING DEPT. 231 Ensign, P.O. Box 596 Fort Morgan, Colorado 80701 PHONE (970) 542-3526 FAX (970) 542-3509 E-mail: [email protected]

. SUBDIVISION REPLAT APPLICATION

APPLICANT LANDOWNERS

Name JV41/·-k....,, lAJ.;./{ NameM{,(f+iuw+T,'{[,,_,I t.J.,,,1/} I Address 1779?...{l,j I S:::L-of J Address I} 7??... n?j 11!: ( 6 ~-- 3

Phone ( 7AJ) 'sf?O--?--!>fl Phone ( ~7o ) ~ ,l?O ~.;A 52"'3 Email (VtdtNIA /f_i.QG,,.,,,,._,./.Co'""'- Email J'l!\11[(AJ1,i/(.z{! G'.,,v.t

TECBNICAL

Address/Location of Property:· 177 rJ.. ~d 1 <: Zone District:_ _,,4-...,______

Complete Property Legal Description and Parcel# to be divided: s-3__ T~ R~vif \JJ Y:z /vW Vi__ Y. Parcel#: /'2;l- -"1tf3cJ:i-t{)tYl..., Parcel#:------Latitude l/(f /.f. .2{9/111 Longitude /c,3• 57, ~{J Total acreage in parcel: fb?,"~ ( Number of lots to be created: //11,Nj,'¥] C/;'t'riAylo/::, Distarice and Direction to nearest community:______

Name, address and phone of surveyor: C e./h, r t- - MC /Jfec qn ,/ /js:r; CJG'c. k:,

PresentuseofPropeyty: -~ J.e,. 1'< / Proposed use ofProperty:_...,·'-'~~<,.'-'t-'-rk_,-'---'-/-,_1._~/------ls property located-within 1320' (1/4 mile) of a livestock confinement facility:._,_,{\~/ =r)____ _

I hereby certify that to the best ofiny knowledge, the information.containedwithin this application package is true and correct. Application must be signed by avplicant and landowner as it appears in title insurance.

Ll~~ Date - ~~------.. , ApplicantSignature Date LandownerSignature Date

Date Received I j1__ 1 I1-- l Received By__,(!=;,@<--_==Oflt.,._,_.,/:.._ __ F.ee Payment$ ·3DO ¢-- Ck/CC # ~l=D~(~~--- j Recording Fee$ Ck/CC# _ ( _____ PropertyTaxes Floodplain .~rJ~-- PaidBy .At1lf\,if',11J_jLJ_wJf::____ _ Comments __ ;-t,~------JI MS Permit# fl RPL20Zf-o00j SUBDIVISION REPLAT ATTACHMENT SCHEDULE

1.) Completed land use application.provided by the County.

2.) Application fee. - $300.00 v 3.))( Proof of ownership that includes an updated or current title information binder or insurance policy issued no more than 30 days prior to the date of application. v 4.) Narrative of how the application meets all of the criteria in the subdivision regulations, as applicable.

a. Whether the application documents are complete and present a clear picture of how the subdivision is to be laid out including all infrastructure, easements, and access.

b. Whether the proposed subdivision is consistent with the Morgan County Comprehensive Plan.

c. Whether the proposed subdivision is compatible with sunounding land uses and is adequately buffered as needed.

5 .) A plat exhibit in conformity with Section 6-170 of the Subdivision Regulations.

6.) If property is subject to restrictive covenants, adequate proof that the covenants will be applicable to newly added property or that removed lots will not be subject to the restrictive covenants.

ADDITIONAL INFORMATION (IF APPLICABLE)

al'.\Total Land area to be subdivided. b))Current zoning of property; cunent use of property; use of surrounding properties. c)()'_,otnumber change - acreage change. d. Total land area to be preserved as open space, parks and other public facilities. e/,\Access/Roadway. f. Existing and proposed utility and easements; irrigation facilities. g. Flood or drainage impacts and mitigation. hxProvision of water and sewer services. i. Provision of fire protection. f1,r\(~(\.i\'1Ji.o-.0 j. Proposed zoning change, if applicable. U

REVIBW PROCESS

All applications for a rep lat require approval by the Board of County Commissioners. The Board of County Commissioners shall conduct a public hearing and notice shall be shall be given at least 14 days prior to the hearing by publication in a newspaper of general circulation and mail to landowners within the subdivision or planned development. REVIEW CRITERIA

a. The replat complies with these standards and regulations, and the original conditions of approval.

b. Non-conforming lots are not created, and in the case of nonconforming lots, the nonconformity is not increased.

c. The replat is in keeping with the purpose and intent of these Subdivision Regulations,.

d. Legal and physical access is provided to all parcels by public rights-of,way or recorded easement, acceptable to the County in compliance with these Subdivision Regulations.

e. The approval will not adversely affect the public health, safety, and welfare.

RENUMBERING OF LOTS

a. Replatting Entire Subdivision. When replatting an entire subdivision filing, the lots shall be numbered consecutively statting with the number "1 ".

b. Addition of Property to Subdivision. When property will be added to a subdivision, the new lots shall be numbered consecutively starting the next number in the numerical sequence of already numbered lots.

c. Removal of Prope1ty from Subdivision. When lots are removed from a subdivision, a new metes and bounds description of the lots removed shall be shown on the plat.

FINAL PLAT DRAWING REQUIREMENTS

(A) Project Name, Scale and North Arrows. The name cannot be a duplicate and cannot be change during the course of subdivision process. The name of the subdivision should include the words "Preliminary Plan". Scales must be both numerical and with a bar graph.

(B) The first submittal of the final plat shall be a blueline copy in the following size: twenty- four (24) inches by thirty-six (36) inches. The final submittal of the final plat shall be delineated in drawing ink on mylar, or other acceptable material, in the following size: twenty-four (24) inches by thirty-six (36) inches. No portion of the final plat shall have "stick on" type material. A photo mylar with original signatures is acceptable.

(C) Primary boundary survey control points with monument descriptions; all parcel lines dimensioned with lengths; curve data including chord lengths and bearing; basis of bearings and relation to true meridian; and similar data.

(D) Tract boundary lines, road right-of-way lines, easements, and other sites with accurate bearings and dimensions including chord lengths and bearings, central angles, and radii of all curves. All dimensions necessary to establish the boundaries in the field.

(E) Name and width of each right-of-way. Right-of-way width are to be shown at each leg of an intersection.

(F) Location, dimensions, and purposes of all easements. Easement widths are to be shown on the plat. Existing easements are to be referred by recorded reception number or book and page numbers. (G) Location of all lands to be dedicated or reserved in deeds or easements for the.use oflandowners, residents, or the general public with notes indicating the purpose, disposition and maintenance responsibility for all such tracts and easements.

(H) Number or letter to identify each lot, tract, block and any public facility or dedication areas and common open space areas in the subdivision. All land must be accounted for and labeled. Note the total square footage or all defined lots, open spaces and public facility areas.

(I) A 2Yz x 3" vertical box in the lower right-hand corner shall be provided for use by the County Clerk and Recorder.

(J) The following certificates and notices, which may be modified to suit special circumstances as approved by the County. Where private roads or other conditions warrant, the "certification", "dedication", and "notice" statements must be modified accordingly and are subject to approval by the County.

(1) Dedication Certificate: Depending on the dedication of streets, road and tracts ofland to be utilized for public use, the following dedications certificates should be placed on the final plat in the following order:

(1) Surveyor's Ce1tificate

I, (surveyor' s name), a duly registered land surveyor in the State of Colorado, do hereby certify that this plat of (subdivision name) truly and correctly represents the results of a survey made by me or under my direct supervision.

(surveyor's signature) (date)

(Surveyor's seal shall appear with this cettificate)

(2) Aclmowledgments required for all plats: (a) Owner Dated this_day of___ , 20_.

Owner

State of Colorado ) ) ss. County of Morgan)

The foregoing instrument was aclmowledged before me this__ day of ------' 20 , by______Notary Public

Aclmowledgment should be adjusted to reflect any corporate or business ownership of the property. (b) Lien Holder

The undersigned lien holder holds a valid (mortgage or deed oftrnst) upon the property located within the (subdivision name) which was dated the ______day of , 20_, filed for record on the__ day of______, 20 , and recorded at Reception No.,_____ or in Book~----' Page , records of the Morgan County Clerk and Recorder.

The undersigned joins in and consents to the dedication herein of the above subdivision. Further, the undersigned lien holder releases its lien upon such dedicated property and in the event of · default in satisfaction of the lien, waives any foreclosure rights to the dedicated property.

(3) Commissioners' Certificate

Approved this _ day of , 20_, by Board of County Commissioners, Morgan County, Colorado. This approval does not guarantee that the size, soil conditions, or flooding conditions of any lot shown hereon are such that a building permit, well permit, or sewage disposal permit will be issued. This approval is with the understanding that all expenses involving required improvements for all utility services, paving, grading, landscaping, curbs, gutters, sidewalks, road lighting, road signs, flood protection devices, drainage structures, and all other improvements that may be required shall be the responsibility of the subdivider and not the County of Morgan. Additional language if applicable: All dedications are to the County are hereby accepted. This approval does not constitute acceptance of responsibility by the County for constrnction, repair, or maintenance of any streets, highways, alleys, bridges, rights-of-way or other improvements designated on this plat.

Attest:

(6) Clerk and Recorder's Certificate

I hereby certify that this instrument was filed in my office at.___ o'clock .M, this_dayof, 20_, and is duly recorded in Plat File______,

(K) All required boundary monuments shall be placed in the field before the Final Plat is recorded. Recording of the plat shall be delayed until monumentation is completed and certification of same, monument descriptions, and ties are received from the surveyor. APPLICANT NARRATIVE: Project Description Purpose of Request Additional Information to Demonstrate Intent Impact/Relation to Adjacent Uses Off-Site Impacts & Mitigation Measures Implementation Schedule of Project Proposed Length of Time Permit is Desired z Public Improvements if necessary )> :::0 :::0

~ m< \

Pickens West Minor Subdivision

Subdivision Rep lat Attachment Schedule #4

a. The Subdivision Replat Application for the said property Pickens West Minor Subdivision documents are completed and present a clear picture of how the subdivision is to be laid out, has all infractions, easements and access on the Plat Drawing that is required ..

b. The Subdivision is consistent with the Morgan Courity Comprehensive Plan 2008 as to the Subdivision keeping the land use as the same as it was in the original plat. The land is being subdivided to allow the owners to add land to their existing property.

c. The Subdivision is compatible with surrounding land use and is adequately buffered as needed. The subdivision is surrounded by other land as to the same. The buffer to this subdivision is the land itself. ,~ D,v:)17 l'.oif-/ J7 l4crc-;, fo [D'] )._ C,J".) loJ 3,

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TRADESMAN MINOR SUBDIVISION A REPLAT OF LOT 2, PI CK ENS WEST MINO R SUBD IV ISI ON AN D OF LOTS 1 AND 2, PICKENS WEST NO . 2 MINOR SUBDIVI SI ON A REPLAT OF LOTS 3 AN D 4, PICKENS WEST MINOR SUBDIVISI ON IN THE W1 / 2NW1 / 4 OF SECTION 3, T3 N, R58W OF THE 6TH P.M., MORGAN COUNTY, COLORADO

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0 ""CJ ~ ::;a zomo ::;a "'Tl ~o ""CJ"'Tl . NORTHERN COLORADO TITLE SERVICES CO., INC. 130 W. KIOWA A VE., FORT MORGAN, COLORADO 80701 Phone No. 970"867-0233 Fax No. 970-867-7750

DATE: January 26,'2021 . ORDER#: NCT22759 PROPERTY ADDRESS:

OWNER/PURCHASER: JOSHUA DUANE BRISTOL, ASHLEY NICHOLE BRISTOL, MATTHEW D. WULF, TIFFINY J. WULFand RAUL E. DELGADILLO TO BE DETERMINED

PLEASE DELIVER TO THE FOLLOWING CUSTOMERS:

To: ATTN:

Fax#:

MATT WULF ATTN: CALL 380-2583 Fax#:

To: ATTN:

Fax#:

To: ATTN:

Fax#:

T

Fax#:

ATTACl.JED PLEASE FIND THE FOLLOWING ITEM(S) IN CONNECTION WITH THE ABOVE CAPTIONED ORDER. SHOULD YOU HAVE ANY QUESTIONS REGARDING THE ATTACHED DOCUMENTATION, PLEASE CONTACT LINDA, SHARON, LISA OR SHERYL. FOR CLOSING ASSISTANCE, PLEASE CONTACT LINDA OR LISA. WE APPRECIATE YOUR BUSINESS -·· - - - -VERY·MUGH-AND·L00KF0RWARBT0 SERVINGY()U·INTHISTRA:NS,1:CTION:- -- - -·· ------····· -·· -·-- - · - - ·- E;:MA/LADDRESS FOR CLOSING DOCUMENTS: [email protected] Jl(jyR- HAVEAWONDERFULDAY!!!

,rR COMMITMENT __ OWNERS TITLE POLICY ~IJ AMT DDE IS ON SCHEDULE A (INVOICE) --~ PROPERTY REPORT ___ MORTGAGEES TITLE POLICY -AMT DUE IS ON PROPERTY REPORT (INVOICE) ___ MORTGAGE/FORECLOSURE GUARANTY --- DOCUMENTS ~-- SURVEY/ILC ___ OTHER/INVOICE ALTACommitment (6/17/06) ----

COMMITMENT FOR TITLE INSURANCE Issued by stevvarf ~title guaranty company

STEWART TITLE GUARANTY COMPANY,a Texas Corporation ("Company"), for a valuable consideration, commits to issue its policy or policies of title insurance, as identified In Schedule A, In favor of the Proposed Insured named in Schedule A, as owner or mortgagee of the estate or interest in the land described.or re­ ferred to in Schedule A, upon payment of the premiums and charges and compliance with the Requirements; all subject to the p°rovisionsof Schedules A and B and to the-co·nditions of this Commitment.

This Commitment shall be effective only when the identity of the Proposed Insured and the amount of the policy or policies committed for have been inserted in Schedule A by the Company.

All liability and obligation under this Commitment shall cease and terminate six months after the Effective Date or when the policy or policies committed for shall issue, whichever first occurs, provided that the failure to issue the policy or policies Is not the fault of the Company.

The Company will provide a sample of the policy form upon request.

This Commitment shall not be valid or binding until countersigned .by a validating officer or authorized signatory.

I IN WITNESS WHEREOF,Stewart Title Guaranty Company has caused its corp-orate name and seal to be /1 affixed by its duly authorized officers on th.e date shown in Schedule A.

II I I Countersignedby:

Company . FortMorgan, Colorado

City,state

AMERICAN ------~------~Copyrfght2006-2009 American Land Title Association, All rfghfs reserved, AS~ocJATION The useof thisForm is res!rfctedto ALTAlicensees and ALTA members In goodstanding as of the dateof use. Allother uses are prohibited.Reprinted under license from the AmericanLand Title Association. 1. The term mortgage, when used herein, shall include deed of trust, trust deed, or other security instrument.

2. If tl1e proposed Insured has or acquired actual knowledge of any defect, lien, encumbrance, adverse claim or other ma\ier affecting ihe estate or interest or mortgage thereon covered by this Commitment other than those shown in Schedule 8 hereof, and sl1all fail to disclose such knowledge to ihe Company in writing, the Company sl1all be relieved from liability for any loss or damage resulting from any act of reliance hereon to the extent ihe Company is prejudiced by failure to so disclose such knowledge. If the proposed Insured shall disclose such knowledge to the Company, or if the Company otherwise acquires actual knowledge of any such defect, lien, encumbrance, adverse claim or other matter, the Company at its option may amend Schedule B of this Commitment accordingly, but such amendment shall not relieve the Company from liability previously incurred pursuant to paragraph 3 of these Conditions.

3. Liability of the Company under this Commitment shall be only to the named proposed Insured and such parties included under the definition of Insured in the form of policy or policies committed for and only for actual loss incurred in reliance hereon in undertaking in good faith (a) to comply with the requirements hereof, or (b) to eliminate exceptions shown in Schedule 8, or (c) to acquire or create the estate or interest or mortgage thereon covered by this Commitment. In no event shall such liability exceed the amount stated in Schedule A for the policy or policies committed for and such liability is subject to the insuring provisions and Conditions and the Exclusions from Coverage of the form of policy or policies committed for in favor of the proposed Insured which are hereby incorporated by reference and are made a part of this Commitment except as expressly modified herein.

4. This Commitment Is a contract to issue one or more title insurance policies and is not an abstract of title or a report of the condition of title. Any action or actions or rights of action that the proposed Insured may have or may bring against the Company arising out of the status of the title to the estate or interest or the status of the mortgage thereon covered by this Commitment must be based on and are subject to the provisions of this Commitment.

5. The policy to be issued contains an arbitration clause. Ail arbitrabie matters when the Amount of Insurance is $2,000,000 or less shall be arbitrated at the option of either the Company or the Insured as the exclusive remedy of the parties. You may review a copy of the arbitration rules at< http://www.alta.org!>.

All notices required to be given the Company and any statement in writing required to be furnished the Company shall be addressed to it at P.O. Box 2029, Houston, Texas 77252.

AMERICAN Copyrighi 2006:2009 Anierican Land Title Association. All l'ights reserved. LANO TITLE ASSOCJAT!ON The use of this Form is restrictedto ALTA licenseesand ALTA membersin goodstanding as of the date of use. All otheruses are prohibited.Reprinted under license from the American Land T!treAssociallon. sitewa.ll"f ~title guaranty company Title Insurance Commitment

FirstAmerican Title™ ISSUED BY First American Title Insurance Company Schedule A

ALTA® Universal ID: 0044474 Commitment No: NCT22759-REVISI0N 1 Effective Date: January 21, 2021 at 8:00 a.m.

1. Policy or Policies to be issued:

OWNERS: AMOUNT PREMIUM

[X) ALTA® 20060wner's Policy (6-17-06) $200.00

Proposed Insured: TO BE DETERMINED

LOAN:

(X] ALTA® 2006 Loan Policy (6-17-06)

Other Charges: PAID 11/08/2020 $-200.00

TOTAL DUE: $ 0.00

NOTE: A Minimum Fee of $110.00 will be charged if file is cancelled.

2. On the effective date hereof, the estate described herein to be insured is fee simple, and is vested in:

JOSHUA DUANE BRISTOL and ASHLEY NICHOLE BRISTOL, as to Parcel A MATTHEW D. WULF and TIFFINY J. WULF, as to Parcel B RAUL E. DELGADILLO, as to Parcel C

3. The land referred to in the Commitment is described below or in Schedule C:

SEE ATTACHED EXHIBIT "A"

Copyright 2006-2016 American Land Title Association. AH rights reserved. The use of this Form (or any derivative thereof) is restricted to ALTA licensees and ALTA members in good standing as of the date of use. All other uses are prohibited. Reprinted under license from the American Land Title Associatiqn. Form 1030008-A (5-18- Page 1 of2 ALTA Plain Language Commitment (8-1-16) 17) Schedule A EXIDBIT "A"

PARCEL A:· Lot 1, PICKENS WEST NO. 2 MINOR SUBDIV1SION, according to the recorded plat thereof. Morgan County, Colorado. being a replat of Lots 3 and 4, PICKENS WEST MINOR SUBDIV1SION, a.ccordiug to the recorded plat thereof. Morgan County, Colorado ·

PARCELB: Lot 2, PICKENS WEST NO. 2 MINOR SUBDIVISION, according to the recorded plat thereof. Morgan County, Colorado, being a Replat of Lots 3 and Lot 4, PICKENS WEST MINOR SUBDIV1SION, according to the recorded plat thereof, Morgan County, Colorado.

PARCELC: Lot 2, PICKENS WEST MINOR SUBDIV1SION, located in the Wl/2NW1/4 of Section 3, Township 3 Nortli, Range 58 West of the 6th P.M., according to the recorded plat thereof. Morgan County, Colorado.

1\ r\\ (~\r,, /''\~ . . . . i \, ' /\ / \'- ---· ' By: \ V \, '· \Ui \ \. ' ~ \'\ I~1J, • '\u hol@ci co\JJ;\l signature '-~h\1siMeduJ A valid only when Schedule Bjs attached) \\Iv \} . . ' . .

Copyright2006-2016 American Land Title Association. All rights·reservcd. The use of this Form (or any derivative thereof) is restricted to ALTA 1icensees and ALTA members in good standing as of the date of use. All other uses are prohibited. Reprinted under license from the American Land Title Association. ' Form 1030008'A (5-18- Page 2 of2 ALTA Plain Language Commitment (8-1-16) 17) Schedule A Title Insurance Commitment

First American Title'~ ISSUED BY First American Title Insurance Company Schedule Bl

SCHEDULE B - SECTION I REQUIREMENTS

Commitment No: NCT22759-REV1SION 1

The Following are requirements to be complied with; otherwise to be shown as exceptions io the policy:

A. Payment to or for the account of the grantors or mortgagors of the full consideration for the estate or ioterest to be insured, and for any estate or ioterest necessary to create the estate or interest to be iosured described io this Commitment.

B. Payment of all taxes and/or assessments levied agaiost the subject premises which are due and payable.

C. You must tell us io writing the name of anyone not referred to in this Commitment who will get an ioterest io the land or who will make a loan.on the land. We may then make additional requirements or exceptions.

D. Documents satisfactory to the Company that convey the Title or create the Mo1tgage to be iosured, or both, must be properly authorized, executed, delivered, and recorded io the Public Records, to wit:

1. Proper Deed from JOSHUA DUANE BRISTOL, ASHLEY NICHOLE BRISTOL, MATTHEW D. WULF, TIFFINY J. WULFand RAUL E. DELGADILLO to TO BE DETERMINED, conveying the land described herein.

2. Release of Deed of Trust from MATTHEW D. WULF and TIFFINY J. WULF to the Public Trustee of Morgan County for the use of GOLDEN BELT BANK, FSA, to secure payment of $260,000.00, dated AUGUST 12, 2020, recorded AUGUST 13, 2020 at Reception No. 926811. (PARCEL B)

3. Release of Deed of Trust from RAUL E. DELGADILLO to the Public Trustee of Morgan County for the use of EQUITABLE SAVINGS AND LOAN ASSOCIATION, to secure payment of $270,000.00, dated SEPTEMBER 5, 2019, recorded SEPTEMBER 10, 2019 at Reception No. 920603. (PARCEL C)

4. Release of Deed of Trust from RAUL E. DELGADILLO to the Public Trustee of Morgan County for the use of EQUITABLE SAVINGS AND LOAN, to secure payment of $$380,000.00, dated DECEMBER 10, 2020, recorded DECEMBER 15, 2020 in Book Reception No 929524. (PARCEL C)

5. Dollar amount of Policy coverage must be provided to the Company.

6. The Company reserves the right to assert additional requirements or exceptions regarding the Grantee(s) when they are designated.

Valid as a Commitment for an ALTA Policy only if attached to a countersigned Commitment for Title Insurance, a Schedule A, a Schedule B - Section II and a Schedule C (if applicable) with matchiog Commitment Numbers.

Copyright 2006-2016 American Land Title Association. All rights reserved. The use of this Form (or any derivative thereof) is restricted to ALTA licensees and ALTA members in ood standin as of the date of use. AU other uses are rohibited. Re rinted under license from the American Land Title Association. Form 5030008-BI (5-18-17) Page 1 of2 ALTA Plain Language Commilment (8-1-16) Schedule Bl Title Insurance Commitment

FirstAmerican Title'M ISSUED BY First American Title Insurance Company Schedule BIi

SCHEDULE BaSECTION II EXCEPTIONS

Commitment No: NCT22759-REVJSI0N 1

Schedule B of the Policy or Policies to be issued will contain exceptions to the following matters unless the same are disposed of to the satisfaction of the Company. The policy will not insure against loss or damage by reason of the following:

1. Any defect, lien, encumbrance, adverse claim, or other matter that appears for the first time in the Public Records or is created, attaches, or is disclosed between the Commitment Date and the date on which all of the Schedule B, Part I - Requirements are met. 2. Any facts, rights, interests, or claims that are not shown by the Public Records but that could be ascertained by an inspection of the Land or that may be ascertained by persons in possession of the Land. 3. Easements, or claims of easements, not shown by the public records. 4. Any encroachment, encuinbrance, violation, variation, or adverse circumstance affecting the Title that would be disclosed by an accurate and complete land survey of the Land and not shown by the Public Records. 5. Any lien, or right to a lien, for services, labor or material heretofore or hereafter furnished, imposed by law and not shown by the public records. 6. Taxes or special assessments which are a lien or due and payable; or which are not shown as existing liens by the public records; and any tax, special assessments, or charges or liens imposed for water or sewer service, or any other special taxing district, and any unredeemed tax sales. 7. (a) Unpatented mining claims; (b) reservations or exceptions in patents or in Acts authorizing the issuance thereof; (c) water rights, claims or title to water; (d) Minerals of whatsoever kind, subsurface and surface substances, in, on, under and that may be produced from the Land, together with all rights, privileges, and immunities relating thereto, whether or not the matters excepted under (a), (b), (c) or (d) are shown by the Public Records or listed in Schedule B.

ADDITIONAL EXCEPTIONS

THIS COMMITMENT DOES NOT REPUBLISH ANY COVENANT, CONDITION, RESTRICTION, OR LIMITATION CONTAINED IN ANY DOCUMENT REFERRED TO IN THIS COMMITMENT TO THE EXTENT THAT THE SPECIFIC COVENANT, CONDITION, RESTRICTION, OR LIMITATION VIOLATES STATE OR FEDERAL LAW BASED ON RACE, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, GENDER IDENTITY, HANDICAP, FAMILIAL STATUS, OR NATIONAL ORIGIN.

8. Reservation as contained in United States Patent recorded DECEMBER 18, 1905 in Book 44 at Page 36 as follows: Right of the proprietor of a vein or lode to extract and remove his ore therefrom, should the same be found to penetrate or intersect the premises.

9. Right of way for ROAD purposes as specified in ROAD PETITION recorded APRIL 23, 1888 in Book 15 at Page 243, said road to be not less than 60 feet in width.

10. Right of way for ROAD purposes as specified in that ROAD VIEWER'S REPORT recorded JANUARY 10, 1902 in Book 15 at Page 137.

Commitment Schedule B-1[ Copyright 2006-2'016 American Land Title Association. AU rights reserved. The use of this Form (or any derivative thereof) is restricted to ALTA licensees and ALTA members in ood.standin as.of the date of use. AII other uses are rohibited. Re rinted under license from the American Land Title Association. Form 5030008-BII (7-1- Page 1 o/4 ALTA Plain Language Commitment (8-1-16) 14) Colorado - Schedule BIi 11.' An undivided 1/2 interest in all oil, gas and other mineral rights, as reserved by PLATTE FARMS, INC., A COLORADO CORPORATION in the Deed to DINNER INVESTMENT COMPANY, A COLORADO CORPORATION, ET AL recorded APRIL 14, 1965 in Book 689 at Page 186, and any and all assignments thereof or interests therein.

12. All oil, gas and other mineral rights presently owned by them in and to the subject property as reserved in Deed from THE DINNER INVESTMENT COMPANY, A COLORADO CORPORATION, LOUiS DINNER, IDA DINNER, EDITH BROUN, SOPHIA KATZ, G. AUBREY SPEAR, DAVID WINOGRAD, MABEL WINOGRAD AND MELVIN DINNER to ROBERT E. HOGSETT, recorded MARCH 18, 1966 in Book 694 at Page 982, and any and all assignments thereof or interests therein.

13. BIJOU LATERAL NO. 3, and rights of way therefor, as evidenced by Warranty Deed from RobertE. Hogsett to Gilbert L. Hoffman and Jo Marlene Hoffman, recorded March 10, 1980 in Book 801 at page 302.

14. Right of way for road purposes as shown on the Fort Morgan Master Street Plan recorded September 1, 1981 in Plat Book 5 at Page 93, and as shown on Comprehensive Plan update recorded April 21, 2004 in Plat Book 10 at page 128.

15. Right of way and rights incidental thereto for County Roads 30 feet on either side of Section and Township lines as established by the Board of County Commissioners of Morgan County, Colorado, in instrument recorded May 6, 1907 in Book 62 at page 109.

16. Terms, conditions, provisions, agreements, burdens and obligations as contained in Agreement between Robert E. Hogsett and Edward E. Walker and Beth L. Walker recorded November 22, 1985 in Book 874 at Page 98, concerning the road right of way easement.

17. Covenants, conditions, restrictions, terms and obligations, which do not contain a forfeiture or reverter clause, as contained in INSTRUMENT recorded OCTOBER 4, 2006 at Reception No. 838398.

18. ·Easements for utility and access purposes as shown on the recorded plat of PICKENS WEST MINOR SUBDIVISION, recorded at Reception No. 1500190.

19. Easements for utility and access purposes as shown on the recorded plat of PICKENS WEST NO 2 MINOR SUBDIVISION, recorded at Reception No. 1500451.

20. Terms, conditions, provisions, agreements, burdens and obligations as contained in RESOLUTI0N2019 BCC 08 between ROGER DEFENBAUGH and MORGAN COUNTY COLORADO BOARD OF COUNTY COMMISSIONERS recorded FEBRUARY 26, 2019 at Reception No. 917021.

21. NOTE: The following notices pursuant to CRS 9-1.5 103 concerning underground facilities have been filed with the Clerk and Recorder. These statements are general and do not necessarily give notice of underground facilities within the subject property: (A) MOUNTAIN BELL TELEPHONE COMPANY RECORDED OCTOBER 2, 1981 IN BOOK 821 AT PAGE 502; (B) PiJBLIC SERVICE COMP ANY OF COLORADO RECORDED OCTOBER 2, 1981 IN BOOK 821 AT PAGE 514; (C) MORGAN COUNTY RURAL ELECTRIC ASSOCIATION RECORDED JANUARY 22, 1982 IN BOOK 825 AT PAGE 656; AND (D) CITY OF FORT MORGAN, COLORADO RECORDED NOVEMBER 22, 1989 IN BOOK 917 AT PAGE 513.

Valid as a Commitment for an ALTA Policy only if attached to a countersigned Commitment for Title Insurance, a Schedule A, a Schedule B-Section I and a Schedule C (if applicable) with matching Numbers.

Commitment Schedule B-11 Copyright 2006-2016 American Land Title Association. All rights reserved. The use of this Form (or any derivative thereof) is restricted to ALTA licensees and.ALTA ;members in ood standin as of the date of use. All other uses are rohibited. Re rioted under license from the American Land Title Association. Form 5030008-BII (7-1- Page 2 of 4 ALTA Plain Language Commitment (8-1-16) 14) Colorado - Schedule BIi SCHEDULE B -SECTION 2 CONTINUED

Pursuant to C.R.S. 30-10-406(3)(a) all documents re,;:eived for recording or filing in the Clerk and Recorder's office

shall contain a top margin of at least one incli and a left, right and bottom margin of at least one0 half of an inch. The· Clerk and Recorder will refuse to record or file any aocument that does not conform to the requirements of this section.

NOTE: If this transactioh includes a sale of the property and the price exceeds $100,000.00, the seller must comply with the disclosure/withholding provisions of C.R.S. 39-22-604.5 (Non-residential withholding).

NOTE: Colorado Division of lnsuranc~ Regulations 8-1-2 requires that "Every title eniity shall be responsible for all matters which appear of record prior to the time of recording whenever the title entity conducts the closing and is responsible for recording or filing of legal documents resulting from the transaction which was closed." Provided that Title entity conducts the closing of the insured transaction and is responsible for recording the-legal documents from the transaction, exception number 5 will not appear on the Owner's Title Policy and the Lenders Policy when issued.

Pursuant to C.R.S. 10-11-122, the company will not issue its policy or policies of title insurance contemplated by this commitment until it has been provided a Certificate of Taxes due or other equivalenfdocumentation from the County Treasurer or the County .Treasurer's authorized agent; or until the Proposed Insured has notified or instructed the . company in writing to the contrary.

The subject property may be located in a special taxing district. A Cei:(ificate of Taxes due listing each taxing jurisdiction shall be obtaim,d from the County Treasurer or the County Treasurer's authorized agent. Information regarding special districts and the boundaries of such districts may be obtained from the Board of County Commissioners, the County Clerk and Recorder, or the County Assessor. ·

NOTE: Pursuant to CRS 10-11-123, notice is hereby given:

.This notice app_lies to owner's policy commitments containing a mineral severance instrument exception, or exceptions, in Schedule B, Section 2.

A. That there is recorded evidence that a mineral estate has been severed, _leased, or otherwise conveyed from the surface· estate and that there is a substantial likelihood that. a third party holds some or all interest in oil, gas, other minerals, or geothermal energy in the property; and 8. That such mineral estate may include the right to enter and use the property without the surface owner's permission.

NOTE: Pursuant to Colorado Division of Insurance Regulations 8-1-1, Affirmative mechanic's lien prolection for the Owner may be available (typically by deletion of Exception no. 4 of Schedule B, Section 2 of the Commilment from the Owner's Policy to be issued) upon compliance with the following conditions:

A. The land described in Schedule A of this commitment must be a single family residence which includes a condominium or townhouse unit. B. · No labor or materials have been furnished by mechanics or m_aterial-men for purposes of conslruction on the land described in Schedule A of this Commitment within the past 6 months. C. The Company must receive an appropriate affidavit indemnifying the Company against un-filed mechanic's and material-men's liens. D·: The. Company must receive payment of the appropriate pren:iium. E. - If. there has been construction,. improvements or major repairs undertaken on the property to be purchased within-six months prior to the Date of the Commitment, the requirements to obtain coverage for unrecorded liens will include·: disclosure of certain construction information;· financial information -as to· !he seller, the builder and or the contractor; payment of the. appropriate premium, fully executed .Indemnity Agreements satisfactory to the company, and, any additional requirements as may be necessary after an examirn:ition of . the aforesaid information by the Company.

Commitment Schedule B-II Copyright 2006~2016 American Land Title Association. All rights reserved, The use of this Form (or any derivativethereof) is restricted to ALTA licensees and ALTAmembers in ood standin as of the date of use. All other uses are rohibited.Re rioted underlicense from the AmericanLand TitleAssociati0n. Form 5030008-BII (7-1- Page3.of4 , ALTA Pls1inLanguage Commitment (8-1-16) 14) · Colorado- Schedule BIi No·coverage will be given under any circumstances for labor or material for which the insured has contracted for or. agreed to pay.

NOTE:· Pursuant to C.R.S. 38-35-125(2) no person or entity that provides closing and settlement services for a real estate transaction shall disburse funds as. a part of such services until those funds have been received and are available for immediate withdrawal as a matter of right.

NOTE: C.R.S. 39-14-102 requires that a real property transfer declaration accompany any conveyance document presented for recordatio·n in the State of Colorado. Said declaration shall be completed and signed by either the g"rantor.or grantee·.

NOTE: Pursuant to CRs· 10-1-128(6)(a), It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company for the purpose· of defrauding or attempting to defraud the company . . Penalties may include imprisonment, fines, denial of insurance and civil damages. Any insurance ,company or agent of an insurance company who knowingly provides false, incomplete, or misleading facts or· information to a -policyholder or claimanf for the purpose of defrauding or attempting to defraud the policyholder or c;laimant with regard to a settlement or award payable from insurance proceeds shall be reported to the Colorado division of insurance within the department of regulatory agencies.

NOTE:. Pursuant to Colorado Insurance Regulation 8-1-3, this is notification of the availability of Title Closing Protection Letters written by First American Title Insurance Company.

Nothing herein contained will be deemed to obligate the company to provide any of the coverages referred to herein unless the above conditions are fully satisfied.

·sommitment Schedule B-II ..:'opyrigl~t2006-2016 American Land Title AssQciation. AU dghts reserved. The use of this Form (or_any derivative thereof) is restricted to ALTA licensees and ALTA members in ood standin as of the date of use. All other uses are rohibited. Re rinted under license from the American Land Title Association. . Form 5030008-BU. (7-1- Page 4 of 4 ALTA Plain Language Commitment (8-1-16) 14) Colo~ado - Schedule BIi Privacy Notice Effective: October 1, 2019 Notice Last Updated: January 1: 2019 This Privacy Notice describes how First American Financial Corporati9n and its subsidi~ries arid affiliates (together referred to as "First American," "we," "us," or "our') collect, use, store, and share your information. This Privacy Notice applies to information we receive from you offline only, as well as· from third parties .. For more information about our privacy practices," please visit· https://www.firstam.com/privacy-policy/index.html. The practices described in this Privacy Notice are subject to applicable laws in the places in which we operate. What Type Of Information Do We Collect About You? We collect both personal and non-personal information· about and from you. Personal informati_on "is non-public information that can be used to directly or indireclly identify or contact you. Non-personal information is any other type of information.

How Do We Collect Your Information? We collect your personal and non-personal information: (1) directly from you; (2) automatically when you interact with us; ·and (3) from third parties, including busine~s parties and affiliates.

How Do We Use Your Information? We may use your personal information in a variety of ways, including but not limited to providing the _services you have requested, fulfilling your transactions,.comply with relevant laws and our policies, and handling a claim. Y:Jemay use your non~personal information for any purpose.

How Do We Share Your Personal Information? We do not sell your personal information to nonaffiliated third parties. We will only share your personal information, including to subsidiaries, affiliates, and to unaffiliated third parties: (1) with your consent; (2) in a business transfer; (3) to service providers; and (4) for legal process and protection. If you have any questions about how First American shares your personal information, you may contact us at [email protected] or toll free at 1-866-718-0097.

How Do We Secure Your Personal Information? The security of your personal informqtion is important fo us. That is why we take commercially reasonable steps to make sure your personal information is protected. We use our best efforts to maintain commercially reasonable technical, organizational, and physical safeguards, coiisistent with applicable law, to protect your personal information.

How Long Do We Keep Your Personal Information? We keep your personal information for as long as

necessary in accordance with the purpose for which it was collected, our business needs, and ~our legal and regulatory obligations.

Your Choices We provide you the ability to exerqise certain contrbls and choices regarding our collection, use, storage, and sharing of your personal information. In accordance with applicable law, your controls and choices. You can learn mo~e about your choices, and exercise these controls and choices, by sending an email_ to [email protected] or toll free at 1-866-718-0097.

International Jurisdictions: Our Products are hosted and offered in the United States of America (US), and are subject to US federal, state, and local law. If you are accessing the Products from another country, please be advised that you may be transferring your personal information to us in the US, ·and you consent to that transfer and use of your personal information in accordance with this Privacy Notice. You also agree to abide by the applicable laws of aP.plica6Je US federal, state, and local laws concerning your use of the Products, and your agreements with us.

We may change this· Privacy Notice from time to time. Any and all changes to this Privacy Notice will be reflected-on this page, and wher,> appropriate provided in perso.11;;,r_by another electronic method. YOUR CONTINUED USE, · ACCESS, OR INTERACTION WITH OUR PRODUCTS OR YOUR CONTINUED .COMMUNICATIONS WITH US AFTER THIS -NOTICE HAS BEEN PROVIDEQ TO YOU WILL REPRESENT THAT YOU HAVE READ AND UNDERSTOOD THIS PRIVACY N(?TICE.

Contact [email protected] or toll free at 1-866-718-0097. For California Residents

If yoy are a California resident, you may have certain rights under California law, including but not limited to the California Consumer Privacy Act of 2018 ("CCPA"): All phrases used in this section shall have the same meaning as · those, phrases are used under California law, including the CCPA.

Right to Know. You have a right to request that we disclose the following information to you: (1) the categories of personal information we have collected about or from you; (2) the categories of sources from which the personal · information was collected; (3) the business or commercial purpose for such ·collection' and/or disclosure of your personal in.formation; (4) the categories of third parties with whom we have shared your personal information; and (5) the specific pieces of your personal information we have collected. To submit a verified request for this information, go to our online privacy policy at www.firstam.com/privacy-policy to submit your request or call toll-free at 1-866-7180097. You may also designate an authorized agent to submit a request on your behalf by going to our online privacy policy at www.firstam.com/privacy-policy to submit your request or by calling tollcfree at 1-866-718- 0097 and submitting written proof of such authorization to [email protected].

Right of Deletion. You also have a right to request that we delete the personal information we have collected from you. This right is subject to certain exceptions available under. the CCPA and other applicable law. To submit a verified request for deletion, go to our online privacy policy at www.firstam.com/privacy-policy to submit your request or call tollfree at 1-866-718-0097. You may also designate an authorized agent to submit a request on your behalf by going to our online privacy policy at www.firstam.com/privacy-policy to subniit your request or by calling toll-free at 1, 866-718009?. and submitting written proof of such authorization to [email protected].

Verification Process. For either a request to know or delete, we will verify your identity before responding to your request. To verify your identity, we will generally match the identifying information provided in your request with the information we have on file about you. Depending on the sensitivity of the personal information· requested, we may also utilize more stringent verification methods to verify your identity, including but not limited to requesting additional information from you and/or requiring you to sign a declaration under penalty of perjury.

Right to Opt-Out. _Wedo not sell your personal information to third parties, ·and do not plan to do so in the future.

Right of Non-Discrimination. You have a right to exercise your rights under California law, including under the CCPA, without suffering discrimination. Accordingly, First American will not discriminate ,against you ·in any away if you choose to.exercise your rights under the CCPA.

. Collection Notice. The following is a list of the categories of personal information we may have collected about California residents in the twelve months preceding the date this Privacy Notice was last updated, including the business or commercial purpose for said collection, the categories of sources from which we may have collected the personal information and the categories of third parties with whom·we may have shared the personal informaiion· ' Categories of The categories of personal information we have collected include, but may not be limited to: real Personal ,name; signature; alias; SSN; physical characteristics or description, including protected Information characteristics under federal or state law; address; telephone number; passport number; Collected driver's license number; state identification card number; IP address; policy number; file number; employment history; bank account number; credit card number; debit card number; financial account numbers; comtnercial information;internet or other electronic network activity; geo/ocation data; audio.and visual information; professiona[br employ·mentinformation; and lnferen~es drawn from the above ca!egories 'to create a profile about a consumer.

Categories of Categories of sources from which we've collected personal information include, but may not S9urCf;}S be limited to: the consumer directly; public records; governmental entities; non-affiliated third parties; social media networks; affiliated third parties

C Business·, T:he business puiposes for which we've collected personal information include, but may not Purpose for be limited to: compleUng a transaction for our Products; verifying eligibility for employment; Collection facilitating employment; performing services on behalf of affiliated and non-affiliated third parties; debugging to identify and repair errors that ·impair existing intended functionality on our Websites, Applications, or Products; protecting against malicious, deceptive, ·fraudulent, or· illegal activity

Ca.tegories of The categories of third parties with whom we've shared personal information include, but may Third Parties not be limited to: advertising networks; internet service providers; data analytics providers; Shared service providers; government entities; operating systems and platforms; social media networks; non-affiliated third parties; affiliated third parties

Categones of Personal fnformat1on We Have Sold fr, The Past Year. We have not sold any personal 1nformat1on of California residents to any third party in the twelve months preceding the date this Privacy Notice was last updated.

Categories of Personal Information Disclosed For A Business Purpose In The Past Year. The following is a list of the categories of personal.information of California residents we may have disclosed for a business purpose in the 12 months preceding .the date this Privacy Notice was last updated: The categories of personal information we have collected include, but may not be limited to: real name; signature; alias; SSN; physical characteristics or description, including protected characteristics under federal or state law; address; telephone number; passport number; driver's license number; state identification card number; IP address; policy number; file number; e.mployment history; bank account number; credit card number; debit ca'rd number; financial account numbers; commercial inforlT]ation;internet or other electronic network activity; geolocation data; audio and visual information; professional or employment information; and . inferences drawn from · the above categories to create a profile about a . consumer. PROOF OF UTILITIES & ACCESS Water Sewer

Ditch Company C )> -I o r= COOT or Road & Bridge (") - m -I en m (f) (f) Architecture Control Approval Ro Any other utilities or access documentation MORGAN CODNTY QUALITYWATER DISTRICT P.O. BOX 1218 FORT MORGAN, CO 80701

I.APASSUMPTION

I/We, Matthew & Tiffiny Wulf have purcha:,ed the premisesupon whloh Tap Numb.er273'1 of the Morgan County Quality Water District is located and wish to assume future responsibility for said tap,

J/W.e have examined the tenns of the original tap ag!'eementsigned by Wallace & Bonnie Pickens and dated May 20, 2008, and agree to be bound by the provisions contained therein and will comply with the rules and regulations as ;fu>mtime to time promulgated by the directors of Morgan County Quality Water District. I/we further acknowledgethat we shall not serve more ifui;u one residence or business per Tap Equivalent. J1!Jal,/-~ D lJul/l New Tap Holder P1inted Name

I hereby relinquish rights to Tap Number 2737 of the Morgan · ·

Effuo.tiveDate of Transfer: April 7, 2017

Back Payments Due $0.00

Disposition of Charges for Cw:xent Month: $0.00

$0.00

APPROVED: ~==e;:'h--:-l--lt"'¥.:'-'6'::c-:0:-cclt.--::t..>:::-c:-:-;-,---

**** Please return tble signed orlgmill docnwent iwithin fu,e days oftiri,urnsfeirto: M(!Jrgalll County Qu111ifyWater District, P.O. lllox 1218, Jl!'ori'tMorgan, CO 80701~ Phone: 9'10-867- 3054. Fo.- a list o:fcu.r/1.'ell)t Morgan County Quality Water J[Jiistrkt policy imd p1·oeedm:es, please visit om: web site at www.mcqwd.o,m. MORGAN UNTYQUALITY WATER DISTRICT Tap#~2737~~~ CONTRACTFOR SERVICE Eng. #_2006-08 Account#_T2737__ { -· Wallace & Bonnie Plckens______--::------31t.~ TO ADDRESS:_922 Vickie Street Fort Morgan, Co 80701.______rELEPHONE #: 970-867-4638 [he undersigned ("Customer") contracts for service with MORGANCOUN1Y QUALl1YWATER DISTRICT ("District")_subJectto the following terms and conditions: \. Base Tap Fee and Charge* - SfZE COST BASE# SIZE COST BASE# 'X/ 3/4 x 5/8" $6060 + Raw Water 1 // 11/2" $44524 + Raw Water 9 1 / 3/4" 10750 + Raw Water 2 I I 2" 120475 +Raw Water 25 (Board must approve) I I 1" 20640 + Raw Water 4 "The above base tap fee and charge includes mstallatlon of meter ptt and meter which shall be located at the Customers properly line. If the property ine is more than :J.00 feet from the District's mainline, Customer is responsible for the additional cost of such line installation.

3. All charges must be paid prior to installation of meter and provision of water. The charges are itemized in paragraph 1 below. Payment of the raw water fee or transfer of District approved raw water must occur upon execution of this contract. Payment of the remainder must be made within 12 months and before tap activation. After six months, Customer shall pay the District monthly .ninimum regardless of whether the tap is activated. It is further specifically agreed, however, that in the event the owner is unable to ,ecure the necessary approval of the governmental body to his proposed construction on or before six months from the date of this ~greement or In the event the owner is unable to secure the necessary approval of the governmental body to his proposed inclusion into the District on or before ten months from the date of this agreement, then in either event, the total amount paid toward the tap fee shall oe refunded to the owner less engineering costs, if any. The above listed Tap and the accompanying right to receive water service is assigned by the District to the real property :lescribed herein, and such Tap and water service can not be sold, transferred, conveyed or transferred to· any other property or physical location, but such Tap and the right to receive water service shall be transferable to a subsequent owner of the property upon a submitted application for a transfer/assignment arid approval by the District. Upon written request of the then current owner of this property, the Tap and water service to this property may be abandoned.

Thf" the Customer is the awrier of the real estate upon which tap location or dwelling is situated and described on the attached Exhibit A (le ,din W1/2, NW1/4, S3, 13N, R58W Lot #3 Pickens West Minor Sub.

That iri consideration for the District furnishing said service, the Customer further agrees as follows: 1) Customer hereby agrees to pay to the District a water tap fee consisting of the following: $6060.00_Plaritlnvestment + $7,381.00_Rawwaterfee + Line Reimbursemerit "' $_13,441.00_TOTAL Tap Price The balance due must be paid with signing of contract and shall be paid as a condition of meter installation. If the balance due is not paid in full, this contract shall be deemed null and void, and the Applicant shall forfeit all rights to such Tap and water service, and to any refund. The District shall retain all amounts paid.

2) customer hereby grants to District a right of ingress and egress over and across the lands legally described In this contract for the purpose of installation, construction, maintenance, repair and replacement, of all appurtenances necessary for distribution and service of said qua11ty·waterto the land of the customer. 3) Customer agrees that the District may claim and take credit for any and all return flows from said tap in any water court or administrative application. 4) Customer will comply with the Rules arid Regulations as from time to time are promulgated by the Board of Directors of the District. Currerit Rules and Regulations are available from the District upon request. 5) In the event that the Customer elects to terminate service, then in that everit, upon 30 days written notice of such action, the District may terminate this contract for service and said tap shall be considered as abandoned. The District may terminate water service pursuant to its Rules and Regulations in the event of non-payment of any monthly service charges or the other violation of its Rules and Regulations. 6) The District is responsible only to make available to the property such water at such pressure as may be available at the point of delivery as a result of the District's riormal operation of its water distribution system. The District may temporarily discontinue the flow of water in its main lines in order to repair, maintain, improve or replace the main or other portions of the system, or in the event of an emergency. The pressure within the system varies depending upon location and therefore the Customer should . consult with the District before iristalling any lawn irrigation or other systems that requires a specified minimum pressure. In addition, pressure reducing valves or booster pumps may be advisable in some areas. Customer shall riot cause or allow any foreign substances, chemicals, or other pollutants of any kind or nature to enter the District's water system through backflow or otherwise. The Customer Is responsible for the iristallation and testing of approved backflow preventiori devices beyond the meter. · This agreement is a condition of water service and binding upon the heirs, legal representatives and a~signees of the Customer. Dated:_May 20, 2008 . ~ ;;-="z< ~ Quality Water Rep. customer MORGAN COUNTY QUALITY WATER nrsnucT P.0.BOX1218 FORl' MORGAN, CO 8Q701

TAP ASSUMFTION

I/We :Raul Delga)ltllllo, have purcl13.$edthe premises upon which Tap Number 2695 of the . Morgan County Qnality Watel' DistrM is located and wish to assume future responsibility for said tap.

'1/Wehave examined the teims of the original tap agreement signed by Bonnie .J ll"id(ens and dated April 26, 2007 and agree to be bound by the provisions contained thereiJL

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q' 'f'lo- :'38o ~g, BD4c Phone Number s;;;;;z-

I hereby n,linquish rights to Tap Number 2695 of the Morgan County

Previous

Effective bate of Transfer: 10/03/2tl12

Back Payments Pue $ 80.33

Disposition of Charges for Current Month: $ 4.47

Total Charges Due from Seller: $ 84.47

APPROVED:~.::: .•• ,7< Morgan County Qu~ct~~ **'* Please retum this sign~d oi'.iginal docmnellt within :five d,iys ofti:ansfor to: Morga1n County Quality Watel' Dlstrlct, P. 0. Box 1218, Fort Morgan, CO 80101, Phone, 970-867- 3054. MORGANCOUNTY QUALITY WATER DISTRICT Tap #_2$$5. __ _ CONTRACTFOR SERVICE Eng. 4t_2006-08,_ _.:..­ Account #~T2696~ NAME: Wallaoa & Bm,nie PioKens BILL TO ADDRESS: 922 Vickie Street Fort Morgan. Co 8070;!. ,TELEPHONE#:_970-867-463$ __ ~~-~------~------­ The underaJgned!"Customer") controctsfor saPlieewith MOftGANoour,rrv QUALITY WATER DIST RIOT ("Dls\rtct")/mbJeotto the followingterrro andoondltiom;; A Base Tap ree and Charge* SIZE COST BASE/t SIZE COST BASE# /X/ $/4X5/8" $5,385 + Raw water 1. I I :1.~12• -$41.,1.95 -t- Raw Water e I I 3/4" 8,078 -t-Raw Water 2 I I 2" 82, 121 +Raw Water 25 (Board mustapprove) I I 1" 16,155 'I' Raw water 4 * Theabove base tap fee an~ ch~rge moludes tns!allation of meter pit and meter whichshall be located atthe Customer's property lme, Jftha property line is more than 100 feet from !he Oistrict's mainline,Customer is responsibletor the additional oost of suohtine Installation. ·

a. All charges must be paid prior to Installation of meter and provision of water. 'fhe charges are itemized in paragraph 1 below. Payment of the raw water fee or transfer of Dlstrlot approved raw water must occur upon execution of this contract. Paymentof the remainder must be made within 12 months and before tap activation. M:er,;I;< mohths, Customer shall pay the Distrlot monthly minimum regardless of whetherthe tap is activated. It is further speclflcally agreed, however, that in the event ttie ownerIs unable to secure the necessaiy ~pprov;:il of the governmental body to his proposed oonstruotion on or before six months from the tlate of this agreement or in the event the owner Is unable to secure.the necessaryapproval of'the governmental bodyro his proposedInclusion into the District on or before ten months from the date of this agreement. then In either event, tlw 1:Qtel?mount p.ild toward the tap fee shall be refunded to the ow~er Jessengineering oosts, if any, · rhe above listed rap and the accompanying rigtrt: to receive water service Is assigned by the Oistriot to the real property described herein, and such 'fap and water seIVlce can not be $Old.tranSferred, conveyed or transferred to sanyother property or physical Jocatlon, but such Tap and the right to rnoelva water service shall be transferable to a subsequent owner of the property upon a Gubmitted appllcatlon for a transfer/assignment and approval by the District. Upon written request of the then current owner of this praperfy, the Tap and water se!Vlce to this property may be abandoned.

lhatthe customer is the Owner ofthe real estate upon which tap location or dwelling Is situated and described on the attached Exhibit A (located in the_W1/2, NW1/4, S3, iSN, Rl58W. Lot#2 Pickens West Minor Sub

That In consideration for the Dlstrictfurnlshingsaid service, the Customerfurther agrees as follows; 1) Customer hereby agrees to pay to the District a water tap fee consisting of the following: $_ 5385 _Plant Investment + $ :ras1 Raw waterfee ... $ 1,27$13.00 Line ReimbUr$ement + $ Other fees ; $ _.1.2766.00_TOTAL Tap Prlr;e (-) $_7381_:_LESS Deposit ( Raw Water) ~$_5385.CO_BALANOE DUE Paid Ck# AND PAYABf-!;WITHIN i2 MONTHSAND BEFOR"-,AP AC'l'NATION The balance due must be paid within one year of the date of this contract and shall be paid as a oonditlon of meter installation. ff the balance due Is not paid in full within om, year, this Contra,:;t shall Ile deemed null and void, and the Appllcent shall forfeit all rights to such Tap and water servloe, and td any refund. ,he District shall retain all amounts paid.

2) Customer hereby grants to District a right of ingress and egress over and across the lands legally described In this contract for the purpose of lnstalfation, construction, maintenance, repair and replacement, of all appurtenanoes nooessaiy for distribution and eeivlce Qf i,ald quell~ water to the land of the Customer. · 3) customer agrees that the D1str1ctmay claim and take credit for any end ell return flows from said tap In any water court or administrative application. 4) Customer will comply with the Rules and Regulations as from timeyto time are promulgated by the Board of Directors of the District. current Rules and Regulations are available from the District upon request, 5) In the event that the Cu$tOmerelects to terminate service, then in that event, upon 30 days written notice of such action, the District may terminate this contraot for service and said tap shall be considered as abandoned. The District may terminate water service pursuant to its Rules and Regulatlans in the event of non-payment of any monthly service ohar/ilOSor the other vlolatlon of Its RUiesand Regulations. 6) . The District is responsible only to make available to the properly suah water at such pressure as may be available at the point of delivery as a result of the District's normal operation of its water distrlbution system. The District may temporarily discontinue the flow of water in its main llnes in order to repair. maintain, Improve or replace the main or other portions (If the system, or ln the event of an emergency. The pressure within the system varies depending upon location and therefore the Customer should consult with the District before Installing any lawn Irrigation or other systems that requires a speclfled minimum pressure. In actdftion, pressure reducing valves or booster pumps may be advisable in some areas. ' i) customer sha!U10t cause. or allow any foreign subsltances, chemicals, or other pollutants of any kind or nature to enter the District's water system through baokflow or otherwise. The Customer Is responsible far the instal!atic;,11and 1;estingof approved backffow prevent/on devicea beyond the· meter. · This agreement Is a condition of water service and binding upon the heirs, legal representatives and assignees of the Customer. Dated:_Aprll 26, 2007_____ ~~ ScJ:,,,_.g,7{.~ QualityWater Rep. Customer MORGAN COUNTY QUALITY WATER DISTRICT P.O.BOX 1218 FORT MORGAN, CO 8070 l

TAP ASSUMPTION l/We, Joshua Duane and Ashley Nichole Bristol have purchased the prel\lises upon which Tap Number 2800 of the Morgaii County Quality Water District is located and wish to assume future responsibility for said tap.

I/We have examined the terms of the original tap agreement signed by Wallace Pickens and dated December 8, 20 I0, and agree to be bound by the provisions contained therein and will comply with the rules and regulations as from time to time promulgated by the directors of Morgan County Quality Water District. I/we further acknowledge that we shall not serve more than one residence or business per Tap Equivalent,

older Printed Name

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{j_!Jo-'](pg- 9113 -- .---- Phone Numlie1·

I hereby relinquish rights to Tap Number 2800 of the Morga

Effective Date ofTransfei:: July 8, 2020

Back Payments Due $

Disposition of Charges for Current Month: $

Total Charges Due from Seller: $00.00 APPROVED; J! ;J2~ I,( _ Morgan County Quality Water Distri

**** Please return this signed original document within fivll days of transfe1• to: Morgan County Quality Water District, P, 0. Box 1218, Fort Morgan, CO 80701, Pilono: 970-867- 3054. F?: a list of cu!rent Morgan County Quality Water District policy and pmcedures, please VIS!t our web site at -iYww.megwd.org. MORGA!\' )UNTY QUAUlY WATER IJISTRICT Tap#_T2800 CONTRACTFOR SERVICE. Eng. #2006-08_ Account #_T2800 ~AME: Wallace & Bonnie Pickens 3/ TO ADDRESS: 922 Vicki St. Fort Morgan, CO 80701 rh~-PHONE #: 970-867-4638 ihe undersigned ("Customer") contracts for service with MORGANCOUNTY QUALITY WATER DISTRICT ("District').subjectto the following terms and conditions: \. Base Tap Fee and Charge* SIZE COST BASE# SIZE COST BASE# IXX/ 3/4x5/8" $7400+ Raw Water 1 I I 11/2" $58000 + Raw Water 9 I / 3/4" $13430 + Raw Water 2 I I 2" $156000 +Raw Water 25 (Board must approve) I I 1" $26000 + Raw Water 4 'The abovebase tap fee and charge includes mstallatlon of meter pit and meter which shall be located at t.he Customer's property /me. If the property ine is more than 100 feet from the District's mainline, Customer rs responsible for the additional cost of such line Installation.

3. All charges must be paid prior to installation of meter and provision of water. The charges are itemized in paragraph 1 below. >ayment of the raw water fee or transfer of District approved raw water must occur upon execution of thls contract. Payment of the ·emainder must be made within 12 months and before tap activation. After six months, Customer shall pay the District monthly 11lnimum regardless of whether the tap is activated. It is further specifically agreed, however, that in the event the owner ls unable to ,ecure the necessary approval of the governmental body to his proposed construction on or before ·six months from the date of this 3greement or in the event the owner is unable to secure the necessary approval of the governmental body to his proposed inclusion into :he District on or before ten months from the date of this agreement, then in either event, the total amount paid toward the tap fee shall ,e refunded to the owner less engineering costs, if any. The above listed Tap and the accompanying right to receive water service is assigned by the District to the real property jescribed herein, and such Tap and water service can not be sold, transferred, conveyed or transferred to any other property or physical ocation, but such Tap and the right to receive water service shall be transferable to a subsequent owner of the property upon a ,ubmitted application for a transfer/assignment and approval by the District. Upon written request of the then currerit owner of this ,roperty, the Tap and water service to this property may be abandoned. fhat the customer is the owner of the real estate upon which tap location or dwelling Is situated and described on the attached Exhibtt A oc;ated in Lot #4 NW 'A, S3, T3N, R58W. rtf I consideration for the District furnishing said service, the Customer further agrees as follows: 1) Customer hereby agrees to r.ay to the District a water tap fee consisting of the following: n400.00 (Plant Investment) + $7381.00 PD (Rawwater fee)+ $0.00 (Administration Fee). Total Due: $14781.00 TOTALTAP PRICE. Paid Check #598 = $ 7 400 Paid in Full fhe balance due must be paid with signing of contract and shall be paid as a condition of meter installation. If the balance due is not ,aid in full, this Contract shall be deemed null and void, and the Applicant shall forfeit all rights to such Tap and water service, and to ,ny refund. The District shall retain all amounts paid: 2) Customer hereby grants to District a right of ingress and egress over and across the lands legally described In this contract for the purpose of installation, construction, maintenance, repair and replacement, of all appurtenances necessary for distribution and service of said quality water to the land of the Customer. 3) Customer agraes that the District may claim and take credit for any and all return flows from said tap in any water court or admlnistrativa application. i) customer will comply with the Rules and Regulations as from time to time are promulgated by the Board of Directors of the District. current Rules and Regulations are available from the District upon request. 5) In the event that the Customer elects to terminate service, then in that event, upon 30 days written notice of such action, the District may terminate this contract for service and said tap shall be considered as abandoned. The District may terminate water service pursuant to its Rules and Regulations in the event of non-payment of any monthly service charges or the other violation of its Rules and Regulations. 6) The District ls responsible only to make available to the property such water at such pressure as may be available at the point of delivery as a result of the District's normal operation of its water distribution system. Tlje District may temporarily discontinue tha flow of water in its main lines in order to repair, maintain, improve or replace the main or other portions of the system, or in the event of an emergency. The pressure within the system varies depending upon location and therefore the Customer should consult with the District before Installing any lawn Irrigation or other systems that requires a specified minimum pressure. In addition, pressure reducing valves or booster pumps may be advisable in some areas. 7) Customer shall not cause or allow any foreign substances, chemicals, or other pollutants of any kind or nature to enter the District's water system through backflow or otherwise. The Customer is responsible for the installation and testing of approved backflow prevention devices beyond the meter. 1 rrL. .;reement is a condition of water service and binding upon the heirs, legal representatives and assignees of the Customer. Dated: Dec 08, 2010. ·

Q e (g p4sll/)Quality Water Rep. Customer t 1 ,;<>J; 'c3 Ju9' ~t;&_6~ ·Open Records Request Form . ~ iii Sqbiriirto; 0 NOHDCustodian.of Records 700.c&h-!mblne .St. ltl0~(> Sterl!nth GO 80751 Fax: 970 522-1412 partmelit Ph(lnl)r970 5212-314.1xi257 .,

INamf! of RequesUngParty: i!\a,,\\.'* ,:1 ({,~ \-1Li\ {- D.at<;Jof Request: )1 • J· '2..D1}J . I

1· Organization: . ·.::. ., j Addrf!ss!J17q). RL\ l.S Lf}:# 3 Phonenumber: C/Jo··3 80"~ J.~8"3' ' i ! I"''~" (PIM~ be '"'"""'' 00 ,_,.,qw o' ·"" 'q>k'•v=:r c• ® I

1 ,,i. 1\',:Wt~11i'ili~1t~~~J)1:r1.·~1t6'it1'riiM'i'kli~Mtif'bif'.~lr~wrl:'71-iliWYliQ!lt~~j~i.t!i~~~~:;~1 :':.: W~"n~~l\1! ~i~J:t~~~m.~~f..~YP.t,"-,~\f4t1i.~;'»':').,;;,~~.... ~~<1i"S.:,~<·>'f~,[i.,>,\.,J~~~\p,-~,r;;?.i~W~1i~~.!,~~~-""t..:\w~r~ .... ~7,,!,~"i·~~,/N.,~a?1 t,W.M:\:',,

.j. W.ATIIB QWSl$EPTIC' fooi-1Serofcm i

r Watersupply addre~f.: ·qurrantOWJ}ars: ,______, ~~cllliyName.: .!'•,,, I Pt'ev!ousownElroi __ ~----- ! Ajiproxlmot•-dale... mple(s)·tokan: Streetnddreso.of system: FaollllyAddraso: ---~---- j P.ersol1/A~ei16ysubmlll!n9sa'.ri'lpfe: LegalDaScrlpHon ·REtnge:. ____ _ ! Town!3h!p: saollon: ! 1.,·1;,u,,,,,,!'''"'''"'''"'''•"•I••••••••''''"'''"''·'''''""'""''''''"'''''''''''''·'''''''''''''"'''''''''''''''''''''''"'''"''''''''"''""''"'''''''""''"'''''''''"

D Photocopy*· d CD/DVD' o u.s:Mall* o Other,_~------Putsuanl to·NCHD's.OpenRecords Request Policy; NOHD WIiinollfy you If your t'equestIs not specific eoough, or If any-addlllonal releases are required for the Information requested. Pees for records'vary depending on the method of dellver:Yand the ·timeInvolved, all of Whichis oi.

l,~;tPt.,;t.OIYI¥------·------··---"""'D . Ml-- . ____j -·r,;· I·

LOGANCOUNTY MORGANCOUNTY PHILLIPS-COUNTYSEDGWICK COUNTY WASHINGTON COUNTY YUMA COUNTY .r. DistrictHeadquarters 220 W.Rallroad Ave. 127 E., Ste C 11BWest 3rd 150 Ash 621N. AlbanySt., 700yptu·ml)ln8· Fort Morgan,80701 HO.lyoke,807o4 Julesburg,80737 Akron,80720 Ste.1120 Sterling,80761' Ph: 970-867·4918 Ph:1/70-054·2717 Ph:970,474-2619 Ph:970·345-6562 Yuma,80769 Ph: 970·522·3741 FAX:970·067·0878 FAX:970·054·4347 FAX:970·474-0954 FAX:970,345-6661 Ph:970-848·3811 FAX:970·522-1412' FAX:970-848-2888 877-795-0646 www.noh1lorg

APPLICATIONJ.i'OR A PERMIT TO.INSTALL OR REPAIR AN ON'SITEWAST)i;WATERSVSTEM (jlle~se print 01· type)

070)

Si:ibdivision.: Lot ___ Block,____ Filing _--c=------Legal Pescription of P'ropert~oints_· --_._,~, Section_.1___ Towuship 3/i/ Range SJ W Size of)?roperty in acres 2.__ -7 Type of Building( Re~ideuce ;J Numbel' of.bedrooms other · . Num:berof workers . New bulldlrrn:·~ N9 . Replacement of ei,istillg.septio tank or leach :field; Yef'@> Basemen:t Pl~g:. ~ Na,=-~ Type of Water Suppl)/' qJic Sy~tem Pl'lv«te We]J

FOR OFFICE ONLY

AP,pllca:tforiNumb.er !'1 I 2 " cJJl 'f NewSystem ~ RepalrSystem_~~-~

Please a:j:tach a Plot Plan indicating the 19.<;ationof the propo11ed system and iJWl\ldl} Wflf;lrea replacement system can be installed. Permit No,: /IYl/tl'D;/t-/ NORTHEAST COLORADO HEALTH DEPARTMENT PERMIT TO INSTALL, ALTER, REPAIR, OR MODIFY AN ONSITE WASTEWATER SYSTEM Owner: ,6A:IAV\,\ ~-- t7l,cl( ,s z rU . Date: 9 ·/ IJ> - /;R AddressofProperty: 177q,;J !'ff(,!../! la 4,/ tt: ;J Phone: "710 .. '-l

:rorn foformatio,) sub':litted.on the •.pp!ication and duta,from the site, evaluation f~1'Tu the following minimum .. installation spee1fications are required, f'/zlt/.K ,£ i?.~'i[..«c,? 9, ·vi;d"" SlJ .;?_ 1 Septic Tank: ( 0 O't.> gallons Type of Absorption: t/ .:Ziv+11 of Infiltrntors: :33 #. of Trenches:...,,;2=-- ln addition, this permit is subject to the foJlowing terms and conditions: (I) maximum depth to the bottom of the excavated trench is 36 inches for leach system:.______

This permit is granted temporndly to allow construction to commence. This permit may be revoked or suspended by the No1theast Colorado Health Department for reasons set forth in the Nm~heast Colorado Health Depa1tment Onsite Wastewater System Regulations, including fallure to meet any term 01· condition imposed thereon during temporary or final approval. The issuance of this permit does not constitute assumption by the Department or its employees of liability for the failure or ina't:" cy ·of,tlle sewage disposal system.

This permit is not transferable and shall become void if system construction has not commenced within one year ofits issuance. Before issuing final approval of this permit, the Northeast Colon1do Health Department reserves the dgbt to impose additional terms and conditions required to meet our regulations on a continuing basis. Final permit approval is contingent upo·n the final Inspection of the completed system by the Nmtheast Colorado Health Department (NCHD), System Specifications ns installed: ·SepUcTank: /5C() gallons Type of Absorption: nches:.~;)~~

Final Inspection Approval:~;z;s Dafo:_....eq._. ....c" ~--'-~-·/_:?...~- NCHDReprosc.nmlh'll

Ce1tificution of Installation by:~~------License#:------Date: ______Ungincer GPS Locations: Center of Septic Tank Center of Leach Field Well l/{)" /5'. S'l/D/{) '-19"/5'.5

The issuance of this permit does not imply compIla nee with other stnte, country, or local regulatory or building requirements, nor shall it act to certify that the subject system will operate in compliance with applicable state, country, and loci! regulations adopted pursuant to Article 10, Tille 25, CRS 1973, as amended, el

This onsite wastewater system design Is intended to be used only fo1·lhe wastewater load specified in the drainfleld calculatlons und for the site indicated on the subject line, Any other application of thfo design is not authorized by Norlheast Colotado Heallh Department. Use of Ihis design for any area on the subject lot othel' Urnndesignated, on any other lot, or for wastewater volumes or strengths 1101 indlcuted constitutes misapplication of tho design and voids all liabilities on the part of NCI-ID. N 4

"'@J "'@J 20' u.. Danny Paulsen u..z z 17792 MCR 15 Lot#3

24'

HOUSE GPS Readings 40' 15..549N F" 103° 51.898W ield 40' 15.540N T k 103° 51.898W an

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LOGANCOUNTY MORGANGOUNTY PHILLIPSCOUNTY SEDGWICK GOUNTY WASHINGTON COUNTY YUMA COUNTY DistrictHeadquarters 220 W,Railroad Avo. 127 E.Denver, Ste C 118West 3rd 150 Ash 521N. Albany st., 700 Columbine FortMorgan, 80701 Holyoke,80734 Julesburg,80737 Akron,80720 Ste.1120 Sterling,80751 Pll:970-867-4918 Ph:970-854·2717 Ph:970·474·2B19 Ph:970-845·6562 Yuma,80759 Ph: 970·522-3741 FAX:970·807-0878 FAX:970-854-4347 FAX:970·474-0954 FAX:970·345·6561 Ph:970·848-3811 FAX:970-522·1412 FAX:970·848-2888 877-795-0646 www.nohd .org

0701

Subdivision: Lot ___ Block ____ Filing __ ~------Legal Description ofPrope~Points ___ ~SectionL Township GIV Range So \ti Size of Pl'operty in acres -""-5 __ Type of Building: Residence 5 Numbe1·of bedrooms Other · · Number of workers _ New buildin1d~ No . Replacement of existing septic tank or leach field: Yes'g) Basement P!ZnwGig: @_N,1..=-- Type of Water Suppl.)l, u lie System Private Weil

FOR OFFICE ONLY

Application Number /1 I 2 ~c>.J If New System /,.....--,-' Repair System ____ ~

I Please attach a Plot Plan indicating the I location of the proposed system and Include where a replacement system aan be ins.tailed. NORTHEASTCOLORADO HEALTH DEPARTMENT PERMrr TO lNSTALL, ALTER, REPAIR, OR MODJFY AN ONSITB WASTEWATERSYSTEM Owner: .J)AVc\l\,I~- t1t,u{ 'S ZrU Dute: q 'I tzJ -/;;l_

Address af Property: / 7 7 q,,2 f/11:.--R( ff Lof It: :Z Phone: 6/ 7t!) ·- ¥~I/ • 6 'f'(,.-$ (Va]Jdn! 1his edilrm)

From Information submitted.on the application and data fl-01~the sit~ evaluatio11f?I~- the following minimum __ Installation speclfkatlons are required. /!v

This permit is granted temporarlly to allow construction to commence. This permit may be revoked or suspended by the Northeast Colorado Health Depa1tmentfo1· reasons set forth in the No1thenstColorado Health Depa,tment Onsl!e Wastewater System Regulations, including failure to meet any term or condition imposed thereon during temporary or final apprnvnl. The issuance of this permit does not constitute assumption by the Depmtment or its employees of liijbility for the failure 01· inadc:'. ~ sewage disposal system, , ,,.,~ 9 ·/D-fcl Non easl Q!omdoHenl1h .OcparlmentReprcsen101h•c: Date

This permit is not transferable and shall become void if system construction has not commenced within 011eyear of its issuance. Before issuing fiual approval of this permit, the Northeast Colorado Health Department reserves the right to impose additional terms and conditions required to meet our regulations on a continuing basis. Final permit approval is contingent upon the final inspection of the completed system by the Northeast Colorado Health Department (NCHD). System Speclflcatlons as !nstalled1 Septic Tank: [f5{:{) gallons Type of Absorption: i.J:Jl,s£_' #ofinfiltrntors: 3,3 #ofTrenches:~;)~--

Final Inspection Approval:~ Date:_~q-_._" /,_~_'/_:.?...._. _ , NCHDRcp1c.1:i~n1111lvo

Certification of Installation by! ~.~,.I,,="-'------License#: ______Date:------GPS Locations: Centei· of Septic Tank Center of Leach Field Well $f)" 15, 5';/D!U t/B" /5. 5'19;t) JD3 • 6 /,,fCJ

The Issuance of tllis pe1·mltdoes not imply complla,we wlth other slate, country, m•loo al regulato1yor building requirements, 1wrshall it act to certify that the subject system will operate in compliancewlth applicable state, country, and local J"egulatlons adopted pursuant to Atti~le 10, Title 25, CRS 1973, as nmeoded,except for the purpose of establlshlngfinal approvalof an installed system for issuance of a local occupancypermit pursuant to CRS 1973.25-10-111 (2), ·

This onsite wastewatersystem design Is intended to be used only for lhe wastewaterload specified in the drainfield calculations and for the site indicated on the subject Une. Any other applicationof this design is not authorized by Northeast Colorado Health Department. Use of this desigh for any area on the subject lot othe,· than designated, on any otherlot, 01· fol' wastewater volumesor strengths not Indicatedconstitutes misapplicationof tile deslgn and voids nll liabililles on the pal'l ofNCBD, N 4 co co @, @, 20' Danny Paulsen z'-'- '-'-z ,.. :;,. 17792 MCR 15 Lot#3 ' Fort Morgan, CO 80701 .-,' .-,'-0 " R58W-T3N-S3 Permit#M12-024

24' ;1500gal tank@30" I i HOUSE GPS Readings 40• 15.549N F Id 103' 51.898W ie 40' 15.540N Tank 103' 51.898W District Headquarters· 700 Columbine St.• Sterling, CO 80751 (P]QJ622-3741 • 877•795,0848. www.nchc/,org

January 7. 2019

Roger Defenbaugh, Matt & Tiffiny Wulf 17792 MCR 15 Fort Morgan. co 80701

Dear Mr. Defenbaugh & Mr, & Mrs. Wulf:

Northeast Colorado Health Department (NCHD) has no objection to the Pickens Minor Sub­ division consisting of two lots located in the W % NW 11,jof Section 3. Township 3N, Range 58W of the 6111P.M .• Morgan County. Colorado. Total acres Involved are approximately 32.98 acres,

Lot one will be approximately 5.77 aores. and vacant. Potc1blewater wll! be served by Morgan County Water Quality District.

Lot two will be approximately 27.27 aorea with an existing house located at 17792 MCR 15. CO. Potable water is served by Morgan County Water Quality District. The OWTS that serves lhe house ls permitted by NCHD. M12-024

II the OWTSshould fail on lot two and prior to building a residence on lot one, the owner(s) shall obtain from this office an appllcatlon to install or repair an OWTS, and remit the appropriate fee, Construction of an OWTS shall conform to all NortheastColorado Health Department onslte WastewaterTreatment System Regulations. Including,but not llmltecl to, setback distances from wells, creeks. irrigation ditches, property lines. buildings,high water and other septic systems.

If there are any questions please call me at 970/867-4918ext. 2262

Sincerely,

Melvin Bustos environmental Health Manager Northeast Colorado Health Department

• Servln{J Log,111,Morg.,n, PhT/1/ps,!%dgwfolr, Washington anr/ Yuma aormrles s/nr,Q i//10. MORGANCOUNTY PLANNINGAND BUILDINGDEPARTMENT

TO REFERRAL AGENCIES: Centul'y Link Morgan County Rum l ElectricAssoc. Colol'ado Dept ofT!'anspmtation Morgan County Eme!'gencyMgmt. Division of Wildlife Morgan Soil Consel'vatlon Dfah'ict K.lnde1·Morgan, Inc. Northeast Colm·adoHealth Dept, MOl'ganCounty Quality Wate1· Xcel Energy Mol'ganCounty Assessor Morgan County Communications Center MorganCounty Road & Bridge

FROM: Pam Cherry, Morgan County Planning Administrator 231 Ensign St, PO Box 596, Fort Morgan, CO 80701 970-542-3526 I 970-542-3509 fax I [email protected],us DATE: December 24, 2018 RE: Planning Commission Hearing - Minor Subdivision

The following application is for a Minor Subdivision Permit. This application will be presented to the Planning Commission at a public hearing on J11nu111y14, 2018. 1tt 7100 p,m, in the Assembly Room of 231 Ensign Street, Pott Morgan, CO 80701 (Elevator Entrance, Basement level), You are welcome to attend and comment at this public meeting.

Roger Dru"e11baugh-As Applicant Roger Defenbaugh and Matthew D, & Tiffiny Jo Wulf - As Landowners

Legal Description- Lots 3 and 4 of Pickens West Minor Subdivision located in the WY, of the NW1/.iof Section 3, Township 3, Rang<>58, West of the 6thp,m., Mo1·ganCounty, Colorado aka 17594 and 17792 Co Rd 15, Fort Morgan, CO 80701.

,B,em2n-A replat of Lots 3 and 4 of Pickens West Minoi· Subdivision, New proposed Lot I will have less acres becoming 5',77 acres and new proposed Lot 2 wlll hnvemol'e acres becoming 27.21 acres, (Site m~p attached)

Please offo1•any comments 01· concerns you may11ave about this appllcation. Commeuts received before January 4th will be incorpo1•ated into tho file presentation fol'the Plmming Commission and Board of County Commissioners, Do not hesitate to contactme at any time if you haw questions. Thank you. You also may review the file at oUl'office located at 23 l Ensign Street, Fo1t Morgan, Colorndo 80701.

MorganCaunfy Govet'llmeut • 231 Ensign • P.O. Bax 596 • Fol't Mo1·gan,Co 80701 • (970) 542-3526 Fax (970) 542-3509 • Bmnil: pcherry@co,m01·gan.co.us ,.,,, (;I\ t:: nrs.··'·..·w1:-"S-r .. -· No;:- ...... A R.EPLAT OF LOTS 3 AND 4i IN THE W1 /2NW1 /4 OF TH.E 6TH P. M.., M

SURV6)'.0R'B STATEMENT

r, N10or~F. f1AY.A RE'!1JSTERl!lJ"MQr~s~JONAL LAl.'"'fHISJll/l.1'0QMPLY.WJ11--I Att..Af'Fllyt.\Bl§: RUl.ES,rtEGUD'\TIONS ANO. LA\l'{S;OF. TIUfSTA'fi!OJ• QO}l)M00 1 "!.TATE'.agl)Rt;iOffJG!31!ii'AAT1.qN FORl?)\OP~swoNAL t;t,1(3J~~.l;RS ANDRlior~sSJONAf. lAND 8UR~YOR6',AND IS NCil fl. GUAMNTYORWAnMNTY! EITI-IER l!XPRt!:B61S"OORIMPL1BD, ' 11 av, ~!f;l'~fii·o'r{;;,i,L,o, 'ff\. (62 · Ci ,Cl'" 81 ~i:;~~~1J,,~".Al A! .o·r.11 81

.·.... deRTlflGATE OF OWNERSHIP. ~ \J\l A1'

J;bE.sc-RJBEDAS F.bl.LOWSl GRQVND. l!)TS :'l ANDi,; PIO.KENSwasr MINOR81.IBOIV/St(:IN It.I r1-1e:w11zNWff4GF $CCYlON3, ~T~MP~,D ' TJN, P.,68.WOF'lHl:.6TII P,M,i'MDJ;{GANCOUNTYi cqtoAAOO.

W\Vf: BY1HESE!.PR1;$GNl'§ i11.10 DlJT, Pl.ATf~D/\NQSIJE!.D)VIDEO :rH!,'!.SI\MEi; ,'\~ 5!-fl_'.lWNOW 01 llM_PlJ\t, \iNOER.TllBRN.\B1\Nb ST'/Lo,QF,PIQKBNS We Sr No,., MINORs0llp)VISION1\ AEl>!ArQF- LOta·oAND-4, fiieJ~etJ.SWE$'f Mf~OR suaOIVJS.JQ}{ fN"rJmwfl.2NWfl4 OF SE;Cff!ONSi OL_ 'WN,Rl'ioW Or''fHE' S 1ll J1,M,~MOROAN:QQtltlfY,,GOLOR/.IM, . . . ' 1, S){f;OtllHDJtiffJ DAYOF 2~___,. ru.

O.WNl:!R.1

:rneFOREGOfN~ OEIH!fJOATIONWA8 ACK~OWf..EDGED IJEfF9R~ ME1HIG ____ DAY Qf' 20:_, B)'. ROGIEl1;DEFEN$XUGH! i>I Ci IM l;lrA'l'tt OFMLOMOO OOV!fli'OP·------u, MYCOMMlMfONgxrlRl!S; _ Sf ______Of o· RI• NOTARY f'UBUO S\ .·\

./ ./ UL

I

I.....,,, ...... ~ ...,. --- ....~.,-.....-...... _,_,~ . l , ~ I " ", i "' \ ff Prlnled Dacamber 17, 2018 I fi

. / Februnl'y3, 2006

Walluoe& Bonnie Piokens 922Viokie Fo,t Morgan CO, 80701

Denl'Mi'. & Mrs. Pickens: This depa11menthas no objection to an exemption of approximately 5 acres, located in Section 3 -Township 3N - Range 58W of Morgan County, Colorado.

. Said property has an existing house, with a permitted septic system (M-91-039), located at 17824 MCR 15,

Morgan County Quality Water District supplies the potablewater. There is also a pl'ivate well on said property.

Jf tho existing sep1fosystem falls to operate pl'Operlyor the number of bedrooms is in01·ensed,the owne1·(s)shall obtain from this office an application for a perinlt to repair an individual sewage disposal and remit the appl'Op1fatefee. Construction of the septic system shall conform to ail Noraieast Colorado Health Depaitment Individual Sewage Disposal System Regulations. lncluding, but not limited to setback distances from wells, Irrigation ditches, creeks, buildings, property Jines and othe1·septic systems.

lfthere are!l any questions please call me at (970) 867-4918ext, 260

Sincerely,

Bill Helms Envil'DnmeutaiHealtl1 Represe11tative NOL'lheastColorado Health Department

Co: Zwetzlg Realty May31,2006

Walla<;e& Bonnie Pickens 922 Viclde St Fort Morgan, CO 80701

Dear Mr. &Mrs. Pickens:

Th<:>Northeast Colorado Health Department (NCBD) has no objection to a minor sub­ division consisting offotu· lots to be located in Section 3, Township 3N, Range 58W in Morgan County, Colorado, Toti1lacres involved are approximately 42.98.

Lot's one, two & three will be approximately 5.00 acres and maybe served by a private well or Morgan Cou11tyQuality Water.

Lot foUl' will be approximately 27 ,98 acres and maybe served by a private well or Morgan County Quality Water,

Prior to building a residence on lot one, two, three, & four, the properties owner(s) shall obtain from this office an application to install an individual sewage disposal system, and remit the appropriate fee. Construction of a septic system sha11conform to all Northeast Colorado Health Department Individual Sewage Disposal System Regulations. Including, b11tnot limited to, setback distances from wells, creeks, irrigation ditches, property lines, buildings, high water and other septic systems.

If there are any questions please call me at 970/867-4918 ext. 262

Slncerely,

Melvin Bustos Environmental Health Representative r.:··-··-··------·-··-··--·----··------··-··--·-··--·-··-··. ------,·. 1 IF~··-··-·--..-·--··-··-··-··-··-·--··-·· I 1liijw;. .. I, , I :I I , ! l !, I ! ' .I I, j i I I, I, I, i i LOT3 I I 5.00 ACRES

, I1-1+~~-~-~-~~-"H+---:,.::--. unccun-=c-&-:cl •1 l I.C($$ fJ.Stllo/f

I I I i JL ______MORGAN COUNTY Road and Bridge Department

REQUESTFOR DRIVEWAYACCESS LETTER

R~que,tedBy:

. .,

If this letteris to bo roul!edto a address clifrerent:fronlabove iudlaate: \ , , N8II1e:. '\,, ~------Address:.______

Phone:

Submit this request to: MorgM CounlyRaad nnd B,idge Depru:ln1ent Attn: Joe Baltazm•.· Transpo~tation aud Envi:romnental D:Lr.ootor · 17303FDS P.O. Box516 Fort Morgon, Co 80701 (970)' 542-3560

For offict u&e0,nJy Reae(vedBy.:_------Date:.__ _

CompletedBy:,______Date,,·_----

Morgan County Government• 17303 Rd. S • P.O. Box 516 • Fort Morgan, CO 80701 • (970) 867-9446 · May31,2006

Wallace & Bonnie Pickens 922 Vickie St Fort Morgan, CO 80701

Dear M1•.& Mrs. Pickens:

The No1'lheastColorado Health Department (NCHD) has no objection to a minor sub­ division consisting of four lots to be located in Section 3, Township 3N, Range 58W in Mo1-ganCounty, Colorado. Total acres involved are approximately 42.98.

Lot's one, two & three will be approximately 5.00 acres and maybe se1·vedby a pl'ivate well or Morgan County Quality Water,

Lot four will be approximately 27.98 acres and maybe served by a private well or Morgan Co1!1ltyQuality Water.

Prior to building a residence on lot one, two, three, & four, the p1·ope1'tiesowner(s) shall obtain :fromthls office an application to install an individual sewage disposal system, and · remit the appropriate fee. Construction of a septic system shall conform to all Northeast Colorado Health Depa1tment!ndividual Sewage Disposal System Regulations, Including, but not limited to, setback distances :fromwells, creeks, inigation ditches, property lines, buildings, high water and other septic systems.

If there are any questions please call me at 970/867-4918ext. 262

Sincerely,

Melvin Bustos Environmental Health Representative

Cc: Jiln Zwetzig . Zwetzlg Realty ., ' ' Open Records Request Form Submit to: NCHD Custodian of Records 700 Columbine St. Sterling, co 80751 Fax: 970 522-1412 Phone: 970 522-3741 x1257

'REQUEST}NFORMATION:'t111inse p11ntor typ~ 11\e'ra/loWllli,Jli!l'rmatioll fisneat(v.~~ eossili/e:' ' s ' • '

Name of Requesting Party:...,#:___

l Request (please be as specific as possible),:_LJM""e.,ec,"""'J:___:,C,,;o,,,,pµ:.7':;,--Q""'--"t~~5e""1!pft~c.'=--'-/J,-"',-...._(Ll11.cut.,1,)/: ___ _ !

}:(Photocopy• 0 CD/DVD* o E-mail (address'------1 o Other: _ D U.S. Mall* ______

Pursuantto NOHO'sOpen RecordsRequest Policy, NOHD will notify you If your request Is not speolfioenough, or If any additional releases ere required ror the lnforma\lonrequested. fees for records vary dependingon the method of delivery end 1hetime Involved, all of which is outlined tn NCHD'sOpen Records Request Polloy,available onllnaet www.nohd.org,or In any NCHDoffice, NCHDwill provide a oost estimatefftr copy chargesand data compllat!onfess upon request,and at the sole and exclusive discretion of NCHD, may require you to pay all or a portion of said chargesand fees in advance,prior to compilingtha lnformaUon,NGHD wilt hold Iha de­ livery of any reques1eddocuments from a requestingparty who hae failed to payfees and charges from a previous /equest, unlll such tlrne said fees and chargeohave been peld, *Fer1epp/lopb{-e 1 seu NCHD's Open ~eoords Req1iestPoJ!cy far deta/!!1.

t ...... ------...... ,...... ____ .... ---- ...... -- ...... ,_ ..... ,, ___ - ___ .,..," --- -- ...... ,. __ .. __ ------.. '"' ...... - .... --- ...... ~ :' Health Department. Use Only :' I' I' : Data RaquestRaceived /,l _J,?''f £ Date RequaatForwa/ded Date Request Delivered //· ;Ye;>Y>'""I

j Found ' IJ No ReGords Found J I ~s > ' l' 1--' ' ' ' 'i Dascrlpllon orFeas {If any}: I' f I

1 [.~:~"-~ ~'.~'.ef-~---···£!12: ...- ..- ...... ,""""""""''"-·'"""""-!?_~~:!.42_ ..,., ...... -... l Q/JODD ;;i,Mi3

NORDlEAST COLORADO HEAL'.l'HDEP.AlITMENT

700 Co1umbi:o.e Street 340Bitch 228 WestRailro.act·Avenue Sterling, CO 80751 · Wray, CO 80758 Fort Moxg,m, CO 80701 .Phone: 970/5Z2-3741 !>.hone: 970/332-4422 Phone: 970/8674918

APPllCATIONFORAl'ERMIT'.\'O INSTALL ORREF.AIR .AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM (please print or type) = .:J,,naylf+ul,fo Coaent.Addtess /{. 51?3 C-, /?, n. ') CTt:f H-0oQd!O, Steto.G,l__ County 4lh:?h0:&:1 1lJ?. ?o?b I Phooe ~ 5101 -a Vb S- Aam:essofProposea. System 12? 92 [, B, IS- C\tJ &:JJ::k,c,:.,.o State.£.0.._ Co= ({Joey@ Zi:R &,::>qJ__ S\,bdivisioao Lot / Block Filit!g O c 7 /5"'s-ea Legal.Discription ofP,ope,:ty: Points ·CJ !z ·n fr! Ystsectton.2.._ Township,? Iv' Ran!!'! 5,i'G' S:ize:ofP.ro~io.ac:res S- . TyJ?e; ofBuilding: Reside:nc=__K_ .,,.;? Number ofbed:cooms thee Number ofworkers Newbuilding: No ' Replace.m.oo.tofexistiugseptictankorleach:fieT.d: Yes (@ E.isem,:ntPlum~ g:

Applicant certifies :all lllfonnati

. 110R0l1J.i'!CEONLY {!)!Ir Jlf75 AppliccionNumrer /1)0/ro;;!O Fee~Q2 NowSystm ,...... - Receivedby ReyairSystem Date S'.::,Q !- 08'. ··4Ke'..,- q-=1-or

N

Dm~yLPiu!tm 17792M&R 15 R.11.., ... co 00101

P1rm,# U00-020

2' I .3' is 4'1•. 2' 6' 20" 18' -S' I ISOO,,1 1ijti, I I ff~m I 1' iarlk~t 18" -5' C!t1~,ut I 8' 24 4',o. 2' I 2'

'· ""'~ ··--

I b f Open Records Request Foirm

Sv/JrniJ_to: . NC.HD.Custodian of ·Reoords 700 Columbinest -Sterling,.GO80751 Fax:Mo 522-1412 Phone: 970 522-3741 x1.257

Name of Requesting Pa1iy::-£sk-?r Aaix':Y'f:tis'\? 1/ · Date of.Request:.\;i.,·3~,2>i.)z_p. Organization:'-:------Address; ') 15 :l ~I·v-,c\ I S Phone number: '170· 1l,$, 771 f

!NAIEB QW81$f;PJ'IG FoodServimi PacllliyNsme: _ WaJersuppJyadPra.s.s:.----~~- Currentowners: ______Previousownefs: ------Appmxlmata.dote;,ample(s)tok•n: __ _ Street addressQf ~ystem: ______Facl!ltyAddreaa:~------I LeQEilOaahrlplfon 'R8hge:____ _ ToWmihfp: Saotlon:.______...... ,.... ,...... ,,.,;,,.,,,,,,,., ...... ,...... ,...... s ,;-"•.,·•ti.,,,.,,- •.•. ,.,., ~+·······l.···-···•"<•,•,,, .. ~,,~,,-,., ' .. ,,, '•. _.;DEl,{VIF_R'(:~R~F,~RE/IICE:lvl~rlrnlttha} apply, e-m11il i,{pr.efetrei:/ ,tP'.k,~ ..apJ¢s,t~fr1)infi,!al. · ·.... · ·.. ;::.:. ·· ,>,

!"I Phofoqopyt J:J CD/DVD* }

D U.S. Mall' D Other:.______~-

Pursuantto·NCHD's o~~n Records Request Polloy, NCHD will notifyyou ifyollrraquestls not specific enough,orif any'addlllonal teleases-ai·i,required-fol' the Informationrequested. Fees·forreooids very depelialngon tne melhod·of delivery and the limeInvolved, 1 all of which ls.outlinedlh NCHD's Open RecordsRequest Polley,available onllne at.www.nchd.org,or In any NCHD office. NCHDwill provide-a-cost·estimate for oqpy chli/g

'" ...... _ .. ,.. .. " ...... __ ., ...... _ ...... "'"· ...... -- ...... ____,., __ .... __ ... _ ...... ~--- --. -- ...... _.. ""1 ! ,a/,,/ Health Oepartmen~~ i f Date Requestfl.ec~lye~~ Date·R.aquaot Fo1ward~d . Pata.Request. Delivered /;Zfa/;;g)Ji < I I ,,._,{ I ' : i o ReaordsFound w1,o RecordsFo.und a./ ! ,· ! .Gommanl:s:- ~ /).M.., , ,_ J I ~ ~ ' : '> ' i ~-;;fir . .. · I !> !.,~~ ...... :'~''0!.!'.2.48 ...... i l 1 Open Records Request Form Submit to: . NCHD Custodian of Records 700 Columbine St. Sterling, CO 80751 Fax: 970 522-1412 Phone: 970 522-3741 x1257 ·144•M¥ii1t'14oi4@fiM.\i?i¥M¥·ifoii·iifa·i%!iiM1i·Miii·iMi·&&iii·i«FM,/¥iiiiM.f.#1iill·i1- · Name of Requesting Party:~h ± ~fb\y ·1?~\'SY.,\/ ~""-\ ~ Date of Request: \;}.: J~oULfl Organization: ______

Address: '\ / S9 1...j 'Re\ l S Phone number: '170" 7~ 'S-77 I J'

Request (please be as specific as possible): 5-C.~\-\f-.. {?cc(1v-.:Y lo1?r5

WATER OWS/SEPTIC Food Setvice Water supply address:------~ Current owners: ______Facility Name: ______Previous owners:------~ 1pproxlmatedate sample(s) taken: ___ _ Street address of system: ______Facility Address: ______Person/Agencysu~mitting sample: ___ _ Legal Description Range:.______Township: Section:,____ _

J c r, I',' ' ; •' '_,, <' ,r ,"-,-r '< a :\j - , •, ' ,' • :1' ''1 I ,, 'i' , ' " l' , ) '"" ,- t 'j 1' ~ , > - , DEb/VERY.PREFiERENC.E:·Mark'al/'that.'apply,'·e·ma1/.is preferred to/keep cbs'ts:miniirial.·' . : ' ' ' '' _. . ; , ,, -' ,~, '"~- '"'" '"',,', ',,,. •I - , , '- , \ ~ ,_,_ '~"'"" '"', D Photocopy* D CD/DVD* ) D U.S. Mail* D Other:------Pursuant to NCHD's Open Records Request Policy, NCHD will notify you if your request is not specific enough, or if any additional releases are required for the information requested. Fees for records vary depending on the method of delivery and the time involved, all of which is outlined in NCHD's Open Records Request Policy, available online at www.nchd:org, or in any NCHD office. NCHD will provide a cost estimate for copy charges and data compilation fees upon request, and at the sole and exclusive discretion of NCHD, may require you to pay all or a portion of said charges and fees in advance, prior to compiling the information. NCHD will hold the de­ livery of any requested documents from a requesting party who has failed to pay fees and charges from a previous request, until such time said fees and charges have been paid. *Fee applicable, see NCHD's Open Records Request Policy for details. r------• :' Health Department Use Only :' ' ' :' Date Request Received Date Request Foiwarded Date Request.Delivered :' ' ' :' O Records Found D No Records Found ': ' ' Comments: ______' ' ' ' Description of Fees (if any)=·----~------' ' ' Signature; TOTAL $ : t------J '-"!/f.;,J,,,,,~

LOGANCOUNTY MORGANCOUNTY PHILLIPSCOUNTY SEDGWICKCOUNTY WASHINGTONCOUNTY YUMA COUNTY tilfJ~ftluv~';,DislrlclHeadquarters 226 W. RaTiroadAve, 127 E. Denver, Ste. c 118 West 3rd 77 Main Ave, 529 N, Albany St ·· --""t>epartment 700 ColumbineSt. ff. Morgan,CO fl0701 Holyoke, CO 80734 Julesburg, CO 80737 Akron, GO 80720 Ste. 1120 SterUng, CO 80751 Pti: (970) 867-4918 Ph: (970) 854-2717 Ph:{970) 474-2619 Ph: (970) 345-6562 Yuma, co 80759 www.nchd.org Ph: (970) 622-3741 Fax:(970} B67-0878 Fax: {970) 854-4347 Fax: (970) 474-0954 Fax: (970) 345-6561 Ph: {970) 848-3811 Fax; (970) 522-1412 Fax: {970) 848-2888 APPLICATION FOR A PERMIT TO INSTALL OR REPAIR AN ON-SITE WASTEWATER TREATMENT SYSTEM (Please print or type) 1- 0wner ~/,,-I\ c, ,JtcG/')" \',h"\ 4 P 1Jfi,1t1A Current Address / S::(j IS- i-J.1,,,"i ljl( -· 'J ( City M (lrJi,1,,,, County ifv/ 11 ff,,, ,Fb, . V 1 , Zip'---l;f;:l-'1'-')C/L4,_/__ Phone Email.______

Add fp r,,-,,v a 1\1/1,~ ress o ropose dst ys em,,_;_,--,.J.ec,,,_ 1 CJ:J'-J/,___,,t..,:_6y,,1 ~f,/LL!t'-'-t-.-'2'-----c------City P-Lrtl n r t,,1,µ, County t11Ci '.frv State (' iJ Zip /('!)'711/ ' t- V ~ Subdivision: Lot______Block______Filing ______Legal Description of Property: Points.__ _ Section.___ Township____ Range___ _ Size of Property in Acres-='~----" Type of Building: ~- Residence * Number of Bedrooms Including. Basement _,,,,~c___ * Include any unfinished space that can and/or will be converted into a bedroom at a later date

D Other (officeBuilding, Restaurant, Shop, etc.) Number of Full Time Workers 1- Number of Other Users (Part Time Workers,Clients, Truck Drivers, etc,) Other Building Fixtures: o Bathroom o Break Room/Kitchen Sink o Shower D Floor Drains

New Building; ~Yes D No Basement Plumbing; )?iYes o No Replacement of existing: D Septic Tank o SoilTreatment Area/Leach Field o Both

Type of Water Supply: ji/1Public Water System D Private Well

Applicant certifies all information to be true and correct to the best of his/her knowledge.

Slgiiature"of Property Owneror Agant withWritten Permission lo Signfor Owner FOR HEALTH OE!PARTMENT USE ONLY

Applicati~n Number: /YJao...sz; Fee: .,,,,_,'""='.V.:'fl-Cc.---=-c_- ~New System D Repair System

Date:

Please attach a Plot Plan indicating the location of the proposed system(s), structures 1 property lines1 and wells. Include Iocat!ons(s) where a replacement system can be installed for future reference.

Please Read and Sign the OWTS Permit Requirements on the Other Side District Headquarters· 700 Columbine St., Sterling, CO 80751 (970) 522-3741- (877) 795-0646 • www.nchd.org

OWTS Permit Requirements Application and Fees:

An On-Site Wastewater Treatment System (OWTS) Permit is required to construct orrepair a septic system. Fees.are $500.00 for new systems and $500.00 for repair of existing systems.

Site Evaluation:

In order to determine the suitability of the site and the minimum size of a septic system, a site evaluation is necessary. Part of the site evaluation is the pel'colation test. The pl'ocedures are as follows.

1. Percolation holes: Applicant or contractor will dig th1·ee percolation test holes and shall have a diameter of8" to 12,, and be

terminated a minimmn of 6u and a maximum of 18" below the proposed infiltrative smface (bottom of the trench)1 arl'ange holes in a triangle with about 30' between holes. Scratch the bottom and sides oflower halfofthe holes with a sharp pointed tool, remove loose matel'ial from holes and fil] with 2'' of gravel 01·ve1y coarse sand.

2. Profile test pit: On all systems including Registered Professional Engineer systems, two soil profile test pits at least 8' deep or to bedrock> 6' long and 3' wide must be completed to give an indication of the soil and groundwater condition 1n the area including that soil zone at )east 4' below the bottom of the proposed absorption system. At least one of the soil profile test pit excavations must be performed in the portion of the soil treatment m·ea anticipated to have the most limiting conditions. Said pit shall be evaluated by an Environmental Health Specialist of the Northeast Colorado Health Department prior to the system being permitted and installed, Any excavation meeting these requirements may be used.

3. After completing the above, contact the NDl'theast Colorado Health Department to schedule the percolation test. After agreed upon date and time proceed as follows:

4. Presoak: 24 hours pdor to the scheduled appointment date and time, carefully fill the holes with clean water to a minimum depth of12" over the 2" of grnvel ol' sand placed in the bottom of the hole. In most soils, it is necessary to refill the holes by supplying a surplus resetvoir of clean water, possibly by means of an automatic siphon, Maintain watel' level in the holes for at least 4 hours and preferably overnight. This process will be completed by the contractor or home owner, Approximately 100 gallons of water must be provided 25' from the percolation holes and be easily accessible.

5. It is required that all excavations must be suitably barricaded to prevent unauthorized access and to address safety concerns. It is also recommended that all percolation holes and the test pit be covered to prevent accidental entry by pel'sons, livestock, wfldlife, or to prevent freezing.

6. Applicants planning to use a new 01· existing septic tank must ensure that it is approved, in good repair, watertight, and that all baffles (tees) are installed in accordance with manufacture requirements and sections 43 .9B .4 ( c) and (d) of the NCHD OWTS Regulations.

7. I have re~? ,i,mdunderrand the requirements listed above fot' the percolation test and septic tank use.

Signature: IJ/)J/s .lrv·---- . Date: -'+-9) r2 ,I/rt :2,0 '-" ..rv . <..f lfyou have any questions about the procedure outlined above, please contact an Environmentai Health Specialist at the NCBD location for your county listed below: NCHD Morgan County: (970) 867-4918 ext. 2260 or 2262 NCI-ID Log,m County: (970) 522-3741 ext. 1262 NCHD Phillips & Sedgwick Counties: (970) 854-2717 ext. 5023 NCI-ID Washington & Yuma Counties: (970) 848-3811 ext. 3022

~Serving L-ogan, Morgan, Phll/ip.s, Seclgwl-ck~ !Jlashh;gton anti Ywm:i otmnties since ~1948.. Open Records Request Form .submit to: NoHD Custoc!lah of Records 700 Columbine St. S\erllng, CO 80751 Fax: 970 522-141'2 Phone: 970 522"3741 xi257 .l" .. Ill ·,!' IName of Requesting Party: ~LJI ,\ :Der\9oj,\\\. .· Date of Request: I:+'y Ji'),;L,>, i i OrQanlzation;,______

1Address: l 7 09 .y 'Ri\ 1.5 Phone number: '1JD "I JSb,·S--30/,o I 1 j Request (please be as speoific as possible):~\-,r pec=l: (P')'.lb ·,. 1 { ! ! ! ! ! 1-· 1 i 1 i 1i i ™fB.. OWS/SEPIIC food Servloe ! 1· i Wftiel'supply ndd(eSs: Curran,lowners: FaollllyName: ! 1 Prevfo1;1sowner~: ; j· J. Approxfmata·cJatesample(s)1akeri: Streataddress of system: Faci!ltyAddress:. ] j· Perso~iA9.anoYs~timll_llngMmple: LaQ~ID~acrlpUon R~nge: J: J : Townsrllp~ · . sed1on: :. l· ' • I, ,., , , , ,·,,,".; 1,,", .. •,,,, •,, "', ••• •"'' .. , ";,,, ..... , , , •,,,,,",,,,,,,,, ,,., , ",, ,., ", ,,. , , , , , , , , , .. , , , , , i,,,.,,,,,, I,,,,, , ,,, , , , , , ,,,. ; , . , , , , , , ",, ,, , , , , "'",,, _.,, .,, , ., , ,1

n Photocopy* D CD/DVD' ) I l D Ll,S, Mail* o Other:______~------Pursuant-toNCH.D's Open Records Requsst Polley, NCHD wll/ np'Ufy.youIf yo~r.retjuilslIs not spaolfl.oenough, or If any addlilonal releasesare required for \he l.nfonn·au9nrequested. fees:for reoordil vaiy_dependlngon the method of delfvery-andthe.time Involved, l', ., all ofviHlohIs outlinedin NCliDls OpenRecords Bequest Polley, available onllne al WWM11ohd.orfi,.or In any NCHb·offlpo, NOHQWIii ·providea cost estimate-lo/ copy charges and data oompllallonfees uponrequest, and at \Hasole.and exclusive discretionof NCHD, l)'iay rilq4lre you to pay all of a portloli or said chargas andfees In advance, prior to co(rlpllingthe lnforma\loh, NCHD wmhqld tha (Is~ livery of any requested ~ocurcwntsfiolii a requestingparty who has failed.to pay fees and charges from·a previous re,quast,.uolllsuoh tlme•sald''[eesand chatges'have .bean paid, *Fe.aaJipllcabfi;,, st1iiNGHD!s Opeli RatJi:itdsR,aqudst Polley forcJetalls. ,., ,. '

NORTHEAST COLORADO HEALTH DEPARTMENT

700 Columbine Street 340 Birch 228 West Railroad Avenue Sterling, CO 807 51 Wray, CO 80758 Fort Morgan, CO 8070 l Phone: 970/$22-374 l Phone: 970/332-4422 Phone:. 970/86'/-4918 www,nchd.org APPLICATION F()R A PERMIT TO INSTALL OR REPAIR AN INDIVIDUAL SEWAGlll DISPOSAL SYSTJllM (please print 01• type)

Owner t1e.v th 0 o :h?t±b z. '£,"f 1 21 'lt 14-v1,5 • we-td City ~iM=:±l'ifu~;i:t!LState l-Q County .mer~q •• Zip @076 / &%. i:, f Phone ( '170) - lt..S"~ !"71/ff, 1'/16R- /J4 ~ cl~ ) Address of Proposed System :TE>b C.c,uvi+~ J2.cq,d )S-- !Jidse,11,s{4.&T 'Ju.h , City Sr± frk,~ State C,V County mo~g.Y\ Zip 8070 / Subdivision: Lot Y Block Filing-+--· ------Legal Description of Property: Points wl6,.<>1' Uw~Sectio~_;:,_ Township.3:.__ Range SE · Size of Property in acres S- ' nA- . ' f Type ofBuilding: Resi(lence: ?;< 3,'-{ Number of bedrooms + ur1f!1'rt1·'ch,,J'B:tstl'J41,'elt Other: . Number of workers New building:~ No Replacement of existing septic tank or leach field: Yes (§) Basement Plumbmg: ® No · Type ofWater Supply:(!ublic System :::, Private Well Applicant certifies all information to be. true and correct to tl/t their knowledge. Owner's Signature or Agent with ,Written Permission to Sign for Owner~,, /-,,, ~ . Date 4,-B-()7 tt------"'----=-- !"'} t

Application Numb~r /1 fJ 7-0J

' . ' ''PermltNo. //1(JJ•ffef NORTIIBAST COLORADOHEALTH DEPARTMENT PERMIT TO INSTALL, ALTER, REPAIR OR MODIFY AN INDMDUAL SEWAGE DISPOSAL SYSTEM

Owner -Keu/f,- Oc,4,~ Date _____/.!)._··~'7_-_6~'----~---~ AddressofProperty 17(,'f.C, ;nc/3 IS Phone 97b -41:¥2-!65~ (valid at this address)

From information submitted 011 the application and d,wt from fue site evaluation form, tl1e folloV/,i)lgmhlimum ,/ installation specilkatlous are rcqnlrcd. Kccict fl.~e ttHf(,. S'l '6't "f 'I . f.{t!_, "' 33 Septic Tank {'5"DD gallons Type of Absorption·.:r i\luT~~,k ii ofinfiltmtora 70 - o/ '_ II oftr¢nches_~--

In addition, this permit,is subject to the following terms and condition, (1) maximum depth to the bottom of the excavated trenoh is 36 inohes for leach system:------This permit is granted tempora1'ilyto ~llow construe lion to commence. This permit may be revoked or suspended by the Northeast Colorado Health Department for reasons set forth in the Northeast Colorado Health Departmentlndivldual Sewage Disposal System Regulations, including failure to meet any term or condition imposed thereon duringtemporary or final approval. The issuance of this permit does not constitute assumption by the Department or its employees of liability for the failure or inadeq_uacyof the sewage disposal system,

This permit is not transfer~ble and shall beoome void if system construction has not commenced within one )'.p.arof its issuance, Before issuing fmul approval of this permit, the Northeast Colorado Health Department reserves the right to impose additional terms and conditions .1·eq_uiredto meet our regulations on a continuing basis. Final .permit approval is contingent upon the final inspection of the completed system by the Northeast Colorado Health Depattmen!(NCHD).

System Specifications as lllstalled

'"::, Septic Tonk / ri{JD gall~ns 'fype of Absorptlon:;:..A'l:.ar.•~ ff of infiltrators ~~::Z~D,c.___ 11of trenches_..bi_ FinalinspeotionApproval N~~( ~. Certi!loation oflnstallat!on by License# ----~-- Engineer

OPS Locatious: Center of Septic Tank Center of Leach Field Well 1./0 • /'5. 397 ;,.I tt23" 5'1 ' qq rt,)

The issuapoe of this petmitdoes not imply compliance with other state, country, or local regulatory or building requirements, nor shal! lt act to certify that'the subject system will operate in c=pliance with applicable state, county, and local regulations adoi,ted pursuant to Article 10, Title 25, CRS 1973, as amended, except for the purpose of establishing fmal approval ofan installed system for issuance ofa local occupancy jJermitpursuanrto CRS 1973.25.. 10- 111 (2), . N 4

HOUSE

6' clean out Kevin Goforth 1769SMCR15 Fort Morgan CO, 80701 11' Permit# M07-024 R58W-T3N-S3

2' 23JNF@44"-36" 13'~ i500galtankl t 11' @1' • 1' 2: 28' 23 INF@44' - 36" 13'11 r10' 2' 241NF@44" -36" ·NORTHEASTCOLORADO HEALTH DEPARTMENT Building Healthy CommunitiesSinae 1948

March 2, 20 l 0

Lon Dahl 16583 MCR 17,7 Fo1tMorgan, CO 80701

Dem'Mr. Dahl:

This depal'tment has no objection to the addition of one bedroom to tho three bedroom home for a total offoW' bedl'ooms located at 17696 MCR 15 and using the exlstingindivldual Sewage Disposal System (ISDS). Tlie ISDS is a permitted system(# M07-024) and was sized fo1·a four bedroom home.

Sald property is located in Section 3 -Township 3N - Range 58W of Morgan Count.y, Colomdo,

!fine existing septic system fails to ope!'ate propel'ly, the owner(s) shall obtain from this office aq application for a permit to repair an Individual sewage disposal and remit the appl'oprlate fee, Construction of the septic system shall conform to all Northeast Colorado Health Department Individual Sewage Disposal System Regulations. Including, but not limited to setback distances from wells, irrigation ditches, oreeks, buildings, property lines and othe1·septlo systems.

If there are any questions please call me at 970/867-4918 ext. 260 /3.»~L._Sincerely, . Bill Helms Environmental Health Representative

Dlslrlot Headquarters- 700 Columbine, Starling,Colorado 80751 - Phone (970) 622-3741 - 877-796-0646 ,www.nchd,org

LOGAl!Comrrr MORGANCOUNTY PHILLIPSCOUNTY SBDGW!CKCOUNTYWAsHINOTONCOUlllY YOMACOUNJ'\' i'UMACOU!ITT 700Columblna 228Wost Rallro,dAvo. 12m. DenverSuit; O 110West31d 160Ash 621N.Albany SI, Sla.1120 340Birch SlerHng180761 Fl, Morga11100701 Holyoke100784 Julashurg,80737 Akron,80720 Yvma180709 Wray,80768 Ph: 970·522-3741 Ph: 870-887-4918 Ph: 870-854-2711 Ph: 910·414-2819 Ph: 970-345-6502 Ph: 970-840·1811 Ph:978·332-441! FAX:970,622-1412 FAX:970,887-0878 FAX:970-864·4347 FAX:070·414-0954 FAX:970-345-6681 FAX:010-848-2888 rAX:D/0-332-4978 700 Co/umblno St., Ster/Ing. Co 80751 • /970/ 522·3741 • 877,795,0646. www.nchd.org

REVIEW AND INSPECTION REPORT WATER AND SEWAGE DISPOSAL

FEE: $100,00 must accompany this appllcatlon and will include the initial site visit plus the cost of the bacteria test. Each additional site visit, including bacteria 1est, is $25,00. Please make checks payable lo Northeast Colorado Health Department. Please allow ten business days to process the.application.

•• The property owner or a representatlve must acoompany the Envll'Onmentaf Health Speclallst during the Inspection••

Please type or print Date: JULY 18, '2017 Requested by: l!QUITAll!.l! SAVINGS AND LOAN ASSOGIATION Phone: 970-867-8258 Address: 331 MAIN STREET City: FORTMORGAN Zip: 80701 County;MORGAN

Property Owner: RAUL E. DllLGADILLO Phone: 1-303-453~9424 Original Owner (if known):,_,S,.Af,,,lesll____ ~------Address: 17696 COUNTYROAD 15 City: FOR'.I.'MORGAN Zlp:80701 County: MORGAN Address to be Inspected (If different from above).:_------

Legal Desclpt.: Pt Seo ~3 Township 3 N Range Szw AgeofHouse~l~o,..____ _ Subdivision: l'ICKENS WllST MINOR SUB Lot: 02 131k: ___ Filing:.____ _

Report to be: o Picked Up o Emailed·.._------1,i Malled: EQUITABLE SAVINGS AND LOAN ASSOGIATIONJ Faxed: ------331 HAIN STREETFORT MORGAN, COLORADO 80701

FOR HEALTHDEPARTMENT USE ONl.Y - DO NOT WRITE IN THE SEC'flONS BELOW

Fee paid by: o Cash Resample required: O No o Yes ll!"Check# ';12. ,"1 '7 Resampllngfee:$. ______oOther ___ _ Date paid.:_------­ Received by·_------.. Amount paid: $,_IJ,_,~=-""~·---­ Date paid: 'z //q,/('? Received by: Ldf(j W( Open Records Request Form Submit to: NCHD Custodian of Records 700 Columbine St. Sterling, CO 80751 Fax: 970 522-1412 Phone: 970 522-3741 x1257

qv,ii,:,;;in{itmaflo,:, 8§n~atfy as pqssibte: .·G4"1WiiW#•fu,%iiM?i4MM¥iiiiii·iifa·@hiM1t ~ .~ --' = .----=------'CC - Name of Requesting Party: hen,\ T)e,\r.9,.t\,1\0/ ~v,\k Date of Request: I;}.-?-au;w , J I -· Organization:. ______

Address: 17 lo9'-f 'Re\ 1.5 Phone number: °l 7D~j ]3D~g-3oto

Request (please be as specific as possible ):_SL:<.f.,.,1~!.-'bf-'''-'c~-pµe"'C"-'-r:"\=->c''f)::_-1:C...::0:c;·y 128"4------

---- -··--···- . --- -____,______AcJ_dit_i~'!_"f__~n!or__m_a~o-n_is_r_eq_· UiY_:__dfor !IJe_i_tem __s_li_st_"~_b_el_o"f'______-- - _I

WATER OWS/SEPTIC Food Service Water supply address: ______Current owners: ______Facility Name: ______Previous owners: ______-\pproximatedate sample(s) taken: ___ _ Street address of system: ______Facility Address: ______Person/Agencysubmitting sample:·___ _ Legal Description Range:.______Township: Section:.____ _ ......

D Photocopy* D CD/DVD*

D U.S. Mail* D Other: ______

Pursuant to NCHD's Open Records Request Policy, NCHD will notify you if your request is not specific enough, or if any additional releases are required for the information requested. Fees for records vary depending on the method of delivery and the time involved, all of which is outlined in NCHD's Open Records Request Policy, available on line at www.nchd.org, or in any NCHD office. NCHD will provide a cost estimate for copy charges and data compilation fees upon request, and at the sole and exclusive discretion of NCHD, may require you to pay all or a portion of said charges and fees in advance, prior to compiling the information. NCHD will hold the de­ livery of any requested documents from a requesting party who has failed to pay fees and charges from a previous request, until such time said fees and charges have been paid. *Fee applicable, see NCH D's Open Records Request Policy for details. ~------~ :' Health Department Use Only :' ' ' :' Date Request Received Date Request Foiwarded Date Request Delivered :' ' ' :' O Records Found D No Records Found :' ' ' ' Comments: ______' • ' :------' ' ' : Description of Fees (if any): ______' :------' ' : Signature: TOTAL$, ______·------~' - ' INFORMATION REGARDING ENVIRONMENTAL IMPACTS Air Quality Dust Existing Vegetation Land Forms Noise Odor Storm Water Runoff Water Resources

mz Wetlands < ~~ -a 0 )> z 0 :5: Wildlife -l m (/) z :i; Visual Amenities r Any Other Environmental Impacts REFERRALS & RESPONSES Referrals Sent Responses Received from Referrals Landowner Letter Landowner Letter Responses PC Notification Public Comments or Concerns Received

::;1Jmm ::;1J (J) "Tl -u m o::;iJ (J)rz~ m (J) (J) RO (

MORGAN COUNTY PLANNING AND BUILDING DEPARTMENT

TO REFERRAL AGENCIES: Division of Wildlife Century Link Morgan County Assessor K inder Morgan, Inc. Morgan County Quality Water Morgan County Communications Center Morgan County Rural Electric Assoc. Morgan County Road & Bridge Morgan County Sheriff Dept. Morgan Soil Conservation District Northeast Colorado Health Dept., Fort Morgan Rural Fire District Northern Colorado Water Cons Dist Xcel Energy Farm Service Agency, USDA Lower South Platte Water Conservancy District City of Fort Morgan Bijou Irrigation Village of Log Lane

FROM: Pam Cherry, Morgan County Planning Administrator 231 Ensign St, PO Box 596, Fott Morgan, CO 80701 970-542-3526 I 970-542-3509 fax I [email protected] DATE: February 8, 2021 RE: Land Use Application - Subdivison Replat ( T he following Application for a Subdivision Replat has been submitted to Morgan County. Please review and provide any comments you may have. The application will be considered by the Planning Commission on March 8, 2021 at 7 :00 p.m. in the assembly room, 23 1 Ensign St. Fort Morgan CO.

Applicants and Landowners: Matthew D. and Tiffany Wulf, Joshua and Ashley Bristol and Raul Delgadillo

Legal Description: Subdivision Replat on parcels of land in the W1h. of the NWYt of Section 03, Township 3 Notth, Range 58 in the Pickens West Minor Subdivision. 17792 County Road 15, Lot 3, Fort Morgan, CO 80701, 17696 County Road 15, Lot 2, Fo1t Morgan, CO 80701 and 17594 County Road 15, Lot 1, Fort Morgan, CO 80701.

Request: Replat to decrease Lot 1 from 27 acres to 16.34 acres approximately 5 acres to Lots 2 and 3 (See Chait Below). This is compatible with surrounding land use and is adequately buffered.

Sub Divison Property Owner Existing Acres Results

Pickens West 2, Lot 2 Wulf 27 16.34 Pickens West, Lot 2 Delgadillo 5 10.09 Picken West, Lot 1 Bristol 5.7 11.53

Please offer any comments or concerns you may have about this application by March 1, 2021. Do not hesitate to contact me at any time if you have questions. (Site map attached) l Morgan County Government • 231 Ensign • P.O. Box 596 • Fort Morgan, Co 80701 • (970) 542-3526 Fax (970) 542-3509 • Email: [email protected] (

Wh e n ' Prairit · M ee t s TI, e Sk y MORGAN COUNTY PLANNING AND BUILDING DEPARTMENT

February 8, 2021

Dear Neighboring Landowners:

Matthew D. and Tiffany Wulf, Joshua and Ashley Bristol and Raul Delgadillo as landowners have submitted an application to our office for a Subdivision Replat located on a parcel of land in the W Yz of the NW V,i of Section 03, Township 3 North, Range 58 in the Pickens West Minor Subdivision.

The applicants/landowners are requesting a Replat to decrease Lot 1 from 27 acres to 16.34 acres approximately 5 acres to Lots 2 and 3 (See Chart Below). This is compatible with surrounding land use and is adequately buffered. This appl,ication requires the notification of landowners within 1/,, mile of the subject properties. 17792 County Road 15, Lot 3, Fort Morgan, CO 80701, 17696 County Road 15, Lot 2, Fort Morgan, CO 80701 and 17594 County Road 15, Lot 1, Fo1t Morgan, CO 80701 . ( Sub Divison Property Owner Existing Acres Results

Pickens West 2, Lot 2 Wulf 27 16.34 Pickens West, Lot 2 Delgadillo 5 10.09 Picken West, Lot l Bristol 5.7 11.53

If you have any questions or concerns regarding this application, please contact the Morgan County Planning Department at (970) 542-3526, or you may review the application in the Planning office located in the County Administration Building, 231 Ensign St., Fo1t Morgan, Colorado.

No response to this notification within 10 days of the date of this letter (February 18, 2021) or lack ofrespo nse will be viewed as acceptance of the application.

Sincerely,

Paff(tkl"l"/1 Pam Cherry MPA CFM Planning Administrator

Morgan County Government o

l.NHffN2Y, MARY LYNN 104133000007 I

WELLS, RAY .L,. 104134009<'02

J

MARIPOSA GROUP LLC 1~703000032

C K, DOUGLAS J , 1227030001)(

...... J.cI'l1_1, 12,1.11-....: __ . ------~-----~---"-·-····-- ..··--l------__ce;2Jg2::, __-----·--"------·-----·4--.---- ! <\RYOF MORGAN €0UNTY 122704003001

122703004001

I: 1ir~-.,..,.·-:----T-0""--1,.------·-~-~------~ 1!GlESIA DE CRISTO NUi;EVOAMANECERf I 122704002001 - ./,, t -~=HW1(;341~;;;:;;;;=;;:;;:::~1------·,,l;;.,..,0,,,~+L-~JI .. HYP/'3\--Wt ... J . .Jt..,.._"-4,i- _____:_:_1 I I ~,J,~,m~, !22704000027 I J -···-....11dfr'GU -·---··-~------· ------~---·

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Printed 2/8/2021 1 :9,740 WULF, BRYAND BRISTOL, ARLO E & RUBY A ROBERTSON,KEITH A TRUST

518 GRANT ST 15173 HWY 34 15285 HWY 34

FORT MORGAN, CO 80701 FORT MORGAN, CO 80701 FORT MORGAN, CO 80701

WULF, COLTON L & SILZ, MARTIN LEE& PICKENS,WALLACE D & BONNIE J PAXTON, LESLIEJ GROVES-SILZ,REBECCA J 922 VICKIE ST 635 LANE ST 15775 HWY 34 FORT MORGAN, CO 80701 FORT MORGAN, CO 80701 FORT MORGAN, CO 80701

HENDRICKSON, COLEENJ WULF, RODNEY C & DOROTHYJ KOSMAN, MICHAEL FAMILY TRUST 15260 CO RDS 13654 E 52ND DR 16024 CO RD 15 FORT MORGAN, CO 80701 YUMA, AZ 85367 FORT MORGAN, CO 80701

WICKHAM PROPERTIESLLC WULF, DOUGLAS RAY NATIONS RENTALSLLC PO BOX 576 13417 HWY 144 - LT 02 15337 HWY 34 FORT MORGAN, CO 80701 FORT MORGAN, CO 80701 FORT MORGAN, CO 80701

OROZCO, ABDON I WULF, MATIHEW D & TIFFINY J CHALK, DOUGLASJ & KAREN S PO BOX 8591 17792 CO RD 15 - LT 3 15828 HWY 34 ANAHEIM, CA 92812 FORT MORGAN, CO 80701 FORT MORGAN, CO 80701

LEGLER,LUETIA R TRUST BG LAND COMPANY LLC REEVES,HAL F PO BOX 811 6255 CO RD 213 17749 CO RD 15 FORT MORGAN, CO 80701 PINE BLUFFS, WY 82082 FORT MORGAN, CO 80701 MARIPOSA GROUP LLC NORRIS, VERA L DELGADILLO, RAUL E

3801 MARIPOSA ST 17611 CO RD 15 17696 CO RD 15

DENVER, CO 80644 FORT MORGAN, CO 80701 FORT MORGAN, CO 807018316

WEIMER FAMILY TRUST HISHINUMA, TIMOTHY T IGLESIA DE CRISTO NUEVO AMANECER 15485 CO RDS 17701 CO RD 15 16795 HWY 144 FORT MORGAN, CO 80701 FORT MORGAN, CO 80701 LOG LANE VILLAGE, CO 80705

RODRIGUEZ, ROBERTSR & MALONE, DWAYNE & DIANA SOFIA NAVARRETIE, JUAN INFANTE 17540 CO RD 15 15232 CO RDS 17881 CO RD 15 FORT MORGAN, CO 80701 FORT MORGAN, CO 80701 FORT MORGAN, CO 80701

LEGLER,PAUL A BENSON, ALFREDJR BRISTOL,JOSHUA DUANE & 15079 CO RDS ASHLEY NICHOLE 15454 HWY 34 FORT MORGAN, CO 80701 515 LAKE ST FORT MORGAN, CO 80701 FORT MORGAN, CO 80701

MCKIE, JAMES M JR & BETTYJO JOHNSON, ZA W & KAY M 17824 CO RD 15 SANCTUARY OF MORGAN 14973 HWY 34 COUNTY FORT MORGAN, CO 80701 FORT MORGAN, CO 80701 14587 HWY 34

GROOMS, JETI & MARISSA FORT MORGAN, CO 80701 SILZ, HEINZ O & CHERYL 17792 CO RD 15 - LT 1 15785 W 63RD AVE FORT MORGAN, CO 80701 GOLDEN, CO 80403 NOTICE OF MORGAN COUNTY PLANNING COMMISSION'S REVIEW Of TWO LAND USE APPLICATIONS

~~ti~~~~hse;i~yat~~~s\~fi i~e~':.'lrc~~· aMg~g~th~~~lnat ~wloJ'e held with an option to attend virtually to consider the ?011owlng , LLC application: 1.) Applicants and Landowners: Daniel L. and Sharon K Kauffman PUBLISHER'S AFFIDAVIT ( Legal Description: A parcel of land In lite N Yi of the NEV.of County of Morgan iei:~~~~J.:'nt;.s~!fctfesse~~~M!t8~u~/~~~~ o12:~ef~~r t~;: gan, 80701 State of Colorado Request: Special Use application to allow a winery with re- lated uses to Include a tasting room, wine sales and wine manufacture. Date of Application: February 3, 2021. 2.) Applicants and Landowners: The undersigned, Melissa Nalera , being first duly a. Matthew Wulf and Tiffiny Wulf sworn under oath, states and affirms as follows: f~~~sgf s?{l~~l~i'. ta~g~cg~ ~el:ing, ~ii~1hNf M~ J>ir~i~t~;u~: ty, also rnown as Lot 2 of the Pickens West No 2 Minor Subdivi­ sion, Fort Morgan, addressed as 17792 Co Rd 15 Lot #3, Fort 1. He/she Is the legal Advertising Reviewer of Morgan, CO 80701; and Request: Replat to decrease Lot 2 of Pickens West No 2, from 27 Prairie Mountain Media LLC, publisher of the acres to 16.34 acres . b. Joshua Duane Bristol and Ashley Nicole Bristol 2. The Fort Morgan Times is a newspaper 1 f~e,a~sgfs?{l~~i~i: ta~g~cg~ ~cl:ingf ti~~Mt"1l J'ir~i~t~o"u~: of general circulation that has been published ty, also rnown as Lot 1 of the Pickens West No 2 Minor Subdivi­ sion, Fort Morgan, addressed as 17594 Co Rd 15, Fort Morgan, continuously and without Interruption for at least co 80701 fifty-two weeks In Morgan County and ~i.i~e,.s~ie~~~~d to Increase Pickens West, Lot 1 from 5.7 acres to meets the legal requisites for a legal newspaper c. Raul Delgadillo under Colo. Rev. Stat. 24-70-103. Legal Description: A parcel of land in the NW V. of Section 3, 3. The notice that Is attached hereto Is a true copy, Townshl~ J North, Ranje 58 West of the 6th P.M. Morilian Coun- 0 1 published in the Fort Morgan Times ~ri"~or3f.;".n.a~r~~~ed ~:hMi't'i:"os ~ei~.MJg:¥ t~r~~v~~ii 80701 In Morgan County on the following date(s): Request: Replat to Increase Lot 2 of Pickens West Subdivision from 5.0 acres to 10.09 acres. Date of Application: January 27th, 2021 Feb 19, 2021 THE COUNTYWill BE ABIDINGDY THE SOCIALDISTANCING RE· QUIREMENTSIN PUBLICHEALTH ORDER 20-28 FOR THIS MEET• ING. DUETO LIMITEDSPACE IN THE ASSEMBLYROOM, REMOTE ATIENDANCEIS ENCOURAGED,IF YOUHAVE ANY QUESTIONS REGARDINGATIENDING THE MEETING,PLEASE CON'fACT PAM CHERRYAT 970•542•3526,

b~nv:~!~Jf,;1~\J~erir~~~r~~[~~g:/ou may connect via Zoom

httP.s://us02web.zoom.us/ j/8459 l l 12218 orJ~~~~~~11Jif8~ ..8459111221S# or+ 13462487799.,84591l 12218# Or 11~1ft~~n~~her quality, dial a number based on your current location): US: +1 253 21587 82 or +l 346 248 7799 or +1 669 900 9128 ( or +1301715 8592 or +1312 626 6799 or +1646 558 8656 Weblnar ID: 845 91112218 International numbers available: https://us02web.zoom. us/u/kb6hWNUqFP

0 1 0 11 ~ f~:~ra~nf;~ ii~~Pn1~~r~t~;: J11,~~i~f1e~n~g~"£t..·rirl''W~~ gan, Colorado. You may email P.~J1.errY.@.£Q,DJ.t1rn11_0.~Q,I/.~to re­ quest Items In the file to be emailed to you.

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isi Pam Cherry - Mor an County Planning & Floodp?a1n Administrator Published: February 19, 2021 Published: Fort Morgan Times February 19, 2021-1776879

SHAYLA NAJERA NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20174031965 (SEAL) MY COMMISSION EXPIRES JULY 31, 2021

Account: 1052763 Ad Number: 1776879 Fee: $80.04

,., •

TECHNICAL Right to Farm Policy Application Fee Receipt Tax Account Statement Mineral Rights Notifications Animal Counts

MINOR SUB AND PD APPLICATIONS TO ALSO INCLUDE: Soil Map Topography Public Improvements HOA & Covenants

--l m 0 zI 0 )> r ' .

MORGAN COUNTY RIGHT TO FARM POLICY/ NOTICE Morgan County is one of the most productive agricultural counties in Colorado. Ranchiug, farming, auimal feediug, and all other ,m1er of agticultural activities and operations in Morgan County are integral and necessmy elements of the continued vitality of the county's economy, culture, landscape and lifestyle. Morgan County specifically recognizes the importance of agricultural operations as necessary and worthy ofrecognition and protection. Landowners, residents and visitors must be prepared to accept as normal the effects of agriculture and rural living. These may include noise from tractors, equipment, and aerial spraying sometimes at night or in the em'ly mmning; dust from animal pens, field work, harvesting, and gravel roads; odor from animal confinement operations, silage and inanure; smoke from ditch burning; flies and mosquitoes; the use of pesticides and fertilizers, including aerial spraying; and movement of livestock or machinery on public roads. Under the provisions of the State of Colorado's "Right to Farm" law (Section 35-3.5-101 and following, C.R.S.), all normal and non­ negligent agricultural operations may not be considered nuisances. Also public services in a rural area are not at the same level as in an urban or suburban setting. Road maintenance may be at a lower level, mail delivery may not be as frequent, utility services may be nonexistent or subject to intenuption, law enforcement, fire protection and ambulance service will have considerably longer response times, snow may not be removed from county roads for several days after a major snow storm. First priority for snow removal is that school bus routes are normally cleared first. Children are exposed to different hazards in annal setting than they are in an urban or suburban area. Farm and oilfield equipment, ponds, and irrigation ditches, electrical service to pumps and oil field operations, high speed traffic, noxious weeds, livestock, and territorial farm dogs may present real threats to children. It is necessary that children's activities be properly supervised for both the protection of the children and protection of the farmer's livelihood. All rural residents and property owners m·e encouraged to learn about their rights and responsibilities and to act as good neighbors and citizens of Morgan County. This includes but is not limited to obligations nuder Colorado State law and Morgan County Zoning Regulations regarding maintenance of fences, controlling weeds, keeping livestock and pets under control. There may be provisions of which you are unaware. For example, because Colorado is a Fence Law State, owners of property may be required to fence livestock out. Infmmation regarding these topics may be obtained from the Colorado State University Cooperative Extension Office, the County 0 \mming and Zoning Depmtment, and the County Attorney. RECEIPT AND STATEMENT OF UNDERSTANDING I hereby certify that I have received, read, and understood the Morgan County Statement of Policy and Notice regarding Right to Farm. I further state that I am aware tbat the conditions of living in an unincorporated area are different than living in a town or city and that the responsibilities of rural residents are different from urban or suburban residents. I understand that under Colorado law that a pre­ existing, non-negligent agricultural operation may not be considered a public or private nuisance #-~ ,00 Signature Date /114# Uu//J To Be Signed by Landowner Printed Nmne

Address

Adopted by the Morgan County Board of County Commissioners· by Resolution #96BCC41 on July 23, 1996 and amended by Resolution 2008 BCC 34 on September 2, 2008. MORGAN COUNTY PLANNING, ZONING & BUILDING DEPT. 231 Ensign, P.O. Box 596 Fort Morgan, Colorado 8070 I PHONE (970) 542-3526 FAX (970) 542-3509

MORGAN COUNTY RIGHT TO FARM POLICY/ NOTICE Morgan County is one of the most productive agricultural counties in Colorado. Rnnching, fam1ing1 animal feeding, and all other manner of agricultural actlvitie.q and operations in Morgon County are integrnl and necessary elements of tho oontinuedvitality of the county's eoonomy,culture, landscape and lifestyle. Morgan County specifically recognizes the importance ofngricultural operations as necessary and worthy of recognition and protection.

Landowners, residents and vjsftors must be prepared to accept ns nonnal the effect-; of agriculture and rural living. These may include noise from tractors, equipment, and aeriat spraying sometimes at night or in the early moming; dust from animal pens, field work, harvesting, and gravel toads; odor from anhrml confinement operations, silage and mnnure; smoke from ditch bum.ing; flies and mosquitoes; the use ofpesticldcs and fertilizers, including aeriol spraying; and movementoflivostock or machinery on public roads. Under the provisions of the State of Colorado's "Right to Farm0 law (Section 35~3.S-101 and following, C.R.S.); all normol and non~negligent agricultural operations may not be consJderednulsrmces,

Also public services in a rural aren are not at the same level as in an urban or suburban setting. Road maintenance may be at a lower tevelt mail delivery may not be as frequent, utility setvices may be nonexistent or subject to interruption, law enforcement, fire protection and ambulance service will have considerably longer response times, snow may not be removed from county roads for several days after a major snow storm. First priority for snow removal is that school bus routes am normally cleared first.

Childnm are exposed to different hazards in a rural setting than they are in an urban or suburban area. Farm and oilfield equipment, ponds, and irrigation ditches, electricol service to pumps and oil field operations, high speed

traffic, noxious weeds. livestock1 and territorial fatm dogs may present renl thrents to children. It is nooessary (hat children's activities be propel'ly supervised for both the protection of the children and protection of the farmer's livelihood.

All rural residents and property owners are encouraged to lcim1about their rjghts and responsibilities and to a.ct as good neighbors and citizens ot'Morgan County. This includes but ls not limlted to obligations under Colorado Stfite law and Morgan County Zoning Regulations regarding maintenance of fences, controlling weeds, keeping livestock and pets under control. There may be provisions of which you are unaware.For example, because Colorado is a Fence Law State, ownel'Sof property may be required to fence livestock out.

fofo1matio111·egardingthese topics may be obtained from the Colorado State Univel'SityCooperative Extension Office, the County Planning and Zoning Department,and tho County Attorney.

RECEIPT AND STATEMENT OF UNDERSTANDING I hereby certify that I hnvc received, rend, and underStood the Morgon County Statement of Policy and Notice regarding Right to Farm.

l further state that I am awore thnt the conditions of living in nn unincorporated aren are different than living in a town or city and that the responsibilities of rural residents are different from urban or suburban residents. I understnnd that under Colmado law that a pr~~existing, npn-"llegtigentngrlcultural operation may not be considered a public or private nulsanct:.

L,--.-T.-o_B_e_S_ig_n_e_d_b_~_L_11_11_1l_o_w_11_e_r-..-, ~ ~".\\,':,7,d ~:,.1,.,-\-_ - _1h"j~~' R,,l __J}j Address &t_ ,v1~..._w_&"lg1._

Adopted by the Mm·ga11County Board o/Co1111tyCommissioners by Reso/111/011#96BCC41 on July 23. /996 and amended by ResQ/ut/0112008 BCC 34 on September 2, 2008. MORGAN COUNTY PLANNING, ZONING & BUILDING DEPT. 231 Ensign, P.O. Box 596 Fort Morgan, Colorado 8070 l PHONE (970) 542-3526 FAX (970) 542-3509

MORGAN COUNTY RIGHT TO FARM POLICY/ NOTICE Morgan County is one of the most productive agricullurnl counties in Colorado. Ranching, fam1ing, animal tecding, and nU other manner of agricultural nctivities and operations in Morgan County arc integrnl and necessary elements of the continued vitality of the county's economy,culture, landscapeand life.style. Morgan County specifically recognizes the importance of agricultural operations as necessary and worthy of recognition and protection.

Landowners, residents and visitors must be prepared to accept ns normal the effects of agriculture and rnral living. These may include noise from tractors, equipment,and aerial spraying sometimesat night or in the early morning; dust from animal pens. field work, harvesting, and gravel roads; odor from a11hrtalconfinement operations, silage and manure; smoke from ditch burning; flies and mosquitoes; tho use ofpesUcldes and fertilizers, including aerial s1,raying; and movement of livestock or machinery on public roads. Under the provisions of the State ofColorado1s 11R.ight to Farm" law (Section 35..:l,5~101 and following, C.R.S.), all nonnol and nonMnegligcntagticultural operations mny not be c-onsidered nuisances.

Also public services in a rural area are not at the same level as in an urban or suburban setting. Road maintenance

m!ly be ot n lower level, rrw.lldelivery may not be as. frequent1 utility services may be nonexistent or subject to interruption, law enforcement, fire proteotion nnd ambulance service will have considerably longer response times, snow may not be removed from county rands for several duys after a major snow storm. First priority for snow removal is that school bus routes are nonna11ycleared first.

Children are exposed to difibrent hazards in u rural setting than they are in an urban or suburban area. Farm and oilfield equipment,ponds, and irrigation ditches, clectrleal service to pumps and oil field operations, high speed traffic, noxious weeds, livestock, and territorial farm dogs may present real threats to children. It is necessary that children's activities be properly supervised for both the protection of the children and protcttion of the farmer's livelihood.

All rural residents and property owners are encouraged to lcan1 nbout their rights and responsibilities and to act as good neighborsand citi1.ensof Morgan County.1'his includesbut is not limited to obligations under Colorado State law and Morgan County Zoning Regulationsregarding maintenanceoffences, contmlling weeds, keeping livestock and pets under control. There may be provisionsof whichyou are unaware.For example, because Colorado is a Fence Law State, owne.-sof prnperty may be required to fence livestockout.

lnformaHon t·egarding these topics may bo obtained from the Colorc1do State University Cooperative Extension Office, the County Planning nnd Zoning Department, and the County Attorney.

RECEIPT AND STATEMENT OF UNDERSTANDING I hereby certify lhat I have received; rend, and understood the Morgan County Statement of Policy and Notice regardingRight to Farm.

I further state that I am aware that the conditionsof living in nn unincorporatedareu are different than living in a town or city and !hat the responsibilitiesof rural residents are different from urban or suburban residents.] understand that under Colorado law that a pre ..existing} non.. ncgltgent agricultural operation may not be considered a public or private nuisance. ~~ -~ ---=:~~__:__ ~ ) -I .2_:.._2:D2.{ Signulure - --~ Date

To Be s,•,,ned b,,,Lan-'01"ner ~a. ,,,,,\_0,e_\~6)..~11\il

__... . l.'1-1• .,'?ct.e_<:cK.JS Address ~><-lV\, r~;,"J C'I> ~Q_._1-=--D_I__

Adopted by the Morgan County Bom•do/Co11111y Co111111/ss/011ers by Reso/11/ion #96BCC4! 011July 23. /996 a11d amended by Resolution 2008 RCC :14on Sepremher 2, 2008. RECEIPT Morgan County 231 Ensign, Fort Morgan, CO 80701 f .'))542-3526

RPL2021-0001 I Re-Plat Permit Where Prairie Meet s The Sky

Receipt Number: 542436 Payment Amount: $300.00 February 02, 2021

Transaction Method Payer Cashier Reference Number Check Matthew Wulf Charlotte Bolduc 1013

Comments Old application - $300 was the amount on the old application

Assessed Fee Items Fee items being paid by this payment

Date Fee Item Account Code Assessed Amount Paid Balance Due

Exemptions from Subdivision Regulations­ 2/21 $300.00 $300.00 $0.00 Administrative

Totals: $300.00 $300.00

Previous Payments $0.00 Remaining Balance Due $0.00

Permit Info

Property Address Property Owner Property Owner Address Valuation 17792 CO RD 15 #LT 3 Matthew and Tiffany Wulf 17792 CO RD 15 - LT 3 FORT MORGAN, CO 80701 FORT MORGAN, CO 80701

Description of Work Dividing Lot 1 27 acres to add approximately 5 acres to lot 2 and lot 3. Lot 1 will become 16.34 acres, Lot 2 will become 10.09 acres and Lot 3 will become 11.56 acres. ACCOUNT# R021758 Real Estate PROPERTY TAX NOTICE PARCEL# 122703004002 MORGAN COUNTY TREASURER 2020 TAXES DUE IN 2021 P.O. BOX 593, 231 ENSIGN STREET TAX DISTRICT: 248 FORT MORGAN, CO S0701

COUNTY GENERAL FUND 19.51200 0.00000 $737.15 LAND $62,920 $4,500.00 ROAD AND BRIDGE FUND 7.50000 0.00000 $283.35 BUILDINGS/IMPROVE $465,520 $33,280.00 SOCIAL SERVICES FUND 2.00000 0.00000 $75.56 PERSONAL $0 $0.00 FT MORGAN RURAL FIRE DIST 3.03300 0.00000 $114.59 TOTAL $528,440 $37,780.00 MORGAN SOIL CONS DIST 0.00000 0.00000 $0.00 SRNET EXEMPTION ($0) ($0.00) FT MORGAN PEST CONTROL 0.29900 0.00000 $11.30 NET TOTAL $528,440 $37,780.00 LOWERS PLATIE WATER CD 1.00000 0.00000 $37.78 MORGAN CO QUALITY WATER 0.82400 0.00000 $31.13 NORTHERN COLO WATER CD 1.00000 0.00000 $37.78 Want your tax notice electronically? FT MORGAN SCHOOL-RE 3 40.05200 0.00000 $1,513.16 Visit morganco-eagle.com/treasurer/web Search for your tax account 'Verify My Email" using the key below

VERIFICATION KEY: JBXY71ZD

TOTAL NET 75.2200000 PRIOR YEAR TAX CHARGE: $2,845.24 TOTAL (Tax Only) $2,841.80 In absence of State Leg!slat!ve Funding, your School Declaration Penal!y/Admin Fee $0.00 General Fund mlll levy would have been 98.1150000 GRAND TOTAL $2,841.80

Subd: PICKENS WEST NO 2 MINOR SUB, FM (03-3-58)Lot: 02 PREPAYMENTS APPLIED $0.00

FIRST HALF FEB 28, 2021 $1,420.90 SECOND HALF JUNE 15, 2021 $1,420.90

ACRES: 27.210 PROPERTY LOCATION: 17792 CO RD 15#LT3 FULL PAYMENT APRIL 30, 2021 $2,841.80

Account#:R021758 Make Checks Payable To: WULF, MATTHEW D & TIFFINY J MORGAN COUNTY TREASURER 17792 CO RD 15- LT3 SEE IMPORTANT INFORMATION ON BACK. FORT MORGAN, CO 80701 THE TREASURER'S OFFICE IS REQUIRED BY LAW TO SENT THE TAX NOTICE TO THE OWNER OF RECORD. KEEP THIS NOTICE FOR YOUR RECORDS.

2020 TAXES DUE IN 2021 ,

11 111 rl•·lil;•••Hill·P MORGAN COUNTY TREASURER ·i3R+o2ib1J7~5f8,1:1a·1 17792CORD15#LT3 P.O. BOX:593, 231 EN$1GN STREET FORT MORGAN. CO 80701 t

Account#:R021758 SECOND HALF DUE BY JUNE 15, 2021 $1,420.90 WULF, MATTHEW D & TIFFINY J 17792 CO RD 15- LT 3 FORT MORGAN, CO 80701

rlil·lib•M\11·11 MORGAN COUNTY TREASURER 17792CORD15#LT3 P.O. B0X593, 231 ENSIGN STREET FORT MORGAN. CO S0701

Account#:R021758 [ ] FIRST HALF DUE BY FEBRUARY 28, 2021 $1,420.90 WULF, MATTHEW D & TIFFINY J 17792 CO RD 15-LT3 [ ] FULL PAYMENT DUE BY APRIL 30, 2021 $2,841.80 FORT MORGAN, CO 80701 ACCOUNT# R021757 Real Estate PROPERTY TAX NOTICE MORGAN COUNTY TREASURER PARCEL# 122703004001 2020 TAXES DUE IN 2021 P.O. SOX 593, 231 ENSIGN STREET TAX DISTRICT: 248 FORT MOR,;:JAN, CO 80701

COUNlY GENERAL FUND 19.51200 0.00000 $289.18 LAND $51,120 $14,820.00 ROAD AND BRIDGE FUND 7.50000 0.00000 $111.15 BUILDINGS/IMPROVE $0 $0.00 SOCIAL SERVICES FUND 2.00000 0.00000 $29.64 PERSONAL $0 $0.00 FT MORGAN RURAL FIRE DIST 3.03300 0.00000 $44.95 TOTAL $51,120 $14,820.00 MORGAN SOIL CONS DIST 0.00000 0.00000 $0.00 SRNET EXEMPTION tlO) ($0.00) FT MORGAN PEST CONTROL 0.29900 0.00000 $4.43 NET TOTAL $51,120 $14,820.00 LOWERS PLATTE WATER CD 1.00000 0.00000 $14.82 MORGAN CO QUALITY WATER 0.82400 0.00000 $12.21 NORTHERN COLO WATER CD 1.00000 0.00000 $14.82 Want your tax notice electronically? FT MORGAN SCHOOL-RE 3 40.05200 0.00000 $593.56 Visit morganco-aagle.com/treasurer/web Search for your tax account "Verify My Email" using the key below

VERIFICATION KEY: GOJJSBZJ PRIOR YEAR TAX CHARGE: $1,116.12 TOTAL NET 75.2200000 TOTAL (fax Only) $1,114.76 In absence of State Legislative Funding, your School Declaration Penalty/Admin Fee $0.00 General Fund mil! levy would have bean 98.1150000 GRAND TOTAL $1,114.76

Subd: PICKENS WEST NO 2 MINOR SUB, FM (03-3-58)Lo!: 01 PREPAYMENTS APPLIED $0.00

FIRST HALF FEB 28, 2021 $557.38 SECOND HALF JUNE 15, 2021 $557.38

ACRES: 5.770 PROPERTY LOCATION: 17594 CO RD 15 FULL PAYMENT APRIL 30, 2021 $1,114.76

Account#:R021757 Make Checks Payable To: MORGAN COUNTY TREASURER BRISTOL, JOSHUA DUANE & ASHLEY NICHOLE 17594 CO RD 15 SEE IMPORTANT INFORMATION ON BACK. FORT MORGAN, CO 80701 THE TREASURER'S OFFICE IS REQUIRED BY LAW TO SENT THE TAX NOTICE TO THE OWNER OF RECORD. KEEP THIS NOTICE FOR YOUR RECORDS,

2020 TAXES DUE IN 2021 No

r®'·liJ;\···¥\11-i/ MORGAN COUNTY TREASURER 17594 CO RD 15 P.O. BQX5$3, 23-1 ENSIGN STREET FORTMORGAN.CO S0701

Account#: R021757 SECOND HALF DUE BY JUNE 15, 2021 $557.38 BRISTOL, JOSHUA DUANE & ASHLEY NICHOLE 17594 CO RD 15 FORT MORGAN, CO 80701

rlii·liia••..P·\1H• 17594 CO RD 15

Account#: R021757 { ] F!RST HALF DUE BY FEBRUARY 28, 2021 $557.38 BRISTOL, JOSHUA DUANE & ASHLEY NICHOLE [ J FULL PAYMENT DUE BY APRIL30, 2021 $1,114.76 17594 CO RD 15 FORT MORGAN, CO 80701 ACCOUNT# R019866 Real Estate PROPERTY TAX NOTICE MORGAN COUNTY TREASURER PARCEL# 122703003002 2020 TAXES DUE IN 2021 P.O. 80X593. 231 ENSIGN STRl=ET TAX DISTRICT: 248 FORT MORGAN, CO 60701

COUNlY GENERAL FUND 19.51200 0.00000 $567.42 LAND $50,700 $3,630.00 ROAD AND BRIDGE FUND 7.50000 0.00000 $218.10 BUILD!NGS/!MPROVE $355,930 $25,450.00 SOCIAL SERVICES FUND 2.00000 0.00000 $58.16 PERSONAL $0 $0.00 FT MORGAN RURAL FIRE DIST 3.03300 0.00000 $88.20 TOTAL $406,630 $29,080.00 MORGAN SOIL CONS DIST 0.00000 0.00000 $0.00 SRNET EXEMPTION ($0) ($0.00) FT MORGAN PEST CONTROL 0.29900 0.00000 $8.69 NET TOTAL $406,630 $29,080.00 LOWERS PLATTE WATER CD 1.00000 0.00000 $29.08 MORGAN CO QUALITY WATER 0.82400 0.00000 $23.96 NORTHERN COLO WATER CD 1.00000 0.00000 $29.08 Want your tax notice electronically? FT MORGAN SCHOOL-RE 3 40.05200 0.00000 $1,164.71 Visit morganco-eagle.com/treasurer/web Search for your tax account "Verify My Email" using the key below

VERIFICATION KEY: F7FNXMCV PRIOR YEAR TAX CHARGE: $2,190.04 TOTAL NET 75.2200000 TOTAL (Tax Only) $2,187.40 !n absence of State legislative Funding, your School Declaration Penalty/Admin Fee $0.00 General Fund mm levy would have been 98.1150000 GRAND TOTAL $2,187.40

Subd: PICKENS WEST MINOR SUB, FM (03-3-58) Lot:02 PREPAYMENTS APPLIED $0.00

FIRST HALF FEB 28, 2021 $1,093.70 SECOND HALF JUNE 15, 2021 $1,093.70

ACRES: 5.000 PROPERTY LOCATION: 17696 CO RD 15 FULL PAYMENT APRIL 30, 2021 $2,187.40

Account#:R019866 Make Checks Payable To: DELGADILLO, RAUL E MORGAN COUNTY TREASURER 17696 CO RD 15 SEE IMPORTANT INFORMATION ON BACK. FORT MORGAN, CO 80701-8316 THE TREASURER'S OFFICE IS REQUIRED BY LAW TO SENT THE TAX NOTICE TO THE OWNER OF RECORD. KEEP THIS NOTICE FOR YOUR RECORDS.

IJMMl11Bij;J(o];§€M¥ 2020 TAXES DUE IN 2021 No

11 ri;HiJ;•iil·iiifoH/ MORGAN COUNTY TREASURER -HR+OUJ19•81i6'k6,1-j=i;l 17696 CO RD 15 P.O. BOXS93, 231 ENSIGN $TREl;T FORT MORGAN. CO 80701 r

Account#:R019866 SECOND HALF DUE BY JUNE 15, 2021 $1,093.70 DELGADILLO, RAUL E 17696 CO RD 15 FORT MORGAN, CO 80701-8316

2020 TAXES DUE IN 2021 No

r·HiluiiWhH/ MORGAN COUl>JTYTREA$URER 17696 CO RD 15 P.O. B0XS93, 231 ENS!Gtll STREET R019866 f:ORTMORGAN.CO 80701

Account#:R019866 [ ] FIRST HALF DUE BY FEBRUARY 28, 2021 $1,093.70 DELGADILLO, RAUL E 17696 CO RD 15 [ ] FULL PAYMENT DUE BY APRIL 30, 2021 $2,187.40 FORT MORGAN, CO 80701-8316 1112/2021 Account

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Account: R021758 <-Prev 6 of 6 Results

Location Owner Information Assessment HistorY. Situs Address 17792 CO RD 15 #LT 3 Owner Name WULF, MATTHEW D & TIFFINY Actual Value (2020) $528,440 •. Account Type 1000 - RESIDENTiAL J Assessed $37,780 Neighborhood 190. SUED INTWN 3 RNG Owner Address 17792 CO RD 15 -LT 3 Tax Area: 248 Mill Levy: 75.220000 57-58 FORT MORGAN, CO 80701 Type Actual Assessed Acres Units Tax Area 248 - RE 3 Improvement $465,520 $33,280 1.000 Pii1'cel Number 1227-030-04-002 Laod $62,920 $4,500 27.210 Legal Summary Subd: PICKENS WEST NO 2 MINOR SUB, FM (03-3-58) Lot: 02 Sibling Acc. Number BA Code Transfers

Sale Date Sale Price Doc Description 12/17/2005 $105,000 JOINT TENANCY DEED 03/20/2006 $0 LAND EXEMPTION 07/10/2006 $0 SUBDIVISION PLAT 05/21/2008 $47,400 WARRANTY DEED 06/05/2012 $55,500 WARRANTY DEED 04/07/2017 $415,000 ffiT TENANCY WARRANTY DEED 03/04/2019 $0 SUBDIVISION PLAT 03/21/2019 $80,000 ffiT TENANCY WARRANTY DEED 08/12/2020 $0 JOINT TENANCY QUIT CLAIM Tax HistorY. Images . Tax Year Taxes ----- o Photo 2020 $2,841.80 o Sketch 2019 $2,845.24 • GIS 1112/2021 Account

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Account: R021758 Land <-Prev 6 of 6 Results

o Attributes o Areas

_P_ro-'pc.e_r_cty_C_od_e______Override Acres SQFT Units ProP-erJY.Code Override SINGLE FAMILY - LAND ·

~Reporting Areas 1------. Property Code Override SINGLE FAMILY - LAND Acres SQFT Units 27.21

'!eighborhood Land Use Code Zoning JUBD INTWN 3 RNG 57-58 TRACT BASE AC Frontage Depth Land Size

Size Adjustment Utility Adjustment Access Adjustment

Location

Special Condition

Code Percent

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Account: R021758 Real Property Account <-Prev 6 of 6 Results

[ Account Type 1000 - RESIDENTIAL

Associated Account Nmnber J

httns://moroanco~eaafe.com/assAssor/tRxWAhlRr:r.011nt i.<:n?:cir:r:m1ntN11m=Rfl?17!1~R.rlnr::::::Rn?17i:;_A 1 s:;a7A ')7R7i::7'-l') 1/.12/2021 Account

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Account: R021757

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Location Owner Information Assessment HistorY. Situs Address 17594 CO RD 15 Owner Name BRISTOL, JOSHUA DUANE & Actual Value (2020) $51,120 Account Type 1000 - RESIDENTIAL ASHLEY NICHOLE Assessed $14,820 Neighborhood 190-SUBD IN TWN 3 RNG 57-58 Owner Address 515 LAKE ST Tax Area: 248 Mill Levy: FORT MORGAN, CO 80701 Tax Area 248 - RE 3 75.220000 Type Actual Assessed Acres Parcel Number 1227-030-04-001 Legal Summary Subd: PICKENS WEST NO 2 Land $51,120 $14,820 5.770 MINOR SUB, FM (03-3-58) Lot: 01 Sibling Acc. Number BA Code Transfers Sale Date Sale Price Doc Description 02/17/1966 $0 WARRANTY DEED 04/23/1991 $47,500 PERSONAL REP DEED 12/17/2005 $105,000 JOINT TENANCY DEED 12/19/2005 $0 QUIT CLAIM DEED 07/10/2006 $0 SUBDMSION PLAT 10/18/2012 $75,000 WARRANTY DEED 03/04/2019 $0 SUBDMSION PLAT 11/15/2019 $100,000 JNT TENANCY WARRANTY DEED 07/08/2020 $0 JOINT TENANCY QUIT CLAIM Tax HistorY. Images Tax Year Taxes o Photo 2020 $1,114.76 GIS 2019 $1,116.12

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Account: R019866 <-Prev 2 of 2 Results

Location =O=w=n=e=r=In=f=o='rm=ati=·o=n=------='A=ss=e'=ss=m=e=n=t=H=is=t=or::'Y.:..______Situs Addre~s 17696 CO RD 15 Owner Name DELGADILLO, RAUL E Actual Value (2020) $406,630 Account Type 1000 - RE.SIDENTIAL Owner Address 17696 CO RD 15 Assessed $29,080 Neighborhood 190 - SUBD IN TWN 3 RNG FORT MORGAN, CO 80701-8316 Tax Area: 248 Mill Levy: 75.220000 57-58 Type Actual Assessed Acres Units Tax Area 248 - RE 3 Improvement $355,930 $25,450 1.000 Parcel Number 1227-030-03-002 Land $50,700 $3,630 5.000 Legal Summary Subd: PICKENS WEST MINOR SUB, FM (03-3-58) Lot: 02 Sibling Acc. Number BA Code Transfers

Sale Date Sale Price Doc Description 12/17/2005 $105,000 JOINT TENANCY DEED 03/20/2006 $0 LAND EXEMPTION 07/10/2006 $0 SUBDIVISION PLAT 04/27/2007 $47,500 WARRANTY DEED 11/26/2007 $0 JOINT TENANCY QUIT CLAIM 10/03/2013 $250,000 WARRANTY DEED

Tax Histor:v. Images Tax Year Taxes o Photo 2020 $2,187.40 • Sketch 2019 $2,190.04 GIS Custom Soil Resource Report Soil Map

40" 15'40"N

40" 15' 16"N

N A TABLE OF CONTENTS

• PC

o Agenda, File Summary, PC Minutes to be approved

• Additional Information

• Origina l Submittal

• Applicant Narrative

• Site Plan/Maps

• Proof of Ownership

• Utilities & Access

o Water, Sewer, Ditch Company, CDOT or Road & Bridge, Architecture

Control Approval, any other utilities or access documentation

• Environmental Impacts

• Referrals & Responses

o Referrals sent and responses received, Landowner Letter sent and

any responses received, PC Notification and any responses received

• Technical

o Right to Farm, Application Fee Receipt, Tax Account Statement,

Mineral Rights Notifications, Animal Counts

o Minor Sub, Major Sub, and Planned Development Applications:

• Soil Map, Topography, Public Improvements, HOA &

Covenants iJ 0

PC PC Agenda PC File Summary PC Minutes to be approved MORGAN COUNTY PLANNING AND BUILDING DEPARTMENT

MORGAN COUNTY PLANNING COMMISSION

FILE SUMMARY February 24, 2021 March 8, 2021 (meeting date)

APPLICANTS and LANDOWNERS: DANIELL. AND SHARON K. KAUFFMAN

Application Overview

Daniel L. and Sharon K. Kauffman, as applicants and landowners have submitted an application for a special use permit for an existing, non-conforming use of property as a winery to include sales room, tastings, and events. The vineyard is a use by right as an agricultural use in the agriculture production zone district. The property was recently granted an amendment to an exemption that increased the area of the parcel from 1.92 acres to 5.67 acres. The property is 1 located in the NEY. of Section 9, Township 3 North, Range 57 West of the 6 h P.M. and addressed as 16985 County Road 21, Fort Morgan, CO.

The property is zoned Agriculture Production and has been used for residential purposes and the winery was started about two years ago. The property is not in compliance with zoning regulations which does not permit the processing of agricultural products in the Agriculture Production zone district.

Kauffman's began planting grape vines for wine making in 2018 with additional vines added in 2019 and 2020. A State Limited Winery License has been obtained and excise taxes are filed with the state on a monthly basis to the Alcohol and Tobacco Tax and trade Bureau. A 60x80x16 building has been constructed to store equipment, to increase the wine production area and bonded area with a sales room, added.

Wine that is produced will be sold onsite as well as in a local liquor store. This is a boutique winery that will produce small vintages of wine, 10-15 cases per vintage.

Criteria - Special Use Permits

The following criteria are to be used by the Planning Commission and the Board of County Commissioners when reviewing an application for a Special Use Permit.

Morgan County Government ~ 231 Ensign St "°d PO Box 596 ~ Fo1t Morgan, CO 8070 I Telephone (970) 542-3526 «!-! [email protected] (A) The use and its location as proposed are in conformance with the Morgan County Comprehensive Plan. The property is located in the northeast planning area.

Chapter 2 2.II.A - Economic Development Goal - Diversify the economy in Morgan County to broaden business employment opportunities for residents and to further economic growth. This project will support economic development by expanding agricultural processing in the county.

2.II.C Goal - To encourage development where it is in proximity to the act1v1ty centers, compatible with existing land use, and there is access to established public infrastructure. This project is located adjacent to existing infrastructure, roads and Morgan County Quality Water. The project is compatible with the surrounding agricultural uses.

Goal - The County will encourage the preservation of agriculture production lands in balance with pressure for land use changes to higher intensity development. This project will not impact the preservation of agriculture production lands. This project will expand agricultural production in the county.

Chapter 5

5.IX. Goal-To preserve the mamnade and natural enviromnent in order to enhance the quality of life in Morgan County and to make enviromnent considerations part of the land use decision-making process. This project will preserve the natural environment and enhance the quality of life in Morgan County.

(B) All the application documents are complete and present a clear picture of how uses are to be arranged on the site or within Morgan County.

(C) The Site Plan conforms to the district design standards of these Regulations.

(D) All on and off-site impacts have been satisfactorily mitigated either through agreement, public improvements, site plan requirements or other mitigation measures.

(E) The special use proposed has been made compatible with the surrounding uses and adequately buffered as determined by the County.

(F) The special use poses only the minimum amount of risk to the public health, safety and welfare as set by federal, state or county regulation, whichever is the strictest.

(G) The special use proposed is not planned to be developed on a non-conforming parcel. The parcel is conforming. (H) The applicant has adequately documented a public need for the project, all pe1iinent technical information, and adequate financial resources to implement it, and has paid all fees and review costs levied by the County for application processing and review.

(I) For any special use requiring a supply of water that the applicant has demonstrated a source of water which is adequate for the proposed use in terms of quantity and reliability and in the case of human consumption, quantity, quality, and reliability.

PautCk1''1'J· Pam Cherry, MP A, CFM Planning, Zoning and Floodplain Administrator z )> Oo'"Tl 0 :::0 - :s::-l -l)> 0z ADDITIONAL INFORMATION - )> Oz r ~ ny additional information received since PC packet was sent to members ORIGINAL SUBMITTAL

Original Application (/) 0 C :::0 co - ~ G) rr~~ MORGAN COUNTY PLANNfNG PERMJT # S \J 7..Ci2.\ - 00 D ( . ZONING &BUILDlNG DEPT. Date Rcceiverl_.2__!__.2_ /..:2d._Rcccivcd By ~ ( 231 Ensign, P.O. Box 596 App Fee ~}OJ>--0,tcc#:_µ ~ _ Paid JDtj Fort Morgim, Colorado 8070 I _l..~/ PHONE (970)542-3526 Recording Fee $_C ldCC II: Paid_/ I FAX (970)542-3509 PC Date:_ / / BOCC Datc: _ _ /_f_ E-MAIL: pcherrv(@.co.mo.rggm.co.us_OR 100 Year Floodplain? Y.@ Taxes Current? Y / N ~ rmi~s lit:cnsing(tl;co.morgan.us -·---·· ------~ SPECIAL USE PERMIT APPLICATION (Also to be used as application for Amendments to Existing Special Use Permit~) Landowner JVJUSTSign Application and Right to Farm Policy

APPLICANT LANDOWNER

Name Qit1 i e.i L . a t 14 S ]Ja1o v1t;.,:M_,Jl/lW "'-­ NarneJJCfnl_<:-/ L. Qp1d Sf1tii'P\ I( ,f(4u-/,{,~~'-­

Address I IPCj i S {! Ov,'i°'tJ /2.'<2~I d ( Address /(g7 i 5 (low ·1:JKP.a d ~I

El-. rn ov-,5er ,, ,- . {l 1..) i?o7 c) I E+-. /10or5an I!.v 2,0o I Phone 9Yv %~1-9.J.?~ Phone .CZZ2..__Lf.4??_~ .?. ~-~?=------c ) Email da ~1 6 i 3 5 'l(? ,n .Sn ,·con, Email dan ~n357p m.Sr>,{:.tJht

BRIEF DESCRIPTION OF INTENT (

PROPERTY LRGAL DESCIUPTION & TECHNICAL INFORMATION

Job Site Address or General Location if not addressed: I\,/ 11

* ff more spa<:eis necessary, attach an extra page to app!icalion

S: O'iT:3 R6'7 -- - ~ __ v.i__ v.i Property Size_5:'~(s q. ft. o@, Parcel# ._ I 22qo9 OoOoo \ Zone District: _!} _ _ Subdivision:.______Lot#~): ___ _

ls property located within 1320' (1/4) of a livestock confinement facility? Yfil)

SEE REQUIRED ATTACHMENT LIST ON BACK OF THIS PAGE.

INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTJCD OR PROCESSED. SPECIAL USE PERMIT REQUIRED ATTACHMENT LIST Addilional i11formation may be required by stc(/f

Fee: ~Non-Refundable Application Fee $500: *Fee may be subject lo change per section 2-160 of Morgan County Zoning Regulatiano

Project Narratiyc: CT)Nanativc to include: -- ;+-f/-dJ/le.d

[r!Project Descdption rllPurpose of request GilAdditional informa!ion to show project's intent !iW,Howproject will relate to or impact existing adjacent uses [t;]All off-site impacts and proposed mitigation measures : 9 ""'~'-! 11lDeve!opmcnt or implementation schedule of project IBIProposed length of time the pcnni( is desired ,~\ f<· DDiscussion of any public improvements required to complete the project & copies of pe,tinent improvements agreements IBNarrative of how this proposal complies with the Morgan County Comprehensive Plan hllp.1·:!!morgancounty.co/orado.gov!sileslmorgancounty(files!Comprehensive­ P/an-2008pdf 0Narrative of how this proposal complies with the criteria for review of Special Use Permits (~ee attached)

Environmental Impacts: DDiscuss any environmental impacts the Special Use will have on:

DAir Quality DDust OExisting Vegetation DLandForms ('-J 'f;- D Noise DOdor DStorm Water Runoff DWater Resources D Wetlands DWildJife nvisual Amenities DOther ------

Site Map & Plans:!Yl Site Plan must he drawn to scale and show all existing/proposed structures with the setbacks from all prope1ty lines and other pertinent infmmation required for the project, including widths. See attached example and Morgan County Zoning Regulations, Section 2-515, 2-480 ':. ,~,--,. .,'\ "\< Acor (::..-.,·s /1+-kclted

i',i ~ DDescribe any easements required for the project including widths and other pertinent infotmation .. . May be required lo supply copies of easement agreements I l <'-. •A/

,\ f"- D Drainage/Run-Off Control Plan may be required if the Planning Administrator 1 detem1ines that the use or building meets one of the following criteria: (see Morgan Cmmty Zoning Regulations 3-130(0))

(1) The accessory use or building may have a drainage impact on adjacentprope1ties; (2) The accessory use or buildir,g may have a drainage impact on adjacent right of ways; (3) The accessory structure is 5000 square feet or larger. Ownership: i\Li.Current title insurance commitment (last 6 months) /J.'11-,;c/iec:l

lJtilities/ Access: ®Water-must prove quality, quantity, & reliability (Quality Water Contract or current permit from Colorado Department of Natural Resources) https :!I dwT. state. co.usiToolsiW c!JPcrm i!~ /J-rf,1t 11<:d

llJSewcr (Septic Permit, Will Serve Letter from NCHP or proof ofothcr public system) /f,Y-a C ft t'."

!;9Elcct:ric(Electric bill or letter of commitment from electricity provider) A-m1c//e,d__

--J 0Driveway Permit from CDOT or Morgan County Road & Bridge (If required by staff) 1 r

{~~ 0 .Ditch Company- Proof of contact if there is a ditch on or next to your property

._\,r,- 0 Architecture Control Approval (if applicable)

Technical: /V( J OV csting (Optional)lf you desire Vesting as part of this application, please include the following along with a signed statement:

DPeriod of time Vesting Rights are requested

ODeveloprnent guide describing the proposed uses and development in the area

DThe goals and objectives of the project

DDevelopment schedule inchiding timeline and phases

DReason for request

DOtber pertinent factors concerning the development

0$200 Additional application fee for Vesting p011ion of application

mRight to Fann Policy signed by Landowner cattached) 4 f-/uL;[{' /!__

~ .lL# Paper Application sets OO_l_Digital Copy of Application One sided only please

!2l8ign posting verification: , ,j <:',' -Notarized affidavit with photographs from a distance & close-up -This will take place AFTER Planning Commission hearing & 3 weeks PRIOR to Morgan County Board of Commissioners hearing

DAdditional Information required by staff: n D tr\'-e......

Applications will not be accepted for prope1ties which are not cuncnt in their prope1ty taxes.

APPLICANT & LANDOWNERS MUST SIGN APPLICATION ON NEXT PAGE!!! APPLICANT & LANDOWNER'S STATEMENT

I certify that the information and exhibits I have submitted are b:ue and con-ect to the best of my knowledge. Application must be signed by landowners as shown on title insurance/commitment.

/-27/2.02( Date Date ;jd.~;.}__L I);?;j.,:.) L __ Date Date APPLICANT NARRATIVE: Project Description Purpose of Request Additional Information to Demonstrate Intent Impact/Relation to Adjacent Uses Off-Site Impacts & Mitigation Measures Implementation Schedule of Project Proposed Length of Time Permit is Desired z Public Improvements if necessary )> :::0

~ rn< Special Use Permit- Narrative Daniel L. and Sharon K. Kauffman

Purpose of Amended Exemption Application

Our home and other buildings sit on 1.92 acres, this is owned and titled to the applicants. We are requesting that 3. 75 acres that is currently included in farm ground, owned by the applicants be added to the 1.92 acres for a total of 5.67 acres. This would include all ground on the sprinkler corner not being farmed under a pivot. The entire 5.67 acres is being requested under the special use permit. We both were born, raised, and have lived in Morgan County our entire lives. We are both self employed and intend to continue both businesses along side the vineyard and wine making for many years to come.

In 2018 we started planting grape vines for the purpose of wine making on the 5.67 acres. We have added additional vines in 2019 and 2020. We obtained our Federal Limited Winery Permit and obtained our State Limited Winery License in September of 2019 with a bonded area designated. We file Excise Tax reports to the State of Colorado monthly and on an annual basis to the TTB.(Alcohol and Tobacco Tax and Trade Bureau) Sales tax is reported quarterly to the State of Colorado.

We are needing a larger building 60X80X16 that will be used to store the equipment needed for the vineyard, a larger wine production area, a larger bonded area, and a sales room. It will be a post frame building with a bathroom for convenience and controlled temperature for wine production and storage. The building looks like other agriculture buildings in the surrounding area. It will not be an eyesore or aesthetically unappealing. The building will have cement entry ways leading into the building and gravel surrounding the building. Parking will be on the east side of the building with the required designated handicapped spaces. The building will not disrupt the planting or harvesting process of the commodity planted under the pivot. The construction loan and permanent financing has been finalized with Premier Farm Credit.

The City of Fort Morgan has brought in the electrical and gas lines needed for the building and outdoor lighting, a septic system has been installed and approved by the Health Department. There is a contract in place with Quality Water for the property. Per the survey there is adequate space between the existing buildings and any livestock confinement areas as well as existing roads and property lines.

Grape vines are planted under a drip irrigation system being watered weekly. The plants are stressed to encourage root growth of up to 30 feet. The area is tilled to control grasses and weeds as well as movement of topsoil. Grape vines are an agriculture commodity which is suited to the location and zoning of the vineyard. Wine is produced by crushing and destemming grapes or by purchasing juice. We do have a machine that crushes and destems. This is used in the fall, 1 day a year. We source grapes from the LODI area in California which we pick up in Denver. There is very little by-product from the crushing process. The stems and leaves that are sorted out are tilled back into the vineyard area. A rubber hose is used to clean the equipment. Fermentation of the juice will be done in the temperature controlled building. There is no noise, smell or byproduct when making wine. Juice used in wine production is delivered several times a year by Fed-Ex. Supplies such as bottles, corks and yeast are delivered several times a year. Orders are kept to a minimum due to freight charges. We try to use local vendors as much as possible. Minimal water is used to grow the vines, produce the wine, or market the wine.

Once the building is completed, an application to amend the Limited Winery License with TTB will be submitted. Once approved, the amended application will go to the State of Colorado for approval and inspection. The bonded area of a winery is designated in the site plans associated with the license.

Wine will be sold from the winery as well as utilizing a local liquor store for distribution. Hours that the winery will be open will be limited due to the COVID-19 restrictions and the small amount of wine that will be available for sale. There are not any plans for employees currently. All liquor regulations and guidelines will be followed.

In reading the 72 page Comprehensive Plan - 2008 it appears that we meet the 3 goals set forth of Economic Growth, Environment and Land Use. We partner with over 20 other small businesses in Morgan County to encourage residents and tourist to Eat - Play- Stay in Morgan County. We are a boutique winery producing small vintages of wine, 10-15 cases per vintage. The desire is to produce a local product that is enjoyed by the community and others. We enjoy traveling and learning, in the states as well as abroad. What we have come to appreciate in our travels is that Morgan County is rich with heritage, we produce a lot of diverse ag products, and it is a great place to live and work. Morgan County can be something other than a place to stop off 1-76 to fill up with gas and go through the drive up at a fast food restaurant. We are the breadbasket of Northeast Colorado and we have a responsibility to showcase the importance of and how diversified agriculture is. What better way than with a glass of locally produced wine! SITE PLAN/MAPS Site Plan(s) Maps Easements Plat Map Drainage Plan if necessary Site Photos if any Construction Plans if any

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," l { ' ,,.-. . 'Offlci1il Records af Margan Caunly, CO 923630 02/21/2020 09:44:35 AMPgs: 15 R~c Fee: 83.00

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RIGHT OF WAY and EASEMENT AGREEMENT

This Righj of Wfay and Easement Agreement ("Agreement") is made and entered into this 16 day of >'<..p , 2019, by and between Kraft Family Dairies LLC dba Quail Ridge Dairy LLC c1ndBc/dger Creek Farm, LLC of 15960 Road 21, Fort Morgan, CO 80701 (hereafter "Kraft"), and Daniel L Kauffman and Sharon K. Kauffman 16985 County Road 21., Fort Morgan Co 80701 (hereafter "Kauffman").

WHEREAS, Kraft is the owr:ier of the real property situate in Morgan County, Colorado, and more particularly described on the Exhibit A which is attached to and incorporated herein by this reference ("Kraft Property"); and

WHEREAS, Kauffman is the owner of the real .property located in Morgan County, Colorado, and more particularly described on the Exhibit B, which is attached to and incorporated herein by this reference ("Kauffman Property"); and

WHEREAS, Kraft operates a livestock rearing and management business on the Kraft Property, which borders the property of Kauffman; and

WHEREAS, Kauffman operates property, which is convenient for boring a pipeline to carry dairy nutrients/manure in Kraft's business; and

WHEREAS, Kraft wishes to cross the Kauffman Property en-route to cropland for depositing said nutrients, in order tc;,accommodate Kraft's business of rearing and managing livestock; and

WHEREAS, Kauffman is willing to consent to and allow Kraft permission to temporarily construct and permanently bore a pipeline (this being only for ditch and road crossings), under certain terms and conditions; and

WHER!:AS, Kauffman is in agreement with Kraft for the boring of a permanent pipeline under the terms <1ndconditions set forth in this agreement.

NOW, THEREFORE, in exchange for a good and valuable consideration, the parties hereto agree as follows:

1) The foregoing recitals are incorporated here by this reference.

2) Kc1uffmandoes her(;lby grant, bargain, assign and convey to Kraft, and its successors and assigns, .a permanent right-of-way and easement with the right from time to time to survey, inst,ill, lay, construct, operate, modify, replace and repair one (1) pipeline together with related equipment and appurtenances ' (collectively the "Pipeline") under, over, upon and through the Kauffman Property within a route that is 30 feet in width for the transportation of water, manure, and related proctucts with said 30 foot route being more clearly depicted on Exhibit C · hereto (the "Easement"). The 30 foot width of the easement being for construction, repairs and replacement of both above ground temporary and below ground permanently buried pieces of the pipeline, then being reduced to 20 feet in width after burial of the permanent pipeline (this being limited to ditch crossings and road crossings), at a depth of no less than 4 feet. .... ,923630 Pages: 2 of 15

3) The parties hereto acknowledge and agree that the Pipeline shall not be construed, considered or contended by any party as ownership of said property.

4) Kraft shall indemnify ?.nd hold Ksiuffman harmless from i31JYand all claims, actions, and damages of any third parties arising 1n11ny WiJ.Y out of the use or installation of the Pipeline. ·

5) Kraft shall have all r;ither rights .ind benefits necessary or convenient for the full enjoyment or use of the rig!'Jti, herein granted, together with the right of ingress and egress over, under, acro$s, and through the Kauffman Property to access the Easement. Kraft shall compact and restore with top-soil in all areas disturbed by the construction, repair or replacement of the Pipeline. Further Kraft shall be liable to Kauffman for all crop damages resulting from inspections, construction, repair or replacement of the Pipeline.

6) Kauffman shall have the right to use and enjoy the i;;urface of the Property covered by this Easement; provided, Kauffman shall not interfere with or impair, or permit others to interfere with or impair in any way, the exercise of the rights and privileges herein granted to Kraft nor construct any building, structure, reservoir, pond, road, fence, or other improvement or make any excavation or place any obstruction or plant any tree or shrub on, across, over, or through this Easement.

7) This Agreement shall be construed under the laws of the State of Colorado.

8) This Agreement shall inure to the benefit of the parties hereto and be binding upon eac;h of the parties' respective heirs, successors and assigns. The terms of this Agreement, and the rights and rei,pon!libilities of the p;;irties hereto, shall be considered coveAants, running with the lands.

9) This !olgreementis binding until Kraft St';llsthe dairy enterprise for which the agreement was developed, if ever, to outside persons or entities, It may or may not be renegotiated with purchaser of Kraft Family Diairies LLC at Kauffman's di$cretion.

IN WITNESS WHEREOF, the parties hereto have executed this agreement on the date and year first above written. · ·

f-- . · 923630 Pages: 3 of 15

KRAFT FAMILY DAIRIES, LLC, dba QUAIL RIDGED Y, LLC

) ss. COUNTY OF N "Y"J/Lr. ) h foregoin.9 instrum'l.Jlt was acknowledged before me this E_ day of ~..e.11,, (,,e,,_.. , 2019 by 0.,,. L- {(_V,;.. -ry- , authorized Manager of Kraft Family Dairies LLCbaQuail Ridge Dairy LLC.

WITNESS my hand and official seal

My Commission Expires: D4, dY-:;)-)

Notary Public

CARRIE L, MOBLEY ' NOTARYPUBLIC STATEOF COLORADO NOTARYID 20114024675 MY COMMISSIONEXPIRES 4-25-2023 ~A ) ss. COUNTY OF r •t--(s{}.,r. ) The forego! g instrument was acknowledged tiefore me this J.f_day of N,fGyr,0-h--- , 2019 by _JJL\52'::l:".,µ__J'Lfckl''...!tl'Lt.f]'/_,,authorized Manager of Badger Creek Farm, LLC.

WITNESS my hand and official seal

My Commission Expires: 6 e,/-J.f:"- ;J-'J'

Notary Public CARRIE L. MOBLEY NOTARYPUBLIC STATEOF COLORADO NOTARYID 20114024675 MY COMMISSIONEXPIRES 4-25-2023

By:,______Title: ______

STATE OF COLORADO (\ ) SS, COUNTY OF f\ I DtJo..n ) .

The foregoing instrument was acknowledged before me this Jig_day of 0g.o fu,, bet: , 2019 by me Daniiel L Kauffman and Sharon K Kauffman. I WITNESS my hand and official seal My Commission Expires: ~AL~ f W,J~~~ 4c.,,,-wc6'30, ja~3 Notary Public.----"'------, 't CAROLEJ RICHARDSON NOTARYPUBLIC STATEOF COLORADO NOTARYID 19984028183 MYCOMMISSION 1:XPIRES JANUARY 30, 2023 ."· ' MQBGA?ll~ovm,r . . l'LANmN'~,ioNXN~ ~ IUU,D.ffi(llDill?'f, 231Ensig!'J, F,O. B11x ~96 FortM~xg~,. (;:plorado B0701 PEO~ (~70)$42.-~526 ).'IA}!; (970) 542,)S09 (

MORGANCOUNTY lUGBT TO FAaM PO:YC\' I NO'f!C:® MQ,ganCounty ii one of the most productiveSJ¢cultunll eol!lltie$ \Ii Colorado. lil.snchil!g,~. aniJ:nalfeeding, and all otli?l' manner of agricullunlliirS!U} Col!ll,cy lipecjfica!ly reco~i~es the importance gf,igrjcl!ltl!l'\Uopmi\tionll qi) 11\lOCBS!\fYand WQrthy l

Landowners, residentsand vieltoramuti! b~ pwpa.redto MCll!Jl1\5 !JO!~ thll eft'e~tl)qfagrlg\!ltu.re m;id l'llffll llvill$, Thesemay inclmJe noi~e from tt'lleto,~. equiplll(l!lt, and f.l\1rial~?~ some-111 fllgj)tor in the eurlymon.u~: dust from animal pens, field worll,harvestlll!!, al1.d 3\'IIV~l rolld.ll; odqt from fllilmruwllllnemellt Qp~re,tions.,sil~$, MA manure; smoke from ditch huP'll!ig;fii~~ @4 ~uitoe~, Ill.~~ of peat!oldCilIW.!! f~!~eri,, inol\lllil!ij~e:131 spraying; and mov~mentoflivestll.cll or machi®r;YQji publlero~ds. tl'nflllr, the provJijjOl!(lqfthe Stille efColl'lradP'8 "Ri!;htto Fa,m" law(S11Ctlqn 3S 0 S,S•lQ! and fol!owmg,C.1\.$,), all il,\)!'!ffllillld ~lllNlfisJlg~nt llSl'iWtllrlll operations maynot be consiaeroonulalll!lle~.

Also p111;,l)c.~@rvice~ in ~Ii\®,! 2r93ll!'© !!Qt ~t 1/;l@e.!!/Xl@ l~vel !Ill ill~ ~l/ll!l ll!' fll\Ql!l'bll!l~lllli!ls, ~ •t~1lllll,0.~ may lie at a low~rlev@l, mall 4elivmr !ml),' \:liltb~ :awl'lrequ1mt, 111JU.w ~lll'Vi~~ ~y bll iw!Wlli•t Ill' eul;je

Chi!\lren are exposed tp different !wl&'4s in a rn¢ ~@!tin.~t.ll!lA tb~y ~ l!I mi \lrnlll! or sllh~l:J!l{l!ll'e.i, Far,m.llml oilfi~ld equipment, pon\ie,Md lma11tiondltim~a, ~J.elltrlqa) ~!ll"liP~ lo pu;np~~ 11U:tiel!l Ojl!lilltiQllS, high sp~~d traffic, noi;ious weeds, I.ivestock,~ tl?l'litorlrufa!w do(sll, my pN~®t l:\lWlh!'M ts! c)l.ildnm,It is n~;t>s~ tl!t!t children's activities b~ properly !lUP!>l'Vlse(Jfor both th~prot\l~on o/;'th\,chil.dieu and protectill!I ofth!i :filrnnet'ij livelihood. ·

All riwalres\1fonts ijJJQ prnp0rty IJWll~.111 il!'~ ~DlmlJ,l~ w!~~ Rb~ltl tll.~ir rl.iwlll II@ KeijpQl)l!!\'l!liti@ij!Y'!dI~ ~t 1.1,, goo()n•igh~prs and cil)~® \lt'Mllf~ ()QUm}', Thie i;wlud;~ 'i)µt l~ !J.Qtliw!tiid \fl 1Ji/!4;l!tiQM9)W.el' Clqlo~ iil\llte law and Mo,g~n Co\l!ltyZoJtlng R~SUcll!rioJl.llrel,lll,dlng µiaiz;\el;lm1® Qfi\ll)(;mi, contrQlllngWBeds, lle(,pbm liYllllt®~

and pets unoer control. There oiaybe pl'QV~O!lllpfwliioh y;1u!Jf!l lm~Wllfjl. fo,t"el'.amp\e, blll.lilll6e Co\Qftldt, ie 11, Fence Law State, own~rsof property meybe required !Q ~ livw..Qlli:out.

Infonn~tion n,gardingthese topioam~y l,@ ~lrtl!ill~@ !!'.@ll'\ t!w (lf.)jazy,id~~t~t\i Vli\v(Wlity(;';QQ!)1ll1!~'!@ ~~jQij Office,the C9u.n!y!:'lll!l!:lill!J sm{ ~~ l?ll!J-~t, ~ tl\!J@~~ Ml.mi~, ~~~JPT AN~'?/A'f!©.M~ ~ ~f~T"i,W~ 1lwrn\cw .~

TfQrther stat~ th~tr .irn ~Wlll'VthaHll@ ®ndi\l~!lij 11f 1ivin~ In !l!l l!lli!leQl'jlllratoolll't!HIN flilfll®!lltlum lMng in !l town or city and that theyresponsibilities of1'Wlll reijidents !Ire d!ffeflll!Ifr\1m urb1111 Qr BUbtµ'bante!!iden!s. I understand that under Col11radoJaw tllat a pre-e11l~tinij,non,ne~liij~nt a . 'lltl\t\Ulllop~tipn may not be consid@reda public or private nuis11nce. ·

(- ..

. ,,,_ 923q30 Pages: 5 of 15. .. --·····------,

898792 898898

BILL OF SALE

KNOWALL MEN BY THESEPRESENTS, That 1988 Badger Creek Fann, Inc.,fonnerly known as Badger Creek Fann, Inc., of the County of Morgan, State of Colorado, (Seller), for and in consideration of other valid consideration and Ten Dollars, to it in hand paid, at or before the ensealing or delivery of these presents by Badger Creek Fann, LLC of the County of Morgan, in the State ofColorado, (Buyer), the receipt of which is hereby acknowledged, has bargained and sold, and by these presents does grant and convey unto the said Buyer, his personal representatives, successors and assigns, the following property, goods and chattels, to wit:

All livestock, all equipment, all machinery, all vehicles, all inventory, all accom1ts receivable, all intangibles, all supplies, all feed, all crops, all accounts, all contract rights and all other tangible or intangible assets effective October 1, 2105

TO HA VE AND TO HOLD the same unto the said Buyer, its personal representatives, successors and assigns, forever. The said Seller covenants and agrees to and with the Buyer, its personal representatives, successors and assigns, to WARRANT AND DEFEND the sate of said property, goodsand chattels, against all and every person or persons whomever. When used herein, the singular shall include the plural, the plural the singular, and the use of any gender shall be applicable to all genders. {J fuWITNESS WHEREOF, the Seller has executed this Bill of Sale this L day of C KIM,2015.

1988 BADGER CREEK FARM, INC., F/K/A BADGER CREEK FARM, INC.

STATE OF COLORADO ) "'~~ ) ss COUNTY OF })\o('7A-,.. )

The foregoing instrument was acknowledged before me this .....!L_day of I.J,\llfuW , 2015 by Mary L. Kraft as 5.r;_,~ ll,u, . of 1988 Badger Creek Farm, Inc.,flkla Badger Creek Fann, Inc. 7 .

DEBRAGIBBS official seal. IIOTARYPUBLIC Witnes~~ STATEOF COLORAE>O NOTARYID 1a8B4000587 \,.,,. In C

@> R~f~<'ord~,- bec<«u~.- y)y-1 ,·,

896499 pre II lo .. ~f; 1;V1 j l"' '.·,'=>~u..'t- of'., : r Offlalal Rocordaor /lorPJ! County, CO II/IZ/2t1S U:53:211 All Pao: 3 /\,'o,tJ Con:,o/:.:, o.fec1 -fu iJ"j@.;;>;.3 Bal lay 1iifiil'ii11iliihiui1 c o e'\ u ey 1'"1 c. II \ f\ f'vr n, o. fl "- OI\. n• "--' ()'?2-5ti" Q • W)LI~ QUITCLAIMDEED /'))jrYx::"~' ..

11l1S DEEDis a conveyance from the entily nanted below as GRANTOR to the entity named below as GRANTEEof whatever interest the GRANTORmay have in the 1eal property described below.

The GRANTOR hereby sells and quit claims to the GRANTEE the real property described below wilh all its appurtenances.

The specific terms of this deed are:

Grantor: 1988Badger Creek Farm, Inc., formerly known as Badger Creek Fann, Inc, 15960 Road 21 Fort Morgan, CO 80701 Grantee: Badger Creek Farm, LLC 15960 Road 21 Fort Morgan, CO 8070 l

Formof Co-Ownership: NIA PropertyDescription: See attached Exhibit "A"

Reser,,ations-Restrlclions: Those of record (

Executed by Ihe Grantor on _,.,/ Q-<-,,__J.,., ,, 2015. 1 ____ 1988 BADGER CREEK FARM, INC. FIKJABADGER CREEK FARM, !NC.

STATE OF COLORADO ) '"~~~s=/~. ) ss. COUNTYOF l"fi~tr ) The foregoing instrument was acknowledged before me this .;!.. day of l\)u>-ernb,.,.., , by Mary L. Kraft as $,p,y,.JIL,.,.,,,, of 1988 Badger Creek Farm, Inc., f/k/a Badger Creek Farm. Inc. I

Wf!'NESS my hand and official seal

My Commission Expires: 'tJt-1"'

oESRAGIPBS NOTARYPUBUC STATI! OF COL0~ NOTARYID~18 7 MV~tON""''"'""' ,9236'30 Pages: 7 of 15 898898

PARCEL A: The NWl/4 of Section 15, Township 3 North, Range 57 West of the 6th P.M., Morgan County, Colorado EXCEPT the parcels of land described in a certain deed dated May 6, 1988, and recorded May 6, 1988, in Book 902 at Page 703, records of the Clerk and Recorder of Morgan County, Colorado, AND EXCEPT a parcel of land In the NWl/4SWl/4 and the SWl/4NWl/4 of Section JS, Township 3 North, Range S7 West of the 6th P.M., Morgan County, Colorado, as described in a Warranty Deed dated December IS, 1989 and recorded December 19, 1989, In Book 918 at Page 128.

The Nl/2SWl/4 of Section 15, Township 3 North, Range 57 West of the 6th P.M., Morgan County, Colorado, EXCEPT a parcel of land in the NW!/4SW1/4 and the SWl/4NWl/4 of Section IS, Township 3 North, Range 57 West of the 6th P.M., Morgan County, Colorado, as described in a Warranty Deed dated December 15, 1989 and recorded December 19, 1989, In Book 918 at Page 128.

The Sll2SWl/4 of Section 15, Township 3 North, Range 57 West of the 6th P.M., Morgan County, Colorado, EXCEPT a parcel of land located in the SWl/4SW1/4 of Section 15, Township 3 North, Range 57 West of the 6th P.M., more particularly described as follows: Commencing at the Southwest corner or said Section 15, as evidenced by the intersection of the centerline of the County Road running along the West and South sides of said SWl/4 of Section 15; thence East along the centerline of the County Road and the South side of said SWl/4SWl/4 of Section 15,291 feet to a point 5 feet West of the centerline of the Tarr Lateral; thence Nl0'42'E parallel to and 5 feet West of the centerline of said Tarr Lateral, 227 feet; thence N87°05'W, 332 feet to the centerline of the County Road and the West side of said SWl/4SWl/4 of Section 15; thence SOO"l3'W, 240 feet along the centerline of the County Road and along the West side of said SWl/4SWl/4 of Section 15, 240 feet to the point of beginning AND EXCEPT a parcel of land in the SWl/4SWl/4 of Section 15, Township 3 North, Range 57 West of the 6th P.M., Morgan County, Colorado, described as commencing at a point on the West line of said SWl/4SWl/4 from whlch the Southwest corner of said SWl/4SWl/4 bears S00'23'W at 240 feet; thence S87'05'E, 334 feet (recorded as 332 feet) to a point 5 feet West of the centerline of the Tarr Lateral; thence NI 1°12'E (recorded as Nl0'42'E) parallel to and S feet West of the centerline of said Tarr Lateral 1117.2 feet to a point on the North line of said SWl/4SWl/4; thence N89°IS'W (recorded as N88'46'W) along said North line 543.4 feet to a point on the West side of said SWl/4SW1/4; thence S00'23'W along said West side 1085.2 feet to the point of beginning.

PARCELB: A parcel of land In the NWl/4 of Section 15, Township 3 North, Range 57 West of the 6th P.M., Morgan County, Colorado, more particularly described as follows: Commencing at the North quarter corner of said $ection 15~thence Sl'05'W 288 feet along the East side of said NWl/4 of Section 15 to a point on the centerline of Badger Creek; thence N89°30'W along the centerline of said Badger Creek 1408 feet; thence S45°00'E along the centerline of said Badger Creek 882 feet; thence S43"2S'W along the centerline of said Badger Creek 784 feet; thence S73°to'W 1450 feet along the centerline of said Badger Creek to a point on the West side of said NWl/4 of Section 15; thence North along the West side of said NWl/4 of Section 15, 1898 feet to the NW corner of said Section 15; thence S89°4S'E along the North side of said NWl/4 of Section 15, 2717 feet to the point of beginning, EXCEPT a parcel of land in said NWl/4 of Section 15, more particularly described as follows: Commencing at a point on the North line of said NWl/4 of Section 15, which is 640 feet East of the NW corner of said Section 15; thence South 765 feet parallel to the West side of said NWl/4; thence East 430 feet parallel to the North side of said NWl/4; thence North 765 feet parallel to the West side of said NWl/4; thence West 430 feet along the North line of said NWl/4 to the point o( beginning.

A parcel of land in said NWl/4 of Section 151 more partkuJarly described as follows: Commencing at a point on the North line of said NWl/4 of Section IS, which is 640 feet East of the NW corner of said Section 15; thence South 765 feet parallel to tile West side of said NWl/4; thence East JJO feet parallel. to the North side of said NWl/4; thence North 765 feet parallel to the West side of said NWl/4; thence West 430 feet along the North line of said NWl/4 to the point of beginning.

1 ·•923630. . Pages: 8 of 15

WARRANTY DEED

THIS DEED, made this 7'"day of October 200S, between PF.TER V, ANDERSON and KAREN V. ANDERSON, whose address is 20738 Morgan County Road N, Fort Morgan CO 80701, Grantors, and RICHARD C. KRAFT and MARYL, KRAFT, as joint tenants, whose address is 19560 Morgon County Road 21, Fort Morgan CO 80701, Grantees:

WITNESSETH, That the Gtantors, for and in consideration of the sumof Three Hundred Thousand and no/100 Dollars ($300,000.00), and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, have granted, . bargained, sold and conveyed, and by these presents do grant, bargain, sell, convey and confinn unto the Grantees, their heirs and assigns forever, all the real property, together with improvements, if any, situate, lying and being in the County of Morgan, State of Colorado, described as follows:

See Exhibit A attached hereto and made a part hereof by incoq,oration.

TOGETHER with all improvements located thereon.

TOGETHER with all water and water rights appurtenant thereto including, but not limited to, one livestock well, Penni! No. 239293-A (drill structure completed but no pump or other equipment installed). ·

TOGETHER with all oil, gas or other minerals found on or beneath the subject premises owned by the Grantors as of the date hereof.

Subject to easements and rights of way of record; specicl assessment and taxing districts of record; prior mineral reservations of record; oil and gas leases of record., public utility letters of record; U.S. patent reservations of record; Lease Agreements recorded in Book 990 at page 982 and Book 990 at page 969 of the records of the Clerk and Recorder of Morgan County, Colorado; terms and conditions of a certain Agreement between Fort Morgan Reservoir and Irrigation Company and Kennedy, et al Investments, LLC recorded in Book 990 at page 479 of the records of the Clerk and Recorder of Morgan County, Colorado; terms and conditions of a certain Agreement between Dale Kennedy, Virgie G. Kennedy aka Virgie B. Kennedy, and The Kennedy Family Trust and Morgan County Feeders, Inc. recorded in Book 921 at page 98 of the records of the Clerk and Recorder ofMorgan County, Colorado, and the 2005 property taxes due and payable in 2006 and thereafter.

TOGETHER with all and singular the hereditaments and appurtenances thereto belonging, or in acywise appertaining, the reversion and reversions, remainder and remainders, rents, issues and profits thereof, and all the estate, rig:,~ title, interest, claim and demand whatsoever of the Grantors, either in law or equity, of, in and to the above bargained premises, with the hereditaments and appurten)lllces. ·

TO HAVE AND TO HOLD the said premises above bargained and described with the appurtenances unto the Grantee, her heirs and assigns forever. And the Grantors, for themselves and their successors do covenant, grant, bargain and agree to and with the Grantees, their heirs and assigns, that at the ·time of the ensealing and delivery of these presents, they are well seized of the premises above conveyed, have good, sure, perfect, absolute and indefeasible estate of inheritance,' in Jaw, in fee simple, and have good right, full power and a4thority to grant, bargain, sell and convey the sarne in manner and fonn as aforesaid, and that the saru~ is free and clear from all former and other grants, bargains, sales, liens, taxes, assessments, encumbrancesand restrictions.of whateverkind or naturesoever.

The Gnmtors shall and will WARRANT AND FOREVER DEFEND the above bargained premises in the quiet and peaceable possession of the Grantees, their heirs, successors and assigns, against all and every person or persons lawfully claiming the whole or any part thereof. The singular number shall include the plural, the plural the singular, and the use of any gender shall be applicable to all genders. "9:?3630 Pages: 9 of 15 •..

IN WITNESSWHEREOF, The Granters have caused their hands and seals to be hereunto affixed, the day and year first above written.

~,J:.,. 14v\ro1~ Peter~11.w~ V. Anderson Karen V. Anderson

STATE OF COLORADO ) ss. COUNTYOF MORGAN )

Subscribed and sworn to before me this 6"' day of October 2005, by Peter V. Anderson and Karen V. Anderson,

WITNESS my hand and official seal. My commission expires: 6/1/08

? " 9?36'30 Pages: 1o of 15 '" ;:· C

EXHIBITA

1110Nll!SWl/4 and lb• Nll!SlllSWl/4 ol Setllon27, 'rlffi'l!&hlp3 Nortfl, ltattge 57 W"l or lht 61hl'.M, Mo111anCounl!', Colon, moropn11leulnly des•rl~,d as •ommen•lngal the w.. 1 (!narter Cornerohnld s,ctlon 27 n, e•ldencedby No.5 r!lbarlonnd1 lha1 NBA'S9'!6"ERlong lhe Northline •hnld SWl/4, 2541.~St11t to ft J 112"Aluminum Manomanl morlP ma1nnce00779,97 re,110lhe pulnlofheglnnlng, AND a tract ntlnnd lylneIn 1111,NEl/4 olSe,llon.21,Tom11hlp 3 Nori!~llonge 111\Vesl o!th, 6th P.llf,,Morgan Conn1y, Colorado, 11111n pnt1leularl3 de!•rlbld as follow1rB,glnnlngnt menorth• ,e11lon,orner •hnrnSection 271 tben,e SOl'lU'5111Wa dlatnneeol 133,47feel; then,~ NS~·s~'41"W Ii dl1!Jlneeor 1387.59fee11 then,. NDl'J9•Sl"li:• dl,t,,nte orJlt,58 ree11lh,n,, S19'S8'24"£.ad!Glilneo or 1386.20r,,110 ll!e polht arbei;lnnlng, .

'..:·.. ·

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.. \f:~··-·: .. __:· .. :, -·-:·.:·.. ··?·:··.:.

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-::,:. i ,9·23530 Pages: 11 of 15 I

REC DOC NOT 753996 8-992 Pcl54 0~/?2/96 09157A PG l OF 2 11,00 l~,00 Fuy R, ~ohn~on Mor9an Qc~n~y W~):',>EED

Tf/lS lNDBNTUR!lmade this itst oay of March, 1996, by an.

P & R FARMS, INC,, a Cqlorado ,orporalion, 21190 County Roag R, Fort Morgan, CO 80701, Gmnlor ~nd

PANIEL L. KA,UFJ,'M,\J\1an(( SU/\RQN K, K,\UFk'I\II/\N, join.\ tonan1s, !6985 County Road 71, F

WlTNESS6TVi: The ilmrrtqrfor ~11<)l1199ns!der~rt~n Qf.l!w ;ym o.f Qn~!Jun~r!l!J Tw~nty'rhyuian\l ~m!OQl)QQ @!iO,Ql)Q,00) 11~\l~f§ ~n!l !ith~r ¥;)u;i)I!~ Qmi,i9,~r~ll~n \~ lt. in t1~n

];o~nsl~ip 3, North,l3.ap~e .57. ~C!i~ -~~ tb@. 9-t.h ..P,.M,

Section 9: N1hNE1AEX~BPT a garceldeijcribed as <:ommcp~ing at thf Northeast cprner of ~a.i!fSeCtion 9, TQwuship3 Nonh, Range57 West of\h• 6th P.,vl.; thenceSouth 89°53' W along tho Northline of Section 9 201,Hcet. thence$outh 415.$ feet, Jhence N89'~3'1:;;wi.,. feet to a point on the E;'Aof s,ction 9 4t~,S feet tQ tl1epoint beglnnit1g,as convered by P

TOG!,THl'lR WIT!! an un,livi!led one,half (14) intorest Ill irrigation well, pump, motor and all equipnwntof an inig,llion W¥11located in th~Si;,1.11hwi.:s.t ~orrer of the parc~lb~ina- conv_ey~P.,

TOOBTHERWl'f-H all water.and wa1e, rights appucte.nantthereto including, but not limiting it ;o, Hi sharesQf tbc cap,italstook of Fort Morgan Reservoiran4 lrri2ntioJ1 Qompany and 16 shi!resof the capital stock of UwSo~t]rnidc Laterql COn.\Pi\TIY,

TO(JETIIERW 11'/i all impmye1nc1111U1cr;;on,

alio ~nownaH J6R85 eouJ1tY Road i1. Fwt Morgan, Qolorndo•.

S!Jl!JllGT T(): Ro,ds, ~itch••· pe\~nt mowatlon,, e.u;ementsana r\ghts,of,w~y of record, reservations1111d rcitrictions 9f r~rd, oil, SS1or rninci,dJoas~,; buildlrig, zoning and su\ldlvisionregulations; \996 t;i~o•o.ue an~ puya\>ie'in1997 an(! sp~ial assesi.rn,nttjisIJicts ,,

well ~s noUceof µn_d~rgrgundfaci!iti~ 1

TO HAVll ANDTO HO(,,]?the BaJ110,t9gether with all and singular tile title and inter~st of Grantor to th~ ieni;!m~n~.ll~r;dilaments 1;tnd appllrlen~ni;Qs ~1tr~Y1J.to b~looghm, or i~ ·a.ny wise !J.pp.ertainlng.And the s~idGiantor her~by c:;iv~o~nts and agr~e¥ that ai the deJiv~ryber~of it is the lawful own~rof the inten~~therel;ly C(mvey@. in the aboved~J;cdbed premis~s; t~at H will warrapt 1;1ndclefenQ thi, same\.m~o .Grantees, ;is joint tena.nts,th~ir hi;!.Fs,sui::cessqrs anQ ~'isignsforever, agains.tsaid Orantar, i111sycc~~ror~ a,11Q assigns aqd ull and every p~r~.onor

person~whrnn,:;oev~r lawfully cla.hninithro\1gl1 1 by or underit, themor eitl\c.rQf themi

I ,. .• '923630 Pages: 12 of 15

IN WITNESSWHEREOF Grantor hereunto sets jts hand and seal on the day and year first above written. P & R FARMS, INC., a Colorado corporation

BY:~~ President ATTEST:

...... ,.,,,.,,,,t: •' ,:..1,,.~. i+' ·--~ /' 'rerarj_t-~~,.,._~,1.;,.z.P-0:±\.'.\lhf-.;';,; .bk ,oA.:

The foregoing instrument was acknowledg~ beforeme thi~ 21st day of March, 1996by KENNETH t,. KAUFFMAN am! JANET E.' KAUPPMAN, as president and· Secretary respectively of P & R PARMS, INC., a Colorado corporation.

Witness my hand and official seal. ~~ssion expires: ,3.-1341 .., !<· S, ...,-(, ', ,...... ,.....Q-,·~~.. ,•. . ~'\,,J ,-.n"'\Aly"·· I •• ~ ~:·l~O r '\.". ~- u, .,, . ' t J .,,.,p,~" :: ·: ; : ',C, f'' '• ;. I "'•,.. I?. lj~\.,~ \'·'·' .. ,,: 1.-/,' u'l.r,q l<,:i'·t,.,p,. • ,,1, )..'4/ _. ,, ' .,.t;·or,Q~,'.'t,:;°/ :..,,':'..".·r::,;.;r·

753996 B-992 P-15~ 03/22/96 0~:57A PG Z Of 4 ·• 9236°:30 Pages: 13 of 15

ExhibitC Pipeline pathway description:

Starting at the Quail Ridge Dairy lagoon location south of county road P on county road 22, traveling northbound on owned properfy then transferring along the eastern fence line of the Dinklage Feedlot leased property (Kennedy investment LLC), crossing ta Morgan Ditch Canal. Then following the Morgan Ditch Canal road on the· northern side heading west bound until turning north l:iound at the Bath/Schiothauer lateral up to county road P and 21.5, where the pipeline will utilize the laterals culverts to go from the south west part ofthe intersection, to the northwest part of the intersection, then to the northeast part of the intersection. (This will allow service to the Keith Bath Schlothauer farm), After that farm has been serviced then the pipe will be retracted to the north west part of the intersection of P and 21.5 to continue traveling west bound on Kraft Family Dairy property until approximately 400ft before the intersection of county road P and 21, where it will turn north bound for approximately 280ft, where it will connect into a bored pipe {12inch) that will go under Jennifer and Adam Dahls' property containing the Badger creek, then under county road 21, with a riser of the bored pipe in the Bath/Achinger property approximately 315ft north of the intersection marker sign of P and 21 and approximately 50-60ft from the center of the. road (dependent upon the location of the Quality Water Line). At t_hispoint the pipeline will travel west bound around the northern side of the barn and batk towards county road P, where it will follow county road P, up to approximately 670ft east and 60ft north of the intersection marker sign of county roads P and 20. The pipeline will be bored (12inch) under county road P and re-emerge on the south side of county road P approximately 670ft east and 80 ft south of the intersection marker sign of county roads P and 20. The pipeline will then run south on Kraft Family Dairy property to service fields there, After those farms In that pipelines area are serviced we will go back to the pipeline riser north and west of the intersection of county road P and 21. From there the -pipeline will travel north bound across Bath property, around the west side of the Eby property, and Kauffman property until approximately 635ft south and west of the intersection of county roads Q and 21, where It Willfollow the curve of the Kauffman field northwest and then connecting into a bored (12inch) pipe that at approximately 635ft west and 30ft of the intersection marker sign (dependent upon location of Quality Water pipeline) will go from the south side of county road Q and re-emerge on the north side of county road Q approximately 635ft west and 80ft north of the intersection marker sign. Then it will travel north east on the edge of the l

Additional Notes: If where possible we would like to be able to run the above ground parts of this pipeline in the barrow ditch keeping us out of growing crop ground and also affording us the ability to fully fertilize every available space of the fields we are applying to. -All land owners have given verbal permission to cross their properties or bore from their properties. The Colorado State Health Department has no issue with the use of the pipeline. The Army Corps. Of Engineers also has no issue with the bore that will cross the Badger Creek. Written easements are included with this. ' • 923630. Pages: 14 of 15

Parts of the Pipeline that are to be bored will be permanent and Willbe used at other times to transport effluent from the Kraft Family Dairy lagoons after or before cropping seasons in years to tome. The Above ground portion of this pipeline is tel11j)orarytne only portions of this pipeline that are ( permanent are the three bored crossings: #1 northwest of intersection P and 21, #2 east of intersection P and 20, #3 west of intersection Q and 21

•• I Total pipelihe length that is above the ground following the county road is: 17,178 Feet total pipeline length that Is bored beli:,wground crossing county roads is: 900 feet for all three crossings

i:xhibit for:

Floodplain Crossing description.

Near the intersection of County Road P and 21 the placement of a i2 inch Diameter polyethylene pipe line will cross from Badger Creek Farm property approximately 460 feet east and approximately 303 feet north of the intersection marker sign Where there will be a 2 ftiot tall riser crossing west Linderthe the iarr ditch lateral, Adam and Jennifer Dahls' property Includingthi! Badger creek waterway, County Road 21, and part of Keith Baths property where it wlli resurface approxifnately 315 feet north of the intersection marker sign staying approximately 30 feet from the corner of the barn, ending with a 2 foot · tall riser. The risers will have couplers a.ttathed that will allow ease of hoOklng and in hooking of lay flat piping that will travel on to service other farms in the vicinity. After use of the crossing and all pipelines attached to the pipelines will all be blown out and clean leaving no effluent or liquid in the pipelines, then they wlll be capped until i'urther need oftlie crossings ara necessary. (

PROOF OF OWNERSHIP Current Title Insurance Commitment (within last 6 months) Any deeds or other additional ownership documentation

0 "U ~ ;o zomo ;o "Tl ~o - "Tl "U EQUITY TITLE ASSOCIATES II, LLC

520 Sherman Street Fort Morgan, CO 80701 Phone: (970) 867-0515• Fax: (970) 867-2246

Date: November 9, 2020 Our File Number: 00056138 SB

C-1 - New TBD Commitment

Re: Daniel L. Kauffman and Sharon K. Kauffman / TBD Property Address: Multiple Properties Fort Morgan, CO 80701

Escrow Officer: Title Only Title Officer: Shelly Butt - (303) 563-4655 - [email protected]

Delivery List

Seller: Copy to: Daniel L. Kauffman and Sharon K. Kauffman Thomas Land Surveying, PLS 2619 West 11th Street Road, Su Greeley, CO 80634 Buyer: Attn: Bob Thomas TBD Ph: (970) 222-3311 Fax Email; [email protected] SENT VIA EMAIL stewart title

ALT A COMMITMENT FOR TITLE INSURANCE

ISSUED BY STEWART TITLE GUARANTY COMPANY - II

NOTICE

IMPORTANT - READ CAREFULLY: THIS COMMITMENT IS AN OFFER TO ISSUE ONE OR MORE TITLE INSURANCE POLICIES. ALL CLAIMS OR REMEDIES SOUGHT AGAINST THE COMPANY INVOLVING THE CONTENT OF THIS COMMITMENT OR THE POLICY MUST BE BASED SOLELY IN CONTRACT.

THIS COMMITMENT IS NOT AN ABSTRACT OF TITLE, REPORT OF THE CONDITION OF TITLE, LEGAL OPINION, OPINION OF TITLE, OR OTHER REPRESENTATION OF THE STATUS OF TITLE. THE PROCEDURES USED BY THE COMPANY TO DETERMINE INSURABILITY OF THE TITLE, INCLUDING ANY SEARCH AND EXAMINATION, ARE PROPRIETARY TO THE COMPANY, WERE PERFORMED SOLELY FOR THE BENEFIT OF THE COMPANY, AND CREATE NO EXTRACONTRACTUAL LIABILITY TO ANY PERSON, INCLUDING A PROPOSED INSURED.

THE COMPANY'S OBLIGATION UNDER THIS COMMITMENT IS TO ISSUE A POLICY TO A PROPOSED INSURED IDENTIFIED IN SCHEDULE A IN ACCORDANCE WITH THE TERMS AND PROVISIONS OF THIS COMMITMENT. THE COMPANY HAS NO LIABILITY OR OBLIGATION INVOLVING THE CONTENT OF THIS COMMITMENT TO ANY OTHER PERSON.

COMMITMENT TO ISSUE POLICY

Subject to the Notice; Schedule B, Part I - Requirements; Schedule B, Part II - Exceptions; and the Commitment Conditions, STEWART TITLE GUARANTY COMPANY - 11,a Texas corporation (the "Company"), commits to issue the Policy according to the terms and provisions of this Commitment. This Commitment is effective as of the Commitment Date shown in Schedule A for each Policy described in Schedule A, only when the Company has entered in Schedule A both the specified dollar amount as the Proposed Policy Amount and the name of the Proposed Insured.

If all of the Schedule B, Part I - Requirements have not been met within six (6) months after the Commitment Date, this Commitment terminates and the Company's liability and obligation end.

Countersigned: stewart title guaranty company ,~;:?7'=~- Matt Morris 0)1li,Pf3criJ-­,o,- President and CEO Authorized Signature Equity Title Associates II. LLC Secretary Company Name ~ Fort Morgan, Colorado City State

For purposes of this form the -stewart Title" logo featured above is the represented logo for the underwnter. Stewart Title Guaranty Company - II.

This page is only a part of a 2016 AL TA® Commitment for Title Insurance. This Commitment is not valid without the Notice; the Commitment lo Issue Poffcy: the Commitment Conditions; Schedule A; Schedule B. Part I - Requirements; and Schedule B, Part fl - Exceptions; and a countersignature by the Company or its issuing agent that may be in electronic form.

Copyright American Land Title Association. All rights reserved. The use of this Form is restricted to ALTA licensees and AMt~IC:.\N ALTA members in good standing as of the date of use. All other uses are prohibited. Reprinted under license from the American ,.,i,;,1,1111 --'W< r.,!lo>~ Land Title Association.

File No.: 00056138 ALTA Commitmentfor Title Insurance 6-17-06 (Revised 8-1-16) Page 1 COMMITMENT CONDITIONS

1. DEFINITIONS (a) "Knowledge" or "Known": Actual or imputed knowledge, but not constructive notice imparted by the Public Records. (b) "Land": The land described in Schedule A and affixed improvements that by law constitute real property. The temn "Land" does not include any property beyond the lines of the area described in Schedule A, nor any right, title, interest, estate, or easement in abutting streets, roads, avenues, alleys, lanes, ways, or waterways, but this does not modify or limit the extent that a right of access to and from the Land is to be insured by the Policy. (c) "Mortgage": A mortgage, deed of trust, or other security instrument, including one evidenced by electronic means authorized by law. (d) "Policy": Each contract of title insurance, in a form adopted by the American Land Title Association, issued or to be issued by the Company pursuant to this Commitment. (e) "Proposed Insured": Each person identified in Schedule A as the Proposed Insured of each Policy to be issued pursuant to this Commitment. (f) "Proposed Policy Amount": Each dollar amount specified in Schedule A as the Proposed Policy Amount of each Policy to be issued pursuant to this Commitment. (g) "Public Records": Records established under state statutes at the Commitment Date for the purpose of imparting constructive notice of matters relating to real property to purchasers for value and without Knowledge. (h) "Title": The estate or interest described in Schedule A.

2. If all of the Schedule B, Part I - Requirements have not been met within the lime period specified in the Commitment to Issue Policy, this Commitment terminates and the Company's liability and obligation end. 3. The Company's liability and obligation is limited by and this Commitment is not valid without: (a) the Notice; (b) the Commitment to Issue Policy; (c) the Commitment Conditions; (d) Schedule A; (e) Schedule B, Part I - Requirements; (f) Schedule B, Part II - Exceptions; and (g) a countersignature by the Company or its issuing agent that may be in electronic fomn.

4. COMPANY'S RIGHT TO AMEND The Company may amend this Commitment at any time. If the Company amends this Commitment to add a defect, lien, encumbrance, adverse claim, or other matter recorded in the Public Records prior to the Commitment Date, any liability of the Company is limited by Commitment Condition 5. The Company shall not be liable for any other amendment to this Commitment. 5. LIMITATIONS OF LIABILITY (a) The Company's liability under Commitment Condition 4 is limited to the Proposed lnsured's actual expense incurred in the interval between the Company's delivery to the Proposed Insured of the Commitment and the delivery of the amended Commitment, resulting from the Proposed lnsured's good faith reliance to: (i) comply with the Schedule B, Part I - Requirements; (ii) eliminate, with the Company's written consent, any Schedule B, Part II - Exceptions; or (iii) acquire the Title or create the Mortgage covered by this Commitment. (b) The Company shall not be liable under Commitment Condition 5(a) if the Proposed Insured requested the amendment or had Knowledge of the matter and did not notify the Company about it in writing. (c) The Ccmpany will only have liability under Commitment Condition 4 if the Proposed Insured would not have incurred the expense had the Commitment included the added matter when the Commitment was first delivered to the Proposed Insured.

This page is only a part of a 2016 ALTA® Commitmenttor Titre Insurance. This Commitment is not valid without the Notice; the CommJtmenllo Issue Policy; the Commitment Conditions:Schedule A; Schedule 8, Part I~ Requirements; and Schedule B. Part fl~ Exceptions:and a countersignatureby the Company or its issuing agent that may be in electronic form.

Copyright American Land Title Association. All rights reserved. The use .o~this Fa~ is restricted_to ALTA licensees a~d M~l.!I.IC~N ALTA members in good standing as of the date of use. AU other uses are prohibited. Repnnted under license from the Amencan ;.,i.·.,n,,, -,<.\<)<'"'"'" Land Title Association.

File No.: 00056138 ALT A Commitment for Title Insurance 6-17-06 (Revised 8-1-16} Page 2 (d) The Company's liability shall not exceed the lesser of the Proposed lnsured's actual expense incurred in good faith and described in Commitment Conditions 5(a)(i) through 5(a)(iii) or the Proposed Policy Amount. (e) The Company shall not be liable for the content of the Transaction Identification Data, if any. (f) In no event shall the Company be obligated to issue the Policy referred to in this Commitment unless all of the Schedule B, Part I - Requirements have been met to the satisfaction of the Company. (g) In any event, the Company's liability is limited by the terms and provisions of the Policy. 6. LIABILITY OF THE COMPANY MUST BE BASED ON THIS COMMITMENT (a) Only a Proposed Insured identified in Schedule A, and no other person, may make a claim under this Commitment. (b) Any claim must be based in contract and must be restricted solely to the terms and provisions of this Commitment. (c) Until the Policy is issued, this Commitment, as last revised, is the exclusive and entire agreement between the parties with respect to the subject matter of this Commitment and supersedes all prior commitment negotiations, representations, and proposals of any kind, whether written or oral, express or implied, relating to the subject matter of this Commitment. (d) The deletion or modification of any Schedule B, Part II - Exception does not constitute an agreement or obligation to provide coverage beyond the terms and provisions of this Commitment or the Policy. (e) Any amendment or endorsement to this Commitment must be in writing and authenticated by a person authorized by the Company. (f) When the Policy is issued, all liability and obligation under this Commitment will end and the Company's only liability will be under the Policy. 7. IF THIS COMMITMENT HAS BEEN ISSUED BY AN ISSUING AGENT The issuing agent is the Company's agent only for the limited purpose of issuing title insurance commitments and policies. The issuing agent is not the Company's agent for the purpose of providing closing or settlement services. 8. PRO·FORMA POLICY The Company may provide, at the request of a Proposed Insured, a pro-forma policy illustrating the coverage that the Company may provide. A pro-forma policy neither refiects the status of Title at the time that the pro-forma policy is delivered to a Proposed Insured, nor is it a commitment to insure. 9. ARBITRATION The Policy contains an arbitration clause. All arbitral matters when the Proposed Policy Amount is $2,000,000 or less shall be arbitrated at the option of either the Company or the Proposed Insured as the exclusive remedy of the parties. A Proposed Insured may review a copy of the arbitration rules at .

STEWART TITLE GUARANTY COMPANY -11

All notices required to be given the Company and any statement in writing required to be furnished the Company shall be addressed to it at P.O. Box 2029, Houston, Texas 77252-2029.

This page is only a part of a 2016 ALTA® Commitment for Td/e Insurance. This Commitment is not valid without the Notice; the Commitment to Issue Policy; the Commitment Conditions; Schedule A; Schedule B. Part I - Requirements; and Schedule B, Part If - Exceptions; and a countersignature by the Company or its issuing agent that may be in electronic form.

Copyright American Land Title Association. All rights reserved. The use of this Form is restricted io ALTA licensees and M~tl<.IC.\." ALTA members in good standing as of the date of use. All other uses are prohibited. Reprinted under license from the American -"\<"""''" Land Title Association.

File No.: 00056138 ALTA Commitment for Title Insurance 6-17-06 (Revised 8-1-16) Page 3 ALTA COMMITMENT FOR TITLE INSURANCE SCHEDULE A ISSUED BY STEWART TITLE GUARANTY COMPANY· II

Transaction Identification Data for reference only: Issuing Agent: Equity Title Associates II, LLC Issuing Office: 520 Sherman Street, Fort Morgan, CO 80701 Loan ID Number: D Issuing Office File Number: 00056138 Property Address: _ Multiple Properties, Fort Morgan, CO 80701 1. Effective Date: November 2, 2020 at 8:00 a.m.

2. Policy to be issued:

(a) None Proposed Insured: TBD Proposed Policy Amount: $0.00

(b) None Proposed Insured: Proposed Policy Amount: $0.00

(c) None Proposed Insured: [ ] Proposed Policy Amount: $0.00

3. The estate or interest in the Land described or referred to in this Commitment is:

FEE SIMPLE

4. The Title is, at the Commitment Date, vested in:

Daniel L. Kauffman and Sharon K. Kauffman

5. The Land is described as follows: See Exhibit A attached hereto and made a part hereof.

STEWART TITLE GUARANTY COMPANY· 11 Countersigned By

Authorized Signature

This page is only a part of a 2016 ALTA® Commitment for Title Insurance. This Comm11ment is not valid without the Notice: the Commitment to Issue Policy; the Commitment Conditions; Schedule A; Schedule B, Part I - Requirements; and Schedule 8, Part// - Exceptions; and a countersignature by the Company or its issuing agent that may be in electronic form.

Copyright American Land Title Association. All rights reserved. The use of this Form is restricted to ALTA licensees and ,\Mfil.lC.~." ALTA members in good standing as of the date of use. Al! other uses are prohibited. Reprinted under license from the American tCl'i!_r:•)\_I Land Title Association. -"''""'"''"'

File No.: 00056138 ALTA Commitment for Title Insurance 6-17-06 (Revised 8-1-16) Page 1 TITLE PREMIUMS

TBD Commitment Fee 300.00 ~ TOTAL $ 300.00 Closing Protection Letter Fee (if applicable): $25.00 ,

This page is only a part of a 2016 ALTA® Commitment for Title Insurance. This Commitment is not valid without the Notice: the Commitment to Issue Policy; the Commitment Conditions; Schedule A; Schedule 8, Part I - Requirements; and Schedule B. Part It - Exceptions; and a countersignature by the Company or its issuing agent that may be fn electronic form.

Copyright American Land Title Association. All rights reserved. The use of this Form is restricted to ALTA licensees and ,\/t.(KlC"·" ALTA members in good standing as of the date of use. All other uses are prohibited. Reprinted under license from the American -t•i::;nJ>)tl Land Title Association. '""''·"''''"

File No.: 00056138 ALTA Commitment for Title Insurance 6-i 7-06 {Revised 8-1-16) Page 2 EXHIBIT A LEGAL DESCRIPTION

The North Half of the Northeast Quarter (N Y, NE%) of Section 9, in Township 3 North of Range 57 West of the 6'" P.M., EXCEPT a parcel described as commencing at the Northeast corner of said Section 9, Township 3 North of Range 57 1 West of the 6 h P.M.; THENCE South 89°53' West along the North line of Section 9, 201.2 feet; THENCE South 415. 3 feet; THENCE North 89'53' East 201.2 feet to a point on the East line of the NE 'I. of Section 9; THENCE North along the NE ·y,; of Section 9, 415.3 feet to the point of beginning, as conveyed by Deed recorded May 23, 1990 in Book 922 at Page 529, of the records of said County, County of Morgan, State of Colorado;

AND

A parcel described as commencing at the Northeast corner of said Section 9, Towns hip 3 North of Range 57 West of the 6" P.M.; THENCE South 89'53' West along the North line of Section 9, 201.2 feet; THENCE South 415.3 feet; THENCE North 89'53' East 201.2 feet to a point on the East line of the NEY. of Section 9; THENCE North along the NE Y. of Section 9,415.3 feet to the point of beginning, as conveyed by Deed recorded May 23, 1990 in Book 922 at Page 529, of the records of said County, County of Morgan, State of Colorado.

This page is only a part of a 2016 ALTA® Commitment for Title Insurance. This Commitment is not valid without the Notice: the Commitment to Issue Policy; the Commitment Condftions; Schedule A; Schedule 8, Part I - Requirements; and Schedule B. Part II - Exceptions; and a countersignature by the Company or its issuing agent that may be in electronic form.

Copyright American Land Title Association. All rights reserved. The use of this Form is restrlcted to AL TA licensees and .\MtRtC.,.-1 ALTA members in good standing as of the date of use. All other uses are prohibited. Reprinted under license from the American <'.'!:'T!..n:.t.< Land Title Associaiion. -

File No.: 00056138 ALT A Commitment for Title Insurance 6-17-05 (Revised 8-1-16) Page 3 ALTA COMMITMENT FOR TITLE INSURANCE SCHEDULE B PART I

ISSUED BY STEWART TITLE GUARANTY COMPANY· II

Requirements

File No.: 00056138

All of the fello·ving Requirenaents naust ee naet:

A J<, The Proposed lnsu:ea naust notify the_ Conapany in writing of the nanae of any party not referrea to in this Conana1tnaentwho will obtain an interest ,n the Land or who will naake a loan on the LanEI. n,e Conapany may then make additioRal ROE!UiFeFRentsor Exceptions.

B. Pay the agreeEI amount for the estate or interest to be insured.

c. Pay the premiums, fees, ana charges fer the Policy to the Company.

D. Documents satisfactory to the CoFFlpany that convey the Title or create the Mortgage to be insured, or both, must be properly authonzed, exeeutea, del1verea, ans reeordea in the Pulalis Reeor

iL

[ clause

E. E:vi8ence if any that all assessFAents for cemmen expenses due unGer the Declaration referred to in ached1:1le B Se&lion 2 eontained herein, have been paid. '

F. Receipt by the Conapany of a satisfaetory Final Affidavit, m,ecuted by Qaniel L. Kauffnaan and Sharen K. Kauffman.

G. Receipt by the Conapany of a satisfaetcry Final Affidavit, eKecuted by nm.

H. Receipt by the Conapany of a Gap lndenanity Affidavit, eKecuted lay Qaniel L. Kauffnaan and Sharon K. Kauffnaan

I. Receipt by t~e Conapany of a Gap I ndenanity Affidavit, ellecuted by TBQ.

J. Paynaent of all taJ

This page is only a part of a 2016 ALTA® Commitment for Title Insurance. This Commitment is not valid without the Notice; the Commitment to Issue Policy; the Commitment Conditions; Schedule A; Schedule 8, Pert I - Requirements: and Schedule 8, Part II - Exceptions; and a countersignature by the Company or its issuing agent that may be in electronic form.

Copyright American Land Title Association. All rights reserved. The use of this Form ls restricted to AL TA licensees and ·\MSll.11.:~-" ALTA members in good standing as of the date of use. A!I other uses are prohibited. Reprinted under license from the American -\:-!'In n11.t ''''""''''~ Land Title Association.

File No.: 00056138 ALTA Commitment for Title Insurance 6-17-06 (Revised 8--1-16) Page 4 ALTA COMMITMENT FOR TITLE INSURANCE SCHEDULE B PART II

ISSUED BY STEWART TITLE GUARANTY COMPANY -11

Exceptions

File No.: 00056138

THIS COMMITMENT DOES NOT REPUBLISH ANY COVENANT, CONDITION, RESTRICTION, OR LIMITATION CONTAINED IN ANY DOCUMENT REFERRED TO IN THIS COMMITMENT TO THE EXTENT THAT THE SPECIFIC COVENANT, CONDITION, RESTRICTION, OR LIMITATION VIOLATES STATE OR FEDERAL LAW BASED ON RACE COLOR, RELIGION, SEX, SEXUAL ORIENTATION, GENDER IDENTITY, HANDICAP, FAMILIAL STATUS, OR NATIONAL ORIGIN.

The Policy will not insure against loss or damage resulting from the terms and provisions of any lease or easement identified in Schedule A, and will include the following Exceptions unless cleared to the satisfaction of the Company:

1. Any defect, lien, encumbrance, adverse claim, or other matter that appears for the first time in the Public Records or is created, attaches, or is disclosed between the Commitment Date and the date of which all of the Schedule B, Part I - Requirements are met.

NOTE: Provided Equity Title Associates II, LLC conducts the closing of this transaction, Exception 1 will be deleted.

2. Rights or claims of parties in possession not shown by the public records. 3. Easements or claims of easements, not shown by the public records.

4. Discrepancies, conflicts in boundary lines, shortages in area, encroachmenls, and any facts which a correct survey and inspection of the premises would disclose and which are not shown by the public records.

5. Any lien, or right to a lien for services, labor or material heretofore or hereafter furnished, imposed by law and not shown by the public records.

NOTE: Upon receipt of [a satisfactory survey and] [final affidavits], as shown in Schedule B - Section 1, Exceptions 2 through 5 will not appear on the Lender's Policy (if any) to be issued hereunder.

6. Taxes and assessments which are a lien or are now due and payable; any tax, special assessment, charge or lien imposed for or by any special taxing district or for water or sewer service; any unredeemed tax sales. NOTE: Upon payment of all taxes and assessments now due and payable, as shown in Schedule B - Section 2, Exception 6 will be amended to read as follows: "Taxes and assessments for the year 2GW and subsequent years, a lien, not yet due or payable."

7. (a) Unpatented mining claims; (b) reservations or exceptions in patents or in Acts authorizing the issuance thereof; (c) water rights, claims or title to water; (d) Minerals of whatsoever kind, subsurface _a_ndsurface substances, in, on, under and that may be produced from the Land, together with all rights, pnv,leges, and immunities relating thereto, whether or not the matters excepted under (a), (b), (c) or (d) are shown by the Public Records or listed in Schedule B.

This page is only a part of a 2016 ALTA® Commitment for Title Insurance. This Commitment is not valid without th~ Notice: the Comm,?ment to ls~ue Poficy; the Commitment Conditions; Sche~ule A; Sc~edule B, Part I - Requirements; and Schedule 8, Part II - Exceptions; and a countersignature by ihe Company or its issuing agent that may be m electromcform.

Copyright American Land Title Association. All rights reserved. The use ?f.this Forn: fs restricted_ to ALTA licensees a~d ·\M/lllCA,'I ALTA members in good standingas of the date of use. Al! other uses are prohibited. Repnnted under license from the Amencan -(.:'t-:=J1..r.;_]!.\ Land Title Association. """'·""'~

..,,;,. ,. File No.: 00056138 --- ALTA Commitment for Title Insurance 6-17-06 (Revised 8-1-16} -- Page 5 SCHEDULE B, PART 11 (Continued)

B. The right of a proprietor of a vein or lode to extract and remove his ore therefrom should the same be found to penetrate or intersect the premises, as reserved in United States Patent dated May 4, 1894, as Timber-Culture Certificate No. 110. The Company makes no representation as to the present ownership of any such interests. There may be leases. grants, exceptions or reservations of interests that are not listed.

9. Terms, conditions, provisions, obligations, easements, agreements, benefits and burdens as set forth in the Order, recorded May 6, 1907, as Reception No. 25157.

10. Terms, conditions, provisions, obligations, easements, agreements, benefits and burdens as set forth in the Contract, recorded February 3, 1947, as Reception No. 328307.

11. An Oil and Gas Lease, from Reuben Kauffman and Pauline Kauffman, as Lessor(s} to Lee A Adams, as

Lessee(s), dated June 5, 1953 .. recorded July 27, 1953, as Reception No. 388861, and any and all assignments thereof or interests therein. The Company makes no representation as to the present ownership of any such interests. There may be leases, grants, exceptions or reservations of interests that are not listed.

12. An Oil and Gas Lease, from Reuben Kauffman and Pauline Kauffman, as Lessor(s) to Frank E. Humphries, as Lessee(s), dated January 20, 1963, recorded November 18, 1963, as Reception No. 508911, and any and all assignments thereof or interests therein. The Company makes no representation as to the present ownership of any such interests. There may be leases, grants, exceptions or reservations of interests that are not listed.

13. Terms, conditions, provisions, obligations, easements, agreements, benefits and burdens as set forth in the Decree, recorded November 12, 1976, as Reception No. 608104.

14. An Oil and Gas Lease, from Reuben Kauffman and Pauline Kauffman, as Lessor(s) to Morgan County Joint Venture, as Lessee(s), dated April 15, 1977, recorded January 3, 1978, as Reception No. 618646, and any and all assignments thereof or interests therein. The Company makes no representation as to the present ownership of any such interests. There may be leases, grants, exceptions or reservations of interests that are not listed.

15. An Oil and Gas Lease, from Reuben Kauffman and Pauline Kauffman, as Lessor(s) to Crystal Exploration and Production Company, as Lessee(s), dated April 16, 1978, recorded May 2, 1978, as Reception No. 621784, and any and all assignments thereof or interests therein. The Company makes no representation as to the present ownership of any such interests. There may be leases, grants, exceptions or reservations of interests that are not listed.

16. Reservation of all oil, gas and other minerals as described in Deed recorded May 23, 1990, as Reception No. 719524. The Company makes no representation as to the present ownership of any such interests. There may be leases, grants, exceptions or reservations of interests that are not listed.

17. Terms, conditions, provisions, obligations, easements, agreements, benefits and burdens as set forth in the Exemption, recorded June 18, 1990, as Reception No. 719929.

18. Easements, notes, covenants, restrictions and rights-of-way as shown on the Land Survey Plat, recorded May 10, 1991, in Book L 1 at Page 74, as Reception No. 1600074.

19. Terms, conditions, provisions, obligations, easements, agreements, benefits and burdens as set forth in the Severance Agreement, recorded December 16, 2008, as Reception No. 852882.

This page is only a part of a 2016 ALTA® Commitment for Title Insurance. This Commitment is not valid without the Notice; the Commitment to Issue Policy; the CommitmentCondffions; Schedule A; Schedule 8, Part I - Requirements;and Schedule B, Part Ii - Exceptions;and a countersignatureby the Companyor its issuing agent that may be in electronic form.

Copyright American Land Title Association. All rights reserved. The use of this Form is restricted to ALTA licensees and ''"'iR!C.Hl ALTA members in good standing as of the date of use. All other uses are prohibited. Reprinted under lrcense from the American 1.::l':'fl.Ti!.1c' -~''''''"'"'' Land Title Association. -.-­Y.~ File No.: 00056138 ALTA Commitmentfor Title Insurance 6-17-06 (Revised 8-1-16} Page 6 SCHEDULE B, PART II (Continued)

20. Terms, conditions, provisions. obligations. easements, agreements, benefits and burdens as set forth in the Right of Way and Easement Agreement, recorded February 21, 2020, as Reception No. 923630.

21. The following notices pursuant to CRS 9-1.5-103 concerning underground facilities have been filed with the Clerk and Recorder. These statements are general and do not necessarily give notice of underground facilities within the subject property:

a.) Mountain Bell Telephone Company recorded October 2. 1981, in Book 821 at Page 502.

b.) Fort Morgan Underground Facilities recorded November 22, 1989, in Book 917 at Page 513.

c.) Public Service Company of Colorado recorded October 2, 1981, in Book 821 at Page 514.

d.) Morgan County REA, recorded January 22, 1982, in Book 825 at Page 656.

This page fs only a part of a 2016 ALTA® Commitment for Title Insurance. This Commitment is not valid without the Notice; the Comm~tment to Issue Policy; the Commitment Conditions; Schedule A; Schedule 8, Part f - Requirements; and Schedule 8, Part If - Exceptions; and a countersignature by the Company or its issuing agent that may be in electronic form.

Copyright American Land Title Association. All rights reserved. The use?~ this Fo~ is restricted. to AL TA licensees a~d ,\MiRlt:,,:-1 ALTA members in good standing as of the date of use. AU other uses are proh1b1ted. Repnnted under license from the Amencan \Si,:;JJ1HI -,:,;·,;.;-;,"'''" Land Title Association. ··-~~ File No.: 00056138 ALTA Commitment for Title Insurance 6-17-06 (Revised 8-1-16} Page 7 DISCLOSURES

Pursuant to C.R.S. 10-11-122, notice is hereby given that:

A. THE SUBJECT REAL PROPERTY MAY BE LOCATED IN A SPECIAL TAXING DISTRICT; B. A CERTIFICATE OF TAXES DUE LISTING EACH TAXING JURISDICTION SHALL BE OBTAINED FROM THE COUNTY TREASURER OR THE COUNTY TREASURER'S AUTHORIZED AGENT; C. INFORMATION REGARDING SPECIAL.DISTRICTS AND THE BOUNDARIES OF SUCH DISTRICTS MAY BE OBTAINED FROM THE BOARD OF COUNTY COMMISSIONERS, THE COUNTY CLERK AND RECORDER, OR THE COUNTY ASSESSOR

Note: Colorado Division of Insurance Regulations 8-2-2, Section 5, Paragraph G requires that "Every title entity shall be responsible for all matters which appear of record prior to the time of recording whenever the title entity conducts the closing and is responsible for recording or filing of legal documents resulting from the transaction which was closed." Provided that Title Company of Sherwood, Inc. conducts the closing of the insured transaction and is responsible for recording the legal documents from the transaction, exception number 1 will not appear on the Owner's Title Policy and the Lender's Title Policy when issued.

Note: Affirmative Mechanic's Lien Protection for the Owner may be available (typically by deletion of Exception No. 4 of Schedule B, Section 2 of the Commitment from the Owner's Policy to be issued) upon compliance with the following conditions: A. The land described in Schedule A of this commitment must be a single-family residence, which includes a condominium or townhouse unit. B. No labor or materials have been furnished by mechanics or materialmen for purposes of construction on the land described in Schedule A of this Commitment within the past 6 months. C. The Company must receive an appropriate affidavit indemnifying the Company against unfiled Mechanic's and Materialmen's Liens. D. The Company must receive payment of the appropriate premium. E. If there has been construction, improvements or major repairs undertaken on the property to be purchased, within six months prior to the Date of the Commitment, the requirements to obtain coverage for unrecorded liens will include: disclosure of certain construction information; financial information as to the seller, the builder and/or the contractor; payment of the appropriate premium; fully executed Indemnity agreements satisfactory to the company; and, any additional requirements as may be necessary after an examination of the aforesaid information by the Company. No coverage will be given under any circumstances for labor or material for which the insured has contracted for or agreed to pay.

To comply with the provisions of C.R.S. 10-11-123, the Company makes the following disclosure: a. That there is recorded evidence that a mineral estate has been severed, leased or otherwise conveyed from the surface estate and that there is a substantial likelihood that a third party holds some or all interest in oil, gas, other minerals, or geothermal energy in the property; and b. That such mineral estate may include the right to enter and use the property without the surface owner's permission. NOTE: THIS DISCLOSURE APPLIES ONLY IF SCHEDULE B, SECTION 2 OF THE TITLE COMMITMENT HEREIN INCLUDES AN EXCEPTION FOR SEVERED MINERALS,

Notice of Availability of a Closing Protection Letter: Pursuant to Colorado Division of Insurance Regulation 8-1-3, Section 5, Paragraph C (11 )(f), a closing protection letter is available to the consumer.

NOTHING HEREIN CONTAINED WILL BE DEEMED TO OBLIGATE THE COMPANY TO PROVIDE ANY OF THE COVERAGES REFERRED TO HEREIN, UNLESS THE ABOVE CONDITIONS ARE FULLY SATISFIED.

Fl!e No.: 00056138 ALTA Commitment for Title Insurance 6-17-06 (Revised 8-1-16} Page 8 Orange Coast Title Family of Companies PRIVACY POLICY

We are committed to Safeguarding Customer Information In order to better serve your needs now and in the future, we may ask you to provide us with certain lnformation. We understand that you may be concerned about what we will do with such information - particularly any personal or financial information. We agree that you have a right to know how we will utilize the personal information that you provide to us. Therefore, we have adopted this Privacy Policy to govern the use and handling of your personal information.

Applicability This Privacy Policy governs our use of the information that you provide to us. It does not govern the manner in which we may use information we have obtained from any other source, such as information obtained from a public record or from another person or entity.

Types of Information Depending upon which of our services you are utilizing, the types of nonpublic personal information that we may collect include; Information we receive from you on applications, forms and in other communications to us, whether !n writing, in person, by telephone or any other means; Information we receive from providers of services to us, such as appraisers, appraisal management companies, real estate agents and brokers and insurance agencies (this may include the appraised value, purchase price and other details about the property that is the subject of your transaction with us). • Information about your transactions with us, our Affiliated Companies, or others; and • Information we receive from a consumer reporting agency.

Your California Rights (see attachments) or you may visit our website at https:/Jwww.titleadvantage.com/privacypo/icy.htm or call toll-free at (866) 241-7373. Only applies to CA residents

Use of Information We request information from you for our own legitimate business purposes and not for the benefit of any nonaffiliated party. Therefore, we will not release your information to nonaffiliated parties except: (1) as necessary for us to provide the product or service you have requested of us; or (2) as permitted by law. We may, however, store such information indefinitely, including the period after which any customer relationship has ceased. Such information may be used for any lnternal purpose, such as quality control efforts or customer analysis.

Former Customers

Even if you are no longer our customer, our Privacy Policy will continue to apply to you.

Confidentiality and Security We will use our best efforts to ensure that no unauthorized parties have access to any of your information. We restrict access to nonpublic personal information about you to those individuals and entities who need to know that information to provide products or services to you. We will use our best efforts to train and oversee our employees and agents to ensure that your information will be handled responsibly and in accordance with this Privacy Policy. We currently maintain physlcal, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information.

Other Important Information We reserve the right to modify or supplement this Privacy Policy at any time. If our Privacy Policy changes, we will post the updated Privacy Policy on our website and provide the ability to opt out (as required by law) before the new policy becomes effective.

If you have any questions or comments regarding our Privacy Policy you may contact us at our toll free number (866} 241 ~7373 or email us at dataprivacy@octitle .com.

Privacy Policy Last Revision 12/26/2019 Effective on 1/1/2020

Your California Rights

If you are 8 California resident, you may have certain rights under Califomia law, mcluding but not limited to the Califom.ia C?nsurner PnVacy Act ("CCPA ".). All phrases used herein shall have the same meaning as those phrases used under relevant Ca//fornta law, including but not limited to the CCPA.

Right to Know

File No.: 0005613fr003-T03 You have the right to know:

• The categories of personal information we have collected about or from you: • The categories of sources from which we collected your persona! information; The business or commercial purpose for collecting or sharing your personal information; The categories of third parties with whom we have shared your personal information; and The specific pieces of your personal information we have collected.

Process to Submit a Request. To submit a verified request for this information you may visit our website at https:l/www.titleadvantage.com/privacypolicy.htm or call toll-free at (866) 241-7373. You may also designate an authorized agent to submit a request on your behalf by visiting our website https://www.titleadvantage.com/privacvpolicy.htm or calling toll-free at {866) 241-7373 and then also submitting written proof of such authorization via e-mail to dataprivacy@octitle .com.

Verification Method. In order to ensure your personal information is not disclosed to unauthorized parties, and to protect against fraud, we will verify your identity before responding to your request. To verify your identity, we will generally match the identifying infonnation provided in your request with the information we have on file about you. Depending on the sensitivity of the personal Information requested, we may also utilize more stringent verification methods to verify your identity, including but not limited to requesting additional information from you and/or requiring you to sign a declaration under penalty of perjury.

Right of Deletion You have a right to request that we delete the personal information we have collected from or about you.

Process to Submit a Request. To submit a verified request to delete your information you may visit our website at https://www.titleadvantaqe.com/privacypolicy.htm or call toll-free at (866) 241-7373. You may also designate an authorized agent to submit a request on your behalf by clicking here or calling toll-free at {866) 241-7373 and then also submitting written proof of such authorization via e·mail to dataprivacy@octitle .com.

Verification Method. In order to ensure we do not inadvertently delete your personal information based on a fraudulent request, we will verify your identity before we respond to your request. To verify your identity, we will generally match the identifying information provided in your request with the information we have on file about you. Depending on the sensitivity of the personal infonnation requested to be deleted, we may also utilize more stringent verification methods to verify your identity, including but not limited to requesting additional information from you and/or requiring you to sign a declaration under penalty of perjury. sight to Opt-Out We do not sell your personal information to third parties, and do not plan to do so in the future.

Right of Non-Discrimination You have a right to exercise your rights under the CCPA without suffering discrimination. Accordingly, OC Title & family of Companies will not discriminate against you in any way if you choose to exercise your rights under the CCPA.

California Minors \f you are a California resident under the age of 18, California Business and Professions Code § 22581 permits you to request and obtain removal of content or information you have publicly posted on any of our Applications or Websites. To make such a request, please send an email with a detailed description of the specifi? content or information to da~aprivacy@octitle .com. Please be aware that such a request does not ensure complete or comprehensive removal of the content or mformatton you have posted and there may be circumstances in which the law does not require or allow removal even if requested.

Collection Notice The following is a list of the categories of personal information we may have collected about_ California reside~ts in the. twelve months preceding the date this Privacy Notice was last updated, induding the ?usines~ or commercial pur~ose for _said co_Hect1~n,the Categories of sources from which we may have collected the personal information, and the categories of third parties with whom we may have shared the personal information:

Categories of Personal lnfonnation Collected . . The categories of personal information we have collected include, but may not be l1m1ted to: • address o employment history real name • telephone number bank account number • signature passport number credit card number alias • driver's license number • debit card number SSN • state identification card • financial account numbers • physical characteristics or number • commercial information description, includlng • IP address professional or employment • protected characteristics • policy number information under federal or state law • file number

File No.: 00056138 ALTA Commitment for Title Insurance 6-17·06 (Revised S..1-16) Page 10 Categories of Sources Categories of sources from which we've collected personal information include, but may not be limited to: the consumer directly

e public records • governmental entities • non-affiliated third parties affiliated third parties

Business Purpose for Collection The business purposes for which we've collected personal information include, but may not be limited to: • completing a transaction for our Products verifying eligibility for employment facilitating employment performing services on behalf of affiliated and non-affiliated third parties protecting against malicious, deceptive, fraudulent, or lllegal activity

Categories of Third Parties Shared The categories of third parties with whom we've shared personal information include, but may not be !imlted to: service providers government entities • operating systems and platforms • non-affiliated third parties affiliated third parties

Sale Notice We have not sold the personal information of CaHfornia residents to any third party in the twelve months preceding the date this Privacy Notice was last updated, and we have no plans to sell such information in the future. We also do not, and will not sell the personal information of minors under sixteen years of age without affirmative authorization.

Disclosure Notice The following is a list of the categories of personal information of California residents we may have disclosed for a business purpose in the twelve months preceding the date this Privacy Notice was last updated.

real name • telephone number 9 bank account number • Signature passport number e credit card number Alias driver's license number debit card number SSN • state identification card • financial account numbers number • physical characteristics or • commercial information description, including • IP address • professional or employment protected characteristics policy number information under federal or state law • file number address • employment history

If you have any questions and/or comments you may contact us:

Call Us at our toll free number (866) 241-7373 Email Us at dataprivacy@octitle .com

Revised on 1124/2020 / Effective on 1/1/2020

File No.: 00056138--003--T03 STG Privacy Notice 1 (Rev 01/26/09) Stewart Title Companies I WHAT DO THE STEWART TITLE COMPANIES DO WITH YOUR PERSONAL INFORMATION? I . I J Federa_land applicabl: state law and regulations give consumers the right to limit some but. not all ~haring. Federal and. applicable state Jaw I 1 regulations also require us to tell you how we collect, share, and protect your personal 1nformat1on.Please read this notice carefully to i ! understand how we use your personal infonnation. This privacy notice is distributed on behalf of the Stewart Title Guaranty Company - !I ! I and its affiliates (the Stewart Title Companies), pursuant to Title V of the Gramm-Leach-Bliley Act (GLBA). I f' !he typ~s of pe_rsonal info~mation ~e collect and sh~re depend on the product or service that you have sought through us. This (' I information can include social secunty numbers and driver's license number. 1 l All financial companies, such as the Stewart Title Companies, need to share customers' personal information to run their everyday i f bus!ness--to process transactions and maintain customer accounts. ln the section below, we list the reasons that we can share I 1 customers' personal information; the reasons that we choose to share: and whether you can limit this sharing. _ . j

rFor our everyday business purposes- to process your transactions and 1 I maintain your account. This may include running the business and managing ! Yes No \ customer accounts, such as processing transactions, mailing, and auditing i 1services, and responding to court orders and legal investigations. ' !------··--·-----~----·-· ""·----·-- ..~---······-·-·------·-··------·--·--··"--· ·------·----·-·"'"'""'" .------·----·- ... i For our marketing purposes- to offer our products and services to you. Yes No --- t / For joint marketing with other financial companies No We don't share I , .. ·- -- -·· ---·------·--····-·---- ..-~----···-··-- .. ----·····------·--·-· ! For our affiliates' everyday business purposes- information about your; ! transactions and experiences. Affiliates are companies related by common ) ' ownership or control. They can be financial and nonfinancial companies. Our) Yes No Iaffiliates may include companies with a Stewart name; financial companies, such 1 i !as Stewart Title Company · 1-----~------..···-- ..---.- .....·------···------__,._...... ·: ------!------

.:For our affiliates' everyday business purposes- information about your) No We don't share i creditworthiness.

' For our affiliates to market to you Yes No : For nonaffiliates to market to you. Nonaffiliates are companies not related by j No We don't share !common ownership or control. They can be financial and nonfinancial companies. i

We may disclose your personal information to our affiliates or to nonaffiliates as permitted by law. If you request a transaction with a nonaffiliate, such as a third party insurance company, we will disclose your personal information to that nonaffiliate. We do not control their subsequent use of information, and suggest you refer to their privacy notices.

How often do the Stewart Title Companies We must notify you about our sharing practices when you request a transaction. notify me about their practices?

How do the Stewart Title Companies ' To protect your personal information from unauthorized access and use, we use { protect my personal information? security measures that comply vvith federal and state law. These measures include computer, file, and buildina safeauards.

How do the Stewart Title Companies We collect your personal information, for example, when you collect my personal information? • request insurance-related services • provide such information to us

We also collect your personal information from others, such as the real estate agent or I! lender i~volved in your transaction, credit reporting agencies, affiliates or other I comoarnes.

What sharing can I limit? Although federal and state law give you the right to limit sharing (e.g., opt out) in certain I instances, we do not share your oersonal information in those instances. i

If you have any questions about this privacy notice, please contact us at: Stewart Title Guaranty J C:ompany-JJ,_1980 Post Oak Blvd._,_PrivacyOfficer,Houston,TeJ

File No.: 0005613B:003-T03 THIS ADDENDUM IS MADE PART OF THE POLICY AND IS PERMANENTLY AFFIXED HERETO COLORADO ANTI-FRAUD DISCLOSURE PURSUANT TO C.R.S.10-1-128 (6)

"It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fines, denial of insurance and civil damages. Any insurance company or agent of an insurance company who knowingly provides false, incomplete or misleading facts or information to a policyholder or claimant for the purpose of defrauding or attempting to defraud the policyholder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the Colorado Division of Insurance within the Department of Regulatory Agencies."

t C )> -l Oro ­ m -l (/) m (/) (/) Qo

PROOF OF UTILITIES & ACCESS Water Sewer

Ditch Company COOT or Road & Bridge Architecture Control Approval Any other utilities or access documentation MORGAN COUNTYQUALITY WATER DISTRICT Tap #0170 CONTRACTFOR SERVICE Eng.# Account #002326 NAME OF CUSTOMER Daniel and Sharon Kauffman BILL TO ADDRESS: 16985 Morgan County Road 21. Fort Morgan, CO 80701 TELEPHONE#: 970-768-1450

Customer contract for Residential & Multi-family Residential __ ,or Commercial Potable __ service with MORGAN COUNTYQUALITY WATER DISTRICT ("District") as follows:

A. Tap cost: Tap Equivalents X Total Tap Cost+ Inclusion Fee+ Line Reimbursement - Paid at Signing = Balance Due

Tap Plant Invest- Raw Water I Total Tap Cost I Inclusion II Line Re- Paid at Balance·-: Equivalents ment fee fee Fee into 1mburse Signing Due

i MCQWD 1-"'-mcce:.c.nt,..__+----.\-----···· J , N/A* 2 N/A* N/A* -~N/LA__ _.L.NC.,/...CA'----'-'-'NC:.A.:..*__ _l. N-,/.:cAc..*__ j--1 Line installation. . deposit to .be Qaid at signin g= n a I *This contractreplaces In its entiretyand voidsthe previoustap contractfor existingTap-#0170 Accountl/002326.

B. not used

C. not used

D. The tap, including the right to receive water service, shall be assigned to Property described on the attached Engineering Study, Exhibit A located at 16985 Road 21, NE1/4 Section 9. Township 3 North, Range 57 West, Parcel #122909000001. The tap cannot be sold or conveyed separate from the Property or transferred to any other property or physical location or use, except Customer may transfer the tap and right to receive water service to a subsequent owner of the Property upon the District's approval of an application for a transfer/assignment

E. Customer hereby grants to the District a right of ingress and egress over and across the Property for the purpose of installation, construction, maintenance, repair and replacement. of all appurtenances necessaiy for distribution and service of water to the land of Customer. Fences or other obstructrons shall not be erected or installed in any manner that would hinder access to meters for the purpose of reading or maintenance. The meter pit lid shall be secured to the meter pit at all times. Should the meter pit lid become dislodged and Customer not be able to fasten the lid securely, Customer shall contact the District office to request assistance in securing the lid.

F. Customer does not have the right to use any return flows from Customer's use of the tap. Only the District may claim and take credit for or otherwise use the return flows.

G. Customer will comply wtth the Rules and Regulations as from time to time are promulgated by the Board of Directors of the District. Current Rules and Regulations are available from the District upon request. If someone other than customer occupies the Property and uses the tap, Customer shall remain responsible for compliance with this contract.

H. In the event that the Customer elects to terminate service, upon 3Mays advance written notice by Customer of such action, the District may terminate this contract for service and the tap shall be considered abandoned. I. Customer agrees to pay the District such amount as may be established from time to time by the District as the water rate or charge for such water service. The minimum payment established from time to time by the Board shall be due and payable regardless of the quantity of water used. J. In the event of delinquency of any monthly service charges or other violation of its Rules and Regulations, including but not limited to unmetered water use, illegal cross-connections, and failure of the Property to be included in the District, the District may suspend or discontinue water service. Until paid, all fees, rates, charges, or penalties shall constitute a perpetual lien on and against the Property that runs with the land, and any such lien may be foreclosed in the manner provided by the laws of the State of Colorado and any Rules adopted by the District. K. Residential taps shall not be used to serve more than one single-family residence on the Prope1ty, plus restrooms in non-residential outbuildings on the Property, for each Tap Equivalent associated with the residential tap. The District may require purchase of additional Tap Equivalents if the demand exceeds 0.7 acre feet per calendar year per Tap Equivalent in more than two consecutive years.

Page 1 o/2 Version: June 12, 2018 L. The raw water fee for commercial potable and multi-family residential water service is based on a maximum water demand of 0.7 acre feet per calendar year per Tap Equivaient ("maximum annual demand"). If customer's actual usage exceeds the maximum annual demand ("'overage") in any two consecutive years, then the District shall notify the Customer of the overage. Within 60 days after notice is given, Customer and the District shall take sufficient measures approved by the District to prevent future overages. The District may require installation of a flow reduction valve at the expense of Customer to prevent future overages. The design of any flow reduction valve shall be approved by the District. Subject to availability and approval by the District, the District in its sole discretion may allow the Customer to purchase additional Tap Equivalents to increase the maximum annual demand atthe cost per Tap Equivalent then charged by the District. M. The tap Is designed for a flow rate not to exceed 20 gpm, and customer agrees not to take delivery of water at a greater rate. N. The District Is responsible only to make available to the Property such water at such pressure and flow rate as may be available at the point of delivery as a result of the District's normal operation of its water distribution system. The District does not guarantee an uninterrupted supply of water. Water service may be limited or interrupted at any time for many reasons, such as emergencies, events beyond the District's control, and repairs, maintenance, and improvements or replacement of the main !ines or other portions of the system. The pressure and flow rates within the system vary depending upon location and season and other factors. ihe Distlict recommends customer consult with the District before Customer instails any lawn irrigation or other systems that require a specified flow rate, minimum pressure, or pressure reducing valves or booster pumps. o. Customer is the owner and Is solely responsible for installation, maintenance, repair, and replacement of lines and facilltjes on Customer's property between the water meter and Customer's point of use. The District bears no responsibility whatsoever for Customer's lines and facilities.

P. Customer shall not cause or allow any foreign substances. chemicals, or other pollutants of any kind or nature to enter the District's water system through backflow or otherwise. Customer is responsible for the installation and testing of approved backflow prevention devices beyond the meter, which devices must meet or exceed standards required by applicable laws and the District's Rules and Regulations. Customer shall allow the District access to the Property to inspect and test such devices.

Q. Customer shall indemnify and hold the District harmless from any claims, demands, or judgments or other liability for loss, injury, or damage to any persons or property, including District personnel and property, which the District may incur as a result of or arising out of the acts or omissions of Customer or Customer's use of, or connection to, the District's system, except to the extent caused by the negligent acts or omissions of the District. R. Failure of the District to enforce any provision of this contract or any of the District's rules or regulations shall not give rise to any claim or defense of !aches, waiver, or estoppel. s. This contract is a condition of water service and binding upon the heirs, successors and assigns of Customer.

Dated: Janua[)I20. 2021

MORGANCOUNTY QUALITYWATER DISTRICT CUSTOMER 1 A •t' ;J/ot' -- /,;f ,~, / ll{~j/1! t/f' ;,/X/~;- _;_/lll.£JL-'--''-'-'---""v_,___ ~"='=----·Genera1 Manager ,'·/

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Nll\V Building: ~ Y'l~ Cl No 8nsoment Plumbing· nYe5 }" No R.0placemenl ol exisling: n Seplk: T01\k 11Soi1 Tmalment Area/Leoch fleld )I! 8o1h l)'pe ol Water Supply: Vullllo Wate1 System o Prlvale Well

ln!o1ma\loh lo be true and correct to Um best u/ his/her knowledge

"°"'l.?,;;;;~..12,;;_::,,,.,,,,.,,,_,·--·-"&~D FOR HEALrH DE.PARTMf::NTuse ONL y ,· Appllc!3_11onN~lnbOI: _____ . F,,,,jQ~Q,O .. iJ New•SyStem ·9 RepRlr Sy:<)0!11 Received b~ ~ 't1\ L"ta.ash a pi.eek U 0.1 ~ OfllO: ~&~a:5,. j Oo' 0- ·

Plo~oo allooh a !"lot l'!OP! lndlo"U•itt u,o l<>llo!lono! (ho p1opoaod sy•lem(~). •ltuolumo. propor1y llnoo, ond ....oil•.lnolu~o !oo>11on~(•) whoro o ro~!occo,ou\ ,.v,tom can ~" ln•tollod l<>r1111~10 ,eror~neo. Pl\rnM f{,;,nd ,md Sl!ln tho OWTS Pc1mlt HoqultcmQn\s on llrn Olher !;lcic

'-....s,, ... FORT~. MORGAN

P«IIIE.- • PIIIX!RE1iS

FORT MORGAN UTILITY DEPARTMENT QUOTATION FOR SERVICE

TYPE OF UTILITY: GAS X ELECTRIC WATER SEWER WASTEWATER

LOCATION: 16985 CTY RD 21 DATE: 11/2/2020

BILLING ADDRESS: 16985 CTY RD 21

PROPERTY OWNER: DAN KAUFFMAN CONTRACTOR: BRUNTZ ELECTRIC

TYPE OF WORK: Set 1 25-4 wood pole 37.5 KV A and newl/0 single phase service service COST ESTIMATE: $2295.00 MATERIALS: $1695.00 LABOR: $ 300.00 USE OF EQUIPMENT:$ 300.00

TOTAL:$ 2295.00

This is only an ESTIMATE. You will be charged the actual cost for labor, materials and equipment. If the actual costs will exceed the Cost Estimate by 10% or more, written authorizations to proceed from the Property Owner or Property Owner's Agent will be required before the work will be completed.

Property Owner agrees to pay for all work performed and materials provided upon presentation of an accounting and a Statement of the amount due by the City. In the event of special conditions or if the size of the project is significant, deposits or prepayments may be required prior to any utility installation.

Failure to pay the full amount due for labor, materials, and use of equipment may result in the filing of a mechanic's lien against the property.

City of Fort Morgan

By: Doug Linton : Superintendent roperty Owner/Ag;J"/for Property Owner Department: Light & Power ----- , ,..,1.Ull I 1., 11..;;;, t'""' I.OU-I I JU-I , ...... , I ...... u..;;;, -----

ACCOUNT NUMBER BILL DATE DUE DATE 693 12/18/2020 01/17/2021

ITEM DESCRIPTION UNITS TYPE PRICE AMOUNT

Pole and wire ElectricMM 225.40 225.40 37.5 KVA Transformer ElectricMM 1,250.00 1,250.00 Hours Labor 6 ElectricMM 50.00 300.00 Equipment charge ElectricMM 300.00 300.00

TOTAL DUE 2,075.40

Please Note: When you provide a check as payment, you authorize us either to use information from your check to make a one-time electronic fund transfer from you account or to process the payment as a check transaction. PEOPLE• PARTNERSHIP • PROGRESS FORT MORGAN UTILITIY DEPARTMENT QUOTATION FOR SERVICE

TYPE OF UTILITY: ~GAS DELECTRIC r:JWATER DsEWER C WASTEW A TE

LOCATION: 16985Rd21 DATE: 10/20/2020

BILLING ADDRESS: Same

PROPERTY OWNER Dan Kauffman

CONTRACTOR:

TYPE OF WORK Install Gas Service

COST ESTIMATE MATERIALS: ;) 1.eo'- 1u rt P1r~ LABOR: USE OF EQUIPMENT ' . o,, TOTAL: i, ,Ql {pO(J.

This is only an ESTil\-IATE. You "'ill be charged the actual cost for labo1·, materials, and use of equipment

Property Owner agrees to pay for all work performed and materials provided upon presentation of an accounting and a Statement of the amount due the to the City. In the event of special conditions or the size of the project is significant, deposits or prepayments may be required prior to an)' utilit)' installation.

Failure to pay the full amount due for labor, materials and use of equipment may result in the filing of a mechanic's lien against the property

1;}~ L /t::--::#'''.--- City of Fort Mor~n By: ,;;;,; /t5A'j,:_y;~-G.. Property Owner/Agent for Property Owner 1 Departmeot: Gas ...... ntm:1111 llll~ JJUlllUII IUI yuu1 lt:\,UIU:=o ......

ACCOUNT NUMBER BILL DATE DUE DATE 693 12/04/2020 01/03/2021 r ITEM DESCRIPTION UNITS TYPE PRICE AMOUNT

Material charge 1 GasMM 322.97 322.97 Hours Labor 24 GasMM 30.00 720.00 Equipment charge 1 GasMM 630.00 630.00 County permit 1 GasMM 150.00 150.00

TOTAL DUE 1,822.97

Please Note: When you provide a check as payment, you authorize us either to use information from your check to make a one~time electronic fund transfer from you account or to process the payment as a check transaction. mz < ~;o )>Z-uO () s: (f)z-Im INFORMATION R.EGARDING ;j;! r ENVIRONMENTAL IMPACTS Air Quality Dust Existing Vegetation Land Forms Noise Odor Storm Water Runoff Water Resources Wetlands Wildlife Visual Amenities Any Other Environmental Impacts :::0 :::0 rn rn (/) ,, ""'O rn z~0 :::0 (J) r rn (J) REFERRALS & RESPONSES (/) Qo Referrals Sent Responses Received from Referrals Landowner Letter Landowner Letter Responses PC Notification Public Comments or Concerns Received 2/5/2021 Co.morgan.co.us Mail - See attached request for comments

M Gmail Pam Cherry

See attached request for comments 1 message

Pam Cherry Fri, Feb 5, 2021 at 2:13 PM To: Allyn Irrigating Wind , Bruce Bass , Cathy Cole-Geist , Century Link - Brian Vance , Danette Martin , David Martin , Don Chapman , John Goodman , Kinder Morgan - JeffVoltattorni , MCQW - Kay Zarbock , MCQW - Kent Pflager , MCREA - Kevin Martens , Mel Bustos , "NRCS - C. W Scott" , Roger Doll , Sargent Lateral - Cynthia Vassios , Soil Conservation Dist - Danielle French , "Williamson, Robert A (Bob)" , Xcel - Donna George Cc: Ahna Raygoza , Charlotte Bolduc , Ashia Boteler

This referral is for a winery, tasting room, wine sales at 16985 County Road 21. Please have comments returned prior to February 26, 2021.

Thank you Pam Cherry, MPA, CFM Morgan County Planning Administrator Floodplain Admin istrator 231 Ensign Street; Box 596 Fort Morgan, CO 80701 970-542-3526 ( [email protected]

2 attachments ~ Referral Memo - Kauffman - Special Use.pdf 336K ~ KEEFE KAUFFMAN SE (5).pdf 86K

hltps ://mail.google .com/ma il/u/O?ik=9d6946d2d5&view=pl&search=all&permthid=thread-a%3Ar-5050214095682116659&simpl=msg-a%3Ar62201423 ... 1/ 1 MORGAN COUNTY PLANNINGAND BUILDINGDEPARTMENT

TO REFERRAL AGENCIES: Division of Wildlife Century Link Morgan County Assessor Kinder Morgan, Inc. Morgan County Quality Water Morgan County Communications Center Morgan County Rural Electric Assoc. Morgan County Road & Bridge Morgan County Sheriff Dept. Morgan Soil Conservation District Northeast Colorado Health Dept., Fort Morgan Rural Fire District Northern Colorado Water Cons Dist Xcel Energy Farm Service Agency, USDA Lower South Platte Water Conservancy District City of Fort Morgan

FROM: Pam Cherry, Morgan County Planning Administrator 231 Ensign St, PO Box 596, Fort Morgan, CO 80701 970-542-3526 I 970-542-3509 fax I [email protected] DATE: February 5, 2021 RE: Land Use Application - Special Use

The following Application for a Use by Special Review has been submitted to Morgan County. Please review and provide any comments you may have. The application will be considered by the Planning Commission on March 8, 2021 at 7:00 p.m. in the assembly room, 231 Ensign St. Fort Morgan CO.

Applicant and Landowner: Daniel L. and Sharon K. Kauffman Legal Description: A parcel ofland in the NEY, of the NEY, of Section 9, Township 3 North, Range 57 West of the 6th P.M. Morgan County, Colorado and addressed as 16985 County Road 21, Fort Morgan, CO, 80701.

Request: Special Use application to allow a winery to include a tasting room, wine sales and wine manufacture. The business will be located on a newly exempted parcel of5.67 acres.

Please offer any comments or concerns you may have about this application by February 26, 202 l.

Do not hesitate to contact me at any time if you have questions.

(Site map attached)

Morgan County Government• 231 Ensign • P.O. Box 596 • Fort Morgan, Co 80701 • (970) 542-3526 Fax (970) 542-3509 • Email: [email protected] Right of Way & Permits 1123 West 3roAvenue Xcel EnergysM Denver, Colorado 80223 Telephone: 303.571.3306 PUBLIC SERVICE COMPANY Facsimile: 303.571.3284 [email protected]

February 24, 2021

Morgan County Planning and Building Department 231 Ensign/ PO Box 596 Fort Morgan, CO 80701

Attn: Pam Cherry

Re: Kaufman Special Use

Public Service Company of Colorado's Right of Way & Permits Referral Desk has reviewed the documentation for Kaufman Special Use and has no apparent conflict.

Donna George Right of Way and Permits Public Service Company of Colorado dba Xcel Energy Office: 303-571-3306 - Email: [email protected] (

Where Prairie Meets The Sky MORGAN COUNTY PLANNING AND BUILDING DEPARTMENT

February 5, 2021

Dear Neighboring Landowners:

Daniel L. and Sharon K. Kauffman as landowners have submitted an application to our office for a Special Use pe1mit located on a parcel of land in the N 1h of the NE 11,iof Section 9, Township 3 North, Range 57 West of the 6thp.m., Morgan County, addressed as 16985 County Road 21, Fort Morgan, 80701 (See Attached Site Map).

The applicant/landowner is requesting a Special Use application to allow a winery related to include a tasting room, wine sales and wine manufacture. The business will be located on a newly exempted parcel of 5.67 acres.

( This application requires the notification of landowners within Y-imile of the subject prope1ty.

If you have any questions or concerns regarding this application, please contact the Morgan County Planning Department at (970) 542-3526, or you may review the application in the Planning office located in the County Administration Building, 231 Ensign St., Fort Morgan, Colorado.

No response to this notification within 10 days of the date of this letter (February 16, 2021) or lack of response will be viewed as acceptance of the application.

Sincerely,

-1 ~ .~ 'i Pam Cheny MP A CFM Planning Administrator

(

Morgan County Govern ment ~ 23 1 Ensign St ~ PO Box 596 ~ Fort Morgan, CO 8070 I Telephone (970) 542-3526 ~ [email protected] I

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Printed 2/5/2021 1 :7,469 NOTICE OF MORGAN COUNTY PLANNING COMMISSION'S REVIEWOF TWO LAND USE APPLICATIONS

~~tig~l~~'iii~ya~i~~~s\~t! ~~e~~?real.' aM:~gric\~~~t/t ~Wi°J>e held with an option to attend vlrtually to consider the following Prairie Mountain Media, LLC application: 1.) Applicants and Landowners: Daniel L. and Sharon K Kauffman PUBLISHER'S AFFIDAVIT Legal oescrlptlon: A parcel of land ln the N Y.tof the NE 'A of 5 0 0 County of Morgan i~rt~~~~J:n1;,:~lesse~ a~~iJ:rgguUt/'k~!~f2teFgw~~(! g'an, 80701 Request: Speclal Use appllcatlon to allow a winery with re· State of Colorado ~~~tr:;fu}~.lnclude a tasting room, 'wine sales and wine Date of Application: February 3, 2021. 2.) Applicants and Landowners: The undersigned, Melissa Najera , being first duly a. Matthew Wulf and Tiffiny Wulf 1 0 sworn under oath, states and affirms as follows: i~Tu~s~fs1t~~~~'.:a~:~c~i~e~ ~f \i~iih N:.,'M~ MJrJi~t~tu~! ty, also fnown as Lot 2 of the Pickens West No 2 Minor Subdivi· slon, Fort Morgan, addressed as 17792 Co Rd 15 Lot #3, Fort 1. He/she is the legal Advertising Reviewer of M_organ,CO 80701; and Request: Repfat to decrease Lot 2 of Pickens West No 2, from 27 Prairie Mountain Media LLC, pubJJsher of the acres to 16.34 acres Fort Morgan Times. b. Joshua Duane Bristol and Ashley Nicole Bristol 2. The Fort Morgan Times is a newspaper 0 i~~~s~fs~i~~~~'.:a~~~cf~ ~e~at"gf \i:iih N~~Mtr:!~tboonu~! of general circulation that has been published ty, also fnown as Lot 1 of the Pickens West No 2 Minor Subdlvl· sion, Fort Morgan, addressed as 17594 Co Rd 15, Fort Morgan, continuously and without Interruption for at least C080701 Request: Replat to Increase Pickens west, Lot 1 from 5,7 acres to fifty-two weeks In Morgan County and 11.53 acres; and meets the legal requisites for a legal newspaper c, Raul Delgadillo under Colo. Rev. Stat. 24-70-103, legal Description: A parcel of land in the NW 'A of Section 3, 3. Townshif 3 North, Range 58 West of the 6th P.M. Morfli1n Coun· The notice that ls attached hereto is a true copy, 1 1 ~rta~orS~x:'"a~~r~~\i/~Jhf1~iiki"os~e1tMJgw ~irg~~~ ii publishe~ in the Fort Morgiin Times 1 In Morgan County on the followiri'g date(s): ~~~~est: Replat to Increase Lot 2 of Pickens West Subdivision from 5,0 acres to 10.09 acres. Date of Application: January 27th, 2021 Feb 19, 2021 THE COUNTY WILL BE ABIDING BY THE SOCIAL DISTANCING RE• QUIREMENTS IN PUBLIC HEALTH ORDER 20·28 FOR THIS MEET· fNG." DUE TO LIMITED SPACE IN THE ASSEMBLY ROOM, REMOTE ATTENDANCE IS ENCOURAGED, IF YOU HAVE ANY QUESTIONS REGARDI_NGATTENDING THE MEETING, PLEASE CONTACT PAM CHERRYAT 910-542-3526, To P.art!ctpate !n Public Hearings you may co·nnect via Zoom Conferencrng Access Information at: .;1 ~rrt«t~:~~~~~:~om.us/j/84591112218 8 or ~5i:31~~~:n~:~~~s~trtiHii/ # (/I 1 or Telephone: /ti Dlal(for higher quality, dial a number based on your current Signature / location): us: +1 253 215 8782 or + 1 346 248 7799 or +1 669 900 9128 or +l 3017158592 or +1312 626 6799 or +l 646 558 8656 ' Webinar ID: 845 9111 2218 rnternatlonal numbers available: https://uso2web.zoom. Sub~cribed and sworn to me before me this ., _ ,..- us/u/kb6hWNUqFP ~or~:ira~nr:;ti~~rnl~~r~~~~Ocifu~~:nli~efn~~~!f, rirri~~~ /cpn ..y of fiJiJnJOt1A~{f) )I gan, Colorado. You may email P.£!l~rI.Y.@.~q,.mQ.rmrn,!::.Q~_\.!_~to re· quest items In the frte to be emailed to you, 'i ..· At time of the meeting an opportunity wll1 be given for presenta­ . / I ', tion of evidence in support of or In opposition to the application. L/ I ' ') i cs . / 1?­ ·1i /s/·~===~====~­Pam cherry- Morgan County / r 0 lid~1 LG~, Planning & Floodpla!n Administrator P.ublished: February 19, 2021 Published: Fort Morgan Times February 19, 2021-1776879 ( ,.I SHAYLA NAJERA NOTARY PUBLIC STATE OF COLORADO NOTARY ID ?0174031965 (SEAL) MY COMMISSION EXPIRES JULY 31, 2021

Account: 1052763 Ad Number: 1776879 Fee: $80.04

u KAUFFMAN, DANIEL L & BADGERLAND LLC SHARON K 15960 CO RD 21 16985 CO RD 21 FORT MORGAN, CO 80701 FORT MORGAN, CO 80701

NEAL, DAVIDE & SHERYLK & KAISER PREMIER LLC MESSINGER, VICKI L & TIM L 2550 E BIJOU AVE 17065 CO RD 21 FORT MORGAN, CO 80701 FORT MORGAN, CO 80701

CUNDIFF, JEFFEREYTODD & SIMPLOT, J R COMPANY THOMAS, JENNIFER LYNN PO BOX 27 17078 CO RD 21 BOISE, ID 83707KAUFFMAN, FORT MORGAN, CO 80701

MAVERICK STIMULATION COMPANY LLC

6115 CAMP BOWIE BLVD - STE 152

FT WORTH, TX 76116

L7 TWS PHARMA LLC

2222 AMERICAN BLVD

DE PERE,WI 54115

KAUFFMAN, KENNETH L & JANET E

21190 CO RD R

FORT MORGAN, CO 80701 NOTICE OF MORGAN COUNTY PLANNING COMMISSION'S REVIEW OF TWO LAND USE APPLICATIONS

Notice is hereby given that on Monday, March 8, 2021 at 7:00 p.m., or as soon as possible thereafter, a public hearing will be held with an option to attend virtually to consider the following application:

1.) Applicants and Landowners: Daniel L. and Sharon K Kauffman Legal Description: A parcel ofland in the N Yz of the NEY. of Section 9, Township 3 1 North, Range 57 West of the 6 h p.m., Morgan County, addressed as 16985 County Road 21, Fort Morgan, 80701 Request: Special Use application to allow a winery with related uses to include a tasting room, wine sales and wine manufacture. Date of Application: February 3, 2021.

2.) Applicants and Landowners:

a. Matthew Wulf and Tiffiny Wulf Legal Description: A parcel of land in the NW V. of Section 3, Township 3 North, Range 58 West of the 6'h P.M. Morgan County, also known as Lot 2 of the Pickens West No 2 Minor Subdivision, Fort Morgan, addressed as 17792 Co Rd 15 Lot #3, Fort Morgan, CO 80701; and Request: Replat to decrease Lot 2 of Pickens West No 2, from 27 acres to 16.34 acres

b. Joshua Duane Bristol and Ashley Nicole Bristol Legal Description: A parcel of land in the NW V. of Section 3, Township 3 North, Range 58 West of the 6'" P.M. Morgan County, also known as Lot I of the Pickens West No 2 Minor Subdivision, F011 Morgan, addressed as 17594 Co Rd 15, Fort Morgan, CO 80701 Request: Replat to increase Pickens West, Lot 1 from 5.7 acres to 11.53 acres; and

c. Raul Delgadillo Legal Description: A parcel of land in the NW V. of Section 3, Township 3 North, Range 58 West of the 6'h P.M. Morgan County, also known as Lot 2 of the Pickens West Minor Subdivision, Fort Morgan, addressed as 17696 Co Rd 15, Fort Morgan, CO 80701 Request: Rep lat to increase Lot 2 of Pickens West Subdivision from 5.0 acres to 10.09 acres. Date of Application: January 27'\ 2021

THE COUNTY WILL BE ABIDING BY THE SOCIAL DISTANCING REQUIREMENTS IN PUBLIC HEALTH ORDER 20-28 FOR TIDS MEETING. DUE TO LIMITED SPACE IN THE ASSEMBLY ROOM, REMOTE ATTENDANCE IS ENCOURAGED. IF YOU HAVE ANY QUESTIONS REGARDING ATTENDING THE MEETING, PLEASE CONTACT PAM CHERRY AT 970-542-3526.

To participate in Public Hearings you may connect via Zoom Conferencing Access Infotmation at: https://us02web.zoom.us/j/84591 l 12218 Or iPhone one-tap : US: + 12532158782,,84591112218# or +13462487799,,84591 l 12218# Or Telephone: Dial(for higher quality, dial a number based on your current location): US:+12532158782 or+I3462487799 or+16699009128 or+13017158592 or + 1 312 626 6799 or+ 1 646 558 8656 WebinarID: 845 91112218 International numbers available: https://us02web.zoom.us/u/kb6hWNUqFP

Documents pertaining to the above identified matters are on file in the Planning Administrator's Office, 231 Ensign St., Fort Morgan, Colorado. You may email [email protected] to request items in the file to be emailed to you.

At time of the meeting an opportunity will be given for presentation of evidence in support of or in opposition to the application.

Isl~Pam Cerry---mi.ganunty'\~~ Planning & Floodplain Administrator

Published: February 19, 2021 TECHNICAL Right to Farm Policy Application Fee Receipt Tax Account Statement Mineral Rights Notifications -, m Animal Counts 0 zI

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MINOR SUB AND PD APPLICATIONS TO ALSO INCLUDE: Soil Map Topography Public Improvements HOA & Covenants MORGAN COUNTY, PLANNING, ZONING & BUILDING DEPT. 231 Ensign, P.O. Box 596 Fort Morgan, Colorado 80701 PHONE (970) 542-3526 FAX (970) 542-3509

MORGAN COUNTY RIGHT TO FARM POLICY/ NOTICE Morgan County is one of the most productive agricultural counties in Colorado. Ranching, farming, animal feeding, and all other manner of agricultural activities and operations in Morgan County are integral and necessary elements of the continued vitality of the county's economy, culture, landscape and lifcslylc. Morgan County specifically recognizes the impmtance of agricultural operations as necessa,y and worthy of reco6~1ihon and protection. Landowners, residents and visitors must be prepared to accept a, normal the effects of agriculture and rural living. These may include noise from tractors, equipment, and aerial spraying sometimes at night or in the ear1y morning~ dust from animal pens, field work, harvesting~ and gravel roads~ odor from animal confinement operations, silage and manure; ~mok.e from ditch burning; flies and mosquitoes; the use of pesticides and fertilizers, inclt1ding aerial spraying; and movement of livestock or nmchinery on public roads. Under the provisio11s of the Stale of Colorado's "Right to Farm" law (Section 35-3.5-1 OJ and following, C.R.S.), all normal and non-negligent agricultural operations may not be considered nuisances.

Also public services in a rural area are not al the same level as 1nan urban or suburban setting. Road maintenance may be at a lower level, mail delive1y may not be as frequent, utility services may be nonexistent or subject to interruption, law enforcement, fire protection and ambulance service \VHl have considerably longer response times, snow may not be removed from county roads for several days after a major snow storm. First priority for snow removal i.s that school bus rontes are normally cleared first Children are exposed to different hazards in a rnra! setting than they are in an urban or suburban area. Fann and oilfield equipment, ponds, and irrigation ditches, electrical service to pumps and oil field operations, high speed traffic, noxious weeds, livestock, and territorial farm dogs may present real threats to children. It is necessary that children's activities be properly supervised for both the protection ofthe chiklrnn and protection of the farmer's livelihood. AJI rural residents and property owners are encouraged to learn about their rights and responsibilities and to act as good neighbors and citizens of Morgan County, This includes but is not limited to obligations under Colorado State law and Motgan County Zoning Regulations regarding maintenance offences, controlling weeds, keeping livestock and pets under control. There may be provisions of which you are unaware. For example, because Colorado is a Fence Law State, owners of property may be required to fence livestock out. Information regarding these topics may be obtained from the Colorado State Unive,·sity Cooperative Extension Office, the County Planning and Zoning Department, and the County Attorney. RECEIPT AND STATEMENT OF UNDERSTANDING I hereby cerlify that I have received, read, and understood the Morgan County Statement of Policy and Notice regarding Right to Farm. l f\nther state that I am aware that the cond.itions ofliving in an unincorporated area are different than living in a town or city and that the responsibilities ofrural residents are different from urban or suburban residents. J understand that under Colorado Jaw that a pre-existing, non-negli.~~£2~ not be c/~i~1:d_a ;;~i; or p1ivate nuisance.

£'7JaS'1gnature . IV) Dale 0 f1 I Z ( _(._. _J{uU ~I .~-~-----~"-- Printed Name /J , , To Be Signed by Landowner / (fl 9 / '5 CC(/)Jij A..h?cl cJ 1 Address --·---·------/C::f- /71 t'r'c··p,, L'u l~ )o / Adopted by the Morgan County Board of County Commissioners by Resolution #96BCC41 on July 23, 1996 and amended by Resolution 2008 BCC 34 011 September 2, 2008. RECEIPT Morgan County 231 Ensign, Fort Morgan, CO 80701 )) 542-3526

SU2021-0001 I Special Use Permit

Receipt Number: 542448 Payment Amount: $500.00 February 05, 2021

Transaction Method Payer Cashier Reference Number Check Applicant Charlotte Bolduc 1238

Comments

Assessed Fee Items Fee items being paid by this payment

Date Fee Item Account Code Assessed Amount Paid Balance Due

U-. J5/21 Special Use - Full Review $500.00 $500.00 $0.00

Totals: $500.00 $500.00

Previous Payments $0.00 Remaining Balance Due $0.00

Permit Info

Property Address Property Owner Property Owner Address Valuation 16985 CO RD 21 Daniel Land Sharon K. 16985 CO RD 21 FORT MORGAN, CO 80701 Kauffman FORT MORGAN, CO 80701

Description of Work Agriculture, residence, winery with sales room which allows tastings, private events and vineyard. ACCOUNT# R010167 Real Estate PROPERTY TAX NOTICE PARCEL # 122909000001 MORGAN COUNIT TREASURER 2020 TAXES DUE IN 2021 P.O. BOX 593, 231 ENSIGN STREET TAX DISTRICT: 248 FORT MORGAN, CO $0701

COUNTY GENERAL FUND 19.51200 0.00000 $310.05 LAND $1,150 $330.0 ROAD AND BRIDGE FUND 7.50000 0.00000 $119.17 BUILDINGS/IMPROVE $213,050 $15,560.00 SOCIAL SERVICES FUND 2.00000 0.00000 $31.78 PERSONAL $0 $0.00 FT MORGAN RURAL FIRE DIST 3.03300 0.00000 $48.19 TOTAL $214,200 $15,890.00 MORGAN SOIL CONS DIST 0.00000 0.00000 $0.00 SRNET EXEMPTION ($0) {$0.00) FT MORGAN PEST CONTROL 0.29900 0.00000 $4.75 NET TOTAL $214,200 $15,890.00 LOWERS PLATTE WATER CD 1.00000 0.00000 $15.89 MORGAN CO QUALITY WATER 0.82400 0.00000 $13.09 NORTHERN COLO WATER CD 1.00000 0.00000 $15.89 Want your tax notice electronically? FT MORGAN SCHOOL-RE 3 40.05200 0.00000 $636.43 Visit morganco-eagle.com/treasurer/web Search for your tax account "Verify My Email" using the key below

VERIFICATION KEY: 7CJJVPNG

TOTAL NET 75.2200000 PRIOR YEAR TAX CHARGE: $1,196.68 TOTAL (Tax Only) $1,195.24 In absence of State Legislative Funding, your School Declaration Penalty/Admin Fee $0.00 General Fund mill levy would have been 98.1150000 GRAND TOTAL $1,195.24

S: 09 T: 3 R: 57 PARC N1/2NE1/4 8922 P529 PREPAYMENTS APPLIED $0.00

FIRST HALF FEB28, 2021 $597.62 SECOND HALF JUNE 15, 2021 $597.62

ACRES: 1.920 PROPERTY LOCATION: 16985 CO RD 21 FULL PAYMENT APRIL 30, 2021 $1,195.24

Account#: R010167 Make Checks Payable To: KAUFFMAN, DANIELL & SHARON K MORGAN COUNTY TREASURER 16985 CO RD 21 SEE IMPORTANT INFORMATION ON BACK. FORT MORGAN, CO 80701 THE TREASURER'S OFFICE IS REQUIRED BY LAW TO SENT THE TAX NOTICE TO THE OWNER OF RECORD. KEEP THIS NOTICE FOR YOUR RECORDS.

ifrl!.HIDH;i!DliH3& 2020 TAXES DUE IN 2021 No REJ"URNTHIS COUPONFOR SECONOHAU= PAYMENTS - -- --~------~-- ______'zj2ncl F;lalfGou;on - mue ~mrieii §tl'i, ___ _ r·l·lii-iiW%H/ 16985 CO RD 21

Account#:R010167 SECOND HALF DUE BY JUNE 15, 2021 $597.62 KAUFFMAN, DANIELL & SHARON K 16985 CO RD 21 FORT MORGAN, CO 80701

4 1 --_-__-_-_- __ 2_~_2_-_o_-_T_-_A_;_E_s_-_o_-_u_;__~_N_-_2_0_2_1_- __-_-_-_~l _____ ._is_m_-_,,_·•_ _~_:_=_'_i_t_M_____ ~I-

RETURNnus COUPON WITH FIRSr HALF OR FULL PAYMENT ~#iillit')l,t@hi·'IAIISIG·i!l·i·. 1i• r*'""ili!M%H/ MORGAN COUNTY TREASURER 16985 CO RD 21 P.O. B0X593, :231 ENSIGN STREET FORi MORGAN CO 80701

Account#:R010167 [ J FIRST HALF DUE BY FEBRUARY 28, 2021 $597.62 KAUFFMAN, DANIELL & SHARON K [ J FULL PAYMENT DUE BY APRIL30, 2021 $1,195.24 16985 CO RD 21 FORT MORGAN, CO 80701 NOTICE OF PROPERTY TAX EXEMPTION " Please refer to your ACCOUNT NUMBER on all FOR SENIOR CITIZENS ANO DISABLE() VETERANS correspondence and checks. A property tax exemption !s available to senior citizens, surviving spouses of senior citizens, and disabled veterans. For thOse who qualify, fifty percent ~ Make checks payable to: Morgan County Treasurer (50%) of the first $200,000 in actual value of their primary residence is • Only half or full payments will be accepted. Partial p3yments exempted. The slate pays the exempted portion of the property tax. Once will be returned. Total taxes less than $25.00 must be paid in full. approved, the exemption remains in effect for future years, and the applicant should not reapply. NOlE: the General Assembly may eliminate the funding for the Senior Citizen Exemption or Disabled Veteran Exemption in any year r Checks are accepted subject to collection and a fee will be in which the budget does not allow for the reimbursement Application charged for all returned and insufficient fund checks. requirements are as follows: * Credit cards or electronic checks m3y be used to pay taxes SENIOR CITIZEN EXEMPllON online. To make a payment by phone, call 1-800.272-9829 The exemption is available to applicants who: a) are at least 65 years of age and use Jurisdiction Code 1610. as of January 1 of the year of application, b) owned their home for at least 1 O years as of Januaiy 1, and c) occupied it as their primary residence for at * If the due date falls upon a Saturday, Sunday, or legal holiday, least 10 years as of January 1. Limited exceptions to the ownership and the payment shall be deemed to have been timely filed if filed occupancy requirements are detailed 1n the qua1lfications section of the on the succeeding business day. application. The senior citizen exemption is also available to surviving spouses of senior citizens who met the requirements on any January 1 after * ff you have sold this property, please forward this statement to 2001. The application deadline is July 1s•. The application fonn is available the new owner or return to this office marked Hproperty sold." from and must be submltted to the County Assessor at the fol!owing address:

.. If you are making a payment after the due date. you can find Morgan County Assessor the amount due on our website or you can call our office. P O Box 892, Fort Morgan, CO 80701 Telephone: 970-542-3512 Fax: 970-542-3516 Email: [email protected] .. Property Tax information is available on line at www.colorado.gov/morgancounty DISABLED VETERAN EXEMPTION The exemption is avaUable to applicants who: a) sustained a service .. Treasurer Contact Information connected disablllty while serving on active duty in the Armed Forces of the Telephone: 970-542-3518 Fax: 97o-542-3520 United States, b) were honorably discharged, and c) were rated by the Email: [email protected] United States Department of Veterans Affairs as one hundred percent "permanent and total" disabled. VA unemployability awards do not meet the * The County Treasurer is not responslble for erroneous tax requirement for determining an applicant's eligibility. The applicant must payments. If in doubt, please check with your mortgage holder have owned and occupied the home as his or her primary residence since to determine who is to make the tax payment Failure to do so January 1 of the year of application; however, limited exceptions to the could result In delayed processing on your account. ownership and occupancy requirements are detailed in the eligibility requirements section of the application, The application deadline ls July 1... * AITENllON MOBILE HOME TAXPAYERS: Application fonns are available from the Division of Veterans Affairs at the This property may not be moved without a valid permit or address and telephone number shown below and from the website of the prorated tax receipt and a transportable manufactured home Colorado DMsion of Property Taxation at www.dola.colorado.gov. Completed permit frnm the County Treasurer's office. applications must be submitted to the Colorado Division of Veterans Affairs Violators shall be prosecuted. at the following address: Colorado Dept of Milltary & Veterans Affairs, Div. of Veterans Affairs * Post dated checks are not accepted. 1355 S. Colorado Blvd., Bldg C, Suite 113, Denver, CO 80222 Telephone: 303-284-6077 Fax: 303-284-3163 Website: http:/twww.colorado.gov/vets " If thJS date is on a weekend, the deadlme IS extended to the next business day.

IF YOU WISH TO MAKE A CHANGE IN YOUR MAILING ADDRESS, PLEASE COMPLETE THE AREA BELOW, SIGN YOUR NAME AND RETURN NEW ADDRESS ______Cl1Y______STATE ______ZIP ___ _ SIGNATUREX ______CHANGE TELEPHONE NO. ______OF ADDRESS EMAIL ADDRESS~------

By signing this form, I understand that all future Notices of Value, Notices of Determination {in case of a protest in value), and Property Tax Notices will be sent to the address shown above .

.. This address will only by used by the County Treasurer for notification of property tax statements.

IF YOU WISH TO MAKE A CHANGE IN YOUR MAILING ADDRESS, PLEASE COMPLETE THE AREA BELOW, SIGN YOUR NAME AND RETURN NEW ADDRESS ______C\1Y______STATE ______ZIP ___ _ SIGNA"TUREX ______CHANGE TELEPHONE NO. ______OF ADDRESS EMAIL ADDRESS*------

* This address will only by used by the County Treasurer for notification of property tax statements.