HomeMy WebLinkAbout1.00 General Application Materials_Part6Web Access Attachment Viewer Reprint Date: Monday, March 29, 2021 - 08:08:48 - Documents:9816, Attachment Id 1, Page 4
Web Access Attachment Viewer Reprint Date: Monday, March 29, 2021 - 08:08:58 - Documents:9816, Attachment Id 1, Page 5
CERTIFICATION OF MINERAL OWNER RESEARCH
This form is to be completed and submitted with any application for a Land Use Change Permit.
Mineral interests may be severed from surface right interests in real property. C.R.S. § 24-65.5-101, et seq,
requires notification to mineral owners when a landowner applies for an application for development from a
local government. As such, the landowner must research the current owners of mineral interests for the
property.
The Garfield County Land Use and Development Code of 2013 (“LUDC”) Section 4-101(E)(1)(b)(4) requires
written notice to owners of mineral interests in the subject property in accordance with C.R.S. § 24-65.5-101,
et seq, “as such owners can be identified through the records in the office of the Clerk and Recorder or
Assessor, or through other means.” This form is proof of applicant’s compliance with the Colorado Revised
Statutes and the LUDC.
The undersigned applicant certifies that mineral owners have been researched for the subject property as
required pursuant to C.R.S. § 24-65.5-101, et seq, and Section 4-101 (E)(1)(b)(4) of the Garfield County Land
Use and Development Code, as amended. As a result of that research, the undersigned applicant certifies
the following (Please initial on the blank line next to the statement that accurately reflects the result of
research):
I own the entire mineral estate relative to the subject property; or
Minerals are owned by the parties listed below
The names and addresses of any and all mineral owners identified are provided below (attach additional pages
as necessary):
Name of Mineral Owner Mailing Address of Mineral Owner
I acknowledge I reviewed C.R.S. § 24-65.5-101, et seq, and I am in compliance with said statue and the
LUDC.
_____________________________________________ _________________________________
Applicant’s Signature Date
PLEASE SEE ATTACHED LIST OF MINERAL OWNERS AND ADDRESSES
Katy Middleton August 17, 2022
Laramie Energy, LLC
CC 0610-21-41 Pad
Mineral Ownership - Minor Temporary Housing Facility
Table 10. Mineral Ownership Information LARAMIE ENERGY, LLC 1700 LINCOLN STREET, SUITE 3950 DENVER, COLORADO 80203 LARAMIE LEASE NO. CO026.M0002A
PATSY L WINSTON 1606 CHRETIEN POINT DRIVE MANSFIELD, TX 76063 LARAMIE LEASE NO. CO026.0002D GARY COYNE2025 GOLDEN AVE.LONG BEACH, CA 90806 LARAMIE LEASE NO. CO026.0002A
KATHLEEN MARY COYNE602 W CRESTLAND AUSTIN, TX 78752 LARAMIE LEASE NO. CO026.0002APENNY SUE COYNE MCADOO 2600 W.7TH STREET APT 260 FORT WORTH, TX 76107 LARAMIE LEASE NO. CO026.0002A
FEDERAL OIL SHALE LLC - A COLORADO LLC 3520 S GLENCOE ST DENVER, CO 80237 LARAMIE LEASE NO. CO026.0002C JUDITH J POTTERPOTTER LIVING TRUST 375 STATE ROAD 67 APT 158 B DOUSMAN, WI 53118 LARAMIE LEASE NO. CO026.0002B
DELANEY & DUNN LLC C/O MELANIE S BUCHHOLZ & KAREN L EDENS 649 PEONY DR GRAND JUNCTION, CO 81507 LARAMIE LEASE NO. CO026.0002D BRANT L. LOGAN 1311 W RIVERSIDE DRCARLSBAD, NM 88220 LARAMIE LEASE NO. CO026.0002D
JUHAN RAY LLC - SUSAN ELIZABETH RAY 5230 LAKESHORE DRLITTLETON, CO 80123 LARAMIE LEASE NO. CO026.0002E REBECCA JUHAN CRAWFORDJUHAN FORDHAM MINERALS LLC 4711 W LONG RIDGE PLMARANA, AZ 85658-8313LARAMIE LEASE NO. CO026.0002E
HUNTER FAMILY LIMITED PARTNERSDAVID & CHARLES L HUNTER GEN PARTNERS P.O. BOX 6728 HELENA, MT 59604 LARAMIE LEASE NO. CO026.0002G JUHAN LIMITED PARTNERSHIPKATHRYN C JUHAN GEN PARTNERSHIP 2440 N COYOTE DR SUITE 121TUCSON, AZ 85745 LARAMIE LEASE NO. CO026.0002F
Laramie Energy, LLC
760 Horizon Drive, Suite 101
Grand Junction, CO 81506
Gørfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(e7o)94s-8212
www. ga rfie I d-cou ntv.com
REQUIRED CHECKLIST FOR GARFIELD COUNTY SHERIFF'S OFFICE
Minor Temporary Employee Housíng
Sheriff's Office Checklist and Sign Off
Complete application, including. Site Plan,. Vicinity Plan,, Use and Occupancy Certification from State Division of Housing,. Description of infrastructure and services to be provided at the site,. Evidence of Physical and Legal Water,
' Description of collection and storage of sewage and wastewater,. Description of collection and disposal of refuse, and. A copy the permit from the State or Federal agency regulating the Permitted
Site.
ldentification of the private and public roadways accessing the Facility, including:. Roadways shall be marked as open, gated, and/or locked (include combinations),. Detailed directions, with mileage, shall be given from the nearest town within the
County,
' Nearest County Sheriff's Office dispatch location, andr Responsible fire district headquarters to each Minor Facility along each roadway.
lnformation about the Surface Owner of the Subject Lot or Permitted Site, including:r Name, Address, and Phone number
Emergency lnformation including:r Contact Names, addresses and phone numbers of at least 2 persons responsible
for the Operator's emergency field operations),r Contact numbers for local Hospitals, emergency response, fire protection districts,
the County Sheriffs Office, Life/Care Flight, and applicable regulatory agencies,¡ Site safety/evacuation plan, andr Other written response plan for potential emergencies at the Site
tdentification of dates, including:
' Final date of Facility installation,r Date of Removal of the Facility, and. Total number of days that the Facility will be installed at the Site.
Documents to be Received & Reviewed by County Sheriff's Office Received
(initial in box)
Emergency Notification. All emergency situations requiring action by any government agency or district
slrall be clocumented in writing and presented to the Planning Department and Garfield County Sheriff's
Offlce wlthln 24 hours of the occurrence. Failure to report suclr emergency situations shall be deemed a
violatíon of the 2013 Land Use and Development Code.
As an authorized representative of the Garfield County Sheriffs Office(S.O), I verify that the S.O. has
received adequate submittal information to carry out emergency response in regards to the
aforementioned Minor Temporary Employee Housing Facility. lt is understood that the S.O. is not
obligated to sign-off on this form if further information, either in terms of quality or quantity, is necessary
to carry out the S.O.'s purpose and mission.
Seot.8.202
ure on of Garfield Cou eriffs Office Date
Levv E. Burris Jr Emersencv Ooe tions Serseant
TitleName (Please Print)