ROW APPLICATION WITH ASLD FOR MT SEGMENT 11 .PDF
Extracted text (via pymupdf_layout)
26090 characters
RETURN TO: DEPARTMENTAL USE ONLY ROLODEX #_______________ ARIZONA STATE LAND DEPARTMENT ACCOUNTING T&C RECOMMENDATION/INITIAL DATE PUBLIC COUNTER 1616 WEST ADAMS Filing Fee: PHOENIX, ARIZONA 85007 Exam: _______________ Approve _____________ _____________ New/Renewal: $500 SUBMIT NON-REFUNDABLE FILING FEE: Exam #: ______________ Deny _____________ _____________ New/Renewal: $500 Amend: $100 Int Title: _____________ Reject _____________ _____________ Amend: $100 N(34) R(35) A(23) App Entry: ___________ Withdraw_____________ ______________ APPLICATION FOR RIGHT OF WAY Type or print in ink. APPLICATION NO. ________-________________________ Maricopa County Complete ALL questions, SIGN and SUBMIT application with appropriate NON-REFUNDABLE FILING FEE. 1. APPLICANT: 2. TYPE OF APPLICATION: Maricopa County Name NEW Parks & Recreation Department RENEW 41835 N. Castle Hot Springs Rd Mailing Address AMEND Morristown AZ 85342 Reason for amendment: City State Zip John J. Rose (928) 501-9216 Continuation of Maricopa Trail Contact Person Phone No. johnrose@mail.maricopa.gov (Different nearby parcel) ASLD #16-117788 Email Address for Contact Person 3. REQUEST FOR RIGHT OF WAY: Applicant hereby makes Right of Way application under A.R.S. § 37-461, for the purpose of _______________________________________________________________over Recreational Trail and across the lands hereinafter described for a term of _____________ years, in accordance with the laws of the State of Arizona and the rules of the State Land Department. 4. LEGAL DESCRIPTION: (Complete below and attach metes and bounds legal description, maps, surveys & plans) SLD USE ONLY TWN. RNG. SEC. LEGAL DESCRIPTION ACRES COUNTY CTY GRT PARCEL _____ 4N _____ 1E _____ 1 _______________________________________________ See Attached ________ 0.10 _________ Maricopa ________ ________ _________ _____ _____ _____ _______________________________________________ ________ _________ ________ ________ _________ _____ _____ _____ _______________________________________________ ________ _________ ________ ________ _________ _____ _____ _____ _______________________________________________ ________ _________ ________ ________ _________ _____ _____ _____ _______________________________________________ ________ _________ ________ ________ _________ _____ _____ _____ _______________________________________________ ________ _________ ________ ________ _________ 1 6111-03/92 (Rev. 8/2011) RW 5. CONSTRUCTION SCHEDULE: a. If construction is required, when is the proposed construction anticipated to begin? __________ May 2016 b. Typical processing time for an application is 12-16 months. Does your construction schedule allow for this processing time? □ No □ Yes If no, please complete R/W Supplement “RW-CO” Conditional Right of Way Supplement. 6. TYPE OF RIGHT OF WAY – REQUIRED SUPPLEMENTS: (Complete supplement for each use marked) Required supplements are available at 1616 W. Adams or online at www.land.state.az.us a. Municipal/Utility Rights of Way ____ Public Roadway & Underground Utilities – (Complete supplement “RW-RU”) ____ Public Roadway – (Complete supplement “RW-R”) ____ Drainage Easement – (Complete supplement “RW-D”) ____ Service Road – (Complete supplement “RW-R”) ____ Underground Utility Easement – (Complete supplement “RW-U”) ____ Water Line, Reservoir or Lift Station – (Complete supplement “RW-U”) ____ Sewer Line or Lift Station – (Complete supplement “RW-U”) ____ Electrical Line or Substation – (Complete supplement “RW-U”) ____ Gas Line – (Complete supplement “RW-U”) ____ Temporary Construction Easement – (Complete supplement “RW-T”) _____ Other, Please specify_____________________________________________________ Recreation Trail (4 feet wide) b. Telecommunications Rights of Way ____ Communication Line – Distribution Line – (Complete supplement “RW-C”) ____ Communication Line – Single User – Transmission Corridor – (Complete supplement “RW-C”) ____ Communication Line – Multiple User – Transmission Corridor – (Complete supplement “RW-C”) ____ Service Road – (Complete supplement “RW-R”) ____ Temporary Construction Easement – (Complete supplement “RW-T”) _____ Other, Please specify_____________________________________________________ c. Private Individuals & Entities ____ Non-Exclusive Access Road – (Complete supplement “RW-R”) ____ Haul Road – (Complete supplement “RW-R”) ____ Service Road – (Complete supplement “RW-R”) ____ Temporary Construction Easement – (Complete supplement “RW-T”) _____ Other, Please specify_____________________________________________________ 2 6111-03/92 (Rev. 8/2011) RW 7. BASIS FOR APPLICATION: a. Why are you applying for this right of way? (Mark all that apply): ____ Public Works Project ____ Pending Sale ____ Pending Private Development ____ Loss of Alternative Access ____ Required by City, County, etc. ____ Other, Please specify: ____ Necessary to provide infrastructure ____________________________ ____ Necessary to provide access ____________________________ ____ Trespass/Encroachment ____________________________ b. Does this right of way serve a specific property? □ No If no, complete R/W Supplement “RW-2” (Easement in Gross Supplement) □ Yes If yes, complete R/W Supplement “RW-1” (Dominant Estate Supplement) c. Is the proposed right of way to be used in conjunction with any application for a state lease, permit or sale (commercial, mineral, etc.)? □ No □ Yes If yes, provide the application number:__________________ 8. EXISTING LESSEE – IMPROVEMENTS: a. Are there any improvements that would be disturbed if this application is approved (water tanks, wells, fences, building, etc.)? □ No □ Yes If yes, list below: ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ b. If approved, will the construction and the maintenance of the right of way interfere with or intrude upon the existing lessee's rights under any existing lease? □ No □ Yes If yes, describe in detail: ________________________________________________________________________________________________ ________________________________________________________________________________________________ c. Have you contacted the Lessee to discuss this application? □ No □ Yes □ N/A 9. JURISDICTIONAL WASHES: a. Will the right of way cross any known washes, waterways, or other Waters of the U.S.? □ No □ Yes If yes, list the numbered washes or indicate “unnamed wash” below: ________________________________________________________________________________________________ ________________________________________________________________________________________________ 10. APPLICANT COMPLETE AND SIGN PAGE 4. 3 6111-03/92 (Rev. 8/2011) RW CERTIFICATION: Pursuant to A.R.S. Title 37 and the Rules of the Arizona State Land Department, A.A.C. Title 12, Chapter 5, you must complete the following information pertinent to you and/or the organization you represent and sign the certification or your application will not be processed. NOTE: Applicant must complete item #1. 1. Is this application made in the name of: (Applicant must check one) ________Individual(s) ________Husband & Wife ________Corporation ________Partnership ________Ltd. Partnership ________Estate ________Trust ________Ltd. Liability Co. ________Joint Venture ________Municipality ________Political Subdivision ________Other (specify)______________________________ 2. INDIVIDUAL(s) OR HUSBAND & WIFE: Complete the following for each applicant: NAME AGE MARITAL STATUS _______________________________________________________ ______ _______________________________________________________ _______________________________________________________ ______ _______________________________________________________ 3. CORPORATION: Complete the following: (A) Do you have authority from the Arizona Corporation Commission to do business in the State of Arizona? Yes____ No____ (B) Is the corporation presently in good standing with the Arizona Corporation Commission? Yes____ No____ (C) In what state are you incorporated? ___________________________________________ (D) Is the legal corporate name and Arizona business address the same as stated in this application? Yes____ No____ If no, state the Legal Corporate Name: _______________________________________________________________________________________________ Address: ________________________________________________________________________________________________________________________ (Street or Box Number) (City) (State) (Zip) 4. LIMITED LIABILITY COMPANY: Complete the following: (A) If an out-of-state limited liability company: Have you filed for a Certificate of Registration with the Arizona Corporation Commission? _______Yes _______No (B) If an Arizona limited liability company: Have you filed Articles of Organization with the Arizona Corporation Commission? _______Yes _______No (C) Are you authorized by the Arizona Corporation Commission to transact business in Arizona? _______Yes _______No 5. PARTNERSHIP OR JOINT VENTURE: Complete the following for each authorized partner or principal in the partnership or joint venture: NAME BUSINESS ADDRESS AGE MARITAL STATUS ____________________________ _________________________________________________ __________ _________________________ ____________________________ _________________________________________________ __________ _________________________ 6. LIMITED PARTNERSHIP: Is this Limited Partnership on file with the Arizona Secretary of State? Yes No Complete the following for the authorized general partner(s) only: GENERAL PARTNER(S) NAME BUSINESS ADDRESS ______________________________________________ ___________________________________________________________________________ ______________________________________________ ___________________________________________________________________________ 7. ESTATE: Complete the following and attach a copy of the court or estate document(s): Name of the court-appointed administrator or personal representative: _______________________________________________________________ List the type and date of issuance of the court or Estate document: ___________________________________________________________________ (Date issued) (Type of Document) 8. TRUST: (A) Complete the following pursuant to A.R.S. § 33-404, for each beneficiary of the Trust: NAME ADDRESS AGE MARITAL STATUS _______________________ ________________________________________________ ___________ ______________________________ _______________________ ________________________________________________ ___________ ______________________________ or (B) Identify the Trust document by title, document number, and county where document is recorded: ____________________________________ 9. I HEREBY CERTIFY, UNDER PENALTY OF PERJURY, THAT THE INFORMATION AND STATEMENTS CONTAINED HEREIN, TOGETHER WITH ALL EXHIBITS AND ATTACHMENTS ARE TRUE, CORRECT AND COMPLETE AND THAT I/WE HAVE AUTHORITY TO SIGN THIS DOCUMENT. SIGNATURE(S) __________________________________________________________ Maricopa County ____________________________________________________ (Name of Corporation, Partnership, etc.) Date Signature of Applicant (Individual) Date __________________________________________________________ Chairman _____________________________________________________ Signature Title Signature of Applicant (Individual) Date 4 6111-03/92 (Rev. 8/2011) RW RIGHTS-OF-WAY APPLICATION ADDENDUM NOTE: READ CAREFULLY 1. Completed supplemental forms (available on ASLD website) and the Application Addendum signed and dated by a Right of Way Administrator, or Section Manager, or Division Director, must accompany any new application for a Right of Way or Right of Entry. If such forms do not accompany the application, or if the Application Addendum is not signed and dated, or if the application is not submitted within 90 days of the Preliminary Application Conference date, the application shall be rejected. 2. Preliminary Application Conferences shall be set up by an administrator of the Right of Way Section (602) 542-4098. The Conference may be with the proposed applicant or a party representing the applicant. Preliminary Application Conferences shall be by appointment, may be in person or by phone, and shall be scheduled for a minimum thirty (30) minute time period, unless an administrator personally arranges otherwise. 3. An appointment for a Preliminary Application Conference must be set up at least ten (10) working days in advance. The potential applicant must provide a completed Application Addendum and any supplemental forms for the specific use at the time the Preliminary Application Conference is scheduled. The completed Application Addendum and supplemental forms may be mailed, hand delivered, faxed or provided electronically. In addition to the Application Addendum, it is highly recommended that a surface ownership map showing the proposed alignment be provided by the applicant. If the Preliminary Application Conference is conducted by telephone, it is the responsibility of the potential applicant or representative to make sure the Application Addendum, supplemental forms and any maps are delivered to the administrator prior to the Preliminary Application Conference. The administrator shall not schedule the Preliminary Application Conference if the potential applicant fails to provide the completed Application Addendum prior to scheduling the Preliminary Application Conference. 4. Administrators will be assigned to Preliminary Application Conferences on a basis established by the Right of Way Section Manager. 5. When the Preliminary Application Conference is concluded, the administrator shall return the signed and dated Application Addendum to the potential applicant or his representative to submit with the application if one is filed, and retain a copy. ACCEPTANCE OF THE APPLICATION SUBSEQUENT TO COMPLETION OF THE ADDENDUM DOES NOT CONSTITUTE A FINAL DETERMINATION BY THE DEPARTMENT OF THE MERITS OF THE APPLICATION. 1 1/2010 ROW Application Addendum ARIZONA STATE LAND DEPARTMENT REAL ESTATE DIVISION ADDENDUM TO APPLICATION REQUIRED PRELIMINARY APPLICATION INFORMATION This completed form, signed and dated by the Real Estate Division, must accompany every New Right of Way or Right of Entry Application. The Department will not accept an application for a right of way or a right of entry without this form being completed. APPLICANT INFORMATION Applicant Name: ____________________________________________________________ Maricopa County Contact Name: ____________________________________________________________ John J. Rose Mailing Address: ____________________________________________________________ 301 West Jefferson St City: _________________________ Phoenix State & Zip Code: _________________________ AZ 85003 Phone: _________________________ (928) 501-9216 Fax: _________________________ (928) 501-8600 E-Mail: ____________________________________________________________ Johnrose@mail.maricopa.gov PARCEL INFORMATION Section/Township/Range: ____________________________________________________ 1 4N 1E Political Jurisdiction: ____________________________________________________ City of Peoria Existing Zoning: _________________________ Roadway Right-of-Way (MCDOT) General Plan Designation: _________________________ Existing Adjacent Land Uses: ____________________________________________________ Roadway and freeway North: ____________________________________________________ Happy Valley Parkway (MCDOT) East: ____________________________________________________ Happy Valley Parkway (MCDOT) South: ____________________________________________________ Happy Valley Parkway (MCDOT) West: ____________________________________________________ SR303 (ADOT) Proposed Project Description, purpose and/or need for the requested right of way? _____________________________________________________________________________ Recreational Trail 4 feet wide _____________________________________________________________________________ _____________________________________________________________________________ 2 1/2010 ROW Application Addendum What is your opinion of the value of the right-of-way you wish to acquire the rights to, per acre, and if appropriate, per square foot? _____________________________________________________________________________ $20,000 per acre _____________________________________________________________________________ _____________________________________________________________________________ What are the funding mechanisms that will assist and or pay for this right of way? Are there constraints, stipulations or deadlines with the funding? _____________________________________________________________________________ Maricopa Trail fund authorized by the County Board of Supervisors _____________________________________________________________________________ _____________________________________________________________________________ Is access an improved dedicated public street? Yes No Describe access and identify road names: ____________________________________________ Happy Valley Parkway, SR 303 ______________________________________________________________________________ Are there any drainage and/or flood plain constraints or requirements for the use or proposed project? If yes, what are the proposed plans to address them and how or will they impact the proposed use? _____________________________________________________________________________ No _____________________________________________________________________________ _____________________________________________________________________________ Are there any waterways/washes in along or within the project area? If yes, what are the sizes and what constraints and/or issues may they generate? _____________________________________________________________________________ No _____________________________________________________________________________ _____________________________________________________________________________ Has the proposed use or proposed project been presented and/or vetted through the local, State or Federal jurisdiction? If yes, what was the jurisdiction’s position? Please include any letter of support and/or stipulations imposed on the project. _____________________________________________________________________________ Arizona State Land Pre-application meeting _____________________________________________________________________________ _____________________________________________________________________________ 3 1/2010 ROW Application Addendum Are there any pending projects associated with this use or proposed project? If yes, do they require other rights of ways or acquisitions to complete the project? Please explain. _____________________________________________________________________________ No _____________________________________________________________________________ _____________________________________________________________________________ Are there any extraordinary issues affecting the use or proposed project that you are aware of, such as the existence of endangered species, cultural resources, topographic constraints, etc.? _____________________________________________________________________________ No _____________________________________________________________________________ _____________________________________________________________________________ What, local, State or Federal approvals, if any, are necessary for this use or proposed project? If a Certificate of Environmental Compatibility (CEC) by the Arizona Corporation Commission is required, when are you planning to file the application? If filed, please provide a copy of the application. _____________________________________________________________________________ None _____________________________________________________________________________ _____________________________________________________________________________ Why are you requesting that this parcel be encumbered with a right of way at this time? Please provide supporting data. _____________________________________________________________________________ Continuation of the Maricopa Trail, a 4 foot wide trail designed to connect the Maricopa County Parks. _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ For Real Estate Division Use Only Preliminary Application Conference Took Place with: _________________________________ Real Estate Division Signature: ___________________________________ ______________ (Date) 4 1/2010 ROW Application Addendum RIGHT OF WAY INSTRUCTIONS (Please read all instructions carefully before filing an application.) ATTENTION Prior to filing a NEW application for a Right of Way or Right of Entry, contact the Right of Way Section at (602) 542-4098 to schedule a pre-application conference with a Right of Way Administrator. NOTE: The attached Application Addendum must be completed and signed by the Land Department. A RIGHT OF WAY CAN ONLY BE USED FOR THE PURPOSE FOR WHICH IT IS ISSUED TYPE OF R.O.W. FEES EASEMENT APP TERM EXAMPLE OF USE LEASE RENTAL Annual (KE-17) $500 10 years Temporary use only; construction Annual Payment easement, haul road, etc. Short-Term (KE-18) $500 10 years Non-exclusive access roads, service Full payment in roads, utilities, power, communication, advance gas, water, sewer, etc. Mid-Term (KE-14) $500 50 years Major transmission lines: 50, 25 or 10 year communication, 69 kV and above; advance payment electric lines, pipelines, etc., utility, facilities, etc. Perpetual* (KE-16) $500 Perpetual Public roadways Full payment in advance *(Rights of way exceeding 50 years will be offered at public auction. Advertising and administrative fees paid for by applicant.) TYPES OF ACCESS/ROADWAYS: 1. Public Roadway Easements acquired by federal, state, or local governmental agencies. The public roadway must be built to city/county/federal standards. 2. Access Roads Limited use easement (10-year maximum) for non-exclusive individual use, to gain access to State Land under lease, Federal mining leases, communication sites, and private land landlocked within State Lands, where no other reasonable access is available. NOTE: Federal mining claim leases should contact the Mineral Section of the State Land Department before filing for access at (602) 542-4628. 3. Haul Roads Non-exclusive acquired by mining, sand, gravel and timber operators. The roadway is used by heavy equipment, and is not a public access road. A damage and restoration bond and rehabilitation of the lands used for the haul road or damaged by the users of the haul road is required. 4. Service Roads Easements acquired by a utility company for the purpose of installation, service, and repair of utility lines. This type of easement is not a public access road. HOW TO APPLY FOR A RIGHT OF WAY APPLICATIONS CAN NOT BE ACCEPTED WITHOUT THE FOLLOWING INFORMATION: 1. Answer all questions on the right of way application and sign the certification page of the application. 2. Attach all required Supplemental Forms. They are available at 1616 W. Adams or online at www.land.state.az.us. 3. Be specific about what you propose to construct. 4. State the purpose of the right of way. 5. Preliminary description: A U.S.G.S. seven and one half minute topographic quadrangle map or an aerial map showing the proposed right of way alignment, including the width and approximate length of right of way crossing State Trust Land. This map should include township, range and section lines/designations. 6. Include any additional information or material available that would aid in the Department's evaluation of the application. CLEARANCES REQUIRED: 1. Archaeological - State Historical Preservation Office, Phoenix, AZ 85007 (602) 542-7142. 2. Native plants - Department of Agriculture, 1688 W. Adams, Phoenix, AZ 85007 (602) 542-4373. 3. Clearance/Permit may be required if there is impact to “Waters of the U.S.” 4. Clearance may be required from various other State agencies, including the Department of Environmental Quality. Initial contact for the clearances will be handled by the Land Department. All costs for clearances shall be borne by the applicant. ALIGNMENTS: A preliminary review of the Right of Way application is done to evaluate impact and suitability as to the acceptability of the proposed alignment. A field inspection may be required. Applicant will be notified of the acceptable alignment and, if applicable, survey requirements. APPRAISAL: The rental and purchase prices will be based on the appraised fair market value of the land as approved by the Department. RIGHT OF WAY FINAL DESCRIPTIONS & SURVEY DATA: 1. The final description for an approved right of way alignment shall consist of a written description and map in accordance with the State Land Department's "Standards for Final Right of Way Descriptions," copies available from the State Land Department Right of Way Section. 2. If the description is irregular enough to require a survey, it must be certified by an Arizona Registered Land Surveyor. Samples of survey requirements are available from the Right of Way Section or CADASTRAL and SURVEY REVIEW UNIT. For information regarding the survey, contact the CADASTRAL and SURVEY REVIEW UNIT at (602) 542-2601, 542-2602 or 542-2603. POWER OF ATTORNEY: If you are acting as an Attorney in Fact for the applicant you must submit a copy of your notarized Power of Attorney and a $50.00 additional fee. PROCESSING TIME: Approximate time for processing an accepted application is twelve (12) months to sixteen (16) months. For further information, contact: Right of Way Section Arizona State Land Department 1616 West Adams Phoenix, Arizona 85007 (602) 542-4098