Backup Documents 10/27/2015 Item #16A14 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 6 A 1 .,
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE ` u
Print on pink paper. .,ttactt to original document. the completed routing slip and original documents are to he forwarded to the(ounty Attorney Office
at the time the item is placed on the agenda. All completed muting slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 as appropriate for additional signatures,dates.and/or information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s)(List in routing order) Office Initials Date
1.
2.
3. County Attorney Office County Attorney Office I oda- i5
4. BCC Office Board of County
Commissioners 457
5. Minutes and Records Clerk of Court's Office
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the
addressees above,may need to contact staff for additional or missing information.
Name of Primary Staff Key/ti-.1 k\rt P R r C K S Phone Number
Contact/ Department '(2 -i—)s !1G Gm.
Agenda Date Item wasA enda Item Number A
Approved by the BCC I c) r2? ((5 n g 4 6 f 14/,
Type of Document Number of Original — Aea w/i20144
Attached EA\S es,� T 5 Documents Attached fix t iB t-r-- cop
PO number or account raj/A SvtlFiASATh. t' O Vie sei- be
number if document is - rwA1' d-to' �Y1
to be recorded a`�t T� Rr`co l2a " S�lv iD"a r
vcj v -f-p cituul Q dt 1-ftar'liOO
INSTRUCTIONS & CHECKLIST 11
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. ( ')) Appl'cable)
I. Does the document require the chairman's original signature? ..
2. Does the document need to be sent to another agency for additional signatures? If yes,
provide the Contact Information(Name; Agency; Address; Phone)on an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be
signed by the Chairman,with the exception of most letters, must be reviewed and signed 7..i:
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's
Office and all other parties except the BCC Chairman and the Clerk to the Board
§i//
5. The Chairman's signature line date has been entered as the date of BCC approval of the
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's cam„-,
signature and initials are required. `�'
7. In most cases(some contracts are an exception),the original document and this routing slip
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on. :enter date)and all changes made N/A is
during the meeting have been incorporated in the attached document. The County 4) an option for
Attorney's Office has reviewed the changes,if applicable. this lute,
9. Initials of attorney verifying that the attached document is the version approved by the .., N/A is'
BCC,all changes directed by the BCC have been made,and the document is ready for the • an option fott
Chairman's signature. this lite
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
16 A 1
r
MEMORANDUM
Date: October 29, 2015
To: Kevin Hendricks, ROW Manager
TECM Department
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Well Site Easements (2)
Attached, for further processing, is the original agreement referenced above, (Item
#16A14) approved by the Board of County Commissioners on Tuesday, October 27,
2015.
One set of originals will be held in the Minutes and Records Department for the
Board's Official Record, the second set of original has been sent to Lisa Koehler
with SFWMD per your instructions.
If you have any questions, please call 252-8411.
Thank you.
Attachment
16 A 14
MEMORANDUM
Date: October 29, 2015
To: Lisa Koehler, Big Cypress Basin Administrator
South Florida Water Management District
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Well Site Easements (2)
Attached, for Recording, is an original of each agreement as referenced above, (Item
#16A14) approved by the Board of County Commissioners on Tuesday, October 27,
2015.
One original will be held in the Minutes and Records Department for the Board's
Official Record.
If you have any questions, please call 252-8411.
Thank you.
Attachment
xR¢tt
16 A
INTEROFFICE MEMORANDUM
TO: Board Minutes and Records Department
FROM: Emily R. Pepin,Assistant County Attorney
DATE: October 23,2015
RE: Routing for Item 16.A.14
Included with the routing sheet are two sets of easements:
• 2 copies of the Well Site Easement with Exhibit attached
• 2 copies of the Well Site Access Easement with Exhibit attached
Once attested by your office, please forward one set (A copy of the Well Site Easement and a
copy of the Well Site Access Easement) to the address below for recording by the South Florida
Water Management District. One set of the easement will be retained by your office.
Please send to:
South Florida Water Management District
c/o Lisa Koehler, Big Cypress Basin Administrator
2660 North Horseshoe Drive Naples, Florida 34104
Telephone: (239) 263-7615
Thank you.
l6A14
PROJECT: 60040 (Golden Gate Boulevard Four-Laning from Wilson to 20th Street)
WELL SITE EASEMENT
THIS EASEMENT, made and entered into this 2744—day of oc1Q B c ,
20 l5, by COLLIER COUNTY, A POLITICAL SUBDIVISION OF THE STATE OF
FLORIDA, whose post office address is 3299 Tamiami Trail East, do the Office of the
County Attorney, Suite 800, Naples, Florida 34112, hereinafter referred to as "Grantor",
to the SOUTH FLORIDA WATER MANAGEMENT DISTRICT, a government entity
created by Chapter 373, Florida Statutes, whose address is 3301 Gun Club Road, West
Palm Beach, Florida 33406, hereinafter referred to as "Grantee".
(Wherever used herein the terms "Grantor" and "Grantee" include all the parties to
this instrument and their respective heirs, legal representatives, successors and
assigns. Grantor and Grantee are used for singular or plural, as the context requires.)
WITNESSETH:
Grantor, for and in consideration of TEN DOLLARS ($10.00) and other valuable
consideration paid by the Grantee, the receipt and sufficiency of which is hereby
acknowledged, hereby conveys, grants, bargains and sells unto the Grantee, a
perpetual, non-exclusive easement, license, and privilege for the purpose of access to
and installation, operation and maintenance of well sites over, under, upon and across
the following described lands located in Collier County, Florida, to wit:
See attached Exhibit "A" which is
incorporated herein by reference.
Subject to easements, restrictions, and reservations of record.
TO HAVE AND TO HOLD the same unto the Grantee together with the right to
enter upon said land and to place and/or excavate materials for the purpose of
constructing, operating, and maintaining well facilities thereon. This easement includes
the right to remove and use any and all excavated material. The easement granted
herein shall constitute easements running with the land and shall burden the lands
described above.
IN WITNESS WHEREOF, the Grantor has caused these presents to be executed
the date and year first above written.
ATTEST: , BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BRO K:, COLLIER COUNTY FLORIDA
Attest as to Chairma .;Doputy Clerk TIM NANCE, Chairman
signature only. :'x.
Approved as to form and legality:
mily R. ' :pin
Assistant ounty Attorney
Last Revised 10/9/15
e
16 A14
PROJECT NO. 60040(Golden Gate Boulevard Four-Laning from Wilson to 20th Street)
EXHIBIT LEGAL DESCRIPTION & SKETCH
Page--i—at (NOTA SURVEY)
SFWMD EASEMENT FOR MONITORING WELLS
THE SOUTH 50 FEET OF THE WEST 50 FEET OF
TRACT 130, GOLDEN GATE ESTATES UNIT NO. 13,ACCORDING TO THE PLAT
THEREOF RECORDED IN PLAT BOOK 7, PAGES 71 & 72, OF THE PUBLIC
RECORDS OF COLLIER COUNTY, FLORIDA.
ORIGINAL 50'GG BLVD.ROW(CREATED BY PLAT)
ADDT'L 50 FOOT WIDE ROW(TO BE DECLARED)
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16A14
PROJECT: 60040 (Golden Gate Boulevard Four-Laning from Wilson to 20th Street)
WELL SITE ACCESS EASEMENT
THIS EASEMENT, made and entered into this Z7day of O C-r dY E 2- ,
2015 , by COLLIER COUNTY, A POLITICAL SUBDIVISION OF THE STATE OF
FLORIDA, whose post office address is 3299 Tamiami Trail East, c/o the Office of the
County Attorney, Suite 800, Naples, Florida 34112, hereinafter referred to as "Grantor",
to the SOUTH FLORIDA WATER MANAGEMENT DISTRICT, a government entity
created by Chapter 373, Florida Statutes, whose address is 3301 Gun Club Road, West
Palm Beach, Florida 33406, hereinafter referred to as "Grantee".
(Wherever used herein the terms "Grantor" and "Grantee" include all the parties to
this instrument and their respective heirs, legal representatives, successors and
assigns. Grantor and Grantee are used for singular or plural, as the context requires.)
WITNESSETH:
Grantor, for and in consideration of TEN DOLLARS ($10.00) and other valuable
consideration paid by the Grantee, the receipt and sufficiency of which is hereby
acknowledged, hereby conveys, grants, bargains and sells unto the Grantee, a
perpetual, non-exclusive easement, license, and privilege for the purpose of access to
monitoring wells over, under, upon and across the following described lands located in
Collier County, Florida, to wit:
See attached Exhibit "A" which is
incorporated herein by reference.
Subject to easements, restrictions, and reservations of record.
TO HAVE AND TO HOLD the same unto the Grantee together with the right to
enter upon said land and to place and/or excavate materials for the purpose of
accessing, and maintaining well facilities located thereon and constructing a concrete
driveway apron connecting the access and maintenance pathway to the pavement of 8th
Street SE. This easement includes the right to remove and use any and all excavated
material. The easement granted herein shall constitute easements running with the
land and shall burden the lands described above.
IN WITNESS WHEREOF, the Grantor has caused these presents to be executed
the date and year first above written.
ATTEST:......'•`. 8',' BOARD OF COUNTY COMMISSIONERS
DWIGHT . 13130 K COLLIER COUNTY, FLORIDA
.,----r - //';
BY: l
Attest as to Chairman's ,Deputy Clerk TIM NANCE, Chairman
-innature only.
Approved as to form and legality:
• '
mily R. ' - •in
Assistant -ounty Attorney
Last Revised:10/9/15
11A 1
PROJECT: Golden Gate Boulevard Four-Laning from Wilson Blvd. to 20th Street East(No. 60040) V
EXHIBIT "" LEGAL DESCRIPTION & SKETCH
Page ,,•_••.,et,.,L --- (NOTA SURVEY)
SFWMD EASEMENT FOR ACCESS TO MONITORING WELLS
THE SOUTH 50 FEET OF THE NORTH 150 FEET OF THE WEST 270 FEET
OF TRACT 130, TOGETHER WITH THE WEST 50 FEET OF THE NORTH
480 FEET OF THE SOUTH 530 FEET OF TRACT 130, TOGETHER WITH
THE SOUTH 50 FEET OF THE WEST 250 FEET OF THE EAST 280 FEET
OF TRACT 130, TOGETHER WITH THE SOUTH 100 FEET OF THE WEST
50 FEET OF THE EAST 80 FEET OF TRACT 130, GOLDEN GATE
ESTATES UNIT 13, ACCORDING TO THE PLAT THEREOF, RECORDED IN
PLAT BOOK 7, PAGES 71 & 72, OF THE PUBLIC RECORDS OF COLLIER
COUNTY, FLORIDA.
ORIGINAL 50'GG BLVD.ROW(CREATED BY PLAT)
•
ADDT'L.50'GG BLVD.ROW(TO BE DEDICATED)
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