The URL can be used to link to this page

Home My WebLink About1.0 APPLICATION.pdf0\oLSSON ASSOCIATES ENCANA. 826 21 ½ Road | Grand Junction, CO 81505 | TEL 970.263.7800 | FAX 970.263.7456 General Application Materials Encana Oil & Gas (USA) Inc Divide Road Produced Water Treatment Facility OA Project No. 012-0400 Building and Planning Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com LAND USE CHANGE PERMIT APPLICATION FORM TYPE OF APPLICATION  Administrative Review  Location and Extent Review  Limited Impact Review  Development in Floodplain  Major Impact Review  Designation of Flood Fringe/Floodway  Amendment to an Approved LUCP  Rezoning  Minor Temp. Housing Facility  PUD Zoning  Vacation of County Road/Public ROW  ULUR Text Amendment  Pipeline Development  Appeal of Admin. Interpretation  Comprehensive Plan Amendment, Minor  1041 Regulations  Comprehensive Plan Amendment, Major  Variance INVOLVED PARTIES Owner/Applicant Name: ________________________________________________ Phone: (______)_________________ Mailing Address: ______________________________________________________________________ City: _______________________________________ State: _______ Zip Code: ____________________ E-mail:_______________________________________________________________________________ Representative (Authorization Required) Name: ___________________________________ _____________ Phone: (______)_________________ Mailing Address: ______________________________________________________________________ City: _______________________________________ State: _______ Zip Code: ____________________ E-mail:_______________________________________________________________________________ PROJECT NAME AND LOCATION Project Name: _________________________________ ____________________________________________________ Assessor’s Parcel Number: ___ ___ ___ ___ -___ ___ ___ -___ ___ -___ ___ ___ Physical/Street Address: ____________________________________________ ____________________ Legal Description: ______________________________________________________________________ _____________________________________________________________________________________ Zone District: ___________________________________ Property Size (acres): __________________ Encana Oil & Gas (USA) Inc. 970 285-2757 2717 CR 215, Suite 100 Parachute CO 81635 Christopher.Putnam@enca na.com Mike Markus, Jeff Hofman -Olsson Associates 970 263-7800 826 21 1/2 Road Grand Junction CO 81505 mmarkus@olssonassociates.com Divide Road Produced Water Treatment Facility 1 9 1 7 2 7 4 0 0 0 1 2 none assigned See attached deed RL-Plateau approx. 15,800 PROJECT DESCRIPTION Existing Use: __________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Proposed Use (From Use Table 3-503): _____________________________________________________ Description of Project: __________________________________________________________________ _____________________________________________________________________________________ __________________________________ ___________________________________________________ _____________________________________________________________________________________ _____________________________________________________________ ________________________ _____________________________________________________________________________________ REQUEST FOR WAIVERS Submission Requirements  The Applicant requesting a Waiver of Submission Requirements per Section 4-202. List: Section: ______________________________ Section: _________________________________ Section: ______________________________ Section: _________________________________ Waiver of Standards  The Applicant is requesting a Waiver of Standards per Section 4-117. List: Section: ______________________________ Section: _________________________________ Section: ______________________________ Section: _________________________________ I have read the statements above and have provided the required attached information which is correct and accurate to the best of my knowledge. ______________________________________________________ __________________________ Signature of Property Owner Date OFFICIAL USE ONLY File Number: __ __ __ __ -__ __ __ __ Fee Paid: $_____________________________ Natural gas drilling and production Material handling/Water Impoundment/Water Tank/Treatment Facility Please refer to the Executive Summary included with the application 4-203.F Landscape Plan 4-203.M Water Supply Plan 7-305 Landscaping Standards 7-308 Roadway Standards August 30th, 2012 //s//Chris Putnam 1111 ~r.~.I~1,1~~-"~~.N-~~~w~~~~~Nflr 1.w. ~~1 11111 Reception~: 821766 07/24/2012 03:04:12 PM Jean Alberico 1 of 1 Reo Fee:$11 .00 Doc Fee:0.00 GARFIELD COUNTY CO STATEMENT OF AUTHORITY CONFORMED COPY Pursuant to C.R.S. §38-30-172, the undersigned executes this Statement of Authority on behalf of EncanoOii & Gos(USA)Inc. _ a corporation (corporation, limited liability company, general partnership, registered limited liability partnership, registered limited liability limited partnership, limited partnership association, government agency, trust or other), an entity other than an individual, capable of holding title to real property (the "Entity"), and states as follows: The name of the Entity is Encono Oil & Gas (USA)Inc and is formed under the laws of _t~h~e~S~t~a~te~of~D~e~la~w~~we~---------------The mailing address forth~ F.ntity is 37017thStreet,Suite1700 Denver, CO 80202 The name and/or position of the person execute instruments conveying, encumbering, affecting title to real property on behalf of Renata Busch, JO$on Eckman, Mike Herndon and Chris Putnam authorized to or otherwise the Entity is The limitations upon the a ut hority of the person named above or holding the position described above to bind the Entity are as follows: sign permit applicat ions and permits issued by Garfield County (if no limitations, insert "None") Other matters concerning the manner in which the Entity deals with any interest in real property are: (if no other matter, leave this section blank) EXECUTED this jj day of ,.)ul~----------· :_o•~·//) Signature: -~~------.. ----Name(typed or printed: ()orrin J . Henke Title (i( any): Vice-President -~·---.-·-~ -----· -·---·----.,...,. ... ~~----·--· .. --~·-« & -._-,., -·-;:_:f\\) ' STATE OF Colorado ... .-.... .. .... _ .. __ ) )SS. COUNTY OF _Deny~-----------) -·tlh The foregoing instrument was acknowledged before me this /J __ day ot .... j~I;J.uRe-J c-. '1' . ___ , 20U. by Darrin J. Henke _____ , on be halt' of __ f_ncana Oil & Gas (US,A}_J;~_,_ _____ , a Delaware Corporct!9.!L.......... __ ~------11/08 Witness my hand and official seal. My commission expires: JUDiiH 8 SISNEROS NOTARY PUBLIC STATE OF COLORADO My Commission Expires 0311712016 Encana Oil & Gas (USA) Inc. 2717 County Road 215 Suite 100 Parachute, CO 81635 tel: (970) 285-2757 fax: (970) 285-2691 Christopher.putnam@encana.com www.encana.com August 2, 2012 Garfield County Building and Planning Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 RE: Agent Authorization Encana Oil & Gas (USA) Inc. (Encana) authorizes Craig Richardson, Jeff Hofman, and all of Olsson Associates, to act on behalf of and represent Encana in all matters related to the attached Garfield County Limited Impact Review Land Use Change Permit for the Divide Road Produced Water Treatment Facility Application. Please contact me should you have any questions. Thank You, 8/2/2012 (Signature) Date Chris Putnam Contract Permit Technician (Print Name) Title 1