HomeMy WebLinkAboutApplication.pdfGarfield County Building & Planning Department 108 8th Street Suite 401 GlenWood Springs, CO 81601· Phone: (970)945·8212 Fax: (970)384-3470 Project Address SILT,CO Owner Information
State of Colorado Parcel No. 218127100201 Address 6060 Broadway Denver CO 80216 Subdivision Contractorjsl Phone Primary Contractor Williams Production RMT (970)285-9377 V,. n ,MDVpJ
\ ·7·(D Proposed Construction I Details Septic for KP 23-25 S/O-t (Ql49 FEES DUE fee Septic Fee -New Total: Tuesday, October 13, 2009 "Amount $73.00 $73.00 Valuation: Total Sq Feet:
FEES PAID Inv # SEPT-1 0-09-1981 0 $ 73.00 Check # 5430 Section Township Range Phone Cell 970-255-6100 $ 0.00 o $73.00 $ 0.00 Required Inspections: Fodn'p"tlon",'" 1 (970)384-5003 Inspection
IVR See Permit Record Building Department Copy 2
GARFIELD COUNTY SEPTIC PERMIT APPLICATION 1088"'Street Suite401, Glenwood Springs, CO 81601 Phone: 970-945-82121 Fax: 970-384-3470 1 Inspection Line: 970-384-5003 ~-t~~~an ~~~.V==~"
V~~~~~~~~--------------1 12 address has not been assigned, please proVlU~ ..... , ,t.NY Or Grand Production (x) Dwelling ( ) Tranlent Use Type: Sewage System (15DS) Proposed: ( )Aeration
Plant 197()-Ztlo-9'377 ext 2288 ( ) Commercial or Industrial ( ) Vault Privy ) Incineration Toilet ( ) Non~ Domestic Wastes ( ) Cistern ( )Composting Toilet ) Chemical Toilet ( ) Evapotranspiration
( ) Sand Test Result: (to be completed by Registered Professional Engineer, if the Engineer does the Percolation Test) ______ per inch in hole NO.1 _____ per inch in hole No.2 address
& telephone of RPE who made soil absorption test: N/A Minutes ______ per inch in hole NO.3 Minutes per inch in hole No.4 i as may I health department to be made and furnished by the
applicant or by the local health department for purposed of the evaluation of the application; issuance of the permit is subject to such terms and conditions as deemed necessary to insure
compliance with the rules and regulations made, It;~~;a~n~d,~re;p~o~rtbs~eSUli;e~bf~ am~n;dit ta~erfed ~dh~eesr~ige~nw~eidth ~tao~ n~d~rfre:elqie~Ud~i roen~d ~b~yto ~lob~cea:~lS d~Ueb:piam;rittmteed
nbty O thf hee aapltphl icina netv aalruea otiro wngil l thbee rseapmrees feonrt epdu rtpoo bsee st roufe i sasnudin cgo trhreec pt teor mthite abpepslite odf fmory may result in the
denial of the application or revocation of any permit granted based upon STAFF USE ONLY PcrmltFcc: 7~ I pcrkF~ Totalr~f~ I Buudin~,lit#: I _I Septic Permit #: 3i2 Issue Dai"b. f 3-0
Cj BlIilding & PlanPt{, APPROVAL~ A "" b." DATE lor rz..-c"1 ~
One aboveground sewage holding tank with 4000-gallon capacity on-site. The Vault System is displayed in both of the pictures. Sewage flows estimated to be 300 gallons/day (4 individuals
x 75 gpcd). Sewage holding tank needs to be emptied approximately every 13 days (4000 gallons/300 gallons per day). Wastewater vault is equipped with overflow alarm device. Williams
utilizes the services of a licensed contractor to removed and haul the wasterwater to a state certified treatment/disposal facility. One potable aboveground water tank of approximately
4000 gallons capacityon-site. Posted on the front of the Tank there is a Sign that states "Potable Water Only". Potable water demand is estimated to be 300 gallons/day (4 individuals
x 75 gpcd). Required minimum fire suppression demand is 2500 gallons. Total potable and fire suppression demand is estimated to be 4000 gallons. Road access to the site is maintained
year round through the services of private road maintenance and construction contractor. KP23-25 Vault System Description The site will temporarily office and house up to a maximum of
four individuals during natural gas drilling activities and is expected to be completed in one year or less. The individuals will occupy two individual trailer offices/houses located
on the well pad. Office/houses have Colorado Division of Housing compliance tags.
;\./:: .. ; .. (:\ '.',', .:. . ' .. ":': . . I' , F'I-A'T 114 >.'."g~.'. "";', I RIG LAYOUT ... '.' "., " II· I , ""'F! I "':\//'. I I I I I \ \ \ .... ~~c~;s/'.:,.! Road ',' I I 1
I I I \ \ \ \ \ KP 23·25 Well Pad Area Williams Representative Office/Housing (2.bdnn.) "'... ': /. I 400!J.gallon Aboveground Potabfe Water Cistern with 01)' Fire Hydrant I I ' I ro"
Ik ... • .. ) I I I i! I I I ~ I I ~ I 29 ft. 1 C) I;:!::::'· I ~ I I I 1;> I I;:; I : ; " . GON&TI=i!UCTION $UI=i!VI!i'l"e.. ING. • 1 400!J.gallon """""... Above--ground Wastewater
Vault ., \, II \ Drilling Contractor ~. OfficelHouslng ". (1·bdnn.) . \ \ I ) :l; ! J . 1"//'. ., /. Jf /I . jI /"I ",.///f I I REVISED: 1/13/09 \ \ \ 1'il'1'il'12 euNI=i!IHl SI. YD.
e.IL. t, co &111>;'2 ("I'il'.le'I!>-;"&) I-III .. TON 2p·1 PAD Oll'lION ENJii1;l/iY PAll<TNIiiI=i!f> Oft. 100 Ft. SCALE: ,. = BO' SHEEn Notes; The well pad site is located In the SW
1/4 of P.M. (NAD83 N39.49762° W107.50755,,) The site will temporarily office and house up . individuals during natural gas drilling activitie, completed In one year or less. The indivldua
trailer offices/houses located on the well pad. Division of Housing compliance tags. One aboveground sewage holding tank with' Sewage flows estimated to be 300 gallons/d Sewage holding
tank needs to be emptied a~ (4000 gallons /300 gallons per day). Waste, overflow alarm device. Williams utilizes the s contractor to remove and haul the wastewate treatment/disposal
facility. One potable aboveground water tank of app" capacity on-site. Potable water demand Is es gallons/day (4 Individuals x 75 gpcd). RequirE demand Is 2500 gallons. Total potable
and fin required is estimated to be 4000 gallons. Wa with 4000 gallons of storage with refills sched hydrants observed on water tank. Road access to the site is maintained year-ro private
road maintenance and construction c( Factory-Built Nonresidential Structures (Offic' separation distance of 29 ft. Base mapping by Construction Surveys, Inc. housing trailers, water
and wastewater tanks, dumpster surveyed with Trimble Geo·xr GPS KP 23-25 Site Plan Garfield County, Colorado Small Temporary Employee Septic Permit Application Applicant: Williams Production
RMT
Williams Production RMT KP 23-25 Well Pad W~~imllsir. Directions to Site-HIL.TON 2p~1 F'AD ORrON ENEmGY FAI<'TNS!lii1:i:o Emergency Contact Li!H' Main Office: 970-285-9377 <ll'lSWered
24 Hours John Mom's-Williams. Dnlling 970-250-01 02 ee.1 $cQtt 8rady. Williams Drilling Sup-97{)'27o.0187 Cell Kevin McDermott-WilfiamsSafety.970-3G9-1195 Cel! Mark Mumby _ Spin Comrador
970-260-1576 CeU KP 23~25 Well Pad Area WiIli;Jms Reprosemative OfficelHous1ng (z.t~illl1,) "'" F1..AT "4-RIG ,L AYOUT ,,, \ \, ,, ,, , \ \ \ \ \ \ 40Q0.gallon Cislem with Dry FiroHydmm
, [ , [W'I-,k o. ... ) [ '§ , ''.; , ,,..''' I» ,I 4000-g.allon Above-gmund WaSlewaterVaun \ \ Drilling Contractor . OfficelHoU$ing :, (1-lxIrm.) :. I\ ,: ,J ) " I [} ",: . /''"/II j///,
f~ //, ///I"I . I I t I \ CONe-mUeTION eu~vEye" INC. Rf:VIstD: 1/13/09 ~"!2 euNl<feE SL. 'to. 1-111. TON 25-1 FAC &oIL. T. CO e!6$2 ORION ENEl<GY F'AI<TNIiRe ('b,,,;e'b~e.,e.:. 200 iN2lu;.
The weH pad site is located in the SW 1/4 of Section 25, T6S, R91W, 6th P.M. (NAD83 N39.49762Q W107.5075SO) The site wlli temporarily office and house up to a maximum of four individuals
during natural gas drilling activities and is expected to be completed in one year or less. The individuals wli! occupy two individual traller offices/houses located on the well pad.
Office/houses have Colorado Division of Housing compliance tags. One aboveground sewage holding tank with 4QO(}..galion capacity on~site. Sewage flows estimated to be 300ga!lons/day
(4 indiviOOalsx 75gpcd). Sewage holding tank needs to be emptied approximately every 13.3 days (4000 gallons /300 gallons per day). Wastewater vault equipped with overflow alarm device.
Williams utili;::es the services of a Ilcensed contractor to remove and haul the wastewater to a State Certified treatment/disposal facility. One potable aboveground water tank of approximately
4000 gallons capacity on-site. Potable water demand is estimated to be 300 gallonsfday (4 individuals x 75 gpcd). Required minimum fire suppression demand is 2500 gallons. Total potable
and fire suppression volume required is estimated to be 4000 gallons. Water supply appears adequate with 4000 gallons of storage with refills scheduled at 5-day intervals. Dry hydrants
observed on water tank. Road access to the site is maintained year-round through the services of private road maintenance and construction contractors. Factory-Bulll Nonresidential Structures
(Office/HOUSing) have a minimum separation distance of 29 ft. Base mapping by Construction Surveys, Inc. Site features including housing trailers, water and wastewater tanks, portable
toilets and dumpster surveyed with Trimble Geo-xr GPS equipment 23-25 Site Plan J~rfip!rl County, Colorado Temporary Employee Housing and ISeptic Permit Application AppUcant WilJiams
Production RMT Chcclted: 0Jf Vernion: 001 LLC :!!lIP
1111 ~jl'·. ~:rll~i~,~ \Ii~ I*II~ ,!III',I,lI:r"I~I'l~IIII' I,ll, ~III. 11111 Reception"tt: 775225 . @9/17/20@9 12:551'311~~MD J"Fan ~lb~&l~ARFIELD COUNTY CO 1 of 2 Reo Fee:$ ."''''
00 ee.lIJ. POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, that Williams Production RMT Company, a Delaware corporation, having its principal place of business in the City of Tulsa,
County of Tulsa, State of Oldahoma, hereinafter sometimes referred to as the "Company," does hereby make, constitute and appoint Sandra J. Hotard with the full authority hereinafter
provided, the true and lawful Attorney-in-Fact of the Company, authorized and empowered on behalf of the Company and in the Company's name, and for the sole and exclusive benefit of
the Company and not on behalf of any other person, corporation or association, in whole or in part, to enter into, execute, deliver, file and accept all instruments and documents affecting
the real property or real estate rights of the Company the following described instruments and documents: (l) Agreements that grant easements, rights of way, licenses, or permits; (2)
Releases and Partial Releases of easements and rights of way; (3) Agreements allowing encroachments onto easements and rights of way owned by Company; (4) Agreements subordinating easements,
lease or mortgage rights; (5) Agreements relating to the modification and relocation of facilities; (6) Rental or lease agreements and all notices related to lease agreements; (7) Agreements
modifying, amending, renewing, extending, ratifying forfeiting, canceling and terminating any and all of the aforementioned types of instruments and documents; (8) Agreements for the
purchase or sale of real property or facilities; and (9) Agreements to obtain the provision of utility services to facilities. with such terms and conditions as said Attorney-in-Fact
shall deem proper and advisable, giving and granting unto said Attorney-in-Fact full and complete power and authority to do and perform any and all acts and things as may be necessary
and proper in the premises. This Power of Attorney shall remain in full force and effect for twelve months from the effective date of this Power of Attorney unless terminated sooner
by an officer of the Company. Not by way of limitation, but by way of confmnation, the powers of authority conferred shall extend to and include any and all of the instruments and/or
acts above described which may pertain to lands of the United States of America, or to be acquired by the United States of America, lands of any state, lands of any fee owner, and tribal
or allotted Indian lands.
1111 ~11'·iI. ~:r'Ill'jI'~,~, 1'*1r. Nr't 11I'·IaIIV,I.,I~I~f,I'lln 1~"111111 Reeeptioh#: 775225 09/17/2009 12:55:31 PM Jean Alberico 2 of 2 Ree Fea:$11,00 Doc Fee:0,00 GARFIELD COUNTY
CO The Company hereby declares that each and every act, matter and thing which shall be given, made and done by the said Sandra J. Hotard in connection with the exercise of any or all
of the aforesaid powers shall be as good, valid and effectual to all intents and purposes as if the same had been given, made and done by the said Company in its legal presence and it
hereby ratifies whatsoever the said Attorney-in-Fact shall lawfully do or cause to be done by virtue hereof. IN WITNESS WHEREOF, Williams Production RMT Company has caused this Power
of Attomeyto be signed as effective as of September 17,2009. STATE OF COLORADO ) ) ss. WILLIAMS PRODUCTION RMT COMPANY By: ~-c!4' .;, Name Alan C. Harrison Title: Vice President COUNTY
OF ~ie f1 ) BEFORE ME, a Notary Public in and for the State of Colorado, on this ) 7+~ay of September, 2009, personally appeared Alan C. Harrison, a Vice President of Williams Production
RMT Company, who acknowledged to me that he has executed the above POWER OF ATTORNEY as his free and voluntary act and deed and as the free and voluntary act and deed of Williams Production
RMT Company for the uses and purposes therein set forth. Given under my hand and seal the day and year lasZJ~wri~ MY COMMISSION EXPIRES: 'MtI. . ~ 2 IO~/.;2oll NOTARY PUBLIC I Commission
No.: ,;)0071-0'3 "1bea9