HomeMy WebLinkAboutApplication.pdfGARFIELD COUNTYw"'f" Building and Planning Department RECEIV Jl:I,Il} 108 8th Street, Suite 401 -Glenwood Springs, Colorado 81601 nEC 1 Ii 2008 Telephone: (970) 945-8212 Facsimile: (970)
384-3470 ._ www,garfield-county,com G,i\RFlELD COi:;~.I,;r. BUILDING 8< PLI\MI.,N., Administrative Checklist Small Temporary Employee Housing SMa I nE-1-t Iml rn GENERAL INFORMATION
-Submit 1 paper & 1 CD copy of the completed application to Planning Department wlin 48 hours following occupation (To be completed by the Small Facility Operator -e.g. well pad operator)
Sectionrrownship/Range Location of Housing Site: SEC 11 R92W T7S Tax Parcel Number ~~rcel Containing Housing Site: 2401·1 0·219 '24:01-t ) 2 -W-Z-t"i' GPS and/or Lat-Long Coordinates
of Housing Facility Site (Often included in APD): Zone District: Agricultural I Maximum Number of Occupants at Permitted Site (e,g, well pad): R Cumulative Amount of Time (in Days) The
Facility Will be at Location: State or Federal Permitting Agency Overseeing Reclamation, API Reference Number Restoration and Revegetation and Relevant Permit Number: Date of Installation:
11/25/2008 I Date of Removal: 115/2009 Name of Landowner: EnCana Oil & Gas (USA) Inc. Street Address: Telephone: Email: 2717 County Road 215 970.285.2600 christopher.putnam@encana.com
City: Parachute State: CO . Zip Code: 81635 Name of Operator's Compliance Officer: Chris Putnam Street Address: Telephone: Email: 2717 County Road 215 970.285.2757 christopher.putnam@encana.com
City: State: Zip Code: Parachute Colorado 81635 Company 24-Hour Emergency Contact: Safetv On Call I Phone Number: 970.210.8755 This Administrative Checklist must be received by the Garfield
County Planning Department within 48 hours following occu12ancli: of the Small Facilitli:_ A copy of this completed Administrative Checklist and all associated submittals shall be delivered
to the Garfield County Sheriffs Office and relevant Fire Protection District (if applicable) within 48 hours following occupancy of the Small Facility, Additionally, the Garfield County
Sheriff's Office and relevant Fire Protection District (if applicable) must be notified in writing (return receipt) or verified email (return receipt) within 48 hours following removal
of/he Small Facility_ It is the Operator's responsibility to confirm and obtain verification that the Administrative Checklist has been received by the Sheriffs Office and Fire Protection
District 1
GARFIELD COUNTY Building and Planning Department 108 8'" Street. Suite 401 Glenwood Springs. Colorado 81601 Telephone: (970) 945-8212 Facsimile: (970) 384-3470 www.garfield-countv.com
Administrative Checklist Small Tem Em~l~ Housing GENERAL INFORMATION -Submit 1 paper & 1 CD copy of the completed ilpplication to Planning Deplttment wiin 48 hours following occupation
(To 1 -0., ... 11, ... i IT75 lof I Site: SEC 11 Tax I s:te: "or ~~r: 10 • ,.. i ". I GP~ , Site ("fi. I ( I in APD~~ I Zone District: o~in Days) The I at I Site (e.g. well pad): 8 il
,Will beat I State or • and. .~ '~~nd" v i API R. , .... n.;. Num ~r I Date of I I I Date of I I Name of I Oil & Gas (USAllnc. I Street " Email: 2717 County Road 215 970_285,2600 christopher.putnam@e
ncana.com I City: Parachute State: CO Zip Code: 81635 I ~~meof . ~ Chris Putnam " Email: 2717 County Road 215 970.285,2757 chrlstopher.putnam@encana.com I City: Parachute I State: Colorado
Zip Code: 81635 ,On Call I Phon., 1755 This. ~c~~~~~~ Q' tl1!1 S.m~1I Facifit'f._ .48 .. A copy of this completed Administrative Checklist and all associated submittals shall be delivered
to the Garfield County Sheriffs Office and relevant Fire Protection Distn'ct (if applicable) within 48 hours following occupancy of the Small Facility. Additionally, the Garfield County
Sheriffs Office and relevant Fire Protection District (if applicable) must be notified in writing (retum receipt) or verified email (retum receipt) within 48 hours following removal
of the Small Facility. It is the Operator's responsibility to confirm and obtain verifICation that the Administrative Checklist has been received by the Sheriffs Office and Fire Protection
District.
Fire Suppression Requirements {Per Performance Standard II "A water storage tank is req uired to provide water to the sprinkler system (if applicable) and initial suppression activities.
The size of the water tank shall be determined based on sprinkler calculations and initial suppression demands. The relevant fire protection district shall be responsible for determining
the size of the water storage tank. If the Small Facility is not within a fire protection district, the Operator shall provide at least 2500 gallons of water dedicated to initial fire
suppression which is accessible with a dry hydrant: Required Size of water storage tank for sprinkler system and Initial suppression activities: _ ________ __ gallons Site Plan Requirements
(Per 5.02.23 (2) (F)): The Applicant shall submit an adequate site plan, consistent with the requirements listed below: i. A vicinity map indicating the section township and range of
the subject lot and the location of Small Facility within the subject lot and the Permitted Site; general relation to surrounding public roads, private roads. adjacent utility systems.
residential development, other actively permitted Small Minor and Major Facilities, natural drainage courses and municipalities within one (1) mile of the proposed Small Facility; north
arrow and scale; GPS coordinates and current surlace ownership of the subject lot. The vicinity map shall be presented on a USGS 7.5 minute series quadrangle at a scale of 1-=2000' or
equivalent, with a topography depicted at a minimum of 40' intervals. ii. Surveyed layout of the proposed Small Facility within the surveyed boundaries of the Permitted Site. including
at a minimum: sewage and wastewater disposal, trash receptacles, potable water storage, all other associated infrastructure and all other equipment located within the Permitted Site.
iii. Identification of the private and public roadways accessing each Small Facility. Roadways shall be marked as ooen gated and/or locked <include combinations>. Detailed directions
with mileage, shall be given from the nearest town within Garfield County, nearest Garfield County Sheriffs Office dispatch location and responsible fire district headquarters to each
Small Facility, along each roadway. iv. Name address and phone number of surface owner of the subject lot. v. Name address and phone number including a 24·hour emergency response number
of at least two persons responsible for Qperators emergency field operations; contact numbers for local hospitals, emergency resoonse, fire protection districts, Garfield County Sheriffs
Office, Life/Care Flight. and applicable reaulatoN agencies; site safety/evacuation plan· and any other written response plan for potential emergencies at the Permitted Site. vi. Identification
of the anticieated dates of installation and removal of the Small Facility. The site plan shall include a notation of the total cumulative length of time (number of days) that the Small
Facility will be installed at the Permitted Site. 2
ELIGIBILITY Requirement (5.02.23 (1)) -All Requirements Must Applicant Planning Dep81tment be Satisfied to be Eligible as a Sma" Facility Com~s (YIN) Complies (Y/rII) The Small Facility
and any associated infrastructure must be completely contained within a state or federally permitted parcel (such as a Colorado Oil and Gas Conservation Commission (COGCC) approved Yes
oi llgas well pad) in which reclamation and revegetation are secured with the permitting agency (Permitted Site); and, The Small Facility is located at the Permitted Site for less than
a cumulative of one (1) year and at the end of the utilization period, all structures, foundations and Yes associated infrastructure are completely removed; and, The Small Facility shall
have a cumulative occupancy of eight (8) or fewer people within a Permitted Site (e.g. well pad) who are employees, contractors or subcontractors of the operator of the small facility
and are needed for onsite safety of the related commercial, industrial, extraction or highway operation. Yes Occupancy is based on the total number of people residing within a Permitted
Site. Exceeding a cumulative total of eight (8) people on a Permitted Site must be permitted as either a Minor or Major Permit. 3
Putnam. Christopher From: Sent: To: Subject: Attachments: ATT196846.txt (432 6) postmaster@encana_com Friday, December 12, 2008 1:56 PM Putnam, Christopher Message relayed Usears@garfield-county.com)
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delivered t o 1 recipient(s) at do~ain garfield -county . com .
Putnam. Christopher From: Sent: To: Subject: Attachments: ATT19682S.txt (429 B) postmaster@encana.com Friday, December 12, 2008 1:55 PM Putnam. Christopher Message relayed (rojones@riflefiredept.org)
ATTI96625.txl; ATT I96626.txt ATTI968Z6.txt (2 KB) Your message has been relayed to t he f ol l owing recipient (s) : ro jones@rif lefiredept , org Message relayed The message was successfully
delivered to 1 recipient(s) at domain r iflef iredept . org .
Building Infonnation (Per Unit) Unit 1 Make: Serial Number or Unit 10 Number: Ameritech Building Systems FBNR 20801 Manufacture Year: Size of Unit (Square Feet): 2008 12X60 Unit 2 Make:
Serial Number or Unit 10 Number: Advanced Modular FBNR 19622 Manufacture Year: Size of Unit (Square Feet): 2008 12X28 Unit 3 Make: Serial Number or Unit 10 Number: Advanced Modular FBNR
17372 Manufacture Year: Size of Unit (Square Feet): 2007 14X60 Unit4 Make: Serial Number or Unit 10 Number: Advanced Modular FBNR 17367 Manufacture Year: Size of Unit (Square Feet):
2008 12X28 Unit 5 Make: Serial Number or Unit 10 Number: Advanced Modular FBNR 17371 Manufacture Year: Size of Unit (Square Feet): 2007 14X60 ISOS Permit ISOS Permit Number: Pending
n Signature of Operator's Compliance Officer '/y ( By signing this form, I verify that all information provitle in this chedkJist is correct and accurate to the best of my knowledge)
Print Name: Chris Putnam Title: Permit & Compliance Coordinator 4
Building Information (Per Unit) Unit 1 Make: Serial Number or Unit 10 Number: Advanced Modular FBNR 17931 Manufacture Year: Size of Unit (Square Feet): 2007 12X40 Unit 2 Make: Serial
Number or Unit 10 Number: Manufacture Year: Size of Unit (Square Feet): Unit 3 Make: Serial Number or Unit 10 Number: Manufacture Year: Size of Unit (Square Feet): AQricultural Unit4
• Make: Serial Number or Unit 10 Number: Manufacture Year: Size of Unit (Square Feet): Unit 5 Make: Serial Number or Unit 10 Number: Manufacture Year: Size of Unit (Square Feet): ISDS
Permit ISOS Permit Number: /' " Signature of Operator's Compliance Officer: -/J)i ( By signing this form. I verify that all information provide 1irT1his cJff!tHlis is correct and accurate
to the best of my knowfedge) Print Name: Chris Putnam Title: Permit & Compliance Technician 4
Eligibility, Submittal and Performance Standards Certification Section 5.02.23 -Small Temporary Employee Housing Facilities (Small Facility(jes)) (1) Small Facilities, in the nature
of Factory Built Nonresidential Structures [as defined under C.R.S. 24-32-3302(a)] but NOT recreational vehicles [as defined under C.R.S. 42-1 -102 (61), including truck, truck tractor,
motor home or camper trailer], may be utilized for housing of workers on projects related to commercial, industrial, mineral extraction or highway operations, pursuant to the standards
for Small Facil ities contained in sub-section (2), below. Such facilities are not subject to Garfield County Building Code, in accordance with resolution 2004-10, as amended. However,
Small Facilities are subject to all pertinent state (e.g. electrical permits), federal permits and to the International Fire Code (IFC), if located within the territorial limits of a
fire protection district, in accordance with Resolution 2005-1 , as amended. Small Facilities located outside of an organized fire protection district are exempt from the IFC, in accordance
with Resolution 2005-1, as amended. Small Facilities shall have all of the following basic characteristics: A. The Small Facility and any associated infrastructure must be completely
contained within a state or federa lly permitted parcel (such as a Colorado Oil and Gas Conservation Commission (COGCC) approved oil/gas well pad) in which reclamation and revegetation
are secured with the permitting agency (Permitted Site); and, B. The Small Facility is located at the Permitted Site for less than a cumulative of one (1) year and at the end of the
utilization period, all structures, foundations and associated infrastructure are completely removed; and, C. The Small Facility shall have a cumulative occupancy of eight (8) or fewer
people within a Permitted Site who are employees, contractors or sub-contractors of the operator of the small facility and are needed for onsite safety of the related commercial, industrial,
extraction or highway operation. Temporary employee housing facilities that do not have the three characteristics listed above, or consist wholly or in part of Recreational Vehicles
as defined above, are subject to the administrative permit requirements or the special use review process, standards and requirements contained in Section 5.02.21 (Major Permit) or 5.02.22
(Minor Permit) and the enforcement provisions contained therein, and in Section 9.01 .06. Enforcement of this Section 5.02.23 shall be in accordance with Section 12 of this Resolution.
(2) Submittal requirements for Small Facilities. Prior to submittal of any forms to the Planning Department, the Operator shall submit all below documents to the relevant fire protection
district(s) and the Garfield County Sheriffs Office. All forms shall be accurately completed, signed, dated and submitted to the Garfield County Planning Department within 48 hours following
occupation of the Small Facility. The following items shall be submitted to the aforementioned districts and/or offices prior to but no later than 48 hours following occupation of the
Small Facility to the Planning Department: 5
A A form, provided by the Planning Department, indicating the anticipated dates of installation and removal of the Small Facility and a representation of the total cumulative length
of time (number of days) that the Small Facility will be installed at the proposed location. 8. A form, provided by the Planning Department, indicating the name, title, address, phone
number and email address of the Operator's employee or other authorized representative who is in charge of ensuring that the Small Facility is in compliance with the standards outlined
in Section 5.02.23 r Operator's Compliance Officer"). C. A form, provided by the Planning Department and signed by the Operator's Compliance Officer, indicating that the Small Facility
will be installed in accordance with all applicable Garfield County, relevant fire district, state and federal regulations. D. The identification number of the permit from the state
or federal agency regulating the Permitted Site and ensuring reclamation and revegetation of the Small Facility once the state or federal permit for the Permitted Site has expired or
is otherwise terminated. E. A form, provided by the Planning Department, verifying that the Operator has obtained a certification inspection conducted by a third· party Professional
Engineer Licensed in the State of Colorado. The certification shall verify thai at the time of inspection the identified Small Facility meets or exceeds the standards set forth in Section
5.02.23(3) of the Garfield County Zoning Resolution of 1978, as amended. F. Site Plan: The Applicant shall submit an adequate site plan, consistent with the requirements listed below:
i. A vicinity map indicating the section, township, and range of the subject lot and the location of Small Facility within the subject lot and the Permitted Site; general relation to
surrounding public roads, private roads, adjacent utility systems, residential development, other actively permitted Small, Minor and Major Facilities, natural drainage courses and municipalities
within one (1) mile of the proposed Small Facility; north arrow and scale; GPS coordinates and current surface ownership of the subject lot. The vicinity map shall be presented on a
USGS 7.5 minute series quadrangle at a scale of 1 "=2000' or equivalent, with a topography depicted at a minimum of 40' intervals. ii. Surveyed layout of the proposed Small Facility
within the surveyed boundaries of the Permitted Site, including at a minimum: sewage and wastewater disposal, trash receptacles, potable water storage, all other associated infrastructure
and all other equipment located within the Permitted Site. iii. Identification of the private and public roadways accessing each Small Facility. Roadways shall be marked as open, gated,
and/or locked (include combinations). Detailed directions, with mileage, shall be given from the nearest town 6
within Garfield County, nearest Garfield County Sheriffs Office dispatch location and responsible fire district headquarters to each Small Facility, along each roadway. iv. Name, address
and phone number of surface owner of the subject lot. v. Name, address and phone number, including a 24·hour emergency response number of at least two persons responsible for Operator's
emergency field operations; contact numbers for local hospitals, emergency response, fire protection districts, Garfield County Sheriffs Office, Life/Care Flight, and applicable regulatory
agencies; site safety/evacuation plan; and any other written response plan for potential emergencies at the Permitted Site. vi. Identification of the anticipated dates of installation
and removal of the Small Facility. The site plan shall include a notation of the total cumulative length of time (number of days) that the Small Facility will be installed at the Permitted
Site. (3) Standards for Small Facilities: The Small Facility shall demonstrate and certify compliance with the following standards: A. Small Facility shall comply with all applicable
federal, state and local laws and regulations. B. The Small Facility shall NOT contain recreational vehicles as defined in Section (1) of 5.02.23. C. In no case shall unsafe water be
used for drinking nor shall raw sewage or contaminated water be discharged on the ground surface. The operator shall conduct monthly tests (or quarterly if an on·site disinfection system
is installed) and maintain records of stored potable water samples specific for coli form bacteria. Any tests indicating coli form contamination must be disclosed to the Garfield County
Board of Health or designee within 72 hours from the time the contaminated water was tested. D. Each Small Facility shall be maintained in a clean, safe and sanitary condition, free
of weeds and refuse. Any hazardous or noxious materials that must be stored at the Small Facility for operational or security reasons must be managed in accordance with all applicable
federal, state and local laws and regulations. E. At least one thirty (30) gallon (4 cubic feet) wildlife-proof refuse container shall be provided for each Factory Built Non·Residential
Structure unit. Said container(s) must be durable, washable, non· absorbent metal or plastic with tight-fitting lids. F. Refuse shall be disposed of weekly, at a minimum. Operators must
keep appropriate records, to be provided to the County or any interested third party upon request, to demonstrate that refuse is collected in a timely fashion and disposed of at a licensed
facility. 7
G. Outdoor food storage is prohibited. H. Factory Built Non-Residential Structures equipped by the manufacturer with a fire sprinkler system, fire detection system, and/or alarm system
shall be inspected, tested, and maintained in accordance with the requirements of the relevant fire protection district(s) and the Colorado Division of Housing. I. Single-station carbon
monoxide alarms shall be placed in each Factory Built Non-Residential Structure. J. One (1) or more approved fire extinguisher(s) of a type suitable for flammable liquids, combustible
materials and electrical fires (Class ABC), or dry chemical, shall be located in each Factory Built NonResidential Structure and placed in accordance with applicable fire protection
district and/or Colorado Division of Housing codes. K. Domestic animals are prohibited at all Small Facilities. L. A water storage tank is required to provide water to the sprinkler
system (if applicable) and initial suppression activities. The size of the water tank shall be determined based on sprinkler calculations and initial suppression demands. The relevant
fire protection district shall be responsible for determining the size of the water storage tank. If the Small Facility is not within a fire protection district, the Operator shall provide
at least 2500 gallons of water dedicated to initial fire suppression which is accessible with a dry hydrant. M. The operator shall document all emergency situations requiring action
by any government agency or fire protection district, in writing, and such documentation shall be presented to the Planning Department within 24 hours of the occurrence. N. All required
Access Permits shall be obtained from the Garfield County Road and Bridge Department or the Colorado Department of Transportation. O. The Garfield County Sheriffs Office and relevant
fire protection district(s) shall be notified and provided with all documentation as outlined in Section 5.02.23 (2), above, with in 48 hours following occupation of each Small Facility.
In addition, the Garfield County Sheriffs Office and relevant fire protection district(s) shall be notified either by hard-copy or electronically within 48 hours following removal of
all Small Facilities. The Planning Department shall be copied on all such notification, whether hard copy or electronic. P. The Operator shall maintain records identifying workers, whether
employees, contractors or sub-contractors. and document the dates that each worker is housed at the Small Facility. Such records shall be provided to the County or any additional third
party upon request. Q. The Operator shall obtain a certification inspection conducted by a third-party Professional Engineer Licensed in the State of Colorado. The certification shall
verify that at the time of inspection the identified Small Facility meets or exceeds the standards set forth in Section 5.02.23 of the Garfield County Zoning Resolution of 1978, as 8
amended. This certification shall be on forms provided by the Garfield County Planning Department. The certification shall be provided to the Garfield County Planning Department within
48 hours following occupation of the Small Facility. R. The Operator shall accurately complete all required forms provided by the Garfield County Planning Department identifying the
location of the facility (SectionfTownship/Range, relevant Tax Parcel Number, and GPS coordinates or Latitude/Longitude coordinates); relevant zone district; maximum number of occupants;
cumulative amount of time (in days) that the Small Facility will be at the specified location; identification of the State or Federal permitting agency overseeing reclamation, rehabilitation
and revegetation of the Permitted Site and relevant permit number; date of installation; date of removal; name and contact information of the landowner; name and contact information
of the Operator's Compliance Officer; 24~hour emergency contact information for the Operator; building information (make, manufacture year, serial number, size (square feet» ; signature
and contact information of the Operator's Compliance Officer. S. Wastewater Disposal: 1. Vault System: All vault systems are required to obtain an ISDS Permit from Garfield County and
shall be designed and installed to accommodate the maximum number of persons (eight or less individuals) who will inhabit the Small Facility. In addition, all vault systems shall be
equipped with an overflow alarm device. Vault systems shall be designed to accommodate a minimum of 75 gallons of wastewater per person per day. If a vault system is proposed or has
been approved, the Operator must: a. Demonstrate that year~round vehicular access is available and maintained for safe and regular access for sewage hauling vehicles. b. Maintain all
sewage disposal records including but not limited to trip logs/reports and landfill receipts as public records, available to the County and/or any other interested third party upon request.
ii. Individual Sewage Disposal System (ISDS): If an ISDS is proposed, then it shall be designed, installed and operated to accommodate the maximum number of persons who will inhabit
the Small Facility (eight or less individuals) and shall otherwise be permitted and operated in accordance with the Garfield County !50S regulations as contained in SDee Resolution Number
1994H-136. I hereby attest that I am the designated Compliance Officer for the aforementioned Small Temporary Employee Housing Facility(les). I attest that I have read and understand
the standards to which the Facility(ies) shall be Installed and operated. I attest that the Facility{ies) will be constructed and maintained in accordance with all applicable Garfield
County, State of Colorado and Federal regulations and standards. In addition, I attest that I have read and understand the enforcement provisions as described In Section 12 of the Garfield
County Zoning 9
Resolution of 1978. Further, I understand that non..compllance wfth any of the provisions as outlined In Section 5.02.23 of the Garfield County Zoning Resolution of 1978 shall be enforced
In accordance ~ Signature of Operator's Compliance Offi~"'~""'=~"'====PI,F---------Print Name: Chris Putnam Title: Permit & Compliance Technician Phone Number: 970.208.3409 Email: christopher.putnam@
encana.com I hereby attest that I am a Licensed Professional Engineer In the State of Colorado. I attest that I have conducted a visual inspection of the Small Facillty identified in
this Administrative Checklist, as installed, and, based on i"fonnatlo" from that Inspection I certify that the Small Facility complies with the standards set forth in Section 5.02.23
of the Zoning Resolution of 1978. 10
GARFIELD COUNTY BUILDING AND PLANNING DEPARTMENT FEE SCHEDULE Garfie ld County, pursuant to Board of County Commiss ioners ("Board") Resolution No. 98-09, has established a fee structure
("Base Fee") for the processing of each type of subdivision and land use applications. The Base Fee is an estimate of the average number of hours of staff time devoted to an application,
multiplied by an hourly rate for the personnel involved. The Board recognized that the subdivision and land use applicat ion processing time will vary and that an applicant should pay
for the total cost of the review which may require addit ional billing. Hourly rates based on the hourly salary, and fringe benefits costs of the respective positions combined with an
hourly overhead cost for the office will be used to establi sh the actual cost of County stalTtime devoted to the review ofa particular project. Actual staff time spent will be charged
against the Base Fee. After the Base Fee has been expended, the applicant will be billed based on actual staff hours acc rued. Any billing shall be paid in full prior to final consideration
of any land use permit, zoning amendment or subdivi sion plan. If an app licant has previously fai led to pay application fees as required, no new or additional applications will be
accepted for processing unti l the outstanding fees are paid. Checks, including the appropriate Base Fee set forth below, must be submitted with each land use appl ication, and made
payable to the Garfield County Treasurer. Applications will not be accepted without the required application fee. Base Fees are non-refundable in full , unless a written request for
withdraw from the applicant is submitted prior the initial review of the application materials. Applications must include an Agreement for Payment Form ("Agreement") set forth below.
The Agreement establishes the applicant as being responsible for payment of all costs assoc iated wi th processing the application. The Agreement must be signed by the party responsible
for payment and submitted with the application in order for it to be accepted. The complete fee schedule for subdiv ision and land use applications is attached.
GARFIED COUNTY BUILDING AND PLANNING DEPARTMENT BASE FEES The fo llowing Base Fees shall be rece ived by the County at the time of submittal of any procedural applicat ion to which such
fees re late. Such Base Fees shall be in addition to and exclusive crany cost for publicat ion or cost of consulting serv ice detcnn ined necessary by the Board for the consideration
of any application or additional County stafT time or expense not covered by the Base Fee. which have not otherwise been paid by the applicant to the County prior to final action upon
the applicat ion tendered to the County. TYPE OF PROCEDURE Vacating Public Roads & Rights-or-Way Sketch Plan Preliminary Plan Final Plat Amended Plat Exemption from the Definit ion of
Subdivis ion (5B-35) Land Use Permits (Conditional Use Permits) • Board Public Hearing only Land Use Penn its (Special Use Permits) • Planning Commission and Board review & hearing Zoning
Amendments • Zone District map amendment • Zone District text amendment • Zone District map & text amendment • PUD Zone District & Text Amendment • PUD Zone District Text Amendment Comprehensive
Plan Amendment Board of Adj ustment • Variance • Inte rpretation Administrati ve Permits • Floodpla in Development • Pipeline Development • Minor Temporary Employee Housing Checklist
• Small Temporary Employee Housing Planning StafT Hourly Rate • Planning Director • Senior Planner • Planning Technician • Secretary County Surveyor Review Fce (includes review of Amended
Plats, Final Plats, Exemption Plats) Mylar Recording Fee Page 2 BASE FEE $400 $325 $675 + application agency review fees and outside consultant review fees, as authorized pursuant to
the Regulations, such as the Colorado Geologic Survey $200 $100 $300 $400 $525 $450 $300 $500 $500 $500 $450 $250 $250 $400 $400 $400 $50 $50.50 $40.50 $33.75 $30 Determined by SurveyorS
$11 _ lst page $10 each additional page
The following guidelines shall be used for the administration of the fee structure set forth above: I. All applications shall be submitted with a signed Agreement for Payment form set
fo rth below. 2. County staff shall keep accurate record of actual time req uired for the process ing of each land use application, zoning amendment, or subdiv ision appl ication. Any
additional billing will occur commensurate with the add itional costs incurred by the County as a result of having to take more time that that covered by the base fee. 3. Any billings
shall be paid prior to final consideration of any land use penn it, zoning amendment, or subdivision plan. All add itional costs shall be paid to the execution of the written resolut
ion confirming action on the appl ication. 4. Final Plats, Amended or Corrected Plats, Exemption Plats or Permits will not be recorded or issued until all fees have been paid. 5. In
the event that the Board determines that special expert ise is needed to assist them in the rev iew of a land use pe rmit, zoning amendment, or subdivision application, such costs will
be borne by the applicant and paid prior to the final consideration of the appli cation. All additional costs shall be paid prior to the execution of the written resolution confirming
action on the application. 6. If an application involves multiple reviews, the Applicant shall be charged the highest Base Fee listed above. 7. Types of " Procedures" not li sted in
the above chart will be charged at an hourly rate based on the pertinent planning staff rate listed above. 8. The Planning Director shall establish appropriate guidel ines for the collection
of Additional Billings as required. 9. This fee structure shall be revised annually as part of the County budget hearing process. Page 3
GARFIELD COUNTY BUILDING AND PLANNING DEPARTMENT AGREEMENT FOR PAYMENT FORM (Shall be submilled with application) GARFIELD COUNTY (hereinafter COUNTY) and EnCana Oil & Gas (USA) Inc
(hereinafter APPLICANT) agree as follows: I. APPLICANT has submitted to COUNTY an application for -:,F=1,:,1",E,",W~e,,",=p_=d,--~~~~~~_ ~ _______ _ ____ ___ ___ ,(hereinafter, THE PROJEClj.
2. APPLICANT understands and agrees that Garfie ld County Resolution No. 98-09, as amended, establishes a fee schedule for each type of subdivision or land use review applications, and
the guidelines for the administration of the fee structure. 3. APPLICANT and COUNTY agree that because of the size, nature or scope of the proposed project, it is not possible at this
time to ascertain the full extent of the costs involved in processing the application. APPLICANT agrees to make payment of the Base Fee, established for the PROJECT, and to thereafter
permit additional costs to be billed to APPLICANT. APPLICANT agrees to make additional payments upon notification by the COUNTY when they are necessary as costs are incurred. 4. The
Base Fce shall be in addition to and exclusive of any cost for publication or cost of consulting service determined necessary by the Board of County Commissioners for the consideration
of an application or additional COUNTY stafT time or expense not covered by the Base Fce. I f actual recorded costs exceed the initial Base Fee, APPLICANT shall pay additional billings
to COUNTY to reimburse the COUNTY for the processing of the PROJECT mentioned above. APPLICANT acknowledges that all bi lling shall be paid prior to the final consideration by the COUNTY
of any land use permit, zoning amendment, or subdi vision plan. APPLICANT Signat Date: 12/1212008 Chris Putnam Print Name Mailing Address: EnC_n_ Oil & Gas (USA) Inc 2717 County Road
215 Suite 100 parachyte CO 81635 1012004 Page 4
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:_0P'3 -."-\ " " .',_.-F" /' \, I .., I' ) ! V ' ""f. •• ". '. f'. " i ( f f -~ " GRAPHIC SCALE 1"~100' ............ i o 100 200 300 Lineal Units of MeasLJr'e:ment Qr""e the U.s. Survey
FooL BASIS OF BEARINSS The bearings hereon are based upon the assumption that the line from the South~e5t c.orner of Sec.tlon B, T,I 5., R.c::.f2 )Al • to the Northll\lest corner of
Section 3 bears North 00D25'11" West EMER6ENcY CONTAcTS Sat" Soard ("170) 2B5-Cf4q6 Aml?ulanc.e-Hard LIne '111 Amb/FlrelPollce (Sarfield Coont~) (q10) 625-IBqq AmbIFlr6IPoilce (Parachote)
("110) 2B5-1111 FlrelPollc.e -Hard LIne '111 Hospital (RangelLj.l ("170) 675-5011 Hospital (Meeker) (q10) 81B-504, Polson Control (BOO) 332-3013 Stat" Patrol ("110) 824-6501 Sheriff
(Rangel~) ('110) 615-B311 SherlPf (Meeker) ("110) B1B-5025 Care Flight (st_ M"r~'5) (BOO) 332-4q25 ENe-ANA -SOUTH PARACHUTE -EMERSENe-Y NOTIFICATION Produc..tlon Drilling and Completions
Plant/Plpellne DavId r:SrIS50 i"I Q10-2B5-2601 G Q10-2S0-Cf660 Gerald Pa6Z C q10-260-8Cf66 R0!39 Deter9 i"I Q7028S-2125 C '170-30q-B5BO Sc.oU Parker i"I Q70-2B5-21B7 C '110-51'1-"11"18
S1JREAGE Ok'lNER5HIP .John 6rublc.h " q-1O-28S-2631 C Cf70-onq-6155 Mark Balderston -Frac 1"1 "170-285-26"12 G Q70-62Cf-S846 Dave Archuleta--E:3r::)ckup G '110-625-4605 Klrbj Burchett-0IrkOvr
q10-250-II1Q Dan Hac..klng-Bac..kup C '170-17B-1063 EnCana 011 .$ Gas (USA) Inc. 2/11 Gount~ Road 215 Par"'ac.hute, CO 81655 INSTALLATIONiREMOVAL DATES Installation date-: Removal date:
1I/25/200B 01/OS/200Q Total Da~5 @Loc..atlon 42 DIRECTioNS TO SITE EnGana or I and Gas Inc 1"1,,11 Pad FilE 6a5 Contro I (Parac.hute) 1"1 Q70-2BS-26IS o '170-625-1020 G '110-301-131'1
T 800-1'11-16"11. Brad Ankrum C 455-260-1613 ROG~ Erb C Q70-210-8511 Floyd Aver~ C Q1'0-3IQ-035r Exit Interstate Hlghll'la~ 10 at Exit Cf4 for the-6arfleld Count~ Airport and proc.eed
south on Mamm Greek Road (Gount~ Road 315) 4_1' miles to turnoH to the-left onto a gravel road at a ~Ie-Id sign. Go 2.4 miles and turn left on Dr~ Hollo~ Road. Proc.eed 1.2 miles and
turn rIght on a gravel road at a securlt~ checkpoint. 60 0.5 miles to a stop sign. Proceed 0.2 miles and go left at a fork In the r"'oad. Proc.eed 0.3 miles and enter at the 50uthll'lest
comer of pad FI IE. NI"I CORNER SEGTION 3 LS31143 '" ~ ~ I'J": '~" ;!: 'o'"" ~ 1 lAIG 2-3-10-11 nSRq2~ 1"115 GNTY SURVEY ---+-----'" ~~~ " 9~ ,5~ h ~ I. ~ ~-d ~~, nTnn l r'uc,her Tr'ailer
i"Ia5te HatQr II ()romoon~ Man rIoste ~ater Ll TrC1 ler R.16 Fresh Hater c: Ens gno-'9 011-38 Directional DrIIIG'--'[) Lab 3::j~21'51.2 N Tr-aile---Long: 107°321'10.6" JA.! Y-lasre HatBr
[J G 5ho~er 0. PCrtat:le Toilet aTr C1sr c.,'=''lt:Jiner 11 'I; 1/I, Dennis R. Shellhorn, a registered Professional Land SlJrve~or In the state of Colorado, do hereb~ state that the
SUr"Ye~ sho~n hereon !Alas prepared under m':j supervIsIon and has ooen prepared solel~ for the purpose of depIctIng the loc.atlon of Improvements on the '3ite !3hoHn CI!3 9urve~ed on
November 25, 2008. This. statement Is not a guarant~, either express.ed or Implied. NOTICE, Acc.ordlng to Colorado law ~OIJ must comme-nc.e-an~ Ie-gal action based upon an~ defec.t In
thIs 5Urye~ ~Ithln three ~eClrs after ~ou fIrst disc-over 5uc.h defect. In no event ma~ an~ action based upon an~ defect In this surve~ be c.ommenc.ed more than ten years from the date
of the certlFlc.atlon sholl'ln hereon. EnCana Oil & Gas Inc, Well Pad Fll E Section II, Tov<nship 1 South, Range '12 I"Iest, 6th PrlnGlpal Meridian Sheet I of I I Date, Nov 26, 200B
I Job No_ IOB6-00'1 Field Surve~or' .103 I Dra"n, dr. I GheGked, Gcb Approved, dat S,\PROJEC-TS\IOB6 EnGana\0Q<1 FIIE\Surve~\FIIE.pro RIVERCITY CONSULTANTS 744 Horizon Court, #110 -Grand
Junction, CO 81506 -Phone: 970-241-4722