HomeMy WebLinkAboutApplication.pdfGARFIELD CO' ry BUILDING AND SANITATION DEF \TMENT IUt \ lQ(/:> q 3-108 Eighth Street, Suite 401 Glenwood Springs, Colorado 81 601 Phone (970) 945-82 12 INDIVIDUAL SEWAGE DISPOSAL PERMIT
Permit 4550 Assessor's Parcel No. This does not con stitute a building or use permit. PROPERTY \ LD't~ ND~MiEOR· Present Owner's Name 8 .'LON M~I L Address Ma.A r OC rID tao Phone :':D'
0 '2-!cD . '-152' g System Location 2-\ -I 'b -ld15 A LLEN ?T. Legal Description of Assessor's Parcel No. -,2=:d:..LJ-,--,7<--~--"2,d,-,-,a,-,I_;_"r""-u,,,,,------O,<,-k,,,,,,2,,=-=--__________
SYSTEM DESIGN _____ Septic Tank Capacity (gallon) _____ Other _____ Percolation Rate (minuteslinch) Number of Bedrooms (or other) ___ _ Required Absorption Area -See Attached Special
Setback Requirements: Date ____________ Inspector ____ ______________ _ FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation
System Installer ________________________________ _ Septic Tank Capacity ______________________________ _ Septic Tank Manufacturer or Trade Name _______________________ _ Septic Tank
Access within 8" of surface ________________________ _ Absorption Area ________________________________ _ Absorption Area Type and/or Manufacturer or Trade Name __________________ _
Adequate compliance with County and State regulations/requirements ______________ _ Other ___________________________________ _ Date ____________ Inspector _____________ _______ _ RETAIN
WITH RECEIPT RECORDS AT CONSTRUCTION SITE CONDITIONS: 1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter
25, Article 10 C.R.S. 1973, Revised 1984. 2. This permit is valid only for connection to structures which have fully complied with County zoning and building req uirements. Connection
to or use with any dwelling or structures not approved by the Building and Zoning office. shall automatically be a violation or a requirement of the permit and cause for both legal action
and revocation of the permi t. 3. Any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material va riation from
the terms or specifications contained in the application o f permit commits a Class 1, Petty Offense ($500.00 fin e -6 months in jail or both ). White -APPLICANT Yellow· DEPARTMENT
GARFIELD COD y BUILDING AND SANITATION DE ~ JTME NT /1 L r\-\ l. <./__ I ':' 108 Eighth Street, Suite 401 Glenwood Springs, Colorado 81601 Phone (970) 945-8212 INDIVIDUAL SEWAGE DISPOSAL
PERMIT Permit 4550 Assessor's Parcel No. This does not constitute a building or use permit. PROPERTY I' "::N, 11i(ilII \. . Ph '7 J)'?-} ,2(,,0 . --jl.:,:;;g Owner's Name L i "Q N ~A
('.1--"",,1 L Present Address I II L j I -r Y I -1(_ -t')c::> System Location ') \ lb · l' \ c) II ILL N 1..-'-1 Legal Description of Assessor's Parcel No. 2 I-'? --2 l 0 I --CO -U1-1-SYSTEM
DESIGN ___ __ Septic Tank Capacity (gallon) _____ Other one A. .' _____ Percolation Rate (minutes/inch) Number of Bedrooms (or other) ___ _ Required Absorption Area -See Attached Special
Setback Requirements: Date ___ _________ Inspector __________________ _ FINAL SYSTEM INSPECTION AND APPROVAL (as installedl Call for Inspection (24 hours notice) Before Covering Installation
System Installer ______________________________ __ _ Septic Tank Capacity ______________________ _ _______ _ Septic Tank Manufacturer or Trade Name _______________________ _ Septic Tank
Access within 8" of surface ________________________ _ Absorption Area ________________________________ _ Absorption Area Type and/or Manufacturer or Trade Name _______________ ___ _
Adequate compliance with County and State regulations/requirements ______________ _ Other _' __________________________________ _ Date ____________ Inspector ____________________ _ \
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE CONDITIONS: 1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems
Chapter 25, Article 10 C.R.S. 1973, Revised 1984. 2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements. Connection
to or use with any dwelling or structures not approved by the Build ing and Zoning office shall automatically be a violation or a requirement of the permit and cause for both legal action
and revocation of the permit. 3. Any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material va riation from
the terms or specifications contained in the application of permit commits a Class 1, Petty Offense ($500.00 fine -6 months in jailor both). White -APPLICANT Yellow -DEPARTMENT
I 2 J 4 5 6 7 8 9 10 ) GARFIELD COUNTY SEPTIC PERM IT APPLICATION 1088'" Street, Suite 40 1, Glenwood Sprin gs, Co 8 1601 Phone: 970-945-82 I 2 I Fax: 970-384-3470 I In spection Line:
970-384-5003 www.{!arli cld-coUlll v.com Parcel No: (this information is available al the assessors offICe 970-945-9134) Garfiel d County Parcel #2173 -26 1-00-022 J Job Address: (if
an address has not,been assigned, please provide Cr, Hwy ()( Sir,! Name.& c~Y~ or and le~~~ptio!J1 I"'-;) /77L.J.I NW/4 of Sectwn 18: T6S-R98W /')..1 /}(. Co,";)'f.J-u..tlM (;'01/11.:'1'-,
J/.. riJ9. Lol ~ZjA W/K ~/~o ~~A Exemption /Owner: (property owner) ExxonMobil Oil Corp, Contractor: Willi ams Production RMT Engineer: Fox Engineering Solutions MailinQ Address 161325
Northchase Dr. Suite 200, Houston TX 17060 Mailing Address 4289 CR 215 , Parachute CO 81635 Mailing Address670 Canyon Creek Dr Grand Junction CO 81507 PERMIT REQUEST FOR: (Xl New Inslallalion
Ph: All Ph: (281) 654 -6183 ..., Ph1970 } 263 -5331 Ph:(9 70} 250 -5505 All Ph: ( l Alleralion ( l Repair WASTE TYPE: ( lDwelling (lQTransienl Use ( lOt her Describe ( )Commercial Of
industrial ( )Non-Domestic wastes BUILDING OR SERVICE TYPE: Small TEH camp to support Drilling Operations -4 office & Housi ng Trai l ers Number of bedroomsup to 8 employees Garbage
Grinder ( )Yes (XlNo SOURCE & TYPE OF WATER SUPPLY: ( lWEL~ ( lSPRING , ( lSTREAM OR CREEK If supplied by COMMUNITY WATER, give name of suppfier: Toby s Wa ter SerVIce (xlCfSTERN I I
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:--O+':"'' ;--:....."l'''O'--''m"i'''l'''e'''s'-_ ___________________ Was an effort made to connect to the Community System? N /A t2 t J 14
t5 16 17 YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITH OUT A SITE PLAN GROUND CONDITIONS: Deplh 10 1" Ground Water Table 20 -30 ' Percent Ground Slope 2 % TYPE
OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM (ISDSl PROPOSED: ( lSeplic Tank ( lAeration Plant (XlVaull ( lRecycling, Potable Use (lRecycling, olher use (lPit Privy ( }Other· Describe FINAL
DISPOSAL BY: ( lVault Privy ( )Incineration Toilet ( lComposting Toilet ( lChemical Toilet ( lAb sorption trench, 8ed or Pit ( lWastewater pond ( lUnderground Dispersal ( lAbove Ground
Dispersal ( lEvapotranspiration ( lSand filter (x)Other-Describe Vault & Haul -off site disposal by Down Valley Septic & Drain Will effluent be discharged directly into waters of the
state? ( lYES (XlNO PERCOLATION TEST RESULT: (to be completed bX Registered Professional Engineer, il the Engineer does the Percolation Test) Minutes N/per inch in hole No.1 Minutes
N/A per inch in hole No.3 Minutes N/A per inch in hole No.2 Minutes N/A per inch in hole No._ Name, address & telephone of RPE who made soil absorption lest--:-_Nc./. A_-,;-;:-_ ____
________ _______ _ Name, address & telephone of RPE responsible for design of the syslem: N/A Applicant acknowledges that the completeness of the application is conditional upon such
further mandatory and additional test and reports as may be required by the local health department to be made and furnished by the applicant or by Ihe local heallh departmenl for purposed
of Ihe evaluation of the applicalion; and the issuance of the permit is subject to such terms and conditions as deemed necessary 10 insure compliance with ru les and regulations made,
information and reports submkted herewith and required to be submitted by Ihe applicant are or will be represented to be true and correct to the best of my knowledge and belief a d.are
dg~ig ned to be reli rt~epartment of health in evaluating the same for purposes of issuing the permit applied for herein. I further un ~rs.@nd that,any fal lfication or misrepre ntation
may result in the denial of the application or revocation of any permit granted based upon said application an leWilAeiio~' perj' ''V as provide<;l.byaw, //...f. -XA i:! ,/~ 12 11 2008
OWNERS SIGNATUR~-_______ DATE STAFF USE ONLY Permit Fcc: "1 ~~ ___ --~c rk Fcc: Total fee s: l~t>O Building I'(' .. mit #: -rtJ1 ) Lr! tb tb th Septic Permit #: Issue Date: ' I f\ /"\
\' 1-\ '01 Building ~ Plal1l1in ~ ~ t: hh DATE
( ~ GENERAL PERMIT DOMESTIC WASTEWATER VAULT SYSTEMS AUTHORJZA TlON TO UTILIZE A VAULT SYSTEM UNDER THE GARFIELD COUNTY BOARD OF HEALTH "INDIVIDUAL SEWAGE DISPOSAL SYSTEMS REGULATIONS"
The Garfield County Board of Health "Individual Sewage Disposal Systems Regulations" adopted in 1994 pursuant to current guidelines of the state board and adopted in compliance with
Section 25-10-104(2), (3), and (4) C.R.S., shall govern all aspects of permits, performance, location, construction, alteration, installation, and use of individual sewage disposal systems
of less than 2,000 gallon per day design capacity. This permit specifically authorizes the entity(s) listed on page I of this document to install and utilize a vault system, as of the
effective dates stated on page I, in accordance with permit requirements and conditions set forth in part 1 hereof. Any vault system installation authorized herein shall be consistent
with the terms and conditions of the permit. SEPTIC PERMIT NUMBER __Y-'-6""'-5'--=O==-___~ -WELL SITE LOCATIONS (APD#(s)) 2 /-I ff ~ (092' ~ a. • OPERATORS NAME tJl!UttyttS ~cz=z!L:t!.1
A. GENERAL: Vaulted wastewater systems are not permitted in Garfield County for any facility that will generate 2000 gallons or more of wastewater per day. A vault system as permitted
by Garfield County is allowed only for limited use occupancy with a cumulative usage period ofless than one year and for occupancy of24 or less people, only on property which cannot
accommodate a sewage treatment system. Vault systems are allowed on oil and gas well pads due to the limited development time frames and limitation of on site disturbance set by the
Colorado Oil and Gas Conservation Commission, the United States Forest Service and the Bureau of Land Management. A vault, as permitted by the local board of health, shall have a minimum
1000 gallon effective capacity. B. TERMS AND CONDITIONS I. Minimum, horizontal distances from the various components of a system to pertinent terrain features, including streams, lakes,
water courses, springs, wells, subsoil drains, cisterns, water lines, suction lines, gulches, dwellings, other occupied buildings and property lines, shall be in accordance with the
following "Table of Minimum Horizontal Distances". 2. No vault system shall be installed in a flood way. 3. When a system is installed in a 100-year floodplain then the system shall
meet or exceed the requirements of the National Flood Insurance Program. The system as approved by the Garfield County Building Official or his/her designated agent shall be designed
to minimize or eliminate infiltration of floodwaters into the system, and discharge of the system into the floodwaters. 4. Only tanks that have been certified by the Colorado Department
of Public Health and Environment shall be used for a vaulted system. 5. All tanks shall be installed in accordance with the manufacturer's specifications. 6. Watertight vaults shall
not allow infiltration of groundwater or surface water and shall not permit the accidental or intentional discharge release of wastewater or liquids to the ground surface or to waters
of the state. 1
7. Vaults shall not have an outlet unless designed to flow to another tank in series for the purpose of increasing holding capacity. Such outlets shall be water tight. 8. Tanks shall
be so constructed and installed as to withstand earth and hydrostatic pressures when filled and when empty. 9. In locations where groundwater may cause instability problems to the vault
due to flotation, the tank shall be anchored in a sufficient manner in order to provide stability when the tank is empty. The method of anchoring must be approved by the Garfield County
Building Official or hislher designated agent prior to installation. The local authority may require the design of the anchoring system to be prepared by a Registered Professional Engineer.
10. Each vault unit shall be equipped with an access manhole located to pennit periodic physical inspection and maintenance of all the tank and removal of the waste contents. II. Components
shall be so designed and constructed that when installed in accordance with manufacturer's recommendations, they shall be capable of being easily maintained, sampled, drained, pumped,
inspected and cleaned. 12. The surface of the ground over the vault system must be restricted to activity or use which will allow the system to function as designed and which will not
contribute to compaction of the soil or to structural loading detrimental to the capability of the vault to function as designed. 13. All metal surfaces shall be properly coated to prevent
corrosion. 14. Plumbing fixtures, grease traps, building sewers, vents, sewer lines and other appurtenances shall be designed, operated and maintained so as to comply with the minimum
requirements of the International Plumbing Code. 15. All wastewater lines used in individual sewage disposal systems shall be constructed of compatible pipe, bonding agent, and fittings.
16. Where plastic pipe and fittings are used, the minimum wall thickness of the pipe shall confonn to ASTM Standard D 3034, or equivalent. 17. All electrical work, equipment, and material
shall comply with the requirements of the National Electrical Code. 18. A signal device shall be installed to indicate when pumping is necessary. 19. The pennittee shall provide for
maintenance and cleaning of the vault system through a legal contract with a company experienced in the removal, proper handling, transport and proper disposal of the vault contents.
20. Disposal of waste materials removed from a vault system in the process of maintenance or cleaning shall be accomplished at a site approved by Garfield County in a manner which does
not create a hazard to the public health, a nuisance or an undue risk of pollution and which complies with state and local rules and regulations. 21. When the use of a vault system is
tenninated or the vault system is relocated, the contents of a vault shall be properly removed and disposed of and the emptied vault shall be filled with soil or rock, or the Garfield
County Building Official may allow the vault to be reused, removed and disposed of properly. E. RECORDS The Pennittee shall establish and maintain records. All records shall be maintained
a public records and be made available to Garfield County or other third party upon request. Required records shall include, but not be limited to, the following: • A copy of the pennitees's
current legal contract for removal of vault waste. • A copy of this pennit. • The dates, location, and time of pumping tank contents; • The individual(s) and company that perfonned tank
pumping; • The volume of waste removed from the tank; • The location of disposal including a receipt from the receiving facility; • Any system repair or maintenance perfonned including
the reason for said repair or maintenance. F. CERTIFICATION OF AN APPROVED VAULT SYSTEM INSTALLATION 2
The Pennittee shalI infonn the Garfield County Building Official in writing of any intent to construct, instalI, or alter any vault system, no greater than 48 hours after construction,
and shalI furnish the Garfield County Building Department such plans and specifications to evaluate compliance with the Garfield County ISDS Regulations. G. REMOVED SUBSTANCES Solids,
sludge's, or other polIutants removed in the course of vault maintenance shalI be removed and disposed of in a manner such as to prevent any of this material from discharging to the
ground surface or from entering waters of the State. For alI domestic wastewater treatment works, the Pennittee shalI dispose of sludge in accordance with State (Regulation No. 64) and
Federal (Section 405(d) of the Act) regulations. The Pennittee shalI take alI reasonable steps to minimize or prevent any discharge or sludge use or disposal in violation of this penn
it that has a reasonable likehood of adversely affecting the public health or environment. Pennittee shalI maintain a copy of a service contract and any pumping and disposal records
from the approved contracted systems cleaner and submit such infonnation when requested by the local regulatory authority. H. PERMIT VIOLATIONS Failure to comply with any tenns and/or
conditions of this pennit shalI be a violation of this permit. The surface discharge of any polIutant identified in this pennit in a manner other than is authorized in this pennit shalI
constitute a violation of the pennit. Pennit violations wilI be subject to enforcement provisions as outlined in Section IV.H, IV.! and IV.N of the Garfield County Board of Health "Individual
Sewage Disposal Systems Regulations". Violations of the penn it are the sole responsibility of the Pennittee. I. ACCESS TO THE SITE For the purpose of inspection and enforcing applicable
rules, regulations, tenns and conditions of any pennit issued, the Garfield County Building Official or hislher designated agent is authorized to enter upon private property at reasonable
times and upon reasonable notice for the purpose of determining whether or not operating sewage treatment systems are functioning in compliance with this permit. 3
r-:a.c. RIFFIN & ASSOCIATES, INC. 302-~ ~414 ELK ST.. ROCK SPRINGS. WY 82901 PROPOSED ACCESS FOR WILLIAMS PRODUCTION RMT COMPANY AP 421-,521-,11-,12-18-,14-7-695 411-,412-,322-,522-,321-,331-,531-,33
2-18-695
) December II , 2008 Garfield County Building & Planning 1088'" Street, Suite 401 Glenwood Springs, CO 8 160 I Dean Andy Schwaller: ) "I."I~I"I·a~ms . ""-9'" EX llloration & P.-odUClioli
1515 Arapahoe Street Tower 3. Suite 1000 Denver, CO 80202 303/572-3900 303/629-8255 Fax As part of Garfield County's Administrati ve Checklist for Small Temporary Employee HOllsing camps,
Williams Production R.M.T., in conjunct ion with Fox Engineering Solutions, LLC, is submitting the attached Garfield County Septic Permit I ISDS Application. The site is located at a
natural gas well pad referenced as AP 21-18-696 and is located approx ima tely 5. 1 miles north of the town of Parachute, Colorado. A location map along with site plan are attached.
The site will temporaril y office and house up to eight employees during natural gas drilling ac tivities and is expected to be removed in less than one year. The employees will occupy
a total of four trailers, three of which will be used for housing and one of which will be used as an office. Wastewater will be conveyed through piping to two 1500-gallon vaults located
on the pad site. Both the tanks and piping are located aboveground and have been winterized. An overflow alarm device will be insta lled on the vaults. Utilizing the County's required
75 gpcd for generated wastewater, the vaults will need to be pumped every 6.7 days. Will iams utilizes the services of D OWll Valley Septic and Drain to remove and haul the wastewater
to an authorized treatment facility. Potable water is provided by Toby's Water Service and is stored in two 4,000 gallon above-ground cisterns, for a to tal of 8,000 gallons of potable
water. Of this, a total reserve of2,500 gallons is always maintained in the tanks for fi re pro tection. Dai ly pOlable waleI' demand is estimated at 75 gpcd or 3,150 gallons per week.
No Oil-s ite treatment or di sinfectant occurs. Road access to the site is maintained year-round through the services of private road maintenance and construction contractors. If you
have any questions or need additional information, please don't hesitate to contact me al (303) 260-4538. You may also contact David J. Fox, P.E., at (970) 250-5505. Lisa Dee Regulatory
Specialist Pic"eance Asset Team ( Wi lliams Production R.M.T.
) ~RIFFIN & ASSOOIATES, INO. 1414 ELK ST., SUirE 202 ROCK SPRINGS, WY 82901 (807} 862·5028 ) AS-CONSTRUCTED LOCttTION MAP FOR WILLIAMS PRODUCTION RMT COMPAN}:" AP 411-,511-,11-,12-18-,14-7-695
411-,412-,322-,522-,321-,331-,531-,332-18-695 EXISriNG ROAD EXHIBIT 4
N w <C?I:?>E Oft. 100 Ft. 200 Ft. Produced Water Condensate Storage Tanks AP21-18-695~ Well Pad Area ~ 4000iJalion ~-:-ft!...§ Aboveground Potable 1501l-gaI1on Aboveground Wastewater
Vaults and Conveyance Piping 4000iJaiion Aboveground Potable Water Cislem 300 Ft. Water Cistern Access Road .!1216; The weU pad site is located in the NE 1141N1i 1/4 Section 18. T65.
R95W. 6th P.M. (NA083 N39.52946° W108.04231"j Directions to Site: From Interstate 70 and ParadlJte Exit; north on ffi 215 3.5 miles then east on V\lheeler Gufch Rd. 8.4 miles then east
at road intersection 0.4 miles to AP 21-18-695 access road then south 0.1 miles to Well Pad PP 21-1~95. The site will temporarify office and house up to a maximum of six individuals
during natural gas drilling activities and is expected to be completed in one yeiI or less. The individuals will occupy four individual trailer officeslhouses located on the wen pad.
Wastewater Vaults to be equipped with overflow alanns. Utilizing the County's required 75 gpcd for generated wastewater. the vaufts will need to be pumped every 6.7 days. CunenUy. Williams
utilizes the services of Down Valley Septic and Drain to remove and hald the wastewater to a State certified treatment/disposal faaity. Road access to the site is maintained year-round
through the services of private road maintenance and construction contractors. location site survey conducted utilizing a Tr'irrbIe Geo-XT Global Positioning System equipment 'AP 21-18-695
Site Plan Garfl8ld County Septic Permit Application .Applicant Williams Production RMT By: Fox Engineering Solutions LLC (970-250-5505) Date: 12.05-2008 Checked By: DJF
• ) Dee, Lisa (E&P) From: TrackingUpdates@fedex.com Sent: Monday, November 24, 2008 1 :20 PM To: Dee, Lisa (E&P) Subject: FedEx Shipment 7961 35388823 Delivered This tracking update
has been requested by : Company Name : Name: E-mail: Wi l liams Prod. RMT Company Lisa Huerta Lisa. Dee@trJilliams . com 1 Our records indicate that the following shipment has been delivered:
Reference: Ship (P/U) date, Delivery date: Sign fo r by: Delivered to: Service type: Packaging type : Number of pieces: Weigh t : Special handling /Services : Tracking number: Shipper
Information Lisa Huerta Wi l liams Prod. RMT Company Lisa Dee/LH Nov 21, 2008 Nov 24, 2008 1 , 16 PM L . BENEVIDES Receptionist/Front Desk FedEx Priority Overnight FedEx Envelope 1 2.00
1h. Deliver trJeekday 796135388823 Recipient Information Chr i s Bornholdt 1515 Arapahoe Street; Tower 3 , #900 Denver Garfield County Sher iff's Of fice 108 8th Street Glenwood Springs
CO CO US 80202 US 81601 Pl ease do not respond to this message. This email was sent from an unattended mai l box . This report was generated at appr oximately 2 :19 PM CST on 11/24/2008.
To learn more about FedEx Express, please visit our website at f edex . com . All weights are estimated. To track the latest status of your shipment, click on the tracking number above,
or visit us at fedex . com . This tracking update has been sent to you by FedEx on the behalf of the \/20/2009 Page \ of 2
Requestor noted above. FedEx does not validate the authenticity of the requestor and does not validate, guarantee or warrant the authenticity of the request, the requestor's message,
or the accuracy of this tracking update. For tracking results and fedex.com's terms of use, go to fedex.com. Thank you for your business. 1120/2009 Page 2 of2
David Pesnichak From: Sent: To: Subject: TrackingUpdates@fedex.com Monday, November 24, 2008 1 :20 PM Dee, Lisa (E&P) FedEx Shipment 796135388823 Delivered This tracking update has been
requested by: Company Name: Williams Prod. RMT Company Name: E-mail: Lisa Huerta Lisa.Dee@Williams.com Our records indicate that the following shipment has been delivered: Reference:
Ship (p/U) date: Delivery date: Sign for by: Delivered to: Service type: Packaging type: Number of pieces: Weight: Lisa Oee/LH Nov 21, 2008 Nov 24, 2008 1:16 PM L.BENEVIDES Receptionist/Front
Desk FedEx Priority Overnight FedEx Envelope 1 2.00 lb. Special handling/Services: Deliver Weekday Tracking number: 796135388823 Shipper Information Lisa Huerta Williams Prod. RMT Company
1515 Arapahoe Street; Tower Denver co US 80202 Recipient Information Chris Bornholdt Garfield County Sheriff's Office 3, #900 108 8th Street Glenwood Springs CO US 81601 Please do not
respond to this message. This email was sent from an unattended mailbox. This report was generated at approximately 2:19 PM CST on 11124/2008. To learn more about FedEx Express, please
visit our website at fedex.com. All weights are estimated. To track the latest status of your shipment, click on the tracking number above, or visit us at fedex.com. This tracking update
has been sent to you by FedEx on the behalf of the Requestor noted above. FedEx does not validate the authenticity of the requestor and does not validate, guarantee or warrant the authenticity
of the request, the requestor's message, or the accuracy of this tracking update. For tracking results and fedex.com's terms of use, go to fedex.com. Thank you for your business. 1
David Pesnichak From: Sent: Cass, Lynn (E&P) [Lynn.Cass@williams.com] Friday, January 16, 2009 1:43 PM To: David Pesnichak Cc: Dee, Lisa (E&P); Head, Jennifer (E&P); Cass, Lynn (E&P);
Jackson, Jim (E&P) Subject: Attachments: SKMBT _C45109011600360.pdf; SKMBT _C45009011614320.pdf Good afternoon David: Thanks again for taking the time to meet with Jennifer and I yesterday.
Per our discussion, I attached the majority of the missing items needed to complete the Small Temporary Employee Housing permit submitted previously. The only item I am missing is the
proof that the sheriff notification was sent out. Unfortunately the co-worker that I was going to have comb through my records to find it was out of the office today, so I was unable
to obtain it. However, I will send it to you on Monday morning to complete the submission. Regarding the P.E. certification, our P.E. wanted to provide additional information for each
point of the signoff sheet, so he attached a point-by-point breakout of the items listed in the TEH along with his stamp. I hope that this will be acceptable. In the spirit of providing
a visual verification of the trailers and their configuration, our P.E. wanted to provide additional clarification about the camp itself, and the official form does not provide adequate
space for P.E. comments. You will find that every point listed in the body of the TEH is addressed in the attachment, and our P.E. has provided a great deal of additional information
which should be useful in the context of the visual verification. In addition, our nominated compliance officer's signature appears on the TEH forms. Per our discussion yesterday, I
will provide the hard copies for your review when I return to the office on Monday. I appreciate you allowing me to submit the electronic forms prior to the hard copies. In addition,
I will send you the powerpoint flow chart that we looked at so you will have it for future reference. Again, I really appreciate you taking the time to talk to Jennifer and I yesterday.
We anticipate being able to meet GarCo's requirements from here on out on the small TEH housing sites. Have a great weekend and I will talk to you on Monday. Lisa Dee 720-470-4919 (M)
Email sent from the computer of. .. Lynn Cass Drilling Superintendent Highlands Asset Tearn Exploration & Production Office 970-263-2716 Mob-970-755-0083 Sat-800-763-0747 Lynn.Cass@Williams.com
1
GARFIELD COUNTY Building and Planning Department 108 8111 Street, Suite 401 Glenwood Springs, Colorado 81601 Telephone: (970) 945-8212 Facsimile: (970) 384-3470 www,Qf!rficki-collntv.CJOm
Administrative Checklist Small Temporary Employee Housing GENERAL INFORMATION -SubmR 1 paper& f CD copy 01 tho complaled application fa Plsnnlng Deputrnenlllfln 48 haurs following occupation
(To be completed by the Sma. FacUlty Operalor -e.g. wei pad operator) SectionrrownshlplRange Location of Housin~ Sfte: NW/4 of Section IS: 69-95 Tax Parcel Number for Parcel Containing
Housing Site: Garfield county Parcel # 2173-261-00-022 GPS and/or Lat-Long Coordinates of Housing Facility Site (Often included in APD): Lat. 39.529549 Long. 108.04227] Zone Dlslrict:
Resource Lands I. Maximum Number of Occupants at Permitted Site (e.g. well pad): 8 CumulaUve Amount ofT/me (in Days) The FacllltvWlIl be at Location: Approximately 165 Days State or
Federal Permitting Agency Overseeing Reclamation, • "ee alOlOacneu J.l.SlO 01: Restoration and Revegetation and Relevant Permit Number: API #' s for associated wells Date of Installation:
11/20/2008 I. Date of Removal: +/-5/1/2009 Name of Landowner: ExxonMobil Oil Corporation llt~e~~~:~hchase Telephone: Email: Dr 200 (281) 654-6183 Ste City: Houston Slale: TX Zip Code:
77060 Name of Operator's Jim Jackaon Compliance OffIcer. Street Address: Telephone: Email: .. 1058 County Road 215 (970) 930-5396 J1m.Jackson@Wl.lI1ams. com City: Parachute Slate: CO
Zip Code: 81635 Company 24·Holir Emsrpency Contact: J1m JaCKson 1 PhonsNumber: (970) 930-5];16 This Administrative CheckOst must bliJ reoeived by the Garfield County Planning Department
within 48 hours following oCfJJ!QiJ.nc'l. of the Small Facili1~, A copy of this completed Administrative ChliJcklist and all associated submittals shall be delivered to tha Garfield
County Sheriff's Office and ml8vent Rm Protactlon District (If appticabl9) within 48 hours following occupancy ofth9 Small Fecility. Addillonally, the Gerliald County Shariff's Office
and "'levant Fire Protecllon DIstrict (If applicable) must be notified In wrillng (return receipt) or verified email (return receipt) withIn 48 hours following r9mova! of the Small Facfllty.
It Is the Opsrator's responsibility to confirm and oblaln verifioatlon thai the Administrative Checktist has been received by the Sheriff's Office encf Fire Pro/ect/on District. 1
Fire Suppression Requirements IPer Parrow en"" Standard LI 'A water storage tank Is required to provide water to the sprinkter system (if applicable) and InlUal suppression activities.
The size of the water tank shall be determined based on sprinkler calculations and inlUal suppression demands. The relevant fire protection district shall be responsible for determining
the size of the water storege lank. If the Smail Facility Is not within a tire protection district, the Operetor shall provide at least 2500 gallons of water dedicated to Initial tire
suppression whlch Is accessible with a dry hydrant.' Required Siza of water storage tank for sprinkler system and Inltlal suppression activities: (), cr:o gallons Site Plan Reguirements
(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
ofthe subject lot and the location of Small Facliity within the subject lot and the Permitted Site; general relation to surrounding public roads, private roads. adlacent utjlitv systems,
residential development, other actively permlt1ed Small, Minor and Malar Facilities, natural drainage courses and municipalities within one (1) mile of 1he 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 quadmngle at a scale of 1"=2000' or
equlyalent. with a topography depicted at a mlnimum of 40' InteNals. il. Surveyed layout of the proposed Small FaclJitv within the surveyed boundaries of the Permitted Site, Including
at a minimum: sewage and wastewater disposal, trash receptacles, potable water slorage, an other associated infrastructure and all other equipment located wjthjn tha Perrnlt!ed Site.
iii. IdenlllicaUcn of the private and public roadways accessing each Small Facliity. Roadways shall be marked as open. qated, and/or locked (Include comblnationsl. Detailed directions.
wlth mileage, shall be given from the nearest town within Garfield County, nearest Garfield County Sheriff'S Office dispatch location and responsible fire district headquarters to each
Small Faclilty, along each roadway. Iv. Name. address and phone number of surface owner of the sublect lot. v. Name. address end 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 hosojtals, emergenev response, fire protection districts, Garfield County
Sheriffs Office, Life/Care Flight, and applicable regulatory agencies; s~e safetv/9vacuaUon plan; and any other written response plan forpotenHaJ emergencies altha 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 Smail Facility will be installed at the Petmitted Site. 2
ELIGIBILITY any must be completely contained wfthln a state or Yes federally 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, at less than a of one (1) year and at the end Yes of the utilization period, all structures,
foundations and essoclated Infrastructure are completely removed; and, occupancy of eight (8) or people within a PermlHed Site (e.g. well pad) who are employees, contractors or subcontractors
of the operator of the small fecillty and are needed for onslle safety of the related commercial, Industrial, extraction or highway operation. Occupancy Is based on the total number
of people residing within a PermlHed Site. Exceeding a cumulative totel of eight (8) people on a Permitted Site must be permitted as either a Minor or Major Permit. Yes 3
ISDS Permit Number: 4
Section 5.02.23 • Small Temporary Employee Housing FaCilities (Small Faclllty(lesU (1) Smail Facilities, in the natura of Factory Built Nonrasidentlal Structures (as defined under C.R.S.
24-32-3302(a)] but NOT recreational vehicles (as dafined under C.R.S. 42-1-102 (61), Including truck, truck tractor, motor home or camper trailer), may be utilized for housing of wor!(ers
on projects related 10 commercial, Industrial, mlnerel extraction or highway operetions, pursuant to the standards for Small Facilities 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 IImlls of a fire proteotion district, In accordance with Resolution 2005·1, as amended. Smail
Facilities located outslda of an organized fire protection district are exempt from the IFC, In accordance with Resolution 2005·1, es amended. Small Facilities shail have all of the
following basic characteristics: A. The Sman 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 olVgas 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 Infraslructure
are completely removed; and, C, The Small Facility shall have a cumulative occtJpancy of eight (8) or fewer people within a Permitted Site who are employees, conlrectors or sub-contractors
of the operator of the small facility and are needed for onslle safety of the related commercial, industrial, extraction or highway operaHon. Temporary employee housing facilities that
do nol have the three charecteristics listed above, or consist wholly or In part of Recreational Vehicles as defined above, are subject 10 the admlnisfraUve 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
Seetlon 9.01.06. Enforcement of this Section 5.02.23 shall be In accordance with SacHon 12 of this Resolution. (2) Submittal requirements for Small Facilities. Prior to submittal of
any forms to the Planning Department, the Operetor shall submit all below <locuments to the relevant fire protection district(s) and the Garfield County Sheriffs Office. All forms shall
be accuretely completed, Signed, dated and submitted to the Garfield County Planning Department within 48 hours following ocoupation of the Small Facility. The following Items shall
be submitted to the aforementioned districts andlor 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 tolal cumulative length
of time (number of days) that the Small Facility will be Inslalled at the proposed location. B. A form, provided by the Planning Department, Indicating the name, title, address, phone
number and emall address of the Operator's employee or other authorlzed representative who Is in charge of ensurlng that the Small Facility Is In compliance with the standards outlined
In Section 5.02.23 ("Operator's Compliance Office!"). C. A form, provided by the Planning Department and signed by the Operator's Compliance Officer, Indicallng that the Small Facility
will be installed In accordance with all applicable Garfield County. relevant fire district, state and federal regulations. D. The Idenllflcation number of the permit from the state
or federal agency regulating the Permitted Site and ensurlng reclamaUon 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 cartlficatlon Inspection conducted by a thlndparty Professional Engineer
Llcansed in the State of Colorado. The cartlflcallon shall verify that 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 Appllcanl shall submit an adequate site plan, conslstenl with the requlremenls listed below: I. A vicinity
map Indicating the section, township, and range of the Subject 101 and the location of Small Facility within the subjoot 101 and the Permitted SHe; general relation to surrounding public
roads, private roeds, adjacenl utility systems, residential development, other actively pennltted Small, Minor and Major Facilities, natural draInage courses and munlclpallUes within
one (1) mile of the proposed Small Faolllty; north BrroW and scale; GPS coordinates and current surface ownership of the subject 101. The vicinity map shall be presented on a USGS 7.5
minute series quadrangle al a scale of 1'=2000' or eqUivalent, with a lopog raphy depicted at B minimum of 40' Intervals. ii. Surveyed layout of the proposed Small Facility within the
surveyed boundaries of the PermlHed SHe, 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 SHe. III. Identification of the private and public roadways accesslng each Small Facility. Roadways shall be marked as open, gated, andlor
locked (include combinaUons). 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 end phone number, Including a 24-hour emergency response number of at least two persons responsible for Operator's
emergency field oparations; contact numbers for local hospitals, emergency response, fire protection dlsbicts, Garfield County Sheriffs Office, LffelCare Flight, and applicabla regulatory
agencies; sHe safety/evacuation plan; and any other written response plan for potential emergencies at the PermHted Site. vi. Identification of the anticlplilted dates of installation
and removal of the Small Facility. The site plan shall include a nolatlon of the total cumulatlve length of time (number of days) that the Small Facility will be Installed at the PermlHed
Site. (3) Standards for Small Facilities: The Small Facility shall demonstrate and cerHfy 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 watsr be discharged on the ground surface. The operator shall conduct monthly tests (or quarterly If an on-site disinfection system
Is installed) and malnlaln records of stored potable water samples specific for coli form bacterla. Any tests Indicating coli form contamination must be disclosed to the Garfield County
Board of Health or designee wltihln 72 hours from the time the contaminated water was tested. D. Each Small FacilHy shall be maintained In e 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 securHy reasons must be managed In accordanca with all applicable
federal, stata and local laws and regulations. E. At least one thirty (30) galion (4 cubic feet) wildlife-proof refuse container shall be provided for each Factory Built Non-Resldential
Structure unit Said container(s) must be durable, washable, nonabsorbent metal or plastic wltih 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 refusa is collected In a timely fashion and disposed of at a licensed
feclilty. 7
G. Outdoor food storage is prohibited. H. Factory Built Non-Residential Structures equipped by the manufacturer wilh a fire sprinkler system, fire detecllon system, andlor alarm system
shall be inspected, tested, and maintained in accordance wlth the requirements of the relevant fire protection dlstrict(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 exllnguisher(s) of a type suitable for flammable liquids, combustible
materials and electrical fires (Class ABC), or dry chamlcal, shall be located In each Factory Built NonResidential Structure and placed In accordance with applicable fire protection
district andlor Colorado Division of Housing codes. K. Domestic animals are prohibited at all Small Facilities. L. A water storege tank is required to provide water to the sprinkler
system (If appllcabla) and InfUal suppression activities. Tha size of tha 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 Oparator 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 agancy or fire protection district, In writing, and such documentation shall be presented to the Planning Department withl" 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 TransportaUon. O. The Garfield County Sheriff's Offlca and relevant
fire protection district(s) shall be noHfied and provIded with all documentation as outlined In Section 5.02.23 (2), above, within 48 hours following occupation of el;lch Sml;lll Facility.
In addition, the Gl;lrfield County Sheliffs OffIce and relevant fire protection district(s) shall be notified either by hard-copy or electronically Within 48 hours following removal
of alt 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-conlractors. I;Ind 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 ofthe Small FaCility. R. The Operator shall accurately complete all required forms provided by the Garfield County Planning Department Identifying the location
of the facility (SectionlT ownship/Range, relevant Tax Parcel Number, and GPS coordinates or Latitude/longItUde coordinates); relevant zone district; max/mum 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 end relevant permit number, date of InstallaHon; 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 Compllence Officer. S. Wastewater Disposal: I. Vault System: All vault systems are required to obtain an IS OS Permit from Garfield County and shall
be designed and Installed 10 accommodate the maximum number of persons (eight or less Individuals) who will Inhabit lhe Small Facility. In addition, all vault systems shall be eqUipped
with an overflow al<lrm devIce. Vault systems shall be deSigned 10 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 aCCB1lS 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 pubflc records, available to the County andlor any other Interested third party upon request. Ii. Individual
Sewage Disposal System (IS OS): If an ISOS Is proposed, then It shall be designed, Installed and opereted to accommodate the maximum number of persons who will Inhabit the Small Facility
(eight or less Individuals) and shall olhelWlse be permitted and opensted in accordance with the Garfield County 'SOS regulations as contained In BOCC Resolution Number 1994H-136. I
hereby attest that I am the designated Compliance OffIcer for the aforementioned Small Temporary Employee Housing FacJlJty(les). I attest that I have read and understand the standards
to which the Faclllty(les) shall be Installed and operated. I attest that the Faclllty(les) 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 undorstand that non.compllance with any of the proVisions as outlined in Section 5.02.23 of the Garfield County Zoning Resolution of 1978 shall be enforced
In accordance with Section 12. Signature of Operator's Compliance offlcer:_-"7';'2,,-,-r=-";'£/_r+-~ ______ _ pnntName:' _-4[)~~~N~_~~/_~_ S ~_i~ _______________________ _ ntle:~ __
,-f}:..:?1"""'~cJ-"-,,D.LL£U<,-!6"'<'-,,"f,=,"""''',-+' -,-/"),,,'.'-[ L-""L,,-,I,,-,''lCLI'\.J.)'-' _________ _ ) Phone Number:_--l..(.::.ov::.;'l>e.j)'-....:C,;..:.C1""I'._,_4"";):....,;;f""G"--___
_______ _ Email: 61Z<l" 1:::.'siAy \L W;[ I.",~. C"I"l I hereby attest that I am II Licensed Professlonai Engineer In the State of Colorado. I atlest that J have conducted a Visual Inspection
of the Small Facility Identified in thIs Administrative Checklist, as installed, and, based on information from that inspection I certify that the Small Facility complies with the standards
.s et forth In SecHon 5.02.23 ofthe Zoning Resolution of 1978 • PE Certification Number Date of InspecUon Print Name and l1Ue Signature , PE Stamp ~ o:tinCh ed p) m -bv[ -f»!nt D.+t51thon
ffoYl TQ: &q I neErl '5 10
Lisa Dee Regulatory Specialist Williams Production RMT 1515 Arapahoe St. Tower 3 Suite 1000 Denver, CO 80202-2110 Fox Engineering Solutions LLC 670 Canyon Creek Drive, Grand Junction,
CO 81507 Ph: (970) 250-55051 Fax: (626) 784-0667 Email: coloradofox@mybluelighl.com January 15, 2009 RE: AP 21-18-695 Small Temporary Employee Housing Inspection Garfield County, Colorado
Dear Lisa, As requested, Fox Engineering Solutions LLC has completed an inspection at well pad AP 21-18-695 concerning temporary employee housing as defined in Article 7-808(D)(3) of
Garfield County's Unified Land Use Resolution of 2008. In general, the County standards as listed in Article 7-808(D)(3), subject to our visual inspections were found to be compliant.
The inspection report is enclosed with Professional Engineer's certification and attestation. If you have any questions or need additional information, please let me know. Thank you
for the opportunity to work with you. C~.)/~' 71v I!; David J. Fox, P.E. Fox Engineering Solutions, LLC Attachments
Fox Engineering Solutions LLC 670 Canyon Creek Drive, Grand Junction. CO 815G Ph: (970) 250-5505/Fax: (626) 784-0667 Email: coJoradofox@mybluelight.com Inspection Report for: Client:
AP 21-18-695 -Small Temporary Employee Housing Williams Production RMT Location: Conducted By: NE 1/4 NW 1/4 Section 18, T6S, R95W, 6th P.M., Garfield County David Fox Date Conducted:
December 2, 2008 Paragraph Article 7-808(0)(3) land Use Resolution 2008 Reference Characteristic or Standard Description 3.a. Small Facilities, in the nature of Factory Built Nonresidential
Structures [as defined under eR.S. 24-32-3302(a}j but NOT recreational vehicles (as defined under C.R.S. 42-1-102 (Gl), including truck, truck tractor, motor home or camper trailer],
may be utilized for housing of workers on projects related to commercial, industrial, minerai extraction or highway operations, pursuant to the standards for Small Facilities contained
in subsection (2), below. Such facilities are not subject to Garfield County building and fire codes (building code, flre code). However, Small Facilities are subject to all pertinent
state (i.e. electrical permits), federal permits and relevant fire protection distrlct/s) code requirements. 3.a.(1) 3.a.(2) 3.a.(3) 1 2 The SmaJ/Facility and any associated Infrastructure
must be completely contained within a state or federally permitted parcel (such as a Colorado 011 and Gas Conservation Commission (COGee) approved oil/gas well pad) in which reclamation
and revegetation are secured with the permitting agenCY (Permitted Site); and, The Small FacUlty is located at the Pennltted 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. The Small Facility shall have an occupancy of eight IS} or fewer
people who are employees, contractors or sub·contrnctors oflhe operator of the small facility and are needed for onsile safety of the related commerCial, Industrial, extraction or highway
operation. Small Facility must comply with all applicable federal, state and local laws and regula lions. The Small Facility shan NOT contain recreational vehicles as defined in Section
7-808 (OJ. Page 1 of 5 Inspection Comments Not subject to visual inspection and certification by third party Professional Engineer. Not subject to visual inspection and certification
by third party Professional Engineer. Not subject to visual inspection and certification by third party Professional Engineer. Not subject to visual inspection and certification by third
party Professional Engineer. Not subject to visual inspection and certification by third party Professional Engineer. No recreational vehicles observed on site.
A~ 21-18-695 Inspection Williams Production RMT 3 4 5 6 7 8 9 10 1-1 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 shaH conduct monthly tests {or quarterlv if an on-site disinfection system Is Installed) and maintain records of stored potable water samples specific for
call form bacteria. Any tests Indlcating 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. Each Small Faclmy shall be maintained in a dean, safe and sanitary condition, free of weeds and refuse. Anv hazardous or noxious materials that must be stored at the 5mall
Facility for operational or security reasons must be managed in accordance with all applicable federal, state and local laws and regulations, At least one thirty (30) sallon (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, nonabsorbent metal or plastic
with tight-fittIng /ids. 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 Bnd disposed of at a licensed facility, Outdoor food storage is prohibited. 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, Single-station carbon monoxide alarms shalt be placed in each Factory Built Non-Residential Structure, 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
NonResident1alStructure and placed in accordance with applicable fire protection district and/or Colorado Division of Housing codes, Domestic animals are prohibited at all Small Facilities.
Page 2 of 5 Fox Engineering Solutions LLC January 15, 2009 Two potable water tanks of approximately 4000 gallons each and two 3000·gallon sewage holding tanks onslte. All tanks and piping
located above ground. No on·site disinfection systems installed. Site appeared to be maintained in clean, safe and sanitary condition, free of weeds and refuse. One wildlife·proof trash
receptacle with a capacity of approximately 21 cubic yards on·site. Individual refuse containers in each office/housing structure. Not subject to visual inspection and certification
by third party Professional Engineer. No outdoor food storage observed on·site. No fire sprinkler systems observed in any of the factory built non·residential structures. Smoke detectors
observed in all factory built nonresidential structures. Carbon monoxide detectors observed in Company and Rig Contractor structures. No carbon monoxide detectors in Tool Pushers or
Directional structures at the time of inspection. Williams was notified of deficiency and has since provided written confirmation to the engineer of installation of carbon monoxide detectors
in structures. Fire extinguishers observed in all structures. No domestic animals observed on·site.
Ap 21-18-695 Inspection Williams Production RMT 12 13 14 15 16 17 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 within each Permitted Site for a SmalJ FacHity. 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. All required Access Permits shall
be obtained from the Garfield County Road and Bridge Department or the Colorilda Department af Transportation. The Garfield County Sheriff's Office and relevant fire protectlon district{s)
shall be notiOed and provided with all documentation as outlined In these resul,atlons, within 48 hours Following occupation of each Small Facility. In addition, the Garfield County
Sheriff's Office and relevant fire protection district(sl shall be notified either by hardcopy or eJectronicillly within 48 hours following removal of allSmaff Facilities. The Planning
Department shall be copied on all such notification, whether hard copy or electronic. The Operator shall maintain records identifying workers, whether emploVees, 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. 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 Article 7.808 D. 2. of the Garfield County land Use Code of 2008, as 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.
Page 3 of 5 Fox Engineering Solutions LlC January 15, 2009 Two potable aboveground water tanks of approximately 4000 gallons capacity each on-site. Potable water demand is estimated
to be 3150 gallons (6 individuals x 75 gpcd x 7 days). Fire suppression demand is estimated to be 2500 gallons. Total potable and fire suppression volume required is estimated to be
5650 gallons. Water supply appears adequate. Dry hydrants observed on both water tanks. Not subject to visual inspection and certification by third party Professional Engineer. Not subject
to visual inspection and certification by third party Professional Engineer. Not subject to visual inspection and certification by third party Professional Engineer. Not subject to visual
inspection and certification by third party Professional Engineer. This inspection was conducted by a third-party Professional Engineer licensed in Colorado and certifies compliance
only with applicable standards set forth in Article 7.S0S D. 3_ of the Garfield County Land Use Code of 200S, as amended, that are subject to visual inspection.
AR 21-18-695 Inspection Williams Production RMT 18 19(a) 19(a)(1) 19(a)(2) 19(b) The Operator shall accurately complete all required forms provided by the Garfield County Planning Department
identifying he location of the facility (Section/Township/Range, relevant Tax Parcel Number, and GPS coordinates or Latitude/Longitude coordinates); relevant zone distrkt; 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 emersency contact information (or the Operator; building information {make, manufacture year, serial number, size (square feet));
signature and contact information of the operator's Compliance Officer. Vault System: All vault systems 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 overOow alarm device. Vault systems shall be designed to accommodate
a minimum of 7S gallons of wastewater per person per day. If a vault system Is proposed or has been approved, the Operator must! Demonstrate that year· round vehicular access Is available
and maintained for safe and regular access for sewage haulins vehicles. Maintain all sewage disposal records Induding but not limited to trip logs/reports and landfill receIpts as public
records, available to the County and/or any olher interested third party upon request. Individual Sewage Disposal System (IS OS): If an ISDS is Facility (eight or less individuals) and
shall otherwIse be permitted and operated in accordance with the Garfield County ISDS regulations as contained in eocc Resolution Number 1994H·136. proposed, then it shall be deSigned,
Installed and operated to accommodate the maxImum number of persons who will Inhabit the Small FacUity (eight or less individuals) and shall otherwise be permitted and operated In accordance
wIth the Garfield County lSDS regulations as contained in eocc Resolution Number 1994H·136. Page 4 of 5 Fox Engineering Solutions LLC January 15, 2009 Not subject to visual inspection
and certification by third party Professional Engineer. Two aboveground sewage holding tanks of approximately 1500-gallon capacity each on-site_ Sewage flows estimated to be 450 gallons/day
(6 individuals x 75 gpcd). Sewage holding tanks need to be emptied approximately every 6.7 days (3000 gallons /450 gallons per day). No tank overflow alarm devices observed at time of
inspection. Williams stated vendor has been notified and confirmed that vendor is installing overflow alarm device. Not subject to visual inspection and certification by third party
Professional Engineer_ Not subject to visual inspection and certification by third party Professional Engineer_ Not subject to visual inspection and certification by third party Professional
Engineer.
Ar 21-18-695 Inspection Williams Production RMT Fox Engineering Solutions LlC January 15, 2009 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 Facility identified in this Administrative Checklist, as installed, and, based on information from that inspection I certify
that the Small Facility complies with the standards, subject to and limited to visual inspections items os identified above; set forth in Article 7-808 (D) (3) of the Unified Land Use
Resolution of 2008, for Garfield County, Colorado. PE Certification Number: No. 25420 {Colorado PE Stamp Date of Inspection: December 2, 2008 Print Name and Title: David J. Fox, Principal
Engineer Signature: D ~(1 r:; Page 5 ciS
David Pesnichak From: Dee, Lisa (E&P) [Lisa.Dee@williams,coml Monday, January 12, 2009 10:53 AM David Pesnichak Sent: To: Cc: Head, Jennifer (E&P) Subject: RE: Williams Small TEH Hi
Dave, Thank you for your prompt response. The update on our Small TEH permit is as follows: • We are expecting to have the full P .E. stamp and compliance officer certification by the
end of this week. • Our P.E. had an extensive discussion with Andy Schwaller last week, in which Andy indicated that the P.E. Certification serves as a visual account of rig site camp
arrangements, rather than a true certification of 2003 IBC and IFC compliance. This information is helpful for us, and has helped us expedite our process, because it remedies our perceived
discrepancies between the September 2008 onset ofthe new housing regs and the March 1, 2009 deadline for all mancamp trailers to be compliant with the 2003 IBC and IFC. Ijust spoke with
our P.E. and he indicated that, given the clarification provided last week by Andy Schwaller, he is now comfortable with completing the TEH checklist and providing his P .E. stamp on
this form. • Regarding your offer to send a CD of a TEH application completed by another operator, I would be greatly appreciative of this information ifit is available. In our previous
discussions with Andy Schwaller, he seemed to indicate that no applications, complete with P.E. stamps, had been received to date. However, if this is not the case, we would benefit
from any additional information you might be able to provide us. Our goal is to gain a complete understanding of Gar Co's TEH regs so that we can offer full compliance in a timely manner
going forward. Again, your patience and generosity with us on our first permit under the new housing regs is greatly appreciated. Let's tentatively schedule the lOam meeting time this
Thursday. We will be driving up from Denver that morning, so I doubt we will have any trouble making this appointment, however I will confirm and get back to you later this afternoon.
Thanks again for taking time out of your day to help us understand the new housing regs. Have a great week and we will plan on seeing you Thursday morning, LD Lisa E. Dee Regulatory
Specialist, Highlands Asset Team Williams Production RMT. 1515 Arapahoe St. Tower III, Ste 1000 Denver, CO 80202 Dir.303-260-4538 M. 720-470-4919 F. 303-629-8268 1
From: David Pesnichak [mailto:dpesnichak@garfield-county.com] Sent: Monday, January 12, 2009 10: 15 AM To: Dee, Lisa (E&P) Subject: RE: Williams Small TEH Hi Lisa, I am concerned about
the length oftime it has taken Williams' to complete the Small Temp Emp Housing Checklist as submitted on November 24,2008. I have been very generous in regards to the amount of time
given to this Checklist to become complete, but my ability to defend its incompleteness is becoming questionable. To this end, I will need to have this checklist complete by the end
of this week (1/16/2009) or I will have to turn it over to Code Enforcement. This is over a month and half past the original submittal date. As this is the case, please send all updates/correspondenc
e regarding this application via email so that it can be held on file. In regards to a meeting later this week, I will be in the office both Thursday and Friday. How does 10.00 AM on
Thursday January 15 sound? If you would like, I can send you a CD of a completed Minor TEH application for you to review. ' Thanks, Dave David Pesnichak, AICP Senior Planner -Long-Range
Garfield County 108 8th Street, Suite 401 Glenwood Springs, CO 81601 Tel: (970) 945-8212 Fax: (970) 384-3470 Email: dpesnichak@garfield-county.com www.garfield-county.com 2