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HomeMy WebLinkAbout1.0 Application.pdfGarfield County Community Development Department 108 81 h Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com TYPE OF APPLICATION D Administrative Review D limited Impact Review D Major Impact Review D Amendments to an Approved lUCP OUR OMIR OsuP Ii Minor Temporary Housing Facility D Vacation of a County Road/Public ROW D Pipeline Development D Comprehensive Plan Amendment 0 Major 0 Minor INVOLVED PARTIES Owner I Applicant Name: Chevron U.S.A. Inc. (Attn. Julie Justus) Mailing Address: 760 Horizon Drive City: Grand Junction E-mail: jjustus@chevron.com Representative (Authorization Required) Name: Mailing Address: City: E-mail: PROJECT NAME AND LOCATION Project Name: I I II l!.AND USE CHANGE P.ERMlil"' AP~tlCATl0N f.ORM D location and Extent Review D Development in 100-Year Floodplain D Designation of Flood Fringe/Floodway D Rezoning 0 Zone DistrictO PUD 0 PUD Amendment D UlUR Text Amendment D Appeal of Administrative Interpretation D 1041 Regulations D Variance D Time extension Phone:(970 ) 257-6042 State: co Zip Code: 81506 Phone: ( ) State: Zip Code: Chevron Skinner Ridge Temporary Employee Housing Facility Assessor's Parcel Number: 2 1 6 7 -2 1 2 -0 0 -0 0 8 ------------ Physical/Street Address: 0.6 miles North of intersection of County Roads 204 and 211 legal Description: Portion of Tract 112 in the SWNW of Sec. 34, T6S, R98W, 6th P.M. zone District: Resource Lands-Gentle Slopes Property Size (acres): 1.7 PROJECT DESCRIPTION Existing Use: Plugged and Abandoned Well Pad used for Temporary Employee Housing as needed Proposed Use (From Use Table 3-503): _E_m_p_lo_y_e_e_H_o_u_si_n_g_F_ac_i_li_ty_, _M_in_o_r ___________ _ Description of Project: Chevron is seeking approval to install and operate two (2) 14-foot by 60-foot skid-mounted crew quarters to accommodate up to 12 contract rig employees in support of drilling operations in the Chevron Skinner Ridge Field. The proposed Temporary Employee Housing would be on site for approximately 4 weeks beginning on or about August 19, 2013 and would be removed immediately following drilling completion. Please see attached Project description and attachments. REQUEST FOR WAIVERS Submission Requirements • The Applicant requesting a Waiver of Submission Requirements per Section 4-202. List: Section: 4-103 B.1. Pre-Application Conference Section: Section: Section: Waiver of Standards D The Applicant is requesting a Waiver of Standards per Section 4-117. List: Section: Section: Section: Section: I have read the statements above and have provided the required attached information which is correct and accurate to the best of my knowledge. Sig~~~~ 07/15/2013 Date OFFICIAL USE ONL V FileNumber: _______ _ Fee Paid:$ -------------~ Garfield County PAYMENT AGREEMENT FORM GARFIELD COUNTY ("COUNTY") and Property Owner ("APPLICANT") Chevron U.S.A. Inc. _____________________________ agree as follows: 1. The Applicant has submitted to the County an application for the following Project: __ _ Temporary Employee Housinq, Minor 2. The Applicant understands and agrees that Garfield County Resolution No. 98-09, as amended, establishes a fee schedule for each type application, and the guidelines for the administration of the fee structure. 3. The Applicant and the 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. The Applicant agrees to make payment of the Base Fee, established for the Project, and to thereafter permit additional costs to be billed to the Applicant. The Applicant agrees to make additional payments upon notification by the County, when they are necessary, as costs are incurred. 4. The Base Fee 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 staff time or expense not covered by the Base Fee. If actual recorded costs exceed the initial Base Fee, the Applicant shall pay additional billings to the County to reimburse the County for the processing of the Project. The Applicant acknowledges that all billing shall be paid prior to the final consideration by the County of any Land Use Change or Division of Land. I hereby agree to pay all fees related to this application: Billing Contact Person:_J_u_li_e_J_u_s_tu_s _________ Phone: ( 970 ) 257-6042 Billing contact Address: _7_6_0_H_o_r_iz_o_n_D_ri_v_e __________________ _ City: Grand Junction State: CO Zip Code: _8_1_50_6 ___ _ Billing contact Email: jjustus@chevron.com Printed Name of Person Authorized to Sign: _J_u_li_e_J_u_st_u_s _______________ _ 08/01/2013 / (Signature) (Date) Proposed Minor Temporary Employee Housing Facility -Chevron U.S.A. Inc. Contents 1.0 Introduction ............................................................................................................................................................. 2 I. I Project Summary ................................................................................................................................................. 2 2.0 Applicant/ Surface and Mineral Owner: .................................................................................................................. 2 2.1 Adjacent Surface and Mineral Owner: ................................................................................................................ 3 3.0 Location Description ............................................................................................................................................... 3 3. I Legal Description ................................................................................................................................................ 3 3.2 Site Description ................................................................................................................................................... 3 3.3 Access .................................................................................................................................................................. 3 3.4 Site Security ........................................................................................................................................................ 4 4.0 Anticipated Dates oflnstallation/Removal .............................................................................................................. 4 4.1 Hours of Operation .............................................................................................................................................. 4 5.0 Housing Unit Description ........................................................................................................................................ 4 6.1 Electrical. ............................................................................................................................................................. 5 6.2 Potable Water, Wastewater, and Trash ................................................................................................................ 5 7.0 Emergency Response .............................................................................................................................................. 5 8.0 Reclamation and Remediation ................................................................................................................................. 5 9.0 Standards ................................................................................................................................................................. 5 Attachments 1. Location Map 2. Garfield County Assessor Map with Adjacent Owners 3. Proof of Ownership -Property Deed 4. Authorizations 5. Public Notice; Proof of Mailing 6. Garfield County Sheriff Communication and DeBeque Fire Department Sign-off 7. Site Plan 8. Colorado Oil and Gas Conservation Commission (COGCC) • APD • Blanket Surface Bond 9. Mountain West Oil Field Services: • Colorado Division of Housing Certifications (Photographs) • Service Agreement • CDPHE PWSID • Wastewater Discharge Permit 10. Garfield County • Driveway Permit • Vegetation Bond 8. Emergency Action Plan Proposed Minor Temporary Employee Housing Facility -Chevron U.S.A. Inc. 1.0 Introduction Chevron U.S.A. Inc. (Chevron) has obtained approval from the Colorado Oil and Gas Conservation Commission (COGCC) for Applications for Permit to Drill (APDs) four ( 4) new underground injection wells for the disposal of produced water. The site selected for drilling is an existing location previously used for agricultural purposes and is of adequate size to accommodate a drilling rig and associated equipment, but does not have large enough area to accommodate Temporary Employee Housing for drilling crews without significant enlargement and therefore Chevron is seeking approval to provide Temporary Employee Housing offsite at another existing location that has been retained for that purpose. The subject location is an abandoned well site and has previously been permitted and used to accommodate Temporary Employee Housing. By utilizing two existing locations, Chevron would be able to accomplish drilling operations without further surface disturbance. 1.1 Project Summary As detailed in this application, Chevron is seeking approval to install two (2) 14-foot by 60-foot skid-mounted trailers to accommodate up to 12 contract rig employees during the drilling of four new underground disposal wells in the Chevron Skinner Ridge Field. The Minor Temporary Housing Facility (TEH) would be occupied by Ensign Rig# 122 drilling rig crews during their off-shift hours. The proposed TEH would be located entirely within Chevron's Skinner Ridge Natural Gas Development on property owned and operated by Chevron. Chevron owns all surface and minerals at the subject location (See attached Property Deed). The TEH would be onsite for approximately four (4) weeks beginning on or about August 26, 2013 and would be removed immediately following drilling operations. Drilling Rig employees would occupy the TEH in 12-hour shifts such that six (6) individuals would be housed at the facility at any given time. 2.0 Applicant/ Surface and Mineral Owner: Chevron U.S.A. Inc. 760 Horizon Drive Grand Junction, CO 81506 Owner Contact (Regulatory and Compliance): Julie Justus Regulatory, Health & Environment Specialist; Acting Compliance Officer 760 Horizon Drive, Grand Junction, CO 81506 Phone:970-257-6042 Fax: 970-245-6489 Email: jjustus@chevron.com Garfield County Minor Temporary Employee Housing Facility Performance Standards and Enforcement Provisions Sign-Off (Form to address Section 4-301 (A)(13) and (A)(14)) The Applicant shall adhere to the following Minor Temporary Employee Housing Facility characteristics and standards required in Article 15 Definitions and Section 7-706 Temporary Employee Housing Facility, Minor of the Land Use and Development Code (LUDC). Minor Temporary Housing Facilities shall have all of the following basic characteristics: A. The Minor Facility and any associated infrastructure must be completely contained within a State or Federally-permitted parcel (i.e. COGCC-approved oil/gas well pad) in which reclamation and revegetation are secured with the permitting agency (Permitted Site); B. The Minor Facility is located at the Permitted Site for less than a cumulative of 1 year; and C. The Minor Facility shall have occupancy of 9 to 24 people who are employees, contractors, or subcontractors of the operator and are supporting the proper execution and safety of the related commercial, industrial, extraction, or highway operations. Minor Temporary Housing Facilities shall meet all of the following standards: A. Federal, State, and Local Laws and Regulations. Minor Facilities must comply with all applicable Federal, State, and local laws and regulations. B. Notification of Facility Installation and Removal. The Sheriff's Office and relevant fire protection district(s) must be notified at least 24 hours prior to installation and removal of each Minor Facility. The Community Development Department shall be copied on all such notification, whether hard copy or electronic. C. Water Systems. Water systems shall comply with standards set forth in Section 7-705.B. D. Wastewater Systems. Wastewater systems shall comply with standards set forth in Section 7-705.C. E. Clean, Safe, and Sanitary Condition. Minor Facilities 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 Minor Facility for operational or security reasons must be managed in accordance with all applicable Federal, State, and local laws and regulations. 1 F. Trash and Food Storage. Wildlife-proof refuse containers must be provided for trash. Outdoor food storage is prohibited unless facilities are provided that prevent the attraction of animals to the Major Facility site. G. Fire Protection. 1. Provisions for giving alarm in case of fire and fire suppression must be installed per fire codes and as required by the fire protection district. 2. Single-station carbon monoxide alarms must be placed in each Manufactured Home or Recreational Vehicle unit. H. No Domestic Animals Allowed. Domestic animals are prohibited. I. Removal of Facility. Within 10 days following the expiration or other termination of the Land Use Change Permit or represented date of removal identified within the Land Use Change Permit, all housing structures, foundations, and associated infrastructure shall be completely removed. The Operator shall provide the Director with photos, dated and signed by the Operator's compliance officer, indicating that all housing structures, foundations, and associated infrastructure have been removed within the specified timeframe. I have read and understand the above referenced sections of the LUDC. In addition, I hereby certify that the aforementioned facility(ies) will be installed in accordance with all applicable Garfield County, relevant fire district, and federal regulations. Further, I understand that non- compliance with any of the provisions as outlined in the LUDC shall be enforced in accordance with Article 12 and any additional enforcement provisions within this code. Julie Justus Name of Operator's Compliance Officer (print) SignatGe /) {)f /01 /:JcJ/3 i ' Date Regulatory, Health and Environment Specialist jjustus@chevron.com Tille Email Address 760 Horizon Drive, Grand Junction, CO 81506 970-257-6042 Address Phone Number 2 Proposed Minor Temporary Employee Housing Facility-Chevron U.S.A. Inc. 2.1 Adjacent Surface and Mineral Owner: Bureau of Land Management Colorado River Valley Field Office 2300 River Frontage Road Silt, CO 81652 3.0 Location Description The proposed TEH Facility would be situated on an existing Plugged and Abandoned well pad located approximately 0.6 miles north of the intersection of County Road 204 and County Road 211 and approximately 10 miles south of the active drilling location. The existing well pad location was constructed and permitted with the COGCC in early 1990 for Wasatch Formation delineation (Well Name: Chevron Shale WI 1-34; API: 05-045-6682). The well was subsequently plugged and abandoned in 1991 but the location was not reclaimed at the time and surface reclamation surety is in effect under the Chevron Blanket Surface Bond: Surety ID: 1995-0031 (See attached APD and Surety Bond information on file with COGCC). The abandoned well was cut off at 4-feet below ground level and no above-ground well marker is on location. 3.1 Legal Description That portion of Tract 112 situated in the SWNW of Section 34, Township 6 South, Range 98 West, 61h Principal Meridian. 3.2 Site Description The existing well pad encompasses I. 7 acres and the pad surface is cleared of all vegetation and has been surfaced with gravel to allow all-weather access. Soil piles and slopes are vegetated and stabilized. Stormwater management and weed control inspection and monitoring programs are in place for this location. The site has been previously used for the purpose of Temporary Employee Housing and the site is of adequate size to accommodate two 14 x 60' trailers, associated water and septic tanks, and parking for up to 12 personal vehicles, if necessary. No additional surface disturbance or infrastructure installation would be required to prepare the site for use. 3.3 Access The proposed location can be accessed from Interstate 70, exit 62, by traveling north on Roan Creek Road/Garfield County Road (CR) 204 about 12.5 miles to the intersection of CR 211, then by traveling northeast on CR 211approximately0.6 miles to the driveway access of the well pad location (See attached Vicinity Map). Proposed Minor Temporary Employee Housing Facility-Chevron U.S.A. Inc. 3.4 Site Security The proposed TEH Facility is located entirely with the Chevron Skinner Ridge natural gas development and will be occupied by contract employees at all times of the day and night. All active field operations and locations, including the proposed location, are monitored by Chevron field personnel around the clock. Access to the location is secured by a locked gate to prevent public access. Only Chevron personnel and contractor employees would be allowed on site. No visitors or guests would be allowed on location. 4.0 Anticipated Dates oflnstallation/Removal The proposed TEH would be expected to remain on location for approximately four weeks: Anticipated Installation Date: August 26, 2013 Anticipated Removal Date: September 26, 2013 4.1 Hours of Operation Typical drilling operations are scheduled for 24 hours a day, 7 days a week. The drilling rig crews consist of 12 people who work in 12-hour shifts; Six on duty/Six off duty. Under normal conditions, six ( 6) crew members would occupy the proposed TEH while the other six ( 6) were working their shifts. 5.0 Housing Unit Description Mountain West Oil Field Services and Supply (Mountain West), located at 756 Valley Court in Grand Junction, CO, has been contracted by Chevron to supply and set up two (2) 14-foot by 60- foot skid-mounted trailers. Each trailer would have two (2) bedrooms, each with three (3) beds, two (2) baths, and common living and kitchen areas (no catering provided). Mountain West would also supply and service the vault-n-haul water and wastewater systems. See below for more detail on these systems. 6.0 Utilities Utilities necessary for ensuring the safety and comfort of the rig crews include electric, potable water and wastewater systems. Proposed Minor Temporary Employee Housing Facility-Chevron U.S.A. Inc. 6.1 Electrical Electrical service is already installed at the proposed location. The existing power pole and electrical box are situated on the northeast comer of the well pad (See attached Site Plan). An underground electric line was installed previously from the electrical box to the west side of the pad where the proposed housing units would be installed. State Electrical permitting and hookups would be managed by Mountain West. 6.2 Potable Water, Wastewater, and Trash See Section 9.0, Standards, for applicable water and wastewater system and trash services descriptions. 7.0 Emergency Response See Section 9.0, Standards, for 24-hour Emergency Contact list. Also see attached Emergency Action Plan. 8.0 Reclamation and Remediation Chevron intends to retain the subject location for future use and site reclamation and remediation would not occur until Chevron deemed the location no longer useful in the operation of its Skinner Ridge Natural Development program. This location is an abandoned well site and Chevron, as landowner, has elected to retain the site for current and future use as needed. The use of the existing disturbed site eliminates the need for new surface disturbance and minimizes the overall surface footprint associated with Chevron natural gas operations. This location would not be reclaimed upon removal of the Minor Facility. Reclamation surety for this location is in effect under the Chevron Blanket Surface Bond: Surety ID: 1995-0031, on file with COGCC. 9.0 Standards Garfield County Land Use and Development Code, Section 7-706 Standards for Temporary Employee Housing Facilities, Minor are included below A. Federal, State, and Local Laws and Regulations The proposed Minor Facility would comply with all applicable Federal, State and Local laws and regulations. Proposed Minor Temporary Employee Housing Facility -Chevron U.S.A. Inc. B. Notification of Facility Installation and Removal. Chevron would notify the Garfield County Sheriffs Office and De Beque Fire Department at least 24 hours prior to installation and removal of the proposed Minor Facility. The Garfield County Development Department would be copied on all such notification. C. Water Systems. Mountain West would install and service the potable water system as detailed below: Water System: One (1) 3,440 gallon potable water tank inside metal seabox container. Mountain West would maintain records of any water testing, both source and onsite, and would make those records available upon request. Water Usage: Average water usage is typically listed as 50 to 100 gallons per person per day. For a 12-man crew, water usage per day would range from 600 gallons per day to a maximum of l ,200 gallons per day. The water system would have capacity to provide 100 gallons per person per day for about three (3) days. Actual usage would vary depending on individual crew members. The system would be serviced every Monday, Wednesday and Friday, and filled as needed, for the duration of occupancy. Primary Water Source: Ute Water District and/or City of Grand Junction 20 Road Fill Station, 1275 20 Road, Grand Junction, CO Secondary Source (if necessary): City of Grand Junction Fill Station at City Shops, 333 West Avenue, Grand Junction, CO Standard 7-705.B. Water Systems I. Water systems are compliant with all applicable State and local laws and regulations and would abide by all standards set forth in Section 7-705.B. of the Garfield County Land Use and Development Code. 2. This Standard does not apply as the potable water system would be hauled to the site. See #3 below: 3. Mountain West would install and service the potable water systems proposed in this application. a. Mountain West would maintain all appropriate records demonstrating water is supplied from an approved source and would provide those records to Garfield County upon request. b. Not Applicable c. Mountain West Oil Field Services and Supply is authorized to provide potable water systems and services under Colorado Department of Public Health and Environment (CDPHE) Public Water System Identification Number (PWSID): C0-0252516 Proposed Minor Temporary Employee Housing Facility -Chevron U.S.A. Inc. f. Each of the two wastewater systems is designed for a m1mmum of 75 gallons of wastewater per person per day or 450 gallons per person (6) per day for each unit. Each wastewater tank has capacity to service six (6) occupants for about four (4) days. Actual usage would vary depending on individual crew members. The system would be serviced every Monday, Wednesday and Friday, and emptied as necessary, for the duration of occupancy. E. Clean, Safe, and Sanitary Condition. The proposed Minor Facility would be maintained in a clean, safe, and sanitary condition at all times. No hazardous or noxious materials would be used or stored at the Facility. F. Trash and Food Storage. One (1) 30-cubic yard wildlife-proof refuse container would be brought onsite to manage miscellaneous solid waste, refuse and trash. Trash services would be provided by Redi Services, LLC., 2143 Airport Road, Rifle CO. Trash would be disposed at the Garfield County Landfill. No food would be stored outdoors and all food wastes would be disposed in the designated trash receptacle. G. Fire Protection. 1. Each Housing Unit is equipped with smoke alarms at each of the sleeping areas. ABC type fire extinguishers are provided with each unit. Smoking would only be permitted in designated smoking areas at least 35-feet from any vegetated areas. Note: Chevron does not permit any employee or contractor to attempt to fight fire beyond the incipient stage. Fire emergencies beyond incipient stage would be reported to the DeBeque Fire Department and all employees would be evacuated from the area. See attached Emergency Action Plan. 2. Each housing unit is equipped with Carbon Monoxide monitors. 24-hour Emerg.ency Contacts are proved below. These and other emergency contacts are provided in the attached Emergency Action Plan. Emergency C.ontact Numbers CHEVRON PERSONNEL (970 Numbers unless Indicated) Name Travis Garza Lio d Richardson Mattin Knauss Hiner Gate Control Room On-Site Operations Lead Office 257-6020 257-6003 257-6004 683-5104 683-5103 Cell 210-6078 Proposed Minor Temporary Employee Housing Facility-Chevron U.S.A. Inc. d. The potable water system proposed in this application would comply with all State regulations at all times during operations. 4. In no case would unsafe water be used for drinking. D. Wastewater Systems. Mountain West would install and service the wastewater system as detailed below: Wastewater System: Two (2) 1,900 gallon wastewater tanks (one each housing unit) equipped with beacon light alarms for overflow protection. System Capacity: Each of the two systems is designed for a minimum of 75 gallons of wastewater per person per day or 450 gallons per person (6) per day for each unit. Each wastewater tank has capacity to service six (6) occupants for about four (4) days. Actual usage would vary depending on individual crew members. The system would be serviced every Monday, Wednesday and Friday, and emptied as necessary, for the duration of occupancy. Standard 7-705.C. Wastewater Systems I. Wastewater systems are compliant with all applicable State and local laws and regulations and would abide by all standards set forth in Section 7-705.C. of the Garfield County Land Use and Development Code. 2. Wastewater would be disposed by vault and haul services provided by Mountain West. The disposal of domestic wastewater is governed by the municipality accepting the waste; no CDPHE permit is required for disposal. Mountain West would discharge wastewater to the Clifton Sanitation District Water Treatment System (Mountain West Permit to discharge is attached): Wastewater Discharge: Clifton Sanitation District 3217 D Road, Grand Junction, CO NPDES Permit C00033791 a. All roads leading to the proposed location, including the pad access, are well maintained year around by Mesa and Garfield Counties and/or Chevron and are easily accessible 24/7 and 365 days per year. Access to the well pad location is secured by locked gate to prevent public access. Garfield County Driveway Permit is attached. b. Mountain West agreement to provide and service the systems is attached c. Mountain West Oil Field Services would maintain all appropriate records associated with wastewater maintenance and disposal. d. Mountain West would maintain all records and would provide those records to Garfield County upon request. e. The proposed TEH and associated wastewater system is not expected to be on location for more than one (I) month. In no case shall the Minor Facility be onsite for one(!) year. Proposed Minor Temporary Employee Housing Facility -Chevron U.S.A. Inc. H. No Domestic Animals Allowed. No pets are allowed on any Chevron facility. I. Removal of Facility. Chevron would remove all housing structures, potable water and wastewater tanks, and trash bins immediately following completion of drilling activities. Electrical infrastructure would remain on location for future use. Upon removal of the facility, Chevron would provide Garfield County Planning and Development with photographs, signed and dated by Chevron's Compliance Office, Julie Justus, as evidence that all housing structures have been removed with the specified I 0-day timeframe. • Man Camp Location (not to scale) --County Roads c::::J Parcel$ 0 21en12C>0008 (Area: •.678 actes) PROJECT NO: 000-0544 DRAWN BY: Leslie Booth GISAnalyst DATE: 04/27il'.l9 I I I ....-_, ... ._~~---:,-->;~ ,. ( ... ·--· / ,,.,.,_ 7 -·-<:.· 1.· .· ..... ~ -...._," ),-/ ::...~ ..... ____ ;_ • ' ....... -" r- APPROXIMATE DISTANCE TO 1-70 INTERCHANGE -13.5 MILES TO SOUTH 2 ••••======:::::i•••••••• Miles 1 inch equals 0. 75 miles CHEVRON MAN CAMP I ACTIVITY MAP O\oLSSON MAJOR IMPACT REVIEW CHEVRON USA, INC ASSOCIATES GARFIELD COUNTY, COLORADO A division or Olsson Associates :: ..... .:: I 826 21-112 ROAD GRAND JUNCTION. co I 81505 TEL 970.263. 7800 -·,.-; ;:-:;:; {{ff .. ' -~ FIGURE 1 e Onrtleld Cmmty 2167212000 Owner: CHEVR ) Address: 211 O~ i_,;.,....:.:.;,.;.~~~~.-~....-::;::;.;,_._-+ Account No: R2 Reception No: Tax Area ID: 29 Zoning: Resour Modified from Garfield County Assessor I ···---v.-.. • ..;. ' .,,._ \': SPECIAL WARRAN'l't DEBD THIS DEED made this 26th day of September, A, D, l9521 by and between ROBERT A. DICK, of t.he City and County ot Denver, State of Colorado, Party ot the First Part, and PACIFIC OIL COMPANY, a corporation duly organized and exleting · under and "7 virtue of the laws .or the State of Calitornla, ' . . . Party of tha Second Part; ,. W I T N B S S E T H: That t.he Party of the Firet Part, tor and in con• aideration of the sum of Ten Dollars ($10.00) a"nd other good . . . and· valuable coneideration to the sa.14 Party or the First Part in hand paid by the eaid Party ot•the Second Part, receipt whereof is hereby confessed and acknovledged,"haa granted, bargained, sold and conveyed and by these presents does grant, bargain, aell1 convoy and confirm unto the said Party of the Second Part, its ·aucoessora and aeeigns, .forever all the .fol· lowing described tracts or lend, together with the improve- ments thereon,·situated, lying and being in the County of Garfield Stat• of Ooloradb, subject to the reservationsherein- aftsr sat forth, to witt ~ •I . :·: .... '• ~ . ~ . .... Township Six (6) South, }\anfe Ninety- elght !94J West, Sixth !6th_ P.M.: Section Twenty-seven· : · (271:. ,, .. :·. : : ... ,.::r:~~ t~~f_; · Southeast Quarter · . .. · · '· , '· . :. .... of the SoutbwODt ' . Quarter (SE~SW~); ·' .... Section Thirty-tour (·Ji.l : . West Half of the Southwest Quarter (WlS'rli) ; ;. •! ·.> • .! · Northeast Quarter or the Squttn<ept . : . . ' . ~ ... • , ' ' .. I · ... : . . . ' ; 1 ... , .• ·.Quarter INE~SW•) ; Southeast Quarter "' :·.···;: ' qt the Hort!iwept . . . Quarter (SB~NW*); ;_, .. · ' ~ ·l i'I,, ' .) " 1 .;t.• .' .. ~ ' ... · ... -.............. . .. ·' ' . l i '• .• .. · .. " ,. ··:;~-.-~.~ -~-:~·\.~::t .·:: . .-...,... . ~ y; ·?;.·=:-·----------Northeast Quartier of the Northwest Quarter (NE.NWll; Southwest Quarter or the Nortbweat Qual'ter ( Stl~NW• li (said description to aaid tracts being as eat forth in United States Patents recorded ln the office of the Clerk and Recorder of Garfield County1 Colorado1 as Doclll!lenta Noe, 17378, 8~7)0 and loo,60.) together with all ditch and ditch righta, water and water right•, belonging thereto or uaad in connection therewith, including in said rights. (but not limited thereby) the interest heretofore conveired in and by dead of record in the Recorder•a office of said County as Document No. $5095, in Book 142, at Paga 119, tharaot, in and to the Clear Creek Ditch from Claar Creek and in and to the Gibler Ditch from' Clear Creek, also called the Charlea.Qibler Ditch1 .their extension• and enlargements, sub~ ject, howaver1 to that certain lease tor residence and ranching ' ' ' purposes dated the 15th day ot September, 1952,.by and between Robert A~ Dick, Bruce S. Kiper and Len R, Kiper f.lld subJect to the oil and gas ~oyalty reservation contai~ed in that certain warranty deed dated the ];:.5th day of September, 1952, from Bruce . S, Kiper and Len R, Kiper to the, Party of tho First Part herein, TOOETHBll with all and singular the haraditaments and appurtenances thereunto belonging, or in anywise appertain- ing, and the reversion and revereiona1 remainder and remaindera, rents, issues and.profits thereof; and all the eatate1 right, tit~e, interest, claim and demand whataoaver or the aaid Party of the First Part, either in law or, equity, or, in and to the 'above ~argainad prellliaas, with the hereditoments and appurte- nances. TO HAVB AND TO HOLD the aaid premises above bargained • ~ and described, with the ap~elUIDces, unto the &aid Party of the Second Part, it1 aucaeasora and assigns, forever. And the \ .... ,.;.- \~~~~·· .~.~· .... '. ... .. -2- .... __...._ ............ · .... ····--·---·· ............. _ .......... ,. ... ,. ' ........... ··-····-···~-. .. ·' I . l i . , . ., . . ... . . ..... l .... -----.. "'\~ :···· :., .... , .... 1· .... ·;. '.; • . ";"'1•' ·1···~.' .. " :} ... ~_. ....... . r ~ ·""'· ., '1, .· ... ·· ··.~: ....... ....;.. __________ _ eaid Robert A, Dick, Party ot the First Part, £or himself, his heirs, executor• and aclm:l.n1etratora 1 does covenant, bargain and agree to and with the aaid Party ot the Second Part, its • aucceesora and aaaigne1 the above bargained premises in the quiet and peaceable poasesaion ot the said Party ot the Sacond Part, it• auocessora and assigns, against all and every per• aon or persona.lawtully claiming or to.claim the whole or any part thereof, by, through or under' the said ~arty ot the First Part to WARRANT AND,FORBVSR DEPEND,· except the aforesaid lease \ . . . . tor reaidence and ranching purposes and all taxes tor the year 1952 and thereatter • . IN WITNESS WHEREOF, tho said Party of the' First Part has here.mto sot his hand and seal the day and year first above written. STATE OF COLORAD011 OITY AND . COUNTY or DEllVER. ·' es. (SEAL) • .. " .......... Doc.~o. .) :.::\:'.:'3D S~1cE1~s.01~..:u,11~1t1fu\,} ss. S'D't!'E OF COLOHADO • . ,ff ~pro~! %J. ~ubei:$SOt'i, attJh~~ !/itv "Y()~~l#/~!itut"/utt'~o/~tliJfo/JCtl · t'.-'.CJ a;111oxed :Ls a tNG copy of Atiendad. Cortifio11to ot Authority or P!.Oii"IO OIL COMPANY (a Calli'ornia. corporation) CH::.:vaou 5HAt.E on. COHPllNY .:'!'!.od in thi::i oi'i'ico on tha T~onty•Minth day 0£ necom'1xu.· A.D. 1969. A •••••• • • ~TusmIO~\lJJIBEOF $1frrp~f,;,,-. -,,Je#m%&nu/,<N1tefq/klf't/#'jy$ 9:14¢r.&-~.W~~(/t@;,<« <@:ijr74b1~J'l}/,~~.£.:~----a=ti ,tMy~ ------J•nullt"i----··· J?;{f!i. 4"'· a~ ~ Jet, ~ s<eo<>An· rb#-,SJ. rl4'¢A= u ; . . ,. i led to~-lacoJ:"d. on.Jonual:')' .. 19 ._J91.0_at _\f).::.2{t _ q~ Alpc~.Yr...t!lU--. ______ .... -·--.t .. . :~-::j:,%·::---. :Ilt";·-·:-~~ .. r,·::1• -: •• ,. .. f;:-iq~~-:~~~}t;1'~_:,···::-+.~71f: f.' (' •• '"' .J i ;'"' -~,· ·-'-·-- ,\.MP'.ND'"I> C&U'l'l #SCA ·1'1' O? .f. iillJ.7E'®ID £~ &E':.@..<3r!ill®'iEri fg,.,..h~.-/ !IJ,t•~f ,t;{~ Ylat.A/~fp,,,,t,,!..~1-y,,.,t-'f?,t,!at"':Jii"''-"''?"'ab .. /·"" sfi//~'"~""f""' .¢•"""'" <&,"/"'''"/ s/J.t/.•,;'?l•-k''"'"e1),.,;,,11•-'i•,d"' .5i'.\1!0,,&''J'"J",,,/,1;11JJll#,ijftJ,fi1"111tmfj,.,d•fi"'ubl1111.o/lli• <f.t°"""4 '&..j<>,;aA'"" .f/!.I. ,lt1U6 ,ko""'"''"~/,b.ih<~ ,,.#,. ,,,,J_,,,, ,f111rll• .<Dll/mn ,b /a1u: ,,J,.-n!.i'JP '4• ,t1nl•-''f"'d. )y N,-,/01 P/ ~i. ,,;,/,f,71"'1,,.1/,d h ,111• ~ /a1v,, J,,;.-iy ,1,, 1 ,. 1 ;,{;, J!f,,,,,,fet! ct,¥'eat• ,,/ sf,,1,!,,,ty I• . . ~ .. -: ,· ··": -'' : ;· ' " ... : •. ,,.,.. 1\ -. ll I ',• ...... · .. ' .... ; - -·,:e-'~LLIA=r ..... .. .. .. -~$$$.., l!!!:.... .. ~ tip!! l!lf.L ................ Ct?(l$:r' ~ .... ,.__. POWER OF AITORNEY CHEVRON U.8.A. INC. KNOW AU. MEN BY THESE PRESENTS TIIA T CHEVRON U.S.A. INC., a PC!1115)'1v111ia oorpontion, {"Clll!VRON"~ Kling horoin lhrough J. STEPHEN LASTRAPES, Auilllnl s...-y, hereunto duly authorized by Resolution of lho Boan! of D!teclon, hereby mikes, C<111Stitutcs, and appoinis MICHAEL DeBJ!RRY, to be Ill nue Md lawfbl Attomcy·fn.Fact with authority, I-Or and on llS b"1alf, without the ne«Osity of effixing the corpon10 ICll, 10 execute. acknowledge. doliver, filo, rocord, l<COp~ usi8"> amend, cxleud, tonninate, withdraw, rel...., acttle, eompmmi.., aurrcndt:r, l'lllily, and renew all lnstnuneots, papen and docwncnlS requiring execution in tho name of CHEVRON, excq11 aa herein below llatcd, and oo authority is confcned by this POWCf of Attorney for execution of the following: I. l..oas<s or de<ds to othe11 coverina oil, 811 or other hydrocubon or non-hydrocubon mintf11s unda1)ing feo lands of CHEVRON where eilbcr book value or Ille price exceeds Twcnty·Fivc Million Dollan {$2S,OOO,OOO.OO) or the acreage exceeds Six Thou.and Four Hundred (6,400) 0<res; 2. Doedl or conveyances lo othcn covering foe lands of CHEVRON, olher lhan righlS of way and similar easements. where either book value or sale price exceeds Twenty-Five Million non ... (S2s,ooo,ooo.oo); 3. Documents, instruments or promillOry notea in support of any borrowinp; provided, however, thaJ promissory notes aod other documents given u conslderallon for the acquisition of real or pmonal property shall not be deemed to constitule a borrowing; 4. Documorus or agrccmcnis establishing bank accounts in the name of CHBVRON or wilhdniwilla of funds or closing of any bank accounts of CHEVRON. Thls Power of Anomcy shall remain in full for<e llOd eCfCCI from and after first day of Januuy, 2009 lhrough the Jlsl day of December, 2009, l'1d iis exercise shall be valid in all the stales, territories end .,......Ions of the Unilcd s1a1 ... IN WITNESS WHl!REOF, CHEVRON bas caused ilS name to be subscribed hereto by J. STEPHl!N LASTRAPES, Assiolanl Sccreley, fOr that porposc duly authorized, this 31st day of December, 2008. STATE OF TEXAS COUNTY OF HARRIS CHEVRON U.S.A. INC. By: th-=~ J. STEPHEN LASTRAPES Aolistant Secretary Th;s insuument wu acknowledged beror., me on !ho 3111 day of December, 2008, by J. STEPHEN LASTRAPES, Assiatlnl Sccrcllry of CHEVRON U.S.A. INC., a Pmns)'lvania COl)>Onlion, on bdWf Of said corporation. AL,kAJl.°i'1Lt~ Notary Public, Stale ofTexu fl><lt "'''1-..J 'l:).Q.r•'(' ------------------------ 1111 ~11111.i.1'"11'~1)1MIJ1 I~'' 1~1t l'1~11fil~~~t1HI Ill\ ~111 11111 Reception": 833596 04/04/2013 12:56:50 PM Jean Alberico I of 1 Rec Fee:$11.00 Ooc Fee:0.00 GARFIELD COUrlTY CO SPECIAi, POWER UF ATTORNEY KNOW ALL PERSONS that CHEVRO~ U.S.A. INC., a corporation duly organized and existing under 1he laws of Pennsylvania, United States of America (the "Company"), APPOINTS MICHAEL DeBERRY in his capacity as an employee, a true and lawful general agent, legal representative, and Attorney-in-Fact of the Company (the "Attorney-in-Fact") with special power and authority in its name and on its behalf to execute and perfonn the following: I. To sign and execute, upon terms and conditions as the Attomey-in-Fact deems appropriate, all legally-binding documents related to the exploration, development and production activities of the Company, including related abandonment and remediation, acquisition and divestment, administrative, commercial, financial, human resources, land, legal, procurement, technology and other services and commitments except as herein below stated, and no authority is conferred by this Power of Attorney for execution of the following: a. Leases or deeds to others covering oil, gas or other hydrocarbon or non-hydrocarbon minerals underlying fee lands of Company where either book value or sale price exceeds Twenty-Five Million Dollars ($25,000,000.00) or the acreage exceeds Six Thousand Four Hundred (6,400) acres; b. Deeds or conveyances to others covering fee lands of Company, other than rights of way and similar easements, where either book value or sale price exceeds Twenty-Five Million Dollars ($25,000,000.00); c. Documents, instruments or promissory notes in support of any borrowings; provided, however, that promissory notes and other documents given as consideration for the acquisition of real or personal property shall not be deemed to constitute a borrowing; d. Documents or agreements establishing bank accounts in the name of Company or withdrawing of funds or dosing of any bank a1:counts of Company. 2. To pcrfom1 every act and thing that may be necessary to carry out the granted powers as fully as the Company might itself do; however, no delegation or substitution of the powers granted herein by the Attorney-in-Fact is pennitted. Unless sooner revoked or tem1inated, this Power of Attorney shall remain in full force and effect for a period of one year beginning on Jm11111ry 1, 2013, or until the Attomcy-in-Fnct is no longer an employee of Chevron U.S.A. Inc., whichever occurs first. Upon revocation or other termination this Power of Attorney shall be returned to the Compnny but the failure so to return it shall not prevent its revocntion or termination. fN WITNESS WHEREOF, tl1e Company has caused this in .. ~trnment to be executed this 19111 day of December 2012. STATE OF TEXAS * COUNTY Of' HARRIS * CllKV~. INC. ' By j)_J{fu,w__ Alan A. Kleier Vice President This instrnment was acknowledged before me on the 19th day of December 2012, by Alan A. Kleier, Vice President of CHEVRON U.S.A. INC., a Pennsylvania corporation, on behalf of said entity. , .. -~~~.~r:':,, BILLIE FORREST j•txJ~?'., Notary Public. State of Texas \~~~-:~ My Commission Expires "->~tW~~~ Februory 14, 2016 ~~- Notary Public, State ofTe:<as Chevron • August 2, 2013 Mr. Fred Jarman Garfield County Building & Planning Department I 08 81h Street, Suite 40 I Glenwood Springs, CO 81601 MK DeBarry Area Manager Rocky Mountain Area Re: Aut/1orizfltion to Represent Cllevro11 i11 Gflrjield Co1111ty - Julie Justus, Cllevro11 U.S.A. Inc. Dear Mr. Jarman Chevron North America Exploration and Production Company a Chevron U.S.A. Inc. Division 760 Horizon Drive, Suite 400 Grand Junction, CO 81506 Tel 970-257-6005 mkdcberry@chevron.com Julie Justus is employed by Chevron U.S.A. Inc. ('Chevron'), and is authorized to represent Chevron in regulatory and permitting matters in Garfield County, Colorado. Ms. Justus is specifically authorized to prepare, submit, sign, and provide oversight of all Chevron permit applications and other written documents provided by her and by other authorized Chevron employees and contractors. Ms. Justus is also authorized to participate in discussions regarding Chevron's permitting activities with Staff and before appointed and elected boards and to accept conditions on Chevron's behalf as directed by Chevron management. The authority granted Ms. Justus in this letter extends for a period of the earlier of one year from the date of this letter or the date such authorization is revoked by Chevron in writing. Questions about this authorization should be directed to Chevron's Manager, Rocky Mountain Area and duly authorized Attorncy-111-Fact, Michael DeBerry, (970) 257-6005. Thank you, ~He>-1$~ a.d •>• ..., ..A.,.; ~ ...J- MK DeBerry Arca Manager cc: Julie Justus, Chevron Regulatory Specialist l"- CJ U.S. Postal Service rn CERTIFIED MAILn.a RECEIPT (Domestic Mall Only: No ln1Jursnco Coverage Provided ~ ~UikSalfllttil?@Bi! H HM ~ L --tt-.-1 -osoi · _J ..n Po•:ago S IT1 1-----... nJ CorHtO<l foo C Return Rocolpl Foo Cl (Endore.1monl Roqulrcd) CJ 1---- Al'\lrlcted Oollvmy Foo CJ (Encforscmont Rcquirrd) ..,, r-~~-r1~t1lit-"'-..ll2.t CJ Totnl Postngo 3 l"ces $ ,,, <....:..~~~---".---,,_~_.... ru Sant o 8 s1if;oi"AiiCfJo:;······························································ .. ······· I"-Of f'O Box No city. siiiia:z1,;;:1·· .. ··•···············••···················· .. ············ .. ········· PS Form 3800, Au u&t 2006 Seo Rovorao for lnatructlon1 Plat Maps Garfield county Assessor Data Features selected: 1 216721200008 Owner: CHEVRON USA INC Address: 211 COUNTY RD Account No: R290036 Reception No: 780624 Tax Area ID: 29 Zoning: Resource Lands Modified from Garfield County Assessor Data Assessor Database MANCAMP SITE PLAN LEGAL LOCATION: CHEVRON U.S.A. INC. PROPERTY TRACT 112 (NW 1/4) SECTION 34, T6S, R98W, srn PM GARFIELD COUNTY, COLORADO EXISTING GA TE PIU)Pml ll 11 MPORARY \f PTIC IM~K LEGAL DESCRIPTION: &. FOUND REBAR RC25 THAT PORITON OF TRACT 112 SITUATE IN THE IN THE NW 1/4 OF SECTION 34, TOWNSHIP 6 SOUTH, RANGE 98 WEST Of" THE 6TH PRINCIPAL MERIDIAN, COUNTY OF GARFIELD, STATE OF COLORADO, BEING MORE PARTICULARLY DESCRIBED FOR AREA AS FOLLOWS: COMMENCING AT A FOUND 1924 GLO BRASS CAP IN PLACE FOR THE N 1/4 CORNER OF SAID SECTION 34; THENCE S45'38'27"W A DISTANCE OF 2033.13 FEET TO THE TRUE POINT OF BEGINNING OF Tl-IE PARCEL DESCRIBED HEREIN; THENCE S24'27'51"W A DISTANCE OF 315.00 FEET; THENCE N65'32'09"W A DISTANCE Of" 165.00 FEET; THENCE N24'27'51"E A DISTANCE OF 315.00 FEET; THENCE S65'32'09"E A DISTANCE OF 185.00 TO THE POINT OF BEGINNING, CONTAINING 1.34 ACRES MORE OR LESS. NOTES: 1) THE SITE PLAN AS SHOWN ANO DESCRIBED ABOVE IS NOT A BOUNDARY SURVEY ANO NO MONUMENTS WERE SET, THE PURPOSE OF THE ABOVE LEGAL DESCRIPTION WAS TO DESCRIBE THE PERIMETER ANO AREA WITHIN CHEVRON U.S.A. INC. PROPERTY FOR THE PROPOSED MANCAMP SITE. SURVEYOR'S CERTIFICATE I, Steven R. Poce: o Professlonol Lond l"ir In the Stote of Colorodo do hereby certify thot l!;l,\'-''~J '' ~1 mode under my direct supervision, and thot thl~~~~~ .€! ol',l~ts sold Survey. ff~.·~~~N R.°i;;.~~ ""<:...). ~ .,.~. <:::>~ ~ : e:, ~\ ~ :?-o: 22580 • =~ .:_:xJ :. j le&. ~~·· ·-c-4.-o( •• ·~§ ~/1>ci;:.·······;..·fs!~EF>A~eo F=Ofi;?: I '1/11, r-t L l A~ v ~,~ CONe'T'RUC'T'ION euRvaYe, ''(~0~111111 ''~+-4ev~ON U.S.A. INC. <Z><Z>12 euNR1es e1-vo. Oate: OJ.09·07 Modified 07·12·13 I e1 l-,., co el6&2 ~-D-R_A_WN __ B_Y_: _S_R_P---~0-WG-: C_H_E_VR_ON_/M_A_N_C-AM_P __ -1 (~1(Z))e1E>-l?1l?3 SCALE: 1• -60' SHEET: 1 OF 1 Chevron • August I, 2013 Bureau of Land Management PO Box 1009 Glenwood Springs, CO 81602-1009 Julie Justus Regulatory, Health & Environment Specialist MCBU Piceance Oil Shale Chevron North America Exploration and Production Company (A Chevron U.S.A. Inc. Division) 760 Horizon Drive Suite 401 Grand Junction, Colorado 81506 Telephone: 970.257 .6042 Email: jjustus@chevron.com Re: Chevron U.S.A. Inc. Application for Minor Temporary Employee Housing SWNW Section 34, Township 6 South, Range 98 West, 61 h P.M. Garfield County, CO Dear Sir or Madam: · In accordance with the Garfield County Unified Land Use And Development Code, Chevron U.S.A. Inc. (Chevron) has identified you as an adjacent surface and mineral property owner and is hereby notifying you that Chevron has filed an application with Garfield County Community Development to install and operate a Minor Temporary Employee Housing Facility within 200 feet of public lands as shown on the attached Garfield County Assessor Map. The Minor Temporary Employee Housing Facility would consist of one (2) 14-foot by 60- foot skid-mounted crew quarter to accommodate a 12-man crew in support of drilling within the Chevron Skinner Ridge Natural Gas Development. The Temporary Employee Housing Facility would be located entirely on Chevron owned and operated property in the SWNW portion of Section 34, T6S, R98W, 61 h P.M. Any person(s) who would be directly and adversely affected or aggrieved by the authorization for Minor Temporary Employee Housing Facility may file, within 30 days, a written statement with the Garfield County Community Development Director at the address provided below. Additional information on the operation of the proposed Minor Facility may be obtained from the Garfield County Community Development Department: Garfield County Community Development I 08 81h Street, Suite 40 I Glenwood Springs, CO 8160 I If you have any questions regarding this notice or need additional information, please feel free to contact me at (970) 257-6042 or at the address shown above. Yours trul):'., _ _j :1~a~~~ tfu~~~sfus Enc. Facility Plat; Garfield County Assessor Map Township 6 South Rango !l6Wost Township 7 South Range 96Wost Township 8 SouU1 Rango 98 Wosl (") .:0 ~ £ "' ~ _--I Proposed Man Camp I GAR,::.' MIES A l Township G South Rongo 97 Wost Township 7 South Rnngo 97 Wosl Township 8 Soulh Rongo 97 West Directions: From Interstate 70, exit 62, travel north about 12.5 miles on local Road 45N/Garfield County Road 204, also known as Roan Creek Road, to the intersection of Garfield County Road 211. Travel northeast on CR 211 about 0.6 miles to pad access road. r., From: To: Subject: Date: Hi Julie Nick Marx JUSJUS JULIE A Re: Chevron Temporary Employee Housing Friday, August 02, 2013 6:33:29 AM I have no problem or concerns over this temp. housing as it has been done in the past in the same location with out incident. Thanks Nick De Beque fire chief From: "JUSTUS, JULIE A" <jjustus@chevron.com> To: 'Nick Marx' <nimrx@yahoo.com> Sent: Thursday, August 1, 2013 4:33 PM Subject: Chevron Temporary Employee Housing Hi Nick, Chevron is applying to Garfield County for a Minor Temporary Employee Housing (TEH) Facility and I am hereby requesting approval from the DeBeque Fire Department to install and operate the crew quarters as proposed. I have included a location map and site plan for your review. A brief project summary is provided below: Chevron is seeking approval from Garfield County to install two (2) 14-foot by 60-foot skid- mounted trailers to accommodate up to 12 contract rig employees during the drilling of four new underground disposal wells in the Chevron Skinner Ridge Field. The Minor Temporary Housing Facility (TEH) would be located on an existing site that has been used for this purpose in the past. Each trailer, provided by Mountain West Oil Field Services, would have two (2) bedrooms, each with three (3) beds, two (2) baths, and common living and kitchen areas (no catering provided). The crew quarters would be occupied by Ensign Rig # 122 drilling rig crews during their off-shift hours. Smoke alarms, CO monitors, and ABC type fire extinguishers are installed in each unit. The TEH would be onsite for approximately four (4) weeks beginning on or about August 29, 2013 and would be removed immediately following drilling operations on or about September 29, 2013. Drilling Rig employees would occupy the TEH in 12-hour shifts such that six (6) individuals would be housed at the facility at any given time (3 individuals per trailer). The proposed TEH Facility would be situated on an existing Plugged and Abandoned well pad located approximately 0.6 miles north of the intersection of County Road 204 and County Road 211. Legal Description: SWNW of Section 34, Township 6 South, Range 98 West, 6th Principal Meridian. 24-hour emergency contact numbers are provided below: Emergency Contact Numbers CHEVRON PERSONNEL (970 Numbers unless Indicated) Hiner Gate Control Room On-Site Operations Lead Office 257-6020 257-e003 257-6004 633-5104 633-5103 Please let me know if you have any questions or concerns or if you need additional information. Garfield County Community Development requires sign-off by local fire department prior to application approval, so if you have no concerns or objections Chevron would appreciate your sign-off on this Facility. Thank you, Julie Justus Regulatory/Health/ Environment Specialist MidContinent/Alaska Chevron North America Exploration and Production 760 Horizon Drive Grand Junction CO 81506 Tel 970 257 6042 Cell 970 589 5036 jjustus@chevron.com From: To: Subject: Date: Colt, JUSTIJS JULIE A "Colt CoroeHus" RE: Chevron Temporary Employee Housing Sign-off Friday, August 02, 2013 11:19:51 AM Thank you. I will be leaving for vacation today and will not be available next week, but if you have no objections to the Temporary Housing Facility, could you please forward your comments to Garfield County Planner, morkild-larson@garfield-county com Thank you for your time, Julie Justus Regulatory/Health/ Environment Specialist MidContinenUAlaska Chevron North America Exploration and Production 760 Horizon Drive Grand Junction CO 81506 Tel 970 257 6042 Cell 970 589 5036 jjustus@chevron.com From: Colt Cornelius [mailto:ccornelius@garcosheriff.com] Sent: Friday, August 02, 2013 9:54 AM To: JUSTUS, JULIE A Cc: Kurt Conrad Subject: RE: Chevron Temporary Employee Housing Sign-off Hi Julie. I have passed this to my Patrol Commander, Kurt Conrad for County Law Enforcement review. He will be back in the office early next week. I believe you're requesting our opinion from a law enforcement safety perspective which we can do. As for the other County elements and permissions, I'm sure you are in contact with those departments. Thanks, Colt From: JUSTUS, JULIE A [mailto:jjustus@chevron.com] Sent: Thursday, August 01, 2013 4:51 PM To: Colt Cornelius Subject: Chevron Temporary Employee Housing Sign-off Mr. Cornelius, I don't know if you are the appropriate contact for this, but the purpose of this email is to inform the Garfield County Sheriffs Office of a pending application for Temporary Employee Housing to be located north of DeBeque in the Chevron Skinner Ridge Natural Gas Development area of operations. If you are not the appropriate contact, please forward to the person who normally handles these type of requests. Chevron is applying to Garfield County for a Minor Temporary Employee Housing (TEH) Facility and I am hereby requesting approval from the Garfield County Sheriff's Office to install and operate the crew quarters. I have included a location map and site plan for your review. A brief project summary is provided below: Chevron is seeking approval from Garfield County to install two (2) 14-foot by 60-foot skid- mounted trailers to accommodate up to 12 contract rig employees during the drilling of four new underground disposal wells in the Chevron Skinner Ridge Field. The Minor Temporary Housing Facility (TEH) would be located on an existing site that has been used for this purpose in the past. Each trailer, provided by Mountain West Oil Field Services, would have two (2) bedrooms, each with three (3) beds, two (2) baths, and common living and kitchen areas (no catering provided). The crew quarters would be occupied by Ensign Rig # 122 drilling rig crews during their off-shift hours. Smoke alarms, CO monitors, and ABC type fire extinguishers are installed in each unit. The TEH would be onsite for approximately four (4) weeks beginning on or about August 29, 2013 and would be removed immediately following drilling operations on or about September 29, 2013. Drilling Rig employees would occupy the TEH in 12-hour shifts such that six (6) individuals would be housed at the facility at any given time (3 individuals per trailer). The proposed TEH Facility would be situated on an existing Plugged and Abandoned well pad located approximately 0.6 miles north of the intersection of County Road 204 and County Road 211. Legal Description: SWNW of Section 34, Township 6 South, Range 98 West, 61h Principal Meridian. 24-hour emergency contact numbers are provided below: Emergency Contact Numbers CHEVRON PERSONNEL (970 Numbers unless indicated) Name Travis Garza Lio d Richardson Martin Knauss Hiner Gate Control Room On-Site Opei·ations Lead Office 257-6020 257-6003 257-6004 603-5104 603-5103 Please let me know if you have any questions or concerns or if you need additional information. Garfield County Community Development requires sign-off by the local Sheriff's Office prior to application approval, so if you have no concerns or objections Chevron would appreciate your sign-off on this Facility. Thank you, Julie Justus Regulatory/Health/ Environment Specialist MidContinenUAlaska Chevron North America Exploration and Production Molly Orkild-Larson From: Sent: To: Subject: Molly, Kurt Conrad [KConrad@garcosheriff.com) Monday, August 05, 2013 9:00 AM Molly Orkild-Larson Temporary housing permit for Chevron I have received communication from Julie Justus with Chevron concerning the special use permit for temporary housing in the Debeque area. I have reviewed the information that she provided concerning the temporary housing permit. I do not see an issue with this permit request at this time. However, I do have one request. I would request that the Garfield Communication Center and the Debeque Fire Department be made aware by Chevron of the housing units, their location, and the on site emergency contact information in case of an emergency. If you have any further questions or concerns for this permit please do not hesitate to contact me. Regards, Kurt Conrad Patrol Commander Garfield County Sheriffs Office 970-945-1377 X1137 MANCAMP SITE PLAN LEGAL LOCATION: TRACT 112 (NW 1/4) SECTION 34, T6S, R98W, 6TH PM GARFIELD COUNTY, COLORADO CHEVRON U.S.A. INC. PROPERTY PRPf l)<.iEO 1E\1POR1\ny ',I ''fl( I \NK P OP05£0 I Mf'OPMY U:GAL DESCRIPTION: 8 FOUND REBAR RC25 I lliAT PORITON OF TRACT 112 SITUATE IN lliE IN THE NW 1/4 OF SECTION 34, TOWNSHIP 6 SOUlli, RANGE 98 WEST OF THE 6TH PRINCIPAL MERIDIAN, COUNTY OF GARFIELD, STA TE OF COLORADO, BEING MORE PARTICULARLY DESCRIBED FOR AREA AS FOLLOWS: COMMENCING AT A FOUND 1924 CLO BRASS CAP IN PLACE FOR lliE N 1/4 CORNER OF SAID SECTION 34; THENCE S45"38'27"W A DISTANCE OF 2033.13 FEET TO lliE TRUE POINT OF BEGINNING OF lliE PARCEL DESCRIBED HEREIN; lliENCE S24'27'51"W A DISTANCE OF 315.00 FEET; lliENCE N65'32'09"W A DISTANCE OF 185.00 FEET; THENCE N24'27'51"E A DISTANCE OF 315.00 FEET; THENCE S65'32'09"E A DISTANCE OF IB5.00 TO THE POINT OF BEGINNING, CONTAINING 1.34 ACRES MORE OR LESS. NOTES: 1) THE SlTE PLAN AS SHOWN ANO DESCRIBED ABOVE IS NOT A BOUNDARY SURVEY ANO NO MONUMENTS WERE SET, THE PURPOSE OF THE ABOVE LEGAL DESCRIPTION WAS TO DESCRIBE THE PERIMETER ANO AREA WITHIN CHEVRON U.S.A. INC. PROPERTY FOR THE PROPOSED MANCAMP SITE. SURVEYOR'S CERTIFICATE I, Steven R. Poce: o Professlonol Lond ~r,~e r In the Stote of Colorado do hereby certify thot t~\~''Elj)) ~11 «n)1/.mode under my direct supervision, ond thot thl~~~~~ • •• ~,.l~s sold Survey. ff'~.·~~t.N R. ;>°;·~~ ~ "': -<.,;: 7~·· <::> ~ 2 : ~ (<"~ ~ ~-~: 22580 j~~ %~·. --c-<t-oc .:~/ 'Pi,t:.·······~-~~E!=>Af;?EO 1=0~: ,,,,,, r1 L LI\" v ~,, CONe'T'RUC'T'ION eu~vaYe, "(f«J0!1111' 1 '\ ... +-fE!Vf;?ON U.S.A. INC. <2><2>12 euN~1es eL.vo. Date: 07-09-07 Modified 07·12·13 I el L. 'T', CO 8165>2 ~--D-RA_WN __ B_Y_:-SR-P---...-0-WG-: C_H_E_VR_ON_/M_A_N_C-AM-P---11 (~1(2))816-&1&~ SCALE: 1" -60' SHEET: 1 OF 1 Bill To: Garfield County Road and Bridge Department P.O. Box426 Rifle, CO 81650 Phone-(970)625-8601 Fax-(970)625-8627 Invoice Driveway Permit Number: GRBOB-D-46 Invoice Date: 5/12/2008 Chevron U.S.A. P.O. Box 36366 Houston , TX 77099 $75.00 per Driveway Permit. Driveway Permit Fee: $75.00 ------ Total Due: $75.00 Thank You! Garfielr;J_County J Application for Driveway Permit Person Obtaining Permit: Chevron U.S.A. Application Date: 511212008 County Road Number: 211 District: Rifle Permit Number: GRB08-D-46 Termination Date: 611212008 Inspector: Jake Mall hereby requests permission and authority from the Board of County Commissioners to constmct a driveway approach (es) on the right-of-way off of County Road...1!!.. .6 miles North of CR 204 & CR 211, located on the West side of road for the purpose of obtaining access to property. Applicant submits herewith for the consideration and approval of the Board of County Commissioners, a sketch of the proposed installation showing all the necessary specification detail including: 1. Frontage oflot along road. 2. Distance from centerline of road to property line·. 3. Number of driveways requested 4. Width of proposed driveways and angle of approach. 5. Distance from driveway to road intersection, if any. 6. · Size and shape of area separating driveways if more than one approach. 7. Setback distance of building(s) and other structure improvements. s: No unloading of equipment on county road, any damage caused to county road will be repaired at subdivision expense. 9. Responsible for two years from the date of completion. General Provisions 1) The applicant represents all parties in interest, and affirms that the driveway approach (es) is to be constructed by him for the bona fide purpose of securing access to his property and not for the purpose of doing business or servicing vehicles on the road right of way. 2) The applicant shall furnish all labor and materials, perform all work, and pay all costs in connection with the construction of the driveway(s). All work shall be completed within thirty (30) days of the permit date. 3) The type of construction shall be as designated ancVor approved by the Board of County Commissioners or their representative and all materials used shall be of satisfactory quality and subject to inspection and approval of the Board of County Commissioners or their representative. 4) The traveling public shall be protected during the installation with proper warning signs and signals and the Board of County Commissioners and their duly appointed agents and employee shall be held harmless against any action for personal injury or property damage sustained by any reason of the exercise of the Permit. 5) The Applicant shall assume responsibility for the removal or clearance of snow, ice, or sleet upon any portion of the driveway approach (es) even though deposited on the driveway(s) in the course. of the County snow removal operations. 6) In the event it becomes necessary to remove any right-of-way fence, the posts on either side of the entrance shall be surely braced before the fence is cut to prevent any slacking of the remaining fence and all posts and wire removed shall be turned over to the District Road Supervisor of the Board of County Commissioners. 7) No revisions or additions shall be made to the driveway(s) or its appurtenances on the right-of-way without written permission of the Board of County Commissioners. 8) Provisions and specifications outlined herein shall apply on all roads under the jurisdiction of the Board of County Commissioners of Garfield County, Colorado, and the Specifications, set forth on the attached hereof and incorporated herein as conditions hereof. 9) Final inspection of driveway will be required upon completion and must be approved by person issuing permit or representative of person issuing permit. The inspection and sign off must be done prior to any CO from the Building and Planning Department being issued. 10) Contractor agrees to all Provisions in Exhibit A. Special Conditions: 1. Driveway Width-30ft 2. Culvert required? False Size: by 3. Asphalt or concrete pad required? False Size of pad: 4. Gravel portion required? True Length: 100ft 5. Trees, brush and/or fence need to be removed for visibility? True 6. Distance and Direction:To be evaluated 7. Certified Traffic Control Required?· False 8. Work zone signs required? True 9.· Stop sign required at entrance to Counfy Road In signing this application and upon receiving authorization and permission to install the driveway approach (es) described herein the Applicant signifies that he has read, understands and accepts the foregoing provisions and conditions· .. · and agrees to construct the driveway(s) in accordance with the accompanying specification plan reviewed and approved by the Board of County Commissioners. Signed: ~---,C~h~e-v-ro_n...,.,UH.S~.·A-.~~--~-~---~ Address: Telephone Number: ____________ _ Permit granted 5/1212008, subject to the provisions, specifications and conditions stipulated herein. For Board of County Commissioners' of Garfield County, Colorado: ilDiwcutJ/ Representative of Garfield County Road and Bridge Signature r- ! Specifications I. A driveway approach is understood to be that portion of the county road right-of way between the pavement edge and the property line that is designed and used for the interchange of traffic between the roadway and abutting property. 2. At any intersection, a driveway shall be restricted for a sufficient distance from the intersection to preserve the normal and safe movement of traffic. (It is recommended for rural residence entrances that a minimum intersection clearance of 50 feet be provided and for rural commercial entrances a minimum of I 00 feet be provided.) 3. All entrances and exits shall be so located and constructed that vehicles approaching or using them will be able to obtain adequate sight distance in both directions along the county road in order to maneuver safely and without interfering with county road traffic. 4. The Applicant shall not be permitted to erect any sign or display material, either fixed or movable, on or extending over any portion of the county road right-of-way. 5. Generally, no more than one approach shall be allowed any parcel or property the frontage of which is less than one hundred (100) feet. Additional entrances or exits for parcels having a frontage in excess of one hundred 100) feet shall be permitted only after showing of actual convenience and necessity. 6. All driveways shall be so located that the flared portion adjacent to the traveled way will not encroach upon , · .. adjoining property. 7. No commercial driveway shall have a width greater than thirty (30) feet measured at right angles to the centerline · of the driveway except as increased bypermissible radii: No noncommercial driveway shall have a width greater than twenty (20) feet measured at right angles to the· centerline of the.driveway, except as increased by . • · · .. permissible radii. '" · ... 8. The axis of an approach to the road may be at a right angle to the centerline of the county road and of any angle between ninety (90) degrees and sixty (60) degrees but shall not be less than sixty (60) degrees. Adjustment will be made according to the type of traffic to be served and other physical conditions. 9. The construction of parking or servicing areas on the county road right-of-way is specifically prohibited. Commercial establishments for customer vehicles should provide off-the-road parking facilities. 10. The grade of entrance and exit shall slope downward and away from the road surface at the same rate as the normal shoulder slope and for a distance equal to the width of the shoulder but in no case less than twenty (20) feet from the pavement edge. Approach grades are restricted to not more than ten percent (10%). 11. All driveways and approaches shall be so constructed that they shall not interfere with the drainage system of the street or county road. The Applicant will be required to provide, at his own expense, drainage structures at entrances and exits, which will become an integral part of the existing drainage system. The Board of County Commissioners or their representative, prior to installation, must approve the dimensions and types of all drainage structures. Note: This permit shall be made available at the site where and when work is being done. A work sketch or drawing of the proposed driveway(s) must accompany application. No permit will be issued without drawing, blueprint, or sketch. POWER Safeco lrisurance Company of America General lrisuraoce Company of America Safeco Plaza OF ATTORNEY Seal11o. WA 98185 KNOW ALL BY THESE PRESENTS: No. 6843 That SAFECO INSURANCE COMPANY OF AMERtCA and GENERAL INSURANCE COMPANY OF AMERICA, each a Weehlngton corporation, does each hereby appoint ""''"*""'"E. S. ALBRECHT JR.; TRACY ASTON; TOM BRANIGAN; K. D. CONRAD; ASHRAF ELMASRY; SIMONE GERHARD; JOYCE HERRIN; MICHAEL R.MAYBERRY;C. K. NAKAMURA; MARIA PENA; WILLIAM A. SADLER; EDWARD C. SPECTOR; MARINA TJl,PIA; LISA THORNTON; BRENDA WONG; Los Angeles, Callfornfa••••11 ••tt•1111•1•••1 ••*'111•1•••••H••101••1••••••• ils true and lawful allorney(s)·ln-facl1 wllh full authority to execute on Its behalf fidelity and surety bonds or undertakings and other documents or a similar characler Issued In the course of Its business, and to bind the respecUve company U1ereby. IN WITNESS WHEREOF, SAFECO INSURANCE COMPANY OF AMERICA and GENERAL INSURANCE COMPANY OF AMERICA have each executed and attested these presents this July 2007 ~· ¥JU4bl<-/ -rAJ)·lM.,.Q~>,_,~0,A . STEPHANIE DALEY-WATSON.SECRETARY TIM MIKOLAJEWSKI, SENIOR VICE.PRESIDENT, SURETY CERTIFICATE Extract from lhe By-lows of SAFECO INSURANCE COMPANY OF AMERICA and of GENERAL INSURANCE COMPANY OF AMERICA: "Artlolo V, Secllon 13. ·FIDELITY ANO SURETY BONDS ... lhe Presldiml, any Vice President, !he Secretary, and anrAsslstant Vice President appointed for that purpose by the officer in charge of surety'operaUons, shall e~_ch have auhorily to appoint Individuals a~ altomeys-in-facl or under other appropriate lilies with aulhorlly to execule on· behalf of the company fidelity and surety bonds and other documenls of similar diaraclor Issued by the company In the course of its business ... On any lnslrumenl making or evidencing such appointment, the signatures may be affixed by facslmlle. On any Jnstrument conferring such authority or on any bond or undertaking of the company, the seal, or a facsimile thereof, may be Impressed or affixed or In any other manner reprcxtuced; provided, however, that the seal shall not be necessary to U1e validity of any such Instrument or undertaking.• Extract from a Resolution ol lhe Board of Directors of SAFECO INSURANCE COMPANY OF AMERICA and of GENERAL INSURANCE COMPANY OF AMERICA odo~led July 28, 1970. "On any certincate executed by the Secretary or an assistant secretary of tho Company selling out1 (I) The provisions of Article V, SacUon t 3 of the Sy-Laws, and (II) A copy of lhe power-of·atlorney appolntmen~ executed pursuant thereto, and (iii) Certifying Iha! said power-of-atlomey appointment Is In ful force and effect, the signature of the certifying officer may be by facslmffe, and tho seal of the Company may be a facslmle thereof.• I, Stephanie Daley-Walson , Secretary of SAFECO INSURANCE COMPANY OF AMERICA end of GENERAL INSURANCE COMPANY OF AMERICA, do hereby certify that the foregoing extracts ol lha By-laws and of a Resolullon of the Board of Directors of these corporaUons, and of a Power of Attorney Issued pursuant 1hereto,are true and correct, arid that both the By.Laws, the Resolution and the Power of Attorney are still In full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the facslmlle seal of said corporation this ______ ...;.2:..:2:..:n:..:d;..._ ___ day of ~ ¥1)_),,j~,. STEPHANIE DALEY·WATSON, SECRETARY Safeco® and the Safeco logo are registered hdemark.s of Safeco Corporaliort. 5·0974/DS 4/05 WEB PDF CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT a~~Qft.&.&"ft-0¢¢-0¢g}<j<'-0<'-0¢C<'&?&<'KX'~~.GOc<'<'< State of California Countyof ~ ~ on Ai.t~"sf 0!c 1, ?c"D1 before me, Jh.r'\. e; ';J};; Wtie f!tft:l~ ~~ 1~ ~ 1~ 1 personally appeared~~~~~~~:~~~~~~·~~~~~~~~~~~~~~~~~~~~~~ ~············i Q ANN EAGLE -Commission I 1516208 i Notary Public· California ~ Contra Costa Counly My Comm. Expires Sep 28, 2008 Place Notary Seal Above Name(s) ol Signer(s) ¥personally known to me n (or proved to me on the basis of satisfactory evidence) to be the personM whose nam~ subscribed to the within instrument and ack~~~dged to me that ){el@!~ executed the sam~. ~.4ii>'~ir authorized capacity~, and that by J(S~ir signature~ on the instrument the persontef,'" or the entity upon behalf of which the persont>{acted, executed the instrument. WITNESS my hand and official seal. ----------OPTIONAL----------- Tl1ough tile information below is no/ required by law, ii may provo valuable to persons relying on the document and could prevent fraudulent removal and rea/tac/unent of this form to anot/Jer document. Description of Attached Qoc4ment , • 1 Title or Type of Document: l<..e...Cltl~ {;;<1.e~ ~,_1 ..._N-0~· -=Gc.:6.i.../(p""---'-C[--'-O_],_ __ Document Date: ~usf l1.., ?.o'D1 Number of Pages:-~-----­ Signer(s) Other Than Named Above: ~t-Gt...-=---------------------- Capacity(ies) Claimeft y Signer(s) / s·gner's Name: lj.ey1n1 J. (lt{ic,Ju,4'.o :J Individual ~r~ 9'Corporate Officer -Tille(s): T~ ' I Partner -LJ Limited D General J Attorney in Fact [I Trustee D Guardian or Conservator D Other: S_gfler Is Representing: -~ v.f.fl.. he .. RIGHT THUMBPRINT OF SIGNER Top of thumb here Signer's Na 0 Individual Signer Is Re RIGHT THUMBPRINT OF SIGNER Top of :hurnlJ here c;x:;:C!..V"2G9':>5&4Ja;;~9'\fYC~;a;;;g;g;\:JV~~g;.~w~~™wW&<:1QlernY ~ ?006 National Notary A$wi;lation • 935) Do Solo Ave .. P.C. Box 2·102 ·Chatsworth. CA 91313·2402 llem No. 5907 Rcocdcr: Cnll Toll· free 1•600·676·6827 Bond No.: 6516907 RECLAMATION (REVEGETATlON) BOND KNOW ALL MEN BY THESE PRESENTS, that the undersigned Chevron U.S.A. Inc. as Principal and Safeco Insurance Co1111>any of America as Surety are held and firmly bound unto Board of County Commissioners of Garfield County, Colorado, as Obligee in the penal sum of Five Thousand and No /00-($5,000.00) for the payment of which, well and trnly to be made the said principal and the said Surety, bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has applied for a Temporary Employee Housing Special Use Permit and the Garfield County Vegetation Director has required a Revcgctation bond securing Principal 's performance under the "Garfield County Weed Management Plan,, and the Principal 's "Special Use Permit Application" as a condition of approval of the Special Use Permit for Temporary Employee Housing, all as more specifically set out in the Garfield County's Building and Planning Department report dated August 13, 2007. NOW, THEREFORE, if such permit is granted and if the Principal shall faithfully perform its duties under the terms of the permit, then this obligation shall be null and void, otherwise to remain in full force and effect. PROVIDED, that if Surety shall so elect, this bond may be cancelled as to subsequent liability by giving thirty (30) days notice in writing to both the Principal and Obligee. IN WITNESS WHEREOF, the Principal and Surety have hereunto set their hands and seals this 22No day of August, 2007. The effective date of this bond is August 22, 2007. Chevron U.S.A. Iw~. (Seal) (Seal) Edward C. Spector, Attorney-in-fact r!•" ... 1 · '\' . .. State of California County of Los Angeles On August 22, 2001 before me, M. Gonzales, Notary Public , personally appeared Edward c. Spector personally known to me (-er-proved to me on the basis of satisfactory evidence) to be the person~ whose nam~ is/aFe-Subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacityEfes-), and that by his/her/their signature(~ on the instrument the person(~, or the entity upon behalf of which the person(-sf acted, executed the instrument. WITNESS my hand and official seal. A DIVISION OF PTI 7/22/13 Chevron North America Exploration and Production 760 Horizon Drive Grand Junction CO 81506 Tel 970-257-6042 Cell 970-589-5036 iiustus@chevron.com To Whom It May Concern: / In reference to the Chevron -Ensign 122 project in Garfield County, Mountain West will provide 2 living quarters, 2 wastewater tanks, and 1 potable water tank. Mountain West will provide services to the equipment including septic disposal and potable water delivery on Monday, Wednesday, and Friday of each week. All permits and fees will be charged back to the company per agreement. All hook ups will be provided by Mountain West Oil Field. Electrical hook ups will be provided by a certified electrician. Aubree Snyder Administrations Manager 435-789-0872 Aubree.Snyder@ptigroup.com 756 Valley Court · Grand Junction, CO 81505 USA · 970 858 8859 · www.ptigroup.com STATE OF COLORA.DO John W. Hickenlooper, Governor Karin McGowan Interim Executive Director Dedicated to protecting and improving the health and environment of the people of Colorado 4300 Cherry Creek Dr. S. Laboratory Services Division Denver, Colorado 80246-1530 8100 Lowry Blvd. Phone (303) 692-2000 Denver, Colorado 80230-6928 Located in Glendale, Colorado (303) 692-3090 http://www.cdphe.state.co.us July 30, 2013 PWSID C00252516 Mountain West Oil Field Services Hauler ATTN: Debbie Dorensen POBox670 Vernal, UT 84078 RE: Requirements of a Water Hauler, Mountain West Oil Field Services Hauler PWSID C002525 l 6, Rio Blanco County Dear Ms. Dorensen: of·Co~ • .. 1876 .. Colorado Department of Public Health and Environment The Water Quality Control Division (the "Division") has been informed that the Mountain West Oil Field Services Hauler obtains water from the Town of Rangely and delivers it throughout the year, for drinking water purposes. Based on the information, Mountain West Oil Field Services Hauler is being classified as a transient non-community water system. A transient non-community water system is defined by the Colorado Primary Drinking Water Regulations (the "Regulations") as a water system" ... that does not regularly serve at least twenty-five of the same persons over six months per year. The Public Water System ID Number (PWSID#) assigned to Mountain West Oil Field Services Hauler is C00252516. Please use this number when submitting sample results and correspondence to this office. As a transient non-community water system, you are subject to the laws set forth by the above regulations and must comply with the following: • The waterworks of the public water system, including sources and treatment processes, require the approval of the Division. If the design and construction of your existing waterworks have not previously been approved, submit plans and specifications for your water system to the Engineering Section for review and approval within 30 days of the date of this letter. A copy of the design criteria and information regarding plan reviews, including all forms and guidance, can be obtained from the Department's website at: http://www.cdphe.state.co.us/wq/engineering/techhom.html. If you have questions about the approval process, please contact the Engineering Section at 303-692- 3568. Failure to contact the Engineering Section within 30 days of the date of this letter to develop a compliance schedule for your system constitutes a violation of the Regulations. Failure to operate Division approved treatment is subject to formal enforcement, which may include monetary penalties. If the design and construction of your existing waterworks have previously been approved by the Division, please provide copies of the approval letter(s). • All systems that deliver chlorinated water to consumers must monitor disinfectant residuals (chlorine or chloramines) in the distribution system at the same time and place that total coliform samples are collected. Residual concentration must be reported with each total coliform sample result. • Article 1.12 of the Regulations requires that all public water systems submit a "Monitoring Plan" to the Division within I 0 days following the first quarter of any required monitoring. Systems are also required to submit any changes related to the monitoring plan to the Division within thirty (30) calendar days following the effective date of the change. Also, please refer to the enclosed "DRINKING WATER POLICY (Policy# DWT-8) MONITORING REOUIREMENTS FOR WATER HAULERS". The water system must collect and have analyzed at least one total coliform sample each month, from each water tank/truck used to haul water during that month. Section I 00.21.1 of Regulation I 00 stipulates that no owner of a water or wastewater facility shall allow the facility to be operated without the direct supervision of a certified operator in responsible charge. Please contact Jackie Whelan, at 303-692-3617 should you have any questions regarding the requirements of a certified operator. Failure to obtain a certified operator within 30 days of the date of this feller constitutes a violation of the Regulations. A laboratory certified by the Department must analyze all samples. A current list of certified laboratories is available by internet at the following web address: http://www.cdphe.state.co.us/lr/pages/cert/SDWList.pdf Beginning January I, 2012, you may download your 2012 Annual Monitoring Schedule online at: http://wqcdcompliance.com/schedules . You will need your PWSID#, if you have any problems accessing your Monitoring Schedule or if you do not have computer access, please call 303-692-3541. If you have questions, please contact Kaitlyn Minich at 303-691-4084 or Kaitlyn.Minich@state.co.us. Also, please complete the attached Public Water System Summary form to provide us with some more information on Mountain West Oil Field Services Hauler. Sincerely, Kaitlyn Minich, Compliance Technician Compliance Assurance Monitoring and Enforcement Water Quality Control Division cc: OW File ec: Engineering Section, CDPHE Rio Blanco County Health Department Chevron • MIDCONTINENT BUSINESS UNIT Drilling & Completions EMERGENCY ACTION PLAN PROGRAM CONTENTS STATEMENT OF POLICY Facility and personnel safety will always take precedence over maintaining operation. Personnel will not attempt to continue working on or remain at a location if the facility is in an unsafe condition. All personnel are authorized to stop work if an unsafe condition posing an immediate hazard occurs. All emergency response actions, processes, and procedures will follow and be conducted in accordance with the Chevron Way and Chevron Tenets of Operation. No reprimands will be given if the situation later proves less serious than thought. Hazards of a less serious nature should be brought to the attention of the supervisor who will assess the situation and initiate appropriate action. Under emergency response conditions or drills, employees are expected to act only in accordance with their training, the Chevron Way, and the Chevron Tenets of Operation. At no time will any employee place themselves, or allow themselves to be placed, into a life-threatening situation. The following priorities will govern our response to any emergency situation: 1. The safety of employees takes precedence over all other considerations. 2. We will minimize impact on the environment once the safety of all personnel has been secured. 3. We will endeavor to minimize damage to or loss of property and equipment, keeping safety and environmental concerns at the top of our priority list. EMERGENCY ACTION PLAN {EAP) SCOPE The following plan identifies the most probable risks for emergencies on MCBU Drilling & Completions {D&C) locations. This plan outlines mitigation steps, including emergency response (ER) actions to ensure the safety of personnel, and the public, as well as, to protect the environment and assets. The scope and application of the EAP covers all operations within MCBU D&C operational control. This includes, but is not limited to, drilling, completions, workover and well service operations. This plan is intended to comply with 29 CFR 1910.38, 119, and Chevron Operational Excellence (OE) Elements 1 (1.1, 1.3) and 11 (11.2 and 11.3) PROCEDURES The following section identifies the most probable risks within D&C operations. For these risks; mitigation steps, including identified emergency responses actions, are outlined in this section for all operations within MCBU D&C operational control. Site Security and Access D&C Field Operations: To access the field sites or pads, all employees, contractors, and visitors must comply with orientation requirements. MCBU employees must have completed MCBU HES Boot Camp; contractors must have completed SafeLand training from an accredited provider; visitors will receive site-specific orientation on location. Upon arrival, employees, contractors, and visitors must comply with site signage and stop at the entrance to location. Drilling & Completions Emergency Action Plan Revised May 3, 2013 1. Drilling or completions sites: All personnel entering a drilling or completions location must immediately report to the Field Safety Representative's office (located at the entrance). All personnel must receive site-specific orientation and sign in with the Field Safety Representative prior to proceeding onto the location. 2. Workover or well service sites: All personnel entering a workover/well service location must remain at the entrance until greeted by the Well Site Manager (WSM) or Field Safety Representative. All personnel must receive site-specific orientation and sign in with either the WSM or the Field Safety Representative prior to proceeding onto the location. 1 All personnel entering D&C locations must wear the proper Personal Protective Equipment (PPE). The authorized PPE is: 1. Hard Hat 2. Fire Retardant Clothing (FRC) 3. Safety Glasses 4. Steel Toed Safety Footwear 5. Hearing Protection (in identified areas of location) 6. Personal H2S monitor (in known H2S areas/wells) Site Safety Orientation D&C Field Operations: The MCBU Drilling & Completions Location Brief will be given to all new employees, contractors, and visitors upon arrival. This orientation includes information on current/upcoming work in progress, PPE, alarms and emergency procedures, motor vehicle safety, appropriate certifications for tasks, E-Colors, and Tenets of Operation. Any Chevron delegate on site can give the orientation, but normally the Field Safety Representative will conduct the orientation. Completion of the orientation is documented via the location sign-in sheet. Workers with less than six months of service in the same job/position or with his/her present employer will be considered a Short-Service Employee (SSE) unless he/she is granted exception by the site manager. SSE Exception documentation must be completed. Contractor SSEs must be assigned an experienced mentor. Chevron SSEs will wear orange hardhats. The MCBU Contractor Handbook details further requirements for the SSE program. Alarm System Notification of an emergency situation may be given using either of the following methods: Drilling & Completions Emergency Action Plan Revised May 3, 2013 Field Offices and Field Work Sites • Verbally • Audible rig alarm system • Audible fire/smoke systems • Audible H2S Area Monitor alarm system • Mobile telephone service and call list • Audible Tornado Sirens if within city limits 2 Muster Points I Evacuation Procedures Muster Points D&C Field Operations: Personnel present on location are noted on the location sign-in sheet and rig crew roster. Emergency muster points (primary and alternate) are established upon initial arrival on location and noted in pre-job meetings and during site-specific orientations. In the event of an emergency, personnel will evacuate to the designated muster point where a headcount will be conducted to ensure all are accounted for. Primary Muster Point Alternate Muster Point Shelter in Place Evacuation Procedures Primary Entrance to Location Hiner Gate Field Office If weather warrants, calmly shelter in the personnel trailers, or if safe to do so, evacuate to a nearby FMT office D&C Field Operations: Evacuation procedures are established upon initial arrival on location and noted in pre-job meetings and during site-specific orientations. In the event of an emergency, personnel will evacuate to the designated muster point where a headcount will be conducted to ensure all are accounted for. Duties of individuals trained to carry out the safe and orderly emergency evacuation of D&C Field Operations are noted below. Position All Employees Drill/Well Site Manager (or designee) Drill/Well Site Manager (or designee) Evacuate and assist others in leaving areas and reporting to muster point Make final sweep of site to assure that all areas and buildings are evacuated. Take site sign-in sheet to the muster point. Oversee evacuation, direct additional response as appropriate; determine when all- clear may be given. In the event that physically challenged persons are on location at the time of an emergency, assignments will be made to assist their evacuation. Drilling & Completions Emergency Action Plan Revised May 3, 2013 3 All entrants to location are required to sign a logbook upon entering the field office. They also note the time of their arrival and departure from the facility. In the event of an emergency, Chevron personnel will use the logbook, verbal communication and cell phones at the muster point to account for all personnel. If necessary, available personnel may initiate a search for any missing person as long as it is safe to do so. The Drill/Well Site Manager (or designee) is designated to perform a final location/building check to ensure all areas have been evacuated. This individual will then remove the sign-in sheet and report to the muster point. All-Clear Signal: When employees have been evacuated from the building, it may only be re-entered after it has been determined to be safe to do so by the senior Chevron person onsite. This may be done in consultation with local emergency responders or Senior Chevron Management as appropriate. The senior Chevron person onsite shall communicate the all-clear signal verbally to all affected employees. Site evacuation drills will be conducted in accordance with local fire codes on a weekly basis. Shelter in Place Chemical contaminants may be released into the environment in such quantity and/or proximity to a building or facility that it is safer to remain indoors rather than to evacuate employees. To "shelter-in-place" means selecting an interior room or rooms within the facility, or ones with no or few windows, and taking refuge there. Quickly close exterior doors, windows, air vents, and dampers. Turn off all fans, heating and air conditioning systems, and clothes dryers. Some systems automatically provide for exchange of inside air with outside air. These systems, in particular, need to be turned off, sealed, or disabled. It is ideal to have a hard-wired telephone in the room(s) you select. Call emergency contacts and have the phone available if you need to report a life-threatening condition. Cellular telephone equipment may be overwhelmed or damaged during an emergency. Write down the names of everyone in the room and pass along to the emergency contact to report who is in the room with you, and their affiliation with the facility (employee, visitor, contractor). Listen to the radio, watch television, or use the Internet for further instructions until you are told all is safe or to evacuate. Local officials may call for evacuation in specific areas at greatest risk in your community. Personnel on location shall follow the procedures noted below in the subsequent sections for evacuation in emergency situations. Drilling & Completions Emergency Action Plan Revised May 3, 2013 4 Emergency Employee Action Well Control Evacuate to designated Muster Points Fire/Explosion Evacuate to designated Muster Points Gas Leak Evacuate to designated Muster Points High Winds, Thunderstorms or Tornadoes "Shelter In Place" in personnel trailers or, if safe to do so, evacuate to nearby FMT office. Utilities Isolation / Shutdown Procedures The following are utilities and/or shutdown procedures for equipment and machinery within D&C locations. Contractor shutdown procedures will be followed for contractor equipment. To minimize the dangers associated with an emergency, any trained employee may shut off the following energy sources while evacuating. Building Energy Type Utility Shut-off Location Personnel Trailers Electricity Main disconnect on trailer power source Dog House Electricity VFD House (drilling) Propane (well Temporary propane heater on services) back of dog house Well Control Emergencies The plan involves three types of well control emergencies classified as Level 1, Level 2 and Level 3 depending on the seriousness of the incident. Refer to the Chevron Well Control Contingency Plan for comprehensive direction on well control detection, response, and return to normal operations. A Level 1 incident involves an uncomplicated well control situation that requires handling procedures by the personnel at the wellsite. These situations are not all necessarily well control events. Situations that may lead to a well control event are also included in this category. Standard well control techniques are used to deal with kicks and wellbore pressure including the Wait-and-Weight (or Engineer's) Method and the Driller's Method. The Chevron On-Scene Supervisor at the wellsite and the Drilling Management and Staff are trained in these methods and are familiar with these techniques and procedures. Drilling & Completions Emergency Action Plan Revised May 3, 2013 5 The criteria for a Level 1 event are as follows: • Drilling kick less than 1.0 ppg intensity • Drilling kick smaller than 25 bbls • Swabbed in kick smaller than 25 bbls • Loss of one well control barrier during normal operations mode (i.e. no kick in the well). Examples of this situation include the following during drilling or completion operations: o BOP or wellhead component pressure test failure when open hole or perforations are present o Mild lost circulation o Valve (BOP or wellhead) leak • Unable to kill live well to start workover • Hole in surface/intermediate/production casing strings • Tripping with complication (plugged drilling, completion, or work string, etc.) and no kick in the well A Level 2 incident involves a complication(s) of some type that requires unconventional or unfamiliar procedures by the on-scene personnel. The Chevron engineering and in some cases the management staff will be involved in the technical solution to the situation. Cudd Well Control should be contacted for consultation and mobilization if necessary. Non-standard well control methods are usually required to resolve the situation in a Level 2 event. The criteria for a Level 2 event are as follows: • Drilling kick greater than 1.0 ppg intensity • Drilling kick greater than 25 bbls • Swabbed kick greater than 25 bbls • Severe lost circulation defined as losses greater than 60 bbl/hr • Kicks while tripping, fishing, logging, or kicks with pipe out of the hole • Secondary BOP or wellhead equipment leaks • Lower pipe rams • Wellhead outlet valve • Mechanical failure of BOP, wellhead, or related equipment • Leaking liner tops • Kicks with plugged working string (drilling or completion operation) • Sustained pressure on protective casing • Kicks while running casing or cementing • Any complication experienced during live well operations involving snubbing, coiled tubing, or wireline equipment Level 3 situations are those that present serious risks to personnel, the environment, and assets. These situations require the immediate application of specialized techniques and well-developed safety assessment and hazard mitigation programs. Specific examples of Level 3 scenarios include: Drilling & Completions Emergency Action Plan Revised May 3, 2013 6 • Surface blowout (regardless of severity, with or without fire) • Underground blowout (UGBO) • Pressure beyond the rating of the well control equipment • Other situations that constitute a clear and present danger to personnel, environment or equipment that cannot be resolved by conventional means. Fire/Explosion Detection and Notification Fires or other emergency situations should be verbally reported to the Chevron person in charge. Where appropriate, 9-1-1 should also be called to initiate public emergency response resources. The Chevron Drill or Well Site Manager will follow the internal incident reporting procedures to notify MCBU D&C Leadership and Emergency Management assistance, if necessary. Response If the fire is still in the incipient stage, personnel who are trained in the use of a handheld fire extinguisher may attempt to extinguish the fire. Once the fire has grown past the incipient stage, all personnel will retreat to a safe distance to ensure their own safety and wait for the responders. Personnel will only respond to fire if they are trained to do so and will not jeopardize their health and safety in the process. Return to Normal Operations When the fire is extinguished and the site deemed safe to enter, the site will be secured pending an incident investigation. Lessons learned from the incident will be incorporated in existing process and will be shared with the other MCBU and Chevron operations. Office activities will be moved to another MCBU office. If it is determined the site will return to service, the normal repair and maintenance processes will be utilized to repair and/or replaced equipment on site. Gas Release Detection and Notification A significant gas release will be verbally reported to the Chevron person in charge. Where appropriate, 9-1-1 should also be called to initiate public emergency response resources. The Chevron Drill or Well Site Manager will follow the internal incident reporting procedures to notify MCBU Leadership and Emergency Management assistance, if necessary. Drilling & Completions Emergency Action Plan Revised May 3, 2013 7 Response Personnel will only respond to gas releases if they are trained to do so and will not jeopardize their health and safety in the process. In D&C field operations, the appropriate personnel may be the Drill or Well Site Manager, Rig Manager or crew, or Field Safety Representative. Response actions can include securing valves, either on-site or remotely, allowing the gas to safely vent to the atmosphere, and/or evacuating the site and surrounding area. Prior to entering, the area should always be evaluated for respiratory protection requirements. Return to Normal Operations When the release is secured and the site deemed safe to enter, the site will be secured pending an incident investigation. Lessons learned from the incident will be incorporated in existing process and will be shared with the other MCBU and Chevron operations. H2S Release Per the MCBU H2S Safety Program, D&C Field Operations will develop operation-specific H2S Contingency Emergency Response Plans. These plans will address any unique conditions or situations that are present during operations. The Drill or Well Site Manager, HES, engineering or any other persons knowledgeable of the wellsite should perform an onsite evaluation of the location to determine if the potential for H,S exposure may be present and encroach from nearby facilities or buried lines. This information should be added to the H,S Contingency Plan as necessary. If the operations of nearby operators' pipelines or buried cables could be impacted by the drilling project or affect the location, those companies should be contacted to obtain emergency response contact numbers and place those emergency contact numbers in the Emergency Response Plan. Also, the location of any valves, switches or shutoff devices that may reduce exposures to the site during an emergency should be added to the H,S Contingency Plan. The Chevron Drill or Well Site Manager will follow the internal incident reporting procedures to notify MCBU Leadership and Emergency Management assistance, if necessary. Personnel will only respond to H2S releases if they are trained to do so and will not jeopardize their health and safety in the process. In D&C field operations, the appropriate personnel may be the Drill or Well Site Manager, Rig Manager, or Field Safety Representative. Refer to the operation-specific H2S Contingency Emergency Response Plan for further detail. Drilling & Completions Emergency Action Plan Revised May 3, 2013 8 Severe Weather Types of severe weather events that can occur on or near D&C locations include, but are not limited to: tornado, high winds, low visibility due to blowing dust or fog, hail storm, extreme cold weather, ice or winter storm, and extreme warm weather or heat wave. Response Any response to severe weather is to protect the health and safety of personnel. For most severe weather events requiring shelter-in-place, field equipment may remain operating unless it will create a hazard to do so. If weather warrants, calmly shelter in the personnel trailers, or if safe to do so, evacuate to a nearby FMT office. Return to Normal Operations When the severe weather ceases and the site is deemed safe to enter, the site will be secured pending damage assessment. Lessons learned from the incident will be incorporated in existing process and will be shared with the other MCBU and Chevron operations. If it is determined the site will return to service, the normal repair and maintenance processes will be utilized to repair and/or replace equipment on site. Medical Emergency / Man-Down Procedures Types of medical emergencies that can occur on or near D&C locations include, but are not limited to: illness, confined space rescue, entrapment, and injured personnel at height. Response Any response past basic first aid will be conducted by local emergency services or contractor approved physician/clinic. Man-down response will be completed by contractors' man-down procedures. If the incident occurs while in the derrick, contractors' rescue procedures will be followed. Return to Normal Operations Once the medical emergency has been mitigated and the site deemed safe to enter, the site will be secured pending an incident investigation. Lessons learned from the incident will be incorporated in existing process and will be shared with the other MCBU and Chevron operations. If needed, employee assistance will be requested to help with any emotional issues that may arise after a medical emergency on-site. Drilling & Completions Emergency Action Plan Revised May 3, 2013 9 Security Breach There are various types of security breaches that can occur within the D&C field operations. They include vandalism, bomb threat, sabotage, disgruntled employee, unwanted visitors, and theft. For almost all cases, the local law enforcement authorities will handle response efforts. Personnel may assist in this effort if it does not place them in harm's way. Personnel will fully cooperate with requests for information from law enforcement personnel during a security breach response. Detection and Notification Any unauthorized site entry will be verbally reported to the Chevron person in charge. When appropriate, 9-1-1 should also be called to initiate public emergency response resources. Response Depending on the security breach situation, personnel safety is paramount. Any response to the security breach will be handled by the local law enforcement authorities. Return to Normal Operations Until local law enforcement authorities have determined the location safe for re-entry, personnel will not return to operations. Only after an "all clear" is issued by authorities, personnel may return to work. Spills Detection and Notification All spills will be verbally reported to the Chevron person in charge. If necessary, 9-1-1 should also be called to initiate public emergency response resources. The Chevron Drill or Well Site Manager will follow the internal incident reporting procedures to notify MCBU D&C Leadership and Emergency Management assistance, if necessary. Spill Response Plan (OSRP) Upon recognition of a spill, first determine the material being released. If safe to do so, the source of the spill will be eliminated (shut down equipment, close valve, etc.). Personnel trained to contain the spill/release will do so. The site will then be secured to prevent unwanted entry and the spill/release will be reported per the Chevron D&C notification procedures. The H2S Contingency Plan will be activated if necessary. If emergency evacuation is warranted, follow evacuation and mustering procedures listed within this document. Spills of significant volume may require contractor assistance for containment and clean-up. Refer to the MCBU D&C Waste Management and SPCC Plans for further guidance. Drilling & Completions Emergency Action Plan Revised May 3, 2013 10 Return to Normal Operations When the spill is secured/cleaned-up and the site is deemed safe to enter, the site will be secured pending an incident investigation. Lessons learned from the incident will be incorporated in exiting processes and will be shared with the other MCBU and Chevron operations. Any damage at the location will be repaired and the site will return to service, if it is deemed appropriate. Average Most Probable Discharge (AMPD) Spill Scenario: The most probable discharge scenarios within D&C Field Operations are release of produced water or brine to land from a breach in the flowline or pit or overflow while filling equipment. Probable steps that lead to discharge: 1. Improper flowline connection 2. Worn flowline 3. High flow from discharge directed at liner seam 4. Improper equipment filling technique Response chain of events: 1. Turn off equipment causing discharge 2. Contain spill 3. Arrange for contract clean-up crew (vacuum trucks) if necessary 4. Follow Chevron D&C notification procedures D&C EMERGENCY MANAGEMENT ORGANIZATION Chevron utilizes a standard, National Incident Management System (NIMS) compliant, response team organization to respond to emergencies at their facilities and sites. This team is led by an Incident Commander, who is supported by a Safety Officer, Operations Section Chief, Planning Section Chief, and a Logistics and Finance Chief. This team is employed for significant emergency events or incidents to provide guidance and clear communication paths for all response team personnel involved. Drilling & Completions Emergency Action Plan Revised May 3, 2013 11 I lno:1d"'nt Cornmand>:1 (IC) D&COpsMngr -=.af"'ty Off,.:<:r D&CHES Specialist Op.:-ratt(lflS '?ie(l1i:.f1 cr.,-:f(Opsl ~lann1n1J :i:cti.:n C.h1eft ViC J D&C Superintendent D&C Engineering TL F10:-ld O~·~rat1o:<is (Ol='T) D&CDSM/WSM Wa1d-:-ns D&C Held S<1fety Must-:-r I ohdt.:r t.r~a Mana9t:rs D&C rield Safety Lc11~1st1i:; ·3' Finan co:: D&CSC\'1 D&C Emergency Response Team Roles & Responsibilities Incident Commander -The Incident Commander's responsibility is the overall management of the incident and the ensuring that operations are carried out safely, effectively, and efficiently. Safety Officer -The Safety Officer's function is to develop and recommend measures for assuring personnel safety and to assess and/or anticipate hazardous and unsafe situations. Operations Section Chief -The Operations Section Chief is responsible for the management of all operations directly applicable to the primary, response mission. Planning Section Chief -The Planning Section Chief is responsible for the collection, evaluation, dissemination and use of incident information and maintaining status of assigned resources. Information is needed to: 1) understand the current situation; 2) predict the probable course of incident events; 3) prepare alternative strategies for the incident; and 4) submit required incident status reports. Logistics and Finance Chief -The Logistics and Finance Section Chief is responsible for providing facilities, services, and material in support of the incident. Drilling & Completions Emergency Action Plan Revised May 3, 2013 12 On-site Response Team (ORT) -The primary responsibilities of an ORT is to ensure at-the-scene tactical response operations are carried out in a safe, well-organized, effective fashion and identify, organize, and manage the work that must be done to address or mitigate incident-related problems. Muster/Shelter Area Managers -Responsible for managing a Muster Area during mustering operations, including: taking a head count, determining condition of mustered personnel, communicating with and receiving directions from the Operations Section Chief. Wardens -Responsible for assisting in the movement of personnel to a Muster or Shelter Area. Drilling & Completions Emergency Action Plan Revised May 3, 2013 13 D&C Field Emergency Management Team Work Cell Name Position Phone Phone Incident Commanders 'IC) 13-372-281-352- Darrell Hammons Operations Manaoer 5747 2302 432-687-432-238- Bovd Schaneman Operations Manager 7402 3667 Safety Officers (SOFR) D&C HES Specialist in charoe; Utilize oroanizational structure to determine 713-372-281-254- Nick Leonard HES Advisor 7597 1117 Operations Section Chiefs (Ops) D&C Superintendent in charoe; Follow well plan to determine 713-372-281-352- Jerry Tardivo Engineering TL 1176 8029 Planning Section Chief 'PSCJ Engineering 713-372-281-352- Jerrv Tardivo Manaaer 1176 8029 Engineering 832-854-281-650- RJ Wetzel Manaoer 7986 1181 Loaistics & Finance (LSC & FSCJ Lead Category 713-372-832-506- David Ridal Manager 0161 6876 713 372-832 316- Stephen Elliot Cateaorv Soecialist 7246 3447 Key Field Operations Personnel (Operations Section Responders) Dan Jovanovic Phil Clark Reinaldo Bruzual William Penaloza Rob Tyre Heath Lynch Kyle Eastman Rory Matthews Tim O'Connell Marty Knauss Drilling & Completions Emergency Action Plan Revised May 3, 2013 Drilling Superintendent Drilling Superintendent Drilling Superintendent Drilling Superintendent Completions Suoerintendent Workover Superintendent Workover Superintendent Workover Superintendent Workover Superintendent Workover Superintendent (713) 372-(832) 319- 1402 4079 (713) 372-(832) 741- 7588 4175 (432) 687-(432) 741- 7370 9271 (713) 372-(281) 216- 6112 5701 (432) 687-(432) 638- 7463 9446 (432) 687-(281)685- 7857 6188 (432) 687-(432) 488- 7854 6452 (432) 687-(432) 631- 7196 8487 (432) 687-(432) 631 7850 5238 (970) 257-(970) 640- 6004 0899 14 Home Phone Email USE CELL DHMM@chevron.com 915-520- 5877 BDBS®chevron.com USE CELL NVUQ®chevron.com USE CELL JTAR<@chevron.com USE CELL JT AR@chevron.com USE CELL WETZ@chevron.com USE CELL RADV®chevron. com USE CELL AAWT@chevron.com USE CELL JOVD<@chevron.com USE CELL PVCL®chevron .com USE CELL BRZL@chevron.com USE CELL PWPW@chevron.com USE CELL RTEW®chevron. com USE CELL HEL Y@chevron.com USE CELL GKEA®chevron.com USE CELL PHRM®chevron.com USE CELL T AOC@chevron.com USE CELL MEKN®chevron.com D&C INCIDENT COMMAND CENTER LOCATIONS {ICCs) In the event of an emergency or event requiring the activation of the D&C Field Emergency Management Team (FEMT), members will meet in the follow locations to manage the incident, receive information and direct Emergency Operations. The Incident Commander(IC) and his/her EM staff will not direct activities from the field. Incident conditions could dictate location of the ICC. The following locations have been designated for ICCs: Primary ICC: HOU140/43066 or MID/4305 Alternate ICC: Closest FMT Office D&C EMERGENCY RESPONSE TRAINING & EXERCISES Training D&C FEMT personnel complete annual emergency response/management training. The training topics for this annual training vary between numerous emergency management and response topics. Topics may include, but are not limited to: NIMS Incident Management System HAZWOPER Emergency Response Level Training Fire Extinguisher Training Security Confined Space Rescue First Aid I CPR Spill Response Training The Chevron Learning Management System (LMS) is utilized to document and track annual training requirements. A copy of the roster is submitted to the MCBU Emergency Management/Response Specialist for tracking and verification purposes. The MCBU Emergency Management/Response Specialist will audit 100% of the submitted records yearly to ensure 100% of all MCBU FEMT have completed their required yearly emergency management/response training requirement. LMS is utilized to track these reviews and participants. Drilling & Completions Emergency Action Plan Revised May 3, 2013 15 Exercises/Drills D&C personnel conduct an emergency response/management tabletop exercise once a year in addition to any other regulatory required or mandated exercises or drills. For the annual emergency response/management tabletop exercise, local emergency response services (local police, fire, and EMS) are invited to attend and participate. This is in addition to any other interaction with local emergency services that might occur within the year. Documentation of the annual tabletop exercise and participants is recorded in LMS and a copy of the roster is submitted to the MCBU Emergency Management/Response Specialist for tracking and verification purposes. The MCBU Emergency Management/Response Specialist will audit 100% of the submitted records yearly to ensure 100% of all MCBU FEMTs have completed their required yearly emergency management/response tabletop exercise requirement. LMS is utilized to track these reviews and participants. CONTINUOUS IMPROVEMENT The D&C HES Team will review this EAP of any changes, error and/or revisions at least once every year. Documentation of this review, along with a new or current copy of the EAP, will be submitted to the MCBU Emergency Management/Response Specialist for tracking and verification purposes. The MCBU Emergency Management/Response Specialist will audit 100% of the submitted records yearly to ensure 100% of all MCBU FEMTs EAPs have completed their required yearly HES review. When a current copy of the D&C FEMT EAP is received by the MCBU Emergency Management/Response Specialist, he/she will save a copy of the plan to a central folder on the Chevron "O" Drive and upload the document to the Chevron MCBU Emergency Management website. Reviews are conducted with employees covered by the plan yearly. Documentation of each review is contained in LMS and a copy is submitted to the MCBU Emergency Management/Response Specialist for tracking and verification purposes. The MCBU Emergency Management/Response Specialist will audit 100% of the submitted records yearly to ensure 100% of all MCBU FMT's have completed their required yearly EAP review. LMS is utilized to track these reviews and participants. Other reviews of this EAP may take place in addition to the yearly review. These additional reviews include: 1. Upon employee's initial assignment to D&C, employees will receive training on this plan. 2. Whenever the employee's responsibilities or designated actions under the plan change. 3. Whenever the plan is changed. Drilling & Completions Emergency Action Plan Revised May 3, 2013 16 CONTACT INFORMATION: For further information about this plan, either contact Tiffany Turner (D&C HES Technical Team Lead) at (713) 372-2902, Micky Bertrand (MCBU Emergency Management Specialist) at (713) 372-2960, or Charles Lankford (MCBU Emergency Response Specialist) at (713) 372-7931. Drilling & Completions Emergency Action Plan Revised May 3, 2013 17 Appendix D Notification Metric Drilling & Completions MidContinent/Alaska Business Unit -Incident Reporting Requirements Sov0rlty ------~------------ h(;Of.1t1rtw11r4flitV1•~·'""'ikW"1rw..,...,"'"'~ ~•_,,.t.KorortoW(Hlion""fl ('WW\lf\WdlJOth-~in~'\llM:fon~fict,('\.ttCJ .._.., -*'*n..:.Hft~ff1ld"tft~lo)rfNOtorlJltfv.n.19 PfOC*fr•"'Jlf~~rutll~ON<'rl> .... ..,..,.. ...... ._., IU~rHUlftl .. Ndc.lllTNmlfC or 1MW!r'811 •\)l'tuYinWl!WsOfrt.,.,.,.tlWlhl~Kt~tNSC_,,Clfc..WIOtM '*"•"°""'1l10.•Jt'" .. IWC1flbll• 4."t~~Hh11°""'wor~h10.UW(M't<"''"') ::.~.~~~~r:!:'M~~':'°'"r.eJurwct- l'tr,fl'~·tlltllQwot.cOlot...,lftdotrat~C~IN/ofrWO ~-.1iictt:tftri~1llh.m11onCffd~io~~ ..... ~\ll'f , .... ~.~~0#.,..,ht>OtrJl~C .... IH/altWlf' P-t•~•Uic:o1t1htlrio .. c.i»OQ.ooototP"t*-4¥t-»t '°''er PfCOXl.UloUdJlfCMt.dcwtflwJ/ol~f~ ,,,,._~•C•Hfl~lrffOf•f"IMid•50MCr•r~f410°"'~­ ... ," H..U•4JSOf l1"'"""'1t4W .tt11M1 IOWSKt «U'_. lltt5ffetfwt/ n~...,•aropoci.iiJrH~:a 1-. n"'~ f'Ndl.lt"N••ff>ZOMlllOIMldC!.0~10 il'ld ............. Drilling & Completions Emergency Action Plan Revised May 3, 2013 '"' 23 Emergency Contact Numbers CHEVRON PERSONNEL (970 Numbers unless indicated) Non-Chevron Assistance Government Agencies, First Aid, and Municipalities Emergency Public Service Company of Colorado Sheriffs Departments Garfield County Mesa County Federal Bureau of Investigation Town of DeBeque Town Marshall Mesa County Dispatch Debeque Fire Department Fire Chief -Nick Marx Cell Phone Grand Junction Hospital St. Mary's CareFlight BLM To report a fire CDP HE OSHA COGCC Rifle Office Weather Services Recorded Weather Worker's Compensation Other Municipalities Piceance Basin I Skinner Ridge Emergency Action Plan Town of Parachute Town of Rifle Rifle Fire Department Non-Emergency Glenwood Springs Hospital Rifle Hospital Grand Valley Power 21 911 (800) 772-7858 (970)-945-0453 (970)-244-3500 (970)-242-8360 (970) 823-5531 (970)-283-5146 (970) 241-6704 (970) 283-8632 (970) 261-3305 (970) 244-2273 (800) 332-4923 (970)-244-3000 (970)-257-4800 (877)-518-5608 (303)-844-1600 (970)-625-2497 (970)-243-7007 (970)-243-0914 (970)-248-734 7 (970) 285-7630 (970) 625-2121 (970) 625-1220 (970) 945-6535 (970) 625-1510 (970) 242-0040 lllllllJ(Uj[111111 • STATR OF COLORADO OCCC FORM 2 RM·. 'l/K.S OIL AND GAS CONSERVATION COMMISSION DF.PARTMENT OF NA.TIJRAI. R&SOURCF.S APPLICATION ~~:ASF. DESIGNA.llON ANUS ~I. NO .... FOR PERMIT TO DRILL, DEEPEN, OR RF.-ENTER AND OPERATE I.. IF IN!llAN, ALl.Orn . ..:-l11t 'I kl!lt. NA!\H. 11. ·1Yrf. ru· woKx DRILL[] DEEPICN 0 RE-ENTER 0 °I. UNIT Af:kEEMENI Ns\ME 1. 'IYPf. or W•:u. ~·~~i.1. D CA< ro ~~~;.-r. 0 ~~'~·;·1ru: O -Wt:l.I. OHIF.k It l'Al<M OR 1.1\ASE NAMf. '· '4.f'llONF. NO. Chevron _ShaJ_e_~---OPl~RATOR: Chevron U.S.A. Inc. { 303 ) •J. \'ll't.1.1. NO. ADDRESS: P.O. Box 599 930-3691 Chevron Shale Wll-34 ./ CITY: Denver SPTE: co 7.IP: 80201 10. Ht:J.D ANll 1'001., OR Wll.UCAf --~. l.Oc,~:nON OF WEI.I. jkt'j)On loca~ dl"ilrly 11111{ in :t.c~~m·r wi1h ;ony S1air rrquirr111t·m1.) '""'fa" 1,529' FNL •. 1,052' FWL A1 propowtl f'rml. "IUlll' S4 it Skinner Ridgl)-Wasa II.SE<:., T., R., M ... OR Ill.IL $1-Sw llNU SURVt:\' OR AKEA t/ tch IJvJ Sec. 34 ' T6S, R98W Jl. UISTANC:t: IN MILt:S ANO UIRf.C"llO!\I t'ROM Nt'.Al\f.ST TOWN OK 1'0.'iT O .. t.JCE l'l. COUNTY ./ ± 12 miles northwest of DeBegue Garfield 14. OIS'l'ANCF. t'KOM PJtOPOSF.ll l.OCA"IJON ·ru Nt'.ARf.S'J' IS. NO. Ot' ACRES IN LEASt:• II•. NO. Ot" ,\(;Rf~'\ Ar>:ll/UR !llHl.l.fN1: 1JNl'I rROl•t'.RTV OR I.EASE l.fN[, 1-·r. 400' ~~>;[(;Nt;1~?8 ·nus WELL (Abo 10 nc:i.rru tlrlg. llnr, if 2111y) 11. DISTANCE l'ROM l'Rorost:u 1.ocA·110N ·ro Nt:AREST wt:1.1~ IA. l'ROl•OSEO l>f'.1"111 1'1. Olljt:<.:TIVF. fORMATION DRll.1.INC:. COMPl.F.TF.I>, 1,475' Wasatch OR APPLIED t'OR, ON TillS I.EAST, IT. 'lU. t'.Lf.VA'llONS (Show wlit'thrr GR tn KR) 121. DRll.l.ING CONTRACTOR ---PttON< NQ _________ l'' Al'PKO~~·;~l'El\:0•;9;;1. STAR. r est. GL: 5,675' rROl'OSt:o CASING ANO C::t'.Mf.NTING rROC:RAM 12k 11 II + __ S f 1'1 8' ,,_ -··----'---'"8---sU::tgrn 'It. IS SURt"ACl\./O\\INF.R AUiO Tl • INERAI. OWNt:R:' YES _/ ± l ~475' HNOT rnrfact' boml mun hf' 1111 lilr or copy of uufacr ~J:fN'lllt'lll 111uH lir forni\he1I. _.....b V l'l.EASE fll.1. IN APl'ROPRIATJo: •""c•rnE t>.ASE av Q.T•. Q.Tit. <Ee .. TWNSHr .. •NG. See attached map .Yi:.- This delineation well is being drilled to a depth of ±1,475' test the Wasatch Formation. OPf.R. NO. 1-620.0, __ _ to l)Rl.R. NO. Attachments: $75.00 filing fee' FIELD NO. 7754,_,,8 __ _ ~·· Certified plat Drilling program Geologic program Multipoint Surface Use Plan (Thit 1p1 for fnlrr~l i1r $uu• l_llf'I Sundry Notice Technical Assistant Lf.ASJ: NO. 12968 fORM CD. "·'" 6/7 /90 Pf.RMIT NO. 9 L 2 8 JUN 1 9 n:lO OCT 1 'l 1990 0 -D Al'l'RO\IAI. llATf.:.___________ J.:Xl'lR/\'llON OAT!-: ________ _ 'X w R o __ 1, ,, •. ,, .. JUil i 9 ArPROVt:n 8V __ _.J.¥w..,2'.U./.l,.~,_,c::_;_·-'5!?7£.! .. (/F.a:;,"JI"°/"'(.#-'/--TITl.f. ___ _,D:;i:;r<Co~t·.::lo.:;r___________ 0 A;f {J¥ o;o & '"'· """""'· c .. ,,,.... -A-.-P-. I-.-N_U_M_B_E_R~ CONDITIONS OF APPROVAL, IF' ANY: , .... ~~n ~.; ...... Sc-r lnstn1ctions On Rt::vr.rse Sidt• f I t t I ~' I INSTRUCTIONS llcfurc any pcuon sh;1ll couuucnc:c t>pcra1ions for the drilling of any \";ell, such per.son shall file with 1hc Dio·r1or an applic;1ci1~11 011 l·«n1112 for a pcnuit lotlriU, alo11g with a Hlingautl scrvkc foe of Seventy· live Dull;1u ($75) an(l 11~us1 :Ol.'l'.ttrc 1ht· Director's <tpproval IJcfnrc 1noccctling wi1h lliUch opcratiuu. \\lells drilkd l\,r ~tr;uiAr:1phk infunnatiun unly i;l1all he cxt"n1111 fron1 paying the filing aitd ~crvicc fee. i ' Hcfun; ilny pcs.on shall 1~n1Hnc11ccupcratious f()r the dcC"pcning of a well tu any !luurcc of supply other d1an 1hc existing produci,1g huriz.on or for the rcenrryuf a wdl, such person shall file an application on 1-"onn 2 :tud secure ap11~1ov;.tl of the Dircclor. I Forrn 2 sha.11 IJc filed iu llu1,lka1c for wells on all l';.1cn1.ed and .. cclcr.tl lauds. artc.I iu iriplicalc ror welL'i on aU Slate l;111ds. 1\11 :in:~1r;i:1t: p1a1 or u1:1p showing 1l1c loci.tion of the \vcU anti $howi11g n1caMuc111c111s 11cccsi;.1ry for the dctC'n11ilia1io111hcrcord1all be filt;d with 1hc 1Jircc1111·. IJ11lcss opcrarions arc c11111111c11~ t:ed wi1hin uuc h1111dn:cl \wc111y ( 120) days after the date of apprnv;il, the pennit will become null aud vuiJ; IH>wcvcr, for good l;111!.c shown, the Director 1nay grant :111 rx1cnsio11 no110 exceed an aJJitional ' one liundretl twenty ( 120) day&. I 1··111 in all applkahlc sp.1Cc.~. I ' I" ' . COGIS -Surety Detail COMPANY DETAIL REPORT for Surety ID: 1995-0031 CHEVRON USA INC -#16700 6001 BOLLINGER CANYON RD SAN RAMON , CA 94583 USA SURETY DETAIL INFORMATION Surety ID: 1995-0031 Status: ACTIVE Operator Number: 16700 Bond Amount: $25,000.00 Instrument: INSURANCE Instrument Number: U80 61 57-65 Coverage: BLANKET Bond Type: SURFACE Limitation: 0 Deposit Number: POPA Number: Received Date: 8/25/1995 Approved Date: 8/29/1995 Maturity Expire Date: FA Provider Number: 89199 FA Provider Name: TRAVELERS CASUAL TY AND SURETY COMPANY OF AMERICA Deposit Date: Release Request Date: N/A Release Date: N/A Page I of I 7/15/2013 e Oarfleld Cmmt_v Owner: CHEVR I Address: 211 i-:-~~;;;..:.'--~~-=---.~~~~ Accoun~ No: R21 Reception No: 1 Tax Area ID: 29i Zoning: Resourl Modified from Garfield County Assessor I Vekiware PAGE l 11ie first State I, HAAAIE!l' SMITH WINDSOR, S.S:CRETA.tU' OT? STATE OE' THE STA!Z'E OF DELAWARE, DO HEREBY CE.RTIFY THE ATTACHED IS A TRUE ANp CORRECT COPY OF !l'HE CBRTIFICA'l'E OF MERGER, WHICH MBRGBS: "GETTY OIL EXPLORATION COMPANY", A DELAWARE CORPORATION, WI'l'H AND INTO "CHEV.RON U.S.A. INC." UNDER THE NAME OF "CHEVRON U.S.A. INC.", A CORPORATION ORGANIZED AND EXISTING UNDER THE LAWS OF 'l'HE STATE OF PENNSYLVANIA, AS RECEIVED AND FILED IN THIS OFFICE THE 'l'HIR'l'IETH DAY OF APRIL, A. D. 2002, AT 9:05 O'CLOCK A.H. AND I DO HEREBY FURTHER CEBTIJ?Y THAT THE EFFECTIVE DATE OF THE AFORESAID CERTIFICATE OF MERGER IS THE FIRST DAY OF MAY, A.D. 20021 AT 2 O'CLOCK P.M. 1111111 11111111111111111111111111111111 1111111111111111 669006 02/22/2005 02:07P 81664 P367 H ALSDORF 1 of 3 R 16.00 D 0.00 GARFIELD COUNTY CO 0784181 8100M 050107962 Harriet Smith Windsor, Secret.:uy of Sute AUTHENTlCATION: 3674757 DATE: 02-09-05 1111111111111111111111111111111111111111111111111111111 669006 02/22/20e5 02:07P 81664 P368 M ALSDORF 2 of 3 R 16.00 D 0.00 GARFIELD COUNTY CO CERTIFICATE OF MERGER OF GEITY Oll.. EXPLORATION COMPANY wrrn AND INTO CHEVRON U.S.A. INC. It is hereby certified that: •. un.i..u u,; ..,...,"'.,."'nl\.i=f SECll/!!'ARll' 01! $.l'Al'E DIVISION 01!' CORPOR/1%'IONS FILED 09: 05 AH 04/30/2002 020274446 -0784!81 l. The constituent business corporations participatins in the merger herein certified are: (i) Geuy Oil Exploration Company, which is incorporated under the laws of the State of Delaware; and (ii) Chevron U.S.A. Inc., which is incorporated under the laws of the State of Pennsylvania. 2. An Agreement of Merger has been approved, adopted, certified, executed and acknowledged by each of the aforesaid constituent corporations in accordance with the provisions of subsection (c) of Section 252 of the General Corporation Law of the State of Delaware, to wit, by Getty Oil Exploration Company in the same manner as is provided in Section 251 of the General Corporation I.aw of the State of Delaware and by Chevron U.S.A. Inc. in accordanco with the Jaws of the State of its incorporation. 3. The name of the surviving corporation in the merger herein certified is Chevron U.S.A. Inc., which will continue its existence as said surviving corporation under the name Chevron U.S.A. Inc. upon the effeclive dale of said merger pursuant to the provisions of the laws of 1he State of its incorporation. 4. The certificate of incorporation of Chevron U.S.A. Inc., as now in fo1te and effect, shall continue to b!l the certificate of incorporation of said surviving corporation until amended and changed pwsuant to the provisions of the Jaws of the State of i is incoij)Oration. 5. The executed Agreement of Merger between the aforesaid constituent corporations is on file at an office of the aforesaid surviving corporation at: 575 Market Street, San Francisco, CA 94105. I llllll lllll lllllll llll 11111111111111111111111111111111 669006 02/22/2005 02:07P 81664 P369 M ALSDORF 3 of 3 R 16.00 D 0.00 GARFIELD COUNTY CO 6. A copy of the nforesaid Agreement of Merger will be furnished by the aforesaid surviving corporation, on requesl, and withcut cost, to any stockholder of each of 1he aforesaid constituent corporations. 7. The aforesaid surviving coiporation does hereby agree that it may be served with process in :he State of Delaware in any proceeding for enforcement of any obligation of Getty Oil Exploration Company, as well as for enforcement of MY obligation of said surviving corporation arising from the merger herein certified, including any suit or other proceeding to enforce the right, if any, of any ~tockholder of Getty Oil Explomtion Company us tlelennined in appnlisal proceeding.1 pursuant to the provisions of Section 262 of the General Corporation Law of the State or Delaware; does hereby irrevocably appoint the Secretary of State of the State of Delaware as its agent to accept service of process in any such suit or other proceedings; and does hereby specify the following as the address to which a copy of such process shall be mailed by rhe Secretary of Stlltc of the Stare of Delaware: Corporate Secretlll')' Department, Chevron U.S.A. Inc., 515 Market, San Francisco, CA 94105. 8. The merger is to become effective on May 1, 2002, 2:00 P.M., Eastern Standard Time. Dated: May l , 2002 CHEVRONU.S.A. JNC. By: /slfmnk G Soler Frank G. Soler fts: Assistant Secretary ·1, i( {) JAN 19 1988 Recorded at I ...... • I ?'clock__J_tJI. ... Reception No. 1JB!>,.J8 MILDnEO AlSDOllF, RECORD GARFIELD COUNTY, COLORADO DEED KllOW ALL MEN SY THESE PRESENTS: OAR fl ELD ::t0_.v, I \' \>\·(~ state Doo, fee ~· $ ~k I That this deed is made effective as of the 31st day of Oecomber, 1984 by and between Gettr, Oil Company, a Delaware corporation,. (hereinafter referred to "' "Granter' l and Getty Oil Exploration Company, a Delaware corporation (hereinafter referred to as 11Grantee 11}. W I T N E S S E T H: WHEREAS, Grartor is the owner and/or holder of those certain shale oil prop- erties, and lands in Mesa ond Garfield Counties, Colorado, described in Exhibits "A 11 and 11 811 attached hereto and by this reference made a part hereof {hereinafter collectively referred to as the 11Properties 11 }; and NOW THEREFORE, for and in consideration of one dollar and other good and valuable considerations, the receipt of which is hereby acknowledged, Granter does hereby quitclaim, bargain, sell and convey unto Grantee, all of Grantor's right, title znd interest in and to the Properties, together with all improvenents situated thereon ar.d all water rights, permits and applications, and reservoir and ditch rights, appertaining or belonging thereto or used in connection therewith, and other appurtenances thereunto belonging. Grantee does hereby accept thts deed subject to easements, rights of ways, exceptions and any and all reservations appearing of record affecting any of the Properties and/or rights granted. To have and to hold the same together with all and singular the appurtenances thereunto belonging or In anywise appertaining to Grantee, and all the estate, right, title, claim and demlnd whatsoever, of the Grantor, either in law or equity, of, in and to the Properties, together with all improvements situated thereon and all water rights, permits and applications, and reservoir and ditch rights, apper;alntng or belonging thereto or used in connection therewith, and other appurtenances thereunto belonging. This deed shall extend to, be binding upon, and inure to the benefit of the successors, and assigns of Grantee. STATE OF COLORADO CITY ANO COUNTY OF DENVER The foregoing instru;t wasA¥nknowledged before me this X'l-i. day of '-;~~~~'.,;.,· 19!!1, by £. \lJ. HY! ?L , to be knownto be the erson w executed the regoiil9~iliument as Vice President of Getty 011 I Company. · Wttness my hand and offi cia 1 seal. Notary l'ub11c: !0 ru. f~ My Comlssion Expires: ..,~.,....,~.,",..·-.,,,,a,..B,,,..,.,.,.,,.,.,.-- Addre15: 11£J.floff;'&r'f.OWZ' The foregotng tnstrument was acknowledged before me thts ~ day of ~ , 1gs7, by Vf, F *'1'.V: , to !>e known to be the Pi\l'SOriW(lexecuted the foregotng~riilTient a1 Attorney-in-Fact of Getty Oil £xploratton Company. Witness my hand and official seal. , .. ··. .......... ''"·" Notary Public My Comission Expires Address T6S-R98W Section 11: Section 12: Section 14: Section 15: Section 16: Section 33: T7S-R>7W Section 19: Section 30: Section 31: Section 32: Section 33: T7S-R98W Section 3: o~':K 728 P!r,E 31 Garfield County, CO Buck Canyon No. 5 placer claim comprising Tract 49, described in Oeed Recorded in Book 240, page 193 of County Records of Garifeld County, Colorado, as it may lie in the N/2N/2; Buck Canyon No. 6 placer claim comprising Tract 50, described in Deed Recorded 'n Book 240, page 193 of County Records of Garifeld County, Coloraoo, and lying in the S/2N/2N/2 and S/2N/2; Buck Canyon No. 11 placer claim comprising Tract 56, described In Deed Recorded in Book 240, page 193 of County Records of Garffeld County, Colorado, as ft may lie in the N/2N/2: Buck Canyon No. 12 placer claim comprising Tract 57, described in Deed Recorded In Book 240, page 193 of County Records of Garffeld County, Colorado, and lying in the S/2N/2N/2 and S/2N/2. Buck Canyon No, 11 placer claim comprising Tract 56, described in Oeed Recorded in Book 240, page 193 of County Records of Garifeld County, Colorado, as it may lie in the N/2N/2. Buck Canyon No. 12 placer claim comprising Tract 57, described in Deed Recorded in Book 240, page 193 of County Records of Garifeld County, Colorado, as it may lie in the N/2; Tract No, 66, formerly described as the SW/4NW/4, in Oeed Recorded Book 257, page 449 of County Rer.ords of Garfield County, Colorado, and any part lJing in the S/2NW/4NW/4. Tract No, 68, formerly described as the. 5E/4NW/4 and S/2NE/4, in Oeed Recorded Book 257, page 449 of County Records of Gorfield County, Colorad~, and any part lying in the N/2NE/4, S/2N/2NE/4, and S/2NE/4NW/4; W/2NW/4, NW/4SW/4 and NE/LSW/4, aka parts of Tracts 72, 73, 75, and that part of Tract 77-C 's 1t covers any part of the W/2W/2 NW/4SW/4. NE/4NE/4 and SE/4NE/4; aka part of Tracts 72 and 44. SE/4SE/4 (now Tract 110). SE/4SW/4 and W/2SW/4SE/4, aka Tract 51; and SW/4SE/4 and W/2SE/4SE/4, aka Tract 52; and any part of Tract 50 lying in the S/2S/2S/2SW/4SW/4. W/1 comprising Tract 50 being the 37.19 acres being the NW/4NW/4, and that part of Tract 51 covering the E/2NW/4 and SW/4NW/4; and Tract 55 being the 37.48 acres being the NW/4SW/4; and Tract 56 being the 117.63 acres covering the E/2SW/4 and SW/4SW/4 less Lots 8 and 9; and also Lot 8 being the 1.34 acres in the S/2S/2S/ZSW/4; and Lot 9 being the 1.70 acres i' the S/2S/2S/2SW/4; Also the W/2NE/4 comprising Tract 52. Tract 57 comprising Lots 2, 3 and 4 and the SE/4SW/4, and containing 153.14 acres, and as it may include any part of the W/2SW/4SE/4. NW/4, N/2NE/4, SW/4NE/4, NE/4SW/4 and Lots 4, 5 and 6, with Lot 4 aka 41.14 acres being the SE/4SW/4, Lot 5 aka 40.23 acres being the SW/4SE/4 and Lot 6 aka the 40.00 acres being the SE/4SE/4. N/2NW/4 and Lot 3; with Lot 3 aka 40.00 acres being the SW/4SW/4. SE/4SW/4; SW/4NW/4; and W/2SW/4. -12- ! ns-R9ew Section 4: Section 10: Section 11: section 13: Section 14: Section 15: Secticn 23: Section 24: Section 25: Section 36: T8S-R97W Section 3: Section 4: Section 5: Section 6: Garfield County, CO E/2SE/4; Lot l; SE/4NE/4; and all that part of Lot 2 and of the SW/4NE/4 lying on the easterly side of the center of the channel of Roan Creek, cortaining 115 acres more or less, with Lot 1 aka 39.93 acres being the NE/4NE/4. NW/4; W/2NE/4; The west 70 acres of the SE/4; A tract of land in the SW/4, described as beginning at the center of said Section 10, said point being marked by the corner of a fence as now constructed and 1n use and by a stone monument now in place, from wi>ich point the section corner common to Sections 10, 11, 14 and 15, T7S-R98W of the 6th P.M., bears S. 44°35' E. 3731 feet, thence on the N. line of the said SW/4 of Section 10, N. 89°36' W. 1485 feet to the easterly bank of Roan Creek, thence along said easterly bank of Roan Creek, S. 29°12' E. 230 feet, thence N. 81'45' E. 180 feet, thence S. 19°00' E. 560 feet, thence S. 76°50' E. 290 feet, thence S. 43°10' w. 60 feet, thence S. 76°50' E. 70 feet, thence S. 22°45' E. 347 feet, thence s. 63°30' E. 275 feet, thence s. 24°55' E. 168 feet, thence S. 49°55' E. 135 feet, thence S. 19°45' W. 330 feet, thence leaving the said easterly bank of Roan Creek N. 71°06' E. 257 feet, thence along the east line of said SW/4 of Section 10, N. 0°29' E. 1791 feet to the point of begin11ng, containing 28.91 acres, more or less; The east 90 acres of the SE/4. SW/4SW/4. SW/4SW/4. N/2NW/4; S/2NW/4; SW/4; ~l/2NE/4; W/2SE/4; ;E/4SE/4. E/2E/2; The east 882 feet of the NW/4NE/4, situated south of the County Road, containing 21.16 acre~, more or less. NE/4; NE/4NW/4. NW/4; N/2SW/4; SW/4NE/4; N/2SE/4; SE/4SE/4; S/2SW/4; SW/4SE/4. NW/4; E/2SW/4; NW/4NE/4; SW/4SE/4; E/2E/2; SW/4NE/4; NW/4SE/4. N/2SE/4, SE/4SE/4 and S/2NE/4; NE/4NW/4; N/2NE/4; NE/4SE/4NW/4 as described in Patent Recorded Book 577, page 91B, of County Records of Garfield County, Colorado; N/2NE/4SW/4SE/4 as described in Patent Recorded Sook 577, page 918, of County RecGrds of Garfield County, Colorado. SW/4SW/4 SW/411W/4; N/2SW/4; SE/45~/4 and the S/2SE/4; and Lot 4 aka the 39.65 acres being the NW/4NW/4. SE/4NE/4; Lot I aka the 39.53 acres being the NE/4NE/4. Lots 3, 4 and 5; SE/4NW/4; N/2SW/4 aka the NE/4SW/4 and Lot 6 being the 38.59 acras being the NW/4SW/4; SE/4SW/4; SW/4SE/4; w11h Lot 3 aka the 39. 62 acres being the NE/4NW/4 and Lot 4 aka tte 37. 77 acres being the NW/4NW/4 and Lot 5 aka the 39.25 acres being the SW/4NW/4; ·13- f TBS-R97W Section 6: Section 7: Section 9: Section 10: Section 17: Section 18: T8S-R98W Garfi e 1 d County, CO Lots lZ and 14 containing 4.10 acres, as described in Patent recorded Book 577 page 919 in County Records of Garfield County, Colorado. NE/4; NE/4NW/4; SE/4; E/ZSW/4; Lots 3 and 4, with Lot 3 aka j8,9Z acres being the NW/4SW/4 and Lot 4 aka 38.84 acres being the SW/4SW/4. NE/4 and E/2NW/4. W/2NW/4. That part of W/ZNW/4 lying in Garfield County, Colorado, NE/4NE/4 lying in Garfield County; That part of SE/4NE/4 and W/ZNE/4 lying in Garfield County. Section 12: SE/4. End of EXHIBIT "B" -14- ( Cediticue of Copy 11f!ewrd STATE OF COLORADO County of Garfield l, Milc!Ied Iusdor~ County Clerk and Recorder in and for said County, in the State aforesaid, do hereby certify It.at the foregoing Is a full, true and correct cap., of a Oul t cl aim ;QXDeed rec0 raed 05/11-/1988 in Book 734 ~t l';;ige 107 as _ Reception N 391922 as the s;a.me appears upon the records oCmy office. Given under nty hand and official seal this November ,A.D2005._, ~·~ 8th __ dayof 2:45 o'clockLM Deputy }: ;; .. :-: ;": • it'GcQ,,;,,.J <'l Ji.-18' o·c~ook ../} M, ---~~!-~~ 1.000 __ _ R~tlon I-lo .. 391922°Ml!.D?.W Al.S~'.1~F. RF-:.":OROER Of\Rfi~!.D COi.iNTi', W~OOllOO QUIT CJ.J\lM DEED ~··'1' ·;-~)~ i'!~~~9') ~ARFIELO MAY l! lW StatoDcc,foo $_..&£. TlllS 01-~EI>, HF.do olf((l.ctivo .is of th6 lst dny of Janu1n:y in the yonr af our l.ord onn chn~1.s01nd nino hundrad and ai&hty five ( 1985) bct:vecn T~)tneo rroducing Inc., a Dctl<l ... 'Ol.·e coi-por,1ti.on •. of the City und County of Dcnvor and S:ate of:~Olorttdo, partv o( tho first pa-rt, tuu\ ~ott.y Oll £)(plor,'\tion Coinpn.ny, ;,._._,_Oel.,.varo coq1~ratio11. or. Bos >S.68 .fA, Detnvcir, CO SO'.l7, party of the seco'nd :pn·r·c. 1:itn'1Nscth, 1hnt the .snid,;::party of cho tirsc p3l.'t, for nnd i1' conl'ii'dcr.itl.on .of :ho sum of (11\C dolla::. aild ,o\:h~1· good :ind vulltable .considern:iol\ to .tho sliJ.d ~:1r~y 0£ tht: Ci L"st pn1.'"_i:._·.1n h>'nd pnid by. tlio said party of thn socoild ·.Pi"11:t, .tho :·ccaipt. whcrr.of. i!'l hai·Cby ·corifc?ss(ld nnd acknovlcdgad, h~:.<i:: raMii;c0 1 ralc4liiHI., convcyad ,n"nd;,QlJI'.f~ttA·JHED, :·nnd::h)' th'os-O:·presoTit.s does. rc·niisc, roloa::re; .convoy :md QUIT ,·.cLA111 ·.~nta,_,'.slil"d:~p:ilrtj ;:,of _the:::sacond ·_.pnt't, _its· ~s'uccossol·s. nnd/riSsign:1 Forav,1r·, _all .~lio :'i'itlit·:·:·:'tltlC·;·='fntet"esit\ ·."c:lnlti ·.Pn·d -dc111n1i"d·.~hich _i:he' :sllid· pnrty of thC! £i.r$t:-p·att'":ha5.::_'iTI and to chc following deserib'e'(li":lnncts situntc) ·lying and being. in ·tlij:l·COllnty· of Gat'field 11nrl Stat.n. of Colorn<:li'i; described ··iri ·.Exhibit 'I\", .1ttnehrrd·;hl.l1:'~co ant;I ~adc a spcci~ic p•n.·t harco£. 'i'O HAVE t~~n. TO 1101 ... D the .:uunc, toi;e.t11or with all .. and singul.nr the 1ppurtcn1uicc~. :•ind privl!c.r.es thot·cunto bolongin& or in·::·n:\ywiac tli-crcunto 1j'lpnrt::dnir.n,, ~and All the ostat0:, ris,ht, ticlc, intoro.st nri(f!,Cl.t1i11: "•11ntsocvcr, o_f the ·Sl'id _p"rii::ty of th!!l (i-rsc .-.P•n:t, .either in lav or tfr(Ulty, t:o .. Cho only :n·opcr·,\isfi.~."j*'-:hc!'tnfit of th4' .si:lia;Ji<it.t}·;~·of'·eho second pnrt~::-.:i':::S·.sut:cn':Si:'orS ~nd ;1s,.i r;ns·,:t:oi··c,~er. """" ;;~.fft~;~ri "~~=;o~;,!~\t~!;!t[N~~.£,qh• .nm pm Im• ho.·ounto :~;l >ts . :~'.::.; .: .... (·~.'-~~~,'.~)\~t~\.;~i-::j'EXfi.cO····pRdD~u1a 1~~.'. ) (> ... Bj: :· :~:,:~:-::;._-~·· "-~-.~/.}. ·f;~: ·:;~.~·-i _ ... f:,.. . . · D. P. Lou&n:y. I/~. /.f .Attorn~y·l.n:tact. i r ! i !>TA'i"E or cot.C•RADO '.J Gl.1')' ANI> cou~~ry OF DENVER) Tho forogoing insctar.lenl: \.laS:· ·iekft~1·~dg6d bofO:re '111e this ;:,..-' d11y of tfay l\.D., ·.r.988, by D. P,. J.ouihry:, iA't"iOr:ne;f.:_irl~F.act for·Te,..;.c9 P::oducin&-Jni:. ~itn~Ss";my·:.hnnd and offiei.al seal. '··· · :·.:i::;;.'.::'· · ... ·. .-.;·.· /N~ili'tY "Public: MY·:·ci;6"\1s·s1ciii iEX\>ires: ..... ·'Addre.Ss: / #..:,,./; ,i,. .. ~,.' >··'-1·'.f::· T5S-R97W Section l: Sec.tion 2: ~-' •., ·" \ ~. i~-Sectton 4: ,;. [-. s~ction 5: Section 9: Section 10: EXHIBIT "A'' GARFIELD COUtlTY The Triumph No. 21 claim, cO!i1prising Lots fivo (5). six ('6)';·· . seven.(7) and eight (8), also known" [a\a) Lot 5 beln!J,the>37.S4 acres being the NE/4NE/4, Lot 6 being the 37.82 acres bein'g the NW/4!1E/4, lot 7 aka 38,10 icres being tl1e NE/4NW/4 and 1.ot-8 aka 38.JS acres being the·llW/4t!U/4; The Triumph. No. 22 clafm, car..pr!sin9 the S/2t~/2i The irivmph No. 23 claim, co11,prising the N/2.S/2f· The rriumpn ~o. 24 clalm, comprising the S/2S/2; J. O. No. I :laim, comprising Lots five (S) and Si> (6) and the S/2NE/4; .. 11ith .Lot 5 aka 38.67 acres befog the HE/4NE/4 and Lot 6 aka Js,gs··acres being the JIW/4NE/4; J.D. No, 2 claim, comprising Lot seven (7) ond Lot eight (a) and S/2NW; with lot 7 aka 39.25 acres being the NE/4NW/4 and Lot e.a~a 39. 55 acres oeing the 11\//41\W/4; · F'.O. No. "7 claim, coaprising the SE/4; F.D. Ho. 8 c1a1m, comprising the SW/4. J.D. No. 3 claim, comprising lots five (5) and six (6) and the S/2NE/4; wfth Lot·.5 aka the 39.80 ·acres bt1ng tli. NE/4NE/~ and Lot 6 aka the 39. 99 .afres being the NW/4HE/4; J.D. No. 4 claim. c.omprising._the SE/41 J.D. No. 5 cla1m, compr{Siri'g ·lots seven (7) and eight (8} ~nc! the S/2NW/4; with lot 7 aka the 10.19 acres being tho NE/4Nli/4 ond lot. 8 aka the 40.JS acres being the ll\J/4~W/4; J.O. No. 6 claim, comprising the SW/4. A·;O. No. I claim, con\prising Lots fi-. [5) and six (6) ond the S/2NE/4, t1ith,Lot.5,aka :he 40.49 acres being the HE/4HE/4, and lot 6 •ka the 40. SO acres being the Nll/4~E/4; A.O. No. 2 clcim, comprising,:Lots seven (J) and eight (8) a<d the S/2NW/4, wit1 Lot 7 aka the:.40;52.acres bein~ the NE/4HW/~ and Lnt S:•ka the 40.53 acres being ,the·:Nll/4fli/4; ·p~ .. 1f.. 'ti-k:'<1-·claim. cOO!pr;s;ng the SE/4i p,o, Ho·: 8 claim, c-omprising the SW/4. A.O. No. 3 claim, comprising Lots five (l) and six (6) and the S/2NE/4; with lot 5 aka the .40,63 acrH being the HE/41lE/4, ond Lot 6 •<• the 40.80 .acres being the Nll/4HE/4; A.D;.-tlo. 4 claim,-comprisfng Lots SEven (7} and eight {81 ur:d the S/2HW/4;::wi'th .. l9,lc.7 aka ~he .. 40.98 acres b•ing the 'llE/t.N.W/4 •11d Let. 8 a~a tlilo'4l. !'6 .:cres being the HW/4~W/4. P.O. !lo. 3 claim, comprising the HE/4; P;O, Ho. 4 claim, comprhing the SE/4; P.o;''ilo. 5 claim, coffipr!s.in9 the NW/4; P';O. !lo •.. 6 .chim, comprising the SW/4. J.D. Ho. 7 claim, comprising the NE/4; -1- ;,• :• ;. ~- TSS-R97W Secticn 10: Seoolln 11: Section 12: - : .,,. 7:J4. l!\£10~ J.O. No. 8 r.l~im, comprising the NW/tl; P.O. No. I claim, co.Tipr1sing the SE/4; P.O. No. 2 c1a·ir.i1 comprising t)1e SW/4. F.O. No. 3 claim, comprisfng the NE/4i F.-0. No. 4 clairn, comprising the SE/I; F.U;.No. 5 claim, comprising the NW/4~ F.-D. -110. 6 claim, comprising the SW/4, Trlu~ph No". 25 claim, eomprhing tho ff/2H/2; Trfoniph No. 26 claim, comiirising the S/2N/2; ·:Jriii.~piC1io. 21 claim, comptising tho N/25/1; :l'~'iiimph.llo. 28 claim, comprising the S/25/2. Gcrficld County, CO .-_, S~ction 13::}}::;:1.if~ph Ho. 29 oil: shale·_-plOcer mining claim, conpr1sfn9 th!? .·.:,.:,. Hl2H/2 • . :' .. ~:~:(,~+-~f·ii~p~ No. 30 oil shale placer mfnfng clai111, compri~;=1-~:9< the : . S/2N/2: Sect1on 14: Triumph No. 31 oil ohale·. placer mining clafa1, comprising N/2S/2; ;:.; __ .... -. ::· TriQmph No. 32· l1i shale placer ntining c la i:n, tomprisfng S/2S/1. ..:. ~- F.O. llo. 1 oil shale:Pl:~~e~:-~~i~i·iig·'.claim, comprising the KE/Jli F.O. No. 2 oil shalejfri~e"r%ffai'~9:~Cl•im, comprising the ~w/q; C.D. Na. 7 oil sh•l~•:pl~c~i'~'1\\iri9.Ciaim, comprising the SE/4; c.o ... No. 8 oil shalii'::f;1ai·eh;Jnfrig .·c'alm, comprising the SH/4, the the Section 15: Ti'1umph Ho. l plicer·.-;~1~·~'fig·::(:l:~11i11 .-comprising the S/2$/2; TriumphJici. 1 i)i'ace·r niln'{ng;:tiafm,. comprising thHl/2512; .-. ,.Ti~umph'J:o. 3 placir·:i~fn·i'n-~::··tlafirli··_:comprising the S/2'N/i.;-:·· Jrltimph·Ho. 4 placer mining clafiii; coniprising the ll/211/2; ~ection 16·~ .-:f~:i:IJ~-~ti···NO-.. S plGcer mininq claim, coniPris1ng tho S/ZS/2; .. · Sectipn 19: ··=- Triunpl'l ·No. 6 placer .mining claim, comprising the: fl/25/4; · Triumplt,lla. I .placei<':mf~iilg claim, comprising the S/W/2; Tri1111.ph;jNc;.-B .'P·iac:er mining clalm, comprising _the ti/2tV2 . . -'·;:::.::~-... ·-.: ::;~:;·, •. :!':.:;~~:,;_, . ·-.:::,_" ·. ·~~·>-oo: ..... i . .--:.·,,,-. ='°~'~;~2,y. :-.-:.· -· . ._ ..... Triuinph;:Ho; .. 9·placer mlnlng"cliiim, comprH'fng'.thc S/25/2: friuir1>ir-Nif~':':10 placer mirting claim, comprising t~e rvzstii Triumph .Ho:.·''i1 placer mining claim, cDmprlsi•G the S/21l/2; Triumph ·Ho.· 12 placer minln9 claim, comprisin9 the N/21V2. ..--.... · Corol T. No. 39 oil shal• placer mining '1a1m, ccmprising tho E/25W/4 •nd lots seven {7l:and eight(~); with let 7 ako the 37.19 acres being the NW/4SW/4 and lot .8 aka the 31.99 acres bei.19 tt.e SW/45W/4; -i- , .. ~, ·-;:-.1.~~:/~~~::~:J;Jij!~:1::.;;.;ri,i}~.:.'.:i~;.{i;;~~.;. ~-.. ' . , i•'" <. '-· ._,. ·::- ;·.: -'.~· . ;) ' :";: " :•. ._.-.~ ;..:-. {.· ~;. ~- ·~· '· T55-R97W St:ctioo 19: s~etion 20: Section 11: Section 22: Sec:tion 23: Section 24: Section 25! - Garfield Co1.1r.ty, CO Coral T. ffo. ~O oil shale placer ~fning clair1 1 comprising the SE/4, Big Bell No. 5 placer mining claim, compr1si"n9 the NE/4; Big Bell Ho. 6 placer mining claim, comprisihg the SE/4; Sig S.11 .Ila, 7 placer mining .chi"1,: cini'Jir'iil:~g the NW/4; Big Bell Ho. S placEr mining claim, comp;-ising the SJ.J/~ . Bfg:Gell -No. l placer mining clatin 1 co;nprisin9 the NE/4; Blg'.Sell Jio. 3 placer mining claim, <0mprising the NW/4, +~·iuoph No. 15 placer mining chim, comprising.the S/2ti/2; .Tr1iimph No. 16 placer mining claim • .::omprisin9 the-N/2fl/2. c;ii::No . 3 oil shale placer mining clairn 1 compr1 s iri~ ·_·._th~;·~!E/ 4; • .. :. c.o. No. 4 oi 1 sha1e-:placlfr mining clairn1 comprisinlJ ,the;_SEf4; ·':· . c.o. No. 5 oi 1 shale placer mining claim, comprising . the:NW/4; •>' C.D. No. 6· oil $hale pla-:er minfng c~afm1 con1prising the -St:ii4. Triumph.«o. 33 oi1 shale,placer mining clai11. co~prising the N/2N/2; . Triumph .Ho'.~ 34 .Oil sh-!le placer mining clain, ccmprisir.g-: the S/2H/2; ·'.'. Triumph Ho. 35:.~·'.0il sli~le :placer mining cl~dn·, cernprisfrg the N/25/2; l'riumph S/25/2. No. 36'.iiil •sh'ai~~;~)i:.:~r . ' / .· .• ):;;·'.·: rnining c1ain, compr1:;ir.g the Triumph .No. 37 oif_shal-~-:_:·p1··~:te·~-hi"iriing el"ilimt comprising the N/2N/2; Triumph No. 38 oil. sha'l~ placer ':linfilg· .cloi~1, comprisir.9 th~ S/2N/2; Triiimph_)~o .. 39 oil shale -:Plil.cer :ninrn:g:: :C1ai·m"-~ :c:or11prisir.9 the tl/25/2; Triumph No. !40:;·'l>"fl .Jshare·:·.p1a::er .11ining clair.i, com;·rrs:f~g-... the S/25/2. . ·· Section 26: . c:.o;.';Ho. J oil shale placer mi~·i;;gct'.hliil; .comprising the NE/4; Section 29: ·,,.· .C..D. llo. ·2 011 shale ,placer minin9'i:'1~r~·;"~Oniprisi119 the NW/4; ·c.c.o .. No, 7 oil shal(f~placer mining .cla-fm, compri$io9 tfle ~f/4; ,. ·'· .... C.·C.0, .'Ho. 8 oil ·shale pl•cer ~in1ng.claim, COn!)l'islng the SW/4. -._ tnia1o~:tire~f;io:-~-r~.P l~~ei~;;~~:~{ ~~~~~~~i~~:~ cc~p~·fs~?~g: f1ie ';.ff /4, Clear:Cr'eek No. fplacer mining claio, comprising the NW/•; · Cl'eai-·:Creek lio. 3 placer ~ining claio, comprising SE/4. CMcag/iio::' I placer mining claim, ccmprising tt1e llE/4; ·'"Chfc~g~'.ilii. 2 :.Pla-cer mining .d~im, ccir.prising the .SE/4; Chicago .llo. 3,placer mining:;(laim, ccmprising the.:HW/4; .Ciitcigb·Ho. (j;JOter mfning·claim, comprislng·the SY/4. --.·· ;· ... ~· ~- .. :.· ..;.. T5S-R&7W Set:tiCln SO: Section 31; S<.!Cticn 32: _,_.· ::..:;·. - Garfl~ld County, CG Coral T. No. 27 oil sha:e placer mining claim, cvmprisfng Lots five (5) and sh.(o) and the E/2NW/4; w1th .. Lot 5 <1k• 38.l9 m·es bein9 the ~W/4NW/4 and Lot G aka 36;40· acres befn9 the SW/4\W/~. also that part o.c-Tr11(t il7 and 118 in .the:lnl;l\NW/4 \Inc! SH/4HY./4i Coral T. Ho. 28 oil sha·1e placer mining clai111, corr.prising the tlE/4; Coral T. Ne-. Z9 oi T sha'e placer mining cla1m, COirprislnq tJ1; SE/,l; Cor'af·T ... Ho ... 30 cfl sha1e placer mining claim, comprising lots seven·.(7) ·••<Leight (B)ond the E/2SW/4, with Lot 7 ata 38.62 acres being :the'.~W/4SW/4 .. and•.Lot a aka 38.83 acres ~eing the SW/!SW/4: :and .also that part· of Troct 118 ar.d 119 in th• "11/4SIJ/4 and SW/4SW/4. . Coral·-T, No . .,33 claim, co111prfsing th~ E/ZNV./4 and lots fiv~ (5) and six (6): with Lut 5 aka 39.07 acres beir.g Ille liW/4rl'l/4 ond Lot 6 aka 39.34 •<res being the SW/4NW/4; Cor<il T. i:o. 34 claim, comprising thll 1~E/4; Cor41 T. No, 35 claim, comprisfng the N/2SE/4 and lots ten .(10} o:na eleven (ll)i with Lot 10 aka 39.54 ac:r~s betng the SW/4SE/4·,_.;nd Lot ll aka 39.54 acres beinq the SE/4SE/4; · Coral T. No. 36 cla1m, comprising t'ie NE/4SH/~ :tnd ·lots sev~n (7). eight (8) \1.nd nine .. (9); ·.\"Ith lot 7 oka 39.tO a.c1·cs bein!i the NW/4SW/4, Lot B aka ·39.87 acres being the Sli/4SW/4 •nd Lot 9 •k• 39.96 •cres being t~e SE/4SW/4; The Suck Canyon «o. 3 _pl.acer claim, comprising that part or Tr<ict 58 1yin~ ir. the S/2S/2S/2 .. of;.the Section also described '.n Oc-t::d record~d 1n Book 240 1,.pa91?··.J92. of the County Records of Garfield County, Coiorado. · .. _,.·.·. · Smuggler ~lo, l placer"mining· claim, comprisimJ tJu: NE/4; Smuggler flo, 2: plater mining claim. CGtr.prising thl> tt/2SE/~ i!r.d luts one (I) and two (2);.with Lot I aka 39,60 acres b•ing th< SE;-.SE/4 and Lot 2 aka 39,59 .. acres being the SW/4SE/4; 5!1Jl19gler Hc.i. 3 plac·e:r mining claim, comprisfn9 the NW'/4; Smuggler;Ho, 4 :f)Tacer;n1lnin9 claim, comprising the H/2SU/•1 and lot~ three>:(3) and :.four .. (4); ... wfth Lot 3 aka 39,58 acres bo!ng the SE/4SW/4 "and Lot"} :aka ":·39 ,57 .. acres being th• SW/45~/4; Buck .canyon No. 3 placer cla.lm1 ctirnpr·1s1ng that part of::Tra~t·: 58 lying· in the S/2S/25/2 of tho s•ction, also described in deed .recorded Gook 240 page 192 of County Recc1rds of Ga rt ie !ti Couray, Colorado; Buck Canyon tio, 9 plac="r clalm, coo1prising that part of Tract 5'1. lying in the S/2S/2S/Z of the section, also. described !11 Oeed Recorded Book 240,..page,:J92 of County Rocords .of. .. Garfleld rwnty, Colorado, ~-;· §itc~t.ibn '""SJ~.·~· .•. Clear .Creek .t~o. 5 pl oc:er.:,.c.laimi· compr:i sing:·the .... ~E'/'1; \"."•, <r;J~-~' .. ·-..:.~~-· ,~·· --.. ·--·.... .· .•.. .-....... ·•· .. ·.-:;··.·. . ·--·~ .. · .... · ·~.:_.w.;;:.,.~-· ' . Clea~· Cre"elc-Ho. 6 place" cla101 1 cofnPris1ng che;r.'W/4; Clear .,Cr•~k !IQ, 7 plater claim, cD'1prisln9 the rlf?.SE/4 and Lots ,four .J4) and five ... (5); with Lot 4 oka 39.60 acres being the .SE/4SE/4 and Lot 5 aka· 39,~o acres being the SW/4SE/4: ·<:clear Cre~( llo, 8 ·placer ,ciaim comprising tile N/2SW/4 and Lots 6 ··and 7: with 'Lot '6 aka .l9.50 acres bi!in9 tho S£/4SW/4 ond Lot 7 a~.a . ,39,60 acres being the SW/4SW/4; . · :·.-.:·a1ue':~s{rd ·f\a, J ofl sflale placer miniri9, claim, ;,,:Tracf.51 ly!ng in the S/2S/2S/2 of .th< -section; .. .'•;' . ;.· .. :"'. ·:··.-. -·~·:·:::.:..... -4-. being tha.t port .<'f / Sect ion 33: .;.,: Section 34: Sect1on 35: Si:ctio11 36: T&S·R98'< ;~· ,.. Sec:fon 13: -- -: .... f,')·I P~~:112 G.:irfi1dd County, CO . Buck Canyon No. 9 placer claim, co~rising that part of :ract 54 lying in the S/2S/2S/2 of the section, •lso de$<ribed in Oeod Recorded Book 2!0, page 191 of County .Records of Garfield County, Colorado . C.C.o. ti:), 5 oil shale placer mining claira, comprisir.g th~ ME'/4: C.C.D. t'io, 6 ofl shale placer mining claim, ~0111prtsi119 tha t1W/4; Buffalo No. 3 claim, c~~pr1sin~ the SW/4; Buffalo tlo. 4 claim, cooiprising the N/ZSE/4 four (4); hith Lot 3 ala 42.00 acrl!s being aka.4I.7g a-:res bein9 the SE/4SE/4, and Lots iiii~/·(3) and the SW/4SE/4 and Lot 4 C.C.D. No, l oil shale placer mlnfng clai1111 -comprising th~ ti~/~: C.C.O. No. 2 oil shale placer mining claim, r.cmJris1ng tht. N/2SE/4 and lots three. {3) :and-·four-(4); w1th Lot J aka 41.45 ac1·es being SW/45£/4 and Lot 4 aka 41.33 ·acres being tho SE/ISE/4; c.c.n. No. 3 oil shale placer mining clah1, compris.ing thr: .~11/4; C.C.O. No. 4 oil .shale _placer mining claim, comprising the .fl/2$~/4 and Lots one (1) and .t><o ·(2); with Lot I a\a 41.67 acres b<in9 the SW/4SW/4 and Lot 2 aka 4L55 acres boing the SE!<SW/4. Triumph flo. 41.oil shale plater mining claim, conprising the N/2N/2; Triumph No. 42' oil .,shale .. placer mining clai,n, comprising tho S/W/2; .. '• 'Triumph lfo. iij2S/2t 43 011 ~ s ti'a 1 ·e:-~:·';·p {a:~e r mtni~g .. clah1, comprisir.9 the ·'. '< .... :--: .· Triumph No, 44 oil shaie placer mining clah1, comprisiog the S/25/2; All of the above Triumph Ho.s 41 -44 also er.corripass Tract 37, lying in the section and containfng 634.74 acrl!S, a11d lot ! betng the 2.76 acros in the W/W/2Nll/4riw/4, lot 2 betng 2.59 acres In the W/2W/2SW/4NWi4, Lot 3 being 2.42 acres in the V/2W/2Nfl/45W/4 ,1no Lot 4 being 2.33 acres lr. the W/2W/2SW/4SW/~. Lucky Strike tlo. 19 Placer f11nin9 clatra, comprfslng Tr.Jct 68., aka ~/2SW/4SE/4, S/2NW/4SE/4, SW/4NE/4SE/4, llW/4SE/45E/4, N/2SW/iSW/4, l•/2SE/4SW/4, S/211E/4SW/4 and S/2NW/4SW/4; Lucky Strike No. 20 Placer Mtntng Chim, comprising Lots five (5), <'· six (6), seven (1) ond eight (8), aka that part of Tract 69 .,~.:',, covering Lot 5 -19.39 acres boing the S/2SW/4Sfl/4, Lot 6 -19.53 ~ acres ·being the Sf2S£/4SW/4, Lot 7 -19.65 aero• being tho (·: S/2SW/4SE/4 a>d Lot B • ll,75 acres being the SW/4SE/4SE/4. t'~+';!'1'S~~ttl;~~l~i ·· Lucky Str;liii Uo. 19 Placer Mining ch to;-co~p~l.~fng !~act 68, aka r;;:: NE/4SE/4SE/4 and Sf/4NE/4SE/4; ~- ;;, LJcky Strike No, 20 Placer Mining Claim, coo:pl'lsln" Lot seven (7), ! .. i ... '_·.··:'·,·.· .·· ala a:o1 acres being the SE/4SE/4$E/4, or that ~•rt of tnct 69 ~. covering Lot seven (7): . t;'.· lucky 'strike No. 24 Placer Mining Claim, co111prlsi119 Tract 12 aka ~/' SE/4NH/4Sll/4, SW/41i£/4SW/4, t/2SWt4SW/4, a11d W/2SF./4SW/4; i.;·· .. ,·· .. ,.·,·:·,' .. ·.·'·. lucky Str1ke No. 25 .Placer Hiiltng Claim, comprising Tract 71 1 aJ:a ii; · SE/4N£/4SW/4, ·E/2SE/4SW/4, SW/4Hll/4SE/·I ond W/2SW/ISE/4; ·<. - ·.: T5S·R98W Section 14: Section 15: Section 23: i· .. ~:. s~ction 24: ,., t": f~ ~Y' s.ct.1on 2s: ·.· .. _:~--- - ; ·~ -;-:1.i ''"!113 Garfield County, CO Lucky Strike tlo. 26 P·lC:C!!r Minf119 CJain1, comprising Tract 7C, aka SE/4NW/4SE/4, SW/4NE/4St/4, E/2Slif4S£/4 and Hf15Ef4Sff4; Lucky Strike No, 23 P1acer Mfnfng Claim, comprfsfng Lots five (5) and six (6), liith Lot Saka 11.28 ocrcs being the .Sll/4NWf4511f4 and Lot 6 aka 23.36 acres being the W/2SW/4SW/4, o~ that .part of Tract 73 covering lots 5 and 6, Lucky Strike No, 23 Pl"er Mining Claim; comprising lots six:{6) and seven (7), with Lot 6 aka 8.04 acres cbeing the SE/4NEf4$£ft, and lot 7 aka 8.32 acres bolng the NE/4SE/4SE/4, or that part of Tract 73 covering Lots 6 and 7. (ucky Strik2 No. 24.Placer Mining Cfaim, comprising Tr~ct 11, ak~ E/2NW/4NW/4, E/2SW/4NW/4, W/2N£(4NW/4, W/2S(/4NW/4, NE/4Nfl/4SW/ 0 0 and NW/4NE/4SW/4; Lucky Strik!? Uo. 25 Placer Mfning Cl111m. comprising Trvct ll, aka E/2NE/411W/4, E/1SE/4NW(4, W/2NW/4NE/4, W/2S~l/411[/4, N•/4fl~/4SE/4 and llE/411E/4SW/4; :..uc~y Strike No •. :26 .Placer M1ning Clain, comprising Tract 70;. ·a~a E/21lll/4NE/4, E/2SW/4NE/4, ll/2NE/4NE/4, W/2SE/4f·E/4, NWWIE/4Sf/4, and NE/4NW/4SEl4; Lucky Strike Ho. 2 P1acer Mining ClaiG1, comprising Tract 96 aki! SW/4SW/4SE/4 and SE/4SE/4SW/4; Lucky Str1ke No. 3 Placer Mining Claim, comprfsfng Tract 95, aka SE/4Nli/4SW/4, SW/4NE/4SW/4, E!2SW/4SV/4 or.d W/25!/4511/4; ;orai T, No, 3 Placer Hining Clain, comprising Lots seven (7), <ighl. (8), •nd eleven (11) and the SE/4SE/4; with lot 7 aka 27.~8 acre• being the E/2Nc/4SE/4:and SW/4HE/4Sf/4; lot 8 aka 19,30 acreo being the S/2fiWf~SEf4 and· Lot 11 aka 28.75 acres being tl:e N/2SW/4SE/4 3nd SE/4SW/4SE/4; Coral T. llo. 4 Placer Mining Claims, conprising Lots nine (9) and ten· (lo); w1tH Lot 9 aka 8,05 acres being the SE/411E/4SW/4 and Lot 10 aka 8.65 ocres being the NE/4SE/45W/4; Coral T. Ho, 7 Placer Minfng claim, comprising Lots four (4), five ':ol and six (6)'; with lot 5 aka 8.02 acres being the SE/4flE/4t:E/4, Lot. 6 •k• )6.62 :acres being the E/1SE/4NE/4, and lot 4 aka that part', 6f .. Tract .69 covering Lot 4 or the 8.sg acres being tho llE/4NE/4NEf4. Coral T, No. I 011 Shale Placer Mining Claim, comprising the SE/4; Coral T. llo. 2 011 Shafo·,PJacer .Mining Claim, comprising tho SW/4; Coral T, llo. 8 Qil Shale Pfildr·.Mini1g Claini, comprising the Nff/4 including that part of Tract .69 as it covers tho ll/2N/2NIJ/4; Coral.T. ilo. 9 Oil Sh•Je.Placer Mining Claim, coirprising the llE/4, Including that part .. of Tract·co69 es '.t covers the N/2NW/4Nf/4 and tM/411E/4NE/4. · Coral:T. No, 26 Oil Sha:le Placer f1inirg Claim, cc-mpris1i19 tlie NEi4; Coral T. l·:o, 31 Oil Shale Placer Mini'g Claim, co•prising tile SE/4; Coral T; .rJo. 38 011 S~ifll! Placer Mfnfng Claib1 1 tornprising tlie ti\i/4; ,. ~-·· -·:.,. l5S-R9$W Stctiori 25: Gtrfic:dd Co1.1nty, CO Cleor Creek No. 4 Placer, being lots thr~e {3) <1fld four (4); 1-1ith lut 3 •k• 8.04 acres bein9 tho S[/41/£/4S~/4 ind lot 4 "' 16.4' acres being the E/2SE/4SW/4; Velvet No 13 Placer Claim C.GlflPrislng Lots one(\} &nd tl.,o {2/; ~Jith lot l aka 20.47 acres beir.g the H/2 HE/4SW/4 and Lot 2 aka 20.58 acres being the N/Ufil/4SW/4; Clear Creel: tlo, J Plac~r Mining Claim1 described es the Tract or.e hundred one (101), aka the Sfl/4tlE/4S;.'/4, S/2t<l!f4Sf.'/4, S~/•S!l/4 and W/ZSE/4SW/l. Sectfon 25: Lucky Strike f.lo. 15 Oil Shale Placer Mining Cli!im. -compris.ir.g Lot one: (l}. with Lot l aka 29.3~ dCn~s b@in9 the ~t/2r;E/4NE/4 and NE/4NW/4NE/4; Clear Creek ;'io. 3 Placer· Mining Claim, descrihed as that part of Trar.t ... one hun<1rcd cne ·c1.01} lying 11 1 the SF./4N£/dSE/4 iln.d E/2SENSE/4; Velvet t-io. 13 Pl11cer Claim, comprising Lot three (3), ak<1 tlie t6,-'64 •cres being the SE/4SE/INE/4 and NE/4NE/4SE/4; v·&lvet No. 14 Placer Claim, compr1sing Lot tl'JO (2}, aka i6.6~ acres being the NE/4SE/4NE/4 and SE/411E/4N!:/4; lucky Strike No. l Pl~cer H1n1ng Claim, co1rpr1sin9 lract 'JT, aka SW/4ffE/411E/4, SE/4NW/ 4NE/4, W/2SE/4ffE/ 4, E/2SW/<NE14, E/ WW/4SE/ 4, W/2NE/4SE/4, E/2SW/4SE/4 and W/2 SE/4SE/4; Lucky Strike Ho. 2 Placer V.infng Claim, cornpri~'ing Tract 9r.., aka W/211W/4NE/4, Wf 2Sll/4NE/4, £/2NE/4Nh~4, E/2SE/<lflll/4, E/2NE/4SW/4, W/2NW/4SE/4, N[/4SE/4SW/4 and NW/4SW/4SE/4; lucky Strike Mo. 3 Placer Mining Clafm. corn.prising Tract 95, aka W/21/E/41111/4, E/2NW/411W/I, ll/1SE/4till/4, E/2SW/41'fi/4, 1/f/4ilW/4>W/4 and NW/411E/4SW/4. $i:ctioo 35: Lucky Strike No. 1 Placer .Mfning Claim, compr;sing Tract 97, lying in th• HW/4NE/4NE/4, ll/2NE/4NE/4NE/4 and E/2NE/41<11/4t/E/4; Clear Creek rto. J Plac:er Mining Clai"'• describi:d a~ the Truct on~ hundred one (!OJ) aka that part of the NF/4t1E/4, Lein·] th~ E/211E/4NE/4NE/4; . Tract 103 aka the E/2E/1NE/4, E/2.1E/4SE/4 and E/2E/2SE/4NE/4SE/4, as descrit>ed in Warranty Deed .recorded in Bool.: ?.57 pa9e 137 -Of thP." County Records of Garfield County, Colorado. Section 36: Clear Creek NO. 3 Placer M1n1ng Claim, described " Tract one ~~··· ~undred· one (101) aka the N/2Nll/4NW/<, 11W/4NE/4N>/4 and k/2W/2J~E/ 4UE/4NW/ 4; Tract 103, •ka the S/2Nll/4Nll/4, S\l/4NE/4N~/4, W/2SE/4NE/4N!l/4 N/2Sll/4NW/4, SW/4Sll/4h'll/4, ll/ZW/2SE/4SW/411W/4, Nll/4SE/41iW/4, W/2W/2NE/4SE/4NW/4, Wf2NW/4SW/4, SE/41111/4SW/4, 11/2W/ZlrE/4~11/4Sll/ 4, .S~/4NE/4SW/4, SE/4NE/4SW/4 less Lot 9 in the E/1E/2E/2SF/1.XEi4S:i/4, also described ,in the Warranty Deed recorded fn Svok 257", p.at:;e 137 .of County Recot'Qs of Garf1old County, Colorado; ···rract 104, aka the 40 acres of the E/2SE/4!1'/4ttllf4, · E/2fl(2SE/4SW/4NW/4, E/2W/2NE/411W/4Sll/4, E/WE/4NW/4Sli/ 4, ·. ··'. ·SW/4SE/4NW/4, Nll/4NE/4SW/~, W/2W/2NE(411E/4SW/4, ~/2W/ZSf/41[/lll</4, :also described ht Warranty Deed recordt::d in B<iok 2S7, pogt: 13i of ·county Records of Garfield County, Colorado; .. Tract !OB, aka tho W/2SE(4SW/4, E/2E/2NE/4SW/4SW/4, ., .... E/2E/2SE/4SW/4SW/4, and the E/2SE/4SW/4, less 1.ot 4, and •ny p•rt . in the S/2S/2Sll/4Sf/4, also described in Warr•nty Deed recorded in "Book 257, page 137 of the County Records of Garfield County, ·;:··'.CcJorado; · ~- ' ' ,. ·~­;-:. r~. T5S-R98W Section 36: 16S-R98W Section l: Sec:.iQ11 2: -- G11rfi(!'JG County, [(l Clear Creek No. Z Placer, befng lots 2, 7 anc.! P.; with lot 2 ilkd l0.44 acres being the E/211E/4~f/4Nf!/4 •nd E/l~/211E/4SE/4rlflf4, ond f/1SE/4SE(4NW/4 and E/2W/2SE/4SE/4NW(4, ,1nd with lot 7 •k• 8.04 acres boing the f/1SE/4~E/411W/4 and that port Jyin9 in the f/W/2SEf4NE/4NW/4, and Lot 8 aka 8.40 acres. being th• E/1NE/M1Ef4SW/4 and that part lying in the E/2W(211E/4NE/4S~(4;' Clegr Creek No. 4 Placer, befng Lot 6, akG tJle 8;40.-i!CrQs:·lying in the E/111/2UE/4NE/41fll/4 and E/2NE/411E/4NW/4; . Velvet Shalf: No. 20 Piaccr, being Lots 4 anrl 9; .wftti'".Lat 4 tie'ir.g the 3.lO acres lying in the Ef2E/2E/2NEf4SE/4Swf4 and E/2E/2E/2SE/4SE/4SW/4, and Lot 9 aka 1.51 dCres lyi1<9 In the E/2E/2E/2SE/ 411[/ 4S~/ 4; Coral T. No. 32, comprising the NE'/'1i Cortit T. ~:.J, 37, compristng the f./2SE/4, //lJ/•ISf/4 dnd Lot !i; with· Lot 5 •t• 39.&7 acres teing the SW/4Sf/q. .. ·;Blue Bird ·rract S.1 1 No. 3 oil shale placer mining clair.1, being that pc?rt of bein9 the 120.00 acres lyfn9 fn the section; Blick Canyon No. 9 placer clafm, comprising thut part of Tri1ct 54 lying 1n the W/Z. of the section; also described in Deed recorded Book 240, page 192 of County Records of Gorfielc Cour1ty 1 Color11do; Bue~ Canyan No, 10 placer claim, comprising thitt part of Tract 37 lyfng in the 1-1/2\f/2 of .the section, also des,riOOd in Dee'1 ri:c:orded Book 240, page l92 of County Records of GarfielJ County, Color•do; But:k Canyon No. 11 placer clain1, comprfsing that pat"t of Troct 56 lying in the 5/25/2 of the section, also describ~d fn Deed 1·1?corded Book 240, page 193 of Ccunty Records of Garfi•ld County, Colorodo. Buck Canyon No. 3 pJCl:cer claim, comprising that part of Tnic:t 58 lying 1n the W/2, also described fn Oeecr recor~t!d Ooor. 240, page 192 of County Records of Garfield County, Colora4o; Buck Canyon llo, 4 placer claim, coi;iprising that part of Tract 38 lying Jn .the·W/2W/2, •lso described 1n Deod rocordod Dook 24(, 1,.ge 19Z .of-County Record~ .of Garffelu county, Colorado; 8UCk,·.·ca:nyoi'L No, 5 placer i:laitn, co11pr'isin9 that part Of Tract 49 lying in th~ S/2S/2, also descrfbed in Deed recorded Boo~ 240. page 193 of County Records of Garfield County, Colorarlo; 3uck Canyon Ko. 9 placer clai111 1 comprising that pdrt of Tract 54 lying in the sectfon, also described fn ~eed ~ucorded Sook 240, page 192 of County Records of Garfield County, Colorddo; ,,_.. Buck Canyon No, 10 plzicer cla1m, comprising that part of Tt·act 37 i'.: lyir19 lo the S/2 of the sectio11, also descrlbed in Deed r~corded ~·· Book 140, p•ge 192 of County R•cords of Garfield County, Colorado: ~. ~ - f: ;:_. Buck Canyon l{o, !l place:-claim, comprising that p£irt of Trn:: ~6 ,. ·.ying in the S/2Sit, also described ia Deed recorded Boo\ 240, pogo J. 193 of County Records of Garfield County, Colorodo. ~~~.'.·; ..•... :.:.· .. ··· Se:c:tfon 3: Buck Cllnyon Ha. 3 placer clt1im, comprising that part of Tract 58 . lying in the section, also described in Deed recorded Book 240, ~~-page .~92 of .County Records of Garffeld Cnu11ty, Coloradoi [,.~ .. : .. :··.·· : euck tanyon No. 4 placer claim, comprising that part of Trflct 38 .__ 'lying in the S/2, •lso, ducribed fn Doed record'd Book 2;0, page W"· • 192 of County Records of Garfield County, Color.do; ~.i:·' Buck .:Canyon ~o. 5 placer claim, C0111prhlng that part of Troct 49 ;>.. . .·>•"'lying''in the S/25/ZSE/4, also.described in Deed t'!corded Book 240, -;,;· .. ::: ... ~iPIS-.193 'of.. County ·R•cords of Garffe ld County, Colorado; ~t-~~:f-~:]~1;~-;1~:~f ~~t~:~~ljtj[I~~~l~>;;0;_~\~}i)'~.5,:i/~/:.~:·J.~~t:.~:J.~,-;~~~\~.~-.. ' . ~ .. i6S-R98W Section 3: s~ct ion 4: ~-. ' s~:i.ion 9: '· ~- ' r Section lC: -.·1·! -~:.:..- - Gorficld County, CO Hunter placer claim, comprising thct part of Tract 3913 lying il'I th!! 11/<SW/4, •lso described in Deed rctorded .!lock 240, page 193 or County Records of Garfield County, ·Colorado; Wallace placer clafm, cor.ipris1ng .that pci-rt:'ci'f Tract .:sn lying io the S/2S/,SW/4 • .Jlso described 1n .Deed ;reco·tdcd in Book z~o, p.;ige 193 of Cou11ty. RE!COrds of Garf1e1d County:,. Colorado; Cle.Jr Cree< placer claim, comprisf,i·9"tOf""5··; -being th~-.. 47.05 .Jcres in Tract 107, in thP. W/2 of the section. Clear Creek placer claim, comprisfn~ lot 5, aka'·31 ;9(f acres in Tract 107 1 fn the E/2; Clear Creek placer· tlo; 1 i:laim 1 compr1s1n9 the Lot 6i with Lot. 5 being 39.52 acres in the E/2, 0:kd part of iract 106 lyf119 in the section; That part of iract 108 lytng in the serlicn as 1!as~ribed in Warranty Deed recorded in 6ook 257 page 137 G:-t;L'unty Records of Garfield County, Coloradoj That part of Trtct 40 described under the ori~inal survey as the SE/4SW/4 in Harranty ·Deed recorded in Book 275 page 137 of County Records of Garfield County, Colorado, and as may include a:iy part of the $/ZNE/4Sllf4, NW/4SE/4 and Sl<$E/4; liunter placer claim, comprising that part of TricCt 39B 2k11 the SE/4SE/4. and includfng any part covering the: S/2NE/4SE/4, SE/4NW/4SE/4 and E/2SW/4SE/4. Also described In Warranty Deed recorded Book 241), page 193 of County Records of G2rf1eld County, Colorado. That part of Tract 40 lying in secti:>r1 and dt:!scribE"d in Warranty Deed Recorded in .. Book 257, page 137 of County Records of GQrffeld County. Colorado,:·and as it may include any of tht! l~E/4NW/11. i.nd NE/4; Hunter placer cla{Gi; .. tbmi>risin9 that part Of Tract j9B 1 and described in Deed recofced Book 240, page l'J3 of Ccunty Rer.crd:. of Garfield CoJnty. ·co1orado1 and as it rriay include any. of the f/21iE/4; W/?NE/4; E/2SE/4 and NW/4SE/4; oka part of lruot! ~O and 44, in the section. Hunter place~ claim, comprising that part of Tract 39B, described in Deed recorded Book. 240;-_pagO 193 of County Records of Garffeid County, Colorado, and lyingjn .ttie W/2W/2NW/4; Wallace placer c1ofm, co.nprising tha~ part of Tra~t 488. detscribed in Deed recorded in Book 240. page 193 of County Records of Garfield County, Colorado, and lying in NW/4 and W/2\l/2fiE/4; Buck Canyon tfo, 5 placer clai111 comprising Tract 49, describl!d in Oeed Recorded In look 240, page 19J of County Records of Ga:·ifeld County, Colorado as it may lie in the N/2NE/4; Buck Canyon NC>, 6 placor"''·c~laim comprfsfng irdct 50, described jn Oeed Recorded in ~ook 240, P•9• 193 of County R<ccrds oi Garlfel~ County, Colorado and lying tr, the NE/4; Westfield No. 1 oil shale placor mining claim, •Ith . lot 4 aka · 40.00 acres lying In E/2W/2Nll/4SE/4, SW/4SW/4NE/4, and ffE/4SW/4; comprising Lot 4, t/1e S/:"SE/i:~·W/4, ~estfield llo. 2 oil shale placer rnini•g claim, cc11prisln9 lot 1 and Lot 3, with lot l aka 32.86 acres lying in the NW/4SH/4 and . S/2SW/4NW/4, and lot 3 aka 7.14 acras lying in the E/2NH/4SW/4, f~/2NE/4SW/4, o/2SW/4Nll/4 and W/2S[/4Ml/4. -9- :: ' .. T6S·R9BW Garfield county, co · .. · , ... I." ,. :.· ·,. ·,. ~:· r '· ~-_ .. '· ;: Section 11: Sect·or. 12: Sec.t ion 14: Sect 1!1n !5: Section 16: Section ll: TZS-R96W Sect ion 32: TZS-R<7W Section JO: Section 31: Soctlon 31: ~-~: Section 3·: ~·· I:· . lf ·" 81.1ck Canyon No. S placer c:aim compr1sing Tract 491 descr\b~d 111 Deed Recorded in Book 240, page 193 of County Records of Garfield Calmly, Colorado, •s ft may lie in the N/ZN/1; Buck Canyon No. 6 placcl' cla1m corvprls1ng Tract so. described ln Deed Record~ in Book 240~ page 193 of County Record!> of Gat·field County, Color•do, and lying in the S/2ff/1N/2 and S/2ff/2; Buck Canyon No. 11 placar clafm comprtsfng Tract 56, described in Deed Rer.ordod in Book 240, page 193 of County Records of Garfield County, Colorodo, as i: ~•Y lie In the 11/211/2: Buck Canyon Ho. 12 placer claim comprising Tract 57 1 dE!scribed in Deed Recorded in Book 240, page 193 of County Racords of Garfield County, Colorado, and lying in the S/2N/111/1 and S/2N/1. Buck Canyon Uo. II placer claim comprising Tract 56, described in Deed Re<::orded in Bo:>k' 2401 pag·e 193 of County Records of Garfield County, Colorado, as it may lie in the 11/2/l/2. Buck Canyon Mo. 12 placer claim comprising Tract 57, described in Deed Re:orded in 8Gok 240,. pagc.-193 of County Records or Garfield County, Colorado, as it may lie in the 11/2; lr21ct NO. 68, formerly descrjbed as the SW/4NW/4. in Deed Recortli!d in Bo~k 2S7, page 449 of County Records of G~rfic1d County. Colorado, end any part lying 1n the S/2NW/4NW/4. Tnct No. 68, formerly described as the SE/4NW(4 and S/WE/4, in Deed Recorded in Book 257 1 pagi? .449 of Coun:;.y Record.s. of Garfield County, Colorado, and any part _lying in the N/WE/4, S/2N/Zlff/4, and S/1NE/4NW/4; W/ZNW/4, llW/4SW/4 and l~E/4SW/4, aka parts of Tracts 72, 73, 75, and that port of Tract 77-C as .it covers any part of the W/2W/1 llW/4SW/4. NE/4N~/4 and SE/411E/4; aka ·part of Tracts 72 and 44. SE/4SE/4 (now Tract 110). The Southwest Quarter of th~ Southwest ~uarter {SW/4SW/4), the Southeast Quarter of the Horth•'est Quarter (SE/4NW/1) and the East One-Half.of the Southwost Q"rter (E/ZSW/4). SE/4SW/4 and W/2SW/4SE/4, aka Tract 51; and SW/4SE/4 and W/2S£/4SE/4, ak• Tract· 52; and any_part of Tract 50 lying in the S/ZS/2S/ZSW/4SW/4. W/2 comprising Tract 50 being tho J7.19 acres being the Nlf/4HW/4, •nd that part of Tract 51 covering the E/2NW/4 and SW/4HW/4; and Tract 55 being the J7.4> acres being the Ml/4SW/4; and Tract 56 b•ing the 117.63 acres covering the E/2SW/4 and SW/4SW/4 less lots 8 and 9; and also Lot 8 being the 1.34 acres tn the S/25/2S/1SW/4; and lot 9 being the 1.70 acres in the S/15/25/1SW/4; Also the W/ZNE/4 comprising Tract 12. . Tract 17 cornpri1tn~ Lots 2, 3 and 4 and ·the SE/4SW/4, and contairing 153.14 acres, aid as it may Include any part of the W/2SW/4SE/4. NW/4, N/2NE/4, 5W/41!E/4, fffj4SW/4 and lots 4, I and 6, with lot 4 aka 41.14 acres being the SE/4SW/4, lot I aka 40.13 acres being th~ SW/4SE/4 and Lot 6 aka the •o.oo acres b•ing the SE/4SE/4. N/211W/4 and lat 3; with Lot 3 aka 40.00 <eres bein9 the SW/4SW/4. SW/4SW/4; SW/4NW/4; and W/ZSW/4. -10-... ·, ~{'l:;i·C'.~~~-~·''.' <·::.-. ·· .. ~ .. ~-· : .. : ... >: ~- ·. .,-. i':'··. i· ~-· '" !?:·• ,, .. f:~:­ f. t T7S-R98W Sect i(ln 4: Sei:tiori 10: Soction 11: Section 13; Section 14: Section 15: Section 23: Sec!ion 24: Section 25: Stcticr. 35; Section 4: Section· 5: . -.,.--··:~-. . . .'::· ·:-. .-.... -·.· . Garfield Count/, CO E/25t/4; lot I; SE/411£/4; and an that p.irt 1.r lot ?. and of tho SW/4NE/IJ lyfng on the easterly .;.ide of the C<:nll'r of the? chal'lncl of Roan Creok, containing 115 acres more or less, 11ith lot I ata 39.93 acres being the llE/4~E/4. llW/4; W/211'/4; Tho west 70 acres of tho SE/4; A tract or land in the SH/4, desi;ribed as begi.·1nir.9 at th~ center of said Section 10, said point beln9 markl!d l>y the corn<r of a fenco as now constructed and in us(J llll1d by i1 stone monument now in place~ from wi11ch po;nt the section corner com11on to S~ctions 10, ll, 14 and 15, T7S-R96~ of the 6th P.M., bears s. 44'3S' E. 3731 feet, thence on tho II. lino of th• said SH/'-of S&ction 10, II. 69°36' W. 1485 feet to the· easterly bank of Roan Cree~, thence along s~id ~aiterly bank. of Roan Creek, S. ?.9'12' E, 230 feet, thenc!! tl. 81°45 1 E. 180 feet, thence S. 19''\IO' C. 560 feet, thence S. 76°50' E. 290 feet, thence S. 43°10' H. 60 feet, th'·"'' s. 76"50' E. 70 feet, then::e S. 22°45' E, 34i feet, thence S. 63(30' E. 275 foot, thence S. 24°55' £, 168 feet, thcnte s. 49°55' E. 135 feet, the:ice S. 19ei45i H. 330 feet, th1tnt<: lC"a'iing the sa1d edsterly b.:ink of Roo.n Creek N. 71°06 1 E. 251 fc!e:, t.he11ce a.long the cast line of said S\1/4 of Section lOt ff. QC'-29' [. 1791 feet to the pcdnt of beginning, cont:tinfng 28.91 acn?s1 o:otc: or less; Tho east 90 >eras of the SE/4. Sli/4511/4. SW/4SW/4, 1./2/Ul/4; S/111W/4; SW/4; W/2/lE/4; W/1SE/4; SE/4SEl·1. E/2£/1; The east 882 feet of t~• ffW/4NE/4, •ituatoll so,t11 of the Ccunty Road, containing 21.16 acres, more or less, 11</4; .KE/41lW/4. f;W/6; ii/1Sll/4; SW/4NE!4'; ./l/1SE/4; SE/4Sf./4; S/Wi/4; ·SIJ/4SE/4, tiW/4; E/2S~/4; llW/4NE/4; SW/4SE/4; E/2E/2; ;li/4f/E/4; fn.!/4SE/4. H/2SE/•I, S[/<•SE/4 and S/21/E/4; NE/4N~/4; li/1NE/4; NE/4SE/41ill/4 us described In Patent Recordod Book 577, page 918, of ilunty Rucords of Garfiel~ County, Co1oradoi tl/2Nt/4S\·l/i1SE/4 as described io Patent RccordP.d Bo•H: ,577, p49e ~1H;, of County Records of Garfield County, Colorado, ·,_ lot 4. Lots 11 2 ar.d 3; 1hat pan of Lots 4 and 5 and of tho South"'"; Quarter of t~e llorthl<est Quarter (SW/4NW{4) in Section 5, To«,,sh·fp 8 South, Range .,96 I/est of the Gth P.M, described as follU\'1S: lle9inning at tho ·11orthl<est corner of said Lot 4, thence South 29'04' Ealt 3120.6 feet to the bank of the Colorado River; t11encf! flortheasterly 1long ·the Easterly lfne of satd Lot 5 to the llortheast corner thereof; thence I/est along the North llne of said Lot 5 to the liorthwoH Corner thereof; thence North along the East line or said lot 4 to ·the Northeast corner thereof; thence I/est along tho North line of .:sold lot 4, to tho point of beginning, containing $3.ll acres. -11- f · .... · ... .I •• ~~ .. _. ".• •' ;;. · ..... "' ~:':-. ....... ~-{:. ·.;.•. ~> .· ' ~ .. {·: .,. Sectfon 3: . Sectfon 4: Section 5: SECtfon 6: Section 6: Section 7: Se.:t ion 9! S~ct icin JO: Section 17: Si?ctfon 18: ]II· R9811 Section 12; .. "•. .. . . .iii;\ '-,! .. ~ .. l'.'.r. ?34 P!'.1119 GJrfield Lounty, CO SW/4SW/4 SW/414W/4; ll{1SW/4; SE/4SW/4 an<! the S/2SE/4; and Lot".4 aka the 39.65 acres being the NW/4NW/4. SE/4NE/4; L>t l oka the 39.53 acres being the NE/41/E/4. Lots 3, 4 and 5; SE/4NW/4; N/2SW/4 aka the NF./4SU/4 and lot 6 being the 36.59 acres being .the NW/4SW/4; S£/4SW/4; SM/4Sf/4; with lot 3 aka the 39.62 acres being the NE/4Ml/4 and Lot 4 aka the 37 .17 acres being the IM/4rlW/4 and lot 5 aka the 39.15 acres being the SW/4NW/4; Lots 12 and 14 containing 4,10 acres, as described in Patent r~corded nook 577 page 919 in County Records of Garfield County, Colorado, · Nf/4; NE/4NW/4; SE/4; ,E/2SW/4; Lots l ond 4, .~1th lot 3 aka 38.9?. acres boing the IM/4SW/4 and Lot 4 ako 30.Bl acr•s being tho SW/45~/4\ llE/4 and .E/11lW/4. ~/2flW/4. That.part"~:! 11/ZNW/~ :'J:ylng.,in Garfield Cou11t.v. tolorado, Jl£/4NEt~: lylng-..in Gar·fte·t~·:·county; -,,. ::" That poft of .sei4Nf/4'.an~ W/.2Nf/4 lying .1r1 G.,ffold County. SE/4. ·: :-: .:.: .'· ~ .. .. ·.:-:·-· ~ '.:·:- . ·'·.'"' ::·_ ·:.-. ··~ •_: .. ~ .. . . . ~;·:· · ... . :; : .·: .·: "...-.·. . '-·~· ... ..... · .... ·.-... End of'E%fai(••:i•; ·. ·· -12---· ....... .. : ~ ..... · .. ·· .... Bond No.: 6516907 RECLAMATION (REVEGETATION) BOND KNOW ALL MEN BY THESE PRESENTS, that the undersigned Chevron U.S.A. Inc. as Principal and Safeco Insurance Company of America as Surety are held and firmly bound unto Board of County Commissioners of Garfield County, Colorado, as Obligee in the penal sum of Five Thousand and No /00-($5.000.00) for the payment of which, well and trnly to be made the said principal and the said Surety, bind themselves, their h~irs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has applied for a Temporary Employee Housing Special Use Permit and the Garfield County Vegetation Director has required a Revcgctation bond securing Principal's performance under the "Garfield County Weed Management Plan" and the Principal' s "Special Use Permit Application" as a condition of approval of the Special Use Permit for Temporary Employee Housing, all as more specifically set out in the Garfield County's Building and Planning Department report dated August 13, 2007. NOW, THEREFORE, if such permit is granted and if the Principal shall faithfully perform its duties under the terms of the permit, then this obligation shall be null and void, otherwise to remain in foll force and effect. PROVIDED, that if Surety shall so elect, this bond may be cancelled as to subsequent liability by giving thirty (30) days notice in writing to both the Principal and Obligee. IN WITNESS WHEREOF, the Principal and Surety have hereunto set their hands and seals this 22Nu day of August, 2007. The effective date of this bond is August 22, 2007. Chevron U.S.A. fo~. (Seal) ~t.~ ~·l-l··f4~,~ ~ ctwvrt.'A U,S,A £\s.< i}'f~{. 11.Gt'-HHe y . Satcco Insurance Company of Amcnca (Seal) [J)c.~· Edward C. Spector, Attorney-in-fact State of California County of Los Angeles On August 22 • 2007 before me, M. Gonzales, Notary Public , personally appeared Edward c. Spector personally known to me (-er--proved te-me-eR-t-Ae basis of satisfactoP,' evidence) to be the person~ whose nam~ is/are-subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(-ies-), and that by his/her/their signature(-6) on the instrument the person(-sj, or the entity upon behalf of which the person(-sf acted, executed the instrument. WITNESS my hand and official seal. POWER Safeco Insurance Company of America General lnsurancu Company of America Safeco Plaza OF ATTORNEY Seattle. WA 98185 KNOW ALL BY THESE PRESENTS: Thal SAFECO INSURANCE COMPANY OF AMERICA and GENERAL INSURANCE COMPANY OF AMERICA, each a Washington corporation, does each hereby appornt "'""''""'"E. S. ALBRECHT JR.; TRACY ASTON; TOM BRANIGAN; K. D. CONRAD; ASHRAF ELMASRY; SIMONE GERHARD; JOYCE HERRIN; MICHAEL R. MAYBERRY;C. K. NAKAMURA; MARIA PENA; WILLIAM A. SADLER; EDWARD C. SPECTOR; MARINA T/l.PIA; LISA THORNTON; BRENDA WONG; Los Angeles, Callfornia••••••••tt••1 •••••••••*'1••1•1111•111•••11••••••••• Its true and 13.wful allorney(s)·ln-fact, with full authority to execute on Its behalf fidelity and surety bonds or undertal<lngs and other documents of a similar character Issued In the course of Its business, and to bind the respeclive company U1ereby. IN WITNESS WHEREOF, SAFECO INSURANCE COMPANY OF AMERICA and GENERAL INSURANCE COMPANY OF AMERICA have each executed and attested these presents this 19th July 2007 -------------day of ,,d/,1p/~Mi ~).J.4bl<-/ • -rAJ)·lM_.,.Qt~>,_,~Q,A . STEPHANIE DALEY-WATSON.SECRETARY TIM MIKOLAJEWSKt, SENIOR VICE.PRESIDENT, SURETY CERTIFICATE Extracl from Uie By·Laws of SAFECO INSURANCE COMPANY OF AMERICA and of GENERAL INSURANCE COMPANY OF AMERICA: "Artlclo V, Section 13. • FIOWTY AND SURETY BONDS ... the President, any Vice President, the Secretary, and any.-Assistanl Vice Presldenl appolnled for lhat purpose by the officer In charge of surely operations, shall ei'lch have aubarity ta appoint Individuals as altomeys-ln-fact or under other appropriate titles with aulhorfly to execule on· behalf of the company fidelity and surety bonds and olher docurnenls of similar character Issued by the company In the course of Its business ... On any Instrument making or evidencing such appointment, the srgnatures may be affixed by facslmlle. On any Instrument conferring such authorlly or on any bond or undertaking or lhe company, the seal, or a facsimile thereof, may be Impressed or atnxed or In any other manner reproduced; provided, however, that the seal shall not be necessary lo lhe validity of any such Instrument or undertaking." Extract from a Resolution of the Board of Directors of SAFECO INSURANCE COMPANY OF AMERICA and of GENERAL INSURANCE COMPANY OF AMERICA adopted July 28, 1970. "On any cerliHcate executed by the Secretary or an asslstanl secretary of the Company setting out, (I) The provisions ol Article V, Secqon 13 of the By-laws, and (II) A oopy of the power-of·allorney appolnlmen~ executed pursuant thereto, and (ill) Certifying that said power-of-attorney appointment Is In M force and effect, Ole signature of the certifying officer may be by facslmlle, and the seal of the Company may be a facslmUe thereof.• I, Stephanie Daley.Watson , Secretary of SAFECO INSURANCE COMPANY OF AMERICA and of GENERAL INSURANCE COMPANY OF AMERICA, do hereby certify that the foregoing extracts of the By.Laws and of a Resolution of U1e Board of Directors of these corporaUons, and of a Power of Attorney Issued pursuant thereto, are true and correct, and that both the By·laws, the Resolutlon and the Power of Attorney are still In full force and effect. JN WITNESS WHEREOF, I have hereunto set my hand and affixed the facslmlle seal of said corporation this 22nd day Of STEPHANIE DALEY-WATSON, SECRETARY Safew® and the Safeco logo are reglshuad tadamark$ of Safeco Corporation. S.0074/DS 41()5 WEB PDF CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT Q<~.sX~PCQU~.<X'-0<'.C<'.OC-O<"..c<'.<:<'¢~,G(>.<xx:oo<>.c<'~~ State of California Countyof ~ ~ On lht~1tsf0:1. 7601 before me, /h.vt €,':J};;1,00N:f:::100~~,~~1;c1 personally appeared-~~~~~~:~~~~-~-~· -~~q~~~~~~~~---~~----- Place Notary Seal Above Name<s> of Signer(s) .@"personally known to me n (or proved to me on the basis of satisfactory evidence) to be the personM whose nam~ subscribed to the within instrument and ack~o~dged to me that ){et@!~ executed the sam~. ~@~ir authorized capacity~, and that by J(S~ir signature~ on the instrument the person~ or the entity upon behalf of which the personi,)(acted, executed the instrument. WITNESS my hand and official seal. Though Ifie information below is not required by /aw, it may provo valuable to persons relying on the document and could prevent fraudulent removal and reattacl1ment of this form to anoll1er document. Description of Attached Rocument ~ \ 1 Title or Type of Document: /<JL.d41HA'fJtn, {&,c1.eJ1 ~' /\b. ~S"'2Cf O] Q" /r~~~~~~--1--- Docu men t Date: ~utf l1-1 ?ffD1 Numberol Pages: _ __,_ _____ _ Signer(s) Other Than Named Above: ~(_a:....-"----------·----------- Capacity(ies) Claime~ Slgner(s) 1 Sgner's Name:cT.e.NJl'\1 J. ~~~Ju~.~,f.o __ _ '.] Individual A--s~1~ y-'Corporate Officer -Title(s): T~ · ! Partner -IJ Limited D General I Attorney in Fact 0 Trustee 0 Guardian or Conservator 0 Other: s~~resenling: tJ.>. It . .h.c - RIGHT THUMBPRINT OF SIGNER Top of tl111mh here Signer's Na LI Individual RIGHT THUMBPRIITT OF SIGNER Top or :humh hero c::;c<&"":'.'V"'""'°"'<::JVC<l<;:<;~_;;;;g;;;w~c;;:;s:;;;c9(!.~~"g.,~g.,~qvu;;c;x;x:::N"""'u;:;~~~g \\:1 ?006 National Nolary A$SO<;fation • 93SJ Do Soto five .. P.C. Box 2·102 • ChatSl\'01111. CA 91313·2402 Item No. 5907 RcOldcr: Call Toll·Frco I ·600·876·6827 COGIS -Surety Detail COMPANY DETAIL REPORT for Surety ID: 1995-0031 CHEVRON USA INC -#16700 6001 BOLLINGER CANYON RD SAN RAMON , CA 94583 USA SURETY DETAIL INFORMATION Surety ID: 1995-0031 Status: ACTIVE Operator Number: 16700 Bond Amount: $25,000.00 Instrument: INSURANCE Instrument Number: USO 61 57-65 Coverage: BLANKET Bond Type: SURFACE Limitation: 0 Deposit Number: POPA Number: Received Date: 8/25/1995 Approved Date: 8/29/1995 Maturity Expire Date: FA Provider Number: 89199 FA Provider Name: TRAVELERS CASUAL TY AND SURETY COMPANY OF AMERICA Deposit Date: Release Request Date: N/A Release Date: NIA Page I of I 7/15/2013 CUfton Sanitadon District Wastewater Discharge Permit In compliance with the provisions of the Rules and Regulations of the Clifton Sanitation District, herein referred to as the District, Mountain West Oil Field Service (herein referred to as the "Permittee") whose facility is located at 864 20 Road Fruita, CO 81521 with a mailing address of P.O, Box 670, Vernal UT 84078, is authorized to discharge to the sanitary sewer system in accordance with the effluent limitations, monitoring requirements and other conditions as set forth herein and in the Waste Hauler Agreement No. 11-001 . This permit shall become effective on July 18, 2013. This permit shall expire at midnight August 1, 2015. If the Pennittee desires to discharge after the expiration date, the Permittee shall request a permit application form from the District within 90 days of expiration of this permit. The application shall be submitted to the District within 30 days of receipt of the pennit application form by the Pennittee. This permit is not transferable. All reports and notifications required by this pennit and the District's Rules and Regulations shall be made to the address and telephone number below: Signed this J1_ day of y, 2013. (' 17kll-ti Brian Woods District Manager Clifton Sanitation District Brain Woods, District Manager 32170 Road Clifton, CO 81520 (970) 434-7422 Receipt of this Wastewater Discharge Permit is hereby acknowledged by: ~ A t1 lJ. Q.~ /7 "ki~.,.2¢J> A1ltil:tR~tivc of the Permittee Date Clifton Sanitation District Wastewater Discharge Permit ORIGINAL In compliance with the provisions of the Rules and Regulations of the Clifton Sanitation District, herein referred to as the District, Mountain West Oil Field Service (herein refe1Ted to as the "Permittee") whose facility is located at f.41/ 1.o «> mailing address of P.O, Box 670, Vernal UT 84078, &111TA {o with a I 8/S-:J.-f is authorized to discharge to the sanitary sewer system in accordance with the effluent limitations, monitoring requirements and other conditions as set forth herein and in the Waste Hauler Agreement No. 11-001 . This permit shall become effective on March 1, 2011. This permit shall expire at midnight February 28, 2013. If the Permittee desires to discharge after the expiration date, the Permittee shall request a permit application form from the District within 90 days of expiration of this permit. The application shall be submitted to the District within 30 days of receipt of the permit application form by the Permittee. This permit is not transferable. All reports and notifications required by this permit and the District's Rules and Regulations shall be made to the address and telephone number below: Signed t~!' _L daJ: ofi:iarc".)011. ~(L/~ BriatlWOOdS District Manager Clifton Sanitation District Brain Woods, District Manager 3217 D Road Clifton, CO 81520 (970) 434-7422 Receipt of this Wastew ter Discharge Permit is hereby acknowledged by: t',5·-~/-')..(.) d Date I. OUTFALL AND WASTE DESCRIPTION Outfall 001 Description and Location The discharge shall be made into the wet well located at 3209 D Road inside the building as shown in Attachment I. Waste Description: The Permittee is authorized to discharge wastewater that is solely domestic waste. The domestic waste is generated from the temporary living quarters of gas and oil field personnel. The wastewater is generated through the use of showers, sinks, toilets and washing machines. _It is collected on site in a holding tank that is pumped by the Permittee and brought to the discharge location. II. EFFLUENT MONITORING AND LIMITATIONS A. Dilution Prohibition The Permittee shall not increase the use of clean water or process water or, in any way, attempt to dilute a discharge as a partial or complete substitute for adequate treatment to achieve compliance with any applicable limitation, standard or requirement. B. Specific Effluent Limitations I. Effective immediately, the Permittee shall not discharge wastewater containing any of the materials and substances in excess of the concentrations listed in the Table below. The Permittee shall monitor at the frequency shown. 2 Director's Determination 08/30/13 MOL PROJECT INFORMATION AND STAFF COMMENTS TYPE OF REVIEW: Minor Temporary Employee Housing (FPAA 7596) APPLICANT (OWNER): Chevron USA Inc. REPRESENTATIVES: Julie Justus/Chevron USA Inc. PROPERTY SIZE/SUBJECT SITE: 4,678 acres/1.7 acres LEGAL DESCRIPTION: PRACTICAL DESCRIPTION: ZONING: Portion of Tract 112 in the SWNW of Section 34, T6S, R98W (Parcel No. 2167-212-00-008) 0.6 miles north of the intersection County Roads 204 and 211 Resource Lands -Gentle Slopes I. GENERAL PROJECT DESCRIPTION The Applicant (Chevron) seeks a Land Use Permit for the Skinner Ridge Minor Temporary Housing facility (TEH) to house 9 to 24 personnel for the purpose of natural gas drilling operations. Chevron obtained approval from the Colorado Oil and Gas Conservation Commission (COGCC) for four new underground injection wells for the disposal of produced water. The site selected for drilling cannot accommodate TEH for drilling crews without significant enlargement and disturbance and therefore employees are proposed to be housed off-site. The Applicant has represented that the facility will be on-site for less than one year, will have water hauled to the site, and a vault-and-haul scenario for handling sewage and wastewater. II. LOCATION AND SITE DESCRIPTION The TEH facility will be situated on an existing 1.7 acre well pad (Chevron Shale W11-34, API: 05-045- 6682) located approximately 0.6 miles north of the intersection of County Roads 204 and 211 and approximately 10 miles south of the active drilling location. The site has access to County Road 211 by a private driveway. The proposed facility will be located entirely within Chevron property and will be operated by Chevron. The Applicant owns all the surface and minerals of the subject site. The facility will be on- site for approximately four weeks; commencing when a County permit is issued. The employees will occupy the facility in 12 hour shifts (six on duty/six off duty) such that six individuals will be housed at the facility at any given time. The site will contain the following: • Two 14 foot by 60 foot trailers; • One 3,440 gallon water tank; • Two 1,900 septic tanks; and, • 30 cubic yard dumpster. MANCAMP SITE PLAN LECAL LOCATION: TRACT 112 (NW 1/4) SECTION 34, TSS, R98W, STH PM GARFIELD COUNTY, COLORADO PROPOSEOTEMPORMY CHEVRON U.S.A. INC. PROPERTY &. FOUND REBAR RC25 I Housing Facility: The Applicant represents that Mountain West Oil Field Services and Supply (Mountain West) will supply and set up the two 14' x 60' skid-mounted trailers on-site. Each trailer will have a common living and kitchen area, two bedrooms (each with three beds), and two bathrooms. Estimated Dates of Operation: The facility is anticipated to be on-site September 10, 2013 and removed on September 24, 2013. 2 Water: The Applicant is proposing one 3,440 gallon potable water tank that will be stored inside a metal sea box container. The potable water will be hauled to the facility by Mountain West who is a certified potable water hauler registered with the Colorado Department of Public Health and Environment (Permit No. CO 0252516). Mountain West will install and service the potable water system and maintain records of any water testing (source and on-site) and will make those records available upon request. Mountain West will obtain water from an approved water source. The primary and secondary water sources the Applicant proposes are: • Primary: Ute Water District located at 20 Road Fill Station, 1275 20 Road, Grand Junction, CO • Secondary (if necessary): City of Grand Junction, Fill .Station at City Shops located at 333 West Avenue, Grand Junction, CO The Applicant has provided a letter from Mountain West stating that they will provide potable water hauling services for Chevron. Sewage and Wastewater: The facility will have two 1,900 gallon tanks, one for each trailer, equipped with beacon light alarms for overflow protection. Each of the two systems is designed for a minimum of 75 gallons of wastewater per person per day or 450 gallons per person six per day for each unit. Each wastewater tank has capacity to service six occupants for about four days. Actual usage will vary depending on individual crew members. The system will be serviced every Monday, Wednesday, and Friday, or emptied as necessary, for the duration of occupancy. The wastewater will be disposed by vault and haul services provided by Mountain West and disposed at the Clifton Sanitation District located at 217 D Road, Grand Junction, CO (NPDES Permit C00033791). The Applicant has provided a letter indicating that Mountain West will provide the sewage hauling service for this facility. Solid Waste/Trash: One 30 cubic yard wildlife proof refuse container will be brought on-site to manage miscellaneous solid waste, refuse and trash. Trash services will be provided by Redi Services, LLC located at 2143 Airport Road, Rifle, CO. Trash will be disposed atthe Garfield County Landfill. No food will be stored outdoors and all food wastes will be disposed in the designated trash receptacle. No "Will Serve" from Redi Services, LLC was provided in the application. As a condition of approval, staff recommends that this be provided prior to the issuance of a Land Use Change Permit. Fire: Each trailer is equipped with smoke alarms at each of the sleeping areas. ABC type fire extinguishers are provided with each unit. Smoking is only permitted in designated smoking areas at least 35 feet from any vegetated areas. Each housing unit is equipped with carbon monoxide monitors. Utilities: Electrical service is provided by an existing power pole and electrical box situated at the northeast corner of the well pad. An underground electric line was installed previously from the electrical box to the west side of the pad where the proposed housing units will be installed. State electrical permitting and hookups will be managed by Mountain West. 3 Ill. ZONING AND ADJACENT LAND USES The subject property and Permitted Site are zoned Resource Lands -Gentle Slopes and are adjacent to other parcels that are zoned Resource Lands and Public Lands. Surrounding land uses include natural gas development, agriculture, and wildlife. IV. REFERRAL AGENCY COMMENTS The application was referred to the following County Departments for their review and comment as per Section 4-301 (A)(4) and notification was given to all adjacent property owners and mineral owners of the proposed application as per Sections 4-103 (B)(2)(c), 4-103 (8)(3). Comments received are noted below. • Garfield County Sheriff -No issues with the application. • DeBeque Fire Protection District -No issues with the application. • Bureau of Land Management -No comments received. V. REVIEW STANDARDS & STAFF COMMENTS The Minor Temporary Employee Housing application is being processed in accordance with Section 4-107, Minor Temporary Housing Facility and Section 4-103, Administrative Review of the Land Use and Development Code (LUDC). The criteria used to review the application are set forth in Section 7-706. Section 7-706 Temporary Employee Housing Facilities, Minor A. Federal, State, and Local Laws and Regulations Staff Comment: The Applicant states they will adhere to this section of the LUDC. B. Notification of Facility Installation and Removal Staff Comment: The Applicant will notify the Garfield County Sheriff's Office and DeBeque Fire Department at least 24 hours prior to installation and removal of the proposed Minor Facility. The Garfield County Development Department will be copied on all such notification. C. Water Systems Staff Comment: The Applicant indicates as follows: 1. The water system will be compliant with all applicable State and local laws and regulations and abide by all standards set forth in Section 7-705.B. of the Garfield County Land Use and Development Code. 2. Not applicable. 3. Mountain West will install and service the potable water system at this facility. a. The water hauler will maintain all records demonstrating the water supplied is from an approved source and provide those records to Garfield County upon request. b. Not applicable. c. Mountain West is authorized to provide potable water systems and services under CDPHE's Public Water System Identification Number: C0-0252516. d. The potable water system will comply with all State regulations at all times during operations. 4. The potable water be will safe at all times by implementing a-d above. D. Wastewater Systems Staff Comment: The Applicant indicates as follows: 1. Wastewater systems will comply with all applicable State and local laws and regulations and will abide by all standards. 4 2. Wastewater will be disposed by vault and haul services provided by Mountain West, see "Will Serve" letter in application. The Clifton Sanitation District will receive the wastewater. a. All roads to the proposed location, including the pad access, are well maintained year around by Mesa and Garfield Counties and/or Chevron and are easily accessible 24/7 and 365 days per year. Access to the well pad is secured by locked gate to prevent public access. A Garfield County Driveway Permit can be found in the application. b. Mountain West agreement to provide and service the systems is found in the application. c. Mountain West will maintain all records associated with wastewater maintenance and disposal. d. Mountain West will maintain all records and provide those records to Garfield County upon request. e. The proposed TEH and associated wastewater system is not expected to be on location for approximately four weeks. In no case shall the TEH be on-site for more than one year. f. This is addressed in Section II of this report. E. Clean, Safe, and Sanitary Condition Staff Comment: The Applicant indicates that the facility will be maintained in a clean, safe, and sanitary condition at all times. No hazardous or noxious materials would be used or stored at the site. F. Trash and Food Storage Staff Comment: This is addressed in Section II of this report. G. Fire Protection Staff Comment: This is addressed in Section II of this report. H. No Domestic Animals Allowed Staff Comment: No domestic animals will be permitted on-site. I. Removal of Facility. Staff Comment: The Applicant will remove all housing structures, potable water and wastewater tanks, and trash bins immediately following completion of drilling activities. Electrical infrastructure will remain on location for future use. Upon removal of the facility, Chevron will provide Garfield County Community Development Department with photographs, signed and dated by Chevron's Compliance Office (Julie Justus) as evidence that all housing structures have been removed with the specified 10 day timeframe. VI. RECOMMENDED FINDINGS Should the Community Development Department Director approve the request for a Minor Temporary Employee Housing, staff suggests the following findings: 1. That the proper public notice was provided in accordance with Section 4-103 of the Land Use and Development Code. 2. That the review of this application was extensive and complete, that all pertinent facts, matters and issues were submitted or could be submitted and that all interested parties had 5 an opportunity to be heard before the given Director's Determination approval date of August 30, 2013. 3. That for the above stated and other reasons the proposed amended final plat are in the best interest of the health, safety, convenience, order, prosperity, and welfare of the citizens of Garfield County. 4. That with the recommended conditions, the application will be in general conformance with the 2030 Comprehensive Plan. 5. That with the recommended conditions, the application will adequately meet the requirements of the Garfield County Land Use and Development Code, as the same has been amended at the time the application was deemed by the Community Development Department to be technically complete. IV. STAFF RECOMMENDATION Staff supports the finding that the Minor Temporary Employee Housing satisfies the requirements and standards of the Garfield County LUDC and recommends that the Director of Community Development approve the requested Skinner Ridge Minor Temporary Employee Housing with the following conditions: 1. That all representations of the Applicant shall be considered conditions of approval unless amended herein. 2. The Minor Facility shall comply with all applicable Federal, State, and local laws and regulations. 3. Prior to the issuance of a Land Use Change Permit, the Applicant shall provide to the Community Development Department a "Will Serve" letter from the hauler that picks up and disposes of the solid waste/trash for the facility. 6 Bill To: Garfield County Road and Bridge Department P.O. Box426 Rifle, CO 81650 Phone-(970)625-8601 Fax-(970)625-8627 Invoice Driveway Permit Number: GRB08-D-46 Invoice Date: 5/11/2008 Chevron U.S.A. P.O. Box 36366 Houston , TX 77099 $75.00 per Driveway Permit. Driveway Permit Fee: $75.00 ----- Total Due: $75.00 Thank You! f--- Garfield,__County J Application for Driveway Permit Person Obtaining Permit: Chevron U.S.A. Application Date: 511212008 County Road Number: 211 District: Rifle Permit Number: GRB08-D-46 Termination Date: 611212008 l11spector: Jake Mall hereby requests permission and authority from the Board of County Commissioners to construct a driveway approach (es) on the right-of-way off of County Road.J.!1.6 miles North of CR 204 & CR 211, located on the West side of road for the purpose of obtaining access to property. Applicant submits herewith for the consideration and approval of the Board of County Commissioners, a sketch of the proposed installation showing all the necessary specification detail including: I. Frontage oflot along road. 2. Distance from centerline of road to property line. 3. Number of driveways requested 4. Width of proposed driveways and angle of approach. 5. Distance from driveway to road intersection, if any. 6. · Size and shape of area separating driveways if more than one approach. 7. Setback distance ofbuilding(s) and other structure improvements. s: No unloading of equipment on county road, any damage caused to county road will be repaired at subdivision expense. 9. Responsible for two years from the date of completion. General Provisions I) The applicant represents all parties in interest, and affirms that the driveway approach (es) is to be constructed by him for the bona fide purpose of securing access to his property and not for the purpose of doing business or servicing vehicles on the road right of way. 2) The applicant shall furnish all labor and materials, perform all work, and pay all costs in connection with the construction of the driveway(s). All work shall be completed within thirty (30) days of the permit date. 3) The type of construction shall be as designated ancVor approved by the Board of County Commissioners or their representative and all materials used shall be of satisfactory quality and subject to inspection and approval of the Board of County Commissioners or their representative. 4) The traveling public shall be protected during the installation with proper warning signs and signals and the Board of County Commissioners and their duly appointed agents and employee shall be held harmless against any action for personal injury or property damage sustained by any reason of the exercise of the Permit. 5) The Applicant shall assume responsibility for the removal or clearance of snow, ice, or sleet upon any portion of the driveway approach (es) even though deposited on the driveway(s) in the course of the County snow removal operations. 6) In the event it becomes necessary to remove any right-of-way fence, the posts on either side of the entrance shall be surely braced before the fence is cut to prevent any slacking of the remaining fence and all posts and wire removed shall be turned over to the District Road Supervisor of the Board of County Commissioners. 7) No revisions or additions shall be made to the driveway(s) or its appurtenances on the right-of-way without written permission of the Board of County Commissioners. 8) Provisions and specifications outlined herein shall apply on all roads under the jurisdiction of the Board of County Commissioners of Garfield County, Colorado, and the Specifications, set forth on the attached hereof and incorporated herein as conditions hereof. 9) Final inspection of driveway will be reqnired upon completion and must be approved by person issuing permit or representative of person issuing permit. The inspection and sign off must be done prior to any CO from the Bnilding and Planning Department being issued. 10) Contractor agrees to all Provisions in Exhibit A. Snecial Conditions: 1. Driveway Width-30ft 2. Culvert required? False Size: by 3. Asphalt or concrete pad required? False Size of pad: 4. Gravel portion required? True Length: lOOft 5. Trees, brush aud/or fence need to be removed for visibility? True 6. Distance and Direction:To be evaluated 7. Certified Traffic Control Required? False 8. Work zone signs required? True 9.· Stop sign required at entrance to County Road In signing this application and upon receiving authorization and permission to install the driveway approach (es) described herein the Applicant signifies that he has read, understands and accepts the foregoing provisions and conditions·. and agrees to construct the driveway(s) in accordance with the accompanying specification plan reviewed and approved by the Board of County Commissioners. Signed: ~~C~he_v_r_o_n~U~.~S~.A~.~~~~~~~~~~~ Address: Telephone Number: ~~~~~~~~~~~~~~ Permit granted 5/12/2008, subject to the provisions, specifications and conditions stipulated herein. For Board of County Commissioners' of Garfield County, Colorado: tibltJJCULJ/ Representative of Garfield County Road and Bridge Signature Specifications I. A driveway approach is understood to be that portion of the county road right-of way between the pavement edge and the property line that is designed and used for the interchange of traffic between the roadway and abutting property. 2. At any intersection, a driveway shall be restricted for a sufficient distance from the intersection to preserve the normal and safe movement of traffic. (It is recommended for rural residence entrances that a minimum intersection clearance of 50 feet be provided and for rural commercial entrances a minimum of I 00 feet be provided.) 3. All entrances and exits shall be so located and constructed that vehicles approaching or using them will be able to obtain adequate sight distance in both directions along the county road in order to maneuver safely and without interfering with county road traffic. 4. The Applicant shall not be permitted to erect any sign or display material, either fixed or movable, on or extending over any portion of the county road right-of-way. 5. Generally, no more than one approach shall be allowed any parcel or property the frontage of which is less than one hundred (100) feet. Additional entrances or exits for parcels having a frontage in excess of one hundred 100) feet shall be permitted only after showing of actual convenience and necessity. 6. All driveways shall be so located that the flared portion adjacent to the traveled way will not encroach upon adjoining property. 7. No commercial driveway shall have a width greater than thirty (30) feet measured at right angles to the centerline · of the driveway except as increased bypermissible radii: No noncommercial driveway shall have a width greater than twenty (20) feet measured at right angles to the· centerline of the.driveway, except as increased by permissible radii. .., · 8. The axis of an approach to the road may be at a right angle to the centerline of the county road and of any angle between ninety (90) degrees and sixty (60) degrees but shall not be less than sixty (60) degrees. Adjustment will be made according to the type of traffic to be served and other physical conditions. 9. The construction of parking or servicing areas on the county road right-of-way is specifically prohibited. Commercial establishments for customer vehicles should provide off-the-road parking facilities. l 0. The grade of entrance and exit shall slope downward and away from the road surface at the same rate as the normal shoulder slope and for a distance equal to the width of the shoulder but in no case less than twenty (20) feet from the pavement edge. Approach grades are restricted to not more than ten percent (10%). 11. All driveways and approaches shall be so constructed that they shall not interfere with the drainage system of the street or county road. The Applicant will be required to provide, at his own expense, drainage structures at entrances and exits, which will become an integral part of the existing drainage system. The Board of County Commissioners or their representative, prior to installation, must approve the dimensions and types of all drainage structures. Note: This permit shall be made available at the site where and when work is being done. A work sketch or drawing of the proposed driveway(s) mnst accompany application. No permit will be issued without drawing, blueprint, or sketch.