HomeMy WebLinkAbout1.0 Application
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
SMALL TEMPORARY
EMPLOYEE HOUSING
APPLICATION FORM
This Application form must be completed and received by the Garfield County Community Development
Department within 48 hours following occupancy of the Small Facility. In addition, documents shall be
provided to the Sherriff’s Office and relevant fire protection district(s) that demonstrate and certify
compliance with the following standards. Notice shall also be provided to these entities within 48-hours
following removal of a Small Facility. It is the Operator’s responsibility to confirm and obtain verification
that this Application has been received by the Sheriff’s Office and Fire Protection District.
INVOLVED PARTIES
Property Owner Name: ____________________________________ Phone: (______)_______________
Mailing Address: ______________________________________________________________________
City: _______________________________________ State: _______ Zip Code: ____________________
E-mail:_______________________________________________________________________________
Operator’s Compliance Officer
Name: ________________________________________________ Phone: (______)_________________
Mailing Address: ______________________________________________________________________
City: _______________________________________ State: _______ Zip Code: ____________________
E-mail:_______________________________________________________________________________
PROJECT NAME AND LOCATION
Location of Housing Site (Section/Township/Range): S____________ T____________ R___________
Well Pad Number: _________________________ Assessor’s Parcel Number: __________________
Zone District: _____________ Maximum Number of Permitted Occupants: ______________________
Number of Days the Facility will be at Location: ____________________
State or Federal Permitting Agency Overseeing Reclamation, Restoration and Revegetation (Name):
(Name): __________________ (Relevant Permit Number): ___________________________________
Date of Installation: ___________________ Date of Removal: _______________________
24-Hour Emergency Contact (1): ______________________________ Phone Number: _______________
24-Hour Emergency Contact (2): ______________________________ Phone Number: _______________
ELIGBILITY
During times of housing shortage or in remote locations, the use of Factory Built Nonresidential
Structures (as defined under C.R.S. § 24-32-3301, as amended, and Resolution #35 of the Colorado State
Housing Board) utilized for a period of time not longer than 1 year or as otherwise specified, for workers
who are engaged in commercial, industrial, mineral extraction, or highway operations and who are
needed to support the proper execution and safety of the related operations. Temporary Employee
Housing, shall not include Recreational Vehicles, except in a Small Facility. A Small Temporary Housing
Facility shall have all of the following basic characteristics:
Complies Y/N
1. The Small Facility and any associated infrastructure must be completely
contained within a State or Federally-permitted parcel (such as a COGCC-
approved oil/gas well pad) in which reclamation and revegetation are secured
with the permitting agency (Permitted Site); and
2. The Small Facility is located at the Permitted Site for less than a cumulative of 1
year and at the end of the utilization period, all structures, foundations, and
associated infrastructure are completely removed; and
3. The Small Facility shall have an occupancy of 8 or fewer people who are
employees, contractors, or subcontractors of the operator of the small facility
and are needed for on-site safety of the related commercial, industrial,
extraction, or highway operation.
SUBMITTAL REQUIREMENTS.
The application submitted to the County shall contain the following information:
1. A vicinity map indicating the section, township, and range of the subject lot and the location of Small
Facility within the subject lot and the Permitted Site; general relation to surrounding public roads,
private roads, adjacent utility systems, residential development, other actively permitted Small, Minor
and Major Facilities, natural drainage courses and municipalities within one (1) mile of the proposed
Small Facility; north arrow and scale; GPS coordinates and current surface ownership of the subject lot.
The vicinity map shall be presented on a USGS 7.5 minute series quadrangle at a scale of 1”=2000’ or
equivalent, with a topography depicted at a minimum of 40’ intervals.
2. Surveyed layout of the proposed Small Facility within the surveyed boundaries of the Permitted Site,
including at a minimum: sewage and wastewater disposal, trash receptacles, potable water storage, all
other associated infrastructure and all other equipment located within the Permitted Site.
3. Identification of the private and public roadways accessing each Small Facility. Roadways shall be
marked as open, gated, and/or locked (include combinations). Detailed directions, with mileage, shall
be given from the nearest town within Garfield County, nearest Garfield County Sheriff’s Office dispatch
location and responsible fire district headquarters to each Small Facility, along each roadway.
STANDARDS
1. Small Facilities shall comply with all applicable Federal, State (i.e. Building Codes and electrical
permits), and local laws and regulations (i.e. fire code), but are not subject to County Building
Permit.
2. Water Systems.
a. Water systems shall comply with standards set forth in section 7-705.B. Water systems must
comply with all applicable State and local laws and regulations.
b. All potable water systems must include a meter and the Operator must keep a record of the
daily usage.
c. For sites to which potable water is hauled, Operators shall:
i. Keep appropriate records, to be provided to the County upon request, to demonstrate
that water supplied to a site is from an approved source and that wastewater is
disposed at an approved facility.
ii. For water facilities not permitted by the CDPHE, the Operator must conduct monthly
tests (or quarterly if an on-site disinfection system is installed) and maintain records of
potable water samples specific for coli form. Any tests indicating coli form
contamination must be disclosed to the County Public Health Department.
iii. Water systems facilities permitted by the CDPHE must obtain all necessary State permits
or demonstrate that applications for any necessary permits have been submitted prior
to a determination by the County that an application is complete.
iv. Maintain compliance with State regulations at all times during operation.
d. In no case shall unsafe water be used for drinking nor shall raw sewage or used water be
discharged onto the ground surface.
3. Wastewater Systems.
a. Wastewater systems shall comply with standards set forth in section 7-705.C. Wastewater
systems must comply with all applicable State and local laws and regulations.
b. Wastewater may be disposed of using either an OWTS or a vault-and-haul system. A vault-
and-haul system must demonstrate the following:
i. Year-round access is available and maintained for safe and regular access for sewage
hauling vehicles;
ii. The Operator can demonstrate and guarantee an arrangement for hauling sewage;
iii. The Operator will maintain all records, including but not limited to, trip logs/reports and
landfill receipts;
iv. The sewage disposal records will be maintained as public records to be available to the
County upon request;
v. The facility will not exceed a cumulative of 1 year at the approved location; and
4. The facility has been designed to accommodate 75 gallons of wastewater per person per day or an
amount derived from engineered calculations taken from metered usage rates at a similar facility
that has been reviewed and approved by the County.
5. Each Small Facility shall be maintained in a clean, safe, and sanitary condition, free of weeds and
refuse. Any hazardous or noxious materials that must be stored at the Small Facility for operational
or security reasons must be managed in accordance with all applicable Federal, State, and local laws
and regulations.
6. 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.
7. Fire Protection and Suppression.
a. 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.
b. Single-station carbon monoxide alarms must be placed in each Manufactured Home or
Recreational Vehicle unit.
c. A water storage tank is required to provide water to the sprinkler system (if applicable) and
initial suppression activities. The size of the water tank shall be determined based on sprinkler
calculations and initial suppression demands. The relevant fire protection district shall be
responsible for determining the size of the water storage tank. If the Small Facility is not
within a fire protection district, the Operator shall provide at least 2500 gallons of water
dedicated to initial fire suppression which is accessible with a dry hydrant. Required Size of
water storage tank for sprinkler system and initial suppression activities:
________________________ gallons
8. Domestic animals are prohibited.
9. The Operator shall obtain a certification inspection conducted by a qualified professional engineer.
The certification shall verify that at the time of inspection the identified Small Facility meets or
exceeds the requirements of this section.
From:Meil, Kris
To:"Rob Ferguson"
Cc:Reed, Gary
Subject:MV 28-4 Rig Move On Notification - Fire District & County
Date:Tuesday, September 02, 2014 1:17:00 PM
Attachments:BLM Notification Map.pdf
I am notifying you on the attached pad locations we will be commencing drilling operations
in the next few days and these operations will continue for approximately 29 days. At which
time I will notify you of the removal of the employee housing.
This notification is per the GARCO regulations for our pad located in Sec 4 - T7S R96W.
Attached please find a map with directions to the pad lay out and emergency contact
information.
Should you have any questions please let me know.
Thanks,
Kris Meil
WPX Energy
Planning Coordinator
1058 County Road 215
Parachute, CO 81635
(970) 285-9377 x2209
(970) 623-6583 cell
kris.meil@WPXEnergy.com
Uintah Engineering & Land Surveying8 5 So uth 2 00 E a st V e r n al, U ta h 8 40 78(4 35 ) 7 89 -1 01 7 * F A X (43 5 ) 78 9- 18 13
MV 28-4SECTION 4, T7S, R96W, 6th P.M.LOT 5
13 18 10MONTHDA Y YEAR PLAT³ACCESS ROADMAPUELS
WPX Energy Rocky Mountain, LLC
Uintah Engineering & Land Surveying85 South 200 East V ernal, Utah 84078(435) 789-1017 * FAX (435) 789-1813 DRA W N BY : J.M .F . REVISED: 03-11-14SCALE: 1"=2000'
EXISTING ROADS
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From:Meil, Kris
To:"Jim Sears"
Cc:Reed, Gary
Subject:MV 28-4 Rig Move On Notification
Date:Tuesday, September 02, 2014 1:19:00 PM
Attachments:BLM Notification Map.pdf
I am notifying you on the attached pad locations we will be commencing drilling operations
in the next few days and these operations will continue for approximately 29 days. At which
time I will notify you of the removal of the employee housing.
This notification is per the GARCO regulations for our pad located in Sec 4 - T7S R 96W.
Attached please find a map with directions to the pad lay out and emergency contact
information.
Should you have any questions please let me know.
Thanks,
Kris Meil
WPX Energy
Planning FOA III
1058 County Road 215
Parachute, CO 81635
(970) 285-9377 x2209
(970) 623-6583 cell
kris.meil@WPXEnergy.com
Uintah Engineering & Land Surveying8 5 So uth 2 00 E a st V e r n al, U ta h 8 40 78(4 35 ) 7 89 -1 01 7 * F A X (43 5 ) 78 9- 18 13
MV 28-4SECTION 4, T7S, R96W, 6th P.M.LOT 5
13 18 10MONTHDA Y YEAR PLAT³ACCESS ROADMAPUELS
WPX Energy Rocky Mountain, LLC
Uintah Engineering & Land Surveying85 South 200 East V ernal, Utah 84078(435) 789-1017 * FAX (435) 789-1813 DRA W N BY : J.M .F . REVISED: 03-11-14SCALE: 1"=2000'
EXISTING ROADS
LEGEND:
5
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T6S
%
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SEE DETAIL "A"¥
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