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.
Fox Engineering Solutions, Inc.
670 Canyon Creek Drive, Grand Junction, CO 81507
Ph: (970) 250-5505
Email: coloradofox@bresnan.net
Inspection Report for: GM 13-33 Small Temporary Employee Housing
Client: WPX Energy Rocky Mountain LLC
Location: NW 1/4 SW1/4 of Section 33, T6S, R96W, 6th P.M. Garfield County
Conducted By: David Fox, P.E.
Date Conducted: October 13, 2014
Garfield County
Paragraph Article 7-707 Land Use& Development Code (7/15/13)
Reference Characteristic or Standard Description Inspection Comments
A.Within 48 hours following occupation of the Small Facility,
documentation shall be provided to the Community Development
Department, Sheriff’s Office, and relevant fire
protection district(s) that demonstrates and certifies compliance with
the following standards. Notice shall also be provided to these
entities within 48-hours following
removal of a Small Facility.
Not subject to visual inspection and certification by third party
Professional Engineer.
B.General Information reguirements Not subject to visual inspection and certification by third party
Professional Engineer.
C.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.
Colorado Division of Housing certifications noted on Company
trailer, Unit ID. 354085432 with Certification No. 19195,
manufactured by ATCO Structures in 2008; and Driller's trailer,
Unit ID. 11-100621 with Certification No. 22178, manufactured by
Ameritech Building Systems in 2008. All other aspects not subject
to visual inspection and certification by third party Professional
Engineer.
D Water systems shall comply with standards set forth in section 7-
705.B.
The water system at this location is not a public water system, as
defined by the Colorado Department of Public Health &
Environment - WQCC Regulation No. 11. It is not subject to State
permitting requirements. A potable water tank with a capacity of
approximately 4000 gallons and a water meter were located at
the permitted site.
Page 1 of 3
GM 13-33 Inspection
WPX Energy Rocky Mountain LLC
Fox Engineering Solutions, Inc.
October 13, 2014
E.Wastewater systems shall comply with standards set forth in section
7-705.C.
Wastewater disposal at the permitted site will be a vault-and-haul
system. One 4000-gallon sewage holding tank onsite. Sewage
flows estimated to be 300 gallons/day (4 individuals x 75 gpcd).
Sewage holding tanks need to be emptied approximately every
13.3 days (4000 gallons / 300 gallons per day). Wastewater vault
equipped with overflow alarm device.
F.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.
Site appeared to be maintained in clean, safe and sanitary
condition, free of weeds and refuse.
G.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.
One wildlife-proof trash recepacle with a capacity of
approximately 20 cubic yards onsite. Individual refuse containers
in each office/housing structure.
H.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.
Smoke detectors and fire extinguishers (ABC-rated) located in all
factory built non-residential structures. Factory-Built
Nonresidential Structures have a minimum separation distance of
20 ft. One potable aboveground water tank of approximately
4000 gallons capacity on-site. Potable water demand is estimated
to be 300 gallons/day (4 individuals x 75 gpcd). Required fire
suppression demand is 2500 gallons. Dry hydrant connection
observed on water tank.
H.2 Single-station carbon monoxide alarms must be placed in each
Manufactured Home or Recreational Vehicle unit.
Single-station carbon monoxide detectors located in all factory
built non-residential structures
I.Domestic animals are prohibited. No domestic animals observed on-site.
J.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.
This inspection was conducted by a qualified Professional
Engineer licensed in Colorado and certifies compliance with
applicable standards set forth in Article 7.707 of the Land Use and
Development Code (7/15/13), as amended, that are subject to
visual inspection.
Page 2 of 3
Identification & Location Key*
1. Wastewater Aboveground Tank (4000 gal.)
2. Potable Water Aboveground Tank (4000 gal.)
3. Portable Toilets
4. Wildlife-proof dumpster
5. Company Man Office/Housing
6. Driller’s Office/Housing
7. Shed
*Subject to relocation for construction activities
Emergency Contact List:
WPX Office (24 hrs)970-285-9377
Doug McAdam—WPX Drilling 970-618-7340 Cell
Kevin McDermott—WPX Safety 970-309-1195 Cell
Mark Mumby—Spill Contractor 970-260-1576 Cell
WPX Energy Rocky Mountain LLC
GM 13-33 Well Pad
Directions to Site:
Notes:
The well pad site is located in the NW 1/4 SW ¼ of Section 33, T6S,
R96W, 6th P.M. (NAD83 N39.4796° W108.1186° )
The site will temporarily office and house an average of four individuals
during natural gas drilling activities and is expected to be completed in
one year or less. The individuals will occupy two individual trailer
offices/houses located on the well pad. Office/houses have Colorado
Division of Housing compliance tags.
One aboveground sewage holding tank with 4000-gallon capacity on-
site. Sewage flows estimated to be 300 gallons/day (4 individuals x 75
gpcd). Sewage holding tank needs to be emptied approximately every
13 days (4000 gallons / 300 gallons per day). Wastewater vault
equipped with overflow alarm device. WPX Energy utilizes the
services of a licensed contractor to remove and haul the wastewater to
a State certified treatment/disposal facility.
One potable aboveground water tank of approximately 4000 gallons
capacity on-site. Potable water demand is estimated to be 300 gallons/
day (4 individuals x 75 gpcd). Required minimum fire suppression
demand is 2500 gallons. Total potable and fire suppression volume
required is estimated to be 4000 gallons. Water supply appears
adequate with 4000 gallons of storage with refills scheduled at 5 day
intervals. Dry hydrants and water meter observed on water tank.
Road access to the site is maintained year-round through the services
of private road maintenance and construction contractors.
Base mapping by Bookcliff Survey Services. Site features including
housing trailers, water and wastewater tanks, portable toilets and
dumpster were field located. Please note that this is a construction site
and that the locations of drill equipment and other items are subject to
change.
Factory-Built Nonresidential Structures (Office/Housing) have a
minimum separation distance of 20 ft.
GM 13-33 Site Plan
Garfield County, Colorado
Small Temporary Employee Housing and
Septic Permit Application
Applicant: WPX Energy Rocky Mountain LLC
Date: October 13, 2014 Checked: DJF Version: 001
Fox Engineering Solutions, Inc.
670 Canyon Creek Drive, Grand Junction, CO 81507
Ph: (970) 250-5505
Email: coloradofox@bresnan.net
6
1
7
2
4
5
3
35 ft.
From:Meil, Kris
To:"Jim Sears"
Cc:Reed, Gary
Subject:GM 13-33 Rig Move On Notification
Date:Tuesday, October 14, 2014 11:49:00 AM
Attachments:GM 13-33 GARCO Sheriff Letter.pdf
Untitled Extract Pages.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 27 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 33 - T6S T96W .
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
WPX Energy
1058 County Road 215
P.O. Box 370
Parachute, Colorado 81635
(970) 285-9377
10/14/14
Garfield County Sheriff’s Office
Emergency Operations
Attn: Jim Sears
108 8th Street
Glenwood Springs, CO 81601
Ph: 970-945-0453
RE: Emergency Response Notification
GM 13-33 pad
Dear Jim:
This letter is to inform the Garfield County Sheriff’s Department that WPX Energy will soon
commence drilling operations on the above mentioned drilling location. WPX will provide rig
site housing accommodations for the duration of the drilling operation approximately 27 days.
In accordance with Garfield County Planning and Zoning Regulations, the attached
documentation provides emergency response information and driving directions for the WPX
GM 13-33 pad.
Should you have any further questions or concerns regarding this notification, feel free to contact
me at (970)263-6583.
Sincerely,
Kris Meil
Planning Coordinator – Piceance District
Kris.meil@wpxenergy.com
Identification & Location Key*
1. Wastewater Aboveground Tank (4000 gal.)
2. Potable Water Aboveground Tank (4000 gal.)
3. Portable Toilets
4. Wildlife-proof dumpster
5. Company Man Office/Housing
6. Driller’s Office/Housing
7. Shed
*Subject to relocation for construction activities
Emergency Contact List:
WPX Office (24 hrs)970-285-9377
Doug McAdam—WPX Drilling 970-618-7340 Cell
Kevin McDermott—WPX Safety 970-309-1195 Cell
Mark Mumby—Spill Contractor 970-260-1576 Cell
WPX Energy Rocky Mountain LLC
GM 13-33 Well Pad
Directions to Site:
Notes:
The well pad site is located in the NW 1/4 SW ¼ of Section 33, T6S,
R96W, 6th P.M. (NAD83 N39.4796° W108.1186° )
The site will temporarily office and house an average of four individuals
during natural gas drilling activities and is expected to be completed in
one year or less. The individuals will occupy two individual trailer
offices/houses located on the well pad. Office/houses have Colorado
Division of Housing compliance tags.
One aboveground sewage holding tank with 4000-gallon capacity on-
site. Sewage flows estimated to be 300 gallons/day (4 individuals x 75
gpcd). Sewage holding tank needs to be emptied approximately every
13 days (4000 gallons / 300 gallons per day). Wastewater vault
equipped with overflow alarm device. WPX Energy utilizes the
services of a licensed contractor to remove and haul the wastewater to
a State certified treatment/disposal facility.
One potable aboveground water tank of approximately 4000 gallons
capacity on-site. Potable water demand is estimated to be 300 gallons/
day (4 individuals x 75 gpcd). Required minimum fire suppression
demand is 2500 gallons. Total potable and fire suppression volume
required is estimated to be 4000 gallons. Water supply appears
adequate with 4000 gallons of storage with refills scheduled at 5 day
intervals. Dry hydrants and water meter observed on water tank.
Road access to the site is maintained year-round through the services
of private road maintenance and construction contractors.
Base mapping by Bookcliff Survey Services. Site features including
housing trailers, water and wastewater tanks, portable toilets and
dumpster were field located. Please note that this is a construction site
and that the locations of drill equipment and other items are subject to
change.
Factory-Built Nonresidential Structures (Office/Housing) have a
minimum separation distance of 20 ft.
GM 13-33 Site Plan
Garfield County, Colorado
Small Temporary Employee Housing and
Septic Permit Application
Applicant: WPX Energy Rocky Mountain LLC
Date: October 13, 2014 Checked: DJF Version: 001
Fox Engineering Solutions, Inc.
670 Canyon Creek Drive, Grand Junction, CO 81507
Ph: (970) 250-5505
Email: coloradofox@bresnan.net
6
1
7
2
4
5
3
35 ft.
From:Meil, Kris
To:"Rob Ferguson"
Cc:Reed, Gary
Subject:GM 13-33 Rig Move On Notification - Fire District & County
Date:Tuesday, October 14, 2014 11:48:00 AM
Attachments:GM 13-33 Grand Valley Fire Letter.pdf
Untitled Extract Pages.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 27 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 33 - T6S 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
WPX Energy
1058 County Road 215
P.O. Box 370
Parachute, Colorado 81635
(970) 285-9377
10/14/14
Grand Valley Fire Protection District
Emergency Operations
Attn: Rob Ferguson
0124 Stone Quarry Rd
Parachute, CO 81635
Ph: 970-285-9119
RE: Emergency Response Notification
GM 13-33 pad
Dear Rob:
This letter is to inform the Grand Valley Fire Protection District that WPX Energy will soon
commence drilling operations on the above mentioned drilling location. WPX will provide rig
site housing accommodations for the duration of the drilling operation approximately 27 days.
In accordance with Garfield County Planning and Zoning Regulations, the attached
documentation provides emergency response information and driving directions for the WPX
GM 13-33 pad.
Should you have any further questions or concerns regarding this notification, feel free to contact
me at (970)263-6583.
Sincerely,
Kris Meil
Planning Coordinator – Piceance District
Kris.meil@wpxenergy.com
Identification & Location Key*
1. Wastewater Aboveground Tank (4000 gal.)
2. Potable Water Aboveground Tank (4000 gal.)
3. Portable Toilets
4. Wildlife-proof dumpster
5. Company Man Office/Housing
6. Driller’s Office/Housing
7. Shed
*Subject to relocation for construction activities
Emergency Contact List:
WPX Office (24 hrs)970-285-9377
Doug McAdam—WPX Drilling 970-618-7340 Cell
Kevin McDermott—WPX Safety 970-309-1195 Cell
Mark Mumby—Spill Contractor 970-260-1576 Cell
WPX Energy Rocky Mountain LLC
GM 13-33 Well Pad
Directions to Site:
Notes:
The well pad site is located in the NW 1/4 SW ¼ of Section 33, T6S,
R96W, 6th P.M. (NAD83 N39.4796° W108.1186° )
The site will temporarily office and house an average of four individuals
during natural gas drilling activities and is expected to be completed in
one year or less. The individuals will occupy two individual trailer
offices/houses located on the well pad. Office/houses have Colorado
Division of Housing compliance tags.
One aboveground sewage holding tank with 4000-gallon capacity on-
site. Sewage flows estimated to be 300 gallons/day (4 individuals x 75
gpcd). Sewage holding tank needs to be emptied approximately every
13 days (4000 gallons / 300 gallons per day). Wastewater vault
equipped with overflow alarm device. WPX Energy utilizes the
services of a licensed contractor to remove and haul the wastewater to
a State certified treatment/disposal facility.
One potable aboveground water tank of approximately 4000 gallons
capacity on-site. Potable water demand is estimated to be 300 gallons/
day (4 individuals x 75 gpcd). Required minimum fire suppression
demand is 2500 gallons. Total potable and fire suppression volume
required is estimated to be 4000 gallons. Water supply appears
adequate with 4000 gallons of storage with refills scheduled at 5 day
intervals. Dry hydrants and water meter observed on water tank.
Road access to the site is maintained year-round through the services
of private road maintenance and construction contractors.
Base mapping by Bookcliff Survey Services. Site features including
housing trailers, water and wastewater tanks, portable toilets and
dumpster were field located. Please note that this is a construction site
and that the locations of drill equipment and other items are subject to
change.
Factory-Built Nonresidential Structures (Office/Housing) have a
minimum separation distance of 20 ft.
GM 13-33 Site Plan
Garfield County, Colorado
Small Temporary Employee Housing and
Septic Permit Application
Applicant: WPX Energy Rocky Mountain LLC
Date: October 13, 2014 Checked: DJF Version: 001
Fox Engineering Solutions, Inc.
670 Canyon Creek Drive, Grand Junction, CO 81507
Ph: (970) 250-5505
Email: coloradofox@bresnan.net
6
1
7
2
4
5
3
35 ft.