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HomeMy WebLinkAbout1.01 Supplemental ApplicationLINN Energy NASDAQ:LINE NASDAQ:LNCO Glenn Hartmann, Senior Planner Garfield County Building and Planning Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 November 24, 2014 Subject: Administrative Permit Application — Minor Temporary Employee Housing for Natural Gas Workers Dear Glenn: Enclosed for your review and processing are three hard copies and one electronic copy of Linn Operating's Application for a Minor Temporary Employee Housing Administrative Permit. The Application requests approval from Garfield County for operation of temporary employee housing quarters to accommodate drilling personnel working on LINN's L-15 well pad on lands owned by Encana Oil and Gas, Inc. The temporary employee housing quarters are proposed for two reasons. First, rental housing in the western Garfield County communities of Parachute, Battlement Mesa, and Rifle is scarce. Second, given the remote location of LINN's well pads on the plateau top, the proposed temporary employee housing quarters would provide our drill rig crew the facilities they need to wash, dine, and sleep near their active drilling location during their 7 -day work week without having to make the long daily commute down the mountain to local communities. The proposed temporary employee housing would therefore promote safety and reduce the volume of vehicle traffic up and down public roads each day. A check for $250 to cover the county's base permit fee has been sent from our corporate office in Houston. The application materials themselves with all of the required information, maps, deeds, legal descriptions, and performance standards are attached here. If you have any questions or comments, please contact me at your earliest convenience at 303-999-4054 or via email at jhirsch@linnenergy.com Sincerely, Juutr2A4vigeil na Hirsch Environmental, Health and Safety Representative Linn Energy/Linn Operating www.linnenergy.com www.linnco.com Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com TYPE OF APPLICATION El Administrative Review ❑ Limited Impact Review ❑ Major Impact Review ❑ Amendments to an Approved LUCP ❑ LIR ['MIR ❑ SUP LAND USE CHANGE PERMIT APPLICATION FORM ❑ Development in 100 -Year Floodplain ❑ Development in 100 -Year Floodplain Variance O Code Text Amendment ❑ Rezoning 0 Zone District❑ PUD ❑ PUD Amendment 8 Minor Temporary Housing Facility 0 Administrative Interpretation ❑ Vacation of a County Road/Public ROW 0 Appeal of Administrative Interpretation ❑ Location and Extent Review 0 Areas and Activities of State Interest ❑ Comprehensive Plan Amendment 0 Accommodation Pursuant to Fair Housing Act D Major 0 Minor ❑ Pipeline Development 0 Variance ❑ Time Extension (also check type of original appllcation) INVOLVED PARTIES Owner/Applicant Name: Encana Oil and Gas, Attn: Jason Oates Mailing Address: 370 17th Street, Suite 1700 Phone: (720 ) 876-3228 City: Denver State: CO zip Code: 80202 E-mail: Representative (Authorization Required) Name: Jenna Hirsch, EHS Representative Mailing Address: 1999 Broadway, Suite 3700 Phone: ( 303 ) 999-4054 City: Denver State: CO Zip Code: 80202 E-mail: jhirsch©linnenergy.com PROJECT NAME AND D LOCATION Project Name: L-15 Man Camp Assessor's Parcel Number: 2135 - 273 _ 00 - 015 Physical/Street Address: Legal Description: NWSW Section 15, Township 6 South, Range 96 West, 6th P.M., Garfield County, Colorado Zone District: R -L Plateau 11.283 Property Size (acres): PROJECT DESCRIPTION Existing Use: Natural gas -producing well pad. Proposed Use (From Use Table 3-403): Temporary employee housing Description of Project: The existing, producing L-15 well pad is in close proximity to where drilling will take place and has ample room to accommodate the temporary employee housing facilities, as there is limited room where drilling will occur. REQUEST FOR WAIVERS Submission Requirements 0 The Applicant requesting a Waiver of Submission Requirements per Section 4-202. List: Section: Section: Section: Section: Waiver of Standards 8 The Applicant is requesting a Waiver of Standards per Section 4-118. List: Section: 7-208 (ISDS) (see section 2.0 of written application) 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. $'Ct Aflachmtn4-3 (surfau-C us -e t grztnncr>f) ature of Property Owner Date 11/24/2014 OFFICIAL USE ONLY File Number: Fee Paid: $ APPLICATION FOR MINOR ADMINISTRATIVE PERMIT GARFIELD COUNTY, COLORADO L-15 WELL PAD TEMPORARY HOUSING FOR NATURAL GAS WORKERS PICEANCE BASIN NATURAL GAS OPERATIONS LINN OPERATING SUBMITTED BY LINN OPERATING November 2014 1 APPLICATION FOR MINOR ADMINISTRATIVE PERMIT: TEMPORARY HOUSING FOR NATURAL GAS WORKERS TABLE OF CONTENTS 1.0 DESCRIPTION AND SPECIFICATIONS FOR THE PROPOSED TEMPORARY HOUSING FACILITY 1.1 Introduction 1.2 Project Location 1.3 Site Plan Description 1.4 Hours of Operation 1.5 Site Access and Anticipated Vehicle Traffic 1.6 Emergency Response 2.0 WATER USE AND WASTEWATER DISPOSAL 3.0 SITE PLANS 4.0 VICINITY MAP 5.0 GARFIELD COUNTY ASSESSOR'S MAPS 5.1 Mitigation of Impacts to Adjacent Landowners and Other Land Uses 6.0 DEED AND LEGAL DESCRIPTION OF PROPERTY 7.0 PERFORMANCE STANDARDS FIGURES REGIONAL MAP SITE PLAN EMERGENCY RESPONSE MAP AND ACCESS ROADS ATTACHMENTS Attachment 1 Garfield County Assessor's Parcel Map Attachment 2 Adjacent Landowners Maps/Surface Ownership Map Attachment 3 Deed to Subject Property, Assignment of Mineral Leases (Surface Use Agreement) Attachment 4 COGCC-Approved APD for L-15 Well Pad 2 APPLICATION FOR MINOR ADMINISTRATIVE PERMIT: TEMPORARY EMPLOYEE HOUSING FOR NATURAL GAS WORKERS 1.0 DESCRIPTION AND SPECIFICATIONS FOR THE PROPOSED TEMPORARY EMPLOYEE HOUSING QUARTERS 1.1 Introduction This Application for a Minor Temporary Employee Housing Administrative Permit is being submitted by LINK Operating (formerly Berry Petroleum Company, LLC) in support of its Piceance Basin natural gas operations, located near upper Parachute Canyon (Figure 1). In brief, LINN Operating (LINN) proposes to install temporary employee housing quarters, which would accommodate drilling personnel working on LINN's operations. Temporary housing quarters would consist of three individual mobile home buildings and would accommodate up to a maximum of 24 individuals, including geologic/drilling technicians, rig crew, and construction/maintenance workers. Employees will work 12 hour shifts for 7 successive days, after which the crews rotate and workers are off for 7 days. The proposed temporary housing quarters would house working crews during their 7 -day work weeks, thereby substantially reducing daily vehicle trips up and down the mountain. One-way travel times between the Town of Parachute and LINN' s working locations are as great as two hours. The proposed temporary employee housing quarters would provide tired staff a safe alternative to driving down the mountain to housing in Parachute, Rifle, DeBeque, or elsewhere after their 12 hour work days/nights are complete. At the end of each 7 - day work week, crews would rotate. 1.2 Project Location LINN's proposed project location is in the southwest quarter of Section 15, Township 6 South, Range 96 West of the 6th Principal Meridian in Garfield County, Colorado. The proposed temporary housing quarters would be located entirely on an existing COGCC- permitted well pad for less than a cumulative 365 days. The housing quarters would be temporary and may relocate when the drilling rig is moved elsewhere on LINN's acreage. The goal is to provide temporary housing quarters close to LINN's active working area/drilling rigs to minimize commuting distances and traffic on local roads. 1.3 Site Plan Description LINN is proposing to install temporary employee housing quarters and any associated infrastructure on COGCC-permitted LINN L-15 well pad on lands owned by Encana Oil and Gas, Inc. The proposed temporary housing quarters would consist of three mobile home buildings (Photo 1) provided by Outpost Office, Inc. In total, the temporary employee housing quarters would accommodate up to 24 individuals. In addition to bedrooms, each mobile home building would include a fully equipped bathroom, laundry machines, a kitchen, refrigerator, 3 dining area, a couch, and a satellite television (Photo 2). Figure 2 provides a site plan showing the proposed layout of the temporary housing quarters on the L-15 well pad. Electric power for the proposed temporary housing quarters would be provided by diesel -fueled electric generators. Potable water and bottled drinking water would be transported by truck, as described in Section 2.0. 1.4 Hours of Operation The proposed temporary housing quarters are scheduled to be in continuous operation 24 hours per day, every day, until drilling is moved to a location elsewhere on LINN's acreage. 1.5 Site Access and Anticipated Vehicle Traffic Access to LINN' s operations and the proposed temporary housing quarters will be via Wheeler Gulch Road from County Road 215, northwest of Parachute. The road is gated and access is controlled by guard shacks at the bottom of the road. From the top of Wheeler Gulch Road, vehicles would proceed north to the L-15 well pad location. Vehicle traffic associated with each of the proposed temporary housing quarters would include approximately 10 light pickup truck trips per day, as well as 6 large truck trips per week for delivery of potable water, removal of wastewater, and removal of trash. 1.6 Emergency Response In order to ensure a safe and timely response to emergency situations, LINN will provide the Garfield County Sheriffs Department, the local fire department, and emergency medical service providers with a detailed map showing the location of the proposed temporary housing quarters, detailed directions to it, and GPS coordinates to facilitate timely response (Figure 3). Since the temporary housing quarters would be located within an active field, roads will be well - maintained and snow plowed in the winter to facilitate vehicle access. LINN will also make best efforts to adequately sign access routes to the rig site/housing quarters at key road intersections. The proposed temporary employee housing sites would be equipped with a cellular phone (assuming there is service) or a satellite telephone to be used to contact emergency response services as needed. A list of emergency contact numbers will be posted at the temporary housing quarters and all personnel occupying them will be informed as to use of the emergency contact list and the cellular/satellite telephone to summon emergency responders, should the need arise. 4 Photo 1. Exterior of Mobile Home Housing Quarters. Photo 2. Common Living and Dining Area in Mobile Home. 5 Photo 3 Typical Approved Fire Extinguisher (Class ABC). In the case of medical emergencies, the type of action taken will depend on the severity of the medical emergency. Should a life threatening medical emergency arise, LINN or its contractors would summon St. Mary's Care Flight for helicopter response. Helicopter landing sites have been established in close proximity to the L-15 well pad temporary housing quarters/drill rig locations. The GPS locations of the landing sites will be provided to both the Garfield County Sheriffs Department and Care Flight. Emergency contact numbers are located at the end of this document. In the case of injuries or medical problems that are not life threatening, the injured worker would either be transported down the mountain in a company/contractor vehicle to the nearest medical center for treatment or transported by ambulance summoned to the site, depending on the circumstances. A well-equipped first aid kit would be located in a central trailer. The proposed temporary housing quarters would be equipped with smoke and heat detecting fire alarms to alert the occupants of a fire. All occupants would be informed as to escape routes and fire extinguisher locations. All of the mobile home units would be equipped with fire extinguishers capable of fighting A, B, and C-type fires. Fire extinguishers would be mounted on the walls or in easily visible locations. Since the proposed temporary housing quarters would be placed on COGCC-permitted well pad that is clear of vegetation, the risk of wildfires would be minimal. Smoking would only be permitted in designated areas adjacent to the housing quarters. Open fires would not be permitted. Only gas grills would be used outdoors. 6 2.0 WATER USE AND WASTEWATER DISPOSAL Potable water would be delivered by truck to each of the proposed temporary employee housing quarters by a licensed contractor, as needed for washing and toilet consumption. Potable water would be obtained from Artesian Water Service, which is certified as potable to meet Colorado Department of Public Health and Environment regulations for public water supplies. Based on Colorado law, the potable water supply for the proposed temporary employee housing quarters is not subject to Colorado Primary Drinking Water regulations (5 CCR 1003-1-1.2). Potable water for the site would be stored in one (1) 3,000 gallon potable water tank, which would be weather-proof and insulated to prevent freezing. The water would then be piped from this tank to the internal plumbing systems of the individual mobile home units. The 3,000 gallon tank would serve all three mobile home units. Potable water would be pressurized by a pump that will deliver water at a pressure of 50 to 60 pounds per square inch to all fixtures in the housing quarters. Accurate records would be kept to demonstrate that the water supplied is from an approved source and monthly records of potable water samples tested for coli form bacteria would be available to the County upon request. The Garfield County Public Health Department would be notified immediately if tests yield coli form bacteria contamination results. Although it would be suitable for drinking, the potable water to be used at the proposed temporary housing quarters is generally intended for washing, laundry, and toilet flushes. Drinking water would be supplied by a vendor in 5 gallon bottles, and delivered as needed. Water deliveries would be via maintained county and well field access roads that will be kept open on a year-round basis. No on-site well water will be required for the project's duration. Wastewater would be temporarily stored in one (1) 4,000 gallon waste water holding tank at the proposed employee housing quarters. This tank would be heated to prevent freezing (Photo 4). Each wastewater holding tank would be equipped with overflow alarms that would be triggered when the tanks reach 80% of capacity. The tank and piping would be made of proper materials, would be water tight, properly sealed or screened to prevent entry and exit of insects and other vermin. The holding tank would be pumped by vacuum trucks (Down Valley Septic) two to three times per week to maintain ample storage capacity. Wastewater haul trips would typically remove up to 4,000 gallons from the holding tank. The wastewater would then be hauled and disposed of (as appropriate) at the Garfield County Landfill. Records of all wastewater haul trips will be maintained on-site to verify the waste was hauled by an approved service and receipts from the hauler will be kept on record. Letters from both the potable water supplier and the wastewater hauler certifying that they will provide service to the rigs associated with the L-15 temporary employee housing quarters are attached. Although Garfield County has required the use of Individual Sewage Disposal Systems (ISDS) for wastewater treatment and disposal, LINN would like to request an exception from this requirement due to the short duration the proposed temporary housing quarters would be used at the proposed site. The proposed temporary employee housing quarters on the L-15 well pad would only be used for less than one year, then would be relocated elsewhere. Given this short- term use, the installation of a septic system or other ISDS is not deemed practical at this time. 7 3.0 SITE PLAN Figure 2 provides a diagram showing where the temporary housing quarters would be located on the L-15 natural gas well pad. LINN's proposed temporary employee housing quarters would not be located within one mile of a state or county roadway. 4.0 VICINITY MAP Figure 3 depicts the location of LINN's operations in relation to nearby roadways on a USGS topographic map. As stated previously, the proposed temporary housing quarters would be installed on COGCC-permitted natural gas well pad, which is flat to very gently sloping. r®aIEe YPAi4N Ulfli Photo 4. Sealed 4,000 Gallon Wastewater Tank in Heated Enclosure. 8 Photo 5. Bear -Proof Trash Dumpster with Steel Locking Doors. 9 5.0 GARFIELD COUNTY ASSESSOR'S MAPS Copies of the Garfield County Assessor's Parcel Maps for the Subject Property, showing LINN's natural gas acreage block are included with this application as Attachment 1. A list of adjacent property owners or those within 200 feet of the Subject Property is provided below in Table 1. The project site is specifically located on Assessor's Parcel Number 213527300015, a tract of land owned by Encana Oil and Gas USA, Inc. Table 1. Name of Owner Address Board of County Commissioners 108 8th Street, Suite 213 Glenwood Springs, CO 81601 Bureau of Land Management PO Box 1009 Glenwood Springs., CO 81602 U. S. NAVAL OIL SHALE RESERVE PO Box 1009 Glenwood Springs., CO 81602 ENCANA OIL & GAS (USA) INC 370 17th Street, Suite 1700 Denver, CO 80202 EXXON MOBIL CORPORATION PO BOX 53 HOUSTON, TX 77001-0053 MOBIL OIL CORP PO BOX 53 HOUSTON, TX 77001-0053 All mineral rights leased by LINN underlying the Subject Property are owned by Encana Oil and Gas, Inc. A copy of LINN's mineral lease agreement with Encana Oil and Gas, Inc. is provided in Attachment 3. 5.1 Mitigation of Impacts to Adjacent Landowners and Other Land Uses The project site is located in a rural area used for livestock grazing and natural gas production. There are no occupied residences or sensitive land uses, such as schools, in close proximity to LINN's operations. The temporary housing quarters would be installed on private land owned by Encana Oil and Gas, Inc. Since the temporary housing quarters would be located on existing natural gas well pad, no new surface disturbance would be generated as a result of its installation and no additional impacts to cattle grazing are anticipated. Since the proposed temporary housing quarters would reduce daily commuting activity, the risk of vehicle -livestock collisions would be decreased. Additional measures that would be taken to reduce impacts to adjacent landowners include: • No alcohol or illegal drugs would be tolerated at any time in this facility; • Guns and other weapons would be prohibited; 10 • Open fires and smoking outside of designated areas would be prohibited to minimize the risk of wildfires; • Compliance with all posted speed limits on access roads would be required or speed will be limited to 25 mph on roads not posted; • No pets would be allowed in the temporary housing quarters; and • A bear -proof trash dumpster and good housekeeping practices would be implemented to prevent animal nuisance problems (Photo 5). 6.0 DEED AND LEGAL DESCRIPTION OF THE PROPERTY LINN Operating is proposing to install its temporary employee housing on lands owned by Encana Oil and Gas, Inc. Included in Attachment 3 is a copy of the Deed for the subject property, and all other appropriate documentation. The underlying purpose of this project is to support LINN's drilling operations for natural gas on property owned by Encana Oil and Gas, Inc. Encana Oil and Gas, Inc. is the sole owner of minerals underlying the subject property. A copy of the assignment of Encana Oil and Gas, Inc.'s mineral leases to LINN is provided here as Attachment 3.The following is a legal description of the subject property: Legal Description: NWSW Section 15, Township 6 South, Range 96 West, 6th P.M., Garfield County, Colorado 7.0 PERFORMANCE STANDARDS The following is a discussion of how the proposed facility would comply with relevant standards outlined in Article VII, Section 7-706 of the Garfield County Unified Land Use Resolution of 2013. Section 7-706 Minor Temporary Employee Housing Facility Standards: A. Given the shortage of affordable rental housing in Parachute and Rifle, and the remote location of LINN 's operations, LINN is requesting a Minor Temporary Employee Housing Facility Permit for its natural gas workers. The proposed temporary housing quarters would comply with all applicable Garfield County building codes, state and federal permit requirements, fire protection district requirements, and fire code requirements. All facilities would be used solely for living quarters in support of LINN's operations and not for recreational purposes. When operations are completed, all housing structures and associated infrastructure would be removed and the lands restored. It is LINN's intention to provide adequate utility and sanitation services to the proposed temporary housing quarters based on sound engineering practices and in compliance with applicable state and local laws and regulations. B. The Sheriff's Office and relevant fire protection district(s) will be notified at least 24 hours prior to installation and removal of the Minor Facility. The Community Development Department will be copied on all such notifications, electronic or by hard copy. 11 C. Water systems will comply with all applicable State and local laws and regulations. All potable water systems will include a meter and LINN will keep a record of the daily usage. Under no circumstances would unsafe water be used for drinking. Potable water would be obtained from a sources certified to meet Colorado Department of Public Health and Environment standards, as described above. Although it would be suitable for drinking, the potable water to be used at the proposed temporary housing quarters is generally intended for washing, laundry, and toilet flushes. Drinking water would be supplied by a vendor in 5 gallon bottles, and delivered as needed. Water deliveries would be via maintained county and well field access roads that will be kept open on a year-round basis. No on-site well water will be required for the project's duration. No raw sewage or used water would be discharged on the ground surface. For sites to which potable water is hauled, LINN will: 1. Maintain accurate records to demonstrate that the water supplied is from an approved source; 2. Conduct monthly tests and keep records of potable water samples tested for coli form bacteria which would be available to the County upon request. The Garfield County Public Health Department would be notified immediately if tests yield coli form bacteria contamination results; 3. Obtain State permits for water systems through CDPHE or demonstrate that applications for any necessary permits have been submitted prior to a determination by the County that an application is complete; 4. Maintain compliance with State regulations at all times during operation. D. Wastewater systems will comply with all applicable State and local laws and regulations. As described in Section 2.0, wastewater would be temporarily stored in one (1) 4,000 gallon waste water holding tank at the proposed employee housing quarters. This tank would be heated to prevent freezing and would be equipped with an overflow alarm that would be triggered when it reaches 80% of capacity. The tank and piping would be made of proper materials, would be water tight, and properly sealed or screened to prevent entry and exit of insects and other vermin. The holding tank would be pumped by vacuum trucks (United Site Services, a.k.a. Down Valley Septic) two to three times per week to maintain ample storage capacity. Wastewater haul trips would typically remove up to 4,000 gallons from the holding tank. The wastewater would then be hauled and disposed of (as appropriate) at the Silt Wastewater Treatment Facility. The facility is not projected to produce in excess of 2,000 gallons of waste per day and access to the site will be maintained year-round for hauling and transportation. Wastewater will be disposed of using a vault -and -haul system that will demonstrate the following: 1. Year-round access available and maintained for safe and regular access for sewage hauling vehicles; 2. A demonstrated and guaranteed arrangement for sewage hauling; 3. Records of all wastewater haul trips will be maintained on-site to verify the waste was hauled by an approved service and receipts from the hauler will be kept on record; 4. The sewage disposal records will be maintained as public records to be available to the County upon request; 5. The facility will not exceed a cumulative of 1 year at the approved location; and 12 6. 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. E. All proposed temporary employee housing sites would be maintained in a clean, safe, and sanitary condition, free of weeds and refuse. Any hazardous or noxious materials stored on site would be managed in accordance with all applicable federal, state, and local laws and regulations. F. All trash and solid wastes generated at the proposed employee housing quarters would be stored in a centralized bear -proof dumpster, which would be made of steel and equipped with locking steel doors. Solid waste from this dumpster would be hauled offsite by a contract waste hauler to the Garfield County landfill. Refuse would be disposed of at least once per week and hauling records made available upon request. Dumpsters will be sized to adequately support the needs of the entire facility. Food storage would be limited to within the proposed temporary employee housing facilities. No outdoor food storage would be allowed. G. As discussed in Section 1.6, each mobile home unit (in the bedrooms) and the kitchen/dining trailer would be equipped with smoke and carbon monoxide alarms to alert occupants in the event of a fire. All Temporary Employee Housing Trailers are certified to meet the state's public safety requirement, and photos of the housing certifications will be provided to Garfield County as soon as possible. All temporary employee housing occupants would be informed as to escape routes and fire extinguisher locations. Each unit would be equipped with fire extinguishers capable of fighting A, B, and C-type fires. Fire extinguishers would be mounted on the walls or in easily visible locations. Residents would be informed as to the potential for wildfires and no open fires would be permitted at the proposed employee housing quarters. Smoking would only be permitted in designated areas near the units and away from brush and other native vegetation. H. No animals will be allowed at the Temporary Housing Quarters. I. 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 will be completely removed. LINN will provide the Director with photos, dated and signed by the LINN's compliance officer, indicating that all housing structures, foundations, and associated infrastructure have been removed within the specified timeframe. 13 CONTACT INFORMATION Surface Owner: L-15 Well Pad: EnCana Oil & Gas (USA) Inc. 370 17th Street, Suite 1700 Denver, CO 80202 LINK Operating 24 -Hour Emergency Response Contacts: DEREK JOHNSON Field Superintendent Cellular: (970) 274-3335 Office: (970) 285-5201 STAN BENCH Environmental, Health and Safety Rep. Cellular: (435) 823-1820 Office: (435) 722-1325 LINN ENERGY FIELD OFFICE 235 Callahan Ave. Parachute, CO 81635 (970) 285-2200 St. Mary's Hospital & Life/Care Flight 2635 North 7th Street Grand Junction, Colorado 81501 970 -298 -CARE (2273) 1-800-458-3888 Grand Valley Fire Protection District 1777 S. Battlement Pkwy Parachute, CO 81635 (970) 285-9119 Garfield County Building and Planning Dept. 108 8th St., Ste 401 Glenwood Springs, CO 81601 (970) 945-8212 14 Battlement Mesa Medical Center 73 Sipprelle Dr., Ste G Parachute, CO 81635 970.285.1506 Grand River Medical Center 501 Airport Rd. Rifle, CO 81650 970.625.1510 Garfield County Sheriff's Office 107 8th St Glenwood Springs, CO 81601 (970) 945-0453 IP le 1Cu SCALE: 1" = B0' *We DATE: 06-22-07 DRAWN BY: D.R.B. Revised: 04-03-08 D.R.B. Revised: 04-26-10 D.R.B. Revised: 06-17-10 D. R.B. Revised: 10-21-10 D.R.B. Revised: 11-19-14 M.D. BERRY PETROLEUM COMPANY PAD LAYOUT FOR WELL PAD L15 696 (AS—BUILT) SECTION 15, T6S, R96W, 6th P.M. NW 1/4 SW 1/4 0 SCALE11.11 {Sheet 2 of 131 49,i 1 ^fa. Toe Stockpile I Spoils Stockpile ��Orginol Pod 011130 0M13A 014148 07Al2C 0111;[0 0M128 OMO5C OM11C Production Equipment Area (100x75) Edge of Pod "C" "A" Catch Basin ✓ Toe of Fi/l Ditch SNYP LEGEND: SCE — STABlLZE0 CCWSTRUC7KAV ENTRANCE APPROX/MATE ACREAGES' APPROX. WELL DISTURBANCE = ±10.109 ACRES ACCESS' ROAD DISTURBANCE = 11.174 ACRES TOTAL = 111.283 ACRES Buried Water Line-._.---Bur7ed C+ Lr•T LL7 f7N/SHED GRADE ELEV. AT 120 LOC. STAKE = 8391.0' UINTAH ENGINEERING & LAND SURVEYING 95 s.. 200 flirt • Vernal, 11149 9079 • (4.95) 789-1017 SCALE 1 Mile T6 Heli Pad Lat: 39.52500 Long: 108.09824 4.6 L-15 Well Pad Lat: 39.52071 Long: 108.09967 K-15 Well Pad Lat: 39.52248 Long: 108.09637 Allen Poinl 30 j 1. K-15 and L15 Proximity and Emergency Response Map Garfield County, Colorado Date: 11/08/20101 1 Plan: A 1. BERRY PETROLEUM CO. 1999 Broadway, Suite 3700 Denver, Colorado 80202 11 12 =.f Parachute 7 , 2137 2167 2413 - D 2135 2169 i I i 2411- 2133 2171 2131 2173- 2447 Attachment 1 Garfield County Assessor's Parcel Map Parcel Number: 213527300015, ENCANA OIL & GAS (USA) INC 1! , 2175 -9 2405 \9.s 10 — T6S—R9( 1-7"- NOSR 18 13 L-15 Well Pad Lat: 39.52071 Long: 108.09967 K-15 Well Pad Lat: 39.52248 Long: 108.09637 33 7,/,/://////, 36 K-15 and L15 Surface Ownership Map Garfield County, Colorado Date: 11/09/2010 1 f Plan: A ABERRY PETROLEUM CO. 1999 Broadway, Suite 3700 ,rsk Denver, Colorado 80202 SCALE 1 Mile .30 LE RESERVE 12 '''Parachute 7 31 SURFACE USE LICENSE AGREEMENT THIS SURFACE USE LICENSE AGREEMENT (this "Agreement"), entered into this 7th day of June, 2006, by and between Berry Petroleum Company, whose office address is 950 17th Street, Suite 2400, Denver, Colorado 80202 ("BERRY"), and EnCana Oil & Gas (USA) Inc., whose office address is 370 17th Street, Suite 1700, Denver, Colorado 80202 ("ENCANA"), hereinafter individually referred to as a "Party" and collectively as the "Parties." WITNESSETH WHEREAS, BERRY intends to develop its oil and gas leasehold by drilling wells located on certain ENCANA surface lands described on the attached Exhibit A and referred to herein as the "License Area," as it may be reduced from time to time, all as provided in greater detail in that Certain Carry and Earning Agreement executed by and between the Parties dated effective June 7, 2006 (the "C&E Agreement"); and WHEREAS, ENCANA desires to grant to BERRY a non-exclusive right and license to conduct all operations relating to the accessing, drilling, completing, plugging and abandonment, operating, producing, deepening, reworking and recompleting of horizontal or vertical wells located or to be located on the License Area ("Wells"), to the saving, taking, transporting, storing, handling and treating of oil, gas and other substances produced from such Wells, to the use maintenance and repair of existing roads aver and across the License Area, to the construction, use, maintenance and repair of new roads over and across the License Area, to the construction and use of well pads, and to the construction and use of related infrastructure, including flowlines, gathering lines, pipelines and Well pad facilities (including the physical drillsite and production location containing one or more Wells and related facilities ("Well Pads") and excluding field offices, housing, storage yards, plants, processing facilities and compression facilities other than wellhead compressions for single Well Pad use) and electricity lines (which ENCANA may require to be buried) on the License Area (collectively with other rights described below, the "Licensed Rights"); and WHEREAS, BERRY and ENCANA desire to establish terms for the use of the License Area in connection with the exercise of the Licensed Rights by Berry. NOW THEREFORE, in consideration of the mutual covenants provided in this Agreement, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the Parties agree as follows: 1. License. ENCANA hereby grants and conveys to BERRY a non-exclusive license to exercise all of the Licensed Rights on the License Area, and to use the License Area in connection therewith, for a term to begin on June 7, 2006, and, unless earlier terminated as provided herein, and to end on the 60th day following the last date of production from any Well operated by BERRY or its successor or assign and located on the License Area (the "Term"). 1 2. Compliance with Agreement. Prior to expiration of the Term, ENCANA may terminate this Agreement in the event BERRY is in material breach or default of its obligations hereunder, and such breach or default is not cured by BERRY to the reasonable satisfaction of ENCANA within 30 days (or, in the case of a payment default, ten days) of BERRY's receipt of ENCANA's written notice of default. 3. Release. BERRY shall, upon permanent abandonment of the Licensed Rights, termination as provided hereinabove, or expiration of the Term, execute and record a release of this Agreement, a copy of which shall be provided to ENCANA. 4. Roads. ENCANA hereby grants and conveys to BERRY a non-exclusive access right-of-way across the License Area, along the existing access roads ("Existing Access Roads") from the end of Garfield County Road #215, for ingress and egress to Wells and Well Pads operated by BERRY and which are located on the License Area. At its sole cost, risk and expense, BERRY shall upgrade and improve the existing access roads to the Long Ridge and Old Mountain areas within the License Area such that such roads are useable on a three -season basis. Prior to commencement of such construction activities, Berry shall submit its plans and specifications to ENCANA, and Berry may not commence construction until ENCANA has approved the plans and specifications. If the Parties agree to further upgrade such access roads to year-round use, the cost of such upgrades shall be borne fifty percent (50%) by each Party. ENCANA hereby grants and conveys to BERRY a non-exclusive access right-of-way across the License Area to construct new roads ("New Roads") to connect Well Pads to the Existing Access Road. Prior to commencement of construction activities, Berry shall submit all plans and specifications to ENCANA, and Berry may not commence construction until ENCANA has approved the plans and specifications. Any New Road shall be limited to thirty (30) feet in width. For the purposes of this Agreement, the New Roads and Existing Access Roads are collectively referred to as "Access Roads". 5. Security. ENCANA maintains a manned security control at the gate at the end of Garfield County Road #215. BERRY shall reimburse ENCANA for a portion of the costs of such security at a base rate of $1,000.00 per month, payable annually ($12,000.00) when BERRY has no active drilling rigs on the Licensed Area. At all other times, BERRY shall pay a security fee based on the number of active drilling rigs BERRY is utilizing on the License Area multiplied by $1,500.00 per month. The fee to be paid each year shall be calculated in December of the preceding year based on the number of rigs Berry estimates it will utilize during the coming year multiplied by $1,500.00 per month for each month the rig will be used (for example, 4 rigs x 6 months x $1,500.00 + 2 rigs x 12 months x $1,500.00 = $72,000.00 per year.) Payment is due by January 15 of each year. In December of each year, the Parties shall make an adjustment to the amount paid by Berry based on Berry's actual rig count during that year. 2 BERRY agrees to provide traffic control at the top and bottom of Long Ridge Road, at its sole cost. 6. Use Specifications. BERRY's use of the License Area and exercise of the Licensed Rights are subject to the following additional conditions: a. BERRY shall maintain and repair the Access Roads to standards which will accommodate the traffic for its intended use. In any event, Access Roads completed after the date of this Agreement shall have an "all weather" travel surface consisting of gravel when warranted by the type and frequency of vehicle traffic during and after Well Pad construction, and graveled to Well Pads when necessary to prevent rutted conditions. BERRY shall prevent destruction of the roads by heavy traffic. Further, each spring and fall, BERRY shall ensure that the barrow ditches along the Access Roads are free and clear of obstructions and sediment. At ENCANA's request, roads must be watered as needed to keep dust to a minimum. b. Prior to commencement of the initial Well Pad construction activities, BERRY shall notify ENCANA. After construction of a Well Pad is complete, and prior to commencement of any activity other than routine drilling, testing, completing, production and maintenance activities, BERRY shall notify ENCANA. An Authority for Expenditure sent to ENCANA by BERRY for each Well shall be considered adequate notification. c. No use or possession of firearms, explosives, weapons, alcoholic beverages, illicit or unprescribed controlled drugs or drug paraphernalia, or dogs or pets are allowed on the License Area. There shall be no hunting or fishing allowed on the License Area and recreational use of motor bikes and all terrain vehicles is prohibited. BERRY agrees to notify all of its contractors, agents and employees of these restrictions. Any individual or company that violates this provision will be asked to leave the License Area and shall not be permitted to return. d. Access to the License Area shall be limited to BERRY management and employees or contractors required to conduct lease or Well operations only. BERRY shall notify ENCANA twenty-four (24) hours prior to entry by non -required personnel, including but not limited to regulatory agencies, provided BERRY is aware of the need for entry. BERRY shall not access any other property owned by ENCANA without first obtaining ENCANA's permission. e. Berry shall not have field trailers on the License Area without ENCANA's consent. Any field trailers permitted on the License Area shall be fully self-contained and disposal of all sewage and waste shall 3 be made off the License Area and ENCANA property in accordance with local and/or state disposal regulations. f. BERRY shall control noxious weeds of any kind that develop on the License Area. Any non -biodegradable chemical spraying of soil for weed control shall not be done without advance approval by ENCANA. g. Pit Provisions: 1. All pits will be closed within one drying season or one year in conformance with Colorado Oil and Gas Conservation Commission ("COGCC") regulations and only after the prior inspection by ENCANA, unless permission is granted by ENCANA, on a case by case basis 2. Pits shall not materially deviate from the cross sections of the pit and pad as shown on Exhibits submitted to the Bureau of Land Management or COGCC for a Well and Well Pad. 3. All pits shall be constructed in accordance with the COGCC 900 Series regulations or successor regulations and shall maintain a 2 -foot freeboard at all times. Berms shall be constructed around each pit to prevent pit water from escaping from the pit. The berm shall not be used in determining the amount of freeboard in the pit. 4. There shall be no excavation beyond the pit edges so as to create extra space to soak up fluids. 5. All fluids in pits will remain within freeboard limits. 6. If requested by ENCANA, BERRY shall utilize Tined pits and a "closed" mud system when operationally feasible in specific areas and if "closed" mud equipment is available, in its drilling operations. When ENCANA is using a "closed" mud system in its operations on the North Parachute Ranch, it shall be deemed operationally feasible for BERRY to use this system as well. 7. All pits must be fenced and flagged to keep wildlife and waterfowl out. At ENCANA's request, BERRY will place a net over pits within the License Area. h. After drilling and completion operations, and first sales with respect to any Well, there shall be no open production pits associated with such Well on the License Area, unless permission is granted by EnCana on a case by case basis. i. BERRY shall obtain written approval from ENCANA before drilling any waste water disposal wells, or other form of injection wells or injection tests on the Well Pads, or before converting any well to a waste water disposal or injection well. BERRY shall also obtain written approval from ENCANA for any water disposal such as evaporation or ground infiltration on the Well Pads. BERRY shall not store equipment and/or stack rigs on the License Area, except for temporary storage of equipment related to the mobilization / de -mobilization of rigs being utilized by BERRY on the License Area. k. No field offices, housing, plants, processing facilities or compression facilities, other than wellhead compressions for single pad use, shall be permitted to be placed or constructed on the License Area without ENCANA's prior written consent which may be withheld in ENCANA's sole discretion. Any housing consented to by ENCANA must meet all Garfield County zoning code requirements and may only be placed on a location with an active rig. BERRY shall provide supervision twenty-four (24) hours per day, seven (7) days a week. Upon written notice from EnCana of a violation of Sections 6 c, d, e and the second and third paragraphs of Section 7 of this Agreement, BERRY shall immediately remove all temporary housing facilities, and BERRY will not be permitted to place additional housing on the License Area. I. Following completion of Wells and reclamation of the surface, if requested by ENCANA, the applicable Well Pad shall be fenced with smooth three -strand wire. m. All trees required to be cleared to accommodate a Well Pad shall be cut to firewood length and stacked on-site. n. Well Pads shall be constructed to comply with the Colorado Department of Public Health and Environment ("CDPHE") Stormwater Discharge Regulations. Erosion and sediment control measures shall be employed before, during, and after drilling and completion activities to prevent erosion resulting from storm events. Stormwater erosion and sediment controls to be employed by BERRY shall not be undertaken until it is approved by EnCana. Erosion controls shall be maintained until re -vegetation has been established to within 70% of pre - disturbance conditions. o. All production tanks (condensate or water) installed by or on behalf of BERRY shall be placed on a non -permeable liner and surrounded by metal containment walls at least 3 -feet in height. The liner shall be secured at least two feet above the ground surface and onto the metal containment walls. p. Should any discharge, leakage, spillage, emission, or pollution of any type occur upon the License Area as a result of BERRY's operations, q. BERRY, at its expense, shall be obligated to clean the affected lands to meet applicable local, state and federal standards. BERRY agrees to defend, indemnify, hold harmless and defend ENCANA against all liability, cost and expense (including without limitation any fines, penalties, judgments, litigation costs and attorneys fees) incurred by ENCANA as a result of any such discharge, leakage, spillage, emission or pollution that is a result of BERRY's operations, regardless of whether such liability, cost, or expense arises during or after the Term, unless such liability, cost or expense is proximately caused by the active negligence of ENCANA. BERRY shall either set and cement surface casing on all existing and future Wells located on any Well Pad prior to the commencement of completion operations on any Well located on such Well Pad, or temporarily abandon any producing Well on such Well Pad, setting a plug within fifty feet (50') of the shallowest producing horizon prior to commencing operations on a new Well located on a Well Pad. ENCANA and BERRY will cooperate to establish a mutually agreeable approach to support simultaneous operations on a Well Pad which approach shall include, inter alia, simultaneous drilling, completion and production operations thereon. r. BERRY shall provide EnCana with a copy of its emergency response plan along with a list of 24-hour emergency contacts responsible for Berry's operations on the License Area prior to commencement of any such operations. 7. Standards of Operations and Maintenance. BERRY shall be solely responsible for construction, maintenance, removal and reclamation activities upon the License Area, and all of BERRY's operations in and about the License Area shall be performed and conducted in a careful, safe and workmanlike manner. BERRY shall provide ENCANA copies of all environmental notices and permits associated with its activities on the License Area, including but not limited to, stormwater construction permits and air quality permits. BERRY shall also provide ENCANA with copies of its drilling and completion contractor's Spill Prevention, Control and Countermeasure plans to ensure that adequate protection is being taken to ensure spills that may occur on the License Area are cleaned up in a responsible and expeditious manner. All directional surveys run in the Wells drilled from a Well Pad will also be provided to ENCANA upon request. ENCANA shall keep confidential all information received from BERRY and not use such information except for purposes of monitoring the Licensed Rights. BERRY shall keep its facilities on the License Area in good and safe condition. BERRY shall obtain all permits that may be required for its operations in the License Area, and shall provide ENCANA copies of the same. BERRY shall ensure, at its sole expense, that it and its agents, contractors and subcontractors comply with usual and customary oil field standards and with all applicable federal, state and local statutes, 6 rules, regulations and ordinances, including without limitation, those of OSHA, the COGCC and the CDPHE relating to safety and the environment. ENCANA shall have the right, at any time, (with or without scent -trained animals) to conduct unannounced searches and inspections within the License Area. The property of BERRY's employees and its contractors, including but not limited to, wallets, purses, lockers, baggage, offices, desks, toolboxes, clothing and vehicles, shall be subject to search and inspection. BERRY employees and contractor personnel on the License Area shall also be subject to unannounced en masse drug and alcohol testing. Any person who refuses to take a drug or alcohol test will be asked to leave the License Area and shall not be permitted to return. 8. Reclamation. During construction of Well Pads, topsoil will be isolated from other soils and placed and stacked per BLM regulations and kept out of the drainage. All cuts, fill slopes, pit and topsoil piles and soil piles will be stabilized and revegetated immediately following construction. Land surrounding Well Pads will be brought back to a 3-1 slope during interim reclamation. All areas of soil disturbance shall be smooth graded, cultivated to provide a loose seed bed of a minimum of 6 inches in depth, fertilized with 250 pounds of 46-0-0 per acre, seeded with the seed mixture listed below, and mulched with 1 1/2 tons of grass hay crimped into the soil. BERRY shall continue to maintain stormwater erosion controls during this phase of reclamation. ENCANA retains the option of altering the seed mixture before seeding is conducted, it being the intention of the Parties to revegetate Well Pads in order to control erosion, weed growth. Pounds Pure Live Species Origin Seed Per Acre Western Wheatgrass Rosana 4.0 Sideoats Grama Vaughn 2.0 Basin Wildrye Magnar 3.0 BERRY's obligation to reclaim and restore any portion of the Well Pad location to the above stated standards shall survive termination or expiration of this Agreement upon ENCANA's request. All buildings, machinery, other material, equipment and property placed on the License Area by BERRY shall remain the personal property of BERRY, and BERRY shall remove all such personal property and improvements from the License Area within ninety (90) days, weather permitting, following termination or expiration of this Agreement. If BERRY fails to remove its personal property from the License Area within such ninety (90) day -period, ENCANA shall have the right, but the not the obligation, to assume ownership thereof and/or to dispose of such personal property and retain the proceeds of any sale thereof. Notwithstanding any of the above, at ENCANA's election, all pipelines, flowlines and water lines constructed by Berry on the License Area shall become the property of ENCANA at the termination or expiration of this Agreement. 7 9. Use. BERRY agrees to maintain and operate the Wells in such manner that the operation thereof will not unreasonably hinder or prevent the use and enjoyment of ENCANA's adjoining property, including use thereof for exploration, mining, oil shale development, oil and gas development, ranching, wildlife management and land development. 10. Taxes, Liens and Encumbrances. Whether or not taxes, assessments or public charges are separately assessed against it, BERRY shall pay all taxes, assessments or public charges levied or imposed upon this License or upon other personal property, improvements or fixtures owned or placed by it within the License Area depicted on Exhibit "A," subject to its right to contest same, provided that in no event shall BERRY permit its License to be sold for tax purposes. In the event said taxes, assessments or public charges are not separately assessed, then promptly following written notice from ENCANA, BERRY shall reimburse ENCANA for any taxes, assessments or public charges attributable to its License. BERRY shall keep ENCANA's interest in the License Area free from all liens and encumbrances of every kind, including but not limited to mechanics and well liens, created or arising from BERRY's activities under this License. If a lien is created, ENCANA shall provide written notice of any default under this paragraph to BERRY, and BERRY shall have thirty (30) days from receipt of such written notice to cure the default. Nothing herein shall obligate Berry to pay any real property taxes on or assessed against ENCANA's real property estate. 11. Warranty. It is understood and agreed that this License is subject to all valid and existing easements, licenses, leases, grants, exceptions and reservations whether of record or not in the License Area. This License is made without warranty of title, express or implied, and is expressly subject to any exceptions and reservations and other matters affecting title of record, including all existing rights-of-way, easements, licenses, leases and other agreements affecting the surface or subsurface of the lands subject thereto. ENCANA further reserves the right to grant other easements, rights-of- way, licenses and leases to third parties to cross over or under the lands subject to this License, provided that the same shall not unreasonably interfere with BERRY's exercise of the Licensed Rights herein granted. 12. Assignment. This Agreement and Licensed Rights hereunder shall not be assigned by BERRY without the prior written approval of ENCANA, which approval shall not be unreasonably withheld, conditioned or delayed. BERRY shall remain responsible for the performance of all the terms and conditions of the Agreement in the event of any default or nonperformance by any successor or assignee. No partial assignments of the License will be permitted. 13. Indemnification. To the maximum extent permitted by applicable law, BERRY agrees to release, protect, defend, indemnify, and hold ENCANA, its parent, its subsidiaries and/or affiliate companies, and the respective employees, officers, directors, or agents thereof, free and harmless from and against any and all claims, liability, demands, and causes of action of all kinds, including but not limited to claims of 8 damage to or loss of property of ENCANA or others, illness or death (hereinafter "Claims") arising out of BERRY's operations in the License Area. The insurance requirements herein shall not be construed to limit this indemnity. BERRY shall be solely responsible for the defense of any and all Claims hereunder. The Parties agree that should any court of competent jurisdiction determine that the indemnity required herein exceeds, in extent, scope or amount that which is permitted by applicable law, such indemnity shall be construed, interpreted, and enforced so as to preserve the maximum indemnity which is permitted thereby. 14. Insurance. BERRY agrees to obtain and maintain insurance acceptable to ENCANA which is primary to any other insurance or self-insurance and which names ENCANA as additional insured with respect to liability arising out of BERRY's performance hereunder, but only to the extent of liabilities assumed by BERRY under this Agreement, and includes a Severability of Interest Clause (Cross Liability) which Additional Insured Endorsement shall not exclude or restrict coverage based upon the alleged or actual negligence of the Additional Insured. Such insurance shall at a minimum include: a. Commercial General Liability Insurance Form or the equivalent with the Amendment Aggregate Limits of Insurance Endorsement CG25031185 covering BERRY's contingent liability, Premises Operations, Completed Operations and Products Liability, Contractual Liability, and if requested by ENCANA, liability arising from explosion, collapse, or underground property damage, all with a minimum combined single limit of $1,000,000 each occurrence, $2,000,000 Aggregate for Bodily Injury and Property Damage including personal injury. b. Comprehensive Automobile Liability Insurance or Business Auto Policy covering all owned, hired, or otherwise operated non -owned vehicles with a minimum combined single limit of $2,000,000 each occurrence for Bodily Injury and Property Damage, or $1,000,000 each occurrence in combination with umbrella liability coverage of a minimum of $1,000,000. c. Workers Compensation insurance as required by law, covering all states of operation, and Employers Liability Insurance with a minimum of $1,000,000 each occurrence. Before commencement of construction, or any operations under this Agreement, BERRY shall furnish ENCANA with Policies or Certificates of Insurance acceptable to ENCANA confirming compliance herewith and providing that no coverage will be canceled or materially changed prior to 30 days advance written notice to ENCANA. Subrogation against ENCANA shall be waived as respects all of the insurance policies set forth above but only to the extent of liabilities of BERRY not otherwise indemnified under this Agreement and for liabilities assumed by BERRY under this Agreement. The insurance required hereunder in no way limits or restricts BERRY's indemnification obligations under numbered paragraph 13. above. Further such insurance shall be in 9 no way limited by any limitation expressed in numbered paragraph 13. above, nor any limitation placed on the indemnity therein given as a matter of law. 15. Notices. Any notice to be given under this Agreement under numbered paragraph 6. above, Use Specifications, may be given orally to Jesse Steele or Doug Rosa via telephone at 970-675-4483 or 970-285-2686, or via email to jesse.steele@encana.com or doug.rosaencana.com (or to such other person as shall subsequently be identified in writing by ENCANA) and such notice shall be deemed effective twenty-four (24) hours from its acknowledged receipt. Each twenty- four (24) hour notice period must include one business day. Any other notice shall be in writing, signed by the Party giving same and delivered by facsimile, hand delivery, overnight courier or registered or certified United States mail, postage prepaid, addressed to the Party to receive the notice at the address set forth below or such other address any Party may specify by notice to the other Party as set forth herein. Notices shall be deemed properly given and received when actually given and received, if delivered by facsimile or by hand; one business day following delivery to an overnight courier, if delivered by overnight courier; or three business days after mail, if sent by registered or certified United States mail. If to ENCANA: EnCana Oil & Gas (USA) Inc. Attention: N. Piceance Team Lead 370 17th Street, Suite 1700 Denver, CO 80202 Facsimile: 303-623-2400 If to BERRY: Berry Petroleum Company Attention: Asset Manager — Piceance Team 950 17th Street, Suite 2400 Denver, CO 80202 Facsimile: (303) 633-1827 16. Continuing Obligations. Notwithstanding the termination of this License BERRY shall continue to be bound by the provisions of this License that reasonably require some action or forbearance or the performance of the obligations and responsibilities assumed by BERRY hereunder, including, but not limited to numbered paragraphs 4, 6 and 8. 17. Headings. The headings and captions in this Agreement are inserted for convenience only, and shall not be used to constitute the intent or affect the construction of any of its provisions contained herein. 10 18. Governing Law. The Laws of the State of Colorado shall apply to this License. Any legal action shall be brought in the District Court for the City and County of Denver, Colorado, or United States District Court for the District of Colorado, and the parties consent to such exclusive jurisdiction and venue. The Parties agree to forego any rights to a jury trial that may be applicable. 19. C&E Agreement. In the event of any conflict or inconsistency between the terms of this License and the C&E Agreement, the C&E Agreement shall prevail to the extent of such conflict, as between BERRY and ENCANA or their permitted successors or permitted assigns. Except as otherwise provided herein, the terms and conditions of this Agreement shall inure to the benefit of and be binding upon the successors and assigns of the parties hereto. WITNESS THE EXECUTION HEREOF THE MIL -DAY OF /✓o7Ang.,- �-� 2006. EnCana Oil & Ga By: (USA) Inc. Darrin J. Henke Attorney -in -Fact Berry Petroleum Company By: PS'2.-e?_%-ie___ _A 1 Name: Bruce S. Kelso Title: Vice President - Exploration A 1! 11 Acknowledgment page for that Surface Use License Agreement dated the ✓ C''''day of , 1, k 2006. STATE OF 60101121. ) ss CITY AND COUNTY OF .l4L-'-) The foregoing instrument was acknowledged before me this -5c `day of Dir,, 2006, by Darrin J. Henke, as. Attorney -in -Fact, for and on behalf of EnCana Oil & Gas (USA) Inc. � // - /(7 (/ :ilii .�j`y I Notary Public G My commission expires: / f/(0/7 STATE OF COLORADO ) ss CITY AND COUNTY OF DENVER ) The foregoing instrument was acknowledged before me this day of 2006, by Y for and on behalf of Berry Petroleum Company. My commission expires: 3584893_2. DOC •r,. Notary Public -:L r=•t:.rBi i3;17,Cg 12 FORM 2 Rev 12/05 1. ( Drill, State of Colorado Oil and Gas Conservation Commission 1120 Lincoln Street, Suite 801, Denver, Colorado 80203 Phone: (303) 894-2100 Fax: (303) 894-2109 APPLICATION FOR PERMIT TO: Deepen, I Re-enter, Recomplete and Operate 2. TYPE OF WELL OIL j GAS IR COALBED } OTHER SINGLE ZONE MULTIPLE COMMINGLE Refiling jX Sidetrack Document Number: 400446598 Date Received: 07/11/2013 PluggingBond SuretylD 20040105 3. Name of Operator: BERRY PETROLEUM COMPANY 4. COGCC Operator Number: 10091 5. Address: 1999 BROADWAY STE 3700 City: DENVER 6. Contact Name: HEIDI BANG State: CO Email: HSBABRY.COM Zip: 80202 Phone: (303)999-4262 Fax: (303)999-4362 7. Well Name: SCHOOL HOUSE POINT 8. Unit Name (if appl): 9. Proposed Total Measured Depth: 10357 Well Number: OM14B L15 696 Unit Number: WELL LOCATION INFORMATION 10. QtrQtr: NWSW Sec: 15 Twp: 6S Rng: 96W Meridian: 6 Longitude: -108.100233 FNL/FSL FEUFWL Footage at Surface 1747 feet FSL 1254 feet FWL Field Number: 67350 Latitude: 39.520553 11. Field Name: PARACHUTE 12. Ground Elevation: 8399 13. County: GARFIELD 14. GPS Data: Date of Measurement: 05/09/2007 PDOP Reading: 1.6 Instrument Operator's Name: ROBERT KAY 15. If well is J Directional Footage at Top of Prod Zone: FNUFSL Horizontal (highly deviated) submit deviated drilling plan. FEUFWL Bottom Hole: FNUFSL FEL/FWL 930 FSL 1660 FWL 930 FSL 1660 FWL Sec: 15 Twp: 6S Rng: 96W Sec: 15 Twp: 63 Rng: 96W 16. Is location in a high density area? (Rule 603b)? r Yes f No 17. Distance to the nearest building, public road, above ground utility or railroad: 7180 ft 18. Distance to nearest property line: 2691 19. Distance to nearest well permitted/completed in the same formation(BHL): 586 ft ft 20. LEASE, SPACING AND POOLING INFORMATION 2 .jective Formationfs) Formation Code Spacing Order Number(s) Unit Acreage Assigned to Well Unit Configuration (N/2, SE/4. etc.) WILLIAMS FORK WMFK 510-13, 53 11510 21. Mineral Ownership: [ Fee State i Federal 22. Surface Ownership: r Fee i State 1 Federal 23. Is the Surface Owner also the Mineral Owner? jg Yes 1 Indian Lease #: i- Indian r No Surface Surety ID#: 23a. If 23 is Yes: Is the Surface Owner(s) signature on the lease? 5 Yes I No 23b. If 23 is No: i Surface Owners Agreement Attached or r $25,000 Blanket Surface Bond J $2,000 Surface Bond I $5,000 Surface Bond Date Run: 8/7/2013 Doc (#4004465981 Well Name: SCHOOL HOUSE POINT OM14B L15 ana Page 1 of 3 24. Using standard QtrQtr, Sec, Twp, Rng format enter entire mineral lease description upon which this proposed wellsite is located (attach separate sheet/map if you prefer): PLEASE SEE MINERAL LEASE MAP ATTACHED TO ORIGINAL APD 25. Distance to Nearest Mineral Lease Line: 3616 ft 26. Total Acres in Lease: 25000 DRILLING PLANS AND PROCEDURES 27. Is H2S anticipated? Yes IR No If Yes, attach contingency plan. 28. Will salt sections be encountered during drilling? I - Yes X No 29. Will salt (>15,000 ppm TDS CL) or oil based muds be used during drilling? )X Yes j No 30. If questions 28 or 29 are yes, is this location in a sensitive area (Rule 901.e)? ';- Yes IR No 31. Mud disposal: Offsite Onsite If 28, 2s, or 30 are "Yes" a pit P 1 �X permit may be required. Land Farming ; Land Spreading ; Disposal Facility Other: TOTAL CLOSED LOOP Method: I Note: The use of an earthen pit for Recompletion fluids requires a pit permit (Rule 905b). If air/gas drilling, notify local fire officials. Hole Size Casing WUFt Csg/Liner Too Setting Depth Sacks Cmt Cmt Btm Cmt Top Casing Type Size of of 1ST 8+3/4 4+1/2 11.6 0 10357 600 10357 CONDUCTOR 30 20 55 0 90 100 90 0 SURF 16 9+5/8 36 0 2500 1000 2500 0 32. BOP Equipment Type: X Annular Preventer r Double Ram Rotating Head f None 33. Comments I certify that there have been no changes on land use, lease description. Well name was changed per sundry dated 5/11/2010. Berry Petroleum Company will be doing closed loop operations.Currently 7 producing wells on this pad. 34. Location ID: 335979 35. Is this application in a Comprehensive Drilling Plan ? I Yes I No 36. Is this application part of submitted Oil and Gas Location Assessment ? ' Yes >C No I hereby certify all statements made in this form are, to the best of my knowledge, true, correct, and complete. Signed: Print Name: HEIDI BANG Title: REG COMPLIANCE ASST Date: 7/11/2013 Email: HSB@BRY.COM Operator must have a valid water right or permit allowing for industrial use or purchased water from a seller that has a valid water right or permit allowing for industrial use, otherwise an application for a change in type of use is required under Colorado law. Operator must also use the water in the location set forth in the water right decree or well permit, otherwise an application for a change in place of use is required under Colorado law. Section 37-92-103(5), C.R.S. (2011). Based on the information provided herein, and is hereby approved. COGCC Approved: this Application for Permit -to -Drill complies with COGCC Rules and applicable orders _ Director of COGCC Date: 8/7/2013 API NUMBER Permit Number: Expiration Date: 8/6/2015 05 045 14971 00 CONDITIONS OF APPROVAL, IF ANY: All representations, stipulations and conditions of approval stated in the Form 2A for this location shall constitute representations, stipulations and conditions of approval for this Form 2 Permit -to -Drill and are enforceable to the same extent as all other representations, stipulations and conditions of approval stated in this Permit -to -Drill. Date Run: 8/7/2013 Doc (#4004465981 Well Name: SCHOOL HOUSE POINT OM148 L15 ana age COA Type Description 1) COMPLIANCE WITH THE MOST CURRENT REVISION OF THE NORTHWEST COLORADO NOTIFICATION POLICY IS REQUIRED. 2) COMPLIANCE WITH THE MOST CURRENT REVISION OF THE GARFIELD COUNTY RULISON FIELD NOTICE TO OPERATORS IS REQUIRED, WITH THE FOLLOWING EXCEPTION: ALL FIELD NOTICE REQUIREMENTS SPECIFIED IN THIS NOTICE TO OPERATORS ARE SUPERSEDED BY THE REQUIREMENTS OF THE MOST CURRENT REVISION OF THE NORTHWEST COLORADO NOTIFICATION POLICY (SEE CONDITION OF APPROVAL #1). 3) CEMENT ON PRODUCTION CASING MUST BE A MINIMUM OF 200' ABOVE THE TOP OF THE MESA VERDE FORMATION (OR 200' ABOVE THE OHIO CREEK FORMATION IF PRESENT). CEMENT TOP VERIFICATION BY CBL IS REQUIRED. 4) THE NEARBY HILLSIDE MUST BE MONITORED FOR ANY DAY LIGHTING DRILLING FLUIDS THROUGHOUT THE DRILLING OF THE SURFACE CASING INTERVAL. 5) COMPLY WITH ALL PROVISIONS OF THE JUNE 12, 2008 NOTICE TO OPERATORS DRILLING WELLS WITHIN 3/4 MILE OF THE RIM OF THE ROAN PLATEAU IN GARFIELD COUNTY - PIT DESIGN, CONSTRUCTION AND MONITORING REQUIREMENTS. SEE ATTACHED NOTICE. Applicable Policies and Notices to Operators Piceance Rulison Field - Notice to Operators. NW Colorado Notification Policy. Notice Concerning Operating Requirements for Wildlife Protection. Pit Design, Construction and Monitoring Requirements Within 3/4 mile of the Rim of the Roan Plateau. Att Doc Num Name 400446598 400446612 FORM 2 SUBMITTED Attachment Check List PLAT Total Attach: 2 Files User Group LGD General Comments Comment Permit pass, gdb Pending. Changed spacing language. Engineer THE PROPOSED SURFACE CASING IS MORE THAN 50' BELOW THE DEPTH OF THE DEEPEST WATER WELL WITHIN 1 MILE OF THE SURFACE LOCATION WHEN CORRECTED FOR ELEVATION DIFFERENCES. THE DEEPEST WATER WELL WITHIN 1 MILE IS 000 FEET DEEP. Permit Form passes completeness. Total: 4 comment(s) No BMP/COA Type Comment Date 7/30/2013 4:46:02 PM 7/30/2013 9:06:19 AM 7/26/2013 3:09:46 PM 7/12/2013 2:45:22 PMI Best Management Practices Description Date Run: 8/7/2013 Doc (#400446598] Well Name: SCHOOL HOUSE POINT OM14B L15 Page 3 of 3 FORM 2A Rev 04/01 State of Colorado Oil and Gas Conservation Commission 1120 Lincoln Street, Suite 801, Denver, Colorado 80205 Phone: (303) 894-2100 Fax: (303) 894-2109 New Location Oil and Gas Location Assessment FR Amend Existing Location Location#: 335979 Submit original plus one copy. This form is to be submitted to the COGCC prior to any ground disturbance activity associated with oil and gas development operations. This Assessment may be approved as a stand alone application or submitted as an informational report accompanying an Application for Permit -To -Drill, Form 2. Approvelof this Assessment will allow for the construction of the below specified location; however, it does not supersede any land use rules applied by the local land use authority. This form may serve as notice to land owners and other interested parties, please see the COGCC web site at http://colorado.gov/cogcc/ for all accompanying information pertinent to this Oil and Gas Location Assessment. [X This location assessment is included as part of a permit application. 1. CONSULTATION This location is included in a Comprehensive Drilling Plan. CDP # This location is in a sensitive wildlife habitat area. This location is in a wildlife restricted surface occupancy area. This location includes a Rule 306.d.(1)A.ii. variance request. DE ET OE ES Document Number: 400058947 Location ID: 335979 Expiration Date: 07/30/2013 2. Operator Operator Number: 10091 Name: BERRY PETROLEUM COMPANY Address: 1999 BROADWAY STE 3700 City: DENVER State: CO Zip: 80202 4. Location Identification: Name: SCHOOL HOUSE POINT OM "L15 696" Pad County: GARFIELD QuarterQuarter: NWSW Section: 15 Township: 6S Range: 96W Meridian: 6 Ground Elevation: 8403 3. Contact Information Name: JANNI KEIDEL Phone: (303) 999-4225 Fax: (303) 999-4325 email: jek@bry.com Number: 11C L15 696 Define a single point as a location reference for the facility location. This point should be used as the point of measurement in the drawings to be submitted with this application. When the location is to be used as a well site then the point shall be a well location. Footage at surface: 1845 feet, from North or South section line: FSL and 1274 feet, from East or West section line. FWL Latitude: 39.520767 Longitude: -108.100178 Instrument Operator's Name: ROBERT KAY PDOP Reading: 2.2 Date of Measurement: 05/09/2007 5. Facilities (Indicate the number of each type of oil and gas facility planned on location): Special Purpose Pits: Condensate Tanks: Gas or Diesel Motors: Electric Generators: Gas Compressors: 2 6 3 Drilling Pits: Water Tanks: Cavity Pumps: Gas Pipeline: 1 Wells: Separators: LACT Unit: Oil Pipeline VOC Combustor: 3 Production Pits: Electric Motors: Pump Jacks: Water Pipeline: Oil Tanks: Other: DRILLING RIG TEMPORARY ON LOCATION FOR 10 DAYS PER WELL. SEPARTORS USED WILL BE: 2 QUADS, 1 DBL. TEMPORARY OFFICE AND HOUSING. 1 1 Dehydrator Units: Multi -Well Pits: Pigging Station: n Flare: Fuel Tanks: Date Run: 7/31/2010 Doc (#400058947) Loc Name: SCHOOL HOUSE POINT OM "L15 696" 2 Page 1 of 5 6. Construction: Date planned to commence construction: 12/01/2010 Size of disturbed area during construction in acres: 8.41 Estimated date that interim reclamation will begin: 08/01/2011 Size of location after interim reclamation in acres: 7.37 Estimated post -construction ground elevation: 8391 Will a closed loop system be used for drilling fluids: Yes IR; Will salt sections be encountered during drilling: Yes r No fX Is H2S anticipated? Yes I No. JX Will salt (>15,000 ppm TDS CI) or oil based muds be used: Yes 1 No fX Mud disposal: Offsite Onsite Method: Land Farming I- Land Spreading X Disposal Facility i -. Other: 7. Surface Owner: Name: Phone: Address: Fax. Address: Email: City: State: Zip: Date of Rule 306 surface owner consultation: 06/29/2010 Surface Owner: X Fee State I Federal Indian Mineral Owner: ER Fee I State I Federal Indian The surface owner is: .X the mineral owner rg committed to an oil and gas lease is the executer of the oil and gas lease the applicant The right to construct the location is granted by: k oil and gas lease Surface Use Agreement II Right of Way applicant is owner Surface damage assurance if no agreement is in place: i $2000 ! $5000 Blanket Surety ID 8. Reclamation Financial Assurance: IR Well Surety ID: 20040105 fX Gas Facility Surety ID: 20040107 I Waste Mgnt. Surety ID: 9. Cultural: Is the location in a high density area (Rule 603.b.): Yes I No fX Distance, in feet, to nearest building: 13534 public road: 7180 , above ground utilit: 13171 , , railroad: 17359 , property line: 2691 10. Current Land Use (Check all that apply): Crop Land: ' Irrigated I Dry land Improved Pasture Hay Meadow ! CRP Non -Crop Land: IR Rangeland i Timber Recreational Other (describe): Subdivided: Industrial Commercial i Residential 11. Future Land Use (Check all that apply): Crop Land: Irrigated Dry land Improved Pasture Hay Meadow ? CRP Non -Crop Land: IR Rangeland Timber Recreational Other (describe): Subdivided: Industrial Commercial Residential 12. Soils: List all soil map units that occur within the proposed location. Attach the National Resource Conservation Service (NRCS) report showing the "Map Unit Description" report listing the soil typical vertical profile. This data is to used when segregating topsoil. Date Run: 7/31/2010 Doc (#4000589471 Loc Name: SCHOOL HOUSE POINT OM "L15 696" Page 2 of 5 The required information can be obtained from the NRCS web site at http://soildatamart.nres.usda.gov/ or from the COGCC web site GIS Online map page found at http://colorado.gov/cogcc. Instructions are provided within. the COGCC web site help section. NRCS Map Unit Name: ##53 PARACHUTE -RHONE LOAMS. 5 TO 30 PERCENT SLOPES NRCS Map Unit Name: NRCS Map Unit Name: 13. Plant Community: Complete this section only if any portion of the disturbed area of the location's current land use is on non -crop land. Are noxious weeds present: Yes r No Plant species from: NRCS or, gX field observation Date of observation: 05/09/2007 List individual species: SAGE BRUSH. SERVICE BERRIES. NATIVE GRASS Check all plant communities that exist in the disturbed area. Disturbed Grassland (Cactus, Yucca, Cheatgrass, Rye) IR Native Grassland (Bluestern, Grama, Wheatgrass, Buffalograss, Fescue, Oatgrass, Brome) ix Shrub Land (Mahogany, Oak, Sage, Serviceberry, Chokecherry) Plains Riparian (Cottonwood, Willow, Aspen, Maple, Poplar, Russian Olive, Tamarisk) Mountain Riparian (Cottonwood, Willow, Blue Spruce) Forest Land (Spruce, Fir, Ponderosa Pine, Lodgepole Pine, Juniper, Pinyon, Aspen) Wetlands Aquatic (Bullrush, Sedge, Cattail, Arrowhead) Alpine (above timberline) Other (describe): 14. Water Resources: Rule 901.e. may require a sensitive area determination be performed. If this determination is performed the data is to be submitted with the Form 2A. Is this a sensitive area: r No j Yes Was a Rule 901.e. Sensitive Areas Determination performed: f` No 11 Yes Distance (in feet) to nearest surface water: 678 , water well: 7234 , depth to ground water: 95 Is the location in a riparian area: J No 1 Yes Was an Army Corps of Engineers Section 404 permit filed 17 No 1 Yes Is the location within a Rule 317B Surface Water Suppl Area buffer zone: f No 0-300 ft. zone i 301-500 ft. zone i 501-2640 ft. zone If the location is within a Rule 317B Surface Water Supply Area buffer have all public water supply systems within 15 miles been notified: X No , Yes 15. Comments: I certify that there have been no changes on land use, lease description. Pad has been built. Pit has been constructed. Wells have not been drilled. Conductors have not been set. No rig on site. The refile will not require any expansion / additional surface disturbance of pad. The location does not require a variance from any of the rules listed in Rule 306.d. (1). (A). (ii). The location is not in a restricted surface occupancy area. The location is not in a sensitive wildlife habitat area. The production casing Top of Cement will be 200' above the Top of Gas. Weil name was changed per sundry dated 5/11/2010. Berry Petroleum Company will be doing closed loop operations. Proposed BMP's have been attached as a separate document. I hereby certify that the statements made in this form are, to the best of my knowledge, true, correct and complete. Signed: Date: 06/29/2010 Email jek@bry.com_ Print Name: JANNI KEIDEL Title: PERMITTING AGENT Date Run: 7/31/2010 Doc (#400058947] Loc Name: SCHOOL HOUSE POINT OM "L15 696" Page 3 of 5 Based on the information provi hereiiiipplic tion for Permit -to -Drill complies with COGCC Rules and applicable orders and is hereby approved. �J COGCC Approved: Director of COGCC CONDITIONS OF APPROVAL, IF ANY: Date: 7/31/2010 All representations, stipulations and conditions of approval stated in this Form 2A for this location shall constitute representations, stipulations and conditions of approval for any and all subsequent operations on the location unless this Form 2A is modified by Sundry Notice, Form 4 or an Amended Form 2A. No portion of any pit that will be used to hold liquids shall be constructed on fill material, unless the pit and fill slope are designed and certified by a professional engineer, subject to review and approval by the director prior to construction of the pit. The construction and lining of the pit shall be supervised by a professional engineer or their agent. The entire base of the pit must be in cut. The nearby hillside must be monitored for any day -lighting of drilling fluids throughout the drilling of the surface casing interval. Notice to Operators (NTO) Drilling Wells on the Roan Plateau in Garfield County: Operator must comply with all provisions of the June 12, 2008 Notice to Operators (NTO) Drilling Wells Within 3/4 Mile of the Rim of the Roan Plateau in Garfield County — Pit Design, Construction, and Monitoring Requirements. At a minimum, the following condition of approval (COA) will apply: All pits must be lined. The moisture content of any drill cuttings in a cuttings pit, trench, or pile shall be as low as practicable to prevent accumulation of liquids greater than de minimis amounts. At the time of closure, the drill cuttings must also meet the applicable standards of table 910-1. Operator must ensure 110 percent secondary containment for any volume of fluids contained at well site during drilling and completion operations. If fluids are conveyed via pipeline, operator must implement best management practices to contain any unintentional release of fluids. Reserve pit must be lined. Date Run: 7/31/2010 Doc (#400058947] Loc Name: SCHOOL HOUSE POINT OM "L15 696" Page 4 of 5 Attachment Check List Att Doc Num Name Doc Description 2033247 LOCATION DRAWING LF@250631612033247 2033248 CORRESPONDENCE LF@250631712033248 400058947 FORM 2A SUBMITTED LF@24999101400058947 400070152 ACCESS ROAD MAP LF@24999111400070152 400070155 TOPO MAP LF@24999121400070155 400070157 TOPO MAP LF@24999131400070157 400070158 CONST. LAYOUT DRAWINGS LF@24999141400070158 400070159 CONST. LAYOUT DRAWINGS LF@24999151400070159 400070160 OTHER LF@24999161400070160 400070161 LOCATION DRAWING LF@24999171400070161 400070163 HYDROLOGY MAP LF@24999181400070163 400070164 CONST. LAYOUT DRAWINGS LF@24999191400070164 400070165 TOPO MAP LF@24999201400070165 400070924 NRCS MAP UNIT DESC LF@24999211400070924 LF@24999221400073039 400073039 MULTI -WELL PLAN 400073040 PROPOSED BMPs LF@24999231400073040 400073041 EQUIPMENT LIST LF@24999241400073041 400073631 LOCATION PICTURES LF@24999251400073631 400073633 REFERENCE AREA PICTURES LF@24999261400073633 Total Attach: 19 Files General Comments User Group Comment Comment Date 1 Permit PERMITTING PASSED. removed surface bond # per JK. 07/30/10 plg. Total: 1 comment(s) 7/30/2010 4:01:37 PM Date Run: 7/31/2010 Doc (#400058947] Loc Name: SCHOOL HOUSE POINT OM "L15 696" Page 5 of 5 (LO m e SITE SERVICES' .jPORTABLE RESTROOMS, SINKS, RESTROOM TRAILERS and MORE w w.un110d911eservlces.com November 10, 2014 Jenna Hirsch EH&S Representative Linn Energy, LLC 1999 Broadway Suite 3700 Denver, CO 80202 Dear Janna, Please consider this letter confirmation that United Site Services of Colorado, Inc. will provide sanitary sewage hauling and disposal services for the proposed Linn Energy L-15 Well pad north of Parachute Colorado United Site Services of Colorado, Inc. will provide trip logs/reports and landfill receipts to Linn Energy as required by Garfield County. Estimated sanitary sewage production is 5000 gallons per week, We anticipate approximately 2 truck trips per week to service the facility, Sincerely, 4teve W. Tanis Operations Manager United Site Services of Colorado, Inc. Steve W. Tanis 5 Powerline Rd., Rifle, Co 81650 970-625-5556 (Office) 970-309-5911 (Cell) DRINKING WATER ANNUAL FEE INVOICE Water Quality Control Division wacdcomplianco.com CDPHE 4300 Cherry Creels Drive Mail Code ASD -AR -B1 Denver, Colorado 80246-1530 UNITED SITE SERVICES CIO WADE LOGAN PO BOX 1929 RIFLE, CO 81650 Colorado Department of Public Health and Environment Date: 8/22/2014 PWS ID: C00223351 Invoice #: 900022210 Drinking Water Fee for Transient Non -Community, SWP System with a Population of 25 Amount: Payments or Credits: Balance Due: Payment Due Date: $75.00 $0.00 $75.00 9/21/2014 See reverse side of this invoice for more information. PAYMENT DUE WITHIN 30 DAYS PLEASE RETURN BOTTOM PORTION OF INVOICE WITH PAYMENT UNITED SITE SERVICES CIO WADE LOGAN PO BOX 1929 RIFLE, CO 81650 BILLING INQUIRIES: 303.692-3502 CHANGE OF ADDRESS: The current billing address is located on your Monitoring Schedule available at woodcompliance.comischedules. if your billing address Is Incorrect, please submit a change of address en Contacts Change form available at wacdCOMP Iiance.com. CaII 303-692.3556 for assistance with submitting a change of address. MAKE CHECKS PAYABLE TO CDPHE REMIT PAYMENTS TO: CDPHE 4300 Cherry Creek Drive South Mall Code ASD -AR -B1 Denver, Colorado 80246-1530 PWS ID:6902233 Invoice #.-------- 2410 Balance D e: $75.00 CREDIT CARD PAYMENT—Complete the Information below or call 303492.2130 Name on card: , VIsa1MC #: Security Code(3 digit code located on back of card): Expires: 1 Phone #: ( ) - To receive a receipt provide your Fax # or Email address: Fax #: ( ) - Email address: Ljo4< 7/(