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HomeMy WebLinkAboutApplicationGarfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970)945-8212 www.garfield-county.com SMALL TEMPORARY EMPLOYEE ROUSING 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 Operators 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: WPX Energy Rocky Mountain, LLC Phone: (970 )285-9377 Mailing Address: PO Box 370 City: Parachute State: CO Zip Code: 81635 E-mail: Operator's Compliance Officer Name: WPX Energy Rocky Mountain, LLC phone: ( 970 ) 285-9377 Mailing Address: PO Box 370 City.. Parachute State: CO Zip Code: 81635 E-mail: April. Mestas@wpxenergy.com PROJECT NAME AND LOCATION Location of Housing Site (Section/Township/Range): S 28 T 66 R 98W Well Pad Number: GR 14-28 Pad Assessor's Parcel Number: 217133200019 Zone District: Rural Maximum Number of Permitted Occupants: less than 8 Number of Days the Facility will be at Location: 60 State or Federal Permitting Agency Overseeing Reclamation, Restoration and Revegetation (Name): (Name): BLM (Relevant Permit Number): API # 05-045-22431-00 Date of Installation: 02/26/2015 Date of Removal: 04/27/2015 24 -Hour Emergency contact (1): vvvA tnergy KOCKy Min, LLG Phone Number: Utu Zttb-y3/ f 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 Yes 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 Yes 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 Yes 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 Sheriffs 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: 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 7-70S.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. S. 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: sso asu2l,000 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. BUILDING INFORMATION (per unit) Unit 1 Make: Mo SWdwes 2014 Serial Number/Unit ID #: 360141907 8 32141934 Division of Housing Insignia (provide copy) Square feet of unit: Unit 2 Make: ATCOSW .2010 Serial Number/Unit ID #: 36610004g Division of Housing Insignia (provide copy) Square feet of unit: Unit 3 Make: ATCO SWC .2014 Serial Number/Unit ID #: 360140403 Division of Housing Insignia (provide copy) Square feet of unit: OWTS PERMIT Permit #: SEPT -3629 I hereby attest that I am the designated Compliance Officer for the aforementioned Small Temporary Employee Housing Facility. I attest that I have read and understand the standards to which the Facility shall be installed and operated and that the Facility shall be constructed and maintained in accordance with all applicable Garfield County, State of Colorado and Federal Regulations and standards. I have read the statements Ave and have provided the required attached information which is correct and accurate to t-4 Xst of my knowledge. Signat re of Compliance Officer D to I hereby attest that I am a Licensed Professional Engineer in the State of Colorado and that I have conducted a visual inspection of the installed Small Temporary Housing Facility identified in this application. Based upon my inspection, I certify that the Small Temporary Housing Facility complies with the standards as forth above and as codified in the Garfield County Land Use and Development Code. PE Certification Number: PE Stamp See Attached Report Date of Inspection: See Attached Report Name and Title: David Fox, Principal Engineer Signature OFFICIAL USE ONLY File Number: ____-_—_— Fee Paid: $_ n/a V Fox Engineering Solutions, Inc. 670 Canyon Creek Drive, Grand Junction, CO 81507 Ph: (970) 250-5505 Email: coloradofox@,bresnan.net Inspection Report for: GR 14-28 Small Temporary Employee Housing Client: WPX Energy Rocky Mountain LLC Location: SW 1/4 SW 1/4 of Section 28, T6S, R94W, 6th P.M. Garfield County Conducted By: David Fox, P.E. Date Conducted: February 26, 2015 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, Not subject to visual inspection and certification by third party documentation shall be provided to the Community Development Professional Engineer. Department, Sheriffs Office, and relevant Ore 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. B. General Information requirements Not subject to visual inspection and certification by third party Professional Engineer. _ C. Small Facilities shall comply with all applicable Federal, State (i.e. Colorado Division of Housing certifications noted on Company Building Codes and electrical permits), and local laws and regulations housing trailer, Unit ID. 360141907 with Certification No. 25965, (i.e. fire code), but are not subject to County Building Permit. manufactured by Brito Structures in 2014; Company office trailer, Unit ID. 32141934 with Certification No. 26446, manufactured by Brito Structures in 2014; Driller's trailer, Unit ID. 355106849 with Certification No. 24102, manufactured by ATCO Structures in 2010; and the directional engineer's trailer, Unit ID. 360148403, with Certification No. 26322, manufactured by ATCO Strcutures in 2014; and the geologist's trailer, Unit 1D. 354085426, with Certification No.19055, manufactured by ATCO Strcutures 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- The water system at this location is not a public water system, as 705.B. defined by the Colorado Department of Public Health & Environment- WQCC Regulation No. 11. It is not subject to State permitting requirements. Two potable water tanks with capacity of approximately 4000 gallons each are located at the permitted site. Water meters were installed on each potable water tank. Page 1 of 3 GR 14-28 Inspection WPX Energy Rocky Mountain LLC E Wastewater systems shallcomply with standards set forth in section 7-705.C. 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 Smal I Facility for operational or security reasons must be managed In accordance with all applicable Federal, State, and local laws and regulations. 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. H.1 Provisions forgiving alarm in case of fire and fire suppression must be Installed perfire codes and as required by the fire protection district. H.2 Single -station carbon monoxide alarms must be placed in each Manufactured Home or Recreational Vehicle unit. Domestic animals are prohibited. The Operatorshall 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. Page 2 of 3 Fox Engineering Solutions, Inc. February 26, 2015 Wastewater disposal at the permitted site will be a vault -and -haul system. Two 4000 -gallon sewage holding tanks onsite. Sewage flows estimated to be 300 gallons/day (4 individuals x 75 gpcd). Sewage holding tanks need to be emptied approximately every 26.7 days (8000 gallons/ 300 gallons per day). Wastewatervault equipped with overflow alarm device. Site appeared to be maintained in clean, safe and sanitary condition, free of weeds and refuse. One wildlife -proof trash recepacle with a capacity of approximately 20 cubic yards onsite. Individual refuse containers in each office/housing structure. 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. Two potable aboveground water tanks of approximately 4000 gallons capacity each 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. Single -station carbon monoxide detectors located in all factory built non-residential structures No domestic animals observed on-site. 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. GR 14-28 Inspection WPX Energy Rocky Mountain LLC Professional Engineer's Attestation Fox Engineering Solutions, Inc. February 26, 2015 I hereby attest that I am a Licensed Professional Engineer in the State of Colorado. I attest that I or my agent have conducted a visual inspection of the Small Facility identified in this Checklist, as installed, and, based on information from that inspection I certify that the Small Facility complies with the standards, subject to and limited to visual inspections items as identified above; set forth in Article 7-707 of the Land Use& Development Code (Effective 7/15/13), for Garfield County, Colorado. PE Certification Number: Date of Inspection: No. 25420 (Colorado) February 26, 2015 Print Name and Title: David J. Fox, Principal Engineer Signature: Page 3 of 3 PE Stamp 9 Rig, '. / x , r I X m CD z � i,,� (. /'. � � I•� I\ ms's.', � � N 00 IR B A �gg .y�7�p� P , \1 ti.�� t � . • Y ` 1 \ . 3 n a o o exit 333 ill. T 3 p6g —x—z ^�- ?$uO�ooyqy A It Cce, P 44 o v o s n Cn 3 ^ �4 Bo�% T a N 3 T�T n c-60' S!,p 6y nmwnm9-1 `-tl9'nmd <am a pn Ii7 ^ a � d m N 3 m oma `w .° rOn' .`-S qv o ° $ m ' ° `3 ` n° . z r. 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Z f! < °o o m N Z 0 N 'o m c X 0 m m O z rr m Nz o c D n Z M rn ®_ � SD O W m m m` m z n x m n m m --1 m O r r z z O -f z m C m Nz c m n Z M rn ®_ � SD W 4 z Z M C Z c c Z ^ V' Z z o 0 D Z � M Z r � Q --I 2 0 D n 0 3 'li = o ® v N m z n x m n m m --1 m O r r z z O -f z m m Nz C; m O z Z M rn � o = 0 z zM C Z N c c N -{ ^ V' Z z o 0 D Z � M Z Ni m Q --I 2 0 D n 0 3 'li = o ® v N m 0 m o T ncn N C G C t m Z O N � � M T = m O D 0 > m f1 0 M O O r O A W G D 0 O I 1 Z c D c m m '71 m m 'n O F- r, O Z mm _.� ao Cr v z m_ O o r ' m m 2 < 0 v M 3 Cf O z m D 0 '< 0 N 4 z v N m ° v z r r D r D O v 1 Z c D c m m '71 m m 'n O F- r, O Z mm _.� ao Cr v m r m `�--- p C c W m m 2 z D z � r D r a a m c D m O m O 2 m W •p Uf T = 'R I ,r w M z - m. 0 r; o r N G c v o D Z m 0 n z z_ m O D n m N m N a p x z m a m m z 0 r M m °n o, -i o -n T z o, M ,D, W •p Uf T = 'R I r m w v m m r C m C7 � o_ D Z m O z z_ O D n r m z o -� Z z m Fn E5 z E5 o M z Z M � m U) >� o n m 0 Z4Z °m - _ �r< C --I C - 0 p — 00O.� z z � z z m O 0 z a Ri D � = 0 0 -0O p r �s Cl) U) C 1 j�C/'00 m m w � D M C)T D mD C) 0 -, m v n O O < m O O. C D O 0 cn 2 cn D .D 13 0 m O r m r m z C .n D m m m A 0 M m � -i -n T z M ,D, � v � 2 z m o 0 -n r z t O Z� i z o -� Z z m Fn E5 z E5 o M z Z M � m U) >� o n m 0 Z4Z °m - _ �r< C --I C - 0 p — 00O.� z z � z z m O 0 z a Ri D � = 0 0 -0O p r �s Cl) U) C 1 j�C/'00 m m w � D M C)T D mD C) 0 -, m v n O O < m O O. C D O 0 cn 2 cn D .D 13 0 m O r m r b itc 0 BUILDING INNOVATION Britco Structures USA, LLC 1101 Foundation Drive Waco, Texas 76712 OD Reg. # '�— Model: 1�` "n r�, r pit iVe aSt Serial #: Al J 1�1. _ Project Constructed on: -Max Roof Live Load: 100 PSF (Includes Snow Loads) Max Floor Live Load: 50 PSF Max Wind Speed: 115 MPH (3 Sec. Gust) Category:—w C State Decal#: Seismic Design Category: C Use Group: R2 Construction Type: Irl Unit Code Compliance: (Code + Applicable T lr_ DAppeendices) ej II' (Irx'1 7V > J,(_ -es C,, F, & K) Date: 2012 ed NII;, Date: 2011 62 T 17 (Irrl Ap�arlicc-,- C E, F & Gbate: 2012 ed Date: 2012 ed T IM Date: 2012 Axl Date: Special Limits/Conditions: J m z O 0 LL W H N w 0 w IrD v a m Q J a 0 � a m 0 Q O m mi I cc � o Q I— O U r 'L O W _ W a a w w a W C1 O 0U) LU z LL 0z . W r d a~ /Z V % G W nc W = � LL O 0 aw O J cn D cr 0=CL 2a CL W V V. U 0 Z O w a N Z it U) z a LLP O L) � O r � 0 ,�� _ Ncr Z a z — LLJ> r O N w v � a a ~ w F - Q Z Z w 0 O z (n N W cccn Z r O z J m z O 0 LL W H N w 0 w IrD v a m Q J a -+ � a m J I cc � O I— t7 OCC CC Z OF J W a a z m U) a d z Z s N J J I � O t7 OCC CC Z OF J z W O LL W C1 O G W N z z z W IL d a~ Q G W a a Att ii n Structures (USAF Inc. 110G Norlh I�iuple Uriv)', flihollJons 75991 U.S.A. 1-800-575-2926 Registration No. State Decal No. Model , .pic , Serial No. Constructed On Floor Live Loads A) /M %OGii /Y PSF Volts , , o / 4 Q. Roof Loads PSF Hz n �� Wind Load PSF Phase Wind Speed i- A G MPH Amps < GG Gas Type Seismic Zone Seismic Design Category Occupancy Group F, Construction Type V N, his unit complies with the: ;)O '; N;,(, 00 Regulations in force at ,onstruction I'�• iiil ; T T X X � -0 U) x m m o -i x LD D z r D r C "1l D C m m U) m T O r z 3 D z C T D n C m z D m z o Z = m m (n z O O M z Z M m r v n m O Z z =' D O r c -Ni n c o n z c U D m Z 0 D � � v v r m o in T --I� m --i s D m 'i T M y o T 0O O r v O C x D O O z T z v ro a c o m z ro x m C C 2 _ O G Z r O D Y yv p 0 X X � -0 U) x m m o -i x LD D z r D r C "1l D C m m U) m T O r z 3 D z C T D n C m z D m z o Z = m m (n z O O M z Z M m r v n m O Z z =' D O r c -Ni n c o n z c U D m Z 0 D � � v v r m o in T --I� m --i s D m 'i T M y o T 0O O r v O C x D O O z ATCO Structures (IISA) Inc. 1100 With Temple Drive, Diholl, Texas 75941 U.S.A. 1.800-575-2826 Registration No. State Decal No. Model ! , Serial No. Constructed On i M LO I 0 lY Floor Live Loads �) PSF Volts Roof Loads i00 PSF Hz 0 Wind Load 171) r/^c' PSF Phase Wind Speed 1)0 MPH Amps _O0 / Gas Type Seismic Zone Seismic Design Category Occupancy Group Construction Type This unit complies with the: Building Regulations in force at Date of Construction Special Conditions: WPX Energy 1058 County Road 215 P.O. Box 370 Parachute, Colorado 81635 (970)285-9377 Date: February 27, 2015 Garfield County Sheriffs Office Emergency Operations Attn: Jim Sears 108 8"' Street Glenwood Springs, CO 81601 Ph: 970-945-0453 RE: Emergency Response Notification GR 14-28 pad Dear Jim: This letter is to inform the Garfield County Sheriffs 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 60 days. In accordance with Garfield County Planning and Zoning Regulations, the allaclied documentation provides emergency response information and driving directions for the WPX GR 14-28 pad. Should you have any further questions or concerns regarding this notification, feel free to contact me at (970)319-8089. Sincerely, 13�z Gam✓ C , ' Dylan Goudie Drilling Engineer — Piceance District Dylan.Goudie(cr�,wnxenergy.com 30 N acr go $aa n9 -' 1ewa'6o m aj1.118 po Z 2' a 3 G a m v w n� m Mill ° m n¢ a m' g o 3 a 65-U. 0 8 Z a a_ U m V pill 0 �$ u i m a- v " f a e7 u 3 = s u m� m» -v �a N m¢>im j:11-I4m B 11 9¢ el ®m'®u om �Q6�a�$ G- Ve omma'3 30 m E8a.2 e55 0a ° 2 . '- �as8 a=!gig aG -¢sa aaomg�� ; gra go y$n a3 GrooX �4 ..n,Fy YA mm -m^ %Z'a 2v n-Gu� _ 2:80 d o°FBmm9 Mum I o a n �4m z gNm mw' _ -� « $6 w oc °u�'� dela °m�$mG m9400"y'8 - go u my ua amu y 000aaa ORM y 32 8 4.19t Q- m 8 S 3 i N m 3 °' c ° 6 8 3 Q Q �a Q3u$nua ggN$°p o4NGa N� lag L N mF �a z°aE33_ HS.M. w B w i m u° 3 a a S, S o Q u O a a 3 2 m 33 N G c H Rh O a 0 m C o 9 9 Q G Q py 0 ®tea °�a0 Vb 64A-4. Caoa m N pC r x m Z RM ^O^ Y, yy 1Mi,mild ON g I til e�l 7 B � Ss gB flo7 F Y � L It 4T`�iD�, I ap tJ 30 N acr go $aa n9 -' 1ewa'6o m aj1.118 po Z 2' a 3 G a m v w n� m Mill ° m n¢ a m' g o 3 a 65-U. 0 8 Z a a_ U m V pill 0 �$ u i m a- v " f a e7 u 3 = s u m� m» -v �a N m¢>im j:11-I4m B 11 9¢ el ®m'®u om �Q6�a�$ G- Ve omma'3 30 m E8a.2 e55 0a ° 2 . '- �as8 a=!gig aG -¢sa aaomg�� ; gra go y$n a3 GrooX �4 ..n,Fy YA mm -m^ %Z'a 2v n-Gu� _ 2:80 d o°FBmm9 Mum I o a n �4m z gNm mw' _ -� « $6 w oc °u�'� dela °m�$mG m9400"y'8 - go u my ua amu y 000aaa ORM y 32 8 4.19t Q- m 8 S 3 i N m 3 °' c ° 6 8 3 Q Q �a Q3u$nua ggN$°p o4NGa N� lag L N mF �a z°aE33_ HS.M. w B w i m u° 3 a a S, S o Q u O a a 3 2 m 33 N G c H Rh O a 0 m C o 9 9 Q G Q py 0 ®tea °�a0 Vb 64A-4. Caoa m N pC r x m Z RM ^O^ Y, WPXFNFRGY,, WPX Energy 1058 County Road 215 P.O. Box 370 Parachute, Colorado 81635 (970)285-9377 February 27, 2015 Grand Valley Fire Protection District Emergency Operations Attn: Rob Ferguson 0124 Store Quarry Rd Parachute, CO 81635 Ph: 970-285-9119 RE: Emergency Response Notification GR 14-28 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 60 days. In accordance with Garfield County Planning and Zoning Regulations, the attached documentation provides emergency response information and driving directions for the WPX GR 14-28 pad. Should you have any further questions or concerns regarding this notification, feel free to contact me at (970)319-8089. Sincerely, eyvz -o►' Dylan Goudie Planning Coordinator— Piceance District Dvlan.Goudie@wpxenergy.com aha j � ��` t�����t, �j �� . •� � `z��er,: ,� F fig"g ` c n1 CD s i N 00 o qqi Big l< m CL D I d n i I 3a�f 5Tp! v{ 8 a a �: + i�po uo F \ �19 5555 bon $ =3 uo \l\ g E mgm a§ zi n Y m a a T o g (n CO3 3 4i T S o'fii o 'O til m/w ga9 om3c�' 0n E•<ao ua'o$o �ooa Ei° `030'0 _ c F o 3 np�f0. 3 0cD o j 3W SSBa9 ue y2gof�nm90Fi U2 3�aii oyonF _ om v X 3 v z c, ^'o G`° �¢' ` Nco oin � � d N�0 aol o z (II 3'0 N o° m°-^' 00 �rn33a-0a ntfl m O -Q0 ° gra S® 'zmnu� G�8.02a �3ym� y0. co s a >0) o 6nag sPo aw gaa$a an9 mem g8 o go 00 e mN 3 o aF a�E ^ v ��� a°z. om�m 2 _w _Qg _f o =— a p °F_ H_ Ps mO O sH 0 8� o m u «a�� °u o `on»m C 'avo Q n S 0. x = O m o C 20 0 ="Ga 3 e+ co �` E+8� 3 o ao �� m nooHFs d.'.¢A iva Z as Fs5 'Nn p P°°4F0 NF m C 2 6fl�a �IQ uFF�?03 Ew ¢00¢00 QOOdw �p m 3 aRx v 3ygm da on9°3mo 3 a FOg 3 0 0 3 F�m�3a0c� ;°n° m F c CL °¢¢ 2_ a °i ° W O H: 4 n P ,°�— WO o OO O y N lW Ow w NCmC Section 28 T. 6 S, R 96 W 111 //I I'IN 11 ll W4#2 bs2e--- �� i'/ t•�/ j�1�;;2�2lj;ll C126'- Pr0.GHI728-74-- 1.10 I1i1I X111 �I � 1 + ( ryllll Ill i---- i I LC I ^til ;;III I III; it � --- I r Q11' walk A- r m- 3808 X I I I It AIIIIII,'il'111'X II�7IY � it IIIY 1, `l l 0 Ira c 1� Ui// 1,1 F0.7' j�1�;;2�2lj;ll C126'- Pr0.GHI728-74-- 1.10 I1i1I X111 �I � 1 + ( ryllll Ill i---- i I LC I ^til ;;III I III; it � --- I / /IIII IIjjlll XIIIr walk A- 0 3808 X I I I It AIIIIII,'il'111'X II�7IY � it IIIY 7 l v\J1AP#1� r c 1� _ \� 0 ez AP#2:�� i I i --_ ppQ�6 0 y5 pad S #s "% *NOTE: C 4.4,? 245' i0'o/s I 3EF. PAfT. -\1 V F#4 %0.3'1 NE#s 88' m m F 1.3' AA ASAP \ {\ A°o \1 I F�st.Top I OI1, NAz. 4203' E 146 BB 76' F 1.2' 75' tI Etlst. a. GR 14-28 1 24'CMP 1 Ex.)142 Ex \ ExI 1 1 f %• E#7 2.3' 'A' 'Area for Separators li (20130) 0.6/ '� / ec TOPSOIL 1 / PAD walk A- 0 3808 PIT + -F / 9p 7 l TOTALS It It 2612 0 3806 i0'o/s I 3EF. PAfT. -\1 V F#4 %0.3'1 NE#s 88' m m F 1.3' AA ASAP \ {\ A°o \1 I F�st.Top I OI1, NAz. 4203' E 146 BB 76' F 1.2' 75' tI Etlst. a. GR 14-28 1 24'CMP 1 Ex.)142 Ex \ ExI 1 1 f %• E#7 2.3' 136 E.st ThM SI,M Rifle, Colorado 81650 Ph t9701625 2720 Fax (970) 625-2773 CC 0 W GRAPHIC sCALE IN FEET � 1 INCH= 80 FEET ESTIMATED EARTHWORK QUANTITIES (Cy) X r9�a // _ `� " D�y1/ghiCin'�•' TOPSOIL EXCESS PAD 6420 2612 0 3808 PIT F0.3' 20t\k 0 TOTALS 6420 2612 0 3806 AP #4 i I i F2.6' "% *NOTE: 1.) 10% Swell Factor Applied to Earthwork P A 1/101, Cut Volume. Edsc 36•c,1oP �A, t 1 / 111 / 2.) Total Disturbed Area =±4.83 ac. p'�\� REVISED. -3/19/14 R 136 E.st ThM SI,M Rifle, Colorado 81650 Ph t9701625 2720 Fax (970) 625-2773 CC 0 W GRAPHIC sCALE IN FEET � 1 INCH= 80 FEET ESTIMATED EARTHWORK QUANTITIES (Cy) ITEM CUT FILL TOPSOIL EXCESS PAD 6420 2612 0 3808 PIT 0 0 TOTALS 6420 2612 0 3806 SCALE: I"=80' WPXENERGY.WPXEnergy Rocky Mountain, LLC DATE: 316114 PLAT 2of7GR 14-28 Drill Pad - Plat 2 PRQJEC7:• Valley lte DT-P cs CONSTRUCTIONLAYOUT Section 28 T 6S,R.98W 1 1 f I NMI 010 er AJ 1 �` i° 29" `Qi !t, ', �,�� J e. I ell w GR 14� 28 DRILL, �.�vl �•�� •-`��1-1">1.�,- fir_ r --,a1' _- � � t�=_�__� _-� �``, � ..,:°� l n,. jil�/� X1111`.. •i \ ry �' iv ',X` Adc)eae.Eoed J `1 I •/J' 1000 0 2000 GRAPHIC SCALE ]J FEET IINCH= 20M FEET ACCESS DESCRIPTION: FROM THE INTERSECTION OF STATE HIGHWAY 6 AND COUNTY ROAD 215 AT PARACHUTE, PROCEED NORTHERLY ALONG COUNTY ROAD 215 ±3.9 MILES TO AN INTERSECTION WITH A DIRT/GRAVEL ROAD, PROCEED LEFT IN A SOUTHWESTERLY DIRECTION ±1.3 MILES TO THE GR 14-28 DRILL PAD LOCATION, AS SHOWN HEREON. 186RntTId.d Sfwj'XWSCALE: 1-=2000' ._' WPX Energy Rocky Mountain, LLC Rift,, Cotomdo 81650 DATE: 3/5/14 F 4 x9907 625220 I F.e (990)625-2]1..,,�1� //q�, I I I PLAT CT-' s oto GR 14-28 Drill Pad - Plat 5 Ualle4 DFT. Dx �s ACCESS ROAD & 7YJP0 MAP Mill h�Ypral'IAiI§fi 94� fWC�riPl�I�hW�'I4f§,Ids IN 6 milli 02/7T/701Z 12: 10 •i OOPH Jean albarl. 1 of 7 Rao FBO:St O-0.9 Opo Femo.00 MRFIELo Cawy e0 LINUTED POWER OF ATTORNEY WPX ENERGY ROCKY MOUNTAIN, LLC t"Company") a Delaware limited liability company, having its principal place of business in the City of Tulsa, County of'fulsa, Slate of Oklahoma, does hereby make, constitute and appoint Bryan S. Hotard with the full authority hereinafter provided, the true and lawful Attorney -in -Fact of the Company, authorized and empowered on behalf of the Company and in the Company's name, and for the sole and exclusive benefit of the Company and not on behalf of any other person, corporation or association, in whole or in part, to enter into, execute, deliver, file and accept all instruments and documents affecting the real property or real estate rights of the Company as more specifically set forth below: : 1. Applications and documentation associated with Garfield County or Rio Blanco permitting requirements for including, but not limited to, Independent Sewage Disposal Systems, Small Temporary Employee Housing, Major Impact Reviews, Limited Impact Reviews, Oil and Gas well permitting, Driveway Access, County Road Maintenance, Temporary Living Quarters, Temporary Use Permits, Surface Use Permits, Surface Use Licenses, Utilities, Snow Removal and Private Construction of County Roads; 2. Agreements and other documentation that grant easements, rights of way, licenses, or permits to Company and also instruments where the Company grants such rights to others; 3. Agreements that assign easements, rights of way, licenses, permits or surface leases in connection with the Company's operations; 4. Releases and Partial Releases of easements and rights of way; 5. Agreements allowing encroachments onto easements and rights of way owned by Company and landowner instruments and conveyances on others casements; 6. Agreements subordinating mortgage rights to easement or lease; 7. Agreements relating to the modification and relocation of Company facilities; 8. Rental or lease agreements for surface use or other surface use agreements and all notices related to the pipeline agreements; 9. Agreements for the purchase or sale of real property and for the lease of real property for residential or commercial purposes or otherwise in connection with the Company's operations; 10. Agreements to obtain water services, electrical, gas or oil services or the provision of other utility services utilized by Company's facilities; 11. Agreements modifying, amending, renewing, extending, ratifying forfeiting, canceling and terminating any and all of the aforementioned types of instruments and documents. WPX ENERGY ROCKY MOUNTAIN, LLC hereby declares that each and every act, matter and thing which shall be given, made and done by Bryan S. Hotard in connection with the exercise of any or all of the aforesaid powers shall be as good, valid and effectual to all intents and purposes as if the sante had been given, made and dope by WPX Energy Rocky Mountain, LLC in its limited liability company presence and it hereby ratifies whatsoever Attomey-in-Fact shall lawfully do or cause to be done by virtue hereof. This Limited Power of Attorney shall remain in full force and effect until terminated by Company. V ®1116'�t'�I'IAi{4h l�Ulll�idP'�d461r18Vi H&H ®1111 Rceapllonp; 0212)/2012,$1$Oea11:10PY don alber leo 2 or 2 Reo Fee:31e,0 pee Fue:0.00 0aRFIl10 CUMY CO IN WITNESS WHEREOF, WPX Energy Rocky Mountain, LLC has caused this Limited Power of Attorney to be signed by one of its Vice Presidents, duly authorized by its Management Conmaittee to grant powers of attorney this 0 day of January, 2012. WPX 1EItCii RO ' 1 TAIN, LLC By. D. mes s. It ice pr ident ACKNOWLEDGMENT STATE OF OKLAHOMA ) ss. COUNTY OF TULSA ) BEFORE ME, the undersigned authority, a Notary Public in and for said County and State, on this day personally appeared, Jerry D. Eames personally known to me to be the Vice President of WPX Energy Rocky Mountain, LLC a Delaware limited liability company, who acknowledged to me that he has executed the above LIMITED POWER OF ATTORNEY authorized by Company's Management Committee. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notary seal, the&1 I day ofdanxaty, 2012. NotaryPublic My Commission Expires: 2 / 3, /— Q 1 q After Recordation Please Return To: WPX Energy Rocky Mountian, LLC Attn: Land Dept. PO Box 370 Parachute, CO 81635 OC+MAem+D�M.1M1MYJ WNM 11 After Recordation Please Return To: WPX Energy Rocky Mountian, LLC Attn: Land Dept. PO Box 370 Parachute, CO 81635