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Home My WebLink AboutApplicationaY,eZG G~OZLlZ M23 Injection Well r - J Generator Building 108 8th Slrecl, Strife 40!, Clem not! Springs, CO 81601 !'h.970-945-8212 !:x:970-384-3440 Inspection Lute:888-868-5306 www.gartield-countv.com 11111I,DINC 1 I RAITI' APPLICATION di 14-8, JCL c -k 19M s STAFF USE ONLY pccial Conditions: Parcel No: ohm ntlirrmalflat IA antulrrhlc at the a.ctcssor., u!licc 970-945-9134) 1917-274-00-012 hot No: Block No: Suhd./ Exemption: 2 Job Address: (11 an address has not brat assagnul, plane print,' (R, hitt ur timed Aum' t ('#i) or and legal description SE,NW I14 of Section 26, T4S, R96W 3 Owner: {prrrprrsIouttcr) Encana Oil & Gas (USA) Inc Mailing Address: 2717 CR 215 Suite 100 Parachute CO 8I635 Ph: 970-285-2656 Alt Ph: 4 Contractor: Power Service, Inc. Mailing Address: 5625 Chapman PI Casper, WY 82604 Ph: 800-743-4774 Alt Ph: 5 Manufactured home installer: Mailing Address: Ph: Lic #: 6 Architect: Mailing Address: Ph: Alt I'll: 7 Engineer: Brendan 1 -Jammer- Power Service, Inc Mailing Address: 5625 Chapman P1 Casper. WY 82604 Pit: 800-743-4774 Alt Ph: 8 Sq. Ft. of Building: 364 Sq. Ft, or Acres of I.ot: 15,800 acres I Leight: 13' 7" No. of Floors: I 9 Use of 13uilding: ❑Residential ❑Commercial DOther Class of Work: ❑New ['Alteration OAddition ❑Repair Memo ❑Move 10 Describe Work: Construction & Installation of pre -fab skid mounted building to house a Generator 11 Garage: N/A ❑Attached ❑Detached Septic: N/A ❑ISOS ❑Community Type of Ileac: N/A ONat. Gas ❑Propane ❑Electric ❑Other 12 I)rivcway Permit: N/A Owners valuation of Work: 5330,000.00 NOTICE ,lutharily. This applr,:7ti,rn fora Building Permit must he signed by the Owner ofthc properly, dcscril cd above or an authorized agent If the signature below is not Ilial of the Owner a separate letter of autherily, signed by the Owner, must be firm ided lash this Application J.ecal Access, 4 Build lig pcnnil cannot be issued without proafof legal and adequate acccss to the properly for imposes of inspections by the Building Dcpantncnl. Other Permits. Multiple separate permits may le rcquired ( I ) Slntc Electrical Permit, (2) Comity ISDS Permit, (3) another pcnnil required for use on the properly identified above, c g State ur County I lighway• Road Access or a Stale 11'astewaicr Discharge Permit. Void Permit, A Building Permit becomes null and void if the work authorized is not commenced within I8b► days oldie date of issuance and if wok is suspended or abandoned fire a period of ISO days Mier conunenccutent CERTIFICATION I hereby certify that I ]rave road this Applicanon and that the information contained above is tore arid correct. I maim stand that the Building Department accepts the Application, along with the plans and specifications and other data submitted by me or on my behalf (submittals). based upon my certification as to accuracy Assuming completeness of the submittals and approval of this Application, a Building Permit will be issued granting permission 10 Inc. as Owner. to construct the stnicturc(s) and facilities detailed on the submittals reviewed by the Building Department In consideration of the issuance oldie Building Permit, I agree that I and my agents will comply with provisions of any federal, state or local law regulating the work and the Garfield County Building Code, ISDS regulation and applicable land nsc regulations (County Regulation(s)) I acknowledge That the Building Permit :nay be suspended ur revoked, upon notice from the Couuly, ifilre location cunstnrctian or use of the stnrctoc(s) and facility( les), described alms e, are not in compliance with Courtly Regulation(s) or any other applicable law 1 hereby grant permission lo the Building Department to enter the property, described above, to inspect the wink I further acknowledge that the issuance of the Building Permit docs not prevent the Building Official tion (I ( requiring the correction of cuors in the submittals. if any. discovered alter issuance, or (2) stopping construction or use of the structure( s) or facility(ies) ifsuch is in v iolatiol of County Rcgulation(s) or any other applicable law Review of this Application, including submittals, and inspections of the work by the Building Department do riot constitute of acceptance of responsibility or liability by the Courtly of encs, omissions or discrepancies. As the Owner, I acknowledge That responsibility tint compliance with federal, start and local laws and County Regulations rest with me and illy authorized agents, including without limitation my archilccl designer, engineer and, or builder I IIIiRGBY ACKNOWLEDGE TIIATI DAVE READ AND UNDERSTANDTi IE. NOTICE: & CERTIFICATION AIIOVI: March 13, 2012 ON% NisltSSIGNATURE DATE di 14-8, JCL c -k 19M s STAFF USE ONLY pccial Conditions: Adjusted 1'aluation: 3,z%6,. Plan Check Fee: 6, 3. zl l'ermit Fcc: 4?7. z.; 1Ianu home Fee: L1 00 disc Fees: Total Fees:ccs , 6a- 416 Paid: /I1 '0.14- Balance Due: IREFIA)j 4zz. 6 6 Ill' No & Issue Dale: 1SDS No & Issued Date: 43/--- - a-3,9 Setbacks: Flan. ,fed ,/oa ' OCC Group: Const fypc: _a` S Zoning: )21_ /r /',`A -APPROVAL APP OVAL DATE / IM1E �'^ NOTE: If any required information is missing, delays in issuing the permit are to be expected. If determined by the Building Official that additional information is necessary to review the application and/or plans for compliance, the application may be placed on hold until the required information is provided. Work may not proceed without the issuance of a permit. The building department will collect a Plan Review fee at time of application submittal. The Permit Fee, as well as any Septic or Road Impact fees will be collected when the permit is issued. The permit application must be signed by the owner or by a person having written authority from the owner to act as their representative. hereby acknowledge I have read, understand, and will abide with the requirements of this checklist. March 13, 201? Sign ure of Owner Date Garfield County Building & Planning 108 8th Street, Suite 401 Glenwood Springs, CO 81601 Phone: 970-945-8212 Fax: 970-384-3470 www.garfield-county.com 110 Mt112)I1MIMILI~l IVit11ttI 4I,+I 1 T Ii+MIIIkk 11111 Reception$t: 8151162 0212B/2012 11:14:59 AM Jean Rlberioo 1 of 1 Roo Fasn50.00 Dau Fee:0.00 GARFIELD COUNTY CO LAND USE CHANGE PERMIT FOR WATER TANKS AND MATERIAL HANDLING ON A 15,800 -ACRE PARCEL OF LAND OWNED BY ENCANA OIL & GAS (USA), INC. LOCATED 16.7 MILES NORTH OF THE TOWN OF PARACHUTE IN SECTIONS 23 AND 26, TOWNSHIP 4 SOUTH, RANGE 96 WEST OF THE 6TH PM, GARFIELD COUNTY. PARCEL NO# 1917-274-00-012 In accordance with and pursuant to the provisions of the Garfield County Unified Land Use Resolution of 2008, as amended, and Resolution No. 2012-1aof the Board of County Commissioners of Garfield County, State of Colorado, hereby authorizes, by Land Use Change Permit, the following activity: PRODUCED WATER STORAGE IN TANKS ON WELL PAD F26 AND MATERIAL HANDLING RELATED TO AN INJECTION WELL ON WELL PAD M23. The Land Use Change Permit is issued subject to the conditions set forth in the above-mentioned resolution, and shall be valid only during compliance with such conditions and other applicable provisions of the Garfield County Unified Land Use Resolution of 2008, as amended, Building Code, and other regulations of the Board of County Commissioners of Garfield County, Colorado. ATTEST: erk of the Board BOARD GARFIEL ISSIONERS, ,COLORADO Chairma r:IrA -7 ocyCv LiaquinN lePaS SviairIMPIUBVI 13301Allitsi IVBS Contacts Building Plan Review Description of Work: Construction & Installation of pre -fab skid mounted building to house Bin #: Location Address: Sec 19 Twn 4 Rng 95 PARACHUTE, CO General Information Case Manager: David Bartholomew Plan Case Number. BLDG -3-12-7183 Parcel: 191727400012 Application Date: 03/1512012 Owner EnCana Oil and Gas Applicant: ti esna Oil and Gas Applicant Phone: (970)285-2656 Email: jasoneckman[ encs Building Planning/Zoning Engineered Foundation Property Line Setbacks Driveway Permit 30ft Stream Setbacks Surveyed Site Plan Flood Plain Septic Permit and Setbacks Building height Grade!Topography 30% Zoning Sign -off Attach Residential Plan Review List Road Impact Fees /1- ie Minimum Application Questionnare HOA/DRC Approval Subdivision Plat Notes Grade/Topography 40% Fire Department Review Planning Issues Valuation Determination/Fees-Subdivision Plat ped Line Plans/Stamps/Sticker General Comments: Attach Conditions /Ake/ 4 w 327 (c'i,pi) ter /fie 97zS Application Signed Ian Reviewer To Sign Application / Ae 6, 1i/ Parcel/Schedule No. 40# Snowload Letter - Manu. Homes Soils Report Friday, March 30, 2012 7TH 560 , -CavL 9ZZ..62