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HomeMy WebLinkAboutApplication1,4 DRR "15 e. Garfield County Community Development Department 108 8'" Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-countv.com ONSITE WASTEWATER TREATMENT SYSTEM (OWTS) PERMIT APPLICATION TYPE OF CONSTRUCTION X New Installation WASTE TYPE 0 Alteration 1 ❑ Repair X Dwelling 0 Transient Use 0 Comm/Industrial 0 Non -Domestic ❑ Other Describe INVOLVED PARTIES Property Owner: Puckett Land Company Phone:(303)763-1003. Mailing Address: 5460 5. Quebec Street, STE 250, Greenwood Village CO 80111 Contractor: WPX Energy Rocky Mountain, LLC Phone: (970) 285-9377 Mailing Address: PO Box 370, Parachute, CO 81635 Engineer: David Fox Phone: (970) 250-5505 _ Mailing Address: PO Box 370, Parachute, CO 81635 PROJECT NAME AND LOCATION Job Address: Nolte 14-44 Pad - See the attached plat for description Assessor's Parcel Number: 240913300013 Sub. Lot Block Building or Service Type: Temporary office & house #Bedrooms: 2 Garbage Grinder No Distance to Nearest Community Sewer System: NA Was an effort made to connect to the Community Sewer System: NA Type of OWTS . 0 Septic Tank 0 Aeration Plant 1 X Vault 1 0 Vault Privy 1 0 Composting Toilet 0 Recycling, Potable Use 0 Recycling 1 0 Pit Privy 0 Indneratlon Toilet 0 Chemical Toilet X Other Hauled to Down Valley Waste for their disposal Ground Conditions Depth to 1'i Ground water table NA Percent Ground Slope NA Final Disposal by 0 Absorption trench, Bed or Pit ' 0 Underground Dispersal L❑ Above Ground Dispersal 0 Evapotranspiration 1 0 Wastewater Pond J 0 Sand Filter X Other Hauled to Down Valley Waste for their disposal Water Source & Type 0 Well 0 Spring 0 Stream or Creek I 0 Cistern X Community Water System Name Down Valley Septic and Waste Effluent Will Effluent be discharged directly into waters of the State? 0 Yes X No CERTIFICATION. Applicant acknowledges that the completeness of the application is conditional upon such further mandatory and additional test and reports as may be required by the local health department to be made and furnished by the applicant or by the local health department for purposed of the evaluation of the application; and the issuance of the permit is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations made, information and reports submitted herewith and required to be submitted by the applicant are or will be represented to be true and correct to the best of my knowledge and belief and are designed to be relied on by the local department of health in evaluating the same for purposes of issuing the permit applied for herein. I further understand that any falsification or misrepresentation may result in the denial of the application or revocation of any permit granted based upon said application and legal action for perjury as provided by law. I hereby acknowledge that I have rad-ond understand the Notice and Certification above as well as have provided the required infor ti • hich is correct and accurate to the best of my knowledge. Propert+`Owner Print and Sign Date / OFFICIAL USE ONLY Special Conditions: Permit Fee $75•�' Perk Fee: lq A Total Fees: Oa 1175 Fees Paid: ®® %75: Building Permit Septic Permit: Issuegate: 1 _ Balance Due: ®® 1 BLDG DIV: 1 " m /7-20/5` ,., APPRI DATE Toad 4.1 .15 5 , Nolte 14-44 Pad Vault System Description 5▪ 0(% ° 1 0k 3 2o. O oW22 Epi .E o 5020 113 Ee� > a.co o a}cn 0. > @ 0200 oca § 0 9 2k�o e• CD0.0 822 E E ±' 055®6 • c■2 7(13%£— o s2 • 2 0 _% k§2 2=ha0 / o -00 � 2 ID '§a k 2 o.c ai. c "0 ca 0 E— 0 t 0 c: �ogcCE�k E,-2 =2§a �tmm Ekk��22 £2@� &2k �°0wkin�§9/ °°@�£2 �■=M .t''E �_e O C! L \ °� . k a o—& a0m 7f©' � 9 �� �� @ f 2 0� @ �ax©7�� eL—.° 9f2¢2 J Ei-�22 .0§._._t 0.c§�2 »2-E 2 § %/-•k cc�'b�a crosK �'�22§� 220— �tc�2�2 kkkU)l- /�2=mra �� 0 N. kca--\ Kwk-§ 0 °9q2 >7c2%o t.4thili) 2220i§3 -270 5 a4 0-2\c2£ 3z0 2 0go2o 2.....00›.,"a) m��222 2£220» 2227E/§ 0RE£R$§ of2—ow2 El 111111 rtseapsiunK: 515004 02/77/2012 12.10.10 P11 Jon aib.ri 1 ea 7 066 F6s7116 CO ess F66=O 00 ZR REID C0MTV CO LIMITED POWER OF ATTORNEY RTX ENERGY ROCKY MOUNTAIN, LLC ("Company") a Delaware limited liability company, having its principal place of business in the City of Tulsa, County of Tulsa, State of Oldaboma, 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, Me 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; 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 gurpnscs 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 same had been given, made and done by WPX Energy Rocky Mountain, LLC in its limited liability company presence and it hereby ratifies whatsoever Attorney -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 D { fliMPAVATRIOVICIANNA NM 01111 a.ee=ttTppftrona a1sass 2 t 2R.o F:ifi eo oa F.s 0 OOr16AFFIF .D CGUMT�' C6 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 Committee to grant powers of attorney this 1" day of.lanuary, 2012. ACKNOWLLEDGMFNT STATE OF OKLAHOMA ) ) ss. COUNTY OF TUISA ) BEFORE ME, the undersigned authority, a Notary Public in and for said County and State, on this day personally appeared, Jerry D. Barnes personally known to me to be the Vice President of WPX Energy Rocky Mountain, LLC a Delaware limited liability company, who acknowledged tome 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&M) day ofteery; 2012. Fir Notary Public My Commission Expires: 2. -2..5- 2 0124 f.*:),, mom a Derr kookrw�Mr�� r e.nowrrtmna iy.,.lor.aYnIMOSM After Recordation Please Return To: WPX Energy Rocky Mountian, LLC Attn: Land Dept PO Box 370 Parachute, CO 81635 2 GRAPHIC SCALE IN FEET ' 1 INCH a 80 FEET ,%‘ 111 51 1, \\11 \ BI ‘1, 1 \1 11,,111\ 11 l 1 B3- 1t 1 1 1 1 1 1\ BS 1 }1 1 L 1. 11 \ 1\\ 'B7. '11 1 1Prop. SG 714-34-23-HN1 y w 1 t \1 Prop- SG 714-44-23-HN1 l ;1 + 1 1 It 11 1 yy 1 W5 6 1 1; 1 1 1 1 11 11 S t11. 1 � 1 1 y Exist. SG 31-23 Ist SG 341-23 "Exist SG 311.23 Exist 5G 41.23 Exist. SG 441.23 Exist SG 541.23 Exist 5G 431.23 .Exist. SG 531-23 108' �[ J x1st Nolte 14.44 t1Lis4 13 , EI iP•X Tank Baaer/ a e 50'4'/5 Se ,� '103 S �18Pt REF. PANT. 51,V.1(P 1.) Topsoil Volume Based on 12" Solt Depth. 2.)10% Swell Factor Applied to Earthwork Cut Volume. 3.) Total Disturbed Area = ±4.71 ac. 106 East Thdrd?Street Rifle, cotarado 81650 Ph. (970) 625.2720 Fax (970) 625-2773 SCALE: 1' 80' DATE: 3/ 13/ 14 PLAT: 2 of 7 PROJECT: Va11eu ESTIMATED EARTHWORK QUANTITIES (cy) ITEM CUT FILL TOPSOIL EXCESS PAD 22320 17009 3100 2211 PIT 2200 2200 TOTALS 24520 17009 3100 4411 Construction Plan Prepared for: WPXENERGY_ WPX Energy Rocky Mountain, LLC Survey Services, Inc. Nolte 14-44 Drill Pad - Plat 2 CONSTRUCTION LAYOUT Section 14 T. 7 5, R. 96 W. Paras A• ute L! C l 1 r_i IQ coo do -hit 0 NI jt e 14-44 �{ DRILL PAD 'LOCATION .,� �h4z,• ._ SdH: uu�' k • 0 1000 2000 GRAPHIC SCALE IN FEET 1INCH= 2000 FEET ACCESS DESCRIPTION: FROM INTERSTATE 70 EXIT 72 , PROCEED NORTHERLY ON THE SOUTHEAST SIDE SIDE OF 1-70 ON FRONTAGE ROAD t0.4 MILES TO AN INTERSECTION WITH A DIRT/GRAVEL ROAD, PROCEED RIGHT IN A SOUTHEASTERLY DIRECTION ON TO AND ACROSS THE NOLTE 14-796 DRILL PAD 1-0.2 MILES TO THE EXISTING NOLTE 14-44 DRILL PAD LOCATION, AS SHOWN HEREON. 136 Eaab7ifird &mei We. °Arado 87650 Ph. (970) 625-2720 Fax (970) 625-2773 Suri'cy luI SCALE. 7 - 2onn' DATE 3/ 13/ 14 PLAT. 5 017 Construction Plan Prepared for: WPXIrldRGY WPX Energy Rocky Mountain, !LC PROJECT Valle DF7: cws Nolte 14-44 Drill Pad - Plat 5 ACCESS ROAD & 70P0 MAP