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HomeMy WebLinkAboutApplication-PermitI Garfield County Building & Planning Department 108 8th Street, Suite #401 Glenwood Springs, Co. 81601 Office:970·945·8212 Fax: 970·384-3470 Inspection Line: 970·384-5003 Building Permit No. 10834 Parcel No: 2179-191-00-511 Locality: Job Address: ---R92, T6,_Sec20 off ~r 315, Rifle Use of Building: ------=storage for water storage facilc.oity'----- Owner: __ _ _____ Bry~n.ildson, Scott_~ Linda Contractor: EC Electric Inc ----------- Fees: Plan Check: $ '1/.<fl .-99:6'r Septic: .. Bldg Permit: ..!J2S_,_~~ Other Fees: Ol o(. • '-G. Total Fees: $ ~52.8V - Clerk: ...., l~ Date: 2/8/2008 I •• 1 GARFIELD COUNTY BUILDING PERMIT APPLICATION 108 8" Street, Suite 401, Glenwood Springs, Co 8160! Phone: 970-945-8212 I Fax: 970-384-3470 I Inspection Line: 970-384-5003 www.garfield~county.com Parcel No: (this infonnation is available at the assessors office 970-945-9134) 2179-191-00-511 2 Job Address: (if an address has not been assigned, please provide Cr, Hwy or Street Name & City) or and legal description OJ\1\0t3~·S 1£:a NWNW Section 20, Township 6 South, Range 92 West, 6th P.M. 3 Lot No: Block No: Subd./ Exemption: "' ~ ~' 511 00 N/A 4'\f Owner: (property owner) Mailing Address: 1625 17th street, Ph: AltPh; Antero Resources Piceance Corporation Ste 300, Denver, co 80202 303-357-7310 970-625-9922 5 Contractor: Mailing Address: 747 w. White Ave. Ph: , ~-;>· 7\l.f;>.:l. Alt Ph:';lo~:'JO~~ t ':>'5S EC Electric, Inc. Grand Junction, co 81501 970-241-3302-v-970-986-5192 6 Architect I Engineer: Mailing Address: 8450 8 · Crescent l:'Kwy Ph: AltPh: Samuel Engineering, Inc. Ste 200, Greenwood Village, co 60111 303-714-4840 Fax: 720-482-8327 7 Sq. Ft. ofBuildinlji Sq. Ft. or Acres of Lot: Height: No. of Floors: 140 sq. t. 11.67 acres 14 ft. 1 8 Use of Building: Storage for electrical boxes and equipment and automation controls for facility operations 9 Describe Work: -Sfut~e ~' (i.)Q\-e;r S' ~f"0-<1 '(_ Construct new 14' X 10' building and concrete foundation 10 Class of Work: 1-o.O lin, oNew o Alteration o Addition 11 Garage: Septic: o Attached 0 Detached o ISDS oCommunity 12 Driveway Pennit: GRB07-D-50 Owners valuation of Work: $ 40,000.00 NOTICE Authority. This application for a Building Pcnnit must be signed by the Owner of the property, described above, or an authorized agent. If the signature below is not tlmt of the Owner, a separate Jetter of authority, signed by the Owner, must be provided with this Application. Legal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Building Department. Other Permits. Multiple separate penn its may be required; (1) State Electrical Pennit, (2) County ISDS Pennit, (3) another penn it required for use on the property identified above, e.g. State or County Highway/ Road Access or a State Wastewater Discharge Pennit. Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 days of the date of issuance and if work is suspended or abandoned fora period of 180 days after commencement. CERTIFICATION l hereby certify that I have read this Application and that the infom1ation contained above is tme and correct. I understru1d 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 Penn it will be issued granting permission to me, as Owner, to constructthc structure(s) and facilities detailed on tl1e submittals reviewed by the Building Department. In consideration of the issuance of the Building Pennit, I agree that 1 and my agents will comply with provisions of any federal, state or local law regulating the work and the Garfield County Building Code, ISDS regulations and applicable land use regulations (County Regu\ation(s)). I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the location, construction or use of the structurc(s) and facility(ics), described above, arc not in compliance witll County Regulation(s) or any other applicable law. I hereby grant pcnnission to the Building Department to enter the property, described above, to i11spect the work. I further acknowledge that the issuance of the Building Penn it does not prevent the Building Official from: ( 1) requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction or use of the strncturc(s) or facility(ics) if sucl1 is in violation of County Rcgulation(s) or any other applicable law. Review ofthis Application, including submittals, and inspections oft he work by the Building Deprutment do not constitute an acceptance of responsibility or liability by the Cou11ty of errors, omissions or discrepancies. As tl1e Owner, J acknowledge that responsibility for compliance with federal, state and local laws and County Regulations rest with me and my authorized agents, including without limitation my architect designer, engineer and! or builder. I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE NOTICE & CERTIFICA TlON ABOVE: ~~-=L ~~ L/2.2~ DATE STAFF USE ONLY Special Conditions: Mise Fees: Setbacks: OCCGroup: PLNGDEPT: APPR ~ E 2:: ~ ~· 5 The following items are required by Garfield County for a final Inspection: I) A final Electrical Inspection from the Colorado State Electrical Inspector. 2) Permanent address assigned by Garfield County Building Department and posted at the structure and where readily visible from access road. 3) A finished roof; a lockable building; completed exterior siding; exterior doors and windows installed; a complete kitchen with cabinets, sink with hot & cold running water, non-absorbent kitchen floor covering, counter tops and finished walls, ready for stove and refrigerator; all necessary plumbing. 4) All bathrooms must be complete, with washbowl, tub or shower, toilet, hot and cold running water, non-absorbent floors, walls finished, and privacy door. 5) Steps over three (3) risers, outside or inside must be must have handrails. Balconies and decks over 30" high must be constructed to all IBC and IRC requirements including guardrails. 6) Outside grading completed so that water slopes away from the building; 7) Exceptions to the outside steps, decks, grading may be made upon the demonstration of extenuating circumstances., i.e. weather. Under such circumstances A Certificate of Occupancy may be issued conditionally. 8) A final inspection sign off by the Garfield County Road & Bridge Department for driveway installation, where applicable; as well as any final sign off by the Fire District, and/or State Agencies where applicable. A CERTIFICATE OF OCCUPANCY (C.O.) WILL NOT BE ISSUED UNTIL ALL THE ABOVE ITEMS HAVE BEEN COMPLETED. A C.O. MAY TAKE UP TO 5 BUSINESS DAYS TO BE PROCESSED AND ISSUED. OWNER CANNOT OCCUPY OR USE DWELLING UNTIL A C.O. IS ISSUED. OCCUPANCY OR USE OF DWELLING WITHOUT A C.O. WILL BE CONSIDERED AN ILLEGAL OCCUPANCY AND MAY BE GROUNDS FOR VACATING PREMISES UNTIL ABOVE CONDITIONS ARE MET. I understand and agree to abide by the above conditions for occupancy, use and the issuance of a C.O. for the building identified in the Building Permit. ORsSIGNAE DATE Bapplicationdecember2007 VALUATION FEE DETERMINATION Applicant Address Date .:B:.:.ryn=.i::ld:::so"'nC';;;-=-;---.,.--'-'-.,..---'--Subdivision nwnw sec 20 TS 6 Lot/Block _,1:.;,/3::;1:.;,/2:.;0~0:;;8==-"-----'----'-'-'---contractor Finished (Livable Area): Main Upper Lower Other Total Basement: Unfinished Square Feet Valuation Conversion of Unfinished to Finished Total Valuation Garage: Valuation Crawl Space Valuation Decks/ Patios Valuation Covered Open Type of Construction: Occupancy: Valuation Total Valnation sf sf sf sf X $74.68 0 sf sf X $41.00 sf X $33.68 sf X $18.00 sf X $9.00 sf X $24.00 sf X $12.00 Commercial 140 sf X $39.88 sf X sf X sf X sf X sf X ec electric 0.00 0.00 0.00 0.00 0.00 5,583.20 5,583.20 GARFIELD COUNTY BUILDING AND PLANNING 970-945-8212 MINIMUM APPLICATION REQUIREMENTS FOR CONSTRUCTION OF COMMERCIAL OR MULTI-FAMILY RESIDENTIAL BUILDINGS Including NEW CONSTRUCTION ADDITIONS ALTERATIONS And MOVED BUILDINGS In order to understand the scope ofthe work intended under a permit application and expedite the issuance of a permit it is important that complete information be provided. When reviewing a plan and it's discovered that required information has not been provided by the applicant, this will result in the delay of the permit issuance and in proceeding with building construction. The owner or contractor shall be required to provide this information before the plan review can proceed. Other plans that are in line for review may be given attention before the new information may be reviewed after it has been provided to the Building Department. Please review this document to determine if you have enough information to design your project and provide adequate information to facilitate a plan review. Also, please consider using a design professional for assistance in your design and a construction professional for construction of your project. Any project with more than ten (10) occupants requires the plans to be sealed by a Colorado Registered Design Professional. To provide for a more understandable plan and in order to determine compliance with the building, plumbing and mechanical codes, applicants are requested to review the following checklist prior to and during design. Plans to be included for a Building Permit must be on draft paper at least 18"x 24'"' and drawn to scale. Plans must include a floor plan, a concrete footing and foundation plan, elevations all sides with decks, balcony steps, hand rails and guard rails, windows and doors, including the finish grade and original grade I line. A section showing in detail, from the bottom of the footing to the top of the roof, including re-bar, anchor bolts, pressure treated plates, floor joists, wall studs and spacing, insulation, sheeting, house-rap, (which is required), siding or any approved building material. Engineered foundations may be required. Check with the Building Department. A window schedule. A door schedule. A floor framing plan, a roofing framing plan, roof must be designed to withstand a 40 pound per square foot up to 7,000 feet in elevation, a 90 M.P.H. windspeed, wind exposure B or C, and a 36 inch frost depth. All sheets need to be identified by number and indexed. All of the above requirements must be met or your plans will be returned. All plans submitted must be incompliance with the 2003 IBC, IPC, IMC, IFGC, and IFC. Applicants are required to indicate appropriately and to submit completed checklist at time of application for a permit: 1. Is a site plan included that identifies the location of the proposed structure, additions or other buildings, setback easements, and utility easements showing distances to the property lines from each corner of the proposed structure prepared by a licensed surveyor and has the surveyors signature and professional stamp on the drawing? Slopes of 30% or more on properties must be show on site plan. (NOTE: Section 106.2) Any site plan for the placement of any portion of a structure within 50 ft. of a property line and not within a previously surveyed building envelope on a subdivision final plat shall be prepared by a licensed surveyor and have the surveyors signature and professional stamp on the drawing. Any structure to be built within a building envelope of a lot shown on a recorded subdivision plat, shall include a copy of the building envelope as it is shown on the final plat with the proposed structure located within the envelope. Yes X 2. Does the site plan when applicable include the location of the I.S.D.S. (Individual Sewage Disposal System) and distances to the property lines, wells (on subject property and adjacent properties), streams or water courses? This information must be certified by a licensed surveyor with their signature and professional stamp on the design. Yes Not necessary for this project X 3. Does the site plan indicate the location and direction of the State, County or private road accessing the property? Yes_X_ 4. Is the I.S.D.S. (Individual Sewage Disposal System) designed, stamped and signed by a Colorado Registered Engineer? Yes Not necessary for this project X 2 5. Are the plans submitted for application review construction drawings and not drawings that are stamped or marked identifYing them as "Not for construction, for permit issuance only", "Approval drawings only", "For permit issuance only" or similar language? Yes X Not necessary for this project. __ _ 6. Do the plans include a foundation plan indicating the size, location and spacing of all reinforcing steel in accordance with the building code or per stamped engineered design? Y es_x_ Not necessary for this project __ 7. If the building is a pre-engineered structure, is there a stamped, signed engineered foundation plan for this building? Y es_x_ Not necessary for this project __ 8. Do the plans indicate the location and size of ventilation openings for under floor crawl spaces and the clearances required between wood and earth? Yes __ Not necessary for project_X_ 9. Do the plans indicate the size and location of the ventilation openings for the attic, roof joist spaces and soffits? Yes __ Not necessary for this project_X_ 10. Do the plans include design loads as required under the IBC or IRC for roof snowloads, (a minimum of 40 pounds per square foot in Garfield County)? Yes_X_ Not necessary for this project __ II. Do the plans include design loads as required for floor loads under the IBC or IRC? Yes_x_ Not necessary for this project __ 12. Does the plan include a building section drawing indicating foundation, wall, floor, and roof construction? Yes_X_ Not necessary for this project __ 13. Is the wind speed and exposure design included in the plan? Yes_X_ Not necessary for this project __ 14. Does the building section drawing include size and spacing of floor joists, wall studs, ceiling joists, roof rafters or joists or trusses? Yes __ Not necessary for this project_X_ 3 15. Does the building section drawing or other detail include the method of positive connection of all columns and beams? Y es_X_ Not necessary for this project __ 16. Does the elevation plan indicate the height of the building or proposed addition from the undisturbed grade to the midpoint between the ridge and eave of a gable or shed roof or the top of a flat roof? (Check applicable zone district for building height maximum) Y es_X_ Not necessary for this project __ 17. Does the plan include any stove or zero clearance fireplace planned for installation including make and model and Colorado Phase II certifications or Phase II EPA certification? Yes __ Not necessary for this project_X_ 18. Does the plan include a masonry fireplace including a fireplace section indicating design to comply with the IBC or IRC? Yes __ Not necessary for this project~ 19. Does the plan include a window schedule or other verification that egress/rescue windows from sleeping rooms and/or basements comply with the requirements of the IBC or IRC? Yes __ Not necessary for this project_X_ 20. Does the plan include a window schedule or other verification that windows provide natural light and ventilation for all habitable rooms? Yes __ Not necessary for this project __ X_ 21. Do the plans indicate the location of glazing subject to human impact such as glass doors, glazing immediately adjacent to such doors; glazing adjacent to any surface normally used as a walking surface; sliding glass doors; fixed glass panels; shower doors and tub enclosures and specify safety glazing for these areas? Yes __ Not necessary for this project_X_ 22. Do the plans include a complete design for all mechanical systems planned for installation in this building? Yes __ No X Not necessary for this project __ _ 4 23. Have all areas in the building been accurately identified for the intended use? (Occupancy as identified in the IBC Chapter 3) Yes __ Not necessary for this project X 24. Does the plan indicate the quantity, form, use and storage of any hazardous materials that may be in use in this building? Yes __ Not necessary for this project_x_ 25.ls the location of all natural and liquid petroleum gas furnaces, boilers and water heaters indicated on the plan? Yes __ Not necessary for this project_X_ 26. Do the plans indicate the location and dimension of restroom facilities and if more than four employees and both sexes are employed, facilities for both sexes? Yes __ Not necessary for this project __ x_ 27. Do the plans indicate that restrooms and access to the building are handicapped accessible? Yes __ Not necessary for this project_X_ 28. Have two (2) complete sets of construction drawings been submitted with the application? Yes_x_ 29. Have you designed or had this plan designed while considering building and other construction code requirements? Yes_X_ 30. Does the plan accurately indicate what you intend to construct and what will receive a final inspection by the Garfield County Building Department? Yes_X_ 31. Do your plans comply with all zoning rules and regulations in the County related to your zone district? For corner lots see supplemental section 5.05.03 in the Garfield County Zoning Resolution for setbacks. Yes X 32. Do you understand that approval for design and/or construction changes are required prior to the implementation of these changes? Yes_X_ 5 33. Do you understand that the Building Department will collect a "Plan Review" fee from you at the time of application and that you will be required to pay the "Permit" fee as well as any "Septic System" or "Road Impact" fees required, at the time you pick up your building permit? Yes X 34. Are you aware that you are required to call for all inspections required under the IBC including approval on a final inspection prior to receiving a Certificate of Occupancy and occupancy of the building? Yes X 35. Are you aware that the Permit Application must be signed by the Owner or a written authority be given for an Agent and that the party responsible for the project must comply with the Uniform Codes? Yes X 36. Are you aware that you must call in for an inspection by 3:30 the business day before the requested inspection in order to receive it the following business day? Inspections will be made between 7:30a.m. and 3:30p.m. Monday through Friday. Inspections are to be called in to 384-5003. Yes_x_ 37. Are you aware that requesting inspections on work that is not ready or not accessible will result in a $50.00 re-inspection fee? Yes_x_ 38. Are you aware that prior to submittal of a building permit application you are required to show proof of a legal and adequate access to the site? This may include (but is not limited to) proof of your right to use a private easement/right of way; a County Road and Bridge permit; a Colorado Dept. of Highway Permit including a Notice to Proceed; a permit from the federal government or any combination. You can contact the Road & Bridge Department at 625-8601. See Phone book for other agencies Yes X 39. Do you understand that you will be required to hire a State of Colorado Licensed Electrician and Plumber to perform installations and hookups? The license number will be required at time of inspection. Yes_x_ 40. Are you aware, that on the front of the building permit application you will need to fill in the Parcel/ Schedule Number for the lot you are applying for this permit on prior to submittal of the building permit application? Your attention in this is appreciated. Yes X 41. Do you know that the local fire district may require you to submit plans for their review of fire safety issues? Yes~ (Please check with the building department about this requirement) 6 42. Do you understand that if you are planning on doing any excavating or grading to the property prior to issuance of a building permit that you will be required to obtain a grading permit? Yes _X_ Not necessary for this project __ 43. Did an Architect seal the plans for your commercial project? State Law requires any commercial project with occupancy of more than 10 persons as per Section 1004 of the IBC to prepare the plans and specifications for the project. Yes X Not Necessary for this project ____ _ I hereby acknowledge that I have read, understand, and answered these questions to the best of my ability. 1/22/08 Date Phone: 970-625-8433 (days); __:3:.:0:.:3:_-_::9:_:0:_:2:_-...:1:_:5:.:3:.:2:____( evenings) Pr~ectName: Brynildson Water Storage Facility ProjectAddress:NWNW 820, T6S, R92W, 6th P.M. Note: On any of these questions you may be required to provide this information. If required information is not supplied, delays in issuing the permit are to be expected. Work may not proceed without the issuance of the permit. *If you have answered "Not necessary for this project" on any of the questions and it is determined by the Building Official that the information is necessary to review the application and plans to determine minimum compliance with the adopted codes, please expect the following: A. The application may be placed behind more recent applications for building permits in the review process and not reviewed until required information has been provided and the application rotates again to first position for review. B. Delay in issuance of the permit. C. Delay in proceeding with construction. BpcommDec2007 7 PLAN REVIEW CHECKLIST Building ~ngineered Foundation ~riveway Permit ...tL_surveyed Site Plan Jtiu...L ifv'<J\L sot ~Septic Permit and Setbacks ~Grade/Topography 30% ~Attach Residential Plan Review List ~Minimum Application Questionnaire . ¥Subdivision Plat Notes ~Fire Department Review ~aluation Determination/Fees ~ed Line Plans/Stamps/Sticker W_Attach Conditions LApplication Signed ~Plan Reviewer To Sign Application I V Parcel/Schedule No. 4 40# Snowload Letter-Manf. Hrns. GENERAL NOTES: Date_--+-) _-_...3'-'-1-'-a""(fu__ __ Planning/Zoning __t.droperty Line Setbacks . '"'-tOft Stream Setbacks _blood Plain _dBuilding Height ~ing Sign-off ~oad Impact Fees ~HOA/DRC Approval /Grade/Topography 40% >"/Planning Issues ~..f ~Subdivision Plat Notes No. -------"'10~8~3""4:....__ Assessor's Parcel No. 2179-191-00-511 ;2 ~ ttf -315"1 M' j.;;,.;_Uf~· Date ---=2/=8/=20=08::...___ BUILDING PERMIT CARD Job Address ---::R:>->9'-":2:>--'-T6'"7'S"':"e<:'c~2""-0:-'o~ff,!.-"!.cr7371,_,5"'-'-'R,_,if""'le,_ ____________________ _ Brynilson, Scott & Linda (lease:Antero Owner ____ _aecoJ.JitCeS-J---------Address 162517th St, ste300, DeR"er Phone # 303-357-7310 Contractor EC El9ctric Inc Address 747 W. White Am~, G.J Phone# 241-3302 Setbacks: Front _____ Rear _____ RH _____ LH _____ Zoning ____ _ storage for water storage facility INSPECTIONS Soils Test -,-:::;-;---:::--"?T-:-:---- Footing_ dl-2-~~ ~. ·A{h.J,. Foundation ~~ _ 141~ Grout ____________ __ Underground Plumbing ______ _ ·Rough Plumbing --------- Framing ___________ _ Insulation ------------Roofing ___________ _ Drywall ------------- Gas Piping----------- NOTES Weatherproofing ___________ _ Meehan ical _____ --;-;--;;--.--:;;:-:=-::---,r---- Eiectrical Rough (State) #'t:?1-f= 7CZ I Electrical Final ~~tate) /-Z 1-O'f Final/-z:::>-Cy /Checklist ComJ;>Ieted? ___ _ Certificate Occupancy #~ l..Q_-"'-'\~1_,_'0.::::::----=----:::.._,..--- Date I S:;u.E:Jd 2-. 2--fH Septic System# ___________ _ Date -------------Final ____________ _ Other _______________ __ (continue on back) INSPECTION WIU NOT IE MADE UNLESS nns CARD IS POSTED ON THE JOI 24 HOURS NOTICE REQUIRED FOR INSPECTIONS BUILDING PERMIT GARFIELD COUNTY, COLORADO Date Issued.a:.:::Ml>. .... Zoned Area •..•.....•.••...........•...... Permit No.l~ .....•..•.... AGREEMENT In consideration of the issuance of this permit, the applicant hereby agrees to comply with all laws and regulations related to the zoning, location; construction and erection of the proposed structure for which tbis permit is granted, and further agrees that if the above said regulations are not fully complied with in the zoning, location, erection and construction of the above described structure, the permit may then be revoked by notice from the County Building Inspector and IMMEDIATELY BECOME NULL AND VOID. use ':3l""iliO.t{te r/ 1ro\tf -;:.\mqe. f'l:lclli1\l Address or Legal Description 'tO,iJ-,-Tf:-'5ec,').O a!'! lf "5\'S• ?.Xf·~ Owner fu~ru'JU~Yt) \~U.\('': (®fro Contractor K 12\ec.\f\r., \VtL I Setbacks Front Side Side Rear This Card Must· Be Posted So It is Plainly Visible From The Street Until Final Inspection. INSPECTION RECORD Footingc)L~ .??0~CJ81i.:f7r,c~ DriveWay Foundation Underground Plumbing Insulation Rough Plum bing £ 3 '1 fi"t.£C., #:'&4-4 79! Chimney & Vent Electric Final (by State Inspector) ;.-~z..;-d7· Gas Piping Final /-?3-t/7' ¢a./ Electric Rough (By State Inspector) Septic Final Framing Notes: (To include Roof in place and Windows and Doors installed). ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING- WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND. THIS PERMIT IS NOT TRANSFERABLE For Inspections Call384-5003 108 8th Street Glenwood Springs, Colorado APPROVED DO NOT DESTROY THIS CARD Date~-~~ By "S I''" IF PLACED OUTSIDE-COVER WITH CLEAR PLASTIC WAGON WHEEL CONSULTING CODYW.SMITH 111 E. 3RD STREET, SUITE 213 RIFLE, CO 81650 OFFICE: (970) 625-8433 · FAX: (970) 625-8435 CELL: (303) 902-1532 January 30, 2007 Garfield County Building & Planning Department 1 08 8th Street, Suite 201 Glenwood Springs, CO 81601 RE: Agent Authorization To Whom It May Concern: Wagon Wheel Consulting, Inc. (Cody W. Smith) has been retained by Mr. & Mrs. Scott Brynildsen to request a Garfield County Special Use Permit for a Water Storage Facility to be utilized solely by Antero Resources Piceance Corporation on the Brynildsen Property located Southeast of Rifle, CO. I authorize Wagon Wheel Consulting, Inc. (Cody W. Smith) to act as agent on my behalf. Please contact me at (970) ~~if you have any questions or concerns. <P~ .s--a a 'b WAGON WHEEL CONSULTING CODY W. SMITH 111 E. 3RD STREET, SUITE 213 RIFLE, CO 81650 OFFICE: (970) 625-8433 FAX: (970) 625-8435 CELL: (303) 902-1532 January 22, 2008 Garfield County Building & Planning Department 108 8th Street, Suite 201 Glenwood Springs, CO 81601 RE: Agent Authorization To Whom It May Concern: Wagon Wheel Consulting, Inc. (Cody W. Smith) has been retained by Antero Resources Corporation (Antero) to obtain building permits in association with the Brynildson Water Storage Facility which is utilized solely by Antero on the Brynildsen Property located Southeast of Rifle, CO. I authorize Wagon Wheel Consulting, Inc. (Cody W. Smith) to act as agent on my behalf. Please contact me at (970) 625-9922 if you have any questions or concerns. Sincerely, MEMORANDUM OF SURFACI<: LEASE AND EASEMENT AGREEMENT STATL OF COL,ORAIJO I< NOW ALl" MLON BY Tl IL:SE PRESENTS: COUNTY OF GARFIELD Grantor: Scott l.lrynildson and Linda S. Brynilclson 1831 Railroad Avenue Rilk Colorndo 8 I 650-3203 Gi'antec: t\11tcro Rcs\}Urccs Piceance Corporatio11 I 625 Seventeenth Street Suite JOO Denver, Colorad\l 80202 Effective Date: December I, 2006 Grant of Easement: Grantor hereby grants) lets, !eases and demises to Grantee a right-of ... way and casement on, over. through and across the Lands necessary to construct operate, maintain, inspect and repair~ and reclairn the access road, and Facility, as depicted on Exhibit A. Grantor simultancousi.J' grants to Grantee a temporary construction and access road (25 feet on each side of' the center line depicted on Exhibit A), to be used during construction, repair, maintenance, removal or rcc.lamation of' the access road, and Facility, including, but not limited to, the right to dig hc!0\\1 the surl~tcc of the Lnnds in order to construct the Facility. The speciFic terms and conditions of this grant of casement are governed by the Surface Lease and Easement Agreement between the Gruntor and Grantee dated effective December I, 2006. Term: This Surface I ,case and Easement Agreement shall continue l{x a primary term of Hve (5) years beginning on the Flfcctivc Date, unless sooner terminated by the terms of the Surface Lease and Easement: Agreement. Grantee may extend this Surface Lease and Easement Agreement one (I) additional nvc (5) year term, for a maximum lease period oJ' 10 years, by providing written notice o!'such extension at least 30 days prior to expiration of the primary term. Purpost': The purpose or this Memorandum of SurhlCC Lease is to place third parties on notice of the Suri~HX' Lease. If there is any conllict bchveen the provisions of' this ivlcrnorandum \)r sur race Lease and the Suri~\CC Lease, the prnvisions or the Sur!'acc Lease shall controL GR1\NTOR: GRANTEE: AntL~ro Resources Piceance Corporation Bryn i ldson ACKNOWLEDGMENTS STAT'Ic OF COLORADO COUNTY OF DENVER ) H ) On this .1-Jfl:;-day of February 2007, bef()J"c me personally appeared Terrell A Dobkins, known to me to be the Vice President of r\ntero Resources Piceance Corporation and that he executed the within and foregoing instrument, and acknowledged the said instrument to be the !'rce and voluntary act and deed of said corporation. !~)!'the uses and purposes therein set forth. IN WITNESS WIIERJ:Or, J have hereunto set my hnnd and afllxcd my official seal the da_y and year rirst' above writlen. );~""........:.."""" . ·a CE WliiTLOCK ~ NOTARY PUBLIC L.§>TATE OF COLORADO My Commission Expires Jan. 18, 2010 Notary Pub I ic: ... _i_[L~Juz ___ ............ __ _ STAlL OF COI.ORi\ llO ) H COUNTY OF GARFIELD ) The foregoing instrument. \Vas acknovvledged by Scott Bryni!dson and Linda S. Brynildson bcf'nrc me on this •' clay of February 2007. My Connnission Expires: __ .. : ....... c....:. .. -"--'--·· ............. . EXHIBIT A To that certain tvkmorandum of Surface Lease and Easement Agrcctncnl dated Effective December I. 2006 between Scott Brynildson and Linda S. 13rynildson. as Grantor, and Antero Rcsottrccs l'iccancc C<)rporation, as Grantee. R~serv~d S~e Ar~a NQte: Propcrlylln~~ ~rc ~pprexim~le e Garfield County J Purchase Order # Special Instructions For Warrant Invoice Invoice Vendor Invoice .Project# (if Line Item Brief Description Dollar Date Number Fund Dept Sub Dept Account applicable) I (64 Characters or Less) (64 Characters or Less) Amount ~<~i~:Lt It 'Z. (. ~~. • .,... .jlo I~: 31o81 8 /6D t? or;o 3'f.:J'O !~f!' .. !~8~". ~_A L .JJ to... ~ • -o. 4 ( 5')..(,~ II J'7f. 35 dV\ l(~(o ~ nn • ' .1.-t:,g l4 OV\,~i" ~ ... i'JJio':f~~ A •" ~ II• !-r Prepared By: Total $ / 5~ .. 61' Department Head Approval: DATE:_1Af-L,!t-'-16_f __ Financial Management Guide Limits: DATE: _______ __ (Needs to be signed by County Administer if Over $10,000) Posted By: Date Stamp: Invoice Accuracy Verified By: ------ 2008 AP Voucher.xls Parcel Detail Page 1 of3 Garfield County Assessor/Treasurer Parcel Detail Information Assessor/Treasurer Prop_s)r!)' Search I Assessor Subset~Q!!~O:: I Assessor &<>le~earch Clerk & Reco.rder Reception S~ch Basic Building Characteds1Lcs . I Tax Information !'<>reel Detail I Value Detail I Sales Det<>il I Residential/Commercial Improv~ement Detail Land Detail I Photograp!lli I Tax Area II Account Number II Parcel Number II 2007 Mill Levy I I o24 II R247115 II 2179191oo5u II 45.837 I Owner Name and Mailing Address Legal Description JsECT,TWN,RNG:19-6-92 DESC: SEC.18 I ISESE, SEC.19 LOT 2(48.48AC), N2NE, I JsWNE DESC: SEC.20 N2NW, SENW I IPRE:R024492 RECPT:735030 I JRECPT:730695 BK:1946 PG:182 I IRECPT:727166 BK:1612 PG:129 I IRECPT:657508 BK:1612 PG:121 I IRECPT:657507 BK:0931 PG:0569 I IBK:0591 PG:0337 I Location Physical Address: llsrL T I Subdivision: I Land Acres: 11328.48 I Land Sq Ft: llo II ·" http://www.garcoact.com/assessor/parcel.asp?ParcelNumber=2179191 00511 1/23/2008 Parcel Detail Page 2 of3 2007 Property Tax Valuation Information II Actual Value II Assessed Value I I Land: II 1,84oll 5301 I Improvements: II 0// 0 I Total: II 1,84011 5301 Sale Date: 111/20/1995 Sale Price: 11170,000 Basic Building Characteristics Number of Residential 0 Buildinl!;s: I Number of Commllndl Buildings: 0 No Building Records Found Tax Information Tax Year II Transaction Ty~e II Amount I 2007 II Tax Amount II $24.281 2006 II Tax Payment: Whole II ($24.24)1 2006 II Tax Amount II $24.241 2005 II Tax Payment: Whole II ($24.34)1 2005 II Tax Amount II $24.341 2004 II Tax Payment: Whole II ($27.78)1 2004 Tax Amount II $27.781 I 2003 Tax Payment: Whole II ($30.90)1 I 2003 Tax Amount II $30.901 I 2002 I Tax Payment: Whole II ($29.20)1 I 2002 II Tax Amount II $29.201 I 2001 II Tax Payment: Whole II ($29.82)1 I 2001 II Tax Amount II $29.821 I 2000 II Tax Payment: Whole II ($31.78)1 I 2000 II Tax Amount II $31.781 II II http://www.garcoact.com/assessor/parcel.asp?ParcelNumber=2179191 00511 1123/2008 Parcel Detail Page 3 of3 I 1999 II Interest Payment II ($0.32)1 I 1999 II Interest Charge II $0.321 I 1999 II Tax Payment: Whole II ($31.88)1 I 1999 II Tax Amount II $31.881 Thp ofl'ag~ Ass.essor Database .Search Options I Treasurer Database Sears.h_Qptioill! Clerk & Recorder Database Search Options The. Garfield County Assessor and Treasurer's Offices make every effort to collect and maintain accurate data. However, Good Turns Software and the Garfield County Assessor and Treasurer's Offices are unable to warrant any of the information herein contained. Copyright © 2005 -2008 Good Turns Software. All Rights Reserved. Database & Web Design by Good Turns Software. http://www.garcoact.com/assessor/parcel.asp?Parce1Nurnber=2179191 00511 1/23/2008