HomeMy WebLinkAboutApplicationMa ia15
Co
GAPS- tyc-U) C9 L,11 DUNI r.1
VOJNI
Garfield County
munity Development Department
108 Stn Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-countv.com
TYPE OF CONSTRUCTION
Property Owner: Bureau of Land Management Phone: (970)876-9000
Mailing Address: Colorado River Vallev Field Office
X New Installation
0 Alteration
0 Repair
WASTE TYPE
Engineer: David Fox Phone: (970) 250-5505
Mailing Address: PO Box 370. Parachute. CO 81635
X Dwelling
• Transient Use
0 Comm/Industrial
0 Non -Domestic
• Other Describe
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
X Vault
INVOLVED PARTIES
Property Owner: Bureau of Land Management Phone: (970)876-9000
Mailing Address: Colorado River Vallev Field Office
2300 River Frontage Road Silt. CO 81652
Contractor: WPX Enemy 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; RL! 34_6_-.See_the attached plat fordescrlDtion
Assessor's Parcel Number: 2403-171-00-952 Sub. Lot Block
Building or Service Type: Temporary office & house t/Bedrooms: 2 Garbage Grinder NQ
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
X Vault
0 Vault Privy
0 Composting Toilet
0 Recycling, Potable Use
0 Recycling
0 Pit Privy
0 Incineration Toilet
0 Chemical Toilet
X Other Hauled to Down Vallev Waste for their disposal
Ground Conditions
Depth to e Ground water table NA
Percent Ground Slope NA
Final Disposal by
0 Absorption trench, Bed or Pit
0 Underground Dispersal
0 Above Ground Dispersal
0 Evapotranspiration
0 Wastewater Pond
0 Sand Fitter
X Other Hauled to Down Valley Wastelocthelr disposal
Water Source & Type
0 Well
0 Spring
0 Stream or Creek
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 read and understand the Notice and Certification above as well as
have provided the required infor do • ich is correct and accurate to the best of my knowledge.
.Le5MVAIr
Property Owner Print and Sign
D
ae
OFFICIAL USE ONLY
Special Conditions:
Permit Fee:
Perk Fee: is
Total Fees:
Fees Paid:
Building Permit
Septic Permit:
s vr-369
Iss Date:
t`lvi ] l
Balance Due:
BLDG DIV: / LUl !/�` 1
APPROVAL DATi
3o53-42518Sos) loIZ4I1S
RU 34-6 Pad
Vault System Description
The site will temporarily office and house up to a maximum of four individu-
als during natural gas drilling activities and is expected to be completed in
one year or less. The individuals will occupy two individual trailer offices/
houses located on the well pad. Office/houses have Colorado Division of
Housing compliance tags
One aboveground sewage holding tank with 4000 -gallon capacity on-site.
The Vault System is displayed in both of the pictures. Sewage flows esti-
mated 10 be 300 gallons/day (4 individuals x 75 gpcd). Sewage holding
tank needs to be emptied approximately every 13 days (4000 gallons/
300 gallons per day). Wastewater vault is equipped with overflow alarm
device. Williams utilizes the services of a licensed contractor to removed
and haul the wasterwater to a state certified treatment/disposal facility.
One potable aboveground water tank of approximately 4000 gallons ca-
pacity on-site. Posted on the front of the Tank there is a Sign that states
"Potable Water Only". Potable water demand is estimated to be 300 gal-
lons/day (4 individuals x 75 gpcd). Required minimum tire suppression
demand is 2500 gallons. Total potable and fire suppression demand is
estimated to be 4000 gal-
lons.
Road access to the site is
maintained year round
through the services of pri-
vate road maintenance and
construction contractor.
ti {4�I�PL Il41Y16�1��1 t11W141N Il 414. .11N Qi 111
Raeaptien44: 01 eS 4
02127/2012 12 10.10 R1 J•a�nn Dlb.rlm
1 of 7 Rao Faaisicao Doo F..:0 oe GARFIELD COMITY CO
LIMITED POWER OF ATTORNEY
WPX 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 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: :
I. 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;
S. 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;
1 I . 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
Attomey-in-Fact shall lawfully do or cause to be done by virtue hereof. This Limited Power of
Attorney shall rernain in full force and effect until terminated by Company.
Fall "ai'INIVINIKFiltlir INICRYi 1.424 11111
Rsaaptionp: 615064
6212712et2 12rtfr16 PH Jean Alberlea
2 ar 2 Rao FeetS16.6e Don Fne:0.00 GARFIELD COUNTY 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 Committee to grant powers of attorney this l" day of January, 2012.
WPX RO .._ AIN, LLC
By. l =ate
D. es
Its•f ice P ident
STATE OF OKLAHOMA
COUNTY OF TULSA
}
) ss.
)
ACKNOWLEDGMENT
BEFORE ME, the undersigned authority, a Notary Public in and for said County and State,
on this day personally appeared, Jerry D. Barnes personally ]crown 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
day of-Jannwry; 2012,
thI Oxy
My Commission Expires: 2,
-23-2 oil
)aM!E Yd DEtit'
n�waneww�r
Wa.rrewM,tReosN
After Recordation Please Return To:
WPX Energy Rocky Mountien, LLC
Attn: Land Dept.
PO Box 370
Parachute, CO 81635
Section 6
7 7S.., R. 93 W.
` / r
4. , „.7-
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Exist. Limit / //`�-' i
ofDisturbance / ,' / ,- , "` ,
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1
A! W#7%' FO- 160 N#1
1 a F8.1 I . "1 150'
�
t�B
6 E,14
—Cuttings Trenc
12' Depth
----(7y)
100'
0
100
GRAPHIC SCALE IN FEET
1INCH=100FEET
r I!
Illlir 1 f� Qa
, IIIIiiitli PtOp`
B , 5WE#6s ,j a,,, FErsl.Ru32-s NEE #2r 1 111
r C.4.4' 1 I� 150' 0t0 ` DI )1
Ru 33Mi 90' f ` C 0.2
1 Exist. RU 333,ti. - rop. RU 42-6 1 / a I 4
' I I I I 'lI 1 Prop. RU 5338 AB III w S``
I
I I 1 1 Prof. RU 33$ i• /1 AT jtrf S1
r III III I l �roP. RU43.6 Y r roll I
I [ I I t I Prop- RU 434 i }�� xist. RU 4436 +j111
+; I 1 p 111 ' fr1I // Daylight Line-
r I i 1 rrT Exisl. RU 34t1 /? r�rrr / ` II! llh
r IIII I l 6utRU3a;i r rop. RU 5446 f fr1/ I ! + +rr1010,
I1 I ly I'•
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Daylight Ling' If.; X lrrr 1 if //'AO-.�^ __-
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11 l r /,r/ ;3 —
rIJ ir; w Move Tank Battery IN
ti HI/ l coo �'Q
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r'f(S.#5 +140 J rlt_tC 0�.:7--...,it\--
rl C5.6'� r yCmJ
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\( 1 / 1 - 1 y 50' 0/S� — — — _____-_M5s
7sso-, --' t:.t.1
1 AIII\• �.REF.PNT.`
1
lI
`91 . / +I
' Ext.
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n T Valve Set
c
ESTIMATED EARTHWORK QUANTITIES (cy)
ITEM
CUT
FILL
TOPSOIL
EXCESS
PAD
11520
700
0
10820
PIT
8550
8550
TOTALS
20070
700
0
19370
1 --
Exist. Limit
of Disturbance
'NOTE:
1.)10% Swell Factor Applied to Earthwork Cut Volume.
2.) Topsoil Volume Based on 12" Soil Depth.
3.) Total Disturbed Area = ±5.66 ac.
REVISED.' 5/18/15
136 East Third Street
Rifle, Colorado 81650
Ph. (970)625.2720
Fax (970) 625-2773
^BOOKCI,TFF
S'ur1) Services, Inc.
SCALE: 1 ,. 1 n0'
DATE: 7j 30114
Construction Plan Prepared for:
WPXENERGY WPX Energy Rocky Mountain, LLG
PLAT: 2 0
PROJECT: Vatted
DPT: es
RU34-6 Drill Pad - Plat 2
CONSTRUCTIONLAYOUT
Section 6
T. 7 S., R. 93 W.
GRAPHIC SCALE IN FEET
INCH = 2000 FEET
ACCESS DESCRIPTION:
FROM THE INTERSECTION OF STATE HIGHWAY 6 AND COUNTY ROAD 323 (RULISON ROAD) NORTH OF RULISON, PROCEED
SOUTHERLY ALONG COUNTY ROAD 323 (RULISON ROAD) 11.1 MILES TO THE INTERSECTION WITH COUNTY ROAD 309 (RULISON
PARACHUTE ROAD), PROCEED LEFT IN AN EASTERLY DIRECTION ±2.3 MILES TO THE INTERSECTION WITH COUNTY ROAD 320
(RIFLE RULISON ROAD), PROCEED RIGHT IN AN EASTERLY DIRECTION ±6.2 MILES TO THE INTERSECTION WITH COUNTY ROAD
317 (BEAVER CREEK ROAD), PROCEED RIGHT IN A SOUTHERLY DIRECTION ±3 6 MILES TO AN INTERSECTION WITH A
DIRT:GRAVEL ROAD, PROCEED LEFT IN AN EASTERLY TO NORTHEASTERLY DIRECTION 12.2 MILES TO AN INTERSECTION WITH A
DIRT:GRAVEL ROAD, PROCEED LEFT IN A NORTHWESTERLY DIRECTION ±0.2 MILES TO THE EXISTING RU 34-6 DRILL PAD
LOCATION. AS SHOWN HEREON.
736 East Third S t eet
We, Colorado 87650
Pk 1970) 625-2720
Fax (970) 625-2773
BOOKCI.TFF
STlli3e' S1'7'2'ices, 17Jf +
SCALE 1 2ni1u
DATE. 7/30/ 14
PLAT. .S or7
Construction Plan Prepared for:
WPXENERGY WPX Energy Rocky Mountain, LLC
PROJECT: Vatter{
L T: S
RU34-6Drill Pad - Plat 5
ACCESS ROAD & 70PO MAP