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HomeMy WebLinkAbout1.0 Application MaterialsApplication Materials Ursa Operating Company, Battlement Mesa Partners, and Battlement Mesa Land Investments Pipeline Grading Permit Application Battlement Mesa PUD Phase I OAProject No. 014-1829 Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-countv.com TYPE OF GRADING NI MAJOR TO MINOR INVOLVED PARTIES Ursa Operating Company for g70 Num Property Owner: Battlement Mesa Partners and Battlement Mesa Land Investments Phone: (970 ) 295-9740 Mailing Address: 792 Buckhorn Dr. PO Box 6000 Rifle, CO 81650 Parachute, CO 81635 Contractor: TBD Phone: ( ) Mailing Address: Architect: N/A Phone: ( ) Mailing Address: Engineer: Kahuna Ventures LLC Phone: ( 303 ) 451-7374 Mailing Address: 11400 Westmoor Circle, Suite 325, Westminster, CO 80021 PROJECT NAME AND LOCATION Project Name: Battlement Mesa PUD Phase I Pipeline Describe Work: Build two approximately 3 mile pipelines from Ursa's BMC B pad through their BMC D pad to their gas sales and water disposal point. The pipelines will be laid within the same easement. The pipelines will consist of sections of 8", 10", 12", and 16" pipe, all of which will be less than 2 miles in length. Job Address: Assessor's Parcel Number: 2409-134-06-004 and 2407-081-00-152 Sub. Lot Block Earthwork (square feet): 568,750 sq ft Earthwork (Cubic Yards): 6,466 cu yds ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING NOTICE Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. If the signature below is not that of the Owner, a separate letter 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 Division. Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit, (3) another permit required for use on the property identified above, e.g. State or County Highway/ Road Access or a State Wastewater Discharge Permit. 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 for a period of 180 days after commencement. CERTIFICATION I hereby certify that I have read this Application and that the information contained above is true and correct. I understand that the Building Division 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 to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by the Building Division. In consideration of the issuance of the 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, OWTS regulations and applicable land use regulations (County Regulation(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 structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law. I hereby grant permission to the Building Division to enter the property, described above, to inspect the work. I further acknowledge that the issuance of the Building Permit 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 structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other applicable law. Review of this Application, including submittals, and inspections of the work by the Building Division do not constitute an acceptance of responsibility or liability by the County of errors, omissions or discrepancies. As the Owner, I 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 and Certification above as well as have provided the required info atin which is correct and accurate to the best of my knowledge. /4c-/4—, ig2.C/it Property Owner Print and Sign /a-/i/y Date OFFICIAL USE ONLY Special Conditions: Permit Fee: Misc Fees: Total Fees: Fees Paid: Balance due: Grading Permit: Issue Date: Zoning: BUILDING / PLANNING DIVISION : Signed Approval Date illi !!F.:1L'i?r1FntiVV,111i ,101611Mi111:ATIMILI'1I0,4118), 11 III Reception#: 846425 02119/2014 01,00 45 PM Jean Rlberrce I or 1 Pec Fee_$11 00 Doo Fee 0 00 GARFIELD COUNTY GO Garfield County STATEMENT OF AUTHORITY Pursuant to C.R.S. §38-30-172, the undersigned executes this Statement of Authority on behalf of Ursa Operating Company LLC - a Limited Liability Company (corporation, limited liability company, general partnership, registered limited liability partnership, registered limited liability limited partnership, limited partnership association, government agency, trust or other), an entity other than an individual, capable of holding title to real property (the "Entity"), and states as follows: The name of the Entity is Ursa Operating Company LLC and is formed under the laws of Texas The mailing address for the Entity is 1050 17th 5i., suite 2400, Denver, CO 80265 The name and/or position of the person authorized to execute instruments conveying, encumbering, or otherwise affecting title to real property on behalf of the Entity is Rooert Bled, Regulatory a ErneronmentaL Manager and Jeff Powers, Landman The limitations upon the authority of the person named above or holding the position described above to bind the Entity are as follows (if no limitations, insert "None"): None, except for a 550,000 mortetary authority Other matters concerning the manner in which the Entity deals with any interest in real property are (if no other matter, leave this section blank): EXECUTED this day of trvifh F„ xky, , 20 L:t, Signature: Name (printed): t -- Title (if any): The foregoing instrument was acknowledged before me this by ytst,n ,an behalf of L i C 51 )t (z;ry c-) 4,C) STATE OF s t`; Y _01 ' ) )55. COUNTY OF lin\S ) 'n day of c.--.:✓c+^JC7`(� , 20 i c� Q,2'-7±k)ort (i4 5 C,rt, Y`iX!V?L a r Witness my hand and official seal. My commission expires: tO /3tjz& (Date) [SEAL] (Notary Public) KELSEY C WELLS Notary Public State al Colorado Notary ID 20124058748 My Commission Expires Oct 29, 2016 BATTLEMENT MESA Date: February 24, 2015 Mr. Fred Jarman Garfield County Community Development 0375 County Road 352, Building 2060 Rifle, CO 81650 RE: Agent Authorization for Phase I - D Pad Garfield County, Colorado Dear Mr. Jarman, Battlement Mesa Land Investment, LLC authorizes Ursa Resources and Ursa Operating Company to act on behalf of and represent Battlement Mesa in matters related to land use pennitting and construction for Ursa's drilling program within the Battlement Mesa P.U.D. Please contact me if you have any questions, comments, concerns, or if you require additional information. I can be reached at (970) 379-7943. Sincerely, Battlement Mesa Land Investment, LLC Eric Schmela Authorized Agent Battlement Mesa Companies 970.285.9740 office 970.379.7943 cell eschmela@baulementmesa.com P.O. Box 6000* Battlement Mesa, Colorado 81636* 970-285-9740* Fax 970-285-9721 www.BattlementMesa.com ■111 PARrMMIN,WHMICIn7II#N14 11 UI Reception#_ 740288 12/31/2007 12:01:32 Pm Jean Rlberico 1 of 2 Rec Fee:$11.00 Doc Fee.0.00 GRRFIELD COUNTY CO STATEMENT OF AUTHORITY 1. This Statement of Authority relates to an entity named: BATTLEMENT MESA LAND INVESTMENTS, LLC 2. The type of entity is a: corporation nonprofit corporation limited liability company general partnership limited partnership registered limited liability partnership registered limited liability limited partnership limited partnership association unincorporated nonprofit association government or governmental subdivision or agency business trust trust 3. The entity is formed under the laws of: Colorado 4. The mailing address of the entity is: PO Box 6000, Battlement Mesa, CO 81636 5. The [X] name(s), or [X] position(s) of each person authorized to execute instruments conveying, encumbering, rezoning or otherwise affecting title to real property on behalf of the entity is/are: Community Holdings West, Inc., a Colorado corporation, Managing Member, by David A. Gitlitz, President, or Sipprelle Holdings, LLC, a Colorado limited liability company, Managing Member, by David A. Gitlitz, Managing Member, or Eric Schmela, Authorized Agent 6. This Statement of Authority is executed on behalf of the entity pursuant to the provisions of Section 38- 30-172, C.R.S. Executed thin day of December 2007. BATTLEMENT MESA LAND INVESTMENTS, LLC, a Colorado imited lia.ility com. ny Col$m- oldin:s We��c., a Colorado corporation, Managing Member 444.Parommipm-- Davi tlitz, Pr By: Sipp Member By: By: a Colorado limited liability company, Managing David 'flit aging Member Eric Schmela, Authorized Agent 2 1111KEITIMIN! NICI4I411*141I11 Reception#: 740288 12/31/2007 12:01:32 PM Jean R1berico 2 of 2 Rec Fee:$11.00 Doc Fee:0.00 GARFIELD COUNTY CO STATE OF COLORADO ) ) ss. COUNTY OF GARFIELD ) The foregoing instrument was acknowledged before me this224day of December, 2007 by David A. Gitlitz as President of Community Holdings West, Inc., a Colorado corporation, a Managing Member of Battlement Mesa Land Investments, LLC, a Colorado limited liability company. Witness my hand and official s 1. My commission expires: c Z1 /p Qj STATE OF COLORADO ) ss. COUNTY OF GARFIELD cn: O The foregoing instrument was acknowledged before me this ay of December, 2007 by David A. Gitlitz as Managing Member of Sipprelle Holdings, LLC, a Colorado limited liability company, a Managing Member of Battlement Mesa Land Investment, LLC, a Colorado limited liability company. Witness my hand and officials 1. My commission expires: 41 /OA STATE OF COLORADO ) ss. COUNTY OF GARFIELD ) Notary Public The foregoing instrument was acknowledged before me thi�2J4 `day of December, 2007 by Eric Schmela as Authorized Agent of Battlement Mesa Land Investments, LLC, a Colorado limited liability company. Witness my hand and official s My commission expires: Ok / 2 BATT L EMENT MESA Date: February 24, 2015 Mr. Fred Jarman Garfield County Community Development 0375 County Road 352, Building 2060 Rifle, CO 81650 RE: Agent Authorization for Phase I - B Pad Garfield County, Colorado Dear Mr. Jarman, Battlement Mesa Partners LLC authorizes Ursa Resources and Ursa Operating Company to act on behalf of and represent Battlement Mesa Partners in matters related to land use permitting and construction for Ursa's drilling program within the Battlement Mesa P.U.D. Please contact me if you have any questions, comments, concerns, or if you require additional information. I can be reached at (970) 379-7943. S incerely, Battlement Mesa Partners LLC. Eric Schmela Authorized Agent Battlement Mesa Companies 970.285.9740 office 970.379.7943 cell eschmela(cilbattlementmesa.com P.O. Box 6000* Battlement Mesa, Colorado 81636* 970-285-9740* Fax 970-285-9721 www.BattlementMesa.com 1 1111KlaW M1liNg,NtralWeatriliCaN 11111 Reception#: 733369 09118/2007 03:38:20 PM Jean Alberico 1 of 2 Rao Fee:$11.00 Doc Fee:0.00 GARFIELD COUNTY CO STATEMENT OF AUTHORITY 1 This Statement of Authority relates to an entity named: BATTLEMENT MESA PARTNERS LLC The type of entity is a: [ 1 corporation [ 1 nonprofit corporation [X] limited liability company [ 1 general partnership [ 1 limited partnership [ 1 registered limited liability partnership [ 1 registered limited liability limited partnership [ 1 limited partnership association [ 1 unincorporated nonprofit association [ ] government or governmental subdivision or agency { 1 business trust 1 1 trust 3. The entity is formed under the laws of Colorado 4. The mailing address of the entity is: 73G Sipprelle Drive, Battlement Mesa, CO 81636 5. The [X] name(s), or [X] position(s) of each person authorized to execute instruments conveying, encumbering, rezoning or otherwise affecting title to real property on behal f of the entity is/are: David A. (iitlitz, Manager Eric Schmela, Authorized Agent 6. This Statement of Authority is executed on behalf of the entity pursuant to the provisions of Section 38- 30-172, C.R.S. �tG Executed this 0 day of , 2007. t—Arrt fo (t AolttLt 147.114,1- (Sul_ i xttLwL EJ b'`Ik3e (`I) N/35 I3ATTLEME ti;� A P t ►'`I . LLC, a Colorado 1;'. ` f �'j' `nY 13y: 4P11°--chmcla, Authorized Agent 2 5111K YEVAki LINTAINNINICI V, RN 5111 Reception#: 733389 09/18/2067 03,38:20 PM Jean Rlberico 2 of 2 Rec Fee:$11.00 Doc Fee:0.00 GARFIELD COUNTY CO STATE OF COLORADO ss. COUNTY OF GARFIELD ) The foregoing instrument was acknowledged before me this IS-tt.- day of �,, , 2007 by David A. Gitlitz as Manager of Battlement Mesa Lot Holdings LLC, a Colorado limited liability company. Witness my hand and official seal. My commission expires: 01 o_n 1 boci STATE OF COLORADO COUNTY OF GARFIELD ) ) ss. Notary Public The foregoing instrument was acknowledged before me this day of Eric Schmela as Authorized Agent of Battlement Mesa Lot Holdings LLC, a C +. - SALLY GEIB VAGNEUR NOTARY PUBLIC STATE OF COLORADO My Commission Expires 06/01 /2009 '3,1_1.. • C , 2007 by 'ted liability company. Witness my hand and official` seal, My commission expires: Ci l 0A Notary Public DENNA ROOF NOTARY PUBLIC STATE OF COLORADO My Commission Expires 09/27/2009 Ursa September 10, 2014 OPERATING COMPANY Mr. Fred Jarman Garfield County Community Development 108 8th Street, Suite 401 Glenwood Springs, CO 81601 RE: Agent Authorization Dear Mr. Jarman, 792 Buckhorn Drive Rifle, CO 81650 Ursa Operating Company LLC authorizes Lorne Prescott, Tilda Evans, Alex Nees and Olsson Associates to act on behalf of and represent Ursa Operating Company LLC in all matters regarding the appropriate Garfield County permits for the all pads within the Battlement Mesa PUD and related infrastructure. Please contact me if you have any questions. Sincerely, Robert Bleil Regulatory/Environmental Manager Rifle Office: (970) 625-9922 (Primary) Ext. 303 Direct Line: (970) 329-4373 Denver Office: (720) 508-8350 Cell: (720) 425-0303 E -Mail: rbleil@ursaresources.com CC: Lorne Prescott. Olsson Associates John Doose, Ursa Operating Company LLC Cari Mascioli, Ursa Operating Company, LLC www.ursaresources.com (970) 625-9922 Telephone (970) 625-9929 Fax