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