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Home My WebLink AboutApplicationCommunity Development Department 108 81h Street, Suite 401 Glenwood Springs, CO 81601 {970) 945-8212 www.garfield-county.com ONSITE WASTEWATER TREATMENT SYSTEM (OWTS) PERMIT APPLICATION TYPE OF CONSTRUCTION x New Installation I CJ Alteration I CJ Repair W ASTE TYPE X Dwelling I 0 Transient Use I 0 Comm/Industrial 1 0 Non-Domestic 0 Other Describe INVOLVED PARTIES Property Owner: Bureau of Land Management Phone:(970) 876-9000 Mailing Address: Colorado River Valle~ Field Office 2300 River Frontage Road Silt 1 CO 81652 Contractor: WPX Energ~ Rock~ Moun!ain1 LLC Phone: (970} 285 -9377 Malling Address: PO Box 3701 Parachute, CO 81635 Engineer: David Fox Phone: (970l 250-5505 Mailing Address: PO Box 3701 Parachute 1 CO 81635 PROJ ECT NAME AND LOCATION Job Address: RU 13-6 -See the attached 12lat for descri12tion Assessor's Parcel Number: 240317100952 Sub. lot Block -- Building or Service Type: Tem12orarv 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 TypeofOWTS D Septic Tank j D Aeration Plant I X Vault I D Vault Privy I D Composting Toilet D Recycling, Potable Use D Recycling I D Pit Privy I D Incineration Toilet D Chemlcal Toilet X Other Hauled to Down Vallel£ Waste for their d ls11osal Ground Conditions Depth to 1•1 Ground water table NA j Percent Ground Slope NA Final Disposal by D Absorption trench, Bed or Pit I a Underground Dispersal I D Above Ground Dispersal Cl Evapotransplratlon D Wastewater Pond I D Sand Fiiter X Other Hauled to Down Vallel£ Waste for their dlsi?Qsal Water Source & Type D Well I a Spring I D Stream or Creek I D Cistern X Community Water System Name Down ValleJ! Se11tic and Waste Effluent Will Effluent be discharged directly Into waters of the State? D Yes XNo 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 r ation which is correct and accurate to the best of my knowledge. Property Owner Print and Sign OFFICIAL USE ONLY Special Conditions: Permit Fee: $7 . 00 Total Fees: $ 00 Fees Paid: OO ~rs. 2 .. 2-~ .. 2-c/~ DATE High 1.1111 Al arm ., lilM .. 1111'11 lsPraal Tank Is full ...._ - 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 to be 300 gallons/day (4 individuals x 75 gpcd). Sewage holding tank needs to be emptied approximately every 13 days (4000 ga llons/ 300 gallons per day). Wastewater vault is equipped with overflow alarm device. Williams utilizes the services of a licensed contractor to r emoved and haul the wasterwater to a state certified treatmenVdisposal 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 th at states "Potable Water Only". Potable water demand is estimated to be 300 gal- lons/day (4 individuals x 75 gpcd). Required minimum fire 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. • SEPTIC e OAAIN fAKJ< H~OR~ MOVJNQ = RU 13-6 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 w m occupy two individual trailer offices/ houses located on the well pad. Office/houses have Colorado Division of Housing compliance tags . LIMITED POWER OF ATTORNEY WPX ENERGY ROCKY MOUNTAIN, LLC ("Company") a Delaware limited liability company, having hs principal place of business in the City or Tulsa, County of Tulsa, SI.Ate of Oklahoma, docs hereby make, constitute and appoint Bryan S. Hotard with the full outhority hereinafter provided, the true and lawfill 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 port, to enter into, execute, deliver, file and accept all instruments and documents affecting the real property or reaJ e.~tate rights of the Company a& more specifically set forth below: : 1. Applications and documentation associated with Garfield County or Rio Blanco pennitting 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 Rood Mnintenance, Temporary Living Quarters, Temporary Use PcnnilS, Surface Use Pennits, Surf.ace Use Licenses, Utilitie.~. Snow RemovnJ and Private Construction of County Roads; 2. Agreements nnd other documentation that grant easements, rights of way, licenses, or pcnnits to Company and also instrwnenlci where the Company grants sucb rights to others; 3. Agreements that assign casements, 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 casements 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 nod relocation of Company facilities; 8. Rental or lease agreements for surface use or oUler surface use agreements and all notices related to the pipeline agreements; 9. Agreements for the purchase or sale ofn:al property and for the lcnsc of real property for residential or commercial pwposcs or otherwise in connection with the Company's operations; 10. Agreements to obrain waler 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 tc:rmin.ating any and all of the af oremcntiooed types of instruments and documents. WPX ENERGY ROCKY MOUNTAJN, LLC hereby declares that each and every act, mailer 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. • IN WITNESS WHEREOF, WPX Energy Rocky Mountain. LLC has caused this Limited Power of Attorney to be signed by ooc of its Vice Presidents, duly authori7.ed by ils Management Committee to gr.int powers of attorney this 111 day of January, 2012 . AIN,LLC ACKNOWLEDGMENT STATE OF OKLAHOMA ) ) SS. COUNTY OF 1ULSA ) BEFORE ME, the undersigned authority, a Notary Public in and for said County and State, on this day ~onally appeared, Jerry D. Barnes personally known to me lo be the Vice President of WPX Energy Rocky Mountain, LLC a Delaware limited liability company, who acknowledged to me thill he has executed the above LJMITED POWER OF ATIORNEY authorized by Company's Management Committee. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notary seal, theZolh day of..J&nYQI'}'; 2012. F~j ~~~OA ~ 1iJ01Jc 2. -1-B ·-'Z oti_/. My Commission Expires: After Recordation Please Return To: WPX Energy Rocky Mountian, tLC Attn: Land Dept. POBox370 Parachute, CO 81635 IOMllERLY J. Dl!Hr __, ___ "' .. _.,_ -..-i· ""_.,...._ 2 Section 6 T. 7S., R. 93 W. A I c ESTIMATED EARTHWORK QUANTITIES (cy) ITEM CUT FILL TOPSOIL EXCESS PAD 30140 23160 4860 2120 PIT 5420 5420 35560 23160 4860 7540 136 &ist Third Streec Rij/I!, Colotndo 8 1650 Ph. (970) 625-2720 Fax (970) G:ZS-2773 ·1eNB8 S ·1s1ockP' Excess o1 \ 0 GRAPHIC SCALE IN FEET 1 INCH "00 FEET AA I § \ SCALE: ...11...;" •:,.;8~0:....' ---1 --,;,,;,,;;;~~~ DAT& ~8~/2~8~/~14t__ ___ I--__::.__ ____________ ~,. PLAT: .,:2~0:1...f 7:.,..... ___ 1 PROJECT: ...!V.:!!a!!.!:llec!t.11 ____ 1 DFT: ~c:w~s ----1 RU 13-6 Dn'll Pad -Plat 2 CONSTRUCTION LAYOUT Section 00 T. OOS., ROO W ACCESS DESCRIPTION: 1000 0 2000 ------G RAPHIC SCALE IN FEET 1 INCH = 2000 FEET FROM THE INTERSECTION OF STATE HIGHWAY 6 AND COUNTY ROAD 323 (RULISON ROAD) NORTH OF RULISON, PROCEED SOUTHERLY ALONG COUNTY ROAD 323 (RU LI SON ROAD) ±1.1 MILES TO THE INTERSECTION WITH COUNTY ROAD 309 (RULISON PARACHUTE ROAD), PROCEED LEFT IN AN EASTERLY DIRECTION :t2.3 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 RIG HT IN A SOUTHERLY DIRECTION ±3.6 MILES TO AN INTERSECTION WITH A DIRT/GRAVEL ROAD, PROCEED LEFT IN AN EASTERLY TO NORTHERLY DIRECTION :t1.2 MI LES TO THE EXISTING RU 13-6 DRILL PAD LOCAT ION , AS SHOWN HEREON . RU 13·6 Drill Pad· Plat 5 ACCESS ROAD & TOPO MAP