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Home My WebLink About4-203.B.1 Gen App MatlsArticle 4-203.6.1 General Application Materials Encana Oil & Gas (USA) Inc K19NE Storage Facility (Laydown Yard) OAProject No. 014-2797 Garfield Count, Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com LAND USE CHANGE PERMIT APPLICATION FORM TYPE OF APPLICATION • Administrative Review • Development in 100 -Year Floodplain = Limited Impact Review • Development in 100 -Year Floodplain Variance • Major Impact Review Amendments to an Approved LUCP 0 ■ Code Text Amendment • Rezoning ❑ LIR ❑MIR ■ SUP ❑ Zone District U PUD ■ PUO Amendment ■ Minor Temporary Housing Facility • Administrative Interpretation • Vacation of a County Road/Public ROW 0 Appeal of Administrative Interpretation • Location and Extent Review 0 Areas and Activities of State Interest • Comprehensive Plan Amendment ❑ Major ❑ Minor 0 Accommodation Pursuant to Fair Housing Act ❑ Pipeline Development • Variance • Time Extension (also check type of original application) INVOLVED PARTIES Owner/Applicant Name: Encana Oil & Gas (USA) Inc Mailing Address: 143 Diamond Ave City: Parachute Phone: ( 970 ) 285.2656 E_mail: jason.eckman@encana.com State: GO Zip Code: 81635 Representative (Authorization Required) Name: Lorne Prescott Mailing Address: 760 Horizon Drive, Suite 102 City, Grand Junction E-mail: IpreScott@olssonassociates.com Phone: ( 970 ) 263.6014 State: GO Zip Code: 81506 PROJECT NAME AND LOCATION Project Name: K19NE Laydown Yard Assessor's Parcel Number: 2179 _ 193 _ 00 _ 128 Physical/Street Address: _ Legal Description: Lot 3, Section 19, Township 6 South, Range 92 West, 6th PM Zone District: Rural Property Size (acres): -88.5 PROJECT DESCRIPTIO N Existing Use: Nature! gas we1I pad Proposed Use (From Use Table 3-403): Storage Description of Project: provide a centralized location to store equipment and supplies in support of Encana's natural gas dri[ling and production activities in the area. REQUEST FOR WAIVERS Submission Requirements 8 The Applicant requesting a Waiver of Submission Requirements per Section 4-202. List: Section: 4-203.J Development Agreement Section: Section: 4-203.K improvements Agreement Section: Waiver of Standards 8 The Applicant is requesting a Waiver of Standards per Section 4-118. List: Section: 7-107.F Access & Roadways Design Standards Section: Section: Section: 1 have read the statements above and have provided the required attached information which is correct and accurate to the best of my knowledge. 213/15- Si /3/15 Si : . ture of Property Owner Date OFFICIAL USE ONLY File Number: _ _ r , Fee Paid: $ Garfield County PAYMENT AGREEMENT FORM GARFIELD COUNTY ("COUNTY") and Property Owner ("APPLICANT") Encana Oil & Gas (USA) Inc agree as follows: 1. The Applicant has submitted to the County an application for the following Project: K19NE Storage Facility (Laydown Yard) 2. The Applicant understands and agrees that Garfield County Resolution No. 2014-60, as amended, establishes a fee schedule for each type application, and the guidelines for the administration of the fee structure. 3. The Applicant and the County agree that because of the size, nature or scope of the proposed project, it is not possible at this time to ascertain the full extent of the costs involved in processing the application. The Applicant agrees to make payment of the Base Fee, established for the Project, and to thereafter permit additional costs to be billed to the Applicant. The Applicant agrees to make additional payments upon notification by the County, when they are necessary, as costs are incurred. 4. The Base Fee shall be in addition to and exclusive of any cost for publication or cost of consulting service determined necessary by the Board of County Commissioners for the consideration of an application or additional County staff time or expense not covered by the Base Fee. If actual recorded costs exceed the initial Base Fee, the Applicant shall pay additional billings to the County to reimburse the County for the processing of the Project. The Applicant acknowledges that all billing shall be paid prior to the final consideration by the County of any Land Use Change or Division of Land. I hereby agree to pay all fees related to thisthapplication: Billing Contact Person: 50kL Er.,44vti4,At L Phone: (970) Z8 ' ZG► S�(� Billing Contact Address: ( q 3 1V. r r' oM b 4 U e. City:ec Cf'4u t : State: Cr) Zip Code: 8(636— Billing ((.a36— Billing Contact Email: j0.5cM,A . e-°-' Printed Name of Person Authorized to Sign: 304 SaNk. a_1644.64 -t—( Z/3/r�� (Signature) (Date) 1111 P. 611:40.11'ihl1J.hiliVinlnngffrin 11111 Reception#: 821766 07/24/2012 03:04:12 PM Jean Rlberico 1 of 1 Rec Fee:$11.00 Doc Fee:0.00 GARFIELD COUNTY CO STATEMENT OF AUTHORITY CONFORMED COPY Pursuant to C.R.S. §38-30-172, the undersigned executes this Statement of Authority on behalf of Encana Oii di Gas (U5A) Inc. , a corporation (corporation, limited liability company, general partnership, registered limited liability partnership, registered limited liability limited partnership, limited partnership association, government agency, trust or other), an entity other than an individual, capable of holding title to real property (the "Entity"), and states as follows: The name of the Entity is Encana Oil & Gas (U$A) Inc and is formed under the laws of the State of Delaware The mailing address for the Entity i s 37017th Street, Suite 1700 Denver, CO 80202 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 Renata Busch, Jason Eckman, Mike Herndon and Chris Putnam The limitations upon the authority of the person named above or holding the position described above to bind the Entity are as follows: sign permit applications and permits issued by Garfield County (if no limitations, insert "None") 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 /3 day of Jikp Signature: Name (typed or printed: Darrin J. Henke Title (if any) : Vice -President STATE OF Colorado COUNTY OF Denver } }SS. } 1+, The foregoing instrument was acknowledged before me this !-3 day of r .TuAc �, iy 2012 by barrin J. Henke , on behalf of _Encana Oil Gas (USAI Inc. , a Delaware Corporation 11/os Witness my hand and official seal. My commission expires: 1 DITH B SISNEROS NOTARY PUBLIC STATE OF COLORADO My Commission Expires 03/17/2016 ''t -A --L''\1\ .� (Notary Public) encana December 8, 2014 Mr. Fred Jarman, Community Development Director Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 RE: Agent Authorization Dear Mr. Jarman, Encana Oil and Gas (USA) Inc. (Encana) authorizes Lorne Prescott and Tilda Evans, and Olsson Associates to act on behalf of and represent Encana in all matters related to land use permitting in Garfield County. Please contact me if you have any questions. Sincerely, etA9-4ti Jason Eckman Senior Regulatory Analyst Encana Oil & Gas (USA) Inc. 143 Diamond Avenue Parachute„ CO 81635 t 970.285.2656 f 970.285.2691 www.encana.com