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HomeMy WebLinkAbout1.06 SPCC Complete Article 4-203.E.21 SPCC Plan Ursa Operating Company Speakman A Booster Compressor OA Project No. 015-3104     U.S. Operations  792 Buckhorn Drive   Denver, CO 80265   (720) 580‐8350    Field-wide Spill Prevention, Control, and Countermeasure Plan     Colorado Operations Garfield County, Colorado July 2013 Rev #: 3 (March 2014)         Colorado Operations   950 17th Street, Suite 2200  Denver, CO 80202‐2805  (720) 279‐5500     Field-wide Spill Prevention, Control, and Countermeasure Plan Colorado Operations July 2013 Rev #: 3 (March 2014) Prepared by: HRL Compliance Solutions, Inc. 2385 F ½ Road Grand Junction, CO 81505 ii    Contents Regulatory Cross-Reference for an Onshore Production Facility .............................................................. 1  Regulatory Decision Matrix ....................................................................................................................... 8  1.0  SPCC PLAN APPROVALS AND CERTIFICATIONS .............................................................. 9  1.1 Management Approval and Review ......................................................................................... 9  1.2 Professional Engineer Certification ........................................................................................ 10  1.3 Substantial Harm Certification Example Form ............................................................................ 11  1.3.1 Battlement Mesa Substantial Harm Certifications ........................................................... 12  1.3.2 Castle Springs/Wolf Creek Substantial Harm Certifications ........................................... 16  1.3.3 North Gravel Trend/Roan Substantial Harm Certifications ............................................. 27  1.3.4 Gravel Trend Substantial Harm Certifications ................................................................. 28  1.4 Plan Review and Amendments ................................................................................................. 71  2.0 FACILITIES, PROCEDURES, METHODS, OR EQUIPMENT NOT YET FULLY OPERATIONAL ..................................................................................................................................... 73  3.0 SPCC PLAN POLICIES AND PROCEDURES ......................................................................... 74  3.1 Owner Information ................................................................................................................... 75  3.1.1 Facility Layout ................................................................................................................. 75  3.1.2 Tanks, Piping and Equipment .......................................................................................... 75  3.1.3 Containment Structures .................................................................................................... 76  3.1.3.a Additional Regulatory Requirements: ............................................................................. 76  3.1.4 Potential Discharge Volume and Direction of Flow ........................................................ 80  3.1.5 Proximity to Navigable Waters ........................................................................................ 80  3.1.6 Site Specific Facility Diagrams ........................................................................................ 80  3.1.7 SPCC Plan Development Tables...................................................................................... 81  3.2 General Requirements .............................................................................................................. 82  3.2.1 Discovery, Response and Cleanup of Releases ............................................................... 82  3.2.2 Notification Contacts ....................................................................................................... 82  3.2.3 Notification Forms ........................................................................................................... 82  3.2.4 Response Plan .................................................................................................................. 82  3.3 Routine Facility Operations, Inspections and Maintenance ...................................................... 83  3.3.1 Facility Operations ........................................................................................................... 83  3.3.2 Facility Inspection Program ............................................................................................. 83  ii    3.3.2.a Testing and Record Keeping Guidance ........................................................................... 85  3.3.4 Maintenance Program ...................................................................................................... 86  3.4 Response and Reporting Information ....................................................................................... 87  3.4.1 Spill Response .................................................................................................................. 87  3.4.2 Spill Reporting ................................................................................................................. 87  3.5 Spill Response Training ........................................................................................................... 89  3.5.1 Annual Training ............................................................................................................... 89  3.5.2 Discharge Prevention Briefings ....................................................................................... 89  3.5.3 Training Records .............................................................................................................. 89    APPENDICES Appendix A Site Specific SPCC Plans Appendix B Oil Spill Contingency Plan and Emergency Response Plan Appendix C Discharge Notification Forms Appendix D SPCC Forms Appendix E Summary of Operating Procedures and Flowline Maintenance Program Appendix F Written Commitment of Manpower ATTACHMENTS Attachment 1 Onshore Order 3 Ursa Operating Company LLC Oil Production Facility SPCC Plan 1  Regulatory Cross-Reference for an Onshore Production Facility Regulation Description Section §112.3(b)(2) SPCC Plan prepared within six months after becoming operational (effective 11/10/2010) 1.4 §112.3(d)(1) Professional Engineer (PE) certification with five, or six (if applicable for produced water containers) elements 1.4 §112.5(a) Amendment of SPCC Plan 1.4 §112.5(b) Review of Plan at least every 5 years with documentation (i.e. a log) 1.4 §112.6 Qualified Facilities: meets qualification criteria N/A §112.7 General requirements for SPCC Plans for all facilities & all oil types 2.0 – 3.5 §112.7 Management approval of Plan 1.1 §112.7 Discussion of facilities, procedures, methods or equipment not yet fully operational with details of installation and operational start-up 2.0 §112.7(a)(1) General requirements; discussion of facility’s conformance with rule requirements 3.0 – 3.5 §112.7(a)(2) Deviations from Plan requirements N/A §112.7(a)(3) Facility description and diagram, type of oil and capacity of each container, transfer stations and piping, buried containers on diagram Site Specific Plan in Appendix A §112.7(a)(3)(ii) Discharge prevention measures 3.2 – 3.3 §112.7(a)(3)(iii) Discharge drainage controls 3.2 – 3.3 §112.7(a)(3)(iv) Countermeasures for discharge discovery, response and cleanup 3.4 and Appendix B §112.7(a)(3)(v) Methods of disposal of recovered materials in accordance with legal requirements 3.4    Ursa Operating Company LLC Oil Production Facility SPCC Plan 2  Regulation Description Section §112.7(a)(3)(vi) Contact list and phone numbers for facility Incident Commander, National Response Center, cleanup contractors, all Federal, State, and local agencies who must be contacted in case of a discharge 3.4 and 3.5 §112.7(a)(4) Spill reporting information 3.4 §112.7(a)(5) Discharge procedures Appendix A §112.7(b) Failure prediction (sources, quantities, rates, and directions) 3.1.4 and Appendix A Tables and Diagrams §112.7(c) Secondary containment for all areas from which a discharge of oil could occur (i.e. mobile refuelers, loading/unloading areas, transformers, oil filled operational equipment, etc.) other than bulk containers 3.1.3 and Appendix A Tables Diagrams §112.7(d) Explanation of impracticability of secondary containment N/A §112.7(a)(3)(ii) Discharge prevention measures 3.2 – 3.3 §112.7(a)(3)(iii) Discharge drainage controls 3.2 – 3.3 §112.7(a)(3)(iv) Countermeasures for discharge discovery, response and cleanup 3.4 and Appendix B §112.7(a)(3)(v) Methods of disposal of recovered materials in accordance with legal requirements 3.4 §112.7(a)(3)(ii) Discharge prevention measures 3.3 and Appendix E §112.7(a)(3)(iii) Discharge drainage controls 3.3, Appendix A Tables    Ursa Operating Company LLC Oil Production Facility SPCC Plan 3  Regulation Description Section §112.7(a)(3)(iv) Countermeasures for discharge discovery, response and cleanup 3.4 and Appendix B §112.7(a)(3)(v) Methods of disposal of recovered materials in accordance with legal requirements 3.4 §112.7(a)(3)(vi) Contact list and phone numbers for facility response coordinator, National Response Center, cleanup contractors, all Federal, State, and local agencies who must be contacted in case of a discharge 3.4 and Appendix B §112.7(a)(4) Spill reporting information 3.4 and Appendix B §112.7(a)(5) Discharge procedures Appendix A §112.7(b) Failure prediction (sources, quantities, rates, and directions) 3.1.4 and Appendix A Tables and Diagrams §112.7(c) Secondary containment for all areas from which a discharge of oil could occur (i.e. mobile refuelers, loading/unloading areas, transformers, oil filled operational equipment, etc.) other than bulk containers 3.1.1, Appendix A Tables and Diagrams §112.7(d) Explanation of impracticability of secondary containment N/A §112.7(d)(1) Oil spill contingency plan per part 109 3.1.4 and Appendix B §112.7(d)(2) Commitment of manpower, equipment & materials to remove a discharge Appendix F §112.7(e) Written procedures for inspections and tests 3.3 §112.7(e) Records of inspections and tests signed and kept 3 years 3.3.2 and Appendix D §112.7(f)(1) Employee training 3.5 and Appendix D §112.7(f)(2) Designated individual accountable for discharge prevention 3.1, 3.2.2, 3.4 §112.7(f)(3) Discharge prevention briefings scheduled and conducted annually 3.4 and Appendix D §112.7(h) Loading/unloading rack (excluding offshore facilities) N/A §112.7(h)(1) Containment for contents of largest compartment Appendix A Tables §112.7(h)(2) Warning light/sign, barrier system, wheel chocks, or break interlock system to prevent departure with connected lines Appendix E    Ursa Operating Company LLC Oil Production Facility SPCC Plan 4  Regulation Description Section §112.7(h)(3) Inspect drains and outlets of vehicles Appendix E §112.7(i) Brittle fracture or catastrophic failure evaluation requirements NA – no field constructed tanks to be utilized §112.7(j) Conformance with State requirements 3.0, 3.2.1, and Appendix A §112.3(k)(1) Qualified Oil-Filled Operational Equipment: meets criteria N/A §112.7(k)(2)(i) Inspection procedures or monitoring program 3.3 §112.7(k)(2)(ii)(A) Oil spill contingency plan per part 109 Appendix B §112.7(k)(2)(ii)(B) Written commitment of resources Appendix B and Appendix F § 112.8 Spill Prevention, Control, and Countermeasure Plan requirements for onshore facilities (excluding production facilities) N/A § 112.9 Spill Prevention, Control, and Countermeasure Plan Requirements for onshore oil production facilities (excluding drilling and workover facilities). All § 112.9(a) Meet general and specific requirements All § 112.9(b)(1) Oil production facility drainage: Restrain drainage from diked areas; remove accumulated oil 3.3 § 112.9(b)(2) Oil production facility drainage: Inspect field drainages, oil traps, sumps or skimmers for accumulations of oil, remove oil 3.3 § 112.9(c) Oil production facility bulk storage containers: 2.0 § 112.9(c)(1) Containers compatible with material and conditions of storage 3.1 § 112.9(c)(2) Secondary containment for tank battery, separation and treating units with capacity of largest container & freeboard for precipitation Appendix A § 112.9(c)(2) Drainage from undiked areas with potential to discharge oil directed to catchment basin or holding pond N/A    Ursa Operating Company LLC Oil Production Facility SPCC Plan 5  Regulation Description Section § 112.9(c)(3) Visually inspect containers, foundations and supports 3.3 § 112.9(c)(4) Engineered to prevent discharges Appendix A § 112.9(c)(5) Flow-through Process Vessel Alternative in lieu of compliance with 112.9(c)(2) and (3) N/A § 112.9(c)(6) Produced Water Containers comply with §112.9(c)(1) and (c)(4); and §112.9(c)(2) and (c)(3), 2.0 § 112.9(d) Facility transfer operations, oil production facilities 3.3 § 112.9(d)(1) Inspect aboveground valves, piping, drip pans, supports, pumping, and etc. 3.3 § 112.9(d)(2) Inspect salt water disposal facilities N/A § 112.9(d)(3) Flowlines and intra-facility gathering lines are provided with secondary containment per 112.7(c) Appendix A § 112.9(d)(3)(i) For flowlines and intra-facility gathering lines that are not provided with secondary containment, a Contingency Plan following the provisions of Part 109 is included Appendix B § 112.9(d)(3) For flowlines and intra-facility gathering lines that are not provided with secondary containment, a written commitment of manpower, equipment, and materials required to expeditiously control and remove any quantity of oil discharged that might be harmful is provided Appendix B and Appendix F § 112.9(d)(4) A written program of flowline/intra-facility gathering line maintenance has been prepared and implemented Appendix E § 112.9(d)(4)(i) Flowlines and intra-facility gathering lines and associated valves and equipment are compatible with the type of production fluids, their potential corrosivity, volume, and pressure, and other conditions expected in the operational environment 3.1    Ursa Operating Company LLC Oil Production Facility SPCC Plan 6  Regulation Description Section § 112.9(d)(4)(ii) Procedures to visually inspect and/or test flowlines and intra-facility gathering lines and associated appurtenances on a periodic and regular schedule for leaks, oil discharges, corrosion, or other conditions that could lead to a discharge are included. For flowlines and intra-facility gathering lines that are not provided with secondary containment in accordance with §112.7(c), the frequency and type of testing must allow for the implementation of a contingency plan as described under Part 109 3.3 and Appendix E § 112.9(d)(4)(iii) Take corrective action or make repairs to any flowlines and intra-facility gathering lines and associated appurtenances as indicated by regularly scheduled visual inspections, tests, or evidence of a discharge. 3.3 § 112.9(d)(4)(iii) Procedures to promptly remove or initiate actions to stabilize and remediate any accumulations of oil discharges associated with flowlines, intra-facility gathering lines, and associated appurtenances 3.3 and Appendix B § 112.10 Spill Prevention, Control, and Countermeasure Plan requirements for onshore oil drilling and workover facilities. N/A §112.20(e) Completed and signed certification of substantial harm form. 1.3 § 112.11 Spill Prevention, Control, and Countermeasure Plan requirements for offshore oil drilling, production, or workover facilities. NA COGCC 317B.d Requirements for DCPS Operations at New Oil and Gas Locations in the Intermediate Buffer Zone: 3.1 and Appendix A     Ursa Operating Company LLC Oil Production Facility SPCC Plan 7  Regulation Description Section COGCC 604. Oil and Gas Facilities Building specs for crude oil and condensate tanks, tank location/distance requirements, berm construction requirements, tank labeling requirements. 3.1 and Appendix A COGCC 605.a. Crude Oil and Condensate Tanks. 3.1 and Appendix A COGCC 906 Series Rules Protocol specified for spills and releases in association with O&G operations. 3.4 and Appendix C Onshore Order 3 For all oil and gas operations on Federal and Indian leases (except Osage), Onshore Order 3 specifies requirements pertaining to site security. Appendix A   Ursa Operating Company LLC Oil Production Facility SPCC Plan 8 Regulatory Decision Matrix     Federal Regulation 40 CFR §112, SPCC Onshore Order 3 State Regulation COGCC Series Rules All Locations 300 Series - 317B Locations - Regulatory guidance for 317B areas will be updated due to an invalid reference within the regulations.   210.b.(2) Tank Battery Label Requirements 210.d Tank and Container Label Requirements 210.e General Sign Requirements 906.e Secondary Containment Requirements 604 Series - Setback Locations. COGCC Form 2A COA’s 605.a Crude Oil and Condensate Tanks Landowner COA’s CDPHE 7 C.C.R. 1101-14, (non-E&P) 605.a.(1) Tank Standards 605.a.(2),(3),(5),(6), (7),(8),(11) Tank Placement Distances from other equipment 605.a.(4) Berm Construction 605.a.(9)Tank Gauges 605.a.(10) Vent Lines 40 CFR §112, FRP Ursa Operating Company LLC Oil Production Facility SPCC Plan 9 1.0 SPCC PLAN APPROVALS AND CERTIFICATIONS 1.1 Management Approval and Review Ursa Operating Company LLC is committed to the implementation of the procedures outlined in this SPCC Plan and to the prevention of any release of oil to navigable waters of the United States of America. A copy of this Plan shall be maintained at the Ursa Operating Company LLC Rifle, Colorado office and will be made available to the EPA Regional Administrator for on-site review during normal working hours. Authorized Management Representative: S i g n a t u r e : N a m e : R o b e r t B l e i l Title: Ursa Regulatory & Environmental Manager Ursa Operating Company LLC Oil Production Facility SPCC Plan 1 .2 Professional Engineer Certification Date of Most Recent Plan Technical Review/PE Certification : February 4 , 2014. By means of this certification, I attest that: I am familiar with the requirements of the SPCC rule (40 CPR 112); The facility has been visited and examined by myself or my agent; This Plan has been prepared in accordance with good engineering practice, including consideration of applicable industry standards, and with the requirements of the SPCC rule; Procedures for required inspections and testing have been established; and, This Plan is adequate for the facility. Signature f Pr fessional Engineer Date (Q State Registration No. State Note: The PE 's certification do es not relieve the owner/operator of the facility of the duty of fully impleme nting the SPCC Plan in accordance with all applicable requirements. 10 Ursa Operating Company LLC Oil Production Facility SPCC Plan 14 Field Name: Battlement Mesa Facility Name: Speakman A Pad Facility Location: 39.421017, -108.060560 The mailing address of the facility is: 792 Buckhorn Drive Rifle, Colorado 81650 1. Does the facility have a maximum storage capacity of oil greater than or equal to 42,000 gallons and do the operations include over water transfers of oil to or from vessels? Yes _____ No X 2. Does the facility have a maximum storage capacity of oil greater than or equal to one million (1,000,000) gallons and is the facility without secondary containment for each aboveground storage area sufficiently large to contain the capacity of the largest aboveground storage tank within the storage area? Yes _____ No X 3. Does the facility have a maximum storage capacity of oil greater than or equal to one million (1,000,000) gallons and is the facility located at a distance such that a discharge from the facility could cause injury to an environmentally sensitive area? Yes _____ No X 4. Does the facility have a maximum storage capacity of oil greater than or equal to one million (1,000,000) gallons and is the facility located at a distance such that a discharge from the facility would shut down a public drinking water intake? Yes _____ No X 5. Does the facility have a maximum storage capacity of oil greater than or equal to one million (1,000,000) gallons and within the past 5 years has the facility experienced a reportable spill in an amount greater than or equal to 10,000 gallons? Yes _____ No X Note: Tanks which store non-petroleum related liquids have not been included in the maximum storage capacity I certify under penalty of law that I have personally examined and am familiar with the information submitted in this document, and that, based on my inquiry of those individuals responsible for obtaining this information, I believe that the submitted information is true, accurate, and complete. Authorized Management Representative: S i g n a t u r e : D a t e : Name: Robert Bleil Title: Regulatory and Environmental Manager Ursa Operating Company LLC Oil Production Facility SPCC Plan 71 1.4 Plan Review and Amendments LOG OF PLAN REVIEW AND AMENDMENTS NON TECHNICAL AMENDMENTS • Non-technical amendments are not certified by a Professional Engineer. • Examples of changes include, but are not limited to phone numbers, name changes, or any non- technical text change(s). TECHNICAL AMENDMENTS • Technical amendments are certified by a Professional Engineer. • Examples of changes include, but are not limited to, commissioning or decommissioning containers; replacement, reconstruction, or movement of containers; reconstruction, replacement, or installation of piping systems; construction or demolition that might alter secondary containment structures; changes of product or service; or addition/deletion of standard operation or maintenance procedures related to discharge prevention measures. It is the responsibility of the facility to determine, and confirm with the regulatory authority as necessary, what constitutes a technical amendment. The preamble of the rule states that an amendment is required only “when there is a change that materially affects the facility’s potential to discharge oil” (67 FR 47091). • An amendment made under this section will be prepared within six (6) months of the change and implemented as soon as possible but not later than six (6) months following preparation of the amendment. • Technical Amendments affecting various pages within the plan can be P.E. certified on those pages, certifying those amendments only, and will be documented on the log form below. MANAGEMENT REVIEW 1. Management will review and amend this SPCC Plan at least each five (5) years or when there is a change in the facility design, construction, operation, or maintenance that materially affects its potential for a discharge. The review will be documented on the form below. 2. Management will review and amend this SPCC whenever there is a discharge of more than 1000 gallons of oil into or upon navigable waters in a single discharge or a discharge of more than 42 gallons of oil in each of two discharges occurring within any twelve month period. The Plan will be submitted to the Regional Administrator within 60 days. REVIEW AND AMENDMENT LOG Review/ Amend Date Signature * (Specify) Amend Plan (will/will not) Description of Review Amendment Affected Pages or Section PE Certification (Y/N) October 2013 Will Addition of Site Specific SPCC Plans (Dever C and Norcross A, both within the Gravel Trend Field) Appendix A Yes December 2013 Will Addition of Site Specific SPCC Plan, Castle Springs Compressor Station Appendix A Yes    Ursa Operating Company LLC Oil Production Facility SPCC Plan 72 REVIEW AND AMENDMENT LOG Continued Review/ Amend Date Signature * (Specify) Amend Plan (will/will t) Description of Review Amendment Affected Pages or Sections PE Certification (Y/N) February 2014 Will Addition of Site Specific SPCC Plans, Speakman A, McLin B, McLin C, non- technical amendments Appendix A, Certification of Harm pages, Updated notification numbers, reporting table, inspection form, 3.1.3.a., Yes March 2014 Will Addition of a Site Specific Plan – Monument Ridge, updates to Frei A storage volume Appendix A, Certification of Harm Pages. Yes *Typically signed by Manager, Professional Engineer or plan reviewer. Ursa Operating Company LLC Oil Production Facility SPCC Plan 73 2.0 FACILITIES, PROCEDURES, METHODS, OR EQUIPMENT NOT YET FULLY OPERATIONAL This SPCC Plan is being drafted in accordance with federal, state and local regulatory requirements. Per site inspections completed by a third party consulting group, deficiency items must be addressed to obtain compliance with federal, state and local SPCC regulations and requirements. Ursa is aware of the non-compliance items and is making the necessary efforts to address the compliance items defined in Table 5 of the Site Specific SPCC Plans (Appendix A). Ursa Operating Company LLC Oil Production Facility SPCC Plan 74 3.0 SPCC PLAN POLICIES AND PROCEDURES This SPCC Plan, hereinafter referred to as ‘the plan’, is a carefully conceived document prepared to address onshore production facilities in Colorado operated by Ursa Operating Company LLC (Ursa) which are subject to the federal SPCC regulations. There are several additional State of Colorado SPCC-related requirements which are supplemental to the EPA oil pollution prevention regulations (40 CFR 112). The applicability of these regulations will be discussed in the site specific spcc plans contained in Appendix A. This plan was developed to satisfy the applicable state and federal requirements. Specifically, this plan was developed to: • Communicate pollution prevention requirements to Ursa employees. • Document Ursa’s SPCC procedures and measures. • Enable Ursa employees to report a spill and provide all the necessary information in the event of a release. • Assist Ursa in contacting and reporting pertinent information to the appropriate agencies. • Provide site-specific information in a simple way. Based on the type of respective operating facilities, the plan addresses both the general plan regulatory requirements specified in 40 CFR 112.7 and those specific to onshore production facilities 40 CFR 112.9. To ensure coverage of applicable regulations, a Regulatory Cross Reference was provided at the beginning of this plan. It identifies salient sections of the regulation in accordance with the plan section in which it is addressed. General requirements applicable to each facility and to the overall management of SPCC-related activities are included in the main text portion of the plan. Appendix A provides site specific information for each individual facility covered by the SPCC plan. This information includes a site layout, description of equipment, volume and type of material stored, surface water flow directions, and spill prevention controls. Technical amendments, such as addition of hydrocarbon storage containers, to this plan will be issued within 6 months as mandated by 40 CFR 112.5. Such amendments will be certified by a professional engineer if the amendment is considered to be technical. In accordance with pertinent regulations, non-technical Plan amendments/reviews and revisions will also be issued on a timely basis by personnel with the appropriate level of authority. This plan conforms to the SPCC Regulations and was developed in accordance with sound engineering practices. Any deviations from regulatory requirements that were noted during the development of this plan are noted on Table 2. A complete copy of the SPCC Plan is maintained at the Rifle Field Office and at the Denver Corporate Office. Ursa Operating Company LLC Oil Production Facility SPCC Plan 75 3.1 Owner Information Name: Ursa Operating Company LLC Address: U.S. Operations 792 Buckhorn Drive Denver, CO 80265 Regional Address: 792 Buckhorn Drive Rifle CO, 81650 Company Contacts: Robert Bleil, Ursa Regulatory & Environmental Manager Tara Mall, HSE Facility Location: This SPCC Plan is applicable to onshore production facilities operated by Ursa in Colorado. Site specific information is located within the Appendix A of this plan. 3.1.1 Facility Layout Details for each facility covered by this plan are provided in Appendix A of this plan. In general, the physical layout of an onshore production facility is associated most often with a well pad. Equipment associated with the well pad includes, but is not limited to, separators, dehydrators, wellheads, above/below ground piping, produced water tanks, condensate tanks, methanol tanks, production pits, and miscellaneous storage. The equipment on the well pad is typically organized in a manner which facilitates safe and efficient automobile navigation. The valves associated with tanks, holding either oil or other chemicals, are kept in the closed and locked position to help ensure unintentional flow does not occur when the tank is not being actively used. The area around the tanks is kept free and clear of debris that could pose a safety hazard (e.g. fire, traffic). Storm water which flows across uncontained portions of the site is not anticipated to come into contact with hydrocarbons. Visual inspections of the entire location are performed by designated personnel or third party contractors as described in Section 3.3 of this plan with regards to SPCC requirements and the Storm Water Management Plan with regards to storm water management. 3.1.2 Tanks, Piping and Equipment The condensate and produced water tanks (tanks) are considered bulk storage tanks/containers under the SPCC regulation. All tanks were built in accordance with API Specification 12F Shop Welded Tanks for Storage of Production Liquids design. All enclosed tanks are equipped with gas vents to relieve any pressure that might build up inside the tank, and are also equipped with vacuum protection that prevent over or under pressuring of the tanks. All tanks are equipped with hatchways for venting, gauging and/or access. All tanks should have stairways and hand railings to facilitate worker safety when the gauging operations are underway. The tanks have been sized to provide sufficient capacity to prevent overfilling. Tanks are gauged periodically to Ursa Operating Company LLC Oil Production Facility SPCC Plan 76 monitor the oil level to ensure that sufficient tank capacity is available for storage of produced water or condensate. It should be noted that separator units are also considered to be bulk storage containers and are subject to sized secondary containment and periodic inspection. As described in Section 3.3, tanks are visually inspected on a regular basis for leaks, corrosion, and any other malfunctions or deterioration. The tanks are also integrity tested prior to placement at the facility. The equipment and associated hose is compatible with the fluids stored and storage conditions such as pressure and temperature. Any flowlines are to be compatible with the materials being transferred through them. Flowlines shall be powder coated and/or painted. 3.1.3 Containment Structures Corrugated steel containment structures or earthen berms are present to provide secondary containment for bulk storage structures. The storage volume of the respective secondary containment is large enough to contain the entire capacity of the largest single container in the secondary containment plus sufficient freeboard to allow for precipitation taking into account for displacement as applicable. Additional storage volume may be required in the event the facility is located in a Colorado Oil and Gas Conservation Commission (COGCC) high density area or the intermediate or internal 317B buffer zone. Locations located within setback areas are also subject to additional containment requirements. Section 3.1.3.a provides the respective information. In addition, many of the facilities have a perimeter earthen berm around the well pad which can provide secondary containment for separators, and condensate and produced water loading and unloading activities. Should a release occur, the earthen berm will prevent migration of the spilled material away from the site and allow Ursa to control and mitigate the release in a timely and efficient manner. If a site perimeter berm is utilized as secondary containment, a waterbar should be installed at the pad’s entrance, and any storm water diversion features should drain to a catchment basin. These structures help to ensure releases of produced water (i.e. oil) at facility on the surface are contained. In some areas, there may be additional secondary containment requirements. Please see below for additional requirements which may be applicable to facilities subject to this spcc plan. 3.1.3.a Additional Regulatory Requirements: COGCC: For facilities located in a Colorado Oil and Gas Conservation Commission (COGCC) high density area, and/or a 317B Area, additional stipulations pertaining to SPCC requirements will apply as provided below: COGCC 317B.d Requirements for Drilling Completions Production and Storage Operations at New Oil and Gas Locations in the Intermediate Buffer Zone: The following shall be required for all DCPS Operations at New Oil and Gas Locations within a Surface Water Supply Area and in the Intermediate Buffer Zone as defined in Table 1. (1) Pitless drilling systems; (2) Flowback and stimulation fluids contained within tanks that are placed on a well pad or in an area with down gradient perimeter berming; (3) Berms or other containment devices shall be constructed in compliance with Ursa Operating Company LLC Oil Production Facility SPCC Plan 77 Rule 603.e.(12) 605.a.(4)1 and 906.e.(1)1 around crude oil, condensate, and produced water storage tanks COGCC 604. Setback and Mitigation Measures for Oil and Gas Facilities, Drilling, and Well Serviceing Operations Exception Zone Setback. No Well or Production Facility shall be located five hundred (500) feet or less from a Building Unit except as provided in Rules 604.a.(1) A and B, and 604.b. Buffer Zone Setback. No Well or Production Facility shall be located one thousand (1,000) feet or less from a Building Unit until the Operator certifies it has complied with Rule 306.e. and the Form 2A or Form 2 contains conditions of approval related to site specific mitigation measures as necessary to eliminate, minimize or mitigate potential adverse impacts to public health, safety, welfare, the environment, and wildlife. High Occupancy Buildings. No Well or Production Facility shall be located one thousand (1,000) feet or less from a High Occupancy Building Unit without Commission approval following Application and Hearing. Exception Zone Setback mitigation measures pursuant to Rule 604.c. shall be required for Oil and Gas Locations within one thousand (1,000) feet of a High Occupancy Building, unless the Commission determines otherwise. Designated Outside Activity Areas. No Well or Production Facility shall be located three hundred fifty (350) feet or less from the boundary of a Designated Outside Activity. The Commission, in its discretion, may establish a setback of greater than three hundred fifty (350) feet based on the totality of circumstances. Buffer Zone Setback mitigation measures pursuant to Rule 604.c. shall be required for Oil and Gas Locations within one thousand (1,000) feet of a Designated Outside Activity Area, unless the Commission determines otherwise. Maximum Achievable Setback. If the applicable setback would extend beyond the area on which the Operator has a legal right to locate the Well or Production Facilities, the Operator may seek a variance under Rule 502.b. to reduce the setback to the maximum achievable distance. Mitigation Measures. The following requirements apply to an Oil and Gas Location within a Designated Setback Location and such requirements shall be incorporated into the Form 2A or associated Form 2 as Conditions of Approval. Leak Detection Plan. The Operator shall develop a plan to monitor Production Facilities on a regular schedule to identify fluid leaks. Berm construction. Berms or other secondary containment devices in Designated Setback Locations shall be constructed around crude oil, condensate, and produced water storage tanks and shall enclose an area sufficient to contain and provide secondary containment for one-hundred fifty percent (150%) of the largest single tank. Berms or other secondary containment devices shall be sufficiently impervious                                                              1 The regulatory references are not currently finalized. Upon finalization, the text will be updated. Ursa Operating Company LLC Oil Production Facility SPCC Plan 78 to contain any spilled or released material. All berms and containment devices shall be inspected at regular intervals and maintained in good condition. No potential ignition sources shall be installed inside the secondary containment area unless the containment area encloses a fired vessel. Refer to American Petroleum Institute Recommended Practices, API RP - D16. Tank specifications. All newly installed or replaced crude oil and condensate storage tanks shall be designed, constructed, and maintained in accordance with National Fire Protection Association (NFPA) Code 30 (2008 version). The operator shall maintain written records verifying proper design, construction, and maintenance, and shall make these records available for inspection by the Director. Only the 2008 version of NFPA Code 30 applies to this rule. This rule does not include later amendments to, or editions of, the NFPA Code 30. NFPA Code 30 may be examined at any state publication depository library. Upon request, the Public Room Administrator at the office of the Commission, 1120 Lincoln Street, Suite 801, Denver, Colorado 80203, will provide information about the publisher and the citation to the material. Exception Zone Setback. Within the Exception Zone Setback, the following mitigation measures will be mandatory: . All mitigation measures required pursuant to subsection 604.c.(2), above, and Berm Construction: i. Containment berms shall be constructed of steel rings, designed and installed to prevent leakage and resist degradation from erosion or routine operation. ii. Secondary containment areas for tanks shall be constructed with a synthetic or engineered liner that contains all primary containment vessels and flowlines and is mechanically connected to the steel ring to prevent leakage. iii. For locations within five hundred (500) feet and upgradient of a surface water body, tertiary containment, such as an earthen berm, is required around Production Facilities. iv. In an Urban Mitigation Area Exception Zone Setback, no more than two (2) crude oil or condensate storage tanks shall be located within a single berm. COGCC 605. Oil and Gas Facilities Atmospheric tanks used for crude oil storage shall be built in accordance with the standards specified with the respective regulation. (2) Tanks shall be located at least two (2) diameters or three hundred fifty (350) feet, whichever is smaller, from the boundary of the property on which it is built. Where the property line is a public way the tanks shall be two thirds (2/3) of the diameter from the nearest side of the public way or easement. A. Tanks less than three thousand (3,000) barrels capacity shall be located at least three (3) feet apart. B. Tanks three thousand (3,000) or more barrels capacity shall be located at least one-sixth (1/6) the sum of the diameters apart. When the diameter of one tank is less than one-half (1/2) the diameter of the adjacent tank, tanks shall be located at least one-half (1/2) the diameter of the smaller tank apart. (3) At the time of installation, tanks shall be a minimum of two hundred (200) feet from any building unit.(4) Berms or other secondary containment devices shall be constructed around crude oil, condensate, and produced water tanks to provide secondary containment for the largest single tank and sufficient freeboard to contain precipitation. Berms and secondary containment devices and all containment areas shall be sufficiently impervious to contain any spilled or released Ursa Operating Company LLC Oil Production Facility SPCC Plan 79 material. Berms and secondary containment devices shall be inspected at regular intervals and maintained in good condition. No potential ignition sources shall be installed inside the secondary containment area unless the containment area encloses a fired vessel.(5) Tanks shall be a minimum of seventy-five (75) feet from a fired vessel or heater treater.(6) Tanks shall be a minimum of fifty (50) feet from a separator, well test unit, or other non-fired equipment.(7) Tanks shall be a minimum of seventy-five (75) feet from a compressor with a rating of 200 horsepower, or more.(8) Tanks shall be a minimum of seventy-five (75) feet from a wellhead.(9) Gauge hatches on atmospheric tanks used for crude oil storage shall be closed at all times when not in use.(10) Vent lines from individual tanks shall be joined and ultimate discharge shall be directed away from the loading racks and fired vessels in accord with API RP 12R-1, 5th Edition (August 1997, reaffirmed April 2, 2008). Only the 5th Edition of the API standard applies to this rule; later amendments do not apply. The API standard is available for public inspection during normal business hours from the Public Room Administrator at the office of the Commission, 1120 Lincoln Street, Suite 801, Denver, Colorado 80203. In addition, these materials may be examined at any state publication depository library. (11) During hot oil treatments on tanks containing thirty-five (35) degree or higher API gravity oil, hot oil units shall be located a minimum of one hundred (100) feet from any tank being serviced. 906.e.(1) Spill/Release Prevention Secondary containment. Secondary containment that was constructed before May 1, 2009 on federal land, or before April 1, 2009 on other land, shall comply with the rules in effect at the time of construction. Secondary containment constructed on or after May 1, 2009 on federal land, or on or after April 1, 2009 on other land shall be constructed or installed around all tanks containing oil, condensate, or produced water with greater than 3,500 milligrams per liter (mg/l) total dissolved solids (TDS) and shall be sufficient to contain the contents of the largest single tank and sufficient freeboard to contain precipitation. Secondary containment structures shall be sufficiently impervious to contain discharged material. Operators are also subject to tank and containment requirements under Rules 603. and 604. This requirement shall not apply to water tanks with a capacity of fifty (50) barrels or less. Federal Leases Onshore Order 3 For facilities which are subject to Onshore Order 3 (i.e. assets located on Federal leases, or wells and facilities on State or privately-owned mineral lands committed to a unit or communitization agreement that affects Federal or Indian interests), valves and other points which oil could be loaded out of will be subject required to be marked with a unique identifier called a seal to ensure oil (i.e. condensate) is not unloaded from the equipment without the volume being documented and provided to the respective federal agent (i.e. bureau of Land Management official, or Bureau of Indian Affairs official). For additional information pertaining to the requirements of Ursa Operating Company LLC Oil Production Facility SPCC Plan 80 this regulation please see Attachment 1. 3.1.4 Potential Discharge Volume and Direction of Flow The direction of flow will be specific to the respective location the facility is associated with, and is noted within the site specific plan(s) included within Appendix A. Please see below for examples of potential discharge volumes and causes. One scenario for release of oil is the loss of containment of the largest tank at any particular facility due to rupture (300 bbl. example tank size). This could result in the release of up to 12,600 gallons of oil within one hour. Oil would spill into the secondary containment. In this scenario, oil would be contained within the secondary containment. Another possible scenario would be the release of oil outside the secondary containment during truck loading/unloading activities; such as a ruptured hose connection on water truck. This could result in the release of approximately 150 gallons of oil per minute, until the attendant could access the shutoff valve. The volume of oil released during this scenario is variable. A third possible scenario would be the rupture of a flowline outside of secondary containment due to equipment failure. This could result in the release of approximately 150 gallons of oil per hour, until the failure is noticed during routine inspections. The volume of oil released during this scenario is variable. In all instances, the spill response and notification procedures provided in Ursa’s Spill Prevention and Management Plan would be implemented in an orderly and efficient manner. In addition to the Spill Prevention and Management Plan, an Oil Spill Contingency Plan is included with this plan. 3.1.5 Proximity to Navigable Waters All facilities are located within the Colorado River watershed. The surface water proximity is illustrated within maps and tables contained in Appendix A. In the event of an uncontrolled discharge from a facility, oil would follow the natural topography of the landscape. Additionally, each facility diagram within the site specific plan depicts the anticipated direction of runoff from the facility and the distance relative to the potentially impacted navigable waterway. 3.1.6 Site Specific Facility Diagrams Site specific facility maps and diagrams are included in Appendix A with the following detail and location information as applicable: • Process equipment, • Fixed aboveground storage tanks. • Direction of surface water runoff. • Completely buried and bunkered tanks (including USTs covered under 40 CFR 280 or 281). • Drum and portable container storage areas. • The type of oil and storage capacity. • Material of construction for all containers. Ursa Operating Company LLC Oil Production Facility SPCC Plan 81 • Connecting pipes including intra-facility gathering lines. 3.1.7 SPCC Plan Development Tables Site specific SPCC detail tables were drafted for each facility included in this plan. Details from the development tables such as the number of tanks, capacity, contents, and secondary containment descriptions are provided in Tables 2, 3 and 4 of the respective site specific plans. The development tables were created to standardize SPCC site inspections and maintain a database of information including but not limited to: • General facility information. • Tank information. • Processing equipment. • Containment/loadout information. • Failure information outside of containment. • Facility property information. • Surrounding drainage. • Comments. Ursa Operating Company LLC Oil Production Facility SPCC Plan 82 3.2 General Requirements 3.2.1 Discovery, Response and Cleanup of Releases The respective facilities are inspected routinely as described in Section 3.3.2. In the event a release is discovered, the protocol provided in the Spill Prevention and Management Plan will be implemented. Section 3.5.1 of this plan provides guidance with regards to annual training requirements. It is recommended that oil handling personnel obtain and maintain the appropriate Hazwoper training for their position. All recovered materials will be handled in accordance with all applicable federal, state and local laws and regulations as described in the Spill Prevention and Management Plan and Section 3.4 of this plan. 3.2.2 Notification Contacts Robert Bleil or Tara Mall: - 970-625-9922 – Rifle Office Number - 720-425-0303 – Robert Mobile - 970-618-2155 – Tara Mobile - 720-508-8350 – Denver Office Please see the flowcharts included in Appendix B if the above personnel cannot be contacted, should a release occur, additional information is provided in the Spill Prevention and Management Plan. Prior to any notification to agencies, the Spill Prevention and Management Plan will be utilized to determine the agency notification requirements. 3.2.3 Notification Forms The appropriate forms which must be completed prior to reporting a spill are included in this plan as Appendix D. For additional information, please refer to the Spill Prevention and Response Plan and Appendix B of this plan. 3.2.4 Response Plan General information on the response to, and reporting of, oil discharges can be found in the Spill Prevention and Response Plan. Additional information is located within Section 3.4 of this plan and the attached Oil Spill Contingency Plan, a copy of which is provided in Appendix B. The Oil Spill Contingency Plan describes procedures that will be implemented under various emergency scenarios, including when an oil discharge occurs. The plan is also designed to address releases from areas such as flowlines where secondary containment is not practical. Ursa Operating Company LLC Oil Production Facility SPCC Plan 83 3.3 Routine Facility Operations, Inspections and Maintenance Ursa’s oil spill prevention program is described in this section of the SPCC plan and includes routine facility operations, periodic inspections and maintenance activities. It addresses all routine activities associated with the oil production facilities as required by 40 CFR 112.7 and 112.9. 3.3.1 Facility Operations All equipment is operated and positioned in a way which is designed to prevent and contain releases. Load line and drain valves are maintained in a closed position when not in use. The facility is visited periodically by Ursa personnel. The volume of liquid is gauged and the fluid level in each tank is assessed prior to loading or offloading oil2 when the inventory approaches the tank capacity. The designated personnel also performs a visual inspection of all above ground vessels, tank hatches, valves, and secondary containment features to ensure issues are promptly identified as described in Section 3.3.2. Tank truck loading/unloading occurs at all the facilities covered in this plan. However, the facilities will not have a loading/unloading rack as defined by 40 CFR 112.2. The tanks may be connected to each other via piping, or each tank may be self-contained within the secondary containment area. Trucks used to offload oil are positioned adjacent to the secondary containment structures and are attended by the personnel during all loading and unloading activities. All loading and unloading activities are conducted by qualified contract personnel who are trained in proper loading and spill prevention techniques and procedures. Pumper truck personnel inspect tank truck and transfer lines including drains and outlets on the tank trucks prior to filling and before departure to ensure that there are no leaks or discharges. If necessary, truck personnel tighten, adjust, or replace equipment that is leaking. Premature vehicular departures are prevented with a manual air brake system and oversight. A Summary of Operating Procedures (SOP) can be found in Appendix E. 3.3.2 Facility Inspection Program Tanks containing oil are inspected periodically. Designated personnel are trained to identify and report any leaks or other deficiencies (e.g. compromised secondary containment). Inspections are conducted on a monthly basis and include review of equipment, tanks, valves, hatches, and lines; the site drainage system; and the entire tank battery, including the area within the containment structures and earthen berms. Specifically, each storage vessel, separator, and miscellaneous equipment is visually inspected for deterioration and maintenance needs, including the foundation and support of each tank/container located on or above the ground surface. The inspection also includes visual check of facility transfer equipment including transfer piping and valves, drip pans, pumping well polish rod stuffing boxes, tanks, separators, heater-treaters, valve glands and bodies, pipe supports, and bleeder and gauge valves. Inspection of conditions associated with buried flowlines is accomplished by observing the ground surface above the lines for evidence of leaks on a routine basis. Please see the inspection form included as Appendix D. It should be noted that some locations will have additional inspection requirements                                                              2 Oil means oil of any kind or in any form, including, but not limited to: fats, oils, or greases of animal, fish, or marine mammal origin; vegetable oils, including oils from seeds, nuts, fruits, or kernels; and, other oils and greases, including petroleum, fuel oil, sludge, synthetic oils, mineral oils, oil refuse, or oil mixed with wastes other than dredged spoil.  Ursa Operating Company LLC Oil Production Facility SPCC Plan 84 in accordance with the respective location’s COGCC Form 2A conditions of approval. The approved Form 2A has been included for reference within the respective site specific plans for locations it was available for. In the event additional Form 2A documents are approved, the document shall be included within the site specific plans as soon as practical. During the field inspection, the site drainage systems such as drainage ditches, road ditches, and intermittent creeks in the vicinity of the facility are inspected for accumulations of oil. Rainwater and other precipitation that accumulates within the berm is either allowed to evaporate, infiltrate into underlying soil, or is removed using a vacuum truck. Excess rainwater removed by the vacuum truck is either returned to storage or transported for offsite disposal at a permitted non- hazardous disposal facility. No drains are present in the secondary containment structures or earthen berms. A discharge of rainwater from the secondary containment structures cannot occur unless the structure fails or is breached. Observations made by the SPCC inspector are recorded on SPCC/Containment inspection, which are stored at the Rifle Field Office and the corporate office in Denver. A copy of the SPCC/Containment inspection form is provided in Appendix D. Mechanical integrity and spill- related issues are addressed as they are identified. During the inspection, the site drainage systems such as drainage ditches, road ditches, and intermittent creeks in the vicinity of the facility are inspected for accumulations of oil. Rainwater and other precipitation that accumulates within the berm is either allowed to evaporate, infiltrate into underlying soil, or is removed using a vacuum truck. Excess rainwater removed by the vacuum truck is either returned to storage for use in storage or transported for offsite disposal at a permitted non-hazardous disposal facility. No drains are present in the secondary containment structures or earthen berms. A discharge of rainwater from the secondary containment structures cannot occur unless the structure fails or is breached. Oil accumulating within the secondary containment area is removed using absorbent pads or is removed with excess rainwater using a vacuum truck as described above. Accumulated oil is not discharged outside of the secondary containment area. Evidence of hydrocarbon spills are noted and remediated as appropriate as described in Section 2.4. Please see below for a table which provides guidance with regards to inspection and testing recommendations: Ursa Operating Company LLC Oil Production Facility SPCC Plan 85 3.3.2.a Testing and Record Keeping Guidance General Requirements Applicable to All Facilities Bulk storage with no secondary containment and for which an impracticability determination has been made 112.7(d) Test Integrity testing. Periodically. However, because there is no secondary containment, good engineering practice may suggest more frequent testing than would otherwise be scheduled. Valves and piping associated with bulk storage containers with no secondary containment and for which an impracticability determination has been made 112.7(d) Test Integrity and leak testing of valves and piping associated with containers that have no secondary containment as described in §112.7(c). Periodically. Recordkeeping requirement 112.7(e) Record Keep written procedures and a signed record of inspections and tests for a period of three years. Records kept under usual and customary business practices will suffice, for all actions. Lowermost drain and all outlets of tank car or tank truck 112.7(h)(3) Inspect Visually inspect. Prior to filling and departure of tank car or tank truck. Field-constructed aboveground container 112.7(i) Evaluate Evaluate potential for brittle fracture or other catastrophic failure. When the container undergoes a repair, alteration, reconstruction or a change in service that might affect the risk of a discharge or failure due to brittle fracture or other catastrophe, or has discharged oil or failed due to brittle fracture failure or other catastrophe. Based on the results of this evaluation, take appropriate action. Requirements for Onshore Production Facilities Diked area 112.9(b)(1) Inspect Visually inspect content. Prior to draining. You must remove accumulated oil on the rainwater and return it to storage or dispose of it in accordance with legally approved methods.    Ursa Operating Company LLC Oil Production Facility SPCC Plan 86 Requirements for Onshore Production Facilities Continued Field drainage systems, oil traps, sumps, and skimmers 112.9(b)(2) Inspect Detect accumulation of oil that may have resulted from any small discharge. Inspect at regularly scheduled intervals. You must promptly remove any accumulations of oil. Aboveground containers 112.9(c)(3) Inspect Visually inspect to assess deterioration and maintenance needs. Periodically and on a regular schedule Foundations or supports of each container that is on or above the surface of the ground 112.9(c)(3) Inspect Visually inspect to assess deterioration and maintenance needs. Periodically and on a regular schedule All aboveground valves and piping associated with transfer operations 112.9(d)(1) Inspect During the inspection, assess general condition of flange joints, valve glands and bodies, drip pans, pipe supports, pumping well polish rod stuffing boxes, bleeder and gauge valves, and other such items. Periodically and on a regular schedule. Saltwater disposal facilities 112.9(d)(2) Inspect Inspect to detect possible system upsets capable of causing a discharge. Often, particularly following a sudden change in atmospheric temperature. Flowlines 112.9(d)(3) Inspect Have a program of flowline maintenance to prevent discharges from each flowline. Each program may have its own specific and individual inspection, testing, and/or evaluation requirements and frequencies as determined by the PE. 3.3.4 Maintenance Program Ursa has a robust maintenance program aimed at eliminating releases of oil and minimizing unplanned downtime. Preventative maintenance on mechanical equipment (e.g. pumps) is completed in accordance with manufacturer recommendations to ensure proper operation. Any equipment requiring maintenance that is identified by visual inspections of the facilities are addressed by either Ursa mechanical staff or third party contractors. Equipment repairs are made in accordance with the relevant codes and industry standards. Ursa Operating Company LLC Oil Production Facility SPCC Plan 87 3.4 Response and Reporting Information   Detailed spill reporting and response procedures are provided in the Spill Prevention and Response Plan in addition to the information contained within this section. The specific response protocol utilized will depend on the size and nature of the release. 3.4.1 Spill Response The Incident Commander (IC) (Rob Bleil) and/or Alternate Incident Commander (AIC) (Tara Mall) are responsible for implementing response procedures in the event of an oil spill or discharge emergency. These personnel have the authority to commit the resources necessary to carry out a response. However, all oil handling personnel of Ursa receive training to familiarize themselves with all aspects of the SPCC Plan, facility operations, the location and characteristics of materials handled at the facility, the locations of all records within the facility; and are responsible for proper implementation of response procedures should the IC or AIC be unavailable. 1. Assess the basic situation; 2. If the incident poses an immediate threat of fire, explosion, or other impact to safety, health, or the environment, the local fire department will be contacted at 911 or relay information to dispatch via radio; 3. Call the company personnel; 4. If it is safe to enter the area and the personnel are properly trained and certified, they can protect themselves with personal protective equipment (PPE); 5. Eliminate ignition sources; 6. Restrict access; 7. Stop the source of the release if safe to do so; 8. Contain the spill if possible to safely to so with available spill response inventory items; 9. Report the release to the appropriate authorities listed in Section 8.0; 10. If the spill involves a minor amount of oil, it will be cleaned up by Bargath personnel provided that: a. They have current and appropriate HAZWOPER and applicable OSHA training; b. Appropriate Material Safety Data Sheets (MSDS sheets) are available for the material spilled; and c. Appropriate PPE is available and used. In general, recovered fluids are either returned to an uncompromised tank for storage, or transported offsite for disposal at a permitted commercial disposal facility. Hydrocarbon impacted soil is segregated onsite and is tested to assess the contamination of concern identified in the COGCC Table 910-1. Please see the flowcharts in Appendix B for streamlined spill response protocol. 3.4.2 Spill Reporting As described in the Spill Prevention and Response Plan, Emergency Response Plan and the Oil Spill Contingency Plan, the Incident Commander will be notified in the event of a release. Notification forms are provided in Appendix C. The forms will document the event concisely by identifying information that needs to be obtained. Depending on the size and environmental conditions associated with the spill, the Incident Commander may have to report the release to Ursa Operating Company LLC Oil Production Facility SPCC Plan 88 various state and federal regulatory agencies. For specific reporting information please see the Colorado and Federal Verbal Notification & Written Reporting Protocol Table located in Appendix B in addition to the Spill Prevention and Response Plan. Ursa Operating Company LLC Oil Production Facility SPCC Plan 89 3.5 Spill Response Training 3.5.1 Annual Training Ursa and its contractors provide the following minimum training to oil-handling personnel: • Operation and maintenance of equipment to prevent oil discharges; • Oil discharge procedure protocols; • Applicable oil spill prevention (State & Federal) laws, rules, and regulations; • General facility operations; and • The contents of the facility SPCC Plan. Training is conducted prior to assignment of job responsibilities and then again annually. Training includes oil spill prevention, SPCC Plan requirements, and federal and state pollution prevention and spill reporting/response requirements. 3.5.2 Discharge Prevention Briefings The facility conducts discharge prevention briefings for oil-handling personnel at least once a year to assure adequate understanding of the SPCC Plan for the facility. At a minimum, this is conducted via annual SPCC and spill response refresher training describing the contents of the SPCC regulations and plans, spill response techniques, and a review of federal and state spill reporting requirements. These briefings also include discussion of potential discharges or component failures and precautionary measures. If a spill has occurred, Ursa will also summarize the spill events and the measures implemented to prevent future releases. 3.5.3 Training Records Copies of training and discharge prevention logs can be found in Appendix D. Training records and Discharge Prevention Briefing logs are maintained for a minimum period of three (3) years at the Rifle Field Office. Each contractor organization providing oil-handling personnel maintains training records for its employees. Ursa Operating Company LLC Appendix A   APPENDIX A SITE SPECIFIC SPCC PLANS Colorado Operations 792 Buckhorn Dr. Rifle, CO 81650 Site Specific SPCC/Containment Plan Speakman A Well Pad Garfield County, Colorado February 2014 Revision #: 3 (October 2014) Ursa Operating Company LLC Site Specific SPCC/Containment Plan i Contents Introduction ................................................................................................................................................... 1 Facility Purpose ............................................................................................................................................ 1 Directions to the Facility: .......................................................................................................................... 1 Tables ............................................................................................................................................................ 2 Table 1. Facility Detail Summary ............................................................................................................. 2 Table 2. Tank Summary Details ............................................................................................................... 4 Table 3. Containment Summary ............................................................................................................... 6 Table 4. Containment Calculations ........................................................................................................... 7 Secondary Containment 1, Corrugated Metal Containment: ................................................................ 7 Secondary Containment 2, Corrugated Metal Containment: To be constructed ................................... 8 Table 5. Site Deficiencies ......................................................................................................................... 9 Table 6. Proximity to Navigable Waters ................................................................................................... 9 Table 7. Site Specific Plan Amendments ................................................................................................ 10 SPCC/Containment Site Detail Maps ......................................................................................................... 11 Secondary Containment 1: Site Detail Map ............................................................................................ 12 Secondary Containment 2 Site Detail Map ............................................................................................. 13 Approved COGCC Form 2A ...................................................................................................................... 14 Ursa Operating Company LLC Site Specific SPCC/Containment Plan 1 Introduction This site specific SPCC/Containment Plan (Plan) provides the pertinent information with regards to the environmental and equipment information associated with the respective facility, as required to ensure procedures and protocol implemented by Ursa to meet all applicable federal regulations included in Spill Prevention Control and Countermeasure (SPCC) as described in CFR 40 §112. This site specific plan also contains the relevant information required to meet all state and local containment-related requirements. The protocol and procedures as provided in Ursa’s Field Wide SPCC/Containment Plan will be applied to the respective facility. Facility Purpose The Speakman A Well Pad is an existing facility which facilitates the extraction of natural gas for use in the surrounding area via pipeline infrastructure. Produced water and condensate are considered by-products of the natural gas extraction process and are stored at the facility until their respective final use is determined. Produced water may be recycled or treated at a water treatment facility, while condensate can be utilized as an additive to fuel refining processes. A facility detail summary is provided in Table 1. It should be noted that the well pad currently has working wellheads, flow lines, separators, condensate tanks, and produced water tanks which are subject to the SPCC and state regulations. Please see the Tables and Maps included in the following portion of this Plan for additional information pertaining to the facility. In the event of a spill please contact the Incident Commander or Alternate Incident Commander. If there is a serious threat to life please call 911. Directions to the Facility: Heading east on I-70, take Exit 75 and turn right onto County Road 215. Continue onto Country Road 400 and then onto North Battlement Parkway. Travel 1.5 miles and turn right (south) onto Stone Quarry Road. Travel 2.7 miles and turn left onto a gravel road. Travel 0.5 miles and turn left (north) onto the Speakman A access road. Ursa Operating Company LLC Site Specific SPCC/Containment Plan 2 Tables Table 1. Facility Detail Summary LOCATION OF AND ACCESS TO FACILITY Facility Name: Speakman A Well Pad Legal description: SW, 24, T7S, R96W, 6th PM County, State: Garfield County, Colorado Latitude and Longitude: 39.420827, ‐108.060354 Land Ownership (e.g. Federal (BLM, BIA) or private) Private Land, wells have federal access though – Onshore Order 3 is applicable. Is the facility secured by a gate and lock? No Type of facility (e.g. onshore oil and gas production facility, storage facility): Onshore oil and gas production facility Adjacent land is used for: Agricultural, grazing, residential, and oil and gas production – subdivisions to the northwest ~0.25 miles Describe the terrain surrounding the facility: Flat bench, pinion, juniper, sagebrush What is the direction of surface flow of the facility? Northwest Are there surface water features, or drainages visible within 500 feet? Yes, there are two unnamed intermittent/ephemeral drainages. One on the west side ~344 feet and one on the east side ~310 feet. Both are tributaries to the Colorado River Is there H2S Gas known at this facility? No SECONDARY CONTAINMENT OVERVIEW (see the Tables Section for specifics) How many containment areas are at this facility? Two (2) Are there any catch basins being utilized for secondary containment at this facility? No Is the facility within a COGCC 317B, or setback area? No If the facility is within a 317B internal or intermediate zone, high density, or setback area and limit the number of tanks to two condensate tanks per containment? No Is there a stocked spill kit onsite? No Ursa Operating Company LLC Site Specific SPCC/Containment Plan 3 TANKS, FLOWLINES, AND EQUIPMENT Total Oil Storage of Facility (bbl.) Above ground: Below ground: 0 Are the tanks labeled in accordance with regulatory requirements pertinent to SPCC regulations? Yes Are the tanks equipped with equalization lines? Yes Do load lines extend beyond the containment? No Cont. 1/ Yes Cont. # 2 Are tanks equipped with ladders? Yes Are there any buried vessels No What are the flow lines constructed of? Steel Are flow lines above or below ground? Below ground How is oil transferred from the facility? By Truck Separators onsite? Properly labeled? Yes. Wellheads onsite? Properly labeled? Yes, yes. 55 gallon drum storage? No Misc. chemical storage Methanol, 1,000 gallons CONTAINMENT DETAILS Containment ID, as specified on site detail map Secondary Containment 1 Shape (e.g. rectangle, oval, or other shape) Ellipse Length (feet) 93 Width (feet) 45 Height (inches) 2.5 What is the containment constructed of? Corrugated metal Is the containment lined? Yes Is there a rock substrate within the containment? Yes – small gravel Containment ID, as specified on site detail map Secondary Containment 2 Shape (e.g. rectangle, oval, or other shape) Ellipse Length (feet) 74 Width (feet) 45.8 Height (inches) 2.5 What is the containment constructed of? Corrugated metal Is the containment lined? Yes Is there a rock substrate within the containment? Yes – small gravel Ursa Operating Company LLC Site Specific SPCC/Containment Plan 4 Table 2. Tank Summary Details Equipment Details Container Fluid Materials of Construction Diameter and Height (ft.) Volume (bbl.) Containment Comments 120096696 Prod. water Coated Steel 12 x 20 400 Secondary Containment 1 - 120096694 Prod. water Coated Steel 12 x 20 400 Secondary Containment 1 - 120096695 Prod. water Coated Steel 12 x 20 400 Secondary Containment 1 - 120096698 Prod. water Coated Steel 12 x 20 400 Secondary Containment 1 120096699 Prod. water Coated Steel 12 x 20 400 Secondary Containment 1 - 120096697 Prod. water Coated Steel 12 x 20 400 Secondary Containment 1 - 120096720 Prod. water Coated Steel 12 x 20 400 Secondary Containment 1 - 120096722 Prod. water Coated Steel 12 x 20 400 Secondary Containment 1 Tank is disconnected and out of service Catch Trap Tank 1 Produced water/condensate Coated Steel 2’, 4’ 2.6 Secondary Containment 1 Propped up on legs – no displacement volume Separators (12) Produced water/condensate Steel NA 12 Integrity testing Each separator holds 1 bbl. of produced 1 The catch trap tank is utilized to capture liquids from the condensate and produced water tanks within the flare flow line infrastructure prior to the associated gas traveling to the flare for emissions control. Ursa Operating Company LLC Site Specific SPCC/Containment Plan 5 Equipment Details continued Container Fluid Materials of Construction Diameter and Height (ft.) Volume (bbl.) Containment Comments 26674 Produced Water Coated Steel 15.6’ x 9’ 300 Secondary Containment 2 - 25035 Produced Water Coated Steel 15.6’ x 9’ 300 Secondary Containment 2 - 26673 Produced Water Coated Steel 15.6’ x 9’ 300 Secondary Containment 2 - 26354 Produced Water Coated Steel 15.6’ x 9’ 300 Secondary Containment 2 - 27203 Produced Water Coated Steel 15.6’ x 9’ 300 Secondary Containment 2 - 24972 Produced Water Coated Steel 15.6’ x 9’ 300 Secondary Containment 2 - Planned Separators (16) Produced water/condensate Steel N/A 16 Integrity Testing Each separator holds 1 bbl. of produced water/condensate. There are three separator houses. Ursa Operating Company LLC Site Specific SPCC/Containment Plan 6 Non-oil storage - Not subject to SPCC regulations. Methanol tank Methanol Coated Steel NA 1,000 gallons Secondary Containment 1 Propped up on legs – no displacement volume considerations. Table 3. Containment Summary Containment Construction details Comments Secondary Containment 1 Line, Corrugated Metal Containment Condensate tanks, one catch tank and a methanol tank are within this structure. Secondary Containment 2 Lined, Corrugated Metal Containment Produced water tanks are held within this structure Ursa Operating Company LLC Site Specific SPCC/Containment Plan 7 Table 4. Containment Calculations Secondary Containment 1, Corrugated Metal Containment: DISPLACEMENT VOLUME: Vessel No. Diameter (ft.) Height (ft.) = Berm Height Cubic. Ft. 120096696 12 2.50 NA 120096694 12 2.50 283 120096695 12 2.50 283 120096698 12 2.50 283 120096699 12 2.50 283 120096697 12 2.50 283 120096720 12 2.50 283 120096722 12 2.50 283 Catch Tank 2 NA NA Displacement Volume (Total volume taken up by vessels other than the largest vessel) (cubic feet) 1,978 SECONDARY CONTAINMENT VOLUME: Length (ft.) Width (ft.) Height (ft.) Unit Containment Dimensions 93.0 45.0 2.50 r1 r2 pi 46.5 22.5 3.14 Containment Surface Area (square feet) 3,285 Containment Volume (cubic feet) 8,213 Displacement Volume (cubic feet) 1,978 Containment Volume (cubic feet) - the Displacement Volume (cubic feet) 6,235 Largest Tank in Containment (barrels) 400 Largest Tank in Containment (gallons) 16,800 Largest Tank in Containment (cubic feet) 2,246 Precipitation of 24 hour, 25 year event (inches) 2.10 Precipitation of 24 hour, 25 year event (feet) 0.18 Precipitation of 24 hour, 25 year event (cubic feet) 574.91 Containment Volume Required for Tank contents, and precipitation event (cubic feet) 2,820.90 Percentage of largest tank in the containment 277.60 Percentage of largest tank in the containment and precipitation 221.02 Is the Containment Sufficient? Yes Ursa Operating Company LLC Site Specific SPCC/Containment Plan 8 Secondary Containment 2, Corrugated Metal Containment: DISPLACEMENT VOLUME: Vessel No. Diameter (ft.) Height (ft.) = Berm Height Cubic. Ft. 26674 15.6 2.67 NA 25035 15.6 2.67 509 26673 15.6 2.67 509 26354 15.6 2.67 509 27203 15.6 2.67 509 24972 15.6 2.67 509 Displacement Volume (Total volume taken up by vessels other than the largest vessel) (cubic feet) 2,547 SECONDARY CONTAINMENT VOLUME: Length (ft.) Width (ft.) Height (ft.) Unit Containment Dimensions 74.0 45.8 2.67 r1 r2 pi 37.0 22.9 3.14 Containment Surface Area (square feet) 2,661 Containment Volume (cubic feet) 7,095 Displacement Volume (cubic feet) 2,547 Containment Volume (cubic feet) - the Displacement Volume (cubic feet) 4,548 Largest Tank in Containment (barrels) 300 Largest Tank in Containment (gallons) 12,600 Largest Tank in Containment (cubic feet) 1,684 Precipitation of 24 hour, 25 year event (inches) 2.10 Precipitation of 24 hour, 25 year event (feet) 0.18 Precipitation of 24 hour, 25 year event (cubic feet) 465.59 Containment Volume Required for Tank contents, and precipitation event (cubic feet) 2,150.08 Percentage of largest tank in the containment 269.97 Percentage of largest tank in the containment and precipitation 211.51 Is the Containment Sufficient? Yes Ursa Operating Company LLC Site Specific SPCC/Containment Plan 9 Table 5. Site Deficiencies Deficiency Requirement Agency /Citation Correction Completion Date Table 6. Proximity to Navigable Waters Water ID Classification Distance From Facility (ft.) Direction from Facility Comments East unnamed intermittent/ ephemeral drainage Ephemeral, intermittent drainage 310 feet East The USGS topographical map (Parachute) indicates that these drainages are tributaries to the Colorado River. West unnamed intermittent/ephemeral drainage Ephemeral, intermittent drainage 345 feet West Ursa Operating Company LLC Site Specific SPCC/Containment Plan 10 Table 7. Site Specific Plan Amendments Date Technical/Non- technical Section Affected Reason for Amendment February 2014 Technical All Tables, Maps Addition of UIC Injection Well Tanks and Containment, updates to the site maps, inclusion of Form 2A. August 2014 Non-technical Text Updates to nomenclature October 2014 Non-technical Maps, tables Integration of specific tank identification numbers. June 2015 Non-Technical Tables Updated tank disconnection status and tank contents to prod. water in cont. # 1 Ursa Operating Company LLC Site Specific SPCC/Containment Plan 11 SPCC/Containment Site Detail Map Ursa Operating Company LLC Site Specific SPCC/Containment Plan 12 Secondary Containment 1: Site Detail Map Ursa Operating Company LLC Site Specific SPCC/Containment Plan 13 Secondary Containment 2 Site Detail Map Ursa Operating Company LLC Site Specific SPCC/Containment Plan 14 Approved COGCC Form 2A Ursa Operating Company LLC Appendix B   APPENDIX B OIL SPILL CONTINGENCY PLAN AND EMERGENCY RESPONSE PLAN Ursa Operating Company LLC Appendix B   Oil Spill Contingency Plan This Oil Spill Contingency Plan (Plan) was prepared in accordance with 40 CFR 112.7(a)(5) to address discharges of oil from the facilities covered by the Spill Prevention Control and Countermeasure (SPCC) Plan. It also addresses oil discharges from field operations where secondary containment is impracticable, per 40 CFR 112.7(d). This Plan complements the prevention and control measures presented in the SPCC Plan by defining procedures and tactics for reporting and responding to discharges of oil. The Plan is intended to protect the public and minimize damage to the environment by providing a timely, efficient, coordinated and effective action plan to respond to oil discharges. The plan is consistent with the National Oil and Hazardous Materials Pollution Contingency Plan and follows the guidelines provided in 40 CFR 109. 40 CFR 109.5 (a) Definition of the authorities, responsibilities and duties of all persons. Ursa Management is responsible for: Ensuring the necessary resources for control and cleanup are available Ensuring that personnel are adequately trained to notice, report and respond to oil discharges Ursa’s Field Superintendent (or designate), serving as the Incident Commander, is responsible for: Overall coordination of the control and cleanup of the oil discharge Committing the necessary resources (including monetary) Requesting additional assistance from outside contractors and/or the Federal authorities if necessary Ensuring repairs are made prior to putting equipment back in service Ensuring that proper notifications are made to Federal, State and Local agencies, including any follow up documentation Providing site safety plan if necessary Coordinating disposal of contaminated material Being familiar with the SPCC and Oil Spill Contingency Plans Being alert for oil discharges and responding to them as appropriate Assisting, as required, in the control and cleanup of the oil discharge 40 CFR 109.5(b) Establishment of notification procedures. Ursa owns and operates a number of oil production facilities located in Garfield County, Colorado. Personnel are trained to look for and report any oil discharge. The following is a list of emergency contact numbers. Depending on the size and nature of the oil discharge some or all of these contacts will be notified. Please refer to the flow charts and tables on the following pages for spill response and notification protocol. Ursa Operating Company LLC Appendix B   Colorado Operations I NCIDENT NOTIFICATION & MANAGEMENT PROTOCOL (H&S INCIDENTS, SPILLS, ENVIRONMENTAL/PROPERTY DAMAGE , NOVS) MAJOR INCIDENT VERBAL NOTIFICATIONS If MAJOR INCIDENT AND NO 'H&S Recorda ble In cident (Person Discovering Incident) ..... DIRECT COMMUNICATION, K EEP CALLING DOWN THE CHAIN-NO 'Repo rtabl e Spill I Incident MESSAGES or E-MAILS 'NOV w/ P ote nt ia l Fines ~ J, 'S pill Off-Pad 'Spi ll to Liv e Wate r f+ OPERATIONS PRODUCTION CONTRACTOR 'Me di a Inq uiry Po ssible 'P ropert y Damage Matt Honeycutt Shane Vaug hn ~ INCIDENT? NOTIFY 'L andowner Compl aint RES PON SIBLE ---IMMEDIATE REPORT I I CO NTRAC TOR , TO ENVS Han s W yc hgram Pake Y ounger IMMEDIATELY w w • • • H&S REG I ENVIRONMENT LAND T ara Mall Ro b Bleil Jeff Powers SAFETY/INJURIES TOP PRIORITY INCIDENT MANAGEMENT •••• DISPATCH EMERGENCY, INCIDENT & SPILL RESPONSE CREWS AP PROPRIAT E IG-- -.., H&S I FIRE I SERIOUS INJURY I VEHICLE ACCIDENTS LIFE THREATENTING? (Implement SSERP) I OSHA FIRST AID I REPORTABLE INJURY - TREAT & REPORT I NEAR MISSES-REPORT IF FUTURE RISK OF SERIOUS INJURY I LIFE THREA TENING O PERATIONS (Cell Pl'lo ne) M.Honeycutt (970) 812-2198 S.Vaughn (970) 623-9539 P.Younger (970) 260-2423 H.Wych:g~am (303) 884-9079 H&S T.Mall (970) 618-2155 I w REG I ENVIRONMENT I SPILLS I RELEASES (Implem ent Spill Response Plan) Notify Spill Coordinator I ENVIRONMENT I NATURAL RESOURCES / WILDLIFE IMPACTS (Resolve w/Ops Leads ) I NON-COMPLIANCE I FAILED AGENCY INSPECTIONS & NOVS (Resolve w /Ops Le ads) RE G I EN·V I H&S (Cell) R. Bleil (R/E) (720) 425-0303 S PILL PROGRA M L EA D K.Rowe (970) 261-2015 LAN DI PROPERTY DAMAGE PROP ERTY DAMAGE AN DOWNER MPLAINTS I ATER WELL ONCERN S IL co w c LAND RES PO RESOLVES WITH NSIBLE PARTY & AN DOWNER L LAN D (Ce ll) J. Powers (970) 309-9359 MEDIA/COMMUNITY D. Sjh1pson (281) 467-3-117 NOTE: MEDIA INQUIRIES SHOUL D BE DIRECTED TO DON SIMPSON Ursa Operating Company LLC Appendix B   In accordance with ----1 Section VI. D.2 In accordance with Section VI. G Colorado Operations SPILL RESPONSE PROCESS SPILL DISCOVERY Notify On-Site Supervisor Contain and/or contr?I spill if safe Complete Upper Shaded Section of Ursa Incident Investigation Form ~lotify Ursa Ops Lead ! Contact Spill Program Lead K. Rowe (HRL) Regulatory Agency Noti~cations Responsible Party Detemrination Contractor Ursa i i Remediation Remediation i i Waste Manaqement Waste Manaqement i ! Corrective Action I Corrective Action I Training Training i Documentation Copies Documentation to to Ursa Regulatory Agencies Proiect Closure Proiect Closure Close valves or stop/redirect ftow to prevent spill from getting larger. See Appendix B See Appendix C -Sp ill Notification Protocol COG CC LEPC I Fire Chief CDPHE In accordance with Section VI. D.1 In accordance with Section VI. G Ur s a O p e r a t i n g C o m p a n y L L C A p p e n d i x B   CO L O R A D O A N D F E D E R A L V E R B A L N O T I F C A T I O N & W R I T T E N R E P O R T I N G P R O T O C O L Ch e m i c a l Me d i a Af f e c t e d Mi n i m u m Am o u n t to R e p o r t CO G C C CD P H E BL M NRC/EPA LEPC / Fire Chief Ve r b a l Wr i t t e n Ve r b a l Wr i t t e n Ve r b a l Wr i t t e n Verbal Written Verbal Written No t i f i c a t i o n Re p o r t i n g No t i f i c a t i o n Re p o r t i n g No t i f i c a t i o n Re p o r t i n g Notification Reporting Notification Reporting E& P Su r f a c e w a t e r / Gr o u n d w a t e r An y I m m e d i a t e l y 1 0 D a y s I m m e d i a t e l y 5 Da y s I m m e d i a t e l y 1 5 d a y s I m m e d i a t e l y Upon Request Immediately Upon Request So i l - O u t s i d e Co n t a i n m e n t 1 b b l o r gr e a t e r 24 h r s In i t i a l R e p o r t - 7 2 hr s Fo r m 1 9 - 1 0 D a y s N/ A N / A 2 4 h r s 1 5 d a y s N / A N / A None Emergency E-mail Within 24 hours So i l - I n s i d e Co n t a i n m e n t 5 b b l s . o r gr e a t e r 24 h r s In i t i a l R e p o r t - 7 2 hr s Fo r m 1 9 - 1 0 D a y s N/ A N / A 2 4 h r s 1 5 d a y s N / A N / A >1 0 0 b b l s 2 4 h r s In i t i a l R e p o r t - 7 2 hr s Fo r m 1 9 - 1 0 D a y s N/ A N / A 2 4 h r s 1 5 d a y s N / A N / A No n E & P Hy d r o c a r b o n Ba s e d Su r f a c e w a t e r / Gr o u n d w a t e r An y I m m e d i a t e l y U p o n R e q u e s t I m m e d i a t e l y 5 da y s I m m e d i a t e l y 1 5 d a y s I m m e d i a t e l y Upon Request Immediately Upon Request So i l > 2 5 ga l l o n s N/ A N / A 2 4 h o u r s 5 D a y s 5 N / A 7 2 h r s N / A N / A N / A N / A > 4 2 0 g a l (1 0 b b l s . ) N/ A N / A 2 4 h r s 5 d a y s N/ A N / A N / A N / A N / A N / A > 4 , 2 0 0 ga l ( 1 0 0 bb l ) N/ A N / A 2 4 h o u r s 5 d a y s 2 4 h r s 1 5 d a y s N / A N / A N / A N / A No n E & P Ot h e r Su r f a c e w a t e r / Gr o u n d w a t e r An y N / A N / A I m m e d i a t e l y 5 d a y s 5 I m m e d i a t e l y 1 5 d a y s Upon Request Upon Request Immediately Upon Request So i l Re p o r t a b l e Qu a n t i t y (R Q ) N/ A N/ A 24 h r s 5 d a y s 5 N / A 72 h r ( e m a i l ) 15 d a y s ( N T L - 3A ) Upon Request Upon Request 72 hr email Upon Request <R Q b u t >1 0 b b l s . N/ A N / A 2 4 h r s 5 d a y s 5 N / A 72 h r ( e m a i l ) 15 d a y s ( N T L - 3A ) N/A N/A 72 hr email Upon Request <R Q b u t >1 0 0 b b l s . N/ A N / A 2 4 h r s 5 d a y s 5 2 4 hr s 1 5 d a y s N / A N / A 2 4 h r Upon Request Fo o t n o t e : 1. N o t i f i c a t i o n a n d r e p o r t i n g r e q u i r e m e n t s t h at a r e l i s t e d a b o v e a r e f o r t h e m o s t c o m m o n c h e m i c a l s e n c o u n t e r e d i n d a y t o d a y U r sa o p e r a t i o n s . 2. F o r c h e m i c a l s n o t l i s t e d , c o n s u l t t h e M S D S f o r t h e c h e m i c al o f c o n c e r n o r c a l l a n U r sa e n v i r o n m e n t a l t e a m l e a d . 3. R e p o r t a b l e q u a n t i t i e s t h a t a r e r e p o r t e d b y w e i g h t n e e d t o b e c o n v e r t e d t o a b a r r el o r g a l l o n e q u i v a l e n t f o r F e d e r a l r e p o r t i n g a n d n o t i f i c a t i o n r e q u i r e m e n t s . 4. N o t i f y t h e S t a t e H i g h w a y P a t r o l f o r t r a n s p o r t a t i on r e l a t e d s p i l l s i n v o l v i n g h a z a r d o u s m a t e r i a l s . 5. N o t i f y t h e B u r e a u o f L a n d M a n a g e m e n t f o r s p il l s o n f e d e r a l l a n d s a s a p p l i c a b l e a b o v e . Ursa Operating Company LLC Appendix B   Spill response shall be completed in accordance with the Ursa Spill Response Plan. The following pages contain phone numbers for contractors, regulatory agencies and local emergency contact entities. Water Haulers and Misc. T.D. Productions (970) 230-0704 (Terry Dick) (970) 230-0702 Dispatch (970) 984-2218 Wild Well Control Inc. (281) 353-5481 Hogback (970) 309-6322 (24/7) Redi-Vac trucks (970) 625-0233 office (970) 7561277 cell Lucas Gallegos Dalbo (970) 625-0431 office (970) 625-8659 cell Audie Williams Cascade Tanks (Mountain Water) (970) 948-7262 Mountain Valley (970) 948-7262 cell Branden Speedy (970) 985-9248 Office (970) 309-8154 Cell Tracy J&A Services (970) 434-9435 Travis Payne (970) 590-4560 Cell Travis Anderson Rain for Rent (970) 625-4600 office Well Watchers (970) 309-7313 Cell Dan Mc queen R & W BOP (970) 255-6487 Office Mountain States Pressure Control (307) 362-1903 Office Cudd Well Control (970) 858-8230 office (970) 778-5553 cell Allen Bourgeois Advanced Oil Field Services (970) 625-9704 office Flint Energy (970) 625-4265 office Calfrac – Kathleen Neault, HSE Supervisor (970) 243-7812 office (970) 985-8613 cell Frontier Drilling – James Lynch, Safety Manager (435) 503-5767 Ursa Operating Company LLC Appendix B      AGENCY CONTACT NUMBER E-Mail ADDRESS Local and State Agencies Parachute Fire Chief David Blair 970-285-9119 (o) 970-250-9851 (c) firechief@gvfpd.org 0124 Stone Quarry Rd. Parachute, CO 81635 Rifle Fire Chief Chad Harris 970-625-1243 (o) 970-379-9681 (c) Chad.Harris@crfs.us 1850 Railroad Ave. Rifle, CO 81650 Silt Fire Chief CDPHE Bob Peterson John O’Rourke 970-248-7151(Bob) 719-269-5327 (John) 1-877-518-5608 [24-hr] Robert.Peterson@dphe.state.co.us or John.Orourke@state.co.us 4300 Cherry Creek Drive South Denver, CO 80246 CDNR Assigned at call 1-800-536-5308 Assigned at time of call 1313 Sherman Street, Room 718 Denver, CO 80203 CO Dept. of Transportation Mike Verkitus 970-216-0577 Mike.Verketis@dot.state.co.us 222 South 6th St. Room 100 Grand Junction, CO 81501 COGCC Carlos Lujan (970)-625-2497 or (303) 894-2100 Carlos.Lujan@state.co.us 1120 Lincoln Street, Suite 801 Denver, CO 80203 Garfield County OEM (LEPC) Kirby Wynn (970) 945-0453 kwynn@garfield-county.com Kirby Wynn 107 8th Street Rifle, CO 80751 Garfield County Health Agency Morgan Hill (970) 625-5200 ext 8106 970-379-3826 mhill@garfield-couny.com 195 W. 14th Street Rifle, CO 81650 Pitkin County OEM Alex Burchetta or Cindy Mohat 970-920-5037 alex.burchetta@pitkinsheriff.com Cindy Mohat Emergency Management Cord. Pitkin County sheriff’s Office 506 E. Main Aspen, CO 81611 Silt Public Water Intake Jack Castle Or Gerry Pace 970-876-2353 ext 817 970-876-5444 970-876-0460 jackc@townofsilt.org 231 N. 7th Street PO Box 70 Silt, CO 81652 Rifle Public Water Intake Dick Deussen 970-665-6590 ddeussen@rifleco.org 202 W. Railroad Av. Rifle, CO 81650 Parachute Public Water Intake Mark King 970-285-7630 (office) 970-986-1821 (cell) mking@parachutecolorado.com 222 Grand Valley Way PO Box 100 Parachute, CO 81635 Federal Agencies National Response Center Assigned @ Call 1-800-424-8802 Available 24 hours HQS-DG-lst- NRCINFO@uscg.mil 2703 Martin Luther King Jr Ave. SE, STOP 7713 Washington, DC 20593-7713 US Dept. of Transportation Assigned @ Call (202) 366-4000 N/A 1200 New Jersey Avenue, SE Washington, D.C. 20590 Environmental Protection Agency Assigned @ Call (202) 272-0167 N/A Ariel Rios Building 1200 Pennsylvania Ave., NW Washington, DC 20460 Bureau of Land Management Jim Byers 970-876-9056 (o) 970-319-2532 (c) jbyers@blm.gov 2850 Youngfield Street Lakewood, CO 80215 Ursa Operating Company LLC Appendix B   40 CFR 109.5(c) Provisions to assure that full resource capability is known. All field operation personnel are familiar with the location of spill response equipment and response strategies, and with the SPCC and Oil Spill Contingency Plans. They receive annual training in the deployment of response material and handling of hazardous waste (HAZWOPER). Sufficient equipment to respond to the majority of oil discharges is kept at the Ursa Field Office and is accessible 24-hours a day to field operation personnel. This equipment is verified on a monthly basis by designated personnel and is replenished as needed. Ursa Operating Company LLC Appendix B   Identification and Inventory of Recommended Applicable Equipment 3-Cases 17” x 19” x 3/8” Oil absorbent Pads 1-Case 7” W x 15” L Oil Absorbent Pillows 1-Case 3” x 4’ Mini Booms 1-Case 3” x 8” Oil Absorbent Booms 1 5” x 10’ Oil Absorbent Boom 2-Boxes 36” x 56” 3 mil Trash Can Liners 1 Large Tyvek Coverall 1 Extra Large Tyvek Coverall 1-Bag Size 10 Green Nitrile Gloves 2 Round Point Blade Shovels 2 Square Point Blade Shovels 15 5-1/2 foot Steel Fence Posts 1 Fence Post Driver 1-Roll 16 ga Tie Wire 1-Bundle Wooden Stakes 1 Crescent 148 Piece Tool Set 6 28” Traffic Cones 2-Rolls Duct Tape 2-Rolls 6 mil 20’ x 100’ Plastic Sheeting 3 20 lb. Fire Extinguishers 1 Metal First Aid Kit 2 55 Gal. Poly Drums (Drums contain absorbent booms, pillows and pads) 1 55 Gal Steel Drum 40 CFR 109.5(d) Provisions for well-defined and specific action to be taken after discovery and notification of an oil discharge. Ursa has the primary responsibility to provide the initial response to oil discharge incidents originating from its operations. To accomplish this, Ursa has designated the Regulatory and Environmental Manager, Robert Bleil, as the qualified Incident Commander. Tara Mall will serve as the Alternate Incident Commander. In addition, Ursa maintains an Emergency Response Team, some or all of which may be mobilized depending on the size and nature of the oil discharge. Upon the discovery of an oil discharge the Incident Commander will be notified so that appropriate action can be taken. The Incident Commander has the authority to direct and coordinate response operations and may request assistance from Federal authorities as necessary. Containment and clean-up operations will be managed out of the Ursa Field Office. Operations personnel are equipped with cellular phones to assist with communications. In the event of a discharge, the first priority is to stop the product flow and to shut off all ignition sources, followed by the containment, control, and mitigation of the discharge. Specifically, the following response procedures will be implemented in accordance with the respective personnel’s level of training: Ursa Operating Company LLC Appendix B   Response Procedures Please refer to the Spill Prevention and Response Plan for a definitive guide for response procedures. A. Detection: 1. Notify the Incident Commander that an oil spill has occurred (provide location, source, amount, nearby areas of concern, etc.). 2. Shut off ignition sources (motors, electrical circuits, open flames). 3. Turn off pumping unit that charges or provides flow to the flowlines. 4. Locate the source of flowline leak. 5. Attempt to stop the source of the leak, if it can be done safely. 6. Initiate containment. B. Assessment and Notifications: 1. Investigate the discharge to assess the actual or potential threat to human health or the environment. 2. Mobilize the Emergency Response Team if necessary. 3. Request outside assistance from local emergency responders, as needed. 4. Communicate with property owners regarding the discharge and actions taken to mitigate the damage. 5. Make appropriate notifications to Federal, State, and Local agencies. C. Control and Recovery 1. Prevent the spread of oil by deploying absorbents (i.e. booms), by building diversion structures (i.e. berms), or digging temporary containment pits. 2. Direct clean-up of the oil and oil contaminated material. 3. Arrange to have soil and/or water samples analyzed per COGCC Table 910-1 standards, and/or CDPHE water standards. If contaminants are below the affected agencies allowable concentrations cleanup is complete. 4. Containerize contaminated material (soil, water, absorbent material, etc.). D. Disposal of Recovered Product and Contaminated Response Material 1. Recovered product can either be added to another tank or disposed of at an appropriate disposal site. 2. Properly characterize, label and store all contaminated material. 3. Dispose of contaminated material in accordance with all applicable solid and hazardous waste regulations using a licensed waste hauler and disposal facility. Ursa Operating Company LLC Appendix B   E. Termination 1. Arrange for necessary repairs to equipment or flowlines. 2. Review circumstances that led to the discharge and take necessary precautions to prevent a recurrence. 3. Submit any required follow-up reports to the authorities. 4. Update the SPCC and Oil Spill Contingency Plan as necessary. 40 CFR 109.5(e) Specific and Well Defined Procedures to Facilitate Recovery of Damages An Environmental Incident Report will be filled out by the Incident Commander and maintained on file at the Ursa Field Office. Any other documentation regarding the oil discharge will also be kept on file. Ursa Operating Company LLC Appendix C   APPENDIX C DISCHARGE NOTIFICATION FORMS • COGCC Form 19 Spill/Release Report • Ursa’s Environmental Incident Report • Submittal of Information to Regional Administrator for Reportable Discharge(s) Ursa Operating Company LLC Form 19   Ursa Operating Company LLC Contractor Spill/Release Report   r:;r Ursa , OPERATING •• _-..~"''"'.fir_._ COMPANY I Pad/Location: • Report Date: ---------- CONTRACTOR SPILURELEASE REPORT CONTRACTOR: ENVIRONMENTAL SPILL/RELEASE INVEST/GA Tl ON-COLORADO OPERATIONS O.i::rnrr@d: Tim~: Companv: Phon~: -------- INCIDENT TYPE RELEASE TYPE LANDS AFFECTED MEDIA AFFECTED BIOTA AFFECTED ( ) facility ( ) E&P Waste () Private ( ) Land/Soil ( ) None ( ) Transportation ( ) Non-E&P () Federal ( ) Air ( ) Plar'ltS () State ( ) Waters (U.SJ ( ) Wildlife -Game ( ) Other: ( ) Other: () On-Lease ( ) Wetland/Riperian ( ) Wildlife -T&E () Off-Lease ( ) Ground Water ( ) Wfldlife-Non-game SIGNIFICANT THREAT TO HUMANS OR ENVIRONMENT () No ( ) YES -Implement Emergency Response Plan INCIDENT DESCRIPTION (How incident occurred, type of effluent, emissions, chemical, etc.): ESTIMATED VOLUME/QUANTITY OF RELEASE: !VOLUME RECOVERED: VOLUME REMAINING FOR WASTE MGMT: RESPONSIBLE PARTY: COMPANY ENV. REP: PHONE: EMAIL: ROOT CAUSE CORRECTIVE ACTION CORRECTIVE ACTION CONFIRMED: IDATE: FINAL DISPOSITION OF WASTE (STORAGE, TREATMENT, DISPOSAL) TEMPORARY STORAGE LOCATION: FINAL DISPOSAL LOCATION: PLANS TO IMPLEMENT ADDITIONAL TRAINING (DESCRIBE) DATE: Signature (Env. Rep): Date: THIS REPORT MUST BE FILED AND SUBMITTED WITHIN 24 HOURS OF THE INCIDENT TO THE URSA SPILL COORDINATOR Ursa Operating Company LLC EPA Reportable Discharge Notification Form   Submittal of Information to Regional Administrator for Reportable Discharges In the event of a reportable discharge or discharges, this page can be utilized to provide official notification to the Regional Administrator. If the Facility has had a discharge or discharges which meet one of the following two criteria, then this report must be submitted to the Regional Administrator within 60 days. This Facility has experienced a reportable spill as referenced in 40 CFR Part 112.1(b) of 1,000 gallons or more. This Facility has experienced two (2) reportable spills (as referenced in 40 CFR Part 112.1(b) of greater than 42 gallons each within a 12-month period. Facility Name and Location: Facility contact (Name, Address, Phone Number): Facility maximum storage or handling capacity: Facility normal daily throughput: Describe the corrective action and countermeasures taken (include description of equipment repairs and replacements): Describe the Facility (maps, flow diagrams and topographical maps attached as necessary): Describe the cause of discharge(as referenced in 40 CFR Part 112.1(b)) including failure analysis of the system: Describe the preventative measures taken or contemplated to be taken to minimize the possibility of recurrence: Other pertinent information: Ursa Operating Company LLC Appendix D     APPENDIX D SPCC FORMS • SPCC/Containment Field Inspection • Personnel Training Log Ursa Operating Company LLC Appendix D       Ursa Operating Company LLC Appendix E   SPCC Training and Briefing Log Form SPCC Training/Briefing Log Trainer: Date: Subjects Discussed: Name and Signature: Please note: briefings are to take place on an annual basis at a minimum. All oil handing personnel shall be training in accordance with the criteria specified in 40 CFR 112.7(f)(1). At a minimum, training is to include: a. the operation and maintenance of equipment to prevent discharges; b. discharge procedure protocols; - (addressed during the Ursa Spill Response portion of this training) c. applicable pollution control laws, rules, and regulations; general facility operations; and, d. the contents of the facility SPCC Plan. Ursa Operating Company LLC Appendix E   APPENDIX E SUMMARY OF OPERATING PROCEDURES FLOWLINE MAINTENANCE PROGRAM Ursa Operating Company LLC Appendix E   SUMMARY OF OPERATING PROCEDURES FLOWLINE MAINTENANCE PROGRAM Before any pumper is on location, gas meters must be on and properly calibrated. The following (however not limited to) need to be checked in addition to regular pumper’s responsibility to ensure a safe and normal operation by the production operators/pumpers during their routine checks: 1. Water/oil dump valve and water flow meter malfunction: A. Physically check every separator once every day by isolation/bleed-off method. B. If there is any leak through the dump valve and if it is large, replace the trim or valve immediately, if not, try to fix the problem on site as soon as possible and plan to replace the trim/valve at the earliest opportunity. C. Monitoring SCADA for gas & water flow rate can be used in conjunction with physical check. 2. High/low setting trim troubleshooting: A. Physically check Kimray valve for leak (by listening noise, feeling temperature change on both sides of the valve and looking for frost for high differential minor leaks). B. If leak is suspected, confirm by physically checking separator by blowing separator down, then opening up to flowline to see if any gas is flowing back into separator. C. If leak is identified, replace high/low trim immediately. 3. Water/oil trim hanging open A. Physically check every separator when on a pad by listening for gas blowing through water/oil dump and visually check trim set position, then rectify problem. B. Periodically monitor separator pressures throughout day using SCADA to detect discrepancies, then rectify problem. C. Physically check by-pass valves for leaks by feeling temperature difference on both sides of valve, look for, frost or noise. D. If valves are leaking, take necessary actions and inform Ursa about its replacement. 4. Water Skid Pressures at different areas in the field A. Identify skid pressures that are higher than normal operating range on a daily basis (use best judgment) and report to Ursa. B. Purge gas from water headers to lower skid pressures. Ursa Operating Company LLC Appendix E   5. Operation of Water Network during hydraulic fracturing & flowback using the same system A. When the field lines are being utilized for hydraulic fracturing (frac) & flowback operations, the pump will be operated exclusively by the frac & flowback personnel. If you need to utilize any section of the network for pumping into injection pads or pumping out from any pad to injection pads, communicate this first to the frac/flow back personnel. For your water needs at injection pads, coordinate this with frac/flowback personnel. B. When there is no special operation, the network should be operated at regular regime. C. All operations (operation/cleaning and water pumping etc.) must be carried out with the designated personnel and appropriate controls in place. D. Finally, and most importantly, for any safety/environmental issues (e.g., spillage or leakages) immediately contact your immediate supervisor who in turn shall contact Ursa and offer your best assistance to minimize the impact from the incident to people, environment and assets. If your immediate supervisor or Ursa personnel cannot be reached, please refer to the Emergency Contacts list in Section 3.4.1 of this SPCC Plan for alternate contacts. PLEASE DO NOT LEAVE A VOICEMAIL, talk to the contact directly. *Note: All of the above situations can also be identified through manually shutting water skid off, and seeing if any gas is blowing to the production tanks Ursa Operating Company LLC Appendix E   STANDARD OPERATING PROCEDURE FOR REMOVING PRODUCTION WATER FROM TANKS 1. Pull truck onto the location 2. Inspect the location 3. Note unusual situations and report the issue to the dispatcher 4. Wear appropriate personal protective equipment: fire retardant clothing, hardhat, safety glasses and steel-toed shoes 5. Plan an escape route, park facing the exit 6. When possible park as close to the stairs as possible 7. Observe the area for additional leaks, spills, releases, equipment damage, etc. 8. Gauge the tank. 9. Watch your footing and utilize the handrail 10. Attach the bondstrap as close to the unloading operation as possible 11. Connect the hose to the tank and the truck 12. Break the seal on the tank valve and record the seal number on the field ticket 13. Place the truck pump in the vacuum position 14. Open the valve on the truck first 15. Open the valve on the tank next 16. Ensure that the vacuum on the truck is operating properly 17. Open valve on the truck slowly 18. Remove material from the tank While using the clear site glass note when oil appears or when the tank domes and close the valve on the tank 19. Open the bleeder valve (if present) on the load line 20. Pull material from the hose into the truck 21. If the truck is too full, then push some of the material back into the tank so that the hose can be effectively drained 22. Shut off the pump 23. Gauge the tank again 24. Record the amount of material withdrawn from the tank and document results on field ticket 25. Install new seal on the tank valve 26. Record the new seal number on the field ticket 27. Disconnect the hose from the tank 28. Disconnect the hose from the truck 29. Collect remaining fluids in 5 gallon bucket 30. Inspect the hose, fittings and piping for damage 31. Properly place the hose in trays and secure all fittings 32. Replace the dust caps on the back of the truck valves 33. Remove the bondstrap 34. Leave copy of the field ticket for the pumper 35. Again, note any unusual occurrences 36. Leave location and drive to disposal site Ursa Operating Company LLC Appendix E   STANDARD OPERATING PROCEDURE FOR PRODUCED FLUID TRANSFERS TO TANKS 1. Initial Tank Inspection – Valves and Overflow (Gooseneck) Caps A. Prior to any fluid transfers, the water handling contractor will perform an initial inspection of the tanks to confirm that all valves on tanks are closed and that the overflows (gooseneck) have caps. B. Initial inspection includes the valve which is located at the back of the tank in front of the wheel axles. C. All man hatches will be inspected to confirm that they are tight. 2. Initial Tank Inspection to Confirm Tank Fluid Levels A. Prior to any fluid transfers, identify the full tanks and the empty tanks. B. Tanks with closed thief hatches located at the top of the stairs are considered full. These tanks can’t accept produced fluids. All tanks with produced water should have a closed thief hatch with a carbon blanket installed. C. Fluid Gauges Don’t Work – Check tank status prior to pumping or transferring fluids. D. Make sure that your tank has room before you begin unloading! 3. Visu A. al Tank Inspection after Fluid Transfer Begins Visually check each tank for leaks (valves, overflow/gooseneck caps) immediately after tank filling begins. B. Continue watching the tank until your truck is completely unloaded. C. Tank fluid transfers are immediately stopped if a leak is found or tank is overfilled. 4. Spill Reporting and Cleanup A. If a spill occurs the contractor/driver will contact their immediate supervisor. B. Contractor will stop all fluid transfers during a spill event. C. Truck driver will reverse his pump and begin vacuuming up the free liquids that spilled if transfer by truck. 5. Final Inspection after Fluid Transfer is Completed A. Confirm that tank flex hose is drained of fluids prior to disconnecting the hose from the tanks – Do Not Drain Liquids on the Ground. B. For pipeline fluid transfers, flex hoses must be left connected to the manifold in front of the frac tanks – Flex hoses should not be disconnected. C. Contractor will close the tank thief hatches on the tanks that are full to prevent overfilling. Ursa Operating Company LLC Appendix E   FLOWLINE MAINTENANCE PROGRAM Flowlines and piping at production facilities can be sources of releases. The quantity and rates of such events will vary according to failure mode, operating pressures, current production rates, and duration of the release. Flowlines and intra-facility gathering lines and associated valves and equipment are compatible with the type of production fluids, their potential corrosivity, volume and pressure, and other conditions expected in the operational environment. The majority of the piping in the field is constructed of steel and was installed in 2009 or later. Flowlines are powder coated and/or painted. The steel lines all have cathodic protection. The pressure lines operate between 0 to 600 pounds per square inch (psig), they were designed for 0 to 1440 psig. Flowline construction materials are corrosion resistant to condensate, crude oil, and produced water. Flowlines are sized appropriately for the flow volumes expected at the facility. Aboveground flowlines and associated appurtenances are visually inspected daily during the pumper’s regularly scheduled site visits for leaks, oil discharges, corrosion, or other conditions that could lead to a discharge as described in 40 CFR 112.1(b). Inspection of conditions associated with buried flowlines is accomplished by observing the ground surface above the lines for evidence of leaks on a monthly basis. Records of the inspections are stored at the Rifle Field Office and the corporate office in Denver. Buried flowlines are also inspected whenever they are exposed. Metallic lines have a cathodic protection system which is monitored once or twice a year as deemed necessary. High density polyethylene (HDPE) lines are operated at or below the recommended pressure and pressure tested on a regular basis to check their integrity. The aboveground manifolds are inspected on a monthly basis for conditions, repair, painting, etc. Appropriate corrective actions or repairs are made to any flowline, intra-facility gathering line, or associated appurtenances if evidence of a discharge is present. Evidence of a discharge includes product that has surfaced above the flowline. Suspected releases, including significant loss of pressure in the line or significant reduction in product recovered in the production tanks will be investigated. In the event a leak is discovered, the lines will be replaced with pipe constructed of appropriate materials. All repaired or replaced flowlines are pressure tested prior to being put into operation. Actions are initiated promptly to stabilize and remediate any accumulations of oil discharges associated with flowlines, intra-facility gathering lines, and associated appurtenances. Ursa Operating Company LLC Appendix E   Releases are reported to the appropriate supervisor and cleanup personnel upon discovery. Oil and impacted media are removed or remediated as soon as practicable. Ursa Operating Company LLC Appendix F   APPENDIX F WRITTEN COMMITMENT OF MANPOWER   Written Commitment of Manpower, Equipment, and Materials In addition to implementing the preventive measures described in this Plan, Ursa will also specifically: • In the event of a discharge: 1. Make available all trained personnel and contractors to perform response actions ii. Collaborate fully with local, state, and federal authorities on response and cleanup operations • Maintain on-site oil spill control equipment. • Maintain all communications equipment in operating condition at all times. • Ensure that facilities are accessible. • Review the adequacy of on-site and third-party response capacity with pre- established response/cleanup contractors on an annual basis and update response/cleanup contractor list as necessary. • Maintain formal agreements/contracts with response and cleanup contractors who will provide assistance in responding to an oil discharge and/or completing cleanup. Rob Bleil, Regulatory and Environmental Manager N a m e a n d T i t l e : S i g n a t u r e : ______________ Date: Ursa Operating Company LLC Attachment 1 ATTACHMENT 1 ONSHORE ORDER 3 Ursa Operating Company LLC Attachment 1 I  Contents 1.0 Introduction ..................................................................................................................................... 1  Table 1. Well pads which are subject to the requirements of Onshore Order 3 ........................................ 1  Table 2. Specific wells which are subject to the requirements of Onshore Order 3 . Error! Bookmark not  defined.  2.0 Definitions ........................................................................................................................................ 2  3.0 Record Keeping Requirements ...................................................................................................... 6  4.0 Seal Requirements .......................................................................................................................... 6  Figure 1. An effectively sealed valve cannot be turned without breaking the seal. .................................. 6  Figure 2. An ineffectively sealed valve, the wheel nut can be taken off and thus product removed. ....... 7  Figure 3. The yellow tag is a federal seal and is a designator of a violation. ........................................... 7  Table 3. Non-LACT System Seal Requirements ...................................................................................... 8  Table 4. LACT System Seal Requirements .............................................................................................. 9  5.0 Site Diagram Requirements ......................................................................................................... 10  Figure 4. Example diagram and valve documentation ............................................................................ 11  Figure 5. Example diagram of a LACT Unit .......................................................................................... 12  6.0 Site Security Inspection Requirements ....................................................................................... 13  Site Security Inspection Form ................................................................................................................. 14  7.0 Seal Tracking Requirements ........................................................................................................ 17  Seal Tracking Form .............................................................................................................................. 18  8.0 Operator and Federal Contact Information ............................................................................... 19  Table 5. Contact Information .............................................................................................................. 19  9.0 Removal of Oil Requirements ...................................................................................................... 20  Removal of Oil Form ............................................................................................................................ 21  10.0 Theft or Mishandling of Oil Protocol .......................................................................................... 22  10.1 Internal Notification Protocol ..................................................................................................... 22  10.2 Federal Notification Requirements: ............................................................................................ 22  Theft of Mishandling of Oil Form .......................................................................................................... 23  11.0 Site Security Plan ............................................................................................................................ 24  Notification to Authorized Representative Form .................................................................................... 25  Ursa Operating Company LLC Attachment 1 1      1.0 Introduction Onshore Order 3 establishes minimum standards for site security with regards to measurement and sales of condensate and/or crude oil for facilities located on all Federal and Indian (except Osage) oil and gas leases. In addition, this regulation is applicable to all wells and facilities on State or privately-owned mineral lands committed to a unit or communitization agreement that affects Federal or Indian interests, notwithstanding any provision of a unit or communitization agreement to the contrary. The following sections of this attachment will provide the basic requirements for ensuring Ursa’s operations remain compliant with the respective regulation. This Order establishes the minimum standards for site security by providing a system for production accountability and covers the use of seals, by-passes around meters, self-inspection, transporters' documentation, reporting of incidents of unauthorized removal or mishandling of oil and condensate, facility diagrams, recordkeeping, and site security plans. Please see Table 1 and 2 of this document for a list of well pads and specific wells which are subject to the regulation. It should be noted that this list will serve as a living document and should be updated when there is a sale or acquisition as applicable. Please note that the BLM is responsible for compliance of Onshore Order 3 if a facility is located on federal land. The BLM and USFS may coordinate efforts when a facility is located on USFS surface land, but the BLM will retain responsibility per BLM Memorandum of Understanding WO300-2006- 07. In order to ensure Ursa remains compliant with Onshore Order 3, personnel involved with oil gauging, loading, and sales should be presented and trained with the required protocol per the regulation. The two most important aspects to retain compliance are proper documentation and ensuring valves are sealed effectively. Ur s a O p e r a t i n g C o m p a n y L L C A t t a c h m e n t 1 1      Ta b l e 1 . W e l l p a d s w h i c h a r e s u b j e c t t o t h e r e q u i r e m e n t s o f O n s h o r e O r d e r 3 1 Pa d N a m e La t i t u d e Lo n g i t u d e Su r f a c e O w n e r Su r f a c e O w n e r s h i p Subsurface Ownership Bu c k l e A P a d 39 . 5 2 5 2 8 1 - 1 0 7 . 6 7 0 3 5 4 B L M Fe d e r a l Federal Ca s t l e S p r i n g s A 39 . 4 5 6 1 4 8 - 1 0 7 . 5 9 4 1 3 1 B L M Fe d e r a l Federal Ca s t l e S p r i n g s V 39 . 4 5 6 1 7 2 - 1 0 7 . 5 9 7 7 2 4 B L M Fe d e r a l Federal Ca s t l e S p r i n g s U 39 . 4 6 3 1 6 2 - 1 0 7 . 5 9 9 1 3 4 B L M Fe d e r a l Federal Ca s t l e S p r i n g s T 39 . 4 6 3 9 3 1 - 1 0 7 . 5 8 3 0 3 9 B L M Fe d e r a l Federal Ca s t l e S p r i n g s B 39 . 4 5 5 0 0 7 - 1 0 7 . 5 7 8 9 7 6 B L M Fe d e r a l Federal Ca s t l e S p r i n g s E 39 . 4 5 8 5 0 3 - 1 0 7 . 5 5 9 0 3 3 B L M Fe d e r a l Federal Ca s t l e S p r i n g s D 39 . 4 5 4 5 7 6 - 1 0 7 . 5 6 6 2 9 2 B L M Fe d e r a l Federal Ca s t l e S p r i n g s W 39 . 4 6 0 1 0 8 - 1 0 7 . 5 4 1 3 9 1 B L M Fe d e r a l Federal Ca s t l e S p r i n g s Q 39 . 4 5 6 2 8 5 - 1 0 7 . 5 3 5 9 9 9 B L M Fe d e r a l Federal LB C F P a d 39 . 3 5 5 6 1 2 - 1 0 7 . 4 7 3 1 0 3 U S F S F e d e r a l Federal Di x o n F e d e r a l B 39 . 5 2 4 0 7 8 - 1 0 7 . 6 5 9 5 5 7 B L M Fe d e r a l Federal Fe d e r a l P A 39 . 4 4 7 1 8 4 - 1 0 7 . 9 4 2 1 8 4 B L M Fe d e r a l Federal                                                                                                                        1 T h i s l i s t i s t o s e r v e a s a l i v i n g d o c u m e n t a n d i s t o be u p d a t e d a s f a c i l i t i e s a r e c o n s t r u c t e d o r d e c o m m i s s i o n e d . Ursa Operating Company LLC Attachment 1 2  2.0 Definitions Becoming familiar with the below terminology will help ensure that the regulatory requirements are fulfilled with regards to Onshore Order 3. Authorized Officer – means any employee of the Bureau of Land Management (BLM) authorized to perform the duties in Groups 3000 and 3100 of this title [43 CFR 3000.0-5(e)]. Authorized Representative – means any entity or individual authorized by the Secretary to perform duties by cooperative agreement, delegation, or contract (see 43 CFR 3160.0-5). Business Day – means any day Monday through Friday, excluding Federal holidays. By-Pass – means any piping arrangement connected upstream and downstream of a meter which allows oil or gas to continue on to the sales line without passing through the meter. Equipment which permits the changing of the orifice place without bleeding the pressure off the gas meter run shall not be considered a by-pass. Effectively Sealed – means the placement of a seal in such a manner that the position of the sealed valve may not be altered, or a component in a measuring system affecting quality or quantity accessed, without the seal being destroyed. Major Violation – means noncompliance which causes or threaten immediate, substantial, and adverse impacts on public health and safety, the environment, production accountability, or royalty income. Oil – means all nongaseous hydrocarbon substances, other than those substances leasable as cole, oil shale or “gilsonite”. Please note that unless the oil is salable, the operator is not required to maintain records of the loading/unloading and seals. If the oil (i.e. condensate) accumulated within the produced water tanks becomes salable, all requirements for documentation and record keeping will apply. Production Phase – means that period of time or mode of operating during which crude oil is delivered directly to or through production vessels to the storage facilities and includes all operations at the facility other than those defined by the sales phase. Sales Phase – means that period of time or mode of operation during which crude oil is removed from the storage facility for sale, transportation, or other purposes. Seal – means a device, uniquely numbered which completely secures either a valve of those components of a measuring system that affect the quality and/or quantity of the liquid measured. Ursa Ope 3.0 Re All docu records s personne records a location. 4.0 Sea Specified this docu sale, or d Anytime documen a separat authorize valve and much gre in the cas Fig                    2 Figures ta erating Com cord Keep uments and r shall be sto el as defined are availabl al Require d equipment ument. The s during a ch a seal is cha nt. Each inef te violation. ed representa d notify the o eater. The se se that a thef gure 1. An e                         aken from BLM mpany LLC ping Requ records shal ored at the d in Section 8 e, a docum ements t component seals will be ange in the anged, it sha ffectively sea Violation f ative identif operator. Fin eal record (S ft does occur effectively s                     M Bakersfield uirements l be filed fo Rifle Field 8.0 of this d ment stating ts will be req e placed and position the all be docum aled valve o fines range f fies the unse nes for theft Section 7.0) r. Please see ealed valve Training docum 6 or a period o Office and document. In such shall quired to ha d removed b e respective mented in the r appropriat from $250 to aled valve, h of materials serves as the e the below f cannot be t ment. of seven yea d shall be m n the event a be drafted ave a seal as by designated e valve is ke e applicable f e valve not o $500 per he or shall p s (and/or lack e operators d figures for ex turned with At ars. The res managed by an acquisitio and filed fo s defined in d personnel ept (i.e., op forms includ sealed shall violation. In place a feder k of royalty defense agai xamples of s hout breakin ttachment 1 pective hard designated n is made an for the respe Section 2.0 at the time en or closed ded within th be consider n the event ral seal on t payments) a inst such fin seals2: ng the seal. dcopy Ursa nd no ective of of d). his red an the are nes Ursa Ope Figure erating Com e 2. An inef Figure 3. T mpany LLC ffectively sea The yellow t aled valve, t r tag is a fede 7 the wheel nu removed. ral seal and ut can be ta d is a design At aken off and nator of a vi ttachment 1 d thus produ olation. uct Ursa Operating Company LLC Attachment 1 8 The following Tables (3 and 4) provide guidance with regards to the equipment which is subject to the seal requirements. Any exceptions or additional guidance is included in the right hand column. Table 3. Non-LACT System Seal Requirements EQUIPMENT REQUIRING SEAL EXCEPTIONS, NOTES NON-LACT SYSTEMS Sales Valves The valves shall be effectively sealed during the production and sales phases or combination of sales phases. Circulating Valves Drain Valves Fill Valves Equalizer Valves Any valve which provides access to oil prior to measurement for sales. All lines entering or leaving oil storage tanks Exempt: Valves on production vessels (e.g. gun barrel, wash tanks) Exempt: Valves on produced water tanks, provided access does not exist through a circulating drain or equalization system to production and sales tanks Exempt: Sample cock valves with piping of 1 inch or less in diameter Exempt: When a single tank is used for collecting small volumes of condensate, all other requirements apply. Exempt: Gas line valves of 1 inch or less used as tank bottom "roll" lines, provided there is no access to the contents of the storage tank and said lines cannot be used as equalizer lines. Exempt: Tank heating systems which use a fluid other than the contents of the storage tanks. Exempt: Tank vent fill valves The above seal requirements will be applicable to most well pads to a certain degree. The seal requirements for the LACT units are specified in Table 4 on the following page. The LACT Units are a much less common facility. Ursa Operating Company LLC Attachment 1 9 Table 4. LACT System Seal Requirements LACT SYSTEM SEAL REQUIREMENTS LACT systems Sales or equalizer lines do not need to be sealed. However, any valves which allow access for the removal of oil prior to measurement through the LACT system shall be sealed. There shall be no bypass around the LACT unit. Sample Probe None Sampler Volume Control None All valves entering or leaving the sample container excluding the safety pop-off valve Meter Assembly, including the counter head, meter head and automatic temperature compensator None Temperature recorder None Back pressure valve downstream of the meter None Any drain valve in the system None Manual sampling valves None Ursa Operating Company LLC Attachment 1 10 5.0 Site Diagram Requirements  Accurately reflects the relative position of the production equipment, piping and metering systems - does not need to be to scale.  Commencing with the header, identify the vessels, piping, and metering systems located on the site and shall include the appropriate valves and any other equipment used in the handling, conditioning, and disposal of oil. gas, and water produced, including any water disposal pits or emergency pits. In those instances where pits are co-located, such pits may be shown in parentheses on the facility diagram.  Indicate which valve(s) shall be sealed and in what position during the production and sales phases and during the conduct of other production activities, i.e., circulating tanks, drawing off water, which may be shown by an attachment, if necessary.  Require as an addition. when describing co-located facilities operated by 2 different operators, a skeleton diagram of the co-located facility, showing only equipment. For co-located common storage facilities operated by 1 operator, one facility diagram shall be sufficient.  Be filed within 60 days of completion of construction of a new facility or when existing facilities are modified or when a non-Federal facility is included in a Federally supervised unit agreement or communitization agreement.  Clearly identify the lease to which it applies and the location of the facility covered by quarter section, section, township, and range or by a legal land description, with co-located facilities being identified by each lease and its facilities.  Clearly identify the site security plan covering the facility. U U rs a O p e r a t i n g Fa c i l i t y N a m e : Lo c a t i o n ( l e g a l Le a s e # : Ge n e r a l s e a l i n V Fi l l V a l v e s F 1 Eq u a l i z e r V a l v Sa l e s V a l v e s S Dr a i n V a l v e s DCo m p a n y L L C l o r l a t / l o n g ) : ng o f v a l v e s , s a l V al v e I D - F 4 v es E 1 – E 4 1 – S 4 D 1 – D 4 Fi g ur e l es b y t a n k g a u P r N N 4. E x a m p l e d i a ug in g r od u c t i o n Ph a s e ot S e a l e d ot S e a l e d S e a l e d S e a l e d 11 ag ra m a n d v a l v Sa l e s P h a s e ( e F1 S e a l e d F 2 - E1 S e a l e d E 2 - S1 N o t S e a l e d S e v e d o c u m e n t a t i e .g . f r o m S / T 1 ) - F 4 N o t S e a l e d - E 4 N o t S e a l e d d S 2 - S 4 S e a l e d al e d i on ) Ot h e r P h f r d F 1 S e a l e d d E 1 S e a l e d d D1 N o t S e Att a h as e ( e . g . drai n fr om S / T 1 ) d F 2 - F 4 N o t S e d E 2 - E 4 N o t S e Se a l e d e al e d D 2 - D 4 S eachment 1 n in g e ale d e ale d eale d U U rs a O p e r a t i n g Co m p a n y L L C Fi g g ur e 5 . E x a m p 12 l e d i a g ra m o f a a L A C T U n i t Att a a chment 1 Ursa Operating Company LLC Attachment 1 13 6.0 Site Security Inspection Requirements Ursa shall establish an inspection program for the purpose of spot checking their facilities with regards to compliance with Onshore Order 3 requirements. One location a month shall be inspected with the form included in this Section and cross referenced with the seal tracking form (Section 7.0) to verify the information. Any information which does not cross reference properly will be flagged and investigated. Pending the results of the investigation, notification may be provided to an authorized representative and will be documented and filed for later reference. Ur s a O p e r a t i n g C o m p a n y L L C A t t a c h m e n t 1 14 Si t e S e c u r i t y I n s p e c t i o n F o r m Fa c i l i t y N a m e : Lo c a t i o n ( l e g a l o r l a t / l o n g ) : Cu r r e n t O p e r a t i o n s P h a s e ( p r o d u c t i o n , s a l e s , o t h e r ) : Da t e o f I n s p e c t i o n : Le a s e # : In s p e c t e d B y : Th i s i n s p e c t i o n s h o u l d b e c o m p l e t e d “ a s - n e e d e d ” b y q u a l i f i e d p e r s on n e l . A n y i t e m m a r k e d “ N o ” r e q u i r e s a d d i t i o n a l d e s c r i p t i o n an d / o r r e f e r e n c e t o o p e r a t i o n s p h a s e o n S i t e F a c i l i t y D i a g r a m ( A t t a c h m e n t A ) . Se c t i o n I I I . A - S e a l s Va l v e I d e n t i f i c a t i o n N u m b e r Is t h e v a l v e s e a l e d a n d c l o s e d ? SE A L N U M B E R Notes Ye s No Ur s a O p e r a t i n g C o m p a n y L L C A t t a c h m e n t 1 15 Se c t i o n I I I . B – L A C T S e a l s ( i f p r e s e n t o n s i t e ) Se e A t t a c h m e n t B f o r M e t e r D i a g r a m Ye s No SE A L N U M B E R Notes Sa m p l e p r o b e c l o s e d a n d s e a l e d ? Sa m p l e r v o l u m e c o n t r o l c l o s e d a n d s e a l e d ? Va l v e s o n e n t r y / e x i t l i n e s c l o s e d a n d s e a l e d ? Te m p e r a t u r e r e c o r d e r c l o s e d a n d s e a l e d ? Ba c k p r e s s u r e v a l v e c l o s e d a n d s e a l e d ? Dr a i n v a l v e ( s ) c l o s e d a n d s e a l e d ? Ma n u a l s a m p l i n g v a l v e ( s ) c l o s e d a n d s e a l e d ? Me t e r a s s e m b l y ( c o u n t e r h e a d , m e t e r h e a d , au t o m a t i c t e m p e r a t u r e c o m p e n s a t o r ) c l o s e d a n d se a l e d ? Se c t i o n I I I . D – M e t e r B y - P a s s Ye s No N/ A Notes Ga s m e t e r s a n d / o r L A C T me t e r s f r e e o f b y - p a s s pi p i n g i n s t a l l a t i o n s ? Se c t i o n I I I . H – S i t e S e c u r i t y Si t e S p e c i f i c S e c u r i t y Ye s No N/ A Notes Ur s a O p e r a t i n g C o m p a n y L L C A t t a c h m e n t 1 16 Ad d i t i o n a l I n s p e c t i o n C o m m e n t s : In t h e c a s e o f a n y e v i d e n c e o f th e f t o r m i s h a n d l i n g ( m i s s i n g o r b r o k e n s e a l s , va l v e s i n i n c o r r e c t p o s i t i o n s , b y - p a s s e s i n s t a l l e d), re p o r t t o U r s a O p e r a t i n g C o m p a n y I M M E D I A T EL Y a f t e r c o m p l e t i n g t h i s i n s p e c t i o n . Pr i n t e d N a m e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Si g n a t u r e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Ursa Operating Company LLC Attachment 1 17 7.0 Seal Tracking Requirements To ensure compliance with Onshore Order 3, and to provide a document which tracks all seal installations and removals, a seal tracking form has been provided within this Section. The form shall be completed at the time of the oil loading operation by the Ursa personnel providing oversight of the loading operation. A designated form for each field shall be managed in accordance by the designated Ursa personnel in both hardcopy and electronic form. The personnel managing the seal tracking form shall conduct the monthly site inspections and cross reference the seal tracking form with the respective site inspection. U r s a O p e r a t i n g C o m p a n y L L C A t t a c h m e n t 1 18     Se a l T r a c k i n g F o r m Fa c i l i t y N a m e : Le a s e Nu m b e r Ta n k I d Nu m b e r Va l v e I D Da t e o f S e a l In s t a l l a t i o n / R e m o v a l Re m o v e d S e a l Nu m b e r In s t a l l e d S e a l Nu m b e r Reason for Removal/Installation Notification to the Authorized Officer - (Y/N and Date) Ur s a O p e r a t i n g C o m p a n y L L C A t t a c h m e n t 1 19 8. 0 O p e r a t o r a n d F e d e r a l C o n t a c t I n f o r m a t i o n Ta b l e 5 . C o n t a c t I n f o r m a t i o n Ur s a C o n t a c t L i s t Fi e l d C o n t a c t s Mo b i l e Of f i c e Email Ba t t l e m e n t M e s a Sh a n e V a u g h n ( 9 7 0 ) 6 2 3 - 9 5 3 9 ( 9 7 0 ) 3 2 9 - 4 3 7 1 s v a u g h n @ u r s a r e s o u r c e s . c o m Ca s t l e S p r i n g s / W o l f C r e e k Sa m e   Sa m e   Sa m e   Sa m e   Gr a v e l T r e n d Sa m e   Sa m e   Sa m e   Sa m e   Ro a n / N o r t h G r a v e l T r e n c h Sa m e   Sa m e   Sa m e   Sa m e   Re g u l a t o r y a n d E n v i r o n m e n t a l R ob e r t B l e i l ( 7 2 0 ) 4 2 5 - 0 3 0 3 ( 9 7 0 ) 32 9 - 4 3 7 3 r b l e i l @ u r s a r e s o u r c e s . c o m HS & E Ta r a M a l l ( 9 7 0 ) 6 1 8 - 2 1 5 5 ( 9 7 0 ) 3 2 9 - 4 3 7 5 t m a l l @ u r s a r e s o u r c e s . c o m Fe d e r a l C o n t a c t L i s t * Co l o r a d o R i v e r V a l l e y F i e l d O f f i c e , 2 3 0 0 R i v e r Fr o n t a g e R o a d , S i l t , C O 8 1 6 5 2 Ju l i e J . K i n g 9 7 0 - 8 7 6 - 9 0 3 6 9 7 0 - 8 7 6 - 9 0 0 0 jj k i n g @ b l m . g o v * O n l y n o t i f y t h e B L M f i e l d o f f i c e w h i c h t h e r e s p e c t i v e f a c i li t y i s f o u n d i n . Ursa Operating Company LLC Attachment 1 20 9.0 Removal of Oil Requirements The removal of oil from a facility for sale or transport must be documented and observed by specified persons (i.e. gauger, Ursa representative, BLM personnel). A form has been provided in this Section to fulfill the documentation requirement. Prior to removal of oil from tanks, a verbal notification to the respective BLM personnel is required. The authorized officer or representative from the BLM is to be present at the time of loading. The BLM personnel may collect independent gauging measurements. Their presence is to provide oversight during the gauging process to verify the volume of oil being loading and documented is accurate for royalty purposes. Ursa Operating Company LLC Attachment 1 21 Removal of Oil Form Removal of Oil From Tanks be Means Other Than Through a LACT Unit Date: Name of seller: Ursa Operating Company, LLC Federal or Indian lease number: Legal location of the tank: Tank number and capacity: Valve Number Seal number prior to loading*: Seal number after loading: Opening gauge and temperature*: Closing gauge and temperature*: Observed gravity and sediment and water content*: Name of Gauger: Signature of Gauger: Name of Ursa representative: Signature of Ursa representative: Name of Federal representative: Signature of Federal representative: * Omission of the designated information constitutes a major violation, complete missing information and submit within 3 days of notice. Ursa Operating Company LLC Attachment 1 22 10.0 Theft or Mishandling of Oil Protocol 10.1 Internal Notification Protocol  Personnel identifying the incident will report all applicable information to the Regulatory and Environmental Manger (REM) in addition to the Health and Safety Manager (H&S).  In the event of criminal activity, law enforcement may be involved. The REM and/or H&S will determine the involvement of law enforcement.  The form included in this section shall be completed within 10 days of discovery of the incident. o Any additional information not identified within the form is to be attached. o All forms shall be retained for a period of seven years in accordance with the regulatory requirements. 10.2 Federal Notification Requirements:  The theft of mishandling of oil shall be reported no later than the next business day after discovery of the incident to the authorizing officer.  All oral reports shall be followed up with a written report within 10 business days. o Please see the form within this Section for the written report form.  Violations: o Minor  e.g. failure to file a complete report  corrective action: oral report upon request, and submit report of incident within 10 business days after notice of failure to file a complete report is received. o Major  e.g. failure to report the incident  corrective action: oral report upon request and submit report of incident within 10 business days after notice of failure to report incident is received. Ursa Operating Company LLC Attachment 1 23 Theft of Mishandling of Oil Form Theft or Mishandling of Oil Verbal notification required: next business day after incident is discovered Written notification required: 10 days after incident is discovered Date: Name of seller: Ursa Operating Company, LLC Name of Ursa representative reporting the incident: Name of the person who discovered the incident and company: Date and time the incident was discovered: Federal or Indian lease number: Legal location of the tank: Tank number and capacity: Estimated volume oil or condensate removed: The manner which access to the oil was removed: The way access was obtained: Whether the incident was reported to local law enforcement agencies and company security: Signature of Ursa representative: Ursa Operating Company LLC Attachment 1 24 11.0 Site Security Plan The operator shall establish a site security plan for all facilities. The plan need not be submitted to the authorized officer, but the authorized officer shall be notified of the location where the plan is maintained and the normal working hours of said location. The plan shall be available to the authorized officer upon request. The plan shall include, but is not limited to the following:  A self-inspection program that monitors production volumes and ensures compliance with all seal requirements at each storage and sale facility and each LACT unit, if applicable o See form found in Section 6.0  A system to ensure the maintenance of accurate seal records and the completion of accurate run tickets o See forms found in Sections 7.0 and 8.0  A system to ensure the reporting of incidents of apparent theft or mishandling of oil o See form in Section 9.0  A system to ensure that there are no by-pass of meters o See form in Section 6.0  A list of the leases, communitization agreements, unit agreements, and specific facilities that are subject to each plan o See Tables 1 and 2 of this document.  Documentation that the authorized officer has been notified of the completion of a plan and site facility diagram(s) and the leases, communication agreements, unit agreements, and specific facilities that are subject to each plan and diagram(s) Documentation that the authorized officer was notified within 60 days of completion of construction of a new facility or of commencement of first production or of inclusion of the production from a committed nonfederal well into a federally supervised unit or communitization agreement, whichever occurs first, whether that facility is covered by a specific existing plan or a new plan has been prepared. o See Form in Section 11.0 of this document. Ursa Operating Company LLC Attachment 1 25 Notification to Authorized Representative Form Notification to Authorized Representative Name and Title of Ursa Representative Providing Notification: Federal Field Office Notification Provided to: Reason for Notification: X Notes: Completion of a Plan Completion of a Site Diagram Lease addition of change Communication Agreement Unit Agreement Providing list of locations with are subject to the Order Fill in the following information as applicable to the Notification: Date of construction completion: Date of commencement of first production: Date of inclusion of production from a committed nonfederal well into a federally supervised communitization agreement: Was this notification provided within 60 days of completion of construction, or of commencement of first production, or of inclusion of the production from a committed nonfederal well into a federally supervised communitization agreement? Yes No If no, why: ___________________________________ __________________________________________ Ursa Representative Signature: Date: Supplemental information to be attached to this form as an attachment(s).