HomeMy WebLinkAbout1.0 Application1 ••
~ Garfield County ~.~~~~~~~~~~~--
Commun I ty Development Department
108 glh Street, Suite 401
Glenwood ~prings, CO 81601
(970) 945-8212
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REQUIRED CHECKLIST FOR GARFIELD COUNTY SHERIFF'S QFFICE
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·Documents to be Received & Reviewed by County Sheriff's Office R-eccivl'd -_ _ l (initial in box) _
Complete application, Including
• Site Plan,
• Vicinity Plan,
• Use and Occupancy Certification fro m State Division of Hou sing,
• Description of infrastructure and services to be provid ed at the site,
• Evidence of Physical and Legal Water,
• Description of collection and storage of sewage and wastewater,
• Description of collection and disposal of refuse, and
• A copy the permit from the State or Federal agency regulating the Permitted
Site.
Identification of the private and public roadways accessing the Facility, including:
• Roadways shall be marked as open, gated, and/or locked (include combinations),
• Detailed d irections, w ith mileage, shall be given from the nearest town within
the County,
• Nearest County Sheriffs Office dispatch location, and
• Responsible fire district headquarters to each Minor Facility along each roadway .
Information about the Surface Owner of the Subject Lot or Permitted Site, including:
• Name, Address, and Phone number
Emergency Information including:
• Contact Names, addresses and phone numbers of at least 2 persons responsible
for the Operator's emergency field operations),
• Contact numbers for local Hospitals, emergency response, fire protection
districts, the County Sheriff's Office, Life/Care Flight, and applicable regulatory
agencies,
• Site safety/evacuation plan, and
• Other written response plan for potential emergencies at the Site
Identification of dates, including:
• Final date of Facility installation,
• Date of Removal of the Facility, and
• Total number of days that the Facility will be installed at the Site.
Emergency Notification. All emergency situations requiring action by any government agency or district
shall be documented in writing and presented to the Planning Department and Garfield County Sheriff's
Office within 24 hours of the occurrence. Failure to report such emergency situations shall be deemed a
violation of the 2013 Land Use and Development Code.
As an authorized representative of the Garfield County Sheriff's Office(S.O}, I verify that the 5.0. has
received adequate submittal information to carry out emergency response in regards to the
aforementioned Minor Temporary Employee Housing Facility. It is understood that the S.O. is not
obligated to sign-off on this form if further information, either in terms of quality or quantity, is necessary
to carry out the S.0.'s purpose and mission.
Date /
-1~~e-~ s\, Se.~\?!.~
Name (Please Print}
1
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
PRE-APPLICATION
CONFERENCE SUMMARY
TAX PARCEL NUMBER: 240517300067
DATE: April 6, 2016
PROJECT: Savage 17L-794 Pad Minor Temporary Employee Housing
OWNERS/APPLICANT: Joan L. Savage
REPRESENTATIVE: Caerus Oil & Gas c/o Reed Haddock
PRACTICAL LOCATION: Approximately 7 miles South of Rulison.
ZONING: Rural
TYPE OF APPLICATION: Minor Temporary Employee Housing
I. GENERAL PROJECT DESCRIPTION
Caerus Oil and Gas would like to request a permit for the location of 6 trailers to house up to 16
workers for the drilling of Savage Pad 17L-794. A Minor Temporary Employee Housing permit is
required for facilities that are 1) completely contained on a COGCC well pad, 2) that will be located
on the site less than 1 year, and 3) have occupancy of 9 to 24 people who are supporting the drilling
operation. Caerus estimates they will need to trailers in place for a minimum of 3 months during
these 24-hour operations.
II. REGULATORY PROVISIONS APPLICANT IS REQUIRED TO ADDRESS
Garfield County Comprehensive Plan 2030
Garfield County Land Use and Development Code, effective July 15, 2013
Section 4-107 Minor Temporary Employee Housing Facility
Section 4-301. Minor Temporary Employee Housing Submission Requirements.
Table 4-102, Common Review Procedures and Required Notice;
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III. REVIEW PROCESS
The review process shall follow the steps as contained in Table 4-102 with modifications to
call-up procedures as noted in Section 4-107 (see attached flow chart and below outline).
Pre-Application meeting;
Submittal of Application (3 copies and one CD);
Completeness Review;
Submittal of additional materials (if needed)
Setting a date for the Directors Determination;
Public Notice 15 days prior to the Director’s Decision to property owners within 200 feet
and mineral rights owners on the subject property;
Directors Decision including any conditions;
A 10 day Call-up Period after Director’s Decision is made.
IV. SUBMITTAL REQUIREMENTS
In accordance with Section 4-301, Applications for a Minor Temporary Housing Facility must include the
following:
1. General application materials pursuant to 4-203.B.
2. A Vicinity Map presented on a USGS 7.5-minute series quadrangle at a scale of 1 inch
equals 2,000 feet or equivalent, with a topography depicted at a minimum of 40 -foot
intervals, and that indicates the following:
a. The section, township, and range of the subject parcel and the location of
Minor Facility within the subject parcel and the Permitted Site;
b. General relation to surrounding public roads, private roads, adjacent utility
systems, residential development, other actively permitted Minor and Major
Facilities, natural drainage courses, and municipalities within 1 mile of the
proposed Minor Facility;
c. North arrow and scale; and
d. GPS coordinates and current surface ownership of the subject lot.
3. Site Plan consistent with section 4-203.D. and including the following information:
a. The proposed location and anticipated layout for the Facility.
b. Site specific, surveyed maps depicting the location of the Facility, located
within the Permitted Site within the subject parcel.
c. The dates of installation and removal for the Facility. The list shall also include
the estimated total cumulative length of time that the Facility is anticipated to
be installed at the proposed location.
d. The sewage and wastewater disposal, trash receptacles, potable water
storage, all other associated infrastructure, and all other equipment located
within the Permitted Site.
e. Identification of the private and public roadways accessing the Facility.
Roadways shall be marked as open, gated, and/or locked (include
combinations). Detailed directions, with mileage, shall be given from the
nearest town within the County, nearest County Sheriff’s Office dispatch
location, and responsible fire district headquarters to each Minor Facility
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along each roadway.
f. The name, address, and phone number of surface owner of the subject lot or
the Permitted Site if the Permitted Site is within the Resource Land Zone
Districts.
g. The name, address, and phone number, including a 24-hour emergency
response number of at least 2 persons responsible for the Operator’s
emergency field operations; contact numbers for local Hospitals, emergency
response, fire protection districts, the County Sheriff’s Office, Life/Care Flight,
and applicable regulatory agencies; site safety/evacuation plan; and any other
written response plan for potential emergencies at the Permitted Site.
4. Sign-offs from the County Sheriff’s Office, relevant fire protection district(s), and
Community Development Department consistent with the requirements of this Code.
5. Use and Occupancy Certification.
a. A legible photo of the State Division of Housing Seal certifying the housing unit
that will be used meets the use and occupancy per Building Code; or
b. Stamped certification by the State Department of Housing that the use and
occupancy of the housing unit will meet the building and fire code
requirements.
6. A description of infrastructure and services that will be provided at the site.
7. Evidence of the physical and legal water supply and a general description of the water
system planned for potable water, along with details regarding number and volume of
potable water tanks; source of water; name of hauler; hauler’s CDPHE identification
number; and copy of hauler’s CDPHE certification, frequency of delivery, calculation
of water demand, and demonstration of adequate capacity.
8. A general description of the system planned for collection and storage of sewage and
wastewater, along with details regarding number and volume of sewage and
wastewater vaults; name of hauler; frequency of pickup; identification of sewage
disposal site; calculation of sewage and wastewater treatment demand; and
demonstration of adequate storage and/or treatment capacity.
9. A general description of the system planned for collection and disposal of refuse,
including number, type, and volume of collection containers; name of hauler;
frequency of collection; and identification of refuse disposal site.
10. A list of adjacent surface owners, as identified in the records of the County Assessor
or the Clerk and Recorder’s Office, located within 200 feet of the subject parcel or 200
feet from the Permitted Site if the Permitted Site is within the Resource Land Zone
Districts, and a list of separated mineral estate owners in the subject lot or the
Permitted Site if the Permitted Site is within the Resource Land Zone Districts.
11. The name, title, address, phone number, and email address of the Operator’s
Compliance Officer or other authorized representative who is in charge of ensuring
that the Minor Facility is in compliance with the standards outlined in this Code.
12. A form provided by the Community Development Department and signed by the
Operator’s Compliance Officer, indicating that the Minor Facility will be installed in
accordance with all applicable County, relevant fire district, State, and Federal
regulations.
13. A form, provided by the Community Development Department and signed by the
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Operator’s Compliance Officer, indicating that the Operator submits to the
enforcement provisions identified within this Code
14. A copy of the permit from the State or Federal agency regulating the Permitted Site,
identifying the location, conditions of approval, time period for which the permit is
valid, and the parameters for reclamation, and revegetation of the Minor Facility once
the State or Federal permit for the Permitted Site has expired or is otherwise
terminated
Please submit three paper copies and one digital that include
all submittal materials. Additional copies will be requested
upon determination of completeness.
V. APPLICATION REVIEW
a. Review by: Staff for completeness
recommendation and referral
agencies for additional technical
review
b. Public Hearing: _X_None (Director’s Decision)
__ Planning Commission
__ Board of County Commissioners
__ Board of Adjustment
c. Referral Agencies: Referral agencies are not notified in
a MTEH process.
VI. APPLICATION REVIEW FEES
a. Planning Review Fees: $ 250.00
b. Referral Agency Fees: $ TBD – consulting engineer/civil engineer fees
c. Total Deposit: $ 250.00 (additional hours are billed at $40.50 /hour)
Disclaimer
The pre-application meeting summary is only valid for six (6) months from the date of the written
summary. The foregoing summary is advisory in nature only and is not binding on the County. The
summary is based on current zoning, which is subject to change in the future, and upon factual
representations that may or may not be accurate. This summary does not create a legal or vested
right.
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Pre-application Summary Prepared by:
__________________________________________ _April 6, 2016____
David Pesnichak, Senior Planner Date
6
N
0 100
~-~
SCALE:
1"=100'
I
MINOR TEMPORAR.Y EMPLOYEE HOUSING
DRIVING DIRECTIONS
FROM THE TOWN OF RIFLE:
BEGINNING AT THE TOWN OF RIFLE, TRAVEL SOUTHWESTERLY ON INTERSTATE 70 FOR 9.2 MILES TO THE RULISON EXIT.
TURN LEFT AND TRAVEL SOUTHERLY ON COUNTY ROAD 323 FOR 0.6 MILES TO COUNTY ROAD 320.
TURN LEFT ONTO COUNTY ROAD 320 AND TRAVEL EASTERLY AND SOUTHERLY FOR 3.6 MILES TO COUNTY ROAD 329.
TURN RIGHT ONTO COUNTY ROAD 329 TRAVEL SOUTHERLY FOR 2.1 MILES TO SERVICE ROAD.
TURN RIGHT ONTO SERVICE ROAD AND TRAVEL 0.8 MILE TO A Y INTERSECTION.
TURN RIGHT ONTO SERVICE ROAD AND TRAVEL 0.3 MILE TO A Y INTERSECTION.
TURN LEFT ONTO SERVICE ROAD AND TRAVEL 1.6 MILES TO THE ACCESS FOR THE 17L PAD.
TURN LEFT ONTO THE ACCESS FOR THE 17LANDTRAVEL 36 FEET TO THE LOCATION.
SURVEYOR'S STATEMENT
I. DAVID E. HENDERHAN. AN EMPLOYEE AND AGENT FOR D. R. GRIFFIN & ASSOCIATES,
INC. STATE THE SITE PLAN SHOWN HEREON IS A CORRECT REPRESENTATION OF FIELD
SURVEY PERFORMED BY ME OR UNDER MY DIRECT SUPERVISION COMMENCING ON
MARCH 3. 2015 FOR THE PROPOSED 17L PAD MINOR TEMPORARY EMPLOYEE HOUSING.
SURFACE OWNERSHlP
JOAN L. SAVAGE
S9S3 CR
RIFLE, CO 816SO
INSTALLATION AND REMOVAL DATES
1. INSTALLATION DATE: MAY 20, 2016
2. REMOVAL DATE: OCTOBER 20, 2016
3. CUMULATIVE TIME: 1S4 DAYS
1.
2.
3.
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PUBLIC ROAD
PRIVATE ROAD
ACCESS ROUTE TO SITE
SAVAGE PROPERTY BOUNDARY
VICINITY MAP
SCALE: 1''~5000"
24 HOUR RESPONSE CONTACT INFORMATION:
DRILL RIG OFFICE 4. ST. MARY'S HOSPITAL, 6. GARFIELD COUNTY SHERIFF'S OFFICE,
17LPAD GRAND JUNCTION, CO. 1078TH ST
(832) 32S-9128 (970) 298-22S1 GLENWOOD SPRINGS, CO 81601
(970) 94S-04S3 XlOSO
STEVE SCHMIT2 s. ST. MARY'S CAREFLIGHT HELICOPTER,
DRILLING MANAGER GRAND JUNCTION, CO. 7. ORRIN MOON
(303) 330-S461 1-800-332-4923 COLORADO RIVER FIRE RESCUE
18SO RAILROAD AVE.
CAERUS PICEANCE LLC RIFLE, CO 816SO
100117TH STREET, SUITE 1600 (970) 62S-1243
DENVER, CO 80202
(303) S6S-4600
DRAWN: 4111/2010-TCM SCALE: 1"•2000'
REVISED: NIA DRGJOB No. 20193
VICINITY MAI'
CAERf!S OIL & GAS
1~194PAD l'ICINJTY MAP
NWSW, SECTION 17, T..1 S., &94 W., 601 P.H.,
GMlFIELD COllNTY, COLORMJO
EX/SITNGACCESS - - -EXISTING ROAD
BEGINNING AT THE TOWN OF RIFLE
Beginning at the Town of Rifle, Colorado, Garfield County, Colorado.
Travel westerly on Interstate 70 for 9.2 miles to the Rulison Exit (Exit 88).
Travel southerly on County Road County Road 323 for 0.5 mile to County Road 320.
Turn left onto County Road 320 and travel easterly and southerly for 3.6 miles to County Road 329.
Turn right onto County Road 329 travel southerly for 2.1 miles to service road.
End travel on public roads and begin travel on private roads
Turn right onto service road and travel 0.8 mile to a Y intersection.
Turn right onto service road and travel 0.3 miles to a Y intersection.
Turn left onto service road and travel 1.6 miles to the access for the 17l Pad.
Turn Left onto the access for the 17L Pad and travel 36 feet to the location.
BEGINNING AT THE SHERIFF’S OFFICE IN TOWN OF
GLENWOOD SPRINGS
Beginning at the Sheriff’s office in the town of Glenwood Springs (107 8th Street).
Travel east on 8th Street for 0.1 mile to Grand Ave.
Turn left and travel north on Grand Ave. for 0.2 mile to Interstate 70.
Turn left and travel northwesterly on Interstate 70 for 35.2 miles to County Road 323.
Travel southerly on County Road County Road 323 for 0.5 mile to County Road 320.
Turn left onto County Road 320 and travel easterly and southerly for 3.6 miles to County Road 329.
Turn right onto County Road 329 travel southerly for 2.1 miles to service road.
End travel on public roads and begin travel on private roads
Turn right onto service road and travel 0.8 mile to a Y intersection.
Turn right onto service road and travel 0.3 miles to a Y intersection.
Turn left onto service road and travel 1.6 miles to the access for the 17L pad.
Turn left onto the access road for the 17L pad and travel 36 feet to the location.
BEGINNING AT THE COLORADO RIVER FIRE RESCUE OFFICE IN
TOWN OF RIFLE
Beginning at the Colorado River Fire Rescue office in the town of Rifle (1850 Railroad Avenue).
Turn left on Railroad Avenue and travel southerly for 1.1 miles to Colorado State Highway 13.
Continue Southerly on Colorado State Highway 13 for 0.5 mile to U.S. Interstate 70.
Turn right and travel westerly on U.S. Interstate 70 for 9.2 miles to County Road 323.
Travel southerly on County Road County Road 323 for 0.5 mile to County Road 320.
Turn left onto County Road 320 and travel easterly and southerly for 3.6 miles to County Road 329.
Turn right onto County Road 329 travel southerly for 2.1 miles to service road.
End travel on public roads and begin travel on private roads
Turn right onto service road and travel 0.8 mile to a Y intersection.
Turn right onto service road and travel 0.3 miles to a Y intersection.
Turn left onto service road and travel 1.6 miles to the access for the 17L pad.
Turn left onto the access road for the 17L pad and travel 36 feet to the location.
2. Vicinity Map
The “Vicinity Map” has been provided in the application package.
3. Site Plan Plat
The “Site Plan” plat has been provided in the application package. This plat contains all
of the required data.
4. Sign‐Off’s
The “Sign‐Off” have been submitted to the County Sheriff’s Office and the relevant fire
protection district. This application contains the required sign‐off from Caerus’s
compliance officer.
5. Use and Occupancy Certification
A legible photo is included in the application package showing the State Division of
Housing Seal certifying each housing unit.
6. Description of infrastructure and services that will be provided at the site.
Caerus provides electricity for lights and heat from the rig generators, potable water
from tanks, and drinking water from bottles, television, and bunks for sleeping. A 10 x
20 trash receptacle will be located east of the rig. The waste hauler, Western Colorado
Waste will pick‐up daily and take all trash to the Garfield County Landfill.
7. Evidence of the physical and legal water supply and a general description of the water system
planned for potable water, along with details regarding number and volume of potable water
tanks; source of water; name of hauler; hauler’s CDPHE identification number; and copy of
hauler’s CDPHE certification, frequency of delivery, calculation of water demand, and
demonstration of adequate capacity.
See Stallion Oilfield Service document for Caerus dated February 12, 2016.
8. A general description of the system planned for collection and storage of sewage and
wastewater, along with details regarding number and volume of sewage and wastewater vaults;
name of hauler; frequency of pickup; identification of sewage disposal site; calculation of
sewage and wastewater treatment demand; and demonstration of adequate storage and/or
treatment capacity.
See Stallion Oilfield Service document for Caerus dated February 12, 2016.
9. A general description of the system planned for collection and disposal of refuse, including
number, type, and volume of collection containers; name of hauler; frequency of collection; and
identification of refuse disposal site.
The waste hauler, Western Colorado Waste will pick‐up daily and take all trash to the
Garfield County Landfill.
10. Surface Owner and Mineral Owner
The adjacent surface owners and mineral owners has been provided in the application
package.
11. Operator’s Compliance Officer
The name, title, address, phone number, and email of the Operator’s Compliance Officer
has been provided in the application package.
12. Required Sign Off For Operators Compliance Officer
The sign form by the operator’s compliance office has been provided in the application
package.
13. Required Sign Off For Operators Compliance Officer
The sign form by the operator’s compliance office has been provided in the application
package.
14. COGCC Approved Form 2A
The approved COGCC Form 2A has been provided in the application package.
... .....
+'
Stallion
OILFIELD SERVICES
For:
February 12, 2016
Stallion
OILFIELD SERVICES
Contacts:
Anthony Steele: Operation Manager Chad Entwistle: Superintendent
O) 970-625-4016 O) 970-625 -4016
C) 970-274 -6549
Email : asteele@sofs.cc
Dave Herrera: HSE
0) 970-625-4016
C) 970 -589-4653
Email: dharrera@sofs.cc
I. Scope of Work:
C) 970-426-2460
Email : Centwistle@sofs.cc
Ray Bradish: Regional HSE Manager
0) 970-484-2492
C) 970-301-1712
Email: rbradish@sofs .cc
a. Is to provide onsite Housing, Water, Sewer, and Surface Equipment.
b. Water Hauling of Potable/Non Drinking Water. State of Colorado PWSID Permit
#C000223729 to operate as a potable water delivery system. We purchase our Water
from The Town of Silt, Town of Parachute, and the City of Rifle .
c. We will provide two climate controlled 3000 gallon potable water tanks.
d. Delivery of potable water every four days.
e. The water demand calculation will be 50 gallons per day, per person.
f . Hauling of Gray Water "Sewer''. We are permitted to haul and dispose of gray water to
the City of Rifles Water Treatment System (Permit Attached)
g. We will provide four 1500 gallon waste water storage tanks.
h. Pick up of waste water every four days.
i . The waste water demand calculation will be 50 gallons per day, per person.
II . Stallions Commitment
Stallion Oilfield Services is committed to our customers, and the affects that we have on the
environment and the areas that we work in . We strive for all of our employees to operate in the
highest professional, safe, and responsible manner to maintain a good relation with our customers
and communities. Stallion Oilfield Serv ices is committed to adhere to all of Caerus's policies and
procedures, and to develop a strong working relationship.
Stallion Oilfield Services
Regards,
Anthony Steele
Operation Manager
Rifle, CO .
17L‐794 PAD – SURFACE OWNERSHIP
JOAN L. SAVAGE
P.O. BOX 1926
RIFLE, COLORADO 81650
A list of Surface Owner’s within 200 ft. of subject Parcel:
Name: Address:
1. Hilltop 2F2 Ranch, LLLP 7880 County Road 309
Rifle, Colorado 81650
2. White River National Forest P.O. Box 948
Glenwood Spring, Colorado 81602
3. Katherine A. Bevans Backes 5708 County Road 301
Parachute, Colorado 81635
4. Joan L. Savage P.O. Box 1926
Rifle, Colorado 81650
17L‐794 PAD – MINERAL OWNERSHIP
Bureau of Land Management
Colorado River Valley Field Office
2300 River Frontage Road
Silt, Colorado 81652
Lease COC66921
A list of Mineral Owner’s:
Name: Address:
1. BLM 2300 River Frontage Road
Silt, Colorado 81652
2. Bernklau Family LLLP and Hilltop 2F2 Ranch, LLLP 7880 County Road 309
Rifle, Colorado 81650
3. Fern Mae Jones 3126 County Road
Grand Junction, Colorado 81503
4. James R. Jones, Jr. and Lois D. Jones 3067 B ½ Road
Grand Junction, Colorado 81503
5. Audrey J. Jones, Trustee of the Russell E. 866 South Gardenaire Place
and Audrey J. Jones Trust, U/T/A Boise, ID 83709
dated the 28th day of January 1993
CAERUS PICEANCE LLC – AUTHORIZED REPRESENTATIVE
STEVE SCHMITZ, DRILLING MANAGER
1001 17TH STREET, SUITE 1600
DENVER, COLORADO 80202
720‐880‐6412
SSCHMITZ@CAERUSOILANDGAS.COM
Garfield County
Community Development Department
108 glh Street, Suite 401
Glenwood Springs, CO 81601
(970) 945·8212
www .garfield·countv.com
REQUIRED SIGN OFF FOR OPERATORS COMPLIANCE OFFICER
List of Performance Standards for Minor Temporary Employee Housing Facility
A. Federal, State, and Local Laws and Regulations.
Minor Facilities must comply with all applicable Federal. State, and local laws and
regulations.
B. Notification of Facility Installation and Removal.
The Sheriffs Office and relevant fire protection district(s) must be notified at least
24 hours prior to installation and removal of each Minor Facility. The Community
Development Department shall be copied on all such notification, whether hard
copy or electronic.
C. Water Systems.
Water systems shall comply with standards set forth in section 7-705.B. (as
excerpted below):
Water Systems.
1. Water systems must comply with all applicable State and local laws and
regulations.
2. All potable water systems must include a meter and the Operator must
keep a record of the daily usage.
3. For sites to which potable water is hauled, Operators shall:
a. Keep appropriate records, to be provided to the County upon
request, to demonstrate that water supplied to a site is from an
approved source and that wastewater is disposed at an approved
facility.
b. For water facilities not permitted by the CDPHE, the Operator
must conduct monthly tests (or quarterly if an on·site disinfection
system is installed) and maintain records of potable water samples
specific for coli form. Any tests indicating coli form contamination
must be disclosed to the County Public Health Department.
c. Water systems facilities permitted by the CDPHE must obtain all
necessary State permits or demonstrate that applications for any
necessary permits have been submitted prior to a determination by
the County that an application is complete.
d. Maintain compliance with State regulations at all times during
operation.
4. In no case shall unsafe water be used for drinking nor shall raw sewage
or used water be discharged onto the ground surface.
1
D. Wastewater Systems.
Wastewater systems shall comply with standards set forth in section 7-705.C. (as
excerpted below):
Wastewater Systems.
1. Wastewater systems must comply with all applicable State and local
laws and regulations.
2. Wastewater may be disposed of using either an owrs or a vault-and-
haul system. A vault-and-haul system must demonstrate the following:
a. Year-round access is available and maintained for safe and
regular access for sewage hauling vehicles;
b. The Operator can demonstrate and guarantee an arrangement
for hauling sewage;
c. The Operator will maintain all records, including but not limited
to, trip logs/reports and landfill receipts;
d. The sewage disposal records will be maintained as public
records to be available to the County upon request;
e. The facility will not exceed a cumulative of 1 year at the
approved location; and
f. The facility has been designed to accommodate 75 gallons of
wastewater per person per day or an amount derived from
engineered calculations taken from metered usage rates at a
similar facility that has been reviewed and approved by the County.
E. Clean, Safe, and Sanitary Condition.
Minor Facilities shall be maintained in a clean, safe, and sanitary condition, free of
weeds and refuse. Any hazardous or noxious materials that must be stored at the
Minor Facility for operational or security reasons must be managed in accordance
with all applicable Federal, State, and local laws and regulations.
F. Trash and Food Storage.
Wildlife-proof refuse containers must be provided for trash. Outdoor food storage
is prohibited unless facilities are provided that prevent the attraction of animals to
the Major Facility site.
G. Fire Protection.
1. Provisions for giving alarm in case of fire and fire suppression must be
installed per fire codes and as required by the fire protection district.
2. Single-station carbon monoxide alarms must be placed in each
Manufactured Home or Recreational Vehicle unit.
H. No Domestic Animals Allowed.
Domestic animals are prohibited.
I. Removal of Facility.
Within 1 O days following the expiration or other termination of the Land Use
Change Permit or represented date of removal identified within the Land Use
Change Permit, all housing structures, foundations, and associated infrastructure
shall be completely removed. The Operator shall provide the Director with photos,
dated and signed by the Operator's compliance officer, indicating that all housing
structures, foundations, and associated infrastructure have been removed within
the specified timeframe.
2
I have read and understand the above referenced sections CJf the Land Use and Development Code of
2013, as amended. In addition I hereby certlfy that the aforementioned facillty(les) wHI be Installed In
accordance with all appllcable Garfield County, relevant fire district, state and federal regulations.
Further, I understand that non-compliance with any of the appUcable provisions within the Land Use
and Development Code of 2013, as amended, shall be enforced in accordance with Article 12.
Name of Operators Compliance Officer
Sig:£.~~~cer Date
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Email Address ~ (AeY?/S or'/A,,,~,fJ_ r~
Mailing Address
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413221 Location#:
State of Colorado
Oil and Gas Conservation Commission
1120 Lincoln Street, Suite 801, Denver, Colorado 80203
Phone: (303) 894-2100 Fax: (303) 894-2109
Oil and Gas Location Assessment
FORM
2A
Rev
08/13
New Location Amend Existing Location
Submit signed original form. This Oil and Gas Location Assessment is to be submitted to the COGCC for approval
prior to any ground disturbance activity associated with oil and gas operations. Approval of this Oil and Gas Location
Assessment will allow for the construction of the below specified Location; however, it does not supersede any land
use rules applied by the local land use authority. Please see the COGCC website at http://cogcc.state.co.us/ for all
accompanying information pertinent this Oil and Gas Location Assessment.
Document Number:
400853982
11/08/2018
Expiration Date:
Location ID:
413221
08/06/2015
Date Received:
()
Refile
This location includes a Rule 306.d.(1)A.ii. variance request.
This location is in a wildlife restricted surface occupancy area.
This location is in a sensitive wildlife habitat area.
CONSULTATION
This location is included in a Comprehensive Drilling Plan. CDP #
rhaddock@caerusoilandgas.com
(720) 880-6369
(303) 565-4606
Reed Haddock
email:
Fax:
Phone:
Contact Information
Name:
80202COZip:State:DENVER
600 17TH STREET #1600N
CAERUS PICEANCE LLC
10456
City:
Address:
Name:
Operator
Operator Number:
RECLAMATION FINANCIAL ASSURANCE
Plugging and Abandonment Bond Surety ID:Gas Facility Surety ID:
Waste Management Surety ID:
This location assessment is included as part of a permit application.
GARFIELD
feet
feet
39.436121
Instrument Operator's Name:
04/16/20150.9
-107.915389
Mike Brennan
Date of Measurement:PDOP Reading:
Longitude:Latitude:
FWL1156
1597
7412694W 7S 17 Ground Elevation:Meridian:Township:NWSW
from East or West section line
from North or South section lineFootage at surface:
Define a single point as a location reference for the facility location. When the location is to be used as a well site then the point shall be
a well location.
QuarterQuarter:
794 Number:17L
Section:
County:
Name:
LOCATION IDENTIFICATION
Range:
FSL
Page 1 of 12Date Run: 11/9/2015 Doc [#400853982]
RELATED REMOTE LOCATIONS
(Enter as many Related Locations as necessary. Enter the Form 2A document # only if there is no established COGCC Location ID#)
This proposed Oil and Gas Location is:LOCATION ID #FORM 2A DOC #
Wells
Indicate the number of each type of oil and gas facility planned on location
FACILITIES
17
Drilling Pits
Pump Jacks
Gas or Diesel Motors*
Dehydrator Units*
Oil Tanks*
Production Pits*
Separators*16
Electric Motors
Vapor Recovery Unit*
Condensate Tanks*2
Special Purpose Pits
Injection Pumps*1
Electric Generators*1
VOC Combustor*1
Water Tanks*4
Multi-Well Pits*
Cavity Pumps*
Fuel Tanks*
Flare*1
Buried Produced Water Vaults*
Modular Large Volume Tanks
Gas Compressors*
LACT Unit*
Pigging Station*
Other Facility Type Number
OTHER FACILITIES*
Sub surface flow-lines from wellhead to separators and from serparators to water and oil tanks will be 2" steel. 6" gas sales line
and 6" water pipeline.
Per Rule 303.b.(3)C, description of all oil, gas, and/or water pipelines:
*Those facilities indicated by an asterisk (*) shall be used to determine the distance from the Production Facility to the nearest
cultural feature on the Cultural Setbacks Tab.
Drilling Fluids Disposal:
DRILLING WASTE MANAGEMENT PROGRAM
ONSITE Recycle/reuseDrilling Fluids Disposal Method:
Cutting Disposal:ONSITE Beneficial reuseCuttings Disposal Method:
Other Disposal Description:
Any drilling fluids that are deemed to be unusable, will be transported to an approved off-site disposal facility. See Waste
Management Plan.
Beneficial reuse or land application plan submitted?
Reuse Facility ID:or Document Number:
Centralized E&P Waste Management Facility ID, if applicable:
Will a closed loop system be used for drilling fluids:
Is H2S anticipated?
Will salt based mud (>15,000 ppm Cl) be used?
7414
1.90Size of location after interim reclamation in acres:
Will salt sections be encountered during drilling:
Estimated post-construction ground elevation:
Estimated date that interim reclamation will begin:
5.1004/18/2016 Size of disturbed area during construction in acres:Date planned to commence construction:
CONSTRUCTION
10/18/2016
DRILLING PROGRAM
Yes
No
No
Will oil based drilling fluids be used?No
No
SURFACE & MINERALS & RIGHT TO CONSTRUCT
Page 2 of 12Date Run: 11/9/2015 Doc [#400853982]
The right to construct this Oil and Gas Location is granted by:
is the applicant
has signed the Oil and Gas Lease
is committed to an oil and Gas Lease
is the mineral ownerCheck all that apply. The Surface Owner:
IndianFederalStateFee
IndianFederalStateFee
81650Zip:COState:
Rifle
P.O. Box 1926
Joan Savage
Email:
Fax:
Phone:
The Mineral Owner beneath this Oil and Gas Location is:
Surface Owner:
City:
Address:
Address:
Name:
The Minerals beneath this Oil and Gas Location will be developed from or produced to this Oil and Gas Location:Yes
Surface Use Agreement
Surface damage assurance if no agreement is in place:Surface Surety ID:
Date of Rule 306 surface owner consultation 06/18/2015
CURRENT AND FUTURE LAND USE
Other (describe):
Residential
RecreationalTimber
CommercialIndustrial
Rangeland
CRPHay MeadowImproved PastureDry landIrrigated
Subdivided:
Non-Crop Land:
Crop Land:
Current Land Use (Check all that apply):
Other (describe):
Residential
RecreationalTimber
CommercialIndustrial
Rangeland
CRPHay MeadowImproved PastureDry landIrrigated
Subdivided:
Non-Crop Land:
Crop Land:
Future Land Use (Check all that apply):
Page 3 of 12Date Run: 11/9/2015 Doc [#400853982]
Provide the distance to the nearest cultural feature as measured from Wells or
Production Facilities onsite.
Building:1081 Feet
Building Unit:5280 Feet
High Occupancy Building Unit:5280 Feet
Designated Outside Activity Area:5280 Feet
Public Road:5280 Feet
Above Ground Utility:3411 Feet
Railroad:5280 Feet
Property Line:156 Feet
INSTRUCTIONS:
- All measurements shall be provided from center
of nearest Well or edge of nearest Production
Facility to nearest of each cultural feature as
described in Rule 303.b.(3)A.
- Enter 5280 for distance greater than 1 mile.
- Building - nearest building of any type. If nearest
Building is a Building Unit, enter same distance
for both.
- Building Unit, High Occupancy Building Unit, and
Designated Outside Activity Area - as defined in
100-Series Rules.
-For measurement purposes only, Production
Facilities should only include those items with an
asterisk(*) on the Facilities Tab.
CULTURAL DISTANCE INFORMATION
From WELL
985 Feet
5280 Feet
5280 Feet
5280 Feet
5280 Feet
3289 Feet
5280 Feet
118 Feet
From PRODUCTION
FACILITY
Buffer Zone
Exception Zone
Urban Mitigation Area
DESIGNATED SETBACK LOCATION INFORMATION
Check all that apply. This location is within a:
Pre-application Notifications (required if location is within 1,000 feet of a building unit):
Date of Rule 305.a.(1) Urban Mitigation Area Notification to Local Government:
Date of Rule 305.a.(2) Buffer Zone Notification to Building Unit Owners:
- Buffer Zone - as described in Rule 604.a.(2),
within 1,000' of a Building Unit.
- Exception Zone - as described in Rule 604.a.(1),
within 500' of a Building Unit.
- Urban Mitigation Area - as defined in 100-Series
Rules.
FOR MULTI-WELL PADS AND PRODUCTION FACILTIES WITHIN DESIGNATED SETBACK LOCATIONS ONLY:
&KHFNWKLVER[LIWKLV2LODQG*DV/RFDWLRQKDVRUZLOOKDYH3URGXFWLRQ)DFLOLWLHVWKDWVHUYHPXOWLSOHZHOOV RQ
Other (describe):
Alpine (above timberline)
Wetlands Aquatic (Bullrush, Sedge, Cattail, Arrowhead)
Forest Land (Spruce, Fir, Ponderosa Pine, Lodgepole Pine, Juniper, Pinyon, Aspen)
Mountain Riparian (Cottonwood, Willow, Blue Spruce)
Plains Riparian (Cottonwood, Willow, Aspen, Maple, Poplar, Russian Olive, Tamarisk)
Shrub Land (Mahogany, Oak, Sage, Serviceberry, Chokecherry)
Native Grassland (Bluestem, Grama, Wheatgrass, Buffalograss, Fescue, Oatgrass, Brome)
Disturbed Grassland (Cactus, Yucca, Cheatgrass, Rye)
Check all plant communities that exist in the disturbed area.
List individual species:
NoYes
Date of observation:field observationNRCS or,Plant species from:
Are noxious weeds present:
Complete this section only if any portion of the disturbed area of the location's current land use is on non-crop land.
PLANT COMMUNITY:
No
WATER RESOURCES
Is this a sensitive area:No Yes
Distance to nearest
downgradient surface water feature:
water well:
352 Feet
Feet
Estimated depth to ground water at Oil and Gas Location 77 Feet
Basis for depth to groundwater and sensitive area determination:
Water Well Permit # 228043, TD 113'. Cache Creek is the downgradient water feature.
Is the location in a riparian area:No Yes
Was an Army Corps of Engineers Section 404 permit filed No Yes If yes attach permit.
Is the location within a Rule 317B Surface Water Supply Area buffer
zone:
1461
If the location is within a Rule 317B Surface Water Supply Area buffer have all public water supply systems
within 15 miles been notified:
GROUNDWATER BASELINE SAMPLING AND MONITORING AND WATER WELL SAMPLING
Water well sampling required per Rule 609
Is the Location within a
Floodplain?
No Yes Floodplain Data Sources Reviewed (check all that apply)
Federal (FEMA)
State
County
Local
Other
DESIGNATED SETBACK LOCATION EXCEPTIONS
Check all that apply:
Rule 604.a.(1)A. Exception Zone (within 500' of Building Unit)
Page 5 of 12Date Run: 11/9/2015 Doc [#400853982]
COA Type Description
Operator shall provide complete well-specific emergency contact information to COGCC
via email prior to spudding wells on this pad. Rulison.Submittal@state.co.us
Notify the COGCC 48 hours prior to start of pad construction, rig mobilization, pipeline
testing, start of hydraulic stimulation operations, and start of flowback operations (if
different that stimulation) using Form 42 (the appropriate COGCC individuals will
automatically be email notified, including the LGD for hydraulic stimulation operations).
In lieu of standard Form 42 spud notices, submit Form 42 Rulison SAP / Rio Blanco
SAP - Spud Notices, specifying the bottom hole location sector and tier.
The operator shall follow all requirements of the Project Rulison Sampling and Analysis
Plan (SAP), Revision 3.0, dated July 2010.
The operator shall submit, and receive approval of, a reuse and recycling plan per Rule
907.a.(3), prior to any offsite reuse/recycling of cuttings.
Conditions Of Approval
All representations, stipulations and conditions of approval stated in this Form 2A for this location shall
constitute representations, stipulations and conditions of approval for any and all subsequent operations on
the location unless this Form 2A is modified by Sundry Notice, Form 4 or an Amended Form 2A.
Rule 604.b.(1)A. Exception Location (existing or approved Oil & Gas Location now within a Designated Setback as a result of
Rule 604.b.(1)B. Exception Location (existing or approved Oil & Gas Location is within a Designated Setback due to Building Unit
construction after Location approval)
Rule 604.b.(2) Exception Location (SUA or site-specific development plan executed on or before August 1, 2013)
Rule 604.b.(3) Exception Location (Building Units constructed after August 1, 2013 within setback per an SUA or site-specific
development plan)
RULE 502.b VARIANCE REQUEST
Rule 502.b. Variance Request from COGCC Rule or Spacing Order Number
ALL exceptions and variances require attached Request Letter(s). Refer to applicable rule for additional required attachments (e.g.
waivers, certifications, SUAs).
Rule 604.a.)
rhaddock@caerusoilandgas.com
Sr. Regulatory Specialist
08/06/2015
Reed Haddock
COGCC Approved:Director of COGCC Date:11/9/2015
Based on the information provided herein, this Application for Permit-to-Drill complies with COGCC Rules and applicable orders
and is hereby approved.
Title:
Email:Date:
Print Name:
Signed:
I hereby certify that the statements made in this form are, to the best of my knowledge, true, correct and complete.
Caerus Piceance LLC purchased all Piceance assets owned by Noble Energy, Inc. This pad was previously built.
Additional surface disturbance is required.
The Jones SWD 17L-794 Form 2 permit application will be submitted in 3-4 weeks. The SUA needs to be revised to
reflect the injection well.
Comments
OPERATOR COMMENTS AND SUBMITTAL
Page 6 of 12Date Run: 11/9/2015 Doc [#400853982]
Operator must ensure secondary containment for any volume of fluids contained at well
site during drilling and completion operations (as shown on the Construction Layout
Drawings, Facility Layout Drawing, Proposed BMPs, and Location Drawing
attachments); including, but not limited to, construction of a berm or diversion dike,
diversion/collection trenches within and/or outside of berms/dikes, site grading, or other
comparable measures (i.e., best management practices (BMPs) associated with
stormwater management) sufficiently protective of nearby surface water. Any berm
constructed at the well pad location will be stabilized, inspected at regular intervals (at
least every 14 days per CDPHE requirements and after precipitation events), and
maintained in good condition.
The access road will be constructed and maintained as to not allow any sediment to
migrate from the access road to nearby surface water or any drainages leading to
surface water.
Strategically apply fugitive dust control measures, including encouraging established
speed limits on private roads, to reduce fugitive dust and coating of vegetation and
deposition in water sources.
The location is in an area of moderate to high run-on/run-off potential; therefore
standard stormwater BMPs must be implemented; prior to, during, and after
construction, as well as during drilling, completion, and production operations; at this
location to insure compliance with CDPHE and COGCC requirements and to prevent
any stormwater run-on and /or stormwater run-off.
Berms or other containment devices shall be constructed to be sufficiently impervious
(corrugated steel with poly liner or equivalent) to contain any spilled or released material
around permanent crude oil, condensate, and produced water storage tanks.
The moisture content of drill cuttings managed onsite shall be kept as low as practicable
to prevent accumulation of liquids greater than de minimis amounts. After drilling and
completion operations have been completed, the drill cuttings that will remain on the
well pad location (cuttings management area, the cut portion of the pad, cuttings trench,
dry cuttings drilling pit), must meet the applicable standards of Table 910-1. After the
drill cuttings have been amended (if necessary) and placed on the well pad, sampling
frequency of the drill cuttings (to be determined by the operator) shall be representative
of the material left on location. No offsite disposal of cuttings to another oil and gas
location shall occur without prior approval of a Waste Management Plan (submitted via
a Form 4 Sundry Notice) specifying disposal location and waste characterization
method. Commercial disposal of drill cuttings will only require notification to COGCC via
a Form 4 Sundry Notice.
Flowback and stimulation fluids must be sent to tanks, separators, or other
containment/filtering equipment before the fluids can be placed into any pipeline,
storage vessel, or lined pit (only if an amended Form 2A has been submitted/approved
and a Form 15 Earthen Pit Permitted has been submitted/approved) located on the well
pad; or into tanker trucks for offsite disposal. The flowback and stimulation fluid tanks,
separators, or other containment/filtering equipment must be placed on the well pad in
an area constructed to be sufficiently impervious to contain any spilled or released
material.
Potential odors associated with the completions process and/or with long term
production operations must be controlled/mitigated.
Operator shall pressure test pipelines in accordance with Rule 1101.e.(1) prior to
putting into initial service any temporary surface or permanent buried pipelines and
following any reconfiguration of the pipeline network.
Page 7 of 12Date Run: 11/9/2015 Doc [#400853982]
No BMP/COA Type Description
1 Planning Minimize the number, length, and footprint of oil and gas development roads.
Use existing roads where possible.
Maximize the use of directional drilling to minimize habitat loss/fragmentation.
Maximize use of long-term centralized tank batteries to minimize traffic.
Maximize use of remote completion/frac operations to minimize traffic.
Maximize use of remote telemetry for well monitoring to minimize traffic.
2 General Housekeeping Caerus will comply with Rule 609 Statewide Groundwater Baseline Sampling and
Monitoring
Caerus will comply with Rule 603.f statewide equipment, weeds, waste, and trash
requirements.
3 Wildlife March 2015 - Caerus Piceance LLC (Caerus) formally requested and received
authorization from Colorado Parks and Wildlife (CPW) to transfer the Noble Energy,
Inc. (Noble) Wildlife Mitigation Plan Agreement (WMPA) to Caerus’ existing WMPA.
Caerus is currently adhering to all aspects of both WMPAs through Caerus’ current
best management practices.
All garbage and any food items will be placed in bear proof trash containers.
4 Storm Water/Erosion
Control
Stormwater is addressed under a field-wide Stormwater Management Plan (CDPHE
Certification #COR039527).
Run-on protection and run-off controls will be installed prior to the beginning of
construction activities, as practicable, with consideration given to worker safety,
wildlife, and site access.
Best Management Practices
Approval of this Form 2A and the Form 2 for the injection well (Form 2# 400854939)
does not authorize operator the right to inject. Authorization to inject into the selected
Formation(s) requires approval of both the Form 31 and the Form 33.
Operator will use qualified containment devices for all appropriate chemicals/hazardous
materials and injection equipment (pumps) used onsite during the operation of the
injection well.
All tanks and aboveground vessels containing fluids must have secondary containment
structures. All secondary containment structures/areas must be lined. Operator must
ensure a minimum of 110 percent secondary containment for the largest structure
containing fluids within each bermed area at the facility during operations. The
construction and lining of the secondary containment structures/areas shall be
supervised by a professional engineer or their agent.
Operator shall equip and maintain on all tanks an electronic level monitoring device.
Unless otherwise determined by COGCC staff (Bob Koehler) that a water sample of the
proposed injection formation is not required, before hydraulic stimulation of the injection
well, operator shall collect a groundwater sample from the Cozzette-Corcoran
Formation and the Ohio Creek Formation and analyze for total dissolved solids (TDS);
submit laboratory analytical results to COGCC (emails: bob.koehler@state.co.us and
arthur.koelspell@state.co.us).
Page 8 of 12Date Run: 11/9/2015 Doc [#400853982]
5 Construction Stockpiles for topsoil and excess cut material will be located in work areas surrounded
by a BMP.
Stormwater BMPs will be installed per details in the Stormwater Management Plan
(SWMP).
Disturbed area of site will be left in a surface roughened condition when feasible.
BMPs will be protected, inspected and repaired as necessary.
Dust mitigation practices will be utilized.
New flowline installations will be performed in accordance with new flowline guidance
provided by the COGCC concerning Rules 1101 and 1102.
Berms or other containment devices shall be constructed to be sufficiently impervious
(corrugated steel with synthetic liner) to adequately contain any spilled or released
material around crude oil, condensate, and produced water storage tanks, while also
ensuring the adequate prevention of significant adverse environmental impacts.
6 Drilling/Completion
Operations
Closed loop system will be used. No pits will be built.
Completion operations will be performed to ensure adequate prevention of significant
adverse environmental impacts.
Caerus will ensure 110 percent secondary containment for any potential volume of
fluids that may be released.
7 Interim Reclamation Once all topsoil has been distributed across the site, the location is then seeded by
drill seeding methods or broadcast seeding. All reclaimed areas except areas needed
for production will comply with the landowner’s requested seed mix containing grasses
“be planted for elk in the area”; or the recommend BLM seed mix that will be used is
“Mixed Mountain Shrubland, including Oakbrush”.
Re-vegetation is accomplished as soon as practical following the preparation of a site
for final stabilization. Seeding will be done when seasonal or weather conditions are
most favorable.
On terrain where drill seeding is appropriate, seed may be planted using a drill
equipped with a depth regulator to ensure proper depth of planting.
8 Final Reclamation Re-contouring: Unless an agreement is made with the landowner to keep the road
and/or pad in place, the disturbed areas surrounding the well location, including the
access road will be re-contoured to blend as nearly possible with the natural
topography. Final grading of back-filled and cut slopes will be done to prevent erosion
and encourage establishment of vegetation. Existing drainages will be re-established.
Re-vegetation: The long term objective is to establish a self-perpetuating plant
community that is compatible with and capable of supporting the identified land use.
Noxious weeds will be treated in accordance with applicable COGCC rules.
Total: 8 comment(s)
Page 9 of 12Date Run: 11/9/2015 Doc [#400853982]
User Group Comment Comment Date
Permit SWD (Jones SWD 17L-794) well APD is still in draft.
Final review complete.
11/5/2015
10:06:00 AM
Permit DOE has approved these refiles.10/5/2015
4:19:48 PM
OGLA Initiated OGLA Form 2A review on 09-29-15 by Dave Kubeczko; Completed OGLA
Form 2A review on 10-26-15 by Dave Kubeczko; previously submitted and approved
(06-09-09) Form 2A#1710683, Noble Energy Inc, Double B Ranch, 18-43A(17L
Pad); OGCC Facility ID#413221; no COAs on original Form 2A permit; requested
acknowledgement of notification, fluid containment, spill/release BMPs, construction
stormwater BMPs, flowback to tanks, tank berming, cuttings low
moisture/management, injection well, Project Rulison, and pipeline testing COAs
from operator on 10-26-15; received concurrence of COAs from operator on 10-30-
15; passed by CPW on 08-11-15 with WMP acceptable; passed OGLA Form 2A
review on 11-03-15 by Dave Kubeczko; notification, fluid containment, spill/release
BMPs, construction stormwater BMPs, flowback to tanks, tank berming, cuttings low
moisture/management, injection well, Project Rulison, and pipeline testing COAs.
9/29/2015
4:09:25 PM
General Comments
Attachment Check List
Att Doc Num Name
2107664 LOCATION DRAWING
2107669 OPERATOR CORRESPONDENCE
400853982 FORM 2A SUBMITTED
400854002 NRCS MAP UNIT DESC
400854230 ACCESS ROAD MAP
400854232 LOCATION PICTURES
400854234 REFERENCE AREA PICTURES
400871441 WASTE MANAGEMENT PLAN
400876769 HYDROLOGY MAP
400876797 PROPOSED BMPS
400876803 REFERENCE AREA MAP
400878095 CONST. LAYOUT DRAWINGS
400878096 MULTI-WELL PLAN
400878097 FACILITY LAYOUT DRAWING
400880889 SURFACE AGRMT/SURETY
Total Attach: 15 Files
Page 10 of 12Date Run: 11/9/2015 Doc [#400853982]
OGLA LIST OF PROJECT RULISON RECOMMENDED COAs BASED ON THE RULISON
SAMPLING AND ANALYSIS PLAN:
Comply with all DOE Office of Legacy Management requests for sampling and
analysis of natural gas and other materials associated with drilling and production.
Operator must ensure 110 percent secondary containment for any volume of fluids
contained at well site during drilling and completion operations. If fluids are
conveyed via pipeline, operator must implement best management practices to
contain any unintentional release of fluids.
Flowback and stimulation fluids must be sent to tanks, separators, or other
containment/filtering equipment. The flowback and stimulation fluid tanks must be
placed on the well pad in an area with additional downgradient perimeter berming.
The area where flowback fluids will be stored/reused must be constructed to be
sufficiently impervious to contain any spilled or released material.
Produced water from this location may not be transported to or re-used at another
location without specific written approval from COGCC and only after analysis
confirms compliance with the Rulison SAP.
Drill solids and cuttings from this location may not be transported to, disposed of or
re-used at another location without specific written approval from COGCC and only
after analysis confirms compliance with the Rulison SAP.
A closed loop mud system shall be utilized to ensure containment of all materials
that have been in contact with downhole strata and fluids. All cuttings and fresh
make up water storage pits shall be lined to ensure containment. Contour features,
french drains and other stormwater bmps as necessary shall be employed to ensure
site integrity.
No individual operator shall utilize more than one rig within one mile of the project
rulison blast site at any given time and no individual operator shall utilize more than
two rigs within a three mile radius of the site at any given time. The total number of
rigs allowed by all operators within three miles of the site shall be limited to five at
any given time.
Operator shall comply with all provisions of the most recent COGCC approved
revision of the Rulison sampling and analysis plan. In addition to the produced water
sampling and analysis outlined in section 5.8 of the plan the operators shall also
obtain and analyze produced water samples on wells described in the plan for
constituents listed in the plan using the specified method where applicable.
The moisture content of any drill cuttings in a cuttings pit, trench, or pile shall be as
low as practicable to prevent accumulation of liquids greater than de minimis
amounts. At the time of closure, the drill cuttings must also meet the applicable
standards of table 910-1.
No portion of any pit that will be used to hold liquids shall be constructed on fill
material, unless the pit and fill slope are designed and certified by a professional
engineer, subject to review and approval by the director prior to construction of the
pit. The construction and lining of the pit shall be supervised by a professional
engineer or their agent. The entire base of the pit must be in cut.
9/29/2015
4:08:07 PM
Permit Notice to DOE sent. Awaiting their approval.
Removed plugging bond.
Corrected minerals beneath the location to will not be produced from this location.
Surface and minerals reaponses on the form 2's may differ with the 2A due to some
wells will be producing from Fee Minerals.
9/1/2015 1:55:38
PM
DOW This permit application is to amend an existing location that is within an approved
and currently active wildlife mitigation plan (WMP). The terms and conditions
contained within the WMP have been agreed to by the operator and CPW, and are
sufficient to address wildlife concerns resulting from the proposed activity.
By: Taylor Elm, 8/11/2015, 11:21 a.m.
8/11/2015
11:20:44 AM
Page 11 of 12Date Run: 11/9/2015 Doc [#400853982]
Permit Form passes completeness.8/10/2015
12:49:35 PM
Total: 7 comment(s)
Page 12 of 12Date Run: 11/9/2015 Doc [#400853982]
Community Development Depart m ent
108 8 1h Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-821 2
www.garfield-county.com
REQUIRED CHECKLI ST FOR FIRE PROTECTION DISTRICT(S)
Documents to be Received & Reviewed by Fire District Received
Complete application , including
• Site Plan,
• Vicinity Plan,
• Use and Occupancy Certification from State Division of Housing,
• Description of infrast r ucture and services to be provided at the site,
• Evidence of Physical and Legal Water,
• Description of collection and storage of sewage and wastewater,
• Description of collection and disposal of refuse, and
• A copy the permit from the State or Federal agency regu lating the Permitted
Site.
Fire Sup p ress ion I nformat ion including:
• A water storage tank shall be required to provide water to a sprinkler system and
initial suppression activities .
• The size of the water tank shall be determined based on the sprinkler
calculations and initial supp r ession demands .
• The size of the water storage tank shall be determined by the relevant fire
protection district.
• If the Minor Facility is located outside the boundaries of a fire protection district,
than Each Minor Facility shall have at least one (1) water storage tank with a
minimum of 2500 gallons of stored water for initial fire suppression, operation
of sprinkler systems (if applicable) and wild land fire protection.
Em ergency Fire Notification Systems including:
• Factory built nonresidential structures or recreational vehicle units equipped by
the manufactu rer with a fire sp r inkle r system, fire detection system, and/or
alarm system shall be inspected, tested, and maintained in accordance with the
Adopted International Fire Code and as required by the relevant fire protection
district(s).
• Smoke alarms and manual fire alarm systems shall be installed, inspected and
mainta i ned in all other factory built nonresidential structures or recreational
veh icle units in accordance with the Adopted International Fire Code and the
requirements of relevant Fire protection districts.
• One or more approved fire extinguisher(s) of a type suitable for flammable
(initial in box)
v
liquids, combustible materials and electrical fires (Class ABC), or dry chemical, V
shall be located in each factory built nonresidential vehicle unit and places in
accordance with applicable codes.
As an authorized representative of the affected Fire Protection District, I verify that the District has
received adequate submittals (written and graphic) for this District to carry out its services. It is
understood that the District is not obligated to sign-off on this form if further information, either in terms
of quality or quantity, is necessary to carry out the District's purpose and mission.
Name of Fire Protection District
Signature on behalf of Fire Protection District Date
~l-:o~ e_h1-S /R'fzn }ilAd~ {
Name (Please Print) Title
Community Development Depart m ent
108 8 1h Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-821 2
www.garfield-county.com
REQUIRED CHECKLI ST FOR FIRE PROTECTION DISTRICT(S)
Documents to be Received & Reviewed by Fire District Received
Complete application , including
• Site Plan,
• Vicinity Plan,
• Use and Occupancy Certification from State Division of Housing,
• Description of infrast r ucture and services to be provided at the site,
• Evidence of Physical and Legal Water,
• Description of collection and storage of sewage and wastewater,
• Description of collection and disposal of refuse, and
• A copy the permit from the State or Federal agency regu lating the Permitted
Site.
Fire Sup p ress ion I nformat ion including:
• A water storage tank shall be required to provide water to a sprinkler system and
initial suppression activities .
• The size of the water tank shall be determined based on the sprinkler
calculations and initial supp r ession demands .
• The size of the water storage tank shall be determined by the relevant fire
protection district.
• If the Minor Facility is located outside the boundaries of a fire protection district,
than Each Minor Facility shall have at least one (1) water storage tank with a
minimum of 2500 gallons of stored water for initial fire suppression, operation
of sprinkler systems (if applicable) and wild land fire protection.
Em ergency Fire Notification Systems including:
• Factory built nonresidential structures or recreational vehicle units equipped by
the manufactu rer with a fire sp r inkle r system, fire detection system, and/or
alarm system shall be inspected, tested, and maintained in accordance with the
Adopted International Fire Code and as required by the relevant fire protection
district(s).
• Smoke alarms and manual fire alarm systems shall be installed, inspected and
mainta i ned in all other factory built nonresidential structures or recreational
veh icle units in accordance with the Adopted International Fire Code and the
requirements of relevant Fire protection districts.
• One or more approved fire extinguisher(s) of a type suitable for flammable
(initial in box)
v
liquids, combustible materials and electrical fires (Class ABC), or dry chemical, V
shall be located in each factory built nonresidential vehicle unit and places in
accordance with applicable codes.
As an authorized representative of the affected Fire Protection District, I verify that the District has
received adequate submittals (written and graphic) for this District to carry out its services. It is
understood that the District is not obligated to sign-off on this form if further information, either in terms
of quality or quantity, is necessary to carry out the District's purpose and mission.
Name of Fire Protection District
Signature on behalf of Fire Protection District Date
~l-:o~ e_h1-S /R'fzn }ilAd~ {
Name (Please Print) Title
Reception#:851794
07/25/201403:16:34PM JeanAlberico1of1RecFee:$11.00Doc Fee:0.00GARFIELDCOUNTYCO
STATEMENT OF AUTHORITY
Pursuantto C.R.S.538-30-172,theundersignedexecutesthisStatementofAuthorityon behalfof
caerusPiceance ,a LimitedLiabilitycompany (corporation,limited
liabilitycompany,generalpartnership,registeredlimitedliabilitypartnership,registeredlimitedliability
limitedpartnership,limitedpartnershipassociation,governmentagency,trustorother),an entityother
thanan individual,capableof holdingtitleto realproperty(the"Entity"),and statesasfollows:
The name oftheEntityisCaerusPiceance,LLC
and isformed underthe lawsof colorado
The mailingaddressfortheEntityis600uthstreet,seelecoNDenverco,80202
The name and/orpositionofthepersonauthorizedtoexecuteinstrumentsconveying,encumbering,or
otherwiseaffectingtitleto realpropertyon behalfoftheEntityisMichaelRynearson
The limitationsupon theauthorityofthepersonnamed aboveor holdingthepositiondescribedabove
to bindtheEntityareasfollows(ffno limitations,insert"None"):Limitedtothepreparationandsubmittarofthe
LandUseChangePermitApplicationfortheNolteSWD 1-14inJectionWell
Othermattersconcerningthe manner inwhichtheEntitydealswithany interestinrealpropertyare(if
no othermatter,leavethissectionblank):
EXECUTED this day of ,20 .
Signature:
Name (prined):/Y)/1rTlad 1 ORT i)4cl/&?
Title(ifan :Pres,t)e Mr?,i 6 word
STATE OF ef.?I
COUNTY OF 7//flf
)SS.
The f regoI .nstru dged beforeme this day of 11 ,20
Witnessmy hand and officialseal.
My commissionexpires:/{2-//1 Od/
(Date)taryPublic)
[SEAL]
NOTARYPIISIJC
STATEOF0010RA00
NOTARY102000405$167
MFCOMMISS10N9PIRE80CICSERtUlta
1
David Pesnichak
From:Armando Trevino <atrevino@caerusoilandgas.com>
Sent:Monday, May 09, 2016 3:46 PM
To:Kelly Cave; David Pesnichak
Cc:Reed Haddock
Subject:FW: 17L-794 Pad: Temporary Employee Housing permit application
Follow Up Flag:Follow up
Flag Status:Completed
Dave/Kelly:
Please see the consent from John Savage allowing Reed, Steve and myself to act on behalf of Joan Savage, below.
Thanks,
Armando Trevino, RPL
Rockies Landman
Caerus Oil and Gas, LLC
1001 17th Street, Suite 1600 | Denver, CO 80202
Direct: 720-880-6330 | Office: 303-565-4600 | Cell: 214-455-7758
atrevino@caerusoilandgas.com
From: John Savage [mailto:savagejw@msn.com]
Sent: Monday, May 09, 2016 3:46 PM
To: Armando Trevino <atrevino@caerusoilandgas.com>
Cc: Aubree Besant <Aubree@caerusoilandgas.com>; jlsavagejrmd@gmail.com; mtsavage@savageresources.com;
royesavage@gmail.com; savagedw@comcast.net
Subject: RE: 17L‐794 Pad: Temporary Employee Housing permit application
On behalf of Joan L. Savage, surface owner, consent to Reed Haddock, Steve Schmitz and Armando Trevino, to file an
application for Temporary Employee Housing is hereby granted.
John W. Savage, Jr. A‐I‐F for Joan L. Savage
Savage Land Co., Inc.
PO Box 1926, Rifle, CO 81650
970‐625‐1470; cell: 970‐379‐6745
From: Armando Trevino [mailto:atrevino@caerusoilandgas.com]
Sent: Monday, May 09, 2016 3:07 PM
To: John Savage <savagejw@msn.com>
Cc: Aubree Besant <Aubree@caerusoilandgas.com>; jlsavagejrmd@gmail.com; mtsavage@savageresources.com;
royesavage@gmail.com; savagedw@comcast.net
Subject: RE: 17L‐794 Pad: Temporary Employee Housing permit application
2
John,
Thank you for the email.
However, I just received notification from Garfield County in which the consent must be specific to the applicant(s).
If you don’t mind sending another consent specific to Reed Haddock, Steve Schmitz and Armando Trevino allowing
authorization to act on Ms. Savage’s behalf for this application that would be very helpful.
My apologies for the miscommunication.
Thank you,
Armando Trevino, RPL
Rockies Landman
Caerus Oil and Gas, LLC
1001 17th Street, Suite 1600 | Denver, CO 80202
Direct: 720-880-6330 | Office: 303-565-4600 | Cell: 214-455-7758
atrevino@caerusoilandgas.com
From: John Savage [mailto:savagejw@msn.com]
Sent: Monday, May 09, 2016 11:07 AM
To: Armando Trevino <atrevino@caerusoilandgas.com>
Cc: Aubree Besant <Aubree@caerusoilandgas.com>; jlsavagejrmd@gmail.com; mtsavage@savageresources.com;
royesavage@gmail.com; savagedw@comcast.net
Subject: RE: 17L‐794 Pad: Temporary Employee Housing permit application
On behalf of Joan L. Savage, surface owner, consent to filing application for Temporary Employee Housing is hereby
granted.
John W. Savage, Jr. A‐I‐F for Joan L. Savage
Savage Land Co., Inc.
PO Box 1926, Rifle, CO 81650
970‐625‐1470; cell: 970‐379‐6745
From: Armando Trevino [mailto:atrevino@caerusoilandgas.com]
Sent: Monday, May 09, 2016 10:31 AM
To: John Savage <savagejw@msn.com>
Cc: Aubree Besant <Aubree@caerusoilandgas.com>; jlsavagejrmd@gmail.com; mtsavage@savageresources.com;
royesavage@gmail.com; savagedw@comcast.net
Subject: 17L‐794 Pad: Temporary Employee Housing permit application
Good morning John,
3
In regard to the 17L‐794 pad Temporary Employee Housing Application, Garfield County is requesting authorization from
Joan Savage, the surface owner, consenting to the submission of the application.
I’ve verified that an acknowledgement via‐email from Ms. Savage will be sufficient for authorization.
Therefore, does Joan Savage authorize Caerus Piceance LLC to submit the 17L‐794 Temporary Employee Housing
Application for permit?
Thank you,
Armando Trevino, RPL
Rockies Landman
Caerus Oil and Gas, LLC
1001 17th Street, Suite 1600 | Denver, CO 80202
Direct: 720-880-6330 | Office: 303-565-4600 | Cell: 214-455-7758
atrevino@caerusoilandgas.com
From: Armando Trevino
Sent: Wednesday, April 13, 2016 8:55 AM
To: 'John Savage' <savagejw@msn.com>
Cc: Aubree Besant (aubree@caerusoilandgas.com) <aubree@caerusoilandgas.com>; 'jlsavagejrmd@gmail.com'
<jlsavagejrmd@gmail.com>; 'mtsavage@savageresources.com' <mtsavage@savageresources.com>;
'royesavage@gmail.com' <royesavage@gmail.com>; 'savagedw@comcast.net' <savagedw@comcast.net>
Subject: RE: BBL: 7‐94 Sec 8A Pad: Temporary Employee Housing permit application MTEH 02‐16‐8426
John,
We are in preparation of another temporary housing permit application in regard to the 17L‐794 Pad.
I wanted to make you aware of the application that we will be submitting. Once we have all the application
documentation prepared, we will send you a copy of all information in which we will be submitting to Garfield County.
We will be sending a public notice to Ms. Savage, once we receive that document from the County. This will be the same
application process that we went through with the 8A‐794 Pad.
Please let me know if you have any questions or comments.
Thanks,
Armando Trevino, RPL
Rockies Landman
Caerus Oil and Gas, LLC
1001 17th Street, Suite 1600 | Denver, CO 80202
Direct: 720-880-6330 | Office: 303-565-4600 | Cell: 214-455-7758
atrevino@caerusoilandgas.com
4
From: Armando Trevino
Sent: Monday, March 28, 2016 10:47 AM
To: 'John Savage' <savagejw@msn.com>
Cc: Aubree Besant (aubree@caerusoilandgas.com) <aubree@caerusoilandgas.com>; 'jlsavagejrmd@gmail.com'
<jlsavagejrmd@gmail.com>; 'mtsavage@savageresources.com' <mtsavage@savageresources.com>;
'royesavage@gmail.com' <royesavage@gmail.com>; savagedw@comcast.net
Subject: BBL: 7‐94 Sec 8A Pad: Temporary Employee Housing permit application MTEH 02‐16‐8426
Good morning John,
Please see the attached application documents concerning the temporary employee housing permit, along with the final
approved documents from Garfield County.
Please let me know if you have any questions.
Thank you,
Armando Trevino, RPL
Rockies Landman
Caerus Oil and Gas, LLC
1001 17th Street, Suite 1600 | Denver, CO 80202
Direct: 720-880-6330 | Office: 303-565-4600 | Cell: 214-455-7758
atrevino@caerusoilandgas.com
BEGINNING AT THE COLORADO RIVER FIRE RESCUE OFFICE IN
TOWN OF RIFLE
Beginning at the Colorado River Fire Rescue office in the town of Rifle (1850 Railroad Avenue).
Turn left on Railroad Avenue and travel southerly for 1.1 miles to Colorado State Highway 13.
Continue Southerly on Colorado State Highway 13 for 0.5 mile to U.S. Interstate 70.
Turn right and travel westerly on U.S. Interstate 70 for 9.2 miles to County Road 323.
Travel southerly on County Road County Road 323 for 0.5 mile to County Road 320.
Turn left onto County Road 320 and travel easterly and southerly for 3.6 miles to County Road 329.
Turn right onto County Road 329 travel southerly for 2.1 miles to service road.
End travel on public roads and begin travel on private roads
Turn right onto service road and travel 0.8 mile to a Y intersection.
Turn right onto service road and travel 0.3 miles to a Y intersection.
Turn left onto service road and travel 1.6 miles to the access for the 17L pad.
Turn left onto the access road for the 17L pad and travel 36 feet to the location.
BEGINNING AT THE SHERIFF’S OFFICE IN TOWN OF
GLENWOOD SPRINGS
Beginning at the Sheriff’s office in the town of Glenwood Springs (107 8th Street).
Travel east on 8th Street for 0.1 mile to Grand Ave.
Turn left and travel north on Grand Ave. for 0.2 mile to Interstate 70.
Turn left and travel northwesterly on Interstate 70 for 35.2 miles to County Road 323.
Travel southerly on County Road County Road 323 for 0.5 mile to County Road 320.
Turn left onto County Road 320 and travel easterly and southerly for 3.6 miles to County Road 329.
Turn right onto County Road 329 travel southerly for 2.1 miles to service road.
End travel on public roads and begin travel on private roads
Turn right onto service road and travel 0.8 mile to a Y intersection.
Turn right onto service road and travel 0.3 miles to a Y intersection.
Turn left onto service road and travel 1.6 miles to the access for the 17L pad.
Turn left onto the access road for the 17L pad and travel 36 feet to the location.
BEGINNING AT THE TOWN OF RIFLE
Beginning at the Town of Rifle, Colorado, Garfield County, Colorado.
Travel westerly on Interstate 70 for 9.2 miles to the Rulison Exit (Exit 88).
Travel southerly on County Road County Road 323 for 0.5 mile to County Road 320.
Turn left onto County Road 320 and travel easterly and southerly for 3.6 miles to County Road 329.
Turn right onto County Road 329 travel southerly for 2.1 miles to service road.
End travel on public roads and begin travel on private roads
Turn right onto service road and travel 0.8 mile to a Y intersection.
Turn right onto service road and travel 0.3 miles to a Y intersection.
Turn left onto service road and travel 1.6 miles to the access for the 17l Pad.
Turn Left onto the access for the 17L Pad and travel 36 feet to the location.
MINOR TEMPORARY EMPLOYEE HOUSING
N
100 0 100
••• I
SCALE FEET
BEFORE DIGGING
CALL FOR
UTILITY LINE LOCATION
'T'..CRIFFIN & ASSOCIATES, INC. (SOTJ362-51128~ ~414 ELK ST., ROCK SPRINGS, WY 82901
DRAWN:4111/2016-TClll SCALE: 1"= 100'
REVISED: NIA DRG JOB No. 20793
EXHIBITS
\
MINOR n'Mft)JURJ' E~W'YEE HOUSING
CtERUS OIL & GAS
17L-794PAD
NWSW, SECTION 17, T. 7 S., R.94 W., 6th P.M.,
GARFIELD COVNTY, COLORADO
DRAWN: 4111/2010-TCM SCALE: 1"•2000'
REVISED: NIA DRGJOB No. 20193
VICINITY MAI'
CAERf!S OIL & GAS
1~194PAD l'ICINJTY MAP
NWSW, SECTION 17, T..1 S., &94 W., 601 P.H.,
GMlFIELD COllNTY, COLORMJO
EX/SITNGACCESS - - -EXISTING ROAD
N
0 100
~-~
SCALE:
1"=100'
I
MINOR TEMPORAR.Y EMPLOYEE HOUSING
DRIVING DIRECTIONS
FROM THE TOWN OF RIFLE:
BEGINNING AT THE TOWN OF RIFLE, TRAVEL SOUTHWESTERLY ON INTERSTATE 70 FOR 9.2 MILES TO THE RULISON EXIT.
TURN LEFT AND TRAVEL SOUTHERLY ON COUNTY ROAD 323 FOR 0.6 MILES TO COUNTY ROAD 320.
TURN LEFT ONTO COUNTY ROAD 320 AND TRAVEL EASTERLY AND SOUTHERLY FOR 3.6 MILES TO COUNTY ROAD 329.
TURN RIGHT ONTO COUNTY ROAD 329 TRAVEL SOUTHERLY FOR 2.1 MILES TO SERVICE ROAD.
TURN RIGHT ONTO SERVICE ROAD AND TRAVEL 0.8 MILE TO A Y INTERSECTION.
TURN RIGHT ONTO SERVICE ROAD AND TRAVEL 0.3 MILE TO A Y INTERSECTION.
TURN LEFT ONTO SERVICE ROAD AND TRAVEL 1.6 MILES TO THE ACCESS FOR THE 17L PAD.
TURN LEFT ONTO THE ACCESS FOR THE 17LANDTRAVEL 36 FEET TO THE LOCATION.
SURVEYOR'S STATEMENT
I. DAVID E. HENDERHAN. AN EMPLOYEE AND AGENT FOR D. R. GRIFFIN & ASSOCIATES,
INC. STATE THE SITE PLAN SHOWN HEREON IS A CORRECT REPRESENTATION OF FIELD
SURVEY PERFORMED BY ME OR UNDER MY DIRECT SUPERVISION COMMENCING ON
MARCH 3. 2015 FOR THE PROPOSED 17L PAD MINOR TEMPORARY EMPLOYEE HOUSING.
SURFACE OWNERSHlP
JOAN L. SAVAGE
S9S3 CR
RIFLE, CO 816SO
INSTALLATION AND REMOVAL DATES
1. INSTALLATION DATE: MAY 20, 2016
2. REMOVAL DATE: OCTOBER 20, 2016
3. CUMULATIVE TIME: 1S4 DAYS
1.
2.
3.
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PUBLIC ROAD
PRIVATE ROAD
ACCESS ROUTE TO SITE
SAVAGE PROPERTY BOUNDARY
VICINITY MAP
SCALE: 1''~5000"
24 HOUR RESPONSE CONTACT INFORMATION:
DRILL RIG OFFICE 4. ST. MARY'S HOSPITAL, 6. GARFIELD COUNTY SHERIFF'S OFFICE,
17LPAD GRAND JUNCTION, CO. 1078TH ST
(832) 32S-9128 (970) 298-22S1 GLENWOOD SPRINGS, CO 81601
(970) 94S-04S3 XlOSO
STEVE SCHMIT2 s. ST. MARY'S CAREFLIGHT HELICOPTER,
DRILLING MANAGER GRAND JUNCTION, CO. 7. ORRIN MOON
(303) 330-S461 1-800-332-4923 COLORADO RIVER FIRE RESCUE
18SO RAILROAD AVE.
CAERUS PICEANCE LLC RIFLE, CO 816SO
100117TH STREET, SUITE 1600 (970) 62S-1243
DENVER, CO 80202
(303) S6S-4600
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Form 1860-9
(November 1984)
Colorado 38487
WHEREAS
():~·~r. t?•15 r!~E9G7
'ltbt 1ttdttb ~tattl .of amttica
~o all to mbom tf)ete pre1ent1 qall come, •reeling:
AllcordOO m. /j19n o'c~ck f_ M. DEC 1 () \988 · R~t1\ln ~kl-:39764 7 MHJ:RED t;LSDDRF. Rf.CORDER
. GAm=~ElD co-u~i..rrv, CO!LORAOO
Joan L. Savage
is entitled to a Land Patent pu1·suant to Section 206 of the Act of Octobe.r 21,
1976 (90 Stat. 2743, 2756; 43 U.S.C 1701, 1716), for the following describ6d
land:
Sixth Principal Meridia.Q, Colorado,
T. 7 S., R. 94W., '
sec. 17, lot 4, SW\NW~ and W\SW\,
T. 7 S., R. 95 W.,
sec. 25, lots 13 and 14;
sec. 35, S~S\;
sec. 36, lots 3, 4, 13, 14, 15 and 16,
containing 627.46 acres.
NOW KNOW YE, that there is, therefore, granted by the UNITED STATES unto
Joan L. Savage, the land described above; TO HAVE AND TO HOLD the said land
with all the rights, privileges, immunities, and appurtenances, of whatsoever
nature, thereunto belonging~ unto the said Joan L. Savage, her heirs and
assigns, forever; and '
EXCEPTING AND RESERVING TO THE UNITED STATES:
1. A right-of-way thereon for ditches and canals constructed by the.
authority of the United States. Act of August 30, 1890 (26 Stat. 391;
43 u.s.c. 945).
2. All the oil, gas, and oil shale deposits in the lands so patented
and to it, its permittees, licensees and lessees, the .;right to explore
for, drill for, mine and remove the minerals owned by the United States
under applicable law and such regulations as the Secretary of the Interior
may prescribe. This reservation includes necessary access and exit rights
and the right to conduct all necessary and incidental activities '
including, without limitation, all drilling and surface mining operations,
storage and transportation facilities deemed reasonably necessary.
Unless otherwise provided by separate agreement with the surface owner,
permittees, licensees and lessees of the United States shall reclaim
disturbed areas to the extent prescribed by regulations issued by the
Secretary of the Interior •
Patent Number 05-89-0004
Page 1 of 2
Form 1860-10
(September 1985)
Colorado 38487
All causes of action brought to enforce the rights of the surface owner
under the regulations above referred to shall be instit11ted against
permittees, licensees and lessees of the United States; and the United
States shall not be liable for the acts or omissions of its p2rmittees,
licensees and lessees.
SUBJECT TO those rights for public access road and trail purposes as have been
granted to the Forest Service, U. S. Department of Agriculture, by right-of-way
Colorado 36806 unde~ the Act of October 21, 1976 (90 Stat. 2781; 43 U.S.C. 1767)
across lot 4, the. SW~NWt and W\SWt of section 17, T. 7 S., R. 94 W., lots 13 and
14 of section 25 and lots 3, 4, 13 and 15 of section 36, T. 7 S., R. 95 W., Sixth
Principal Meridian, Colorado.
As to lot 13 of section .'2.5, T. 7 S., R. 95 W., Sixth Principal Meridian, Colorado,
this exchange is made under Section 29 of th' Act of February 25, 1920
(30 U.S.C. 186), and the Act of March 4, 1933 (30 U.S.C. 124). The patent is issued
subject to the ·i:ights of prior mineral permittees or lessees to use so much of·•'the
surface of the said land as is required for mineral leasing operations, without
compensation to the patentee for damage~ resulting from proper mining operations.
05-89-000.:_l Patent Number ________ _
IN TESTIMONY WHEREOF, the ui.i.dersigned authorized officer of the
Bureau of Land Managemerlt, in accordance with the provisions
of the Act of June 17, 1948 {62 Stat. 476), has, in the name of the
United States, caused these letters to be made Patent, and the
Seal of the Bureau to be liereunto affixed.
GIVEN under my hand, in LAKEWOOD, COLORADO
the TWENTY-EIGHTHday of NOVEMBER in the year
of our Lord one thousand nine hundred and EIGHTY-EIGHT
and of the Independence of the United States the two hundred
and EEN~H. tilt,¥-
for Lands·and
Page 2 of 2
1
David Pesnichak
From:Reed Haddock <rhaddock@caerusoilandgas.com>
Sent:Tuesday, May 03, 2016 11:27 AM
To:David Pesnichak
Cc:Steve Schmitz; Orrin Moon; Armando Trevino
Subject:RE: Savage 17L-794 Pad - Minor Temp Emp Housing
Attachments:Signed Payment Agreement Form - 05-03-2016.pdf; Deed - Sec 17.pdf
David:
Attached find the signed “Payment Agreement Form” and a copy of the “Deed” for subject property demonstrating
ownership.
The Minor Temporary Employee Housing “sign‐off” sheet was hand delivered to Orrin Moon on April 28th. Orrin is the
Acting Division Chief/Fire Marshall at the Colorado River Fire Rescue in Rifle, CO.
We are waiting for Orrin to sign this document and email to you.
The “public records” were search by Caerus Piceance LLC to determine mineral ownership.
Reed
From: David Pesnichak [mailto:dpesnichak@garfield‐county.com]
Sent: Tuesday, May 03, 2016 10:11 AM
To: Reed Haddock <rhaddock@caerusoilandgas.com>
Cc: Steve Schmitz <sschmitz@caerusoilandgas.com>
Subject: Savage 17L‐794 Pad ‐ Minor Temp Emp Housing
Hi Reed and Steve,
The County Attorney’s Office and I have completed our initial review for the Savage 17L‐794 Minor Temp Employee
Housing Facility application submitted on April 29. It looks like there are still a few items that need to be submitted.
Please find the Not Technically Complete Letter attached. Once you have a chance to review it, please let me know if
you have any questions.
Best,
Dave
David Pesnichak, AICP
Senior Planner
Garfield County
Community Development Department
108 8th St Suite 401
Glenwood Springs, CO 81601
(970) 945‐8212
dpesnichak@garfield‐county.com
http://www.garfield‐county.com/community‐development/
2
~~,c~:tfo~~,,~~~~~!*t r1111.1•~·~(,~~~·.la\1'l,~11' 11111
05/20/2011 10:46:42 AM Jean Alberico
1 of 1 Rec Fee:$11.00 Doc Fee:0.00 GARFIELD COUNTY CO
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, that the undersigned, reposing
special trust and confidence in JOHN W. SAVAGE, JR.; ROYE. SAVAGE, MARSHALL T. ··
SAVAGE or DANIEL W. SAVAGE, of PO Box 1926, Rifle, CO 81650, of the County of
GARFIELD, State of COLORADO, have made, constituted and appointed and by these pre-
sents do make, constitute and appoint them as my true and lawful attorneys to act for me and in
my name, place and stead for my sole use and benefit, with full power and authority to do and
perform each and every act necessary, as fully as I might do if personally present
Any of my appointed attorneys may act for me. Any acts undertaken by any of them in
my name may be done by any one or more of them. No such act shall require the joinder,
consent, or signature of more than one of my appointed attorneys.
My said attorneys shall have full power and authority to do and perform all acts
necessary to be done in regards the same with full power ofrevocation, hereby ratifying and
confirming all that said attorney shall lawfully do or cause to be done by virtue of this Power of
Attorney and the powers contained herein.
This Power of Attorney shall not be affected by disability of the principal.
)
The foregoing instrument was acknowledged before me on
Joan L. Savage.
Witness my hand and official sefil. I
My commission expires: (0 ! 11 8'D I\
, by
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C:\Documents and Settings\John Savage\My Documents\Savage Joan L\Estate Planning Docs\Power of Attorney RE.doc; created: 3/8/20 l O
3:36:00 PM; printed; 5/1712011 12; 13:00 PM, Page I of 1
, ECTION 2-03. P.AYMENliAGREEMENT FORM
Payment Agreement Form
GARFIELD COUNTY (hereinafter COUNTY) and ll {..
Property Owner (hereinafter OWNER) agree as follows:
!! OWNER has submitted to CO~NTY an application for J'1l1 .'VI l'1 'J ./l;M f ~ r tJ.. r ~
t:l.PU ..t i n. 'J A pp I 1' l A .f 1 0"'r").c (hereinafter, THE PROJECT).
2. OWNER understands and agrees that Garfield County Resolution No. 98-09, as
amended, establishes a fee schedule for each type of subdivision or land use review applications,
and the guidelines for the administration of the fee structure.
3. OWNER and COUNTY agree that because of the size, nature or scope of the proposed
project, it is not possible at this time to ascertain the full extent of the costs involved In processing
the application. OWNER agrees to make payment of the Base Fee, established for the PROJECT, and
to thereafter permit additional costs to be brlled to OWNER. OWNER agrees to make additional
payments upon notrfication by the COUNTY when they are necessary as costs are incurred.
4. The Base Fee shall be In addition to and exclusive of any cost for publication or cost of
consulting service determined necessary by the Board of County Commissioners for the
consideration of an application or additional COUNTY staff time or expense not covered by the Base
Fee. If actual recorded costs exceed the Initial Base Fee, OWNER shall pay additional billings to
COUNTY to reimburse the COUNTY for the processing of the PROJECT mentioned above. OWNER
acknowledges that all billing shall be paid prior to the final consideration by the COUNTY of any land
use permit, zoning amendment, or subdivision plan.
PROPERTY OWNER (OR AUTHORIZED REPRESENTATIVE)
I hereby agree to pay all fees related to this application.
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Print Name
Malling Address:
E-Mail Address: ~ S C h 1\.\) .f ~ ~ C "'-~ r' U ~ /J 1 / o.. V' d.. S A.JJ • Cll lY\
Phone Number: 3 C) 'J -SJ 0 -S-f6 /
~~ 0dVJ S-/.7/Z o/6
Signature Date
a