HomeMy WebLinkAbout4.0 Conditions of Approval Responses & CorrespondenceGaffield CoulnU
Community Development Department
MEMORANDUM
TO:
FROM:
SUBJECT:
Board of County Commissioners
Glenn Haftmann, Senior Planner
March 10, 2016
Extension Request for Grand River Gathering LLC/Summit
Midstream - High Mesa Compressor Pump Station
(File No. LIPA-7752)
REQUEST - BACKGROUND
The Community Development Department has received an extension request submitted
by Tracey Jensen, Grand River Gathering, LLC in regard to the Conditional Approvals for
the High Mesa Compressor Pump Station. The facility was conditionally approved by the
Board of County Commissioners by Resolution No. 2014-42 (see attached). The one year
time frame to meet the conditions of approval has expired.
The extension request letter is attached with this memo and provides background on the
circumstances associated with the need for the extension. The Applicant has submitted
copies of the documentation required by the remaining conditions of approval. Staff has
reviewed the documentation and had follow-up meetings with the applicant to review the
conditions. The documents provided have been determined to satisfy all remaining
conditions.
The facility is an existing Compressor - Pipeline Pump Station (not subject to Article 9).
A vicinity map and site plan are attached. The properly is a developed oil and gas site
with previous county approvals for the site including a pipeline development permit. The
extension request is being submitted to the Board in accordance with Section -101 (l) of
the Land Use and Development Code. Subject to the Board's approval of an extension
the Land Use Change Permit is ready to be issued.
APPLICABLE CODE PROVISIONS
In accordance with Section 4-101(lX4) the Board of County Commissioners "may grant
an extension of an otherwise expired approval upon a finding by the BOCC that the failure
to file for an extension was due to extenuation circumstances and that it benefits the
public interest to grant the extension."
BOARD OF COUNTY COMMISSIONER'S ACTION
Staff recommends approval of the Extension Request for a 30 day period to allow the
Land Use Change Permit to be included on a future Board consent agenda to authorize
signature by the Chairman.
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SITE PIAN
Grand River Gathering, LLC
707 Wapiti Avenue, Suite 202
Rifle, CO 81650
Phone: 970.440.1006
Fax:970.440.L312
March 7,2016
Board of County Commissioners of
Garfield County, Colorado
108 8th Street, Suite 101
Glenwood Springs, CO 8L601
Dear Commissioners,
I would like to request an extension for our Land Use Change Permit. A Resolution (#ZOLa-a2)
of approval for such permit was issued on July 2L,2OL4 by the Garfield County Board of County
Commissioners. Unfortunately, due to a miscommunication with Grand River Gathering, LLC
and the third party consultant company, documentation requested within the resolution was
never submitted. Please be assured that we had completed allthe requirements set in the
conditions of approval within two months of our public hearing. I will be submitting the
documentation requested by the Community Development Department immediately following
this request.
lf there is anything else needed, please don't hesitate to call or email me and I willget
necessary information to you as quickly as possible.
Tracey Jensen
Grand River Gathering, LLC
Permit Manager-Rockies
Thank you,
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Kellv Cave
STATE OF COLORADO
County of Garfield
At a regular meethg of the Board of County Commissionem for Garfield County,
Colorado, held in the Commissioners' Meeting Roorr, Garfield County Administration Building
in Glenwood Springs on Monday, the 21't day of July,z}l4,there were presert:
John Martin . Commissioner Chairman
Mike Samson Commissioner
Tom Jankovskv , Commissioner
Frank Hutfless
)
)ss
)
County Attorney
Assistant County Attorney
Jean Alberico , Clerk of the Board
Andrew Gorsev , County Manager
when the following proceedings, among others were had and done, to-wit:
RESOLT]"TION NO. JO I 4. 4Z
A RESOLUTION OT'APPROVAL FOR A LAI\D USE CIIANGE PERMIT FOR A
COMPRESSOR - PIPELINE PT'MP STATION ON A 320 ACRE PROPERTY
LOCATED APPRO}ilMATELY 3 MILES SOUTH OF THf,', TOWN OF PARACHUTE
rN SECTION 36, TOWNSHTP 7 SOU'TH, RANGE 96 WEST OF THE 6m P.M.,
GART'IELD COTINTY
PARCEL NO# 2409-36 I -00-048
A. The Board of County Commissioners of Garfield County, Colorado, (Board) received
a request for a Land Use Change Permit to allow for a Compressor - Purnp Station (not subject
to Article 9), as further described in Exhibit A, Site Plan (File No. LIPA-7752).
B. The Compressor Station known as the Grand River Gathering LLC - Summit
Midsteam High Mesa Compressor Station (Station) is located on approximately 3.3 acres within
an overall 320 acre parcel of land owned by Encana Oil and Gas (USA) Inc. Authorizations and
Ownership of this property are described in the Short Form of Surface Lease found at Reception
Number 820165 in the records of the Garfield County Clerk and Recorder and the legal
description of the subject property is found in Exhibit g.
C. The subject property is located within unincorporated Garfield County in the Rural
1
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zone district, approximately 3 miles south of Parachute, Colorado, and accessed by a series of
private roads offof County Road 304.
D. A Compressor/Pipeline Pump Station (not subject'to Article 9) may be permitted in
the Rural zone district with a Limited Impact Review.
E. The Board is authorized to approve, deny or approve with conditions a Limited lmpact
Review application resulting in issuance of a Land Use Change Permit pursuant to the Garfield
County Land Use and Development Code, as amended (Code).
F. The Board opened a public hearing on the 2l* day of July, 2014 for consideration of
whether the proposed Land Use Change Permit should be granted or denied, during which
hearing the public and interested persons were given the opportunity to express their opinions
regarding the request.
G. The Board closed the public hearing on the 2l't day of July, 2014 to make a final
decision.
H. The Board, on the basis of substantial competent evidence produced at the
aforementioned hearing, has made the following determinations of fact:
1. That proper public notice was provided as required for the hearing before the
Board.
2. The hearing before the Board was extensive and complete, that all pertinent facts,
matters and issues were submitted and that all interested parties were heard at that
meeting.
3. That, for the above stated and other reasons, the proposed Land Use Change
Permit for the Station is in the best interest of the health, safety, convenience, order,
prosperity and welfare of the citizens of Garfield County.
4. That, with the adoption of the following conditions, the application is in general
conformance with the 2030 Comprehensive Plan, as amended.
5. That, with the adoption of the following conditions and granting of waivers from
the roadway standards for road grade and tum radius from Table 7-107, the application
has adequately met the requirements of the Code.
2
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RESOLUTION
NOW TIIE,REFORE, BE IT RESOLVED by the Board of County Commissioners of Garfield
Corurty, Colorado, that:
A. The forgoing Recitals are incorporated by this reference as part of the resolution.
B. The Land Use Change Permit for a Compressor - Pipeline Pump Station, also known as
the Grand River Gathering LLC - Summit Midstream High Mesa Compressor Station is
hereby approved subject to compliance with the following conditions:
1.That all representations made by the Applicant in the application and at the public
hearing before the Board shall be conditions of approval unless specifically altered by
the Board.
That the operation of the Station shall be done in accordance with all applicable
Federal, State, and local regulations governing the operation ofthis type of facility.
Prior to the issuance of the Land Use Permit, the Applicant shall provide confirmation
that the Station site is covered by COGCC Bonding or other security acceptable to the
County Attorney's Office for site reclamation.
Prior to issuance of the Land Use Change Permit the Applicant shall update the site
plan to show all easements including pipeline easements accessing the facility. The
Applicant shall also provide information on pipelines serving the facility confirming
that they are properly permitted or exempt from permitting in accordance with the
Code.
The Applicant shall maintain proper pemritting and compliance with CDPHE Air
Quality Regulations and Stormwater Discharge Regulations- Compliance with the
Storrnwater Management Permit and Best Management Practices for the site shall be
required.
The Applicant shall complete the recommended upgrades and repairs to the drainage
system as recommended in the Drainage Report (dated 5l23ll4) completed by River
City Consultants. Both the high and low priority items shall be completed and
notification provided to the Garfield County Community Development Departrnent
upon completion. The improvements shall be completed within 90 days of approval of
the Land Use Change Permit.
The Applicant shall comply with the wildlife habitat mitigations recommendations
contained in the report by Westwater Engineering Inc. (dated 3/12) and the CPW
recommendations contained in their Referral comments (dated 7l7ll4).
4.
5.
7.
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9.
A waiver from the access standards contained in Table 7-lO7 is granted for maximum
road grade and curve radius consistent with the Applicant's Report on Policy 04-01
Roadway Waivers completed by River City Consultants (dated 614/14) and the roadway
alignment surveys submitted with the Application
The Applicant's Noise Analysis estimates that the Station will operate in compliance
with COGCC Noise Standards. Should noise issues be raised in the future, the
Applicant shall complete a supplemental noise test to confirm compliance. Pursuant to
said results, if additional noise mitigation is required to achieve compliance with
COGCC standards, the Applicant shall complete said additional mitigation. Noise
control packages including hospital grade mufflers and soturd attenuating baffles shall
continue to be used on equipment at the Station.
All equipment and structures associated with this permit shall be painted with non-
reflective paint in neutral colors to reduce glare and mitigate any visual impacts.
Portable toilet facilities will be provided for employees in accordance with OSHA
requirements including during construction and for operations persoru:el.
All exterior lighting shall be the minimum amount necessary or required by the
building code or industry standards, and shall be directed inward and downward on the
site. Lighting shall be shut off during nighttime hours, except as necessary for
operations, service activities or building code requirements.
The Applicant shall continue weed management on the site and comply with County
Weed Control Regulations and the noxious weed management plan. Weed
management shall include disturbed areas ofthe site outside the security fencing.
14. The Applicant shall comply with the Dust Control Plan as represented in the
Application, including mitigation for the access roadway including sections located off-
site.
The Applicant shall comply with all SPCC Plan provisions and shall keep the plan
current and updated for any changes to the facility.
Future constnrction or replacement of equipment shall require building permits as
applicable and shall have foundation designs engineered to address soils constraints.
10.
11.
12.
13.
15.
16.
4
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JW
Dated this t dayof C I o ,A.D.zot+
GARFIELD COI.INTY BOARD OF
IOIERS,GARFIELD
,LINTY,
of the Board
Upon motion duly made and seconded the
following vote:
'adopted by the
COMMISSIONER CHAIR JOHN E. MARTIN . Aye
COMMISSIONER MIKE SAMSON " Aye
COMMISSIONER TOM JANKOVSKY . Aye
srATE OF COLORADO )
)ss
County of Garfield )
County Clerk and ex-officio Clerk of the Board of
County Commissioners, in and for the County and State aforesaid, do hereby certit/ that the
annexed and foregoing Resolution is truly copied from the Records of the Proceeding of the
Board of County Comrnissioners for said Garfield County, now in my office.
IN WTTNESS WHEREOF, I have hereunto set my hand and afhxed the seal of said
County, at Glenwood Springs, this
-
day of A.D.20_.
County Clerk and ex-offrcio Clerk of the Board of County Commissioners
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EXHIBIT A
SITE PLAN
A tnct of lod locatoil h tu SEI/{ Ntilfl/4 lod the SWI/4 NEI/4 of Scctioh 34 T7S, X96SI,
6th P"hil,, Grfield Ciunty, Colorsdo, being mora pardadsdy descritod as folowc
Coprmcing a[ lhe Nor&cac Comer of snrd Sccdot 36 ond fl&ning thcncc SSP3I'04"8.
?fiI.M feer aloug th3 Norrh llns thercof, thcrcc S00%8'56"E I95l,2l fsst i0 &e FOINT OF
BEGINNING
rheffE S 10q003dts, 250,14 fteqt'.-...".:
tkncc 548*-33' 14'W, 87.71 fecq,
theocc 576"43'48"4r, 80.00 fecq
lhcncc N7lo293fY- J 96..64 feq
thsrceNHqD'lf;5Vi Ee#* ftcq - .
tbercc N2lot851"E' 164:0 fcet
tbcocc N?7'32'58"I1 167.91 fccg
thact55332147"8 83.6t@
thcncoM7"30'{B'T" 264lll fsrtto lhE ROINT OF BEGINNING.
Said tmct cmining 331 Acrcs, more or lcss.
---l f m '*qrao's,!t,ffi6 ^r r{ o^E 6 h F&d ff qhr
,' ii;';rBe *.ffi Br&trt& $ F 6xn s Fr rc 4
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6
Glenn Hartmann
From:
Sent:
To:
Subject:
Tracey Jensen < tjensen@summitmidstream.com >
Tuesday, March 08, 2016 8:10 AM
Glenn Hartmann
RE: [EXTERNAL] High Mesa Extension and Wrap Up
Good morning Glenn. Yes, the culvert replacement was done with a 15" . I had the guys go and measure yesterday.
From: G lenn Ha rtmann Imailto:ghartmann @garfield-county.com]
Sent: Friday, March 04,20163:42PM
To: Tracey Jensen <tjensen@summitmidstream.com>
Subject: IEXTERNAL] High Mesa Extension and Wrap Up
Hi Tracey: Thanks very much for the additional information you have provided.
lwill beschedulingyourextensionrequestontheBOCCagendaforMarchL4th. Pleaseletmeknowifthattimingworks
for you as it will be important for you to be in attendance. Tamra Allen has indicated that we should address only the
extension at that time and subject to the Board's direction put your permit sign-off on their next consent agenda. That
would be March 21't. That is consistent with our typical processing.
Your documentation on conditions is very complete. I have one question on the drainage improvements. One of the
engineers recommendations was the replacement of an 8" culvert with a 15 " culvert. ltem #6 on the Top Gun Energy
Services Task Order is "Replace Culvert at the back entrance to correct drainage issues". Please confirm that is the 15"
culvert replacement reflected in the engineering recommendation.
On your status letter you also indicated that you were still researching the High Mesa Discharge 8" pipeline. Since the
line is less than 12" in diameter it would not trigger a pipeline development permit. I am comfortable that you have met
the pipeline easement - site plan update condition of approval.
The packet information for the March 14th meeting will include your extension request letter and supporting information
on the conditions of approval. Please let me know if you have any follow-up questions. Thanks again.
Sincerely,
Glenn Hartmann, Senior Planner
Garfield County Community Development
970-945-1377 xl57O
gha rtma nn @ga rfield-countv.com
TASK ORDER NOTI FICATION
PROJECT NAME:
CONTRACTOR:
REQUESTOR'S NAME:
REQUESTOR'S CELL #:
Scope of
Work Location:
High Mesa StorrnwaterfiPcC AFE #:
Top Gun Energy Services
Zach Jacobson PHONE #:970-444-1044
REQUESTOR'S EMAIL: ziacobsoq@summltmidstream.com
Rifle/Rulison/Parachute
970-987-2s28
1,. Repair exposed liner on Dehy Secondary Containment
2. Remove Trash around station
5. Repair Stormwater issues
Replace Culvert at the back entrance to correct drainage issues
(lnclude Name of facility or MP, City, State and County)
COST ESTIMATE: $4,000.0! . (Amount project should NOT exceed)
Time & Materials? lo Yes n No):
Lump Sum? In Yes o Nol:Drawings Attached o YES x NO
(Attach copy of Proposal for Management Review,)
DATE WORKTO START:elts/2014 DATE WORKTO END:9l2sl2A74
f lf any terms are Intended to vary the terms of the Contract, then lndicate by Artlcle and Section number whlch Contract term ls
overrldden by the special term.
Contractor egrees to furnlsh and dellver all ltems and perform all Work descrlbed hereln for the conslderatlon shown hereln. The
rlghts and obllgatlons of the partles shall be govemed by the Contract, and such provisions, representatlons, cerdfications and
speclflcations as are attached or Incorporated by reference hereln.
Contractor's Approval :
Supervisors Approval:
Manager's Approval:
DATE:
DATE:
DATE:
DATE:
e/8/2OL4
Director's Approval:
Summlt MUslream Pa.tn6rs, LLC
Zachary Jacobson
2t28t2013 sMP-012-12
44\;I{ilvl 1I
D. Input and Results
The model input and results are as follows:
. A composite SCS Curve Number was derived based on cover
conditions within each basin (see attached model printout for specifics)
. The model consists of 5 basins, 9lintr<s (ditches and culverts), and 1
storage node (sediment basin/detention pond).
. The facility was analyzed using a SCS Type II 24hour storm. Total
rainfall values used were: 100 year = 2.6 incll.es; 50 year :2.4inches;25
year = 2.2 inches; 10 year = 1..8 inches; 5 year = 1.6 inches; and Zyear =
1.2 inches. Rainfall values were derived from the rain{all desigrrer
within Autodesk Storm and Sanitary Analysis.
. Basin sizes ranged from 0.9 acres to 0.1 acres.
. Model continuity for runoff (hydrology) was 0.0% and less than 0.5%
for routing (hydraulic). These values are fully within the acceptable
range.
IV. CONCLUSIONS AND RECOMMENDATIONS
The policy, design criteria, design constraints, methods of analysis,
recofiunendations, and conclusions presented in this report are in
conformance with standard engineering practice and Article VII Standards
Section 7-207 Stormwater Runoff of Garfield County Unified Land Use
Resolution of 2008, as amendedT-79.
The High Mesa Compressor Station existing drainage system is capable of
effectively conveying stormwater runoff from an SCS Type Il2year 24hour
storm.
The on-site visit that was conducted as part of this report identified the
following high priority maintenance items:
. Slope erosion on the north end of the internal bench. The Compressor
Station is situated on pads set at different elevations. Stormwater
currently flows from the upper pad to the southwest end, is
concentrated and flows down the bench to the lower pad. The bench is
approximately a 2H:1Y earthen slope and the stormwater flowing
down this slope has eroded a channel down the bench.
. Slope erosion on south end of internal bench. The erosion situation
here is the same as described above, but is located on the south end of
the bench.
S:\PROJECTS\1215 Sumit N{idstream PartneE\oog High NI€a\Drainage\LI\ICS Drairoge Report.doc FDR-4
You created this PDF from an application that is not licensed to print to novaPDF printer (http;//urww.novapdf.com)
. Culvert plugged with sediment. The south culvert is an B inch
diameter steel pipe. Tl-ris culvert collects stormwater from the upper
bench and eastern portion of the lower bencl'r. The sediment transport
from the two erosion issties noted above have lead to sedirnent being
deposited within the culvert to the point where it is now plugged. The
stormwater now flows across the access road, which is causing
additional erosion and sediment deposition.
These l'righ priority items have been cliscussed with and communicated in
writing to Summit Midstream Partners. The recommended solution to tl'ris
issue is the installation of 8" HDPE pipe slope drains and armoring/energy
dissipation within the charurel at the toe of the bench. It is recommended the
B" culvert be replaced with 15" Class V RCP. This larger pipe will be much
easier to clean and will increase capacity (see lolv priority recommendations
below). The Summit Midstream Partners Operations Group has put tl-ris
work on it's project list and will complete said work as soon as possible.
Lower priority recorunendations/maintenance iten's identified are:
. Lower sediment basin/detention pond cleaning. Any erosion within
the site ultimately transports sediment to the lower basin. As such, this
basin has received signification sediment. Removing sediment from
this basin and creating a retention area of 2 or more feet below the
outlet pipe would ircrease rvater quality capture volume (i.e.,
treatment in the form of retention for the first flush). Increasing the
pond volume would also help retard released flows thus helping to
reduce downstream peak flow values.
o Replacement of the south 8" steel culvert with 15" Class V RCP.
Upsizing this pipe would facilitate easier cleaning and increase
capacity from the Zyear storm to the 100 year storm.
These lower priority recommendations ancl maintenance items are not
immediately needed, but if or when done will benefit and add to the
longevity of the facility.
S:\PROpCTS\1215 Sunlmit Nlidstream Partnere\009 High lrlea\Drainage\HIICS Drairoge Report.doc FDR-5
You created this PDF from an application that is not licensed to print to novaPDF printer (http://www.novapdf.com)
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6rand RiverGatherin8, LLC
707 Wapiti Avenue. Suite 202
Rifle. CO 81650
Phone: 970.440.1006
Fax:970.440.1312
March 1,,2016
Community Development Department
108 8th Street, Suite 40L
Glenwood Springs, CO 81601
Attn: Glenn Hartmann
Dear Glenn,
Per our conversation regarding GRG's Resolution #201.4-42, please find attached
documentation to support ltems #4 and #6 have been addressed.
Item #4: Prior to issuance of the Land Use Change Permit the Applicant shall update the site
plan to show all easements including pipeline easements accessing the facility. The Applicant
shall also provide information on the pipelines serving the facility confirming that they are
properly permitted or exempt from permitting in accordance with the Code.
Response: Please find attached a Site Plan showing the pipeline easements as follows:
1,. High Mesa Discharge 16" (PDPA #67L3: Reveg Bond #22031-958)
2. High Mesa Discharge 8" (Still researching)
3. High Mesa 20" (goes around the station/not part of facility but on site plan)
ttem #6: The applicant shal! complete the recommended upgrades and repairs to the
drainage system as recommended in the Drainage Report (dated O5l23lL4l completed by
River City Consultants. Both the high and low priority items shall be completed and
notification provided to the Garfield County Community Development Department upon
completion. The improvements shall be completes within 90 days of approval of the Land
Use Change Permit.
Response: fop Gun Energy Services was hired to address all the high and low priorities in the
Drainage Report. Work was started on 091L51201-4 and completed on 09/2512014. Please find
attached the Task Order Notification. ln maintaining our Drainage System at High Mesa, we did
additional improvements this past fall using Ebbesen Environmental & Field Services. I have
attached a copy of their Task Order along with photos.
LAND U,Sf,' CHANGfr PtrfrMIT
to
Encana Oil and Gas
.fbr the
Natural AS
unit
In accordancc with and pumuant to Article IX of thc Garfield County Unified Land Use
Resolution of 2008, as amencled, the f)irector of the Building and Planning Department
hcreby authorizes, by this Admilistrnti Permit, the frrllowing
activity:
An apStroxi that will
encompass a needed for
Encana Oil and Gas ('runs./iom High Mesa
Compressor Stdtion situated in the El/2, NWI/4, Section
36, T7S, R96W to near the dismarutled Wallace Creek
Compressor Station located inthe SEI/4, NWI/4, Section
3, f8S, R96W, Garfield County Colorado and the
addition af one compressor and ane dehyclration unit at
the High Mesa Compressor Station.
This Administrative Pennit is issued sulrject to the conditions set forth in Exhibits A - I)
(attached hereto), and shall be valid only during compliance with such conditions and other
applicable provisions of thc Garlield County Unified l-and llse Resolution of 200{1, the
Iluilding Cods, and other reguldions of the lloard of County Comrnissioners of Garfield
County, Colorado.
ITUILDING AND PI,ANNING DEPAR1'MI]N1",
GA Rr-IELD COLTNTY, COLOI{A D()
ly 2.8 mile pipeline
) tt.{ .,r I"* -^ i \l'
"-t'" -
fred A. Jarman, AICP ";i.. Datc
Building & Planning l)epi:rt5nent, I)irector
,.i.t,t
Pipeline, one compressor
REQUESTOR'S NAME:
REQUESTOR'S CE[L #:
5 U tVJ rVJ J-J-
tt| i D t-f i'. E;- tt;TASK ORDER NOTIFICATION
PROJECT NAME:High Mesa Stormwater/SPCC AFE #:
CONTRACTOR: Top Gun Energy Services
Zach Jacobson PHONE #:970-440-7044
970-987-2528 REQU ESTOR'S EMAI L: zjacobson@summitmidstream.com
Scope of Work 1. Repair exposed liner on Dehy Secondary Containment
2. Remove Trash around station
5. Repair Stormwater issues
6. Replace Culvert at the back entrance to correct drainage issues
Work Location:Rifle/Rulison/Parach ute
(lnclude Name of facility or MP, City, State and County)
COST ESTIMATE: S
-
(Amount project should NOT exceed)
Time & Materials? (n Yes I No):
lump Sum? (L: Yes n No):Drawings Attached n YES x NO
(Attach copy of Proposal for Management Review.)
DATE WORK TO START:e/7s/201,4 DATE WORK TO END:9/2s/201"4
*lf any terms are intended to vary the terms of the Contract, then indicate by Article and Section number which Contract term is
overridden by the special term.
Contractor agrees to furnish and deliver all items and perform all Work described herein for the consideration shown herein. The
rights and obligations of the parties shall be governed by the Contract, and such provisions, representations, certifications and
specifications as are attached or incorporated by reference herein.
Contractor's Approval :
Supervisors Approval:
Manager's Approval:
Director's Approval:
DATE:
DATE:
DATE:
DATE:
el8/2014
Summit L4idstream Partners, LLC
Zachary Jacobson
2t28t2013 sMP-012-1 2
-iU rlJ.r!JJ-fj/ j,[.J fr'.i' t,* E *, tt)TASK ORDER NOTI FICATION
High Mesa Storm Water Upgrades AFE S: 50168T-2015-GRG-MAINT-CSU
Ebbesen Environmental & Fietd Services
Cameron Bingham PHONE #:970-rt40-1004
970-520-0374 REQUESTOR'S EMAIt: cbinqham@summitmidsheam'com
1. Upgrade the storm water drainage at the High Mesa Compressor Station, per the attached plan.
?. lncludes materials.
3. Contractorto provide equiprnent, tools and labor.
4. 100% FRC required.
5. Summit to provide inspection.
High Mesa Compressor Station
PROJECT NAME:
CONTRACTOR:
REqUESTOR'S NAME:
REqUESTOR'S CELL #:
Scope of Work:
Wo* location:
(lnclude Name of facility or MP, City, State and County)
COST ESTIMATE: S
-
{Amount project should NOT exceed)
Time & Materials? (o Yes o No):
Lump Sum? (o Yes r: No):Drawings Attached o YES n NO
(Attach copy of Proposal for Managernent Review.)
DATE I'I/ORXTO START:8/3u211s DATE WORK TO END: 10/30/201s
+lf any terms are Intended to vary tlre terms of the Contract, then lndicate by Artlcte and Section number whlch Contract term ls
overrldden by the speclal term.
Contractor agrees to furnlsh and deliver all ltems and perforrn all Work descrlbed hereln for the conslderation shown herein.
The rlghts and obllgatlons of the parties shall be governed by the contract, and such provisions, representatlons, certificatlons
and speclfications as are attached or incorporated by reference hereln.
Contractor's Approual :
Manager Approval:
Director's Approval:
DATE:
DATE:
DATE:
Summit Midilream Pafficrs, LLC a28no1?sMP-01 2-12
Elhesen Erluironmental
J8
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1J Re-slope drainage to catch culvert inlet
2J Cut ditch along bottom of slope to catch water
3J Build smallsediment pond
4l Cut dltch from sediment pond along berm
5J Build srnall sediment pond - Outlet through berm with culvert
6) Fix reels under pipe supports with small berm to divert water to slope draw
7J Consfuct srnall swale to catch upper sheet water and direct to slope draln
8) Replace liner ln slope drain (Key in llner lnto berrn)
9] Clean our ends of culvert
10)Fix reels in ditch bank slopes and clean out rock check darns
11)Build swale to directwater to existing slope drain
12)Clean out sedimeni pond
I3)Clean sediment out from behind rock check dams
14)Cut ditch alongslope to cany water to culverl
tS)lnstall h,vo 6" pipes under stair landing
16)lnsall two 6" pipes under stair landlng
17)Fix reels on slope where water is undercutting stairs, build berm to redirect
water to existing sediment pond next to gate
18) Build swale to direcl water [o strope drain
lgiBuild shallow sediment pond with culvert outlet to lower level of compressor
statlon
20)Build swale around valve set ts redirecl runoff away from piping
Ebbesen Environmental
& Fteld Services LLC phone (9I0J 629 - 0096 Email erikebbesen@eefs.co
P.O. Box 280
Frulta, Co.81521
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RrvEnCrrY
CONSULTANTS
7+4 HORIZON COURTSUTTE r r0
GRAND JUNCTION, CO 8 I 506
To: Garfield County
From: Marc Kenney, P.E.
Date: June 04,2014
I97O) 241-4722
l97o) 24t-8841 lFaxl
info@rccwest.com
RE: Poliry 04-0l Waivers for Roads and Demonstration of Compliance
The purpose of this letter is to address Garfield County's Policy 04-01 for the access
roads to Summit Midstream Partner's High Mesa Compressor Station.
This letter covers the private access roads required to reach the High Mesa Compressor
Station. These private roads start at the end of County Road 304 (aka Richardson Road
per Garfield County's GIS website) and go through various private parcels owned by
Larry and Karen Klebold and Encana Oil & Gas (USA) Inc. The posted speed limit on
the route varies between 15 and 25 mph and is strictly enforced. Those who violate
traffic rules (including speed limits) can be removed from the site and banned from
returning (typically resulting in employment termination). Accordingly traffic
violations are rare on these roads.
These access roads have existed since the 1980s. These roads are private low speed
access roads that serve the Oil and Gas Industry and are not intended to be public roads
or highways. Over time these private roads have been improved by Encana and others
to provide better and safer service. These improvements have included widening,
alignment adjustment (e.g., placement of switch backs to decrease vertical grades), and
drainage improvements. These roads are located with challenging hilly terrairy
accordingly switchbacks and steep grades are required on portions of the road.
However these features have been implemented and constructed such that the
functionality and safety of the roads are acceptable given the low speeds and vehicle
types.
Policy 04-01 requests a description of how said road does not meet the design standards
in Table 7-107 and a map of the road. Table 7-707 of the Garfield County Land Use and
Development Code provides design standards for various types of public roads (i.e.,
Collectors, Secondary and Rural Access, Semi Private, Primitive/Drivewa!, and Public
Land Access). It is my professional opinion that the access roadways to the High Mesa
Compressor Station do not "fit" irfto any of the generic road categories in Table 7-107.
More suitable design standards (and the guidelines that are typically used for design of
said roads) can be found in guidance documents such as the BLM "Gold Book" which
details surface operating standards and guidelines for oil and gas exploration and
S:\PROJECIS\1215 Sumndt Midstream Partners\010 High Mesa Roatl Survey\Adc.quacy Lctter.doc Page 1 of 4
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development. However, for the purpose of this exercise the column for a Garfield
County "semi primitive" roadway was retained for comparison purposes. This does not
imply that "serni primitive" design standards apply to this road but rather, they are
included for reference purposes only as per the Policy 04-01 guidance documents. A
map of the road is attached, as well as a table of cross section data. Based on historical
use of these roads the horizontal and vertical elements of the road are adequate for all
vehicles using the road (including large rig moving and similar sized vehicles).
Observations in regards to this letter were taken along the roads on May 28,201,4. The
cross sectional geometry data was collected at locations that were representative of that
section of road and at critical sections/locations. The roads were driven and cross
sections were taken along each section of road that was determined to vary from the
typical roadway standard (i.e., different width, different grade, etc.). The collection of
cross section data consisted of measuring total width (edge of gravel to edge of gravel),
determining cross slopes using a hand level, and longitudinal slope using an
inclinometer. The road corridor in general was observed during the collection of this
data. No obvious safety issues or signs of strucfural failure were observed on any
portion of road.
Encana has various contractors it uses to maintain and improve these private roads.
Regular maintenance operations include, but are not limited to:
. Grading: this removes washboard, re-establishes crown & cross slopes, maintains
ditches, and removes any potholes or low spots than collect water.
o Watering: this helps with dust control and helps keep the road material
compacted to an optimal density.
. Magnesium Chloride Treatment this helps bond the road material and creates a
much more desirable surface. This treatment helps with dust control, reduces
sediment transport from the road surface, and reduces the need for other
maintenance activities such as grading.
Traffic counts on these roads vary significantly depending on the exploration activities
taking place within the area. The estimated current traffic count is approximately 100
vehicles per day. Approximately 75 of the 100 are large trucks (mostly water trucks) and
the remaining25 per day are pickup sized vehicles. Larger vehicles such as rig moving
trucks will use the road when moving onto/off of pads in the area. Typically these large
vehicles have escort vehicles to ensure safe passage.
In summary:
. The horizontal and vertical geometry of these private roads is adequate for the
purpose of servicing the High Mesa Compressor Station.
. No obvious structural or safety issues were observed during the field visit on
}l{.ay 28th,2014.
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This road is regularly maintained by Encana contractors.
Theses access roads can accorunodate the current traffic demand, which is
estimated to be approximately 100 vehicles per day.
This letter does not express or imply any warranty as to tl're remaining life of the road,
the absence of geotechnical or structural issues that are not obvious, or that the road
will meet the needs for future uses or users without modification. These roads are
under constant maintenance and are graded several times a week. Accordingly, some of
the cross section data presented may not reflect current conditions as grading
operations may change cross slope, or even road width. However, it is not anticipated
the basic horizontal and vertical geometry will change significantly as a result of the
maintenance operations.
Please let us know if you have any additional questions, comments, or concerns.
Marc J. Kenney, CO PE No. 41215
Ix.ik/
Page3 ot 4
a
a
S:\PROJIICTS\1215 Sunrmit Midstreanr Partners\010 High Mesa lload Surwcy\Adequacy I-etter.doc
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Geometry of Road
The following table cornpares this access road to the Garfield County Roadway Standards found in Table 7-107 of the
Land Use and Deve Code for Primitive Roadwavs and Drivew
Design Capacity
(ADT)
20-100 N/A N/A N/A N/A N/A
MinimumROW
Width (Feet)
40 N/A N/A N/A N/A N/A
Lane Width Geet)I 10.5 -13 10.5 8.5 1,0.25
Shoulder Width
(Feet)
2 (Note 1)(Note 1)(Note 1)(Note 1)(Note 1)
Ditch Width (Feet)4 N/A N/A N/A N/A N/A
Section Type Not Specifiecl Crown Crown Crown Crown Crown
Cross Slope RT 3% - Gravel -9.5 -6.9 -5.7 -5.9 -9.8
Cross Slope LT 3% - Gravel -8.6 -3.8 -7.6 -3.5 -2.9
Shoulder Slope 5%(Note 1 (Note 1 (Note 1)(Note 1 (Note 1
l)esion Sneed N/A N/A N/A N/A N/A N/A
Minimum Radius
(Feet)
50
Maximum %
Grade
12 3 8 1,4 7.5 5
Surface Gravel Gravel Gravel Gravel Gravel Gravel
Notes:
1) Shoulder width and slope are included in the lane width.
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TableT-107:R')adway Standards
Carfield County
Semi Primitive
X-Se.ction A X-Section B X-Section CDesign Standards
HIGH MESA ROAD
T: N03S' 23' 43"
AT: N039' 23' 32"
HIGH MESA ROAD PROFILE
5900.
5800.
5700.
5600.
5500.
5400.
5300.
5100.
5000.
4900.
4800.
1 "=1500
ffi0 1500
SHEET 2 OF 2
O.ow^:Akr lCh.crcd:MJK l616,/201a lJob No. r2r5-010
O\oLssoN
ASSOCIATES
Grand River Gathering LLC
High Mesa Compressor Station
Visual Impact Photo Perspective
Photo Perspective 1
Looking northeast from CR304 (Richardson Road) toward the High Mesa Compressor Station.
The compressor station is located over the horizon near the visible pipeline right-of-way and is
not visible from this location. The distance to the facility is approximately 0.5 miles.
12t26/ 201 3
Grand River Gathering, LLC
High Mesa Compressor Station
Photo Perspective 3
Looking northeast from CR 306 (Spring Creek Road) toward the High Mesa Compressor
Station. The compressor station is located on the far ridge just to the left of the trees in the
foreground. From this vantage the High Mesa Water Facility tanks are visible with the naked-
eye.
Visual lmpact Photo Perspective Page 3
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TAfa6fl20$s
Grand River Gathering, LLC
High Mesa Compressor Station
Photo Perspective 3-A
This is a digitally zoomed version of Photo 3. The facility is visible on the ridge line on the left
side of the photograph.
Visual lmpact Photo Perspective Page 4
t.t
Grand River Gathering, LLC
High Mesa Compressor Station
Photo Perspective 4
Looking northeast from CR 306 toward the High Mesa Compressor Station. The compressor
station is located on the vegetated ridge immediately to the right of the well derrick. The High
Mesa Water Facility is located to the left of the well derrick. The compressor facility is visible
with the naked-eye but it is difficult to discern the screen walls from the compressor buildings
and water tanks. The distance to the facility is approximately 1.25 miles.
Visual lmpact Photo Perspective Page 5
T
Grand River Gathering, LLC
High Mesa Compressor Station
Photo Perspective 4-A
This is a digitally zoomed version of Photo 4. The water tanks are visible to the left of the derrick
and are the more prominent features on the mesa top. The compressor station is located to the
right of the derrick.
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Visual lmpact Photo Perspective Page 6
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ASSOCIATES
Grand River Gathering LLG/Summit Midstream Partners LLC
High MLsa Gompressor Station
WAIVER REQUESTS - ADDENDUM TO PREVIOUS SUBMITTAL(S)
Pursuant to Section 4-202 of the Garfield County Land Use and Development Code, Grand
River Gathering LLC (GRG) requests a waiver for the submittal requirement of Section 4-203.E
for the Drainage and Grading Plan (DGP) related to the High Mesa Compressor Station (HMCS)
land use change permit.
Section 4-203.E of the Description of Submittal Requirements of the Land Use and
Development Code (LUDC) requires Grading and Drainage Plans as part of the matedals
required for all land use change permits.
A waiver request shall be considered based on the following criteria:
1. The Applicant shows good cause for the requested waiver;
Response: Good cause for the waiver request is demonstrated via previous details
provided in the LIR application and the information that follows.
The HMCS is a previously constructed compressor facility with eight existing compression
units. This includes seven skid mounted compressor units and one compressor located
inside a building.
GRG acquired significant midstream assets in the Piceance Basin in 201 1. Some of the
associated facilities in Garfield County did not have a Land Use Change Permit (LUCP). ln
a good faith effort GRG has been obtaining LUCPs for their facilities such as HMCS.
However no new land disturbance is planned or anticipated.
The site was constructed before the current code requirements for a LUCP for these types
of facilities. Additionally, the site was constructed according to the typical Colorado Oil and
Gas Conservation Commission (COGCC) natural gas development criteria which emphasize
retention of stormwater. Consequently the site plan details did not include calculations to
accommodate the Garfield LUDC requirement for comprehensive stormwater detention.
A grading permit was issued by Garfield County in 2011 for the addition of the latest
compression unit that is located inside the boundary of the site plan submitted with the
application. At that time a Final Drainage Report was developed by River City Consultants.
This report examined the site and a drainage system of earthen ditches, culverts, a
sediment basin, and other stormwater BMPs including revegetation, check dams in the
ditches, rip-rap and vegetative buffer zones was designed. ln addition, no issues related to
;;;;*sed
men
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Grand River Gathering
High Mesa Compressor Station
2.
GRG acquired the facility shortly after the addition of this final compressor unit. Since the
acquisition of the facility by GRG it has incorporated this facility into their SWMP and
CDHPE permit. A Spill Prevention Control and Countermeasure Plan (SPCC) was
developed for the site. The project area is stabilized and stormwater inspections are
regularly performed. The stormwater inspections are intended to assure repairs to the BMPs
are implemented to control erosion as needed.
Requiring a comprehensive stormwater detention plan for an existing facility will require
modification and disturbance of a stabilized site and is an overly burdensome requirement
that does not provide value to the public.
The project size, complexity, anticipated impacts, or other factors support a waiver;
Response: The project area contains an existing compressor facility. No new land
disturbance is planned or anticipated. No change in the volume or quality of water leaving
the site is anticipated. The request does not create any additional impacts on the adjacent
properties or areas downstream of the facility.
The waiver does not compromise a proper and complete review; and
Response: This waiver does not compromise a proper and complete review. GRG has
provided the 2011 grading permit and associated Final Drainage Report prepared by River
City Consultants, an assessment of that report prepared by a professional engineer, the
SWMP, CDPHE permit, and SPCC for the facility.
The information is not material to describing the proposal or demonstrating compliance with
approval criteria.
Response: Compliance with the intent of the Land Use and Development Code drainage
criteria is demonstrated by the grading permit obtained during the latest compressor
installation, the Final Drainage Report associated with this grading permit, the incorporation
of the site into GRG's SWMP, adherence to the CDPHE stormwater permit, and the SPCC
developed for the facility. Downstream properties are thus protected from any erosion or
sediment impacts associated with this facility.
nrrf'ilf 4.
Pursuant to Section 4-118 of the Garfield County Land Use and Development Code, GRG
requests a waiver for the following standards for Drainage and Erosion for the HMCS.
Section 7-204 Drainage and Erosion
A waiver of standards request shall be considered based on the following criteria:
1. Achieves the intent of the subject standard to the same and better degree than the subject
standard:
Response: Compliance with the intent of the Land Use and Development Code drainage
criteria is demonstrated by the grading permit obtained during the latest compressor
Waiver Requests- Addendum Page2
Grand River Gathering
High Mesa Compressor Station
installation, the Final Drainage Report associated with this grading permit, the incorporation
of the site into GRG's SWMP, CDPHE permit and the SPCC developed for the facility.
2. lmposes no greater impacts on adjacent properties than would occur through compliance
with the specific requirements of this Code.
Response: The project area contains an existing compressor facility. No new land
disturbance is planned or anticipated. No change in the volume or quality of water leaving
the site is anticipated. The request does not create any additional impacts on the adjacent
properties or areas downstream of the facility.
Attachment 1 - 2011 Grading Permit and Final Drainage Report
Attachment 2 - Assessment of the Final Drainage Report
Attachment 3 - SWMP
Attachment 4 - CDPHE Stormwater Permit Certification
Attachment 5 - SPCC
Waiver Requests- Addendum Page 3
A S 5 O C IAT E S
Grand River Gathering LLC/Summit Midstream Partners LLC
High Mesa Compressor Station
WAIVER REQUESTS _ ADDENDUM TO PREVIOUS SUBMITTAL(S)
Pursuant to Section 4-202 of the Garfield County Land Use and Development Code, Grand
River Gathering LLC (GRG) requests a waiver for the submittal requirement of Policy 04-01 for
the private access road maintained by EnCana leading from County Road 304 (CR304) to the
High Mesa Compressor Station (HMCS).
Section 4-203 Description of Submittal Requirements of the Land Use and Development Code
does not require plans for roadways leading to the project site. Section 4-203.D.6. Site Plan,
only requires existing and proposed roads be included on the site plan.
Policy 04-01 was issued by the Community Development Director on March 3, 2014 to provide
guidance on "Waivers for Roads and Demonstration of Compliance" for Section 7-107. This
policy requires that the application must include the following:
1. "Statement of Adequacy" signed by a professional engineer qualified in traffic engineering
and licensed by the State of Colorado.
'/ : fha Pnar{" nnmnarinn lha nrirrafo rncrl fn fha r{acinn cfanr{arrlc nf Tehlo 1n7-7 fW'fu]V/ 2. "Geometry of the Road" comparing the private road to the design standards of Table 107-7
De;+"q/ 6** t
OLSSON tn
"Safety/Structural lssues" observed and how they will be addressed
"Maintenance" of the roadway and maintenance agreements - nu o#***l
"Travel Demand" of the existing peak and average daily traffic - 0 r*;f,t i "' ffir , I %#, *ry!
GRG is requesting a waiver of these submittal requirements for the private access road.
A waiver request shall be considered based on the following criteria: .1,J, LrL fuL7*
1. The Applicant shows good cause for the requested waiver;
Response.14 t*
Access to the HMCS facility requires travel for over 1.5 miles on the private access road.
This road section gains approximately 400 feet in elevation from the intersection with
CR304. This road traverses slight inclines and undulations with no significant switchbacks
before reaching the HMCS.
This road was constructed at considerable expense and during typical operational activity it
provides access to multiple pad sites, natural gas wells and EnCana's North Parachute
Ranch Water Treatment Facility.
760 Horizon Dr., Suite '102
Grand Junction, CO 81506
TEL 970 263 7800
FAX 970.263.7456 www.ol ssonassociates. com
Grand River Gathering
High Mesa Compressor Station
( Currently these roads are intended for the exclusive use of the natural gas industry.
\ Significant financial resources and effort are expended throughout the year (in a variety of
( adverse weather conditions) to maintain this road in a safe manner for the intended use.
/ Tne private road access cost approximately $2 million to build and during peak use
i approximately $250,000.00 a year was spent on maintenance. Today, with significantly
[u reduced activity, approximately $t25,OOO.OO a year is spent maintaining this road.
The road is critical to the operators that are authorized to use it and significant effort is
provided to maintain it in a safe and adequate condition. Public road standards, public
access, or public safety were never considered in the design and on-going maintenance ofI this road and these metrics are not appropriate for this private road.
i
\ t EnCana manages the maintenance of road; GRG is not directly responsible for maintenance
? of the roads. t
tla;tr^**r.t L.'r r'r'
. -n.*- {Ow:t.rr{
.-..--,n'''-.::' The road geometry may change on a seasonal and even daily basis but these issues are
&.fl,t addressedlvia the impiementation of aggressive oversight and maintenance which also
wyInd{'" occur on a daily basis. Cross slopes change with each pass of a road grader. Widths[.,$rl,rfr,,{ change depending on the amount of snow and ice that accumulates along the sides of the- b ..-- roads during the winter. Widths also change as maintenance is performed. Surfaces and
grades---*--.c.gfls-tantly modlfieQ. and--edditi-qns.l road ba.se., g-tavgl ano na-tj.6Gffi[G
e66iiea-io address road damage as needed. ( ,r, fr_r. lU fu,
Because of the ongoing maintenance activities related to maintaining a safe driving surface
the current geometry of the road likely deviates slightly from the original construction plans.
Developing new as-built plans are unnecessary and financially burdensome, would provide
information reflective only of a snap-shot in time and would not provide a true measure of
the efforts to provide a safe and adequate access on a daily basis for those that are
authorized to use the road.
Given the Average Daily Traffic of 101-200 vehicles per day, this road would be equivalent
to a Rural Access Road as described in Table 7-107 of the Land Use and Development
Code. The Rural Access Road standard requires a chip-seal or gravel surface, crowned
surface with a 2-percent cross slope, 3-percent sloped shoulder, ditches on both sides of the
roads, and no more than a 12 percent grade.
The road was not specifically designed or built to these public road standards and will not
meet these standards for the majority of the length. Grade .i" (
number of places afong the roadway. An exhibit or map the location of where\,---"/
the road deviates with the public road standards would not provide value to GRG, or the
public.
Good cause for the waiver request is demonstrated via previous details and the information
that follows.
2. The project size, complexity, anticipated impacts, or other factors support a waiver;
hn\n )
Waiver Requests- Addendum Page2
Grand River Gathering
High Mesa Compressor Station
Response: This site, on average, will be visited once a day, generating 2 trips per day,
typically by personnel performing similar inspections at other GRG facilities in the area. The
impact this project would have on public roads and adjacent properties is minimal at most
and likely non-existent.
The project or roadway is not part of a subdivision process, does not result in a significant
change in population density of the county, and does not does create any significant impact
on the surrounding area or community. The project is in support of a mineral extraction
operation and is located on an approved well location.
3. The waiver does not compromise a proper and complete review; and
Response: The review of the compression facility application is not compromised by not
providing the information requested in Policy 04-01. Other information provided by GRG,
including this waiver request, demonstrates compliance with the intent of the code.
4. The information is not material to describing the proposal or demonstrating compliance with
approval criteria.
Response. The intent of the criteria found in Table 7-107 is to provide for safe and
adequate access to a property. The design standards found in this section are obviously
intended for roads providing access to residential and non-residential uses open to the
public. The project area is located on a relatively remote parcel that can be only accessed
via this private road. Use of this road by the public is prohibited.
Pursuant to Section 4-118 of the Garfield County Land Use and Development Code, GRG
requests a waiver for the following standards for Access and Roadways for the HMCS.
Section 7-107 Access and Roadways
A waiver of standards request shall be considered based on the following criteria:
1. Achieves the intent of the subject standard to the same and better degree than the subject
standard:
Response: The intent of the roadway standard is to provide safe and adequate access to a
development. The HMCS Facility will be accessed from CR304 and then the private road.
This road was designed and built by an oil and gas producer to provide exclusive access to
the natural gas operations in the area and it is not designed for or open to public use.
Given the average daily traffic (ADT) that this road services, it should most closely
correspond to the Rural Access road standard of Table 7-107 of the Land Use and
Development Code. This standard would require this road to have a slope no greater than
12-percent, ditches located on both sides of the road and a chip seal or gravel surface.
Waiver Requests- Addendum Page 3
Grand River Gathering
High Mesa Compressor Station
This private roadway has sections that may exceed a 12-percent grade and much of the
surface is made from native materials. Road base has been applied to some sections to
improve the surface. ln some locations in lieu of a roadside ditch, a compacted berm has
been placed on the downslope side of the roadway to control stormwater, limit erosion and
provide a barrier for greater safety.
This road receives daily attention and is inspected on a regular schedule for safety related
issues. This road is also inspected regularly and after major precipitation events for erosion
issues. Erosion control BMPs are maintained on a daily basis. A maintainerlroad grader is
used as needed to maintain the roadway. A20 mph speed limit is enforced. The roadway is
treated with a dust palliative, either water or magnesium chloride, as needed. Signs are
posted near the CR304 entrance/egress to restrict unauthorized persons from traveling on
the road. This roadway provides a safe access to the site for the GRG and other authorized
personnel.
lmposes no greater impacts on adjacent properties than would occur through compliance
with the specific requirements of this Code.
Response: This private road system does not provide access to residential uses nor is it
used by the general public. The waiver of this standard will not create greater impacts on
adjacent properties than would occur if it was in full compliance with the code or policy 04-
01.
ol-
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Attachmentl-RoadMap
Attachment 2 - Policy 04-01
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Waiver Requests- Addendum Page 4
ST{|E OF COLOIUDO
John W. Hickenlooper, Governor
Larry Wolk, MD, MSPH
Executive Director and Chief Medical Officer
Dedicated to protecting and improving the health and environment of the people of Colorado
4300 Cherry Creek Dr. S.
Denver, Colorado 80246-1 530
Phone (303) 692-2000
Located in Glendale, Colorado
www.colorado. gov/cdphe
July 15,2014
Glenn Hartmann
Garfie.ld County Community Development Dept,
108 8th, St., Suite 401
Glenwood Springs, CO
Colorado Department
of Public Health
andEnyironment
81601
High Mesa Compressor Station Garfield County
Dear Mr. Hartmann:
On June 78, 2014, the Colorado Air Pollution Control Division (APCD) received a request for an air
quality determination concerning High Mesa Compressor Station Garfield County. APCD staff has
reviewed the request and has determined that the following provisions of the Colorado Air Quality
Regulations apply to the project.
All sources of potential construction project air emissions in Colorado are required to obtain a
construction permit unless specifically exempt from the provisions of Regulation No. 3. Go to the
website www.colorado.gov/cdphe/APCD to view this regulation - click on Air Quality Regulations, then
Regulation No 3. Section ILD.l lists which projects are exempt from requirements of the regulation. In
addition, you will need to establish whether you are in an air quality attainment or non-attainment area,
by accessing the information at www.colorado.eov/cs/Satellite/CDPF{E-AP/CBON/1251595265316.
Once it has been determined that an Air Pollution Emissions Notice (APEN) is required, the next
phase of air permitting involves submission of an Application for Construction Permit for each
lacility and one APEN for each emission source. A source can be an individual emission point or group
of similar emission points (see Regulation No. 3, Part A). Both AI']EN reporting and permit
requiretnents are triggered by uncontrolled actual emission rates. lJncontrolled actual emissions are
calculated based upon the requested productiorVoperating rate assuming no control equipment is used.
In general, an APEN is required tbr an emission point with uncontrolled actual emissions of any critical
pollutant equal to or greater than the quantities listed below:
ARIIA UNCONTROLLED ACTUAL EMISSIONS
Attainment Area 2 tons per year
Non-attainment Area 1 ton per year
All Areas Lead emissions: 100 pounds per year
Sources of non-criteria reportable pollutants have different reporting levels depending upon the
pollutant, release point height and distance to the property line. Please see Regulation No. 3 Appendix
A and C to determine the appropriate reporting level for each pollutant, and for a list of non-criteria
reportable air pollutants.
However, none of the exemptions from an APEN filing requirement shall apply if a source would
otherwise be subject to any specific federal or state applicable requirement. Information concerning
submittal of revised APEN is also given in Regulation No. 3, Part A. An APEN is valid for five years.
The five year period recommences when a revised APEN is received by the Division.
If you have any questions regarding your reporting or permitting obligations, please contact the Small
Business Assistance Program at303-692-3148 or 3775.
Land development construction activities (earth moving) that are greater than 25 acres or more than six
months in duration will require an APEN from the Air Division and may be required to obtain an air
permit. In addition, a start-up notice must be submitted thirty days prior to beginning a land
development project.
Please refer to the website www.colorado.gov/cdphe/APCD fbr information on APEN forms. Click on
Construction Permit and Compliance Forms, then click on the menu item that applies to your project.
If you have any questions or need additional information, please call the phone number(s) listed above,
or you may call/ e-mail me directly at303-692-3127 I jim.dileo@state.co.us.
Thank you tbr contacting the Division about requirements for your project or permit.
NEPA Coordinator
Air Pollution Control Division
Colorado Department of Public Health and Environment
EnsCAr.{A
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Right-ol'-rll a5 L,ai.flrD.'lrt
Right-of-$q Larltrneso
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En0ana Oit & Gas (U$A) lnc.
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Dear Mr. 0rLi&18-rffi$fl[:
llursrr*nt yuur n&ryuxt i,n *i,r*xi[rtcd r*ilh Eucarra's l)cvclopmcnt Plan Submissinn\ tfiis' htter r{pl!
confirm thar Eaurnu wil$[ conrpfo, ttith all of tlrc lerms and conditiorx associ*ted wirf.r rigSttl to tray
one or s!ffc pipe$imesau, sret fiosgh iin thc hchr* Iistcd docrxrrcnls'
l)ocrrrncnt Ti"pr* &rile Crantor Rccording l)im
Mcmo Ripftl-of-lVuy F;a*rumtrt l,lrt,nCIl0 larr-r' Klehr:ld et al
9/[5&.010 l"arry Knox cl rrx
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&is,{I0ttl Frank l{cNcilet ux
6n!#?Il0 l,indn C. Joncs
#796[63
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$?S}{35
$79fr361
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Copics of tlm ttrrcEr,i}ry r&r*wnrr** halr hecn provirlct{ to Garfreld Corndy wilh tthc sdbsmiu*! arf
tht Piprlimc ll*rrfiryrxum F&m-
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09r13/20tO 03:37: l5 Ph J..n ClbrricoI ol 6 Frc Frr:136.O0 ooc Fro:0.00 GnRFI€LO CoUNIY C0
Ir rG H',r'-oF-wAY liAs li$,| ItN:l'
It0ll AND IN CONSII)EIIATION olthc sunr of l'DN AND NO/100 DOI-I-ARS ($10.00) and olher good ntd
valuablc considcratiorr, in harxl pffid to l-inda C. Joncs, rvlrose nrailirrg addrcss is 7256 County lload 306,
Parachute, Colorado 81635 (hcreinallcr rcl'cned to as CllAN1'OR,). the rccci;lt and sufiicicncy ol'whiclr is hereby
acknos,ledged, CIIAN'I'OR hcrcbl'grants, sells, conveys arrcl rvanants to lincrrnl Oit & Gns (USA) Inc., whose
rnniling addrcss is 370 l7u Strect, Suite 1700, l)cnvcr, CO 80202, ils succissors and assigns, (hcreinaller rcfcrrccl
to as GRAN'I'EIi) a nolr-cxclusivc and pcnnarlcnl eascnlcnt, thirty (30') lbct in rvidth, lbr the purposc al ary tinlc
ard from tinlc to tinre to localc, nraintain, inspcct, ultcr, rcpair, operatc, prolcct, replace. ntark, rctnovc an<Vor
abirrrdon irr placc, trvo (2.1pilrclincs heint tnent),lntL(A inche.s or lcss in .size, nnd lhc right to lay ard cottslruct
rhc initial trvo (2) pipclincs, for thc transponation of natural gas and its corrstitucnts, \\,ater, pctrolcutt, petrolculn
producrc, liquids zurd derivatives thcreofi upon and along a routc to be selecled by GRANTEE on, over. across attd
through lands orvrred by GRANT'O|I, or in rvhich GItAN'I'Oli has an inlcrcst, situated in Garlicld Coutttl'. Statc
of Colorado dcscribcd as folloua:
'l'orvnshiD 7 South. tlunec Xr \\'c.st.6th l'.M.
Scction 35: N2S2Sll4
and being the sanre land dcscribcd in that certain Decd rccordcd under rcceplion numbcr 763621, ol'the Clerk's
oflicc of said county, to rvhich refcrcnce is rrrarlc for furthcr dcscriptiorr. CIIAN't'Olt grants to GIU\N'l'llt! a thifly
(30') leet penuarrcrrt casenrent as dcfined on llxhibit "A" attached hereto ancl rnade a part hcreol CIIAN'I'OR
grBnts to GRAN'f[f, a tenlporary easentcnt up to lbrty-live (45') feet irr rvidth lbr the purposc of cnabling
GRAn*TEE to construct lhe pipclinc or pipelines. Aflcr thc post-construction cleanup follorving thc pipeline
consrruction, the penrrangll cascmctrl area shall be lilnitcd ro a strip thirty (30') feet widc. 'l-hc pcnttartertt
cascnrcnt, locllecl on the abovc described larrds is gcnerally dcscribcd on Eshibit "A" altachcd hcrclo and ntadc a
part hereof. llxhibit "A" auached hereto is not intendcd lo shorv the linal locatiorr o[ thc cascrucnt or pipelirrc as
actually constructcd; lhe actual location of thc cascnrent rvill cxtcnd fiflee n ( I 5') lbct on each side of thc ccntcrlinc
of thc pemranent eascnlent as actually laid.
GRAN'IEE agrccs that no surlacc cquiprncnl and or surlncc facilitics, including, but not lirnitcd to, valvcs,
Irrclcrirrg and conosion control cquipnrent. or an), ollrer nbovc-ground appuncnances, x.il! bc instnllcd rvilhoul
CRANTOR'S consenl in rvriting.
ClfANTOlf furthcr grants ancl conveys unto (illr\N'l'liE thc right of unirnpaired ingrcss and cgrcss on, ovcr,
ncross and through the above-dcscribed lands including othcr lands orrnccl, leascd or clairncd by GIIAN'I'OR
rvhich are adjaccnt lhcreto or contiguous thcruvith lbr all purpose.s necessnry or incidcntal to thc cxcrcisc ol'thc
rights herein grantcd, rvith the further right ol'cntry to nuinlain the enscnrcnt hcrcin grautcd clear o[ trces,
undergrouth, brush, stryclures, and any olher itcnrs, to the cxlent CItAN'l'lil.l dccnrs necessar.v in the excrcisc of
thc rights granted hcrein.
(;RAN'[EE shall have the right to sclccr. chnngc, antUor altcr thc right-of-rvny casenlgnt tlrrgilgh-r.hc propcrly .
abovc described or alter tlrc roulc prior to or during conslructiorr rvith thc conseit ofilie,lQgrtfi!Olt, lv!1iifr-''
conseill shall nol be urrrcasorrably rvithheld, conditiotrcd or dcla1,cd.
i'
(;RAN'IOR shall havc the right to use and crrjoy thc abovc-dcscribcd prcntiscs: prnvided, hou'o'cr, GRAN'I'OR
shall not cxercisc such lrsc and cujoyurcnl in n nliuulcr that s,ill inrpair or irrtcrlbrc rvith the cxcrcisc by CRAN'l'Eli
of any of thc rights hcrcin grantcd. GRI\NTOlt shall not changc thc grade ovcr the pipclinc corslructed ltcrcundcr
t
iil tF, lllulilili,ttr'[ E t l+' tr l{lllilll tulH' ( l*lllll't I I ll I
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ald shall not build, create, construct, or pcnt:it to bc built. crcalcd, or conslructed, any obstruclion, bttildirrg. !ake,
engincering n,orks, or any other type of structurc over or on said liasetrrcnt rvithout adt'attcc rvrittett conscnt of
CR^NTBIT.
All equiprtrent or appurtenanccs to the pipcline or pipelincs, rvhich slrall bc on or above lhe surface of the
ground, shall bc installcd in a rnanncr to protecl tlre Cltr\NTOll'S lir'cstock rvhen necessary. GRAN'l'liE
agrces lhat during constructiot) of said pipcline or pipelines, livestock crossings rvill be pror'idcd u'hcrc
neccssary. Furthcr, all fences thal must bc ser,ered or renroved lbr installatiolt and nraitttcttance rvill bc
reinforced prior to so,ering adjacent to rvhcre the cul is nradc lo prevcnt damage to the l-encc linc. 'l'entporary
gates ro preclude thc escape of GIfAN't'Oll'S livestock shall be installcd rvherc necessary. All fences thal are
cut or removed shall be restored in as good a condition as existcd prior to installation of the pipeline or
pipelincs.
CRAN'fliE agrccs ar thc tinre of construction to bury said pipelinc or pipelines to such <lepth as rvill not
ilterfcre with Iands under cultivation, arrd irr accordartcc rvilh applicablc fedcral artd stalc rcgulntions.
Follorvilrg installation of thc pipclinc or pipelines, GIIAN'l'lllI ogrces to rcstorc the ground as ncarly as is
practicabtc, to its conrlition prior to thc installation of the pipelirtc or pipclincs and in accordnncc rvith l'ederal
rcgulutions,
GRANTBB shall pay ta.res, assessmcnts or public charges lcvied or irnposcd upon its Easentent or upon other
personal prcperty, inrprovenrcnls or fixturcsorvlrcd orplaced by it rvithin lhe liasentent subjcct to its right.to
contest sarnc. tn thc evcnt sairl tascs, assessmcnts or public charges arc nol separatell'assesscd, ttrcn pronrptly
following rvriuen notice fronr Grantor, Grantee shall reinrbursc Crantor for any ta.\es. asse.ssmcnts or public
chargcs attiibutable to its llascnrent.
C;llAN'l'Bti,shatl, al its soleelipellsc; kcepthc lanclssubject tothc l]a.serncnl granted herein lrec ancl clear of all
liens arr<J crrcunrbrarrces resulling lionr CIIAN'l'ltE'S and its agcnls'aclivities ott the said lantls and shall
indcnrnify and hold hanntcss CltANTOla lronr and against any and all liens, clairtts. dcntattds, cosls, attd
cNpertses, includirrg, rvithout linritation. reasonable atlorneys' fees and coufl cosls. irt connectiolr rvith or arising
out of any s,ork completed, labor perlormed, or nraterials lurnishcd rvith rcspcct to or by CRAN'IEE and/or
GRANTEE'S agenl.
GIIAN'I'IIE \r'arrants and agrees that it will cornply rvith any and all larvs, ordinances, orders. ntlcs, rcgulatiolls,
slandards and licensiltg requircnreuls of any slate, Ibderal. rntrnicipal or local authorily or agcncy having
jurisdiction, norv in forcc and cfl'cct or rvlrich nray be passed. erracted. issucd. rcviscd. rcquirccl or latcr
prornrrlgntcd, incident to or arising out ol'or in any s,a), connectecl rvith Crantcc's utilizrtion of thc llasctnenl.
Crantcc agrccs that it rvill nol discharge. durrrp, burv or store lor purl)o.scs of trcatntenl or disposal, polltttants ol'
any kind on lhc Easenrent including, bul not linritcd to, pollulattts such as oil. chcnricals. toxic subslances or
rnaterials, hazardous rvastes or hazardous substances. including pollutarrts as thc same nta;' bc dcljncd. now or
in thc future, in any I'ederal, slate, or nrunicipal larv5, 1u;.r, regulations or ordinances. Crantce specifically
agrees to lirlly indenrnil-y and holtl (irantor harnrless lrorn and against all claims, dcntaltds, losses, costs o[
renroval and/or clean up of pollutants. judgnrcnts, csuses of actions. fincs. pcnalties, cosls, including, but not
limired lo, reasonable a[onrey's fccs atrd costs of courl, arising out of or connected rvith Grantecs
noncorupliarrcc ryith the tcrms of this llascment.
Noticc undcr this llasentenl nray be nradc b1, onc party to thc othcr in rr.riting by Unitcd Stalcs nrails. tclcgrattt.
facsintilc, or bc delivcred in person to the follos,ing addrcsses:
Right'of-Way llascmcnl
Pagu 2 of6
Illlttl llllttlYltlHl lltrI lj[:ltlfUl itlldltt lll,t llllIRocootion*:791314
O9rl3r20tO 03:37:15 Pfi Jon filbefico3 ot 6 Rrc Fce:t36.0O ooi Fir:0.Cr0-0Anf tflO COwIy c0
cRANI'Oll
Lindu G..loncs
7256 County Road 306
lrarachutc, Coloraclo I I 635
(970) 285- I 360
GITANTIIIi
lincnna Oil& Gas (USA) lnc
370 lTth Street, Suitc 1700
l)crrtcr, CO 80202
Attlt: Croup Lcad, Soulh Rockics l-and
(303) 623-2300
'l'his Easernent shall bc gor.emcd by and conslrucd in accordartcc rvith the lau's oIthe State of Colorado, lo the
cxtcnl said larvs do not conflict rvith any other federal statute.
'I'O l{AVll AND TO HOLD unto (illANTEB, its successors and assigns.. so long as thc right and eascnrent
hcrein granled, or any onc of thcnr shall be uscd by, or useful 1o GRANTEE for thc purposes herein grarttcd
arrd the provisions of this Easemcnt are to be consitlcrcd a coverlanl that runs rvith thc lturd lterein dcscribed. -l'hc
llasernent and rights herein grantcd rnay be transfencd, lcased or assigned, from tinre to timc, in rvholc or in pan. lt
is agrecd that any paynrent due hercunder rrray bc ntadc tlirect to said (;RAN'fOll.
Sectiorr 1445 Ccrtiticalion - Under penalties ol'pcrjury, the undcrsigncd (illAN'lOlt(S) herebl' ccrtifrcs that it
(they) is (are) not a non-rcsidcnt alien, foreign corporalion, foreign partncrship. forcign trust or foreign cstalc lor
purposes of U.S. inconre taratiorr.
EXI)CUI'EDasol'this day21of f,t ttJ - .,2010.
CIIANTOR Gltr\n-Tll,E
Right.ol'-lVay Easentcnt
Pagc 3 of6
Gas (USA) lnc.
Ricardo l). Callcgos
I lll lh t lrFrhlllt tillt l{\r,l,'ffi l{Llttdls l'l il{lllt ll ll I
Fil{l i if } i rlI'i'l,:If, 'r" l" ll"f af 36' E&,, e.o c.'|J* r y co
sln'l'E ol; col-oRADo )
)ss:
crrY AND coUNTY OF DllNVllR )
'llis instrunrcnt rl,as ackno*,lcdged bcforc fnc on,t i, I tb a oy ot'A-Wr* , 2010,
Callegos as Attomcf in Fact of Errcana Oil & Cas OSnl lnc., on behall-of said cEfiloration.
b1, Ricardo l).
'dlL
l- a----o-- -?--O-e - ----alI epntL JAoKSoN I
rrrvLorvrM*HAF#EAIb il- - - - - - - - - a a - - a o, a - - - - -l
My Commrssion Expires 092572013
Residing at:1101 N k*(anah 9'. Naou co'02"1
cor.rNrY oF,aAi.il
)
)ss:
)
'l-his instnrrncnt was acknou'tedged bcfore nre on this ?0 ,Uy of &a4 ? lOtO, by l.inda G.
Jones, krtorvn to be thc pcrsoll dcscribed in and rvho and rvho aeknotvledged to
mc that slre executed the sanrc.,3r
rj' Public in and
llcsiding at :
R ighl-ol'-Way Eascrncnl
Page 4 of 6
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ISSION I]XI'IRI]S:
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En&na Oil & Gas (USA) lnc.
Dcscf,pno.. HIGH MESA l6- DISCHARGE PIPELINE
acRoss JoNEs PRoPtRtY, sEcnotl J5, T7s. R96w.
GARFIELO COUNTY. COLORAOO
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Right-of-Way Enscmcnl
Pagc 5 of 6
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trsr6 g Sl'rtr I". ,t.ot tb*tErA flfttrtil'w,lz0,(Itlhrtnrpg r'tlt{.t,rW,tt90(G,
.Dm6A61395rW,58-4tlb,4.
lhorrr I4a'r436- W.2a48 rb.+
,16rro AgJ:z?lIF W, l6,f5tlot
OlraA ||ZI&'W, r2rie rb4tvDgll',/'ttrW.t7,l2lb,tdE6l,87'06t0, w.e.@&
,trror fil 48' r a', 9' W, 6, fr &.
dpE}J452r'td. W,n17&,ppl9tt5fTd: w.9A3a&*ftrrnrlu:ll'rrw,a.nW,dErorlYdr'trtr W $l.A r4 BS;,S OF BEAR'ryG
Iho Osso Doadttg f* lhte antwy b
S &)'1717 W,270'5.35 luf,,l bsfiraen
fuittd n?0iawnanlB al tDa Sourr(xrst
Comcrand tho Soutft @te{tuar0ar
tuner ol sodlon3s. l7S, R98Ul.
crg,Tt Ft c A TE _OF* SU R v.E YOR
t' Td leggatt ol FrulE., Anoffile, lnlleby ceilly
cluttv an adf0al alftcy mdo by ,t,,, q under
my clffi lw EnCa;,E OA A @a (U,SA) lnc-
aN hd tfie russlta dl whHt ato ffiy
ahovattrr,rgnt.
t-prAOl:?ft6.w,lu8-nlQDrE I 80tzsf W. 820J4 tt6tobE r{ &t':ltrrr W, l t ?.11 *UElr g er?t'rr w, 4.Ol lbd b aF rclr{l OF EHotttd, ab f,n 1fi4 tt
ttror{rilr{tat| cffiro dsu 6odm ES H qralua' e ilA$ d ftd't
fio soldl Chl€rrgrar grtar llr'utt,
Sard€r'ila.t|o n hrr 9tr5.5itrbd h r!.r&.
RIGHT.OF.TA'AY LENGTHS
PROPERTYOWNER SECTION FEET lOIAL
Jor{ES Soc. 35, T7S R96w 3005.52 ux,5.5Z
totd 3fi1552
ffi,#,"ffi*fl*ifr
RIGHT.OF.WAY LIMITS BOX
Rorffonco PdnF
FROM ro
I cmp6rof y
worl, Slroce
Lelt
Rlghr-oi-t/ovLrlt
,,ctmancniRltltt-ol- Wc y
Rialit
IcmPoror y
worh Spoc"
Rktrrl
P.o.B.e O.E.o t5'r5'.t$'
EnCana Oil & Gas (USA) Inc.
oEs(lrPno{: HIGH MESA 16" DISCHARGE PIPELINE
AcROss JoNES PROpERTY. SECItOr.r J5, r7S, R96w.
GARFIEIO COUNTY. COLORAOO
nrrE, AS sttorr" ["'"8 /^ /rc | onrnl e* c.n oArE on^r+rf 4/O8/iO lmo.rcr NuvBEt. lO-04-iO
ruR\€'"o oY' G"aq ;il11::L?SE':8,iffi3li.*fr ",,,oIr-ulrYEYIili (!o7) 7t9-f5{3 D<H//BIT A SHEET
?-oi2
Righl-of-Way Eascmenl
Page 6 of6
. jlt t{trr tllil{lfiilrl lttrtltll LrlEl*lf ltt:!I| lttl,llt'{ ll ll I
Fi?4tif lifffi o"l'i:"?6?E[' Et*F r €Lo co{,}, r y co
fiq7
RI G}IT.OF-WAY BASEM ENT
FOIr AND IN CONSII)EIIATION of the sum of 'fEN AND NO/100 DOI-LARS ($10.00) and other good and
valuable considcration, in hand paid to Frank W. McNcil and Yoneko McNcil, rvhose mailing address is 7300
County Road 306, Parachute, Colorado 81635 (hercinafler refcncd to as GIIANTOR,), the reccipt and sufTiciency
of which is hercby acknorvledged, GMNTOR hereby g,rants, sclls, conveys ald wanants to Encana Oil & Gas
(USA) lnc., rvhose nrailing addrcss is 370 l7h Strect, Suite l?00, Denver, CO 80202, its successors anrl assigns,
(hereinafler referred to as GRANTEE) a non-exclusive and permanent easement, thirty (30') feet in width, for thc
purpose at any time and lrom tinrc to timc to locate, nrainlain, inspecl, altcr, repair, operale, prolcct, replace, mark,
nemovc anrUor abandon in place, l*,o 0.1 pipelines hein? nvent)lIour (}4)-inche.s or les.r in size. and the right to lay
and construct the initial tu'o (2) pipelines, for the ransportation of natural gas and its constitucnts, watcr, pelroleum,
petroleum products, liquids and derivatives lhereof, upon and along a route to bc selected by GRANTEE on, ovcr,
across and through lands onncd by GRAN'l'Oll, or in rvhich GRANTOR has an interest, situatcd in Garlicld
Counly, State of Colorado described as follows:
Torv[shin 7 South. R,apqe 96 Wcst. 6th P.M.
Scction 35: SEI/4SWl/4
and being the same land described in that certain Dced recorded llook I 500, Page 2 I 9, of the Clerk's ollice of said
county, to rvhich rehrencc is madc for further description. GRANTOR grants to GII,ANTEII a thirry (30') leet
pernmnent eascment as dcfined on llxhibit "A" attached hereto and made a part hereor; GRANTOR grants to
GRANTEB a ternporary easement up to forty-live (45') leet in u,idth for thc purpose of cnabling GRAN'I'EE to
construcl the pipelinc or pipelines. After thc post-construction clcanup following the pipeline construclion, the
pennanenl eascmenl area shall be linrited to a strip thiny (30') lber u,ide. 'l'he pcrnrancnr e:rsemcnl, located on the
abovc described lands is generally dcscribed on llxhibit "A" altached hereto and rnade a part hcreoL llxhibit "A"
attached hcreto is not intended lo shorv the l-rnal location of the eascment or pipeline ss actually constructed; the
actuBl localion of the easement rvill estend fifteen (15') fccr on cach side of thc centerlinc of the pennanenl
eascmcnt as actually laid.
GRANTDE agrees that no surfacc equipmcnt and or surface facilities, including, but not limited to, valvcs,
metcring and conosion control equipment, or my other above-ground appurtenances, rvill bc installed rvithout
GRANTOR'S consent in rwiting.
GRANTOR furrher granls and conveys unto GRANTEE thc right of unirnpaircd ingrcss and cgress on, ovcr,
Bcross and through the above-describcd lands including other lands ouned, leased or claimcd by GRANTOR
which arc adjaccnt tllereto or conliguous thercrvith for all purposes ncccssary or incidental to thc cxercise of the
rights herein grantcd. with the further right of entry to mainlain the easenrcnt herein granled clear of trees,
undergror+'th, bruslt, slructures, and anv o(lrcr itcrns. lo thc cxtcnt GRANTEB dcenrs nccessary in tlrc c.xercise of
the rights granted hercin.
GRANTEE shall have the righl to select, change, and/or altcr the right-of-rvay casenrent through the properry
above describcd or alter the route prior to or during constructiorl rvith the consent of the GRANTOR, rvhich
consenl shall not be unrcasonably rvithheld. conditioncd or dcla1,cd.
GRANTOR shall havc the right to use and cnjoy the above-dcscribcd prenriscs; providcd, horvcrcr. GRANI'OR
shall not cxercise such use and cnjoyntent in a nranncr that rvill inrpair or interlcrc with thc csercise by CRAN'I'EE
of any of the rights herein granted. GRAN'IOR shall not changs the gradc ovcr thc pipelinc constructed hcreundcr
15
i+,,Hl#iffilfl:*tl.[l,Hl,:,1H:'r,i,'i,,,,,
and shall not build, create, construct, or permil to bc built, ercatcd, or coustrucled, any obstruction, building, lake,
engineering rvorks, or any olher type of structure ovcr or on said llascment rvithout advauce written consent of
GITANTEE.
All equipment or appurtenances to the pipcline or pipelincs, rvhich shall be on or above the surlace of the
ground, shall be installed in a nrarrner lo prolect the GRAN'I'OR'S livestock when necessary. GltANTEli
agrees that during conslruction of said pipeline or pipelincs, livestock crossings will be provided rvhere
necessary. Furlhcr, all fences that nrust be severed or removed for installation and mainlenancc will be
rcinforced prior to sevcring adjacent (o lyhere the cut is rnade to prcvexl damage to the fence liue. Temporary
gotes lo preclude the escape oIGRANTOR'S livestock shal! be installed where necessary. All fences that are
cut or removcd shall be rcstored in as good a condilion as existed prior to installation of the pipeline or
pipelines.
GRANTBE sgrees ar the time of construction to bury said pipeline or pipelines to such depth as rvill nol
interfere rvith lands undcr cultivation, and in accordance wilh applicable federal and stale regulations.
l:ollorving installation of the pipeline or pipelines, GRANTEE agrccs to restore the ground as nearly as is
practicable, to its condition prior to the installation of the pipeline or pipclines and in accordance rvith federal
regulations.
GRANTEE shall pay ta.\es, assessments or public charges levied or imposed upon its Easemenl or upon other
personal propcfly, irnprovcmenls or fi,xtures oumed or placed by it rvithin the Eascmettt subjecl to its right to
contesl same. ln the event said laxes, assessments or public chargcs are not separalely assessed, then promptly
follorving writtcn notice from Crantor, Grantee shall reinrburse Crantor for any taxes, assessments or public
charges allribulable to ils llasement.
GRANTEE shall, at its sole expertse, kecp thc lands subject to thc Easement granted herein flree and clear of all
liens and cncumbrances resulting from GRAN'I'EE'S and its agenls' activities on lhe said lands and shall
indemnify and hold harmless GRANTOR from and against any and all liens, claims, demands, costs, and
expenses, including, without limitation, reasonable attorncys' fees and court cosls, in conneclion rvith or arising
out of any rvork completed, labor pcrformed, or materials furnished with respect to or by GRANTEE and/or
GRANTBIt'S agcnl.
GRANTEII rvanants and agrees that it willconrply rvith any and all larvs. ordinatrces, orders, rules, regulations,
slandards and licensing requirements of Bny state, ficderal, municipal or local authority or agency having
jurisdiction, now irr force nnd effect or nhich nray be passed. enacted, issued, revised, required or later
promulgated, incident to or arisingout of or in any way connectcd with Grantcc's utilization of the Easenrent.
Crantee agrees that it rvill not dischargc, durrlp, bury or store for purposes of treatment or disposal, pollutants of
any kind on the llascnrent including, but not limitcd to, pollutants such as oil, chemicals, toxic substances or
nrateriats, hazardous waste$ or hazrrdous substanccs, includirtg polhrlants as the same ntay be dellned, now or
in the future, in any fcderal, slatc, or rnunicipal larvs, rules, rcgulations or ordinances. Crantee spccilically
agrccs to fully indemnify and hold Granlor harnrless frorn and against all clairus, demands, losses, costs ol'
removal &nd/or clean up o[ pollutants, judgnrcntsr causes ol actions, lines, penalties, cosls, including, but not
limited to, reasonable attorney's fees and cosls ol courl, arising out of or connected with Grantecs
nonconrpliarrcs rvith the ienns oIthis l]asemcnt.
Notice under this Easenrcnt rnay bc rnade by onc party to the other in writing by United States nrails, telegrant,
facsinrile, or be delivcred in person to lhc follos,ing addresses:
Right-oCWay Easenrcnl
Page 2 of 7
llll tyt III tHltllJlm mtliittffi lrlilH lll tl il'l rl rr I
i"f?t?l$if !!,{iif,l['o "1"
il.lif 35' tE*,, s. D c ouNr y co
GRAN'I'OR
Frank W. McNcil &
Yoneko McNeil
7300 Courrty Road 306
Parachule, Colorado 8 I 635
(970) 285-758s
GRANTEE
Encana Oil& Gas (USA) lnc
370 l7'h Strecr, Suirc 1700
Denver, CO 80202
Attn: Group Lead, Soulh Rockics Land
(303) 623-2300
lhis Easelnent shall be govcrned by and construed in accordance with the larvs of the Statc of Colorado,lo the
extent said laws do not conflict with any other federal statutc.
TO HAVE AND TO HOLD unto GRANTEE, its successors and assigns, so long as the right and easerrrent
herein granted, or any one of thcm shall be used by, or useful to CRANTEE forthe purposes herein granted
and the provisions o[ this Easement are to be considered a covenanl that runs with the land herein described. 'l'he
Easetnent and righu herein granted may be transfened, leascd or assigned, from tinre to lirne, in whole or in part. It
is agreed that any payment due hereunder may be made direct to said CMNTOR.
Section ltl45 Ccnifrcation - Under penalties of perjury, the undersigned GRANTOR(S) hereby cerlifies that it
(they) is (are) not a non-rcsident alicn, foreign corporation, foreign parlnership, foreign lrust or foreign estate for
purposes of U.S. inconrc taxalion.
EXliCUl'ED as of this day 5"r rl ../nt)dilo.al ,20t0.
CRANTEE
Right-of-Way Easement
Pagc 3 ot 7
GRANTOR
Ricarrlo D. Callcgos
Attornef in Fact
rank W. McNeil
llll ilrr llltltlltHU' l$'llll ltt$tlf 5ll$ m ruir lll't lr rr I
ffi {if }i:it',ii'.fl ';"1r.?a?&rtl*rrr.oc.u*yco
S1ATE OII COLORADO )
)ss:
clTY AND COUNI'Y OF DENVER )
This instrunrenr was acknowledged before me on rrri. ?G a uy otf/^ POla% , 2010, by Ricardo D,
Oallegos as Auorney in Fact of Encana Oil & Cas (USA) lnc., on behalf of said corporalion.
lO tD - o O- a O a - r - - - - - - o a e, cl! npnrL JAcKsoN It NOTARY PUBLTC Ir STATE OF COLOBADO ,5
M Y COi,l lyll I gl0i+ lilm{ ft f, $ p -. - -l
My Commission Expires OV2S/2Otg
srArr ., CIlAtiA.lt )
couNl.Y ,,hta(htld )ss:
'IJric inslnrmr,nl rtre qnlrnnrulerl<rprl hafnro mp nn lLic Ud,'llris instrument rvas acknorvledged before me on tt i, f ^O uy of r/rrAtrSf ZOrc, by Frank W.
landYonekoMcNeil,knountobetheDersond.,.,ib"din*d*u[I.ffidrh*forecoineinslrument.
Right-o[-Way Eascmcnl
Page 4 o( 7
for said State and County
and who tcknowledged to me that shc execulcd the sanre.
Notarl' Public in and lor said Statc and
Residing at :
MY coyfiystoNJXPrRrls:
,.' rtOl44r'i
,er;"l,ffi
iil ffirrttrlulrlll,,f{[ Iftl HrBrflt]'H\ililt ilt,'t lllll
Rcccpt ton* : 793438l0r?6I?0t0 03:53:22 Pll Jrtn ntb.rlco5 ot 7 R.o Feo;341.0O 0o€ F..|0,OO GffiFlgLo COIJilIY C0
Addcndum to Pipcline llight-of-Way Eascmcnt
Attached to and made a patr ol'that certain Pipeline Right-of-Way Easement Ourr)fuf--|/, 2010,
by and betrvcen Frank W. tvtcNcil and Yorreko McNcil, as GRANTOR, and En.rn?dliEdffiiA) lnc.,
as GRANTEE.
R r G HT-O F-wA Y EASE M ENr .LO-QAI!OIj:
'l'ownship 7 South. Ranqe 96 West. 6h P.M.
Section 35: SEI/4SWl/4
Garficld County, Colorado
RECI,AIMATION:
GMNTEE will reseed thc disturbed area, lo include the disturbance fiom the original right-of-way, rvilh a
seed mix that is suitable for the area and climate; GRANTEE rvill make a reasonable effort to ensure that thc
resecded orea reaches its fullest potential grorvth. CRANTBE further agree.s lo rcrnove the any debris
obstructing the culvert located across GRANTOR's driverval'.
Signed for Idcrrtifi cation:
Right-of-Way Eascment
Pagc 5 of 7
Frank W. McNeil
' llll #r t tlrltllHlt lllL Il{l t'l lt tllf l$illtl(hlt l{'t ll tl I
Roceot ionfl : 793436
i'l?di'Pl8 P3l?li?i'["*i'il.?i!S' tBrr I Et' c.rr]rtY c0
EXHIBIT "A" Page I of 2
U{l
$i
*l
I
'r.t
co
t\'ora
x
a
hF1
e,,i(o
s,
s
c,
stss
_(,)
.I
PUSLIC LAND SURWY Cfr2,ER
ANCI"E PANI
P.O.g. PdNf ot SEOnr(riYo
P,AE PANI Of ENONA ll
l8-Centerline of Permonent fr.
Prpelhe JO' ftight- of- tloy \
__@r pr wr*-"pgSl@..-
Centorline ol Permonenl .
Pipeline J0' Right-ol-Woy
'.o.e,
t-'-'-.-,-'- -'
Uno
@t
sot rHlrfs,
coRNER S€c. J5?@? 8Lu
ALUNTNU'I CAP
!on:') s{F^---.-- fl _lo(o? Sce 0etolt.^ F /
Oetoil
(trot to Scoto)
EnC.anaOtlSE Gas ftlSlt) Inc.
HIGH MESA 16" OISCHARGE PI
ACROSS MCNEIL PROPERTY LOCATEO IN
sEcnoN 35. T7S. 896w. CARnELO COTJNTY. COLORAOo
PRor€cr NUIBER: I O-04- 1 O
u^sArEtt srnv'rrilc AssogarEs
000 rrl\, SIREFL Ev^NsTQr. fi 0?9JO
Rightof'Way Easement
Pagc 6 of 7
/::f slp(/ pi$
/ l"'l:'+l opl"-
EIF
Pie\-l:-
souxt t./1 I
CORi €rP SEC. J5 |
op.IGINAL STOilE A
'lttt tTtr ttl ihfi ilr{ fl+u$r, !ilI':0Jilfl ilu[ff rt/r Ir,'r r I r ] r
R€c€pt i o^H : 703435
lOr25r2Ol0 Oil:53:22 Ptl J.an Rlba.ico7 ot 7 8.c F..:3{r.00 Ooc F..:0.0O GFRFIELo cotaJIY co
EXI{IBII"'A" Page 2 of 2
LEGAL DESCR'Pr/ON
A!&!et r0fhaffi, bcltrd 3r tb SSiH 8w111 d Wt s4 rrg n00W,
6rH Pil- W Cirnv, ffir6 fD. dnitgrr orclr.E$.t{ry!.tt|&rcdbcd&t&a:
@/'firaub!4 d tp&rdt Opal'.t a,tfr d d Wo g ct ct.u'}rtlA
Oraw N frWV' q rBt&t ftd rhrg dro
^&nhSotdr
cnrbr0rr drrl
8.cm? b f'r rc$t7 e 8Edlll0.r6fiP.'
tnfrN61'l73W t9(fifrlc6drt Or1l&zrVOtErW0, O cfvrlr W. 6e,*l 6d b Oo Pon{t ff ENptNO, d fifr,tiu q1
tlrt ttc dfilu) b i&ilc4 sry rfry:ar6orr
6ar ran dl Sairrrcr, @dfr d & 5,atE| 3tL
sdf oaUmo brp &a.7? lA h,autt
7T:o Daso Dosrfilg t* th9 atwy ts
iJ 80!4t45r E, ?fo3.e7 t@l M*an
fat,d n?€'luttlfr,E a, &o Sout n+€sl
@met aN llto SotIi &te(lsar0ar
@ner ol S&lut &5, 77s, 6t06YY.
CERTIFICATE OF SUR YOR
l, Td Taggstl d FrulE, Crdotmfu crrfly
tfial tile mqp wac fiado fftlt trclffi
clutlng an afrlo anrwy medo by na
W dk8€dod, (o( Etlcg,,ts oil A Ges lnc
and allgr lho (usulte alwtilch ara
allolanhetapn.
RIGHT.OF.WAY LENGTHS
PROPERIY Ot,l,NEE SECTIOI{FEET TOTAI.
MCNEL Sec,35, TTSF$W g!1.?6 60i.76
Tolpl 604.76
RIGHT.OF-WAY LTMITS BOX
Ralerenrc Pa'r(s
FROU IO
IrmPoroty
wort Spoco
I all
Farmcn!nl
Rlght-ol-l{oy
l.lt
l,crnctont
f,lght-of-woy
PL^h r
Icmporory$orr Sgocotllnhl
P.O,E,P,O,E.o ,5',5'45'
EnCana Ail & Gas ((ISA) Inc.
oESCilFnoN: HIGH MESA 16" DISCHARGE PIPEUNE
ACROSS IICNEIL PROfERIY LOCAIEO IN
sEcnoil J5. r7S. R96w. CARnELO COUHTY. COLORAOO
icrrE: 19 SI{O$N f'""*0 /10/16 I oern ev: clr o^rE oRArrx: 4/O8/lO leno,^ccr HUUER; l0-O+-lO
"K'lErEeun fu }$,ffi,}[fl!,li#i]i],,,,EJG,IBITA SHEET
)of2
Right-of-Way Easement
?tge 7 of 7
' IllllFrlllrlUl0lt[tlltt[,HfU{lHNt}lll{fl lll'{ ]lll
Receot I on$ : 793{35
10r25'rmlO O3:53:22 Fll J.r^ nlb.rlcoI ot 7 n.c F..:tel.00 0,oo F..:0.S1 GAiFleLo CoUI{,Y C0
e/t1ry1g
RIGHT.OF.WAY BASTiM IiNT
l'OR AND IN CONSIDERATION of the sun of 'l'EN AND NO/100 DOLLARS ($10,00) and other good and
valuable consideration, in hand paid to Patricia l-. Richardson rvhose mailing addrcss is 7515 County Road 306,
Parachute, Colorado 81635 (hcreinafter refened to as GRANTOR,), lhc reccipt and sufl'rcierrcy of rvhich is hercby
acknowledged, GIIAN'I'OR hereby granls, sells, conveys orrd rvanarrls to Encana Oil & Cas (USA) lnc., rvhosc
nlailing address is 370 l7h Strcct, Suite 1700, Dcnver, CO 80202, its successors and assigns, (hereinatler refencd
to as CIIANTEE) a non-c.rclusive antl pennanent easemenl, thirty (30') feet in width, for the purpose at any tinte
and from tinre to time to locate, maintoin, inspect, altcr, repair, operate, protecl, replacc, nrark, renrove and/or
abandon in place, two Qt pipeline.r being twentv.four Q{Lirches.pr lcss in size, and thc right to lay and conslruct
the initial trvo (2) pipelines, for the transportation of natural gas and its constituenls, watcr, pelroleunr, petroleun
products, liquids and derivatives thcreo[ upon and along a route to be sclected by GRAN'I'EE on, over, across and
through lands orvned by GRANTOR, or in which GRANTOR has an intcrest, situatcd irr Carlicld County, State
o[Colorado described as follorvs:
Igrvnship-7 $outh. Ranse 96 Wc.st.6th lr.M.
Scclion 35: Sli l/4SWl/4
and being the same land described in that certain Deed recorded in llook 1955, Page 0254, o[ the Clerk's o[Iicc o[
said counly, to rvhich reference is nradc for further description. CRANTOR grants to CRANTEE a thirty (30')
feel pennancnl easemenl as defined on l]shibit "A" auached hereto ancl rnade a part hereol GRANTOR grants lo
GRAN'I'EE a ternporary eascmenl up to thirty-fivc (35') fbet in rvidth for thc purpose of cnabling CIIAN'I'EI| to
construct lhc pipelinc or pipelines. Afler the post-coltstruction cleanup follorving the pipelinc construction, the
pennancnl eascnlenl arca shall bc linritcd to a strip thirty (30') fcet rvide. 'l'hc pemrancnt easement, locatcd on the
abovc described lands is generally described on Exhibit "A" athched hereto and made a part hereof. Exhibit "A"
attached hercto is not intendcd to shorv thc final localion of thc casement or pipelinc as actuatly corrstructed; the
actual location of the easemcnt will cxtend lilleen (15') leet on each side of the centerlinc of the pernanent
casement as actually laid.
CRANTEE agrecs thal no surface equipnrenl and or surlace facilities, including, but nol lirnited to, valves,
metering and corrosion control equipmenl, or any othcr above-ground appurtenances, rvill be installed rvithout
GRANTOR'S consent in rvriting.
GRANTOR further g,rants and conveys unto CRANTEE the right of uninrpaired ingress and egrcss on, over,
across and through the above-described lands including other lands orvncd, leased or clainred by CRANTOR
which arc adjacent lhereto or contiguous thcrervith for all purposcs necessary or incidental to the exercise of the
rights herein grantcd, with the furthcr right of entry to maintain the easenrenl hcrein granted clear of trees,
undergrorvth, brush, structurcs, and any other itenrs, to the extcnt CRANTIIE dcems necessary in the cxercisc of
the rights granted hercin.
GRANTEE shall have the right to sclec! change, nnd/or alter the right-of-rvay easernenl through the property
above described or alter the route prior to or during construction lvith thc consent of the GRANTOR, which
consent shall not bc unrcasonably rvithhcld. conditioncd or dclayed.
CRANTOR shall have the right to use and enjoy the above-described prenrises; provided, holever, GRANTOR
shall not excrcise such use and enjoymcnt in a manner that will impair or interflere rvith thc exercise by GIIANTEE
of any of thc rights herein granled. CRANTOR shall not change thc gradc over the pipeline constructed hcreunder
a 1
: lln irrf$rlu,HJl,fl,rt!fir rilil*rtt+illlvl'i,lIl{',I r lllR.c6rtlonH: 793{35
10lz6t20lo 03:53:22 Pi Jorn Alboflco
z o, 7 Rlc Fcc:tdl,0o Doc Fro:0.m GFFFIELo CoUHry co
and shall not build, create, construct, or pemrit to bc built, crcated, or constructcd, any obslruction, building, lake,
engineering rvorks, or any other rype ol structure over or on said Easerrrent rvithoul advance witlen conscnl o[
CRANTEE.
All equipnrent or appurtenances to the pipeline or pipelines, rvhich shall be on or above the surface of the
ground, shall be installed in a manrrer to protect lhe GRAN'I'OR'S livestock rvhen necessary. CRANTEE
agrees that during conslruclion of said pipeline or pipelines, livestock crossings rvill bc provided rvhere
neccssary. Further, all fenccs that rnust be serered or removed for instnllalion and maintcnance will be
reinforccd prior to severing adjacent to rvhere the cut is nrade to prevenl damage to lhe fcnce linc. 'l'ernporary
gates to preclude the cscape oIGRANTOR'S livestock shall bc installed rvhere necessary. All fences that arc
cut or removed shall bc rcstored in as good a condition as existed prior to installation of the pipcline or
pipelines.
GRANI'EE aglces at the tinre of construction to bury said pipeline or pipelines to such depth as rvill not
inlerfcre with lands under cultivalion, and in accordarrce rvith applicable federal and state regulations.
Following installation of the pipelinc or pipelines, GIIANTEE agrces to restor€ the ground as nearly as is
practicable, to its condition prior to the installation of thc pipcline or pipelines and in accordance u'ith flederal
rcgulations.
CRANTEE shall pay taxes, assesstnents or public charges levied or imposed upon its Easemenl or upon other
personal property, improvernents or fixlures owncd or placed by it u'ithin the Easenrent subject to its right to
contesl same, ln the evenl said tues, assessmenls or public charges are nol separately assessed, then promptly
following writ{en notice from Q1nn16r, Granlee shall reinrbursc Crantor for any laxes, assessrncnls or public
charges atlributable to its Easement.
CRANTEE shall, at its sole expcnse, keep thc lands subjcct to the Easonerrt grantcd herein lree and clear of all
liens and encunrbrances resulling lrorn CRANTEE'S and its agents' activities on the said lands and shall
indemnify and hold harmless CI|{N!'OR fronr and against any ald all licns, claims. dcmands, costs, and
expenses, including, rvithoul linritation, reasonablc altorneys' lecs and coun cosls, in connection with or arising
out of nny work cornpleted, labor performcd, or rnaterials furnished with rcspect to or by GRANTEE snd/or
CRANTEE'S agent.
GRANTEE warranls and agrees that it rvill cornply with any and all larvs, ordinances, orders, rules, regulations,
slandards and licensing requirements of any state, federal, municipal or local authority or agency having
jurisdiction, now in force and cffect or which may be passed, enactcd, issued, reviscd, rcquired or later
promulgated, incident to or arising out oIor in any way connected with Grarrtee's uli]ization of thc Easement,
Orantee agrecs lhat il will not discharge, dump, bury or store for purposes of treatment or disposal, potlulants o[
any kind on the llasemcnt including, but not limitcd ro, pollutants such as oi!, chcmicals, to.xic substances or
materials, hazardous wasles or hazardous substances, including pollutants as the same may be defined, now or
in the future, itt any federal, stale, or rnunicipal laws, rules, regulations or orclinances. Crantee specifically
agrees to fully indemnify and hold Grantor harnrless from and against all claims, demands, losses, costs of
removal and/or clean rrp of pollutants, judgments, causcs olactions, lines, penaltics, costs, including, but not
limited to, reasonable attorney's fees and costs of coufl, arising out of or connectcd with Grantees
noncompliancc rvith the terns of this Easement.
Notice undcr this llasement may be made by one party to the other in writing by United States mails, telegram,
facsintile, or bc delivercd in person to thc follorving addresses:
Right-of-Way Easement
Page 2 of 5
Ill lttr ItrltlUJ,llt,( ll*',llfl l+ftftlll#t'fliJll+{llll,t ll ll I
Rcceot ion* : 793435
loJ2EI20t0 O3:E3:Zl Prt J..n nlb.rico3 o' 7 Rso Ft.:$d.l.00 0oo F..:0.60 GnPftEL0 co{rNry co
CRANTOR
Patricia L. Richarrlson
751 7 County Road 306
Parachule, Colorado I I 635
(970)28s-?5st
This Easernent shall be governed by and construed in accordance rvith the laws of the State of Colorado,lo lhe
extent said larvs do not conflict rvith any other fede ral statutc.
TO HAVE AND TO l{OLl) unto GRANTEE, its successors and assigns, so long as the right and easentent
herein granted, or any one of ihenr shall be uscd by. or useful to GRAN'IBE for lhe purposes hcrcin granted
and the provisions of this Easement are to be considcred a covenanl that runs u'ith lhe land herein described.'Ihe
Easemenl and righs herein granted may be lransferrcd, lcased or assigned, from litne lo linre, in rvhole or in part. ll
is agreed that any payment due hereunder ma), be made direct to said GIIANTOR.
Section 1445 Certification - Under penalties ol'periury, the urrdcrsigncd GRANTOR(S) hereby certifies that it
ftheD is (are) not a non-rcsidenl alien, foreign corporation, foreign partnership, foreign trust or forcign estate for
purposes of U.S. income taxation.
EXECUTED as of this day I of ,2010.
CRANTOR GRANTEE
Patricia L. Richnrdson
CRANTEE
Iincann Oil& Gas (USA) lnc
370 lTtlt Street, Suite 1700
Dcnr,er, CO 80202
Attn: Croup Lead, South Rockies l,and
Q03) 623-2300
Ricardo l). Gallcgos
Attorncy in Fact
Right-of-Way Easemcnt
Page 3 of5
Illl lrtrr IIl rlUl,illl l{Lll$ I iltBrilfii lltli hiJl,lll'{ I I I I
Rocoot lon$ : 793a33ib7iTeOto 0i:53:22 Ptl Jarn nlb.ricoi-;i-i-H;; Fiiii,ii, c*t'od-Fi''0. 6d -canr
t ELo couNTY c0
S'I'ATE OF COI-ORADO )
)ss:
CII'Y AND COUN'TY OF DENVER )
This instrurnent was acknowtedgcd belore me on ttris ?{ ,r uv or A*&l% , 2010, by Ricardo D.
Callcgos as Atlomey in Fact of Encana Oil & Gas (USA) lnc., orr behalf of said corporation.
€.-o aoa-a raao""e " c'l
i apnlL JAoKSoN Ii norABY PUBLIc II srnreoFcoLonAoo !
M Y Colrt[ili$ o*1, g xf ffi lpg - - - +r
My Commrsshn ExPires oUer2O13
Ndlriry l'ublic$n and for said State and County
nesictingut, tll0 Uken^,+r $ nc".r'coyrrlu
srArE oo A/r, alt
corrNl'Y ot, Gorlt//
)
)ss:
)tlr/ day'l'his instrumcnl was acknorvledgcd bclorc me on this
Richardsorr, known to be the person described in
acknowledged to me that she executed the same,
10, b1'Patricia L,
foregoing irrstnrrncnt, and who
Riglt.of.Way Easemcnt
Pagc 4 ot 5
lON I]XI}IRES:t" ?f:l gli;;?
.,i '12
i Nolaa, i
- ?, 'r /,/ . a//- I fi q/
Notary Public in and lbr said State and County
''
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Rcccot lonB : 793435
l0125720lO 03:53:22 Pll J..^ nlb.rlcoa-;i-t-R& Fir'tli.oo ooi F..;0.00 6nf,FtELo CoUHTY C0
Addcndunr lo l'ipcline Right-of-Way Easenrcnt
Attached to and made a parr of that certain Pipetine Right-of-Way Easenrent daudi1 201 0,
by and belrvcen l'alricia L. Richnrdson, as GIIANTOR, and Encana Oil& Cas (USA) Inc., as CRANTEE.
RI G-HL-.9F-WAY EASEM riNT LOCAl'r ON:
Torrnship 7 South. Ranee 96 Wcst..611P.M.
Section 35: Slll/4SWt/4
Garfield County, Colorado
CONSTRUCTION:
'l'he construction of the pipelines will require the renroval of some lrees, and GRANTEE rvill havc the option
olhaving those trees lrlor,ed, but nol planted, next lo GRANTIIE's house located on the above-described
property. 'l'he said trees will bc flagged for identification by CRANTEE prior to their rernoval, Any large rocks
unearthed during the construction of the pipelines rvill be stacked next to CRANTEEfs house locuted on thc
above-described propcrty.
RECLAIMA'I'ION:
GRANTBE at GRANTOR's requesl rvill clear addirionat acreage along rhe Pipetine Right-of-Way palh,
without rentovirtg any trees frorn thc additional acreage, and reseed the area rvith a seed nri.x that is appropriate
for the area and clirratc.
TB4$tt
GRANTEE ag,rees that littering of any kind is not allowed on lhe propefly by anyone associated rvith the
conslruction of the pipelines and the reclamation of the Right-of-Way.
SMOKING:
GRANTEE agrees that at no lime rvill anyone associated with thc construc(ion of rhe pipclines and reclamation
of the Right-of-rvay bc permittcd to srnokc rvithin lhe boundaries of GRANTOR's property described above.
Signed for ldentification:
-p+..'...-L.e-L*Jl.--
Right-of-Way Easement
Page 5 of 5
Particia L. Richardson
'. llllllrrlllrllll,illl,hl,llltHBlfl(Hl.:fill,lfl lll,{ ll lllRoccptlonfl: 7g3tl35
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llxl-llBl'r "A"
ill--*-.ot lo Scato tl
ln\_\_\6
'q-'1+
Cenleilino of
Pormonent Pipeline
:?;;ffi#-j=_:II
\JO'Rlght-ol-llay ///r,_/i_n,
/W
69,A5'
s!r, DrriJ,toq{x lIc .!tflr, 1tL.lruCrO
P,O.g, rg{l of 8Edrviltfl6
F.O,e. PGNI Of' rir{orJvc
ru0u6 rr,vo SUPl,f:r CO4flEP
,NaE POiN'
\.. ',*- 4.- li1. (Ui)
a5\6'Nt, t0c.a5'
N69'45'd6"'.'. 2603,67'
Soctioo J5
Soction 2 sarnrf.
O(llrit a0ft6rlr
hw<ttr atr
ACEOSS RIC}IARDSON PROPERTY LOCAIEO IN
SECIION ]5. T7S. R96W, CARNEIO COUNTY, CO.ORADO
En*na Otl & Gas (IJSA) lnc,
PRorcr NUHOCi; I O-04- I O
t^'^rcH 9JR!EYS|O lSSOOllES
006 urlr sIRtEr, €v Hslolr, !,Jt 820Jo
Righl-of-Way Eascmcnt
Page 6 of 8
E!
"' llll ffrr Hlfitll,lllPtlJhu Hf ilHHt:lllu ttt( lll"l ll ll I
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i-r2EXHlBll'"A 2o
LEGAL DESCR'P TION
A fioetuio d$ht4l*wy ldled h uro s6l lt stvlvl d s3(,,hn 36 f7s. R96w
ATX P.U, MleE ca,/nry. co,org,do, lt:o ct,ntodbe ol .oH t$ht4/.vsy EW
ttpto g,'ilcr& il dwlDod or r&*:r
@iltfionfJftg ot aho Sbrrt rriurl Cqrror o, lau addjoo 35 oN a/nihry
thonco N C9'a31d 6, 203d.33 lool abrp lltr xrtth rltzo thotal:
Oalcr ild,'ra'r3'W.87I fOtaa, b t lo POr rT OF EEG,lVlrlArG. ,4]bt pclnt
wQ dt ltr lim f,trtt ro uct d, and 8bfia.d rdt ,Iryrtb6;
ltcaro 8 65'07?3, W, 52r.75lacl:
afilrcr S Jr?820, W.}fit,ol laal:
olE,lco S m'frz? E, 2i23.r, lalt
|,,,stoo 9 8t'25'tl6F lv. lfi),gti lool:
Ooac, S 30'{3?6' W. @.BS toot tD tt?6 &,NT oF ENANG, *iJ frnt lttq ut
tt. frxtit w o, ,fr sedb.r 35. i, 8g'as'.Ir ,i, t220.a4 ,oat ttodt a,re souhrvorrfurn droroprl.
SoH ('rt rrlrr Ootng l tl 3,61t laal h le,ld,th,BAS'S OF 9EARTNG
Tha Aaso bearing lor lhls suney ls
N 89'45'4A' E, 2603.67 lao,0atwoan
lound monuments al tho Sourhwos,
Comor and aho Soulh OneQuafler
Comsr ol Seclion 35, fZS. R96lr.
cESflFtC4IE- oF SURVEYOR
t, led Taggail o( Frulla, Cdorsdo hereby cartily
lhal thls map was made lmn nolas token
duing ao actual suNay mado by me or v&er
my diraclion lor EnCana Oll E Gas (USA) hc.
and lhal tho rosurls alwhle.h aro anoclly
shown heraon.
RIGHTOF-WAY LENGTXS
PROPERIY OWNER sEcrlor{FEEI rOTAL
RICXAR(ISON Sec- CS. r7g R06w tc70,68 r3r3.69
fc,ot r 3rt,a0
RIGHTOF.WAY I-IMITS BOX
Rolorom Hntc
FROM TO
ICrnporOry
Woit Spocc
l.{l
rarlllonQnt
Rlght-or-wo,l.rl
ratrnonSn t
R16ht-of-Woynhht
It,npoaoty
Work Spoco
Rloht
F.O.8.P,O.E.o ,5't5'J5,
EnC-ana Oil & Gas (USA) lnc.
D€s(ftPlror: HIGH MESA 16" DISCHARGE PIPELINE
^CROSS
RICHARDSOI.{ PROP€RTY LOC^IED IN
stcnoN 15. T7s, Rg6w, cARnEtO co{rNrY, Cof,oR^oo
rAa AS SHOI{9 l'-*$/3g/ld 0nrr$ 0y: Grr 0Arr oeArvN, 4/Og/lO lmorcr ruvs€R: lO-O4-'l O
UR*EYEDET: f,DEm lfitiLiflEfhiiffi,3.r,or:lllltrYrrq- (Jor) 76e-.315 EXHBTT A SHEET
2ol 2
Right-of-Way Easement
Page 7 of 8
*&116'fr*rr*o cowtY co
RTGITT4P.WAY EASf,MENT
rloR AND lN (ULSUTE*,IILXi of rtrc srlln otTEN AXO Nrytq, mu",tRs ($l0no) "d dlcr r,CIl
and r.rtnblc mddrrliro. io hmd prid !o l.airy D. Kun rnd llrrm Kmr (hcrcinafttr reH lo as
#BA[{TO& trt drcr sr o mru}. thc reedp arxt sufEcincy of whicft is }rn*ry eclm*lolgod, nlnrsc
mailing *Urcr is t6fll Air*ry RnrI, Le$anon, OR 97315 h, FJtc.nrOil & Cxr (USA) lnc- *fiosc m:ilitg
ddrc$ b 3A) lf flrEil. Suitc l?00. tlnvcr, C0 Em0?, (trurinaicr rfcntd to at GXANTIr).
ORllX[O* h*cty ff;rn* s|tg c<rrw1: and wlran& to CRANIf,.I' il* srr6cnon5 rad rssi$t' I
p€murElt etrErn !(.(10)&ktyfu ir rd&h, fathc prposcA anytirm.rd trom tinp totinr o hy, h*q
ccufnr:. mainrin, iuprO, dfrr. refrk, ogcr.tq prclcct, chrngf tk size of, mplm, relocal rmdg ranwrt
andlrr rbsa&fi in frre. trru @) piplilc* anl afinrGflrnes. oquiprrlt and facilities rseful or irrcilcrtrl
l|gtlq inc&dirE birf nd limitld trr, yrhe* mctuing and conooiro c1)Iltol cquip.ncn( ard rny rDorr-
gurd rpportffiF*r as nay bc nsrs$aq' fi convcnicr, f<r tlrc trlrryort lin of naturrt gl\ p.tt krrq
Iptrgk1nn pisdra1r 1r1d drriwtitsc tlrctcof arxl any ofixr tiquids, gltlr, r subslanccs *iich cm bc
h.rlr{to.tod erud,t pi;Elh.\ rrycr rrd tlorg, it ,ortc to bc sriocfrd by GRANfBE cr, ovrrr auw and
tinnrglr bnb ownod by GnANfO& or in r,rfikh Gf,AfffOR ht an intcresl. iilurled h Gerftld Coury,
Strtc ofColoado durcribcd rs follnrs:
Torrnstrit t tiuifr RtEp 96 Wcrr, 6& P"M.
Scttirnl: l.ca.l
Sati:a2: SWdXff,{
Sarixl: S&ll{E{
Soctin]: S\['$aEl
ticctionl: SE{XW{
erd bciq thc srne lernl dcsihrd in lhorc ccrrain Dcds rcordsd in Bodr lo2t, Fage 52I. ard Eook I lt7,
Pagr tH, and Oo* l{tr, Frgc ?02 of thc Ckth oflicc of said Cannty, lo *hich rsf€rt{re ir rur& ftr
fur*rr ri*criptbn- t, dditior b ilr (!Ol drirty feet ptnnucnt ers{mrnt arto ls dr{ned ahnc, GRAITIOR
Sf.,Ii lo GRAI{IED e (arqrcr.lry urxtuent (,15) fixty-firr fed in widlh adja;urt to the pcrmilctrt €lii.rE{tq
firtlrcpurpcofcn*lirg0nANTff, to iniliallyo:oslructtlt pipelirle. Aflcrthc aost-corutnrclionclcxtrtp
folloving tlr inirid pipclinc cm{ruoioo, thc pernuncnt e:rarrf,rrl ,rE ihdl bc timit d to a *ip p0} ttity
frd wilc rs rt*rcaocl rhnr. Ttr pirmrner{ cmmcrf,, lmtcd m the ahove dc*:ribed hds ir grally
desihcd on Ertribit A k$s l. 2, rad I attr}cd hcrtto ld mnde t pr( Irercof. EnfiiU,it A rrre*lxd hatto is
nol intmdsd lo *Fu ric frul turarinn of &c cassnenl or pipelimg as acfually corrnnrfcq, drc tcllJill kxdgr
oftheea*rncot *illcrurd (tt) fiftctn fcttoo.ar'h sidc of0rc csrterlirrcofthc pipelirr araclustb hit
GRANTOR liarrf,c gontr rrd orowls unto GR.ANTDI) rhe d$rl of rminrpfud ingrcst anl egrtrs olr.
owr. rrc$ aod rftrrlqh tlr dnw<tcscrikd lalds inchrling othcr hrds o*trrl. lcrstd r chirnd by
GRA$IOR *tis[ la {hrrrrt th.rrto or corrtiguous thcrertith frx all prrpcrcs uslsary ff inrir&mra! $t
dr orcrcir of thc riglts lucio ggarttd, \yith 0!c firtfter riglrt oI crrq' Io nuintain the e.d.rltfil [.dt
grantcd clc!. of ktrr, unttrgrriwttl hflrsh, slnrofts\ arxl any odrcr itons, to thc cxltnt (;nAMmE dcm$
namrary inticrsctciroftftc d$rligrrnted hsein.GRAMEF,shell notbe liable frrdarnrgsscamd b
l,cepingsall wrnmlclcrroftreq undcrtn)irth, tnrsh. rlructrru\ 6xnydlrsotxrrrcdrrr
GRANTOR sholl hrlc dre ridrt trr rxp rnd enjoy thc rtr'.. odasriH ptmiscsq, potidal lrnrwrs,
GRAN-IOR rtall rnn ctercisc urh urc url ufrl'nrctrt in a rnanncr tlut will impoir or b*rfue trtth thE
q/t,
ill trrlll*Elt [f Bu*T&litt$lt H[['l ili [i' 1@llqtr: TlWi,i'fl4* li T###LoHffir&',.., rlviri co
arercisc by Gf,tlI$TBE ofrny ddrc ,i$Ir trrcin frnt d- GnAl{ftt*4mr nor to chrnp thc grade ortr
0E FFlitr 0ofitnEtod hcrrr[t&r.d *all n,t hritd, cfilr- cdrt{nr( o Frmit to be htik, crcatod a
conOiUc* any oU*uclioq hriHlr& hkc, cnsimcdrg $rlrkr or rnry nlrr tryc of stnr{urc ovcr r ofi reid
('-*rnenl.
Gf,A!{T}:D rgres at tftc tico of coltlng.krn to hrI ia6d pixrirc b $o$.rrpah ar will nrl intsfcrc uith
hndi urdcr oftimfioq ad in mdrrc *irh 4ptiat*c Pcdtrrl ,nd tirac rcgut{irxrs" Follo*iry
i,1{altiti4n of ttc pipcline, GRAttTEf, agrccs lo ,rrtr€ ttc gpal a* nrrly s it prbctkablc, to iB
condilion pinr to frc instdL&ro of ttn pipdinc end in xcordrr<r rillr Fcdu'al rqulrions.
GBAITTEI: Cntl, at itt rob cpclr€. keep drc bdr sublrt tr fie a*onmt gannd trrcin fiq: end clcar of
all lhac erd encumborcr narlting from GRANTIIE $ ad itr agms' rtivitics m dr rrid Lds ilrt
ilell iodcnrni$ and hold hermle*s GnAmOR fitnr rnd girc oy td rll lirr6, claims, &nand*
ccrg rd Gxpersa, incMing" rryitirnt linitxiqr, attrxne5,r' fcts rnd corrr co*trs irl coflocctim with or
.ririrg orrt of any srrxk &nq labor pcrforud rr mttcriab timiCrcd o.E6 mrpocr o ot by tiflANTf,f,,
endor GRAIftEf,'$ agenr.
TO IIAVD AND TO I{OID ruto GRAlYfEf,, ilr nlccess:r:e eart rsignq nr long as tic right and
easconnl hercin gr.dar, or any urc of thcrn rbalt bc ud iy. m ru{ul to GRAIfTEE fix ttc purpoels
t rcin grrrtcd and thc povirba* of drir agrcnrcor arc fo frc cruifitud a crntnant thal nm with thc lantl
hflein dc$ribd aod GIUITYIOR hcaby bin& lhon*ttcq tlrri trtin cstr'uaxs and adminirtratoc, ard
their scscsro6 and axigns to rarrrnl ard forcvcr d.fod lhfu rfuJd of *zry e*d ca$llcol unto dt
CIAITEE itr rmrcrgms and arsigr, ageia{ eycry pcr!.r6 *boosrt, hr*frrlly cLrining or lo chim thc
$litrc o, any part llrrmf. Thc esorrnt ud ,ightr trscnr gnafcd mrf'bc umk'rlc4 kacd r |s$g,t4
Em tinc kr timq in ntolc rr in gt- It is ry6cd tha er1'pr;rrnt6c lrudcr may be nrde dicct m
sall GRANTOR tr my occ of drcn (f rnorc tllen oce).
Scctim l,tt5 Crdifnrirn - Underprulrisof pcrjrry, tlrc grrlrrri@ Crarur hcrcbywtiD fta firy re
ncl a non red&d al'r:\ fordS;r crrFratkr! krcigr pnrslip, fccigr m* er forcigr eit{c for ptrprucs
of lJ.$. irsrrlc terafion
EXtflItED rsorfiis dal, JL!- *$cfemb€', 2010-
rurnl{m;lQa(tSA)hc.*WRlmrdotLGil6u
\k,,tC-zAltorrry-irfr.l
-,2%,G',-
,'' mD. XD;m t". Ilerna xror
r'_-:
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r rrtri:oio t2 dr.flt Fn Jld f,lH.et,';i-e-F; io-iri.o oo; f'.. o @ cr*t ltliG coL'rlY co
AC"t(NOWLf,DGT,MEJ{TS
$tamofCotora&r )
)$OumtyofGrti&l I
,trl
Olrhlr 15 7-day otseger&r, anIQ hctrxp rw pcrconatly appearcd Mictatl D. Kmx, FOA
for larry D- Krnx srd Dam Knorq trurwn io nr to bc drc Frson rkscribcd in and who
cxccutcd thc frrcgoing i&rrrncnt, and *'tn arknowlalged to nrc tlut hc t"recutcd the ramc-
($EAr)
f,{y'cunmlrsioncxpi**.*
cl . ?e. t3
$mrof(blorado )
)$
CityardcountyofDcnttr I
ct rtri" I I/!ary.tj!,t-, t!,n
-.
zoto, bctorc mcpcrmnally apparcd Riciudo
D. (hllegos, Allomty-irl.Fra fr Frrcam Oit & Gas (USA), lnc., known to mc trr bc lhc prson
dcscrihtrt in and rvto rxccutrrl llc &rtgrrirg in*nrmcnl, arxl who ac&mwtodged to me thar hc
er.cc-utod lhc runc"
6rrrl-) i ePar;acxsot't ii wornsvPtnl-lc ii sfAreffic,1]i-onAoo t
la,..t'no-tt"t""tt"d
' lr'; sm*s,tn l:rt tB{ OY''5]tt !
Mycommisrion eirpircs;3l st:l t t / -t) tt ( '-'yY6/q 6t -,
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EXHIBTT"A"
Pagc I ol3
This llxhibir "A' i$ attartrd l1r and nrade a prt *f tbar ctrfnirn Rrgtrrt of !!ny liasertent
try aad bctwcen l-atry K. Knnx aad Daru:a K:r-ox as Grantor ard Ers;*rul Oit & (las
(USA) Inc., as Cranter.
'l'o+.mfu-p I Sculr RanNe fti lv,sfl' 6dr F.!\,L
$ortion 2: [.,or 4
SecJion2: SW4NW4
Sectiort.S: SI#NF,4
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This Exldbit "A" is a$achql to anrt ura& a pnr of tftai crrtaia Rrght cf Way l;ass6161tr
hy and bctrueen tr-any K. Kmx and Da$na Knox ar Grurx end Fncrm.r oin & Gas
(USA) trtc- as Gru{ec,
fsrche$-lqd[ R:tgEo % w.q.6ft J-U
Srtli{n2; L<xl
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This LrhihiE "rt" ir aftr.8x,.! 0! asrd rurde a prt nf tllar rrertain Righr of way Lascnr*
!,191 bcrurcor l*rry K- Krqox anrt rlamra Knnx ar (irant.r arrr Entrna oit & Gas([JSA| Ioc., ar tftuoroc_
t:l
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sa9"2'56"fi, 261J.32'
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is
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POA for Larry Knox
llll lliltrlhllf,lllHlitt llt,klIil*1fltt'H,t lilld lll"i ] ll Iissiim$: 795tE!t2t',iitzolg 6C,44,14 AH J{ah glbfrreoI el { iao Fae.t2€.00 Dsc F-r,5 dB GaQFIELD Cohfr 0O
COLORADO AGEI\.T'S AFFIDAVTT REGARDING POIVDR OF ATTOILI{OY
STATE OF COLOLADC)
couury or -.&orff eld
I, I4ichacl 4 KnQx, wliose aridross ig lji[Counrv Roadj-Q6, Prtlchute-Cqitlitdc 8i6:1, of iawixl
age, pursrant to sodtions I 5-l -1 -103, I 5- i 4-50i, ond I 5- 14-502, Colorado Revisrd St6rute5, sute upoR oly
oerh that I atn thc atr.orlldy-ir-frci snd aEent for Law D. Kripti, principsl, under the power of eitrrm*y-dattd O4- l8-CQ -. -.,reopyof.,vhi;hisattachadheretoaniine$rydn1edheteinoyfiis reference, tbat as of this drte I have no r.iuBl lnowiedge cl the rcvocstior or tenninstiori of the
power of uttorrqlr by any act olthe pr.neiprl, or by tire ieadr, disrbiliry, or iocompet+nce of tae pritrcipll.
tlur n:y authoriry har not beeu tsnainated by a dectee of dissoirrtion oltla:riage or legal :e.artstion, a:rd
thnt ro ite beut of rny krowlcd6e the powar of r.ltn*.ry has not becn so lrrmintted atrd rcurtins valid, in
t'r:ll for* anC e$ect.
Dated:nr-rB-nq
Tire fotcgoing Aftidavit rv'a-< zubacdberi and srvorn tc Ilefore ne on -fu-.l!S--, 2009, by Mi*Erl
h. Kno;t.49s"1t.
Witrcss tny hatd and ofticir! uesi,
Nlycommissionexpires: li- li- AOll =,.,,
Mhpoo& #. rd,*crdc ' -yo11.y CuElic
llll ftrr lhrltlltlfi[hq,ltt Lltllllltl*1,1llrl,hrfl li,{ li fl In.o.attmB: 795tsf,l3r!arr9rE o0:lt 14 lfl JBu AlDrl!o2 ot I id t{.t26.M Clo F!r.t 00 0EnFIELD CCUr.r:, C0
COLORADO STATUTORY POWER O}. .C..ITOR\EY FOR PIIOPERT},
NOTTCE: UNI,E$S vOU LLrvIlT Tm PQwfR IN THIS DOCUMFi'T. TIIIS DOCLTUENT GIYIS tOL'B
AGENT TllE POtil'ER TO ACT FOn YOU. \4TTEOUT YOUR COI\SENT. IN* Al.Y wAY TIIAT yOU
CO[I!,:D ACT ron YOURSELtr. TIfE POWERS CR\NTED !Y fUlS DOCU]{ENT ARS DROAD A\D
SWIEPINC, THEY ARS EX}LAIi{EU IN ITTE (UNITOR}I SIATUTOI}Y TORIII POWER OF'
A1"TORIiDY A(:T". P.dlI? TI OF ARTICLT I OF TITLE 15. COLORADO REVISEO ST^TUTSS. AND
P{RT 6 OF ARTICTU I* OF TITLf, IS. COLORADO RGTISED SI'AI'UTBIS. tr YOU IIJ\IT A}'Y
QUESTIOITS A3OUT TAESE rOwERS. OBTAIN COIIIETENT LEGAL AD\t(:t. TEI$ DOCtJlfEriT
DOES NOT AUTEORIZE A\YONE TO l'tANI IIIDICAL OR OTHDR HEAITH.CT\IIE DUCISIOXS
rON YOU, YOU t{.{Y REVOI(8 THIS POi\IER OF ATTOR\EY IF YOU LATER II.ISH TO DO SO.
TUE PLn'pOSE otr'THIS IrOlvER OF A'I'IORNEY IS TO GIVE TIIE PeRSO:i r"OU DESIGNATE
(YO{"R {AGEXT") BROID POWERS TO IIAI\:DLE yOUR PROPEnTY AllD AFFAIRS, WHICH }IAY
NCLT]DE POW&NS TO PLEDGEi STLL, OR OTHERWISE DISTOSE OF fu\Y REAI. OR PERSONAL
PR.OPERTY WTT}IOLT ADYANCB NOTICf, TO l.OU OR APPROVAL BY YOI;. TBIS }.OR}I DOES
I\iOT LUPOSE, A DLtY ON YOUR ACE:{T TO EX$RCLSE GRANTED POwfRS: BUT WIIEN PO\}tRs
ARE S.I:ERCISED, YOUR AGENT IUUST US[. DUE EARE TO ACT ITOR YOI]R BENEFIT NND Ii\
ACCORDAIIiCf, IVITII TIIE PRO\{SIO:*S Of'TIIIS FOA,\I AItiD IftUST KEEP A RDCORD Or
RECEIPTS, DISBUBSEMtr]\TS, AIiD SIGNIfICAI{T AC"TIO}S TAKf,N AS AGE\T. YOI.J M..\Y }iAME
SUCCESSOR AGEI.fTS I,I}iDER THIS TORU BUT NOT CO.AGENTS, UNTIL YOU ITEVOKE T}IIS
POWOR OT ATTOEXEY ON A COI/"RT ACTL\IG ON }oUR BIi:HAIT'TDR}'I}.iA1TS IT, YOUR
ACEIYI IWAY EXERC.ISETfiT POWER.C CIVEN HEBf, THROUGHOUT YOUR LIF&TIME, DVEN
^TTER
YOU IUAY BECOME DISABLID, (i!TLESS YOU EX}8.ESSLY f,IVTT T}IE DUITATIOX OT
THIS FO'|VDR TN TI{E MANNER PROVIDED DOLO\|/.
YOLI MAY HrIVE OTHEN NGHTS OR PO}V&RS UNDER COLORADO LAW T\iOT SPECINED IN
TTIIS FOIU\{.
l, LA.RRY D, KliOX, rlso knrrwn rr Lurry Kr:ox, ol t6q0 Alr#ay Ror.d, Lcbs:lon. On 9?:-<S.
appoiut I{ICIIAEL D, I$;OX. sls(r kr.oi^,!r as Mir)hacl Knox of i6t)0 CrrlnU Rord, 106. Peyscl',ulc,
ColoraCo 31635, +r ny A$*ir (*nonray-i:r-fact) lo rcl for n:o in sny lLwiul ney wrlir rr*p+cl to thc
hllo\YinB i0itlslc.i rubjcclr :
TC CRANI O,\*n On i\,rCBE 6P TI-IE IOLLOIID{S FOWERS, NlTL4l, 'llil LIrE 1\.. FR,CNT 0}' EAC;{
FOviES. YOU AF,5 GBANTn{$. TO wlTI'lIlOLD .{ powElt, DO IQi tNITlr.L T}iE LItiE i}il F'}{Q}:T OF iT
Yurt! MAY, BUT NEED NOT. CROSS OUT EACII FOSTER'{9I?H}iELD,
INITf,{L
/ fi4_ (A)
/.fi/l G)
A,AKr
R.al propcrlry E rasaotior"r
(witen proporly rscol'ded)
Tangib'lc pcrsonal irropary
trrtrsrrlions.
Siock *nd bond ronrlcticn:,
Co:nrnodity onC option
n'irisScrions.
Bmking u:C otber finrr:eial
ir,stir'rtion raosaction6
Businers op€rElinl transoctiolrs.
Irrgurgnsg and onr:ui iv
(il) Estetc, utut, rnd orhrr
I !,)
(J)
0<)
(c)
fl))
(E)
tf,
(6)
iLt
(M)
benrfiliary trgnsections,
Clriu:r and lirigation.
Pe'riu:rii and fentily
npin'r:itnce,
8*retits I'ror:r eocisl s:curib',
medplge, nrcdigsid, cr otilfi
povcrrrrcnlAl progrglns ol'
nril:tary scrvice.
llc',:rrmcni p:!n mnseccons.
Tix mttleLr.
['3lt$tciioll5,
UNLESS YOU DTRET'T OTITERYi;$E, lTIi$ IAOWEi\ OF
^T?OR}]EY
IS BFT&STIVE IMMEOJ^TELY
AND WIU, COh"IINUE tJn..-?ll IT IS RUVOI(ED Ot IELIVINATED AX StECiFiEP BELOlv 51 i{1tr5
?}IROU6!{ A}rD WRITI YOUR r}{IriALS TO rHE r3}rr CF rHE FSLLOWIN0 SENTEI\eh iF Yol,,i Dc
tiOT WAI\T 'IHIS FOwEn OF AT.TONEY TO COiITINUE II YoU BEC0ME DIS^BI.ED,
bICAF^CIT.{,TED,.QR TNCOMPETIII{T.
llll [[r llliltrllltS\ll{llt,r'' lilrtl'l{f ifit'UlLl+ll lii't ll ll I
Rcccotlqh I ?!5E!!
l'llul'l;: 8?;iirJ'#o"i"llo!6o8i'EEr.,.., ..u'i'y cc
3, !:r additior. to the porvcrs 1x'acted above, I Fant my Agcnt tlic lbliorvlng powers (hcre you
luay add tny othcr deiegrble pcxers. such ar th.c porver to make gitls, cxercisc pou<rl of tppolnlment,
name or chenge beneiieiaries or joint lenants! or revr'rhe 0r amend Eny r'.1* specifl,caliy refentd ic
belc*):
'J:J'/.r
i. SFECIAL IIISTRUCTI0.T-S. 0.r.. TliE trOl.LCwNO Ln\ES YcU Nl.{Y SM S?ECIA!
TNSTXUf,I1ONS TO YOL"I( A6EI{.:
Thr powsl sf 11slncy shall spccilicslly rFpty io ihe ibllowng propelt-v:
AII ptopcrry ourcd by Laul D Krrox lcoarcC itt Garfield Counrl' andlor Mara
Coutry, Colorado,
YOUR AGENT IVILL BE BITTITLED TC REITy1BURSE)VIENT FOn ALL RBc,SOI{ABLE EXPENSE$
Ift*CURRED Ni AgITf{'G LTIDER TIiIS POWER. OF .Ai'TO'I(NEY, STRIKE TI.I]IOU6}i A."D NITIAL THE
S,EXT SENTE:.ICE IF }.OU DO NgT WANT YOUR. AOEN*T TO ALSO EE ENT:TLED TO RS.ASONABLE
COMPENSATION FOR SERVICIS AS r\tEr.iT.
c++i{rCa€d-tfibgr.fii-rigi.F+iti{
po+0f4fuf,e+rre/"
IiflS PO\{ER OT AITOR}.IEY MAY BE AMEI.I:}ED I}'.ANY }'IANNER OR RtsVOKED BY YOU
^TAJYY TIME. ABSENT A-MEND:\'IENT OR REVOC.4.TIOII, Ti-iE AUTHORITY G&{hrTE! l.\ TIIIS POWE?
OF ATTORNTY IS ETTECTI\T UTI{EN T}IIS PCWIR OF ATTORIEY IS SIGNED AND CONTTM,IES hJ
EFTICT Lj}r'Iil YOIJR DF.ATfi, LNI.ESE YOU h{AKE .^, L.II\,IITATION ON DLISATION BY COlvl}LETf}JC
TITE FOLLOWNG:
6, This pow'er of rnorrrry rcr:niu{&s ot\ /,4 ^ ;l/\ - ,.$['tqf)-- -. (lisen I i;tcre dlie or
i:vcnt, !1roh a: couyt da:Eminstiot of your dirnbiliry, whcn )'o!r eiarlr thir powcr to tarminate prior to you:
death.)
BY RE-TAINNG THE FOLLOWNG PARACMIH, YOU r,1.4,y, BUL{,X,.E NOT RSQUREO TO. NAryiE
YOUR AGSNT AS GUARDIAN OT YOL,T. FERSON OR CONSERVATOR OT YOIJi. PROPERN', OR BOT,{.
IF'.{ COI,B.T PROCEE NO IS BEOU}- T.C
^PPOTNT
A GUARDIAI.; OR CO.r'SERVATOR, OR BOTH. FOR
YOU. THE COURT IVILi AFPOTNT YOL:R ACENT AS GUARDIAN OR CO}{SER}'ATOR. OR BOTH, IT
THE COURT FIh'DS THAT SUCH APPOT\I.METiT IVI:.L SERV; VOUR SEST :ITTERESTS ANI}
WELS.{.q.E. STRIKE THROUOH AND NITIAL PARACIL4PI1 7 IF YO'J DC NCT WA|iT YCUR .A.6ENT iC
ACT AS CUARDI..\N OR CONSERVATOR, OR BOTII,
1"9.14- ?. If a g'.:ardian of my pcscn or s cc$scrvtrloi tbr ft) ,rop.:'qv, or borh, a:c to ix appainled, I
r.duiinate rhe agcot rcting under th! power ofs:oinry as s:rch guariirt or ccns?n'ator, or botl! tc re:r.c
sithout bond or securitv,
IF YOU WISH TC N.^ME SUCCESSOR AGE}|TS. TNSERT T:.IE I.IA"LIE AND
^DORESS
OF A\Y
SIiCCE.\SOR ACENT trl TI{! FOLLOI}INO PARACRAPH:
8. Ifanyagentnancdbyr:rcshalldie,b*oor.rrn.sf,acitalcd.res:gr:.orrc{'usctca.ceptild
ot"fiec ofapcnt, I nan* the following each to u;r alcne ind sllccessivell', in th* order namcC, as suig{sto!'
to s',:cir agert:
pltf. €t
i.,,- q,*a'ar nf .lrie hadft.^h I r ne,rnr ir nnr*idcr*d tn hc irc:i:,!euirttcd if cnd while dte Dttto:l is I
'-E.$11#:'f#iffil.Tt*Hr#**
$i ,,{"r tr rr !
Signed on
If THERE IS AN!'IBIA-G ASOUT THIS FOF{V TI'IAT YOU DO NOT U,VDBR'qTA}'D, IT },AY Bf N
YOUR BEST L\"TER&ST TO CONSULT A COLCR.cDQ LAWYER LATrinlE TITAN SION THIS FORI'I.
Lalt*F. Knox. who ccrtifies ihe
THU IIEMATN'DER OI. ltIN FAOE I\TENTIQNALLY LEFT BL^ITX
y!):i. s#r! safuirB N..::rniri,
YOU M^Y. BL'T AR.E NOT RgQUIRED TO, REQUEST YOUR .1$gl.f,.TND GUCCISSOE
^QNNTS
TC
FROVIDE SPECIME}.. SIGNATLRS.C BELO'IV. IT YCL' NCTUPE SPECiME\' Si6N.4TU_ITES N 'I1{:S
POWEN, OF ATTOP}E,Y. YOU MUSI'COMFI,TI.E THE {SRTIFICATIO.\. O!?OSITE TBE SIi}IATLJT(ES
oril'Er AGE}|T$.
NOTICE TO
^GENTS:
BY EXET{CISING PO!9ERS TJNDEP, T}IIS DOCI.'VCNI. TiIi AOtsNT
ASSUMES ?IIE FIDUCI^RY ANS OT}'IEIT LEGAI, RRSPO}ISIBiLITIES OF ^N AGENT LNDBR
coLoRADO L^\V,
$peeirnen aignatures ot' *gent (&nd surccscors)I certily thet tlre rignauee of my aglnt (ild
!ucccEEorr) a$ con'ect
M{*cl Ir. ti.lnr
S'TATE OFOREOO};
Cororyol,l.irn ".
This d.ocur.rait was aclorowlcCged be:ore mr on /0 F-sh-O9 by
colrccrilcsE of flre slg:ia:urc(r) af rhe eg8l1l($).
POA for Donm Knox
Ill [[1 tllritrlh[l 'rlll( ltlh lt$F&:l{ldll,L]d,t,lii,t ll il !
fuorDt l$nl : 701834r7,'!6rrl!0 eq.44.rt ill ;rff 6;&.rso! cI a i@ rD6 tlE c: 0rr Fee : oe ellFlg-tr Codtr;r if
COLORADO AGEN T'S,l}Et DAI'IT REGARDINC POWER OF ATI'OR\T-Y
STATI] OF COLORADC
couu*or (?affiej0l
I, lvlilitrai:1.)Il. Knox, wirosc addrr*sl is tg$!.C-ilr3 P.ogd 306, Ftl&cl1lt:* , of ln,*fr.rl
sgc, purruant t0 sections l5-,i . i !01, I 5- i{ -50 I , a:'.d l5- i 4-SC2, Cclorsdc Rcvr.(cci S:atites, EtAit lrpon ny
oo:h that I arr ti:e zilomr).:r.-racl rtnd ugeni fc:'Ila::ia !."i(rror, pdllciir*i. trtitr lhe trrorver ef attorceydrted nA-f8+09 . a copy cf r.:hrrh rs rnached he;eto and ileorpcmted irereir :y
th:s t.faiescc. $lsi ss oi th:* eai. I lilve no actuai ioowie$gc of ths !'cv0cllion or leirn::ddin of ihc
pcwrr of lr,oinsy by an;r act cf thc priaclpal. or b.v 'J:e deatl:, disabiliry, o! 1:'roorr,pet.nca cf the principal,
,Jut my ru&ori1t ha.r noi bEen tsirlri:ratrd by a decrse of direolutinr: ot'merria$r or legal sepuratron, and
thct to the hect of rey krowledg+ Ere porver olrrtiomcy tlr* r.or baen eo teoninBtcd anc r*rlgirrs vaiiC, ir',
full l'oee and e{iect.
Drtec:*_CArJ8. D9-
Tbc foregoirg Allidavi'r r*rl rubssribcd nnd swcnr o tclore r,e on _Egb"-lgti-, i00?, by Mict-^*tl
I:. Kr:Ai(, fuorr,
t0/itness qv hand rnd off,cial seal.
My carnmissior: cxpires: --LL:If:-€.il-
ilohnnn h*. ulstuhe L.-,
Nn:r1i PrlJrl5
llll tllltlhitLlfiltllfl IttLHfi l*f$fr:lhl ltlt'lll{ ] lll
RccGDllo^l:78Bll{t2rlt-irt1r Od.Oll 16 il Jr.s llirrloo?-6,-4-Fs Far:l?6 !s DoE rc.0 @ lFiFlCL) iouti-'co
COI,OI{{DO ST..IT{.)TORY POWER OF AT"TO&\EY I'.OIT PROPERTY
I$OTICE: UNLESS yOU LI}CT Tlr0 PowrR tN THIS DOCLME,\-T, TIIIS DOCLaTENT GI\rEs vOuR
,\CEI$ THt lOwEIt TO ACT FOII YOU. \*TIIIOLT YOLT, COi\SEliT. Ih AliY WAY TgAl YOU
COULD ACT t'OR YOL.r&SSLF. THD fOwERS GRAIiTED BY TI{IS DOCUMENT ARE BROAD A,\I)
S$EEF}IiG, TIIEY ARE I,XIIL^IIIED I!.i TfIE ftUNISOR]\,I ST^TUTORY TORM POWER OF
^TTORNT.Y
ACT',. PART I3 OT AR?ICLE I OF TN.LD I!. COLORADO REVISED STATUTES.
^NI)rART 6 OF AI{TICL& 14 OF TITLE IS, COLORADO &E}'ISED STATUTES, IT YOU HAVE { T'
QllesnoNs ASotJT THEsli PolvERs, oBT.dri colIPtrT[,\:T LE$^L AD(tcf,, TIII$ DocLa.GNT
I}O[$ ItfOT AUT}IORIZE. &\YON[ TO }TAK[ NfiDICAL OR OTHf,N HTALT}I.CAN.B DECTSIONS
F]OR YOt, YOC )IAY REVOKP'tt.tl$ FOVf'IR Or ATTOnXI.Y Ir tOU LATEE wts]i 'tO DO SCr,
THE PI,JR}OSE OT iliIS POW&N OT ATTORN$Y IS TO GIIT ?HE I'ERSON YOU DESIGNATI
(YOUR &AGEir"?") gRO..rD p()willls'rO [tANrrLS YOUR f'ItOpERTY AND AFFTTIRS, wHIClt MAY
INCLUDf, FOWERS TO PL,EDGE! SULL ON OTU&NW$tr DISIIOSE OT E\'Y REAL OI{ I'EILIO]\AI.
PITOP&RTY WITHOUT ADVA].ICE I.IOTICE ,I'O YOU OR APPROYAI, BY YOU. TlrIS TO&\1 DOES
NOT IMIOS!: A DtlTY O:l.. YOLfi ACUNT TO EXI;RCISU G&{\'TED }OwliRS: U(lT \I:FEN POwEnS
.ARE EXDRCISED, YOI,T, AC8N1' IIIT'S1' TTSE DUE Ci,R[ TO ACT TOR YOIIR BENEFIT A\D }N
ACCORDANCO WITE TM PNOVISIOI{S O}. TI{IS FOL}I &\D }IL'ST KENP ..\ RECORD OF'
&ECEITTS, DISBURSE${ENTS, A.\D SIGNIFIC.{NT ACTIONS'rAKDN AS ACEl'fT. YOU YAY IIA}IH
SUCCESSOR AGENTI UXDER THI.S FOR:VI Bl:T NOT CO.AGENTS. L',NTII. YOI REVOKE TI{IS
POWER 66' ,111$NEY OR A COURT ACTI{O Oli YOLrR DEIIAI"!. Tf,RYINATES 1T. YOLrR
AGENT MAY EXINCIS& UlN POWERS GIVEN }(ORE THBOI,iGHOUT YOUR LITETIME, EVEN
AT"IDR IOU IVTA}:8ECOM& DISABI,ED, INT.XSS YOIJ EIiIRISSLY LII1IT'tH[ DTIRATIOT OI.'$tls pr)wER IN THE ivt&\'NER PnOVtDDD BllLOW,
YOU:VIAY IIAVE OTIIER RIGIITS ON POWEITS U.r'DOIT COLO&{,DO I.AW NOT SIEC]FIED IS'
TBIS FO&U.
I, DANFjA B. KIYOX" slso lfiq\&n *s DHrne Kncx, of 16i,0 ,lrwry Road, Lebenor, CR 9735r,
Ei{roiltt MICIIABL D, I$iOX, aigo iaiow:r rrs Mic.hsel Kncr of 160iJ (.:crint! F'ori, 3Q0, Ptrech*le.
ColOmdo 8t635, ai niy Agelt (09t.).Tley.lu.fici) i0 scr j'or'lne i:i riril li,wi'.rl rrty vilh r'Jipe$l tC, thc
foliowirrg lnitinlcd sulrjecis:
TO ERA"T{T OhT OR T,IEXE OF T!{8, FCILLA\UN'] IOWfi]iS, NI"TIAI. T}tE LTr"! IN |"RNNT OF EAi:ii
rOlvBR YGU.{RE CRA}f}ri{C, to wtTiIliOLD A fOtr's,R, $O NLI I\ITI.\L TrlE LNE f:\ iBo\'? *F lT
YOl-i yr1y. ggi:v'IBED J.,-QT. CRoSs otlT S^gH POWER $rr.fi{ELD,
. !:?,..-, +--{i
j,'ski4
'.':.glii-{-
{FI)
(1)
(A)
(B)
(c)
(D)
(E)
(F)
Reai prope:ty tiarlsrcIioilt
(whon propcrly r-ecorded)
Tangi"\li Fertonnl propery
trgnBa.'CoI1r.
S:oelc and bo':rd Fr,nss,c;ions
Coran:odrty &rid optisn
!rR:'!aagt-ionE.
BEtlting *nC other fineacial
instiiution trnir rIcti$r:s,
$u.rinesr oprrsling h:ansrctioni
Eshiro, :rusl, lnd oiler
bencfi o inq,- Etoiictionr,
Cla:ns nlrd liligaiion.
Pcmonal e.'rd faniily
n.lamteIencc.
.Sarelitn ti'onl mciti rccu:',:),
nrediil.c, mcdicaid, or othc}
gQvel:1riie$tl ] Pro8F$li{ ol
lniiir{ry 8cf,i,ce.
Rctircmont plur trilissctrons.
Ta:i rmtteis.
it)
(G) bs,.ranc+ ani erinqi!
tmnslc:ioas.
I|].i:,ESS YO!! DIRACT OT'{ERWISE. Tii]$ TIOWER OF ATTOH\tsY IS EFFECNVE IMI,IEDI.\TLLY
AliD !vll!, CONTFIUE thlTll iT Is REVOf;BD 9R'l'g&\4{t'i TpD AS SI'ECiflED sit.(}w, STRIKE
THROUOS AND WRITE YOUB iNl'llALS T0 TltH LErr OF'riE FOILOWI}*O SSNTENCE IF YQU DO
NQI WANT THIS POWER Or Afi'OELat To cQYrr\.tiE If YL]U BECOI',B DISAAI,ED.
fi$0.\P.\Cl1'A1 ES, OR NCOMFETEN:
l'" *,.'.',Bi' L TI:it po\+€lol i11rme-v wiii rrq:'lliruc io b. cl?apuv'r cvon tho!8h t bcs.rr:ie C:$rlrd'
lill liri lt]lrFrlllll lilil,lTl',lnE$+lddlllll{ ki'tlti."l ll ll I
P..octro^d: 795854
l?ll"i'All 9?.1irlfu3'r-i"tl.lil8i'li"',.-.t, :c,.iY 3c
.1, kr uddilron to th$ powcrs grar.:ed slrcve, I grsnt ::1y AAgfli ltre fullowih6 pc*ctr (l,cre yor
n.l*y ldd r:,ry orh* ilclegablc pcrveir, lurh u tha power to mahe gllts, oxc(cite powlrs ef appolnit:rer.t,
tums or clxnge huuelicia[rei cr jourl tenaflli, 0r rdvo]<r or rmend ar-v tiirdt dLlscilteBlly irfenid lo
belo*);
4, SPECLAL NSTRUL-T]ONS. OT{ THE FOLI,OI{INO LTTGS YOU M^Y CIVH SPECJAI
TNSTRI;CTIONS TO YOUR AGE}II':
Thir por*cr cf attomcy shail rFe6rt'ics[y rpply to the following properry:
A1l sropcla. o\:rricd lt"e Danna B. Klox located itt Garfieid Ccur,ty andii:r N{esa
Co'.::ttv, Colcrado.
YOUN, AOENT WII-L 5E ENTITLED ?O F€]MSURSEME}{T FOR ALL B"EASONABLE EXPENSES
fNCUtu?ED IN ACfitr..0 LIDER TlI15 POIHER OF ATIOAIIEY. STNI{S T}IROUOH AND iIiITIAL iHE
}iEXt SENTENCE Ip YOU DO NC'T WANT YO.IJR AOEN? TO I\LSO 55 EN'TITLEB TO RI.C,SON.\ELi
COMP6INSATI0:{ gOR SERVICBS AS .{OEl'lT,
d.-$|} o$ari i+rrltided rs.rG+6EEiiblc-€a;rfs$s*tien-for-Esraieei+sftdei$#-*r*g!'1$'ufli'ir lhit
pe{*!iil{t^,
rl{ls POWER OF ATTOP$IEY MAY 8E AIfENDED ni ANY lvtA}i};ER OR PEVOKES BY YCU Ai'
.s{'iY Ttr{E, AEsEl$T r\MENDME}ir OX RSvOq}Trt).\.-, tr(E AUt}tO&iTY OHAMTEI rh- -fHts PoiYER
CF A'l'IORNiiY l$ f,.Fl'gcTlvts ry\rlt.LvrflH POifEn CF .qmORj{EY I$ .q;CNtsD ANC C0NTn\'UES rN
EFFSCT L.!;flL YOUR SEATH, Lry.IUiS$ YOL: M.{T:E A UI'{ITATION ON bLI[{A?IO}- BY COMFLSINc
THE FOLLOTTiINiI:
6, Tlris pewei of at:omey :e,:ninrtes ot /i * it*? lt)0 -. (lnsert a fi.i:ur^e Cae or
eueiit, sr;ch es caur: dcter*ii"riorr orjyo*. diralri:iry,;fi"rr yru !,r'an'. this powel ro rerminrte pl'iilr to your
dearh.)
BY RETAIVX$(, THE TOLLOWiNG PAEAGRAPH, YAU i{AY, BUT AB.E }iOT RSQIiIRED TO, N}'VE
YOUR AGSrT AS GUARDIA:.i OF YOUR PERSOI\" OR CONSERV.\TOR OF YCUR PROPERTY, OR BOTI{.r A Ct,LTRT PROCEEDNO IS BECLN TO APPONT E GUARDLAN OR CONSERVATOR, OR 8OTH. 5OR
T-OU. THE COURT WILL APPCJNT YOTIR ACE:\II AS GU.CRSI.{N OR CONSERV.{TOR. OR BOTH. TF
TIJE COURT FINDS THAT SUCH ApPOTNTIIENT \r'']LL SERVE YCUR BESI INTERESTS At\-D
\!.'ELFARE. DTRiKETIfROUCHANO NiTIl,L I'.ARAGRAP}i 7IF YOU DC liOT lil.AliT YoUR ACEI;T TO
ACT
^S
GUARDI^N OR CONSERV^.TOR, GP. BOTH.
,:'Jfiri- 7. IlaguuCianoi::rylerton6i'$conscrvrtcrforr;ryproper,:,crbc!r. ltctotcapiroinied. I
no:nlnate the agEni acring u:rder {'iis powc of 4romcy as s,:cir g.ruCta:: ot cunscrvetot. or botlt, to iete
withcut lond or sccuit!..
IF YOU WISH TO }'A.!r:!E SUCCBS$ON. AGE}iTS, NSERT ?H€ N^NTE $TN 'trDi,Es"{ OT ANY
s'.tccBssoF, A6E]$T rN'mE roiIOrvING ?,\PrA6RiFHr
8. ifanyagentrranredbymcrhalldre,bcccmcineapaciu:eC.relrg:.orref;isetoaclcptthe
ollice olsgcnt, I narnc thc foillrivitls each to act alcnc aEd tqccesgivel!, in rhc orc*r nuttcd, ll 8$ccrltoi
ic sueh [SrEr:::
l.:1
f.r s,,Er^,-! rf thio nrneorl, ! * nc*,,r ,ir .,.r,rrdrrn'l 'n irr rnczrrrritaill ii *nrl whilc the ccrscr. is a
llll ittfl$rirJJrlill,Hh$0, l.llllirfl{1,:llld ltrt lll,t :l ll Inccerttoitjl: ?805ar?,,18t:0lg Otr44: tc 6ltl JaeE aiEeiroo4 ol { liB Frc:t?a.10 ges F{s,0.80-€ARF:Etb ecph{Ty +0
Sigrreii on
iF TI{E!-E IS ANYIHNO AEOUT THIS F0illvl T}iAT YOU OO NOT L!'IC'BRSTA}ID, IT MAY eE IN
YOUR BEST NTERtrST TO CONSULT A COLOR{DO LABYER RAT'HER THJ'.N SIGN TIiIS FOILIV{
Yrur tcsiai $tcvritv IiP'r5sr
YOU T(A,Y, BUT ARE NOT REQTIIBED TO. RXQUEST YOUR.TOENT AND SUCCESSO]I ASENTs TC
PIOYIDE S?ECIMEN SIGNdTLTRIS BELOlv. IF YOU INCLUDE SIECIIvIEI\I SIGIi.{TLIRES IN THIS
FOWER OP.{TTOR|iSY, YOU }rUST COI!'IPLETU ?I{E CERTIIICTg.TION OPPosItE THE SIGNATLA.ES
OF T}IE AGB|ITS.
NQTICE TO AGEM'S: BY EXERCiSiNS POWEI$ LNDER THIS DOCUMENT, TlrE ."GEN?
ASSIJMES THE FIDUCIARY AND O1HER LECAL RESPONSIBIL$IBS OP AN
^GE].IT
IJNDEI{
COLORAD'O L^W.
Specirnensignalurtsoiagmt(r.ndsu+eessorr) I ccrriff ih.Br the nigir$hfes of nry rgsni (snc
€uclcsso*) a& congit
Micis€i D. Kr,s
STATB OF OI{trgON
c.mryofJLlLn--
ThisdocumentwasaelarowleC.gedbefore mcqn /.L feb.eQ by Daana B. I{aou, who ccn'ifies tlie
ooneqlnegg oi thc aiEn':ture(s) ot' thc *Eext(s).
TUE &EMAiNDER OF'IHIS N.{GE INTENTIONALLY LEFT BL[\1(
Nrr'|.!i ' ,.i:r 4:. OREGON
EDfr{ri. ::,i)i" :',O. 41 J69{