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Home My WebLink AboutApplication!=@ Garfield County Community Development Department 108 81,. Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.gadi el d·cou ntv.com ONSITE WASTEWATER TREATMENT SYSTEM (OWTS) PERMIT APPLICATION TYPE OF CONSTRUCTION x New Installation I D Alteration I D Repair WASTE TYPE X Dwelllng I D Transient Use I D Comm/Industrial I D Non-Domestic D Other Describe INVOLVED PARTIES Property Owner: Youberg Beaver Creek Banch Phone: (712} 662-4212 Malling Address: 215 S 101h Street Sac Cit~1 IA 50583-2137 Contractor: TEP Rock~ Mountain LLC Phone: [970) 285-9377 Malling Address: PO Box 3701 Parachute 1 CO 81635 Engineer: David Fox Phone: (970} 250-5505 Malling Address: PO Box 370, Parachute 1 CO 81635 PROJECT NAME AND LOCATION Job Address: SR 13-12 Pad Assessor's Parcel Number: 240307300001 Sub . Lot Block -- Building or Service Type: Temporary office & house #Bedrooms: L Garbage Grinder No Distance to Nearest Community Sewer System: NA Was an effort made to connect to the Community Sewer System: NA TypeofOWTS 0 Septic Tank I 0 Aeration Plant I X Vault I 0 Vault Privy I CJ Composting Toilet Cl Recycling, Potable Use a Recydlng I 0 Pit Privy I 0 Incineration Toilet 0 Chemical Toilet X Other Hauled hll: HB Rentals to Garfield Coun~ Landfill Dlsegsal Site Ground Conditions I Depth to 1'' Ground water table NA I Percent Ground Slope NA Final Disposal by 0 Absorption trench, Bed or Pit I 0 Underground Dispersal I 0 Above Ground Dispersal D Evapotransplratlon 0 Wastewater Pond I D Sand Fiiter X Other Hauled bll: HB R~ntals to Garfield Coun~ landfill Dls11osal Site Water Source & Type CJ Well j D Spring I 0 Stream or Creek j 0 Cistern X Community Water System Name Cltli! of Rifle Bulk 112 -Hauled bl! HB Rentals Effluent Wiii Effluent be discharged directly Into waters of the State? 0 Yes XNo CERTIFICATION Applicant ac now e ges t at t e completenes s o the application is con itiona upon sue urt er mandatory and additional test and reports as may be required by the local health department to be made and furnished by the applicant or by the local health department for purposed of the evaluation of the application; and the Issuance of the permit is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations made, information and reports submitted herewith and required to be submitted by the applicant are or will be represented to be true and correct to the best of my knowledge and belief and are designed to be relied on by the local department of health in evaluating the same for purposes of issuing the permi t applied for herein. I further understand that any falsification or misrepresentation may result in the denial of the application or revocation of any permit granted based upon said application and legal action for perjury as provided by law. I hereby acknowledge that I havv:aa1 and understand the Notice and Certification above as well as have provided the required lnfo(matlo which Is correct and accurate to the best of my k nowledge. OFFICIAL USE ONLY Special Conditions: Perk Fee: ajd, I 0 "~·I (€ v'~too~o 'J ~ ~ 00 10 · l?-2.0/t, ; DATE 1111 1J~.1N1 l7ii~\ PA~r~~' r\li'tl ~·~·~1r1··.ap r.rn.~~~l1 ~ ,li\'~t 11111 --r.eceptionn: 879861 07/1812016 02 18 46 P~ Jean Alberico 1 of 2 Rec Foe :S !6 oo Doc Fee o .oo Gf'.IRFIELD covrnY co POWER Of ATIORNEY KNOW ALL PERSONS BY TIIESE PRESENTS: CONFORMED COPY THAT TEP ROCKY MOUNTAIN LLC, a Delaware limited liability company, hereby nominates, constitutes, and appoints Bryan S. Hotard, as its true and lawful Attorney-in-Fact to execute and deliver in the name and on behalf of TEP ROCKY MOUNTAIN LLC ("Principal") any of the following designated instruments or documents in connection with the Principal's operations in exploring for and producing oil, gas, or other minerals from lands, or interests in lands, owned, held, or claimed by the United States, any state or political subdivision thereof, any person, corporation, partnership or other legal entity: A. (1) Applications for pcnnits or leases; (2) consents, stipulations, or agreements in connection with the issuance of pennits or leases; (3) acceptances of leases , subleases, or permits; (4) acceptances of all instruments transfcning leases, offers to lease, pennits, applications for permits, or subleases, or an interest in any of these (including assignments of working or royalty interests) to Principal. B. Applications for extensions or renewals of leases and permits. C. ( 1) Prospecting, seismic, or exploration permits; (2) instruments in connection with the acquisilion or maintenance of prospecting, seismic, or exploration permits. D. Instruments withdrawing applications for leases or permits. E. (I) Requests for rights-of-way and surface use pcm1its; (2) acceptance of grants of rights-of-way and surface use permits, including any stipulation or condition in the grants; (3) any statements that may be required in connection with applications for rights-of-way and surface use pcnnits. F. Requests for extension of time in which to drill wells. Principal agrees to be bound by all representations the Attorney-in-Fact may make in aoy instrument or document he or she is authorized to execute and deliver under this Power of Attorney. Principru hereby waives any defenses available to it to contest, negate, or disaffirm the actions of its Attorney-in-Fact under this Power of Attorney. This Power of Attorney is effective July 1, 2016, and shall continue in full force and effect until revoked in writing, and has the same force and effect as if the Principal granted separate special authority to the named Attorney-in-Fact to execute and deliver each such instrument or document separately for each and every such instrument or document so executed and delivered. EXECUTED by Principal on this 13th day of July, 2016. Terra Energy Partners LLC as sole member of TEP Rocky Mountain LLC AGREED TO AND ACCEPTED BY: BY: Michael S. Land ITS : President and CEO Attorney-in-Fact ACKNOWLEDGEMENT State of Texas County of Harris /, This instrument was acknowledged before me on :::lu<'g /3 , 2016 by Michael S. Land, known to me to be the President and CEO of Terra Energy Partne s LLC, a Delaware corporolion, on behalf of the corporation. (Notary Seal) ~~~_!!'!/!'--TIFFANY CEBELL POLLOCK f~:::ii::*~i Notary Public. Stole of Texos r.~;.,jl{}~l My Commission Expires .. ...,,;,·;,;;-...,;.l Aprll 26, 2019 -.,,,,.,n Blab level Al arm ............ la,,... T11k Ii. full One aboveground sewage holding tank with 4000-gallon capacity on-site. The Vault System is displayed in both of the pictures . Sewage flows esti- mated to be 300 gallons/day (4 individuals x 75 gpcd). Sewage holding tank needs to be emptied approximately every 13 days (4000 gallons/ 300 gallons per day). Wastewater vault is equipped with overflow alarm device. Williams utilizes the services of a licensed contractor to removed and haul the wasterwater to a state certified treatmenUdisposal facility. One potable aboveground water tank of approximately 4000 gallons ca- pacity on-site . Posted on the front of the Tank there is a Sign that states 'Potable Water Only". Potable water demand is estimated to be 300 gal- lons/day (4 individuals x 75 gpcd). Required minimum fire suppression demand is 2500 gallons. Total potable and fire suppression demand is estimated to be 4000 gal- lons. Road access to the site is maintained year round through the services of pri- vate road maintenance and construction contractor . • llPTIC l e SR 43-12 Pad Vault System Description The site will temporarily office and house up to a maximum of four ind vidu- als during natural gas dnllmg activities and is expected to be completed in one year or less The ind viduals will occupy two individual trailer offices/ houses located on the well pad. Office/houses have Colorado Division of Housing compliance tags Section 7 T. 7 S., R 93 W Exist. Limit of Disturbance~ ---- ...._ 7380 7390 ...._ 7400 ........ ""' ...._ - 7410 --"-... ------ ESTIMATED EARTHWORK QUANTITIES (cy) ITEM CUT FILL TOPSOIL EXCESS PAD 4350 12500 540 .8690 PIT 9000 9000 13350 12500 540 310 \ - --/ •NOTE: Exist Limit ~of Disturbance '--- 1.) 10% Swell Factor Applied to Earthwork Cut Volume. 2.) Topsoil Volume Based on 12" Soil Depth. 3.) Total Disturbed Area= ±7.71 ac. REVISED. 4/251 16 0 100 GRAPHIC SCALE IN FEET 1 INCH •100 FEET Construction Plan Prepared for: IL:=========~~~-=""~"""=-==i~;;:;;------:------i WPXENERGY WPX Energy Rocky Mountain, LLC 136 Ease 11.Jrd ~r~ec Rift~. Colorado 81650 Ph. (970, 625·2720 Fax (')701 625 2773 S CAl.E , •• 100 DATE 41 1.5 1 lfi PLAT. PROJECT: DFT· '2 of i Val/cu C!> SR 43-12 Ddll Pad -Plat 2 CONSTRUCTION LAYOUT ' action 7 T. 7S., R93 W I ACCESS DESCRIPTION· GRAPHI C SCALE IN FEET I IUCH a 2000 FEET FROM THE INTERSECTION OF ST ATE HIGHWAY 6 AND COUNTY ROAD 323 (RULISON ROAD) NORTH OF RULISON, PROCEED SOUTHERLY ALONG COUNTY ROAD 323 (RULISON ROAD) ±1 .1 MILES TO THE INTERSECTION WITH COUNTY ROAD 309 (RULISON PARACHUTE ROAD). PROCEED LEFT IN AN EASTERLY DIRECTION ±2.3 MILES TO THE INTERSECTION WITH COUNTY ROAD 320 (RIFLE RULISON ROAD), PROCEED RIGHT IN AN EASTERLY DIRECTION ±6.2 MILES TO THE INTERSECTION WITH COUNTY ROAD 317 (BEAVER CREEK ROAD ). PROCEED LEFT ALONG COUNTY ROAD 317 IN A SOUTHERLY DIRECTION ±3.6 MILES TO AN INTERSECTION WITH A DIRT/GRAVEL ROAD, PROCEED LEFT IN AN EASTERLY DIRECTION ±0.6 MILES TO AN INTERSECTION WITH A DIRT/GRAVEL ROAD , PROCEED RIGHT IN A SOUTHERLY DIRECTION. ±0.6 MILES TO THE EXISTING SR 43·12 DRILL PAD LOCATION, AS SHOWN HEREON. 136East TllirdSlnM Rijlll, Colorado 81~0 Ph. (970) 625-2720 Fax /970) 625 ·2773 SCALE I ' • ?(ln()' DATE ~~~'1~5~'1-6 __ ~t-----------------l PLAT· .... s_..of....,7 ____ 1 PROJECT· ....... \'=al/ __ ,.,.._1 ___ 1 DFT: ...-cs.._· ____ 1 SR 43-12 Dtill Pad-Plat 5 ACCESS ROAD & TOPO MAP