Loading...
HomeMy WebLinkAbout1.0 ApplicationAPPLICATION FOR SMALL TEMPORARY EMPLOYEE HOUSING PERMIT FOR NATURAL GAS WORKERS: OLD MOUNTAIN K-15 PAD PICEANCE BASIN NATURAL GAS OPERATIONS GARFIELD COUNTY, COLORADO BERRY PETROLEUM COMPANY Service Crew SUBMITTED BY BERRY PETROLEUM COMPANY November 2010 Berry Petroleum Company Molly Orkild-Larson, Planner Garfield County Building and Planning Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 1999 Broadway St., Suite 3700 Denver, CO 80202 Ph: (303) 825.3344 Fax: (303) 825-3350 www.bry.com November 10, 2010 Subject: Small Temporary Employee Housing for Natural Gas Workers Old Mountain K-15 Well Pad Dear Molly: Enclosed for your review and processing is a copy of Berry Petroleum Company's Application for a Minor Temporary Employee Housing Administrative Permit. The Application requests approval from Garfield County for operation of temporary employee housing quarters to accomodate drilling personnel working on Berry's Old Mountain K-15 well pad on lands owned by Encana Oil and Gas, Inc. The temporary employee housing quarters are proposed for two reasons. First, rental housing in the western Garfield County communities of Parachute, Battlement Mesa, and Rifle is scarce. Second, given the remote location of Berry's K-15 well pad on the plateau top, the proposed temporary employee housing quarters would provide our drill rig crew the facilities they need to wash, dine, and sleep at their active drilling location during their 7 -day work week without having to make the long daily commute down the mountain to local communities. The proposed temporary employee housing would therefore promote safety and reduce the volume of vehicle traffic up and down public roads each day. The enclosed Application includes payment of $50 to cover the county's base fee, signed Application Forms, a signed Agreement for Payment form, and the Application materials themselves with all of the required information, maps, legal descriptions, and performance standards. If you have any questions or comments, please contact me at your earliest convenience at 303-999-4400 or via email at bob@bry.com. Sincerely, Bryan Burns Environmental Specialist Berry Petroleum Company GARFIELD COUNTY Building and Planning Department 108 8th Street, Suite 401 Glenwood Springs, Colorado 81601 Telephone: (970) 945-8212 Facsimile: (970) 384-3470 www.garfield-county.com -5-i4-(AO I Small Temporary Employee Housing Administrative Checklist GENERAL INFORMATION — Submit 1 paper &1 CD copy of the completed application to Planning Department wiin 48 hours following occupation (To be completed by the Small Facility Operator — e.g. well pad operator) Section/Township/Range Location of Housing Site: Well Pad Number: K-5 NESW Section 15, T6S-R96W, 6th1h P.M., Garfield County, CO Tax Parcel Number for Parcel Containing Housing Site: 213527300015 GPS and/or Lat-Long Coordinates of Housing Facility Site (Often included in APD): 39.5224495,-108.0963816 Zone District: Resource Lands (R/L)- Plateau Maximum Number of Occupants at Permitted Site (e.g. well pad): 8 Cumulative Amount of Time (in Days) The Facility be at Location: Maximum of 365 days, 11/14/2010 through Will 11/14/2011 Reclamation, Number: COGCC APO #20074925 State or Federal Permitting Agency Overseeing Restoration and Revegetation and Relevant Permit Date of Installation: 11/14/2010 Date of Removal: Approximately 2/11/2011 Name of Landowner: Encana Oil and Gas, Attn. Bob Weaver Street Address: 370 17th Street, Suite 1700 Telephone: (720) 876-3513 Email: Bob.Weaver (8,lencana.com City: Denver State: CO Zip Code: 80202 Name of Operator's Compliance Officer: Chils Freeman, Berry Petroleum Company Street Address: 1999 Broadway, Suite 3700 Telephone: 303-999-4400 Email: cpf@bry.com City: Denver State: CO Zip Code: 80202 Company 24 -Hour Emergency Contact: Kenneth Kuhn, Field Superintendent Phone Number: 9709300128 This Administrative Checklist must be received by fhe Garfield County Planning Department hours following occupancy of the Small Facility. within 48 be delivered to within 48 hours Office and or verified is fhe Operator's been received by A copy of this completed Administrative Checklist and all associated submittals shall the Garfield County Sheriffs Office and relevant Fire Protection District (if applicable) following occupancy of the Small Facility. Additionally, the Garfield County Sheriffs relevant Fire Protection District (if applicable) must be notified in writing (return receipt) email (return receipt) within 48 hours following removal of the Small Facility. It responsibility to confirm and obtain verification that the Administrative Checklist has the Sheriffs Office and Fire Protection District. 1 Fire Suaaression Requirements. (Per. Performance. Standard 1,3 "A water storage tank is required to provide water to the sprinkler system (if applicable) and initial suppression activities. The size of the water tank shall be determined based on sprinkler calculations and initial suppression demands. The relevant fire protection district shall be responsible for determining the size of the water storage tank. If the Small Facility is not within a fire protection district, the Operator shall provide at least 2500 gallons of water dedicated to initial fire suppression which is accessible with a dry hydrant." Required Size of water storage tank for sprinkler system and initial suppression activities: 2500 gallons A. Outline of Process. The Small Temporary Housing Facility(ies) Review process shall consist of the following procedures as more fully outlined in Section 4-109 of Article IV of the Unified Land Use Resolution of 2008. 1. Application to relevant protection districts and the Garfield County Sheriffs Office. 2. Application to the County B. Review Process. Prior to submittal of any forms to the Planning Department; the applicant shall submit all documents to the relevant fire protection district(s) and the Garfield County Sheriff's Office. All forms shall be accurately completed, signed, dated and submitted to the Garfield County Planning Department within 48 hours following occupation of the Small Facility. C. Submittal Requirements. The application submitted to the County shall contain the following information: i. A vicinity map indicating the section, township, and range of the subject lot and the location of Small Facility within the subject lot and the Permitted Site; general relation to surrounding public roads, private roads, adjacent utility systems, residential development, other actively permitted Small, Minor and Major Facilities, natural drainage courses and munidpalities within one (1) mile of the proposed Small Facility; north arrow and scale; GPS coordinates and current surface ownership of the subject lot. The vicinity map shall be presented on a USGS 7.5 minute series quadrangle at a scale of 1"2000' or equivalent, with a topography depicted at a minimum of 40' intervals. ii. Surveyed layout of the proposed Small Facility within the surveyed boundaries of the Permitted Site, including at a minimum: sewage and wastewater disposal, trash receptacles, potable water storage, all other associated infrastructure and all other equipment located within the Permitted Site. (See Section 4-502 (C )(3) for site plan definition) iii. Identification of the private and public roadways accessing each Small Facility. Roadways shall be marked as open, gated, and/or locked (include combinations). Detailed directions, with mileage, shall be given from the nearest town within Garfield County, nearest Garfield County Sheriffs Office dispatch location and responsible fire district headquarters to each Small Facility, along each roadway. iv. Name, address and phone number of surface owner of the subject lot. v. Name, address and phone number, including a 24-hour emergency response number of at least two persons responsible for Operator's emergency field operations; contact numbers for local hospitals, emergency response, fire protection districts, Garfield County Sheriff's Office, Life/Care Flight, and applicable .regulatory agencies; site safety/evacuation plan; and any other written response plan for potential emergencies at the Permitted Site. vi. Identification of the anticipated dates of installation and removal of the Small Facility. The site plan shall include a notation of the total cumulative length of time (number of days) that the Small Facility will be installed at the Permitted Site. ELIGIBILITY Requirement (Section 7.808 (D)(3) — All Requirements Must be Satisfied to be Eligible as a Small Facility Applicant Planning Department Complies (Y/N) Complies (Y/N) The Small Facility and any associated infrastructure must be completely contained within a state or federally permitted parcel (such as a Colorado Oil and Gas Conservation Commission (COGCC) approved oil/gas well pad) in which reclamation and revegetation are secured with the permitting agency (Permitted Site); and, Y The Small Facility is located at the Permitted Site for less than a cumulative of one (1) year and at the end of the utilization period, all structures, foundations and associated infrastructure are completely removed; and, Y The Small Facility shall have an occupancy of eight (8) or fewer people within a Permitted Site (e.g. well pad) who are employees, contractors or sub -contractors of the operator of the small facility and are needed for onsite safety of the related commercial, industrial, extraction or highway operation. Temporary employee housing facilities that do not have the three characteristics listed above, or consist wholly or in part of Recreational Vehicles as defined above, are subject to the administrative permit requirements or the Major Impact Permit process, standards and requirements contained in this document. Y 3 Building Information (Per Unit) Unit 1 Make: ATCO Structures, Trailer "Pete" Serial Number or Unit ID Number: 354074501 Manufacture Year: 2007 Size of Unit (Square Feet): 756 Unit 2 Make: ATCO Structures, Trailer "Jughead" Serial Number or Unit ID Number: 354075318 Manufacture Year: 2007 Size of Unit (Square Feet): 756 Unit 3 Make: Serial Number or Unit ID Number: Manufacture Year: Size of Unit (Square Feet): Unit 4 Make: Serial Number or Unit ID Number: Manufacture Year: Size of Unit (Square Feet): Unit 5 Make: Serial Number or Unit ID Number: Manufacture Year: Size of Unit (Square Feet): ISDS Permit ISDS Permit Number: Exemption Requested Pf. _ 171/43 Signature o rator's - •rplipliance -- Officer: / ,✓ (By sig iI{ig t is fo s , I verily that all information provided in the best of my knowledge) Print Name: Chris Freeman this checklist is correct and accurate to Title: Environmental & Regulatory Manager 4 Eligibility, Submittal and Performance Standards Certification Section 7-808(D)(3) - Small Temporary Employee Housing Facilities (Small Facility(ies)) in Article VII — Standards, requires the that the following performance standards be met with each facility: Small Facilities, in the nature of Factory Built Nonresidential Structures [as defined under C.R.S. 24-32-3302(a)] but NOT recreational vehicles [as defined under C.R.S. 42-1-102 (61), including truck, truck tractor, motor home or camper trailer], may be utilized for housing of workers on projects related to commercial, industrial, mineral extraction or highway operations, pursuant to the standards for Small Facilities contained in sub- section (2), below. Such facilities are not subject to Garfield County building and fire codes (building code, fire code). However, Small Facilities are subject to all pertinent state (i.e. electrical permits), federal permits and relevant fire protection district(s) code requirements. Small Facilities shall have all of the following basic characteristics: A. The Small Facility and any associated infrastructure must be completely contained within a state or federally permitted parcel (such as a Colorado Oil and Gas Conservation Commission (COGCC) approved oil/gas well pad) in which reclamation and revegetation are secured with the permitting agency (Permitted Site); and, B. The Small Facility is located at the Permitted Site for less than a cumulative of one (1) year and at the end of the utilization period, all structures, foundations and associated infrastructure are completely removed; and, C. The Small Facility shall have an occupancy of eight (8) or fewer people who are employees, contractors or sub -contractors of the operator of the small facility and are needed for onsite safety of the related commercial, industrial, extraction or highway operation. Temporary employee housing facilities that do not have the three characteristics listed above, or consist wholly or in part of Recreational Vehicles as defined above, are subject to the administrative permit requirements or the Major Impact permit process, standards and requirements contained in this document. The Small Facility shall adhere to the following Standards: All required submittals (as outlined in (2), above) shall be submitted to the Planning Department within 48 hours following occupation of the Small Facility. Enforcement shall be in accordance with this Resolution. The Small Facility shall demonstrate and certify compliance with the following standards: A. Small Facility must comply with all applicable federal, state and local laws and regulations. B. The Small Facility shall NOT contain recreational vehicles as defined in Section 7- 808 (D). 5 C. In no case shall unsafe water be used for drinking nor shall raw sewage or contaminated water be discharged on the ground surface. The operator shall conduct monthly tests (or quarterly if an on-site disinfection system is installed) and maintain records of stored potable water samples specific for coli form bacteria. Any tests indicating coli form contamination must be disclosed to the Garfield County Board of Health or designee within 72 hours from the time the contaminated water was tested. D. Each Small Facility shall be maintained in a clean, safe and sanitary condition, free of weeds and refuse. Any hazardous or noxious materials that must be stored at the Small Facility for operational or security reasons must be managed in accordance with all applicable federal, state and local laws and regulations. E. At least one thirty (30) gallon (4 cubic feet) wildlife -proof refuse container shall be provided for each Factory Built Non -Residential Structure unit. Said container(s) must be durable, washable, non-absorbent metal or plastic with tight -fitting lids. F. Refuse shall be disposed of weekly, at a minimum. Operators must keep appropriate records, to be provided to the County or any interested third party upon request, to demonstrate that refuse is collected in a timely fashion and disposed of at a licensed facility. G. Outdoor food storage is prohibited. H. Factory Built Non -Residential Structures equipped by the manufacturer with a fire sprinkler system, fire detection system, and/or alarm system shall be inspected, tested, and maintained in accordance with the requirements of the relevant fire protection district(s) and the Colorado Division of Housing. I. Single -station carbon monoxide alarms shall be placed in each Factory Built Non - Residential Structure. J. One (1) or more approved fire extinguisher(s) of a type suitable for flammable liquids, combustible materials and electrical fires (Class ABC), or dry chemical, shall be located in each Factory Built Non -Residential Structure and placed in accordance with applicable fire protection district and/or Colorado Division of Housing codes. K. Domestic animals are prohibited at all Small Facilities. L. A water storage tank is required to provide water to the sprinkler system (if applicable) and initial suppression activities. The size of the water tank shall be determined based on sprinkler calculations and initial suppression demands. The relevant fire protection district shall be responsible for determining the size of the water storage tank. If the Small Facility is not within a fire protection district, the Operator shall provide at least 2500 gallons of water dedicated to initial fire suppression which is accessible with a dry hydrant within each Permitted Site for a Small Facility. M. The operator shall document all emergency situations requiring action by any government agency or fire protection district, in writing, and such documentation shall be presented to the Planning Department within 24 hours of the occurrence. N. All required Access Permits shall be obtained from the Garfield County Road and Bridge Department or the Colorado Department of Transportation. 6 O. The Garfield County Sheriff's Office and relevant fire protection district(s) shall be notified and provided with all documentation as outlined in these regulations, within 48 hours following occupation of each Small Facility. In addition, the Garfield County Sheriff's Office and relevant fire protection district(s) shall be notified either by hard -copy or electronically within 48 hours following removal of all Small Facilities. The Planning Department shall be copied on all such notification, whether hard copy or electronic. P. The Operator shall maintain records identifying workers, whether employees, contractors or sub -contractors, and document the dates that each worker is housed at the Small Facility. Such records shall be provided to the County or any additional third party upon request. Q. The Operator shall obtain a certification inspection conducted by a third -party Professional Engineer Licensed in the State of Colorado. The certification shall verify that at the time of inspection the identified Small Facility meets or exceeds the standards set forth in Article 7.808 D. 2. of the Garfield County Land Use Code of 2008, as amended. This certification shall be on forms provided by the Garfield County Planning Department. The certification shall be provided to the Garfield County Planning Department within 48 hours following occupation of the Small Facility. R. The Operator shall accurately complete all required forms provided by the Garfield County Planning Department identifying the location of the facility (Section/Township/Range, relevant Tax Parcel Number, and GPS coordinates or Latitude/Longitude coordinates); relevant zone district; maximum number of occupants; cumulative amount of time (in days) that the Small Facility will be at the specified location; identification of the State or Federal permitting agency overseeing reclamation, rehabilitation and revegetation of the Permitted Site and relevant permit number; date of installation; date of removal; name and contact information of the landowner; name and contact information of the Operator's Compliance Officer; 24-hour emergency contact information for the Operator; building information (make, manufacture year, serial number, size (square feet)); signature and contact information of the Operator's Compliance Officer. S. Wastewater Disposal: 1) Vault System: All vault systems shall be designed and installed to accommodate the maximum number of persons (eight or less individuals), who will inhabit the Small Facility. In addition, all vault systems shall be equipped with an overflow alarm device. Vault systems shall be designed to accommodate a minimum of 75 gallons of wastewater per person per day. If a vault system is proposed or has been approved, the Operator must: a. Demonstrate that year-round vehicular access is available and maintained for safe and regular access for sewage hauling vehicles. b. Maintain all sewage disposal records including but not limited to trip logs/reports and landfill receipts as public records, available to the County and/or any other interested third party upon request. c. (b) Individual Sewage Disposal System (ISDS): If an ISDS is proposed, then it shall be designed, installed and operated to accommodate the maximum number of persons who will inhabit the Small 7 Facility (eight or less individuals) and shall otherwise be permitted and operated in accordance with the Garfield County ISDS regulations as contained in BOCC Resolution Number 1994H-136. I hereby attest that I am the designated Compliance Officer for the aforementioned Small Temporary Employee Housing Facility(ies). I attest that I have read and understand the standards to which the Facility(ies) shall be installed and operated. I attest that the Facility(ies) will be constructed and maintained in accordance with all applicable Garfield County, State of Colorado and Federal regulations and standards. In addition, I attest that I have read and understand the enforcement provisions as described in Article 12 of the Garfield County Unified Land Use Resolution of 2008. Further, I understand that non-compliance with any of the provisions as outlined in Article 7-808 (D) (3) of the Garfield County Unified Land Use Resolution of 2008 shall be enforced� j�n accordance with Article 12. /�' Signature of Operator's Compliance Officer: Print Name: Chris Freeman fr Title: Environmental & Regulatory Manager Phone Number: 303-999-4400 Small: cpf@bry.com I hereby attest that I am a Licensed Professional Engineer in the State of Colorado. I attest that I have conducted a visual inspection of the Small Facility identified in this Administrative Checklist, as installed, and, based on information from that inspection I certify that the Small Facility complies with the standards set forth in Article 7-808 (D) (3) of the Unified Land Use Resolution of 2008. PE Certification Number 29543 PE Stamp Date of Inspection 11/13/10 Print Name and Title Steve Schmitz, Drilling Manager Signature ( ..s.:5------- 8 GARFIELD COUNTY BUILDING AND PLANNING DEPARTMENT FEE SCHEDULE Garfield County, pursuant to Board of County Commissioners ("Board") Resolution No. 98-09, has established a fee structure ("Base Fee") for the processing of each type of subdivision and land use applications. The Base Fee is an estimate of the average number of hours of staff time devoted to an application, multiplied by an hourly rate for the personnel involved. The Board recognized that the subdivision and land use application processing time will vary and that an applicant should pay for the total cost of the review which may require additional billing. Hourly rates based on the hourly salary, and fringe benefits costs of the respective positions combined with an hourly overhead cost for the office will be used to establish the actual cost of County staff time devoted to the review of a particular project. Actual staff time spent will be charged against the Base Fee. After the Base Fee has been expended, the applicant will be billed based on actual staf hours accrued. Any billing shall be paid in full prior to final consideration of any land use permit, zoning amendment or subdivision plan. If an applicant has previously failed to pay application fees as required, no new or additional applications will be accepted for processing until the outstanding fees are paid. Checks, including the appropriate Base Fee set forth below, must be submitted with each land use application, and made payable to the Garfield County Treasurer. Applications will not be accepted without the required application fee. Base Fees are non-refundable in full, unless a written request for withdraw from the applicant is submitted prior the initial review of the application materials. Applications must include a Payment Agreement Form ("Agreement") set forth below. The Agreement establishes the applicant as being responsible for payment of all costs associated with processing the application. The Agreement must be signed by the party, responsible for payment and submitted with the application in order for it to be accepted. The following Base Fees shall be received by the County at the time of submittal of any procedural application to which such fees relate. Such Base Fees shall be in addition to and exclusive of any cost for publication or cost of consulting service determined necessary by the Board for the consideration of any application or additional County staff time or expense not covered by the Base Fee, which have not otherwise been paid by the applicant to the County prior to final action upon the application tendered to the County. GARFIELD COUNTY BUILDING AND PLANNING DEPARTMENT BASE FEES TYPE OF LAND USE ACTION Vacating Public Roads & Rights -of -Way Sketch Plan Preliminary Plan / Conservation Subdivision Preliminary Plan Amendment Final Plat Final Plat Amendment / Correction Plat Combined Preliminary Plan and Final Plat Minor Exemption / Amendment Major Exemption / Amendment Rural Land Development Option Exemption / Amendment General Administrative Permit Floodplain Development Permit Pipeline Development Plan / Amendment Small Temporary Employee Housing Minor Temporary Employee Housing Limited Impact Review / Amendment Major Impact Review / Amendment Rezoning: Text Amendment Rezoning: Zone District Amendment Planned Unit Development (PUD) / Amendment Comprehensive Plan Amendment Variance Interpretation Takings Determination Planning Staff Hourly Rate • Planning Director • Senior Planner • Planning Technician • Secretary BASE FEE $400 $325 $675 + application agency review fees and outside consultant review fees, as authorized pursuant to the Regulations, such as the Colorado Geologic Survey $325 $200 $100 $1,075 $300 / $300 $400 / $300 $400 / $300 $250 $400 $400 / $300 $50 $250 $400 / $300 $525 / $400 $300 $450 $500 / $300 $450 $250 $250 NO FEE $50.50 $40.50 $33.75 $30.00 County Surveyor Review Fee (includes review of Amended Determined by Surveyor$ Plats, Final Plats, Exemption Plats) Mylar Recording Fee $11 — 15t page $10 each additional page Page 2 The following guidelines shall be used for the administration of the fee structure set forth above: 1. All applications shall be submitted with a signed Agreement for Payment form set forth below. 2. County staff shall keep accurate record of actual time required for the processing of each land use application, zoning amendment, or subdivision application. Any additional billing will occur commensurate with the additional costs incurred by the County as a result of having to take more time that that covered by the base fee. 3. Any billings shall be paid prior to final consideration of any land use permit, zoning amendment, or subdivision plan. All additional costs shall be paid to the execution of the written resolution confirming action on the application. 4. Final Plats, Amended or Corrected Plats, Exemption Plats or Permits will not be recorded or issued until all fees have been paid. 5. In the event that the Board determines that special expertise is needed to assist them in the review of a land use permit, zoning amendment, or subdivision application, such costs will be borne by the applicant and paid prior to the final consideration of the application. All additional costs shall be paid prior to the execution of the written resolution confirming action on the application. 6. If an application involves multiple reviews, the Applicant shall be charged the highest Base Fee listed above. 7. Types of "Procedures" not listed in the above chart will be charged at an hourly rate based on the pertinent planning staff rate listed above. 8. The Planning Director shall establish appropriate guidelines for the collection of Additional Billings as required. Page 3 GARFIELD COUNTY BUILDING AND PLANNING DEPARTMENT PAYMENT AGREEMENT FORM (Shall be submitted with application) GARFIELD COUNTY (hereinafter COUNTY) and Berry Petroleum Company Property Owner (hereinafter OWNER) agree as follows: 1. OWNER has submitted to COUNTY an application for K-15 small Temporary Employee Housing (hereinafter, THE PROJECT). 2. OWNER understands and agrees that Garfield County Resolution No. 98-09, as amended, establishes a fee schedule for each type of subdivision or land use review applications, and the guidelines for the administration of the fee structure. 3. OWNER and COUNTY agree that because of the size, nature or scope of the proposed project, it is not possible at this time to ascertain the full extent of the costs involved in processing the application. OWNER agrees to make payment of the Base Fee, established for the PROJECT, and to thereafter permit additional costs to be billed to OWNER. OWNER agrees to make additional payments upon notification by the COUNTY when they are necessary as costs are incurred. 4. The Base Fee shall be in addition to and exclusive of any cost for publication or cost of consulting service determined necessary by the Board of County Commissioners for the consideration of an application or additional COUNTY staff time or expense not covered by the Base Fee. If actual recorded costs exceed the initial Base Fee, OWNER shall pay additional billings to COUNTY to reimburse the COUNTY for the processing of the PROJECT mentioned above. OWNER acknowledges that all billing shall be paid prior to the final consideration by the COUNTY of any land use permit, zoning amendment, or subdivision plan. PROPERTY OWNER (OR AUTHORIZED REPRESENTATIVE) 11/10/2010 Signature Date Chris Freeman Print Name Mailing Address: Berry Petroleum Company 1999 Broadway, Ste. 3700 Denver, CO 80202 Page 4 R�OceptiI l'1N;7933INu /Mail 141'14 1k'4l ild& 111®I111 12/18/2009 10:20.22 An Jean Rlbar,ao' 1 of I Rao Fea.26.00 Oeo Fee:O 00 GARFIELD CODNIY CO STATEMENT OF AUTHORITY Chris Freeman as Regional Manager. Environmental and Government Affairs for Berry Petroleum Company, a Delaware corporation, Is authorized to act on behalf of, and represent Berry Petroleum Company In all matters related to applications for special use permits. conditional use. permits, administrative permits, and land use change permits (and may execute such applications) submitted to Garfield County until such time as Berry Petroleum Company files of record statement that Chris Freeman no longer has said authority. Henry Petroleum Company acknowledges that when any such permits are issued by Garfield County, the County may choose to place them of record and such permits may contain covenants that run with the particular lands Identified in such permits. Berty Petroleum Corporation By: Name:. Dan Anderson Title: Vice President, Production STATE OF COLORADO, COUNTY OF DENVER This instrument was acknowledged before me on this1 1 day of December, 2009, by Dan Anderson, Vice President of Production, Berry Petroleum Company, a Delaware corporation.. �. tvt/NBfltl ,•z n NOrq .. ?` • z = •0, 7� `•, of •`0 O o°MOO' Ngnis Notary Public, State of Colorado encana tura/ gas September 28, 2010 Chris Freeman Berry Petroleum Company 950 17th Street, Suite 2400 Denver, CO 80202 Re: Berry Petroleum Company Temporary Mobile Horne Quarters Encana Oil & Gas (USA) Inc. North Parachute Ranch Garfield County, Colorado Dear Mr. Freeman: Encana Oil & Gas (USA) Inc., owner of the surface of the North Parachute Ranch, agrees to permit Berry Petroleum Company to install and operate temporary mobile home quarters on its surface under the following terms and conditions: 1. Each temporary employee housing site will be located on an active or recently active drilling location. 2. Berry will provide 24-hour supervision of the temporary housing sites and will routinely check the housing facilities to verify the residents of these sites are in compliance with Berry company policies. 3. Supervisors will additionally ensure compliance with all terms and conditions of that certain Surface Use License Agreement dated June 7, 2006 and entered into by and between Berry Petroleum Company and Encana Oil & Gas (USA) Inc. 4. Berry will install and operate the proposed temporary employee housing quarters in accordance with all applicable State and County laws and regulations. Please advise if you require additional information in this regard. Ricardo D. Gallegos Team Lead — Land Sough Rockies Business Unit Encana Oil & Gas (USA) Inc. 10!T ., I. • oil pn ..L in:Ihi. I:.!I;;:r r-:irncs fi:m� deal aiinr0i.1hle :bn�n I, J): nat,ir.-il ,• - Encana Oil & Gas (USA) Inc. 370 17th Street. Suite 1700 Denver. Colorado USA 80202 303.623.2300 www.encam.con1 STATEMENT OF AUTHORITY Pursuant to C.R.S. §38-30-172, the undersigned executes this Statement of Authority on behalf of EnCemn0. Oil acc� G.1�►0I�'�./ a beta -Ware- (Air ov-oz'i� (corporation, limited liability company, general partnership, registered limited liability partnership, registered limited liability limited partnership, limited partnership association, government agency, trust or other), an entity other than an individual, capable of holding title to real property (the "Entity"), and states as follows: The name of the Entity is G-14CO NA. t Gras ( (nG and is formed under the laws of laluuaare, The mailing address for the Entity is 3lo 17+,. 'S, ."-tere+, Suil-e l��U Lbeywen CO 10102_ The name and/or position of the person authorized to execute instruments conveying, encumbering, or otherwise affecting title to real property on behalf of the Entity is Rican -do D. Ga lle jos The limitations upon the authority of the person named above or holding the position described above to bind the Entity are as follows: jJQytG (if no limitations, insert "None") Other matters concerning the manner in which the Entity deals with any interest in real property are: Nome (if no other matter, leave this section blank) EXECUTED this STATE OF C 1 o v-a,el +hday of Seetilnbey- Signature: Name(Lyped or printed: CA i-)(0414COUNTY OF belewe r , 20R. A. Vlvia.Ho Title (if any) : See -v +any Etare..Lv.Oil Gas )SS. The f•regoing instrument was acknowledged `bp fore me this �j j,day of 20J by A. V IYL atNrl , on behalf of VSA) IVIG • , aaw jure tLev^ a 'kt:f Q v► 05/09 Witness my hand and official seal. My commission expires: [SEAL] 3-1)-1�- JUDITH B. SISNEROS NOTARY PUBLIC STATE OF COLORADO My Commission Expires 03/17/2012 (Notary Public) APPLICATION FOR SMALL TEMPORARY EMPLOYEE HOUSING PERMIT FOR NATURAL GAS WORKERS: OLD MOUNTAIN K-15 PAD PICEANCE BASIN NATURAL GAS OPERATIONS GARFIELD COUNTY, COLORADO BERRY PETROLEUM COMPANY SUBMITTED BY BERRY PETROLEUM COMPANY November 2010 APPLICATION FOR SMALL TEMPORARY EMPLOYEE HOUSING PERMIT FOR NATURAL GAS WORKERS: OLD MOUNTAIN K-15 PAD Attachment 1 Attachment 2 - APPLICATION - PERFORMANCE STANDARDS FIGURES REGIONAL MAP VICINITY & EMERGENCY RESPONSE MAP SITE PLAN ATTACHMENTS Emergency Contact Information COGCC-Approved APD for Old Mountain K-15 Pad ii APPLICATION FOR SMALL TEMPORARY EMPLOYEE HOUSING PERMIT FOR NATURAL GAS WORKERS: DESCRIPTION AND SPECIFICATIONS FOR THE PROPOSED SMALL TEMPORARY EMPLOYEE HOUSING QUARTERS Introduction This Application for a Small Temporary Employee Housing Permit is being submitted by Berry Petroleum Company (Bevy) in support of its Piceance Basin natural gas operations, located near upper Parachute Canyon (Figure 1). In brief, Berry Petroleum proposes to install temporary employee housing quarters, which would accommodate personnel working on Berry's operations. The temporary housing quarters would consist of two mobile home buildings. The temporary housing quarters would accommodate up to a maximum of 8 individuals. The proposed temporary housing quarters would house working crews during their 7 -day work weeks, thereby substantially reducing daily vehicle trips up and down the mountain. It will also provide a safe place for employees to sleep and use the restroom during periods of inclement weather in the winter months. One-way travel times between the Town of Parachute and Berry's working locations are as great as two hours. The proposed temporary employee housing quarters would provide tired staff a safe alternative to driving down the mountain to housing in Parachute, Rifle, DeBeque, or elsewhere after their work days/nights are complete. Project Location Berry's proposed project location is on top of the plateau on the east side of Parachute Canyon in the northeast quarter of the southwest quarter of Section 15, Township 6 South, Range 96 West of the 6th Principal Meridian in Garfield County, Colorado. Figure 2 provides a vicinity map showing the location of the proposed temporary employee housing quarters, and the roads to be used for access. The proposed temporary housing quarters would be located entirely on an existing COGCC- permitted well pad for less than a cumulative 365 days. The housing quarters would be temporary and would relocate when activities associated with drilling/completing the well are finished. Site Plan Description Berry is proposing to install temporary employee housing quarters on the COGCC-permitted Berry Old Mountain K-15 Pad well pad on lands owned by EnCana Oil and Gas (USA) Inc. The proposed temporary housing quarters would consist of two mobile home buildings (Photo 1) provided by Outpost Office Inc. In total, the temporary employee housing quarters would feature 6 bedrooms and accommodate up to 8 individuals. In addition to bedrooms, each mobile home building would include a fully equipped bathroom, laundry machines, a kitchen, refrigerator, dining area, a couch, and a satellite television (Photo 2). Figure 3 provides a site 1 plan showing the proposed layout of the temporary housing quarters on the Old Mountain K-15 Pad well pad. Electric power for the proposed temporary housing quarters would be provided by a diesel - fueled electric generator. Potable water and bottled drinking water would be transported by truck, as described in Section 2.0. Hours of Operation The proposed temporary housing quarters are scheduled to be in continuous operation 24 hours per day, every day, until winter road maintenance operations are complete. Site Access and Anticipated Vehicle Traffic Access to Berry's operations and the proposed temporary housing quarters will be via the Wheeler Gulch Road from County Road 215, north of Parachute. The road is not gated, but access is controlled by guard shacks at the top and bottom of the cliff road. From the top of the Wheeler Gulch Road, vehicles would proceed north along the Wheeler Gulch Extension Road located on private lands, to the Old Mountain K-15 Pad well pad location (Figure 2). Vehicle traffic associated with each of the proposed temporary housing quarters would include approximately 10 light pickup truck trips per day, as well as 3 large truck trips per week for delivery of potable water, removal of wastewater, and removal of trash. Emergency Response In order to ensure a safe and timely response to emergency situations, Berry has provided the Garfield County Sheriff's Depaituient, the local fire department, and emergency medical service providers with detailed maps showing the location of the proposed temporary housing quarters, detailed directions to it, and GPS coordinates to facilitate timely response. Since the temporary housing quarters would be located within an active field, roads will be well-maintained and snow plowed in the winter to facilitate vehicle access. The proposed temporary employee housing sites would be equipped with a cellular phone (assuming there is service) or a satellite telephone to be used to contact emergency response services as needed. A list of emergency contact numbers will be posted at the temporary housing quarters and all personnel occupying them will be informed as to use of the emergency contact list and the cellular/satellite telephone to summon emergency responders, should the need arise. 2 Photo 1. Exterior of Mobile Home Housing Quarters. Photo 2. Common Living and Dining Area in Mobile Home with Television. 3 Photo 3 Typical Approved Fire Extinguisher (Class ABC) In the case of medical emergencies, the type of action taken will depend on the severity of the medical emergency. Should a life threatening medical emergency arise, Berry or its contractors would summon St. Mary's Care Flight for helicopter response. Helicopter landing sites have been established in close proximity to the Old Mountain K-15 well pad temporary housing quarters. The GPS locations of the landing sites will be provided to both the Garfield County Sheriffs Department and Care Flight. In the case of injuries or medical problems that are not life threatening, the injured worker would either be transported down the mountain in a company/contractor vehicle to the nearest medical center for treatment or transported by ambulance summoned to the site, depending on the circumstances. A well-equipped first aid kit would be located in the trailer. The proposed temporary housing quarters would be equipped with smoke and heat detecting fire alarms to alert the occupants of a fire. All occupants would be informed as to escape routes and fire extinguisher locations. The mobile home unit would be equipped with fire extinguishers capable of fighting A, B, and C-type fires. Fire extinguishers would be mounted on the walls or in easily visible locations. Since the proposed temporary housing quarters would be placed on a COGCC-permitted well pad that is clear of vegetation, the risk of wildfires would be minimal. Smoking would only be permitted in designated areas adjacent to the housing quarters. Open fires would not be permitted. Only gas grills would be used outdoors. WATER USE AND WASTEWATER DISPOSAL Potable water would be delivered by truck to the proposed temporary employee housing quarters by a licensed contractor (Artesian Water Service: PWSID #'s-139156 and 139157), as needed for washing and toilet consumption. Potable water would be obtained from two deep well artesian water sources (Colorado Potable Service ID#s-CO 139156 -Redd -Well and CO 139157 -Fleck Well), and certified as potable to meet Colorado Department of Public Health and Environment regulations for public water supplies. Based on Colorado law, the potable water supply for the proposed temporary employee housing quarters is not subject to Colorado Primary Drinking Water regulations (5 CCR 1003-1-1.2). Potable water for the site would be stored in one (1) 3,200 gallon potable water tank, which would be weather-proof and insulated to prevent freezing. The water would then be piped from this tank to the internal plumbing system of the mobile home unit. Potable water would be pressurized by a pump that will deliver water at a pressure of 50 to 60 pounds per square inch to all fixtures in the housing quarters. Accurate records would be kept to demonstrate that the water supplied is from an approved source and monthly records of potable water samples tested for coli form bacteria would be available to the County upon request. The Garfield County Public Health Department would be notified immediately if tests yield coli form bacteria contamination results. Although it would be suitable for drinking, the potable water to be used at the proposed temporary housing quarters is generally intended for washing, laundry, and toilet flushes. Drinking water would be supplied by a vendor in 5 gallon bottles, and delivered as needed. Water deliveries would be via maintained county and well field access roads that will be kept open on a year-round basis. No on-site well water will be required for the project's duration. Wastewater would be temporarily stored in one (1) 4,000 gallon waste water holding tank at the proposed employee housing quarters. This tank would be heated to prevent freezing (Photo 4). The wastewater holding tank would be equipped with overflow alarms that would be triggered when the tank reaches 80% of capacity. The tank and piping would be made of proper materials, would be water tight, properly sealed or screened to prevent entry and exit of insects and other vermin. The holding tank would be pumped by vacuum truck (Down Valley Septic) approximately two times per week to maintain ample storage capacity. Wastewater haul trips would typically remove up to the full 4,000 gallons from the holding tank. The wastewater would then be hauled and disposed of (as appropriate) at the Garfield County Landfill. Records of all wastewater haul trips will be maintained on-site to verify the waste was hauled by an approved service and receipts from the hauler will be kept on record. Although Garfield County has required the use of Individual Sewage Disposal Systems (ISDS) for wastewater treatment and disposal, Berry would like to request an exception from this requirement due to the short duration the proposed temporary housing quarters would be used at the proposed site. The proposed temporary employee housing quarters on the Old Mountain K- 15 well pad would be used for less than one year, then would be relocated elsewhere. Given this short-term use, the installation of a septic system or other ISDS is not deemed practical at this time. 5 SITE PLAN Figure 3 provides a diagram showing where the temporary housing quarters would be located on the Old Mountain K-15 natural gas well pad. Berry's proposed temporary employee housing quarters would not be located within one mile of a state or county roadway. VICINITY MAP Figure 2 depicts the location of Berry's operations in relation to nearby roadways on a USGS topographic map. The map also identifies the locations of Berry's proposed temporary employee housing quarters. As stated previously, the proposed temporary housing quarters would be installed on a COGCC-permitted natural gas well pad, which is flat to very gently sloping. Photo 4. Sealed 4,000 Gallon Wastewater Tank in Heated Enclosure. 6 Photo 5. Bear -Proof Trash Dumpster with Steel Locking Doors. aT 17e_+e, THIS IHSIOMIA 18 THE PROPERTY OF THE ) STATE OF COLORADO DIVISION OF HOUSING THIS MONRSPOSMTIAL STRUCTURE COMPLIES win. THE FACrORT SUM, NONRESIDSTITIAL CONSTRUCTION STANDARDS OF TME STATE OF COLORADO WIUFACTDYR1Sr EArSE -„�.�� RAIZ AF.110TAL110.� MNIT ID. OATS SULLT IMIMENZWIM CERTIF*CAT1OM 10. F000 21526 MANUFACTURER CERTIFIES THE FOLLOWING. MOOT *01100 LOAD Kr •11.15141,i. _MEM 00* !1000 01110M101>. r r IRI RAT. FL DOS NII PIM LTRO "KM. +A I 1t Photo 6 State of Colorado Housing Certification Stamp IMEISEINEME ����1n*0010100 EE1=3 i�/0110110 7 ive4 TMS INSIGNIA 13 THE PROPERTY OF THE STATE OF COLORADO DIVISION OF HOUSING IMO sMMAIM OMPOlUl STAUC'uM COMPLIES WITH THE,4CTOAT C*1RyCT. ETANOAAOS of THE STATE O; CC.**)' COMMIMEMEFECTIMOW THE FOLLOWING: NNW MOP MIN WWWPOIWID Plea _L WWII WINO -IMIWW11111Ma EES UMW lid —Error NOP IOW • MINUNIND Photo 7 State of Colorado Housing Certification Stamp GARFIELD COUNTY ASSESSOR'S INFORMATION A list of adjacent property owners or those within 200 feet of the Subject Location is provided below in Table 1. The project site is specifically located on Assessor's Parcel Number 2135-2730- 0015. Table 1. Name of Owner Address EnCana Oil & Gas (USA) Inc. 370 17th Street, Suite 1700 Denver, CO 80202 5.1 Mitigation of Impacts to Adjacent Landowners and Other Land Uses The project site is located in a rural area used for livestock grazing and natural gas production. There are no occupied residences or sensitive land uses, such as schools, in close proximity to Berry's operations. 8 The temporary housing quarters would be installed on private land owned by EnCana Oil & Gas (USA) Inc. Since the temporary housing quarters would be located on existing natural gas well pad, no new surface disturbance would be generated as a result of its installation and no additional impacts to cattle grazing are anticipated. Since the proposed temporary housing quarters would reduce daily commuting activity, the risk of vehicle -livestock collisions would be decreased. Additional measures that would be taken to reduce impacts to adjacent landowners include: • No alcohol or illegal drugs would be tolerated at any time in this facility; • Guns and other weapons would be prohibited; • Open fires and smoking outside of designated areas would be prohibited to minimize the risk of wildfires; • Compliance with all posted speed limits on access roads would be required or speed will be limited to 25 mph on roads not posted; • No pets would be allowed in the temporary housing quarters; and • A bear -proof trash dumpster and good housekeeping practices would be implemented to prevent animal nuisance problems (Photo 5). PERFORMANCE STANDARDS The following is a discussion of how the proposed facility would comply with relevant standards outlined in the Garfield County Unified Land Use Resolution of 2008. Small Temporary Employee Housing Facility Standards: A. Given the shortage of affordable rental housing in Parachute and Rifle, and the remote location of Berry's operations, Berry is requesting a Small Temporary Employee Housing Facility Permit for its natural gas workers. The proposed temporary housing quarters would comply with all applicable Garfield County building codes, state and federal permit requirements, fire protection district requirements, and fire code requirements. All facilities would be used solely for living quarters in support of Berry's operations and not for recreational purposes. When operations are completed, all housing structures and associated infrastructure would be removed and the lands restored. It is Berry Petroleum Company's intention to provide adequate utility and sanitation services to the proposed temporary housing quarters based on sound engineering practices and in compliance with applicable state and local laws and regulations. B. No recreational vehicles will be allowed or used on-site at any time. C. Under no circumstances would unsafe water be used for drinking. Potable water would be obtained from a sources certified to meet Colorado Department of Public Health and Environment standards, as described above. Although it would be suitable for drinking, the potable water to be used at the proposed temporary housing quarters is generally intended for washing, laundry, and toilet flushes. Drinking water would be supplied by a vendor in 5 gallon bottles, and delivered as needed. Water deliveries would be via maintained county and well field 9 access roads that will be kept open on a year-round basis. No on-site well water will be required for the project's duration. No raw sewage or used water would be discharged on the ground surface. D. All proposed temporary employee housing sites would be maintained in a clean, safe, and sanitary condition, free of weeds and refuse. Any hazardous or noxious materials stored on site would be managed in accordance with all applicable federal, state, and local laws and regulations. E/F. All trash and solid wastes generated at the proposed employee housing quarters would be stored in a 30 cubic yard centralized bear -proof dumpster, which would be made of steel and equipped with locking steel doors. Solid waste from this dumpster would be hauled offsite by a contract waste hauler (Western Colorado Waste) to the Garfield County landfill near Rulison. Calculation of solid waste production: one cubic yard of solid waste per person, per week. Refuse would be disposed of at least once every 2 weeks and hauling records made available upon request. G. Food storage would be limited to within the proposed temporary employee housing facilities. No outdoor food storage would be allowed. H/I/J. As discussed in Section 1.6, each mobile home unit (in the bedrooms) and the kitchen/dining trailer would be equipped with smoke and carbon monoxide alarms to alert occupants in the event of a fire. The Temporary Employee Housing Trailer is certified to meet the state's public safety requirements as shown in Photo 6. All temporary employee housing occupants would be informed as to escape routes and fire extinguisher locations. Each unit would be equipped with fire extinguishers capable of fighting A, B, and C-type fires. Fire extinguishers would be mounted on the walls or in easily visible locations. Residents would be informed as to the potential for wildfires and no open fires would be permitted at the proposed employee housing quarters. Smoking would only be permitted in designated areas near the units and away from brush and other native vegetation. K. Occupancy in the Temporary Employee Housing Quarters will be limited to employees and contractors of Berry Petroleum exclusively and animals will not be allowed on-site. L. The water supply for Berry's proposed temporary employee housing quarters would consist of potable water to be delivered by a licensed contractor (Down Valley Septic), as needed for washing and toilet consumption. Potable water would be obtained from the City of Rifle, and certified as potable to meet Colorado Department of Public Health and Environment standards for public water supplies. Potable water would be stored in one (1) 3,200 gallon potable water tanks which would be weather-proof and insulated to prevent freezing. The water would then be piped from this tank to the internal plumbing systems of the individual mobile home unit. The 3,200 gallon tank would serve the mobile home unit and has been sized to meet sprinkler and initial suppression demands. A minimum of 2,500 gallons of water will be stored on-site at all times for fire suppression specifically. Potable water would be pressurized by a pump that will deliver water at a pressure of 50 to 60 pounds per square inch to all fixtures and fire suppression sprinklers in the housing quarters. 10 M. Any emergency situations requiring action by a regulatory body will be documented and communicated to the county in writing within 24 hours. N. Access permits will only apply to County Road 215. All other travel is done on private roads. Contractors are responsible for obtaining such permits and are available upon request. The purpose of the temporary employee housing quarters is to decrease travel on county roads and maintain limited traffic closer to Berry's operations. O. The Sheriff's Office, Grand Valley Fire Protection District, and Garfield County Building and Planning Department have been notified of site development activity. Furthermore, Berry Petroleum Company has verified in writing, and by site plan that the site, water system, and sewage disposal system were designed, installed, and inspected in accordance with the permit application, and that it complies with all applicable regulations, permits, and conditions. Upon completion of activity or permit expiration, the Fire Protection District, Sheriff's Depaitment, and County will be notified within 10 days and provided dated and signed photos illustrating removal of all structures and infrastructure related to the housing quarters. The site will be restored to the satisfaction of the County Building and Planning Director. P. Records identifying personnel and the dates they are housed in the facility will be maintained and available upon request. Q./R. Please see application and figures. S. Wastewater Disposal: As described previously, wastewater at the temporary housing quarters would be temporarily stored in one (1) 4,000 gallon waste water holding tank at the proposed employee housing quarters. This tank would be heated to prevent freezing. The wastewater holding tank would be equipped with overflow alarms that would be triggered when the tank reaches 80% of capacity. The tank and piping would be made of proper materials, would be water tight, properly sealed or screened to prevent entry and exit of insects and other vermin. The holding tank would be pumped by vacuum truck (Down Valley Septic) approximately 3-4 times per week to maintain ample storage capacity. Wastewater haul trips would typically remove up to 4,000 gallons from the tank. The wastewater would then be hauled and disposed of (as appropriate) at the Garfield County Landfill. Records of all wastewater haul trips will be maintained on-site to verify the waste was hauled by an approved service and receipts from the hauler will be kept on record. The facility is not projected to produce in excess of 2,000 gallons of waste per day and access to the site will be maintained year-round for hauling and transportation. I1 SCALE 1 Mile Lat: 39.52500 Long: 108.09824 L-15 Well Pad Lat: 39.52071 Long: 108.09967 K-15 Well Pad Lat: 39.52248 Long: 108.09637 K-15 and L15 Proximity and Emergency Response Map Garfield County, Colorado Date: 11/08/20101 I Plan: A BERRY PETROLEUM CO. 1999 Broadway, Suite 3700 Denver, Colorado 80202 n TRASH BERRY PETROLEUM COMPANY TYPICAL RIG LAYOUT WELL PAD (K-15) EMPLOYEE HOUSING TRAILERS 0 EMPLOYEE HOUSING TRAILERS OM -06D • Lei OM -07C • 0M -10A • OM -11A • LEGEND nPotable Water i Waste Water 165' OM -108 •� OM -11 DR • OM -11D (P&A) • OM -14A • OM -118 H 170' 105' 170' N H 70' RESERVE PIT 11111 0- COMPLETION PIT 1 170 1 10' WIDf BENCH ry 1/ // 7/ 1, // // �/ / / �3 Berry Petroleum Company Figure 3 Site Plan - Location of Temporary Housing Quarters on K-15 Well Pad 16 L-15 Well Pad Lat: 39.52071 Long: 108.09967 21 10 15 K-15 Well Pad Lat: 39.52248 Long: 108.09637 44 K-15 and L15 Surface Ownership Map Garfield County, Colorado Dater 11/09/20101 1 Plan: A BERRY PETROLEUM CO. 1999 Broadway, Suite 3700 Denver, Colorado 80202 SCALE 1 Mile CONTACT INFORMATION Berry Petroleum Company 24 -Hour Emergency Response Contacts: KENNETH KUHN Production Superintendent Cellular: (970) 930-0128 Office: (970) 285-2200 DEREK JOHNSON Production Foreman Cellular: (970) 274-3335 Office: (970) 285-2200 BERRY PETROLEUM FIELD OFFICE 235 Callahan Ave. Parachute, CO 81635 (970) 285-2200 St. Mary's Hospital & Life/Care Flight 2635 North 7th Street Grand Junction, Colorado 81502 970 -244 -CARE (2273) 1-800-458-3888 Grand Valley Fire Protection District 124 STONE QUARRY RD, PO BOX 295 Parachute, CO 81635 (970) 285-9119 Garfield County Building and Planning Dept. 108 8th St., Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 De Beque Fire Protection District 380 Curtis Avenue De Beque, CO 81630 (970) 283-8632 12 Battlement Mesa Medical Center P.O. Box 912 Rifle, CO 81650 970.285.7046 Grand River Medical Center P.O. Box 912 Rifle, CO 81650 970.625.1510 Garfield County Sheriff's Office 107 8th St Glenwood Springs, CO 81601 (970) 945-0453 20. LEASE, SPACING AND POOLING INFORMATION OGective Fnrmationls) Formation Code Spacing Order Number (s) F r r Williams Fork 2 State of Colorado ENo Yes Alki-1T2 Spreading 1 M ecnvo: L ) Oil and Gas Conservation Commission inDUricolii Simi Suite 101, Dew Cobmde 80203 PIwne: 1303)890.2100 Far:803)9944109�,I. PW'' .. ' �'II71 ! 11 1. rad Odd, MI APPLICATION Deepen, a FOR PERMIT Re-enter, NM TO: Recomplele and Operate 7 RFs •rte. 7-1 r,'7 ` 2, TYPE OIL. OF WELL Gast COALBED ❑ OTHER: Refiling Sidetrack M Pluppyg pegesurety IDR ,, U U U 4 SINGLE ZONEa/ MULTIPLE Z0NE51 1 COMMINGLE ZONES7 compote the 3, Name or Operator Ben/ Petroleum Company 4. C0G00 Operator Number 10091 Attachment cna4.04 OP Mac 5. Address: 950 1718, Street Suite 2400 APDOrig 81 Copy 1No Bond 1❑$5,000 Surface Bond separate sheellmap if you preler): City Denver Stale: CO Zip: 80202 Form 2A Bend in 52,000 Surface th4 proposedwellsite is located (attach al lease description 6 Contact Name: Stacey Saltsman Phone: (303) 633-1858 Fax: (303) 825-3350 Wel location plat 7. Well Name: School House Point OM Well Number 14A K15 696 Tope map 8. Unit Name (If appl): Unit Number: Mineral lease map Stage Tool 9. Proposed Total Measured Depth: 10,336' Surface agrmVSurety 32. BOP Equipment 33. Comments WELL LOCATION INFORMATION 30 Day notice letter 34, Initial Rule 306 Consultation l0ok place on(date) has been waived or if good faith effort did not result PERMIT SUBMITTED TO COGCC PRIOR TO COMPLIANCE I hereby certify that complete permit package has to the best of m • owledge, true 1. eel, Pnd complete. Sign,[!tl' / ' ID. Ota„ NESW Sec: 15 Twp: 6S Rog: 96W Meridian: 6th P.M. DnVialed Drilling Plan to consultation. WITH RULE been sent to the applicable a Title, er.tpns Asses -it' Date: 8/21 /2007 Email: sas(4bry.com Latitude: 39.522208 Longitude: 108.097103 Exception Location FOISSL moths Request Footage Al Surface: 2350 IS 2137 W Exception Loc Waivers 11. Field Name: Parachute Field Number. 67350 H28 Contingency Plan 12. Ground Elevation: 8482 13. County. Garfield Federal Drilling Permit 14. GPS Data: Date of Measurement 4/30/07 PROP Reading: 1.2 Instrument Operator's Name: Robert Kay 15. If well is: m Directional D Horizontal (highly deviated), submit deviated drilling plan. Bottomhole Sec Twp Rag: Sec 15 65 96W amn Faolage Al Top of Prod Zone: 11263' 1 1S I 12310' I 1W IAt8odom Hole: 11263' 1 ❑ 1 2310' 1 1W 16. Is location in a high density ar a (Rule 6030)2 17. Distance to the nearest building, public road, above In ground Yes utility or railroad: fl No 1.6 Miles 18. Distance to Nearest Property Me: 3139' 19. Distance to nearest well permitted/completed in the same formation: 614' 20. LEASE, SPACING AND POOLING INFORMATION OGective Fnrmationls) Formation Code Spacing Order Number (s) Unit Acreaa Assi•ned le Well Unlit Con(, oration 012,5E/4, etc) Williams Fork WMFK 510-13 ENo Yes Alki-1T2 Spreading 1 a pit permit (Rule 90 local fire oOaals. Strkig Size of Hole SRe of Casing Weght Per Fool Setlmg Depth Sacks Cement Gement Bottom Cement Top Conductor 24" 20" 55 # 21. Mineral Ownership: 22. Surface Ownership: 23. Is the Surface Owner al 23a. If 23 is Yes: Is l 235. 1123 is No: 1111111Sudace 24. Using standard 0001, Sec, Please see apache .-Fee ZFee the e Surface Twp, lease Stale State Federal Federal 17 1/2" Indian Indian Yes 1 Blanket Surface upon which Lease ft 2850' Surface Sorely IDM Mineral Owner? Own r(s) signature on Owners Agreement Attached Rng norma) enter entire map Yes the l mine 1 No r/1 ase! 1No Bond 1❑$5,000 Surface Bond separate sheellmap if you preler): r 1 625.000 Bend in 52,000 Surface th4 proposedwellsite is located (attach al lease description 25. Distance to Nearest Mineral Lease Line: 2966' 26. Total Acres in Lease: 25 000 DRILLING PLANS AND PROCEDURES 27 13 H25 anticipated? gm Yes fl No 28. Wdl sad sections be encountered dying Milling? 29, Will salt (>15,000 ppm TD50» or of based muds be used 30. If questions 270028_reyes, is this location to a sensitive 31. Mud disposal. Offsite B11 Onsite Method: Land Fanning 1 YT1 Lan NOTE: The use of an earthen p4 for Recompletion fluids requires If Yes, aback contingency plan. No No 1!28,29 or 30 are 'Yes" a pit perm =Other it may be required. 1 J Yes during drilling? area(R8)s 903)? Yes ENo Yes Disp sal FaclNy b.) 4 air/gas drilling, natty Spreading 1 a pit permit (Rule 90 local fire oOaals. Strkig Size of Hole SRe of Casing Weght Per Fool Setlmg Depth Sacks Cement Gement Bottom Cement Top Conductor 24" 20" 55 # 90' 100 sks 90'0' Surface 17 1/2" 9.625" 36 # 2850' 3500 sks 2596' 255'.0' Production 8 3/4x7 875 4.5" 11.6 # 10,336' 1200 sks 10,336' 6500' Stage Tool 32. BOP Equipment 33. Comments Type: 171 Annular Prevents m Double Ram Fri Rotating Head 1:::1 None 34, Initial Rule 306 Consultation l0ok place on(date) has been waived or if good faith effort did not result PERMIT SUBMITTED TO COGCC PRIOR TO COMPLIANCE I hereby certify that complete permit package has to the best of m • owledge, true 1. eel, Pnd complete. Sign,[!tl' / ' tl/CU/LUU/ ,was waived, or is not required, Provide supporting documentation it consultation 308 CONSULTATION SHALL BE RETURNED UNAPPROVED. Local Govemment Designee(s), and all statements made in this form are, Print Name' Stacey A. Saltsman to consultation. WITH RULE been sent to the applicable a Title, er.tpns Asses -it' Date: 8/21 /2007 Email: sas(4bry.com Based on the information�'/w�v�, fed h(]gs59pArtm�ho�nj�r�Permtl-lo-Ail(56vF•es with COGCC Rules and applicable orders and N hereby approved. COGCC Approved ✓Ci% 0" /j+"«"°d _I)Y n r4.9 4./ Director of COGCC bate: N -`l-'112; Permit Nu3++ ` j 9 2 5 Expiration Date: ii - �1'f API NUMBER BS-CPIS- jy477 vu CONDITIONS OF APPROVAL, IF ANY: SEE ATTACHED PAGES: CONDITIONS OF APPROVAL AND NOTICE TO OPERATORS CONDITIONS OF APPROVAL SCHOOL HOUSE POINT OM 14A K15 696 24 HOUR SPUD NOTICE REQUIRED. E-MAIL: ,'AIMEADKIN ;©STA?E.'CO.i1S NEW GARFIELD COUNTY RULISON FIELD NOTICE TO OPERATORS. NOTE: ALLNOTICESSHALL. BE C'VEN VIA E_ -MAIL CEMENT TOP VERIFICATION BY CBL REQUIRED. RESERVE PIT MUST BE LINED. THE NEARBY HILLSIDE MUST BE MONITORED FOR ANY DAY LIGHTING DRILLING FLUIDS THROUGHOUT THE DRILLING OF THE SURFACE CASING INTERVAL. THE PROPOSED SURFACE CASING IS MORE THAN 50' BELOW THE DEPTH OF THE DEEPEST WATER WELL WITHIN 1 MILE OF THE SURFACE LOCATION WHEN CORRECTED FOR ELEVATION DIFFERENCES. THE DEEPEST WATER WELL WITHIN 1 MILE IS 000 FEET DEEP. THE OPERATOR SHALL COMPLY WITH RULE 321., AND IT SHALL BE THE OPERATOR'S RESPONSIBILITY TO ENSURE THAT THE WELLBORE COMPLIES WITH SETBACK REQUIREMENTS IN COMMISSION ORDERS OR RULES PRIOR TO PRODUCING THE WELL. NOTICE TO ALL OPERATORS DRILLING WILLIAMS FORK FORMATION WELLS IN GARFIELD COUNTY SURFACE CASING DEPTH AND MODIFICATION OFLEAKOFF TEST REQUREMENTS )UNE 23, 2006 (Amends May 3, 2001 Notice) Based on the evaluation of the leakoff test data, drilling histories and reservoir parameters for Williams Fork Formation wells in Garfield County, the surface casing setting depth requirements specified in the September 22, 1998 policy statement amended May 3, 2001 will remain in effect. Surface casing leakoff tests will be performed at the discretion of the operator with the exception of additional leakoff test requirements that may apply in the Grand Valley Field as required by an earlier notice. The following conditions are to be attached to a0 permits-to-Drill for Williams Fork Formation or deeper gas wells in Garfield County: The following shall be required in the Rul son Feld Overpressured Area; 1. The Rulisoe Feld Overpressured Area is defined as (see attached map): Township 6 South, Range 94 West, Sections 9, 15-23, 26-35 Township 7 South, Range 94 West, Sections 2-6, 8-10, 11, 15, 16 2. Surface casing must be sin at a minimum depth of 1100 feet. The following shall be required in all fields in Garfield County: I. Notify the COGCC Northwest Area Engineer 24 bouts prior to commencing we0site construction, setting of conductor pipe, well spudding, sunning all casing and any cementing operations so that COGCC staff may have the opportunity to witness. All notification shill be given via e-mail whenever possible. 2. Surface casing shall be set at a minimum depth of ten percent (10%) of the total depth of the well. 3. All lost circulation zones, gas kicks and water flows shall be reported to the COGCC Northwest Colorado Arca Engineer as soon as feasible within twenty-four (24) hours of accunence. 4. Significant Inst circulation shall be defined as a mud loss in excess of 100 barrels and which requires shut down of operations for an hour or longer to pump lost circulation material and rebuild pit volume. The following data is required: depth, mud volume lost whether or not a kick ensued, mud weights before and after lost circulation, and procedures used to regain circulation. 5. A significant kick shall be defined as ore that is managed by shutting in the well to circulate out the kick or that is managed by going on choke and requiring an increase in mud weight exceeding 3/1 Oths of one pound per gallon to control. The following data is required: date and time of the kick total depth of the well at the time of the kick, surface casing depth, size and cementing data, initial and final mud weights, shut in drill pipe pressure, shut in casing pressure, or any other pressure measurement or information used to determine the mud weight necessary to control the kick. 6. The depth, rate and mud weight on all water flows must be reported. 7. Upon completion of the primary cementing operation, the annular fluid level around the production casing shall be monitored for a minimum of 4 hour after cementing. Operators shall maintain the ability to monitor the annular fluid level and keep the hole full. The amount of mud that is used to keep the hole full shall be recorded If mud volumes in excess of twenty (20) betels are necessary to keep the hole full, the loss of fluid shall be reported to the COGCC immediately. For all notifications contact COGCC Northwest Area Colorado Area Engineer Jaime Adkins via e-mail at: jaime.adkins@state.co.us or in urgent cases at 970-285-9000(0), 970-250-2440(C). Thank you for cooperating with these requirements. Brian Macke, Director Project Address Garfield County Building & Planning Department 108 8th Street Suite 401 Glenwood Springs, CO 81601 - Phone: (970)945-8212 Fax: (970)384-3470 Parcel No. Permit tvo.'SEPT-11-10-1843 PennitType: Septic Permit WorkClassitiication: New Permit Status: Active Issue Date: 11/24/2010 Expires: 11/24/2011 Subdivision Section Township Range PARACHUTE, CO 213527300015 Owner Information Address Phone Cell Contractor(s) Phone Primary Contractor Proposed Construction / Details septic for TEH for well pad K-15 FEES DUE Fee Amount Septic Fee - New $73.00 Total: $73.00 Valuation: Total Sq Feet: $ 0.00 0 FEES PAID Inv Total Paytype Amt Paid Amt Due Inv # SEPT -11-10-20694 $ 73.00 Credit Card $73.00 $ 0.00 Required Inspections: For Inspections call : 1(888)868-5306 Inspection IVR See Permit Record Building Department Copy Wednesday, November 24, 2010 2