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HomeMy WebLinkAbout1.0 ApplicationGARFIELD COUNTY Building and Planning Department 108 81h Street, Suite 401 Glenwood Springs, Colorado 81601 Telephone: (970) 945-8212 Facsimile: (970) 384-3470 www.darfield-county. com -10_(o(p(p0 EnCana A22W Pad / Nabors M13 Small Temporary Employee Housing Administrative Checklist GENERAL INFORMATION - Submit 1 paper & 1 CD copy of the completed application to Planning Department w/in 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: •422W Section 22, T7S, R93W Tax Parcel N umber for Parcel Containing Housing S ite: 2403-153-00-046 GPS and/or Lat-Long Coordinates of Housing Facility Site (Often included in APD): Lat: 39.436361, Long: -107.752769, Elev: 6784' Zone District: Rural Maximum Number of Occupants at Permitted Site (e.g. well pad): 8 Cumulative Amount of Time (in Days) The Facility Will be at Location: Approximately +/- 105 days State or Federal Permitting Agency Overseeing Reclamation, Restoration and Revegetation and Relevant Permit Number: 05-045-20008-00 Date of Installation: 11-15-10 Date of Removal: est. 02-28-11 Name of Landowner: Rose, James Street Address: 7665 CR 319 Telephone: (970) 876-5724 Email: City: Rifle State: CO Zip Code: 81650 Name of Operator's Com pliance Officer: Renata Busch (Permitting / So. Rockies) Street Address: 2717 County Road 215 Telephone: (970) 285-2825 Email: renata.busch@ encana.com City: Parachute State: CO Zip Code: 81635 Company 24 -Hour Emergency Contact: Safety On -Call Phone Number: 210-8755 This Administrative Checklist must be received by the Garfield C ounty Planning Department hours following occupancy of the Small Facility. within 48 be delivered to within 48 hours Office and or verified the Operator's been received by A copy of this completed Administrative Checklist and all associated submittals shall the Garfield County Sheriff's Office and relevant Fire Protection District (if applicable) following occupancy of the Small Facility. Additionally, the Garfield County Sheriff's 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 is responsibility to confirm and obtain verification that the Administrative Checklist has the Sheriff's Office and Fire Protection Dis trict. 1 Fire Suppression Requirements (Per Performance Standard 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." Required Size of water storage tank for sprinkler system and initial suppression activities: 2500 g allons 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 distric is and the Garfield County Sheriff's 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: 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 municipalities 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) Hi. 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 2 districts, Garfield County Sheriffs 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 docu ment. Y / V 3 NaL__s M13 Small Facilities Building Information (Per Unit) Unit 1 Make: Advanced Modular Serial Number or Unit ID Number: 15440 Manufacture Year: 2006 Size of Unit (Square Feet): 34 x 12 Unit 2 Make: Advanced Modular Serial Number or Unit ID Number: 2718 13976 Manufacture Year: 2009 Size of Unit (Square Feet): 52 x 1 Unit 3 Make: Advanced Modular Serial Number or Unit ID Number: 17597 Manufacture Year: 2007 Size of Unit (Square Feet): 57 x 14 Unit 4 Make: Advanced Modular Serial Number or Unit ID Number: 14168 Manufacture Year: 2007 Size of Unit (Square Feet): 34x12 Unit 5 Make: Advanced Modular Serial Number or Unit ID Number: 19845 Manufacture Year: 2008 Size of Unit (Square Feet): 34 x 12 I DS Permit ISDS Permit Number: SEPT -7-10-1632 Signature of Operato'° ianc Officer: C---� C� (By signing this form, I verifythat all in or matron provided in this the best of my knowledge) Print Name: Renata Busch checklist is correct and accurate to Title: Permitting / So. Rockies Atco Structure 2007 21944 54x13 4 Facility (eight or Tess individuals) and shall otherwise be permitted and operated in accordance with Bre Garfield County ISDS regulations as contained in BOCC Resolution Number 199411-136. 1 hereby attest that 1 am the designated Compliance Officer for the aforementioned Small Temporary Employee Housing Facility(ies). 1 attest that I have read and understand the standards to which the Facility(ies) shall be installed and operated. I attest that the Fact ity(ies) will be constructed and maintained In accordance with all applicable Garfield County, State of Colorado and Federal regulations and standards. In addition, 1 attest that 1 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 in accordance with Article 12. Signature of Operator's Compliance Officer: Print Name: Robin Richardson / Renata Busch T-rde: Piceance Safety / Permit Coordinator Phone Number: (970) 285-2729 / (970) 265-2825 Ernst robin. richardsonfencana-com / renata. buschaencana_com 1 hereby attest that I am a Licensed Professional Engineer in the State of Colorado. 1 attest that 1 have conducted a visual inspection of the Small Facility identified in this Administrative Checklist, as installed, and, based on information from that inspection 1 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 42408 PE stamp -.- 9 �yP©0 LIC ,f, �cs\,0 .._... F,ys, ��l c,,. p.Hq �oIt / ,�. .gligs" 42 Date of Inspection 11-16-10 Print Name and Tide Paul Hawkes, PE ,.. ti�o`,11-1s-1a-'C,,x Signature 11\0. %NAIEaG� �� t . 8 GARFIELD COUNTY BUILDING AND PLANNING DEPARTMENT PAYMENT AGREEMENT FORM (Shall be submitted with application) GARFIELD COUNTY (hereinafter COUNTY) and EnCana Oil & Gas (USA) Inc. Property Owner (hereinafter OWNER) agree as follows: 1. OWNER has submitted to COUNTY an application for A22w Well pad Small Temporary Employee Housing Administrative Checklist (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) 11-17-10 Signature Date Renata Busch - Permitting Print Name Mailing Address: EnCana Oil & Gas (USA) Inc. 2717 County Road 215, Suite 100 Parachute, CO 81635 Page 4 Kr 7 INPEI �ohiikkIU31 Recep Harp: 760312 121t8/2130a 113 1,4 t1a PII Jew Rlbernca 1 al 2 Rec Free; Ell.. CO Doc Fee ;D.03 GARFIET n C9t11411' &a STATEMENT OF AUTHORITY Pursuant to C. ELS S;3 tg_172, the undersigned executes this Statement of Authority on hehaLf of EnCana Oil & Gas (USA) Inc., a corporation (corporation, limited Liability company, general partnership, registered limited liability partnership, registered limited Liability limited partnership, Limited partnership association, govern'tment agency, trust or other), an entity other than an individual, capable of holding title to real property i,'t.he "Entity”), and states as follows: The name of the Entity is EnCana Oil & Gas (OSA) Inc. and is formed under the laws of the State of Lielaware. The mailing address for the Entity is 370 17Fth Street, Suite The name anti/or position of the perr,ords) authorized to execute instruments conveying, encumbering, or otherwise altecting title to real property en behalf of the Entity isiare Brenda Linster, Kent Lindberg, Renata. Busch, Brett Crabb, Jason Eckman, Chris Put.nanrt. and Khen Suthiwan. The 1i.nr.i-tatlons upon the authority of the person named above or holding the position described above to bind the Entity are as foilows: sign Garfield. County permits including., but not limited to Special [,.,e Permits; Pipeline Development l._. P" Use i= vluEtmccet flsr Administrative Permits; Major and Minor Permit and ntal1 Facility i tf�•_y r ._._....._"— hecklists for Temporary Employee Housing ;grading permits; building permits; LS0i permits; utility installation permits; driv :way permits; major Impact Permits; Limited Impact Permits; areae Administrative Permits. pY (i_f ezv 1 im.it.atar:vs, insert "None'3 Other matters enraeerrting the manner in which the Entity deals with any interest i.EL real property are: tif no other matter, aeasre this section blank) IIIIRAIRONNEWAIAJWINKICARN 7603312 12/fe$2039 031400 FM lewn Ffterioo 2 c 2 Fee *e S1 Roc Few aaa GARFFELD COUWTV co Page 2 of Statement of Authority EXECUTED this I(114-\ day of AttiC410 Signature: Namel,typed or printed: retgAl D1r(elli Title Lf any): 0(02r4(64 STATE OF aikrado3 )SS. COUNTY OF 6/ 10 UtrU'U. , n o) M foregoing instrun met was acknowledgx.d 12efore me this day of , 2008 by obehalf f Z a 411—SAP/Trilbi 11/08 Witness my hand and official seal. My co 121 2- 0 2_ b O N ti j 3 OQi 00 >si r) o z 0.ti Qs N W 1iN 0 'N 0. co W r 0 Psi W WCi TSU N(m bb q nvmi nNq 0» oe NO °OV1Q L0'N x4110 upi041 oN x00 imp b41 a00 ao poo X00 g'00 puq eq 0Uq 000 3Qq a` pap &J ¢3o hap o30 O� a O F. Ovq 0 D a o 01 EnCana oii& Gas l„c Well Pad (A22W) Expansion SEC. 22, T7S, R93W, 6th RM. www .C;farveSerro .tti 941r. \ (435 781-M1 cava rte, vii A. kms,, X078 Legend Existing Road SCALE: 1 = 1OO,O TOPOGRAPH A DATE: 09-13-201 DRAWN BY: JAS ..A., MIMI SHEET 9 OF 11 ENA Eheana 01 &Jas ('JSA :nc. SOUTH PICEANCE DRILLING RIG GROUP Site Safety Response Plan Date: 11.7.2010 Consultant(s): Arvid Mosnes / Charlie Brown Rig: Nabors M13 Pad A22W Revised 11-3-2010 Nearest town: Rifle Distance to nearest town: 11.5 miles GPS coordinates: Lat 39.436361 Long -107.752769 ELEVATION: 6788.9 (Section 22, T7S, R93W, 6th P.M.) Site Directions: 170 Exit 94 Garfield County Airport. Travel south on Mamm Creek Road 10.2 miles to the location. Look for Nabors M13 Rig signs. A22W just past Tepee Bible camp. Use Garfield County Dispatch 970-625-8095 for 911 emergency calls Muster Location: Location Entrance Rig phone: 303-353-5354 Safe place for Care Flight to land: Work with Garfield Dispatch to establish landing spot Secondary Escape: Safely exit the location, avoid hazards and meet as a group at designated muster location In case of an emergency (Injury, Accident, Fire, Gas Release, or Spill): -- Make the 911 emergency call immediately if the situation requires (Call the county dispatch.) County Dispatch will fulfill 911 duties: Fire, Ambulance/Flight for Life, and Sheriff. - - All personnel on location meet at designated meeting place (MUSTER POINT.) Determine that all personel are accounted for, using the daily log in sheet. -- If safe to do so, perform rescue operations and administer 1st aid. -- If injured person can be safely moved, transport to the nearest hospital. If not, meet and guide the Ambulance/Care Flight to the pre -planned meeting place and direct them to the accident site. -- Assign a designated communication person for phone communication and incident documentation. - - If safe to do so, control the release and contain the spill. -- Evacuate the location and surrounding area as needed. -- Document all information, ie: time of incident, time of reporting, time of response, time any changes occurred w/ incident, description of incident, names of personel involved, witnessess, estimated spill volumes, etc. -- Inform EnCana Drilling Supervision and EHS as soon as possible for all incidents. South Piceance Drilling Supervision: - - Notify appropriate Emergency Response Agencys - - Keep phone open for communications w/ Emergency Responders and the scene of the incident. -- Notify appropriate Company Groups and Managers. Matt Abell 720-468-2618 John Grubich 970-379-6735 Amy Hughes 303-517-0469 Safety On -Call 970-210-8755 Environmental On -Call 970-319-9173 Gas Control 970-285-2615 Garfield County Emergency Dispatch 970-625-8095 Mesa County Emergency Dispatch 970-242-6707 Grand River Medical Center (ER) 970-625-1510 St. Mary's Hospital (Grand Junction) 970-244-2273 Care Flight (same as St. Mary's) 800-332-4923 CO Rd Conditions/State Patrol (1+) 877-315-7623 Poison Control (1+) 800-222-1222 Cncana_ SRBU: South Piceance— EMERGENCY NOTIFICATION CHART natural �a (:i I' ; 2; I:);'('Ii );:; 2 PliiII1;6?I I. 1;00110ilVII/Ii;2 PRODUCTION/ CONSTRUCTION FACILITIES /PIPELINE DRILLING & COMPLETIONS David Grlsso W 970 -avid Grlsso C 970-250-9680 Gerald Papez C 970-260-89E6 Ross Deters W 970-285-2725 C 970-309-8583 Scott Parker W 970-285-2787 C 970.379.9793 Dewey Neely W 970-285-2632 C 970-250-9462 Brad Ankrum W 970-285-2630 C 435 260-1673 Gas Control W 970-285-2615 C 970-301-1319 Rocky Erb O 970.285-2639 C 970-210-8571 Floyd Atvey C 970-319-0357 O 970.285-2679 Greg Gohn C 970-319-7506 0 970-285-2859 John Grubich W 970-285-2631 C 970-379-6735 Mark Balderston W 970-285-2692 C 970-629-5846 Eugene Lucero W 970-589-1565 Kirby Burchett C 970-250-1179 0 970-285-2664 EMERGENCY MANAGER and/or Deputy Emergency Manager PRODUCTION PIPELINE/ CONSTRUCTION DRILLING & COMPLETIONS Tina Johnson W 720-876-5083 C 303-249-6370 Jim Walcutt W720-876-3726 C 303-204-5025 Jesse Wood W 720-876-5064 C 303-621-2433 Matt Abell W720-876-3839 C 720-468-2618 Tina Johnson W 720-876-5083 C 303-249-6370 Jim Walcutt W 720-876-3726 C 303-204-5025 John pka W (720) 876-37481 C (303) 807-8974 R (303) 567-0928 d► 11r;r\1. ...III: I;'O;21' i:;:\i iI EMERGENCY CONTACTS Fire, Sheriff, Hospital Garfield County Mesa County Colorado State Patrol Hospital (Rile) 911 (970) 625-8095 (970) 242-6707 (970) 824-6501 (970) 625-1510 Poison Control (800) 332-3073 Area Road/Mather (877) 315-7623 Federal Aviation Administration (FAA) (817)222-5096 Care Flight (St Mary's) (800) 332-4923 HAZMAT CONTRACTORS Colorado Stale Pakol 970-824-6501 EXECUTIVE LEAD South Rockies Business Unit Vice President Darrin Henke W 720-876-5157 C 303-819-7316 Level 1 Level 2 Level 3 EXECUTIVE MANAGEMENT EHS USA Division Vice President Byron Gale W (720) 876-3626 C (303) 819-7318 USA DIVISION PRESIDENT Jeff Wojahn CORPORATE PRESIDENT & CHIEF EXECUTIVE OFFICER Randy Eresman Date Reviewed: 6/01/2010 Date Revised: t); Fltj .t2 Safety On Call 970-210-8755 Danny Knuson W 970-285-270 C 970-309-7510 Brad Mallory W970-285-2699 C 970-309-1193 Miles Moran W 970-285-2732 C 970-355-4703 Shawn Pinnt W 970-285-2883 C 970-987-8178 Devin Johnston W 970-285-2617 C 970-319-3714 Robin Richardson W970-285-2729 C 970- 712-9852 Tony Carrigan C 970-260-2247 Environmental On Call 970-319-9173 Kathy Friesen W 970-285-266 C 970-319-2270 Brett Middleton W 970-285-2739 C 970-987-4650 Lindsay Kruckenberg W 907-285-2711 C 970-456-3229 EHS OFFICER Brant Gimmeson W 720-876-5030 C 303-819-7323 AGENCY CONTACTS BLM (Grand Junction) 970-244-3050 BLM (Glenwood) 970-876-9000 COGCC (Denier) 888-235-1101 COGCC (Rifle) 970-625-2497 CDPHE 877-5185608 National Response Ctr 800.424-8802 Federal OSHA 800-321-6742 CO One -Call 800-922-1987 Pipeline Quick Reference 811 PUC (8-5 M -F) 303-894-2854 After Hours Pager 303-826-1313 EMERGENCY MANAGEMENT TEAM COMMUNITY & PUBLIC RELATIONS HUMAN RESOURCES SECURfTY USA DIVISION LAND REGULATORY Doug Hock W720-876-5096 C 303-328-7048 Margie Bonan Bowman W 720-876-5456 C303-218-3020 John pka W (720) 876-37481 C (303) 807-8974 R (303) 567-0928 Helen Capps W720-876-3644 C 303-886-1980 Jill Cooper W(214) 987-7174 C (214) 415-0630 INFORMATION TECHNOLOGY LEGAL FINANCE LOSS CONTROL & INSURANCE CORPORATE AXIOM Don Ross W720-676-5261 C 303-807-8719 Mary Viviano W720-876-5020 C 720-272-6800 Tim Blackwood W720-876-5537 C 303-512-3329 David Platt W (403) 645-7514 C (403) 606-2877 (877) 502-9466 Corporate HQ — Calgary — Security Desk On Call 24 Hours (403) 645-7777 GPS Coordinates - Parachute Field Office Degree N: 039' 28' 29" Degree W. 108- 05' 16" Cisco Meeting Place Express Phone: (877) 445-2224 Profile #: 2421013 Password: 10131 UNCONTROLLED DOCUMENT IF PRINTED Busch, Renata Page 1 of 1 at - y e n c y n�1Ale cAl-; From: Busch, Renata L li 1J % /h 449 on_ Sent: Wednesday, November 17, 2010 9:44 AM To: 'cbornholdt@garcosheriff.com'; Knutson, Danny N.; Mallory, Brad A.; Richardson, Robin R.; 'Rob Jones (rojones@riflefiredept.org)'; 'Rob Ferguson (gvfpdops@sopris.net)'; 'Julie Taylor'; Grubich, John Cc: Neely, Dewey; Long, Sherry; Kent, Sandra D. Subject: EnCana A22W_Nabors M13 STEN Submittal Attachments: A22W Nabors M13 STEH SUBMITTAL (11-17-10).pdf Tracking: Recipient 'cbornholdt@garcosheriff.com' Knutson, Danny N. Mallory, Brad A. Richardson, Robin R. 'Rob Jones (rojones@riflefiredept.org)' 'Rob Ferguson (gvfpdops@sopris.net)' 'Julie Taylor' Grubich, John Neely, Dewey Long, Sherry Kent, Sandra D. Delivery Delivered: 11/17/2010 9:44 AM Delivered: 11/17/2010 9:44 AM Delivered: 11/17/2010 9:44 AM Delivered: 11/17/2010 9:44 AM Delivered: 11/17/2010 9:44 AM Delivered: 11/17/2010 9:44 AM Delivered: 11/17/2010 9:44 AM RE: Nabors RiaM13 Small Temporary Employee Housing Removed from PL30 - Relocated to A22W All, Please be advised that the Nabors Rig M13 Small Temporary Employee Housing units have been removed from the PL30 Well Pad location and are now located at the A22W Well Pad Site which is delineated by the attached file. The original attachment submittal package, along with checklist fee and CD will be submitted to the County this week. Please feel free to contact me if you have any questions. Thank you. -Kenata gusck Permitting / South Rockies Construction EnCana Oil & Gas (USA) Inc. 2717 County Road 215, Suite 100 Parachute, CO 81635 tel: (970) 285-2825 cell: (970) 319-8890 renata buschna encana com 11/17/2010 Jena Thompson STE14 - lcto(oO {ZDS From: Crabb, Brett G. [Brett.Crabb@encana.com] Sent: Wednesday, March 09, 2011 11:16 AM To: jsears©garcosheriff.com; Grisso, David; Grubich, John; Jena Thompson; Kent, Sandra D.; Kevin Whelan; Knutson, Danny N.; Long, Sherry; Mallory, Brad A.; Richardson, Robin R. Subject: EnCana A10E Nabors M13 STEH Submittal Attachments: A10E Final_3_9_11.pdf Importance: High RE: Nabors Rig M13 Small Temporary Employee Housing will be leaving the A22W and will be relocated to the A10E All: Please be advised that the Nabors Rig M13 Small Temporary Employee Housing units have been removed from the A22W Well Pad location and are now located at the Al OE Well Pad Site which is delineated by the attached file. The original attachment submittal package, along with checklist fee and CD will be submitted to the County this week. Please feel free to contact me if you have any questions. Thank you, Brett Crabb Regulatory/Land EnCana Oil & Gas (USA) Inc. Parachute, CO. 81635 office 970-285-2896 cell 970-901-6108 This email communication and any files transmitted with it may contain confidential and or proprietary information and is provided for the use of the intended recipient only. Any review, retransmission or dissemination of this information by anyone other than the intended recipient is prohibited. If you receive this email in error, please contact the sender and delete this communication and any copies immediately. Thank you. http://www.encana.com 1 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. Subdivision Issue Date: 7/9/2010 Section Expires: 07/09/2011 Township Range Owner Information Address Phone Cell Contractor(s) Phone Primary Contractor Proposed Construction / Details Vault and haul system well pad KBW - Nabors M13. FEES DUE Septic Fee - New Septic Fee - New Septic Fee - New Total: mounts $73.00 $73.00 $73.00 $219.00 FEES PAID Inv Total L: , Paytype ^ Atilt Paid Amt Due Inv # SEPT -7-10-20350 $ 73.00 Check # 608097 $73.00 $ 0.00 Inv # SEPT -7-10-20351 $ 146.00 Check # 608097 $146.00 $ 0.00 Required Inspections: For Inspection call : 1(888)868-5306 nspection IVR See Permit Record Building Department Copy Friday, July 9, 2010 2