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HomeMy WebLinkAboutApplicationGarfield County Community Development Department 108 81h Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com TYPE OF CONSTRUCTION X New Installation ❑ Alteration ❑ Repair WASTE TYPE X Dwelling ❑ Transient Use ❑ Comm/Industrial ❑ Non -Domestic ❑ Other Describe INVOLVED PARTIES Property Owner: Chevron USA INC Phone:( Mailing Address: PO Box 285 Houston, TX 77001 Contractor: TEP Rocky Mountain LLC Phone: 970 285-9377 Mailing Address: PO Box 370, Parachute, CO 81635 _ Engineer: David Fox Phone: (970) 250-5505 Mailing Address: PO Box 370, Parachute, CO 81635 PROJECT NAME AND LOCATION Job Address: TR 44-27-597 Pad - See the attached plat for description Assessor's Parcel Number: 213722300003 Sub. Lot Block Building or Service Type: TemporarV office & house #Bedrooms: 2 Garbage Grinder No Distance to Nearest Community Sewer System: NA Was an effort made to connect to the Community Sewer System: NA Type of OWTS ❑ Septic Tank ❑ Aeration Plant X Vault ❑ Vault Privy I ❑ Composting Toilet —ff Recycling, Potable Use ❑ Recycling ❑ Pit Privy ❑ Incineration Toilet ❑ Chemical Toilet X Other Hauled by HB Rgntals to Garfield Caunty Landfill Disposal Site Ground Conditions I Depth to ls' Ground water table NA Percent Ground Slope NA Final Disposal by ❑ Absorption trench, Bed or Pit ❑ Underground Dispersal I ❑ Above Ground Dispersal ❑ Evapotranspiration ❑ Wastewater Pond ❑ Sand Filter X Other Hauled by HB Rentals to Garfield County Landfill Disposal Site Water Source & Type ❑ well ❑ Spring ❑ Stream or Creek ❑ Cistern X Community Water System Name City of Rifle Bulk q2— Hauled by HB Rentafs Effluent Will Effluent be discharged directly into waters of the State? 11 Yes X No CERTIFICATION Applicant acknowledges that the completeness of the application is conditional upon such turther mandatory and additional test and reports as may be required by the local health department to be made and furnished by the applicant or by the local health department for purposed of the evaluation of the application; and the issuance of the permit is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations made, information and reports submitted herewith and required to be submitted by the applicant are or will be represented to be true and correct to the best of my knowledge and belief and are designed to be relied on by the local department of health in evaluating the same for purposes of issuing the permit applied for herein. I further understand that any falsification or misrepresentation may result in the denial of the application or revocation of any permit granted based upon said application and legal action for perjury as provided by law. hereby acknowledge that I have read andwyerstand the Notice and Certification above as well as have provided the required information ch s correct and accurate to the best of my knowledge. p? �7 Property Owner Print and Sign Date OFFICIAL USE ONLY Special Conditions: Permit 7Fee: O T5 • Perk Fee: TotalFees: Ya Fe_Te�jPaid: 00 Building Permit Septic Pemit: Issue Date: r • BalanFe DuD `f57JC BLDG DIV: APPRo !J— DATE Mc," 00 mill kF AIM Phy-d M11 ANUMS YN 9 11&11 11111 —Rel6epticn#: 87985I 07/18/2016 02:10;46 PSI Jean Rlberico 1 of 2 Rec Fee:$16.00 Doc Fee 6.00 GPRFFELD CQVNTY CO POWER OF ATTORNEY CONFORMED KNOW ALL PERSONS BY THESE PRESENTS: COPY THAT TEP ROCKY MOUNTAIN LLC, a Delaware limited liability company, hereby nominates, constitutes, and appoints Bryan S. Hotard, as its true and lawful Attorney -in -Fact to execute and deliver in the name and on behalf of TEP ROCKY MOUNTAIN LLC ("Principal") any of the following designated instruments or documents in connection with the Principal's operations in exploring for and producing oil, gas, or other minerals from lands, or interests in lands, owned, held, or claimed by the United States, any state or political subdivision thereof, any person, corporation, partnership or other legal entity: A. (1) Applications for permits or leases; (2) consents, stipulations, or.agreements in connection with the issuance of permits or leases; (3) acceptances of leases, subleases, or permits; (4) acceptances of all instruments transferring leases, offers to lease, permits, applications for permits, or subleases, or an interest in any of these (including assignments of working or royalty interests) to Principal. B. Applications for extensions or renewals of leases and permits. C. (1) Prospecting, seismic, or exploration permits; (2) instruments in connection with the acquisition or maintenance of prospecting, seismic, or exploration permits. D. Instruments withdrawing applications for leases or permits. E. (1) Requests for rights-of-way and surface use permits; (2) acceptance of grants of rights-of-way and surface use permits, including any stipulation or condition in the grants; (3) any statements that may be required in connection with applications for rights-of-way and surface use permits. F. Requests for extension of time in which to drill wells. Principal agrees to be bound by all representations the Attorney -in -Fact may make in any instrument or document he or she is authorized to execute and deliver under this Power of Attorney. Principal hereby waives any defenses available to it to contest, negate, or disaffirm the actions of its Attorney -in -Fact under this Power of Attorney. This Power of Attorney is effective July 1, 2016, and shall continue in full force and effect until revoked in writing, and has the same force and effect as if the Principal granted separate special authority to the named Attorney -in -Fact to execute and deliver each such instrument or document separately for each and every such instrument or document so executed and delivered. EXECUTED by Principal on this 13a' day of July, 2016. Terra Energy Partners LLC as sole member of TEP Rocky Mountain LLC AGREED TO AND ACCEPTED BY: BY: Michael S. Land ITS: President and CEO Attorney -in -Fact 2 ACKNOWLEDGEMENT State of Texas County of Harris This instrument was acknowledged before me on 2016 by Michael S. Land, known to me to be the President and CEO of Terra Energy Partnefs LLC, a Delaware corporation, on behalf of the corporation. (Notary Seal) a'a TIFFANY CEBELL POLiOCK _?'' � z Notary Public, State of Texos NW48ublic My Comminion Expires April 26, 2019 Section 27 8470- T. 5S, R. 97 W e0 W I m ,, GRAPHIC SCALE IN FEET ��� 11NCW=89 FEET — O Exist. Limit ��Existr�ei of Disturbance 50'01S EF. PNT. 1 �l A F 0.1' C 0.2 C 0.8' l� AA �40'R 110' 61' E#1B Ill Exist. VOC Unit O � C 5.8' N#7A- m a h� ` / e a 1 C1.6m �I �� rn It" I i tn LU ! 1 D m m j M SeparatorRrea � ��QP 1 (70'x30) c IIII Ex. TR 513-2b-,5 101* rpp. TR 43-27-597 J l IB1❑ Prop. TR 343-27-597 111 Ex. TR 543.2��97 * Prop. TR 443-27-597 B Nw 0- #6" as As NAz. 130.97° 90' SE 0- #2 _ D fx. TR 344.27. 97 A7 r B $ F23' 140' Prop. TR 533-2797 Prop, TR 433-27-597 C 0. 1' ' l Prop. TR 334.27-597 A5 i Ex. TR 41.34.15 B3 A3 TR 544-27-597 Ex. TR 441-34-697* Prop. TR 534-27-597 AP #1 EE c. TR 42-34-597 . C 0.0 1 I N sr. AP #2 y C 17.0' o Clio n0 M 4�' -411 at�5 fa%L�� Z Daylight Llne a Daylight Line Edge of Exist. Pad o W #5 150' 47' . . S #3 CC C F 1.8' Sw o- #4 C 17.5 C 0.1 i / $ of 50'o/S �l REF. PVT* l� Exist. Trail _f ESTIMATED EARTHWORK QUANTITIES (cy) ITEM CUT FILL TOPSOIL EXCESS PAD 4440 1240 0 3200 PIT 1400 1400 TOTAL 5840 1240 0 4600 736 E'rm t Mril a rine l Rifles, Ll�iarodo 51656 Ph 1970) 625.2720 rax (9701625.2773 REVISED: 8/16/16 SCALE. I" = 80' DATE: a 7 9! I.4 PLAT: 2 of 10 PROJECT: Trail Ridge DFT: Cs *NOTE: 1.) Topsoil Volume Based on 12" Soil Depth. 2.) 10% Swell Factor Applied to Earthwork Cut Volume 3.) Total Disturbed Area = t9.42 ac. Construction Plan Prepared for: TERFji► TEP Rocky Mountain LLC TR 44-27-597Drill Pad - Plat 2 CONSTRUCTIONLAYOUT Section 27 T. 5 S., R. 97 W. p f !t•- �[r frr; if :j. ..-.g '.i�iii•�;i �6ar � l�j�rf,:% i_ :�.Sr�." � � :�,�G�C�/ !�,%1:,1� +�. - I!r � �-��f 7!" ,-�^ ,'� lSr--�' �1 ,�.-__ 1 �j� �i. .,'rte\1 `w. .l'"� r e<� \�•. �� � � L�`I- - .i �� sl. j ,� f��. a'�rl1� • �\�:; � i:l.:' � ,� ,f ° � '� .: =_ � + `;�, ����, �!/;% --s ' �'�' ,�. .:. � ; fes! � �• �' - � ;�s � 11 � 0 - ���'�• 1 �` t`�' i� � , , •`� .fit'• `� p1� ;• ti• '`�iJ ' �' u �.�� �I�'F� S��i1� `, .l ,w,d, � �i �Y ' _ �. � _ - - :� J1 r.�: >, { �s� Jr ffTr�.�.i`� _ �. 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I 11 1 I r i `-•j 1 1 r- t r` 1 _- l/ ' f•�: i` �} • � � jIi r- .J%�- 'J�/�II %r•,`ti . -• I •% . .... it �- 'o �a -II ` f � 1, `i I+;� ��, l�k�� Jif •� r� 7 �:1. 7� �7c �,:- •. • •� ;i•. �. , �: � ''r : �. q fr 111 i { ]� •x• 54'!f= ACCESS DESCRIPTION: FROM THE INTERSECTION OF THE 1-70 FRONTAGE ROAD AND COUNTY ROAD 215 AT PARACHUTE, PROCEED IN A NORTHERLY DIRECTION ALONG COUNTY ROAD 215 ±7.2 MILES TO THE INTERSECTION WITH GARDEN GULCH ROAD, PROCEED LEFT IN A WESTERLY DIRECTION ALONG GARDEN GULCH ROAD ±19.6 MILES TO AN INTERSECTION WITH A DIRT/GRAVEL ROAD, PROCEED LEFT IN A SOUTHERLY DIRECTION ±0.8 MILES TO THE EXISTING TR 44-27-597 DRILL PAD LOCATION, AS SHOWN HEREON. REWSED: 8/9/16 Construction Plan Prepared for: 136 East Third Street SCALE: I" = 2000' TERW TEP Rocky Mountain LLC Rifle, Colorado 81650 DATE: 9/19/14 Ph. (970) 625-2720 PLAT. 5 of 10 Fax (9 70) 625-277`+Il�l`t� ■ f PROJECT: Trail Ridge TR 44-27-597Drill Pad - Plat 5 DFT: CS ACCESS ROAD & TOPO MAP