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HomeMy WebLinkAboutApplicationrtr Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com SMALL TEMPORARY EMPLOYEE HOUSING APPLICATION FORM This Application form must be completed and received by the Garfield County Community Development Department within 48 hours following occupancy of the Small Facility. In addition, documents shall be provided to the Sherriff's Office and relevant fire protection district(s) that demonstrate and certify compliance with the following standards. Notice shall also be provided to these entities within 48 -hours following removal of a Small Facility. It is the Operator's responsibility to confirm and obtain verification that this Application has been received by the Sheriff's Office and Fire Protection District. `INVOLVED PARTIES Property Owner Name: CHEVRON USA INC Mailing Address: PO BOX 285 Phone:( City: HOUSTONState: TX Zip Code: 77001 E-mail: Operator's Compliance Officer Name: TEP ROCKY MOUNTAIN LLC Phone: ( 970 ) 285-9377 Mailing Address: PO BOX 370 City: PARACHUTEState: CO Zip Code: 81635 E-mail: KMCINTOSH@TERRAEP.COM LpROJECT NAME AND LOCATION Location of Housing Site (Section/Township/Range): S 27 T 5S R 97W Well Pad Number: TR 44-27-597 Assessor's Parcel Number: 213722300003 Zone District: RURAL Maximum Number of Permitted Occupants: LESS THAN 8 Number of Days the Facility will be at Location: 86 State or Federal Permitting Agency Overseeing Reclamation, Restoration and Revegetation (Name): (Name): STATE (Relevant Permit Number): AP I# 05-045-19259 Date of Installation: 02/03/2017 Date of Removal: 04/30/2017 24 -Hour Emergency Contact (1): 1 1 ' KUI.f\Y IVIUUN 1 /-‘IN LLI, Phone Number: y/kJ Lt55-yJ! 24 -Hour Emergency Contact (2): Phone Number: ELIGBILITY During times of housing shortage or in remote locations, the use of Factory Built Nonresidential Structures (as defined under C.R.S. § 24-32-3301, as amended, and Resolution #35 of the Colorado State Housing Board) utilized for a period of time not longer than 1 year or as otherwise specified, for workers who are engaged in commercial, industrial, mineral extraction, or highway operations and who are needed to support the proper execution and safety of the related operations. Temporary Employee Housing, shall not include Recreational Vehicles, except in a Small Facility. A Small Temporary Housing Facility shall have all of the following basic characteristics: Complies Y/N The Small Facility and any associated infrastructure must be completely contained within a State or Federally -permitted parcel (such as a COGCC- approved oil/gas well pad) in which reclamation and revegetation are secured with the permitting agency (Permitted Site); and YES 2. The Small Facility is located at the Permitted Site for less than a cumulative of 1 year and at the end of the utilization period, all structures, foundations, and associated infrastructure are completely removed; and YES 3. The Small Facility shall have an occupancy of 8 or fewer people who are YES employees, contractors, or subcontractors of the operator of the small facility and are needed for on-site safety of the related commercial, industrial, extraction, or highway operation. SUBMITTAL REQUIREMENTS. The application submitted to the County shall contain the following information: 1. 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. 2. 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. 3. 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. STANDARDS 1. Small Facilities shall comply with all applicable Federal, State (i.e. Building Codes and electrical permits), and local laws and regulations (i.e. fire code), but are not subject to County Building Permit. 2. Water Systems. a. Water systems shall comply with standards set forth in section 7-705.B. Water systems must comply with all applicable State and local laws and regulations. b. All potable water systems must include a meter and the Operator must keep a record of the daily usage. c. For sites to which potable water is hauled, Operators shall: i. Keep appropriate records, to be provided to the County upon request, to demonstrate that water supplied to a site is from an approved source and that wastewater is disposed at an approved facility. ii. For water facilities not permitted by the CDPHE, the Operator must conduct monthly tests (or quarterly if an on-site disinfection system is installed) and maintain records of potable water samples specific for coli form. Any tests indicating coli form contamination must be disclosed to the County Public Health Department. iii. Water systems facilities permitted by the CDPHE must obtain all necessary State permits or demonstrate that applications for any necessary permits have been submitted prior to a determination by the County that an application is complete. iv. Maintain compliance with State regulations at all times during operation. d. In no case shall unsafe water be used for drinking nor shall raw sewage or used water be discharged onto the ground surface. 3. Wastewater Systems. a. Wastewater systems shall comply with standards set forth in section 7-705.C. Wastewater systems must comply with all applicable State and local laws and regulations. b. Wastewater may be disposed of using either an OWTS or a vault-and-haul system. A vault- and-haul system must demonstrate the following: i. Year-round access is available and maintained for safe and regular access for sewage hauling vehicles; ii. The Operator can demonstrate and guarantee an arrangement for hauling sewage; iii. The Operator will maintain all records, including but not limited to, trip logs/reports and landfill receipts; iv. The sewage disposal records will be maintained as public records to be available to the County upon request; v. The facility will not exceed a cumulative of 1 year at the approved location; and 4. The facility has been designed to accommodate 75 gallons of wastewater per person per day or an amount derived from engineered calculations taken from metered usage rates at a similar facility that has been reviewed and approved by the County. 5. 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. 6. Wildlife-proof refuse containers must be provided for trash. Outdoor food storage is prohibited unless facilities are provided that prevent the attraction of animals to the Major Facility site. 7. Fire Protection and Suppression. a. Provisions for giving alarm in case of fire and fire suppression must be installed per fire codes and as required by the fire protection district. b. Single-station carbon monoxide alarms must be placed in each Manufactured Home or Recreational Vehicle unit. c. 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: 550 BBLS/21,000 gallons 8. Domestic animals are prohibited. 9. The Operator shall obtain a certification inspection conducted by a qualified professional engineer. The certification shall verify that at the time of inspection the identified Small Facility meets or exceeds the requirements of this section. BUILDING INFORMATION (per unit) PE Stamp Unit 1 Name and Title: Make: Company Trailer ATCO Structures 2012 Serial Number/Unit ID #: 360138095 Division of Housing Insignia (provide copy) Square feet of unit: 765 Unit 2 Make: Office Trailer Brito Structures 2014 Serial Number/Unit ID #: 330141930 Division of Housing Insignia (provide copy) Square feet of unit: 399 Unit 3 Make: Drillers Trailer Ameritech Buildings 2010 Serial Number/Unit ID #: 11-100824 Division of Housing Insignia (provide copy) Square feet of unit: 756 OWTS PERMIT Permit #: SEPT -01-17-4561 I hereby attest that I am the designated Compliance Officer for the aforementioned Small Temporary Employee Housing Facility. I attest that I have read and understand the standards to which the Facility shall be installed and operated and that the Facility shall be constructed and maintained in accordance with all applicable Garfield County, State of Colorado and Federal Regulations and standards. I have read the statem • •ove and have provided the required attached information which is correct and accuratof my knowledge. Aelt.r.f Signature of Compliance Officer a.2/q/c.?O/; Date I hereby attest that I am a Licensed Professional Engineer in the State of Colorado and that I have conducted a visual inspection of the installed Small Temporary Housing Facility identified in this application. Based upon my inspection, I certify that the Small Temporary Housing Facility complies with the standards as forth above and as codified in the Garfield County Land Use and Development Code. PE Certification Number: PE Stamp Date of Inspection: Name and Title: Signature OFFICIAL USE ONLY File Number: - Fee Paid: $_ n/a BUILDING INFORMATION (per unit) PE Stamp Unit 4 Name and Title: Make: Directional Trailer ATCO Structures 2014 Serial Number/Unit ID #: 360148403 Division of Housing Insignia (provide copy) Square feet of unit: 780 Unit 5 Make: Solids Control Trailer Teton Buildings 2010 Serial Number/Unit ID #: 64-6173 Division of Housing Insignia (provide copy) Square feet of unit: 780 Unit 6 Make: Serial Number/Unit ID #: Division of Housing Insignia (provide copy) Square feet of unit: OWTS PERMIT Permit #: SEPT -01-17-4561 I hereby attest that I am the designated Compliance Officer for the aforementioned Small Temporary Employee Housing Facility. I attest that I have read and understand the standards to which the Facility shall be installed and operated and that the Facility shall be constructed and maintained in accordance with all applicable Garfield County, State of Colorado and Federal Regulations and standards. I have read the statements ab• - : d have provided the required attached information which is corr t and accurate to the knowledge. y Signatu e of Compliance Offer I hereby attest that I am a Licensed Professional Engineer in the State of Colorado and that I have conducted a visual inspection of the installed Small Temporary Housing Facility identified in this application. Based upon my inspection, I certify that the Small Temporary Housing Facility complies with the standards as forth above and as codified in the Garfield County Land Use and Development Code. PE Certification Number: PE Stamp Date of Inspection: Name and Title: Signature OFFICIAL USE ONLY File Number: - Fee Paid: $_ n/a N UTED by Principal on this 13th day of July, 2016. o,m z 8a NmV -1 g m. CD Er a b wg zf m r`d ° "bw57 5'S'G0 �o °a 5'o y °o m , p ° C NNo•u• a. ny tg o o 5° c 5 c' a °g a. O mw a^ ° 5 m. ^a x ▪ «•ataa° m° oto ° V ua y V • om O wa 0 2 p � Nat ay""o c 3 A" ° o m .c m m °5. 0°btri y .-. ,y° p__ _ hacorflP `n o°w rig L. • 5 a 0°aobo qx 0. ti -g 1- w Er (D .75: ... n 504 v, N ° O m m vim*, b7 0i Ps ° O H' CD g .. ° o "� r'i. �.. P CD y N tlQ p O t 51 Ory .�y. �y • nn 11 C m 0 m c C a ' b a N E. N N71, p Oa ..„41 O C a ° N' O O b . i m N (c �. O ° `G O tlQ v, ryaq O ° ",..f' . 5 C M p ro p .. C o. n U4 6 w ° g m 0 1.r. tyj VI • w ti O O p�i 'O 5 fp O :7 n y� `� ,n y �y C 0 5 a o. o oo � �°� et cn 0 5 fir" to o tE E<'� cri is ° o Gy o° • o om 'Son. n v O. "mm°mse! w do m .. ?.P ° (� 1��. ' d0. ?'�'a rn CD to 0 m °7- • ba a� a m t o 0 °0 • 5' wb CD o 5'S Y5• P" d• oo • a� a °a g � E. b .•,,,o a bi° Pit �, Y y h r ti y CD o E. it CD en � o�°°oA °mwcn� owoa ' • o " °°oo ° gl ro�titi o P• o w g.g�cEi a 0 c to o "5 °o� .. •° a• ° y• •aa N g 5 A, 0 ° ao,aw 5 CD 0 P v- 5 ° n'2. c<5' �a ° Qvy 0 E ° a ill 5°°u o x m a ks" p° C • [D P P 'ih y 0. O 3 yC 4 t 1 11117 singH3o ,fiunoD suxaf,;o awls Inspection Report for: Prepare for: Location: Conducted By: Date Conducted: Fox Engineering Solutions, Inc. 670 Canyon Creek Drive, Grand Junction, CO 81507 Ph: (970) 250-5505 Email: coloradofox@bresnan.net TR 44-27-597 Well Pad - Small Temporary Employee Housing Terra Energy Partners SE1/4 SE1/4 of Section 27, T5S, R97W, 6th P.M. Garfield County David Fox, P.E. February 7, 2017 Garfield County Paragraph Article 7-707 Land Use& Development Code (7/15/13) Reference Characteristic or Standard Description A. B. C. Within 48 hours following occupation of the Small Facility, documentation shall be provided to the Community Development Department, Sheriff's Office, and relevant fire protection district(s) that demonstrates and certifies compliance with the following standards. Notice shall also be provided to these entities within 48 -hours following removal of a Small Facility. General Information reguirements Small Facilities shall comply with all applicable Federal, State (i.e. Building Codes and electrical permits), and local laws and regulations (i.e. fire code), but are not subject to County Building Permit. D Water systems shall comply with standards set forth in section 7-705.B. Page 1 of 3 Inspection Comments Not subject to visual inspection and certification by third party Professional Engineer. Not subject to visual inspection and certification by third party Professional Engineer. Colorado Division of Housing certifications noted on Company trailer, Unit ID. 360138095 with Certification No. 25858, manufactured by ATCO Structures in 2012; Office trailer, Unit ID 330141930 with Certification No. 25963 manufactured by Brito Structures in 2014; Driller's trailer, Unit ID. 11-100824 with Certification No. 23592, manufactured by Ameritech Buildings in 2010; Direction trailer with office, Unit ID 360148403 with Certification No. 26322 manufactured by ATCO Structures in 2014; and Controller Office trailer, Unit ID 64-6173 with Certification No. 23625 , manufactured by Teton Buildings in 2010. All other aspects not subject to visual inspection and certification by third party Professional Engineer. The water system at this location is not a public water system, as defined by the Colorado Department of Public Health & Environment - WQCC Regulation No. 11. It is not subject to State permitting requirements. Two potable water tanks with a capacity of approximately 3500 gallon each and water meters were located at the permitted site. TR 44-27-597 Inspection Fox Engineering Solutions, Inc. Terra Energy Partners February 7, 2017 E. F. G. H.1 Wastewater systems shall comply with standards set forth in section 7-705.C. 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. Wildlife -proof refuse containers must be provided for trash. Outdoor food storage is prohibited unless facilities are provided that prevent the attraction of animals to the Major Facility site. Provisions for giving alarm in case of fire and fire suppression must be installed per fire codes and as required by the fire protection district. H.2 Single -station carbon monoxide alarms must be placed in each Manufactured Home or Recreational Vehicle unit. 1. Domestic animals are prohibited. The Operator shall obtain a certification inspection conducted by a qualified professional engineer. The certification shall verify that at the time of inspection the identified Small Facility meets or exceeds the requirements of this section. Page 2 of 3 Wastewater disposal at the permitted site will be a vault -and -haul system. Four 2000 -gallon sewage holding tanks onsite. Sewage flows estimated to be 300 gallons/day (4 individuals x 75 gpcd). Sewage holding tanks need to be emptied approximately every 26 days (8000 gallons / 300 gallons per day). Wastewater vault equipped with overflow alarm device. Site appeared to be maintained in clean, safe and sanitary condition, free of weeds and refuse. Two wildlife -proof trash recepacles with a capacity of approximately 20 cubic yards each onsite. Individual refuse containers in each office/housing structure. Smoke detectors and fire extinguishers (ABC -rated) located in all factory built non-residential structures. Factory -Built Nonresidential Structures have a minimum separation distance of 20 ft. Four potable aboveground water tanks with aggregate storage of 7600 gallons capacity on-site. Potable water demand is estimated to be 300 gallons/day (4 individuals x 75 gpcd). Required fire suppression demand is 2500 gallons. Water meters and dry hydrant connections observed on water tanks. Single -station carbon monoxide detectors located in all factory built non-residential structures No domestic animals observed on-site. This inspection was conducted by a qualified Professional Engineer licensed in Colorado and certifies compliance with applicable standards set forth in Article 7.707 of the Land Use and Development Code (7/15/13), as amended, that are subject to visual inspection. TR 44-27-597 Inspection Fox Engineering Solutions, Inc. Terra Energy Partners February 7, 2017 Professional Engineer's Attestation 1 hereby attest that 1 am a Licensed Professional Engineer in the State of Colorado. 1 attest that 1 or my agent have conducted a visual inspection of the Small Facility identified in this Checklist, as installed, and, based on information from that inspection 1 certify that the Small Facility complies with the standards, subject to and limited to visual inspections items as identified above; set forth in Article 7-707 of the Land Use& Development Code (Effective 7/15/13), for Garfield County, Colorado. PE Certification Number: No. 25420 (Colorado) Date of Inspection: February 7, 2017 Print Name and Title: David J. Fox, Principal Engineer Signature: Page 3 of 3 PE Stamp Terra Energy Partners, LLC TR 44-27-597 Well Pad Section 27 Y SS D 97 W et • Cp,y vg Nov ,�. ACCESS DESCRIPTION: FROM THE INTERSECTION OF THE I-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. 136 Ea81 Third $meet 01/9, Colorado 81650 Ph 79 701 625-2720 Pao 19701 6252'77. . o Sury • Services, Inc. Directions to Site: REVISED: 8/9/16 SCALE: r= = 2000' DATE: 9/ 19/ 74 Construction Plan Prepared for: TERRA TEP Rocky Mountain LLC PLAT: 5 of 10 PROJECT: Trail Ridge DFT. es TR 44-27-597 Drill Pad - Plat 5 ACCESS ROAD & TOPO MAP Section 27 T. 5 S., R. 97 W Exist. Limit of Disturbance //`/ / .Exist. V00 UM1 1 IV 27 ft Daylight Line r( 11 I 20 ft. as GRAPHIC SCALE IN FEET 1 INCH =80 FEET See Construction Layout Sheet for Well Designations Separator Area (70x30 OC)O 6 8 2 8 71 Daylight L Flare Unit 1300.10 1 27 ft. •!1/ f/ / 11 II rz. o` li Exist. Trail /I f = / / /// RL+�I7SE'D: 0/16/I6 1 Construction Plan Prepared for: 136 East Thhd .Street Rifle, Colorado 81650 Ph 49 701 025-2720 Fax t9701625-277 SCALE: 1 "= 80' DATE: 9/79/14 PLAT: 4 of 10 PROJECT: Trail Ridge DFT. cs Emergency Contact List: Main Office: (970) 285-9377 answered 24 Hours Lynn Cass: Drilling Sup (970) 755-0083 Cell Mark Mewshaw : Drilling & Completions Manager (304) 612-7844 Cell Kevin McDermott::Safety (970) 309-1195 Cell Tim Dobransky: Spill Contractor (970) 263-6032 Cell Kris Rowe: Spill Contractor (970) 261-2015 Cell TER TEP Rocky Mountain LLC TR 44-27-597 Drill Pad - Plat 4 DRILL RIG LAYOUT Identification & Location Key* 1. Wastewater Aboveground Tank (4000 gal.) 2. Potable Water Aboveground Tank (4000 gal) 3. Portable Toilets 4.Wildlife-proof dumpster 5.Company Man Office/Housing 6. Office 7.Driller's Office/Housing 8.Directional 9. Engineer 10. Shed Subject to relocation for construction activities. TERRA Notes: The well pad site is located in the SE 1/4 SE 1/4 Section 27, T5S, R97W , 6th P.M. (NAD83 N39.5779° W108.2558°) The site will temporarily office and house up to a maximum of four individuals during natural gas drilling activities and is expected to be completed in one year or less. The individuals will occupy four individual trailer offices/houses located on the well pad. Office/houses have Colorado Division of Housing compliance tags. Four aboveground sewage holding tanks with aggregate storage of 8000 gallons capacity on-site. Sewage flows estimated to be 300 gallons/day (4 individuals x 75 gpcd). Sewage holding tank needs to be emptied approximately every 26 days (8000 gallons / 300 gallons per day). Wastewater vaults equipped with overflow alarm device. Terra utilizes the services of a licensed contractor to remove and haul the wastewater to a State certified treatment/disposal facility. Four potable aboveground water tanks with aggregate storage of 7600 gallons capacity on-site. Potable water demand is estimated to be 300 gallons/day (4 individuals x 75 gpcd). Required minimum fire suppression demand is 2500 gallons. Water supply appears adequate with 5100 gallons(7600 - 2500) of storage with refills scheduled at 17 day intervals. Dry hydrants and water meters were on water tanks. Road access to the site is maintained year-round through the services of private road maintenance and construction contractors. Base mapping by BookcliffSurvey Services. Site features including housing trailers, water and wastewater tanks, portable toilets and dumpster were field located. Please note that this is a construction site and that the locations of drill equipment and other items are subject to change. Factory -Built Nonresidential Structures (Office/Housing) have a minimum separation distance of 20 ft. TR 44-27-597 Site Plan Garfield County, Colorado Small Temporary Employee Housing and Septic Permit Application Applicant: Terra Energy Partners, LLC Date: February 7, 2017 Checked: DJF Version: 001 Fox Engineering Solutions, Inc. 670 Canyon Creek Drive, Grand Junction, CO 81507 Ph: (970) 250-5505 Email coloradofox@bresnan.net THIS INSIGNIA IS THE PROPERTY OF THE STATE OF COLORADO DIVISION OF HOUSING THIS NONRESIDENTIAL STRUCTURE COMPLIES WITH THE FACTORY BUILT NONRESIDENTIAL CONSTRUCTION STANDARDS OF THE STATE OF COLORADO MANUEACTURER(SOlI4ME PLAN APPROVAL NO. UNIT ID# DATE BUILT CERTIFICATION NO. FBNR 2 5 8 5 S ROOF DESIGN40AD WIND SPEED FLOOR DESIGN LOAD OCCUPANCY SEISMIC ZONE ENERGY, COBE MANUFACTURER CERTIFIES THE FOLLOWING: PSF MPH PSF amoNMIIM 1111111111111 MECHANICAL ELECTRICAL PLUMBING 11111111111111111111111111111111 WILDING ro a r 1 g�. .""_^M' U' ' THIS INS GNIA IS THE PROPERTY OF THE STATE OF COLORADO DIVISION OF HOUSING THIS NONRESIDENTIAL STRUCTURE COMPLIES WITH THE FACTORY BUILT NONRESIDENTIAL CONSTRUCTION STANDARDS OF THE STATE OF COLORADO MANUFACTURER(S)'- NAME PLAN APPROVAL. NO. DATE BUILT CERTIFICATION NO. FBNR UNIT ID# ROOF DESIGN LOAD WIND SPEED FLOOR DESIGN LOAD OCCUPANCY SEISMIC ZONE ENERGY CODE 1 26322 MANUFACTURER CERTIFIES THE FOLLOWING: 3 11111111111111111111111111111 MECHANICAL ELECTRICAL PLUMBJNG BUILDING • THIS INSIGNIA IS THE PROPERTY OF THE STATE OF COLORADO DIVISION OF HOUSING THIS NONRESIDENTIAL STRUCTURE COMPLIES WITH THE FACTORY BUILT NONRESIDENTIAL CONSTRUCTION STANDARDS OF THE STATE OF COLORADO MANUFACTURER(S)' NAME PLAN APPROVAL NO. 11.11111111.11111111111 UNIT ID# DATE BUILT CERTIFICATION NO. FBNR MANUFACTURER CERTIFIES THE FOLLOWING: ROOF DESIGN LOAD WIND SPEED FLOOR DESIGN LOAD OCCUPANCY FIRE RATING EXTERIOR WALL FIRE RATING CEILING PSF MPH PSF HR HR MECHANICAL ELECTRICAL PLUMBING BUILDING THIS INSIGNIA IS THE PROPERTY OF THE STATE OF COLORADO DIVISION OF HOUSING THIS NONRESIDENTIAL STRUCTURE COMPLIES WITH THE FACTORY BUILT NONRESIDENTIAL CONSTRUCTION STANDARDS OF THE STATE OF COLORADO MANUFACTURER(S)' NAME PLAN APPROVAL. NO. Pr DATE BUILT ROOF DESIGN LOAD WIND SPEED FLOOR DESIGN LOAD l UNIT ID# CERTIFICATION NO. FBNR MANUFACTURER CERTIFIES THE FOLLO OCCUPANCY FIRE RATING EXTERIOR WALLS FIRE RATING CEILING PSF MPH PSF HR HR ING: MECHANICAL ELECTRICAL mii...111 PLUMBING BUILDING THIS INSIGNIA IS THE PROPERTY OF THE STATE OF COLORADO DIVISION OF HOUSING THIS NONRESIDENTIAL STRUCTURE COMPLIES WITH THE FACTORY BUILT L _ NONRESIDENTIAL CONSTRUCTION STANDARDS OF4H STATE OF COLORADO MANUFACTURER(S)' NAME PLAN APPROVAI. P10. '' UNIT ID# DATE BUILT CERTIFICATION NO. FBNR ROOF DESIGN LOAD WIND SPEED FLOOR DESIGN LOId►I�-•.� OCCUPANCY SEISMIC ZONE ENERGY CODE PSF MPH MECHANICAL ELECTRICAL ,PLUMBING BUILDING From: Kaylee McIntosh To: "firechief@debeauefire.org" Cc: Mark Mewshaw; Lynn Cass; Bryan Hotard; Brandon Hilts Subject: *** TR 44-27-597 Pad *** Rig Move On Notification Date: Tuesday, January 31, 2017 2:49:00 PM Attachments: imaae001.onq Move on Notice Emergency Response Map - DFPD.pdf This email is intended to notify you of the attached drilling location. TEP Rocky Mountain LLC will be commencing operations by 02/03/2017 and will continue for approximately 86 days. At which time I will notify you of the removal of the employee housing. This notification is per GARCO Small Temporary Employee Housing regulations for the pad located in Sec 27 —T5S R97W. Please see the attached map with directions, the pad lay out and emergency contact information. Should you have any questions please let me know. Thank you, Kaylee McIntosh 1 Engineering Technician 1 TEP Rocky Mountain LLC 11058 County Road 215 I Parachute, CO 81635 21 (Office) 970.263.27311W (Mobile) 970.623.94521E kmcintosh@terraep.com TEIR ENFRGY PARTNERS TEP Rocky Mountain LLC 1058 County Road 215 P.O. Box 370 Parachute, Colorado 81635 (970) 285-9377 TER FNFRCY PARTh• January 30th, 2017 Debeque Fire Protection District Emergency Operations Attn: Nick Marx 380 Curtis Avenue Debeque, CO 81630 Ph: 970-283-8632 RE: Emergency Response Notification TR 44-27-597 pad This letter is to inform the De Segue Fire Protection District that TEP Rocky Mountain LLC will soon commence drilling operations on the above mentioned drilling location. TEP will provide rig site housing accommodations for the duration of the drilling operation which will be approximately 86 days. In accordance with Garfield County Planning and Zoning Regulations the attached documentation provides emergency response information and driving directions for the TR 44-27-597 pad. Should you have any further questions or concerns regarding this notification feel free to contact me. Sincerely, I -aqui Gt. Mc urrtosh Kaylee McIntosh I Engineering Technician I TEP Rocky Mountain LLC 11058 County Road 215 I Parachute, CO 81635 f (Office) 970.263.2731 1 le (Mobile) 970.623.9452 I F< kmcintosh@terraep.com Section 27 T. 5 S., R. 97 W. / /1 Exist. Limit I 11 of Disturbance/ I 111j1 H 1 '011 of 1, III III VII I 1\ 111 IIIvvr //// /// I1L11Il1lI11 I^_ i\ v�lI11 \\ 1jIjII/ /�lil\�''lilH II ///////// /;;; I la_ itI\\ Jf - 1 \Y\' \ \ \\ iu \\\\\\\\\I \� 6 ' V\\\\\III\\ ivll \ \ \\ \IIIIII 'A A`\\ \A�\\VAA�\VA\'(\A) \\ `u111\ \ \ \ \� \ \ \ \\ , \ { \ \ \ \\ \ 1 1 1 1 \ \ \\\\\\I \ I I I V A V AV1111 \ \\\\\\x\11 \\\\ \\�\ \\\\\1\I\1\\\\\` vv\vvv�ANWc #0 B\\\\\\ 00 Rb 1 �I 111 \1 I 1/1 o TI111 1 \ \ 111)111111 I / I I'I�111j ,','�\\ II y ON Luc 50' 0/S ® REF. PNT. NE t #8/ C 0.2'4) 110' Exist VOC Unit 61' L. E#1A C 0.8' \ 0 Exist. Trail 0 GRAPHIC SCALE/ IN FEET '1 INCH = 80 FEET ; `�I'1'Ii1'/1/////44,( /�'//JI�Ii� // ./ 1�� V I I I 1 1 I I l// /J III 1 111 11 \111m\`lli II11I,I\II7 /, 1 ,l % I I I I I 1 1 1 1 1 1 1 IIIIII �\ vv1 \\ 1 1 1 I IIIIIIII Ili II II 1111, 11111„/0 1 VIII ,I 1 , I 111 I I 111 , I of of I /I�IIIIIIII , I l IciI al ///$1111 III/ 1 0. l l 1 / l /III I I 11 1/ i/ 1 i/ 1, 1- -/ / I I 11 l 11 I I /111 II; I ;'111111 1`11/ /1 /1111I(Ill I/1\I\ i /l/ \ m 11IIIIIIIIII \VI III 1 1 1 1 I I\ I 111 1 II I I lll 1111111 I ; l l 1 11 1 .. % I i 11 I I ‘KI , I I I r I \I I I I 1 1 1111/';;; 11\;;1 111 111//1/11 I Separator Area (70x30) C O.X vv vy F2,3'H5vI \\� ililli II\IiiI \\\\\\\\\\,\1 I\'„ IH;lll';IIIIIII' dill 11 111111111111I111� 0 1 1 1 I \\ 1111II I II 111 I' 1111 II /III I INI 11 111 `' I I III I� 111 11 1 j 1 I I I I I I I ' 11111111 11''il'ililii l ilii ill 11j11111'1//1/�''1111 Ll'1 11,711/ viliil'lil 140' Ex. TR 513-26-5�Y 1610 Ex. TR 543-27-597* 68 —Ex. TR 344 -27 -97 - Prop. TR 533-27-597 Prop. TR 334-27-597 Ex. TR 41-34-159673 Ex. TR 441-34-597* Jee ti �a $.0 Fo os 911 Prop. TR 43-27-597 Prop. TR 343-27-597 I Prop. TR 443-27-597 A8 N Az. -130.97° 90' Prop. TR 433--27-597 A5 Prop. TR 544-27-597 A3 ~Prop. TR 534-27-597 Ex. TR 42-34-597 Al Dal t/i4/ae1/L ' 1 111 Edge of 1101011111711X111,1 ��Exist.Pad liltilllii1/1 l W#5ii iIlr 150' W/illil'iF 1 8'v SW # 1/l/1111,u�A, ",:- / ,:- //o11i1�- /..l111I 1II11II I / / i, / 1.311 01 11l7;Ig,2v�v/, / i, 1 liv1 v,i / j// / ESTIMATED EARTHWORK QUANTITIES (cy) ITEM CUT FILL TOPSOIL EXCESS PAD 4440 1240 0 3200 PIT 1400 1400 TOTALS 5840 1240 0 4600 C0.1 PNT $ Exist. Trail —\ ' I 1 / / 1 / IIIIII 1 //j / /' !/� /;' / I I ;� ► I ; ;l i, 'li ;// / \1 j // , /1 / I I II I III_ // j' / v/ II II/ 1 1 I\\\1\// -//////7/j///1/,//// v//////�/1/'/Ii AP#2�_ I 1 ///�//// ///, ::.,1 li17.0'//'////1 1/1/'/'1i /�//1 ; M // // /qp 1 �/� ° I Daylight Line ;%' ��%/ �� // a �j�/r l ! 111 /, / /// // w';7:, r l 71 1 1 1i ��:#3;' // ilii�iii�iliiilili•l ��I hId0'I I) /ii '/ /, / > (('l !l 1 III l�l a?'I I I I I ; 'XJi �.1 b �i1�y,�;',/C��,rv'�� 11111 1i1���II�// 1/llillil =_'/j/,/ �I �1 1 i l �'i 1 1 �� 1 i ��/ 1 I /, // 1 II /P7 7 I , l I' I 1 —�, ` , I Ia1 1 11 til ,I / I / / —I 1 I I 1 _,�� ��IiIII\�I�,AIi/�/ //1 _ v 11 `,// /��,� 1 v 0, vv vvv� i,\\\\,,/\2, / __IIIIII I I _— , vim, I // d ,,,, v III II vv ,, � ///�// REVISED.- 8/16/16 *NOTE: 1.) Topsoil Volume Based on 12” Soil Depth. 2.) 10% Swell Factor Applied to Earthwork Cut Volume. 3.) Total Disturbed Area = ±9.42 ac. 136 East Third Street Rifle, Colorado 81650 Ph. (970) 625-2720 Fax (970) 625-2773 i OOKC!JFF Survey Services, Inc. SCALE: 1 " = 80' DATE: 9/ 19/ 14 Construction Plan Prepared for: 11 -ER TEP Rocky Mountain LLC PLAT: 2 of 10 PROJECT: Trail Ridge DFT: cs TR 44-27-597 Drill Pad - Plat 2 CONSTRUCTION LAYOUT Section 27 T. S S., R. 97 W. Alternative route: From 1-70 exit 87 (West Rifle) Turn left on HWY 6 travel 2.5 miles Turn left on HWY 13 travel 17.9 miles Turn left on CR 5 travel 20 miles Turn left at MTW Ranch Road guard shack travel 22.4 miles Turn right travel 1.5 miles to new location (TR 44-27-597) 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. REVISED: 8/9/16 136 East Third Street Rifle, Colorado 81650 Ph. (970) 625-2720 Fax (970) 625-2773 i _Amigo BOOKCI.IFF Sury • Services, Inc. SCALE: 1 " = 2000' DATE: 9/ 19/ 14 Construction Plan Prepared for: TERRA TEP Rocky Mountain LLC PLAT: 5 of 10 PROJECT: Trail Ridge DFT: cs TR 44-27-597 Drill Pad - Plat 5 ACCESS ROAD & TOPO MAP From: Kaylee McIntosh To: "jsears(a garcosheriff.com" Cc: Mark Mewshaw; Lynn Cass; Bryan Hotard; Brandon Hilts Subject: *** TR 44-27-597 Pad *** Rig Move On Notification Date: Tuesday, January 31, 2017 2:50:00 PM Attachments: Move on Notice Emeraencv Response Map - Sheriff.pdf image001.pnq This email is intended to notify you of the attached drilling location. TEP Rocky Mountain LLC will be commencing operations by 02/03/2017 and will continue for approximately 86 days. At which time I will notify you of the removal of the employee housing. This notification is per GARCO Small Temporary Employee Housing regulations for the pad located in Sec 27 —T5S R97W. Please see the attached map with directions, the pad lay out and emergency contact information. Should you have any questions please let me know. Thank you, Kaylee McIntosh 1 Engineering Technician 1 TEP Rocky Mountain LLC 11058 County Road 215 I Parachute, CO 81635 S' (Office) 970.263.27311 Pa (Mobile) 970.623.94521 ® kmcintosh(@terraep.com TEF FNON PARTNERS TEP Rocky Mountain LLC 1058 County Road 215 P.O. Box 370 Parachute, Colorado 81635 (970) 285-9377 TER FNFRCY PARTh• January 30th, 2017 Garfield County Sheriff's Office Emergency Operations Attn: Jim Sears 107 8th Street Glenwood Springs, CO 81601 Ph: 970-945-0453 RE: Emergency Response Notification TR 44-27-597 pad Dear Jim: This letter is to inform the Garfield County Sheriff's Office that TEP Rocky Mountain LLC will soon commence drilling operations on the above mentioned drilling location. TEP will provide rig site housing accommodations for the duration of the drilling operation which will be approximately 86 days. In accordance with Garfield County Planning and Zoning Regulations, the attached documentation provides emergency response information and driving directions for the TR 44-27-597 pad. Should you have any further questions or concerns regarding this notification feel free to contact me. Sincerely, I owjLel Ct. ivicurzitsh Kaylee McIntosh I Engineering Technician I TEP Rocky Mountain LLC 11058 County Road 215 I Parachute, CO 81635 ear (Office) 970.263.2731 1 rik (Mobile) 970.623.9452 I > kmcintosh@terraep.com Section 27 T. 5 S., R. 97 W. / /1 Exist. Limit I 11 of Disturbance/ I 111j1 H 1 '011 of 1, III III VII I 1\ 111 IIIvvr //// /// I1L11Il1lI11 I^_ i\ v�lI11 \\ 1jIjII/ /�lil\�''lilH II ///////// /;;; I la_ itI\\ Jf - 1 \Y\' \ \ \\ iu \\\\\\\\\I \� 6 ' V\\\\\III\\ ivll \ \ \\ \IIIIII 'A A`\\ \A�\\VAA�\VA\'(\A) \\ `u111\ \ \ \ \� \ \ \ \\ , \ { \ \ \ \\ \ 1 1 1 1 \ \ \\\\\\I \ I I I V A V AV1111 \ \\\\\\x\11 \\\\ \\�\ \\\\\1\I\1\\\\\` vv\vvv�ANWc #0 B\\\\\\ 00 Rb 1 �I 111 \1 I 1/1 o TI111 1 \ \ 111)111111 I / I I'I�111j ,','�\\ II y ON Luc 50' 0/S ® REF. PNT. NE t #8/ C 0.2'4) 110' Exist VOC Unit 61' L. E#1A C 0.8' \ 0 Exist. Trail 0 GRAPHIC SCALE/ IN FEET '1 INCH = 80 FEET ; `�I'1'Ii1'/1/////44,( /�'//JI�Ii� // ./ 1�� V I I I 1 1 I I l// /J III 1 111 11 \111m\`lli II11I,I\II7 /, 1 ,l % I I I I I 1 1 1 1 1 1 1 IIIIII �\ vv1 \\ 1 1 1 I IIIIIIII Ili II II 1111, 11111„/0 1 VIII ,I 1 , I 111 I I 111 , I of of I /I�IIIIIIII , I l IciI al ///$1111 III/ 1 0. l l 1 / l /III I I 11 1/ i/ 1 i/ 1, 1- -/ / I I 11 l 11 I I /111 II; I ;'111111 1`11/ /1 /1111I(Ill I/1\I\ i /l/ \ m 11IIIIIIIIII \VI III 1 1 1 1 I I\ I 111 1 II I I lll 1111111 I ; l l 1 11 1 .. % I i 11 I I ‘KI , I I I r I \I I I I 1 1 1111/';;; 11\;;1 111 111//1/11 I Separator Area (70x30) C O.X vv vy F2,3'H5vI \\� ililli II\IiiI \\\\\\\\\\,\1 I\'„ IH;lll';IIIIIII' dill 11 111111111111I111� 0 1 1 1 I \\ 1111II I II 111 I' 1111 II /III I INI 11 111 `' I I III I� 111 11 1 j 1 I I I I I I I ' 11111111 11''il'ililii l ilii ill 11j11111'1//1/�''1111 Ll'1 11,711/ viliil'lil 140' Ex. TR 513-26-5�Y 1610 Ex. TR 543-27-597* 68 —Ex. TR 344 -27 -97 - Prop. TR 533-27-597 Prop. TR 334-27-597 Ex. TR 41-34-159673 Ex. TR 441-34-597* Jee ti �a $.0 Fo os 911 Prop. TR 43-27-597 Prop. TR 343-27-597 I Prop. TR 443-27-597 A8 N Az. -130.97° 90' Prop. TR 433--27-597 A5 Prop. TR 544-27-597 A3 ~Prop. TR 534-27-597 Ex. TR 42-34-597 Al Dal t/i4/ae1/L ' 1 111 Edge of 1101011111711X111,1 ��Exist.Pad liltilllii1/1 l W#5ii iIlr 150' W/illil'iF 1 8'v SW # 1/l/1111,u�A, ",:- / ,:- //o11i1�- /..l111I 1II11II I / / i, / 1.311 01 11l7;Ig,2v�v/, / i, 1 liv1 v,i / j// / ESTIMATED EARTHWORK QUANTITIES (cy) ITEM CUT FILL TOPSOIL EXCESS PAD 4440 1240 0 3200 PIT 1400 1400 TOTALS 5840 1240 0 4600 C0.1 PNT $ Exist. Trail —\ ' I 1 / / 1 / IIIIII 1 //j / /' !/� /;' / I I ;� ► I ; ;l i, 'li ;// / \1 j // , /1 / I I II I III_ // j' / v/ II II/ 1 1 I\\\1\// -//////7/j///1/,//// v//////�/1/'/Ii AP#2�_ I 1 ///�//// ///, ::.,1 li17.0'//'////1 1/1/'/'1i /�//1 ; M // // /qp 1 �/� ° I Daylight Line ;%' ��%/ �� // a �j�/r l ! 111 /, / /// // w';7:, r l 71 1 1 1i ��:#3;' // ilii�iii�iliiilili•l ��I hId0'I I) /ii '/ /, / > (('l !l 1 III l�l a?'I I I I I ; 'XJi �.1 b �i1�y,�;',/C��,rv'�� 11111 1i1���II�// 1/llillil =_'/j/,/ �I �1 1 i l �'i 1 1 �� 1 i ��/ 1 I /, // 1 II /P7 7 I , l I' I 1 —�, ` , I Ia1 1 11 til ,I / I / / —I 1 I I 1 _,�� ��IiIII\�I�,AIi/�/ //1 _ v 11 `,// /��,� 1 v 0, vv vvv� i,\\\\,,/\2, / __IIIIII I I _— , vim, I // d ,,,, v III II vv ,, � ///�// REVISED.- 8/16/16 *NOTE: 1.) Topsoil Volume Based on 12” Soil Depth. 2.) 10% Swell Factor Applied to Earthwork Cut Volume. 3.) Total Disturbed Area = ±9.42 ac. 136 East Third Street Rifle, Colorado 81650 Ph. (970) 625-2720 Fax (970) 625-2773 i OOKC!JFF Survey Services, Inc. SCALE: 1 " = 80' DATE: 9/ 19/ 14 Construction Plan Prepared for: 11 -ER TEP Rocky Mountain LLC PLAT: 2 of 10 PROJECT: Trail Ridge DFT: cs TR 44-27-597 Drill Pad - Plat 2 CONSTRUCTION LAYOUT Section 27 T. S S., R. 97 W. Alternative route: From 1-70 exit 87 (West Rifle) Turn left on HWY 6 travel 2.5 miles Turn left on HWY 13 travel 17.9 miles Turn left on CR 5 travel 20 miles Turn left at MTW Ranch Road guard shack travel 22.4 miles Turn right travel 1.5 miles to new location (TR 44-27-597) 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. REVISED: 8/9/16 136 East Third Street Rifle, Colorado 81650 Ph. (970) 625-2720 Fax (970) 625-2773 i _Amigo BOOKCI.IFF Sury • Services, Inc. SCALE: 1 " = 2000' DATE: 9/ 19/ 14 Construction Plan Prepared for: TERRA TEP Rocky Mountain LLC PLAT: 5 of 10 PROJECT: Trail Ridge DFT: cs TR 44-27-597 Drill Pad - Plat 5 ACCESS ROAD & TOPO MAP