HomeMy WebLinkAboutApplicationI
MAR 0 8 1017
Garfield County
Community Development Department
108 3th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
TYPE OF CONSTRUCTION
X New Installation ---
WASTETYPE
] D Alteration
ONSITE WASTEWATER
TREATMENT SYSTEM
(OWTS)
PERMIT APPLICATION
-
-~-
D Repa ir
X Dwe-11-in_g_"'"""l ...... D--T-ra-n-sient Use [ D Comm/Industrial n Non-Domesti c
0 Other Describe
INVOLVED PARTIES
Property Owner: Chevron USA INC Phone:( )
Mailing Address: _ _.P ...... O ......... Bo .... x ..... 2=8=5"--'H-'-o~u=s~to~n~,--T~X ..... 7~7~00~1~-----------------
Contractor: ----'T-=E;.;...P...:..R=o=ck=y'-'M:.:.=o=u.:...:n_t=a=in_,_L=L=C'----------Phone: (970) 285-9377
Mailing Address: ---'P'-'O=--=B=ox~37~0::..<,_,_P_..a'-'ra=c"'"'h =ut=e.._, =C=0 -=8=1=6-=-35"'-----------------
Engineer: David Fox Phone: {970) 250-5505
Malling Address: PO Box 370, Parachute, CO 81635
PROJECT NAME AND LOCATION
Job Address: __ _.T ..... R ...... 3=2 ...... -2 .... 1~-5~9~7 .. P ...... a=d~-S~e~e~t __ h __ e __ a __ tt __ a __ ch __ e __ d~P~l~at~f ...... o_r __ d--es~c~ri~P~tl~on
Assessor's Parcel Number: 213715300009 Sub. _________ Lot ___ Block
Building or Service Type: Temporary office & house #Bedrooms: -~2~--Garbage Grinder No
Distance to Nearest Community Sewer System: ___ N~A~-----------------
Was an effort made to connect to the Community Sewer System· NA
TypeofOWTS D Septic Tank j D Aeration Plant t X Vau~ D Vau~t Privy / D Composting Tollet
D Recycling, Potable Use D Recycling I D Pit Privy I D Incineration Tolle~
D Chemical Tollet X Other Hauled bJ'. HB Rentals to Garfield Counll£ Landfill
Dls12osal ~ite
Ground Conditions Depth to 1 •t Ground water table NA / Percent Ground Slope NA
Final Disposal by D Absorption trench, Bed or Pit I D Underground Dispersal j D Above Ground Dispersal
0 Evapotransplratlon D Wastewater Pond I D Sand Fiiter
------
X Other Hauled hll HB Rentals tQ Garfield CQuntl£ Landfill Dls12osal Site
-----
Water Source & Type D Well I D Sp~~~ [ D Stream or Creek jlJCistern ·--X Community Water System Name Ci!Y: of Rifle Bulk #2 -Hau led b~ HB Rentals
-[ ~Ill Effluent be discharged directly into waters of the State? -
Effluent D Yes XNo
-
CERTIFICATION
Applicant acknowledges that the comp eteness of the application is con ltlonal upon sue further
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 Oh 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.
I hereby acknowledge that I have read and understand the Notice and Certification above as well as
ich Is orrect and accurate to the best of my knowledge.
OFFICIAL USE 0NLY '
Special Conditions:
Perk Fee: Total Fees: CO :i o . Fees Paid:
~~
Issue Date: Balan:$ue: OCl
3-Z·~l?
DATE
IJll WJ~.1N'\1Wi~ !LIAW·~ J~I ~·~·~~~' ~Uf~~~ ~ .llY~ 11111
-----Reception#: 879861
07/18/2016 02:18;4& PM J&An Alberico
1 of 2 Rec Fee:S16.00 Doc Fee :0 .00 GRRFlELD COUNTY CO
POWER OF AITORNEY
KNOW ALL PERSONS BY TIIBSE PRESENTS:
CONFORMED
COPY
THAT TEP ROCKY MOUNTAIN LLC, a Delaware limited liability company, hereby nominates,
constitutes, and appoints Bryan S. Hotard, as its true and lawful Attorney-in-Fact to execute and deliver
in the name and on behalf of TEP ROCKY MOUNTAIN LLC ("Principal") any of the following
designated instruments or documents in connection with the Principal's operations in exploring for and
producing oil, gas, or other minerals from lands, or interests in lands, owned, held, or claimed by the
United States, any state or political subdivision thereof, any person, corporation, partnership or other legal
entity:
A. (1) Applications for permits or leases; (2) consents, stipulations, or_ agreements in connection with
the issuance of permits or leases; (3) aceeptances 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 ofleases 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. ( l) 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 instrwnent or
document he or she is authorized to execute and deliver under this Power of Attorney. Principal hereby
waives any defenses available to it t.o 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 1Jtb day of July, 2016.
Terra Energy Partners LLC as sole member of
TEP Rocky Mountain LLC
AGREED TO AND ACCEPTED
BY:
BY: Michael S. Land
ITS: President and CEO Attorney-in-Fact
ACKNOWLEDGEMENT
State of Texas
County of Hanis
/,
This instrument was acknowledged before me on .Ju~i /3 . 2016 by Michael S. Land, known to
me to be the President and CEO of Terra Energy Partne ~ LLC, a Delaware corporation, on behalf of the
corporation.
(Notary Seal)
TIFFANY CHELL POLLOCK
Notorv Public, State or Texas
My Commlnlon Expires
Aprll 26, 2019
~-
Two aboveground sewage holding tanks each with 4000-gallon capacity on-site .
The Vault System is displayed in the pictures . Sewage flows estimated to be 600
gallons/day (8 individuals x 75 gpcd). Sewage holding tank needs to be emptied
approximately every 7 days (4000 gallons/ 600 gallons per day). Wastewater
vault is equipped with overflow alarm device. Terra Energy Partners utilizes the
services of a licensed contractor to removed and haul the wastewater to a state
certified treatment/disposal facility .
Two potable aboveground water tanks of approximately 4000 gallons each ca-
pacity on-site . Posted on the front of the Tank there is a Sign that states "Potable
Water Only". Potable water demand is estimated to be 600 gallons/day (8 individ-
uals x 75 gpcd). Required minimum fire suppression demand is 2500 gallons.
Total potable and fire suppression demand is estimated to be 4000 gallons.
Road access to the site is
maintained year round
through the services of pri-
vate road maintenance and
construction contractor.
TR 32-21-597 Pad
Vau l t System Description
The site will temporarily office and house up to a maximum of eight individ-
uals 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.
Section 21
T. SS, R. 97W
0 80
I \ Exist. Limit
GRAPHIC SCALE IN FEET
1 INCH = 80 FEET
\ \ of Disturbance ~
II \ / --;::::-e6'_;-' Y ' ~ ~ -..,..._ ~ ' ~~ ~ \'
I ~ --:0 ---'--!!_ff. PNT. /( '\, __ -~ \ \ \ \ \
\\ \~\\
I I .,.... ----------------/--../" --~ ' \ \ \ \ \ \ )
I I I r - - -~---.:::-~ -, "-._ \ \ \ \ \ i \ A r ,' / ~-_ -~ _ / ®-NE#s , , \\ \--\-W AA
\ \ NW/13 r -N t #4 ,--\ \F o.o· '! \ ) i ! ~ ~,
I I I c 0.0''! c O.O' '-;1 1 . I l I I i J ~ ~ I I
\W i 11 o''"~·' ·~ ~ 60'~1' H \ I ~ml ~I' f (7 ri)'J 1
& \ I I ~'"~~1•' ~ I I 137' I ~ I \\\\.!BJ~ !1 : O'""~" ~ \\_ I/ I\_/ I j /
1
I ( I/
--· ""''·"·"' '"' ,,. .. ,.,, . .,;--:t l1J I I t· I l
I .~ 010 Prop . TR 541-21 -597 \ \I
\ \ . ;;s 89 Prop. TR 42-21 -597 \
1
~ ,~
\ _\ \ :~ ~~p , TR 342-21-597
) Prop . TR 432·21-597 A6
I :~ ~:l. TR 31·21 -59 7 l I I.. j \" I ~ / 83 Pro p. TR 442-21-597 A, \ B -t-~ ! '2 Prop. T~;2-2t-59~1 ~~~::: ~~:~~~~ N Az. 293.99 ° E ~ #6 \ -. BB
1
::_·, coo· 1 ~· 1
1
;a)· \ Im
J I r Prop . Tank Battery Edge of I I I I I
/ // / (4D'xBO')
1
B Existing Pad ~1 · ! ) ) y\
VOCUnit
// 1'. «;#; 75· i10>1oi J )I J( f ;1 I
I I SW#t / /
I f F 0.0'®=--/ 8Y_7 ,, / / / C I 'B f 1 l. --~s t .#8 ~Po. ·• _,,. ,,TC C
!1J '\._ s57o -F 0.0 ---= -_ --::-~~/, / ?
li1 --// '-'--50' DIS ----ssso -/ I -----_..,,,-,. - -"'-:---)3§£. PN.T. --__ 8540 -/ I; j-......__. _,,,.
Exist. Limit ~ ---8530 ' _ ~ j
I of Disturbance ----ssio · _ _, ~
_ ______. ss~o -
ESTIMATED EARTHWORK QUANTIT IES (cy) l.------.-I
-8490 -
............... ~ / 'NOTES:
---... -1.) No Additional Earthwork Anticipated at
This Sile.
ITEM CUT FILL TOPSOIL EXCESS
PAD 0 0 0 0
PIT 0 0 2.) Total Disturbed Area= ±5.10 ac.
TOTAL 0 0 0 0 REVISED: 2/9/ 16 Construction Plan Prepared for:
f,_..=--====r===---=~====~....,,...-=-",........,..~:--=,,,........:r---------iv.1px E N E R GY .
136 '.Ells! 1'il~ St1811f scALE: ~i-· ~~B~o~· ___ , --~-··· WPX Energy Rocky Mountain, LLC
DATE: ~2~/~19~/~14..___ ___ 1-------------------1 RJ!:ll, Colvfarlr> 81650
h. (97~ 6-25-2720
Fux {97 / v2 !i-2!1il:J
PLAT: _2~o~f1~0 ____ ,
PROJECT: T rail Ridge
DFT: _cs ____ _
TR 32-21-597 Drill Pad -Plat 2
CONSTRUCTION LAYOUT
Section 21
T. 5 S, R. 97 W.
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 ±23.2 MILES TO AN INTERSECTION WITH A
DIRT/GRAVEL ROAD, PROCEED LEFT IN A SOUTHERLY DIRECTION ±0.4 MILES TO THE EXISTING TR 32-21-597 DRILL PAD
LOCATION, AS SHOWN HEREON.
REVISED: 3/24/14 Construction Plan Prepared for:
f.--.~--=""==----=-----=,,,,.,.,..-.---=-....,....,.----'-------i wp x E N E~G '
SCALE: ~l'-~~2n=o=o· ___ , -, WPX Energy Rocky Mountain, LLC 136 East Third street
Rifle, (',olomdo 8 7 650
Ph. (970) 625-2720
Fax (970) 625-2773
DATE: ...,.2.._.//_...9/'"-'-1'1-'----~---=---------------1
PLAT: _...5_,,,o(_,_10,.__ ___ 1
PROJECT: Tm{/ Ridge
DFT: _::::C.S'-------1
TR 32 21 597 Drill Pad -Plat 5
ACCESS ROAD & TOPO MAP