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HomeMy WebLinkAboutApplicationLAW Garfield County RECEIV unity Development Department 108 81h Street, Suite 401 AUG 2 2 2017 lenwood Springs, CO 81601 (970)945-8212 r� www.garfield-county.com BY:.. w ....... TYPE OF CONSTRUCTION X New Installation ❑ Alteration ❑ Repair WASTE TYPE ❑ Transient Use Comm/Industrial ❑ Non -Domestic X Dwelling I ❑ Other Describe INVOLVED PARTIES Property Owner: Bureau Of Land Management Phone:( Mailing Address: Colorado River Valley Fleid Office 2300 River Frontage Road Silt CO 1652 Contractor: TEP Rocky Mountain LLC Phone: (970) 285-9377 Mailing Address: PO Box 370 Parachute CO 81635 Engineer: Mailing Address: _ PO Box 370, Parachute, CO 81635 Phone: (970) 250-5505 PROJECT NAME AND LOCATION Job Address: MV 34-5 Pad - Section 5 Township 7S Ranpe 96W Assessor's Parcel Number: 240921200952 Sub. Lot Block Building or Service Type: Temporary office & house #Bedrooms: 3 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 ❑ Composting Toilet Cl Recycling, Potable Use ❑ Recycling ❑ Pit Privy ❑ Incineration Toilet ❑ Chemical Toilet X Other Hauled by HB Rentals to Garfield County Landfill i Disposal Site Ground Conditions Depth to is' Ground water table NA Percent Ground Slope NA I Final Disposal by Water Source & Type i ❑ Absorption trench, Bed or Pit ❑ Underground Dispersal ❑ Above Ground Dispersal ❑ Evapotranspiration ❑ Wastewater Pond ❑ Sand Filter X Other Hauled by HB Rentals to Garfield Countv Landfill Disposal Site ❑ Well ❑ Spring ❑ Stream or Creek ❑ Cistern i X Community Water System Name City of Rifle Bulk 92— Hauled by HB Rentals Effluent Will Effluent be discharged directly into waters of the State? O Yes X No CERTIFICATION Applicant acknowledges that the completeness of the application is conditional upon such 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 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. I hereby acknowledge that I have read and understand the Notice and Certification above as well as have provided the to to the best of my knowledge. 4l 7 Date OFFICIAL USE ONLY Special Conditions: Permit Fee: Perk Fee: Total Fees: Fees Paid: $75.00 ENG $75.00 $75.00 Building Permit Septic Permit: Issue Date: Balance Due: SEPT -4887 $0.00 BLDG DIV: APPROVAL DATE Paid 08/22/2017 MC $75.00 ■II! milli deception#: 879861 07/19/2016 02:19:46 PM Jean Alberico 1 of 2 Rec Fee:$16.00 Doc Fee:0.00 GARFIELD COUNTY CO POWER OF ATTORNEY CO FOIR ED 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 ofthese (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-ofway 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 131 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 on3 20I6 by Michael S. Land, known to me to be the President and CEO of Terra Energy Par refs LLC, a Delaware corporation, on behalf of the corporation. (Notary Seal) TIffANY CEBFLL POLLOCK Notary Public, State of Texas M blic y Ealy Commission Expires April 26, 2019 � Nk /\7 f» fm±&Q) §0EkBM »-0$$2a 0;=7'� &af®tee S$¥\k) c7e^=- 2 s m» I CO U)om= 0,3: atm S\=@j 7 /-0 7C/)= cc cu x)§7\3 Em75- =E -E Ec= o % o &§mom »gLog0— toF-22k3 xit-_ \�)p0 0 25¥®a/E 2a±$Sƒ S 2 k 2 2 E E JaaaE2£ 2� >ae°2 0 Ea) © m > 2 =/ k om&&-ze /4)m>cn TEP Rocky Mountain LLC PLAT #2—CONSTRUCTION LAYOUT FOR MV 34-5 SECTION 5, T7S, R96W, 6th P.M. r r\ El. 5960 e t Slope 1: 1 �tul 0-19.8 . 19.8' S D. 5996.6 X.L� Top of Cut ${qpp 0 -` E7: 601.71' 5 F-9. SCALE: 1" = 100' DATE: 05-08-13 DRAWN BY: A.D. REV: 11 03-10-17 M.D. (PAD CHANGE) PRELIMINARY NOT FOR CONSTRUCTION: GEOTECHNICAL SLOPE STABILITY ANALYSIS REQUIRED ��?-�4-�-� 7 J 3 �=� xfst.' MVv 4- CM �- T xi3t.A /Ar, � -5 Erlsf, 3f3#4 -fro I -S Exlat. Gy GM 544:- 120' 4 4t -# 100 F-52, Sri -4 Gail� Gkt 24 xlst. GSI Y4-£1. � 5971.8' GdI �3- I�s ••• � 2�L �Z GM 3?3 6M3'1-5 {� . ` C5 r111 7i4--- J ill/ 434 ►I�� , C-0.3 ranks � EI.. 59?7.1'' 1 h.. £xJsting - CavltaLrr►na� 1�t7n0 \111, Pd of r 3 S � , (During �At� �) go- - 1prodmtk 305r4t1 j t. a F'—My awn rrcnsrtlan Cara � � , 5a. Re -Route t7ay! t Lowe Road NOTE: Re -Route (ey Others 2' Contour Interval NOTE: TEP ROCKY MOUNTAIN LLC HAS REQUESTED I:I EARTH 1 CUTS AND FILLS AND A RETAINING WALL TO BE CONCEPTUALLY SHOWN FOR THIS WELL PAD. GEOTECHNICAL ANALYSIS AND DESIGN MUST BE PERFORMED TO DETERMINE SLOPE STABILITY +p a MITIGATION METHODS AND FOR A RETAINING WALL DESIGN. C 066 m j THESE PLANS ARE NOT -FOR -CONSTRUCTION UNTIL THE ] ADDITIONAL GEOTECHNICAL DESIGN INFORMATION HAS BEEN 1 COMPLETED. FINISHED GRADE ELEVATION = 5976.8' NOTE: Earthwork calculations require a fill ® some location stakes for balance. All fill is to be compacted to a minimum of 95% of the maximum dry density obtained by AASHTO method t-99. 1 $A' - xI 1 Sluff cn� Toe of Area FDl Slope � v Ilrl - 2 ' F 4 -- El. 5972.6' sad Rood S/ope 1 IA. I Exlstin Q Prgaosed Road 'r Re -Route (By Others) ria` ire t� Ex/s(479. Wetlands Area �+ (Keep Pile Out Of Wetlands Area) UINTAH ENGINEERING & LAND SURVEYING 85 So. 200 East * Vernal. Utah 84078 * (435) 789-1017 1 till Re -Route t7ay! t Lowe Road NOTE: Re -Route (ey Others 2' Contour Interval NOTE: TEP ROCKY MOUNTAIN LLC HAS REQUESTED I:I EARTH 1 CUTS AND FILLS AND A RETAINING WALL TO BE CONCEPTUALLY SHOWN FOR THIS WELL PAD. GEOTECHNICAL ANALYSIS AND DESIGN MUST BE PERFORMED TO DETERMINE SLOPE STABILITY +p a MITIGATION METHODS AND FOR A RETAINING WALL DESIGN. C 066 m j THESE PLANS ARE NOT -FOR -CONSTRUCTION UNTIL THE ] ADDITIONAL GEOTECHNICAL DESIGN INFORMATION HAS BEEN 1 COMPLETED. FINISHED GRADE ELEVATION = 5976.8' NOTE: Earthwork calculations require a fill ® some location stakes for balance. All fill is to be compacted to a minimum of 95% of the maximum dry density obtained by AASHTO method t-99. 1 $A' - xI 1 Sluff cn� Toe of Area FDl Slope � v Ilrl - 2 ' F 4 -- El. 5972.6' sad Rood S/ope 1 IA. I Exlstin Q Prgaosed Road 'r Re -Route (By Others) ria` ire t� Ex/s(479. Wetlands Area �+ (Keep Pile Out Of Wetlands Area) UINTAH ENGINEERING & LAND SURVEYING 85 So. 200 East * Vernal. Utah 84078 * (435) 789-1017 SCALE: 1" = 100' TEP Rocky Mountain LLC DATE: 07-02-14 DRAWN BY: M.D. PLAT #4 -TYPICAL RIG LAYOUT FOR MV 34-5 REV: 6 03-10-17 M.D. SECTION 5, T7S, R96% 6th P.M. - (PAD CHANGE) 6Lr .�vpe :1. - - Flare90' 120' J unrc ID Ih I Existing O ill cut/F'i11 Edge of O Tronsifion Line �I Pod 0 (� O p Anchor T a II I II 120 100 !I!I 301.3 N Az 83300' - once. III! II VIII I ow Q III II I f! � II I! VIII II NIc+6ram N `Approx. ill! I VIII II , c e C Top of l-� Cut Slope I II f 1 � SlaaclSvNa ISI Ilq g - - ��- X130 136' J ff Accsa Hrs! N�iafow topsoil Pile osaa `rra(aa Re -Route Vl�ll J(By l proposed Road V -Route Oa}llghl Cine NOTE: 2' Contour Interval of PRELIMINARY NOT FOR CONSTRUCTION: GEOTECHNICAL SLOPE STABILITY ANALYSIS REQUIRED Mg Drilling i II111llfj�� aa9ralfnn� cA�iry Appi.1m TOO of J Full Slope — - Stuff Area Fit 51epe i 7 v Exwtl�ig P{oeikre Pryoosed Road �Re-Route (By Others) staff ll &ow 1� \ r TgpW Pile ] j Existing WsNonds Areo ! (Keep Pile Out Of Nbflands Area) UINTAH ENGINEERING & LAND SURVEYING 85 So. 200 East • Vernal, Utah 84078 * (435) 789-1017 I,/ j f .[PROPOSED LOCATION MV 34-5 is f BUREAU OF LAND MANAGEMENT jSE,� DLTA I L "Ali PROPOSED ROAD RE-ROUTE sr (BY OTHERS) 2,763 R 96 A. - NV REV: 2 01-18-17 J.M.F. (COMPANY NAME CHANGE. PAD EXPANSION) LEGEND: N TEP Rocky Mountain LLC EXISTING ROADS MV 34-5 LOT 7, SECTION 5, T7S, R96W, 6th P.M. GARFIELD COUNTY, COLORADO "M ACCESS ROAD Uintah Engineering & LaifcT Surveying 07 ..,T.107 14 85 South 200 East Vernal, Utah 84078 MAP DAY I YEAR (435) 789-1017 * FAX (435) 789-1813 SCALL: