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HomeMy WebLinkAbout04 Section 3Section 3: Proposed Water, Utilities, Drainage and Driveway Letter State Well Permit Water Well Flow Test Water Test Soil Survey Orrin, Cindy & Brandon Moon 6544 CR 331 Silt, CO 81652 Brandon Moon ADU Proposed Water, Utilities, Dranage,and Driveway Water for the existing home comes from well permit # 256670-A, located north of property entrance road on east side of the property. The well reports are shown in this packet along with well tests performed. The existing well pumps water from the well up to the existing home into a 1000 gallon storage tank in the basement of the home. A separate pump at the base of the storage tank pumps the water from the tank to the existing house and exterior water hydrants (%"Pure Core water line) (4 hydrants), the exterior hydrants are located as follows: 1. Main house power pole, North/ West of existing home 2. 150' South of hay barn 3. Inside hay barn on north wall 4. On the North/East corner of the hay barn We are proposing to connect to the waterline that is located on the North/East corner of the hay barn and run a new water line north to the proposed mobile home, which water tap for the home is located on the rear of the home towards the South/West corner. The approximate distance for the new water line is 100'. The water pressure of the house pump will be more than sufficient to supply the proposed ADU due to the approximate elevation difference; proposed ADU is 30' lower in elevation than the water tank pump in the existing home. Electric power is supplied by Holy Cross; a power pole with electric service for existing hay barn is located within 138' of the proposed ADU. An appropriate sized electric service will be buried to the ADU South/West corner. A septic system will be installed to county specifications on the north side of the proposed ADU with appropriate sized septic tank and leach field. The nearest surface water to the proposed leach field is located east of the center of the leach field 88 yards, with an elevation drop of about 25'-30' to a waste water ditch (wash area) that runs through our property. An Infiltrator Chamber leach field system is desired to be used for leach field. Garfield County Building Department records show, for the existing house on the property, has a perk rate of 1" in 30 minutes time. Records show a 1250 gallon septic tank was installed along with an infiltrator system. I measured the leach field settled trenches and was able to estimate that 3-100' trenches is where the infiltrator system were installed. 1 A propane tank will be rented from White River Energy and will supply the home with propane. Propane tank location is yet to be determined but will be installed according to code. Driveway to the proposed house is a 2 -track dirt road at this time. The new driveway will be 14' in width from existing gravel in front of the hay barn down to the front of the proposed ADU. The driveway will proceed down 100'at the approximate grade of 6-7% to a low existing swale; a drainage pipe will be installed in the swale for drainage. The driveway will proceed then up at the approximate grade of 2-3% to the parking area of the house. Two 10'x 20' parking spaces will be road based along with appropriate emergency vehicle turnaround. See site and drainage plan. Mobile home will be installed on county approved concrete foundation with crawl space and access point for maintenance. Elevation will be determined based on adequate drainage. An existing drainage swale outside of the old arena will be cleaned and used for drainage from the proposed ADU. The finished grade from the foundation of the home will be established to allow drainage from the West and South side of the home. A drainage swale will be established to drain the North side of the home. The East side parking and turnaround will be graded to drain away from the home. See the site plan for the proposed drainage of the ADU. 2 Form No. GWS -1 I 11/2011 COLORADO DIVISION OF WATER RESOURCES DEPARTMENT OF NATURAL RESOURCES 1313 Sherman St., Ste 821, Denver, CO 80203 Main: (303) 866-3581 Fax: (303) 866-2223 dwrperrnitsonline@state.co.us For Office Use Only RECEIVED flAR 2 R 5 2094 1'h1e W 4'NE S .. CHANGE IN OWNER NAME/ADDRESS CORRECTION OF THE WELL LOCATION Review instructions on the reverse side prior to completing the form. Name, address and phone of person claiming ownership of the well permit. Name(s): Orrin, Brandon, and Cindy Moon Mailing Address: City, St. Zip: Silt, 8544 CR 331 CO 81652 Phone 970.379.2932 Email Address: orrin.moon@crfr.us This form is filed by the named individuaUentity ciaiming that they are the owner of the well permit as referenced below. This filing is made pursuant to C.R.S. 37-90-143. WELL LOCATION: Well Permit Number. 256670-A Receipt No.: 9502717 Case Number: County Garfield Well Name or# (optional). 6544 CR 331 Silt CO 81652 (Address) NE 1/4 of the NE 1/4, Sec, 10 , Twp. 7 N. or x (City) (State) (Zip) sixth P M. S., Range 92 ■ E. or W. Distance from Section Lines: Ft From N or S , Ft. From ■ E. as follows: Unit must _ , Filing/Unit or ■ W. Line. be set to true north. OR: GPS well location information in UTM format. You must check GPS unit for required settings Format must be UTM, zone 12 or zone 13 ; Units must be meters; Datum must be NAD83; Easting 272402 Northing 4371755 Subdivision Name Lot , Block The above listed owner(s) say(s) that he, she (they) own the well following reasons: permit described herein. The existing record is being amended for the Correction of Iccatiori for exempt wells permitted prior to May B, 1972 and of the well location. _i Change in name of owner ■ Change in mailing address E non-exempt wells permitted before May 17, 1965 Please see the reverse side for further information regarding correction I (we) claim and say that I (we) (am) (are) the owner(s) of the well permit described above, know the contents of the statements made herein, and state that they are true to my (our) knowledge. Sign or enter the name(s) of the new owner(s) Orrin, Brandon & Cindy Moon igning rint)}�me &title If"te jL12 ti5 �/), D ( r�fy /yyyy) 02/26/2014 It is the responsibility of the new owner of this well permit to complete an o sign this form. If an see instructions. agent is signing or entering information listed above ❑ US Mail _please P Please send confirmation of acceptance of change in owner name/address via: ✓t� Email address V'.- �'4// �CCE8�T D AS A CHANGE OFOWf�IEItS 1P a,ND/Ot MA RING A@?��[i���SS 3Z -5.1y State Engineer By / Date FORM NO. GWS -32 0212005 PUMP INSTALLATION AND TEST REPORT STATE OF COLORADO, OFFICE OF THE STATE ENGINEER 1313 Sherman St, Roost 818, Denver, CO 80203 Info (303) 866-3587 Main (303) 866-3581 Fax (303) 866-3589 httpJlwww.water.siate.co.us S Use only RECEIVED SEP 2 4 20137 ..$TAIE ENGINEER COIR. 1. SIL PERMIT NUMBER: 7. -54c." -To -A INFORMATION NCAA) iVA C 1 L, 4 GA.S ({),S- Al -E)'J C , 2. WELL OWNER NAME OF OWNER MAILING ADDRESS .361 5 S- N(,1Q,OP ST. Sv ITi 2.00 CITY 1_,A NA: STATE /- ZIg� i� TELEPHONE # (o)_- c4'33 3. WELL LOCATION AS DRILLED: /'-)r1/4, ME -114 Sec. 10 Twp.. 1 D N or'E 5, Range q 2 ] E oriaW 0 E or (UNIT) D W section line. DISTANCES SUBDIVISION: Optional GPS must be meters, 'STREET ADDRESS FROM SEC, LINES: j 20 ft. from or OS section line and 17 1 0 ft. from ,®N LOT BLOCK FILING Location: GPS Unit must use the following settings: Format must be UTM, Units Easting: Datum must be NADB3, Unit must be set to true N, ❑ Zone 12 or D Zone 13 Northing: AT WELL LOCATION: 4. PUMP DATA: Type: `J U 6 M t S 0 1-- Date installed: 6/I/07 Pump Manufacturer: Design GPM: PumpIntake ADDITIONAL 6 ;Q,U)O 1a f= Os Pump Model No. 6 SO S at RPM 3 4Sa HP 1L. Volts 2 3 4 Full Load Arnps 616- S6Pump Depth: I d0 Feet, Drop/Column Pipe Size I n Inches, Kind of Drop Pipe Turbine Driver Type: Tube Installed O Serial No. 5C N 640 PVC INFORMATION FOR PUMPS GREATER THAN 50 QPM: ❑ Electric O Engine Shaft size YesZ No, Depth ft. m Other Desj9n Head feet Number of Stages Monitor inches 5. OTHER EQUIPMENT; Airline Installed Flow Meter Mfg. Meter Readout: Ca Yes ® No, Orifice Depth ft. / Meter C] Gallons, 0 Thousand Gallons, Z Acre feet BeOnninq Reading 6. TEST DATA: 0 check box if Test Data is submitted Date: __ ZOO ft Time: (:-.) I ft. Rate (gem): on Supplemental Form. G/l/b.7 Total Well Depth: Static Level: 6 Gi' i' Date Measured: 0110 7 Pumping Level (ft): /0 6 ; G'' Amt Used 1/2 Gallon 7. DISINFECTION: Type Chlorox 8. Water Quality analysis available: Yes No If yes, please submit with this report. 8. Remarks: 10. I have read the statements made herein and know the contents thereof, and they are true to my knowledge. This document is signed and certified in accordance with Rule 17.4 of the Water Well Construction Rules, 2 CCR 402-2. (The filing of a document that contains false statements is a violation of section 37-91-108(1)(e), C.R.S., and is punishable by fines up to $5000 and/or revocation of the contracting license. Company Name: Samuelson Pump Company inc. Phone: J(970)945- 6309 License Number. 1050 Mailing Address: P.O. Box 297, Glenwood Sprins, CO 81602 Signature: Print Name and Title Raun E Samuelson, President Date 41 (' f 07 WELL CONSTRUCTION AND TEST REPORT STATE OF COLORADO, OFFICE OF THE STATE ENGINEER FOR OFFICE USE ONLY RECEIVED APR 1 6 2007 WATER RESOURCESSTATE ENGINEER Coto. APPROVAL # GWS3I-91-03 1. WELL PERMIT NUMBER 256670-A 2. Owner Name(s): Encana Oil and Gas (USA) Inc. Mailing Address: 3615 S. Huron St. Ste 200 City, State, Zip : Denver, Co 80110 Phone # WELL LOCATION AS DRILLED 3 NE 1/4 NE 1/4 Sec: 10 Twp: 7 S Range: 92 W DISTANCES FROM SEC. LINES 12I0 ft. from North Sec. line and 585 ft. from East Sec. line OR Easting: Northing: SUBDIVISION: LOT: BLOCK: FILING (UNIT): STREET ADDRESS AT LOCATION 4 GROUND SURFACE ELEVATION R. DRILLING METHOD Air Rotary DATE COMPLETED: 3/26/2007 TOTAL DEPTH: 198 DEPTH COMPLETION: 198 5. GEOLOGIC LOG 6. HOLE DIAMETER (in) PROM (ft) TO (ft) Depth Type of Material (Size, Color, and Type) 9.0 0 40 000-020 Clays, Silts 6.5 40 198 020-198 Wasatch Formation 7. PLAIN CASING OD (in) Kind Wall Size From (R) To (ft) 7.0 Steel 0.240 -1 40 5.0 PVC 0.250 0 48 5.0 PVC 0.250 68 98 5.0 PVC 0250 118 178 PERF. CASING : Screen Slot Size 5.0 PVC 0.250 48 68 5.0 PVC 0.250 98 118 5.0 PVC 0.250 178 198 Water Located: 50+ Remarks : 8. Filter Pack Material : Silica Sand Size : 8 - 10 Interval : 37-198 9. Packer Placement Type : Depth : 10. GROUTING RECORD Material Amount Density Interval Placement Cement 5 sks 6 gal/sk 10-20 poured 11. DISINFECTION : Type : HTH Amt. Used : oz. 12. WELL TEST DATA : ( ) Check Box If Test Data Is Submitted On Supplemental TESTING METHOD : Air Compressor Static Level : 0 ft. Date/Time Measured 3/26/2007 Production Rate 3 gpm Pumping Level : Total ft. DatefTime Measured 3/26/2007 Test Length : 2 hours Test Remarks : 13. I Lave read the statemdats made herein and know the contents thereof; and lin they are true to my knowledge. (Pursuant to Section 24-4-1-4 (13Xa) CRS, the making of false automats constitutes perjury w the second degree and is pwmistiabte as a class 1 misdemeanor.) CONTRACTOR : Shelton Drilling Corp. Phone : (970) 92711182 Mailing Address : P.O. Box 1059 Basalt, Co. 81621 Lic. No. 1095 Name / Title (Please Type or Print) Wayne Shelton / President Signature Date 3/28/2007 ORIGINAL Form No. GWS -25 APPLICANT OFFICE OF THE STATE ENGINEER COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 (303) 866-3581 LIC WELL PERMIT NUMBER 256670 - A DIV, 5 W045 DES. BASIN MD ENCANNA OIL AND GAS (USA) INC 3615 S.HURON STREET, SUITE 200 DENVER, CO 80110- (720) 876-5485 PERMIT TO CONSTRUCT A WELL APPROVED WELL LOCATION GARFIELD COUNTY NE 1/4 NE 1/4 Section 10 Township 7 S Range 92 W Sixth P.M. DISTANCES FROM SECTION LINES 1250 Ft. from North Section Line 710 Ft. from East Section Line UTM COORDINATES (Meters,Zone:13,NAD83) Easting: Northing: ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of this permit does not ensure that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. 3) Approved pursuant to CRS 37-92-602(3)(c) for the relocation of an existing well, permit no. 256670. The old well must be plugged in accordance with Rule 16 of the Water Well Construction Rules within ninety (90) days of completion of the new well. The enclosed Well Abandonment Report form must be completed and submitted to affirm that the old well was plugged. 4) Approved as the only well on a tract of land of 53 acres described as that portion of the NE 1/4 of the NE 1/4, Sec. 10, Twp. 7 South, Rng. 92 West, 6th P.M., Garfield County, more particularly described on the attached exhibit A. Further identified as 6526 County Road 331, Silt, CO 81652. 5) The use of ground water from this well is limited to fire protection, ordinary household purposes inside not more than three (3) single family dwellings, the watering of poultry, domestic animals and livestock on a farm or ranch and the irrigation of not more than one (1) acre of home gardens and lawns. 6) The pumping rate of this well shall not exceed 15 GPM. 7) The return flow from the use of this well must be through an individual waste water disposal system of the non -evaporative type where the water is returned to the same stream system in which the well is located. 8) This well shall be constructed not more than 200 feet from the location specified on this permit, NOTE: Parcel Identification Number (PIN): 23-2401-112-00-219 NOTE: Assessor Tax Schedule Number: R231113 (totaling 53 acres) 02/o/,Z;gOo -7 APPROVED DMW State State Engineer Receipt No. 9502717 DATE ISSUED 02-01-2007 By EXPIRATION DATE 02-01-2009 , COLORADO DIVISION OF WATER RESOURCES DEPARTMENT OF NATURAL RESOURCES 1313 SHERMAN ST., RM 818, DENVER, CO 80203 phone - info: (303) 866-3587 main: (303) 866-3581 fax: (303) 866-3589 http://www.water.state.co.us Office Use Only Form GWS -44 (06/2006) , r n F ,7, �'-7 i �fC�1VElt J 2 6 '07 FEB 4 8 2007 waT�r3 WATEF: RL:: L -.0 _-S csov CEs STATE ENGINEER ECFi�3� M 7� ,., c -,,,x,,,,, O� , Q RESIDENTIAL Note: Also use this form to apply for livestock watering' Water Well Permit Application Review instructions on reverse side prior to completing form. The form must be completed in black or blue ink or typed. 1. Applicant Information 6. Use Of WeII (check applicable boxes) Name of applicant EnCana Oil and Gas (USA) inc. See instructions to determine use(s) for which you may qualify ❑ A. Ordinary household use in one single-family dwelling (no outside use) ►,/ B. Ordinary household use in 1 to 3 single-family dwellings: Number of dwellings: 3 0 Home garden/lawn irrigation, not to exceed one acre: area irrigated 1 ❑ sq. ft. ►-e acre ®Domestic animal watering - (non-commercial) ❑ C. Livestock watering (on farm/ranch/range/pasture) Mailing address 3615 S. Huron Street, Suite 200 City Denver State CO Zip code 80110 Telephone # (720) 876-5485 E-mail (optional) 2. Type Of Application (check applicable boxes) ❑ Construct new well ❑ Use existing well ® Replace existing well ■ Change or increase use ❑ Change source (aquifer) 0 Reapplication (expired permit) ❑ Other: 7. Well Data (proposed) Maximum pumping rate 15 9Pm Annual amount tc be withdrawn acre-feet 3. Refer To (if applicable) Total depth 200 feet Aquifer Well permit # 256670 Water Court case # 8. Water Supplier Designated Basin Determination # Well name or # Is this parcel within boundaries of a water service area? DYES 0 NO If yes, provide name of supplier: 4. Location Of Proposed Well 9. Type Of Sewage System County Garfield NE 1/4 of the NE 1w 0 Septic tank / absorption leach field ❑ Central system: District name: 0 Vault: Location sewage to be hauled to: 0 Other (attach copy of engineering design and report) Section 10 Township N or 5 7 0 0 Range 5 or W 92 ❑ ® Principal Meridian 6th Distance of well from section lines (section lines are typically not property lines) 1250 Ft from 0 N ■ S 710 Ft. from y E ■ w : For replacement wells only -distance and direction from old well to new well 370 feet SSE direction . 10. Proposed Well Driller License #(optional): 11. Signature Of Applicant(s) Or Authorized Agent Well location address (Include City. State. Zip) 1 Check await address is same as in Item 1.: 6526 331 Road Silt, CO 81652 The making of false statements herein constitutes perjury in the second degree, which is punishable as a class 1 misdemeanor pursuant to C.R.S. 24-4-104 (13)(a). I have read the statements herein, know the contents thereof and state that they are true to my knowledge. Optional: GPS well location information in UTM format. GPS unit settings are as follows: $i ere (Mu original signature) Date I /2 61 077 Fotmat must be UTM o Zone 12 or 0 Zone 13 Easting: Units must be Meters Datum must be NAD83 Northing: rint Hama title " ' 1 ( 1e.. I Q (/✓fn.2/Ys ' 7.---o) e, . Unit must be set to true north Was GPS unit checked for above? 0 YES Remember to set Datum to NAD83 Office Use Only J 5. Parcel On Which Well WIU Be Located (PLEASE ATTACH A CURRENT DEED FOR THE SUBJECT PARCEL) uSGS map name DWR map no. Surface elev. A. You must check and complete one of the following: ❑ Subdivision: Name go (�' 1.,.7e/...• o f S,., p„(a. -r Receipt area only Trans Number: 3613134 2/8/2007 1:50:53 PM Yolanda Johnson (14) Total Trans Amt: $60.00 CHECK Check Number: 1018 Check Amount: $60.00 Lot Block Filing/Unit ■ County exemption (attach copy of county approval & survey): Name/# Lot # ❑ Parcel less than 35 acres, not in a subdivision, attach a deed with metes and bounds description recorded prior to June 1, 1972, and a current ' deed • Mining claim (attach a copy of the deed or survey): Name/# WE %oe-< Z7- '9c 2- 4.--667, - /i/ WR CWCB RX N ' z 3 ` 2. y D (- /O 1 - p p - Z y -7 Ya x A 3 / f / 3 if, /t f..,% ss -9,--e5/ MYLAR SB5 DIV WD4'-� BA MD ■ Square 40 acre parcel as described in Item 4 • Parcel of 35 or more acres (attach a metes and bounds description or survey) IS] Other (attach metes & bounds description or survey and supporting documents) B. N of acres in paroal 53 C. Are you the owner of this parcel? ITOPO OYES 0 NO (if no - see instruntionsj D. Mil this be the only well on this parcel? /A YES ❑ NO (if no - list other wells) E. State Parcet BD# (optional): 240111200219 STATE OF COLORADO Fw: Well Permit Name Change Orrin Moon <orrinmoon@yahoo.com> Reply -To: Orrin Moon <orrinmoon@yahoo.com> To: "dwrpermitsonline@state.co.us" <dwrpermitsonline@state.co.us> On Monday, March 24, 2014 12:59 PM, Orrin Moon <orrinmoon@yahoo.com> wrote: To whom this concems: RECEIVED A Z1' EE. Tue, Mar 25, 2014 at 9:59 AM Attached is a Well Permit Change in Owner Name/Address. I hope the form is completed as needed. Please contact me at either e-mail address if there is something more needed to complete this change. Thank You, Orrin D. Moon doc02418920140324123139.pdf 869K DWRPermitsOnline, DNR <dnr dwrpermitsonline@state.co.us> Tue, Mar 25, 2014 at 11:24 AM To: Orrin Moon <orrinmoon@yahoo.com> Thank you for your form submittal(s). You may track the status of applications for/updates to well permits at: http://www.dwr.state.co.us/WellPermitSearch/default.aspx If you have questions, please contact our Records Section at 303-866-3581(x0). Office hours are Monday through Friday from 8 a.m. — 5 p.m., excluding govemment holidays. Jennean McKinney, CDWR Records Technician (303-866-3581 ext. 8236) Check status of permit applications/ updates to well permits at: http://www.dwr.state.co. us/Wel I PermitSea rch/defa ult.as px DWR Permits Online Colorado Division of Water Resources 303-866-3581 (extension 0) http://water.state.co.ueHome/Pagesidefault. aspx Li] [Quoted text hidden] :Water Well Permit Whitehead, Dwight Page 1 of 1 From: Williams, Chris R. [Chris.R.Williams@encana.com] Sent: Tuesday, January 30, 2007 8:50 AM To: Whitehead, Dwight Cc: Ken Kreie Subject: Water Well Permit Dwight: RECEIVED FEB 0 8 2007 WATER RESOURCES *TATs ENcoNFip S SSLr). I have authorized Cordilleran Compliance Service to prepare a Water Well Permit for the Dietrich property on my behalf. If you need anything else, please let me know. Thanks, Chris R. Williams EH&S Group Lead Southern Rockies Business Unit 370 17th Street, Suite 1700 Denver, Colorado 80202 Office - (720) 876-5485 Cell - (303) 888-6978 Fax - (720) 876-6485 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 cipient only. Any review, retransmission or dissemination of this information by anyone other than the intended recipient is prohibited. If you receive this entail in arror, please contact the sender and delete this communication and any copies immediately. Thank you. http://www.encana.com 1/30/2007 Ray's Well Done Pump Service, LLC Service Pumps/Cisterns/Well Tests Ray Latham February 29, 2016 Attn: Orrin, Cindy & Brandon Moon RE: Well Test @ 6544 C.R. 331/Silt On 2/29/16, a four hour well test was conducted on a well located at 6544 C.R. 331/Silt. The following information was obtained: Approx. Well Depth 198' Casing Size 7" X 5" StI/PVC Static Water Level 0.0 ft. Total Test Time 4 hours Draw Down 80.0 ft. Production 4.0 GPM Test Pump 1/2 HP Remarks: Existing well and pump system in good working condition. This well is currently adequate for multiple family use with appropriate storage. Well production may vary throughout a calendar year. If there are any questions regarding this well test, please contact me at 970-379-8017. Sincerely, Ray Latham Ray's Well Done Pump Service, LLC 970-379-8017 welldonepumr s©gmail.com Lic. # 1419 P.O. Box 863 Rifle, CO 81650 970-379-8017 welldonepumps@gmail.com Lic. #1419 4)rrin Moon From: Ray Latham <welldonepumps@gmail.com> Sent: Monday, February 06, 2017 8:50 PM To: Orrin Moon Subject: Re: Clarification on Appropriate Storage Good Evening Orrin, .1000 In response to your question, yes, the current 1-20trgallon existing storage unit is adequate for two households. If you have further questions regarding this matter, please contact me. Thank you, Ray Latham Ray's Well Done Pump Service, LLC 970-379-8017 welldonepumps@gmail.com On Mon, Feb 6, 2017 at 11:22 AM, Orrin Moon <Orrin.Moon@crfr.us> wrote: Ray, 1 am looking to answer a question that Garfield County brought up at a pre application meeting on Brandon's ADU well test. Seas", letter and let me know what you meant about Appropriate Storage. As you might recall, We have a.1 gallon tank in our basement that should count as storage for the additional ADU. Let me know what your opinion on this. THANK. You,. ORRIN D. MOON 1 ESC A\ALYTICAL RI -SORT OU -R. 4 -R -C Pore' March 20, 2017 EnCana Oil & Gas - Parachute, CO Sample Delivery Group: L890117 Samples Received: 02/15/2017 Project Number: MOON ANNUAL Description: Moon Annual Sampling Site: MOON Report To: Brett Middleton 143 Diamond Avenue Parachute, CO 81635 Entire Report Reviewed By: Shane Gambill Technical Service Representative Results relate only to the items tested or calibrated and are reported as rounded values. This test report shall not be reproduced, except in full, without written approval of the laboratory. Where applicable, sampling conducted by ESC is performed per guidance provided in laboratory standard operating procedures: 060302, 060303, and 060304. rvESC 12065 Lebanon Rd Mount Juliet. TN 37122 615-758-5858 800-767-5859 www.esclabsciences.com Ar 2Tc: Table of Contents 3Cn: Case Narrative 4G1: Glossary of Terms 5Al: Accreditations & Locations 6Sc: Chain of Custody ACCOUNT: EnCana Oil & Gas - Parachute. CO TABLE OF CONTENTS PROJECT: MOON ANNUAL ONE LAB. NATIONWIDE. 2 3 4 5 6 SDG: DATE/TIME: PAGE: L890117 03/20/1715:52 2 of 9 CASE NARRATIVE ONE LAB. NATIONWIDE.111 All sample aliquots were received at the correct temperature, in the proper containers, with the appropriate preservatives, and within method specified holding times. All MDL (LOD) and RDL (LOQ) values reported for environmental samples have been corrected for the dilution factor used in the analysis. All Method and Batch Quality Control are within established criteria except where addressed in this case narrative, a non-conformance form or properly qualified within the sample results. By my digital signature below, I affirm to the best of my knowledge, all problems/anomalies observed by the laboratory as having the potential to affect the quality of the data have been identified by the laboratory, and no information or data have been knowingly withheld that would affect the quality of the data. Shane Gambill Technical Service Representative Project Narrative L890117 -01 contains subout data that is included after the chain of custody. ACCOUNT: EnCana Oil & Gas - Parachute, CO PROJECT: MOON ANNUAL C GI IA' SDG: DATE/TIME: PAGE: L890117 03/20/1715:52 3 of 9 GLOSSARY OF TERMS Abbreviations and Definitions ONE LAB. NATIONWIDE. lit SDG Sample Delivery Group. Qualifier Description ACCOUNT: EnCana Oil & Gas - Parachute, CO The remainder of this page intentionally left blank, there are no qualifiers applied to this SDG. PROJECT: MOON ANNUAL SDG: DATE/TIME: PAGE: L890117 03/20/1715:52 4 of 9 nn 4G1 Al Sc *.4 ACCREDITATIONS & LOCATIONS ONE LAB. NATIONWIDE. .O ESC Lab Sciences is the only environmental laboratory accredited/certified to support your work nationwide from one location. One phone call, one point of contact, one laboratory. No other lab Is as accessible or prepared to handle your needs throughout the country. Our capacity and capability from our single location laboratory is comparable to the collective totals of the network laboratories in our industry. The most significant benefit to our "one location" design is the design of our laboratory campus. The model is conducive to accelerated productivity, decreasing turn -around time, and preventing cross contamination, thus protecting sample integrity. Our focus on premium quality and prompt service allows us to be YOUR LAB OF CHOICE. " Not at certifications held by the laboratory are applicable to the results reported in the attached report. State Accreditations Alabama 40660 Nevada TN -03-2002-34 Alaska UST -080 New Hampshire 2975 Arizona AZ0612 New Jersey—NELAP TN002 Arkansas 88-0469 New Mexico TN00003 California 01157CA New York 11742 Colorado TN00003 North Carolina Env375 Conneticut PH -0197 North Carolina 1 DW21704 Florida E87487 North Carolina 2 41 Georgia NELAP North Dakota R-140 Georgia' 923 Ohio—VAP CL0069 Idaho TN00003 Oklahoma 9915 Illinois 200008 Oregon TN200002 Indiana C -TN -01 Pennsylvania 68-02979 Iowa 364 Rhode Island 221 Kansas E-10277 South Carolina 84004 Kentucky' 90010 South Dakota n/a Kentucky 2 16 Tennessee 14 2006 Louisiana A130792 Texas T 104704245 -07 -TX Maine TN0002 Texas 5 LAB0152 Maryland 324 Utah 6157585858 Massachusetts M-TN003 Vermont VT2006 Michigan 9958 Virginia 109 Minnesota 047-999-395 Washington C1915 Mississippi TN00003 West Virginia 233 Missouri 340 Wisconsin 9980939910 Montana CERT0086 Wyoming A2LA Nebraska NE -OS -15-05 Third Party & Federal Accreditations A2LA — ISO 17025 1461.01 AIHA-LAP,LLC 100789 A2LA — ISO 170255 1461.02 DOD 1461.01 Canada 1461.01 USDA 5-67674 EPA—Crypto TN00003 I. Drinking Water '' Underground Storage Tanks ' Aquatic Toxicity 4. Chemical/Microbiological si Mold Accreditation not applicable Our Locations ESC Lab Sciences has sixty-four client support centers that provide sample pickup and/or the delivery of sampling supplies. If you would like assistance from one of our support offices. please contact our main office. ESC Lab Sciences performs all testing at our central laboratory. f CA WA OR AK NV T UT ACCOUNT: EnCana Oil & Gas - Parachute, CO MT WY CO NM HI • ND NE MN iA IL ri • KS MO OK AR .. r TX LA T PROJECT: MOON ANNUAL 1.t s KY 0 ab TN T At. GA NN NY PA VA �Ct SC f FL ME SDG: DATE/TIME: PAGE: L890117 03/20/1715:52 5 of 9 Cn AGI Al Sc. � i Encana Oil & Gas 143 Diamond Ave Parachute, CO 81635 ort Brett Middleton Moon annual sampling , '4, uy.• Phone: 970-285-2739 fax: Loreelsibviririi,11 Brett Middleton Moon Annual 4ai,t,tv Moon Rush? it A, MLi - 411,0 11,Ve. 'Dow . - rh,e,t PPY t brett.middletongencana.com tan ,roi,t.t • Pa') • Evnatl? _No XV.e.. 201792 4•Moon 2114117 1000 Mat:ror SS Stvli GrQundwatim %NW • litlavetValm, DW • Drtnk.intr, Water OT flr,r Ntr N . 2 I 0 ▪ -o < •:8 0 :- 3 X ;XX CZ' X X X 0 to Nitrite/Nitrate X 0 0 •, • 77;7... ES 11111111•1111111221I1113311111811111111 It • DI34 t•tna • Conditiare MC Sear waact (tat nnial !;. Chetted. ;2 t. ESC LAB SCIENCES Cooler Receipt Form C:,'e ReceivedfOp nod On: 2/ /5 /17 .,tur,.: ftCLeived By: i•irnksk-i ...,,,t Receip Check list NP Yes No COC Seal Present / Intact? COC Signed / Accute? $ottles arrive intact? Correct bottles used? i Sufficient volume sent? If Applicable VOA Zero headspace? Preservation Correct / Checked? ESC L- A• B S• C• I• E• N• C• E• NJ OICUUI Case Narrative Lab No: 20170145 This report contains the analytical results for the 1 sample(s) received under chain of custody by ESC Lab Sciences on 2/22/2017 11:46:46 AM. These samples are associated with your Moon Annual project. The analytical results included in this report meet all applicable quality control procedure requirements except as noted below: The test results in this report meet all NELAC requirements unless noted below: This report shall not be reproduced, except in full, without the written approval of ESC Lab Sciences. All radiochemical sample results for solids are reported on a dry weight basis with the exception of tritium, carbon-14 and radon, unless wet weight was requested by the client. Results have been reviewed by the Director of Radiochemistry or their designees and is approved for release. Observations / Nonconformances L890117 *NELAC Certified Parameter BDL = Below Detection Limit OUTREACH LABORATORY, A Divsion of ESC Lab Sciences Address: 311 North Aspen Avenue, Broken Arrow. OK, 74012 - EMail: outreach@esclabsciences.com - Tel: (918) 251-2515 Page 1 of 2 ESC L•A•E S-C•I•E•N•C•E•S Client Client Project Lab Number Date Reported Date Received Page Number Encana Oil & Gas Moon Annual 20170145 03/15/17 02/22/17 2 of 2 Method Analytical Report Result DL Units Qual Prep Analysis Analyst Date Date Lab ED Client ID Date Sampled : Matrix Gross Alpha Gross Beta 20170145-01 20170214 -Moon 2/14/2017 10:00:00 AM NPW EPA 900*/9310* EPA 900*/9310* Radiochemical Analyses 8.59+/-2.54 3.01 5.03 +1- 2.48 3.53 pCi/t pCi/1 03/10/17 03/13/17 JR 03/10/17 03/13/17 JR Parameter Blank LCS %REC QC Report LCSD %REC RPD DUP RER, NAD MS MSD Batch ID RPD or DER %REC %REC RPD Gross Alpha Gross Beta -0.141 94.8 0.123 93.7 *NELAC Certified Parameter 36.8 1.320 NC 0.006 66.6 59.7 7.8 GAB 1215 102.0 90.9 10.9 CAB 1215 Lab Approval: BDL = Below Detection Limit OUTREACH LABORATORY, A Divsion of ESC Lab Sciences Address: 311 North Aspen Avenue, Broken Arrow, OK, 74012 - EMail: outreach@esclabsciences.com - Tel: (918) 251-2515 Ron Eidson Director of Radiochemistry Page 2 of 2 Account: ENCANACO SDG: L890117, L890114 Matrices: GW Analyte Hardness, Total (mg/L as CaCO3) Alkalinity Lab Sample ID Project Sample ID Date Collected Result RDL Units Result L890114-01 20170214-MOON 02/14/2017 36.1 30 ppm 247 L890117-01 20170214-MOON 02/14/2017 Primaray drinking water standard Qualifiers:B: The same analyte is found in the associated blank.R: Rejected: Results have been n Dissolved Solids Nitrate -Nitrite Arsenic,Dis RDL Units Result RDL Units Result RDL Units Result 20 ppm 936 10 ppm <0.1 0.1 ppm 0.0118 10 ppm 0.01 ajected by the lab and should not be used. solved Cadmium, Dissolved Calcium Calcium,Di RDL Units Result RDL Units Result RDL Units Result 0.01 ppm <0.002 0.002 ppm 10.8 1 ppm 10.7 ppm 0.005 ppm >solved Copper, Dissolved Iron, Dissolved Lead,Disso RDL Units Result RDL Units Result RDL Units Result 1 ppm 0.228 0.01 ppm <0.1 0.1 ppm <0.005 0 Ived Magnesium Magnesium, Dissolved Manganese RDL Units Result RDL Units Result RDL Units Result 0.005 ppm <1 1 ppm <1 1 ppm 0.0121 ppm Dissolved Sodium Sodium, Dissolved Zinc,Dissol RDL Units Result RDL Units Result RDL Units Result 0.01 ppm 334 1 ppm 343 1 ppm <0.05 ied Uranium, Dissolved Gross Alpha Gross Beta RDL Units Result RDL Units Result RDL Units Result 0.05 ppm <0.01 0.01 ppm <null pCi/I <null 30 ppb 15 pCi/I <null Corrosivity by pH pH luoride RDL Units Result RDL Units Result RDL Units Result 8.37 0.1 su 8.35 0.1 su 4.36 pCi/I pCi/I 4 E. Coli Coliform,Total Sodium Ad: RDL Units Result RDL Units Result RDL Units Result 0.1 ppm <1 1 MPN/100m1 <1 1 MPN/100m1 27.4 ppm >1 MPN/100m1 >1 MPN/100m1 - eAcr Value Granular Fields 1 Aerial Map February 10, 2017 1 field, 48 acres in Garfield County, CO TOWNSHIP/SECTION Garfield County, CO FIELD ACRES TOWNSHIP/SECTION/APN OWNER (LAST UPDATED) 47.52 7S92W-10 APN: R231113 MOON, ORRIN D, CINDY LOU & BRANDON FORREST (11/25/2014) AcreValue © 2017 Granular, Inc. All Right Reserved. Use of this report is subject to Granular's Terms of Service. All information is provided without any express or implied warranties of any kind. Land prices are estimates of valuation and not certified appraised values. Aerial Map: 1 of 1 yBAcreValue Granular 1 field, 48 acres in Garfield County, CO Fields 1 Soil Survey February 10, 2017 TOWNSHIP/SECTION 7S 92W 10 AVG NCCP1 COUNTY AVG N/A 10.0 QUALITY 1 Map data =2017 Google 23 All fields 48 ac Source: NRCS Soil Survey SOIL SOIL DESCRIPTION CODE ACRES PERCENTAGE OF SOIL NCCPI FIELD CLASS 55 Potts loam, 3 to 6 percent slopes 17.65 37.1% 3 N/A a 56 Potts loam, 6 to 12 percent slopes 15.17 31.9% 4 N/A 51 Olney loam, 6 to 12 percent slopes 8.69 18.3% 4 N/A 29 Heldt clay loam, 3 to 6 percent slopes 3.99 8.4% 3 N/A M 66 Torriorthents-Camborthids-Rock outcrop complex, steep 2.03 4.3% 7 0.5 N/A AcreValue © 2017 Granular, Inc. All Right Reserved. Use of this report is subject to Granular's Terms of Service. AH information is provided without any express or implied warranties of any kind. Land prices are estimates of valuation and not certified appraised values. Soil Survey: 1 of 1 AcreVal e BY Granular Fields 1 Crop History February 10, 2017 1 field, 48 acres in Garfield County, CO All fields 48 ac Google 2015 2014 2013 2012 2011 Alfalfa 82.6% 83.2% 77.7% 72.7% 78.6% • Non -Cropland 16.9% 16.8% 22.3% 27.3% 17.7% • Other 0.5% - - 3.7% Source: NASS Cropland Data Layer AcreValue © 2017 Granular, Inc. All Right Reserved. Use of this report is subject to Granular's Terms of Service. All information is provided without any express or implied warranties of any kind. Land prices are estimates of valuation and not certified appraised values. Crop History: 1 of 1