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HomeMy WebLinkAbout04490GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 108 Eighth Street, Suite 201 025-°E) Glenwood Springs, Coloradof 81601 Z 1�� C �� Phone (970) 945-8212 prion Eh Ifni 23 rd INDIVIDUAL SEWAGE DISPOSAL PE MIT PROPERTY Owner's Name System Location fX? //1 ' �('��p'�J 7�f'J Legal Description of Assessor's Parcel No. 21 v \ / `� / O - V _ 1 Present Addres venver Permit 4 4 9 0 Assessor's Parcel No. C,Q. 51 2_ g It This does not constitute a building or use permit. Phone SYSTEM DESIGN Septic Tank Capacity (gallon) Other Percolation Rate (minutes/inch) Number of Bedrooms (or other) Required Absorption Area - See Attached Special Setback Requirements: Date Inspector FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer Septic Tank Capacity Septic Tank Manufacturer or Trade Name Septic Tank Access within 8" of surface Absorption Area Absorption Area Type and/or Manufacturer or Trade Name Adequate compliance with County and State regulations/requirements Other Date Inspector RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE *CONDITIONS: 1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter 25, Article 10 C.R.S. 1973, Revised 1984. 2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements. Con- nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or a requirement of the permit and cause for both legal action and revocation of the permit. 3. Any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class I, Petty Offense ($500.00 fine -6 months in jail or both). White - APPLICANT Yellow - DEPARTMENT GARFIELD COUNTY SEPTIC PERMIT APPLICATION 108 8t" Street, Suite 401, Glenwood Springs, Co 81601 Phone: 970-945-8212 / Fax: 970-384-3470 / Inspection Line: 970-384-5003 arf:pld-minty corn I Parcel No: (this information is available at the assessors office 970-945-9134) 0-2/9/a nO 020 / 2 Job Address: (if an address has not been assigned, please protide Cr, Hwy or Street Name & City) or and legal description CR -311; 3.1n.Cao Fltfm-- ;,✓lea.sCc-7 is/cP-33C — TEL Aff,Q41,IEO b)2-EC71ONS d MA -P 3 Lot Size: Lot No: Block No: Subd./ Exemption: 4 Owner: (properly owner) C»Jo.J En/En4Y oa/ 6EHAL6 C, bot,..) Mailing Address /675- a /to/1 DJ4 /$vt/E Zoo° ve/t o�,a JENC-onbn� r3D;tA2- Ph:,_ 303- sq)-)0303o3-3Y77-i>b2-t ea- /23 Alt Ph: 5 Contractor: s7ActioW oic.F;ELO SEa-Ui G-¢5 Mailing Address Po 130k, 97/ 62—%FGE / to 0/650 Ph'g7p_.62�-yo(6 Alt Ph: 6 Engineer:coao%LLEO..AA/ con-rp//srutt Mailing Address 026 2/ a k-oao 620No uvalri041 CO Si5oS Ph: 570- —3- 7eroo Alt Ph: ?70-2/O-6831 7 PERMIT REQUEST FOR: (A) New Installation ( ) Alteration ( ) Repair 8 WASTE TYPE: ( )Dwelling ( )Transient Use ( )Commerc al or industrial )Non- Domestic wastes J\jOther- Describe :E,acpan-int Emptoyn Lioas'e✓H Fo/t aa; e-1-.4) 4 ORS 9 BUILDING OR SERVICE TYPE: “-)14-/-sen1/:c& rip7a 3 'Tan: tE.p s c.1S66 INTER- /4irff.vrLY Number of bedrooms 2-- 3 pe,. --17'- u ctP- Garbage Grinder ( )Yes (g)No 10 SOURCE & TYPE OF WATER SUPPLY: ( )WELL ( )SPRING ( )STREAM OR CREEK ( )CISTERN If by COMMUNITY WATER, give name of supplier: 57:acL%or✓ olc P%be-D SE2-0 (:6-s1 WAit2 Whi CE 1001-4-0 supplied 11 DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: iUmn.r v S- /12%LE--S Was effort made to connect to the Community System? NO an YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITH OUT A SITE PLAN 12 GROUND CONDITIONS: Depth to 1st Ground Water Table (00 FT Percent Ground Slope GrevEL/ e-trr47 //cA-r;o 13 TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM (ISDS) PROPOSED: ( )Septic Tank ( )Aeration Plant (*))Vault ( )Vault Privy ( )Composting Toilet ( )Recycling, Potable Use ( )Recycling, other use ( )Pit Privy ( )Incineration Toilet ( )Chemical Toilet ( )Other- Describe 14 FINAL DISPOSAL BY: ( )Absorption trench, Bed or Pit ( )Underground Dispersal ( )Above Ground Dispersal ( )Evapotranspiration ( )Sand filter ( )Wastewater (x)Other-Describe D)spoSac AT Soo 711 Cii/ri1/ LAAIQF'iG-1- pond 15 Will effluent be discharged directly into waters of the state? ( )YES (KNO 16 PERCOLATION TEST RESULT: (to be completed by Registered Professional Engineer, if the Engineer does the Percolation Test) Minutes per inch in hole No.3 per inch in hole No.1 Minutes ,f') / V Minutes per inch in hole No.2 Minutes per inch in hole No._ Name, address & telephone of RPE who made soil absorption test: Name, address & telephone of RPE responsible for design of the system: Applicant acknowledges the local health department issuance of the permit is reports submitted herewith and are designed to be relied understand that any falsification and legal action for perju that the completeness of the application is conditional upon such further mandatory and additional test and reports as may be required by to be made and furnished by the applicant or by the local health department for purposed of the evaluation of the application; and the subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations made, information and 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 on by the local department of health in evaluating the same for purposes of issuing the permit applied for herein. I further or misrepresentation may result in the denial of the application or revocation of any permit granted based upon said application as provided by law. qq 17 OWNERS SIGNATURE "mac .4-4::%7s4/47 DATE .. � Zi' 2z) J1 1 I '406 8eA// /1 env 0n/ V- GOOco � J Db ONLY 1 ✓ I / STAFF USE Permit Fee: Perk Fee: Total f s: 0.s Building Permit #: Septic Permit #:Issue 'L44gD Date: 7 Buildin Planni �► it r - j 0 cam' �5 ' (' C Ci APPRO'VA S DATE CORDILLERAN July 28, 2008 82621'hRoad Grand Junction, CO 81505 T: 970.263.7800 F: 970.263:7456 Garfield County Building & Sanitation Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 Subject: Submittal of Individual Sewage Disposal System (ISDS) Permit Application for Temporary Employee Housing, Orion Hilton #23-1 Pad Site To Whom it May Concern: Cordilleran Compliance Services, Inc. (Cordilleran) was contracted by Orion Energy Partners, LP (Orion) to provide Environmental Engineering and Consulting Services associated with drilling an exploratory natural gas well in the Garfield Creek State Wildlife Area (GCSWA) in Garfield County, Colorado. On behalf of Orion, Cordilleran is seeking an ISDS permit associated with the installation of temporary employee housing to support drilling operations from the Garfield County Building & Sanitation Department Enclosed please find the subject ISDS Permit application along with the required application fee. If you or Garfield County staff has any questions regarding this application, please contact me at 970-263-7800. Sincerely, Lorne C. Prescott Project Scientist Cordilleran Compliance Services, Inc. Enclosure — As Stated Cordilleran Compliance Services, Inc. Grand Junction, CO • Denver, CO • Environmental Consulting Engineers and Scientists PI=L41 fl4 RIG LAYOUT W 0 1 • w fr II 1 SEWAGE I POTABLE WATER I I • 1 0 Lt lld 3A2J3S321 1 PIPE RACKS NG PUW HOUSE' UI HOUSE GENEHOURATOR FUEL TANK BOILER HOUSE X•.� >- D 5 OM PROPOSED HILTON #23-1 0 Tie w X! I EO I GROUND LEVEL (GO= 6324.5' DRILLING FLOOR (DF)=6337.5' KELLY BUSHING (KB)=6338.5' CONSTRUCTION SURVEYS, INC. 0012 SUNRISE SI -VP. SII=t, CO 81632 (%10)S1b=6163 SCALE: 1" = 60' SHEET: 4 of 9 REVISED: 6/27/2008 ORION ENERGY PARTNERS Orion Hilton #23-1 Drill Site Specifications for tanks that will be utilized for waste storage and water storage. Provided by Stallion Oilfield Services: The water cans are 3000 gallon capacity. They are in 8x20 Conex sea vans that are insulate 2" pump will be installed that puts out 401bs. of p; . . = e • . ending on demanjd. Pressure can be adjusted. All potable water lines u$ T nasi a.2gg. 60E a°3:, The waste storage tanks are 2000 gallon insulated tanks. Tanks with a toilet have 3000 gallon sewer tank in a 8x20 insulated Conex sea van with a small compartment containing the toilet. Left stations have a capacity of about 30 gallons with a float switch to control fluid levels. A 2" submersible pump will be utilized to transfer fluids to holding tank via 2" insulated poly hose with heat trace frost protection. Water hoses are 5/8" and are insulated with heat trace frost protection. 39.50000° N 39.51667° N 3953333" N 39.50000° N 39.51667° N 39.53333° N Garfield Creek State WiidIife Area — Proposed Well Pad Locatior - Proposed location of Orion Energy Exploratory Weil Driving Directions to Hilton #23-1 Well Pad Site (GPS Coordinates Latitude 39.509 N and Longitude -107.524 W) -From Highway 70, take New Castle Exit #105 -Take a right on County Road 335 and go 3 miles -Take a left on County Road 312 and go 3.9 miles to the Well Pad Legend Hilton #23-1 Well Pad Local Roads 0 0.25 0.5 1.5 2 1 inch equals 0.5 miles Miles DRIVING DIRECTIONS ORION HILTON #23-1 WELL PAD SPECIAL USE PERMIT FOR TEMPORARY HOUSING GARFIELD CREEK STATE WILDLIFE AREA GARFIELD COUNTY, COLORADO RmarorrOATE- REVISION NUMBER 01 DRAWN BY: APPROVED BY: LP BD PROJECT # EG7284 SCALE: AS SHOWN CORDILLERAN StaIIioi OILFIELD SERVICES Lorne Prescott Project Scientist Cordilleran Compliance Services To whom it may concern: Stallion Oil Field Services is going to provide potable water services for Orion drill locations. This will include water tanks and delivery of registered potable water. This water will be tested for chlorine residual on as per load basis and a monthly sample will be gathered by a class "A" water systems operator to test for coli form and bacteria. Viapta nce Coughanour Assistant Manager Stallion Oilfield Services, Rifle Branch P.O. Box 471 • 16605 Hwy 6 • Rifle, Colorado 81650.970-625-4016 • Fax 970-625-4013 05/28/2008 09:26 19706252106 DOWN VALLEY SEPTIC PAGE 01/01 ',OWN VAJLOY $EPI1C g GRAIN, INC SCOII AMR, OWNER SMELLY PRO LMM SPECIALIST PO. BOX 1929 • RlFL6, CO 81650 970625-5556 TOLL FREE 866.31-5556 May 28, 2008' To Wborn it May Concern: Re: Orion Energy Please accept this letter as certification that Down Valley Septic will provide Sewage collection, Potable water hauling and Potable water tanks, Trash service, Porta Jon service and Tank rental for Orion Energy. I certify that Down Valley Septic will provide above services for Orion Energy for the Piceance Creek basin including Drilling, Completion, Construction, Man camps, and Administration units on the Piceance Basin project. Service will be provided every three days, unless needed more frequently. Down Valley Septic is available 24 hours a day, 7 days a week, 365 days a year.. Collected sewage will be disposed of in the South Canyon Landfill or other certified disposal facilities. ne Ai Ayr (si.gnature Sc. el (name) lr •) (title) Please contact me if youneed any additional, information at 970-625-5556. Thank you, Scott Moyer Down Valley Septic Owner MUNICIPAL • RESIDENTIAL • COMMERCIAL SEPTIC • SEWER • DRAIN Orion Energy Partners Garfield County Building & Planning Department 108 8t Street, Suite #401 Glenwood Springs, CO 81601 Re: Special Use Permit Applications — Temporary Employee Housing * All Garfield County Well Applications To Whom It May Concern: This letter is to inform you that Cordilleran Compliance Services, and specifically Lorne Prescott, is authorized to act as Agent and to sign documents on behalf Orion Energy Partners LP when necessary for filing county permits. It should be understood that Cordilleras is acting as Agent only in those matters stated above and is not responsible for drilling, completion, production or compliance with regulations. Orion Energy Partners LP agrees to accept full responsibility for operations conducted in order to drill, complete and produce the above-mentioned wells. Sincerely, Jess Peonio Senior Operations Engineer 1675 Broadway, Suite 2000 • Denver, Colorado 80202 U.S.A. Phone: (303) 595-3030 • Fax: (303) 595-3043 ORION ENERGY PARTNERS, LLC, 1876 Broadway, Suite 2000, Denver, Colorado 80202 May 5, 2008 Mr. Ron Velarde Colorado Division of Wildlife Northwest Regional Office 711 Independent Avenue Grand Junction, CO 81505 Re: Special Use Permit far Temporary Employee Housing Garfield County, Colorado Pad Hilton #23-1, Township 6 South, Range 91 West 6th P.M. Section 23: SE114SW114 Mr. Velarde, Orlon Energy Partners, LLC (Arlon) Is requesting a Garfield County Special Use Permit for Temporary Employee Housing on the Subject Drill Pad (Hilton #23-1) which Is located on surface owned by the Colorado Division of Wildlife (CDOW), This permit will address the temporary sleeping quarters for personnel required for drilling operations for the Hilton #23.1 pad and is restricted to the pad site facilities detailed In the Application for Permit to Drill (APD) submitted to the Colorado 011 and Gas Conservation Commission (COGCC). Orlon respectfully requests permission from CDOW to pursue a Special Use Permit for this drill pad. Please Indicate your permission by signing in the space provided below. Sincerely, AdaSayers Senior Operations Engineer Orion Energy Partners, LLC PERMISSION IS HEREBY GRANTED TO ORION ENERGY PARTNERS, LLC TO OBTAIN A SPECIAL USE PERMIT POR TEMORARY EMPLOYEE HOUSING ON THE LAND DESCRIBED ABOVE. By: ab Narne&Title: D/14N er r ' ,qrzek, .i7''/A 7\424-e9'4" Parcel Detail Page 1 of 4 Garfield County Assessor/Treasurer Parcel Detail Information Assessor/Treasurer Property Search 1 Assessor Subset Query 1 Assessor Sales Search Clerk & Recorder Reception Search Basic Building Characteristics 1 Tax Information Parcel Detail 1 Valne_Detail 1 Sales Detail 1 Residential/Commercial Improvement. Detail Land Detail 1 Photographs Mill Levy Revenues Detail Tax Area 017 Account Number R170269 Parcel Number 218127100201 2007 Mill Levy 39.954 Owner Name and Mailing Address STATE OF COLORADO DIVISION OF WILDLIFE 6060 BROADWAY DENVER, CO 80216-1029 Assessor's Parcel Description (Not to be used as a legal description) SECT,TWN,RNG:1-7-91 DESC: LOTS 1 (42.86AC), 2(42.99AC), 3(43.11AC), SWSE, SECT,TWN,RNG:12-6-91 DESC: W1/2NW, SW1/4, S1/2SE. SECT,TWN,RNG:13-6-91 DESC: W1/2E1/2, W1/2. SECT,TWN,RNG:16-6- 91 DESC: E1/2, EXCEPT S. 330' OF SWSE SECT,TWN,RNG:2-6-91 DESC: E1/2SW, W1/2SE, SESE. SECT,TWN,RNG:21-6-91 DESC: E1/2NE. SECT,TWN,RNG:22-6-91 DESC: N1/2, SW1/4, SE1/4(NET 119.70AC) LYING SLY OF CO. SECT,TWN,RNG:23-6-91 DESC: N1/2, E1/2SW, SWSW, E1/2SE. http://www garcoact.com/assessor/parcel.asp?ParcelNumber=218127100201 7/29/2008 Parcel Detail Page 2 of 4 SECT,TWN,RNG:24-6-91 DESC: W1/2NE, Wl/2, NWSE. SECT,TWN,RNG:25-6-91 DESC: E1/2NW, SWNW, SW1/4, N1/2SE, SWSE. SECT,TWN,RNG:26-6-91 DESC: ALL. SECT,TWN,RNG:27-6-91 DESC: E1/2, E1/2NW, SWNW, N1/2SW. SECT,TWN,RNG:3-6-91 DESC: LOTS 1 (38.28AC), 2(38.38AC), S1/2NE, SENW, SWSW, SECT,TWN,RNG:36-6-91 DESC: W1/2NE, S1/2SENE, NW1/4, N1/2SW, SESW, SE1/4. SECT,TWN,RNG:9-6-91 DESC: E1/2W1/2, SWNE, W1/2SE, E1/2E1/2. DESC: N1/2SE, SESE. SEC. 4. SESE. SEC. 4&9 THAT PART OF DESC: ALL DESC: THE SESW & SWSE SEC. 4 & NWNE SEC. 9 LYING W. OF DESC: RD. 312 EXCEPT 2.30 AC. DESC. IN 569/735. ALSO A DESC: SESE, SESW. SEC. 12 NE1/4, E1/2NW. DESC: TR. IN THE N1/2SE CONT. 16.52 AC. DESC. IN 596/863 DESC: ALL. DESC: CO. RD. 312. PRE:R170262 AND/THRU:& TO:R170265 BK:0961 PG:0208 BK:0576 PG:0949 BK:0724 PG:0421 BK:0727 PG:0472 BK:0709 PG:0817 BK:0709 PG:0814 Location Physical Address: SILT Subdivision: Land Acres: 8980.6 Land Sq Ft: 0 Section Township Range 2 6 91 3 6 91 9 6 91 12 6 91 http://www.garcoact.com/assessor/parcel.asp?ParcelNumber=218127100201 7/29/2008 Parcel Detail Page 3 of 4 13 6 91 16 6 91 21 6 91 22 6 91 23 6 91 24 6 91 25 6 91 26 6 91 27 6 91 36 6 91 1 7 91 2008 Property Tax Valuation Information Additional Value Detail Most Recent Sale Sale Date: Sale Price: Additional Sales Detail Basic Building Characteristics Number of Residential Buildings: Number of Comm/Ind Buildings: 0 0 No Building Records Found Tax Information No Tax Records Found http://www.garcoact.com/assessor/parcel.asp?ParcelNumber=218127100201 7/29/2008 Actual Value Assessed Value Land: 0 0 Improvements: 0 0 Exempt: 377,550 109,490 Total: 377,550 109,490 Additional Value Detail Most Recent Sale Sale Date: Sale Price: Additional Sales Detail Basic Building Characteristics Number of Residential Buildings: Number of Comm/Ind Buildings: 0 0 No Building Records Found Tax Information No Tax Records Found http://www.garcoact.com/assessor/parcel.asp?ParcelNumber=218127100201 7/29/2008 Parcel Detail Page 4 of 4 evy Revenues_ Detail T pofF ge Assessor Database Search Options I Treasurer Database Search Options Clerk & Recorder Database Search Options Garfield Countylome Page The Garfield County Assessor and Treasurer's Offices make every effort to collect and maintain accurate data. However, Good Turns Software and the Garfield County Assessor and Treasurer's Offices are unable to warrant any of the information herein contained. Copyright © 2005 - 2008 Good Turns Software. All Rights Reserved. Database & Web Design by Good Turns Software.. http://www. garcoact.com/assessor/parcel. asp?ParcelNumber=218127100201 7/29/2008