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Home My WebLink AboutApplicationGørfield County ONSITE WASTEWATER TREATMENT SYSTEM (owrs) PERMIT APPLICATION CEI\rE tE8 0 6 2018 BT: unity Development Department 108 8th Street, Suite 401 Springs, CO 81601 l970l94s-82t2 WPE OF CONSTRUCTION X New lnstallation fl Alteration i I I I ì l WASTE TYPE X Dwelling E Other Describe TransientUse iE Comm/lndustrial tl Non-Domestic INVOIVED PARTIES Property Owner: Bureau of Land Manaeemànt Phone: Malling Address: 2300 River Frontase Road Silt, CO 81652 Contractor:TFP Rockv Mountain LLC Phone: (9701295-9377 Mailing Address PO Box 370. Parachute. CO 81"635 Engineer:David Fox Phone: (9701 250-5505 Malllng Address: PO Box 370, Parachute, CO 8L635 PROJECT NAME AND LOCATION Job Address: RU 23-17 Pad ' Assessor's Parcel Number: 240317100952 Sub. Building or Service Type: femporarv gffice & house SBedrooms: 2 . Garbage Grinder þ Distance to Nearest Community Sewer System:NA Was an effort made to connect to the Community Sewer System:NA tinal Disposal by [J Absorption trench, Bed or Pit fl Underground Díspersal E Above Ground Dispersal E Evapotransplratíon i E Wastewater Pond i E Sand Filter l Water Source & Type X Other Hauled bv HB Rentals to Garfield Countv tandfill Disposal Site tr Well tr Spring E StreamorCreàk tr C¡stern X Community Water System Name Citv of Rifle Buli H2 - Hauled bv HB Rentals Will Effluent be discharged directly into waters of the State? E Yes X No Lot _ Block _ Type of OWTS E Aeration Plant E Composting Toiletx vault E Vault PriW ToiletlncinerationPitUsePotableEPrlvyRecyclingRecycllng,I I i Chemical Tollet Otherx Hauled þ HB Rentals to Garfield Countv Landfill E septicTank i Disposal Site Ground COnditionS Depth to 1't Ground water table Percent Ground SlopeNA NA Effluent CERT¡FICATION Applicant acknowledges that the completeness of the application is conditiona! 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 desígned 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. "3ot/orpoa{e / I hereby acknowledge that I have read and understand the Notice and Certification above as well as have provided the required which is correct and accurate to the best of my knowledge. Owner nt and Sign OFFICIAT USE ONLY Paid w/ MC on 0210612018 $75.00 Special Condltlons: Permit Fee: $75.00-Vault&Haul Perk Fee: ENG Total Fees: $75.00-Vault&Haul Fees Pald $75.00 Building Permlt t Septic Permitl sEPr-sof\_ lssue Date:Ð.+"lA Balance Due: $0.00 BIDG OlVr 2-7- zÐ8 DATE I ll I liFrt'Eltfl lllïllfl '¡ lt{tl L'Ë:l{lll lt¡l}l¡ll iI'3iL ¡l ll I'--Redeotion*: 879851øztldtzøta o2:18:46 Pl,t Jêen Êlbêrico 1 of 2 Rec Fee:916.ØØ Doc Fee'Ø.Ø@ GÊRFIELD CoUNTY C0 PO\ryEROFATTORNEY KNO1V ALL PERSONS BY TTIESE PRESENTS; ÛOruFüRñåËT} üOFV THAT TEP ROCKY MOUNTAIN LT"C, a Delawarc limited liability compaûy, hereby nominates, constitutes, and appoints Bryan S. Hotard, as ie true and lawful Attorney-in-Fact to execute and deliver in the name and on behalf of TEP ROCI(Y MOIINTÁ,IN LLC ('Principal") any of the following designated instruments or documents in connection with the Princþl'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 zubdivision thereof riny person, corporation, parrrership or other legal entity: A. (1) Applications for permits or leases; (2) consents, stþulations, or agreements in connection with the issuance of permits or leases; (3) acceptances of leases, subleases, or permits; (4) acceptances of all insfuments nansferring leases, offers to lease, permits, applications for permits, or subleases, or an interest in any ofthese (including assignmenß 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 seismio, or exploration permits. D. Instn¡ments withdrawing applications for leases or permits. E. ( I ) Requests for rights-of-way and surface use permits; (2) acceptance of grants of rights-of-way and surfaoe use pernrits, including any stþulation or condition in the grants; (3) any statements that may be required in connection with applícations for rights-of-way and surface use permits. F. Requests for extension oftime 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, 2A16, 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 insFument or dooument separately for eaoh and every such insfument or document so executed and delivered. EXECLIIED by Principal on this 13ù day ofJuly,20I6. Terra Energr Partners LLC as sole member of TEPRocþ Mountain LLC AGREED ÏO A¡fD ACCEPTED BY: S.I"and s.BY: ITS: z President and CEO Attomey-in-Fact ACKNOWLEDOEMENT Staæ ofTexas County ofHarris This insfument was acknolvledged before me on frl^- /3 by Michael S. Land, known to,2016 me to be the President and CEO of Terra Enerry Parmefs LLC, uDelaware corporatiorç on behalf of the coqporation. (Notary SeaI) iltËANY CEÛELI POttoCß Notory Public, Sloie of lexos MyCommlælon Expires April2ô,2019 RU 23-17 Pad,Vault System l)escriptionThe site will temporarily office and house up to a maximum of four individu-als during natural gas drilling activities and is expected to be completed inone year or less. The individuals will occupy two individual trailer offices/houses located on the well pad. Office/houses have Colorado Division ofHousing compliance tags.PATÂBLÊ, WATEß] TÈLYIlAC ,it{C"(*>'Hig[ Leuel ilarmlf li0ht Dr ltarmI$ P¡ESE¡IIank ls ÍuilOne aboveground sewage holding tank with 4000-gallon capacity on-siteihe Vault Sysiern ls dìsplayed in both of ihe pictures. Sewage flows esti-mated to be 300 gallons/day (4 individuals x 75 gpcd). Sewage holdingtank needs to be emptied approximately every 13 days (4000 gallons/300 gallons per day). Wastewater vault is equipped with overflow alarmdevice. W+üemç utilizes the services of a licensed contractor to removedand haul thd{iásterwater to a state certified treatment/disposal facility.One potable aboveground water tank of approximately 4000 gallons 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 300 gal-lons/day (4 individuals x 75 gpcd). Required minimum fire suppressiondemand is 2500 gallons. Total potable and fire suppression demand isRoad access to the site ismaintained year roundthrough the services of pri-vate road maintenance andconstruction contractor.estimated to be 4000 gal-lons. 9 É H å Section 17 T. 7 5., R 93 T,V \ d,t-þo 50' 50'Pipeline R.O.W.REF. "o E#1 #2C GRAPHIC SCALE IN FEET 1 INCH = 80 FEET +,% c I F 5.4 r //- -'\ y'-Line ./'W /c1 N#1 AA F 20.4',oo I-o W c 22.\ -"à* N #1 @-Kò F 26.2'.Jalno nè$ r \ol B sw Q. #6 NET#2 BBc 25.1'.F 27.6', sÊt Ès 3€-I o Daylight Line -\t 3tÒlog ru"^o&' s #58 E #34 F 26.9'.c 29.9', C 60'R Cs #54 SE Q, #4 c 8.4', 90'#38 c 20.8"-=-- F13./' -/ 50'0/s REF. PNT.c}aklle Atea troout @ o goil ¡zt fi" É..rcess eo Ëss",QO&s Foxoa'B-NOTE: 1.) 1ø% Swell Factor Applied to Earthwork Cut Volume. 2.) Topsoil Volume Based on 12" Soil Depth. 3.) Total Disturbed Area = t8.75 ac REWSED,,lO/3/]7 ESTIMATED EARTHWORK QUANTITIES (cy) ITEM CUT FILL TOPSOIL EXCESS PAD 56950 41600 7510 7840 TRENCH 131 10 131 10 TOTALS 70060 41 600 7510 20950 I { s a ê a á Sectíon 17r7s.,R93W 50'Pipeline R.O.W GRAPHIC SCALE IN FEET 1 INCH = 80 FEET ( Daylight Line \ ¡lt ^$s /\s ^tQÈ Ièol sfat>dë,É 3€*(âo Daylight I I T:;'Y,lo'"^l¿xcess Soil (21 REWSED:10/3/17 _--"j qa oô ,È nreîaî "*'lí;:,$, É t See Construction Layout Sheet for Well Des¡gnations É oooo BUIK SIOMGE T CUÍINGS BOX Flair Unit (10'x10) Construction PIan Prepar TEP Rocky Mountain LLC or: TER RU23-17 Drill Pad - PIat 4 DRTLL RTG LAYOUT SCALE: DATE: PI.AT: PROJECT: DFT: I 3 é å Section ."Í;¡ ,.9., : ,l I t t'',,1 ) r I ,..- I ! I I .p'l 0 1000 2000rr GRAPHIC SCALE IN FEET I INCH = 2000 FEET ACCESS DESCRIPTION: FROM THE TNTERSECTTON OF STATE HtGHWAY 6 AND COUNTY ROAD 323 (RULISON ROAD) NORTH OF RULISON, PROCEED SOUTHERLY ALONG COUNTy ROAD 323 (RUL|SON ROAD) 11.1 MILES TO THE INTERSECTION WITH CoUNTY ROAD 309 (RULISON PARACHUTE ROAD), PRoCEED LEFT IN AN EASTERLY DIRECTION i2.3 MILES TO THE INTERSECTION WITH COUNTY ROAD 320 (RIFLE RULISON ROAD), PRocEED RIGHT IN AN EASTERLY DIRECTION 16.2 MILES TO THE INTERSECTION WITH COUNTY ROAD 317 (BEAVER CREEK ROAD), PROCEED RIGHT IN A SOUTHERLY DIRECTION t3.6 IVILES TO AN INTERSECTION WITH A DIRT/GRAVEL ROAD, PROCEED LEFT IN AN EASTERLY To NORTHEASTERLY DIRECTION t2.O MILES TO AN INTERSECTION WITH A DIRT/GRVEL ROAD, PROCEED RIGHT IN A SOUTHEASTERLY DIRECTION 10.7 MILES TO AN INTERSECTION WITH A DIRT/GRAVEL ROAD, PROCEED RIGHT lN A SOUTHERLY DtRECTION iO.2 MTLES TO AN INTERSECTION WITH A DIRT/GRAVEL ROAD JUST BEFORE ENTERING THE EXISTING RU 44-7 DRILL PAD, PROCEED LEFT IN A SOUTHEASTERLY DIRECTION t1 .1 MILES THE RU 23-17 DRILL PAIì IOCATIÕN AS SHOWN HEREON. REVISED: 7/ I 1/ I 6 -- ¡iilc repared for: i ; TEP Rocky Mountain LLC nC 'l-i:Í { RU 23-17 Dríll Pad - Plat 5 ACCESS ROAD & TOPO TUIAP SCALE: DATE: PLAT: PROJECT: DFT: Rìfle, Ph. 1 36 East Thírd Street Fu (97O) 625 2773 Cotorado 81650 (e7o) 62s-272O Seruices,Inc.