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HomeMy WebLinkAboutApplicationGarfield County Coratinunity Development Department C,p?4,110\..108 8th Street, Suite 401 1O -,FG F"' Glenwood Springs, CO 81601 4t q l (970) 945-8212 www.garflekl-county.com cam TYPE OF CONSTRUCTION X New Installation WASTE TYPE X Dwelling 0 Transient Use 0 Other Describe ONSITE WASTEWATER TREATMENT SYSTEM (OWTS) PERMIT APPLICATION 0 Alteration © Cvmm/lndustrial 0 Repair 0 Non -Domestic INVOLVED PARTIES Property Owner: Bureau of Land Management Phone: Mailing Address: 2300 River Frontage Road Silt, CO 81652 Contractor: TEP Rocky Mountain LLC Mailing Address: PO Box 370, Parachute, CO 81635 Engineer: David Fox Phone: (970) 285-9377 Mailing Address: PO Box 370, Parachute, CO 81635 Phone: (970) 250-5505 PROJECT NAME AND LOCATION Job Address: GR 23-11V Pad Assessor's Parcel Number: 240921200952 Sub. Lot Block Building or Service Type: Temporary office & house #Bedrooms: 4 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 Ground Conditions ❑ Septic Tank 0 Aeration Plant I X Vault I 0 Vault Privy 1 0 Composting Toilet ❑ Recycling, Potable Use 0 Recycling 0 Pit Privy 1 0 Incineration Toilet O Chemical Toilet X Other Hauled by Clveo to Garfield and Mesa County Landfills Depth to 1" Ground water table NA Percent Ground Slope NA Final Disposal by ❑ Absorption trench, Bed or Pit 0 Underground Dispersal 0 Above Ground Dispersal O Evapotranspiration 1 0 Wastewater Pond [ 0 Sand Filter X Other Hauled j v Civeo to Gar!leiri and Nirs,3 Cn' ntv 1 ancifllls Water Source & Type t 0 Well 1 0 Spring 0 Stream or Creek 0 Cistern X Community Water System Name Otv of Rifle & Ute Water — Hauled by CIyeo Will Effluent be discharged directly Into waters of the State? 0 Yes X No Effluent 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 required in r ation which is correct and accurate to the best of my knowledge. Date Prop'rty Owner Print and Sign OFFICIAL USE ONLY Special Conditions: r .--- Permit Fee: Ts.- Perk Fee: Total Fees: Foos Paid: Building Permit Septic • . •.It: 2f 4 Issue Da � e ! l Balance Due: re I G-4 `2O4 BLDG DIV: A 1,'. A P••V• .-.. J.. DATE •� •rs.00 c�, (o/SPIg ■111 frry4r11 11MIFI P If �'lr EMV1' MIVA414,1411111 --Reception#: 879861 07/18/2016 D2,18:46 P1 Jean Riherico 1 of 2 Rec Fee:$16.00 Doc Fee 0.00 GRRFIELD COUNTY CO POWER OF ATTORNEY KNOW ALL PERSONS BY THESE 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, oragreementsin 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 of these (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-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 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 13th 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 _.47../Z., JAC, TO,' et - S. otard Attorney -in -Fact 1 ACKNOWLEDGEMENT State of Texas County of Harris This instrument was acknowledged before me on „jig , 2016 by Michael S. Land, known to me to be the President and CEO of Terra Energy Partneg LLC, a Delaware corporation, on behalf of the corporation. (Notary Seal) :N TIFFANY CEBELL POLLOCK n Notary Public, Stote of Texos Ss,My Commission Expires April 26, 2019 High revel Alarm it 441 srAI2_—. IS PrESZSt Tank Is Full GR 23-11V Pad Vault System Description The site will temporarily office and house up to a maximum of eight individuals during natural gas drilling activities and is expected to be completed in one year or less. The individuals will occupy up to four individual units located on the well pad. Office/houses have Colorado Division of Housing compliance tags. Four above ground sewage holding tanks with 1500 -gallon (6000 -gallon total) capacity on-site. The Vault System is displayed in the pictures. Sewage flow is estimated to be 600 gallons per day (8 individuals x 75 gpcd). Sewage holding tanks need to be emptied approximately every 10 days (6000 gallons/ 600 gallons per day). Wastewater vault is equipped with overflow alarm device. Terra Energy Partners utilizes the services of a licensed contractor to remove and haul the wastewater to a state certified treatment/disposal facility. Two aboveground potable water tanks of approximately 3360 gallon capacity each on-site. "Potable Water Only" signs will be posted on tanks. Potable water demand is estimated to be 600 gallons per day (8 individuals x 75 gpcd). Required minimum fire suppression demand is 2500 gallons. Road access to the site is maintained year round through the services of a private road maintenance and construction contractor. .r• r • K:\2019 NPX Valley \GR 23-11V\GR Section 11 T7S,R96W 'I f l / { 11 1) t / r - / /• + 1 I # y i? f / , ti l 1`+ t I I ` I ,/ . e- el ,] 1 + IJ It + yy t l I} Ir1� I I I I J� 11 Ifi I } ! 1 f r IJ .1 f TOP/ ireiY ,1 r "!;•/ 4/1 - Re -Align Ai es_ ▪ li - _ . - - — -� 50'D/S^-_-11 /1/ Ufa + L ,x' F 65' N.., NE #5A + may A • tr C0.8'. 0 SO GRAPHIC SCALE IN FEET 1 INCH 4 83 FEET NW#3B• L, s 1 Its }C71 1 '1i1' !ITI1�--�\ Al 81 ! I y I I i Prop_ GM 313-11 p q 1, I11 I I+ 11 1 � 1 Plop. GM 513.1111 1` I 1 + 7 S 1 111 ` j Prop. GM 14-1 i 1 . 1. t, + 1 ( y ii4 J *ExGR23-11V A5 B5 1/ t i[ 1 t 11 my / GM 424 -AG 5 NAz. 44.84° E C 1#8 ', �['''7j� 1rr I ii 801 } 90'Prof • GM 524-11 e i �- B l 11't11I}r jr�1 ill Ill <2. 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GM 324-11 98 -) N,1\41/4 111 1:1 Cul Si I }S 1 ! • )) 5W #1B r J _rte _ r`--,1.;!..-„,--;....-;...:---'=,..:---.1.-- _y` _ - - % moi — — J� - 1_�- - fes._ �v ESTIMATED EARTHWORK QUANTITIES (cy) ITEM CUT FILL TOPSOIL EXCESS PAD 8720 7570 1100 50 PIT 8500 8500 `TOTALS 17220 7570 1100 8550 *NOTE: 1.) 10% Swell Factor Applied to Earthwork Cut Volume. 2.) Topsoil Volume Based on 12" Soil Depth. 3.) Total Disturbed Area = ±3.99 ac. REVISED: 9/24/14 736 East Third SYreer RfJlo, Colorreda 8.16.50 Ph 070625.272o Fax 197x162s 2773 BOOKCI.IFF Sury Services, Inc: SCALE: I • _ •� (7' DATE: J/ 1 / I 4 Construction Plan Prepared for: WPXENERGY WPX Energy Rocky Mountain, LLC PLAT: 2 d PROJECT.. VolrrtF DFT.• cs GR 23-11V Drill Pad - Plat 2 CONSTRUCTION LAYOUT K:\2D 9 WG% ValleV\G Section 11 T. 7 S., R. 96 W. N Ly - 1 "' r' `, ri O I • 1' ) 0 1000 2000 11 GRAPHIC SCALE IN FEET 1 INCH= 2000 FEET ACCESS DESCRIPTION: FROM THE INTERSECTION OF COUNTY ROAD 215 and STATE HIGHWAY 6 AT PARACHUTE, PROCEED IN A NORTHWESTERLY DIRECTION ALONG COUNTY ROAD 215, ±2.1 MILES TO AN INTERSECTION WITH A DIRT/GRAVEL ROAD, PROCEED LEFT IN A SOUTHERLY DIRECTION ±2.6MILES TO THE EXISTING GR 23-11V DRILL PAD LOCATION, AS SHOWN HEREON. 136 F.os1 Third Street ROE,. C',nlnrorin 81ri50 Ph. 197,117 625 2/20 Pax (970162.5.277.3 BooxrrIFF Survey Services, Inc. SCALE: 1 " = 2000' DATE: 9/1(1.1 Construction Plan Prepared for: WPXi i..'F r :. WPX Energy Rocky Mountain, LLC PLAT: 5 or 7 PROJECT: Volley DFT cs GR 23-11V Drill Pad - Plat 5 ACCESS ROAD & TOPO MAP